TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) SPENCER STEVENS...................................................................... CHAIRMAN	1.00 ................. 0.00	X	X	0	0
(2) LARRY V PEARSON...................................................................... VICE CHAIR	1.00 ................. 0.00	X	X	0	0
(3) ART N BURTSCHER...................................................................... TREASURER	1.00 ................. 0.00	X	X	0	0
(4) ADAM YALE...................................................................... SECRETARY	1.00 ................. 0.00	X	X	0	0
(5) STEPHEN L GOESER...................................................................... PRES./CEO-NE METH. HEALTH	24.00 ................. 16.00	X	X	800,705	171,628
(6) DEB BASS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(7) SID DINSDALE...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(8) KATHLEEN C DODGE...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(9) RICHARD C HAHN...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(10) TYRON A ALLI MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(11) DAN KINNEY PHD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(12) C L LANDEN...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(13) CAROLEE V JONES MD...................................................................... DIRECTOR	1.00 ................. 39.00	X		471,645	93,565
(14) KEVIN L NELSON MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(15) JOHN P NELSON...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(16) MARK OMAR MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		395,408	41,367
(17) L B RED THOMAS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL C LEBENS........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(19) BRET C GRIESS........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(20) JEFFREY E FRANCIS........................................................................ VICE PRES CFO	22.00 .......................18.00		X				0	518,644	122,260
(21) JOSEPHINE ABBOUD........................................................................ PRESIDENT METHODIST HOSPITAL	40.00 .......................0.00		X				0	364,301	89,088
(22) SUSAN KORTH........................................................................ COO WOMEN'S HOSPITAL	40.00 .......................0.00		X				0	274,760	49,833
(23) TERI BRUENING........................................................................ VP - ADMINISTRATION	40.00 .......................0.00			X			0	279,033	58,187
(24) WILLIAM SHIFFERMILLER MD........................................................................ VP-MEDICAL AFFAIRS	40.00 .......................0.00			X			0	418,839	79,874
(25) ANDREW COUGHLIN MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		548,307	0	55,537
(26) ROBERT LINDAU MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		553,430	0	62,784
(27) ARU PANWAR........................................................................ PHYSICIAN	40.00 .......................0.00				X		556,346	0	37,656
(28) WILLAM LYDIATT MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		569,808	0	64,064
(29) OLEG MILITSAKH........................................................................ PHYSICIAN	40.00 .......................0.00				X		551,370	0	70,634
(30) JOHN M FRASER........................................................................ FORMER CEO & DIRECTOR	0.00 .......................0.00					X	0	918,805	52,166

(A) Name and business address	(B) Description of services	(C) Compensation
PERINATAL ASSOCIATES PC 717 N 190TH PLAZA 2400 OMAHA,NE68022	MEDICAL	8,132,464
MCLMEYERS-CARLISLE-LEAPLEY 14124 INDUSTRIAL ROAD OMAHA,NE681443332	CONSTRUCTION	3,533,452
ANDERSON PARTNERS 6919 DODGE STREET OMAHA,NE68132	ADVERTISING/MARKETING	2,056,739
WEST DODGE IMAGING 515 N 162ND AVE 100 OMAHA,NE68118	MEDICAL	1,444,574
GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BLVD WAUKESHA,WI53188	MEDICAL EQUIPMENT	1,136,394
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 38

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization NEBRASKA METHODIST HOSPITAL

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization NEBRASKA METHODIST HOSPITAL		Employer identification number 47-0376604

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization NEBRASKA METHODIST HOSPITAL			Employer identification number 47-0376604
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................	23,961	71,961
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................	23,961	71,961
d	Other exempt purpose expenditures ........................................................................	503,398,008	573,049,654
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................	503,421,969	573,121,615
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	0	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	69,757	70,383	74,536	71,961	286,637

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND NEBRASKA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	933,621	807,886	740,834	773,843	755,703
b	Contributions ...
c	Net investment earnings, gains, and losses	-62,084	125,735	67,052	-12,444	36,591
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...				20,565	18,451
f	Administrative expenses ....
g	End of year balance ......	871,537	933,621	807,886	740,834	773,843

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

68.690 %

Temporarily restricted endowment SchDMd Bullet

31.310 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	2,485,571		2,485,571
b	Buildings ....	427,257,238	215,364,605	211,892,633
c	Leasehold improvements
d	Equipment ....	447,972,783	320,053,925	127,918,858
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				342,297,062

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				6,985,829
(2) CONSTRUCTION IN PROGRESS				10,228,758
(3) DUE FROM AFFILIATES				41,699,017
(4) OTHER ASSETS				614,700
(5) BENEFICIAL INTEREST IN FDN ASSETS				17,534,116
(6) CONSTRUCTION FUNDS				2,334,675
(7) INVESTMENT IN SUBSIDIARIES				41,419,237
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				120,816,332

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
COND. ASSET RETIREMENT OBLIGATION	2,733,676
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,733,676
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	FUNDS ARE DESIGNATED FOR CHARITABLE AND CANCER CARE.
PART X, LINE 2:	THE NEBRASKA METHODIST HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. NO CHANGES WERE MADE TO THE FINANCIAL STATEMENTS DUE TO FIN48.
PART IX, LINE 5	IN 2018, NET ASSETS WERE ADJUSTED TO REFLECT THE BENEFICIAL INTEREST IN FOUNDATION NET ASSETS, AN INCREASE OF $17,534,116

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	16,298,062	2,385,972	13,912,090	2.760 %
b	Medicaid (from Worksheet 3, column a) . . . . .	29,376,095	23,467,798	5,908,297	1.170 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	45,674,157	25,853,770	19,820,387	3.930 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,091,375		5,091,375	1.010 %
f	Health professions education (from Worksheet 5) . . .	9,821,820		9,821,820	1.950 %
g	Subsidized health services (from Worksheet 6) . . . .	4,073,159		4,073,159	0.810 %
h	Research (from Worksheet 7) .	150,501		150,501	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,394,353		1,394,353	0.280 %
j	Total. Other Benefits . .	20,531,208		20,531,208	4.080 %
k	Total. Add lines 7d and 7j .	66,205,365	25,853,770	40,351,595	8.010 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	212	212	0 %
2	Economic development
3	Community support	44,908	44,908	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	42	42	0 %
9	Other	720	720	0 %
10	Total	45,882	45,882	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

10,966,830

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

114,161,544

Enter Medicare allowable costs of care relating to payments on line 5.....

136,981,619

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-22,820,075

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 WEST DODGE IMAGING LLC	DIAGNOSTIC IMAGING SERVICES	50.000 %	50.000 %
22 METHODIST ENDOSCOPY CENTER LLC	AMBULATORY SURGICAL FACILITY	50.000 %	50.000 %
33 MIDWEST SURGICAL HOSPITAL	AMBULATORY SURGICAL FACILITY	12.500 %	12.500 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	NEBRASKA METHODIST HOSPITAL 8303 DODGE STREET OMAHA,NE68114 WWW.BESTCARE.ORG/METHODIST-HOSPITAL/ 260008	X	X	X	X	X	A
2	METHODIST WOMEN'S HOSPITAL 707 NORTH 190 PLAZA OMAHA,NE68022 WWW.BESTCARE.ORG/WOMENS-HOSPITAL/ H000116	X	X	X		X	A

