FURP.ORG / PUBLIC DATA EXPLORER

NEBRASKA METHODIST HEALTH SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA METHODIST HEALTH SYSTEM INC (EIN 47-0639839)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201103149349301715
Schema version
2010v3.4
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)
Timestamp2011-11-10T13:17:49-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 CENTRAL PARK PLAZA 1501AddressLine1
CityOMAHACity
StateNEState
ZIP Code68102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470639839EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEBRNameControl
Phone4023544840Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLINDA BURTName
TitleVICE PRES-FINANCE & CFOTitle
Phone4023544000Phone
Date Signed2011-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18511 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34011517GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BESTCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionOPERATED EXCLUSIVELY FOR THE BENEFIT OF NEBRASKA METHODIST HOSPITAL & ITS RELATED ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees553TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI833078TotalGrossUBI
Net Unrelated Business Txbl Income-35645NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1558ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31177360ProgramServiceRevenuePriorYear
Program Service Revenue CY32502266ProgramServiceRevenueCY
Investment Income Prior Year1871InvestmentIncomePriorYear
Investment Income Current Year9802InvestmentIncomeCurrentYear
Other Revenue Prior Year868649OtherRevenuePriorYear
Other Revenue Current Year987440OtherRevenueCurrentYear
Total Revenue Prior Year32049438TotalRevenuePriorYear
Total Revenue Current Year33499508TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year81526GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY91739GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year26901370SalariesEtcPriorYear
Salaries Etc Current Year25890407SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8497417OtherExpensePriorYear
Other Expenses Current Year9476014OtherExpensesCurrentYear
Total Expenses Prior Year35480313TotalExpensesPriorYear
Total Expenses Current Year35458160TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3430875RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1958652RevenuesLessExpensesCY
Total Assets BOY27046076TotalAssetsBOY
Total Assets EOY32311876TotalAssetsEOY
Total Liabilities BOY37336871TotalLiabilitiesBOY
Total Liabilities EOY41897558TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10290795NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-9585682NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF NEBRASKA METHODIST HEALTH SYSTEM IS TO CARE FOR PEOPLE BY DEVELOPING THE SPIRITUAL, HUMAN, FINANCIAL AND PHYSICAL RESOURCE BASE NEEDED TO PROVIDE THE BEST POSSIBLE HEALTH CARE SERVICES. THE PRIMARY WAY IN WHICH NEBRASKA METHODIST HEALTH SYSTEM PURSUES THIS MISSION IS THROUGH THE MONITORING AND COORDINATION OF ACTIVITIES AND BY REMAINING ALERT TO THE PHILOSOPHIES OF HEALING MINISTRIES AS REPRESENTED BY THE UNITED METHODIST CHURCH IN ITS ECUMENICAL RELATIONSHIPS AND CONCERNS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29322972Expense
Grants91739Grants
Revenue30579655Revenue
DescriptionNEBRASKA METHODIST HEALTH SYSTEM SUPPORTS THE MISSION OF CARING FOR PEOPLE THROUGH THE COORDINATION OF THE METHODIST HEALTH SYSTEM FAMILY OF RELATED CORPORATIONS.TO ACHIEVE THE HIGHEST QUALITY HEALTHCARE AT THE LOWEST COST, THE NEBRASKA METHODIST HEALTH SYSTEM HAS CONSOLIDATED SEVERAL ESSENTIAL FUNCTIONS, AND, IN TURN, PROVIDES THESE SERVICES FROM A CENTRALIZED SOURCE FOR MAXIMUM EFFICIENCY TO ALL AFFILIATED PROVIDERS. THE SERVICES INCLUDE MANAGEMENT CONSULTING, FINANCE, OPERATIONS ANALYSIS, DATA PROCESSING AND HUMAN RESOURCES FUNCTIONS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2098535Expense
