2018-11-14T16:13:56-06:00 2017-12-31 135565207 KPMG LLP 1212 NORTH 96TH STREET SUITE 300 OMAHA NE 68114 990 2017-01-01 470639839 NEBRASKA METHODIST HEALTH SYSTEM INC NEBR 4023544840 825 SOUTH 169TH STREET OMAHA NE 68118 JEFFREY E FRANCIS VICE PRES-FINANCE & CFO 4023544000 2018-11-14 1 DONALD NEAL JR P00798244 4023481450 66.37.233.51 2018-11-14 16:13:54 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9B1FB49249C5FFD763C152720F04CD6EF300C973 2017 2019-02-21 02:37:17Z X JOHN FRASER 825 SOUTH 169TH STREET OMAHA NE 68118 67067136 0 X WWW.BESTCARE.ORG X 1981 NE OPERATED EXCLUSIVELY FOR THE BENEFIT OF NEBRASKA METHODIST HOSPITAL & ITS RELATED ORGANIZATIONS. 19 17 834 17 1269474 0 102125 97000 57698838 64692155 369745 427744 1342323 1596120 59513031 66813019 273252 262485 0 0 52996818 55929421 0 0 0 11977373 12378467 65247443 68570373 -5734412 -1757354 713394409 825711208 72388394 94919050 641006015 730792158 X THE MISSION OF NEBRASKA METHODIST HEALTH SYSTEM IS TO CARE FOR PEOPLE BY DEVELOPING THE SPIRITUAL, HUMAN, FINANCIAL AND PHYSICAL RESOURCE BASE NEEDED TO PROVIDE THE BEST POSSIBLE HEALTH CARE SERVICES. THE PRIMARY WAY IN WHICH NEBRASKA METHODIST HEALTH SYSTEM PURSUES THIS MISSION IS THROUGH THE MONITORING AND COORDINATION OF ACTIVITIES AND BY REMAINING ALERT TO THE PHILOSOPHIES OF HEALING MINISTRIES AS REPRESENTED BY THE UNITED METHODIST CHURCH IN ITS ECUMENICAL RELATIONSHIPS AND CONCERNS. 0 0 60372831 262485 62837265 NEBRASKA METHODIST HEALTH SYSTEM SUPPORTS THE MISSION OF CARING FOR PEOPLE THROUGH THE COORDINATION OF THE METHODIST HEALTH SYSTEM FAMILY OF RELATED CORPORATIONS.TO ACHIEVE THE HIGHEST QUALITY HEALTHCARE AT THE LOWEST COST, THE NEBRASKA METHODIST HEALTH SYSTEM HAS CONSOLIDATED SEVERAL ESSENTIAL FUNCTIONS, AND, IN TURN, PROVIDES THESE SERVICES FROM A CENTRALIZED SOURCE FOR MAXIMUM EFFICIENCY TO ALL AFFILIATED PROVIDERS. THE SERVICES INCLUDE MANAGEMENT CONSULTING, FINANCE, OPERATIONS ANALYSIS, DATA PROCESSING AND HUMAN RESOURCES FUNCTIONS. 2012486 2096376 BEST CARE EAP IS A PREMIER PROVIDER OF CUSTOMIZED EMPLOYEE ASSISTANCE PROGRAMS, MANAGEMENT CONSULTATION, EMPLOYEE AND LEADERSHIP TRAINING AND DEVELOPMENT, PERFORMANCE COACHING AND WORK/LIFE SERVICES. BEST CARE EAP PARTNERS WITH ORGANIZATIONS ACROSS THE COUNTRY TO FACILITATE A HEALTHIER, MORE PRODUCTIVE WORKFORCE.THE EMPLOYEE ASSISTANCE PROGRAM (EAP) CONDUCTS CRITICAL SUPPORT ACTIVITIES FOR TRAUMATIC EVENTS SUCH AS THE DEATH OF AN EMPLOYEE, WORKPLACE ACCIDENTS, NATURAL DISASTERS AND VIOLENCE IN THE WORKPLACE. TRAUMA RESPONSE INCLUDES IMMEDIATE PHONE CONSULTATION. THE GOAL OF TRAUMA RESPONSE IS TO MINIMIZE THE DAMAGE CREATED BY THE ORDEAL AND TO SPEED THE RECOVERY PROCESS FOR PERSONNEL AND THE ORGANIZATION. EAP ALSO ASSISTS MANAGERS IN RECOGNIZING POST-TRAUMA SYMPTOMS AND PROVIDES GUIDANCE ON HOW TO REFER THE EMPLOYEE TO EAP. DURING AND AFTER, COUNSELORS WILL IDENTIFY AND REFER THOSE