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: NEBRASKA METHODIST HOSPITAL, - FACILITY 2: METHODIST WOMEN'S HOSPITAL
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 5:	THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS. IN ADDITION, AN ON-LINE KEY INFORMANT SURVEY WAS USED TO SOLICIT INPUT FROM INDIVIDUALS WITH A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. THIS INCLUDED 163 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS.
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 6A:	THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, METHODIST HEALTH SYSTEM, CHI HEALTH, AND NEBRASKA MEDICINE AS WELL AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA.
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 6B:	IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., LIVE WELL OMAHA, OMAHA COMMUNITY FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND THE UNITED WAY OF THE MIDLANDS.
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 11:	2018 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE NEBRASKA METHODIST HOSPITAL (NMH) IS COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. ALL LEADERSHIP SUPPORT THE IMPORTANCE OF WORKING IN THE COMMUNITY WITH OVER 260 PARTNERS TO ADDRESS THE NEEDS MOST CURRENTLY IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE CURRENT PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY BENEFIT PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE, AND RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE PARTNER WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. OFTEN PROGRAMS OR SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL CURRENT CENTER FOR DISEASE CONTROL (CDC) REPORTS ARE UPDATED, HOWEVER, EACH SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS, AS STATED BY BEST PRACTICES. AS HEAVILY MENTIONED THROUGHOUT THIS REPORT, NMH HAS WORKED WITH OVER 260 ORGANIZATIONS THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY - A STATEMENT WE REMAIN HIGHLY PROUD OF. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER.ACCESS TO HEALTHCARE SERVICESTO IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY, THE METHODIST COMMUNITY HEALTH CLINIC (MCHC), A LOW COST CLINIC OWNED AND OPERATED BY NMH, PROVIDES SERVICES TO A DIVERSE AND UNDERSERVED POPULATION. THE CLINIC SERVED OVER 2,600 MEN, WOMEN AND ADOLESCENTS IN 2018. STAFFED BY TWO MID-LEVEL PROVIDERS AND BY AN INTERNIST AS THE MEDICAL DIRECTOR, THE CLINIC PROVIDES PRIMARY CARE SERVICES AS WELL AS STD SCREENING AND SEXUAL ASSAULT NURSE EXAMINER (SANE) FOLLOW-UPS. THE GOAL OF THIS STRATEGICALLY PLACED CLINIC IS TO INCREASE SERVICES FOR THE UNINSURED/UNDERINSURED AND UNDER-RESOURCED POPULATIONS. THE CLINIC HAS COLLABORATED WITH A LOCAL FAITH COMMUNITY AS WELL AS BEHAVIORAL HEALTH PROVIDERS TO ENCOMPASS THE WHOLE INDIVIDUAL, AND HAS ALSO GAINED THE EXPERTISE OF AN ON-SITE NEPHROLOGIST ONE AFTERNOON A MONTH.MCHC HAS PROVEN TO BE A HUB FOR COMMUNITY COLLABORATION, PARTNERING WITH NEBRASKA METHODIST COLLEGE AND THE FAITH-BASED FOOD PANTRY LOCATED IN THE SAME BUILDING, TO PROVIDE FREE MONTHLY SCREENINGS AND EDUCATION ON NEEDS IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ARE ALSO DESIGNATED AS NATIONAL AWARENESS CONDITIONS.THE METHODIST MOBILE MAMMOGRAPHY COACH CONTINUES TO TRAVEL ACROSS NEBRASKA AND SOUTHWESTERN IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. IN THE 4TH QUARTER OF 2018, THE MOBILE MAMMOGRAPHY UNIT PROVIDED 218 MAMMOGRAMS, AND IS ON-PACE TO PROVIDE OVER 1,640 MAMMOGRAMS FOR 2019. CANCERMETHODIST HOSPITAL CONTINUES TO INCREASE ITS OFFERINGS OF A VARIETY OF CANCER SCREENINGS, INCLUDING FREE HEAD & NECK OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND THROUGHOUT THE LOCAL COMMUNITY. THERE ARE A NUMBER OF OTHER FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY IN PARTNERSHIP WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: BREAST, DIABETIC, LUNG AND SKIN, AMONG OTHERS. THESE EVENTS ARE HELD IN TANDEM WITH METRO-WIDE EVENTS, SUCH AS THE BINATIONAL HEALTH WEEK.THE COLON CANCER TASK FORCE IS A LONG-STANDING PARTNER WITH NMH, WHERE EMPLOYEES REPRESENT NMH AS MEMBERS AND SPONSOR THE TASK FORCE'S ANNUAL RACE AND AWARENESS CAMPAIGNS. EVERY YEAR IN MARCH, NMH PROVIDES FREE SCREENING KITS TO LOCAL PHARMACIES, GROCERY STORES AND HEALTH CLINICS AT NO COST TO THE COMMUNITY, AND PROVIDES REFERRALS AS NECESSARY.AS PART OF OUR MEMBERSHIP AND SUPPORT FOR THE IMMUNIZATION TASK FORCE, NMH ADVOCATES FOR INCREASED HUMAN PAPILLOMA VIRUS (HPV) VACCINATION IN MEDICAL CLINICS ACROSS THE AREA, AND PROVIDES OVER 2,000 FREE INFLUENZA DOSES TO DAYCARES, SCHOOLS, AND NON-NMH HEALTH CLINICS ACROSS THE METROPOLITAN AREA.HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATION TOOLS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. AT THESE EVENTS, BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT NO COST. THESE CONSULTATIONS INCLUDE SPECIALIZED EDUCATION REGARDING HEALTHY LIFESTYLE CHOICES THAT CAN REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES.IN RESPONSE TO THE NATIONAL OPIOID EPIDEMIC, OUR QUALITY DEPARTMENT ENGAGED A MUTLI-DISCIPLINARY TEAM THROUGHOUT THE ENTIRE METHODIST HEALTH SYSTEM TO IDENTIFY AREAS OF OPPORTUNITY IN ALL CLINICAL AND NON-CLINICAL SETTINGS TO REDUCE SUBSTANCE MISUSE, AND WE HAVE SEEN A 16% DECREASE IN NARCOTICS PRESCRIBED IN Q4 2018 AS COMPARED TO Q1 2018. EIGHT STRATEGIC WORKGROUPS WERE CREATED TO FOCUS ON DATA, COMMUNITY ENGAGEMENT, PHARMACY AND PROVIDERS THAT REGULARLY REPORTS TO A LARGER STEERING COMMITTEE, SO THAT BEST PRACTICES CAN BE ESTABLISHED AND SHARED ACROSS THE SYSTEM.FINANCIAL ASSISTANCEIN 2018, NMH WAS ABLE TO ASSIST OVER 22,000 INDIVIDUALS WITH FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE REDUCES/ELIMINATES THE MEDICAL PAYMENT BURDEN ON FAMILIES, ALLOWING THEM TO AFFORD HOME OWNERSHIP, EDUCATIONAL EXPENSES, AND HEALTHIER LIFESTYLE AND FOOD CHOICES. OUR FINANCIAL ASSISTANCE PROGRAM IS OFFERED TO ALL PATIENTS UPON ADMISSION AND OUR PROVIDERS ARE KNOWLEDGEABLE REGARDING HOW THEIR PATIENTS CAN APPLY FOR THIS PROGRAM. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, NMH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. NMH USES A MULTI-DISCIPLINE APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED $548.2 MILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS.
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 13B:	METHODIST HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION.
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 13H:	METHODIST HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY.METHODIST HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, AVERAGE HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIOECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT BILLING OFFICE TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE.
GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 16J:	THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 5:	THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS. IN ADDITION, AN ON-LINE KEY INFORMANT SURVEY WAS USED TO SOLICIT INPUT FROM INDIVIDUALS WITH A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. THIS INCLUDED 163 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 6A:	THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, METHODIST HEALTH SYSTEM, CHI HEALTH, AND NEBRASKA MEDICINE AS WELL AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 6B:	IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., LIVE WELL OMAHA, OMAHA COMMUNITY FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND UNITED WAY OF THE MIDLANDS.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 11:	2018 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE METHODIST WOMEN'S HOSPITAL (MWH) IS COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. ALL LEADERSHIP SUPPORT THE IMPORTANCE OF WORKING IN THE COMMUNITY WITH OVER 260 PARTNERS TO ADDRESS THE NEEDS MOST CURRENTLY IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE CURRENT PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY BENEFIT PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE, AND RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE PARTNER WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. OFTEN PROGRAMS OR SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL CURRENT CENTER FOR DISEASE CONTROL (CDC) REPORTS ARE UPDATED, HOWEVER, EACH SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS, AS STATED BY BEST PRACTICES. AS HEAVILY MENTIONED THROUGHOUT THIS REPORT, MWH HAS WORKED WITH OVER 260 ORGANIZATIONS THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY - A STATEMENT WE REMAIN HIGHLY PROUD OF. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER.ACCESS TO HEALTHCARE SERVICESTO IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY, THE METHODIST COMMUNITY HEALTH CLINIC (MCHC), A LOW COST CLINIC OWNED AND OPERATED BY MWH, PROVIDES SERVICES TO A DIVERSE AND UNDERSERVED POPULATION. THE CLINIC SERVED OVER 2,600 MEN, WOMEN AND ADOLESCENTS IN 2018. STAFFED BY TWO MID-LEVEL PROVIDERS AND BY AN INTERNIST AS THE MEDICAL DIRECTOR, THE CLINIC PROVIDES PRIMARY CARE SERVICES AS WELL AS STD SCREENING AND SEXUAL ASSAULT NURSE EXAMINER (SANE) FOLLOW-UPS. THE GOAL OF THIS CLINIC IS TO INCREASE SERVICES FOR THE UNINSURED/UNDERINSURED AND UNDER-RESOURCED POPULATIONS. THE CLINIC HAS COLLABORATED WITH A LOCAL FAITH COMMUNITY AS WELL AS BEHAVIORAL HEALTH PROVIDERS TO ENCOMPASS THE WHOLE INDIVIDUAL, AND HAS ALSO GAINED THE EXPERTISE OF AN ON-SITE NEPHROLOGIST ONE AFTERNOON A MONTH.MCHC HAS PROVEN TO BE A HUB FOR COMMUNITY COLLABORATION, PARTNERING WITH NEBRASKA METHODIST COLLEGE AND THE FAITH-BASED FOOD PANTRY LOCATED IN THE SAME BUILDING, TO PROVIDE FREE MONTHLY SCREENINGS AND EDUCATION ON NEEDS IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ARE ALSO DESIGNATED AS NATIONAL AWARENESS CONDITIONS.THE METHODIST MOBILE MAMMOGRAPHY COACH CONTINUES TO TRAVEL ACROSS NEBRASKA AND SOUTHWESTERN IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. IN THE 4TH QUARTER OF 2018, THE MOBILE MAMMOGRAPHY UNIT PROVIDED 218 MAMMOGRAMS, AND IS ON-PACE TO PROVIDE OVER 1,640 MAMMOGRAMS FOR 2019.CANCERMETHODIST WOMEN'S HOSPITAL CONTINUES TO INCREASE ITS OFFERINGS OF A VARIETY OF CANCER SCREENINGS, INCLUDING FREE HEAD & NECK OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND THROUGHOUT THE LOCAL COMMUNITY. THERE ARE A NUMBER OF OTHER FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY IN PARTNERSHIP WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: BREAST, DIABETIC, LUNG AND SKIN, AMONG OTHERS. THESE EVENTS ARE HELD IN TANDEM WITH METRO-WIDE EVENTS, SUCH AS THE BINATIONAL HEALTH WEEK.THE COLON CANCER TASK FORCE IS A LONG-STANDING PARTNER WITH MWH, WHERE EMPLOYEES REPRESENT MWH AS MEMBERS AND SPONSOR THE TASK FORCE'S ANNUAL RACE AND AWARENESS CAMPAIGNS. EVERY YEAR IN MARCH, MWH PROVIDES FREE SCREENING KITS TO LOCAL PHARMACIES, GROCERY STORES AND HEALTH CLINICS AT NO COST TO THE COMMUNITY, AND PROVIDES REFERRALS AS NECESSARY.AS PART OF OUR MEMBERSHIP AND SUPPORT FOR THE IMMUNIZATION TASK FORCE, MWH ADVOCATES FOR INCREASED HUMAN PAPILLOMA VIRUS (HPV) VACCINATION IN MEDICAL CLINICS ACROSS THE AREA, AND PROVIDES OVER 2,000 FREE INFLUENZA DOSES TO DAYCARES, SCHOOLS, AND NON-MWH HEALTH CLINICS ACROSS THE METROPOLITAN AREA.HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATION TOOLS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. AT THESE EVENTS, BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT NO COST. THESE CONSULTATIONS INCLUDE SPECIALIZED EDUCATION REGARDING HEALTHY LIFESTYLE CHOICES THAT CAN REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES.IN RESPONSE TO THE NATIONAL OPIOID EPIDEMIC, OUR QUALITY DEPARTMENT ENGAGED A MUTLI-DISCIPLINARY TEAM THROUGHOUT THE ENTIRE METHODIST HEALTH SYSTEM TO IDENTIFY AREAS OF OPPORTUNITY IN ALL CLINICAL AND NON-CLINICAL SETTINGS TO REDUCE SUBSTANCE MISUSE, AND WE HAVE SEEN A 16% DECREASE IN NARCOTICS PRESCRIBED IN Q4 2018 AS COMPARED TO Q1 2018. EIGHT STRATEGIC WORKGROUPS WERE CREATED TO FOCUS ON DATA, COMMUNITY ENGAGEMENT, PHARMACY AND PROVIDERS THAT REGULARLY REPORTS TO A LARGER STEERING COMMITTEE, SO THAT BEST PRACTICES CAN BE ESTABLISHED AND SHARED ACROSS THE SYSTEM.FINANCIAL ASSISTANCEIN 2018, MWH WAS ABLE TO ASSIST OVER 4,000 INDIVIDUALS WITH FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE REDUCES/ELIMINATES THE MEDICAL PAYMENT BURDEN ON FAMILIES, ALLOWING THEM TO AFFORD HOME OWNERSHIP, EDUCATIONAL EXPENSES, AND HEALTHIER LIFESTYLE AND FOOD CHOICES. OUR FINANCIAL ASSISTANCE PROGRAM IS OFFERED TO ALL PATIENTS UPON ADMISSION AND OUR PROVIDERS ARE KNOWLEDGEABLE REGARDING HOW THEIR PATIENTS CAN APPLY FOR THIS PROGRAM. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, MWH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. MWH USES A MULTI-DISCIPLINE APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED $548.2 MILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 13B:	WOMEN'S HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 13H:	WOMEN'S HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY.WOMEN'S HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, AVERAGE HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIOECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT BILLING OFFICE TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES WOMEN'S HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE.
GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 16J:	THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS.
PART V, SECTION B, LIINE 3I	NEBRASKA METHODIST HOSPITAL HAS NOT YET POSTED TO ITS WEBSITE THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA.THIS WAS AN ACCIDENTAL AND INADVERTENT OMISSION AND WAS DISCOVERED IN THE PREPARATION OF THE FORM 990. AS SOON AS THIS ERROR WAS DISCOVERED, NEBRASKA METHODIST HOSPITAL BEGAN WORKING WITH THE APPROPRIATE DEPARTMENTS WITHIN ITS HEALTH SYSTEM TO UPDATE THE REPORT AND IS IN THE PROCESS OF ADDING A SECTION TO AN UPDATED CHNA REPORT THAT WILL BE MADE WIDELY AVAILABLE TO THE PUBLIC.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	1 - METHODIST COMMUNITY HEALTH CLINIC 208 S 26TH AVE OMAHA,NE68131	LOW INCOME COMMUNITY CLINIC
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 2018 MEDICARE COST REPORT.INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, RESEARCH AND IN-KIND DONATIONS IS COLLECTED THROUGH THE YEAR USING THE COMMUNITY BENEFITS INVENTORY SOCIAL ACCOUNTABILITY SOFTWARE WHICH FOLLOWS CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR COMMUNITY BENEFITS REPORTING. AMOUNTS SHOWN AS COMMUNITY BENEFIT ARE AT COST LESS ANY REVENUE EXCLUSIVE OF ANY GRANTS. CASH AND IN-KIND DONATIONS THAT SUPPORT FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN CONTRIBUTIONS.
PART I, LINE 7G:	A SUBSIDIZED HEALTH SERVICE BENEFIT IS CALCULATED FOR DEPARTMENTS AND SERVICES RECOGNIZING THESE AREAS OPERATE AT A NEGATIVE MARGIN. THE CANCER RISK ASSESSMENT AND PREVENTION PROGRAM, THE METHODIST COMMUNITY HEALTH CLINIC, THE DIABETES INSTITUTE AND THE GERIATRIC EVALUATION AND MANAGEMENT PROGRAMS ARE AMONG THE MANY COMMUNITY HEALTH IMPROVEMENT AND SUBSIDIZED HEALTH SERVICES OPERATED AT NEGATIVE MARGINS. THE METHODIST COMMUNITY HEALTH CLINIC, LOCATED AT 26TH AVENUE AND DOUGLAS STREET IN MIDTOWN OMAHA, IS AN ONGOING JOINT COMMUNITY PROJECT OF NEBRASKA METHODIST HOSPITAL AND KOUNTZE MEMORIAL CHURCH THAT HELPS TO MEET THE HEALTH NEEDS OF OMAHA'S LOW-INCOME POPULATION WITHIN AN ATMOSPHERE OF CARING AND RESPECT. THE CLINIC IS MODERN, SPACIOUS, CLIENT-CONVENIENT AND PROVIDES A SUPPORTIVE SETTING. GOALS CENTER ON PATIENT EDUCATION AND EMPOWERMENT, ACCESS TO QUALITY PRIMARY CARE AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. ADVANCED PRACTICE NURSES OFFER BOTH WALK-IN AND SCHEDULED APPOINTMENTS. A SLIDING FEE SCALE IS USED BASED ON THE CLIENT'S ABILITY TO PAY.FREE OR LOW-COST SERVICES INCLUDE PHYSICAL EXAMS, TREATMENT OF MINOR AND CHRONIC HEALTH PROBLEMS AND ILLNESSES, PHYSICIAN REFERRALS, HEALTH EDUCATION, FAMILY PLANNING SERVICES, ADOLESCENT ROUTINE CARE, SCHOOL PHYSICALS, HIV TESTING AND RISK COUNSELING, STD TESTING AND TREATMENT, AND TREATMENT FOR VICTIMS OF SEXUAL ASSAULT AND DOMESTIC ABUSE.THE SEXUAL ASSAULT NURSE EXAMINER AND SEXUAL ASSAULT RESPONSE TEAM (SANE/SART) SURVIVOR PROGRAM, THE LUNG CANCER PROGRAM AND OTHER PROGRAMS AIMED AT CANCER RISK ASSESSMENT AND PREVENTION ARE PROGRAMS TARGETING COMMUNITY HEALTH NEEDS.SANE/SART PROGRAM:THE SEXUAL ASSAULT NURSE EXAMINER AND SEXUAL ASSAULT RESPONSE TEAM (AKA SANE/SART) SURVIVOR PROGRAM IS A COLLABORATION THAT UNITES METHODIST HOSPITAL WITH GOVERNMENT AND COMMUNITY AGENCIES. THIS PROGRAM, THE ONLY ONE OF ITS KIND IN THE OMAHA METRO AREA, WAS INSTITUTED IN 2003. PRIOR TO THAT, EMERGENCY ROOM CARE AFTER SEXUAL ASSAULT WAS FAR TOO SIMILAR TO EMERGENCY ROOM CARE AFTER AN ACCIDENT OR INJURY. THIS PROGRAM HAS BEEN ESTABLISHED TO PROVIDE ELEMENTS OF PRIVACY AND COMFORT FOR VICTIMS OF SEXUAL ASSAULT. THROUGH SANE/SART, METHODIST HOSPITAL AND ITS AFFILIATES INCLUDING JENNIE EDMUNDSON MEMORIAL HOSPITAL IN COUNCIL BLUFFS, IOWA, OFFER COMPASSIONATE EMERGENCY CARE FROM HEALTH CARE PROFESSIONALS SPECIFICALLY TRAINED NOT JUST TO MEET THE SURVIVOR'S SPECIAL MEDICAL AND EMOTIONAL NEEDS, BUT TRAINED ALSO IN PROPER METHODS OF RECOGNIZING AND COLLECTING FORENSIC EVIDENCE. DEDICATED SANE/SART NURSES, AVAILABLE 24/7, ARE KEY MEMBERS OF THE TEAM THAT CARES FOR SURVIVORS. THEIR NEUTRAL EVIDENCE COLLECTION AND TESTIMONY CAN AID AUTHORITIES IN ANY CRIMINAL INVESTIGATION.THE SANE/SART UNIT ALSO OFFERS A PRIVATE LOCATION FOR WOMEN TO BE INTERVIEWED BY POLICE OFFICERS AND TO MEET WITH A WOMEN'S CENTER FOR ADVANCEMENT VICTIM ADVOCATE. THE ADVOCATE HELPS SURVIVORS FIND COUNSELING AND SUPPORT GROUPS AS WELL AS GUIDING THEM THROUGH LEGAL PROCEEDINGS. CANCER PROGRAMS:BATTLING CANCER INCLUDES MORE THAN MEDICAL RESEARCH AND CLINICAL TECHNOLOGY. METHODIST HOSPITAL TAKES A MULTI-DISCIPLINARY APPROACH AND PROVIDES PROGRAMS AND EDUCATION. THE METHODIST ESTABROOK CANCER CENTER SPONSORS A RANGE OF EDUCATION AND COMMUNITY EVENTS FOCUSED ON INCREASING CANCER AWARENESS AND PROMOTING THE HEALING OF CANCER SURVIVORS. SOME OF THE PROGRAMS INCLUDE THE RELAY FOR LIFE EVENT WHICH CELEBRATES SURVIVORS AND INSPIRES THE COMMUNITY TO FIGHT BACK AGAINST CANCER; HARPER'S HOPE CANCER SURVIVORSHIP PROGRAM; A YOUNG ADULT SURVIVOR'S NETWORK; BREAST CANCER SUPPORT GROUPS AND PROSTATE CANCER SUPPORT GROUPS.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 8,300 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. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. THE SERVICE IS PROVIDED TO PATIENTS AT NO COST.
PART I, LN 7 COL(F):	THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSE IN COLUMN (E) BY THE SUM OF THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN A.
SCH H, PART VI, LINE 7	NO DIRECT REPORT IS REQUIRED BY THE STATE OF NEBRASKA. HOWEVER, INFORMATION FROM THE HOSPITALS' COMMUNITY BENEFITS REPORT DATA IS INCLUDED IN A REPORT COMPILED BY THE NEBRASKA HOSPITAL ASSOCIATION.
PART II, COMMUNITY BUILDING ACTIVITIES:	NEBRASKA METHODIST HOSPITAL PROVIDES MONETARY SUPPORT THROUGH THE GREATER OMAHA CHAMBER FOUNDATION. MEMBERS OF THE STAFF PROVIDE THEIR TALENT AND EXPERTISE THROUGH INVOLVEMENT ON A VARIETY OF COMMUNITY ORGANIZATIONS.METHODIST HOSPITAL, ALONG WITH OTHER HEALTH CARE PROVIDERS AND PUBLIC SAFETY AGENCIES, QUIETLY PLAYS AN IMPORTANT ROLE IN THE COMMUNITY'S ABILITY TO RESPOND TO AND IMPROVE EMERGENCY RESPONSE DURING A NATURAL DISASTER, HAZARDOUS MATERIALS SPILL OR DOMESTIC TERRORIST ATTACK. OMAHA METROPOLITAN MEDICAL RESPONSE SYSTEM (OMMRS) WAS ESTABLISHED THROUGH A FEDERAL GRANT IN 2000, AS A MULTIDISCIPLINARY GROUP OF FIRST RESPONDERS AND OTHER HEALTH CARE PROVIDERS. OMMRS BENEFITS THE COMMUNITY IN STANDARDIZING EMERGENCY RESPONSE EQUIPMENT AND TRAINING AND DEVELOPING RESPONSE PLANS TO MAXIMIZE COMMUNITY RESOURCES AND CLARIFY COMMUNICATION PROCESSES BETWEEN AGENCIES.WHILE GRANTS HAVE PROVIDED FUNDING TO COVER SOME EXPENSES, TRAINING AND OTHER NEEDED EQUIPMENT ARE PROVIDED BY METHODIST AS A COMMUNITY BENEFIT. METHODIST EMPLOYS A FULL-TIME EMERGENCY PREPAREDNESS COORDINATOR, IN ADDITION TO A SAFETY TEAM WITH PARTIAL RESPONSIBILITY FOR EMERGENCY PREPAREDNESS. SALARIES PAID TO EMPLOYEES WHO ATTEND AFTER-HOURS PLANNING MEETINGS AND PARTICIPATE IN THE ANNUAL WEEKEND DISASTER DRILL ARE NOT COVERED BY GRANTS.AS ONE OF THE MEMBERS OF THE OMMRS, METHODIST WOULD PROVIDE TREATMENT FOR SECOND-LEVEL INJURIES, WALKING WOUNDED AND OVERFLOW TRAUMA PATIENTS WHEN ESTABLISHED TRAUMA CENTERS ARE OVERWHELMED.
PART III, LINE 4:	FOOTNOTE TO FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE IS SHOWN ON THE ATTACHED AUDITED FINANCIAL STATEMENTS PAGES 13-14.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2018 FILED MEDICARE COST REPORT.
PART III, LINE 8:	SOURCE IS THE 2018 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.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.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.
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 LIVE WELL 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 APPLICATIONS ARE INCLUDED IN ALL INPATIENT ADMISSION PACKETS. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED FOR PRIVATE CONSULTATION 5 DAYS A WEEK FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO ENSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM.THE BILLING CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE NEEDS. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE PROVIDED WITH APPLICATIONS AND 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 IN BOTH ENGLISH AND SPANISH. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION. PLAIN LANGUAGE SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION DESKS WITHIN THE HOSPITALS.
PART VI, LINE 4:	NEBRASKA METHODIST HOSPITAL'S SERVICE AREA INCLUDES THE GREATER OMAHA METROPOLITAN AREA - DOUGLAS, SARPY, AND CASS COUNTIES. ONE OF THE METHODIST HEALTH SYSTEM AFFILIATES OPERATES IN IOWA COUNTIES EXTENDING THE POTENTIAL FOR PATIENT CARE OUTSIDE THE METROPOLITAN AREA. ACCORDING TO US CENSUS DEPARTMENT REPORTS, THIS AREA IS HOME TO ALMOST 935,000 PEOPLE. METHODIST HOSPITAL HAS A NUMBER OF PROGRAMS THAT EXTEND BEYOND THE METROPOLITAN AREA SUCH AS THE PERINATAL OUTREACH PROGRAM THAT PROVIDES TARGETED EDUCATIONAL OPPORTUNITIES FOR MEDICAL PERSONNEL FROM ACROSS NEBRASKA AND IOWA.
PART VI, LINE 5:	PROMOTING HEALTH OF THE COMMUNITY:METHODIST HOSPITAL'S BOARD OF DIRECTORS PROVIDES OVERSITE OF ALL OPERATIONS. IT IS COMPOSED OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS WITH A BLEND OF THOSE INDIVIDUALS WITH LONGEVITY ON THE BOARD AND THOSE WHO ARE NEW MEMBERS. THERE IS SIGNIFICANT PHYSICIAN INVOLVEMENT ON THE BOARD LENDING TO THE ABILITY TO BE LEADERS IN MEDICAL SERVICES. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS TO PROMOTE A UNIFORM STANDARD OF QUALITY PATIENT CARE, TREATMENT AND SERVICES. ADDITIONAL CRITERIA FOR CLINICAL PRIVILEGES MAY INCLUDE A REQUIREMENT OF SPECIALTY BOARD CERTIFICATION IF IT IS BELIEVED TO BE AN IMPORTANT OBJECTIVE INDICATOR OF TRAINING AND COMPETENCE.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:THE NEBRASKA METHODIST HEALTH SYSTEM INCLUDES NEBRASKA METHODIST HOSPITAL, NEBRASKA METHODIST HOSPITAL FOUNDATION, METHODIST FREMONT HEALTH, JENNIE EDMUNDSON MEMORIAL HOSPITAL, JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC, AND THE NEBRASKA METHODIST COLLEGE OF NURSING. AS A GROUP, THESE ENTITIES ARE COMMITTED TO CARING FOR THE PEOPLE OF THE COMMUNITY BY PROVIDING OUTSTANDING CARE, EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES. THE MORE THAN 8,500 EMPLOYEES OF OUR HOSPITALS, CLINICS, COLLEGE AND FOUNDATION WORK TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES SERVED. TO FULFILL OUR MISSION OF CARING FOR PEOPLE, AFFILIATES HAVE DEVELOPED A VARIETY OF WAYS TO CONTRIBUTE CARE AND HEALTH-RELATED EDUCATION TO THE POOR, MINORITIES, AND TO OTHER UNDERSERVED GROUPS AS WELL AS TO THE BROADER COMMUNITY.BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY THE MOST RECENT CHNA.AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM, AND ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, NEBRASKA METHODIST HOSPITAL AND THE ENTITIES OF NEBRASKA METHODIST HEALTH SYSTEM ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THE REGION. METHODIST HOSPITAL RESPECTS AND EMBRACES THE RESPONSIBILITY THAT ACCOMPANIES TAX EXEMPT STATUS AND IS HONORED TO OFFER LEADERSHIP, SUPPORT AND RESOURCES TO BENEFIT THE COMMUNITY.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
NEBRASKA METHODIST HOSPITAL