Grants0Grants
Revenue2098642Revenue
DescriptionBEST CARE EAP IS A PREMIER PROVIDER OF CUSTOMIZED EMPLOYEE ASSISTANCE PROGRAMS, MANAGEMENT CONSULTATION, EMPLOYEE AND LEADERSHIP TRAINING AND DEVELOPMENT, PERFORMANCE COACHING AND WORK/LIFE SERVICES. BEST CARE EAP PARTNERS WITH ORGANIZATIONS ACROSS THE COUNTRY TO FACILITATE A HEALTHIER, MORE PRODUCTIVE WORKFORCE.THE EMPLOYEE ASSISTANCE PROGRAM (EAP) CONDUCTS CRITICAL SUPPORT ACTIVITIES FOR TRAUMATIC EVENTS SUCH AS THE DEATH OF AN EMPLOYEE, WORKPLACE ACCIDENTS, NATURAL DISASTERS AND VIOLENCE IN THE WORKPLACE. TRAUMA RESPONSE INCLUDES IMMEDIATE PHONE CONSULTATION, THE GOAL OF TRAUMA RESPONSE IS TO MINIMIZE THE DAMAGE CREATED BY THE ORDEAL AND TO SPEED THE RECOVERY PROCESS FOR PERSONNEL AND THE ORGANIZATION. EAP ALSO ASSISTS MANAGERS IN RECOGNIZING POST-TRAUMA SYMPTOMS AND PROVIDES GUIDANCE ON HOW TO REFER THE EMPLOYEE TO EAP. DURING AND AFTER, COUNSELORS WILL IDENTIFY AND REFER THOSE EMPLOYEES NEEDING FURTHER COUNSELING ASSISTANCE. SPECIALLY TRAINED PROFESSIONAL COUNSELORS CONDUCT SHORT TERM COUNSELING SERVICES TO HELP INDIVIDUALS AND FAMILIES OFFERING AN UNBIASED, INFORMAL AND CONFIDENTIAL ENVIRONMENT TO WORK THROUGH PERSONAL PROBLEMS AND FINANCIAL DIFFICULTIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense31421507TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109691NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees553NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LINDA K BURTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4023544840TelephoneNumber

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 (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SPENCER STEVENS
CHAIRMAN1.00XX000
CONSTANCE M RYAN
VICE CHAIRMAN1.00XX000
ART N BURTSCHER
TREASURER1.00XX000
LARRY V PEARSON
SECRETARY1.00XX000
STEVEN T BAILEY MD
DIRECTOR40.00X025431465591
HARRIS A FRANKEL MD
DIRECTOR1.00X000
W GARY GATES
DIRECTOR1.00X000
RICHARD C HAHN
DIRECTOR1.00X000
KRISTEN ENGDAHL-HOFFMAN MD
DIRECTOR40.00X039410481235
DAN KINNEY PHD
DIRECTOR1.00X000
C L LANDEN
DIRECTOR1.00X000
JOHN LOHRBERG MD
DIRECTOR40.00X015201951070
DANIEL D LYDIATT MD
DIRECTOR40.00X022120819502
JAMES MOUNCE
DIRECTOR1.00X000
JOHN P NELSON
DIRECTOR1.00X000
LB THOMAS
DIRECTOR1.00X000
ADAM YALE
DIRECTOR1.00X000
JOHN M FRASER
PRESIDENT/CEO40.00XX6286520164150
LARRY DE ROIN
DIRECTOR1.00X000
LINDA K BURT
VICE PRES FINANCE/CFO40.00X369171090349
TOM EISERMAN
EXECUTIVE40.00168697039873X
JERRY ELLWANGER
EXECUTIVE40.00243211059406X
TODD GRAGES
EXECUTIVE40.00381388074069X
HOLLY HUERTER MORGAN
EXECUTIVE40.00242096069100X
ROGER HERTZ
EXECUTIVE40.00218905050215X
KEN KLAASMEYER
EXECUTIVE40.00236399046632X
STEVE BAUMERT
EXECUTIVE40.00268276068233X
CYNTHIA PEACOCK
EXECUTIVE40.00329882064011X
ANTON PISKAC
EXECUTIVE20.00154004033521X
RUTH FREED
DIRECTOR-CLINICAL ALIGNMENT40.00406759061166X
MICHAEL KLEMENZ
DIRECTOR-BUS. INTELLIGENCE40.00173944024048X
TERI LARSEN
DIRECTOR-FINANCE & INT. CO40.00139998019058X
KAY RICHTER
DIRECTOR-ACCOUNTING40.00137204017190X
STEVEN ZUBER
CHIEF MEDICAL INFO OFFICER40.00299580043839X
RAYMOND STOUPA
FORMER CFO0.0030226900X
SANDRA CARSON
FORMER EXECUTIVE0.0018326900X
DAVID HOLCOMB
FORMER EXECUTIVE0.0018136200X
STEPHEN LONG
FORMER PRESIDENT0.009131430250X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5978209TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1021645TotalReportableCompFrmRltdOrgs
Total Other Compensation1142508TotalOtherCompensation
Number Individuals GT100 K44NumberIndividualsGT100K
Formers Listed1FormersListed
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
RSM MC GLADREY INC
5155 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING765771
FINANCIAL REVIEW SERVICES
