2024-11-14T14:35:27-06:00 2023-12-31 990 2023-01-01 470687317 PHYSICIANS CLINIC INC PHYS 4023544840 825 SOUTH 169TH STREET OMAHA NE 68118 JEFFREY E FRANCIS VP FINANCE & CFO 4023544000 2024-11-14 0 2023 2024-10-15 13:58:12Z METHODIST PHYSICIANS CLINIC TODD D GRAGES 825 S 169TH STREET OMAHA NE 68118 284674656 0 X WWW.BESTCARE.ORG X 1985 NE TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTHCARE. 9 5 2233 0 932865 0 197884 0 257187344 282940978 83719 640820 1164144 975796 258633091 284557594 4237397 3984591 0 0 245981225 261277043 0 0 0 73165104 77404788 323383726 342666422 -64750635 -58108828 108033296 103821240 59986492 54776634 48046804 49044606 X METHODIST PHYSICIANS CLINIC PROVIDES ACCESSIBLE, QUALITY MEDICAL CARE THROUGH ITS INTEGRATED TEAM OF HEALTH PROFESSIONALS, INCLUDING SPECIALISTS IN FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, SURGERY, ORTHOPEDIC SURGERY, DERMATOLOGY, URGENT CARE, IMAGING, CARDIOLOGY AND INFECTIOUS DISEASE. METHODIST PHYSICIANS CLINIC IS DEDICATED TO MAINTAINING A COMPREHENSIVE DELIVERY SYSTEM AND A LIFE-LONG PARTNERSHIP WITH ITS PATIENTS, FAMILIES AND THE COMMUNITY. 0 0 98279221 1353492 96128441 PHYSICIANS CLINIC PRIMARY CARE PROVIDERS SERVE AS THE PATIENT'S PERSONAL HEALTH ADVOCATE FOCUSING THEIR MEDICAL KNOWLEDGE AND EXPERTISE ON EACH PERSON'S UNIQUE HEALTH NEEDS. THEY OFFER COMPASSIONATE CARE AND PERSONAL ATTENTION - IN SICKNESS AND IN HEALTH.PRIMARY CARE MEDICINE PROVIDES CONTINUING AND COMPREHENSIVE HEALTH CARE FOR THE INDIVIDUAL AND FAMILY AND INCLUDES FAMILY MEDICINE, PEDIATRICS AND INTERNAL MEDICINE SPECIALTIES. PHYSICIANS CLINIC PHYSICIANS ARE KNOWLEDGEABLE IN THE BIOLOGICAL, CLINICAL AND BEHAVIORAL SCIENCES. THE SCOPE OF PRIMARY CARE MEDICINE ENCOMPASSES ALL AGES, GENDERS, ORGAN SYSTEMS AND EVERY DISEASE ENTITY. PHYSICIANS CLINIC HOLDS PHYSICIANS TO THE HIGHEST QUALITY STANDARDS, REQUIRING BOARD CERTIFICATION OF ALL NEW FAMILY PHYSICIANS. PHYSICIANS CLINIC PHYSICIANS PROVIDE THE BEST IN HEALTH CARE FOR THE INDIVIDUAL AND THE INDIVIDUAL'S FAMILY MEMBERS FROM INFANCY TO THE GOLDEN YEARS.DURING 2023 THERE WERE 774,940 VISITS MADE TO THE VARIETY OF PHYSICIAN SPECIALITIES.PHYSICIANS CLINIC HAS ADOPTED A PATIENT-CENTERED MEDICAL HOME MODEL, ONE OF HEALTHCARE'S MOST IMPORTANT INNOVATIONS FOR IMPROVING PRIMARY CARE. PATIENT-CENTERED MEDICAL HOME IS A HEALTHCARE SETTING THAT FACILITATES PARTNERSHIPS BETWEEN INDIVIDUAL PATIENTS, THEIR PERSONAL PHYSICIANS AND, WHEN APPROPRIATE, THE PATIENT'S FAMILY. CARE IS FACILITATED BY REGISTRIES, INFORMATION TECHNOLOGY, HEALTH COACHES, DIABETIC EDUCATORS AND OTHER MEANS TO ASSURE THAT PATIENTS RECEIVE THE INDICATED CARE ON A TIMELY BASIS IN AN APPROPRIATE SETTING.PHYSICIANS CLINIC STARTED ADOPTING THE PATIENT-CENTERED MEDICAL HOME MODEL IN 2012. THE INITIAL FOCUS WAS ON DIABETES CHRONIC CARE WITH A MOVE INTO HYPERTENSION AND STROKE CARE. BY THE END OF 2023, 23 ADULT PRIMARY CARE CLINICS HAD MADE THE TRANSFORMATION TO THE PATIENT-CENTERED MEDICAL HOME MODEL, ACCOUNTING FOR 104 PROVIDER PRACTICES. THERE ARE 79 NCQA DIABETES RECOGNIZED PROVIDERS AND 77 NCQA HEART AND STROKE RECOGNIZED PROVIDERS IN PLACE. 