2021-11-12T11:07:10-06:00 2020-12-31 135565207 KPMG LLP 1212 NORTH 96TH STREET SUITE 300 OMAHA NE 68114 990 2020-01-01 470376604 NEBRASKA METHODIST HOSPITAL NEBR 4023544840 825 SOUTH 169TH STREET OMAHA NE 68118 JEFFREY E FRANCIS VICE PRES-FINANCE & CFO 4023544840 2021-11-12 1 JEFFREY FRANCIS 999009999 DONALD NEAL JR P00798244 4023481450 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOSEPHINE ABBOUD 825 SOUTH 169TH STREET OMAHA NE 68118 1064296513 0 X WWW.BESTCARE.ORG X 1891 NE IMPROVING THE QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTHCARE. 14 11 4088 580 7405431 1146345 5021903 30115863 575718224 555773738 44124607 41252157 9611887 10136080 634476621 637277838 19746291 18864394 0 0 244166609 245694853 0 0 0 267393574 265119319 531306474 529678566 103170147 107599272 953272488 1027583192 352569470 368105154 600703018 659478038 X NEBRASKA METHODIST HOSPITAL (COMMONLY KNOW AS "METHODIST HOSPITAL") IS AN ACUTE CARE FACILITY DEDICATED TO BRINGING HIGH QUALITY CARE FOR THE MIND, BODY AND SPIRIT OF EVERY PERSON. WE PROVIDE COMMUNITY-BASED HEALTH CARE, HEALTH EDUCATION AND SUPPORT SERVICES EVER MINDFUL OF THE INTRINSIC HONOR AND RESPONSIBILITY ACCOMPANYING OUR MISSION. 0 0 48057794 1911591 53380148 SOMEONE DIES FROM HEART DISEASE, STROKE OR ANOTHER CARDIOVASCULAR DISEASE EVERY 43 SECONDS IN THE UNITED STATES, ACCORDING TO THE AMERICAN HEART ASSOCIATION. CARDIOVASCULAR DISEASE, AS THE UNDERLYING CAUSE OF DEATH, ACCOUNTS FOR NEARLY 801,000 DEATHS IN THE U.S WHICH IS ABOUT ONE OUT OF EVERY 3.METHODIST HOSPITAL HAS BEEN A LEADER IN THE CARE AND TREATMENT OF THOSE WHO COME TO US IN OUR EMERGENCY DEPARTMENT OR ARE DIAGNOSED WITH CARDIOVASCULAR DISEASE. WE HAVE LONG BEEN AT THE FOREFRONT IN CARING FOR THESE PATIENTS AND ARE ALWAYS EXPLORING WAYS TO ENHANCE THEIR TREATMENT AND LIFESTYLE.METHODIST HOSPITAL'S COMMITMENT AND SUCCESS IN IMPLEMENTING AN EXCEPTIONAL STANDARD OF CARE FOR CARDIAC PATIENTS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AND THE JOINT COMMISSION.IN 2018, METHODIST HOSPITAL WAS AWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CHEST PAIN CERTIFICATION. THE GOLD SEAL OF APPROVAL IS A SYMBOL OF QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO PROVIDING SAFE AND EFFECTIVE PATIENT CARE. IN 2020, METHODIST HOSPITAL WAS RECOGNIZED FOR ITS QUALITY STROKE AND CARDIAC CARE, EARNING HIGH DISTINCTION AMONG A NUMBER OF PRESTIGIOUS HOSPITALS NATIONWIDE. NOT ONLY WAS METHODIST HOSPITAL RECOGNIZED WITH THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE SILVER RECEIVING QUALITY ACHIEVEMENT AWARD, BUT IT ALSO RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD.ALSO IN 2019, BLUE CROSS AND BLUE SHIELD OF NEBRASKA HAS RECOGNIZED NEBRASKA METHODIST HOSPITAL WITH A BLUE DISTINCTION CENTERS+ FOR CARDIAC CARE DESIGNATION AS PART OF THE BLUE DISTINCTION SPECIALTY CARE PROGRAM.METHODIST HOSPITAL CONTINUED ITS GREAT SUCCESS WITH THE WATCHMAN PROCEDURE, WHICH IS TARGETED FOR THOSE PATIENTS WITH ATRIAL FIBRILLATION. IN ADDITION, A NEW WIRELESS PACEMAKER PROCEDURE WAS ALSO INTRODUCED. BOTH HAVE BEEN RECEIVED AND PERFORMED WITH GREAT SUCCESS MAKING AN IMPACT ON THE LIVES OF PATIENTS. IN 2019, CARDIOLOGISTS AND VASCULAR SPECIALISTS ALSO BEGAN OFFERING THE T-CAR PROCEDURE. METHODIST'S CARDIOTHORACIC SURGERY PROGRAM IS RECOGNIZED BY THE SOCIETY OF THORACIC SURGEONS. OUR NATIONALLY RESPECTED TEAM OF PROVIDERS HAS ACCESS TO SOME OF THE MOST ADVANCED DIAGNOSTIC AND TREATMENT OPTIONS IN THE REGION. THEY ARE TRUE LEADERS IN THEIR FIELD, USING THE MOST INNOVATIVE TECHNIQUES TO PERFORM COMPLEX OPERATIONS DESIGNED TO IMPROVE PATIENTS' QUALITY OF LIFE PROGRAM. ALSO A LEADER IN STROKE CARE AND TREATMENT, METHODIST WOMEN'S HOSPITAL BECAME THE FIRST ACUTE STROKE READY HOSPITAL IN NEBRASKA CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THE SITE CAN ASSESS AND PROVIDE INITIAL TREATMENT TO STROKE PATIENTS, BEFORE TRANSFERRING PATIENTS TO METHODIST HOSPITAL FOR FURTHER TREATMENT. 44435684 1836414 44509057 AT NEBRASKA METHODIST HOSPITAL, WE UNITE ALL OF OUR RESOURCES TO JOIN OUR PATIENTS IN THEIR FIGHT AGAINST CANCER IN ITS TOTALITY. OUR UNIQUE MULTIDISCIPLINARY APPROACH IS ONE OF METHODIST'S GREATEST STRENGTHS. WORKING TOGETHER WITH THE PATIENT ON THE TEAM, WE FOCUS A RARE LEVEL OF COMBINED EXPERTISE TO EXPAND TREATMENT OPTIONS, IMPROVE OUTCOMES AND PROVIDE COMFORT AND HOPE.WE OFFER A FULL LINE OF CANCER SERVICES AT MECC INCLUDING: BREAST CARE CENTER, CHEMOTHERAPY, CLINICAL TRIALS, GAMMA KNIFE, GYNECOLOGIC ONCOLOGY, HEAD AND NECK ONCOLOGY, LUNG/THORACIC ONCOLOGY, MULTIDISCIPLINARY TEAM APPROACH, NUTRITION SERVICES, OCCUPATIONAL AND SPEECH THERAPY, PHYSICAL WELLNESS PROGRAMS, PSYCHO-ONCOLOGY SERVICES, RADIATION ONCOLOGY, REHABILITATION, SOCIAL WORK, STEM CELL TRANSPLANTS, SUPPORT SERVICES, SURGICAL ONCOLOGY AND TUMOR REGISTRY.OUR HEAD AND NECK SURGICAL ONCOLOGISTS, THE LARGEST GROUP IN THE REGION, CONTINUED THEIR NATIONALLY RECOGNIZED EFFORTS OF ATTACKING PAIN, OR MULTI-MODAL ANALGESIA FOR HEAD AND NECK SURGICAL PATIENTS. THEIR EFFORTS, RESULTING IN A REDUCTION OF OPIOID USE BY PATIENTS, HAVE LED TO THE PRACTICE BEING IMPLEMENTED BY OTHER SERVICES ACROSS THE HEALTH SYSTEM. IN 2019, A TELE-HEALTH PROGRAM IN OUT-STATE NEBRASKA FOR THE MANAGEMENT OF THYROID NODULES MADE ITS DEBUT. OUTREACH EFFORTS IN WESTERN IOWA WERE ALSO FIRMLY ESTABLISHED, PROVIDING ACCESS TO CARE MUCH CLOSER TO HOME. METHODIST ESTABROOK CANCER CENTER BREAST CARE CENTER WAS GRANTED A THREE-YEAR ACCREDITATION DESIGNATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS. METHODIST WAS THE FIRST IN NEBRASKA TO BE ACCREDITED IN 2009 AND HAS EARNED CONSECUTIVE RE-ACCREDITATIONS IN 2012, 2015 AND NOW 2018. IN NOVEMBER 2018, NEBRASKA METHODIST HOSPITAL LAUNCHED THE REGIONS FIRST MOBILE 3D MAMMOGRAPHY COACH. THE COACH PROVIDES LIFE-SAVING BREAST CANCER SCREENINGS TO THE UNINSURED, UNDERINSURED AND BUSINESS COMMUNITY. SINCE THAT TIME, THE MOBILE MAMMOGRAPHY COACH HAS VISITED 271 LOCATIONS, 3,923 MAMMOGRAMS HAVE BEEN PROVIDED OF WHICH 793 WERE FIRST TIME SCREENINGS. THE SCREENINGS HAVE RESULTED IN 11 POSITIVE CANCERS BEING DETECTED.THE NATIONAL PANCREAS FOUNDATION RECOGNIZED METHODIST ESTABROOK CANCER CENTER IN 2019 AS AN APPROVED PANCREATIC CANCER CENTER. THE IMPORTANT DESIGNATION PUTS METHODIST IN ELITE COMPANY WITH FEWER THAN 50 OTHER CENTERS NATIONWIDE.METHODIST ESTABROOK CANCER CENTER RECEIVED INTERNATIONALLY-RECOGNIZED ACCREDITATION BY THE FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (FACT) AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. THIS MARKS THE SECOND TIME METHODIST ESTABROOK CANCER CENTER HAS EARNED THE FACT ACCREDITATION, HAVING ALSO RECEIVED THE RECOGNITION IN 2014. IN ADDITION TO PROVIDING THE STANDARD TREATMENTS, THE PHYSICIANS AT NEBRASKA METHODIST HOSPITAL AND ITS METHODIST ESTABROOK CANCER CENTER HAVE CONSISTENTLY SHOWED ACTIVE PARTICIPATION IN CANCER PREVENTION AND TREATMENT TRIALS APPROVED BY THE NATIONAL CANCER INSTITUTE (NCI). EVERY CANCER PATIENT TREATED HERE IS EVALUATED FOR ELIGIBILITY IN NCI-APPROVED TRIALS, AND TRIAL PARTICIPATION IS ENTIRELY VOLUNTARY. ONLY ABOUT 3-5% PERCENT OF ADULT CANCER PATIENTS NATIONWIDE PARTICIPATE IN CLINICAL TRIALS, ACCORDING TO THE NCI, COMPARED TO A 17 PERCENT PARTICIPATION RATE AT METHODIST ESTABROOK CANCER CENTER, WHERE CLINICAL TRIALS ARE OVERSEEN BY A HIGHLY TRAINED, MULTIDISCIPLINARY TEAM OF CANCER SPECIALISTS IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PROVIDER. 