2014-11-13T16:47:06-06:00 2013-12-31 135565207 KPMG LLP 1212 NORTH 96TH STREET SUITE 300 OMAHA NE 68114 990 2013-01-01 470376604 NEBRASKA METHODIST HOSPITAL NEBR 4023544840 8511 WEST DODGE ROAD OMAHA NE 68114 LINDA K BURT VICE PRES-FINANCE & CFO 4023544840 2014-11-13 1 P01231721 4023481450 2013 2015-11-30 17:44:51Z STEPHEN L GOESER 8511 WEST DODGE ROAD OMAHA NE 68114 494826607 0 X X 1891 NE IMPROVING THE QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTHCARE. 19 13 3446 538 9380901 712532 2222512 7468945 428188102 435493236 11474486 7056362 11431294 11738460 453316394 461757003 20385706 21567506 0 0 181548497 190824036 0 0 0 217688921 216297731 419623124 428689273 33693270 33067730 549659557 624183054 326525074 330162234 223134483 294020820 X NEBRASKA 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. 0 0 40993269 2563927 50045505 HEART 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 SIXTH. 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 2013 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.AS A STEMI RECEIVING HOSPITAL, METHODIST HOSPITAL MEETS HIGH STANDARDS OF PERFORMANCE IN QUICK AND APPROPRIATE TREATMENT OF STEMI PATIENTS TO OPEN THE BLOCKED ARTERY. BEFORE THEY ARE DISCHARGED, PATIENTS ARE STARTED ON AGGRESSIVE RISK REDUCTION THERAPIES SUCH AS CHOLESTEROL-LOWERING DRUGS, ASPIRIN, ACE INHIBITORS AND BETA-BLOCKERS AND THEY RECEIVE SMOKING CESSATION COUNSELING IF NEEDED.IN 2013, BECKER'S HOSPITAL REVIEW NAMED METHODIST HOSPITAL TO ITS LIST OF "100 HOSPITALS WITH GREAT HEART PROGRAMS," RECOGNIZING THE METHODIST CARDIAC AND VASCULAR CENTER FOR INDIVIDUALIZED, COMPREHENSIVE CARDIAC CARE AND EXCELLENCE IN OUTCOMES, AS EVIDENCED BY THE AHA MISSION LIFELINE AWARD AS WELL AS METHODIST'S SELECTION AS A BLUE CROSS BLUE SHIELD BLUE DISTINCTION CENTER FOR CARDIAC CARE. 25643106 1206204 23623831 TREMENDOUS 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.METHODIST ESTABROOK CANCER CENTER IS AMONG A SELECT GROUP OF 74 ACCREDITED CANCER PROGRAMS AND THE ONLY OMAHA FACILITY TO BE GRANTED A 2013 OUTSTANDING ACHIEVEMENT AWARD BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACS). ESTABLISHED IN 2004, THE COC'S OUTSTANDING ACHIEVEMENT AWARD IS DESIGNED TO RECOGNIZE CANCER PROGRAMS THAT STRIVE FOR EXCELLENCE IN PROVIDING QUALITY CARE TO CANCER PATIENTS.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.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.IN 2013, THE METHODIST HOSPITAL RADIATION ONCOLOGY DEPARTMENT WAS AWARDED A THREE-YEAR TERM OF ACCREDITATION IN RADIATION ONCOLOGY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR SEAL OF ACCREDITATION REPRESENTS THE HIGHEST LEVEL OF QUALITY AND PATIENT SAFETY. IT IS AWARDED ONLY TO FACILITIES MEETING SPECIFIC PRACTICE GUIDELINES AND TECHNICAL STANDARDS DEVELOPED BY ACR AFTER A PEER-REVIEW EVALUATION BY BOARD-CERTIFIED RADIATION ONCOLOGISTS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD. 72967780 1990220 82059970 THROUGHOUT OUR CAMPUSES, METHODIST IS FOCUSING ON PROVIDING SPECIALIZED CARE FOR WOMEN. WITH THE ONLY MEDICAL CAMPUS IN THE REGION DEDICATED TO WOMEN'S HEALTH, METHODIST IS A LEADER IN PROVIDING CARE TO WOMEN FROM TEENAGE YEARS THROUGHOUT THEIR LIVES.THERE 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, SURGICAL