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NEBRASKA METHODIST HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA METHODIST HOSPITAL (EIN 47-0376604)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-06
IRS object ID
201223119349300117
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)
EIN470376604EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEBRNameControl
Phone4023544840Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLINDA K BURTName
TitleVICE PRES-FINANCE & CFOTitle
Phone4023544840Phone
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 PersonSTEPHEN L GOESERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18511 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts443293543GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BESTCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1891YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionIMPROVING THE QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees3356TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI4512432TotalGrossUBI
Net Unrelated Business Txbl Income141419NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2109831ContributionsGrantsPriorYear
Contributions Grants Current Year12998342ContributionsGrantsCurrentYear
Program Service Revenue Prior Year397945784ProgramServiceRevenuePriorYear
Program Service Revenue CY409982442ProgramServiceRevenueCY
Investment Income Prior Year4060796InvestmentIncomePriorYear
Investment Income Current Year5093753InvestmentIncomeCurrentYear
Other Revenue Prior Year4603588OtherRevenuePriorYear
Other Revenue Current Year4910777OtherRevenueCurrentYear
Total Revenue Prior Year408719999TotalRevenuePriorYear
Total Revenue Current Year432985314TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11748183GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15445728GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year169080437SalariesEtcPriorYear
Salaries Etc Current Year175805190SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year213891104OtherExpensePriorYear
Other Expenses Current Year220991508OtherExpensesCurrentYear
Total Expenses Prior Year394719724TotalExpensesPriorYear
Total Expenses Current Year412242426TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14000275RevenuesLessExpensesPriorYear
Revenues Less Expenses CY20742888RevenuesLessExpensesCY
Total Assets BOY537398294TotalAssetsBOY
Total Assets EOY547879912TotalAssetsEOY
Total Liabilities BOY321111055TotalLiabilitiesBOY
Total Liabilities EOY327179436TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY216287239NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY220700476NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNEBRASKA METHODIST HOSPITAL IS AN ACUTE CARE FACILITY DEDICATED TO BRINGING HIGH QUALITY CARE FOR THE MIND, BODY AND SPIRIT OF EVERY PERSON. WE PROVIDE COMMUNITY-BASED HEALTH CARE, HEALTH EDUCATION AND SUPPORT SERVICES EVER MINDFUL OF THE INTRINSIC HONOR AND RESPONSIBILITY ACCOMPANYING OUR MISSION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense44368331Expense
Grants1659073Grants
Revenue47898499Revenue
DescriptionHEART DISEASE AND STROKE REMAIN THE NATION'S FIRST AND THIRD LEADING CAUSE OF DEATH. IN DOUGLAS COUNTY, HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH AFTER CANCER AND STROKE IS THE THIRD LEADING CAUSE OF DEATH. HEART DISEASE AND STROKE TAKE A TREMENDOUS TOLL ON OUR SOCIETY IN LIVES LOST, LOST PRODUCTIVITY, DISABILITIES AND HOSPITALIZATIONS.METHODIST HOSPITAL IS COMMITTED TO DOING WHAT'S RIGHT FOR ITS PATIENTS' HEARTS. OUR PHYSICIANS, NURSES, AND TECHNICIANS WORK CLOSELY TO ENSURE THAT CARE IS TAILORED TO SUIT THE PATIENT'S SPECIFIC NEEDS. METHODIST HOSPITAL HAS MADE HEART DISEASE ONE OF ITS PRIORITIES OFFERING COMPREHENSIVE CARDIAC AND VASCULAR SERVICES INCLUDING DIAGNOSTIC CARDIAC TESTING. WE CONTINUOUSLY ASSESS OUR PERFORMANCE AND ARE PROUD TO REPORT THAT METHODIST HOSPITAL AND AFFILIATES' OUTCOMES FOR SUCH KEY 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. ALL OF OUR DIAGNOSTIC AND REHABILITATION CENTERS - FROM CARDIOPULMONARY REHABILITATION TO OUR VASCULAR LAB AND ECHO LAB - ARE NATIONALLY CERTIFIED FOR EXCELLENCE IN CARDIAC CARE.CARDIAC AND VASCULAR DIAGNOSTIC TESTS COVER A VAST ARRAY OF SOPHISTICATED PROCEDURES, INCLUDING METHODIST'S INNOVATIVE 3-D IMAGING, THE ONLY SERVICE OF ITS KIND IN THE AREA. ALL TESTS ARE CONDUCTED BY SKILLED PROFESSIONALS WHOSE DEDICATION TO ACCURACY AND EFFICIENCY AS WELL AS PATIENT COMFORT AND SAFETY HELPS ENSURE THE PHYSICIAN MAKES THE PROPER DIAGNOSIS.METHODIST HOSPITAL HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) FOR IMPROVING THE QUALITY OF CARE FOR HEART ATTACK PATIENTS.METHODIST HOSPITAL HAS EARNED THE AHA MISSION: LIFELINE BRONZE PERFORMANCE ACHIEVEMENT AWARD AS A STEMI (STELEVATION MYCARDIAL INFARCTION) RECEIVING CENTER. STEMI MEANS HEART ATTACK, AND SUCCESSFUL HEART ATTACK TREATMENT REQUIRES A CAREFULLY COORDINATED, EXPEDITED RESPONSE. AS A LIFELINE PERFORMANCE AWARD WINNER, THE MULTIDISCIPLINARY TEAM AT METHODIST HOSPITAL HAS DEMONSTRATED A HIGHER STANDARD OF CARE THAT IMPROVES THE SURVIVAL AND OUTCOMES OF THE MOST CRITICAL HEART ATTACK PATIENTS. AHA MISSION: LIFELINE PERFORMANCE STANDARDS ARE AMONG THE MANY QUALITY MEASURES THAT THE METHODIST CARDIAC AND VASCULAR CENTER FOCUSES ON EACH DAY.METHODIST HOSPITAL IS THE ONLY HOSPITAL IN OMAHA TO OFFER CARDIAC CRYOABLATION TECHNOLOGY. CRYOABLATION IS USED TO TREAT PATIENTS WHO SUFFER FROM SERIOUS, OFTEN LIFE-THREATENING IRREGULAR HEARTBEATS CALLED ATRIAL FIBRILATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense27538941Expense
Grants1021973Grants
