JENNIE EDMUNDSON MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: JENNIE EDMUNDSON MEMORIAL HOSPITAL (EIN 42-0680355)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201913199349303906
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T08:56:53-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 NORTH 96TH STREET SUITE 300	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420680355	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE EDMUNDSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	JENN	BusinessNameControlTxt
Phone	4023544840	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	933 EAST PIERCE STREET	AddressLine1Txt
City	COUNCIL BLUFFS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51503	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY E FRANCIS	PersonNm
Person Title	VICE PRES FINANCE, CFO	PersonTitleTxt
Phone	4023544000	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DONALD NEAL JR	PreparerPersonNm
PTIN	P00798244	PTIN
Phone	4023481450	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	209.126.94.0	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-15	IPDt
IP Tm	08:56:48	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	24A736F80D6090BF3D2ADAEF3894AA3D0CAD864A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVEN BAUMERT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	933 EAST PIERCE STREET	AddressLine1Txt
City	COUNCIL BLUFFS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51503	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$138,912,447	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BESTCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1894	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE AND MAINTAIN HOSPITAL AND AMBULATORY FACILITIES FOR THE CARE OF PATIENTS.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	859	TotalEmployeeCnt
Total Volunteers	345	TotalVolunteersCnt
Total Gross UBI	$668,359	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$226,407	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$969,078	PYContributionsGrantsAmt
CY Contributions Grants	$409,879	CYContributionsGrantsAmt
PY Program Service Revenue	$113,144,634	PYProgramServiceRevenueAmt
CY Program Service Revenue	$108,863,143	CYProgramServiceRevenueAmt
PY Investment Income	$1,270,957	PYInvestmentIncomeAmt
CY Investment Income	$3,055,857	CYInvestmentIncomeAmt
PY Other Revenue	$1,143,934	PYOtherRevenueAmt
CY Other Revenue	$1,126,279	CYOtherRevenueAmt
PY Total Revenue	$116,528,603	PYTotalRevenueAmt
CY Total Revenue	$113,455,158	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,227,824	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,749,809	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$48,323,442	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$48,890,717	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$52,850,555	PYOtherExpensesAmt
CY Other Expenses	$54,138,032	CYOtherExpensesAmt
PY Total Expenses	$105,401,821	PYTotalExpensesAmt
CY Total Expenses	$106,778,558	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,126,782	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,676,600	CYRevenuesLessExpensesAmt
Total Assets BOY	$118,153,122	TotalAssetsBOYAmt
Total Assets EOY	$123,635,706	TotalAssetsEOYAmt
Total Liabilities BOY	$28,166,492	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,834,549	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$89,986,630	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$89,801,157	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IS TO IMPROVE THE QUALITY OF LIFE BY CARING FOR THE BODY AND MIND. 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$6,205,609	ExpenseAmt
Grant	$430,656	GrantAmt
Revenue	$11,348,315	RevenueAmt
Desc	THE 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 RE-ACCREDITED IN 2018 BY THE JOINT COMMISSION. MJE HAS BEEN ACCREDITED SINCE 2014.ALSO IN 2018, METHODIST JENNIE EDMUNDSON HOSPITAL WAS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AS THE RECIPIENT OF ITS MISSION: LIFELINE NSTEMI SILVER QUALITY ACHIEVEMENT AWARD AND MISSION: LIFELINE STEMI RECEIVING CENTER QUALITY ACHIEVEMENT SILVER AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENTS WHO SUFFER HEART ATTACKS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$6,437,595	ExpenseAmt
Grant	$325,735	GrantAmt
Revenue	$8,579,969	RevenueAmt
Desc	METHODIST 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$16,601,322	ExpenseAmt
Grant	$697,048	GrantAmt
Revenue	$18,371,764	RevenueAmt
Desc	THE 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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$63,976,237	ExpenseAmt
Grant	$2,296,370	GrantAmt
Revenue	$71,262,612	RevenueAmt
Desc	JENNIE EDMUNDSON HOSPITAL IS THE OLDEST ENTITY IN THE NEBRASKA HEALTH SYSTEM FAMILY. IT IS A 230-BED REGIONAL HEALTH CARE CENTER SERVING SOUTHWESTERN IOWA. IT IS THE ONLY HOSPITAL IN THE REGION THAT OFFERS NATIONALLY ACCREDITED CANCER AND BREAST CANCER PROGRAMS.IN ADDITION TO BIRTH SERVICES, OTHER HEALTH CARE OFFERINGS INCLUDE DIABETES, EMERGENCY SERVICES, HEALTH AND LUNG WELLNESS, IMAGING, LUNG/PULMONARY, NEUROLOGY, NUTRITION COUNSELING, ORTHOPEDICS, PAIN MANAGEMENT, PATHOLOGY, PHYSICAL/OCCUPATION AND SPEECH THERAPY, SEXUAL ASSAULT/DOMESTIC VIOLENCE SERVICES, SLEEP, SPORTS MEDICINE URGENT CARE AND WOUND CARE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$63,976,237	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,296,370	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$71,262,612	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$93,220,763	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	60	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	859	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFREY E FRANCIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4023544840	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 S 169TH STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68118	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAN KINNEY PHD
CHAIRMAN	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
EMMA CHANCE
VICE CHAIRMAN	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DEB BASS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOHN NELSON
SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN COLLINS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
WILLIAM SHIFFERMILLER MD
