STRATEGY STUDIO / PUBLIC DATA EXPLORER

JENNIE EDMUNDSON MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
JENNIE EDMUNDSON MEMORIAL HOSPITAL (EIN 42-0680355)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202223189349318607
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T17:54:16-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420680355EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIE EDMUNDSON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJENNBusinessNameControlTxt
Phone4023544840PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1933 EAST PIERCE STREETAddressLine1Txt
CityCOUNCIL BLUFFSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51503ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFFREY E FRANCISPersonNm
Person TitleVP FINANCE & CFOPersonTitleTxt
Phone4023544000PhoneNum
Signature2022-11-14SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFREYPersonFirstNm
Person LastFRANCISPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID BURDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1933 EAST PIERCE STREETAddressLine1Txt
CityCOUNCIL BLUFFSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51503ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$162,757,258GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BESTCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1894FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO PROVIDE AND MAINTAIN HOSPITAL AND AMBULATORY FACILITIES FOR THE CARE OF PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee963TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$697,366TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$254,917NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,164,974PYContributionsGrantsAmt
CY Contributions Grants$6,045,780CYContributionsGrantsAmt
PY Program Service Revenue$110,179,397PYProgramServiceRevenueAmt
CY Program Service Revenue$124,026,634CYProgramServiceRevenueAmt
PY Investment Income$6,699,383PYInvestmentIncomeAmt
CY Investment Income$5,141,255CYInvestmentIncomeAmt
PY Other Revenue$891,647PYOtherRevenueAmt
CY Other Revenue$1,435,105CYOtherRevenueAmt
PY Total Revenue$120,935,401PYTotalRevenueAmt
CY Total Revenue$136,648,774CYTotalRevenueAmt
PY Grants And Similar Paid$3,867,801PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,485,871CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$52,968,685PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$58,245,241CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$53,965,822PYOtherExpensesAmt
CY Other Expenses$57,222,966CYOtherExpensesAmt
PY Total Expenses$110,802,308PYTotalExpensesAmt
CY Total Expenses$118,954,078CYTotalExpensesAmt
PY Revenues Less Expenses$10,133,093PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,694,696CYRevenuesLessExpensesAmt
Total Assets BOY$159,830,825TotalAssetsBOYAmt
Total Assets EOY$170,746,216TotalAssetsEOYAmt
Total Liabilities BOY$44,573,490TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,250,948TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$115,257,335NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$140,495,268NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJENNIE EDMUNDSON MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE, AND INNOVATE. JENNIE EDMUNDSON SUPPORTS ITS MISSION OF CARING FOR PEOPLE THROUGH THE PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES ON ITS MAIN CAMPUS AT 933 EAST PIERCE STREET, COUNCIL BLUFFS, IOWA AND AT VARIOUS SATELLITE LOCATIONS THROUGHOUT SOUTHWEST IOWA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,295,247ExpenseAmt
Grant$290,529GrantAmt
Revenue$9,696,549RevenueAmt
DescTHE METHODIST JENNIE EDMUNDSON CARDIAC CENTER IS A LEADER IN THE TREATMENT OF COMPLEX HEART CONDITIONS OFFERING THE HIGHEST LEVEL OF CARE AND CARDIAC EXPERTS WHO USE ADVANCED DIAGNOSTIC AND THERAPEUTIC TECHNOLOGIES. OUR CARDIAC TEAM WORKS TO ENSURE PATIENTS HAVE THE HIGHEST QUALITY CARE - FROM DIAGNOSIS AND TREATMENT THROUGH RECOVERY AND REHABILITATION.SERVICES INCLUDE A CARDIAC CATHETERIZATION LAB, CHEST PAIN CENTER, HEART FAILURE PROGRAM, CARDIAC REHABILITATION SERVICES AND INPATIENT CARE PROVIDED BY A TEAM SPECIALIZED IN CARDIAC CARE. THE CHEST PAIN CENTER WAS MOST RECENTLY RE-ACCREDITED IN 2018 BY THE JOINT COMMISSION. MJE HAS BEEN ACCREDITED SINCE 2014.IN 2020, JENNIE EDMUNDSON RECEIVED THE MISSION: LIFELINE GOLD RECEIVING QUALITY ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENTS WHO SUFFER SEVERE HEART ATTACKS. JENNIE EDMUNDSON ALSO HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,537,927ExpenseAmt
Grant$265,498GrantAmt
Revenue$8,859,388RevenueAmt
DescMETHODIST JENNIE EDMUNDSON CANCER CENTER IS THE ONLY CANCER CENTER IN WESTERN IOWA ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER. THE PROGRAM HAS BEEN RECEIVING APPROVAL FROM THE COMMISSION ON CANCER (COC) SINCE 1996. COC APPROVAL MEANS THAT OUR PROGRAM MEETS PROGRAM STANDARDS, PROVIDES SUPPORT AND EDUCATION, AND DELIVERS QUALITY CARE TO ITS PATIENTS.ALL NEWLY DIAGNOSED CANCER PATIENTS' CASES ARE PRESENTED AT A WEEKLY CANCER CONFERENCE FOR IN-DEPTH REVIEW BY SURGEONS, RADIOLOGISTS, PATHOLOGISTS, MEDICAL AND RADIATION ONCOLOGISTS AND OTHER SPECIALIZED CARE PROVIDERS. METHODIST JENNIE EDMUNDSON HOSPITAL USES THE NEWEST EQUIPMENT AND TECHNOLOGY TO HELP FIGHT CANCER.THESE PHYSICIANS COMBINE THEIR EXPERTISE AND THE LATEST RESEARCH TO RECOMMEND A COMPREHENSIVE, INDIVIDUALIZED PLAN OF CARE FOR EACH PATIENT. THIS COLLABORATIVE APPROACH, COMBINED WITH STAFF EXPERTISE AND ADVANCED TECHNOLOGY, OFFERS CANCER PATIENTS THE BEST OPPORTUNITY FOR SUCCESSFUL OUTCOMES IN THE BATTLE AGAINST CANCER. WORKING TOGETHER WITH THE PATIENT AS A MEMBER OF THE TEAM, METHODIST JENNIE EDMUNDSON HOSPITAL USES THIS COMBINED EXPERTISE TO OFFER THE BEST INDIVIDUAL TREATMENT PLANS, IMPROVE OUTCOMES AND PROVIDE COMFORT AND HOPE.METHODIST JENNIE EDMUNDSON HOSPITAL FOUNDATION WAS AMONG THE RECIPIENTS OF $330,000 IN GRANT DOLLARS ANNOUNCED BY SUSAN G. KOMEN GREATER IOWA. METHODIST JENNIE EDMUNDSON HOSPITAL FOUNDATION WAS AWARDED $90,823 TO PROVIDE FINANCIAL ASSISTANCE FOR BREAST CANCER SCREENINGS AND DIAGNOSTIC SERVICES, AS WELL AS SUPPORT, CASE MANAGEMENT AND SURVIVORSHIP CARE.METHODIST JENNIE EDMUNDSON HOSPITAL ADDED A CUTTING-EDGE TOOL TO HELP PATIENTS IN THEIR FIGHT AGAINST CANCER. SOUTHWEST IOWA'S ONLY DIGITAL POSITRON EMISSION TOMOGRAPHY/COMPUTER TOMOGRAPHY (PET/CT) SYSTEM, A STATE-OF-THE-ART DIAGNOSTIC TOOL, BECAME AVAILABLE TO JENNIE EDMUNDSON PATIENTS IN 2020.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$18,307,755ExpenseAmt
