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," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
NEBRASKA METHODIST HOSPITAL
 
Employer identification number
47-0376604
Part I
General Information on Grants and Assistance
1
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? ........................
2
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
non-cash assistance
(h) Purpose of grant
or assistance
(1) AMERICAN HEART ASSOCIATION
10100 J STREET
OMAHA,NE68127
13-5613797 501(C)(3) 20,000       CURE/PREVENTION OF HEART ATTACKS
(2)  

 
 
          PROVIDING PROGRAMS THAT IMPROVE THE LIVES OF METROPOLITAN AREA WOMEN.
(3) WOMEN'S CENTER FOR ADVANCEMENT (FKA YWCA)
229 SOUTH 29 STREET
OMAHA,NE68131
27-3205476 501(C)(3) 7,500       PROVIDING PGMS FOR LT CHANGE IN THE LIVES OF WOMEN/THEIR FAMILIES IN THIS COMMUNITY.
(4) ALZHEIMER'S ASSOCIATION-MIDLANDS CHAPTER
7101 NEWPORT AVENUE
OMAHA,NE68152
47-0648438 501(C)(3) 18,500       RESEARCH ON CURE FOR ALZHEIMER'S DISEASE
(5) HOPE MEDICAL OUTREACH COALITION
1722 ST MARYS AVENUE 105
OMAHA,NE68102
91-1850344 501(C)(3) 24,800       COORDINATE AND EXPAND CAPACITY OF LOCAL HEALTHCARE PROVIDERS TO CARE FOR THE UNINSURED AND UNDERINSURED OF THE METRO OMAHA AREA
(6) ICAN
12565 WEST CENTER ROAD
OMAHA,NE68154
47-0633139 501(C)(3) 15,000       LEADERSHIP DEVELOPMENT TARGETED AT COMMUNITY NEEDS
(7) MARCH OF DIMES-NEBRASKA CHAPTER
11840 NICHOLAS STREET 220
OMAHA,NE68154
13-1846366 501(C)(3) 28,000       IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY
(8) HARBOR HOUSE
7415 CEDAR STREET
OMAHA,NE68124
36-4003095 501(C)(3) 33,333       COMPASSIONATE CARE FOR RESIDENTS WITH TERMINAL ILLNESSES
(9) AMERICAN CANCER SOCIETY
9850 NICHOLAS STREET STE 200
OMAHA,NE68114
74-1185665 501(C)(3) 8,170       CURE/PREVENTION OF CANCER
(10) NEBRASKA AFFILIATE OF THE SUSAN G KOMEN FOR THE CURE
12103 PACIFIC STREET
OMAHA,NE68154
26-0056671 501(C)(3) 10,000       FUNDS RESEARCH AND RAISES AWARENESS FOR THE FIGHT AGAINST CANCER
(11)  

 
 
          ENRICH PEOPLES' LIVES THROUGH EXPERIENCING NATURE
(12) NEBRASKA METHODIST COLLEGE OF NURSING - ALUMNI ASSN
8511 WEST DODGE ROAD
OMAHA,NE68114
47-0724387 501(C)(3) 11,238       NURSING AND MEDICAL CONTINUING EDUCATION
(13) RONALD MCDONALD HOUSE
620 S 38TH AVE
OMAHA,NE68105
47-0755014 501(C)(3) 11,000       SUPPORTING PROGRAMS THAT DIRECTLY IMPROVE THE HEALTH AND WELL BEING OF CHILDREN
(14) SPECIAL FRIENDS CELEBRATIONS
1919 N 269TH PLAZA
WATERLOO,NE68069
47-0801459 501(C)(3) 12,500       PROVIDING SUPPORT PROGRAMS FOR WOMEN WHO HAVE SURVIVED BREAST CANCER
(15) PHOENIX ACADEMY
1110 N 66TH ST
OMAHA,NE68132
02-0732028 501(C)(3) 14,650       NURSING AND MEDICAL CONTINUING EDUCATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
13
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to 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
non-cash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of non-cash assistance
(1) FINANCIAL ASSISTANCE 17727   16,858,953 BOOK FINANCIAL ASSISTANCE TO PATIENTS.
(2) SCHOLARSHIPS 6 6,000      
(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 INSURE 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) 2014



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