2011-11-10T10:31:59-06:00 2010-12-31 KPMG LLP TWO CENTRAL PARK PLAZA SUITE 1501 OMAHA NE 68102 990 2010-01-01 470724387 NEBRASKA METHODIST COLLEGE OF NURSING AND ALLIED HEALTH NEBR 4023544840 8511 WEST DODGE ROAD OMAHA NE 68114 LINDA BURT 4023544000 2011-11-08 1 4023481450 2010 2016-02-24 21:20:13Z DENNIS JOSLIN 8511 WEST DODGE ROAD OMAHA NE 68114 12354646 0 X WWW.METHODISTCOLLEGE.EDU X 1988 NE EDUCATION IN HEALTHCARE PROFESSIONS 17 16 217 0 0 0 336361 413510 9137456 10674414 23569 9508 321589 208690 9818975 11306122 1184783 1581494 0 0 8665635 8804130 0 0 0 4526702 4988403 14377120 15374027 -4558145 -4067905 30178423 29934051 8402037 9182797 21776386 20751254 X NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH IS A HEALTH PROFESSIONS INSTITUTION PROVIDING EDUCATION IN HEALTHCARE RELATED FIELDS. 0 0 13746909 1581494 10777218 NEBRASKA METHODIST COLLEGE IS A PREMIER, PRIVATE HEALTH PROFESSIONS EDUCATIONAL INSTITUTION THAT OFFERS A CARING, CLOSE-KNIT COMMUNITY TO ITS STUDENTS. NEBRASKA METHODIST COLLEGE STUDENTS EXPERIENCE A HOLISTIC CULTURE OF CARING WHILE MASTERING THE ART AND SCIENCE OF HEALTHCARE. THE COLLEGE HAS 24 DEGREE PROGRAMS FOR STUDENTS IN ALL STAGES OF THEIR HEALTHCARE CAREER AND 4 CERTIFICATE PROGRAMS. DURING 2010, THERE WERE 880 STUDENTS WITH 217 STUDENTS WHO GRADUATED DURING THE YEAR. METHODIST COLLEGE PROVIDES STUDENT SERVICES THAT FACILITATE SUCCESS WITHIN THE CLASSROOM AS WELL AS PERSONAL AND PROFESSIONAL INDIVIDUAL GROWTH.NEBRASKA METHODIST COLLEGE IS FULLY ACCREDITED BY THE HIGHER LEARNING COMMISSION OF THE NORTH CENTRAL ASSOCIATION OF COLLEGES AND SCHOOLS, THE ACCREDITING AGENCY FOR THE REGION IN WHICH THE COLLEGE IS SITUATED. THE COLLEGE IS AUTHORIZED TO OFFER PROGRAMS OF STUDY LEADING TO CERTIFICATE, ASSOCIATE, BACCALAUREATE AND MASTER'S DEGREES.THE STATE OF NEBRASKA BOARD OF NURSING HAS APPROVED THE BSN PROGRAM FOR THE PREPARATION OF STUDENTS TO BECOME REGISTERED NURSES. BOTH THE BSN AND MSN ARE ACCREDITED BY THE COMMISSION ON COLLEGIATE NURSING EDUCATION (CCNE). 13746909 1 1 0 1 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 X 24 0 217 1 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X LINDA BURT 4023544840 8511 WEST DODGE ROAD OMAHA NE 68114 RICHARD HAHN 1.00 X X 0 0 0 DEB BASS 1.00 X X 0 0 0 LINDA LOVGREN 1.00 X X 0 0 0 ANTON PISKAC MD 20.00 X X 0 154004 33521 JACQUIE ESTEE 1.00 X X 0 0 0 C L LANDEN 1.00 X 0 0 0 DAVID G BROWN 1.00 X 0 0 0 TATE FITZGERALD 1.00 X 0 0 0 DAN FLANAGAN PHD 1.00 X 0 0 0 LEE HARLAN 1.00 X 0 0 0 CAROLYN HARPER 1.00 X 0 0 0 BOB HERRERA 1.00 X 0 0 0 DAN KINNEY PHD 1.00 X 0 0 0 JANICE KUHN PHD APRN 1.00 X 0 0 0 JULIE REILLY 1.00 X 0 0 0 BISHOP ANN BROOKSHIRE SHERER-SIMPSO 1.00 X 0 0 0 RET GEN LEO SMITH 1.00 X 0 0 0 ADAM YALE 1.00 X 0 0 0 SPENCER STEVENS 1.00 X 0 0 0 REV RANDALL SAILORS 1.00 X 0 0 0 DENNIS JOSLIN 40.00 X 0 284387 75102 LINDA BURT 40.00 X 0 369171 90349 KEN RYALLS 40.00 X 173870 0 32562 173870 807562 231534 1 0 1 0 0 12840 400670 413510 TUITION & FEES 611600 9721224 9721224 WORKSHOPS 611710 627291 627291 STUDENT DORMS (NET) 611710 325899 325899 10674414 1122 1122 520701 547938 -27237 -27237 -27237 31500 23114 8386 8386 8386 618981 477472 141509 141509 MISCELLANEOUS INCOME 611710 94418 94418 94418 11306122 10777218 0 115394 129764 129764 1451730 1451730 6970561 6970561 341956 312846 29110 981007 981007 510606 510606 4245 4245 2506 2506 339371 339371 290707 290707 275672 275672 73290 73290 268042 268042 114273 114273 157586 157586 1073380 1073380 28062 28062 ALLOCATIONS 1591257 1591257 MEMBERSHIP DUES/LICENSE 234411 234411 EDUCATION & STAFF DEVEL 158087 158087 MEALS & ENTERTAINMENT 73931 73931 PROVISION FOR BAD DEBTS 34182 34182 269401 269401 15374027 13746909 1627118 0 1380 650 237495 524401 4563062 4878957 522488 596099 149245 122063 28671757 