Revenue23170390Revenue
DescriptionCANCER CARE AT METHODIST OFFERS THE FINEST CLINICAL EXPERTS, STATE-OF-THE-ART TECHNOLOGY, ACTIVE CLINICAL TRIALS AND SPECIALIZED CANCER CLINICS FOR LUNG AND THORACIC CANCERS, HEAD AND NECK CANCERS, BREAST CANCER AND GYNECOLOGIC CANCER.AT NEBRASKA METHODIST HOSPITAL, WE UNDERSTAND HOW DEEPLY A DIAGNOSIS OF CANCER DIFFERS FROM OTHER MEDICAL CONDITIONS. CANCER CAN EVOKE BOTH FEAR AND HOPE IN PROFOUND WAYS. WE ARE HERE TO HELP PEOPLE THROUGH ALL OF CANCER'S MANY CHALLENGES. THAT IS WHY WE OFFER COMPREHENSIVE, SUPPORTIVE AND COMPASSIONATE CARE AT OUR METHODIST ESTABROOK CANCER CENTER, A CENTER DEDICATED TO SAVING LIVES, IMPROVING QUALITY OF LIFE AND BEATING CANCER. WE HAVE A GROWING, CAREFULLY CHOSEN TEAM OF EXPERTS WITH A COMMITMENT TO MULTIDISCIPLINARY CARE. CANCER STRIKES FIRST AT THE CELLULAR LEVEL, YET ITS IMPACT REVERBERATES THROUGHOUT A PERSON'S BODY, MIND AND SPIRIT. AT METHODIST ESTABROOK CENTER, WE FIGHT CANCER IN ITS TOTALITY AND WE UNITE ALL OF OUR RESOURCES TO HELP OUR PATIENTS AND THEIR FAMILY MEMBERS. THIS UNIQUE MULTIDISCIPLINARY APPROACH IS ONE OF OUR 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.THE CANCER CENTER HAS A MULTIPURPOSE ROOM FOR EXERCISE CLASSES AND SUPPORT GROUPS. A RECENT RENOVATION BROUGHT GREATER FUNCTIONALITY AND COMFORT TO TREATMENT AREAS AND OFFICES IN RADIATION ONCOLOGY, ONCOLOGY RESEARCH, THE LUNG/THORACIC ONCOLOGY CLINIC AND GAMMA KNIFE CENTER. MAJOR EQUIPMENT UPGRADES INCLUDED A SCHEDULED RELOADING OF THE GAMMA KNIFE WITH COBALT-60 TO MAINTAIN THE HIGHEST LEVEL OF RELIABILITY AND EFFICACY. WE HAVE EXPANDED OUR USE OF EXISTING HDR BRACHYTHERAPY TECHNOLOGY, ALLOWING DELIVERY OF HIGH DOSE RATE TREATMENTS TO APPLICABLE GYN CANCER PATIENTS IN MINUTES AND ELIMINATING THE LENGTHY INPATIENT STAY FOR LOW DOSE TREATMENT.DUE TO THE LOW INCIDENCE OF CERTAIN TUMORS, CLINICAL TRIALS ARE LIMITED TO A SMALL NUMBER OF PATIENTS. TRIALS ARE USUALLY OFFERED ONLY IN CENTERS THAT TREAT A SUFFICIENT NUMBER OF PATIENTS TO GAIN THE EXPERTISE NEEDED TO TREAT SUCH UNUSUAL CASES AND TO MAINTAIN THE PATIENT BASE THAT WOULD ENSURE ENROLLMENT IN CLINICAL TRIALS. METHODIST ESTABROOK CANCER CENTER IS AMONG THE CANCER CENTERS TO OFFER SUCH A RESEARCH OPPORTUNITY. NINE PERCENT OF METHODIST ESTABROOK CANCER CENTER PATIENTS ARE TRIAL PARTICIPANTS WHICH FAR EXCEEDS THE NATIONAL AVERAGE OF 2%-3%.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. CURRENTLY WE HAVE SEVERAL CLINICAL TRIALS OPEN IN OUR CANCER CENTER THAT EXAMINE DIFFERENT RADIATION PROTOCOLS OR NEW SYSTEMIC AGENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense62500528Expense
Grants1744963Grants
Revenue64350819Revenue
DescriptionTHROUGHOUT THE METHODIST HEALTH SYSTEM, ATTENTION IS BEING PAID TO WELLNESS FOR WOMEN IN MANY DIFFERENT WAYS. METHODIST WOMEN'S HOSPITAL, A HOSPITAL DEDICATED TO WOMEN'S CARE, OPENED ITS DOORS TO THE COMMUNITY AND SURROUNDING AREAS IN 2010. IT IS THE FIRST HOSPITAL OF ITS KIND IN THE REGION PROVIDING EXCELLENCE IN PERSONALIZED, FAMILY-CENTERED CARE THROUGH EDUCATION AND CREATIVE PRACTICE. A LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HELPS TO ALLEVIATE THE METROPOLITAN AREA'S SHORTAGE OF BEDS FOR AT-RISK BABIES. THE 36-BED UNIT PROVIDES A SPECIAL ENVIRONMENT OFFERING THE PROPER LIGHTING AND SOUND LEVELS FOR OPTIMAL NEWBORN DEVELOPMENT WITH PRIVATE ROOMS SO THE FAMILY CAN COMFORTABLY STAY WITH THE BABY.IN ADDITION TO MATERNITY SERVICES, THE HOSPITAL PROVIDES A FULL RANGE OF GYNECOLOGICAL SERVICES FOR WOMEN OF ALL AGES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense251025827Expense
Grants11019719Grants
Revenue276564531Revenue
DescriptionTHE MAIN CAMPUS HOSPITAL HAS 369 TOTAL STAFFED BEDS DESIGNED TO BRING THE FULL RESOURCES OF OUR HEALTHCARE PROVIDERS, EDUCATORS AND SUPPORT SERVICES TO THE PATIENT.ADDITIONAL CORE SERVICES INCLUDE MEDICAL/SURGICAL SERVICES, AN EMERGENCY DEPARTMENT, AND DIAGNOSTIC SERVICES. THE HOSPITAL ALSO EMPHASIZES EDUCATION FOR PATIENTS, FAMILIES AND THE COMMUNITY THROUGH ITS RESOURCE CENTER.THE SYNERGY OF COMBINED EFFORTS AND RESOURCES GENERATES POWERFUL OUTCOMES FOR THE COMMUNITY THROUGH NUMEROUS COMMUNITY BENEFIT PROGRAMS AND CHARITY CARE FOR THOSE IN NEED.METHODIST HOSPITAL WAS NAMED ONE OF OMAHA'S MOST PREFERRED HOSPITALS FOR OVERALL QUALITY, DOCTORS, NURSES, IMAGE AND REPUTATION BY LOCAL CONSUMERS ACCORDING TO A NATIONAL RESEARCH CORPORATION (NRC) HEALTHCARE MARKET GUIDE STUDY.OUR VALUES STRESS PATIENT-CENTERED, PATIENT-DRIVEN SERVICES; HONOR AND RESPECT FOR THE DIGNITY OF ALL; EXCELLENCE IN ALL OUR DEALINGS; DEDICATION TO OUR COMMUNITY AND WORKING TOGETHER TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp251025827TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt11019719TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev276564531TotalOfOtherProgramServiceRev
Total Program Service Expense385433627TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096117NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3356NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LINDA K BURTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone 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 (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SPENCER STEVENS
CHAIRMAN1.00XX000
LARRY V PEARSON
VICE CHAIR1.00XX000
ART N BURTSCHER
TREASURER1.00XX000
ADAM YALE
SECRETARY1.00XX000
JOHN M FRASER
PRESIDENT/CEO25.00XX0602762171191
LARRY DE ROIN
DIRECTOR1.00X000
STEVEN T BAILEY MD
DIRECTOR1.00X026871069273
HARRIS A FRANKEL MD
DIRECTOR1.00X000
RICHARD C HAHN
DIRECTOR1.00X000
KRISTEN HOFFMAN MD
DIRECTOR1.00X039364783546
DAN KINNEY PH D
DIRECTOR1.00X000
C L LANDEN
