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NEBRASKA METHODIST HOSPITAL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA METHODIST HOSPITAL FOUNDATION (EIN 47-0595345)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-06
IRS object ID
201203119349300615
Schema version
2011v1.2
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)
Timestamp2012-11-06T09:13:37-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN135565207EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 CENTRAL PARK PLAZA SUITE 1501AddressLine1
CityOMAHACity
StateNEState
ZIP Code68102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470595345EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEBRNameControl
Phone4023544840Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLINDA BURTName
TitleVICE PRES FINANCE & CFOTitle
Phone4023544000Phone
Date Signed2012-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00223617PTIN
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCYNTHIA PEACOCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18511 W DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19806011GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.METHODISTHOSPITALFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionRECEIVE CONTRIBUTIONS TO SUPPORT METHODIST HOSPITAL AND METHODIST HEALTH SYSTEM PROGRAMSActivityOrMissionDescription
Nbr Voting Members Governing Body35NbrVotingMembersGoverningBody
Nbr Independent Voting Members35NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20412141ContributionsGrantsPriorYear
Contributions Grants Current Year3508045ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3098280InvestmentIncomePriorYear
Investment Income Current Year3475762InvestmentIncomeCurrentYear
Other Revenue Prior Year138768OtherRevenuePriorYear
Other Revenue Current Year230346OtherRevenueCurrentYear
Total Revenue Prior Year23649189TotalRevenuePriorYear
Total Revenue Current Year7214153TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2821241GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15984982GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year704785SalariesEtcPriorYear
Salaries Etc Current Year695448SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year373366TotalFundrsngExpCurrentYear
Other Expense Prior Year1242798OtherExpensePriorYear
Other Expenses Current Year1262816OtherExpensesCurrentYear
Total Expenses Prior Year4768824TotalExpensesPriorYear
Total Expenses Current Year17943246TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18880365RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10729093RevenuesLessExpensesCY
Total Assets BOY111878597TotalAssetsBOY
Total Assets EOY99490504TotalAssetsEOY
Total Liabilities BOY4551909TotalLiabilitiesBOY
Total Liabilities EOY3574363TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY107326688NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY95916141NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE QUALITY OF LIFE BY SUPPORTING EXCELLENCE IN HEALTH CARE AND HEALTH CARE EDUCATION PROVIDED BY METHODIST HEALTH SYSTEM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12474853Expense
Grants11859528Grants
Revenue0Revenue
DescriptionNEBRASKA METHODIST HOSPITAL FOUNDATION RAISES, PROTECTS AND DISTRIBUTES FUNDS THAT IMPROVE HEALTH CARE FOR THE COMMUNITY. WORKS OF THE HEART ARE PROGRAMS SUPPORTED BY METHODIST HOSPITAL FOUNDATION THAT ARE DIVIDED INTO FOUR AREAS: CANCER CARE, CHARITABLE CARE, COMMUNITY SERVICE AND EDUCATION. MORE THAN 30,000 INDIVIDUALS EACH YEAR ARE TOUCHED BY THE DISTRIBUTIONS FROM WORKS OF THE HEART PROGRAMS. THOUSANDS MORE BENEFIT INDIRECTLY THROUGH RESEARCH, COMMUNITY HEALTH AWARENESS AND TRAINING FOR HEALTH CARE PROFESSIONALS.IN THE AREA OF CANCER CARE, THE FOUNDATION SUPPORTS NEBRASKA METHODIST HOSPITAL'S METHODIST ESTABROOK CANCER CENTER AS IT SEEKS TO PREVENT, DIAGNOSE AND TREAT CANCER IN OUR COMMUNITY. METHODIST ESTABROOK CANCER CENTER IS AT THE CENTER OF THE HOSPITAL'S COORDINATED EFFORT IN HELPING ITS PATIENTS THROUGH THE DELICATE BALANCING ACT OF DEALING WITH PHYSICAL SYMPTOMS AND EMOTIONAL STRESS AND UNCERTAINTY OF THE DISEASE.HARPER'S HOPE IS A COMPREHENSIVE CANCER