NEBRASKA METHODIST HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA METHODIST HOSPITAL (EIN 47-0376604)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201333179349302333
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)
Timestamp2013-11-13T13:19:01-06:00Timestamp
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 SUITE 1501AddressLine1
CityOMAHACity
StateNEState
ZIP Code68102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470376604EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HOSPITALBusinessNameLine1
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 K BURTName
TitleVICE PRES-FINANCE & CFOTitle
Phone4023544840Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00223617PTIN
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN L GOESERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18511 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts462941072GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BESTCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1891YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionIMPROVING THE QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees3428TotalNbrEmployees
Total Nbr Volunteers521TotalNbrVolunteers
Total Gross UBI10365161TotalGrossUBI
Net Unrelated Business Txbl Income1230043NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12998342ContributionsGrantsPriorYear
Contributions Grants Current Year2222512ContributionsGrantsCurrentYear
Program Service Revenue Prior Year409982442ProgramServiceRevenuePriorYear
Program Service Revenue CY428188102ProgramServiceRevenueCY
Investment Income Prior Year5093753InvestmentIncomePriorYear
Investment Income Current Year11474486InvestmentIncomeCurrentYear
Other Revenue Prior Year4910777OtherRevenuePriorYear
Other Revenue Current Year11431294OtherRevenueCurrentYear
Total Revenue Prior Year432985314TotalRevenuePriorYear
Total Revenue Current Year453316394TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15445728GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20385706GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year175805190SalariesEtcPriorYear
Salaries Etc Current Year181548497SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year220991508OtherExpensePriorYear
Other Expenses Current Year217688921OtherExpensesCurrentYear
Total Expenses Prior Year412242426TotalExpensesPriorYear
Total Expenses Current Year419623124TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20742888RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33693270RevenuesLessExpensesCY
Total Assets BOY547879912TotalAssetsBOY
Total Assets EOY549659557TotalAssetsEOY
Total Liabilities BOY327179436TotalLiabilitiesBOY
Total Liabilities EOY326525074TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY220700476NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY223134483NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNEBRASKA 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense41348251Expense
Grants2173320Grants
Revenue48419291Revenue
DescriptionHEART DISEASE AND STROKE ARE THE NATION'S LEADING CAUSES OF DEATH. IN DOUGLAS COUNTY, HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH AND STROKE IS THE FOURTH. METHODIST HOSPITAL IS COMMITTED TO THE HEALTH OF OUR COMMUNITY AND OUR PATIENTS. OUR PHYSICIANS, NURSES, AND TECHNICIANS WORK CLOSELY TO ENSURE THAT CARE IS TAILORED TO SUIT THE PATIENT'S SPECIFIC NEEDS. OUR CARDIAC AND VASCULAR DIAGNOSTIC TESTS COVER A VAST ARRAY OF SOPHISTICATED PROCEDURES INCLUDING INNOVATIVE 3-D IMAGING. ALL TESTS ARE CONDUCTED BY SKILLED PROFESSIONALS WHOSE DEDICATION TO ACCURACY AND EFFICIENCY AS WELL AS PATIENT COMFORT AND SAFETY HELP ENSURE THE PHYSICIAN MAKES THE PROPER DIAGNOSIS.CONTINUOUS PERFORMANCE ASSESSMENTS INDICATE THAT METHODIST HOSPITAL'S OUTCOMES FOR SUCH KEY CARDIAC CARE MEASURES AS 'DOOR-TO-BALLOON RATES', THE AMOUNT OF TIME IT TAKES TO MOVE A HEART PATIENT FROM THE EMERGENCY ROOM ENTRANCE TO LIFESAVING PROCEDURE - ARE CONSISTENTLY BETTER THAN NATIONAL STANDARDS. METHODIST HOSPITAL'S COMMITMENT AND SUCCESS IN IMPLEMENTING AN EXCEPTIONAL STANDARD OF CARE FOR HEART ATTACK PATIENTS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) AND BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION. METHODIST HOSPITAL HAS EARNED THE AHA MISSION: LIFELINE SILVER RECEIVING QUALITY ACHIEVEMENT AWARD FOR THE CAREFULLY COORDINATED, EXPEDITED AND APPROPRIATE TREATMENT OF STEMI (ST-ELEVATION MYOCARDIAL INFARCTION), THE MOST SEVERE FORM OF HEART ATTACK.IN 2012, METHODIST HOSPITAL BECAME ONE OF ONLY 164 HOSPITALS IN THE UNITED STATES TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD. THE AWARD SIGNIFIES THAT METHODIST HAS ACHIEVED AN AGGRESSIVE GOAL OF TREATING HEART ATTACK PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINICAL GUIDELINES AND RECOMMENDATIONS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense24749610Expense
Grants1412497Grants
Revenue24370354Revenue
DescriptionTREMENDOUS STRIDES HAVE BEEN MADE TOWARD FULFILLING METHODIST HOSPITAL'S LONGSTANDING VISION OF SEAMLESS CANCER CARE. WE HAVE RESTRUCTURED AND REFINED CLINICAL PROCESSES TO ACHIEVE SERVICE LINE INTEGRATION THROUGHOUT INPATIENT AND OUTPATIENT ONCOLOGY SERVICES AT METHODIST HOSPITAL AND METHODIST ESTABROOK CANCER CENTER.A MAJOR PORTION OF CANCER CARE INVOLVES SURGERY. THE AMERICAN CANCER SOCIETY CONFIRMS THAT MOST CANCER PATIENTS WILL UNDERGO SOME TYPE OF SURGERY - OFTEN A COMBINATION OF PREVENTIVE, DIAGNOSTIC, CURATIVE OR RECONSTRUCTIVE PROCEDURES. METHODIST HOSPITAL IS NEBRASKA'S SURGICAL LEADER BOTH IN VOLUMES OF CANCER-RELATED SURGERIES AND IN SURGERIES OVERALL. OVER THE NEXT FEW YEARS, METHODIST HOSPITAL SURGERY RENOVATION AND EXPANSION PROJECTS WILL TRANSFORM THE REGION'S BUSIEST AND OLDEST OPERATING ROOMS TO EXPAND AND ENHANCE SURGICAL SERVICES. THIS PROJECT, A BENEFIT TO THE COMMUNITY AS A WHOLE, IS OF PARTICULAR SIGNIFICANCE TO THE ONCOLOGY PROGRAM.IN 2012, THE BREAST CARE CENTER AT METHODIST ESTABROOK CANCER CENTER RECEIVED A 3-YEAR FULL RE-ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS.AT 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.IN ADDITION TO PROVIDING STANDARD TREATMENTS, THE PHYSICIANS AT METHODIST ESTABROOK CANCER CENTER HAVE CONSISTENTLY SHOWED ACTIVE PARTICIPATION IN COOPERATIVE STUDY GROUPS AND PHARMACEUTICAL INDUSTRY-SPONSORED CLINICAL TRIALS. THE RADIATION ONCOLOGISTS ARE PART OF THE RADIATION THERAPY ONCOLOGY GROUP (RTOG) STUDY GROUP, WHICH HAS SPEARHEADED NUMEROUS TRIALS FOR TREATMENT OF BRAIN TUMORS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense65226346Expense