151290818 3359291 138427918 THROUGHOUT OUR CAMPUSES, METHODIST IS FOCUSING ON PROVIDING SPECIALIZED CARE FOR WOMEN. WITH THE ONLY MEDICAL CAMPUS IN THE REGION DEDICATED TO WOMEN'S HEALTH, METHODIST IS A LEADER IN PROVIDING CARE TO WOMEN FROM THE TEENAGE YEARS THROUGHOUT THEIR LIVES. METHODIST IS THE LONG-TIME METRO AREA LEADER IN BIRTH SERVICES, DELIVERING A MORE COMPREHENSIVE ARRAY OF FAMILY PLANNING OPTIONS - AND MORE BABIES - THAN ANY OTHER HOSPITAL IN THE REGION. IN 2020, METHODIST WOMEN'S HOSPITAL REPORTED JUST UNDER 5,000 BIRTHS.MANY OF THOSE BABIES OFTEN NEED A HIGHER LEVEL OF CARE AND THE METHODIST WOMEN'S HOSPITAL NICU HAS BEEN PROVIDING SUCH CARE SINCE OPENING IN 2010. THE NICU QUICKLY REACHED CAPACITY AND IN 2015 AN EXPANSION PROJECT WAS ANNOUNCED. THE $19.3 MILLION PROJECT WAS COMPLETED IN 2017. THE PROJECT EXPANDED THE NICU FROM 28 TO 51 PRIVATE BEDS 13 NEW SINGLE ROOMS AND FIVE ROOMS FOR TWINS OR TRIPLETS. ALSO PART OF THE PROJECT, A NEW FAMILY LOUNGE SPACE, FEATURING A FAMILY BATHROOM.STAFFED BY A HIGHLY SPECIALIZED NEONATAL TEAM, THE NICU IS DESIGNATED A LEVEL III UNIT - THE HIGHEST LEVEL OF CARE IN WEST OMAHA.METHODIST IS HOME TO THE LARGEST OB/GYN PRACTICE IN THE REGION, AS WELL AS ONE OF THE LEADING MATERNAL-FETAL MEDICINE CLINICS SERVING OMAHA AND BEYOND. THE MATERNAL-FETAL MEDICINE TEAM BEGAN OFFERING OUTREACH SERVICES TO PATIENTS IN WESTERN NEBRASKA AND WESTERN IOWA, EXTENDING A HIGH LEVEL OF CARE CLOSER TO HOME TO THOSE FACING A HIGHER RISK PREGNANCY. METHODIST WOMEN'S HOSPITAL HAS EARNED MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING. MAGNET STATUS IS CONSIDERED THE "GOLD STANDARD" OF NURSING. IN 2016, METHODIST WOMEN'S HOSPITAL BECAME JUST THE 11TH SITE IN THE COUNTRY TO EARN THE PRESTIGIOUS PERINATAL CERTIFICATION FROM THE JOINT COMMISSION. THE REGIONAL LEADER IN BIRTHS WAS AWARDED ITS RE-CERTIFICATION IN 2018 FROM THE JOINT COMMISSION AND CITED FOR ITS EXEMPLARY WORK IN SEVERAL CATEGORIES. IN SO DOING, METHODIST WOMEN'S HOSPITAL IS NOW JUST ONE OF 37 HOSPITALS IN THE UNITED STATES WITH THIS JOINT COMMISSION CERTIFICATION AND THE ONLY HOSPITAL IN NEBRASKA.METHODIST WOMEN'S HOSPITAL WAS NAMED AN EDUCATION CHAMPION THROUGH THE NEBRASKA SAFE BABIES - AHT/SBS PREVENTION HOSPITAL CAMPAIGN. METHODIST WOMEN'S HOSPITAL WAS AMONG THE FIRST IN THE OMAHA METRO AREA AND AMONG NINE TOTAL HOSPITALS TO ACHIEVE THAT RECOGNITION. TWENTY-TWO OTHER HOSPITALS HAVE PLEDGED TO BECOME CHAMPIONS. METHODIST WOMEN'S HOSPITAL ALSO WAS A PILOT HOSPITAL THAT ASSISTED WITH THE DEVELOPMENT AND ROLLOUT OF THE STATEWIDE AHT/SBS CAMPAIGN, WHICH PROVIDES EVIDENCE-BASED EDUCATION AND TRAINING TO PARENTS OF NEWBORNS AND HOSPITAL BIRTHING STAFF.THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) HAVE RECOGNIZED METHODIST WOMEN'S HOSPITAL FOR EXCELLENCE IN LACTATION CARE IN 2019. METHODIST WOMEN'S HOSPITAL WAS THE SECOND HOSPITAL IN NEBRASKA TO RECEIVE THE IBCLC AWARD. 261417902 11757098 321671317 A TEAM OF HEALTH CARE PROVIDERS SUCCESSFULLY DIAGNOSED AND PROVIDED INITIAL TREATMENT TO THE FIRST COVID-19 PATIENT IN THE STATE OF NEBRASKA. ALTHOUGH THE PATIENT'S TRAVEL HISTORY WAS NOT AN INDICATOR, THE TEAM PUSHED FOR FURTHER ASSESSMENT EFFORTS AND TESTING TO VALIDATE THEIR INITIAL AND CORRECT DIAGNOSIS.CONSTRUCTION/RENOVATIONS TOOK PLACE AS COVID-19 CONTINUED TO IMPACT THE COMMUNITY. TO BETTER CARE FOR OUR PATIENTS AND PROVIDE A SAFER ENVIRONMENT FOR THE CLINICAL TEAMS ADDITIONAL NEGATIVE AIR FLOW ROOMS WERE CREATED. EFFECTIVE SURGE PLANS WERE ALSO CREATED AND IMPLEMENTED WHEN COVID-19 CENSUS WARRANTED THEIR USE.THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACS) HAS GRANTED ITS 2019 OUTSTANDING ACHIEVEMENT AWARD TO A SELECT GROUP OF 49 ACCREDITED CANCER PROGRAMS THROUGHOUT THE UNITED STATES. FOR THE THIRD CONSECUTIVE SURVEY CYCLE, METHODIST HOSPITAL, HOME TO METHODIST ESTABROOK CANCER CENTER, HAS RECEIVED THE HONOR. METHODIST'S IS THE ONLY CANCER CENTER IN OMAHA TO BE HONORED DURING THE 2019 CYCLE.CONTINUING A COMMITMENT TO CARING FOR THE COMMUNITY'S OLDER ADULTS, METHODIST HOSPITAL BECAME THE FIRST AND ONLY HOSPITAL IN NEBRASKA TO BE AWARDED GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION (GEDA) FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. METHODIST HOSPITAL'S EMERGENCY DEPARTMENT HAS ACHIEVED THE SILVER STANDARD LEVEL 2 GEDA ACCREDITATION, ONE OF ONLY 12 IN THE UNITED STATES WHO NOW HAVE THE DESIGNATION.THE INSTITUTE FOR CAREER ADVANCEMENT NEEDS (ICAN), IN PARTNERSHIP WITH KIEWIT, ANNOUNCED JOSIE ABBOUD, PRESIDENT AND CEO OF METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL, AS THE RECIPIENT OF THE FIFTH ANNUAL ICAN LEADERSHIP AWARD. DESPITE THE PANDEMIC, WORK CONTINUED ON THE $25 MILLION RENOVATION/EXPANSION OF THE EMERGENCY DEPARTMENT. 261417902 11757098 321671317 505202198 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 X 207 0 1 4088 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JEFFREY E FRANCIS 4023544840 825 S 169TH STREET OMAHA NE 68118 DEBORAH PERRY MD DIRECTOR 40.00 0.00 X 429993 0 104869 CAROLEE V JONES MD DIRECTOR 1.00 39.00 X 0 365285 81895 C L LANDEN CHAIRMAN 1.00 0.00 X X 0 0 0 BRET C GRIESS VICE CHAIRMAN 1.00 0.00 X X 0 0 0 KATHLEEN C DODGE SECRETARY 1.00 0.00 X X 0 0 0 MICHAEL C LEBENS TREASURER 1.00 0.00 X X 0 0 0 SPENCER STEVENS DIRECTOR 1.00 0.00 X 0 0 0 LARRY V PEARSON DIRECTOR 1.00 0.00 X 0 0 0 ADAM YALE DIRECTOR 1.00 0.00 X 0 0 0 DEB BASS DIRECTOR 1.00 0.00 X 0 0 0 RICHARD C HAHN DIRECTOR 1.00 0.00 X 0 0 0 TYRON A ALLI MD DIRECTOR 1.00 0.00 X 0 0 0 RICHARD KUTILEK MD DIRECTOR 1.00 0.00 X 0 0 0 TODD ENGLE DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN L GOESER PRES./CEO NE METH HEALTH 24.00 16.00 X 0 994028 265259 JEFFREY E FRANCIS VICE PRES CFO 22.00 18.00 X 0 574017 128344 JOSEPHINE ABBOUD PRESIDENT METHODIST HOSPIT 40.00 0.00 X 0 516383 126517 PATRICIA BAUER COO WOMEN'S HOSPITAL 40.00 0.00 X 0 206414 55666 WILLAM LYDIATT MD CHIEF MEDICAL OFFICER 40.00 0.00 X 0 476982 108890 TERI BRUENING VP - ADMINISTRATION 40.00 0.00 X 0 263416 58825 JULIE MURRAY VICE PRESIDENT 40.00 0.00 X 0 241188 60427 NIYATI NADKARNI MD PHYSICIAN 40.00 0.00 X 505373 0 39974 ARU PANWAR MD PHYSICIAN 40.00 0.00 X 499333 0 38259 BRENT TIERNEY MD PHYSICIAN 40.00 0.00 X 508079 0 55490 RANDALL DUCKERT PHYSICIAN 40.00 0.00 X 512649 0 74150 PETER MORRIS PHYSICIAN 