SURVIVOR PROGRAM FUNDED BY THE METHODIST HOSPITAL FOUNDATION. THE PROGRAM OFFERS SERVICES TO HELP IMPROVE THE QUALITY OF LIFE FOR THOSE WHO HAVE SURVIVED CANCER. MAIN PROGRAM COMPONENTS INCLUDE SOCIAL WORK, BEHAVIORAL HEALTH/COUNSELING, NUTRITION SERVICES, PHYSICAL WELLNESS AND CANCER PREVENTION/HEREDITARY RISK ASSESSMENT. THESE RESOURCES HELP PATIENTS AND THEIR FAMILY MEMBERS LIVE WITH, THROUGH, AND BEYOND THE CANCER DIAGNOSIS. OTHER AREAS OF CANCER CARE SUPPORT INCLUDE THE ONCOLOGY RESEARCH, THE LUNG AND THORACIC ONCOLOGY CLINIC AND CANCER CENTER LIBRARY.COMMUNITY SERVICE PROGRAMS SUPPORTED INCLUDE THE METHODIST HEALTH MINISTRY, THE RENAISSANCE HEALTH CLINIC, THE HEIDI WILKE SANE/SART SURVIVOR PROGRAM, AND METHODIST CENTER FOR DIABETES AND NUTRITIONAL HEALTH.CHARITABLE CARE PROGRAMS PROVIDE FUNDING FOR PATIENTS UNABLE TO AFFORD CARE. THE FOUNDATION WORKS CLOSELY WITH MEDICAL SOCIAL WORKERS AND THE HOSPITAL BUSINESS OFFICE TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS GENUINELY UNABLE TO AFFORD HEALTH CARE SERVICES. THE FOUNDATION ALSO FUNDS A LIMITED SUPPLY OF PRESCRIPTION MEDICATION UNTIL A LONG-TERM SOLUTION IS DETERMINED.THE FOUNDATION PROVIDED CAPITAL FUNDING FOR THE NEBRASKA METHODIST HOSPITAL'S BUILDING PROGRAMS INCLUDING THE METHODIST WOMEN'S HOSPITAL, THE PATHOLOGY BUILDING, SURGERY SUITE REMODELING AND EMPLOYEE PARKING GARAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2503412Expense
Grants2379931Grants
Revenue0Revenue
DescriptionTHE FOUNDATION SUPPORTS NEBRASKA METHODIST COLLEGE - THE JOSIE HARPER CAMPUS AS IT SEEKS TO PROVIDE EXCELLENCE IN HEALTHCARE EDUCATION.MORE THAN 800 STUDENTS RECEIVED EDUCATIONAL TRAINING FOR NURSING AND ALLIED HEALTH CAREERS AND MORE THAN 9000 HEALTH CARE PROFESSIONALS RECEIVED THE REQUIRED CONTINUING EDUCATION. IN 2011 THE FOUNDATION PROVIDED FUNDING FOR THE NEW ONLINE LEARNING PROGRAM AT NEBRASKA METHODIST COLLEGE.BUILDING AND TECHNOLOGY CAPITAL PROJECTS FOR NEBRASKA METHODIST COLLEGE WERE FUNDED DURING THE YEAR.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1168311Expense
Grants1110684Grants
Revenue0Revenue
DescriptionTHE FOUNDATION IS COMMITTED TO BEING A GOOD NEIGHBOR TO THE OMAHA COMMUNITY GOING BEYOND THE WALLS OF NEBRASKA METHODIST HOSPITAL.THE COMMUNITY COUNSELING PROGRAM WAS ESTABLISHED TO ADDRESS THE NEED FOR AN EFFECTIVE INTERVENTION TO YOUTH. METHODIST HOSPITAL AND METHODIST FOUNDATION HAVE ESTABLISHED A UNIQUE COLLABORATION WITH THE OMAHA PUBLIC SCHOOLS AND SEVERAL AREA CHURCHES WHERE FREE, CONFIDENTIAL COUNSELING. METHODIST HOSPITAL FOUNDATION PROVIDES THE FUNDING FOR THE TEAM OF EXPERIENCED, LICENSED, MASTERS-LEVEL COUNSELORS. SCHOOLS PROVIDE THE SPACE FOR COUNSELORS TO MEET WITH STUDENTS. CHURCHES PROVIDE SPACE FOR COUNSELORS TO MEET WITH STUDENTS' FAMILIES OR OTHER MEMBERS OF THE COMMUNITY IN A COMFORTABLE, NEIGHBORHOOD SETTING. WHILE THE FULL BENEFIT TO INDIVIDUALS, FAMILIES AND SCHOOLS SERVED MAY BE IMPOSSIBLE TO MEASURE, THE COST OF SIMILAR SERVICES IN THE OMAHA METROPOLITAN AREA AVERAGES OVER $100 PER HOUR. AN ESTIMATED 15,200 INDIVIDUALS WERE SERVED THROUGH THIS PROGRAM IS 2011.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense667779Expense
Grants634839Grants
Revenue0Revenue
DescriptionMETHODIST HOSPITAL FOUNDATION PROVIDES FUNDING FOR EDUCATION OPPORTUNITIES FOR EMPLOYEES OF THE METHODIST HEALTH SYSTEM THROUGH SCHOLARSHIP PROGRAMS AND ASSISTANCE TO EMPLOYEES THROUGH FAMILY CRISIS CONNECTION. THE FOUNDATION ALSO PROVIDES CHARITABLE CARE FOR PATIENTS AND SUPPORT FOR COMMUNITY PROGRAMS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp667779TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt634839TotalOfOtherProgramServiceGrnt
Total Program Service Expense16814355TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees9NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members35NbrVotingGoverningBodyMembers
Number Independent Voting Members35NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LINDA 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 (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SID DINSDALE
CHAIRPERSON1.00XX000
TODD ENGLE
VICE CHAIRPERSON1.00XX000
LAWRENCE F UEBNER