Grants1612843Grants
Revenue76445384Revenue
DescriptionTHROUGHOUT OUR CAMPUSES, METHODIST IS FOCUSING ON PROVIDING SPECIALIZED CARE FOR WOMEN. WITH THE ONLY CAMPUS IN THE REGION DEDICATED TO WOMEN'S HEALTH, METHODIST IS A LEADER IN PROVIDING CARE TO WOMEN FROM TEENAGE YEARS THROUGHOUT THEIR LIVESTHERE ARE MANY INNOVATIONS BUILT INTO OUR FACILITIES AND SERVICES DESIGNED FOR THE SAFETY AND HEALTH OF THE WOMEN WE TREAT. AT OUR WOMEN'S MEDICAL CAMPUS, WE OFFER WOMEN A HOST OF OBSTETRICAL, GYNECOLOGICAL, OUTPATIENT LABORATORY SERVICES AS WELL AS EMERGENCY SERVICES AND OUTPATIENT IMAGING FOR MEN, WOMEN AND CHILDREN.BECAUSE OUR PATIENT'S HEALTH AND SAFETY IS OUR NUMBER ONE PRIORITY, METHODIST WOMEN'S HOSPITAL NURSES HAVE BEEN TRAINED TO MANAGE THE MOST COMPLICATED SITUATIONS IN CASE OF EMERGENCY. EVERY NURSE ON STAFF IS CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT (ACLS) TO PROVIDE THE CLINICAL INTERVENTIONS NECESSARY FOR URGENT TREATMENT OF CARDIAC ARREST AND OTHER MEDICAL EMERGENCIES. IN ADDITION, EVERY NURSE WHO WORKS IN A MOTHER/BABY, HIGH-RISK OB OR LABOR/DELIVERY UNIT IS CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT (ACLS-OB), SPECIALIZED TRAINING FOR THE EMERGENCY TREATMENT OF PREGNANT OR NEWLY DELIVERED WOMEN.MORE BABIES ARE BORN AT METHODIST WOMEN'S HOSPITAL THAN ANY SINGLE HOSPITAL IN NEBRASKA, AND ITS NICU TREATS MORE INFANTS THAN ANY OTHER IN THE AREA. THE 36-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, THE HIGHEST LEVEL NICU IN WEST OMAHA, ALLEVIATES THE SHORTAGE OF BEDS IN THE REGION FOR AT-RISK BABIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense261889478Expense
Grants15187046Grants
Revenue280993752Revenue
DescriptionMETHODIST'S MAIN CAMPUS HOSPITAL HAS 369 STAFFED BEDS DESIGNED TO BRING THE FULL RESOURCES OF OUR HEALTHCARE PROVIDERS, EDUCATORS AND SUPPORT SERVICES TO THE PATIENT.ADDITIONAL CORE SERVICES INCLUDE MEDICAL/SURGICAL SERVICES, AN EMERGENCY DEPARTMENT, LABORATORY AND DIAGNOSTIC SERVICES. THE HOSPITAL PLACES EMPHASIS ON EDUCATION FOR PATIENTS, FAMILIES AND THE COMMUNITY THROUGH ITS RESOURCE CENTER.OUR VALUES STRESS PATIENT-CENTERED, PATIENT-DRIVEN SERVICES; HONOR AND RESPECT FOR THE DIGNITY OF ALL; EXCELLENCE IN ALL OUR DEALINGS; DEDICATION TO OUR COMMUNITY AND WORKING TOGETHER TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp261889478TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt15187046TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev280993752TotalOfOtherProgramServiceRev
Total Program Service Expense393213685TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
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 Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096100NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3428NumberOfEmployees
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 Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 (30 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 CHAIR1.000.00XX000
ART N BURTSCHER
TREASURER1.000.00XX000
ADAM YALE
SECRETARY1.000.00XX000
JOHN M FRASER
PRES./CEO-NE METH. HEALTH SYSTEM24.0016.00XX0623194185305
LARRY DEROIN
DIRECTOR1.000.00X000
JAMES MOUNCE
DIRECTOR1.000.00X000
KATHLEEN C DODGE
DIRECTOR1.000.00X000
RICHARD C HAHN
DIRECTOR1.000.00X000
KRISTEN L HOFFMAN MD
DIRECTOR1.0039.00X059657667628
DAN KINNEY PHD
DIRECTOR1.000.00X000
C L LANDEN
DIRECTOR1.000.00X000
JOHN R LOHRBERG MD
DIRECTOR1.0039.00X021811540067
DIANNE SEEMAN LOZIER
DIRECTOR1.000.00X000
DANIEL D LYDIATT MD DDS
DIRECTOR40.000.00X246038022753
JOHN P NELSON
DIRECTOR1.000.00X000
SCOTT G ROSE MD
DIRECTOR1.0039.00X036674378845
L B RED THOMAS
DIRECTOR1.000.00X000
LINDA K BURT
VICE PRES FINANCE/CFO22.0018.00X044642389779
STEPHEN L GOESER
PRES & CEO NEBR METHODIST HOSPITAL40.000.00X3995400106181
SUSAN KORTH
COO WOMEN'S HOSPITAL40.000.00X193068032408
WILLIAM SHIFFERMILLER MD
VP - MEDICAL AFFAIRS40.000.003483300106327X
JOSIE ABBOUD
VP-CLINICAL/ANCILLARY SVCS40.000.00187137045087X
TERI FRENCH-TIPTON
VP - ADMINSTRATION40.000.00229397050385X
DENNIS JOSLIN
EXECUTIVE1.0039.00268268080420X
DAVID CROTZER MD
PHYSICIAN40.000.00460971054411X
RANDALL DUCKERT MD
PHYSICIAN40.000.00507181083800X
TIEN SHEW HUANG MD
PHYSICIAN40.000.00497345052759X
ALIREZA MIRMIRAN MD
PHYSICIAN40.000.00509899047580X
PETER MORRIS MD
PHYSICIAN40.000.00486240085259X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4333414TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2251051TotalReportableCompFrmRltdOrgs
Total Other Compensation1228994TotalOtherCompensation
Number Individuals GT100 K135NumberIndividualsGT100K
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
PERINATAL ASSOCIATES PC
717 NORTH 190 PLAZA 2400OMAHANE68022MEDICAL5100842
KIEWIT BUILDING GROUP
3921 MASON STREETOMAHANE68105CONSTRUCTION SERVICES4827261
MEYERS-CARLISLE-LEAPLEY
14124 INDUSTRIAL ROADOMAHANE68144CONSTRUCTION SERVICES3603756
HDR ARCHITECTURE INC
P O BOX 3480OMAHANE68103CONSULTING1980150
ANDERSON PARTNERS
6919 DODGE STREETOMAHANE68132MARKETING CONSULTANTS1826322
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Membership Dues3845MembershipDues
Related Organizations2218667RelatedOrganizations