Grant$657,989GrantAmt
Revenue$21,963,288RevenueAmt
DescTHE SURGICAL TEAM AT METHODIST JENNIE EDMUNDSON HOSPITAL IS A HIGHLY TRAINED GROUP OF PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS WHO WILL WORK CLOSELY WITH PATIENTS AND THEIR FAMILIES TO PLAN THEIR CARE AND ACHIEVE THE BEST OUTCOMES.SURGICAL SPECIALTIES FOR CHILDREN, ADOLESCENTS AND ADULTS INCLUDE THE FOLLOWING: DENTAL, GENERAL, GYNECOLOGY, HEART SURGERY, NEUROSURGERY, ORTHOPEDICS, PAIN MANAGEMENT, PEDIATRIC SURGERY, PLASTIC/RECONSTRUCTIVE, PERIPHERAL VASCULAR, RESPIRATORY/PULMONARY, SURGICAL ONCOLOGY, THORACIC, UROGYNECOLOGY AND UROLOGY.IN 2018, METHODIST JENNIE EDMUNDSON ACQUIRED A NEW DA VINCI XI ROBOT FOR LAPAROSCOPIC PROCEDURES. THE BENEFIT OF THE ROBOT IS THE ABILITY TO SEE COMPONENTS OF THE SURGERY AND THE PATIENT'S ANATOMY IN SHARPER DETAIL, WHILE BEING ABLE TO ACCESS THE SURGICAL AREA AT DIFFERENT ANGLES.THE ROBOT ALLOWS THE SURGICAL TEAM THE ABILITY TO DO GENERAL SURGERIES SUCH AS HERNIA REPAIRS, COLON RESECTIONS AND CHOLECYSTECTOMIES (GALLBLADDER REMOVAL). IN 2021, UROLOGY PERFORMED NEPHRECTOMIES AND PROSTATECTOMIES AND GYN SURGEONS PERFORMED HYSTERECTOMIES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$74,440,078ExpenseAmt
Grant$2,271,855GrantAmt
Revenue$84,209,976RevenueAmt
DescTHE METHODIST JENNIE EDMUNDSON ADVANCED WOUND CENTER CELEBRATED A DECADE OF PROVIDING EXCEPTIONAL WOUND CARE TO SOUTHWEST IOWA. OVER THE PAST 10 YEARS, THE WOUND CENTER HAS TREATED MORE THAN 3,600 PATIENTS OVER NEARLY 35,000 VISITS.METHODIST JENNIE EDMUNDSON HOSPITAL WAS DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR).JOINING MORE THAN 680 SCREENING CENTERS ACROSS THE COUNTRY THAT ARE FOLLOWING BEST PRACTICES AS OUTLINED BY THE GO2 FOUNDATION FOR LUNG CANCER, METHODIST JENNIE EDMUNDSON HOSPITAL HAS BEEN NAMED A SCREENING CENTER OF EXCELLENCE.THE METHODIST JENNIE EDMUNDSON FOUNDATION ESTABLISHED A COVID-19 EMERGENCY RESPONSE CAMPAIGN AND RAISED FUNDS TO PROVIDE EMPLOYEE SUPPORT SERVICES (FINANCIAL ASSISTANCE, RESPITE ROOMS, MEALS AND SNACKS, TESTING EQUIPMENT AND NEEDED SUPPLIES) WHO MAY HAVE BEEN IMPACTED BY THE PANDEMIC. COMMUNITY COLLABORATIONS ALSO HELPED SET UP SHOWER TRAILERS, TEMPORARY HOUSING, LAUNDRY SERVICES, EMERGENCY CHILDCARE, AND OTHER SUPPORT SERVICES FOR FRONTLINE STAFF AS WELL AS COMMUNITY AGENCIES AND ESSENTIAL PERSONNEL.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$74,440,078TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$2,271,855TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$84,209,976TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$104,581,007TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee963EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFREY E FRANCISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4023544840PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 S 169TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68118ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM SHIFFERMILLER MD
DIRECTOR1.000.00Yes (X)$0$42,069$9,362
DAN KINNEY PHD
CHAIRMAN1.000.00Yes (X)$0$0$0Yes (X)
EMMA CHANCE
VICE CHAIRMAN1.000.00Yes (X)$0$0$0Yes (X)
THOMAS D WHITSON
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
JOHN NELSON
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
DEB BASS
DIRECTOR1.000.00Yes (X)$0$0$0
JASON JAMES
DIRECTOR1.000.00Yes (X)$0$0$0
SPENCER C STEVENS
DIRECTOR1.000.00Yes (X)$0$0$0
LAWRENCE F UEBNER
DIRECTOR1.000.00Yes (X)$0$0$0
RICK CROWL JR
DIRECTOR1.000.00Yes (X)$0$0$0
MICHAEL ZLOMKE MD
DIRECTOR1.0039.00Yes (X)$0$383,984$59,310
KAREN COLLINS
DIRECTOR1.000.00Yes (X)$0$0$0
JEFFREY FRANCIS
CFO6.0034.00$0$591,584$130,153Yes (X)
DAVID BURD
PRESIDENT35.005.00$0$278,469$60,857Yes (X)
PEGGY HELGET
EXEC. PATIENT SVCS39.001.00$0$199,072$40,412Yes (X)
HEATHER HERGOTT MD
EMERGENCY ROOM PHYSICIAN40.000.00$388,328$0$43,123Yes (X)
PATRICK COSTELLO MD
EMERGENCY ROOM PHYSICIAN40.000.00$380,194$0$42,546Yes (X)
EVAN NEESON
PHYSICIAN40.000.00$349,646$0$49,369Yes (X)
PAUL MILERIS MD
PHYSICIAN40.000.00$384,108$0$48,671Yes (X)
THOMAS CHEATLE MD
PHYSICIAN40.000.00$373,106$0$35,173Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,875,382TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,495,178TotReportableCompRltdOrgAmt
Total Other Compensation$518,976TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K57IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEYERS CARLISLE LEAPLY
14558 PORTAL CIRCLEOMAHANE68138CONSTRUCTION SERVICES$1,352,088
MEDICAL ANESTHESIA ASSOCIATES
300 W BROADWAY 31COUNCIL BLUFFSIA51503MEDICAL SERVICES$708,282
HORIZON HEALTH MANAGEMENT
P O BOX 840839DALLASTX75284MEDICAL SERVICES$699,546
ACCELECARE WOUND CENTERS
933 EAST PIERCE STREETCOUNCIL BLUFFSIA51503MEDICAL SERVICES$410,835
FUSION MEDICAL STAFFING
11808 GRANT ST 100OMAHANE68164STAFFING SERVICES$369,889
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$557,372RelatedOrganizationsAmt
Government Grants$5,488,408GovernmentGrantsAmt
Total Contributions$6,045,780TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV.621990$122,225,581$122,225,581
OTHER PATIENT REVENUE621990$1,801,053$1,801,053
FieldValueIRS element (for citing)
Total Program Service Revenue$124,026,634TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,379,748TotalRevenueColumnAmt
Exclusion$1,379,748ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,599,701RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,621,882RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$22,181RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,181TotalRevenueColumnAmt
Exclusion-$22,181ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$27,174,388SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,412,881SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,761,507SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,761,507TotalRevenueColumnAmt
Exclusion$3,761,507ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$131,074GrossSalesOfInventoryAmt
Cost Of Goods Sold$73,721CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,353TotalRevenueColumnAmt