DIRECTOR	1.00	39.00	Yes (X)		$0	$418,839	$79,874
JOHN G SOUTHARD MD PHD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
SPENCER C STEVENS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LAWRENCE F UEBNER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
RICK CROWL JR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
THOMAS D WHITSON
TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL ZLOMKE MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
STEVEN BAUMERT
PRESIDENT	35.00	5.00		Yes (X)	$0	$383,544	$90,837
JEFFREY FRANCIS
CFO	6.00	34.00		Yes (X)	$0	$518,644	$122,260
PEGGY HELGET
EXEC. PATIENT SVCS	40.00	0.00			$0	$188,201	$36,289	Yes (X)
PATRICK COSTELLO MD
EMERGENCY ROOM PHYSICIAN	40.00	0.00			$368,388	$0	$50,700		Yes (X)
HEATHER HERGOTT MD
EMERGENCY ROOM PHYSICIAN	40.00	0.00			$428,642	$0	$22,944		Yes (X)
THOMAS CHEATLE MD
PHYSICIAN	40.00	0.00			$333,539	$0	$51,451		Yes (X)
PAUL MILERIS MD
PHYSICIAN	40.00	0.00			$363,495	$0	$52,791		Yes (X)
EVAN NEESON MD
PHYSICIAN	40.00	0.00			$386,950	$0	$41,989		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,881,014	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,509,228	TotReportableCompRltdOrgAmt
Total Other Compensation	$549,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PATHLAB LTD
933 EAST PIERCE STREET	COUNCIL BLUFFS	IA	51503	MEDICAL SERVICES	$6,750,250
HOLLAND BASHAM ARCHITECTS
119 S 49TH AVE	OMAHA	NE	68132	ARCHITECTURAL SERVICES	$758,987
HORIZON HEALTH MANAGEMENT
P O BOX 840839	DALLAS	TX	75284	MEDICAL SERVICES	$648,652
ACCELECARE WOUND CENTERS
933 EAST PIERCE STREET	COUNCIL BLUFFS	IA	51503	MEDICAL SERVICES	$512,524
JE DUNN CONSTRUCTION CO
17110 MARCY SUITE LL01	OMAHA	NE	68118	CONSTRUCTION SERVICES	$495,490

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Related Organizations	$409,879	RelatedOrganizationsAmt
Total Contributions	$409,879	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV.	621990	$107,929,345	$107,929,345
OTHER PATIENT REVENUE	621990	$933,798	$933,798

Field	Value	IRS element (for citing)
Total Program Service Revenue	$108,863,143	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,675,036	TotalRevenueColumnAmt
Exclusion	$1,675,036	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,842,015	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,175,654	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$333,639	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$333,639	TotalRevenueColumnAmt
Exclusion	-$333,639	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$24,552,066	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$23,168,894	SecuritiesAmt
Other	$2,351	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,383,172	SecuritiesAmt
Other	-$2,351	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,380,821	TotalRevenueColumnAmt
Exclusion	$1,380,821	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$202,432	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$110,390	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$92,042	TotalRevenueColumnAmt
Exclusion	$92,042	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722210	$699,517	$699,517
LABORATORY	621500	$668,359		$668,359

Field	Value	IRS element (for citing)
Other Revenue Total	$1,367,876	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,455,158	TotalRevenueColumnAmt
Related Or Exempt Func Income	$109,562,660	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$668,359	UnrelatedBusinessRevenueAmt
Exclusion	$2,814,260	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$121,430	TotalAmt
Program Services	$121,430	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$3,628,379	TotalAmt
Program Services	$3,628,379	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,928,993	TotalAmt
Program Services	$37,928,993	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,611,819	TotalAmt
Program Services	$2,611,819	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,657,506	TotalAmt
Program Services	$5,657,506	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,692,399	TotalAmt
Program Services	$2,692,399	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$78,844	TotalAmt
Management And General	$78,844	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$19,424	TotalAmt
Management And General	$19,424	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$144,049	TotalAmt
Management And General	$144,049	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,002,713	TotalAmt
Program Services	$11,002,713	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$228,440	TotalAmt
Program Services	$228,440	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,219,734	TotalAmt
Program Services	$1,219,734	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$115,952	TotalAmt
Program Services	$115,952	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,570,543	TotalAmt
Program Services	$4,570,543	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$42,784	TotalAmt
Program Services	$42,784	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,408	TotalAmt
Program Services	$23,408	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,831,842	TotalAmt
Program Services	$3,831,842	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$192,416	TotalAmt
Program Services	$67,938	ProgramServicesAmt
Management And General	$124,478	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$17,512,080	$17,512,080
ALLOCATIONS	$13,191,000		$13,191,000
MEDICAID PROVIDER TAX	$859,104	$859,104
DUES, LICENSES AND SUBS	$247,328	$247,328

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$858,371	TotalAmt
Program Services	$858,371	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$106,778,558	TotalAmt
Program Services	$93,220,763	ProgramServicesAmt
Management And General	$13,557,795	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,731,940	BOYAmt
EOY	$6,961,121	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,798,483	BOYAmt
EOY	$14,473,792	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$333,808	BOYAmt
EOY	$484,393	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,872,284	BOYAmt
EOY	$1,489,851	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$682,752	BOYAmt
EOY	$607,024	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$141,154,055	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,009,781	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$36,927,944	BOYAmt