Total Contributions2222512TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SVC REV621990425843842425843842
OTHER PATIENT REVENUE62199018392421839242
MEDICAL RESEARCH541700505018505018
FieldValueIRS element (for citing)
Total Program Service Revenue428188102TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11429221TotalRevenueColumn
Exclusion$11,429,221ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8201364Real
Personal45880Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real9329137Real
Personal16680Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1127773Real
Personal29200Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1098573TotalRevenueColumn
Exclusion-$1,098,573ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other52562Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7297Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other45265Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column45265TotalRevenueColumn
Exclusion$45,265ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory395591GrossSalesOfInventory
Cost Of Goods Sold271564CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column124027TotalRevenueColumn
Exclusion$124,027ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LABORATORY62150070731867073186
CAFETERIA REVENUE7222102051729110502040679
TECH. & PROF. CONSULTI54190017763051776305

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1504620TotalRevenueColumn
Unrelated Business Revenue1504620UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue12405840TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column453316394TotalRevenueColumn
Related Or Exempt Function Income430228781RelatedOrExemptFunctionIncome
Unrelated Business Revenue10365161UnrelatedBusinessRevenue
Exclusion$10,499,940ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total783760Total
Program Services783760ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total19601946Total
Program Services19601946ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1871779Total
Program Services246038ProgramServices
Management And General1625741ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total140342562Total
Program Services140342562ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7574033Total
Program Services7557014ProgramServices
Management And General17019ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21729743Total
Program Services21393488ProgramServices
Management And General336255ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10030380Total
Program Services9976567ProgramServices
Management And General53813ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total443292Total
Management And General443292ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total22334Total
Management And General22334ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total146711Total
Management And General146711ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total43148013Total
Program Services42833204ProgramServices
Management And General314809ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2094593Total
Program Services2094593ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14759053Total
Program Services14759053ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7942081Total
Program Services7942081ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11707983Total
Program Services11707983ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total342905Total
Program Services342905ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total10767499Total
Program Services10767499ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30389104Total
Program Services30389104ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2344363Total
Program Services2138550ProgramServices
Management And General205813ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6728704967287049
SYSTEM ALLOCATIONS2324365223243652
STAFF EDUCATION & DEV.11835371183537
DUES, LICENSES & SUBSCR825598825598

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1041154Total
Program Services1041154ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total419623124Total
Program Services393213685ProgramServices
Management And General26409439ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36205065BOY
EOY42010509EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3258811BOY
EOY1949413EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY53912724BOY
EOY58515539EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4956639BOY
EOY6383256EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5070739BOY
EOY5052238EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis672026963LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec371481452LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY324213986BOY
EOY300545511EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY76870924BOY
EOY86965003EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3843178BOY
EOY4401927EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY39547846BOY
EOY43836161EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY547879912BOY
EOY549659557EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY53586356BOY
EOY54354445EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY267034948BOY
EOY264860519EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2250048BOY
EOY1668306EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4308084BOY
EOY5641804EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY327179436BOY
EOY326525074EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY220700476BOY
EOY223134483EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY220700476BOY
EOY223134483EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY547879912BOY
EOY549659557EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses33693270ReconcilationRevenueExpenses
Reconciliation Unrealized Invest592234ReconciliationUnrealizedInvest
Reconcilation Other Changes-31851497ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 Totals22334FilingOrganizationsTotals
Affiliated Group Totals64334AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals22334FilingOrganizationsTotals
Affiliated Group Totals64334AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals419600790FilingOrganizationsTotals
Affiliated Group Totals461454060AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals419623124FilingOrganizationsTotals
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

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND NEBRASKA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance711143BeginningOfYearBalance
Contributions298643Contributions
Investment Earnings Or Losses132799InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures13748OtherExpenditures
End Of Year Balance1128837EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance424400BeginningOfYearBalance
Contributions300000Contributions
Investment Earnings Or Losses1307InvestmentEarningsOrLosses
Other Expenditures14564OtherExpenditures
End Of Year Balance711143EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.86590PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.13410TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2233235OtherCostOrOtherBasis
Book Value2233235BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis317340956OtherCostOrOtherBasis
Depreciation144876375Depreciation
Book Value172464581BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis352452772OtherCostOrOtherBasis
Depreciation226605077Depreciation
Book Value125847695BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings300545511TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES10671258
CONSTRUCTION IN PROGRESS22044632
DUE FROM AFFILIATES969738
OTHER ASSETS2176520
DEF DEBT ISSUANCE EXP6249430
SECURITIES ON LOAN1724583
FieldValueIRS element (for citing)
Total Book Value Other Assets43836161TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
COND. ASSET RETIREMENT OBLIGATION$4,870,131
ACCRUED LIABILITY-SELF INSURANCE$771,673
FieldValueIRS element (for citing)
Total Of Amounts5641804TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:FUNDS ARE DESIGNATED FOR CHARITABLE AND CANCER CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10643765TotalCommunityBenefitExpense
Direct Offsetting Revenue2392604DirectOffsettingRevenue
Net Community Benefit Expense8251161NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19704033TotalCommunityBenefitExpense
Direct Offsetting Revenue14990659DirectOffsettingRevenue
Net Community Benefit Expense4713374NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense30347798TotalCommunityBenefitExpense
Direct Offsetting Revenue17383263DirectOffsettingRevenue
Net Community Benefit Expense12964535NetCommunityBenefitExpense
Percent Of Total Expense0.03090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3301820TotalCommunityBenefitExpense
Net Community Benefit Expense3301820NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6344720TotalCommunityBenefitExpense
Net Community Benefit Expense6344720NetCommunityBenefitExpense
Percent Of Total Expense0.01510PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2107199TotalCommunityBenefitExpense
Net Community Benefit Expense2107199NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense361992TotalCommunityBenefitExpense
Net Community Benefit Expense361992NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1144624TotalCommunityBenefitExpense
Net Community Benefit Expense1144624NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13260355TotalCommunityBenefitExpense
Net Community Benefit Expense13260355NetCommunityBenefitExpense
Percent Of Total Expense0.03160PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense43608153TotalCommunityBenefitExpense
Direct Offsetting Revenue17383263DirectOffsettingRevenue
Net Community Benefit Expense26224890NetCommunityBenefitExpense
Percent Of Total Expense0.06250PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense743TotalCommunityBuildingExpense
Net Community Building Expense743NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense68958TotalCommunityBuildingExpense
Net Community Building Expense68958NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense6491TotalCommunityBuildingExpense
Net Community Building Expense6491NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense599TotalCommunityBuildingExpense
Net Community Building Expense599NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense76791TotalCommunityBuildingExpense
Net Community Building Expense76791NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,767,707BadDebtExpenseAmount
Amount Reimbursed By Medicare92681748AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare115239684CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22557936MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 WEST DODGE IMAGING LLC
DIAGNOSTIC IMAGING SERVICES0.500000.50000
2 METHODIST ENDOSCOPY CENTER LLC
AMBULATORY SURGICAL FACILITY0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
NEBRASKA METHODIST HOSPITAL
18303 DODGE STREETOMAHANE68114METHODISTCHART.ORGXXXXXA
METHODIST WOMEN'S HOSPITAL
2707 NORTH 190 PLAZAOMAHANE68022METHODISTCHART.ORGXXXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1
FieldValueIRS element (for citing)
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent600.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1RENAISSANCE CLINICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13612 CUMING STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68131ZIPCode
FieldValueIRS element (for citing)
Facility TypeLOW INCOME COMMUNITY CLINICFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (29 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 2012 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.
PART I, LINE 7G: PART VI, LINE 1: 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 RENAISSANCE 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 RENAISSANCE HEALTH CLINIC, LOCATED IN NORTH OMAHA, IS AN ONGOING JOINT COMMUNITY PROJECT OF NEBRASKA METHODIST HOSPITAL AND THE SALVATION ARMY THAT HELPS TO MEET THE HEALTH NEEDS OF OMAHA'S LOW-INCOME POPULATION WITHIN AN ATMOSPHERE OF CARING AND RESPECT. ADVANCED PRACTICE NURSES OFFER BOTH WALK-IN AND SCHEDULED APPOINTMENTS. A SLIDING FEE SCALE IS USED BASED ON THE PATIENT'S ABILITY TO PAY.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 JENNIE EDMUNDSON MEMORIAL 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.HARPER'S HOPE EXPRESSES THE MEANING OF CARE AT EVERY TURN OF THE CANCER JOURNEY. MAIN PROGRAM COMPONENTS INCLUDE SOCIAL WORK, BEHAVIORAL HEALTH/COUNSELING, NUTRITION SERVICES, PHYSICAL WELLNESS AND CANCER PREVENTION AND HEREDITARY RISK ASSESSMENT. THESE RESOURCES HELP PATIENTS AND THEIR FAMILY MEMBERS LIVE WITH, THROUGH AND BEYOND THE CANCER DIAGNOSIS.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 OVER 20,000 IN OMAHA AND SURROUNDING COMMUNITIES WHILE ELEVATING THE OVERALL HEALTH AND EDUCATION IN THE REGION. THIS UNIQUE COMMUNITY PARTNERSHIP BETWEEN THE 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. THE PROGRAM ALONG WITH OTHER COMMUNITY PARTNER PROGRAMS IS PAYING OFF. AMONG VULNERABLE ADOLESCENTS 17 YEARS OLD AND YOUNGER, THE SUICIDE RATES HAVE DECREASED SIGNIFICANTLY WITH AN 81% DECREASE FROM 2005 TO 2009 AS REPORTED IN THE 2010 LIVEWELL OMAHA COMMUNITY REPORT CARD.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, L7 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.
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.STATE FILING OF COMMUNITY BENEFIT REPORTSCH H, PART VI, LINE 7
PART II: COMMUNITY BUILDING ACTIVITIES:NEBRASKA 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.WHILE GRANTS HAVE PROVIDED FUNDING TO COVER SOME EXPENSES, TRAINING AND OTHER NEEDED EQUIPMENT ARE PROVIDED BY METHODIST AS A COMMUNITY BENEFIT. METHODIST 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 WOULD PROVIDE TREATMENT FOR SECOND-LEVEL INJURIES, WALKING WOUNDED AND OVERFLOW TRAUMA PATIENTS WHEN ESTABLISHED TRAUMA CENTERS ARE OVERWHELMED.
PART III, LINE 4: FOOTNOTE TO FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE IS SHOWN ON THE ATTACHED AUDITED FINANCIAL STATEMENT PAGE 9.
PART III, LINE 8: SOURCE IS THE 2012 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.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.NEBRASKA 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.
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 LIVEWELL OMAHA, A COLLABORATION OF LOCAL FOR PROFIT, GOVERNMENT AND NON-PROFIT ORGANIZATIONS DEDICATED TO IMPROVING THE HEALTH OF THOSE WHO LIVE AND WORK IN THE METROPOLITAN OMAHA AREA.
PART VI, LINE 3: FINANCIAL ASSISTANCE BROCHURES 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 INSURE 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 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. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION.
PART VI, LINE 4: NEBRASKA METHODIST HOSPITAL'S SERVICE AREA INCLUDES THE GREATER OMAHA METROPOLITAN AREA. DOUGLAS, SARPY, SAUNDERS, DODGE, WASHINGTON 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 MORE THAN 800,000 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 NEBRASKA METHODIST HOSPITAL, NEBRASKA METHODIST HOSPITAL FOUNDATION, JENNIE EDMUNDSON MEMORIAL HOSPITAL, JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC, AND THE NEBRASKA 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 6,300 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.BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY LIVEWELL OMAHA, A COLLABORATION OF LOCAL ORGANIZATIONS DEDICATED TO IMPROVING THE HEALTH OF THOSE WHO LIVE AND WORK IN THE METROPOLITAN OMAHA AREA.AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM, AND ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, NEBRASKA 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.
SEE BELOWPART V, LINE 8 FACILITY REPORTING GROUP A
THE COMMUNITY NEEDS HEALTH ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE ASSESSMENT 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 THERE WERE FIVE FOCUS GROUPS HELD WHICH INCLUDED 88 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS.FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 3:
FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 4:
THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, METHODIST HEALTH SYSTEM, ALEGENT HEALTH SYSTEM AND THE NEBRASKA MEDICAL CENTER AS WELL AS LOCAL HEALTH DEPARTMENTS FROM DOUGLAS, SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA.FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 4:
METHODIST HOSPITAL DID NOT ADDRESS THE AREAS OF ORAL HEALTH AND SUBSTANCE ABUSE WHICH WERE OUTLINED IN THE CHNA. OTHER ORGANIZATIONS IN THE COMMUNITY HAVE THE RESOURCES AND QUALIFICATIONS TO PROVIDE FOR THESE AREAS OF COMMUNITY HEALTH.FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 7:
FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 12H:
NEBRASKA METHODIST HOSPITAL HAS ADOPTED A PROCEDURE FOR THOSE SITUATIONS IN WHICH A PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE AN APPLICATION. THIS PROCEDURE, REFERRED TO AS PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS WHO HAVE BEEN ENGAGED TO ASSIST WITH SELF-PAY COLLECTIONS.FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 12H:
FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 20D:
THE AVERAGE COMMERCIAL INSURANCE RATE IS USED.FACILITY 1 -- NEBRASKA METHODIST HOSPITALPART V, SECTION B, LINE 20D:
THE COMMUNITY NEEDS HEALTH ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE ASSESSMENT 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 THERE WERE FIVE FOCUS GROUPS HELD WHICH INCLUDED 88 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS.FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 3:
THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, METHODIST HEALTH SYSTEM, ALEGENT HEALTH SYSTEM AND THE NEBRASKA MEDICAL CENTER AS WELL AS LOCAL HEALTH DEPARTMENTS FROM DOUGLAS, SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA.FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 4:
METHODIST WOMEN'S HOSPITAL DID NOT ADDRESS THE AREAS OF ORAL HEALTH AND SUBSTANCE ABUSE WHICH WERE OUTLINED IN THE CHNA. OTHER ORGANIZATIONS IN THE COMMUNITY HAVE THE RESOURCES AND QUALIFICATIONS TO PROVIDE FOR THESE AREAS OF COMMUNITY HEALTH.FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 7:
FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 12H:
NEBRASKA METHODIST WOMEN'S HOSPITAL HAS ADOPTED A PROCEDURE FOR THOSE SITUATIONS IN WHICH A PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE AN APPLICATION. THIS PROCEDURE, REFERRED TO AS PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS WHO HAVE BEEN ENGAGED TO ASSIST WITH SELF-PAY COLLECTIONS.FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 12H:
FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 20D:
THE AVERAGE COMMERCIAL INSURANCE RATE IS USED.FACILITY 2 -- METHODIST WOMEN'S HOSPITALPART V, SECTION B, LINE 20D:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
10100 J STREETOMAHANE68127135613797501(C)(3)40000CURE/PREVENTION OF HEART ATTACKS
BEHAVIORAL HEALTH SUPPORT FOUNDATION
1044 N 115 STREET 440OMAHANE68154205322440501(C)(3)250000MENTAL HEALTH FOR COMMUNITY & SUPPORT FOR LASTING HOPE RECOVERY CENTER
WOMEN'S CENTER FOR ADVANCEMENT (FKA YWCA)
229 SOUTH 29 STREETOMAHANE68131273205476501(C)(3)7300PROVIDING PROGRAMS FOR LONG-TERM CHANGE IN THE LIVES OF WOMEN AND THEIR FAMILIES IN THIS COMMUNITY.
ALZHEIMER'S ASSOCIATION-MIDLANDS CHAPTER
7101 NEWPORT AVENUEOMAHANE68152470648438501(C)(3)10000RESEARCH ON CURE FOR ALZHEIMER'S DISEASE
HOPE MEDICAL OUTREACH COALITION
1722 ST MARYS AVENUE 105OMAHANE68102911850344501(C)(3)30000COORDINATE AND EXPAND CAPACITY OF LOCAL HEALTHCARE PROVIDERS TO CARE FOR THE UNINSURED AND UNDERINSURED OF THE METRO OMAHA AREA
ICAN
12565 WEST CENTER ROADOMAHANE68154470633139501(C)(3)25000LEADERSHIP DEVELOPMENT TARGETED AT COMMUNITY NEEDS
MARCH OF DIMES-NEBRASKA CHAPTER
11840 NICHOLAS STREET 220OMAHANE68154131846366501(C)(3)36000SEE SCH I, PART IV - IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY
HARBOR HOUSE
7415 CEDAR STREETOMAHANE68124364003095501(C)(3)33333COMPASSIONATE CARE FOR RESIDENTS WITH TERMINAL ILLNESSES
PROJECT HARMONY
7110 F STREETOMAHANE68114470789054501(C)(3)10000PROTECT CHILDREN BY PROVIDING COMMUNITY-BASED CHILD ABUSE ASSESSMENT AND INVESTIGATION
SPECIAL FRIENDS CELEBRATION
4115 NORTH 139 STREETOMAHANE68164470801459501(C)(3)12500CANCER SURVIVOR SUPPORT GROUP/CANCER RESEARCH
OMAHA SYMPHONY ASSOCIATION
1605 HOWARD STREETOMAHANE68102476039304501(C)(3)23200ENRICH PEOPLES' LIVES THROUGH EXPERIENCING ORCHESTRAL MUSIC
NEBRASKA METHODIST COLLEGE OF NURSING
8511 WEST DODGE ROADOMAHANE68114470724387501(C)(3)10414NURSING AND MEDICAL TECHNICAL EDUATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Cash GrantAmountOfCashGrant
FINANCIAL ASSISTANCE1447519596696BOOKFINANCIAL ASSISTANCE TO PATIENTS.
SCHOLARSHIPS75250

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: NEBRASKA METHODIST HOSPITAL GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES SO, PROCEDURES ARE FOLLOWED TO INSURE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 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 M FRASER
PRES./CEO-NE METH. HEALTH SYSTEM0589049000341450170528015854080957600
KRISTEN L HOFFMAN MD
DIRECTOR0296722083250021660405092801695906644630213411
JOHN R LOHRBERG MD
DIRECTOR016854903332401624204006701641025982300
DANIEL D LYDIATT MD DDS
DIRECTOR243266000277202275302590269050000
SCOTT G ROSE MD
DIRECTOR0290670055845020228066998012106044584700
LINDA K BURT
VICE PRES FINANCE/CFO0351687000947360760990147570537279072560
STEPHEN L GOESER
PRES & CEO NEBR METHODIST HOSPITAL356785000427550829230243350506798000
SUSAN KORTH
COO WOMEN'S HOSPITAL18716600059020205620187370232367000
WILLIAM SHIFFERMILLER MD
VP - MEDICAL AFFAIRS2940610107405319508890101953104567620414660
JOSIE ABBOUD
VP-CLINICAL/ANCILLARY SVCS1867350004020269160190980233151000
TERI FRENCH-TIPTON
VP - ADMINSTRATION1930230003637402837602389502816680253670
DENNIS JOSLIN
EXECUTIVE23833400029934080420010770349765000
DAVID CROTZER MD
PHYSICIAN441752000192190371680207690518908000
RANDALL DUCKERT MD
PHYSICIAN5067670004140662060198930593280000
TIEN SHEW HUANG MD
PHYSICIAN4970750002700406730143850552403000
ALIREZA MIRMIRAN MD
PHYSICIAN482460000274390313380185410559778000
PETER MORRIS MD
PHYSICIAN468496000177440675190200390573798000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASOCIAL CLUB EXPENSES ARE REIMBURSED FOR THE BUSINESS PORTION. SUBSTANTIATION OF ALL BUSINESS USE EXPENSES IS REQUIRED BY NEBRASKA METHODIST HEALTH SYSTEM INTERNAL POLICY.
PART I, LINE 3SEE SCHEDULE O, PART VI, SECTION B, LINE 15 EXPLANATION REGARDING THE METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2012 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JOHN FRASER $117,502 ACCRUAL KRISTIN HOFFMAN MD $2,807 ACCRUAL; $213,411 PLAN DISTRIBUTION JOHN LOHRBERG MD $6,824 ACCRUAL LINDA BURT $58,333 ACCRUAL; $72,560 PLAN DISTRIBUTION STEPHEN GOESER, $58,628 ACCRUAL SUSAN KORTH $7,575 ACCRUAL JOSIE ABBOUD $6,007 ACCRUAL TERI FRENCH-TIPTON $15,159 ACCRUAL; $25,367 PLAN DISTRIBUTION WILLIAM SHIFFERMILLER MD $39,374 ACCRUAL; $41,466 PLAN DISTRIBUTION SCOTT ROSE MD $19,308 ACCRUAL DAVID CROTZER MD $14,786 ACCRUAL RANDALL DUCKERT MD $27,226 ACCRUAL PETER MORRIS MD $27,040 ACCRUAL TIEN -SHEW HUANG MD $17,184 ACCRUAL ALIREZA MIRMIRAN MD $12,902 ACCRUAL DENNIS JOSLIN $32,329 ACCRUAL

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
NEBRASKA INVESTMENT FINANCE AUTHORITY
A4706134492006-12-283570000BUILDING ADDITIONS & CAPITAL IMPROVEMENTS000
HOSPITAL AUTH #3 DOUGLAS CNTY NE
B4706892932008-05-20205887435BLDG ADDITION/REFUND DEBT (11/25/97)000259234BL5
HOSPITAL AUTH #2 DOUGLAS CNTY NE
C5214407962009-12-2216625000BUILDING ADDITIONS AND EQUIPMENT000
HOSPITAL AUTH #3 DOUGLAS CNTY NE
D4706892932009-12-2213375000EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestOther Spent ProceedsOtherSpentProceeds
A1105402363966670000356966620070011
B80500020955230214633942820101011147532291767810430781542
C166455911635236820120011293223
D1740000133957431339574320100011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000100
B00000.000000.000000.00000100
C00000.000000.000000.00000100
D00000.000000.000000.00000100

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
A001100000
MORGAN STANLEY &
B011000100CO1.7000000000001
(no name)
C000110000
(no name)
D001110000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0
C0
D0

Form990 Schedule K Part VI Form990ScheduleKPartVI (6 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:ISSUER NAME: NEBRASKA INVESTMENT FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 6/28/2008 NOTE REGARDING THE 6/28/2008 REBATE COMPUTATION: 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. ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 NOTE REGARDING THE 11/30/2012 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, PART II, LINE 3, BOND ISSUES A THROUGH DTHE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E), DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 3, HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NETHE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL AVAILABLE HAS NOT YET BEEN DRAWN.
SCHEDULE K, PART III, LINE 9MANAGEMENT PRACTICES AND PROCEDURES ARE BEING FOLLOWED TO ENSURE THAT ALL NONQUALIFIED BONDS ARE REMEDIATED IN ACCORANCE WITH THE REQUIREMENTS UNDER REGULATIONS. WRITTEN PROCEDURES ARE IN THE PROCESS OF BEING ADOPTED.
SCHEDULE K, PART IV, ARBITRAGE, LINE 7THE ORGANIZATION HAS ADOPTED MANAGEMENT PRACTICES TO ASSURE COMPLIANCE WITH THE REQUIREMENTS. WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148 ARE IN THE PROCESS OF BEING FINALIZED.
SCHEDULE K, PART VTHE ORGANIZATION HAS MANAGEMENT PRACTICES AND PROCEDURES IN PLACE TO ASSURE COMPLIANCE WITH THE REQUIREMENTS. WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH VOLUNTARY COMPLIANCE AGREEMENT PROGRAM (VCAP) ARE IN THE PROCESS OF BEING ADOPTED.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTH #2 DOUGLAS CNTY NEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521440796IssuerEIN
Date Issued2010-12-16DateIssued
Issue Price30000000IssuePrice
Description Of PurposeBUILDING ADDITIONS AND EQUIPMENTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds20741535TotalProceeds
Capitalized Interest636862CapitalizedInterest
Capital Expenditures17452023CapitalExpenditures
Amount Unspent2652650AmountUnspent
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test1BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJOHN NELSONNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBERRelationship
Amount Of Transaction100361AmountOfTransaction
Description Of TransactionSUPP. INFO: PAYMENTS WERE MADE TO SILVERSTONE GROUP DURING 2012. MR. NELSON IS THE CHAIRMAN OF SILVERSTONE GROUP. ALL TRANSACTIONS WERE MADE AT ARMS-LENGTH.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 2BTHE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL IS BEING HANDLED BY A COMMON PAY AGENT, 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.
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AIN 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 7BNEBRASKA 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 11A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT 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. 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 12CAN 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 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. 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 15METHODIST 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 18THE ORGANIZATION FILED THE FORM 1023 IN 1968. APPLICATIONS FILED BEFORE JULY 15, 1987 NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF IRS DETERMINATION LETTER 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 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 METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.METHODISTCHART.ORG.
FORM 990, PART VII, SECTION ADENNIS JOSLIN IS A KEY EMPLOYEE FOR NEBRASKA METHODIST HOSPITAL. HE HAS ASSIGNED LEADERSHIP RESPONSIBILITY AT THE NEBRASKA METHODIST COLLEGE OF NURSING.HOURS WORKED FOR ORGANIZATION AND RELATED ORGANIZATION
FORM 990, PART VII, SECTION A, COLUMN DINDIVIDUALS 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
FORM 990, PART IX, LINE 11GMEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 11,839,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,839,726. CONTRACT STAFFING AND OTHER PURCH SERVICES: PROGRAM SERVICE EXPENSES 16,641,052. MANAGEMENT AND GENERAL EXPENSES 314,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,955,861. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 14,352,426. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,352,426.OTHER FEES
FORM 990, PART XI, LINE 9:TRANSFERS TO AFFILIATES -31,851,497.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HEART SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18511 W DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
EIN271141616EIN
Primary ActivitiesCARDIOLOGY SERVICESPrimaryActivities
Legal Domicile StateNELegalDomicileState
Total Income7065546TotalIncome
EOY Assets2482772EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HOSPITALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NEBRASKA METHODIST HEALTH SYSTEM INC
8511 W DODGE ROADOMAHANE68114470639839ADMINISTRATIVE SUPPORTNE501(C)(3)L11: III-FIN/A0
JENNIE EDMUNDSON MEMORIAL HOSPITAL
933 E PIERCE STREETCOUNCIL BLUFFSIA51503420680355LICENSED HOSPITALIA501(C)(3)L30NEBRASKA METHODIST HEALTH SYSTEM
NEBRASKA METHODIST HOSPITAL FOUNDATION
8511 W DODGE ROADOMAHANE68114470595345SUPPORT OF NEBRASKA METHODIST HOSPITAL AND AFFILIATES EXEMPT ACTIVITIESNE501(C)(3)L70NEBRASKA METHODIST HEALTH SYSTEM
NEBRASKA METHODIST COLLEGE OF NURSING AND ALLIED HEALTH
8511 W DODGE ROADOMAHANE68114470724387NURSING AND HEALTH EDUCATION FACILITYNE501(C)(3)L21NEBRASKA METHODIST HOSPITAL
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 E PIERCE STREETCOUNCIL BLUFFSIA51503421439454SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITALIA501(C)(3)L11: I0JENNIE EDMUNDSON MEMORIAL HOSPITAL
NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST
8511 W DODGE ROADOMAHANE68114363699672INSURANCENE501(C)(3)L11: III-FI0NEBRASKA METHODIST HEALTH SYSTEM
REAL ESTATE HOLDINGS
8511 W DODGE ROADOMAHANE68114470649790PROPERTY MANAGEMENTNE501(C)(2)0NEBRASKA METHODIST HEALTH SYSTEM
PHYSICIANS CLINIC INC
8511 W DODGE ROADOMAHANE68114470687317CLINICAL HEALTH CARENE501(C)(3)L90NEBRASKA METHODIST HEALTH SYSTEM

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
SHARED SERVICE SYSTEMS INC
8511 W DODGE ROADOMAHANE68114470649534MEDICAL SUPPLY DISTRIBUTION & LAUNDRYNENEBRASKA METHODIST HEALTH SYSTEMC0
METHODIST HEALTH PARTNERS
8511 W DODGE ROADOMAHANE68114470797563MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEMC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved417477AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination

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 HEALTH SYSTEM INC
8511 W DODGE ROADOMAHANE68114470639839X042000420004185327041895270$1,000,000$250,000000
NEBRASKA METHODIST HOSPITAL
8511 W DODGE ROADOMAHANE68114470376604X02233422334419600790419623124$1,000,000$250,000000

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