4295 SAN FELIPE 250HOUSTONTX77027COLLECTIONS712115
KPMG LLP
P O BOX 120001DALLASTX75312ACCOUNTING489195
OWENS & MINOR
P O BOX 841420DALLASTX75284CONSULTING399344
TRIAGE CONSULTING GROUP
221 MAIN STREET 1100SAN FRANCISCOCA94105CONSULTING298006
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MGMT SERVICE-AFFILIATE5419003035760830357608
EMPLOYEE ASSISTANCE62410020986422098642
MISC HEALTH SERVICES6241004601646016
FieldValueIRS element (for citing)
Total Program Service Revenue32502266TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real482425Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real504094Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-21669Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-21669TotalRevenueColumn
Exclusion-$21,669ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other17717Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7915Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other9802Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9802TotalRevenueColumn
Exclusion$9,802ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MGMT TO TAXABLE SUB.541610798231798231
CAFETERIA INCOME72210021087834847176031
FieldValueIRS element (for citing)
Total Other Revenue1009109TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33499508TotalRevenueColumn
Related Or Exempt Function Income32678297RelatedOrExemptFunctionIncome
Unrelated Business Revenue833078UnrelatedBusinessRevenue
Exclusion-$11,867ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total91739Total
Program Services91739ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5978209Total
Program Services2737528ProgramServices
Management And General3240681ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11205417Total
Program Services11205417ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1269637Total
Program Services1269637ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5435363Total
Program Services5435363ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2001781Total
Program Services2001781ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total167370Total
Management And General167370ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total468138Total
Management And General468138ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total42200Total
Management And General42200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3986408Total
Program Services3868144ProgramServices
Management And General118264ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total89292Total
Program Services89292ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total793410Total
Program Services793410ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total90831Total
Program Services90831ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1031982Total
Program Services1031982ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total129571Total
Program Services129571ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total118132Total
Program Services118132ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total223185Total
Program Services223185ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total907549Total
Program Services907549ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total20814Total
Program Services20814ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROFESSIONAL DEV.292421292421
CREDIT CARD FEES270065270065
POSTAGE167617167617
PRINTING149770149770
RECORDS STORAGE7300673006

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total454253Total
Program Services454253ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35458160Total
Program Services31421507ProgramServices
Management And General4036653ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9918127BOY
EOY12769250EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY502634BOY