47565603 395646 28099788 METHODIST PHYSICIANS CLINIC HAS TAKEN AN ACTIVE ROLE IN A NATIONAL CARDIOVASCULAR EDUCATION INITIATIVE KNOWN AS HEARTCARING. ONE OF MANY UNIQUE PROGRAM OFFERINGS AVAILABLE THROUGH THE SPIRIT HEALTH GROUP, HEARTCARING FOCUSES ON EDUCATING PRIMARY CARE PHYSICIANS ON GENDER DIFFERENTIATION IN CARDIOVASCULAR CARE. THESE PHYSICIANS, IN TURN, SHARE WITH WOMEN THROUGHOUT THE COMMUNITY THE KNOWLEDGE THEY HAVE GAINED WITH RESPECT TO THE UNIQUE RISK FACTORS, EARLY DETECTION AND APPROPRIATE TREATMENT OPTIONS ASSOCIATED WITH CARDIOVASCULAR DISEASE IN WOMEN. METHODIST PHYSICIANS CLINIC PRIMARY CARE PHYSICIANS PARTICIPATE ANNUALLY IN HEARTCARING TRAINING, THE INFORMATION FROM WHICH WAS SHARED AT COMMUNITY HEALTH FAIRS AND IN-CLINIC OPEN HOUSES, WHEN POSSIBLE. 36947705 520709 36928122 OB-GYN SPECIALISTS AT PHYSICIANS CLINIC ARE FOCUSED ON THE HEALTH CARE NEEDS OF WOMEN AND TREAT THEM WITH THE SPECIAL CARE THEY DESERVE, WHETHER FOR A ROUTINE OFFICE VISIT OR A HOSPITAL STAY. GYNECOLOGICAL SERVICES SPAN A SPECTRUM INCLUDING ANNUAL WELLNESS CHECKS, DIAGNOSTIC IMAGING, FAMILY PLANNING, HORMONAL DISORDERS, MENOPAUSAL MANAGEMENT, GYNECOLOGIC SURGERY AND LAPAROSCOPIC SURGERY. AT THE METHODIST PHYSICIANS CLINIC WOMEN'S CENTER, COMFORT AND CONVENIENCE FOR PATIENTS IS A MAIN CONCERN. PHYSICIANS CAN PERFORM MANY PROCEDURES IN STATE-OF-THE-ART EXAM ROOMS. EXPERIENCED OBSTETRICAL SPECIALISTS PROVIDE CARE IN ALL ASPECTS OF PREGNANCY FROM PRECONCEPTION TO POSTPARTUM CARE. PRENATAL VISITS INCLUDE EDUCATION TO PREPARE FOR PARENTHOOD. PHYSICIANS AND STAFF WORK WITH PATIENTS TO DEVELOP A BIRTH PLAN WITH THEIR PATIENTS.PATIENT VISITS IN THIS SPECIALTY FOR 2023 TOTALED 101,869. 139025641 1714744 121785527 PHYSICIANS CLINIC PROVIDES A WIDE RANGE OF PEDIATRIC CARE FOR PATIENTS RANGING IN AGE FROM BIRTH UP TO THEIR TEENAGE YEARS. FORM 990, PART III, LINE 4E:IN 2023 PHYSICIANS CLINIC PROVIDED CHARITY CARE OF $3,977,091 AND MEDICAID SERVICES PROVIDED AT REIMBURSEMENT LEVELS BELOW COST DEMONSTRATING ITS COMMITMENT TO HELP THOSE UNABLE TO AFFORD HEALTHCARE FOR A VARIETY OF REASONS. THERE WERE 774,940 PATIENT VISITS AT 30 LOCATIONS IN OMAHA AND SURROUNDING COMMUNITIES IN THIS YEAR.PHYSICIANS CLINIC PROFESSIONALS GENEROUSLY GIVE OF THEIR TIME AND SERVICES TO SEVERAL AREA ORGANIZATIONS THAT PROVIDE CARE TO THE UNINSURED AND INDIGENT IN THE OMAHA AREA. TWO OF THESE ORGANIZATIONS - HOPE MEDICAL OUTREACH AND THE METHODIST COMMUNITY HEALTH CLINIC - CHARACTERIZE SUPPORT FROM METHODIST PHYSICIANS CLINIC PHYSICIANS AS OUTSTANDING, WITH MORE THAN 20 DIFFERENT CLINIC PHYSICIANS ROUTINELY ACCEPTING REFERRED PATIENTS FOR FURTHER TREATMENT. 