Civic Intelligence

Fremont Health Clinic

EIN 47-0717207 • 501(c)3 • Omaha, NE

Profile

To provide health care services.

825 S 169th StreetOmaha, NE 68118

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2022

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$0

Down $10,049,975 (-100%) from 2021

Liabilities

Down

$0

Down $19,970,206 (-100%) from 2021

Net Assets

Up

$0

Up $9,920,231 (+100%) from 2021

Revenue

Down

$0

Down $12,443,265 (-100%) from 2021

Expenses

Down

$282,555

Down $13,636,968 (-98%) from 2021

Net Income

Up

-$282,555

Up $1,193,703 (+81%) from 2021

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$10M$0-$10MAssets 2011: $11,133,337Liabilities 2011: $31,020Net Assets 2011: $11,102,3172011Assets 2012: $12,888,528Liabilities 2012: $71,202Net Assets 2012: $12,817,3262012Assets 2013: $11,120,278Liabilities 2013: $7,334Net Assets 2013: $11,112,9442013Assets 2014: $13,232,517Liabilities 2014: $59,600Net Assets 2014: $13,172,9172014Assets 2015: $15,657,775Liabilities 2015: $158,243Net Assets 2015: $15,499,5322015Assets 2016: $13,569,995Liabilities 2016: $38,841Net Assets 2016: $13,531,1542016Assets 2017: $16,496,763Liabilities 2017: $179,912Net Assets 2017: $16,316,8512017Assets 2018: $19,320,501Liabilities 2018: $76,878Net Assets 2018: $19,243,6232018Assets 2019: $9,020,118Liabilities 2019: $12,796,055Net Assets 2019: -$3,775,9372019Assets 2020: $11,129,744Liabilities 2020: $19,607,471Net Assets 2020: -$8,477,7272020Assets 2021: $10,049,975Liabilities 2021: $19,970,206Net Assets 2021: -$9,920,2312021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$10M$0-$10MRevenue 2011: $2,674,626Expenses 2011: $3,264,520Net Income 2011: -$589,8942011Revenue 2012: $3,037,172Expenses 2012: $3,914,108Net Income 2012: -$876,9362012Revenue 2013: $5,777,147Expenses 2013: $7,467,824Net Income 2013: -$1,690,6772013Revenue 2014: $10,357,561Expenses 2014: $13,129,532Net Income 2014: -$2,771,9712014Revenue 2015: $17,132,887Expenses 2015: $14,806,272Net Income 2015: $2,326,6152015Revenue 2016: $10,637,664Expenses 2016: $12,334,628Net Income 2016: -$1,696,9642016Revenue 2017: $12,905,087Expenses 2017: $9,992,674Net Income 2017: $2,912,4132017Revenue 2018: $13,879,373Expenses 2018: $10,952,601Net Income 2018: $2,926,7722018Revenue 2019: $8,269,416Expenses 2019: $11,815,606Net Income 2019: -$3,546,1902019Revenue 2020: $12,020,759Expenses 2020: $16,793,789Net Income 2020: -$4,773,0302020Revenue 2021: $12,443,265Expenses 2021: $13,919,523Net Income 2021: -$1,476,2582021Revenue 2022: $0Expenses 2022: $282,555Net Income 2022: -$282,5552022

Highlighted filing

2022

Revenue$0
Expenses$282,555
Net Income-$282,555

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 13, 2023
Return Version
2022v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

To provide health care services.