DIRECTOR1.00X000
JOHN R LOHRBERG MD
DIRECTOR1.00X017578134508
DIANNE SEEMAN LOZIER
DIRECTOR1.00X000
DANIEL LYDIATT MD DDS
DIRECTOR40.00X227149020610
JAMES L MOUNCE
DIRECTOR1.00X000
JOHN P NELSON
DIRECTOR1.00X000
CONSTANCE M RYAN
DIRECTOR1.00X000
L B RED THOMAS
DIRECTOR1.00X000
STEPHEN L GOESER
CEO40.00X4647690103883
SUSAN KORTH
COO WOMEN'S HOSPITAL40.00X173683034444
LINDA K BURT
VICE PRES FINANCE/CFO25.00X047150795632
WILLIAM SHIFFERMILLER MD
PHYSICIAN40.00367102098091X
JOSIE ABBOUD
VP-CLINICAL/ANCILLARY SVCS40.00177096043368X
BRAD HANSEN
VP-ADMINISTRATION40.00198274046713X
TERI FRENCH-TIPTON
VP-ADMINISTRATION40.00201584049991X
DENNIS JOSLIN
EXECUTIVE1.00261720076631X
DAVID CROTZER MD
PHYSICIAN40.00476242047290X
RANDALL DUCKERT
PHYSICIAN40.00432056071837X
TIEN-SHEW HUANG MD
PHYSICIAN40.00405323045035X
PETER MORRIS MD
PHYSICIAN40.00501039081060X
ALIREZA MIRMIRAN MD
PHYSICIAN40.00408445040988X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4294482TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1912407TotalReportableCompFrmRltdOrgs
Total Other Compensation1214091TotalOtherCompensation
Number Individuals GT100 K124NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEYERS-CARISLE-LEAPLEY
14124 INDUSTRIAL ROADOMAHANE68144CONSTRUCTION SERVICES6265051
PERINATAL ASSOCIATES PC
717 NORTH 190 PLAZA 2400OMAHANE68022MEDICAL4492128
NEONATAL CARE PC
707 NORTH 190 PLAZAOMAHANE68022MEDICAL2286465
HDR ARCHITECTURE INC
P O BOX 3480OMAHANE68103CONSULTING2169739
ANDERSON PARTNERS
6919 DODGE STREETOMAHANE68132MARKETING CONSULTANTS1879258
FieldValueIRS element (for citing)
Number Of Contractors GT100 K51NumberOfContractorsGT100K
Membership Dues5030MembershipDues
Related Organizations12970212RelatedOrganizations
All Other Contributions23100AllOtherContributions
Total Contributions12998342TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SVC REV621990407990907407990907
OTHER PATIENT REVENUE62199014032231403223
MEDICAL RESEARCH541700588312588312
FieldValueIRS element (for citing)
Total Program Service Revenue409982442TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5061511TotalRevenueColumn
Exclusion$5,061,511ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8009098Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real9702544Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1693446Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1693446TotalRevenueColumn
Exclusion-$1,693,446ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other396990Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other364748Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other32242Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column32242TotalRevenueColumn
Exclusion$32,242ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory330931GrossSalesOfInventory
Cost Of Goods Sold240937CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column89994TotalRevenueColumn
Exclusion$89,994ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE72221020017972001797
TECH. & PROF. CONSULTI54190014508131450813
LABORATORY62150013210031321003

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1740616TotalRevenueColumn
Unrelated Business Revenue1740616UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue6514229TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column432985314TotalRevenueColumn
Related Or Exempt Function Income411984239RelatedOrExemptFunctionIncome
Unrelated Business Revenue4512432UnrelatedBusinessRevenue
Exclusion$3,490,301ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total634297Total
Program Services634297ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total14811431Total
Program Services14811431ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4294482Total
Program Services2711974ProgramServices
Management And General1582508ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total135833730Total
Program Services135833730ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5684178Total
Program Services5665598ProgramServices
Management And General18580ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20399788Total
Program Services20025429ProgramServices
Management And General374359ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9593012Total
Program Services9543050ProgramServices
Management And General49962ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total257748Total
Management And General257748ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total20414Total
Management And General20414ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total100365Total
Management And General100365ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41639758Total
Program Services41037031ProgramServices
Management And General602727ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2316154Total
Program Services2316154ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15775786Total
Program Services15775786ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2934026Total
Program Services2934026ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15603593Total
Program Services15603593ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total357206Total
Program Services357206ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total11079767Total
Program Services11079767ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32952916Total
Program Services32952916ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2318911Total
Program Services2318911ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6776754367767543
SYSTEM ALLOCATIONS2358052923580529
STAFF EDUCATION & DEV.13957761395776
SUPPLIES13193261319326