EMPLOYEES NEEDING FURTHER COUNSELING ASSISTANCE. SPECIALLY TRAINED PROFESSIONAL COUNSELORS CONDUCT SHORT TERM COUNSELING SERVICES TO HELP INDIVIDUALS AND FAMILIES OFFERING AN UNBIASED, INFORMAL AND CONFIDENTIAL ENVIRONMENT TO WORK THROUGH PERSONAL PROBLEMS AND FINANCIAL DIFFICULTIES.DURING 2017, THE EAP ALSO FACILITATED EMPLOYEE AND SUPERVISORY TRAINING IN SUCH AREAS AS MANAGEMENT, WELLNESS, ATTITUDE/MOTIVATION AND HUMAN RESOURCES TOPICS. 62385317 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 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 113 0 1 834 1 1 1 0 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JEFFREY E FRANCIS 4023544840 8511 W DODGE ROAD OMAHA NE 68114 X SPENCER STEVENS CHAIRMAN 1.00 0.00 X X 0 0 0 SID DINSDALE DIRECTOR 1.00 0.00 X 0 0 0 BRET C GRIESS DIRECTOR 1.00 0.00 X 0 0 0 LB RED THOMAS DIRECTOR 1.00 0.00 X 0 0 0 JOHN NELSON DIRECTOR 1.00 0.00 X 0 0 0 KEVIN L NELSON MD DIRECTOR 1.00 0.00 X 0 0 0 DAN KINNEY PHD DIRECTOR 1.00 0.00 X 0 0 0 TYRON A ALLI MD DIRECTOR 1.00 0.00 X 0 0 0 RICHARD C HAHN DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN DODGE DIRECTOR 1.00 0.00 X 0 0 0 DEB BASS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL LEBENS DIRECTOR 1.00 0.00 X 0 0 0 ADAM YALE SECRETARY 1.00 0.00 X X 0 0 0 ART N BURTSCHER TREASURER 1.00 0.00 X X 0 0 0 LARRY V PEARSON VICE CHAIRMAN 1.00 0.00 X X 0 0 0 CL LANDEN III DIRECTOR 1.00 0.00 X 0 0 0 JOHN FRASER PRESIDENT/CEO 16.00 24.00 X X 941789 0 225651 SCOTT ROSE MD DIRECTOR 1.00 0.00 X 0 0 0 CAROLEE V JONES MD DIRECTOR 1.00 39.00 X 0 543138 89386 STEPHEN L GOESER EXECUTIVE 40.00 0.00 X 624843 0 150724 JEFFREY E FRANCIS CFO 6.00 34.00 X 430933 0 106815 HOLLY HUERTER MORGAN EXECUTIVE 40.00 0.00 X 348254 0 84873 TERI LARSEN SYSTEM CONTROLLER 40.00 0.00 X 183564 0 26881 JERRY ELLWANGER EXECUTIVE 40.00 0.00 X 239215 0 68507 JEFF PROCHAZKA EXECUTIVE 40.00 0.00 X 227815 0 56264 CYNTHIA PEACOCK EXECUTIVE 1.00 39.00 X 355250 0 77265 TODD GRAGES EXECUTIVE 1.00 39.00 X 383529 0 96160 STEVE BAUMERT EXECUTIVE 1.00 39.00 X 373107 0 92310 GREGORY HUTTEGER CHIEF MEDICAL INFO OFFICER 40.00 0.00 X 348105 0 81514 ANN POLICH VICE PRESIDENT QUALITY IMP 40.00 0.00 X 370940 0 90768 STEVEN ZUBER CHIEF INFORMATION OFFICER 40.00 0.00 X 416886 0 96509 MATT EDWARDS CHIEF NETWORK OFFICER 40.00 0.00 X 198996 0 28645 DONALD MATSON VICE PRESIDENT INTEGRATED 39.00 1.00 X 242841 0 30063 5686067 543138 1402335 69 0 1 0 JE DUNN CONSTRUCTION CO 17110 MARCY SUITE LL01 OMAHA NE 68118 CONSTRUCTION SERVICES 4778735 HOLLAND BASHAM ARCHITECTS 119 S 49TH AVE OMAHA NE 68132 ARCHITECTURE SERVICES 1662965 ADVISORY BOARD P O BOX 79461 BALTIMORE MD 21279 CONSULTING SERVICE 1024231 CORP 3 DESIGN 1005 SOUTH 76 STREET 104 OMAHA NE 68114 MEDIA CONSULTANTS 897846 MCLMYERS-CARLISLE-LEAPLEY 14124 INDUSTRIAL ROAD OMAHA NE 68144 CONSTRUCTION SERVICES 791240 20 97000 97000 MGMT SERVICE-AFFILIATES 541900 62513869 