Civic Intelligence

Nebraska Methodist Health System Self Insurance Trust Fund

990 • Fiscal year 2015 • EIN 36-3699672

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 15, 2016

8511 West Dodge RoadOmaha, NE 68114

(402) 354-4840

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

74th percentile

0.55x

Higher debt load relative to assets than 74% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

94th percentile

4.92x

Higher debt load relative to revenue than 94% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

76th percentile

16%

Higher net margin than 76% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

96th percentile

$1,075,817

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 44.9% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

42nd percentile

-0.3%

Faster asset growth than 42% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

7th percentile

-39%

Faster revenue growth than 7% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Down

$21,264,302

Down $72,919 (-0.3%) from 2014

Net Assets

Down

$9,479,347

Down $732,237 (-7.2%) from 2014

Liabilities

Up

$11,784,955

Up $659,318 (+5.9%) from 2014

Revenue

Down

$2,394,885

Down $1,527,348 (-39%) from 2014

Expenses

Down

$2,016,529

Down $1,200,242 (-37%) from 2014

Net Income

Down

$378,356

Down $327,106 (-46%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0-$10M-$20MAssets 2010: $13,290,485Liabilities 2010: $8,931,331Net Assets 2010: $4,359,1542010Assets 2011: $12,943,648Liabilities 2011: $8,129,314Net Assets 2011: $4,814,3342011Assets 2014: $21,337,221Liabilities 2014: $11,125,637Net Assets 2014: $10,211,5842014Assets 2015: $21,264,302Liabilities 2015: $11,784,955Net Assets 2015: $9,479,3472015Assets 2017: $21,904,823Liabilities 2017: $11,782,330Net Assets 2017: $10,122,4932017Assets 2018: $17,373,246Liabilities 2018: $8,927,739Net Assets 2018: $8,445,5072018Assets 2019: $4,909,526Liabilities 2019: $11,860,511Net Assets 2019: -$6,950,9852019Assets 2020: $1,866,641Liabilities 2020: $12,177,266Net Assets 2020: -$10,310,6252020Assets 2021: $1,207,464Liabilities 2021: $14,444,873Net Assets 2021: -$13,237,4092021Assets 2022: $964,698Liabilities 2022: $13,330,303Net Assets 2022: -$12,365,6052022Assets 2024: $823,988Liabilities 2024: $12,328,435Net Assets 2024: -$11,504,4472024

Highlighted filing

2015

Assets$21,264,302
Liabilities$11,784,955
Net Assets$9,479,347

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0M$2.0M$0-$2.0MExpenses 2010: $3,798,9092010Expenses 2011: $2,209,3152011Revenue 2014: $3,922,233Expenses 2014: $3,216,771Net Income 2014: $705,4622014Revenue 2015: $2,394,885Expenses 2015: $2,016,529Net Income 2015: $378,3562015Revenue 2017: $1,158,998Expenses 2017: $2,746,476Net Income 2017: -$1,587,4782017Revenue 2018: $473,968Expenses 2018: $94,796Net Income 2018: $379,1722018Revenue 2019: $2,067,973Expenses 2019: $2,067,973Net Income 2019: $02019Revenue 2020: $203,376Expenses 2020: $203,376Net Income 2020: $02020Revenue 2021: $13,063Expenses 2021: $13,063Net Income 2021: $02021Revenue 2022: $108,265Expenses 2022: $22,918Net Income 2022: $85,3472022Revenue 2024: $42,510Expenses 2024: $48,221Net Income 2024: -$5,7112024

Highlighted filing

2015

Revenue$2,394,885
Expenses$2,016,529
Net Income$378,356
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 15, 2016
Return Version
2015v2.1
Gross Receipts
$3,490,476
Mission and Program Overview

Mission

The nebraska methodist health system self insurance trust fund provides a pooled fund from contributions of the nebraska methodist health system affiliates which results in a cost effective method of controlling, reducing and protecting risks of legal liability which arise out of the rendering of care to the sick and injured.

To provide a fund to pay claims for medical malpractice & other general liability expenses.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$21,068,347$20,943,778▼ $124,569
Cash and Non-Interest-Bearing Accounts$123,665$164,460▲ $40,795
Prepaid Expenses and Deferred Charges$26,250$26,792▲ $542
Total Assets$21,337,221$21,264,302▼ $72,919
Other Assets Total$118,959$129,272▲ $10,313
Liabilities
Other Liabilities$9,193,831$9,531,637▲ $337,806
Accounts Payable and Accrued Expenses$1,931,806$2,253,318▲ $321,512
Total Liabilities$11,125,637$11,784,955▲ $659,318
Net Assets / Fund Balance
Unrestricted Net Assets$10,211,584$9,479,347▼ $732,237
Total Net Assets Fund Balance$10,211,584$9,479,347▼ $732,237
Total Liabilities and Net Assets / Fund Balance$21,337,221$21,264,302▼ $72,919
Compensation and Service Providers