TREASURER15.00XX000
ELIZABETH MURPHY
SECRETARY1.00XX000
J TIM DAUGHERTY
DIRECTOR1.00X000
DAVID E ABBOUD
DIRECTOR1.00X000
ANGIE ALBERTS
DIRECTOR1.00X000
RICHARD R BELL
DIRECTOR1.00X000
DENNIS BLACKMAN
DIRECTOR1.00X000
EDSON L BRIDGES II
DIRECTOR1.00X000
NANCY GRAHAM CAGLE
DIRECTOR1.00X000
JOHN CONLEY
DIRECTOR1.00X000
KATHLEEN C DODGE
DIRECTOR1.00X000
JAMES EGGERS
DIRECTOR1.00X000
MICHAEL SIMMONDS
DIRECTOR1.00X000
JOHN W ESTABROOK
DIRECTOR1.00X000
MICHELE GREWCOCK
DIRECTOR1.00X000
TED HAZER
DIRECTOR1.00X000
NICK HENDERSON
DIRECTOR1.00X000
PAM HOESING
DIRECTOR1.00X000
ANNE WEAVER
DIRECTOR1.00X000
JOSEPH KIRSHENBAUM
DIRECTOR1.00X000
EDWARD A KOHOUT
DIRECTOR1.00X000
ADAM M KOSLOSKY
DIRECTOR1.00X000
STEPHEN LONG
DIRECTOR1.00X000
MICHAEL NEWCOMB
DIRECTOR1.00X000
JEANIE OWEN
DIRECTOR1.00X000
RALPH PALMER
DIRECTOR1.00X000
SANDY PARKER
DIRECTOR1.00X000
LARRY PEARSON
DIRECTOR1.00X000
IONE PERRY
DIRECTOR1.00X000
LOUIS ROTELLA JR
DIRECTOR1.00X000
NICK TAYLOR
DIRECTOR1.00X000
MARY JO THIELEN
DIRECTOR1.00X000
MILO VACANTI
DIRECTOR1.00X000
CYNTHIA PEACOCK
PRESIDENT40.00X034192572376
LINDA BURT
VICE PRES-FINANCE & CFO1.00X047150795632
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs813432TotalReportableCompFrmRltdOrgs
Total Other Compensation168008TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions3508045AllOtherContributions
Noncash Contributions326173NoncashContributions
Total Contributions3508045TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2387679TotalRevenueColumn
Exclusion$2,387,679ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13596863Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12508780Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1088083Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1088083TotalRevenueColumn
Exclusion$1,088,083ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events313424GrossIncomeFundraisingEvents
Fundraising Direct Expenses83078FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column230346TotalRevenueColumn
Exclusion$230,346ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7214153TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,706,108ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15604726Total
Program Services15604726ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total380256Total
Program Services380256ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total571425Total
Program Services371426ProgramServices
Fundraising199999Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32996Total
Program Services21447ProgramServices
Fundraising11549Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48002Total
Program Services31201ProgramServices
Fundraising16801Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total43025Total
Program Services27966ProgramServices
Fundraising15059Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16000Total
Management And General16000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total195637Total
Management And General195637ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total432Total
Management And General432ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2554Total
Fundraising2554Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total85261Total
Program Services85261ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total29582Total
Program Services29582ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total48741Total
Program Services48741ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9819Total
Fundraising9819Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17144Total
Program Services17144ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total763Total
Program Services763ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServicesFundraisingFundraising
ALLOCATIONS543456543456
MISCELLANEOUS126457126457
FUND RAISING CAMPAIGNS117585117585
PRINTING6938569385

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17943246Total
Program Services16814355ProgramServices
Management And General755525ManagementAndGeneral
Fundraising373366Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY293928BOY
EOY553806EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3007410BOY