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1571690Total
Program Services1350083ProgramServices
Management And General221607ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total412242426Total
Program Services385433627ProgramServices
Management And General26808799ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13396740BOY
EOY36205065EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5953244BOY
EOY3258811EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48437660BOY
EOY53912724EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3968213BOY
EOY4956639EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4161851BOY
EOY5070739EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis665653374LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec341439388LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY321046244BOY
EOY324213986EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY76705502BOY
EOY76870924EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3485865BOY
EOY3843178EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY60242975BOY
EOY39547846EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY537398294BOY
EOY547879912EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46649947BOY
EOY53586356EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY268641659BOY
EOY267034948EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1402729BOY
EOY2250048EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4416720BOY
EOY4308084EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY321111055BOY
EOY327179436EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY216287239BOY
EOY220700476EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY216287239BOY
EOY220700476EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY537398294BOY
EOY547879912EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses20742888ReconcilationRevenueExpenses
Reconcilation Other Changes-16329651ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals20414FilingOrganizationsTotals
Affiliated Group Totals62733AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals20414FilingOrganizationsTotals
Affiliated Group Totals62733AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals412222012FilingOrganizationsTotals
Affiliated Group Totals456190064AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals412242426FilingOrganizationsTotals
Affiliated Group Totals456252797AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus368476CurrentYearMinus3
Current Year Minus270755CurrentYearMinus2
Current Year Minus160419CurrentYearMinus1
Current Year62733CurrentYear
Total262383Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance424400BeginningOfYearBalance
Contributions300000Contributions
Investment Earnings Or Losses1307InvestmentEarningsOrLosses
Other Expenditures14564OtherExpenditures
End Of Year Balance711143EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.95500PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04500TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis314303481OtherCostOrOtherBasis
Depreciation133980723Depreciation
Book Value180322758BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis349116658OtherCostOrOtherBasis
Depreciation207458665Depreciation
Book Value141657993BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings324213986TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES20899577
CONSTRUCTION IN PROGRESS8740641
DUE FROM AFFILIATES923786
OTHER ASSETS2394598
DEF DEBT ISSUANCE EXP6529201
SECURITIES ON LOAN60043
FieldValueIRS element (for citing)
Total Book Value Other Assets39547846TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOND. ASSET RETIREMENT OBLIGATIONDescription
Amount$4,308,084Amount
FieldValueIRS element (for citing)
Total Of Amounts4308084TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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.Explanation

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense32518187TotalCommunityBenefitExpense
Direct Offsetting Revenue19331954DirectOffsettingRevenue
Net Community Benefit Expense13186233NetCommunityBenefitExpense
Percent Of Total Expense0.03200PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4187476TotalCommunityBenefitExpense
Net Community Benefit Expense4187476NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense36705663TotalCommunityBenefitExpense
Direct Offsetting Revenue19331954DirectOffsettingRevenue
Net Community Benefit Expense17373709NetCommunityBenefitExpense
Percent Of Total Expense0.04220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3551710TotalCommunityBenefitExpense
Net Community Benefit Expense3551710NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5212160TotalCommunityBenefitExpense
Net Community Benefit Expense5212160NetCommunityBenefitExpense
Percent Of Total Expense0.01260PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2385797TotalCommunityBenefitExpense
Net Community Benefit Expense2385797NetCommunityBenefitExpense
Percent Of Total Expense0.00580PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense246480TotalCommunityBenefitExpense
Net Community Benefit Expense246480NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense521117TotalCommunityBenefitExpense
Net Community Benefit Expense521117NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11917264TotalCommunityBenefitExpense
Net Community Benefit Expense11917264NetCommunityBenefitExpense
Percent Of Total Expense0.02890PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense48622927TotalCommunityBenefitExpense
Direct Offsetting Revenue19331954DirectOffsettingRevenue
Net Community Benefit Expense29290973NetCommunityBenefitExpense