40.00 0.00 X 525547 0 50168 2980974 3637713 1248733 245 0 1 0 PERINATAL ASSOCIATES PC 717 N 190TH PLAZA 2400 OMAHA NE 68022 MEDICAL SERVICES 8509993 MCLMEYERS-CARLISLE-LEAPLEY 14124 INDUSTRIAL ROAD OMAHA NE 681443332 CONSTRUCTION 4778363 JE DUNN CONSTRUCTION 14606 BRANCH ST SUITE 300 OMAHA NE 68154 CONSTRUCTION 3179589 ANDERSON PARTNERS 444 REGENCY PKWY DR 311 OMAHA NE 68114 ADVERTISING/MARKETING 2095330 WEST DODGE IMAGING 515 N 162ND AVE 100 OMAHA NE 68118 MEDICAL SERVICES 1313796 42 7255 12564143 17544465 30115863 NET PATIENT SVC REV 621990 545510253 545510253 OTHER PATIENT REVENUE 621990 9730660 9730660 MEDICAL RESEARCH 541700 532825 532825 555773738 31716055 31716055 4316391 3908072 408319 408319 408319 432443842 15350 422767394 155696 9676448 -140346 9536102 9536102 295141 187513 107628 107628 LABORATORY 621500 4752788 4752788 CAFETERIA REVENUE 722210 2223494 2214702 8792 TECH. & PROF. CONSULTING 541900 1779770 1779770 864081 864081 9620133 637277838 557988440 7405431 41768104 485093 485093 18379301 18379301 194607861 194607861 -561189 -561189 38330946 38330946 13317235 13317235 121602 121602 26668 26668 713069 713069 35119378 35119378 2376412 2376412 17071924 17071924 23871330 23871330 15367984 15367984 60780 60780 10369416 10369416 34062963 34062963 3485635 2872536 613099 MEDICAL SUPPLIES 95033116 95033116 SYSTEM ALLOCATIONS 23001930 23001930 STAFF EDUCATION & DEV. 1471079 1471079 DUES AND SUBSCRIPTIONS 1267786 1267786 1698247 1698247 529678566 505202198 24476368 0 30824870 18883209 88682909 88188160 7373818 9032929 10573552 12907364 913136406 597446795 333487133 315689611 338907201 426845210 4169498 4084580 139253507 151952129 953272488 1027583192 70666568 90944191 269509187 263813736 4611514 6373654 7782201 6973573 352569470 368105154 X 558697726 622663795 42005292 36814243 600703018 659478038 953272488 1027583192 X 107599272 -654863 -48169389 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 26668 78594 26668 78594 529651898 721129478 529678566 721208072 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 74536 71961 76668 78594 301759 250000 250000 250000 250000 1000000 1500000 PART II-B, LINE 1: A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND NEBRASKA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 1030645 110346 1140991 871537 159108 1030645 933621 -62084 871537 807886 125735 933621 740834 67052 807886 0.52470 0.47530 0 1 1 2485571 2485571 431727721 237624230 194103491 478923114 359822565 119100549 315689611 OTHER RECEIVABLES 6289340 CONSTRUCTION IN PROGRESS 17690952 DUE FROM AFFILIATES 60164672 BENEFICIAL INTEREST IN FDN ASSETS 18713422 INVESTMENT IN SUBSIDIARIES 43098390 RIGHT OF USE OF OPERATING ASSETS 5995353 151952129 COND. ASSET RETIREMENT OBLIGATION 2832484 LONG TERM OPERATING LEASE OPERATIONS 4141089 6973573 X PART V, LINE 4: FUNDS ARE DESIGNATED FOR CHARITABLE AND CANCER CARE. PART X, LINE 2: THE NEBRASKA METHODIST HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. NO CHANGES WERE MADE TO THE FINANCIAL STATEMENTS DUE TO FIN48. PART IX, LINE 5 IN 2020, NET ASSETS WERE ADJUSTED TO REFLECT THE BENEFICIAL INTEREST IN FOUNDATION NET ASSETS, AN INCREASE OF $18,713,422 1 1 X 1 X 1 X 1 1 0 1 1 12081688 69942 12011746 0.02270 28365426 22587343 5778083 0.01090 40447114 22657285 17789829 0.03360 5621866 5621866 0.01060 7383601 7383601 0.01390 3216767 3216767 0.00610 297213 297213 0.00060 456872 456872 0.00090 16976319 16976319 0.03210 57423433 22657285 34766148 0.06570 88 88 0.00000 1449 1449 0.00000 88 88 0.00000 1625 1625 0.00000 1 12522761 116672422 140544804 -23872382 X 1 1 1 WEST DODGE IMAGING LLC DIAGNOSTIC IMAGING SERVICES 0.50000 0.50000 2 METHODIST ENDOSCOPY CENTER LLC AMBULATORY SURGICAL FACILITY 0.50000 0.50000 3 MIDWEST SURGICAL HOSPITAL AMBULATORY SURGICAL FACILITY 0.12550 0.87450 2 1 NEBRASKA METHODIST HOSPITAL 8303 DODGE STREET OMAHA NE 68114 WWW.BESTCARE.ORG/LOCATIONS/METHODIST-H 260008 X X X X X A 2 METHODIST WOMEN'S HOSPITAL 707 NORTH 190 PLAZA OMAHA NE 68022 WWW.BESTCARE.ORG/LOCATIONS/METHODIST-W H000116 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/ X 1 18 1 WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NEBRASKA METHODIST HOSPITAL, - FACILITY 2: METHODIST WOMEN'S HOSPITAL GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS. IN ADDITION, AN ON-LINE KEY INFORMANT SURVEY WAS USED TO SOLICIT INPUT FROM INDIVIDUALS WITH A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. THIS INCLUDED 163 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, NEBRASKA METHODIST HEALTH SYSTEM, CHI HEALTH, AND NEBRASKA MEDICINE AS WELL AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 6B: IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., LIVE WELL OMAHA, OMAHA COMMUNITY FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND THE UNITED WAY OF THE MIDLANDS. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 11: 2018 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE NEBRASKA METHODIST HOSPITAL (NMH) ARE COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE 2018 - 2020 PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY BENEFIT PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES ENHANCING THE HEALTH OF THE COMMUNITY ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE PARTNER WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. OFTEN PROGRAMS OR SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL CURRENT CENTER FOR DISEASE CONTROL (CDC) REPORTS ARE UPDATED, HOWEVER, EACH SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS, AS STATED BY BEST PRACTICES FROM REPUTABLE, SCIENTIFIC EXPERTS.METHODIST HOSPITAL HAS WORKED WITH NEARLY 300 ORGANIZATIONS IN THE LAST DECADE THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY A STATEMENT WE REMAIN HIGHLY PROUD OF. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER.ACCESS TO HEALTHCARE SERVICESTO IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY, THE METHODIST COMMUNITY HEALTH CLINIC (MCHC), A LOW COST CLINIC OWNED AND OPERATED BY NMH, PROVIDES SERVICES TO A DIVERSE AND UNDERSERVED POPULATION. THE CLINIC SERVED NEARLY 10,000 INDIVIDUALS SINCE 2017. STAFFED BY TWO MID-LEVEL PROVIDERS AND BY AN INTERNIST AS THE MEDICAL DIRECTOR, THE CLINIC PROVIDES PRIMARY CARE SERVICES AS WELL AS STD SCREENING AND SEXUAL ASSAULT NURSE EXAMINER (SANE) FOLLOW-UPS. THE GOAL OF THIS STRATEGICALLY PLACED CLINIC IS TO INCREASE SERVICES FOR THE UNINSURED/UNDERINSURED AND UNDER-RESOURCED POPULATIONS. THE CLINIC CONTINUES TO COLLABORATE WITH A LOCAL FAITH COMMUNITY AS WELL AS BEHAVIORAL HEALTH PROVIDERS AND SOCIAL WORKERS TO ENCOMPASS THE WHOLE INDIVIDUAL, AND HAS GAINED THE EXPERTISE OF AN ON-SITE NEPHROLOGIST ONE AFTERNOON A MONTH.MCHC HAS PROVEN TO BE A HUB FOR COMMUNITY COLLABORATION, PARTNERING WITH NEBRASKA METHODIST COLLEGE AND THE FAITH-BASED FOOD PANTRY LOCATED IN THE SAME BUILDING, TO PROVIDE FREE MONTHLY SCREENINGS AND EDUCATION ON