6577138 23029455 22094619 1675298 1717262 30178423 29934051 5190954 5955982 3211083 3092208 0 134607 8402037 9182797 X 20196737 18770936 1380347 1752546 199302 227772 21776386 20751254 30178423 29934051 X -4067905 3042773 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 2506 0 0 0 2506 0 199302 28470 227772 199302 199302 1.00000 0 0 1758563 1758563 22854500 4161372 18693128 4058694 2415766 1642928 22094619 CONSTRUCTION IN PROGRESS 19733 DEFERRED FINANCING COSTS 14983 OTHER ASSETS 1682546 1717262 DUE TO AFFILIATES 134607 134607 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE COLLEGE 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. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 NEWSPAPER ADVERTISEMENTS & COURSE BROCHURES INCLUDE A STATEMENT OF NONDISCRIMINATION. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 NO DIRECT AID IS RECEIVED FROM A GOVERNMENT AGENCY; HOWEVER LOW INTEREST STUDENT LOAN FUNDS FROM THE U.S. DEPT OF HEALTH AND HUMAN SERVICES AND THE PERKINS LOAN FUND ARE MADE AVAILABLE TO STUDENTS THROUGH THE COLLEGE. THESE FUNDS ARE LOANS PURSUANT TO FEDERAL GUIDELINES AND REGULATIONS. 1 NEBRASKA METHODIST HOSPITAL FNDN 8511 W DODGE ROAD OMAHA NE 68114 470595345 501(C)(3) 129764 SCHOLARSHIP FUND 1 0 SCHOLARSHIPS 639 1451730 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHOLARHIPS ARE AWARDED ON THE BASIS OF SCHOLASTIC ABILITY, PERSONAL PRESENTATION SKILLS AND FINANCIAL NEED. STUDENTS MUST MAINTAIN A MINIMUM GPA OF 2.5 TO QUALIFY FOR CONSIDERATION FOR ANY ADDITIONAL SCHOLARSHIP FUNDING. X X X X 0 1 0 0 0 0 0 1 0 ANTON PISKAC MD 0 141282 0 30 0 12692 0 19233 0 17074 0 190311 0 0 DENNIS JOSLIN 0 200585 0 15030 0 68772 0 57299 0 18963 0 360649 0 0 LINDA BURT 0 333520 0 15030 0 20621 0 83219 0 8437 0 460827 0 0 KEN RYALLS 156598 0 0 0 17272 0 23262 0 10644 0 207776 0 11736 0 PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2010 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNT: DENNIS JOSLIN $13,293 ACCRUAL KEN RYALLS $11,979 ACCRUAL AND $11,736 PLAN DISTRIBUTION LINDA BURT, $66,950 ACCRUAL NEBRASKA EDUCATIONAL FINANCE AUTHORITY 521293953 2007-06-05 3569807 COLLEGE BUILDING CAPITAL FINANCING 0 0 0 407792 3574808 69807 3505000 2007 0 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 1 PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTER NUMBER OF EMPLOYEES REPORTED ON FORM W-3 FORM 990, PART V, LINE 2A BEGINNING IN 2009, THE PAYROLL SYSTEM FOR NEBRASKA METHODIST COLLEGE OF NURSING IS BEING HANDLED BY A COMMON AGENT, NEBRASKA METHODIST HEALTH SYSTEM INC. ALL W-2 FORMS ARE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM. ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 NEBRASKA METHODIST HOSPITAL, A NEBRASKA NOT-FOR-PROFIT CORPORATION IS THE SOLE MEMBER OF THE NEBRASKA METHODIST COLLEGE OF NURSING. THE MEMBER HAS THE RIGHT TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BY LAWS OF THE CORPORATION, TO APPROVE ANY DISSOLUTION, CONSOLIDATION OR MERGER OF THE CORPORATION AND OTHER RIGHTS AND POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION OR BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE NEBRASKA METHODIST HOSPITAL HAS THE POWER TO ELECT AND REMOVE DIRECTORS OF THE COLLEGE AND THE POWER TO APPROVE AND REMOVE THE PERSON DESIGNATED AS THE COLLEGE PRESIDENT. FORM 990, PART VI, SECTION A, LINE 7B NEBRASKA METHODIST HOSPITAL, A NEBRASKA NOT-FOR-PROFIT CORPORATION HAS THE RIGHT TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE NEBRASKA METHODIST COLLEGE OF NURSING AND TO APPROVE ANY DISSOLUTION, CONSOLIDATION OR MERGER OF THE CORPORATION. THE COLLEGE ANNUAL BUDGET, CAPITAL EXPENDITURES BUDGET, AND LONG-RANGE PLANNING DOCUMENTS SHALL BE SUBMITTED TO THE MEMBER FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11 THE NEBRASKA METHODIST