Employer identification number
47-0376604

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) AMERICAN HEART ASSOCIATION 10100 J STREET OMAHA,NE68127	13-5613797	501(C)(3)	65,000				CURE/PREVENTION OF HEART ATTACKS
(2) ALZHEIMER'S ASSOCIATION-MIDLANDS CHAPTER 7101 NEWPORT AVENUE OMAHA,NE68152	47-0648438	501(C)(3)	12,000				RESEARCH ON CURE FOR ALZHEIMER'S DISEASE
(3) HOPE MEDICAL OUTREACH COALITION 1722 ST MARYS AVENUE 105 OMAHA,NE68102	91-1850344	501(C)(3)	24,000				COORDINATE AND EXPAND CAPACITY OF LOCAL HEALTHCARE PROVIDERS TO CARE FOR THE UNINSURED AND UNDERINSURED OF THE METRO OMAHA AREA
(4) ICAN 12565 WEST CENTER ROAD OMAHA,NE68154	47-0633139	501(C)(3)	30,000				LEADERSHIP DEVELOPMENT TARGETED AT COMMUNITY NEEDS
(5) MARCH OF DIMES-NEBRASKA CHAPTER 11840 NICHOLAS STREET 220 OMAHA,NE68154	13-1846366	501(C)(3)	33,750				IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY
(6) AMERICAN CANCER SOCIETY 9850 NICHOLAS STREET STE 200 OMAHA,NE68114	74-1185665	501(C)(3)	12,500	137,500	FMV	FREE USE OF THE LAND AND LOCATION FOR THE HOPE LODGE FACILITY	CURE/PREVENTION OF CANCER
(7) NEBRASKA AFFILIATE OF THE SUSAN G KOMEN FOR THE CURE 12103 PACIFIC STREET OMAHA,NE68154	26-0056671	501(C)(3)	12,500				FUNDS RESEARCH AND RAISES AWARENESS FOR THE FIGHT AGAINST CANCER
(8) NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA,NE68118	47-0595345	501(C)(3)	171,800				SUPPORTING PROGRAMS OF NEBRASKA METHODIST HOSPITAL FOUNDATION
(9) GREATER OMAHA CHAMBER OF COMMERCE 808 CONAGRA DR STE 400 OMAHA,NE68102	47-0258610	501(C)(6)	18,000				SUPPORTING PROGRAMS TO INCREASE BUSINESS, EMPLOYMENT, AND INVESTMENT IN THE GREATER OMAHA AREA
(10) PHOENIX ACADEMY 4020 MEETING WAY HIGHPOINT,NC27265	56-2059485	501(C)(3)	15,000				SUPPORTING PROGRAMS THAT PROVIDE EDUCATION TO CHILDREN GRADES KINDERGARTEN THROUGH 5TH GRADE
(11) VISITING NURSE ASSOCIATION 12565 WEST CENTER ROAD OMAHA,NE68144	47-0690207	501(C)(3)	6,400				SUPPORT PROGRAMS THAT PROVIDE HEALTH CARE SERVICES TO HOME HEALTH AND HOSPICE PATIENTS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) FINANCIAL ASSISTANCE	26520		18,019,130	BOOK	FINANCIAL ASSISTANCE TO PATIENTS.
(2) SCHOLARSHIPS	7	7,000
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	NEBRASKA METHODIST HOSPITAL GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES SO, PROCEDURES ARE FOLLOWED TO ENSURE 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.