Exclusion$57,353ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722210$702,567$702,567
LABORATORY621500$697,366$697,366
FieldValueIRS element (for citing)
Other Revenue Total$1,399,933OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,648,774TotalRevenueColumnAmt
Related Or Exempt Func Income$124,729,201RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$697,366UnrelatedBusinessRevenueAmt
Exclusion$5,176,427ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$56,775TotalAmt
Program Services$56,775ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$3,429,096TotalAmt
Program Services$3,429,096ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,076,994TotalAmt
Program Services$46,076,994ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$514,158TotalAmt
Program Services-$514,158ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,534,897TotalAmt
Program Services$9,534,897ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,147,508TotalAmt
Program Services$3,147,508ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$61,169TotalAmt
Management And General$61,169ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,103TotalAmt
Management And General$19,103ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$142,561TotalAmt
Management And General$142,561ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,841,183TotalAmt
Program Services$8,841,183ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$160,379TotalAmt
Program Services$160,379ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,407TotalAmt
Program Services$48,407ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,071,393TotalAmt
Program Services$5,071,393ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,688TotalAmt
Program Services$8,688ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$65,307TotalAmt
Program Services$65,307ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,210,077TotalAmt
Program Services$5,210,077ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$800,831TotalAmt
Program Services$597,335ProgramServicesAmt
Management And General$203,496ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$20,912,933$20,912,933
ALLOCATIONS$13,946,742$13,946,742
MEDICAID PROVIDER TAX$859,104$859,104
DUES, LICENSES AND SUBS$233,726$233,726

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$841,363TotalAmt
Program Services$841,363ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,954,078TotalAmt
Program Services$104,581,007ProgramServicesAmt
Management And General$14,373,071ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,933,000BOYAmt
EOY$2,075,477EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,648,176BOYAmt
EOY$19,971,308EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$540,106BOYAmt
EOY$527,607EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,886,936BOYAmt
EOY$1,904,431EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$714,618BOYAmt
EOY$819,831EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$186,704,344LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$118,263,266LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$69,731,259BOYAmt
EOY$68,441,078EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$60,945,636BOYAmt
EOY$73,455,335EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$191,008BOYAmt
EOY$189,950EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,240,086BOYAmt
EOY$3,361,199EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$159,830,825BOYAmt
EOY$170,746,216EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,086,084BOYAmt
EOY$21,631,078EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,487,406BOYAmt
EOY$8,619,870EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,573,490BOYAmt
EOY$30,250,948EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$115,157,335BOYAmt
EOY$140,395,268EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$100,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$115,257,335BOYAmt
EOY$140,495,268EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,830,825BOYAmt
EOY$170,746,216EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,694,696ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,656,876NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,886,361OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$19,103GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$19,103TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND IOWA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$105,814BeginningYearBalanceAmt
End Year Balance$105,814EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$105,814BeginningYearBalanceAmt
End Year Balance$105,814EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$105,814BeginningYearBalanceAmt
End Year Balance$105,814EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$207,314BeginningYearBalanceAmt
Contributions-$101,500ContributionsAmt
End Year Balance$105,814EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$206,865BeginningYearBalanceAmt
Investment Earnings Or Losses$13,290InvestmentEarningsOrLossesAmt
Other Expenditures$12,841OtherExpendituresAmt
End Year Balance$207,314EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.94510PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.05490TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,808,044OtherCostOrOtherBasisAmt
Book Value$3,808,044BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$109,815,164OtherCostOrOtherBasisAmt
Depreciation$65,458,576DepreciationAmt
Book Value$44,356,588BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,081,136OtherCostOrOtherBasisAmt
Depreciation$52,804,690DepreciationAmt
Book Value$20,276,446BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,441,078TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
MINIMUM PENSION LIABILITY$7,119,041
COND. ASSET RETIREMENT OBLIGATION$789,629
LONG TERM OPERATING LEASE LIABILITY$21,478
LONG TERM DEBT AND CAPITAL LEASE OBLIGATIONS$689,722
FieldValueIRS element (for citing)
Total Liability$8,619,870TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:PERMANENTLY RESTRICTED NET ASSETS INCLUDE ENDOWMENT FUNDS WHICH ARE INTENDED TO BE HELD IN PERPETUITY. THE INCOME ON SUCH FUNDS IS EXPENDABLE FOR THE BENEFIT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL.