EOY2678096EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8610080BOY
EOY7676708EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7252BOY
EOY8985EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis324649LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec279182LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62611BOY
EOY45467EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY98052163BOY
EOY87663367EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1845153BOY
EOY864075EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY111878597BOY
EOY99490504EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY163658BOY
EOY125503EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4388251BOY
EOY3448860EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4551909BOY
EOY3574363EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY69262253BOY
EOY68023296EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY36505967BOY
EOY26034377EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1558468BOY
EOY1858468EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107326688BOY
EOY95916141EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111878597BOY
EOY99490504EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10729093ReconcilationRevenueExpenses
Reconcilation Other Changes-681454ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9566586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5355658CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16520041CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6485047CurrentTaxYearMinus1Year
Current Tax Year3508045CurrentTaxYear
Total41435377Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9566586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5355658CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16520041CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6485047CurrentTaxYearMinus1Year
Current Tax Year3508045CurrentTaxYear
Total41435377Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total8040328AmountsSubstContributorsTotal
Public Support Total17033395049PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4782162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3110802CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2480512CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2411576CurrentTaxYearMinus1Year
Current Tax Year2387679CurrentTaxYear
Total15172731Total
FieldValueIRS element (for citing)
Total Support56608108TotalSupport
Gross Receipts From Admissions Etc693623GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.58990PublicSupportPertcentage170
Public Support Pertcent Prior Year0.56950PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance38064435BeginningOfYearBalance
Contributions300000Contributions
Investment Earnings Or Losses-48310InvestmentEarningsOrLosses
Other Expenditures35356953OtherExpenditures
End Of Year Balance2959172EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance31141240BeginningOfYearBalance
Contributions18605087Contributions
Investment Earnings Or Losses58429InvestmentEarningsOrLosses
Other Expenditures12058078OtherExpenditures
Administrative Expenses-317757AdministrativeExpenses
End Of Year Balance38064435EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance19462759BeginningOfYearBalance
Contributions15547578Contributions
Investment Earnings Or Losses78363InvestmentEarningsOrLosses
Other Expenditures-4658763OtherExpenditures
Administrative Expenses711303AdministrativeExpenses
End Of Year Balance31141240EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16190950BeginningOfYearBalance
Contributions7913268Contributions
Investment Earnings Or Losses123398InvestmentEarningsOrLosses
Other Expenditures-3484779OtherExpenditures
Administrative Expenses-1280078AdministrativeExpenses
End Of Year Balance19462759EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.62800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.37200TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis235894OtherCostOrOtherBasis
Depreciation195861Depreciation
Book Value40033BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis88755OtherCostOrOtherBasis