Schedule I (Form 990) 2018

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1STEPHEN L GOESER PRES./CEO-NE METH. HEALTH	(i) (ii)	0 ------------- 770,401	0 ------------- 0	0 ------------- 30,304	0 ------------- 150,472	0 ------------- 21,778	0 ------------- 972,955	0 ------------- 0
2CAROLEE V JONES MD DIRECTOR	(i) (ii)	0 ------------- 452,401	0 ------------- 0	0 ------------- 19,244	0 ------------- 66,549	0 ------------- 28,656	0 ------------- 566,850	0 ------------- 0
3MARK OMAR MD DIRECTOR	(i) (ii)	0 ------------- 255,090	0 ------------- 137,600	0 ------------- 2,718	0 ------------- 31,327	0 ------------- 11,680	0 ------------- 438,415	0 ------------- 0
4JEFFREY E FRANCIS VICE PRES CFO	(i) (ii)	0 ------------- 448,404	0 ------------- 0	0 ------------- 70,240	0 ------------- 96,562	0 ------------- 26,320	0 ------------- 641,526	0 ------------- 68,321
5JOSEPHINE ABBOUD PRESIDENT METHODIST HOSPITAL	(i) (ii)	0 ------------- 330,175	0 ------------- 0	0 ------------- 34,126	0 ------------- 63,122	0 ------------- 26,588	0 ------------- 454,011	0 ------------- 14,316
6SUSAN KORTH COO WOMEN'S HOSPITAL	(i) (ii)	0 ------------- 233,639	0 ------------- 0	0 ------------- 41,121	0 ------------- 35,779	0 ------------- 20,470	0 ------------- 331,009	0 ------------- 30,306
7TERI BRUENING VP - ADMINISTRATION	(i) (ii)	0 ------------- 247,475	0 ------------- 0	0 ------------- 31,558	0 ------------- 43,903	0 ------------- 16,361	0 ------------- 339,297	0 ------------- 29,743
8WILLIAM SHIFFERMILLER MD VP-MEDICAL AFFAIRS	(i) (ii)	0 ------------- 365,532	0 ------------- 0	0 ------------- 53,307	0 ------------- 60,668	0 ------------- 20,764	0 ------------- 500,271	0 ------------- 26,610
9ANDREW COUGHLIN MD PHYSICIAN	(i) (ii)	416,998 ------------- 0	112,647 ------------- 0	18,662 ------------- 0	27,452 ------------- 0	29,725 ------------- 0	605,484 ------------- 0	0 ------------- 0
10ROBERT LINDAU MD PHYSICIAN	(i) (ii)	420,483 ------------- 0	112,647 ------------- 0	20,300 ------------- 0	33,168 ------------- 0	31,256 ------------- 0	617,854 ------------- 0	0 ------------- 0
11ARU PANWAR PHYSICIAN	(i) (ii)	425,131 ------------- 0	112,647 ------------- 0	18,568 ------------- 0	27,894 ------------- 0	11,347 ------------- 0	595,587 ------------- 0	0 ------------- 0
12WILLAM LYDIATT MD PHYSICIAN	(i) (ii)	437,887 ------------- 0	112,647 ------------- 0	19,274 ------------- 0	40,548 ------------- 0	25,156 ------------- 0	635,512 ------------- 0	0 ------------- 0
13OLEG MILITSAKH PHYSICIAN	(i) (ii)	438,543 ------------- 0	112,647 ------------- 0	180 ------------- 0	43,768 ------------- 0	28,506 ------------- 0	623,644 ------------- 0	0 ------------- 0
14JOHN M FRASER FORMER CEO & DIRECTOR	(i) (ii)	0 ------------- 97,652	0 ------------- 0	0 ------------- 821,153	0 ------------- 38,112	0 ------------- 14,171	0 ------------- 971,088	0 ------------- 598,272

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 3

SEE SCHEDULE O, PART VI, SECTION B, LINE 15 EXPLANATION REGARDING THE METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION.

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2018 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $81,019 ACCRUAL; $68,321 PLAN DISTRIBTION JOHN FRASER $38,112 ACCRUAL, $598,272 PLAN DISTRIBUTION STEPHEN GOESER $128,472 ACCRUAL SUSAN KORTH $17,593 ACCRUAL, $30,306 PLAN DISTRIBUTION JOSIE ABBOUD $35,622 ACCRUAL, $14,316 PLAN DISTRIBUTION TERI BRUENING $27,572 ACCRUAL, $29,743 PLAN DISTRIBUTION WILLIAM SHIFFERMILLER MD $33,168 ACCRUAL, $26,610 PLAN DISTRIBUTION OLEG MILITSKAH MD $21,768 ACCRUAL MARK OMAR MD $25,827 ACCRUAL ARU PANWAR MD $11,394 ACCRUAL CAROLEE JONES MD $41,799 ACCRUAL ANDREW COUGHLIN MD $11,974 ACCRUAL ROBERT LINDAU MD $14,915 ACCRUAL WILLIAM LYDIATT MD $18,548 ACCRUAL

Schedule J (Form 990) 2018

Additional Data

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- TIN:

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
NEBRASKA METHODIST HOSPITAL

Employer identification number
47-0376604

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HOSPITAL AUTH #2 DOUGLAS CNTY NE	52-1440796	259230LY4	06-16-2015	39,999,212	SEE PART VI		X		X		X
B	HOSPITAL AUTH #3 DOUGLAS CNTY NE	47-0689293	259234CK6	06-16-2015	192,458,400	SEE PART VI		X		X		X
C	HOSPITAL AUTH #2 DOUGLAS CNTY NE	52-1440796	NONEAVAIL	03-28-2018	26,725,000	REFUND PRIOR BONDS (03/19/14)		X		X		X
D	HOSPITAL AUTH #2 DOUGLAS CNTY NE	52-1440796	NONEAVAIL	04-13-2018	26,510,000	REFUND PRIOR BONDS (05/18/2017)		X		X		X
	HOSPITAL AUTH #3 DOUGLAS CNTY NE	47-0689293	NONEAVAIL	03-28-2018	8,185,000	REFUND PRIOR BONDS (03/19/14)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	560,000		8,345,000		45,000		365,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	40,895,929		199,256,190		26,725,000		26,510,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			1,942,738
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	16,828,237		8,646,941
11 Other spent proceeds .............	24,067,692		186,331,836		26,725,000		26,510,000
12 Other unspent proceeds .............			2,334,675
13 Year of substantial completion .............	2016		2016		2015		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X		X			X		X
16 Has the final allocation of proceeds been made? ..........		X		X	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....			0.040 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............			0.040 %
7 Does the bond issue meet the private security or payment test? ...	X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X			X		X
b Exception to rebate? ........		X		X	X		X
c No rebate due? .........		X		X	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 10/13/2018
SCH K, ENTITY 1 & 2 - REGARDING THE 9/28/18 & 10/13/18 REBATE COMPUTATION	SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
SCHEDULE K, ENTITY 1 - PART I, LINES A & B, COLUMN F:	BLDG ADDITIONS & EQUIPMENT/REFUND DEBT (05/20/08)
SCHEDULE K, ENTITY 1 - PART II, LINE 3:	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
NEBRASKA METHODIST HOSPITAL