NEEDS IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT.THE METHODIST MOBILE MAMMOGRAPHY COACH CONTINUES TO TRAVEL ACROSS NEBRASKA AND SOUTHWESTERN IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. IN ITS FIRST YEAR OF OPERATION, THE MOBILE MAMMOGRAPHY UNIT PROVIDED 705 MAMMOGRAMS, AND HAS PROVIDED TYPICALLY OVER 1,600 MAMMOGRAMS ANNUALLY.CANCERMETHODIST HOSPITAL CONTINUES TO INCREASE ITS OFFERINGS OF A VARIETY OF CANCER SCREENINGS, INCLUDING FREE HEAD & NECK OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND THROUGHOUT THE LOCAL COMMUNITY. THERE ARE A NUMBER OF OTHER FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY IN PARTNERSHIP WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: BREAST, DIABETIC, LUNG AND SKIN, AMONG OTHERS. HEAD AND NECK CANCER SCREENING OPPORTUNITIES HAVE EXPANDED ACROSS THE REGION WITH BOTH IN-PERSON AND VIRTUAL OFFERINGS ALL FREE TO THE COMMUNITY. METHODIST ESTABROOK CANCER CENTER (MECC) CHOSE COLON CANCER TO EVALUATE & ENSURE ALL NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN) GUIDELINES WERE BEING FOLLOWED, AND THIS PROJECT WAS A PHYSICIAN-LED EVALUATION & ANALYSIS PROCESS. THIS PROJECT RESULTED IN MECC FINDING THAT ALL SURGICAL INTERVENTIONS WERE PERFORMED ACCORDING TO NCCN GUIDELINES BASED ON PATIENT PREFERENCE AND FUNCTIONAL STATUS. AS PART OF OUR MEMBERSHIP AND SUPPORT FOR THE IMMUNIZATION TASK FORCE, NMH ADVOCATES FOR INCREASED HUMAN PAPILLOMA VIRUS (HPV) VACCINATION IN MEDICAL CLINICS ACROSS THE AREA, AND PROVIDES NEARLY 2,500 FREE INFLUENZA DOSES TO DAYCARES, SCHOOLS, AND NON-AFFILIATED HEALTH CLINICS ACROSS THE METROPOLITAN AREA.HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATION TOOLS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. AT THESE EVENTS, BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT NO COST. THESE CONSULTATIONS INCLUDE SPECIALIZED EDUCATION REGARDING HEALTHY LIFESTYLE CHOICES THAT CAN REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES. THROUGHOUT 2019 & 2020, NEARLY 33,000 INDIVIDUALS WERE SERVED THROUGH HEART DISEASE & STROKE EDUCATION, OUTREACH AND SCREENINGS.COVID-19 PANDEMICAS EVERY COMMUNITY ACROSS THE UNITED STATES CAN ATTEST TO, THE COVID-19 PANDEMIC COMPLETELY UPENDED EVERY ASPECT OF DAILY LIFE, ESPECIALLY IN THE HEALTHCARE INDUSTRY. ALL OPERATIONS FROM LARGE COMMUNITY OUTREACH EVENTS TO IN-PERSON HEALTH PROFESSIONS EDUCATION TO SUPPORT GROUPS AND FINANCIAL SUPPORT FOR OTHER NONPROFIT ORGANIZATIONS CAME TO A SCREECHING HALT AND FORCED EVERY HEALTHCARE PROFESSIONAL TO REPRIORITIZE THEIR EFFORTS IN AN ALL-HANDS-ON-DECK APPROACH TO ENSURING HOSPITALS AND THEIR STAFF COULD SAFELY AND EFFICIENTLY CARE FOR THE SICKEST AMONG US. NMH WAS NO DIFFERENT, AS SEVERAL DEPARTMENTS AND ENTIRE FLOORS WERE RETROFITTED TO ACCOMMODATE A POTENTIAL (AND SOMETIMES REALIZED) SURGE OF COVID-19 PATIENTS. NEARLY ALL COMMUNITY BENEFIT ACTIVITIES ALSO CAME TO A SCREECHING HALT, BUT THAT DID NOT STOP US FROM CONTINUING TO REACH-OUT AND FIND INNOVATIVE WAYS TO SUPPORT OUR COMMUNITY PARTNERS, WHICH COINCIDENTALLY HAS LED US TO FORM STRONGER BONDS WITH THOSE PARTNERS. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, NMH & MWH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. NMH USES A MULTI-DISCIPLINE APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED OVER $717.2 MILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 13B: METHODIST HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 13H: METHODIST HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY.METHODIST HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, AVERAGE HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIOECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT BILLING OFFICE TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS. IN ADDITION, AN ON-LINE KEY INFORMANT SURVEY WAS USED TO SOLICIT INPUT FROM INDIVIDUALS WITH A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. THIS INCLUDED 163 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, METHODIST HEALTH SYSTEM, CHI HEALTH, AND NEBRASKA MEDICINE AS WELL AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 6B: IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., LIVE WELL OMAHA, OMAHA COMMUNITY FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND UNITED WAY OF THE MIDLANDS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 11: 2018 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE METHODIST WOMEN'S HOSPITAL (MWH) IS COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. ALL LEADERSHIP SUPPORT THE IMPORTANCE OF WORKING IN THE COMMUNITY WITH OVER 300 PARTNERS IN THE LAST DECADE TO ADDRESS THE IDENTIFIED NEEDS THROUGH THE REGION'S COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE 2018 - 2020 IMPLEMENTATION STRATEGY PLAN TO STRATEGICALLY ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, IN ACCORDANCE WITH OUR TALENTS, RESOURCES AND AREAS OF EXPERTISE. EACH COMMUNITY BENEFIT PROGRAM INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES ENHANCING THE HEALTH OF THE COMMUNITY ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENTMWH (AS AN AFFILIATE OF METHODIST HEALTH SYSTEM AND NEBRASKA METHODIST HOSPITAL) HAS WORKED WITH OVER 260 ORGANIZATIONS IN THE LAST DECADE THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AS WELL AS DIRECT AND INDIRECT CONTRIBUTIONS. LIKEWISE, MWH REMAINS A STRONG LEADER IN IMPROVING THE HEALTH OF OUR COMMUNITIES - A STATEMENT WE REMAIN HIGHLY PROUD TO MAKE. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER. IN THE FOLLOWING PAGES, WE ADDRESS THE RESULTS OF SIGNIFICANT ACTIONS TAKEN TO ADDRESS OUR TOP PRIORITIES ACROSS OUR COMMUNITIES.`ACCESS TO HEALTHCARE SERVICESTHE METHODIST MOBILE MAMMOGRAPHY COACH WAS ESTABLISHED THROUGH A SYSTEM-WIDE CAPITAL CAMPAIGN TO FINANCE THE PURCHASE OF A NEW MOBILE COACH, WHICH WAS THEN RETROFITTED TO SUPPORT A FULLY FUNCTIONING MAMMOGRAPHY SCREENING ROOM. FULLY EQUIPPED WITH STORAGE, CONSULTATION AND PATIENT AREAS, THIS MOBILE UNIT HAS TRAVELED ACROSS NEBRASKA AND IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. IN ITS FIRST TWO YEARS OF OPERATION, THE METHODIST MOBILE MAMMOGRAPHY UNIT PROVIDED NEARLY 4,000 MAMMOGRAMS THROUGH 2020 TO WOMEN ACROSS THE METROPOLITAN REGION, INCLUDING NEARLY 440 WOMEN RECEIVING A MAMMOGRAM FOR THE VERY FIRST TIME.MWH'S EMERGENCY DEPARTMENT IS SPECIALLY EQUIPPED BOTH WITH PHYSICAL AND HUMAN RESOURCES TO RESPOND TO THE UNIQUE NEEDS OF SEXUAL ASSAULT SURVIVORS THROUGH THE SEXUAL ASSAULT NURSE EXAMINER/SEXUAL ASSAULT RESPONSE TEAM (SANE/SART) PROGRAM. AMONG ALL OF MHS'S EMERGENCY DEPARTMENTS SINCE 2003, THE SANE/SART PROGRAM HAS HELPED OVER 3,300 INDIVIDUALS WITH SPECIALIZED FORENSIC EXAMINATION, EVIDENCE COLLECTION, LAW ENFORCEMENT PARTNERSHIP AND FOLLOW-UPS AS NECESSARY. CANCERIN ADDITION TO THE MOBILE MAMMOGRAPHY UNIT, MWH CONTINUES TO INCREASE ITS OFFERINGS OF FREE BREAST EXAM SCREENING AND