FURP.ORG / PUBLIC DATA EXPLORER

NEBRASKA METHODIST HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA METHODIST HEALTH SYSTEM INC (EIN 47-0639839)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201333179349302323
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T10:48:52-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN135565207EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 CENTRAL PARK PLAZA 1501AddressLine1
CityOMAHACity
StateNEState
ZIP Code68102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470639839EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEBRNameControl
Phone4023544851Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18511 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA BURTName
TitleVICE PRES-FINANCE & CFOTitle
Phone4023544000Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00223617PTIN
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN FRASERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18511 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42458408GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BESTCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionOPERATED EXCLUSIVELY FOR THE BENEFIT OF NEBRASKA METHODIST HOSPITAL & ITS RELATED ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees552TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI914348TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year10000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44974122ProgramServiceRevenuePriorYear
Program Service Revenue CY40619848ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year11452InvestmentIncomeCurrentYear
Other Revenue Prior Year922397OtherRevenuePriorYear
Other Revenue Current Year925306OtherRevenueCurrentYear
Total Revenue Prior Year45896519TotalRevenuePriorYear
Total Revenue Current Year41566606TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year39000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY259222GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34409585SalariesEtcPriorYear
Salaries Etc Current Year32105538SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9561786OtherExpensePriorYear
Other Expenses Current Year9530510OtherExpensesCurrentYear
Total Expenses Prior Year44010371TotalExpensesPriorYear
Total Expenses Current Year41895270TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1886148RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-328664RevenuesLessExpensesCY
Total Assets BOY36059739TotalAssetsBOY
Total Assets EOY50969780TotalAssetsEOY
Total Liabilities BOY70373214TotalLiabilitiesBOY
Total Liabilities EOY78853476TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-34313475NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-27883696NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense34221815Expense
Grants259222Grants
Revenue38665558Revenue
DescriptionNEBRASKA 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2176374Expense
Grants0Grants
Revenue2147527Revenue
DescriptionBEST 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense36398189TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109691NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees552NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LINDA K BURTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4023544851TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18511 W DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SPENCER STEVENS
CHAIRMAN1.000.00XX000
LARRY V PEARSON
VICE CHAIRMAN1.000.00XX000
ART N BURTSCHER
TREASURER1.000.00XX000
ADAM YALE
SECRETARY1.000.00XX000
JOHN FRASER
PRESIDENT/CEO16.0024.00XX6231940185305
LARRY DE ROIN
DIRECTOR1.000.00X000
KATHLEEN DODGE
DIRECTOR1.000.00X000
RICHARD C HAHN
DIRECTOR1.000.00X000
KRISTEN HOFFMAN MD
DIRECTOR1.0039.00X059657667628
DAN KINNEY PHD
DIRECTOR1.000.00X000
C L LANDEN
DIRECTOR1.000.00X000
JOHN LOHRBERG MD
DIRECTOR1.0039.00X021811540067
DIANNE SEEMAN LOZIER
DIRECTOR1.000.00X000
DANIEL D LYDIATT MD
DIRECTOR1.0039.00X024603822753
JOHN NELSON
DIRECTOR1.000.00X000