EOY	$36,144,274	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$51,491,987	BOYAmt
EOY	$50,199,248	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$172,863	BOYAmt
EOY	$222,744	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,141,061	BOYAmt
EOY	$13,053,259	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,153,122	BOYAmt
EOY	$123,635,706	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,046,983	BOYAmt
EOY	$15,011,063	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,119,509	BOYAmt
EOY	$18,823,486	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,166,492	BOYAmt
EOY	$33,834,549	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$89,431,022	BOYAmt
EOY	$89,701,157	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$455,608	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$100,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$89,986,630	BOYAmt
EOY	$89,801,157	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$118,153,122	BOYAmt
EOY	$123,635,706	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,676,600	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,836,765	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,025,308	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$19,424	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$19,424	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,865	BeginningYearBalanceAmt
Investment Earnings Or Losses	$13,290	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,841	OtherExpendituresAmt
End Year Balance	$207,314	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$203,643	BeginningYearBalanceAmt
Investment Earnings Or Losses	$9,659	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,437	OtherExpendituresAmt
End Year Balance	$206,865	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$212,488	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$391	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,454	OtherExpendituresAmt
End Year Balance	$203,643	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$218,264	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,954	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,730	OtherExpendituresAmt
End Year Balance	$212,488	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.94510	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.05490	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,277,081	OtherCostOrOtherBasisAmt
Book Value	$3,277,081	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,996,236	OtherCostOrOtherBasisAmt
Depreciation	$58,025,478	DepreciationAmt
Book Value	$22,970,758	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,880,738	OtherCostOrOtherBasisAmt
Depreciation	$46,984,303	DepreciationAmt
Book Value	$9,896,435	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,144,274	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	CONSTRUCTION IN PROGRESS	Desc
Book Value	$13,053,259	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,053,259	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
MINIMUM PENSION LIABILITY	$17,878,597
COND. ASSET RETIREMENT OBLIGATION	$944,889

Field	Value	IRS element (for citing)
Total Liability	$18,823,486	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 2018 AND 2017 MANAGEMENT DETERMINED THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. NO CHANGES WERE MADE TO THE FINANCIAL STATEMENTS DUE TO FIN 48.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,130,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$308,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,821,910	NetCommunityBenefitExpnsAmt
Total Expense	0.02640	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,783,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,946,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$836,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,913,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,255,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,658,179	NetCommunityBenefitExpnsAmt
Total Expense	0.03420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$562,769	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$562,769	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,645,754	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,645,754	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$449,908	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$449,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$550,777	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$550,777	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,209,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,209,208	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,122,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,255,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,867,387	NetCommunityBenefitExpnsAmt
Total Expense	0.07370	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,676	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,676	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,469	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,469	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,349,896	BadDebtExpenseAmt
Reimbursed By Medicare	$33,112,455	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$33,819,330	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$706,875	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE EDMUNDSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	933 EAST PIERCE STREET	AddressLine1Txt
City	COUNCIL BLUFFS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51503	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BESTCARE.ORG	WebsiteAddressTxt
State License	780039H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE EDMUNDSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
JENNIE EDMUNDSON MEMORIAL HOSPITAL	PART 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. 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 2,527 METRO AREA RESIDENTS. IN ADDITION 163 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 HOSPITAL	PART V, SECTION B, LINE 6A: THE CHNA WAS A COLLABORATIVE EFFORT OF THREE OMAHA HEALTH SYSTEMS - 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 HOSPITAL	PART 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., LIVE WELL OMAHA, OMAHA COMMUNITY FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS INC., AND UNITED WAY OF THE MIDLANDS.