Board Members and Trustees

NameTitle
Spencer StevensChairman
John M FraserPresident/CEO
Larry V PearsonVice Chairman
Brett C GriessDirector
C L LandenDirector
Dan Kinney Ph DDirector
Deb BassDirector
John Lohrberg MdDirector
John P NelsonDirector
Kathleen DodgeDirector
Kevin L Nelson MdDirector
Kristen Hoffman MdDirector
L B Red ThomasDirector
Larry R KingDirector
Michael LebensDirector
Richard C HahnDirector
Scott G Rose MdDirector
Sid DinsdaleDirector
Adam YaleSecretary
Art N BurtscherTreasurer
Linda K BurtVice Pres Finance/CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Hauptman Obrien Wolf Lathrop PCLegal/claims1005 S 107TH AVE STE 200, Omaha, NE 68114$483,171
Sodoro Daly Shomaker And Selde PCLegal/claims7000 SPRING STREET, Omaha, NE 68106$202,685
Abrahams Kaslow And Cassman LLPLegal/claims8712 W DODGE RD STE 300, Omaha, NE 68114$151,736
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,530,223
Investment Income
$864,662
Other Revenue
$0
Change in Net Assets
$378,356
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,016,529
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$74,108--$74,108
Fees for Service Investment Mgmnt Fees$53,909--$53,909
Other Expenses$55--$55
Total Functional Expenses$2,016,529$0$0$2,016,529
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Claims Reserves$9,531,637
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7B

Nebraska methodist health system inc., a nebraska not-for-profit, has the right to approve all amendments to the trust agreement of the nebraska methodist health system self insurance trust fund and to approve any dissolution, consolidation, or merger of the trust.

Form 990, Part VI, Section B, Line 11

Prior to filing the form 990, a copy of the form 990 is made available to 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. Information for the form 990 is gathered from appropriate responsible parties throughout the organization, including the organization's human resources, finance and compliance departments. The return gets a detail tie-out and system controller review. It is reviewed by external tax advisors and has a final review by the chief financial officer for 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 of 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. A potential conflict of interest once identified must be evaluated on a case by case basis. In order to approve the transaction which involves a direct conflict of interest, the board must first find, by majority vote of the directors not involved in the conflict, at a meeting at which a quorum is present, that the arrangement or transaction is in the best interest of the nebraska methodist health system self insurance trust fund and/or the nebraska methodist health system affiliates, is fair and reasonable, and after investigation, the directors have determined that a more advantageous transaction or arrangement cannot be obtained with reasonable effort under the circumstances.

Form 990, Part VI, Section B, Line 15

Nebraska methodist health system self insurance trust fund is an affiliated member of the nebraska methodist health system. Policies are centralized at nebraska methodist health system inc. Methodist health system retains an independent consultant to review all officer compensation for each affiliate. Under this process, market data on compensation is gathered and analyzed and compensation ranges are set. The information is then provided to the compensation committee of the board of nebraska methodist health system inc., a nebraska non-profit corporation. All officer compensation is reviewed, evaluated and approved by this committee.

Form 990, Part VI, Section C, Line 19

The organization does not make these documents separately available to the public. 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.

Form 990, Part VII

Linda burt, vice president of finance and cfo for the nebraska methodist health system, is a fulltime employee of nebraska methodist health system. Her average hours per week are allocated among the entities that comprise the nebraska methodist health system.

Form 990, Part VII, Section A, Column D & E

Individuals who have compensation from the organization or a related organization are employees of the respective organization. These individuals do not receive compensation for services on the board of directors.

Filing and Contact Details

Filer

Filer Name
Nebraska Methodist Health System
EIN
36-3699672
Phone
4023544840
Address
8511 WEST DODGE ROAD, OMAHA, NE 68114

Signing Officer

Name
Linda Burt
Title
Vice Pres-finance & CFO
Phone
4023544000
Signed
2016-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeffrey E Francis
Formed
1988
Legal Domicile
Ne
Voting Board Members
20
Independent Board Members
16
Employees
0
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
1212 NORTH 96TH STREET SUITE 300, OMAHA, NE 68114
Preparer
Lorraine a Egger
Phone
4023481450
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

The health system recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. There were no changes made to the financial statements due to fin48.

Raw XML AppendixShowing 400 of 763 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE TRUST FUND WAS ORGANIZED TO PROVIDE MEDICAL MALPRACTICE & GENERAL LIABILITY SELF-INSURANCE PROTECTION FOR NEBRASKA METHODIST HEALTH SYSTEM AND ITS AFFILIATES. THE TRUST POSTS FUNDS OF THE BENEFICIARIES TO SELF-INSURE EXPOSURE OF EMPLOYEES AND CERTAIN AGENTS. THESE EXPOSURES INCLUDE MALPRACTICE, PATIENT RELATED GENERAL LIABILITY, AND COMPREHENSIVE GENERAL LIABILITY. THIS POOLING OF FUNDS HELPS TO REDUCE INSURANCE EXPENSE RESULTING IN LOWER COST MEDICAL SERVICES TO THE COMMUNITY.
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IRS990/MissionDesc0THE NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST FUND PROVIDES A POOLED FUND FROM CONTRIBUTIONS OF THE NEBRASKA METHODIST HEALTH SYSTEM AFFILIATES WHICH RESULTS IN A COST EFFECTIVE METHOD OF CONTROLLING, REDUCING AND PROTECTING RISKS OF LEGAL LIABILITY WHICH ARISE OUT OF THE RENDERING OF CARE TO THE SICK AND INJURED.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0SUPPORTED ORGANIZATIONS: JENNIE EDUMUNDSON MEMORIAL HOSPITAL NEBRASKA METHODIST HOSPITAL PHYSICIANS CLINIC INC THE NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST IS ORGANIZED TO PROVIDE MEDICAL MALPRACTICE AND GENERAL LIABILITY FOR NEBRASKA METHODIST HEALTH SYSTEM AND ITS AFFILIATES, WHICH INCLUDE THE ABOVE SUPPORTED ORGANIZATIONS. POOLING FUNDS OF THE SUPPORTED ORGANIZATIONS HELPS TO REDUCE INSURANCE EXPENSE, RESULTING IN LOWER COST MEDICAL SERVICES TO THE COMMUNITY SERVED BY THE SUPPORTED ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION E, LINE 2A
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