SCOTT ROSE MD
DIRECTOR1.0039.00X036674378845
LB RED THOMAS
DIRECTOR1.000.00X000
JAMES MOUNCE
DIRECTOR1.000.00X000
LINDA K BURT
VICE PRES FINANCE/CFO1.0039.00X446423089779
MARK BURMESTER
EXECUTIVE40.000.00282084068285X
TOM EISERMAN
EXECUTIVE40.000.00160154039009X
JERRY ELLWANGER
EXECUTIVE40.000.00237949076156X
TODD GRAGES
EXECUTIVE1.0039.00359258084561X
ROGER HERTZ
EXECUTIVE40.000.00239508056876X
HOLLY HUERTER MORGAN
EXECUTIVE40.000.00272978073898X
CYNTHIA PEACOCK
EXECUTIVE1.0039.00324492068065X
ANTON PISKAC
EXECUTIVE39.001.00247017064733X
STEVE BAUMERT
EXECUTIVE1.0039.00281801078022X
MICHAEL KLEMENZ
DIR - BUSINESS INTELLIGENCE40.000.00176821027545X
STEPHEN ZUBROD
EXECUTIVE40.000.00147620031428X
SUSAN MAHEUX
DIR - EMPLOYEE RELATIONS40.000.00140178041923X
MARY MEYSENBURG
DIR-DATA MGMT/COMPLIANCE OFFICER40.000.00150811043516X
STEVEN ZUBER
CHIEF MEDICAL INFO OFFICER40.000.00379712083400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4470000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1427472TotalReportableCompFrmRltdOrgs
Total Other Compensation1321794TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEYERS-CARLISLE-LEAPLEY
14124 INDUSTRIAL ROADOMAHANE68144CONSTRUCTION SERVICES875989
ADVISORY BOARD
P O BOX 79461BALTIMOREMD21279CONSULTING & SOFTWARE628549
CORP 3 DESIGN
1005 SOUTH 76 STREET 104OMAHANE68114MEDIA CONSULTANTS390929
KPMG LLP
P O BOX 120001DALLASTX75312ACCOUNTING383172
ANDERSON PARTNERS
6919 DODGE STREETOMAHANE68132ADVERTISING SERVICES342043
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Government Grants10000GovernmentGrants
Total Contributions10000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MGMT SERVICE-AFFILIATE5419003843982238439822
EMPLOYEE ASSISTANCE62410021475272147527
MISC HEALTH SERVICES6241003249932499
FieldValueIRS element (for citing)
Total Program Service Revenue40619848TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real709523Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real891802Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-182279Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-182279TotalRevenueColumn
Exclusion-$182,279ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other11452Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other11452Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column11452TotalRevenueColumn
Exclusion$11,452ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MGMT TO TAXABLE SUB.541610790380790380
CAFETERIA INCOME722100317205123968193237
FieldValueIRS element (for citing)
Total Other Revenue1107585TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41566606TotalRevenueColumn
Related Or Exempt Function Income40813085RelatedOrExemptFunctionIncome
Unrelated Business Revenue914348UnrelatedBusinessRevenue
Exclusion-$170,827ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total259222Total
Program Services259222ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3474858Total
Management And General3474858ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21104300Total
Program Services21104300ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1602283Total
Program Services1539183ProgramServices
Management And General63100ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3892418Total
Program Services2844654ProgramServices
Management And General1047764ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2031679Total
Program Services1858205ProgramServices
Management And General173474ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total263036Total
Management And General263036ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total422021Total
Management And General422021ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total42000Total
Management And General42000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3534706Total
Program Services3534706ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total679245Total
Program Services679245ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total860061Total