Employer identification number
47-0376604

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HOSPITAL AUTH #2 DOUGLAS CNTY NE	52-1440796	259230LY4	06-16-2015	39,999,212	SEE PART VI		X		X		X
B	HOSPITAL AUTH #3 DOUGLAS CNTY NE	47-0689293	259234CK6	06-16-2015	192,458,400	SEE PART VI		X		X		X
C	HOSPITAL AUTH #2 DOUGLAS CNTY NE	52-1440796	NONEAVAIL	03-28-2018	26,725,000	REFUND PRIOR BONDS (03/19/14)		X		X		X
D	HOSPITAL AUTH #2 DOUGLAS CNTY NE	52-1440796	NONEAVAIL	04-13-2018	26,510,000	REFUND PRIOR BONDS (05/18/2017)		X		X		X
	HOSPITAL AUTH #3 DOUGLAS CNTY NE	47-0689293	NONEAVAIL	03-28-2018	8,185,000	REFUND PRIOR BONDS (03/19/14)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	560,000		8,345,000		45,000		365,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	40,895,929		199,256,190		26,725,000		26,510,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			1,942,738
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	16,828,237		8,646,941
11 Other spent proceeds .............	24,067,692		186,331,836		26,725,000		26,510,000
12 Other unspent proceeds .............			2,334,675
13 Year of substantial completion .............	2016		2016		2015		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X		X			X		X
16 Has the final allocation of proceeds been made? ..........		X		X	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....			0.040 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............			0.040 %
7 Does the bond issue meet the private security or payment test? ...	X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X			X		X
b Exception to rebate? ........		X		X	X		X
c No rebate due? .........		X		X	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 10/13/2018
SCH K, ENTITY 1 & 2 - REGARDING THE 9/28/18 & 10/13/18 REBATE COMPUTATION	SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
SCHEDULE K, ENTITY 1 - PART I, LINES A & B, COLUMN F:	BLDG ADDITIONS & EQUIPMENT/REFUND DEBT (05/20/08)
SCHEDULE K, ENTITY 1 - PART II, LINE 3:	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KATHLEEN DODGE	MEMBER OF THE BOARD OF DIRECTORS	184,352	KATHLEEN DODGE IS AN OWNER OF NP DODGE REALTY WHICH CONTRACTS WITH THE HOSPITAL TO PROVIDE LEASED OFFICE SPACE.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Return Reference	Explanation
FORM 990, PART V, LINE 2B	THE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL IS BEING HANDLED BY A COMMON PAYMASTER, NEBRASKA METHODIST HEALTH SYSTEM, INC. ALL W-2 FORMS WERE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM AND ALL REQUIRED EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. WAGES AND BENEFITS SHOWN IN THE FORM 990 ARE ACTUAL WAGES ASSOCIATED WITH NEBRASKA METHODIST HOSPITAL PERSONNEL.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF NEBRASKA METHODIST HOSPITAL IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	IN ACCORDANCE WITH THE BYLAWS, NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO CONFIRM AND REMOVE THE DIRECTORS OF THE CORPORATION AND HAS THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE CORPORATION'S PRESIDENT BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO APPROVE OR REFUSE TO APPROVE ANY AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR TO THE BYLAWS, OR ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION UNDER THE NEBRASKA NONPROFIT CORPORATION ACT. THE MEMBER HAS APPROVAL AUTHORITY ON ANNUAL BUDGETS, CAPITAL EXPENDITURES IN EXCESS OF CERTAIN ESTABLISHED THRESHOLDS, AND ESTABLISHMENT OF OR PARTICIPATION AS A SHAREHOLDER, PARTNER OR EQUITY MEMBER OF ANY OTHER ENTITY.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT COMMITTEE REPORTED TO THE BOARD OF DIRECTORS ON THEIR REVIEW OF THE FEDERAL FORM 990. A COPY WAS MADE AVAILABLE TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW THROUGH A SECURE INTERNET PORTAL. THE BOARD OF DIRECTORS IS GIVEN AN OPPORTUNITY TO ASK QUESTIONS OR REQUEST MORE INFORMATION. NEBRASKA METHODIST HOSPITAL IS AN AFFILIATE OF THE NEBRASKA METHODIST HEALTH SYSTEM. THE POLICIES AND PRACTICES OF NEBRASKA METHODIST HEALTH SYSTEM APPLY TO ALL ITS AFFILIATES. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING FINANCE, HUMAN RESOURCES AND CORPORATE COMPLIANCE; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR THE NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION B, LINE 12C	AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. POTENTIAL CONFLICTS OF INTEREST, ONCE IDENTIFIED, MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS NOT INVOLVED IN THE CONFLICT, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HOSPITAL AND/OR THE METHODIST HEALTH SYSTEM AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINE 15	METHODIST HEALTH SYSTEM WITH WHICH NEBRASKA METHODIST HOSPITAL IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). THE POLICY ON "PHYSICIAN COMPENSATION" IS FOLLOWED WHEN CONTRACTING WITH PHYSICIANS TO ENSURE APPROPRIATE APPROVALS, INCLUDING APPROVAL BY THE BOARD OF DIRECTORS, ARE OBTAINED WHEN WARRANTED. OPINIONS OF FAIR MARKET VALUE REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION MAY ALSO BE OBTAINED FROM REPUTABLE, INDEPENDENT VALUATION CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION FILED THE FORM 1023 IN 1968. APPLICATIONS FILED BEFORE JULY 15, 1987 NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS DETERMINATION LETTER WILL BE PROVIDED UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE RESTATED ARTICLES OF INCORPORATION OF THE ORGANIZATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING THE COMMUNITY BENEFITS IT PROVIDES AS PART OF THE METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/COMMUNITY-IMPACT.
FORM 990, PART XI, LINE 9:	TRANSFERS TO AFFILIATES -32,816,852. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION ASSETS -1,435,942. CHANGE IN INVESTMENT IN SUBSIDIARIES 1,113,639.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

NEBRASKA METHODIST HOSPITAL

Employer identification number

47-0376604

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) HEART SERVICES LLC 825 S 169TH STREET OMAHA,NE68114 27-1141616	CARDIOLOGY SERVICES	NE	0	0	NEBRASKA METHODIST HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)NEBRASKA METHODIST HEALTH SYSTEM INC 825 S 169TH STREET OMAHA,NE68118 47-0639839	ADMINISTRATIVE SUPPORT	NE	501(C)(3)	L12: III-FI	N/A		No
(2)JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 E PIERCE STREET COUNCIL BLUFFS,IA51503 42-0680355	LICENSED HOSPITAL	IA	501(C)(3)	L3	NEBRASKA METHODIST HEALTH SYSTEM		No
(3)NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA,NE68118 47-0595345	SUPPORT OF NEBRASKA METHODIST HOSPITAL AND AFFILIATES EXEMPT ACTIVITIES	NE	501(C)(3)	L7	NEBRASKA METHODIST HEALTH SYSTEM		No
(4)NEBRASKA METHODIST COLLEGE OF NURSING AND ALLIED HEALTH 825 S 169TH STREET OMAHA,NE68118 47-0724387	NURSING AND HEALTH EDUCATION FACILITY	NE	501(C)(3)	L2	NEBRASKA METHODIST HOSPITAL	Yes
(5)JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 E PIERCE STREET COUNCIL BLUFFS,IA51503 42-1439454	SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL	IA	501(C)(3)	L7	JENNIE EDMUNDSON MEMORIAL HOSPITAL		No
(6)NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST 825 S 169TH STREET OMAHA,NE68118 36-3699672	INSURANCE	NE	501(C)(3)	L12: III-FI	NEBRASKA METHODIST HEALTH SYSTEM		No
(7)REAL ESTATE HOLDINGS 825 S 169TH STREET OMAHA,NE68118 47-0649790	PROPERTY MANAGEMENT	NE	501(C)(2)		NEBRASKA METHODIST HEALTH SYSTEM		No
(8)PHYSICIANS CLINIC INC 825 S 169TH STREET OMAHA,NE68118 47-0687317	CLINICAL HEALTH CARE	NE	501(C)(3)	L10	NEBRASKA METHODIST HEALTH SYSTEM		No
(9)METHODIST FREMONT HEALTH 450 E 23RD STSREET FREMONT,NE68025 83-1362276	LICENSED HOSPITAL	NE	501(C)(3)	L3	NEBRASKA METHODIST HEALTH SYSTEM		No
(10)FREMONT HEALTH CLINIC 450 E 23RD STSREET FREMONT,NE68025 47-0717207	CLINICAL HEALTH CARE	NE	501(C)(3)	L10	NEBRASKA METHODIST HEALTH SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) NEBRASKA COLLABORATIVE LABORATORY LLC 8303 DODGE ROAD OMAHA,NE68114 46-1173104	MOLECULAR LAB TESTING USING FLUORESCENCE IN SITU HYBRIDIZATION TECHNIQUES	NE	N/A	RELATED	21,708			No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) SHARED SERVICE SYSTEMS INC & SUBSIDIARY 825 S 169TH STREET OMAHA,NE68118 47-0649534	MEDICAL SUPPLY DISTRIBUTION & LAUNDRY	NE	NEBRASKA METHODIST HEALTH SYSTEM	C				No
(2) METHODIST HEALTH PARTNERS 825 S 169TH STREET OMAHA,NE68118 47-0797563	MANAGED CARE CONTRACTING	NE	NEBRASKA METHODIST HEALTH SYSTEM	C				No
(3) FREMONT HEALTH PARTNERS 450 E 23RD STREET FREMONT,NE68025 46-0735043	MANAGED CARE CONTRACTING	NE	NEBRASKA METHODIST HEALTH SYSTEM	C				No
(4) HEALTH CHOICE OF NEBRASKA 450 E 23RD STREET FREMONT,NE68025 47-0783732	MANAGED CARE CONTRACTING	NE	NEBRASKA METHODIST HEALTH SYSTEM	C				No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

Yes

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

TY 2018 AffiliatedGroupSchedule

Name:

NEBRASKA METHODIST HOSPITAL

EIN:

47-0376604

Affiliated Group Business Name:

NEBRASKA METHODIST HEALTH SYSTEM INC

Address. Either US or Foreign Type:

825 S 169TH STREET
OMAHA, NE68118

EIN:

47-0639839

Electing Organization Checkbox:

Total Grassroots Lobbying:

Total Direct Lobbying:

48,000

Total Lobbying Expenditures:

48,000

Other Exempt Purpose Expenditures:

69,651,646

Total Exempt Purpose Expenditures:

69,699,646

Lobbying Nontaxable Amount:

1,000,000

Grassroots Nontaxable Amount:

250,000

Tot Lobbying Grassroot Minus Non Tx:

Tot Lobby Expend Mns Lobbying Non Tx:

Share Of Excess Lobbying:

Affiliated Group Business Name:

NEBRASKA METHODIST HOSPITAL

Address. Either US or Foreign Type:

825 S 169TH STREET
OMAHA, NE68118

EIN:

47-0376604

Electing Organization Checkbox:

Total Grassroots Lobbying:

Total Direct Lobbying:

23,961

Total Lobbying Expenditures:

23,961

Other Exempt Purpose Expenditures:

503,398,008

Total Exempt Purpose Expenditures:

503,421,969

Lobbying Nontaxable Amount:

1,000,000

Grassroots Nontaxable Amount:

250,000

Tot Lobbying Grassroot Minus Non Tx:

Tot Lobby Expend Mns Lobbying Non Tx:

Share Of Excess Lobbying:

1	Briefly describe the organization’s mission or most significant activities: IMPROVING THE QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTHCARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	4,050
6	Total number of volunteers (estimate if necessary) .............	6	580
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,929,255
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,362,899

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	18,353,621	12,031,691
9	Program service revenue (Part VIII, line 2g) .........	541,728,900	536,977,141
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,516,045	19,212,373
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,065,012	9,867,394
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	584,663,578	578,088,599
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	18,249,663	18,700,793
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	233,950,602	235,963,551
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	259,587,353	248,757,625
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	511,787,618	503,421,969
19	Revenue less expenses. Subtract line 18 from line 12.......	72,875,960	74,666,630
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	844,152,676	861,979,626
21	Total liabilities (Part X, line 26).............	347,734,290	350,151,733
22	Net assets or fund balances. Subtract line 21 from line 20.....	496,418,386	511,827,893