PART X, LINE 2:JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 2021 AND 2020 MANAGEMENT DETERMINED THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,069,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,049DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,038,165NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,525,324TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,444,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,080,599NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,594,538TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,475,774DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,118,764NetCommunityBenefitExpnsAmt
Total Expense0.02620TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$176,204TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$176,204NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,546,386TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,546,386NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$718,034TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$718,034NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$130,313TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$130,313NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,570,937TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,570,937NetCommunityBenefitExpnsAmt
Total Expense0.02160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,165,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,475,774DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,689,701NetCommunityBenefitExpnsAmt
Total Expense0.04780TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,244,627BadDebtExpenseAmt
Reimbursed By Medicare$33,250,108ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$33,837,440CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$587,332MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIE EDMUNDSON MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1933 EAST PIERCE STREETAddressLine1Txt
CityCOUNCIL BLUFFSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51503ZIPCd
FieldValueIRS element (for citing)
Website AddressBESTCARE.ORG/LOCATIONS/METHODIST-JENNIWebsiteAddressTxt
State License780039HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JENNIE EDMUNDSON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLBESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLANStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLBESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLBESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLBESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS AND THROUGH ONLINE QUESTIONNAIRES. THIS TELEPHONE SURVEY CONSISTED OF AN INITIAL STRATIFIED RANDOM SAMPLE OF INDIVIDUALS AGE 18 AND OLDER IN THE METRO AREA. OVERSAMPLING WAS THEN UTILIZED, WHICH RESULTED IN CONTACT WITH 2,854 METRO AREA RESIDENTS. IN ADDITION 150 COMMUNITY STAKEHOLDERS TOOK PART IN AN ONLINE KEY INFORMANT SURVEY, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS.
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: THE CHNA WAS A COLLABORATIVE EFFORT OF THREE OMAHA HEALTH SYSTEMS - NEBRASKA METHODIST HEALTH SYSTEM, CHI HEALTH SYSTEM AND NEBRASKA MEDICINE AS WELL AS DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA.
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 6B: IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., WELLBEING PARTNERS, OMAHA COMMUNITY FOUNDATION, AND ONE WORLD COMMUNITY HEALTH CENTERS INC.
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 11: 2021 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE METHODIST JENNIE EDMUNDSON HOSPITAL (MJE) IS COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE 2021 - 2023 PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY BENEFIT PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE, AND RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE PARTNER WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. OFTEN PROGRAMS OR SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL CURRENT CENTER FOR DISEASE CONTROL (CDC) REPORTS ARE UPDATED, HOWEVER, EACH SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS, AS STATED BY BEST PRACTICES FROM REPUTABLE, SCIENTIFIC EXPERTS.MJE HAS WORKED WITH NEARLY 300 ORGANIZATIONS IN THE LAST DECADE THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY A STATEMENT WE REMAIN HIGHLY PROUD OF. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER.ACCESS TO HEALTHCARE SERVICESTHE METHODIST MOBILE MAMMOGRAPHY COACH CONTINUES TO TRAVEL ACROSS NEBRASKA AND SOUTHWESTERN IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. IN ITS FIRST YEAR OF OPERATION, THE MOBILE MAMMOGRAPHY UNIT PROVIDED 705 MAMMOGRAMS, AND HAS PROVIDED TYPICALLY OVER 1,600 MAMMOGRAMS ANNUALLY. IN DECEMBER OF 2020, MJE OPENED A NEW WOMEN AND NEWBORNS CENTER THAT AS OF AUGUST 2021, MORE THAN 225 BABIES HAVE BEEN BORN AT THE STATE-OF-THE-ART FACILITY IN COUNCIL BLUFFS, IA. THIS NEW CENTER HAS ALSO GIVEN THE COUNCIL BLUFFS AREA A NEWLY-REDESIGNED LEVEL II NICU, ALLOWING BABIES WITH MORE INTENSIVE LEVELS OF REQUIRED CARE TO STAY AT MJE AS OPPOSED TO BEING TRANSFERRED OUT-OF-STATE, ELIMINATING TRANSPORTATION BARRIERS PARENTS OF PRETERM BABIES FACE. CANCERMETHODIST