Percent Of Total Expense0.07110PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense2183TotalCommunityBuildingExpense
Net Community Building Expense2183NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense43546TotalCommunityBuildingExpense
Net Community Building Expense43546NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense14649TotalCommunityBuildingExpense
Net Community Building Expense14649NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense145TotalCommunityBuildingExpense
Net Community Building Expense145NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense60523TotalCommunityBuildingExpense
Net Community Building Expense60523NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,287,317BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare92738736AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare120093416CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-27354680MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

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

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
NEBRASKA METHODIST HOSPITAL
18303 DODGE STREETOMAHANE68114XXXXX
METHODIST WOMEN'S HOSPITAL
2707 NORTH 190 PLAZAOMAHANE68022XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
NEBRASKA METHODIST HOSPITAL
111200.0000000000001600.0000000000001XXXXXXX11XXX101X00
METHODIST WOMEN'S HOSPITAL
211200.0000000000001600.0000000000001XXXXXXX11XXX101X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1RENAISSANCE CLINICBusinessNameLine1

Address Address

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: THE METHODS PRIMARILY USED ARE THE FINANCIAL INFORMATION FROM THE MEDICARE COST REPORT AND ACTUAL EXPENDITURES.INFORMATION FOR UNREIMBURSED MEDICAID IS CONSISTENT WITH AMOUNTS FILED IN THE 2011 MEDICARE COST REPORT.INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES 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. EMERGENCY DEPARTMENT AND TRANSPORT SERVICES, THE RENAISSANCE HEALTH CLINIC, AND THE WOMEN'S HEALTH CLINIC ALL OPERATE 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.METHODIST WOMEN'S HOSPITAL OFFERS BIRTH SERVICES, GYNECOLOGY, HIGH-RISK OBSTETRICS, LACTATION SERVICES, NEONATAL INTENSIVE CARE, A NEWBORN NURSERY, CHILDBIRTH EDUCATION, A CAR SEAT SAFETY PROGRAM, SURGERY, A SEXUAL ASSAULT PROGRAM AND OUTPATIENT LABORATORY, RADIOLOGY/IMAGING AND EMERGENCY SERVICES. ALTHOUGH THE HOSPITAL IS PRIMARILY FOR WOMEN, OUTPATIENT RADIOLOGY IMAGING, LABORATORY AND EMERGENCY SERVICES WILL TREAT BOTH MALE AND FEMALE PATIENTS. INPATIENT HOSPITALIZATION IS AVAILABLE ONLY TO WOMEN; MALE PATIENTS WHO NEED INPATIENT SERVICES WILL BE STABLIZED AND TRANSFERRED TO NEBRASKA METHODIST HOSPITAL'S MAIN CAMPUS. A LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) WILL HELP ALLEVIATE THE METROPOLITAN AREA'S SHORTAGE OF BEDS FOR AT-RISK BABIES. IN ADDITION TO MATERNITY SERVICES, THE HOSPITAL PROVIDES A FULL RANGE OF GYNECOLOGICAL SERVICES FOR WOMEN OF ALL AGES.THE EMERGENCY DEPARTMENT AT METHODIST WOMEN'S HOSPITAL HAS FOUR EXAMINATION ROOMS, FIVE OBSERVATION ROOMS, ONE TRIAGE ROOM, ONE TRAUMA ROOM AND ONE EXAMINATION ROOM FOR SPECIALIZED CARE FOR VICTIMS OF SEXUAL ASSAULT. EVERY EMERGENCY ROOM PATIENT RECEIVES APPROPRIATE CARE WHICH BEGINS WITH TREATMENT AND STABILIZATION.METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. THE SERVICE IS PROVIDED TO PATIENTS AT NO COST.
PART I, L7 COL(F): THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSE IN COLUMN (E) BY THE SUM OF THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN A.
NO DIRECT REPORT IS REQUIRED BY THE STATE OF NEBRASKA. HOWEVER, INFORMATION FROM THE HOSPITALS' COMMUNITY BENEFITS REPORT DATA IS INCLUDED IN A REPORT COMPILED BY THE NEBRASKA HOSPITAL ASSOCIATION.STATE FILING OF COMMUNITY BENEFIT REPORTSCH H, PART VI, LINE 7
PART II: COMMUNITY BUILDING ACTIVITIES:NEBRASKA METHODIST HOSPITAL PROVIDES MONETARY SUPPORT THROUGH THE GREATER OMAHA CHAMBER FOUNDATION. MEMBERS OF THE STAFF PROVIDE THEIR TALENT AND EXPERTISE THROUGH INVOLVEMENT ON MORE THAN 15 COMMUNITY ORGANIZATIONS.ANNUALLY, MEMBERS OF THE HOSPITAL STAFF HELP ORGANIZE AND SOLICIT HELP FOR THE BRUSH UP NEBRASKA PAINT-A-THON. THIS IS A COMMUNITY BASED VOLUNTEER PROGRAM THAT PAINTS HOMES OF QUALIFIED LOW-INCOME ELDERLY AND DISABLED HOMEOWNERS IN THE OMAHA AREA SO THAT THEY MAY MAINTAIN THEIR PROPERTY, INCREASE ENERGY EFFICIENCY AND BEAUTIFY THE COMMUNITY.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:THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING THE ACCOUNTS RECEIVABLE AGING, HISTORICAL COLLECTIONS EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO ESTABLISH THE NET REALIZABLE VALUE OF PATIENT ACCOUNTS RECEIVABLE. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES. SELF-PAY ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT THE TIME OF TRANSFER TO THE COLLECTION AGENCY. DEDUCTIBLES AND COINSURANCE ARE CLASSIFIED AS EITHER THIRD-PARTY OR SELF-PAY RECEIVABLES ON THE BASIS OF WHICH PARTY HAS THE PRIMARY REMAINING FINANCIAL RESPONSIBILITY, WHILE THE TOTAL GROSS REVENUE REMAINS CLASSIFIED BASED ON THE PRIMARY PAYOR AT THE TIME OF SERVICE. THERE ARE VARIOUS FACTORS THAT CAN IMPACT COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN MAY HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE VOLUME OF PATIENTS THROUGH OUR EMERGENCY DEPARTMENTS, THE INCREASED BURDEN OF COPAYMENTS AND DEDUCTIBLES TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND OUR ESTIMATION PROCESS. NET PATIENT ACCOUNTS RECEIVABLE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE COLLECTED AND DO NOT BEAR INTEREST.