JENNIE EDMUNDSON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: 2018 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE METHODIST JENNIE EDMUNDSON HOSPITAL (MJE) IS COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF BEING COMMITTED TO CARING FOR PEOPLE. ALL LEADERSHIP SUPPORT THE IMPORTANCE OF WORKING IN THE COMMUNITY WITH OVER 260 PARTNERS TO ADDRESS THE NEEDS MOST CURRENTLY IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MANAGEMENT AND BOARD MEMBERS APPROVED THE CURRENT PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA. THE GUIDING FOCUS FOR ALL 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.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 THE 4TH QUARTER OF 2018, THE MOBILE MAMMOGRAPHY UNIT PROVIDED 218 MAMMOGRAMS, AND IS ON-PACE TO PROVIDE OVER 1,640 MAMMOGRAMS FOR 2019. CANCERMETHODIST JENNIE EDMUNDSON CONTINUES TO INCREASE ITS OFFERINGS OF A VARIETY OF CANCER SCREENINGS, INCLUDING FREE HEAD & NECK OUTREACH INITIATIVES TO THE COMMUNITY, 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, DIABETIC, 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 STAFF MEMBER 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 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 - CO-OCCURRING TREATMENT (DUAL DIAGNOSIS) FOR INDIVIDUALS DIAGNOSED WITH A PSYCHIATRIC DISORDER IN CONJUNCTION WITH SUBSTANCE ABUSE/CHEMICAL DEPENDENCY DIAGNOSIS- 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 SERVICESTHROUGH CONNECTIONS AREA AGENCY ON AGING (CONNECTIONS), MJE ALSO FUNDS A COMMUNITY OUTREACH COACH, AND A BEHAVIORAL HEALTH COORDINATOR THROUGH HEARTLAND FAMILY SERVICES, WHOSE RESPONSIBILITIES INCLUDE: SCREENING, ASSESSING, REFERRING AND COORDINATING SERVICES FOR PATIENTS FACING COMPLEX MEDICAL ISSUES. THIS PARTNERSHIP ALLOWS FOR MANY HEALTH AND HUMAN SERVICES ORGANIZATIONS TO COLLABORATE ON A MORE EFFICIENT BASIS TO EFFECT TIMELY, APPROPRIATE REFERRALS AND CARE COORDINATION.IN RESPONSE TO THE NATIONAL OPIOID EPIDEMIC, OUR QUALITY DEPARTMENT ENGAGED A MUTLI-DISCIPLINARY TEAM THROUGHOUT THE ENTIRE METHODIST HEALTH SYSTEM (INCLUDING MJE) TO IDENTIFY AREAS OF OPPORTUNITY IN ALL CLINICAL AND NON-CLINICAL SETTINGS TO REDUCE SUBSTANCE MISUSE, AND WE HAVE SEEN A 16% DECREASE IN NARCOTICS PRESCRIBED IN Q4 2018 AS COMPARED TO Q1 2018. EIGHT STRATEGIC WORKGROUPS WERE CREATED TO FOCUS ON DATA, COMMUNITY ENGAGEMENT, PHARMACY AND PROVIDERS THAT REGULARLY REPORTS TO A LARGER STEERING COMMITTEE, SO THAT BEST PRACTICES CAN BE ESTABLISHED AND SHARED ACROSS THE SYSTEM.CARING FOR OUR COMMUNITIESIN 2018, MJE CONTINUED ITS STRONG PARTNERSHIP WITH CONNECTIONS TO SUSTAIN THE CARING FOR OUR COMMUNITIES SOUTHWEST IOWA PROGRAM, WHICH ASSISTED OVER 2,000 INDIVIDUALS PRESENTING TO THE HOSPITAL WITH URGENT AND EMERGENT NEEDS. THIS PROGRAM TRACKED SOCIAL DETERMINANT OF HEALTH DATA AND REFERRED ALL 2,037 COMMUNITY MEMBERS TO LOCAL, COMMUNITY-BASED ORGANIZATIONS SUCH AS LEGAL AID, ALL CARE COMMUNITY HEALTH CENTER, HEARTLAND FAMILY