139025641 1714744 121785527 321818170 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 2233 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X JEFFREY E FRANCIS 4023544840 825 S 169TH STREET OMAHA NE 68118 X BROOKE HUBBARD DIRECTOR 1.00 0.00 X 0 0 0 LARRY V PEARSON CHAIRMAN 1.00 0.00 X 0 0 0 SCOTT DAMROW DIRECTOR 1.00 0.00 X 0 0 0 NP DODGE JR DIRECTOR 1.00 0.00 X 0 0 0 JENN BENSON DIRECTOR 1.00 0.00 X 0 0 0 HELENMARI MERRIT-GENORE MD SECRETARY 40.00 0.00 X X 1205010 0 66289 TOM WHITE MD VICE CHAIRMAN 40.00 0.00 X X 681778 0 70640 SUMIT MUKHERJEE MD TREASURER 40.00 0.00 X X 971772 0 77748 TODD ENGLE DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY E FRANCIS CFO 6.00 34.00 X 0 659734 148176 TODD D GRAGES PRESIDENT 39.00 1.00 X 0 521363 123433 MICK ELHERT VICE PRESIDENT 40.00 0.00 X 0 354288 66468 ASHELY LEGRAND-ROZOVICS DO MEDICAL DIRECTOR PATIENT E 40.00 0.00 X 359336 0 52211 JUDITH SCOTT MD MEDICAL DIRECTOR RISK MANA 40.00 0.00 X 597737 0 81581 JOHN BATTER MD PHYSICIAN 40.00 0.00 X 1075166 0 66533 SCOTT DEBATES MD PHYSICIAN 40.00 0.00 X 1147597 0 62935 ANJAN TALUKDAR MD PHYSICIAN 40.00 0.00 X 1143530 0 40798 ROBERT ARMBRUSTER MD PHYSICIAN 40.00 0.00 X 1241394 0 59072 JOSEPH AYOUB MD PHYSICIAN 40.00 0.00 X 1162470 0 83533 9585790 1535385 999417 432 0 1 0 WESTPLEX LTD PARTNERSHIP II 15740 WEST CENTER OMAHA NE 68130 RENTAL SERVICES 1202263 H3C LLC 2909 N 118TH STREET OMAHA NE 68164 MEDICAL SERVICES 949960 CR PROPERTIES 295 MAIN STREET POUGHKEEPSIE NY 12601 RENTAL SERVICES 455728 MCLMEYERS-CARLISLE-LEAPLY 14558 PORTAL CIRCLE LA VISTA NE 68138 CONSTRUCTION SERVICES 374742 GE PRECISION HEALTHCARE LLC 3030 OHMEDA DR MADISON WI 53718 MEDICAL SUPPLIES 343168 11 NET PATIENT SVC REV 621110 280306785 280306785 OTHER PATIENT REVENUE 621990 2634193 2634193 282940978 585920 585920 28089 29126 -1037 -1037 -1037 54900 0 54900 54900 54900 131904 87936 43968 43968 LEASED EMPLOYEES - MD WEST ONE 541900 613089 613089 ON CALL SUPPORT SVCS 541900 258384 258384 TECHNICAL SUPPORT SVCS 541900 61392 61392 932865 284557594 282995878 932865 628851 7500 7500 3977091 3977091 217479137 217479137 25 25 32276933 32276933 11520948 11520948 35009 35009 3819 3819 1675 1675 932 932 6804681 6804681 109460 109460 4883561 4883561 370138 370138 13783023 13783023 224354 224354 28565 28565 3938317 3938317 2135462 1434125 701337 MEDICAL SUPPLIES 23112983 23112983 ALLOCATIONS 20105480 20105480 BILLING & COLLECTION SE 1872485 1872485 INCOME TAX -5156 -5156 342666422 321818170 20848252 0 13946650 2986376 40059339 40188872 2371390 11212056 2404410 2226942 904347 1108546 117288054 78250629 38478656 39037425 9868504 7061023 108033296 103821240 32167715 29619965 7075746 7718383 4612265 4310308 16130766 13127978 59986492 54776634 X 48046804 49044606 48046804 49044606 108033296 103821240 X -58108828 155000 