EDUCATION OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND IN THE LOCAL COMMUNITY. SOME OF THESE EDUCATIONAL OUTREACH PROGRAMS ADDRESS TOPICS SUCH AS: PERINATAL HYPERTENSION, BREASTFEEDING, LABOR SUPPORT, AND CARING FOR A NEWBORN FOR FIRST-TIME PARENT(S). THROUGH THESE OUTREACH ACTIVITIES, MWH STAFF WAS ABLE TO REACH OVER 800 INDIVIDUALS THROUGHOUT 2020. COVID-19 PANDEMICAS EVERY COMMUNITY ACROSS THE UNITED STATES CAN ATTEST TO, THE COVID-19 PANDEMIC COMPLETELY UPENDED EVERY ASPECT OF DAILY LIFE, ESPECIALLY IN THE HEALTHCARE INDUSTRY. ALL OPERATIONS FROM LARGE COMMUNITY OUTREACH EVENTS TO IN-PERSON HEALTH PROFESSIONS EDUCATION TO SUPPORT GROUPS AND FINANCIAL SUPPORT FOR OTHER NONPROFIT ORGANIZATIONS CAME TO A SCREECHING HALT AND FORCED EVERY HEALTHCARE PROFESSIONAL TO REPRIORITIZE THEIR EFFORTS IN AN ALL-HANDS-ON-DECK APPROACH TO ENSURING HOSPITALS AND THEIR STAFF COULD SAFELY AND EFFICIENTLY CARE FOR THE SICKEST AMONG US. HOWEVER, MWH INITIALLY TREATED THE FIRST CONFIRMED CASE OF COVID-19 IN NEBRASKA, AND THANKS TO A QUICK-THINKING CARE TEAM, MWH REFERRED THE PATIENT TO NEBRASKA METHODIST HOSPITAL FOR A MORE INTENSIVE LEVEL OF CARE, AND SHE WAS EVENTUALLY TRANSPORTED TO NEBRASKA MEDICINE AFTER CAREFUL COORDINATION BETWEEN THOSE TWO HOSPITALS, THE DOUGLAS COUNTY HEALTH DEPARTMENT AND NEBRASKA GOVERNOR PETE RICKETTS' OFFICE. THROUGH THAT MULTIDISCIPLINARY CARE TEAM AND CLOSE COLLABORATION WITH A COMPETING HEALTH SYSTEM, MWH ADDED TO THE NATIONWIDE SCREENING COVID-19 STANDARDS TO ACCURATELY FIND AND DIAGNOSE THIS DISEASE, WHILE ESTABLISHING CARE PROTOCOLS THAT KEPT BOTH THE PATIENTS, CARE TEAM AND PUBLIC AT-LARGE AS SAFE AS POSSIBLEHEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATIONAL METHODS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. FREE BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT EVERY COMMUNITY EVENT. IN ADDITION TO THESE ACTIVITIES, MWH EDUCATES EVERY ENCOUNTERED INDIVIDUAL WITH HEALTHY LIFESTYLE CHOICE OPTIONS THAT REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES.EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, MWH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED OVER $717.2 MILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 13B: METHODIST WOMEN'S HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 13H: METHODIST WOMEN'S HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY.METHODIST WOMEN'S HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, AVERAGE HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIOECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT BILLING OFFICE TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST WOMEN'S HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. 1 1 - METHODIST COMMUNITY HEALTH CLINIC 208 S 26TH AVE OMAHA NE 68131 LOW INCOME COMMUNITY CLINIC PART I, LINE 7: THE METHODS PRIMARILY USED ARE THE FINANCIAL INFORMATION FROM THE MEDICARE COST REPORT AND ACTUAL EXPENDITURES.INFORMATION FOR UNREIMBURSED MEDICAID IS CONSISTENT WITH AMOUNTS FILED IN THE 2020 MEDICARE COST REPORT.INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, RESEARCH AND IN-KIND DONATIONS IS COLLECTED THROUGH THE YEAR USING THE COMMUNITY BENEFITS INVENTORY SOCIAL ACCOUNTABILITY SOFTWARE WHICH FOLLOWS CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR COMMUNITY BENEFITS REPORTING. AMOUNTS SHOWN AS COMMUNITY BENEFIT ARE AT COST LESS ANY REVENUE EXCLUSIVE OF ANY GRANTS. CASH AND IN-KIND DONATIONS THAT SUPPORT FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN CONTRIBUTIONS.ALL COSTS AND REIMBURSEMENTS RELATED TO COVID-19 WERE SEGREGATED FROM NORMAL OPERATING UNITS WITHIN THE METHODIST HOSPITAL. COMMUNITY BENEFITS ITEMS RELATED TO COVID-19, WHERE APPLICABLE, HAVE BEEN IDENTIFIED SEPARATELY AND ANALYZED FOR COST VS. REIMBURSEMENT, WITH ONLY THE NET COST BEING REPORTED ON THIS SCHEDULE H. PART I, LINE 7G: A SUBSIDIZED HEALTH SERVICE BENEFIT IS CALCULATED FOR DEPARTMENTS AND SERVICES RECOGNIZING THESE AREAS OPERATE AT A NEGATIVE MARGIN. THE CANCER RISK ASSESSMENT AND PREVENTION PROGRAM, THE METHODIST COMMUNITY HEALTH CLINIC, THE DIABETES INSTITUTE AND THE GERIATRIC EVALUATION AND MANAGEMENT PROGRAMS ARE AMONG THE MANY COMMUNITY HEALTH IMPROVEMENT AND SUBSIDIZED HEALTH SERVICES OPERATED AT NEGATIVE MARGINS. THE METHODIST COMMUNITY HEALTH CLINIC, LOCATED AT 26TH AVENUE AND DOUGLAS STREET IN MIDTOWN OMAHA, IS AN ONGOING JOINT COMMUNITY PROJECT OF METHODIST HOSPITAL AND KOUNTZE MEMORIAL CHURCH THAT HELPS TO MEET THE HEALTH NEEDS OF OMAHA'S LOW-INCOME POPULATION WITHIN AN ATMOSPHERE OF CARING AND RESPECT. THE CLINIC IS MODERN, SPACIOUS, CLIENT-CONVENIENT AND PROVIDES A SUPPORTIVE SETTING. GOALS CENTER ON PATIENT EDUCATION AND EMPOWERMENT, ACCESS TO QUALITY PRIMARY CARE AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. ADVANCED PRACTICE NURSES OFFER BOTH WALK-IN AND SCHEDULED APPOINTMENTS. A SLIDING FEE SCALE IS USED BASED ON THE CLIENT'S ABILITY TO PAY. THE CLINIC IS A PROVIDER FOR EVERY WOMAN MATTERS, A PROGRAM THAT PROVIDES FREE OR LOW COST PAP SMEARS, MAMMOGRAMS, FAMILY PLANNING AND REPRODUCTIVE SERVICES.FREE OR LOW-COST SERVICES INCLUDE PHYSICAL EXAMS, TREATMENT OF MINOR AND CHRONIC HEALTH PROBLEMS AND ILLNESSES, PHYSICIAN REFERRALS, HEALTH EDUCATION, FAMILY PLANNING SERVICES, ADOLESCENT ROUTINE CARE, SCHOOL PHYSICALS, HIV TESTING AND RISK COUNSELING, STD TESTING AND TREATMENT, AND TREATMENT FOR VICTIMS OF SEXUAL ASSAULT AND DOMESTIC ABUSE.THE SEXUAL ASSAULT NURSE EXAMINER AND SEXUAL ASSAULT RESPONSE TEAM (SANE/SART) SURVIVOR PROGRAM, THE LUNG CANCER PROGRAM AND OTHER PROGRAMS AIMED AT CANCER RISK ASSESSMENT AND PREVENTION ARE PROGRAMS TARGETING COMMUNITY HEALTH NEEDS.SANE/SART PROGRAM:THE SEXUAL ASSAULT NURSE EXAMINER AND SEXUAL ASSAULT RESPONSE TEAM (AKA SANE/SART) SURVIVOR PROGRAM IS A COLLABORATION THAT UNITES METHODIST HOSPITAL WITH GOVERNMENT AND COMMUNITY AGENCIES. THIS PROGRAM, THE ONLY ONE OF ITS KIND IN THE OMAHA METRO AREA, WAS INSTITUTED IN 2003. PRIOR TO THAT, EMERGENCY ROOM CARE AFTER SEXUAL ASSAULT WAS FAR TOO SIMILAR TO EMERGENCY ROOM CARE AFTER AN ACCIDENT OR INJURY. THIS PROGRAM HAS BEEN ESTABLISHED TO PROVIDE ELEMENTS OF PRIVACY AND COMFORT FOR VICTIMS OF SEXUAL ASSAULT. THROUGH SANE/SART, METHODIST HOSPITAL AND ITS AFFILIATES INCLUDING METHODIST JENNIE EDMUNDSON HOSPITAL IN COUNCIL BLUFFS, IOWA, OFFER COMPASSIONATE EMERGENCY CARE FROM HEALTH CARE PROFESSIONALS SPECIFICALLY TRAINED NOT JUST TO MEET THE SURVIVOR'S SPECIAL MEDICAL AND EMOTIONAL NEEDS, BUT TRAINED ALSO IN PROPER METHODS OF RECOGNIZING AND COLLECTING FORENSIC EVIDENCE. DEDICATED SANE/SART NURSES, AVAILABLE 24/7, ARE KEY MEMBERS OF THE TEAM THAT CARES FOR SURVIVORS. THEIR NEUTRAL EVIDENCE COLLECTION AND TESTIMONY CAN AID AUTHORITIES IN ANY CRIMINAL INVESTIGATION.THE SANE/SART UNIT ALSO OFFERS A PRIVATE LOCATION FOR WOMEN TO BE INTERVIEWED BY POLICE OFFICERS AND TO MEET WITH A WOMEN'S