AND 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.IN ADDITION, METHODIST WOMEN'S HOSPITAL IS HOME TO THE LARGEST PERINATAL CLINIC IN THE STATE, WITH SIX MATERNAL-FETAL SPECIALISTS ON STAFF IN 2013 AND ANOTHER TWO SLATED TO JOIN THE PRACTICE IN JULY 2014. METHODIST WOMEN'S HOSPITAL ALSO OFFERS AN ARRAY OF CHILDBIRTH EDUCATION COURSES, INCLUDING A FREE COMMUNITY HEALTH PROGRAM THAT PROVIDES EDUCATION AND SUPPORT FOR WOMEN IN NEED. 262478751 15807155 281756285 METHODIST HOSPITAL'S MAIN CAMPUS HAS 266 OPERATIONAL BEDS DESIGNED TO BRING THE FULL RESOURCES OF OUR HEALTHCARE PROVIDERS, EDUCATORS AND SUPPORT SERVICES TO ITS PATIENTS.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 THE COMMUNITY AND WORKING TOGETHER TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 262478751 15807155 281756285 402082906 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 X 120 0 3446 1 1 1 0 0 0 0 0 0 0 0 0 X 19 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X LINDA K BURT 4023544840 8511 W DODGE ROAD OMAHA NE 68114 X SPENCER STEVENS CHAIRMAN 1.00 0.00 X X 0 0 0 LARRY V PEARSON VICE CHAIR 1.00 0.00 X X 0 0 0 ART N BURTSCHER TREASURER 1.00 0.00 X X 0 0 0 ADAM YALE SECRETARY 1.00 0.00 X X 0 0 0 JOHN M FRASER PRES./CEO-NE METH. HEALTH 24.00 16.00 X X 0 665343 195369 LARRY DEROIN DIRECTOR 1.00 0.00 X 0 0 0 SID DINSDALE DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN C DODGE DIRECTOR 1.00 0.00 X 0 0 0 RICHARD C HAHN DIRECTOR 1.00 0.00 X 0 0 0 KRISTEN L HOFFMAN MD DIRECTOR 1.00 39.00 X 0 361883 64800 DAN KINNEY PHD DIRECTOR 1.00 0.00 X 0 0 0 C L LANDEN DIRECTOR 1.00 0.00 X 0 0 0 JOHN R LOHRBERG MD DIRECTOR 1.00 39.00 X 0 206720 56272 DIANNE SEEMAN LOZIER DIRECTOR 1.00 0.00 X 0 0 0 DANIEL D LYDIATT MD DDS DIRECTOR 40.00 0.00 X 252868 0 23890 JOHN P NELSON DIRECTOR 1.00 0.00 X 0 0 0 SCOTT G ROSE MD DIRECTOR 1.00 39.00 X 0 684430 66422 L B RED THOMAS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL C LEBENS DIRECTOR 1.00 0.00 X 0 0 0 LINDA K BURT VICE PRES FINANCE/CFO 20.00 20.00 X 0 481614 91351 STEPHEN L GOESER PRES & CEO NEBR METHODIST HOSPITAL 40.00 0.00 X 426051 0 108564 SUSAN KORTH COO WOMEN'S HOSPITAL 40.00 0.00 X 200429 0 37512 JOSIE ABBOUD VP-CLINICAL/ANCILLARY SVCS 40.00 0.00 X 191885 0 51024 TERI FRENCH-TIPTON VP - ADMINSTRATION 40.00 0.00 X 233264 0 48693 DENNIS JOSLIN EXECUTIVE 1.00 39.00 X 287738 0 83986 WILLIAM SHIFFERMILLER MD VP-MEDICAL AFFAIRS 40.00 0.00 X 364551 0 106256 RANDALL DUCKERT MD PHYSICIAN 40.00 0.00 X 528836 0 85693 TIEN SHEW HUANG MD PHYSICIAN 40.00 0.00 X 502285 0 52973 ALIREZA MIRMIRAN MD PHYSICIAN 40.00 0.00 X 504141 0 47299 PETER MORRIS MD PHYSICIAN 40.00 0.00 X 454182 0 84430 DAVID CROTZER MD PHYSICIAN 40.00 0.00 X 428324 0 54039 4374554 2399990 1258573 137 0 1 0 MCLMEYERS-CARLISLE-LEAPLEY 14124 INDUSTRIAL ROAD OMAHA NE 681443332 CONSTRUCTION 11141135 HEART CONSULTANTS 1120 N 103RD PLAZA 100 OMAHA NE 68114 MEDICAL 10346400 KIEWIT BUILDING 15002 COLLECTIONS CENTER CHICAGO IL 60693 CONSTRUCTION 7296514 PERINATAL ASSOCIATES PC 717 N 190TH PLAZA 2400 OMAHA NE 68022 MEDICAL 5040264 ANDERSON PARTNERS 6919 DODGE STREET OMAHA NE 68132 ADVERTISING/MARKETING 1857268 51 3925 7465020 7468945 NET PATIENT SVC REV 621990 432412180 432412180 OTHER PATIENT REVENUE 