Program Services860061ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total125554Total
Program Services125554ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total826149Total
Program Services826149ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total109600Total
Program Services109600ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total262953Total
Program Services262953ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total954327Total
Program Services954327ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total17676Total
Program Services6848ProgramServices
Management And General10828ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DUES, LICENSES, SUBSCRI285980285980
CREDIT CARD FEES265565265565
POSTAGE166616166616
STAFF EDUCATION122431122431

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total592590Total
Program Services592590ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total41895270Total
Program Services36398189ProgramServices
Management And General5497081ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8207244BOY
EOY28082764EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY353336BOY
EOY790766EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6245BOY
EOY5655EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY229640BOY
EOY445352EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35324381LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20442963LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14250242BOY
EOY14881418EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY260822BOY
EOY260822EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY635624BOY
EOY100000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12116586BOY
EOY6403003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36059739BOY
EOY50969780EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10590011BOY
EOY9556409EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3797000BOY
EOY3797000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY55986203BOY
EOY65500067EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY70373214BOY
EOY78853476EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-34313475BOY
EOY-27883696EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-34313475BOY
EOY-27883696EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36059739BOY
EOY50969780EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-328664ReconcilationRevenueExpenses
Reconcilation Other Changes6758443ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
JENNIE EDMUNDSON HOSP
4206803553011$0
PHYSICIANS CLINIC INC
4706873179011$3,383,288
NEBR METH HOSP FNDN
4705953457011$0
NEBR METH HOSPITAL
4703766043111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts3383288SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals42000FilingOrganizationsTotals
Affiliated Group Totals64334AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals42000FilingOrganizationsTotals
Affiliated Group Totals64334AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals41853270FilingOrganizationsTotals
Affiliated Group Totals461454060AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals41895270FilingOrganizationsTotals
Affiliated Group Totals461518394AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus370755CurrentYearMinus3
Current Year Minus260419CurrentYearMinus2
Current Year Minus162733CurrentYearMinus1
Current Year64334CurrentYear
Total258241Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7888233OtherCostOrOtherBasis
Book Value7888233BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16184817OtherCostOrOtherBasis
Depreciation12092504Depreciation
Book Value4092313BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11251331OtherCostOrOtherBasis
Depreciation8350459Depreciation
Book Value2900872BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14881418TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCE CHARGES151996
CONSTRUCTION IN PROGRESS73501
EXECUFLEX3313219
DEFERRED COMP 457B11152
DUE FROM AFFILIATES2853135
FieldValueIRS element (for citing)