PART III, LINE 8: SOURCE IS THE 2011 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 V, SECTION B, LINE 11H: 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.NEBRASKA METHODIST HOSPITAL
PART V, SECTION B, LINE 11H: 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.METHODIST WOMEN'S HOSPITAL
PART V, SECTION B, LINE 19D: THE AVERAGE COMMERCIAL INSURANCE RATE IS USED.NEBRASKA METHODIST HOSPITAL
PART V, SECTION B, LINE 19D: THE AVERAGE COMMERCIAL INSURANCE RATE IS USED.METHODIST WOMEN'S HOSPITAL
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 INDIVIDUAL IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED FOR PRIVATE CONSULTATION 5 DAYS A WEEK FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO INSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM.THE BILLING CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE NEEDS. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE.APPROPRIATE RESOURCES ARE USED TO PROVIDE EFFECTIVE COMMUNICATION WITH NON-ENGLISH SPEAKING PATIENTS INCLUDING CYRACOM LANGUAGE LINE SYSTEM THAT PROVIDES 24-HOUR ACCESS TO SEVERAL HUNDRED DIFFERENT LANGUAGE INTERPRETERS. OTHER RESOURCES INCLUDE HOPE MEDICAL OUTREACH AND ON-SITE STAFF OR CONTRACTED INTERPRETER SERVICES. THE HOSPITAL PROVIDES FOR INTERPRETATIVE SERVICES AT NO COST TO THE PATIENTS.INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON THE BESTCARE.ORG WEBSITE. ADDITIONALLY, PATIENT STATEMENTS INFORM PATIENTS OF THE HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4: NEBRASKA METHODIST HOSPITAL'S SERVICE AREA THE GREATER OMAHA METROPOLITAN AREA. DOUGLAS, SARPY, SAUNDERS, DODGE, WASHINGTON AND CASS COUNTIES ARE INCLUDED. 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.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 VICTIM 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 YWCA 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.
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 OUR 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 WE SERVE. 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, WE ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF OUR REGION. WE RESPECT AND EMBRACE THE RESPONSIBILITY THAT ACCOMPANIES OUR TAX EXEMPT STATUS AND WE ARE HONORED TO OFFER LEADERSHIP, SUPPORT AND RESOURCES TO BENEFIT OUR COMMUNITY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN CANCER SOCIETY
9850 NICHOLAS STREETOMAHANE68114741185665501(C)(3)6500IN SUPPORT OF CANCER RESEARCH
AMERICAN HEART ASSOCIATION
10100 J STREETOMAHANE68127135613797501(C)(3)40000CURE/PREVENTION OF HEART ATTACKS
BEHAVIORAL HEALTH SUPPORT FOUNDATION
1044 N 115 STREET 440OMAHANE68154205322440501(C)(3)250000MENTAL HEALTH FOR COMMUNITY & SUPPORT FOR LASTING HOPE RECOVERY CENTER
WOMEN'S CENTER FOR ADVANCEMENT (FKA YWCA)
229 SOUTH 29 STREETOMAHANE68131273205476501(C)(3)7500DOMESTIC VIOLENCE & SEXUAL ASSAULT SERVICES AND OTHER WOMEN'S PROGRAMS
ALZHEIMER'S ASSOCIATION-MIDLANDS CHAPTER
7101 NEWPORT AVENUEOMAHANE68152470648438501(C)(3)17240RESEARCH ON CURE FOR ALZHEIMER'S DISEASE
HOPE MEDICAL OUTREACH
1722 ST MARYS AVENUE 105OMAHANE68102918850344501(C)(3)30000SEE SCH I, PART IV - ASSIST COMMUNITY HEALTH CENTERS IN FINDING MEDICAL CARE FOR PRIMARY CARE PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE
(no name)
LEADERSHIP DEVELOPMENT TARGETED AT COMMUNITY NEEDS
MARCH OF DIMES-NEBRASKA CHAPTER
11840 NICHOLAS STREET 220OMAHANE68154131846366501(C)(3)35000SEE SCH I, PART IV - IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY
LUTHERAN FAMILY SERVICES
124 SOUTH 24 STREETOMAHANE68102237267972501(C)(3)10000RESEARCH AND EDUCATION ABOUT MULTIPLE SCLEROSIS
PROJECT HARMONY
7110 F STREETOMAHANE68114470789054501(C)(3)10000PROTECT CHILDREN BY PROVIDING COMMUNITY-BASED CHILD ABUSE ASSESSMENT AND INVESTIGATION
SPECIAL FRIENDS CELEBRATION
4115 NORTH 139 STREETOMAHANE68164470801459501(C)(3)12500CANCER SURVIVOR SUPPORT GROUP/CANCER RESEARCH
SUSAN G KOMEN FOUNDATION
8610 BRENTWOOD DRIVE 3LAVISTANE68128260056671501(C)(3)10000BREAST CANCER AWARENESS AND RESEARCH
WOMEN'S FUND OF GREATER OMAHA
7642 PIERCE STREETOMAHANE68124470840885501(C)(3)10000RESEARCH THE NEEDS OF WOMEN IN THE COMMUNITY & DIRECT DOLLARS WHERE THEY HAVE GREATEST IMPACT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Cash GrantAmountOfCashGrant
FINANCIAL ASSISTANCE1210914806181BOOKFINANCIAL ASSISTANCE TO PATIENTS.