SERVICES (HFS), AND VARIOUS PHYSICIAN PRACTICES. THIS PROGRAM INCREASES MULTIPLE POINTS OF ACCESS FOR UNDER-RESOURCED INDIVIDUALS AND THEIR FAMILIES, AND IS THE MOST IMPORTANT INITIATIVE MJE HAS TO OFFER APPROPRIATE SERVICES IN A TIMELY MANNER.FINANCIAL ASSISTANCEIN 2018, MJE WAS ABLE TO ASSIST OVER 5,600 INDIVIDUALS WITH FINANCIAL ASSISTANCE, THEREBY REDUCING OR ELIMINATING THE MEDICAL PAYMENT BURDEN ON FAMILIES, ALLOWING THEM TO AFFORD HOME OWNERSHIP, EDUCATIONAL EXPENSES, AND HEALTHIER LIFESTYLE AND FOOD CHOICES. OUR FINANCIAL ASSISTANCE PROGRAM IS OFFERED TO ALL PATIENTS UPON ADMISSION AND OUR PROVIDERS ARE KNOWLEDGEABLE REGARDING HOW THEIR PATIENTS CAN APPLY FOR THIS PROGRAM. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, MJE CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. MJE USES A MULTI-DISCIPLINARY APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED $548.2 MILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS.
JENNIE EDMUNDSON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13B: JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 HOSPITAL	PART V, SECTION B, LINE 13H: JENNIE EDMUNDSON MEMORIAL HOSPITAL 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, WIC PROGRAM ELIGIBILITY OR SNAP BENEFITS.ADDITIONALLY, JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 HOSPITAL	PART 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.
PART V, SECTION B, LINE 3I	JENNIE EDMUNDSON MEMORIAL HOSPITAL HAS NOT YET POSTED TO ITS WEBSITE THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA.THIS WAS AN ACCIDENTAL AND INADVERTENT OMISSION AND WAS DISCOVERED IN THE PREPARATION OF THE FORM 990. AS SOON AS THIS ERROR WAS DISCOVERED, JENNIE EDMUNDSON MEMORIAL HOSPITAL BEGAN WORKING WITH THE APPROPRIATE DEPARTMENTS WITHIN ITS HEALTH SYSTEM TO UPDATE THE REPORT AND IS IN THE PROCESS OF ADDING A SECTION TO AN UPDATED CHNA REPORT THAT WILL BE MADE WIDELY AVAILABLE TO THE PUBLIC.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE METHODS PRIMARILY USED ARE THE FINANCIAL INFORMATION FROM THE MEDICARE COST REPORT AND ACTUAL EXPENDITURES.
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. IN ADDITION, A QUARTERLY PUBLICATION, "CHART" ADDRESSES ONGOING COMMUNITY BENEFIT ACTIVITIES. THE WEBSITE "WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN" IS DEDICATED TO JENNIE EDMUNDSON MEMORIAL HOSPITAL 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: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. RECENTLY, 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.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, 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:	FOOTNOTE TO THE FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE IS SHOWN IN THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGES 13-14.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2018 FILED MEDICARE COST REPORT.
PART III, LINE 8:	SOURCE FOR MEDICARE REVENUE AND ALLOWABLE COSTS IS THE 2018 MEDICARE COST REPORT AS FILED.