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 33,290,423 including grants of $ 1,583,086 ) (Revenue $ 43,183,027 )
	SOMEONE DIES FROM HEART DISEASE, STROKE OR ANOTHER CARDIOVASCULAR DISEASE EVERY 43 SECONDS IN THE UNITED STATES, ACCORDING TO THE AMERICAN HEART ASSOCIATION. CARDIOVASCULAR DISEASE, AS THE UNDERLYING CAUSE OF DEATH, ACCOUNTS FOR NEARLY 801,000 DEATHS IN THE U.S WHICH IS ABOUT ONE OUT OF EVERY 3.METHODIST HOSPITAL HAS BEEN A LEADER IN THE CARE AND TREATMENT OF THOSE WHO COME TO US IN OUR EMERGENCY DEPARTMENT OR ARE DIAGNOSED WITH CARDIOVASCULAR DISEASE. WE HAVE LONG BEEN AT THE FOREFRONT IN CARING FOR THESE PATIENTS AND ARE ALWAYS EXPLORING WAYS TO ENHANCE THEIR TREATMENT AND LIFESTYLE.METHODIST HOSPITAL'S COMMITMENT AND SUCCESS IN IMPLEMENTING AN EXCEPTIONAL STANDARD OF CARE FOR CARDIAC PATIENTS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AND THE JOINT COMMISSION.IN 2018, METHODIST HOSPITAL WAS AWARDED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CHEST PAIN CERTIFICATION. THE GOLD SEAL OF APPROVAL IS A SYMBOL OF QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO PROVIDING SAFE AND EFFECTIVE PATIENT CARE. METHODIST HOSPITAL ALSO RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE.IN 2018, WE DEBUTED A NEW, MORE CENTRALLY LOCATED CARDIOVASCULAR CENTER AT METHODIST HOSPITAL. LARGER PROCEDURE ROOMS, A CLOSER PROXIMITY TO THE EMERGENCY DEPARTMENT AND OUR CARDIOVASCULAR SURGICAL SUITES HAVE FURTHER ENHANCED OUR ABILITY TO CARE FOR OUR PATIENTS.THE CARDIOVASCULAR CENTER OFFERS THE LATEST TECHNOLOGY TO BETTER EVALUATE OUR PATIENT'S CARDIAC HEALTH. HOME TO OUR ECHO LAB, HEART STATION AND VASCULAR LAB, METHODIST CARDIOLOGISTS AND CARE TEAM MEMBERS ASSESS AND DEVELOP COMPREHENSIVE TREATMENT PLANS.IN 2018, METHODIST HOSPITAL DEBUTED THE WATCHMAN PROCEDURE, WHICH IS TARGETED FOR THOSE PATIENTS WITH ATRIAL FIBRILLATION. IN ADDITION, A NEW WIRELESS PACEMAKER PROCEDURE WAS ALSO INTRODUCED. BOTH HAVE BEEN RECEIVED AND PERFORMED WITH GREAT SUCCESS MAKING AN IMPACT ON THE LIVES OF PATIENTS.ALSO A LEADER IN STROKE CARE AND TREATMENT, METHODIST WOMEN'S HOSPITAL BECAME THE FIRST ACUTE STROKE READY HOSPITAL IN NEBRASKA CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THE SITE CAN ASSESS AND PROVIDE INITIAL TREATMENT TO STROKE PATIENTS, BEFORE TRANSFERRING PATIENTS TO METHODIST HOSPITAL FOR FURTHER TREATMENT.

4b	(Code: ) (Expenses $ 47,288,774 including grants of $ 1,806,693 ) (Revenue $ 45,325,208 )
	AT METHODIST HOSPITAL, WE UNITE ALL OF OUR RESOURCES TO JOIN OUR PATIENTS IN THEIR FIGHT AGAINST CANCER IN ITS TOTALITY. OUR UNIQUE MULTIDISCIPLINARY APPROACH IS ONE OF METHODIST'S GREATEST STRENGTHS. WORKING TOGETHER WITH THE PATIENT ON THE TEAM, WE FOCUS A RARE LEVEL OF COMBINED EXPERTISE TO EXPAND TREATMENT OPTIONS, IMPROVE OUTCOMES AND PROVIDE COMFORT AND HOPE.IN 2018, OUR 50+ SPECIALISTS DIAGNOSED OVER 2,200 CANCER CASES. WE OFFER A FULL LINE OF CANCER SERVICES AT THE METHODIST ESTABROOK CANCER CENTER INCLUDING: BREAST CARE CENTER, CHEMOTHERAPY, CLINICAL TRIALS, GAMMA KNIFE, GYNECOLOGIC ONCOLOGY, HEAD AND NECK ONCOLOGY, LUNG/THORACIC ONCOLOGY, MULTIDISCIPLINARY TEAM APPROACH, NUTRITION SERVICES, OCCUPATIONAL AND SPEECH THERAPY, PHYSICAL WELLNESS PROGRAMS, PSYCHO-ONCOLOGY SERVICES, RADIATION ONCOLOGY, REHABILITATION, SOCIAL WORK, STEM CELL TRANSPLANTS, SUPPORT SERVICES, SURGICAL ONCOLOGY AND TUMOR REGISTRY.OUR HEAD AND NECK SURGICAL ONCOLOGISTS, THE LARGEST GROUP IN THE REGION, CONTINUED THEIR NATIONALLY RECOGNIZED EFFORTS OF ATTACKING PAIN, OR MULTI-MODAL ANALGESIA FOR HEAD AND NECK SURGICAL PATIENTS. THEIR EFFORTS, RESULTING IN A REDUCTION OF OPIOID USE BY PATIENTS, HAVE LED TO THE PRACTICE BEING IMPLEMENTED BY OTHER SERVICES ACROSS THE HEALTH SYSTEM. DISCUSSIONS ALSO BEGAN ON THE ESTABLISHMENT OF A TELE-HEALTH PROGRAM IN OUT-STATE NEBRASKA REGARDING THE MANAGEMENT OF THYROID NODULES. THIS INITIATIVE IS EXPECTED TO DEBUT IN 2019.IN NOVEMBER 2018, METHODIST LAUNCHED THE REGIONS FIRST MOBILE 3D MAMMOGRAPHY COACH. THE COACH PROVIDES LIFE-SAVING BREAST CANCER SCREENINGS TO THE UNINSURED, UNDERINSURED AND BUSINESS COMMUNITY.IN AN EXCITING PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY, HOPE LODGE NEBRASKA, A PROJECT 11 YEARS IN THE MAKING, OPENED ITS DOORS. HOPE LODGE NEBRASKA PROVIDES LODGING AND AMENITIES, FREE OF CHARGE, TO CANCER PATIENTS WHO TRAVEL MORE THAN 40 MILES FOR TREATMENT.METHODIST ESTABROOK CANCER CENTER RECEIVED INTERNATIONALLY-RECOGNIZED ACCREDITATION BY THE FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (FACT) AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. THIS MARKS THE SECOND TIME METHODIST ESTABROOK CANCER CENTER HAS EARNED THE FACT ACCREDITATION, HAVING ALSO RECEIVED THE RECOGNITION IN 2014. IN ADDITION TO PROVIDING THE STANDARD TREATMENTS, THE PHYSICIANS AT METHODIST HOSPITAL AND ITS METHODIST ESTABROOK CANCER CENTER HAVE CONSISTENTLY SHOWED ACTIVE PARTICIPATION IN CANCER PREVENTION AND TREATMENT TRIALS APPROVED BY THE NATIONAL CANCER INSTITUTE (NCI). EVERY CANCER PATIENT TREATED HERE IS EVALUATED FOR ELIGIBILITY IN NCI-APPROVED TRIALS, AND TRIAL PARTICIPATION IS ENTIRELY VOLUNTARY. ONLY ABOUT 3-5% PERCENT OF ADULT CANCER PATIENTS NATIONWIDE PARTICIPATE IN CLINICAL TRIALS, ACCORDING TO THE NCI, COMPARED TO A 14 PERCENT PARTICIPATION RATE AT METHODIST ESTABROOK CANCER CENTER, WHERE CLINICAL TRIALS ARE OVERSEEN BY A HIGHLY TRAINED, MULTIDISCIPLINARY TEAM OF CANCER SPECIALISTS IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PROVIDER.THE NEBRASKA CANCER REGISTRY, MANAGED BY METHODIST, HAS ACHIEVED THE HIGHEST DESIGNATION OF GOLD CERTIFICATION FOR THE MANAGEMENT OF THE CLINICAL TRIALS AND CANCER REGISTRY FOR ALL CASES IN THE STATE OF NEBRASKA; THE BREAST CARE CENTER HAS BEEN CERTIFIED FOR PROVIDING QUALITY CARE WHICH MEETS OR EXCEEDS NATIONAL STANDARDS; STEM CELL TRANSPLANTATION IS ONE OF ONLY THREE PROGRAMS IN NEBRASKA EARNING ACCREDITATION FROM THE FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (FACT); OUR PATIENTS RATED THE QUALITY OF CARE RECEIVED IN THE TOP 10% OF NATIONAL HEALTH CARE FACILITIES. PROFESSIONAL RESEARCH CONSULTANTS, A NATIONALLY-RESPECTED HEALTH CARE RESEARCH FIRM CONDUCTS A CONFIDENTIAL SURVEY OF OUR PATIENTS EACH YEAR TO HELP US UNDERSTAND HOW WE CAN IMPROVE THE CARE WE PROVIDE; METHODIST IS DESIGNATED BY THE LUNG CANCER ALLIANCE AS A SCREENING CENTER OF EXCELLENCE; OUR BREAST CARE CENTER HAS BEEN RECOGNIZED FOR EXCELLENCE BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A QUALITY-ASSURANCE PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS; OUR ONCOLOGY RESEARCH PROGRAM RECEIVED A HIGH PERFORMING SITES INITIATIVE AWARD BY THE NCI'S NATIONAL CLINICAL TRIALS NETWORK (NCTN) BASED ON ACCRUAL, SITE PARTICIPATION, AND THE HIGH-LEVEL OF DATA QUALITY.