62513869 EMPLOYEE ASSISTANCE 624100 2096376 2096376 MISC HEALTH SERVICES 624100 81910 81910 64692155 280211 280211 339277 254117 85160 85160 85160 147533 0 147533 147533 147533 MGMT TO TAXABLE SUB. 541610 1197000 1197000 CAFETERIA INCOME 722100 313960 241486 72474 1510960 66813019 64933641 1269474 512904 262485 262485 4108298 4108298 39009501 39009501 541150 541150 9083374 8085862 997512 3187098 3048663 138435 434463 434463 418730 418730 48000 48000 26151 26151 4245426 4245426 1124779 1124779 463777 463777 147082 147082 612486 612486 185739 185739 135544 135544 1866575 1866575 28208 14741 13467 DUES, LICENSES, SUBSCRI 1050523 1050523 CREDIT CARD FEES 576275 576275 STAFF EDUCATION 233985 233985 POSTAGE 219137 219137 561587 561587 68570373 62385317 6185056 0 10973746 13639392 507654 713314 1240000 23530000 9745 6698 1532824 1326466 48128747 26357714 15990175 21771033 8698005 9814719 900000 900000 673542260 754009586 713394409 825711208 26603655 29397776 45784739 65521274 72388394 94919050 X 499590274 587585396 138739293 140684144 2676448 2522618 641006015 730792158 713394409 825711208 X -1757354 750600 90792897 X 0 1 X 1 0 X X 4 JENNIE EDMUNDSON HOSP 420680355 3 0 0 0 PHYSICIANS CLINIC INC 470687317 10 0 0 25126937 NEBR METH HOSP FNDN 470595345 7 0 144393 2527318 NEBR METH HOSPITAL 470376604 3 1 0 0 4 144393 27654255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A, PART VI, SECTION E, LINE 3 THE NEBRASKA METHODIST HEALTH SYSTEM PROVIDES TO ITS AFFILIATED, SUPPORTED ORGANIZATIONS, ACCESS TO EXPERTISE, KNOWLEDGE, RESOURCES, TRAINING, EDUCATION, LEGISLATION SERVICES, CONTACTS, AND A COMPLEX, DIVERSE PHYSICIAN NETWORK. IN ADDITION, CENTRALIZATION AND CONSISTENCY LEAD TO INCREASED EFFECTIVENESS/EFFICIENCIES, RESULTING IN LOWERED COSTS AND STRENGTHENED INTERNAL CONTROLS. SCHEDULE A, PART IV, SECTION A, LINE 1 ONLY NEBRASKA METHODIST HOSPITAL IS LISTED IN THE ORGANIZATION'S GOVERNING DOCUMENTS. THE GOVERNING DOCUMENTS REFER TO AND OTHER CORPORATE SUBSIDIARIES" TO CARRY OUT ITS PURPOSES. ALL ORGANIZATIONS LISTED ON PART I, LINE G, ARE CORPORATE SUBSIDIARIES. X 48000 74536 48000 74536 68522373 580283455 68570373 580357991 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 69751 69757 70383 74536 284427 250000 250000 250000 250000 1000000 1500000 658453 127511 198 785766 593327 66067 941 658453 606678 -12463 888 593327 570059 36619 606678 479065 96457 5463 570059 0.28630 0.71370 0 1 1 13527604 13527604 17898266 14126388 3771878 16702877 12231326 4471551 21771033 CONSTRUCTION IN PROGRESS 7127250 DEFERRED COMP 4159181 BENEFICIAL INTEREST IN NET ASSETS OF FDN 106169343 INVESTMENT IN SUBSIDIARIES 636553812 754009586 OTHER LONG TERM LIABILITIES 16795651 COND. ASSET RETIREMENT OBLIGATION 880223 MINIMUM PENSION LIABILITY 13083294 LT DEBT & CAPITAL LEASE OBLIGATIONS 34762106 65521274 X PART V, LINE 4: FUNDS ARE DESIGNATED FOR CHARITABLE CARE. PART X, LINE 2: THE HEALTH SYSTEM 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. THERE WERE NO CHANGES MADE TO THE FINANCIAL STATEMENTS DUE TO FIN48. 