COLLEGE OF NURSING IS AN AFFILIATE OF THE NEBRASKA METHODIST HEALTH SYSTEM. THE POLICIES AND PRACTICES OF NEBRASKA METHODIST HEALTH SYSTEM APPLY TO ALL ITS AFFILIATES. THE AUDIT COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM, INC. CHARTER INCLUDES IN ITS DUTIES THE REVIEW, IN DETAIL, OF THE FORMS 990 FOR ALL HEALTH SYSTEM AFFILIATES. IN ADDITION, THE FINANCE COMMITTEE OF THE COLLEGE BOARD REVIEWS THE FORM 990 AND PROVIDES A REPORT OF THAT REVIEW TO THE NEBRASKA METHODIST COLLEGE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. THE CFO ANNOUNCED THAT A COPY OF THE FORM 990 IS AVAILABLE AT HER OFFICE OR THE TAX DEPARTMENT OF NEBRASKA METHODIST HEALTH SYSTEM ON REQUEST. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE, RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING THE ORGANIZATION'S FINANCE, HUMAN RESOURCE AND COMPLIANCE DEPARTMENTS; IS REVIEWED BY EXTERNAL TAX ADVISORS AND THE COLLEGE OF NURSING FINANCE COMMITTEE AND HAS A FINAL REVIEW BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER FOR NEBRASKA METHODIST HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF ALL CONFLICTS OF INTEREST, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. SHOULD CONFLICT OF INTEREST 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 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 NOT INVOLVED IN THE CONFLICT, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTEREST OF NEBRASKA METHODIST COLLEGE OF NURSING AND/OR ITS OTHER NEBRASKA 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 EFFORT UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 METHODIST HEALTH SYSTEM RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED, AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF THE NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS DETERMINATION LETTER WILL BE PROVIDED ON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE 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. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING 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.BESTCARE.ORG. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFERS FROM AFFILIATES 3,042,773. TOTAL TO FORM 990, PART XI, LINE 5: 3,042,773. NEBRASKA METHODIST HOSPITAL 8511 W DODGE ROAD OMAHA NE 68114 470376604 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM INC 0 NEBRASKA METHODIST HEALTH SYSTEM INC 8511 W DODGE ROAD OMAHA NE 68114 470639839 ADMINISTRATIVE SUPPORT NE 501(C)(3) L11: I N/A 0 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST 8511 W DODGE ROAD OMAHA NE 68114 363699672 INSURANCE NE 501(C)(3) L11: III-FI NEBRASKA METHODIST HEALTH SYSTEM INC 0 REAL ESTATE HOLDINGS INC 8511 W DODGE ROAD OMAHA NE 68114 470649790 PROPERTY MANAGEMENT NE 501(C)(2) NEBRASKA METHODIST HEALTH SYSTEM INC 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 420680355 LICENSED HOSPITAL IA 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM INC 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IA 501(C)(3) L11: I JENNIE EDMUNDSON MEMORIAL HOSPITAL 0 NEBRASKA METHODIST HOSPITAL FOUNDATION 8511 W DODGE ROAD OMAHA NE 68114 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL & METHODIST HEALTH SYSTEM AFFILIATES NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM INC 0 PHYSICIANS CLINIC INC 8511 W DODGE ROAD OMAHA NE 68114 470687317 CLINICAL HEALTH CARE NE 501(C)(3) L9 NEBRASKA METHODIST HEALTH SYSTEM INC 0 SHARED SERVICE SYSTEMS INC 8511 W DODGE ROAD OMAHA NE 68114 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE N/A C HEALTHCARE PARTNERS OF WESTERN IOWA 8511 W DODGE ROAD OMAHA NE 68114 421411452 MANAGED CARE CONTRACTING IA N/A C METHODIST HEALTH PARTNERS 8511 W DODGE ROAD OMAHA NE 68114 470797563 MANAGED CARE CONTRACTING NE N/A C 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0