Depreciation83321Depreciation
Book Value5434BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings45467TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LIABILITIES & ANNUITIES PAYABLE UNDER CH REM UNITRUSTS$2,637,660
COLLATERAL ON SECURITIES LOANED$811,200
FieldValueIRS element (for citing)
Total Of Amounts3448860TotalOfAmounts
Total Revenue7214153TotalRevenue
Total Expenses17943246TotalExpenses
Excess Or Deficit For Year-10729093ExcessOrDeficitForYear
Net Unrealized GL On Investments-2411787NetUnrealizedGLOnInvestments
Other$1,730,333OtherAmount
Total Adjustments-681454TotalAdjustments
Excess Or Deficit Per FS-11410547ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6615777TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2411787NetUnrealizedGainsInvestments
Other Revenues1730333OtherRevenues
Revenue Not Rptd F990-681454RevenueNotRptdF990
Revenue Subtotal7297231RevenueSubtotal
Other Revenues Not Included-83078OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-83078RevenueNotRptdOnFinStmt
Total Revenue Per Form9907214153TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18026324TotExpensesEtcAuditedFinclStmt
Other Expenses Included83078OtherExpensesIncluded
Expenses Not Rptd F99083078ExpensesNotRptdF990
Expenses Subtotal17943246ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017943246TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:PERMANENTLY RESTRICTED NET ASSETS INCLUDE ENDOWMENT FUNDS WHICH ARE INTENDED TO BE HELD IN PERPETUITY. THE INCOME ON SUCH FUNDS IS EXPENDABLE FOR SCHOLARSHIPS, RESEARCH, EDUCATION AND COMMUNITY HEALTH CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE NEBRASKA METHODIST HOSPITAL FOUNDATION 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.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFERS TO/FROM AFFILIATES 1,941,954. CHANGE IN VALUE OF CRUTS -211,621. TOTAL TO SCHEDULE D, PART XI, LINE 8: 1,730,333.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF CRUTS -211,621. TRANSFERS TO AFFILIATE 1,941,954.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF FUND RAISING EXPENSES -83,078.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RECLASS FUND RAISING EXPENSES 83,078.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MASQUERADE DINNERNameOfEvent1
Gross Receipts Event187068GrossReceiptsEvent1
Gross Revenue Event187068GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event13446RentFacilityCostsEvent1
Food And Beverage Event116861FoodAndBeverageEvent1
Entertainment Event13099EntertainmentEvent1
Other Direct Expenses Event14926OtherDirectExpensesEvent1
Name Of Event2GOLF CLASSICNameOfEvent2
Gross Receipts Event273639GrossReceiptsEvent2
Gross Revenue Event273639GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event214391RentFacilityCostsEvent2
Food And Beverage Event20FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event25170OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events152717GrossReceiptsOtherEvents
Gross Revenue Other Events152717GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events6747RentFacilityCostsOtherEvents
Food And Beverage Other Events15775FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events12663OtherDirectExpensesOtherEvents
Gross Receipts Total313424GrossReceiptsTotal
Gross Revenue Total Events313424GrossRevenueTotalEvents
Rent Facility Costs Total Events24584RentFacilityCostsTotalEvents
Food And Beverage Total Events32636FoodAndBeverageTotalEvents
Entertainment Total Events3099EntertainmentTotalEvents
Other Direct Expenses Total Events22759OtherDirectExpensesTotalEvents
Direct Expense Summary Events83078DirectExpenseSummaryEvents
Net Income Summary230346NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED WAY OF THE MIDLANDS
1700 HARNEY STREETOMAHANE68102470376605501(C)(3)75000COMMUNITY NEEDS
NEBRASKA METHODIST HOSPITAL
8303 DODGE STREETOMAHANE68114470376604501(C)(3)12970212CHARITY CARE, COMMUNITY SERVICE PROGRAMS, CAPITAL PROJECTS
NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH
8511 W DODGE ROADOMAHANE68114470724387501(C)(3)2379931EDUCATION, CAPITAL PROJECTS
AMERICAN CANCER SOCIETY
9850 NICHOLAS STREETOMAHANE68114741185665501(C)(3)10000CANCER RESEARCH