The organization provides healthcare to patients in five surrounding counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,120,545$0▼ $6,120,545
Cash and Non-Interest-Bearing Accounts$2,007,958$0▼ $2,007,958
Accounts Receivable$1,678,243$0▼ $1,678,243
Other Notes and Loans Receivable, Net$241,851$0▼ $241,851
Prepaid Expenses and Deferred Charges$1,378$0▼ $1,378
Savings and Temporary Cash Investments-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$10,049,975$0▼ $10,049,975
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$19,970,206--
Total Liabilities$19,970,206$0▼ $19,970,206
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-9,920,231$0▲ $9,920,231
Total Net Assets Fund Balance$-9,920,231$0▲ $9,920,231
Total Liabilities and Net Assets / Fund Balance$10,049,975$0▼ $10,049,975
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jody HornerChairperson
Todd GragesVice Chairperson
Jeffrey FrancisCFO
Brett RichmondTreasurer & Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Tnt Cleaning ServicesCleaning Services2669 OLD HWY 8, Fremont, NE 68025$138,225
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-282,555
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$249,638
Grants and Similar Amounts Paid$32,917
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$139,213--$139,213
Occupancy$76,924--$76,924
Grants to Domestic Individuals$32,917--$32,917
Fees for Services Other$18,796--$18,796
Office Expenses$7,299--$7,299
Other Expenses$2,371--$2,371
Total Functional Expenses$282,555$0$0$282,555
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
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 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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 4

Methodist fremont health filed articles of dissolution with the nebraska attorney general's office and and was legally dissolved on 06/13/2022.

Form 990, Part VI, Section A, Line 6

The sole member of fremont health clinic inc. Is methodist fremont heatlh, inc., a nebraska not-for-profit corporation.

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

Methodist fremont health, inc., the member, has the power to elect and remove the directors of the corporation. Methodist fremont health also 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

Methodist fremont health, inc., the member, has the power to approve or refuse to approve any amendment to the corporation's articles of incorporation or 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. Methodist fremont health also has approval authority with regard to the annual budget, capital expenditures in excess of established thresholds, the mission statement, long-range plan, incurrence of debt and establishment of a subsidiary or participation as a shareholder, partner or equity member of any other entity.

Form 990, Part VI, Section B, Line 11B

Prior to filing the form 990, a copy is provided to the audit and compliance committee of nebraska methodist health system and the fremont health clinic board of directors. They are 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, compliance, and community benefits departments 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, committee members, medical 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 the quorum for a meeting at which the matter is discussed. A potential conflict of interest once identified must be evaluated on a case by case basis. In order to approve the transaction which involves a direct conflict of interest, the board must first find, by majority vote of directors for whom no conflict exists, at a meeting at which a quorum is present, that the arrangement or transaction is in the best interests of fremont health clinic and/or its 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

Fremont health clinic is an affiliated member of the nebraska methodist health system. Policies are centralized at nebraska methodist health system inc. Nebraska methodist health system, with which fremont health clinic 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 and the corporate parent of the entire health system, of which fremont health clinic is a member. All officer compensation is reviewed, evaluated and approved by this committee. Physician compensation is compared to national compensation survey data from the medical group management association (mgma) and the american medical group association (amga). 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

A copy of the irs letter 947 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, articles of incorporation for the organization are available through the nebraska secretary of state's website. The conflict of interest policy is distributed to all members of the board of directors. Financial information is available to the public through the irs form 990.

Filing and Contact Details

Filer

Filer Name
Fremont Health Clinic
EIN
47-0717207
Phone
4023544000
Address
825 S 169TH STREET, OMAHA, NE 68118

Signing Officer

Name
Jeffrey E Francis
Title
VP Finance & CFO
Phone
4023544800
Signed
2023-11-13

Organization Details

Principal Officer
Brett Richmond
Formed
1988
Legal Domicile
Ne
Voting Board Members
3
Independent Board Members
1
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2B

Effective 01/01/2019, the payroll system for fremont health clinic is 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.

FORM 990, PART XI, LINE 9:

Equity merged into parent organization upon dissolution 10,202,786.