4c	(Code: ) (Expenses $ 143,513,879 including grants of $ 3,056,384 ) (Revenue $ 127,955,451 )
	THROUGHOUT OUR CAMPUSES, METHODIST IS FOCUSING ON PROVIDING SPECIALIZED CARE FOR WOMEN. WITH THE ONLY MEDICAL CAMPUS IN THE REGION DEDICATED TO WOMEN'S HEALTH, METHODIST IS A LEADER IN PROVIDING CARE TO WOMEN FROM THE TEENAGE YEARS THROUGHOUT THEIR LIVES. METHODIST IS THE LONG-TIME METRO AREA LEADER IN BIRTH SERVICES, DELIVERING A MORE COMPREHENSIVE ARRAY OF FAMILY PLANNING OPTIONS - AND MORE BABIES - THAN ANY OTHER HOSPITAL IN THE REGION. IN 2018, METHODIST WOMEN'S HOSPITAL ECLIPSED THE 5,000 BIRTH MARK FOR THE FOURTH CONSECUTIVE YEAR.MANY OF THOSE BABIES OFTEN NEED A HIGHER LEVEL OF CARE AND THE METHODIST WOMEN'S HOSPITAL NICU HAS BEEN PROVIDING SUCH CARE SINCE OPENING IN 2010. THE NICU QUICKLY REACHED CAPACITY AND IN 2015 AN EXPANSION PROJECT WAS ANNOUNCED. THE $19.3 MILLION PROJECT WAS COMPLETED IN 2017. THE PROJECT EXPANDED THE NICU FROM 28 TO 51 PRIVATE BEDS AND ADDED 13 NEW SINGLE ROOMS AND FIVE ROOMS FOR TWINS OR TRIPLETS. ALSO PART OF THE PROJECT IS A NEW FAMILY LOUNGE SPACE, FEATURING A FAMILY BATHROOM.STAFFED BY A HIGHLY SPECIALIZED NEONATAL TEAM, THE NICU IS DESIGNATED A LEVEL III UNIT - THE HIGHEST LEVEL OF CARE IN WEST OMAHA.METHODIST IS HOME TO THE LARGEST OB/GYN PRACTICE IN THE REGION, AS WELL AS ONE OF THE LEADING MATERNAL-FETAL MEDICINE CLINICS SERVING OMAHA AND BEYOND. THE MATERNAL-FETAL MEDICINE TEAM BEGAN OFFERING OUTREACH SERVICES TO PATIENTS IN WESTERN NEBRASKA AND WESTERN IOWA, EXTENDING A HIGH LEVEL OF CARE CLOSER TO HOME TO THOSE FACING A HIGHER RISK PREGNANCY. METHODIST WOMEN'S HOSPITAL HAS EARNED MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING. MAGNET STATUS IS CONSIDERED THE "GOLD STANDARD" OF NURSING. IN 2016, METHODIST WOMEN'S HOSPITAL BECAME JUST THE 11TH SITE IN THE COUNTRY TO EARN THE PRESTIGIOUS PERINATAL CERTIFICATION FROM THE JOINT COMMISSION. THE REGIONAL LEADER IN BIRTHS WAS AWARDED ITS RE-CERTIFICATION IN 2018 FROM THE JOINT COMMISSION AND CITED FOR ITS EXEMPLARY WORK IN SEVERAL CATEGORIES. IN SO DOING, METHODIST WOMEN'S HOSPITAL IS NOW JUST ONE OF 37 HOSPITALS IN THE UNITED STATES WITH THIS JOINT COMMISSION CERTIFICATION AND THE ONLY HOSPITAL IN NEBRASKA.METHODIST WOMEN'S HOSPITAL WAS NAMED AN EDUCATION CHAMPION THROUGH THE NEBRASKA SAFE BABIES - AHT/SBS PREVENTION HOSPITAL CAMPAIGN. METHODIST WOMEN'S HOSPITAL WAS AMONG THE FIRST IN THE OMAHA METRO AREA AND AMONG NINE TOTAL HOSPITALS TO ACHIEVE THAT RECOGNITION. TWENTY-TWO OTHER HOSPITALS HAVE PLEDGED TO BECOME CHAMPIONS. METHODIST WOMEN'S HOSPITAL ALSO WAS A PILOT HOSPITAL THAT ASSISTED WITH THE DEVELOPMENT AND ROLLOUT OF THE STATEWIDE AHT/SBS CAMPAIGN, WHICH PROVIDES EVIDENCE-BASED EDUCATION AND TRAINING TO PARENTS OF NEWBORNS AND HOSPITAL BIRTHING STAFF.

	(Code: ) (Expenses $ 246,569,482 including grants of $ 12,254,630 ) (Revenue $ 323,174,579 )
	METHODIST HOSPITAL'S MAIN CAMPUS HAS 250 OPERATIONAL BEDS DESIGNED TO BRING THE FULL RESOURCES OF OUR HEALTHCARE PROVIDERS, EDUCATORS AND SUPPORT SERVICES TO ITS PATIENTS.METHODIST HOSPITAL ATTAINED MAGNET RECOGNITION FOR THE FOURTH TIME IN JULY, A TESTAMENT TO ITS CONTINUED DEDICATION TO HIGH-QUALITY NURSING PRACTICE. IN 2004, METHODIST BECAME THE FIRST HOSPITAL IN NEBRASKA TO EARN MAGNET STATUS. NOW IT IS THE FIRST NEBRASKA HOSPITAL TO ACHIEVE THE STATUS FOUR TIMES.ADDITIONAL CORE SERVICES INCLUDE MEDICAL/SURGICAL SERVICES, AN EMERGENCY DEPARTMENT, AND LABORATORY AND DIAGNOSTIC SERVICES. THE HOSPITAL PLACES EMPHASIS ON EDUCATION FOR PATIENTS, FAMILIES AND THE COMMUNITY THROUGH ITS RESOURCE CENTER.OUR VALUES STRESS PATIENT-CENTERED, PATIENT-DRIVEN SERVICES; HONOR AND RESPECT FOR THE DIGNITY OF ALL; EXCELLENCE IN ALL OUR DEALINGS; DEDICATION TO THE COMMUNITY AND WORKING TOGETHER TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 246,569,482 including grants of $ 12,254,630 ) (Revenue $ 323,174,579 )
4e	Total program service expenses470,662,558

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,779,261	4,442,140	1,048,643

1a	Federated campaigns..		1a
b	Membership dues..		1b	4,585
c	Fundraising events..		1c
d	Related organizations		1d	12,027,106
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		12,031,691

		Business Code
2a	NET PATIENT SVC REV	621990	529,367,744	529,367,744
b	OTHER PATIENT REVENUE	621990	6,942,168	6,942,168
c	MEDICAL RESEARCH	541700	667,229	667,229
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		536,977,141

3 Investment income (including dividends, interest, and othersimilar amounts) ......			12,037,178			12,037,178
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,438,408
b	Less: rental expenses		4,341,745
c	Rental income or (loss)		96,663
d	Net rental income or (loss)......			96,663			96,663
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	62,407	127,273,851
b	Less: cost or other basis and sales expenses	113,355	120,047,708
c	Gain or (loss)	-50,948	7,226,143
d	Net gain or (loss).....			7,175,195			7,175,195
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		532,018
b	Less: cost of goods sold ..b		351,666
c	Net income or (loss) from sales of inventory..			180,352			180,352
Business Code			Miscellaneous Revenue
11a	LABORATORY		621500	4,186,823		4,186,823
b	CAFETERIA REVENUE		722210	2,672,765	2,661,124	11,641
c	TECH. & PROF. CONSULTING		541900	1,629,300		1,629,300
d	All other revenue ....			1,101,491		1,101,491
e	Total. Add lines 11a–11d ......			9,590,379
12	Total revenue. See Instructions......			578,088,599	539,638,265	6,929,255	19,489,388

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	674,663	674,663
2	Grants and other assistance to domestic individuals. See Part IV, line 22	18,026,130	18,026,130
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	185,426,127	185,426,127
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,915	6,915
9	Other employee benefits .......	37,675,655	37,675,655
10	Payroll taxes ...........	12,854,854	12,854,854
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	239,314		239,314
c	Accounting ...........
d	Lobbying ...........	23,961		23,961
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	745,205		745,205
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	29,896,086	29,896,086
12	Advertising and promotion ....	2,366,151	2,366,151
13	Office expenses .......	12,977,282	12,977,282
14	Information technology ......	17,688,721	17,688,721
15	Royalties ..
16	Occupancy ...........	13,626,977	13,626,977
17	Travel ............	179,993	179,993
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	10,730,317	10,730,317
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	34,012,167	34,012,167
23	Insurance ...	1,260,042	689,119	570,923
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	88,889,683	88,889,683
b	SYSTEM ALLOCATIONS	31,180,008		31,180,008
c	OTHER OPERATINT EXPENSE	2,235,811	2,235,811
d	STAFF EDUCATION & DEV.	1,442,390	1,442,390
e	All other expenses	1,263,517	1,263,517
25	Total functional expenses. Add lines 1 through 24e	503,421,969	470,662,558	32,759,411	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			45,503,672	1	37,390,197
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			69,650,183	4	78,678,705
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			7,538,238	8	6,664,150
9	Prepaid expenses and deferred charges ......			7,688,945	9	6,337,904
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	877,715,592
b	Less: accumulated depreciation	10b	535,418,530	328,137,046	10c	342,297,062
11	Investments—publicly traded securities .			257,941,044	11	265,838,012
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			3,794,265	13	3,957,264
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			123,899,283	15	120,816,332
16	Total assets. Add lines 1 through 15 (must equal line 34)...			844,152,676	16	861,979,626

17	Accounts payable and accrued expenses .....	60,892,500	17	68,353,183
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	280,646,701	20	274,974,813
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	3,712,695	23	4,090,061
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	2,482,394	25	2,733,676
26	Total liabilities. Add lines 17 through 25..	347,734,290	26	350,151,733

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	461,221,564	27	477,253,667
28	Temporarily restricted net assets ...........	34,598,179	28	33,975,583
29	Permanently restricted net assets	598,643	29	598,643
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	496,418,386	33	511,827,893
34	Total liabilities and net assets/fund balances ........	844,152,676	34	861,979,626