Total Book Value Other Assets6403003TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$61,179,713
OTHER LONG TERM LIABILITIES$3,404,362
COND. ASSET RETIREMENT$915,992
FieldValueIRS element (for citing)
Total Of Amounts65500067TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
GREATER OMAHA CHAMBER FOUNDATION
1301 HARNEY STREETOMAHANE68102470633685501(C)(3)32000SUPPORT OF GREATER OMAHA ECONOMIC DEVELOPMENT PROJECTS AND PROGRAMS
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 EAST PIERCE STREETCOUNCIL BLUFFSIA51503421439454501(C)(3)20000COMMUNITY HEALTH ACTIVITIES AND PROGRAMS
NEBRASKA METHODIST HOSPITAL FOUNDATION
8511 WEST DODGE ROADOMAHANE68114470595345501(C)(3)190041SUPPORT OF NEBRASKA METHODIST HOSPITAL
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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).Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN FRASER
PRESIDENT/CEO5890490003414501705280158540809576000
KRISTEN HOFFMAN MD
DIRECTOR0296722083250021660405092801695906644630213411
JOHN LOHRBERG MD
DIRECTOR016854903332401624204006701641025982300
DANIEL D LYDIATT MD
DIRECTOR024326600027720227530259026905000
SCOTT ROSE MD
DIRECTOR0290670055845020228066998012106044584700
LINDA K BURT
VICE PRES FINANCE/CFO3516870009473607609901475705372790725600
MARK BURMESTER
EXECUTIVE27951000025740521160168870351087000
TOM EISERMAN
EXECUTIVE149101000110530190980213560200608000
JERRY ELLWANGER
EXECUTIVE192917000450320633650138220315136000
TODD GRAGES
EXECUTIVE309416000498420684650171730444896000
ROGER HERTZ
EXECUTIVE224820000146880438300141230297461000
HOLLY HUERTER MORGAN
EXECUTIVE2133330005964505780301717203479530282830
CYNTHIA PEACOCK
EXECUTIVE2542630007022905636501478303956400433250
ANTON PISKAC
EXECUTIVE230707000163100484910179670313475000
STEVE BAUMERT
EXECUTIVE243901000379000584110206880360900000
MICHAEL KLEMENZ
DIR - BUSINESS INTELLIGENCE17577600010450121080163170205246000
STEPHEN ZUBROD
EXECUTIVE14603500015850151170170490179786000
SUSAN MAHEUX
DIR - EMPLOYEE RELATIONS106423000337550282770142870182742000
MARY MEYSENBURG
DIR-DATA MGMT/COMPLIANCE OFFICER119700000311110284700157800195061000
STEVEN ZUBER
CHIEF MEDICAL INFO OFFICER35532608450235410673040183300465346000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASOCIAL CLUB EXPENSES ARE REIMBURSED FOR THE BUSINESS PORTION ONLY. INTERNAL POLICY REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2012 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: KRISTEN HOFFMAN, MD $2,807 ACCRUAL; PLAN DISTRIBUTION $213,411 JOHN LOHRBERG, MD $6,824 ACCRUAL JOHN FRASER $117,502 ACCRUAL STEVEN ZUBER, $35,879 ACCRUAL LINDA BURT $58,333 ACCRUAL; $72,560 PLAN DISTRIBUTION STEVEN BAUMERT $26,220 ACCRUAL MARK BURMESTER $36,820 ACCRUAL TOM EISERMAN $4,128 ACCRUAL JERRY ELLWANGER $11,775 ACCRUAL TODD GRAGES $45,080 ACCRUAL ROGER HERTZ $22,784 ACCRUAL HOLLY HUERTER-MORGAN $10,721 ACCRUAL; $28,283 PLAN DISTRIBUTION CYNTHIA PEACOCK $24,275 ACCRUAL; $43,325 PLAN DISTRIBUTION ANTON PISKAC, $19,669 ACCRUAL SCOTT ROSE MD, $19,308 ACCRUAL STEPHEN ZUBROD, 5,976 ACCRUAL
PART I, LINE 7NON-FIXED PAYMENTS: BONUSES ARE PAID TO PHYSICIANS BASED ON SUBGROUPS WHICH IDENTIFY AND PAY BONUSES BASED ON THE BOTTOMLINE RESULTS AS COMPARED TO PRESET TARGETS FOR THESE SUBGROUPS. INFORMATION REGARDING THIS TYPE OF PAYMENT IS SHOWN IN PART II, SCHEDULE J, COLUMN (B)(II) FOR KRISTEN HOFFMAN MD, SCOTT ROSE, MD AND JOHN LOHRBERG MD.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE AUDIT COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM. THE COMMITTEE IS GIVEN AN OPPORTUNITY TO ASK QUESTIONS OR REQUEST MORE INFORMATION AT A SUBSEQUENT MEETING. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION, INCLUDING THE ORGANIZATION'S HUMAN RESOURCES, FINANCE AND COMPLIANCE DEPARTMENTS. THE RETURN GETS A DETAIL TIE-OUT AND DIRECTOR OF ACCOUNTING REVIEW. IT 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 12CAN 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 ALL CONFLICTS OF INTEREST, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. SHOULD A CONFLICT BE IDENTIFIED, 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 15METHODIST 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 18THE 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 19THE 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.METHODISTCHART.ORG.