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
PRESCRIPTION MEDICATIONS16720501
CHARITY PATIENT CARE1369327279
SCHOLARSHIPS & EDUCATION ASSISTANCE1232476

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 FOUNDATION NORMALLY PROVIDES GRANTS TO NEBRASKA METHODIST HEALTH SYSTEM AFFILIATES, PRIMARILY THE NEBRASKA METHODIST HOSPITAL AND NEBRASKA METHODIST COLLEGE OF NURSING. ANY DONATIONS TO OUTSIDE ORGANIZATIONS ARE REVIEWED ON AN ANNUAL BASIS TO ENSURE FUNDING SUPPORTS THE MISSION OF THE NEBRASKA METHODIST HOSPITAL FOUNDATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 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
CYNTHIA PEACOCK
02489800400000529450586200170160417561027068
LINDA BURT
034534000012616708213401475105683920105240

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3METHODIST HEALTH SYSTEM RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA 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.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2011 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: CYNTHIA PEACOCK - $28,090 ACCRUAL; $27,068 PLAN DISTRIBUTION LINDA BURT - $65,226 ACCRUAL; $105,240 PLAN DISTRIBUTION

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F990326173NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 2BTHE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL FOUNDATION IS HANDLED BY A COMMON AGENT, NEBRASKA METHODIST HEALTH SYSTEM INC. ALL W-2 FORMS ARE ISSUED UNDER THE TAX IDENTIFICATION OF NEBRASKA METHODIST HEALTH SYSTEM. ALL REQUIRED FEDERAL 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 FOUNDATION PERSONNEL.
FORM 990, PART VI, SECTION A, LINE 6NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE NEBRASKA METHODIST HOSPITAL FOUNDATION. THE MEMBER HAS THE RIGHT TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS 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 7ATHE NEBRASKA METHODIST HEALTH SYSTEM, INC. HAS THE RIGHT TO CONFIRM THE ELECTION OF DIRECTORS OF THE NEBRASKA METHODIST HOSPITAL FOUNDATION BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BNEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION, HAS THE RIGHT TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE NEBRASKA METHODIST HOSPITAL FOUNDATION AND TO APPROVE ANY DISSOLUTION, CONSOLIDATION OR MERGER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO MEMBERS OF THE NEBRASKA METHODIST HOSPITAL FOUNDATION'S AUDIT COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT COMMITTEE REPORTED TO THE BOARD OF DIRECTORS ON THEIR REVIEW OF THE FORM 990 AT A REGULARLY SCHEDULED MEETING AND PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. DURING THE BOARD MEETING, THE CFO ANNOUNCED A COPY OF THE FORM 990 WOULD BE AVAILABLE AT HER OFFICE OR IN THE TAX DEPARTMENT OF NEBRASKA METHODIST HEALTH SYSTEM ON REQUEST BY ANY MEMBER OF THE BOARD OF DIRECTORS DESIRING TO REVIEW. THE NEBRASKA METHODIST HOSPITAL FOUNDATION IS AN AFFILIATE OF THE NEBRASKA METHODIST HEALTH SYSTEM. ITS SOLE MEMBER IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NONPROFIT CORPORATION. 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 NEBRASKA METHODIST HEALTH SYSTEM ORGANIZATION INCLUDING THE FINANCE, HUMAN RESOURCE AND COMPLIANCE DEPARTMENTS; IS REVIEWED BY EXTERNAL TAX ADVISORS 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 12CAN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF FINANCIAL INTERESTS 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 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 INTERESTS OF NEBRASKA METHODIST HOSPITAL FOUNDATION 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 15AMETHODIST 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 18THE 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 19THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE AMENDED ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING COMMUNITY BENEFITS IT PROVIDES AS PART OF THE METHODIST HEALTH SYSTEM ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE, WWW.METHODISTCHART.ORG. IN ADDITION, THE FOUNDATION PROVIDES REPORTS OF ONGOING SUPPORTED PROGRAMS ON THEIR WEBSITE WWW.METHODISTFOUNDATION.ORG.