CENTER FOR ADVANCEMENT VICTIM ADVOCATE. THE ADVOCATE HELPS SURVIVORS FIND COUNSELING AND SUPPORT GROUPS AS WELL AS GUIDING THEM THROUGH LEGAL PROCEEDINGS. CANCER PROGRAMS:BATTLING CANCER INCLUDES MORE THAN MEDICAL RESEARCH AND CLINICAL TECHNOLOGY. METHODIST HOSPITAL TAKES A MULTI-DISCIPLINARY APPROACH AND PROVIDES PROGRAMS AND EDUCATION. THE METHODIST ESTABROOK CANCER CENTER SPONSORS A RANGE OF EDUCATION AND COMMUNITY EVENTS FOCUSED ON INCREASING CANCER AWARENESS AND PROMOTING THE HEALING OF CANCER SURVIVORS. SOME OF THE PROGRAMS INCLUDE THE RELAY FOR LIFE EVENT WHICH CELEBRATES SURVIVORS AND INSPIRES THE COMMUNITY TO FIGHT BACK AGAINST CANCER; HARPER'S HOPE CANCER SURVIVORSHIP PROGRAM; A YOUNG ADULT SURVIVOR'S NETWORK; BREAST CANCER SUPPORT GROUPS AND PROSTATE CANCER SUPPORT GROUPS.SUICIDE - THE TRAGIC OUTCOME OF MENTAL ILLNESS - CAN BE PREVENTED. BUT IT TAKES RECOGNITION OF THE PROBLEM, REFERRALS TO MENTAL HEALTH SERVICES, AND PARTNERSHIPS AMONG KEY PROVIDERS IN THE COMMUNITY. METHODIST HOSPITAL'S COMMUNITY COUNSELING PROGRAM DIRECTLY SERVES APPROXIMATELY 6,800 IN OMAHA AND SURROUNDING COMMUNITIES WHILE ELEVATING THE OVERALL HEALTH AND EDUCATION IN THE REGION. THIS UNIQUE COMMUNITY PARTNERSHIP BETWEEN NEBRASKA METHODIST HOSPITAL AND THE OMAHA PUBLIC SCHOOLS BRINGS PROFESSIONAL COUNSELING SERVICES TO THOSE WHO OTHERWISE MIGHT HAVE NO ACCESS TO MENTAL HEALTH CARE. A TEAM OF LICENSED, MASTERS-LEVEL COUNSELORS FROM METHODIST HOSPITAL MAINTAIN OFFICE HOURS AT SCHOOLS AND CHURCHES. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. THE SERVICE IS PROVIDED TO PATIENTS AT NO COST. PART I, LN 7 COL(F): THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSE IN COLUMN (E) BY THE SUM OF THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN A. SCH H, PART VI, LINE 7 NO DIRECT REPORT IS REQUIRED BY THE STATE OF NEBRASKA. HOWEVER, INFORMATION FROM THE HOSPITALS' COMMUNITY BENEFITS REPORT DATA IS INCLUDED IN A REPORT COMPILED BY THE NEBRASKA HOSPITAL ASSOCIATION. PART II, COMMUNITY BUILDING ACTIVITIES: METHODIST HOSPITAL PROVIDES MONETARY SUPPORT THROUGH THE GREATER OMAHA CHAMBER FOUNDATION. MEMBERS OF THE STAFF PROVIDE THEIR TALENT AND EXPERTISE THROUGH INVOLVEMENT ON A VARIETY OF COMMUNITY ORGANIZATIONS.METHODIST HOSPITAL, ALONG WITH OTHER HEALTH CARE PROVIDERS AND PUBLIC SAFETY AGENCIES, QUIETLY PLAYS AN IMPORTANT ROLE IN THE COMMUNITY'S ABILITY TO RESPOND TO AND IMPROVE EMERGENCY RESPONSE DURING A NATURAL DISASTER, HAZARDOUS MATERIALS SPILL OR DOMESTIC TERRORIST ATTACK. OMAHA METROPOLITAN MEDICAL RESPONSE SYSTEM (OMMRS) WAS ESTABLISHED THROUGH A FEDERAL GRANT IN 2000, AS A MULTIDISCIPLINARY GROUP OF FIRST RESPONDERS AND OTHER HEALTH CARE PROVIDERS. OMMRS BENEFITS THE COMMUNITY IN STANDARDIZING EMERGENCY RESPONSE EQUIPMENT AND TRAINING AND DEVELOPING RESPONSE PLANS TO MAXIMIZE COMMUNITY RESOURCES AND CLARIFY COMMUNICATION PROCESSES BETWEEN AGENCIES. IN MARCH 2019, OMMRS WAS CALLED INTO ACTION DUE TO CATASTROPHIC SPRING STORMS, AFFECTING THE OMAHA METROPOLITAN AREA WITH MASSIVE FLOODING OF THE PLATTE AND MISSOURI RIVERS. IN MARCH 2020, OMMRS WAS CALLED INTO ACTION DUE TO THE COVID-19 PANDEMIC.WHILE GRANTS HAVE PROVIDED FUNDING TO COVER SOME EXPENSES, TRAINING AND OTHER NEEDED EQUIPMENT ARE PROVIDED BY METHODIST AS A COMMUNITY BENEFIT. METHODIST HOSPITAL EMPLOYS A FULL-TIME EMERGENCY PREPAREDNESS COORDINATOR, IN ADDITION TO A SAFETY TEAM WITH PARTIAL RESPONSIBILITY FOR EMERGENCY PREPAREDNESS. SALARIES PAID TO EMPLOYEES WHO ATTEND AFTER-HOURS PLANNING MEETINGS AND PARTICIPATE IN THE ANNUAL WEEKEND DISASTER DRILL ARE NOT COVERED BY GRANTS.AS ONE OF THE MEMBERS OF THE OMMRS, METHODIST HOSPITAL WOULD PROVIDE TREATMENT FOR SECOND-LEVEL INJURIES, WALKING WOUNDED AND OVERFLOW TRAUMA PATIENTS WHEN ESTABLISHED TRAUMA CENTERS ARE OVERWHELMED. PART III, LINE 4: THE NEBRASKA METHODIST HEALTH SYSTEM ADOPTED THE NEW REVENUE RECOGNITION STANDARD IN 2019. BAD DEBT EXPENSE IS NO LONGER DISCUSSED SEPARATELY. THE FOOTNOTE ADDRESSING REVENUE RECOGNITION IS ON THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGES 9 - 11 AND 13 - 14.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2020 FILED MEDICARE COST REPORT. PART III, LINE 8: SOURCE IS THE 2020 MEDICARE COST REPORT AS FILED. PART III, LINE 9B: COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL HAVE ADOPTED A PROCEDURE FOR THOSE SITUATIONS WHERE A PATIENT POTENTIALLY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE THE APPLICATION. THIS PROCEDURE, REFERRED TO AS THE PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS ASSISTING WITH SELF-PAY COLLECTIONS.SOME OF THE INDIVIDUAL LIFE CIRCUMSTANCES THAT HAVE BEEN ESTABLISHED AS INDICATORS OF PRESUMPTIVE ELIGIBILITY INCLUDE:PARTICIPATION IN STATE FUNDED PRESCRIPTION PROGRAMS; IDENTIFICATION AS HOMELESS OR RECEIVING CARE FROM A HOMELESS PERSONS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM; FOOD STAMP ELIGIBILITY; SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN); LOW INCOME/SUBSIDIZED HOUSING PROVIDED AS VALID ADDRESS.THE HOSPITAL STAFF, AS WELL AS VENDORS UTILIZED FOR SELF-PAY COLLECTIONS, HAVE BEEN TRAINED TO IDENTIFY INDICATORS OF PRESUMPTIVE ELIGIBILITY AND DOCUMENT SUCH AS SUPPORT FOR FINANCIAL ASSISTANCE DETERMINATION.THE HOSPITAL BILLS ALL THIRD PARTY RESOURCES THAT MAY BE ABLE TO PROVIDE REIMBURSEMENT FOR CARE PROVIDED TO PATIENTS. THIS INCLUDES, BUT IS NOT LIMITED TO, COMMERCIAL INSURANCE, MEDICARE, MEDICAID, COUNTY GOVERNMENT AND OTHER GOVERNMENT PROGRAMS, AND ANY OTHER POTENTIAL SOURCE OF REIMBURSEMENT.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO OR DURING THE TIME OF SERVICE. THOSE PATIENTS ARE ENCOURAGED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY THE MOST RECENT CHNA. PART VI, LINE 3: FINANCIAL ASSISTANCE APPLICATIONS ARE INCLUDED IN ALL INPATIENT ADMISSION PACKETS. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED FOR PRIVATE CONSULTATION 5 DAYS A WEEK FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO ENSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM.THE BILLING CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE NEEDS. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE PROVIDED WITH APPLICATIONS AND ARE ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE.APPROPRIATE RESOURCES ARE USED TO PROVIDE EFFECTIVE COMMUNICATION WITH NON-ENGLISH SPEAKING PATIENTS INCLUDING CYRACOM LANGUAGE LINE SYSTEM THAT PROVIDES 24-HOUR ACCESS TO SEVERAL HUNDRED DIFFERENT LANGUAGE INTERPRETERS. OTHER RESOURCES INCLUDE HOPE MEDICAL OUTREACH AND ON-SITE STAFF OR CONTRACTED INTERPRETER SERVICES. THE HOSPITAL PROVIDES FOR INTERPRETATIVE SERVICES AT NO COST TO THE PATIENTS.INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON THE BESTCARE.ORG WEBSITE IN BOTH ENGLISH AND SPANISH. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION. PLAIN LANGUAGE SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION DESKS WITHIN THE HOSPITALS. PART VI, LINE 4: METHODIST HOSPITAL'S SERVICE AREA INCLUDES THE GREATER OMAHA METROPOLITAN AREA - DOUGLAS, SARPY, AND CASS COUNTIES. ONE OF THE METHODIST HEALTH SYSTEM AFFILIATES OPERATES IN IOWA COUNTIES EXTENDING THE POTENTIAL FOR PATIENT CARE OUTSIDE THE METROPOLITAN AREA. ACCORDING TO US CENSUS DEPARTMENT REPORTS, THIS AREA IS HOME TO ALMOST 1,058,000 PEOPLE. METHODIST HOSPITAL HAS A NUMBER OF PROGRAMS THAT EXTEND BEYOND THE METROPOLITAN AREA SUCH AS THE PERINATAL OUTREACH PROGRAM THAT PROVIDES TARGETED EDUCATIONAL OPPORTUNITIES FOR MEDICAL PERSONNEL FROM ACROSS NEBRASKA AND IOWA. PART VI, LINE 5: PROMOTING HEALTH OF THE COMMUNITY:METHODIST HOSPITAL'S BOARD OF DIRECTORS PROVIDES OVERSITE OF ALL OPERATIONS. IT IS COMPOSED OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS WITH A BLEND OF THOSE INDIVIDUALS WITH LONGEVITY ON THE BOARD AND THOSE WHO ARE NEW MEMBERS. THERE IS SIGNIFICANT PHYSICIAN INVOLVEMENT ON THE BOARD LENDING TO THE ABILITY TO BE LEADERS IN MEDICAL SERVICES. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS TO PROMOTE A UNIFORM STANDARD OF QUALITY PATIENT CARE, TREATMENT AND SERVICES. ADDITIONAL CRITERIA FOR CLINICAL PRIVILEGES MAY INCLUDE A REQUIREMENT OF SPECIALTY BOARD CERTIFICATION IF IT IS BELIEVED TO BE AN IMPORTANT OBJECTIVE INDICATOR OF TRAINING AND COMPETENCE. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:THE NEBRASKA METHODIST HEALTH SYSTEM INCLUDES METHODIST HOSPITAL, METHODIST HOSPITAL FOUNDATION, METHODIST FREMONT HEALTH, METHODIST JENNIE EDMUNDSON HOSPITAL, METHODIST JENNIE EDMUNDSON HOSPITAL FOUNDATION, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC, AND THE METHODIST COLLEGE OF NURSING. AS A GROUP, THESE ENTITIES ARE COMMITTED TO CARING FOR THE PEOPLE OF THE COMMUNITY BY PROVIDING OUTSTANDING CARE, EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES. THE MORE THAN 9,300 EMPLOYEES OF OUR HOSPITALS, CLINICS, COLLEGE AND FOUNDATION WORK TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES SERVED. TO FULFILL OUR MISSION OF CARING FOR PEOPLE, AFFILIATES HAVE DEVELOPED A VARIETY OF WAYS TO CONTRIBUTE CARE AND HEALTH-RELATED EDUCATION TO THE POOR, MINORITIES, AND TO OTHER UNDERSERVED GROUPS AS WELL AS TO THE BROADER COMMUNITY.AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM, AND ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, METHODIST HOSPITAL AND THE ENTITIES OF NEBRASKA METHODIST HEALTH SYSTEM ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THE REGION. METHODIST HOSPITAL RESPECTS AND EMBRACES THE RESPONSIBILITY THAT ACCOMPANIES TAX EXEMPT STATUS AND IS HONORED TO OFFER LEADERSHIP, SUPPORT AND RESOURCES TO BENEFIT THE COMMUNITY. 0 AMERICAN HEART ASSOCIATION 10100 J STREET OMAHA NE 68127 135613797 501(C)(3) 40000 CURE/PREVENTION OF HEART ATTACKS HOPE MEDICAL OUTREACH COALITION 1722 ST MARYS AVENUE 105 OMAHA NE 68102 911850344 501(C)(3) 24000 COORDINATE AND EXPAND CAPACITY OF LOCAL HEALTHCARE PROVIDERS TO CARE FOR THE UNINSURED AND UNDERINSURED OF THE METRO OMAHA AREA MARCH OF DIMES-NEBRASKA CHAPTER 11840 NICHOLAS STREET 220 OMAHA NE 68154 131846366 501(C)(3) 21250 IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY AMERICAN CANCER SOCIETY 9850 NICHOLAS STREET STE 200 OMAHA NE 68114 741185665 501(C)(3) 7500 150000 FMV FREE USE OF THE LAND AND LOCATION FOR THE HOPE LODGE FACILITY CURE/PREVENTION OF CANCER NEBRASKA AFFILIATE OF THE SUSAN G KOMEN FOR THE CURE 12103 PACIFIC STREET OMAHA NE 68154 260056671 501(C)(3) 7500 FUNDS RESEARCH AND RAISES AWARENESS FOR THE FIGHT AGAINST CANCER NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA NE 68118 470595345 501(C)(3) 116693 SUPPORTING PROGRAMS OF NEBRASKA METHODIST HOSPITAL FOUNDATION ICAN 14217 DAYTON CIRCLE OMAHA NE 68137 470633139 501(C)(3) 15000 SUPPORT PROGRAMS THAT PROVIDE LEADERSHIP DEVELOPMENT PHOENIX ACADEMY 1110 N 66TH STREET OMAHA NE 68132 020732028 501(C)(3) 15000 SUPPORT SCHOLARSHIP PROGRAMS FOR READING DISADVANTAGE STUDENTS 8 FINANCIAL ASSISTANCE 28967 18373301 BOOK FINANCIAL ASSISTANCE TO PATIENTS. SCHOLARSHIPS 6 6000 PART I, LINE 2: NEBRASKA METHODIST HOSPITAL GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES SO, PROCEDURES ARE FOLLOWED TO ENSURE THAT THE GRANT IS MADE TO HEALTH CARE AND COMMUNITY ORGANIZATIONS THAT SHARE IN THE HOSPITAL'S GOALS, MISSION AND CONCERN FOR THE HEALTH OF THE COMMUNITY. 0 1 0 0 0 0 0 0 0 STEPHEN L GOESER PRES./CEO NE METH HEALTH 0 958568 0 0 0 35460 0 242135 0 23746 0 1259909 0 0 JEFFREY E FRANCIS VICE PRES CFO 0 400154 0 0 0 173863 0 98348 0 30618 0 702983 0 171384 JOSEPHINE ABBOUD PRESIDENT METHODIST HOSPIT 0 454257 0 0 0 62126 0 96253 0 30886 0 643522 0 40330 RANDALL DUCKERT PHYSICIAN 491961 0 0 0 20688 0 52298 0 23492 0 588439 0 0 0 WILLAM LYDIATT MD CHIEF MEDICAL OFFICER 0 456817 0 15095 0 5070 0 77626 0 32822 0 587430 0 0 PETER MORRIS PHYSICIAN 506863 0 0 0 18684 0 28500 0 23308 0 577355 0 0 0 BRENT TIERNEY MD PHYSICIAN 490479 0 11420 0 6180 0 32006 0 25124 0 565209 0 0 0 NIYATI NADKARNI MD PHYSICIAN 474314 0 11420 0 19639 0 32762 0 8852 0 546987 0 0 0 ARU PANWAR MD PHYSICIAN 423752 0 55919 0 19662 0 25811 0 14088 0 539232 0 0 0 DEBORAH PERRY MD DIRECTOR 405237 0 3000 0 21756 0 81577 0 24932 0 536502 0 0 0 CAROLEE V JONES MD DIRECTOR 0 301688 0 44823 0 18774 0 65521 0 18014 0 448820 0 0 TERI BRUENING VP - ADMINISTRATION 0 260959 0 0 0 2457 0 57325 0 3577 0 324318 0 0 JULIE MURRAY VICE PRESIDENT 0 240774 0 0 0 414 0 35763 0 25286 0 302237 0 0 PATRICIA BAUER COO WOMEN'S HOSPITAL 0 206000 0 0 0 414 0 40382 0 15870 0 262666 0 0 PART I, LINE 3 SEE SCHEDULE O, PART VI, SECTION B, LINE 15 EXPLANATION REGARDING THE METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2020 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $82,028 ACCRUAL; $171,384 PLAN DISTRIBTION STEPHEN GOESER $216,485 ACCRUAL JOSEPHINE ABBOUD $67,753 ACCRUAL, $40,330 PLAN DISTRIBUTION TERI BRUENING $37,493 ACCRUAL RANDALL DUCKERT MD $23,798 ACCRUAL DEBORAH PERRY MD $53,077 ACCRUAL ARU PANWAR MD $9,381 ACCRUAL CAROLEE JONES MD $37,021 ACCRUAL NIYATI NADKARNI MD $12,812 ACCRUAL WILLIAM LYDIATT MD $53,186 ACCRUAL PATRICIA BAUER $19,749 ACCRUAL BRENT TIERNEY MD $12,618 ACCRUAL JULIE MURRAY $23,634 ACCRUAL A HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 259230LY4 2015-06-16 39999212 SEE PART VI 0 0 0 B HOSPITAL AUTH #3 DOUGLAS CNTY NE 470689293 259234CK6 2015-06-16 192458400 SEE PART VI 0 0 0 C HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 NONEAVAIL 2018-03-28 26725000 REFUND PRIOR BONDS (03/19/14) 0 0 0 D HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 NONEAVAIL 2018-04-13 26510000 REFUND PRIOR BONDS (05/18/2017) 0 0 0 A 40895929 16828237 24067692 2016 0 1 1 1 B 15250000 199265650 1942738 10987507 186335405 2016 0 1 1 1 C 250000 26725000 26725000 2015 1 0 1 1 D 1490000 26510000 26510000 2016 1 0 1 1 A 0 0 1 1 0 1 0 1 B 0 0 1 1 0 0.00040 0.00040 1 0 1 C 0 0 1 1 0 1 0 1 D 0 0 1 1 0 1 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2020 (A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2020 (A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 10/13/2018 SCH K, ENTITY 1 & 2 - REGARDING THE 9/28/18 & 10/13/18 REBATE COMPUTATIONS: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. SCH K, ENTITY 1 - REGARDING THE 5/31/20 REBATE COMPUTATIONS: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. SCHEDULE K, ENTITY 1 - PART I, LINES A & B, COLUMN F: BLDG ADDITIONS & EQUIPMENT/REFUND DEBT (05/20/08) SCHEDULE K, ENTITY 1 - PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. A HOSPITAL AUTH #3 DOUGLAS CNTY NE 470689293 NONEAVAIL 2018-03-28 8185000 REFUND PRIOR BONDS (03/19/14) 0 0 0 A 2125000 8185000 8185000 2010 1 0 1 1 A 0 0 1 1 0 1 0 1 A 0 0 1 1 1 0 0 0 1 A 1 KATHLEEN DODGE MEMBER OF THE BOARD OF DIRECTORS 180932 KATHLEEN DODGE IS AN OWNER OF NP DODGE REALTY WHICH CONTRACTS WITH THE HOSPITAL TO PROVIDE LEASED OFFICE SPACE. 