Methodist Fremont Health

“The sole member of methodist fremont health is nebraska methodist health system, inc., a nebraska not-for-profit corporation.”

“Nebraska methodist health system, inc. The member, has the power to elect and remove the directors of the corporation. Nebraska methodist health system also has the power to appoint and remove the person designated as the corporation's president by the board of directors.”

“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 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. Nebraska methodist health system 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.”

“Prior to filing the form 990, a copy is provided to the audit and compliance committee of nebraska methodist health system and the methodist fremont health 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; 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.”

“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 methodist fremont health 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.”

“Methodist fremont health 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 methodist fremont health 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 voting member of methodist fremont health. 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.”

“A copy of the irs letter 947 will be provided upon written request.”

“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 and form 990-t. The organization will also contribute information regarding the community benefits it provides as part of the methodist health system's annual community benefit report. This report is available to the public on the website: bestcare.org/about/community-benefits/our-community-and-financial-impact.”

“The payroll system for methodist fremont health is handled by a common paymaster, nebraska methodist health system, inc. All w-2 forms are issued under the tax identification number of nebraska methodist health system and all required employment tax returns are filed by nebraska methodist health system.”

“Change in beneficial interest in net assets of the foundation -992,939. Equity transfers to affiliates -29,891.”