621990 2662994 2662994 MEDICAL RESEARCH 541700 418062 418062 435493236 5135828 5135828 8619104 44295 8369452 16680 249652 27615 277267 54050 223217 26301431 24859 24402872 2884 1898559 21975 1920534 1920534 419703 277716 141987 141987 LABORATORY 621500 6248229 6248229 CAFETERIA REVENUE 722210 2008019 1992355 15664 TECH. & PROF. CONSULTI 541900 1834294 1834294 1228664 1228664 11319206 461757003 437485591 9380901 7421566 504294 504294 21063212 21063212 1956786 252868 1703918 145704681 145704681 9047130 8608043 439087 23880015 23777398 102617 10235424 10168421 67003 180532 180532 23245 23245 197455 197455 39068916 39068916 2269377 2269377 14265745 14265745 8448573 8448573 12791159 12791159 394886 394886 11150206 11150206 30767993 30767993 2363058 2093380 269678 MEDICAL SUPPLIES 66307654 66307654 SYSTEM ALLOCATIONS 23622832 23622832 STAFF EDUCATION & DEV. 1338927 1338927 DUES, LICENSES & SUBSCR 772467 772467 2334706 2334706 428689273 402082906 26606367 0 42010509 58957535 1949413 235 58515539 49494946 6383256 6968699 5052238 5147318 705308583 400994023 300545511 304314560 86965003 107938631 4401927 4072593 43836161 87288537 549659557 624183054 54354445 59437684 264860519 262563707 1668306 1944184 5641804 6216659 326525074 330162234 X 223134483 247312337 46109840 598643 223134483 294020820 549659557 624183054 X 33067730 5040088 32778519 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 23245 71245 23245 71245 428666028 473111863 428689273 473183108 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 60419 62733 64334 71245 258731 250000 250000 250000 250000 1000000 1500000 PART II-B, LINE 1: A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND NEBRASKA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 1128837 120931 494065 755703 711143 298643 132799 13748 1128837 424400 300000 1307 14564 711143 0.00000 0.79220 0.20780 0 1 1 2233235 2233235 334971548 156078697 178892851 368103800 244915326 123188474 304314560 OTHER RECEIVABLES 1540618 CONSTRUCTION IN PROGRESS 24452174 DUE FROM AFFILIATES 4763553 OTHER ASSETS 1948355 DEF DEBT ISSUANCE COSTS 5971806 SECURITIES ON LOAN 1903548 BENEFICIAL INTEREST IN FDN ASSETS 46708483 87288537 COND. ASSET RETIREMENT OBLIGATION 4591345 ACCRUED LIABILITY-SELF INSURANCE 1625314 6216659 X PART V, LINE 4: FUNDS ARE DESIGNATED FOR CHARITABLE AND CANCER CARE. 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. PART IX, LINE 7 IN 2013, NET ASSETS WERE ADJUSTED TO REFLECT THE BENEFICIAL INTEREST IN FOUNDATION NET ASSETS, AN INCREASE OF $46,708,483. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 9229323 27637 9201686 0.02150 19527205 15118941 4408264 0.01030 28756528 15146578 13609950 0.03180 4392999 4392999 0.01020 6723919 6723919 0.01570 2107134 2107134 0.00490 410198 410198 0.00100 453694 453694 0.00110 14087944 14087944 0.03290 42844472 15146578 27697894 0.06470 904 904 0.00000 41964 41964 0.00010 4150 4150 0.00000 119 119 0.00000 47137 47137 0.00010 1 1663904 93333274 116486348 -23153074 X 1 1 1 WEST DODGE IMAGING LLC DIAGNOSTIC IMAGING SERVICES 0.50000 0.50000 2 METHODIST ENDOSCOPY CENTER LLC AMBULATORY SURGICAL FACILITY 0.50000 0.50000 2 1 NEBRASKA METHODIST HOSPITAL 8303 DODGE STREET OMAHA NE 68114 260008 X X X X X A 2 METHODIST WOMEN'S HOSPITAL 707 NORTH 