FORM 990, PART VII, SECTION ATODD GRAGES, CYNTHIA PEACOCK AND STEVE BAUMERT ARE KEY EMPLOYEES FOR THE NEBRASKA 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. LINDA BURT IS THE CFO FOR THE ENTIRE GROUP OF NEBRASKA HEALTH SYSTEM ENTITIES. HER HOURS HAVE BEEN ALLOCATED ACROSS THE ORGANIZATION.HOURS WORKED FOR ORGANIZATION AND RELATED ORGANIZATION
FORM 990, PART VII, SECTION A, COLUMNS D & EINDIVIDUALS WHO HAVE COMPENSATION FROM THE ORGANIZATION OR A RELATED ORGANIZATION ARE EMPLOYEES OF THE RESPECTIVE ORGANIZATION. THESE INDIVIDUALS DO NOT RECEIVE COMPENSATION FOR SERVICES ON THE BOARD OF DIRECTORS.COMPENSATION BY THE ORGANIZATION OR RELATED ORGANIZATION
FORM 990, PART XI, LINE 9:MINIMUM PENSION LIABILITY ADJUSTMENT -10,887,812. TRANSFERS FROM AFFILIATES 17,646,255.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART X, LINE 20BOND LIABILITIES SHOWN ON THE NEBRASKA METHODIST HEALTH SYSTEM BOOKS AND RECORDS WERE INCLUDED AS PART OF THE REFUNDING PORTION OF THE HOSPITAL AUTHORITY NO. 3 OF DOUGLAS COUNTY, NEBRASKA ISSUE DATED 5/20/2008. THIS BOND ISSUE IS REPORTED ON SCHEDULE K OF THE NEBRAKA METHODIST HOSPITAL FORM 990.TAX EXEMPT BOND LIABILITIES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NEBRASKA METHODIST HOSPITAL
8303 DODGE STREETOMAHANE68114470376604LICENSED HOSPITALNE501(C)(3)L3NEBRASKA METHODIST HEALTH SYSTEM1
NEBRASKA METHODIST HOSPITAL FOUNDATION
8511 W DODGE ROADOMAHANE68114470595345SUPPORT OF NEBRASKA METHODIST HOSPITALNE501(C)(3)L7NEBRASKA METHODIST HEALTH SYSTEM1
NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH
8511 W DODGE ROADOMAHANE68114470724387NURSING AND HEALTH EDUCATION FACILITYNE501(C)(3)L2NEBRASKA METHODIST HOSPITAL1
JENNIE EDMUNDSON MEMORIAL HOSPITAL
933 E PIERCE STREETCOUNCIL BLUFFSIA51503420680355LICENSED HOSPITALIA501(C)(3)L3NEBRASKA METHODIST HEALTH SYSTEM1
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 E PIERCE STREETCOUNCIL BLUFFSIA51503421439454SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITALIA501(C)(3)L11: IJENNIE EDMUNDSON MEMORIAL HOSPITAL1
PHYSICIANS CLINIC INC
8511 W DODGE ROADOMAHANE68114470687317CLINICAL HEALTH CARENE501(C)(3)L9NEBRASKA METHODIST HEALTH SYSTEM1
NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST
8511 W DODGE ROADOMAHANE68114363699672INSURANCENE501(C)(3)L11: III-FINEBRASKA METHODIST HEALTH SYSTEM1
REAL ESTATE HOLDINGS
8511 W DODGE ROADOMAHANE68114470649790PROPERTY MANAGEMENTNE501(C)(2)NEBRASKA METHODIST HEALTH SYSTEM1

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
SHARED SERVICE SYSTEMS INC
8511 W DODGE ROADOMAHANE68114470649534MEDICAL SUPPLY DISTRIBUTION & LAUNDRYNENEBRASKA METHODIST HEALTH SYSTEMC11326026151313391.000001
METHODIST HEALTH PARTNERS
8511 W DODGE ROADOMAHANE68114470797563MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEMC48953732330281.000001
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
METHODIST HEALTH PARTNERS
O459349CASH
METHODIST HEALTH PARTNERS
A22835FMV
SHARED SERVICE SYSTEMS
L790380BOOK
PHYSICIANS CLINIC INC
A143252FMV
PHYSICIANS CLINIC INC
O2642123BOOK
PHYSICIANS CLINIC INC
L6300642BOOK
PHYSICIANS CLINIC INC
R3383288BOOK
NEBRASKA METHODIST HOSPITAL
L23243652BOOK
NEBRASKA METHODIST HOSPITAL
A130965BOOK
NEBRASKA METHODIST HOSPITAL
S24543357BOOK
NEBRASKA METHODIST HOSPITAL FOUNDATION
L543456BOOK
NEBRASKA METHODIST HOSPITAL FOUNDATION
P1788833BOOK
JENNIE EDMUNDSON MEMORIAL HOSPITAL
L7070244

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
NEBRASKA METHODIST HOSPITAL
8511 W DODGE ROADOMAHANE68114470376604X02233422334419600790419623124$1,000,000$250,000000
NEBRASKA METHODIST HEALTH SYSTEM
8511 W DODGE ROADOMAHANE68114470639839X042000420004185327041895270$1,000,000$250,000000