58951630 X 0 1 X 1 1 1 X 4659272 3970543 197884 0 8827699 205326435 201168842 230623347 257980680 283554067 1178653371 205326435 205828114 234593890 258178564 283554067 1187481070 0 0 0 1187481070 517320 81355 35008 143827 614009 1391519 517320 81355 35008 143827 614009 1391519 205843755 205909469 234628898 258322391 284168076 1188872589 0.99880 0.99890 0.00120 0.00110 X 0 0 0 0 0 1 1675 0 0 0 1675 0 7498962 7498962 67429597 44383303 23046294 42359495 33867326 8492169 39037425 CONSTRUCTION IN PROGRESS 390547 RIGHT OF USE OF OPERATING ASSETS 6670476 7061023 LIABILITY FOR OBRA (PHYS RET) 9041382 L/T OPERATING LEASE LIABILITIES 4086596 13127978 X PART X, LINE 2: PHYSICIANS CLINIC INC. 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. MANAGEMENT DETERMINED THAT THERE ARE NO MATERIAL INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. 1 THE HEALING KADI FOUNDATION PO BOX 8456 OMAHA NE 68108 272885617 501(C)(3) 7500 0 SUPPORT PROGRAMS THAT PROVIDE MEDICAL SERVICES TO THE PEOPLE OF SOUTH SUDAN 1 FINANCIAL ASSISTANCE 28717 3977091 BOOK UNINSURED/UNDERINSURED PATIENT FINANCIAL ASSISTANCE PART I, LINE 2: PHYSICIANS CLINIC INC. ONLY PROVIDES GRANTS TO 501(C)(3) ORGANIZATIONS TO ENSURE THE FUNDS ARE USED FOR CHARITABLE PURPOSES. 0 1 0 0 0 0 0 0 0 ROBERT ARMBRUSTER MD PHYSICIAN 724481 0 493597 0 23316 0 29700 0 31012 0 1302106 0 0 0 HELENMARI MERRIT-GENORE MD SECRETARY 1032332 0 137204 0 35474 0 39879 0 28050 0 1272939 0 0 0 JOSEPH AYOUB MD PHYSICIAN 573116 0 587050 0 2304 0 67351 0 17822 0 1247643 0 0 0 SCOTT DEBATES MD PHYSICIAN 682323 0 27339 0 437935 0 36525 0 28050 0 1212172 0 417661 0 ANJAN TALUKDAR MD PHYSICIAN 897967 0 221353 0 24210 0 40798 0 1640 0 1185968 0 0 0 JOHN BATTER MD PHYSICIAN 1051478 0 0 0 23688 0 39879 0 28294 0 1143339 0 0 0 SUMIT MUKHERJEE MD TREASURER 828170 0 143422 0 180 0 49288 0 30100 0 1051160 0 0 0 JEFFREY E FRANCIS CFO 0 566292 0 15000 0 78442 0 115586 0 33212 0 808532 0 74249 TOM WHITE MD VICE CHAIRMAN 426144 0 254446 0 1188 0 37006 0 35274 0 754058 0 0 0 JUDITH SCOTT MD MEDICAL DIRECTOR RISK MANA 498671 0 77622 0 21444 0 55445 0 27776 0 680958 0 0 0 TODD D GRAGES PRESIDENT 0 436011 0 0 0 85352 0 98569 0 25568 0 645500 0 62078 MICK ELHERT VICE PRESIDENT 0 292997 0 15000 0 46291 0 48792 0 18298 0 421378 0 7786 ASHELY LEGRAND-ROZOVICS DO MEDICAL DIRECTOR PATIENT E 303802 0 55372 0 162 0 26075 0 27776 0 413187 0 0 0 PART I, LINE 3 COMPENSATION FOR THE PRESIDENT IS ESTABLISHED BY NEBRASKA METHODIST HEALTH SYSTEM THROUGH ITS BOARD COMPENSATION COMMITTEE. AN EXTERNAL COMPENSATION CONSULTANT PROVIDES COMPARABLE COMPENSATION RANGES (BASED ON SIZE AND LOCATION OF THE ORGANIZATION) TO THE COMMITTEE. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2023 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: ASHLEY LEGRAND-ROZOVICS DO $1,930 ACCRUAL JUDITH SCOTT MD $25,745 ACCRUAL TODD GRAGES $68,869 ACCRUAL; $62,078 PLAN DISTRIBUTION JEFFREY FRANCIS $90,836 ACCRUAL; $74,249 PLAN DISTRIBUTION SUMIT MUKHERJEE MD $24,538 ACCRUAL HELENMARI MERRITT-GENORE MD $18,429 ACCRUAL JOSEPH AYOUB MD $37,651 ACCRUAL TOM WHITE MD $15,610 ACCRUAL MICK ELHERT $16,045 ACCRUAL; $7,786 PLAN DISTRIBUTION JOHN BATTER MD $18,429 ACCRUAL SCOTT DEBATES MD $6,825 ACCRUAL; $417,661 DISTRIBUTION ANJAN TALUKDAR MD $19,348 ACCRUAL FORM 990, PART V, LINE 2B THE PAYROLL SYSTEM FOR PHYSICIANS CLINIC IS BEING 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. ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. WAGES AND BENEFITS SHOWN IN THE FORM 990 ARE ACTUAL WAGES ASSOCIATED WITH PHYSICIANS CLINIC PERSONNEL. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF PHYSICIANS CLINIC INC. IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO ELECT AND REMOVE THE DIRECTORS OF THE CORPORATION. THE 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. 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 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 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. FORM 990, PART VI, SECTION B, LINE 11B PHYSICIANS CLINIC INC. IS AN AFFILIATE ORGANIZATION OF NEBRASKA METHODIST HEALTH SYSTEM, INC. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. PRIOR TO FILING THE FORM 990, A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE AUDIT AND COMPLIANCE COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM FOR REVIEW THROUGH A SECURE INTERNET PORTAL. THE COMMITTEE 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, COMMUNITY NETWORKING, AND COMPLIANCE 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 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. THE BOARD CONFLICT REVIEW 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 DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTEREST OF PHYSICIANS CLINIC AND/OR 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 PHYSICIANS CLINIC IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. 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. THIS INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF THE NEBRASKA METHODIST HEALTH SYSTEM INC. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIANS CLINIC (PCI) ADMINISTRATION MAINTAINS A WRITTEN PHYSICIAN COMPENSATION PLAN THAT HAS BEEN REVIEWED BY OUTSIDE COUNSEL AND APPROVED BY PCI ADMINISTRATION AND THE PCI BOARD OF DIRECTORS. THE PLAN DEFINES THE METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION. THE PLAN ALSO ADDRESSES THE PAYMENT OF A MONTHLY DRAW TO PHYSICIANS, SALARY GUARANTEES AND TIME-OFF PROVISIONS. INDEPENDENT MARKET REVIEWS AND INTERNAL ANALYSIS OF PHYSICIAN COMPENSATION ARE REGULARLY PERFORMED. EVERY THREE YEARS A FAIR MARKET VALUE ASSESSMENT IS PERFORMED BY AN INDEPENDENT CONSULTANT. THE ANALYSIS IS PERFORMED BY COMPARING INDIVIDUAL PHYSICIAN COMPENSATION FOR EACH AREA OF SPECIALIZATION WITHIN PHYSICIANS CLINIC WITH COMPENSATION AVERAGES THAT HAVE BEEN COMPILED FROM THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). THE MOST RECENT INDEPENDENT ASSESSMENT WAS OBTAINED IN 2022 ON THE 2021 PHYSICIAN COMPENSATION. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND 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 AMENDED ARTICLES OF INCORPORATION OF 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, OFFICERS, AND KEY EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING 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 BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-COMMUNITY-AND-FINANCIAL-IMPACT. FORM 990, PART VII JEFFREY FRANCIS, VICE PRESIDENT OF FINANCE AND CFO OF NEBRASKA METHODIST HEALTH SYSTEM, IS A FULL TIME EMPLOYEE OF NEBRASKA METHODIST HEALTH SYSTEM INC. HIS AVERAGE HOURS PER WEEK HAVE BEEN ALLOCATED AMONG THE ENTITIES THAT COMPRISE THE NEBRASKA METHODIST HEALTH SYSTEM. FORM 990, PART VII TODD GRAGES IS A KEY EMPLOYEE OF NEBRASKA METHODIST HEALTH SYSTEM AND IS ASSIGNED FULL TIME DUTIES AS PRESIDENT OF PHYSICIANS CLINIC INC. SALARY AND BENEFITS ARE INCLUDED IN ALLOCATIONS. 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. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS 58,530,760. CAPITAL TRANSFERS 420,870. NEBRASKA METHODIST HEALTH SYSTEM INC 825 S 169TH STREET OMAHA NE 68118 470639839 ADMINISTRATIVE SUPPORT NE 501(C)(3) L12: I N/A 0 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST FUND 825 S 169TH STREET OMAHA NE 68118 363699672 INSURANCE NE 501(C)(3) L12: III-FI NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST HOSPITAL 825 S 169TH STREET OMAHA NE 68118 470376604 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 REAL ESTATE HOLDINGS 825 S 169TH STREET OMAHA NE 68118 470649790 PROPERTY MANAGEMENT NE 501(C)(2) N/A NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA NE 68118 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH 825 S 169TH STREET OMAHA NE 68118 470724387 NURSING & HEALTH EDUCATION FACILITY NE 501(C)(3) L2 NEBRASKA METHODIST HOSPITAL 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 420680355 LICENSED HOSPITAL IA 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IA 501(C)(3) L7 JENNIE EDMUNDSON MEMORIAL HOSPITAL 0 METHODIST FREMONT HEALTH 450 E 23RD STREET FREMONT NE 68025 831362276 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 SHARED SERVICE SYSTEMS INC 825 S 169TH STREET OMAHA NE 68118 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE NEBRASKA METHODIST HEALTH SYSTEM C 0 METHODIST HEALTH PARTNERS 825 S 169TH STREET OMAHA NE 68114 470797563 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 HEALTH CHOICE OF NEBRASKA 450 E 23RD STREET FREMONT NE 68025 470783732 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 0 1 0 0 1 0 0 0 0 0 1 0 1 1 1 0 0 0 1