190 PLAZA OMAHA NE 68022 H000116 X X X X A FACILITY REPORTING GROUP - A 1 X X X X X X X X 12 1 1 1 X METHODISTCOMMUNITYBENEFIT.COM/OUR-PLAN/ X X X X X X X 0 0 1 1 200.000000000000 1 600.000000000000 1 X X X X X X X 1 1 X X X X 1 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS 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 HOSPITAL PART 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 HOSPITAL PART V, SECTION B, LINE 7: 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 HOSPITAL PART V, SECTION B, LINE 12I: 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 HOSPITAL PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 20D: THE AVERAGE COMMERCIAL INSURANCE RATE IS USED. FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS 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 HOSPITAL PART 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 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 7: 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 HOSPITAL PART V, SECTION B, LINE 12I: 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 HOSPITAL PART V, SECTION B, LINE 20D: THE AVERAGE COMMERCIAL INSURANCE RATE IS USED. 1 RENAISSANCE CLINIC 3612 CUMING STREET OMAHA NE 68131 LOW INCOME COMMUNITY CLINIC 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 2013 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, LN 7 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. SCH H, PART VI, LINE 7 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. 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.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2013 FILED MEDICARE COST REPORT. PART III, LINE 8: SOURCE IS THE 2013 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 ENSURE 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. 0 AMERICAN HEART ASSOCIATION 10100 J STREET OMAHA NE 68127 135613797 501(C)(3) 40000 CURE/PREVENTION OF HEART ATTACKS WOMEN'S FUND OF GREATER OMAHA 7602 PACIFIC STREET STE 300 OMAHA NE 68114 470840885 501(C)(3) 19550 PROVIDING PROGRAMS THAT IMPROVE THE LIVES OF METROPOLITAN AREA WOMEN. WOMEN'S CENTER FOR ADVANCEMENT (FKA YWCA) 229 SOUTH 29 STREET OMAHA NE 68131 273205476 501(C)(3) 7500 PROVIDING PGMS FOR LT CHANGE IN THE LIVES OF WOMEN/THEIR FAMILIES IN THIS COMMUNITY. ALZHEIMER'S ASSOCIATION-MIDLANDS CHAPTER 7101 NEWPORT AVENUE OMAHA NE 68152 470648438 501(C)(3) 9000 RESEARCH ON CURE FOR ALZHEIMER'S DISEASE HOPE MEDICAL OUTREACH COALITION 1722 ST MARYS AVENUE 105 OMAHA NE 68102 911850344 501(C)(3) 24500 COORDINATE AND EXPAND CAPACITY OF LOCAL HEALTHCARE PROVIDERS TO CARE FOR THE UNINSURED AND UNDERINSURED OF THE METRO OMAHA AREA ICAN 12565 WEST CENTER ROAD OMAHA NE 68154 470633139 501(C)(3) 15000 LEADERSHIP DEVELOPMENT TARGETED AT COMMUNITY NEEDS MARCH OF DIMES-NEBRASKA CHAPTER 11840 NICHOLAS STREET 220 OMAHA NE 68154 131846366 501(C)(3) 34000 SEE SCH I, PART IV - IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY HARBOR HOUSE 7415 CEDAR STREET OMAHA NE 68124 364003095 501(C)(3) 33333 COMPASSIONATE CARE FOR RESIDENTS WITH TERMINAL ILLNESSES AMERICAN CANCER SOCIETY 9850 NICHOLAS STREET STE 200 OMAHA NE 68114 741185665 501(C)(3) 7250 CURE/PREVENTION OF CANCER NEBRASKA AFFILIATE OF THE SUSAN G KOMEN FOR THE CURE 12103 PACIFIC STREET