SCHOLARSHIPS75250

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: NEBRASKA METHODIST HOSPITAL GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES SO, PROCEDURES ARE FOLLOWED TO INSURE THAT THE GRANT IS MADE TO HEALTH CARE AND COMMUNITY ORGANIZATIONS THAT SHARE IN THE HOSPITAL'S GOALS, MISSION AND CONCERN FOR THE HEALTH OF THE COMMUNITY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 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
JOHN M FRASER
0570354000324080159357013449077556800
STEVEN T BAILEY MD
022660604091601188057472015535034171700
KRISTEN HOFFMAN MD
0288874010063804135067190016623047746000
JOHN R LOHRBERG MD
013418302552801607003438902939021310900
DANIEL LYDIATT MD DDS
2227230650436102061002680248027000
STEPHEN L GOESER
35248500011228408305202208405699050819070
SUSAN KORTH
17171400019690229430183950215021000
LINDA K BURT
034534000012616708213401475105683920105240
WILLIAM SHIFFERMILLER MD
2897490905206830108137702088404693630417400
JOSIE ABBOUD
166904000101920257180186200221434098420
BRAD HANSEN
1609840003729003221101563302461180248710
TERI FRENCH-TIPTON
190585000109990285030235190253606000
DENNIS JOSLIN
237094000246260631030147810339604000
DAVID CROTZER MD
457455000187870305220204360527200000
RANDALL DUCKERT
4316420004140547640200070506827000
TIEN-SHEW HUANG MD
4050530002700331730147560453252000
PETER MORRIS MD
484125000169140638410203310585211000
ALIREZA MIRMIRAN MD
381587000268580252200181610451826000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASOCIAL CLUB EXPENSES ARE REIMBURSED FOR THE BUSINESS PORTION. INTERNAL POLICY REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES.
PART I, LINE 3SEE SCHEDULE O, PART VI, SECTION B, LINE 15 EXPLANATION REGARDING THE METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2011 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: STEVEN BAILEY, MD $9,485 ACCRUAL JOHN FRASER $111,396 ACCRUAL KRISTIN ENGDAHL-HOFFMAN MD $21,501 ACCRUAL JOHN LOHRBERG MD $6,562 ACCRUAL LINDA BURT $65,226 ACCRUAL; $105,240 PLAN DISTRIBUTION STEPHEN GOESER, $59,901 ACCRUAL; $81,907 PLAN DISTRIBUTION SUSAN KORTH $11,476 ACCRUAL JOSIE ABBOUD $22,367 ACCRUAL; $9,842 PLAN DISTRIBUTION BRAD HANSEN $20,647 ACCRUAL; $24,871 PLAN DISTRIBUTION TERI FRENCH-TIPTON $15,867 ACCRUAL WILLIAM SHIFFERMILLER MD $34,366 ACCRUAL; $41,740 PLAN DISTRIBUTION RANDALL DUCKERT MD $20,080 ACCRUAL PETER MORRIS MD $25,386 ACCRUAL TIEN -SHEW HUANG MD $11,628 ACCRUAL DAVID CROTZER MD $12,876 ACCRUAL ALIREZA MIRMIRAN MD $8,474 ACCRUAL DENNIS JOSLIN $42,179 ACCRUAL

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
NEBRASKA INVESTMENT FINANCE AUTHORITY
4706134492006-12-283570000BUILDING ADDITIONS & CAPITAL IMPROVEMENTS000
HOSPITAL AUTH #3 DOUGLAS CNTY NE
4706892932008-05-20205887435BLDG ADDITION/REFUND DEBT (11/25/97)000259234BL5
HOSPITAL AUTH #2 DOUGLAS CNTY NE
5214407962009-12-2216625000BUILDING ADDITIONS AND EQUIPMENT000
HOSPITAL AUTH #3 DOUGLAS CNTY NE
4706892932009-12-2213375000EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspent
1105401363966570000356966620070011
18000020955333514633942720101011147542621767810430781542
166451761495974700012932231392206
1125000133957431339574320100011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
000001
MORGAN STANLEY &
000101CO1.7000000000001
(no name)
010000
(no name)
010000

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE K, ENTITY 1, PART II, LINE 3THE 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 3THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL AVAILABLE HAS NOT YET BEEN DRAWN.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds9939765TotalProceeds
Capitalized Interest185389CapitalizedInterest
Capital Expenditures8600000CapitalExpenditures
Amount Unspent1154376AmountUnspent
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 2BTHE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL IS BEING HANDLED BY A COMMON AGENT, NEBRASKA METHODIST HEALTH SYSTEM, INC. ALL W-2 FORMS ARE ISSUED UNDER THE TAX IDENTIFICATION OF NEBRASKA METHODIST HEALTH SYSTEM. ALL REQUIRED EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF NEBRASKA METHODIST HOSPITAL IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AIN ACCORDANCE WITH THE BYLAWS, NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO CONFIRM AND REMOVE THE DIRECTORS OF THE CORPORATION AND HAS THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE CORPORATION'S PRESIDENT BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BNEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO APPROVE OR REFUSE TO APPROVE ANY AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR TO THE BYLAWS, OR ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION UNDER THE NEBRASKA NONPROFIT CORPORATION ACT. THE MEMBER HAS APPROVAL AUTHORITY ON ANNUAL BUDGETS, CAPITAL EXPENDITURES IN EXCESS OF CERTAIN ESTABLISHED THRESHOLDS, AND ESTABLISHMENT OF OR PARTICIPATION AS A SHAREHOLDER, PARTNER OR EQUITY MEMBER OF ANY OTHER ENTITY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT COMMITTEE REPORTED TO THE BOARD OF DIRECTORS ON THEIR REVIEW OF THE FEDERAL FORM 990. A COPY WAS MADE AVAILABLE TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW THROUGH A SECURE INTERNET PORTAL. NEBRASKA METHODIST HOSPITAL IS AN AFFILIATE OF THE NEBRASKA METHODIST HEALTH SYSTEM. THE POLICIES AND PRACTICES OF NEBRASKA METHODIST HEALTH SYSTEM APPLY TO ALL ITS AFFILIATES. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING FINANCE, HUMAN RESOURCES AND CORPORATE COMPLIANCE; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR THE NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF ALL CONFLICTS OF INTEREST, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. SHOULD A CONFLICT BE IDENTIFIED, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. POTENTIAL CONFLICTS OF INTEREST, ONCE IDENTIFIED, MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS NOT INVOLVED IN THE CONFLICT, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HOSPITAL AND/OR THE METHODIST HEALTH SYSTEM AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINE 15METHODIST HEALTH SYSTEM WITH WHICH NEBRASKA METHODIST HOSPITAL IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). THE POLICY ON "PHYSICIAN COMPENSATION" IS FOLLOWED WHEN CONTRACTING WITH PHYSICIANS TO ENSURE APPROPRIATE APPROVALS, INCLUDING APPROVAL BY THE BOARD OF DIRECTORS, ARE OBTAINED WHEN WARRANTED. OPINIONS OF FAIR MARKET VALUE REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION MAY ALSO BE OBTAINED FROM REPUTTABLE, INDEPENDENT VALUATION CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION FILED THE FORM 1023 IN 1968. APPLICATIONS FILED BEFORE JULY 15, 1987 NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF IRS DETERMINATION LETTER WILL BE PROVIDED UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE RESTATED ARTICLES OF INCORPORATION OF THE ORGANIZATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING THE COMMUNITY BENEFITS IT PROVIDES AS PART OF THE METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.METHODISTCHART.ORG.
FORM 990, PART VII, COLUMN BDIRECTORS, STEVEN BAILEY MD, KRISTEN HOFFMAN MD, AND JOHN LOHRBERG MD, ARE EMPLOYEES OF PHYSICIANS CLINIC INC. THESE INDIVIDUALS ARE FULLTIME EMPLOYEES WITH AN AVERAGE OF 40 HOURS PER WEEK.HOURS FOR RELATED ORGANIZATIONS
FORM 990, PART VII, COLUMN BJOHN FRASER, PRESIDENT AND CEO OF NEBRASKA METHODIST HEALTH SYSTEM, IS A FULLTIME EMPLOYEE OF NEBRASKA METHODIST HEALTH SYSTEM INC. HIS AVERAGE HOURS PER WEEK HAVE BEEN ALLOCATED AMONG THE ENTITIES THAT COMPRISE THE NEBRASKA METHODIST HEALTH SYSTEM. LINDA 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 ORGANIZATIONS
FORM 990, PART VII, COLUMN BDENNIS JOSLIN, A KEY EMPLOYEE, IS ASSIGNED DUTIES AS PRESIDENT OF NEBRASKA METHODIST COLLEGE WITH AN AVERAGE 40 HOURS PER WEEK ALLOCATED TO THAT ORGANIZATION. HE IS REPORTED ON THE COLLEGE FORM 990.HOURS REPORTED
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,024,788. TRANSFERS TO AFFILIATES -15,424,585. CAPITAL TRANSFERS FROM AFFILIATES 30,000. CHANGE IN LIABILITY FOR PENSION BENEFIT 89,722. TOTAL TO FORM 990, PART XI, LINE 5: -16,329,651.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HEART SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18511 W DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
EIN271141616EIN
Primary ActivitiesCARDIOLOGY SERVICESPrimaryActivities
Legal Domicile StateNELegalDomicileState
Total Income9623634TotalIncome
EOY Assets2643595EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST HOSPITALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
SHARED SERVICE SYSTEMS INC
8511 W DODGE ROADOMAHANE68114470649534MEDICAL SUPPLY DISTRIBUTION & LAUNDRYNENEBRASKA METHODIST HEALTH SYSTEMC
HEALTHCARE PARTNERS OF WESTERN IOWA
933 E PIERCE STREETCOUNCIL BLUFFSIA51503421411452MANAGED CARE CONTRACTINGIAJENNIE EDMUNDSON MEM HOSPC
METHODIST HEALTH PARTNERS
8511 W DODGE ROADOMAHANE68114470797563MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEMC
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType
Amount Involved5503194AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
NEBRASKA METHODIST HEALTH SYSTEM INC
8511 W DODGE ROADOMAHANE68114470639839X042319423194396805244010371$1,000,000$250,000000
NEBRASKA METHODIST HOSPITAL
8511 W DODGE ROADOMAHANE68114470376604X02041420414412222012412242426$1,000,000$250,000000