EOY802602EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2241BOY
EOY4348EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY251360BOY
EOY118830EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32035412LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17927797LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10290385BOY
EOY14107615EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY260822BOY
EOY260822EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY635624BOY
EOY635624EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5184883BOY
EOY3612785EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27046076BOY
EOY32311876EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15718585BOY
EOY9435697EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3797000BOY
EOY3797000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17821286BOY
EOY28664861EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37336871BOY
EOY41897558EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10290795BOY
EOY-9585682EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10290795BOY
EOY-9585682EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27046076BOY
EOY32311876EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1958652ReconcilationRevenueExpenses
Reconcilation Other Changes2663765ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
JENNIE EDMUNDSON HOSP
4206803553011$0
PHYSICIANS CLINIC INC
4706873179011$0
NEBR METH HOSP FNDN
4705953457011$0
NEBR METH HOSPITAL
4703766043111$17,965,696
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts17965696SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals42200FilingOrganizationsTotals
Affiliated Group Totals60419AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals42200FilingOrganizationsTotals
Affiliated Group Totals60419AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals35415960FilingOrganizationsTotals
Affiliated Group Totals430117465AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals35458160FilingOrganizationsTotals
Affiliated Group Totals430177884AffiliatedGroupTotals

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 Minus342140CurrentYearMinus3
Current Year Minus268476CurrentYearMinus2
Current Year Minus170755CurrentYearMinus1
Current Year60419CurrentYear
Total241790Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14742129OtherCostOrOtherBasis
Depreciation10886657Depreciation
Book Value3855472BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9405050OtherCostOrOtherBasis
Depreciation7041140Depreciation
Book Value2363910BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14107615TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCE CHARGES161711
CONSTRUCTION IN PROGRESS482468
EXECUFLEX2828757
DEFERRED COMP 457B22166
DUE FROM AFFILIATES117683
FieldValueIRS element (for citing)
Total Book Value Other Assets3612785TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$24,913,323
OTHER LONG TERM LIABILITIES$2,829,038
COND. ASSET RETIREMENT$922,500
FieldValueIRS element (for citing)
Total Of Amounts28664861TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THERE WERE NO CHANGES MADE TO THE FINANCIAL STATEMENTS DUE TO FIN48.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
GREATER OMAHA CHAMBER FOUNDATION
1301 HARNEY STREETOMAHANE68102470633685501(C)(3)27000SUPPORT OF GREATER OMAHA ECONOMIC DEVELOPMENT PROJECT
NEBRASKA METHODIST HOSPITAL FOUNDATION
8511 W DODGE ROADOMAHANE68114470595345501(C)(3)54876SUPPORT OF METHODIST HOSPITAL FOUNDATION PROJECTS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE NEBRASKA METHODIST HEALTH SYSTEM GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES DO SO, IT MAKES THE GRANT IN THE BEST INTEREST OF THE COMMUNITY AND INSURES THAT THE DONEE ORGANIZATION IS A 501 (C)(3).Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

Base 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
STEVEN T BAILEY MD
022773702542301154054061015640032401500
KRISTEN ENGDAHL-HOFFMAN MD
030216308753304408065851015684047563900
JOHN LOHRBERG MD
0119472016490016057031500022736020625500
DANIEL D LYDIATT MD
0216813065043300195020300024101000
JOHN M FRASER
52797905003005064301536200140020796274000
LINDA K BURT
333520015030020621083219084370460827000
TOM EISERMAN
1395850100300190820192510220870210035000
JERRY ELLWANGER
1802140200300429670480610124850303757000
TODD GRAGES
2812750150300850830597810155950456764000
HOLLY HUERTER MORGAN
218930015030081360548120155740312482000
ROGER HERTZ
216297030025780384850129360270326000
KEN KLAASMEYER
2193900300169790355020163370288238075090
STEVE BAUMERT
2134330150000398430512550182850337816000
CYNTHIA PEACOCK
23041801503008443405122701609703972060544130
ANTON PISKAC
1412820300126920192330170740190311000
RUTH FREED
116533030029019605374208508046900901955400
MICHAEL KLEMENZ
172914030010000110570140390199040000
TERI LARSEN
1398040300164082080118430160049000
KAY RICHTER
136990030018408737094650155406000
STEVEN ZUBER
27643502296501800295510164920345623000
RAYMOND STOUPA
00003022690000030226903022690
SANDRA CARSON
00001832690000018326901832690
DAVID HOLCOMB
00001813620000018136201813620
STEPHEN LONG
0000913143000250091339309131430

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASOCIAL CLUB EXPENSES ARE REIMBURSED FOR THE BUSINESS PORTION ONLY. INTERNAL POLICY REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2010 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: STEVEN BAILEY, MD $7,930 ACCRUAL KRISTEN ENGDAHL-HOFFMAN, MD $20,704 ACCRUAL JOHN LOHRBERG, MD $6,310 ACCRUAL JOHN FRASER $101,634 ACCRUAL LINDA BURT $66,959 ACCRUAL TOM EISERMAN $4,163 ACCRUAL TODD GRAGES $42,364 ACCRUAL HOLLY HUERTER-MORGAN $12,541 ACCRUAL CYNTHIA PEACOCK $21,623 ACCRUAL; $54,413 PLAN DISTRIBUTION STEVEN BAUMERT $21,905 ACCRUAL KEN KLAASMEYER $13,658 ACCRUAL AND $7,509 PLAN DISTRIBUTION JERRY ELLWANGER $11,368 ACCRUAL ROGER HERTZ $21,419 ACCRUAL STEVEN ZUBER $3,760 ACCRUAL RUTH FREED, $195,540 PLAN DISTRIBUTION SANDRA CARSON, $183,269 PLAN DISTRIBUTION DAVID HOLCOMB, $181,362 PLAN DISTRIBUTION STEPHEN LONG, $913,143 PLAN DISTRIBUTION RAYMOND STOUPA, $302,269 PLAN DISTRIBUTION
PART I, LINE 7NON-FIXED PAYMENTS: BONUSES ARE PAID TO PHYSICIANS BASED ON SUBGROUPS WHICH IDENTIFY AND PAY BONUSES BASED ON THE BOTTOMLINE RESULTS AS COMPARED TO PRESET TARGETS FOR THESE SUBGROUPS. INFORMATION REGARDING THIS TYPE OF PAYMENT IS SHOWN IN PART II, SCHEDULE J, COLUMN (B)(II) FOR STEVEN BAILEY MD, KRISTEN HOFFMAN MD AND JOHN LOHRBERG MD.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT COMMITTEE REPORTED TO BOARD OF DIRECTORS ON THEIR REVIEW OF THE FORM 990. ADDITIONALLY, A COPY OF THE FORM WAS MADE AVAILABLE TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW THROUGH A SECURE INTERNET PORTAL. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE, RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING THE ORGANIZATION'S FINANCE, HUMAN RESOURCES AND COMPLIANCE DEPARTMENTS, IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR NEBRASKA METHODIST HEALTH SYSTEM AND THE CHIEF EXECUTIVE OFFICER.
AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICT OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF ALL CONFLICTS OF INTEREST, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. SHOULD A CONFLICT BE IDENTIFIED, THE OFFICER, DIRECTOR, OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. A POTENTIAL CONFLICT OF INTEREST, ONCE IDENTIFIED, MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HEALTH SYSTEM AND/OR ITS AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES.FORM 990, PART VI, SECTION B, LINE 12C
METHODIST HEALTH SYSTEM RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED, AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF THE NEBRASKA METHODIST HEALTH SYSTEM, A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE.FORM 990, PART VI, SECTION B, LINE 15
THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS LETTER 947 WILL BE PROVIDED UPON WRITTEN REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE AMENDED ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING COMMUNITY BENEFITS IT PROVIDES AS PART OF THE ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.BESTCARE.ORG.FORM 990, PART VI, SECTION C, LINE 19
DIRECTORS STEVEN BAILEY MD, KRISTEN HOFFMAN MD, AND JOHN LOHRBERG MD ARE FULLTIME EMPLOYEES OF PHYSICIANS CLINIC INC., AN AFFILIATED ENTITY OF THE NEBRASKA METHODIST HEALTH SYSTEM. DIRECTOR DAN LYDIATT MD IS A FULLTIME EMPLOYEE OF NEBRASKA METHODIST HOSPITAL. THESE INDIVIDUALS DO NOT RECEIVE COMPENSATION FOR SERVICES ON THE BOARD OF DIRECTORS.FORM 990, PART VII, COLUMN B
CHANGES IN NET ASSETS OR FUND BALANCES:MINIMUM PENSION LIABILITY ADJUSTMENT -6,816,753. TRANSFERS FROM AFFILIATES 9,480,518. TOTAL TO FORM 990, PART XI, LINE 5: 2,663,765.FORM 990, PART XI, LINE 5:
TAX EXEMPT BOND LIABILITIESBOND LIABILITIES SHOWN ON THE NEBRASKA METHODIST HEALTH SYSTEM BOOKS AND RECORDS WERE INCLUDED AS PART OF THE REFUNDING PORTION OF THE HOSPITAL AUTHORITY NO. 3 OF DOUGLAS COUNTY NEBRASKA BOND ISSUE DATED 5/20/2008. THIS BOND ISSUE IS REPORTED ON SCHEDULE K OF THE NEBRASKA METHODIST HOSPITAL FORM 990.FORM 990, PART X, LINE 20

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NEBRASKA METHODIST HOSPITAL
8303 DODGE STREETOMAHANE68114470376604LICENSED HOSPITALNE501(C)(3)L3NEBRASKA METHODIST HEALTH SYSTEM1
NEBRASKA METHODIST HOSPITAL FOUNDATION
8601 W DODGE ROADOMAHANE68114470595345SUPPORT OF NEBRASKA METHODIST HOSPITALNE501(C)(3)L7NEBRASKA METHODIST HEALTH SYSTEM1
NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH
8511 W DODGE ROADOMAHANE68114470724387NURSING AND HEALTH EDUCATION FACILITYNE501(C)(3)L2NEBRASKA METHODIST HOSPITAL1
JENNIE EDMUNDSON MEMORIAL HOSPITAL
933 E PIERCE STREETCOUNCIL BLUFFSIA51503420680355LICENSED HOSPITALIA501(C)(3)L3NEBRASKA METHODIST HEALTH SYSTEM1
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 E PIERCE STREETCOUNCIL BLUFFSIA51503421439454SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITALIA501(C)(3)L11: IJENNIE EDMUNDSON MEMORIAL HOSPITAL1
PHYSICIANS CLINIC INC
8511 W DODGE ROADOMAHANE68114470687317CLINICAL HEALTH CARENE501(C)(3)L9NEBRASKA METHODIST HEALTH SYSTEM1
NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST
8511 W DODGE ROADOMAHANE68114363699672INSURANCENE501(C)(3)L11: III-FINEBRASKA METHODIST HEALTH SYSTEM1
REAL ESTATE HOLDINGS
8511 W DODGE ROADOMAHANE68114470649790PROPERTY MANAGEMENTNE501(C)(2)NEBRASKA METHODIST HEALTH SYSTEM1

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SHARED SERVICE SYSTEMS INC
8511 W DODGE ROADOMAHANE68114470695345MEDICAL SUPPLY DISTRIBUTION & LAUNDRYNEN/AC255770142072821.00000
METHODIST HEALTH PARTNERS
8511 W DODGE ROADOMAHANE68114470797563MANAGED CARE CONTRACTINGNEN/AC-342204268661.00000
HEALTHCARE PARTNERS OF WESTERN IOWA
933 E PIERCECOUNCIL BLUFFSIA51503421411452MANAGED CARE CONTRACTINGIACJENNIE EDMUNDSON MEMORIAL HOSPITAL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
METHODIST HEALTH PARTNERS
Q367708CASH
NEBRASKA METHODIST HOSPITAL
K16581240BOOK
JENNIE EDMUNDSON MEMORIAL HOSPITAL
K6897818BOOK
SHARED SERVICE SYSTEMS
K798231BOOK
PHYSICIANS CLINIC INC
K6141977BOOK

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
NEBRASKA METHODIST HOSPITAL
8511 W DODGE ROADOMAHANE68114470376604X01821918219394701505394719724$1,000,000$250,000000
NEBRASKA METHODIST HEALTH SYSTEM
8511 W DODGE ROADOMAHANE68114470639839X042200422003541596035458160$1,000,000$250,000000