OMAHA NE 68154 260056671 501(C)(3) 6500 FUNDS RESEARCH AND RAISES AWARENESS FOR THE FIGHT AGAINST CANCER FONTENELLE NATURE ASSOCIATION 1111 N BELLEVUE BLVD BELLEVUE NE 68005 476026109 501(C)(3) 7100 ENRICH PEOPLES' LIVES THROUGH EXPERIENCING NATURE NEBRASKA METHODIST COLLEGE OF NURSING - ALUMNI ASSN 8511 WEST DODGE ROAD OMAHA NE 68114 470724387 501(C)(3) 10632 NURSING AND MEDICAL CONTINUING EDUCATION 12 0 FINANCIAL ASSISTANCE 18888 0 21057212 BOOK FINANCIAL ASSISTANCE TO PATIENTS. SCHOLARSHIPS 6 6000 0 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. X 0 1 0 1 0 0 0 0 0 0 0 JOHN M FRASER PRES./CEO-NE METH. HEALTH 0 629586 0 0 0 35757 0 183567 0 12791 0 861701 0 0 KRISTEN L HOFFMAN MD DIRECTOR 0 294441 0 64214 0 3228 0 50662 0 14397 0 426942 0 0 JOHN R LOHRBERG MD DIRECTOR 0 156271 0 32175 0 18274 0 40549 0 17429 0 264698 0 0 DANIEL D LYDIATT MD DDS DIRECTOR 250009 0 0 0 2859 0 23890 0 259 0 277017 0 0 0 SCOTT G ROSE MD DIRECTOR 0 380309 0 42190 0 261931 0 54620 0 12061 0 751111 0 240196 LINDA K BURT VICE PRES FINANCE/CFO 0 363574 0 25000 0 93040 0 77913 0 14427 0 573954 0 69490 STEPHEN L GOESER PRES & CEO NEBR METHODIST HOSPITAL 367927 0 25000 0 33124 0 85880 0 23673 0 535604 0 0 0 SUSAN KORTH COO WOMEN'S HOSPITAL 194055 0 0 0 6374 0 25710 0 18631 0 244770 0 0 0 JOSIE ABBOUD VP-CLINICAL/ANCILLARY SVCS 191393 0 0 0 492 0 33526 0 18363 0 243774 0 0 0 TERI FRENCH-TIPTON VP - ADMINSTRATION 199615 0 0 0 33649 0 29041 0 21473 0 283778 0 21032 0 DENNIS JOSLIN EXECUTIVE 244825 0 15000 0 27913 0 83986 0 989 0 372713 0 0 0 WILLIAM SHIFFERMILLER MD VP-MEDICAL AFFAIRS 300927 0 946 0 62678 0 88873 0 19488 0 472912 0 45215 0 RANDALL DUCKERT MD PHYSICIAN 528422 0 0 0 414 0 68781 0 19208 0 616825 0 0 0 TIEN SHEW HUANG MD PHYSICIAN 502015 0 0 0 270 0 40931 0 14341 0 557557 0 0 0 ALIREZA MIRMIRAN MD PHYSICIAN 486479 0 0 0 17662 0 31653 0 17945 0 553739 0 0 0 PETER MORRIS MD PHYSICIAN 435912 0 0 0 18270 0 67354 0 19375 0 540911 0 0 0 DAVID CROTZER MD PHYSICIAN 408624 0 0 0 19700 0 36682 0 21016 0 486022 0 0 0 PART I, LINE 1A SOCIAL 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 1B A WRITTEN POLICY DOES NOT EXIST, HOWEVER INTERNAL POLICY AND COMMUNICATION DICTATE SUBSTANTIATION OF ALL BUSINESS USE EXPENSES RELATED TO SOCIAL CLUB MEMBERSHIP. PART I, LINE 3 SEE SCHEDULE O, PART VI, SECTION B, LINE 15 EXPLANATION REGARDING THE METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2013 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JOHN FRASER $127,936 ACCRUAL JOHN LOHRBERG MD $7,097 ACCRUAL LINDA BURT $59,332 ACCRUAL; $69,490 PLAN DISTRIBUTION STEPHEN GOESER, $60,553 ACCRUAL SUSAN KORTH $9,926 ACCRUAL JOSIE ABBOUD $9,675 ACCRUAL TERI FRENCH-TIPTON $14,979 ACCRUAL; $21,032 PLAN DISTRIBUTION WILLIAM SHIFFERMILLER MD $36,948 ACCRUAL; $45,215 PLAN DISTRIBUTION SCOTT ROSE MD $4,657 ACCRUAL; $240,196 PLAN DISTRIBUTION DAVID CROTZER MD $12,982 ACCRUAL RANDALL DUCKERT MD $27,982 ACCRUAL PETER MORRIS MD $24,969 ACCRUAL TIEN -SHEW HUANG MD $16,444 ACCRUAL ALIREZA MIRMIRAN MD $12,402 ACCRUAL DENNIS JOSLIN $33,562 ACCRUAL A NEBRASKA INVESTMENT FINANCE AUTHORITY 470613449 2006-12-28 3570000 BUILDING ADDITIONS & CAPITAL IMPROVEMENTS 0 0 0 B HOSPITAL AUTH #3 DOUGLAS CNTY NE 470689293 259234BL5 2008-05-20 205887435 BLDG