Financial Statement Notes

PART X, LINE 2:

Fremont health clinic 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. In 2022 management determined there are no income tax positions requiring recognition in the financial statements. No changes were made to the financial statements due to fin 48.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FREMONT HEALTH CLINIC 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. IN 2022 MANAGEMENT DETERMINED THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. NO CHANGES WERE MADE TO THE FINANCIAL STATEMENTS DUE TO FIN 48.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0TODD GRAGES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JEFFREY FRANCIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2BRETT RICHMOND
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0VICE CHAIRPERSON
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0FREMONT HEALTH CLINIC IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. NEBRASKA METHODIST HEALTH SYSTEM, WITH WHICH FREMONT HEALTH CLINIC 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 AND THE CORPORATE PARENT OF THE ENTIRE HEALTH SYSTEM, OF WHICH FREMONT HEALTH CLINIC IS A MEMBER. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2022 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $77,881 ACCRUAL, $93,756 PLAN DISTRIBUTION TODD GRAGES $63,799 ACCRUAL, $170,396 PLAN DISTRIBUTION BRETT RICHMOND $38,905 ACCRUAL; $38,304 PLAN DISTRIBUTION
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE 01/01/2019, THE PAYROLL SYSTEM FOR FREMONT HEALTH CLINIC IS 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1METHODIST FREMONT HEALTH FILED ARTICLES OF DISSOLUTION WITH THE NEBRASKA ATTORNEY GENERAL'S OFFICE AND AND WAS LEGALLY DISSOLVED ON 06/13/2022.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE SOLE MEMBER OF FREMONT HEALTH CLINIC INC. IS METHODIST FREMONT HEATLH, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3METHODIST FREMONT HEALTH, INC., THE MEMBER, HAS THE POWER TO ELECT AND REMOVE THE DIRECTORS OF THE CORPORATION. METHODIST FREMONT HEALTH ALSO HAS THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE CORPORATION'S PRESIDENT BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4METHODIST FREMONT HEALTH, INC., THE MEMBER, HAS THE POWER TO APPROVE OR REFUSE TO APPROVE ANY AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR 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. METHODIST FREMONT HEALTH ALSO HAS APPROVAL AUTHORITY WITH REGARD TO THE ANNUAL BUDGET, CAPITAL EXPENDITURES IN EXCESS OF ESTABLISHED THRESHOLDS, THE MISSION STATEMENT, LONG-RANGE PLAN, INCURRENCE OF DEBT AND ESTABLISHMENT OF A SUBSIDIARY OR PARTICIPATION AS A SHAREHOLDER, PARTNER OR EQUITY MEMBER OF ANY OTHER ENTITY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM AND THE FREMONT HEALTH CLINIC BOARD OF DIRECTORS. THEY ARE 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, COMPLIANCE, AND COMMUNITY BENEFITS DEPARTMENTS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS, MEDICAL 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 THE QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. A POTENTIAL CONFLICT OF INTEREST ONCE IDENTIFIED MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF FREMONT HEALTH CLINIC AND/OR ITS 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7FREMONT HEALTH CLINIC IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. NEBRASKA METHODIST HEALTH SYSTEM, WITH WHICH FREMONT HEALTH CLINIC 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 AND THE CORPORATE PARENT OF THE ENTIRE HEALTH SYSTEM, OF WHICH FREMONT HEALTH CLINIC IS A MEMBER. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA). 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8A COPY OF THE IRS LETTER 947 WILL BE PROVIDED UPON WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, ARTICLES OF INCORPORATION FOR THE ORGANIZATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10EQUITY MERGED INTO PARENT ORGANIZATION UPON DISSOLUTION 10,202,786.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART V, LINE 2B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
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IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0NEBRASKA METHODIST HEALTH SYSTEM
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt2C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt3C
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd3NE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MEDICAL SUPPLY DISTRIBUTION & LAUNDRY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1MANAGAED CARE CONTRACTING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2MANAGAED CARE CONTRACTING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3MANAGAED CARE CONTRACTING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0SHARED SERVICE SYSTEMS INC & SUBSIDIARY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1METHODIST HEALTH PARTNERS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2FREMONT HEALTH PARTNERS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3HEALTH CHOICE OF NEBRASKA
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt1825 S 169TH STREET
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt2450 E 23RD STREET
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt3450 E 23RD STREET

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