0 GREATER OMAHA CHAMBER FOUNDATION 1301 HARNEY STREET OMAHA NE 68102 470633685 501(C)(3) 23700 SUPPORT OF GREATER OMAHA ECONOMIC DEVELOPMENT PROJECTS AND PROGRAMS JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 501(C)(3) 15000 COMMUNITY HEALTH ACTIVITIES AND PROGRAMS NEBRASKA METHODIST HOSPITAL FOUNDATION 8511 WEST DODGE ROAD OMAHA NE 68114 470595345 501(C)(3) 144393 SUPPORT OF NEBRASKA METHODIST HOSPITAL KNIGHTS OF AK-SAR-BEN FOUNDATION 8707 WEST CENTER ROAD STE 101 OMAHA NE 68124 470447496 501(C)(3) 10000 SCHOLARSHIPS AND COMMUNITY ACTIVITIES OMAHA SYMPHONY ASSOCIATION 1905 HARNEY STREET STE 400 OMAHA NE 68102 476039304 501(C)(3) 23892 TO ENRICH LIVES THROUGH THE EXPERIENCE OF LIVE ORCHESTRAL MUSIC CREIGHTON UNIVERSITY 2500 CALIFORNIA PLAZA OMAHA NE 68178 470376583 501(C)(3) 27000 SCHOLARSHIPS AND COMMUNITY ACTIVITIES 6 PART I, LINE 2: THE NEBRASKA METHODIST HEALTH SYSTEM GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES DO SO, IT MAKES THE GRANT IN THE BEST INTEREST OF THE COMMUNITY AND INSURES THAT THE DONEE ORGANIZATION IS A 501(C)(3) OR A 501(C)(4). X 0 1 X X X X X 0 1 0 0 0 0 0 0 0 JOHN FRASER PRESIDENT/CEO 784254 0 0 0 157535 0 212329 0 13944 0 1168062 0 104407 0 CAROLEE V JONES MD DIRECTOR 0 335423 0 188971 0 18744 0 69390 0 21636 0 634164 0 0 STEPHEN L GOESER EXECUTIVE 597710 0 0 0 27133 0 130264 0 21082 0 776189 0 0 0 JEFFREY E FRANCIS CFO 429295 0 0 0 1638 0 87087 0 20345 0 538365 0 0 0 HOLLY HUERTER MORGAN EXECUTIVE 250521 0 0 0 97733 0 71637 0 13858 0 433749 0 42987 0 TERI LARSEN SYSTEM CONTROLLER 163024 0 0 0 20540 0 13353 0 13997 0 210914 0 0 0 JERRY ELLWANGER EXECUTIVE 141507 0 2188 0 95520 0 60842 0 8028 0 308085 0 11808 0 JEFF PROCHAZKA EXECUTIVE 227268 0 0 0 547 0 34854 0 22032 0 284701 0 0 0 CYNTHIA PEACOCK EXECUTIVE 296796 0 0 0 58454 0 68957 0 8930 0 433137 0 22133 0 TODD GRAGES EXECUTIVE 363388 0 0 0 20141 0 75232 0 21550 0 480311 0 0 0 STEVE BAUMERT EXECUTIVE 330843 0 0 0 42264 0 76388 0 16544 0 466039 0 0 0 GREGORY HUTTEGER CHIEF MEDICAL INFO OFFICER 330375 0 980 0 16750 0 60710 0 22362 0 431177 0 0 0 ANN POLICH VICE PRESIDENT QUALITY IMP 350261 0 0 0 20679 0 89156 0 3170 0 463266 0 0 0 STEVEN ZUBER CHIEF INFORMATION OFFICER 374244 0 980 0 41662 0 78887 0 19180 0 514953 0 40185 0 MATT EDWARDS CHIEF NETWORK OFFICER 198817 0 0 0 179 0 8917 0 20216 0 228129 0 0 0 DONALD MATSON VICE PRESIDENT INTEGRATED 214296 0 0 0 28545 0 21399 0 9286 0 273526 0 22736 0 PART I, LINE 1A SOCIAL CLUB EXPENSES ARE REIMBURSED FOR THE BUSINESS PORTION ONLY. INTERNAL POLICY REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. PART I, LINE 1B A WRITTEN POLICY DOES NOT EXIST, HOWEVER INTERNAL POLICY AND COMMUNICATION DICTATE SUBSTANTIATION OF ALL BUSINESS USE EXPENSES RELATED TO SOCIAL CLUB MEMBERSHIP. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2017 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: CAROLEE JONES, MD $45,090 ACCRUAL JOHN FRASER $125,576 ACCRUAL; $104,407 PLAN DISTRIBUTION JEFFREY FRANCIS $71,994 ACCRUAL STEVEN BAUMERT $49,388 ACCRUAL DONALD MATSON $3,707 ACCRUAL; $22,736 PLAN DISTRIBUTION JERRY ELLWANGER $38,863 ACCRUAL; $11,808 PLAN DISTRIBUTION TODD GRAGES $53,632 ACCRUAL STEPHEN GOESER $108,664 ACCRUAL HOLLY HUERTER-MORGAN $44,637 ACCRUAL; $42,987 PLAN DISTRIBUTION GREGORY HUTTEGER $39,542 ACCRUAL CYNTHIA PEACOCK $44,657 ACCRUAL; $22,133 PLAN DISTRIBUTION ANN POLICH $74,671 ACCRUAL STEVEN ZUBER $54,587 ACCRUAL; $40,185 PLAN DISTRIBUTION JEFF PROCHAZKA $14,210 ACCRUAL TERI LARSEN $2,206 ACCRUAL FORM 990, PART V, LINE 2B NEBRASKA METHODIST HEALTH SYSTEM INC. IS A COMMON PAYMASTER FOR ITSELF AND CERTAIN RELATED AFFILIATES. ALL W-2 FORMS FOR THESE AFFILIATES ARE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM. ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM INC. WAGES AND BENEFITS SHOWN IN THIS FORM 990 ARE ACTUAL WAGES ASSOCIATED WITH ONLY NEBRASKA METHODIST HEALTH SYSTEM INC. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE AUDIT COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM THROUGH ITS POSTING TO A SECURE BOARD PORTAL. BOARD MEMBERS ARE GIVEN NOTICE OF THE DOCUMENT IN THE PORTAL SO THEY MAY REVIEW AND ASK QUESTIONS PRIOR TO FILING. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION, INCLUDING THE ORGANIZATION'S HUMAN RESOURCES, FINANCE AND COMPLIANCE DEPARTMENTS; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR 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 CONFLICT OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF 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. A POTENTIAL CONFLICT 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 FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HEALTH SYSTEM AND/OR ITS AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 METHODIST HEALTH SYSTEM 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 THE NEBRASKA METHODIST HEALTH SYSTEM, A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS LETTER 947 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 AMENDED ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL 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 COMMUNITY BENEFITS IT PROVIDES AS PART OF THE ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.METHODISTCOMMUNITYBENEFIT.COM. FORM 990, PART VII, SECTION A TODD GRAGES, CYNTHIA PEACOCK AND STEVE BAUMERT ARE KEY EMPLOYEES FOR THE NEBRASKA METHODIST HEALTH SYSTEM. THESE INDIVIDUALS HAVE ASSIGNED LEADERSHIP ROLES WITH PHYSICIANS CLINIC, NEBRASKA METHODIST HOSPITAL FOUNDATION AND JENNIE EDMUNDSON MEMORIAL HOSPITAL RESPECTIVELY. THESE INDIVIDUALS ARE PAID BY NEBRASKA METHODIST HEALTH SYSTEM THROUGH A COMMON PAYMASTER ARRANGEMENT AND REPORT TO THE PRESIDENT OF THE NEBRASKA METHODIST HEALTH SYSTEM. FOR THIS REASON, THEY ARE REPORTED ON THE NEBRASKA HEALTH SYSTEM FORM 990 AS KEY EMPLOYEES. JEFF FRANCIS, VICE PRESIDENT OF FINANCE AND CFO OF NEBRASKA METHODIST HEALTH SYSTEM, IS A FULL TIME EMPLOYEE OF NEBRASKA METHODIST HEALTH SYSTEM INC. HIS AVERAGE HOURS PER WEEK HAVE BEEN ALLOCATED AMONG THE ENTITIES THAT COMPRISE THE NEBRASKA METHODIST HEALTH SYSTEM. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT 15,233,825. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF THE FOUNDATION 11,312,086. CHANGE IN INVESTMENT IN SUBSIDIARIES 64,246,986. NEBRASKA METHODIST HOSPITAL 8303 DODGE STREET OMAHA NE 68114 470376604 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 1 NEBRASKA METHODIST HOSPITAL FOUNDATION 8511 W DODGE ROAD OMAHA NE 68114 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM 1 NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH 8511 W DODGE ROAD OMAHA NE 68114 470724387 NURSING AND HEALTH EDUCATION FACILITY NE 501(C)(3) L2 NEBRASKA METHODIST HOSPITAL 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 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 PHYSICIANS CLINIC INC 8511 W DODGE ROAD OMAHA NE 68114 470687317 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM 1 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST 8511 W DODGE ROAD OMAHA NE 68114 363699672 INSURANCE NE 501(C)(3) L12: III-FI NEBRASKA METHODIST HEALTH SYSTEM 1 REAL ESTATE HOLDINGS 8511 W DODGE ROAD OMAHA NE 68114 470649790 PROPERTY MANAGEMENT NE 501(C)(2) N/A NEBRASKA METHODIST HEALTH SYSTEM 1 SHARED SERVICE SYSTEMS INC & SUBSIDIARY 8511 W DODGE ROAD OMAHA NE 68114 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE NEBRASKA METHODIST HEALTH SYSTEM C 14162671 21267452 1.00000 1 METHODIST HEALTH PARTNERS 8511 W DODGE ROAD OMAHA NE 68114 470797563 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 1914192 7298576 1.00000 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 METHODIST HEALTH PARTNERS O 553042 CASH METHODIST HEALTH PARTNERS A 23527 FMV SHARED SERVICE SYSTEMS L 1197000 BOOK PHYSICIANS CLINIC INC A 294399 FMV PHYSICIANS CLINIC INC O 2804620 BOOK PHYSICIANS CLINIC INC L 9765000 BOOK PHYSICIANS CLINIC INC R 25126937 BOOK NEBRASKA METHODIST HOSPITAL L 37170000 BOOK NEBRASKA METHODIST HOSPITAL A 110603 BOOK NEBRASKA METHODIST HOSPITAL S 25126937 BOOK NEBRASKA METHODIST HOSPITAL FOUNDATION L 975000 BOOK NEBRASKA METHODIST HOSPITAL FOUNDATION P 2527318 BOOK JENNIE EDMUNDSON MEMORIAL HOSPITAL L 11781000 BOOK NEBRASKA METHODIST HOSPITAL FOUNDATION B 144393 BOOK NEBRASKA METHODIST HOSPITAL FOUNDATION C 97000 BOOK NEBRASKA METHODIST HOSPITAL 8511 W DODGE ROAD OMAHA NE 68114 470376604 X 0 26536 26536 511761082 511787618 1000000 250000 0 0 0 NEBRASKA METHODIST HEALTH SYSTEM 8511 W DODGE ROAD OMAHA NE 68114 470639839 X 0 48000 48000 68522373 68570373 1000000 250000 0 0 0