JENNIE EDMUNDSON CONTINUES TO INCREASE ITS OFFERINGS OF A VARIETY OF CANCER SCREENINGS, INCLUDING FREE HEAD & NECK OUTREACH INITIATIVES, TO INCLUDE LOCATIONS ON-CAMPUS AND THROUGHOUT THE LOCAL COMMUNITY. THERE ARE A NUMBER OF OTHER FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY IN PARTNERSHIP WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: BREAST, LUNG AND SKIN, AMONG OTHERS. THESE EVENTS ARE HELD IN TANDEM WITH METRO-WIDE EVENTS, SUCH AS THE BINATIONAL HEALTH WEEK.THROUGH EVERY OUTREACH EVENT, MJE PROVIDES FREE SCREENINGS, EDUCATION AND REFERRALS (IF DEEMED NECESSARY) TO WHOEVER THE INDIVIDUAL'S PRIMARY CARE PROVIDER IS, REGARDLESS OF ANY HEALTH SYSTEM AFFILIATION; WE ALSO REFER TO FEDERALLY-QUALIFIED HEALTH CENTERS WHEN APPLICABLE.HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATIONAL METHODS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. FREE BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED HEALTHCARE PROFESSIONAL IS AVAILABLE AT NEARLY EVERY COMMUNITY EVENT. THESE CONSULTATIONS INCLUDE SPECIALIZED EDUCATION REGARDING HEALTHY LIFESTYLE CHOICES THAT CAN REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES.MENTAL HEALTH & SUBSTANCE ABUSEMETHODIST JENNIE EDMUNDSON PROVIDES PSYCHIATRIC TREATMENT FOR MORE THAN 1,400 COMMUNITY MEMBERS IN THE SURROUNDING AREA PER YEAR, PROVIDING THE FOLLOWING SERVICES TO PATIENTS: - SHORT-TERM ACUTE INPATIENT PSYCHIATRIC TREATMENT FOR INDIVIDUALS 18 YEARS AND OLDER- GROUP AND RECREATIONAL THERAPY - 24-HOUR NURSING AND MEDICAL SUPPORT- INDIVIDUALIZED TREATMENT PLANNING- MEDICATION STABILIZATION AND MANAGEMENT- FAMILY EDUCATION AND SUPPORT- BASIC LIFE SKILL ENHANCEMENT- DISCHARGE AND AFTERCARE PLANNING- REFERRAL FOR FOLLOW-UP SERVICESCARING FOR OUR COMMUNITIESTHROUGHOUT 2021, MJE LED "CARING FOR OUR COMMUNITIES" (CFOC) INITIATIVE, AN INNOVATIVE "WRAPAROUND"-STYLE PROGRAM LINKING VULNERABLE HOSPITAL PATIENTS AND UNDER-RESOURCED COMMUNITY RESIDENTS TO VITAL LOCAL RESOURCES SUCH AS PRIMARY HEALTHCARE; BEHAVIORAL-HEALTH SERVICES; ASSISTANCE IN NAVIGATING HEALTHCARE AND SOCIAL-SERVICE NETWORKS; HEALTH COACHING AND ADVOCACY; HELP WITH INSURANCE-RELATED MATTERS; AND FINANCIAL COUNSELING. THE PROGRAM ALSO CAN PROVIDE ESSENTIAL, ONGOING SUPPORTS SUCH AS DURABLE MEDICAL EQUIPMENT (WALKERS, SCALES, GRAB BARS, AND RAMPS); VOUCHERS FOR MEDICATION, TREATMENT, TRANSPORTATION, AND FOOD/NUTRITIONAL ASSISTANCE; AND EVEN FINANCIAL HELP WITH PRESSING EXPENSES - ALL OF WHICH CAN HELP PARTICIPANTS REMAIN SAFER AND HEALTHIER IN THEIR OWN HOMES. HISTORICALLY, THE PROGRAM - WHICH WAS INITIATED IN 2014 - HAS AMASSED THOUSANDS OF PARTICIPANT REFERRALS TO SUCH RESOURCES. AND, MORE RECENTLY, IN 2021, CFOC SERVED 1,753 PARTICIPANTS. OF THOSE, 929 REFERRALS WERE MADE TO LOCAL, COMMUNITY-BASED ORGANIZATIONS SUCH AS CONNECTIONS AREA ON AGING (CONNECTIONS), IOWA LEGAL AID, HEARTLAND FAMILY SERVICES (HFS), AND SOUTHWEST IOWA MENTAL HEALTH & DISABILITY SERVICES REGION. COLLECTIVELY, 363 INDIVIDUALS OBTAINED HEALTH INSURANCE AND OVER 835 SERVICES WERE PUT IN PLACE TO HELP OVERCOME MULTIPLE SOCIAL DETERMINANTS OF HEALTH. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, MJE CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES REPORTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE THAT BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. MJE USES A MULTI-DISCIPLINE APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED OVER $1 BILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PROGRAMS.
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 13B: METHODIST JENNIE EDMUNDSON CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION.
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 13H: METHODIST JENNIE EDMUNDSON UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO MAKE AN INFORMED DECISION ON FINANCIAL NEED SUCH AS: HOMELESS, DECEASED - NO KNOWN ESTATE, WOMEN, INFANTS, CHILDREN (WIC) PROGRAM ELIGIBILTY, OR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS.ADDITIONALLY, METHODIST JENNIE EDMUNDSON UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIO-ECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT FINANCIAL SERVICES TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST JENNIE EDMUNDSON TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE.
JENNIE EDMUNDSON MEMORIAL HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE METHODS PRIMARILY USED ARE THE FINANCIAL INFORMATION FROM THE MEDICARE COST REPORT AND ACTUAL EXPENDITURES.ALL COSTS AND REIMBURSEMENTS RELATED TO COVID-19 WERE SEGREGATED FROM NORMAL OPERATING UNITS WITHIN METHODIST JENNIE EDMUNDSON. COMMUNITY BENEFITS ITEMS RELATED TO COVID-19, WHERE APPLICABLE, HAVE BEEN IDENTIFIED SEPARATELY AND ANALYZED FOR COST VS. REIMBURSEMENT, WITH ONLY THE NET COST BEING REPORTED ON THIS SCHEDULE H.
PART I, LINE 7G:A SUBSIDIZED HEALTH BENEFIT IS CALCULATED FOR DEPARTMENTS AND SERVICES RECOGNIZING THESE AREAS OPERATE AT A NEGATIVE MARGIN. TRANSPORT SERVICES AND CLINICS IN UNDERSERVED AREAS, FOR EXAMPLE, ARE SERVICES THAT OPERATE AT NEGATIVE MARGINS.
PART I, LN 7 COL(F):THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSES IN COLUMN (E) BY THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN (A).