PART III, LINE 9B:	COLLECTION PRACTICES FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE.JENNIE EDMUNDSON MEMORIAL HOSPITAL 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 INTIATIVES 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. JENNIE EDMUNDSON HOSPITAL 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 CYRACOM LANGUAGE LINE 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:	JENNIE EDMUNDSON SERVES COUNCIL BLUFFS, IOWA AND SURROUNDING COMMUNITIES IN SOUTHWESTERN IOWA.JENNIE EDMUNDSON'S PROGRAMS ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED IN THE MOST RECENT CHNA.
PART VI, LINE 5:	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 JENNIE EDMUNDSON MEMORIAL HOSPITAL AND JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION, NEBRASKA METHODIST HOSPITAL, METHODIST FREMONT HEALTH, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC INC., NEBRASKA 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, JENNIE EDMUNDSON MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THIS COMMUNITY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	933 EAST PIERCE ST	AddressLine1Txt
City	COUNCIL BLUFFS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51503	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	421439454	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$110,000	CashGrantAmt
Purpose Of Grant	SUPPORT OF FOUNDATION PROGRAMS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS	21	$21,500
FINANCIAL ASSISTANCE	5699		$3,606,879	BOOK	FINANCIAL ASSISTANCE TO PATIENTS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	JENNIE 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

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM SHIFFERMILLER MD
DIRECTOR	$0	$365,532	$0	$0	$0	$53,307	$0	$60,668	$0	$20,764	$0	$500,271	$0	$26,610
STEVEN BAUMERT
PRESIDENT	$0	$339,212	$0	$0	$0	$44,332	$0	$74,133	$0	$17,326	$0	$475,003	$0	$0
JEFFREY FRANCIS
CFO	$0	$448,404	$0	$0	$0	$70,240	$0	$96,562	$0	$26,320	$0	$641,526	$0	$68,321
PEGGY HELGET
EXEC. PATIENT SVCS	$0	$180,086	$0	$0	$0	$8,115	$0	$29,689	$0	$7,136	$0	$225,026	$0	$0
PATRICK COSTELLO MD
EMERGENCY ROOM PHYSICIAN	$343,358	$0	$15,000	$0	$10,030	$0	$27,384	$0	$24,872	$0	$420,644	$0	$0	$0
HEATHER HERGOTT MD
EMERGENCY ROOM PHYSICIAN	$405,146	$0	$15,000	$0	$8,496	$0	$12,726	$0	$11,774	$0	$453,142	$0	$0	$0
THOMAS CHEATLE MD
PHYSICIAN	$326,039	$0	$7,500	$0	$0	$0	$35,849	$0	$16,786	$0	$386,174	$0	$0	$0
PAUL MILERIS MD
PHYSICIAN	$338,300	$0	$15,000	$0	$10,195	$0	$45,507	$0	$8,838	$0	$417,840	$0	$0	$0
EVAN NEESON MD
PHYSICIAN	$369,424	$0	$7,500	$0	$10,026	$0	$13,271	$0	$30,274	$0	$430,495	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

JENNIE 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 4B

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2018 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: STEVEN BAUMERT $46,633 ACCRUAL JEFFREY FRANCIS $81,019 ACCRUAL, $68,321 PLAN DISTRIBUTION WILLIAM SHIFFERMILLER MD $33,168 ACCRUAL, $26,610 DISTRIBUTION PEGGY HELGET $18,472 ACCRUAL PATRICK COSTELLO $27,384 ACCRUAL HEATHER HERGOTT $12,726 ACCRUAL THOMAS CHEATLE $35,849 ACCRUAL PAUL MILERIS $45,507 ACCRUAL EVAN NEESON $13,271 ACCRUAL

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JOHN G SOUTHARD MD PHD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	MEMBER OF THE BOARD	RelationshipDescriptionTxt
Transaction	$101,667	TransactionAmt
Transaction	DR. SOUTHARD IS A 50% OWNER OF PULMONARY/INFECTIOUS DISEASE WHICH CONTRACTS WITH THE HOSPITAL TO PROVIDE SERVICES.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 2B	THE 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 6	UNDER 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 7A	UNDER 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 11B	PRIOR 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 12C	AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS, MEDICAL DIRECTORS, AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING THE QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. A POTENTIAL CONFLICT OF INTEREST ONCE IDENTIFIED MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF 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 15	JENNIE 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 18	THE 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 19	THE 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 IX, LINE 11G	PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,646,636. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,646,636. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,349,523. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,349,523. MEDICAL DIRECTOR SERVICES: PROGRAM SERVICE EXPENSES 50,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,708. CONTRACT STAFFING EXPENSE: PROGRAM SERVICE EXPENSES 3,291,932. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,291,932. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 63,055. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,055. COLLECTION FEES: PROGRAM SERVICE EXPENSES 154,411. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,411. BILLING SERVICES: PROGRAM SERVICE EXPENSES 433,948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 433,948. ACCOUNTING FEES: PROGRAM SERVICE EXPENSES 12,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,500.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY -1,166,316. EQUITY TRANSFERS TO AFFILATES -731,437. RESTRICTED GIFTS AND GRANTS -127,555.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LOESS HILLS PROPERTIES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 S 169TH STREET	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68118	ZIPCd

Field	Value	IRS element (for citing)
EIN	475070644	EIN
Primary Activities	RENTAL INCOME	PrimaryActivitiesTxt
Legal Domicile State	IA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE EDMUNDSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
933 EAST PIERCE STREET	COUNCIL BLUFFS	IA	51503	421439454	SUPPORT OF JENNIE EDMUNDSON HOSPITAL	IA	501(C)(3)	L7	JENNIE EDMUNDSON MEMORIAL HOSPITAL	Yes (1)
WOMEN'S CHRISTIAN ASSOCIATION OF COUNCIL BLUFFS IOWA
933 EAST PIERCE STREET	COUNCIL BLUFFS	IA	51503	930957829	MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL	IA	501(C)(3)	L12: III-O		0	N/A
NEBRASKA METHODIST HEALTH SYSTEM INC
825 S 169TH STREET	OMAHA	NE	68118	470639839	ADMINISTRATIVE SUPPORT	NE	501(C)(3)	L12: III-FI		0	N/A
NEBRASKA METHODIST HOSPITAL
825 S 169TH STREET	OMAHA	NE	68118	470376604	LICENSED HOSPITAL	NE	501(C)(3)	L3	NEBRASKA METHODIST HEALTH SYSTEM INC	0
NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH
825 S 169TH STREET	OMAHA	NE	68118	470724387	NURSING AND HEALTH EDUCATION FACILITY	NE	501(C)(3)	L2	NEBRASKA METHODIST HOSPITAL	0
NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST FUND
825 S 169TH STREET	OMAHA	NE	68118	363699672	INSURANCE	NE	501(C)(3)	L11: III-FI	NEBRASKA METHODIST HEALTH SYSTEM INC	0
REAL ESTATE HOLDINGS
825 S 169TH STREET	OMAHA	NE	68118	470649790	PROPERTY MANAGEMENT	NE	501(C)(2)	N/A	NEBRASKA METHODIST HEALTH SYSTEM INC	0
PHYSICIANS CLINIC INC
825 S 169TH STREET	OMAHA	NE	68118	470687317	CLINICAL HEALTH CARE	NE	501(C)(3)	L10	NEBRASKA METHODIST HEALTH SYSTEM INC	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 INC	0
METHODIST FREMONT HEALTH
450 E 23RD STREET	FREMONT	NE	68025	831362276	LICENSED HOSPITAL	NE	501(C)(3)	L3	NEBRASKA METHODIST HEALTH SYSTEM INC	0
FREMONT HEALTH CLINIC
450 E 23RD STREET	FREMONT	NE	68025	470717207	CLINICAL HEALTH CARE	NE	501(C)(3)	L10	NEBRASKA METHODIST HEALTH SYSTEM INC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
SHARED SERVICE SYSTEMS INC & SUBSIDIARY
825 S 169TH STREET	OMAHA	NE	68118	470649534	MEDICAL SUPPLY DISTRIBUTION & LAUNDRY	NE	NEBRASKA METHODIST HEALTH SYSTEM INC	C	0
METHODIST HEALTH PARTNERS
825 S 169TH STREET	OMAHA	NE	68118	470797563	MANAGED CARE CONTRACTING	NE	NEBRASKA METHODIST HEALTH SYSTEM INC	C	0
FREMONT HEALTH PARTNERS
450 E 23RD STREET	FREMONT	NE	68025	460735043	MANAGED CARE CONTRACTING	NE	NEBRASKA METHODIST HEALTH SYSTEM INC	C	0
HEALTH CHOICE OF NEBRASKA
450 E 23RD STREET	FREMONT	NE	68025	470783732	MANAGED CARE CONTRACTING	NE	NEBRASKA METHODIST HEALTH SYSTEM INC	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
C	$409,879	BOOK
JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION
B	$110,000	BOOK