0 FORM 990, PART V, LINE 2B THE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL IS BEING HANDLED BY A COMMON PAYMASTER, NEBRASKA METHODIST HEALTH SYSTEM, INC. ALL W-2 FORMS WERE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM AND ALL REQUIRED EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. WAGES AND BENEFITS SHOWN IN THE FORM 990 ARE ACTUAL WAGES ASSOCIATED WITH NEBRASKA METHODIST HOSPITAL PERSONNEL. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF NEBRASKA METHODIST HOSPITAL IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE BYLAWS, NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO CONFIRM AND REMOVE THE DIRECTORS OF THE CORPORATION AND HAS THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE CORPORATION'S PRESIDENT BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO APPROVE OR REFUSE TO APPROVE ANY AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR TO THE BYLAWS, OR ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION UNDER THE NEBRASKA NONPROFIT CORPORATION ACT. THE MEMBER HAS APPROVAL AUTHORITY ON ANNUAL BUDGETS, CAPITAL EXPENDITURES IN EXCESS OF CERTAIN ESTABLISHED THRESHOLDS, AND ESTABLISHMENT OF OR PARTICIPATION AS A SHAREHOLDER, PARTNER OR EQUITY MEMBER OF ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT AND COMPLIANCE COMMITTEE REPORTED TO THE BOARD OF DIRECTORS ON THEIR REVIEW OF THE FEDERAL FORM 990. A COPY WAS MADE AVAILABLE TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW THROUGH A SECURE INTERNET PORTAL. THE BOARD OF DIRECTORS IS GIVEN AN OPPORTUNITY TO ASK QUESTIONS OR REQUEST MORE INFORMATION. NEBRASKA METHODIST HOSPITAL IS AN AFFILIATE OF THE NEBRASKA METHODIST HEALTH SYSTEM. THE POLICIES AND PRACTICES OF NEBRASKA METHODIST HEALTH SYSTEM APPLY TO ALL ITS AFFILIATES. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING FINANCE, HUMAN RESOURCES AND CORPORATE COMPLIANCE; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR THE NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. POTENTIAL CONFLICTS OF INTEREST, ONCE IDENTIFIED, MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS NOT INVOLVED IN THE CONFLICT, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HOSPITAL AND/OR THE METHODIST HEALTH SYSTEM AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 NEBRASKA METHODIST HEALTH SYSTEM WITH WHICH NEBRASKA METHODIST HOSPITAL IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). THE POLICY ON "PHYSICIAN COMPENSATION" IS FOLLOWED WHEN CONTRACTING WITH PHYSICIANS TO ENSURE APPROPRIATE APPROVALS, INCLUDING APPROVAL BY THE BOARD OF DIRECTORS, ARE OBTAINED WHEN WARRANTED. OPINIONS OF FAIR MARKET VALUE REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION MAY ALSO BE OBTAINED FROM REPUTABLE, INDEPENDENT VALUATION CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION FILED THE FORM 1023 IN 1968. APPLICATIONS FILED BEFORE JULY 15, 1987 NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS DETERMINATION LETTER WILL BE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE RESTATED ARTICLES OF INCORPORATION OF THE ORGANIZATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING THE COMMUNITY BENEFITS IT PROVIDES AS PART OF THE NEBRASKA METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-COMMUNITY-AND-FINANCIAL-IMPACT. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -43,219,838. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION ASSETS -5,787,687. CHANGE IN INVESTMENT IN SUBSIDIARIES 838,136. HEART SERVICES LLC 825 S 169TH STREET OMAHA NE 68114 271141616 CARDIOLOGY SERVICES NE 0 0 NEBRASKA METHODIST HOSPITAL NEBRASKA METHODIST HEALTH SYSTEM INC 825 S 169TH STREET OMAHA NE 68118 470639839 ADMINISTRATIVE SUPPORT NE 501(C)(3) L12: III-FI N/A 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 420680355 LICENSED HOSPITAL IA 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA NE 68118 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL AND AFFILIATES EXEMPT ACTIVITIES NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST COLLEGE OF NURSING AND ALLIED HEALTH 825 S 169TH STREET OMAHA NE 68118 470724387 NURSING AND HEALTH EDUCATION FACILITY NE 501(C)(3) L2 NEBRASKA METHODIST HOSPITAL 1 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IA 501(C)(3) L7 JENNIE EDMUNDSON MEMORIAL HOSPITAL 0 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST 825 S 169TH STREET OMAHA NE 68118 363699672 INSURANCE NE 501(C)(3) L12: III-FI NEBRASKA METHODIST HEALTH SYSTEM 0 REAL ESTATE HOLDINGS 825 S 169TH STREET OMAHA NE 68118 470649790 PROPERTY MANAGEMENT NE 501(C)(2) NEBRASKA METHODIST HEALTH SYSTEM 0 PHYSICIANS CLINIC INC 825 S 169TH STREET OMAHA NE 68118 470687317 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM 0 METHODIST FREMONT HEALTH 450 E 23RD STSREET FREMONT NE 68025 831362276 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 FREMONT HEALTH CLINIC 450 E 23RD STSREET FREMONT NE 68025 470717207 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM 0 SHARED SERVICE SYSTEMS INC & SUBSIDIARY 825 S 169TH STREET OMAHA NE 68118 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE NEBRASKA METHODIST HEALTH SYSTEM C 0 METHODIST HEALTH PARTNERS 825 S 169TH STREET OMAHA NE 68118 470797563 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 FREMONT HEALTH PARTNERS 450 E 23RD STREET FREMONT NE 68025 460735043 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 HEALTH CHOICE OF NEBRASKA 450 E 23RD STREET FREMONT NE 68025 470783732 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 0 1 1 1 0 0 1 0 0 1 0 0 1 1 1 0 0 0 0 NEBRASKA METHODIST HEALTH SYSTEM INC 825 S 169TH STREET OMAHA NE 68118 470639839 X 0 48000 48000 79392931 79440931 1000000 250000 0 0 0 NEBRASKA METHODIST HOSPITAL 825 S 169TH STREET OMAHA NE 68118 470376604 X 0 26668 26668 529651898 529678566 1000000 250000 0 0 0 METHODIST FREMONT HEALTH 825 S 169TH STREET OMAHA NE 68118 831362276 X 0 3926 3926 112084649 112088575 1000000 250000 0 0 0