PART I, LINE 6A AND 6B:ANNUAL COMMUNITY BENEFIT REPORT:NEBRASKA METHODIST HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH INCLUDES INFORMATION ON COMMUNITY BENEFITS ACTIVITIES FROM ALL AFFILIATES. THE WEBSITE "WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN" IS DEDICATED TO METHODIST JENNIE EDMUNDSON AND NEBRASKA METHODIST HEALTH SYSTEM AFFILIATES' COMMUNITY WORKS. IT PROVIDES INFORMATION ABOUT THE SUCCESSES IN IMPACTING THE COMMUNITY'S OVERALL HEALTH.PART VI, LINE 7:NO DIRECT REPORT IS PROVIDED TO THE STATE OF IOWA. HOWEVER, INFORMATION FROM THE HOSPITAL'S COMMUNITY BENEFIT DATA IS INCLUDED IN A REPORT COMPILED BY THE IOWA HOSPITAL ASSOCIATION.PART I, LINE 7:INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES AND IN-KIND DONATIONS IS COLLECTED THROUGHOUT THE YEAR USING THE COMMUNITY BENEFITS INVENTORY SOCIAL ACCOUNTABILITY SOFTWARE WHICH FOLLOWS CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR COMMUNITY BENEFIT REPORTING. AMOUNTS SHOWN AS COMMUNITY BENEFIT ARE AT COST LESS ANY REVENUE EXCLUSIVE OF ANY GRANTS. CASH AND IN-KIND DONATIONS THAT SUPPORT FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN CONTRIBUTIONS.PART I, LINE 7E:METHODIST JENNIE EDMUNDSON AND OTHER ORGANIZATIONS IN THE COMMUNITY HAVE UNITED IN THE SHAKEN BABY TASK FORCE IN A COMMUNITY EFFORT TO PREVENT SHAKEN BABY SYNDROME. THE TASK FORCE, LED BY MEMBERS OF THE STAFF OF JENNIE EDMUNDSON HOSPITAL, DEVELOPED A COPYRIGHTED CURRICULUM, VIDEO AND SAFEBABY.ORG WEBSITE AND THE NATION'S ONLY 24-HOUR DEDICATED CRYING BABY HOTLINE. THE VIDEO "SHAKEN BABIES: SHATTERED LIVES" IS FREE ON REQUEST AND HAS BEEN SENT TO REQUESTERS IN THE UNITED STATES AND COUNTRIES OUTSIDE THE UNITED STATES. IN 2014, THE TASK FORCE EXPANDED THEIR MISSION TO INCLUDE KEEPING BABIES SAFE FROM SUDDEN INFANT DEATH SYNDROME (SIDS), CO-SLEEPING, AND SECOND AND THIRD-HAND SMOKE EXPOSURE.METHODIST JENNIE EDMUNDSON'S COMMITMENT TO SOUTHWEST IOWA EXTENDS TO A WIDE VARIETY OF OTHER ANNUAL SCREENING PROGRAMS ON PROSTATE CANCER, COLORECTAL CANCER, BREAST CANCER AND CERVICAL CANCER. IN ADDITION, PHYSICIANS AND HOSPITAL STAFF PROVIDE EDUCATIONAL PROGRAMS TO ORGANIZATIONS AND AT COMMUNITY EVENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:AS A COMMUNITY LEADER, METHODIST JENNIE EDMUNDSON EMPLOYEES ARE ACTIVE IN COMMUNITY ORGANIZATIONS, HOLDING LEADERSHIP ROLES ON BOARDS OF DIRECTORS, COMMITTEE CHAIRMANSHIPS AND MEMBERSHIPS. JENNIE EDMUNDSON PARTICIPATES IN THE CHAMBER OF COMMERCE, THE AMERICAN HEART ASSOCIATION AND OTHER ORGANIZATIONS TO STRENGTHEN THE INFRASTRUCTURE OF THE COMMUNITY.
PART III, LINE 4:THE NEBRASKA METHODIST HEALTH SYSTEM ADOPTED THE NEW REVENUE RECOGNITION STANDARD IN 2019. BAD DEBT EXPENSE IS NO LONGER DISCUSSED SEPARATELY. THE FOOTNOTE ADDRESSING REVENUE RECOGNITION IS ON THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGES 9 - 11 AND 13 - 14.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN THE PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2021 FILED MEDICARE COST REPORT.
PART III, LINE 8:SOURCE FOR MEDICARE REVENUE AND ALLOWABLE COSTS IS THE 2021 MEDICARE COST REPORT AS FILED.THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE CY 2021 MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST USING A COST-TO-CHARGE RATIO IN ORDER TO DETERMINE THE SHORTFALL FROM THE MEDICARE PROGRAM. THIS MEDICARE SHORTFALL LISTED ON LINE 7 IS NOT CURRENTLY TREATED AS COMMUNITY BENEFIT, HOWEVER, REPRESENTS METHODIST JENNIE EDMUNDSON HOSPITAL'S SERVICES THAT ARE ESSENTIAL TO VARIOUS UNDERSERVED POPULATIONS IN THE COMMUNITY.
PART III, LINE 9B:COLLECTION PRACTICES FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE.METHODIST JENNIE EDMUNDSON HAS ADOPTED A PROCEDURE FOR THOSE SITUATIONS WHERE A PATIENT POTENTIALLY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE THE APPLICATION. THIS PROCEDURE, REFERRED TO AS THE PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS ASSISTING WITH SELF-PAY COLLECTIONS.SOME OF THE INDIVIDUAL LIFE CIRCUMSTANCES THAT HAVE BEEN ESTABLISHED AS INDICATORS OF PRESUMPTIVE ELIGIBILITY INCLUDE:PARTICIPATION IN STATE-FUNDED PRESCRIPTION PROGRAMS; RECEIVING CARE FROM A HOMELESS PERSONS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAMS; SNAP BENEFITS; ELIGIBILITY FOR SUBSIDIZED SCHOOL LUNCH PROGRAM; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN); LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS VALID ADDRESS.THE HOSPITAL STAFF, AS WELL AS VENDORS UTILIZED FOR SELF-PAY COLLECTIONS, HAVE BEEN TRAINED TO IDENTIFY INDICATORS OF PRESUMPTIVE ELIGIBILITY AND DOCUMENT SUCH AS SUPPORT FOR A FINANCIAL ASSISTANCE DETERMINATION.THE HOSPITAL BILLS ALL THIRD PARTY RESOURCES THAT MAY BE ABLE TO PROVIDE REIMBURSEMENT FOR CARE PROVIDED TO PATIENTS. THIS INCLUDES, BUT IS NOT LIMITED TO, COMMERCIAL INSURANCE, MEDICARE, MEDICAID, COUNTY GOVERNMENT AND OTHER GOVERNMENT PROGRAMS, AND ANY OTHER POTENTIAL SOURCE OF REIMBURSEMENT.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO OR DURING THE TIME OF SERVICE. THOSE PATIENTS ARE ENCOURAGED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN WITH KEY HEALTH NEEDS IDENTIFIED BY THE MOST RECENT CHNA.
PART VI, LINE 3:FINANCIAL ASSISTANCE APPLICATIONS ARE INCLUDED IN ALL INPATIENT ADMISSION PACKETS. METHODIST JENNIE EDMUNDSON CONTRACTS WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED AT THE HOSPITAL FOR PRIVATE CONSULTATION FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO ENSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM. THE HOSPITAL CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL NEED. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE PROVIDED WITH APPLICATIONS AND ARE ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE.APPROPRIATE RESOURCES ARE USED TO PROVIDE EFFECTIVE COMMUNICATION WITH NON-ENGLISH SPEAKING PATIENTS INCLUDING THE MARTTI LANGUAGE SOLUTION SYSTEM THAT PROVIDES 24-HOUR ACCESS TO SEVERAL HUNDRED DIFFERENT LANGUAGE INTERPRETERS. OTHER RESOURCES INCLUDE HOPE MEDICAL OUTREACH AND ON-SITE STAFF OR CONTRACTED INTERPRETER SERVICES. THE HOSPITAL PROVIDES FOR INTERPRETATIVE SERVICES AT NO COST TO THE PATIENT.INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON THE BESTCARE.ORG WEBSITE IN BOTH ENGLISH AND SPANISH. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION. PLAIN LANGUAGE SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION DESKS WITHIN THE HOSPITAL.
PART VI, LINE 4:METHODIST JENNIE EDMUNDSON SERVES COUNCIL BLUFFS, IOWA AND SURROUNDING COMMUNITIES IN SOUTHWESTERN IOWA.METHODIST JENNIE EDMUNDSON'S PROGRAMS ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED IN THE MOST RECENT CHNA.
PART VI, LINE 5:METHODIST JENNIE EDMUNDSON'S BOARD OF DIRECTORS IS COMPOSED OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS AND PROVIDES OVERSIGHT OF ALL OPERATIONS. THE COMPOSITION INCLUDES A COMBINATION OF THOSE WITH LONGEVITY ON THE BOARD AND THOSE WHO ARE NEWER MEMBERS. PHYSICIAN INVOLVEMENT ON THE BOARD ENHANCES THE HOSPITAL'S ABILITY TO BE A LEADER IN MEDICAL SERVICES.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS TO PROMOTE A UNIFORM STANDARD OF QUALITY PATIENT CARE, TREATMENT AND SERVICES.
PART VI, LINE 6:THE NEBRASKA METHODIST HEALTH SYSTEM INCLUDES METHODIST JENNIE EDMUNDSON HOSPITAL AND METHODIST JENNIE EDMUNDSON HOSPITAL FOUNDATION, NEBRASKA METHODIST HOSPITAL, METHODIST FREMONT HEALTH, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC INC., METHODIST COLLEGE OF NURSING AND NEBRASKA METHODIST HOSPITAL FOUNDATION. AS A GROUP, THESE ENTITIES ARE COMMITTED TO CARING FOR THE PEOPLE OF THE COMMUNITY BY PROVIDING OUTSTANDING HEALTH CARE, EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES. TO FULFILL OUR MISSION OF CARING FOR PEOPLE, AFFILIATES HAVE DEVELOPED A VARIETY OF WAYS TO CONTRIBUTE CARE AND HEALTH-RELATED EDUCATION TO THE POOR, TO MINORITIES, AND TO OTHER UNDERSERVED GROUPS AS WELL AS TO THE BROADER COMMUNITY. AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM AND AN ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, METHODIST JENNIE EDMUNDSON HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THIS COMMUNITY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1933 EAST PIERCE STAddressLine1Txt
CityCOUNCIL BLUFFSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51503ZIPCd
FieldValueIRS element (for citing)
Recipient EIN421439454RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$50,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantSUPPORT OF FOUNDATION PROGRAMSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCEGrantTypeTxt
Recipient4637RecipientCnt
Non Cash Assistance$3,429,096NonCashAssistanceAmt
Valuation Method UsedBOOKValuationMethodUsedDesc
Non Cash AssistanceFINANCIAL ASSISTANCE TO PATIENTSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationJENNIE EDMUNDSON MEMORIAL HOSPITAL ONLY PROVIDES GRANTS TO IRC SECTION 501(C)(3) ORGANIZATIONS AND 501(C)(3) ACTIVITIES TO ENSURE THE FUNDS ARE USED FOR EXEMPT PURPOSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY FRANCIS
CFO$0$496,914$0$0$0$94,670$0$98,981$0$31,794$0$722,359$0$91,905
MICHAEL ZLOMKE MD
DIRECTOR$0$187,616$0$174,673$0$21,695$0$42,966$0$17,963$0$444,913$0$0
PAUL MILERIS MD
PHYSICIAN$367,228$0$5,800$0$11,080$0$40,917$0$9,310$0$434,335$0$0$0
HEATHER HERGOTT MD
EMERGENCY ROOM PHYSICIAN$366,278$0$5,050$0$17,000$0$19,777$0$24,902$0$433,007$0$0$0
PATRICK COSTELLO MD
EMERGENCY ROOM PHYSICIAN$351,464$0$8,200$0$20,530$0$17,898$0$26,204$0$424,296$0$0$0
THOMAS CHEATLE MD
PHYSICIAN$362,106$0$11,000$0$0$0$18,643$0$18,086$0$409,835$0$0$0
EVAN NEESON
PHYSICIAN$327,990$0$10,650$0$11,006$0$17,823$0$33,102$0$400,571$0$0$0
DAVID BURD
PRESIDENT$0$270,993$0$0$0$7,476$0$35,935$0$25,534$0$339,938$0$0
PEGGY HELGET
EXEC. PATIENT SVCS$0$175,009$0$0$0$24,063$0$32,074$0$8,904$0$240,050$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3JENNIE EDMUNDSON MEMORIAL HOSPITAL IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. METHODIST HEALTH SYSTEM, WITH WHICH JENNIE EDMUNDSON 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 A VOTING MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2021 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $82,351 ACCRUAL, $91,905 PLAN DISTRIBUTION PEGGY HELGET $17,205 ACCRUAL PATRICK COSTELLO $3,787 ACCRUAL HEATHER HERGOTT $4,260 ACCRUAL THOMAS CHEATLE $3,456 ACCRUAL PAUL MILERIS $12,169 ACCRUAL EVAN NEESEN $2,760 ACCRUAL DAVID BURD $22,001 ACCRUAL MICHAEL ZLOMKE $27,514 ACCRUAL

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2BTHE PAYROLL SYSTEM FOR JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 THIS FORM 990 ARE ACTUAL EXPENSES ASSOCIATED WITH JENNIE EDMONDSON MEMORIAL HOSPITAL PERSONNEL.
FORM 990, PART VI, SECTION A, LINE 6UNDER THE ARTICLES OF INCORPORATION OF JENNIE EDMUNDSON MEMORIAL HOSPITAL, AS RESTATED ON APRIL 29, 1994, THE WOMEN'S CHRISTIAN ASSOCIATION OF IOWA, AN IOWA NON-PROFIT CORPORATION IS A SPONSORING MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL. UNDER THE SAME ARTICLES OF INCORPORATION, NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION, IS A CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AUNDER THE ARTICLES OF INCORPORATION OF JENNIE EDMUNDSON MEMORIAL HOSPITAL, AS RESTATED ON APRIL 29, 1994, THE WOMEN'S CHRISTIAN ASSOCIATION OF COUNCIL BLUFFS, IOWA, AN IOWA NON-PROFIT CORPORATION, IS A SPONSORING MEMBER OF THE ORGANIZATION AND HAS THE RIGHT TO NOMINATE TWO (2) OF ITS MEMBERS TO THE HOSPITAL'S BOARD OF DIRECTORS. LIKEWISE, THE NEBRASKA METHODIST HEALTH SYSTEM INC. HAS THE RIGHT TO NOMINATE TO THE HOSPITAL'S BOARD OF DIRECTORS THE NUMBER OF DIRECTORS THAT IS ONE (1) LESS THAN A MAJORITY OF THE SEATS ON THE BOARD OF DIRECTORS. NEBRASKA METHODIST HEALTH SYSTEM ALSO HAS THE RIGHT TO APPROVE ALL OF THE DIRECTORS NOMINATED.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM AND THE JENNIE EDMUNDSON MEMORIAL HOSPITAL 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.
FORM 990, PART VI, SECTION B, LINE 12CAN 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 JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 15JENNIE EDMUNDSON MEMORIAL HOSPITAL IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. METHODIST HEALTH SYSTEM, WITH WHICH JENNIE EDMUNDSON 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 JENNIE EDMUNDSON MEMORIAL HOSPITAL. 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 18THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS LETTER 947 WILL BE PROVIDED UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, ARTICLES OF INCORPORATION FOR THE ORGANIZATION ARE AVAILABLE THROUGH THE IOWA 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 ALSO CONTRIBUTES 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 WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/COMMUNITY-IMPACT.
FORM 990, PART XI, LINE 9:CHANGE IN MINIMUM PENSION LIABILITY 4,670,968. EQUITY TRANSFERS FROM AFFILATES 215,393.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LOESS HILLS PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 S 169TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68118ZIPCd
FieldValueIRS element (for citing)
EIN475070644EIN
Primary ActivitiesPROPERTY MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JENNIE EDMUNDSON MEMORIAL HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 EAST PIERCE STREETCOUNCIL BLUFFSIA51503421439454SUPPORT OF JENNIE EDMUNDSON HOSPITALIA501(C)(3)L7JENNIE EDMUNDSON MEMORIAL HOSPITALYes (1)
WOMEN'S CHRISTIAN ASSOCIATION OF COUNCIL BLUFFS IOWA
933 EAST PIERCE STREETCOUNCIL BLUFFSIA51503930957829MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITALIA501(C)(3)L12: III-O0N/A
NEBRASKA METHODIST HEALTH SYSTEM INC
825 S 169TH STREETOMAHANE68118470639839ADMINISTRATIVE SUPPORTNE501(C)(3)L12: III-FI0N/A
NEBRASKA METHODIST HOSPITAL
825 S 169TH STREETOMAHANE68118470376604LICENSED HOSPITALNE501(C)(3)L3NEBRASKA METHODIST HEALTH SYSTEM INC0
NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH
825 S 169TH STREETOMAHANE68118470724387NURSING AND HEALTH EDUCATION FACILITYNE501(C)(3)L2NEBRASKA METHODIST HOSPITAL0
NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST FUND
825 S 169TH STREETOMAHANE68118363699672INSURANCENE501(C)(3)L11: III-FINEBRASKA METHODIST HEALTH SYSTEM INC0
REAL ESTATE HOLDINGS
825 S 169TH STREETOMAHANE68118470649790PROPERTY MANAGEMENTNE501(C)(2)N/ANEBRASKA METHODIST HEALTH SYSTEM INC0
PHYSICIANS CLINIC INC
825 S 169TH STREETOMAHANE68118470687317CLINICAL HEALTH CARENE501(C)(3)L10NEBRASKA METHODIST HEALTH SYSTEM INC0
NEBRASKA METHODIST HOSPITAL FOUNDATION
825 S 169TH STREETOMAHANE68118470595345SUPPORT OF NEBRASKA METHODIST HOSPITALNE501(C)(3)L7NEBRASKA METHODIST HEALTH SYSTEM INC0
METHODIST FREMONT HEALTH
450 E 23RD STREETFREMONTNE68025831362276LICENSED HOSPITALNE501(C)(3)L3NEBRASKA METHODIST HEALTH SYSTEM INC0
FREMONT HEALTH CLINIC
450 E 23RD STREETFREMONTNE68025470717207CLINICAL HEALTH CARENE501(C)(3)L10NEBRASKA METHODIST HEALTH SYSTEM INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

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SHARED SERVICE SYSTEMS INC & SUBSIDIARY
825 S 169TH STREETOMAHANE68118470649534MEDICAL SUPPLY DISTRIBUTION & LAUNDRYNENEBRASKA METHODIST HEALTH SYSTEM INCC0
METHODIST HEALTH PARTNERS
825 S 169TH STREETOMAHANE68118470797563MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEM INCC0
FREMONT HEALTH PARTNERS
450 E 23RD STREETFREMONTNE68025460735043MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEM INCC0
HEALTH CHOICE OF NEBRASKA
450 E 23RD STREETFREMONTNE68025470783732MANAGED CARE CONTRACTINGNENEBRASKA METHODIST HEALTH SYSTEM INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
C$557,372BOOK
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
B$50,000BOOK