ADDITION/REFUND DEBT (11/25/97) 0 0 0 C HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 2009-12-22 16625000 BUILDING ADDITIONS AND EQUIPMENT 0 0 0 D HOSPITAL AUTH #3 DOUGLAS CNTY NE 470689293 2009-12-22 13375000 EQUIPMENT 0 0 0 A 1323480 3639666 70000 3569666 2007 0 0 1 1 B 1525000 209285573 14486500 17678104 146339428 30781542 2010 1 0 1 1 C 16645591 293223 16352368 2012 0 0 1 1 D 2375000 13395743 13395743 2010 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 A 0 0 1 1 0 0 0 0 0 B 0 0 1 1 0 0 1 MORGAN STANLEY & CO 1.700000000000 1 0 0 C 0 0 0 1 1 0 0 0 0 D 0 0 1 1 1 0 0 0 0 A 0 B 0 C 0 D 0 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: NEBRASKA INVESTMENT FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/28/2008 (A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2013 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 (A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 SCHEDULE K, ENTITY 1 - 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. SCHEDULE K, ENTITY 1 - NOTE REGARDING THE 11/30/2012 REBATE COMPS (2): 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, ENTITY 1 - PART I, LINE B, COLUMN F: BLDG ADDITION/REFUND DEBT (11/25/97) SCHEDULE K, ENTITY 1 - PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. SCHEDULE K, ENTITY 2 - PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. SCHEDULE K, ENTITY 1 AND ENTITY 2, PART V: WE ARE IN THE PROCESS OF ADOPTING VCAP WRITTEN PROCEDURES IN 2013 - 2014. A HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 2010-12-16 30000000 BUILDING ADDITIONS AND EQUIPMENT 0 0 0 A 615000 30004897 1340194 28664703 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 A 0 1 0 0 1 0 0 0 0 A 0 JOHN NELSON BOARD MEMBER 106250 SUPP. INFO: PAYMENTS WERE MADE TO SILVERSTONE GROUP DURING 2013. MR. NELSON IS THE CHAIRMAN OF SILVERSTONE GROUP. ALL TRANSACTIONS WERE MADE AT ARMS-LENGTH. 0 FORM 990, PART V, LINE 2B THE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL IS BEING HANDLED BY A COMMON PAYMASTER, 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. WAGES AND BENEFITS SHOWN IN THE FORM 990 ARE ACTUAL WAGES ASSOCIATED WITH NEBRASKA METHODIST HOSPITAL PERSONNEL. FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A IN 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 7B NEBRASKA 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 11 A 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 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 RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. 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 15 METHODIST 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 18 THE ORGANIZATION FILED THE FORM 1023 IN 1968. APPLICATIONS FILED BEFORE JULY 15, 1987 NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS DETERMINATION LETTER WILL BE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE 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 A DENNIS JOSLIN IS A KEY EMPLOYEE FOR NEBRASKA METHODIST HOSPITAL. HE HAS ASSIGNED LEADERSHIP RESPONSIBILITY AT THE NEBRASKA METHODIST COLLEGE OF NURSING. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -13,929,964. BENEFICIAL INTEREST IN FOUNDATION ASSETS 46,708,483. 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