FORM 990, PART VII, COLUMN BLINDA BURT, VICE PRESIDENT OF FINANCE AND CFO OF NEBRASKA METHODIST HEALTH SYSTEM, IS A FULLTIME EMPLOYEE OF NEBRASKA METHODIST HEALTH SYSTEM INC. HER AVERAGE HOURS PER WEEK HAVE BEEN ALLOCATED AMONG THE ENTITIES THAT COMPRISE THE NEBRASKA METHODIST HEALTH SYSTEM.HOURS FOR RELATED ORGANIZATION
FORM 990, PART VII, COLUMN BCYNTHIA PEACOCK IS A KEY EMPLOYEE OF NEBRASKA METHODIST HEALTH SYSTEM AND IS ASSIGNED FULLTIME DUTIES AS PRESIDENT OF NEBRASKA METHODIST HOSPITAL FOUNDATION. SALARY AND BENEFITS ARE INCLUDED IN ALLOCATIONS.HOURS FOR RELATED ORGANIZATION
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,411,787. TRANSFERS TO/FROM AFFILIATES 1,941,954. CHANGE IN VALUE OF CRUTS -211,621. TOTAL TO FORM 990, PART XI, LINE 5: -681,454.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE D, PART VAMOUNTS REPORTED IN PRIOR YEARS CALCULATIONS INCLUDED PERMANENT AND TEMPORARY RESTRICTED FUNDS. CURRENT YEAR REPORTING INCLUDES ONLY ENDOWMENT FUNDS AND EARNINGS ON THE FUNDS.ENDOWMENT FUNDS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NEBRASKA METHODIST HEALTH SYSTEM INC
8511 W DODGE ROADOMAHANE68114470639839ADMINISTRATIVE SUPPORTNE501(C)(3)L11 III-FIN/A0
NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST FUND
8511 W DODGE ROADOMAHANE68114363699672INSURANCENE501(C)(3)L11: III-FI0NEBRASKA METHODIST HEALTH SYSTEM
NEBRASKA METHODIST HOSPITAL
8511 W DODGE ROADOMAHANE68114470376604LICENSED HOSPITALNE501(C)(3)L30NEBRASKA METHODIST HEALTH SYSTEM
NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH
8511 W DODGE ROADOMAHANE68114470724387NURSING & HEALTH EDUCATION FACILITYNE501(C)(3)L20NEBRASKA METHODIST HOSPITAL
JENNIE EDMUNDSON MEMORIAL HOSPITAL
933 E PIERCE STREETCOUNCIL BLUFFSNE51503420680355LICENSED HOSPITALIA501(C)(3)L30NEBRASKA METHODIST HEALTH SYSTEM
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 E PIERCE STREETCOUNCIL BLUFFSIA51503421439454SUPPORT OF JENNIE EDMUNDSON MEM. HOSPITALIA501(C)(3)L11, I0JENNIE EDMUNDSON MEMORIAL HOSPITAL
REAL ESTATE HOLDINGS INC
8511 W DODGE ROADOMAHANE68114470649790PROPERTY MANAGEMENTNE501(C)(2)0NEBRASKA METHODIST HEALTH SYSTEM
PHYSICIANS CLINIC INC
8511 W DODGE ROADOMAHANE68114470687317CLINICAL HEALTH CARENE501(C)(3)L90NEBRASKA METHODIST HEALTH SYSTEM

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
HEALTHCARE PARTNERS OF WESTERN IOWA
933 EAST PIERCE STREETCOUNCIL BLUFFSIA51503421411452MANAGED CARE CONTRACTINGIAJENNIE EDMUNDSON MEMORIAL HOSPITALC
SHARED SERVICE SYSTEMS INC
8511 W DODGE ROADOMAHANE68114470649534MEDICAL SUPPLY DISTRIBUTION & LAUNDRYNENEBRASKA METHODIST HEALTH SYSTEM INCC
METHODIST HEALTH PARTNERS
8511 W DODGE ROADOMAHANE68114470797563MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEM INCC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other 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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg