2025-10-07T15:05:25-05:00 2024-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-01-01 470378779 THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION MARY 4024634521 715 NORTH ST JOSEPH AVE HASTINGS NE 68901 SHAWN NORDBY CFO 4024634521 2025-10-02 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2025-09-29 2024 2025-03-06 01:10:19Z MARY LANNING HEALTHCARE SHAWN NORDBY 715 NORTH ST JOSEPH AVE HASTINGS NE 68901 223284979 0 X WWW.MARYLANNING.ORG X 1915 NE PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, ACUTE REHABILITATION, PSYCHIATRIC, AND CLINIC SERVICES. 7 6 1348 123 491620 247150 13066647 700400 213814369 217060545 14441494 1993090 1865805 3081973 243188315 222836008 321442 359391 0 0 118050662 117306635 0 0 0 108839362 107032657 227211466 224698683 15976849 -1862675 249638390 257155934 86480649 84600270 163157741 172555664 X ADVANCING OUR TRADITION OF SERVICE, EDUCATION AND COMMUNITY INVOLVEMENT, MARY LANNING HEALTHCARE IS DEDICATED TO EXCELLENCE, OFFERING HOPE, HEALTH AND HEALING. 0 0 208191312 359391 217448634 THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION D/B/A MARY LANNING HEALTHCARE (MLH), LOCATED IN HASTINGS, NEBRASKA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, ACUTE REHABILITATION, PSYCHIATRIC SERVICES AND PHYSICIAN CLINIC SERVICES. MARY LANNING HEALTHCARE PROVIDES HEALTHCARE SERVICES TO THE GENERAL PUBLIC AND OPERATES ROUTINE SERVICE BEDS, ICU BEDS TOTALING 24,148 PATIENT DAYS. MLH HAD 194,046 OUTPATIENT VISITS AND EMERGENCY ROOM VISITS OF 14,962 IN 2024. MLH ALSO OPERATES A HOME HEALTH PROGRAM AND A SCHOOL OF NURSING. IN ADDITION, MLH OPERATES FOURTEEN PHYSICIAN CLINICS IN CENTRAL NEBRASKA, ALONG WITH AN OUTREACH PROGRAM TO SMALLER HOSPITALS IN WHICH TOGETHER MLH SEES APPROXIMATELY 30,000 PATIENTS PER YEAR. MLH OFFERS BEHAVIORAL HEALTH SERVICES ON AN INPATIENT AND OUTPATIENT BASIS, ACCOUNTING FOR 5,203 INPATIENT DAYS AND APPROXIMATELY 14,613 OUTPATIENT VISITS.MLH PROVIDES SEVERAL COMMUNITY PROGRAMS AS WELL. WE LIST ONLY THREE OF THEM. MLH PROVIDES A PLACE FOR FAMILY MEMBERS TO STAY AT A MINIMAL COST DURING TREATMENT, AT A COST OF $188,225 IN 2024. MLH ALSO HAS A PHARMACEUTICAL PATIENT ASSISTANCE PROGRAM THAT ASSISTS THOSE UNABLE TO PAY FOR PRESCRIPTION MEDICATIONS TO FIND ALTERNATIVE FUNDING THROUGH PHARMACEUTICAL COMPANIES AT A COST OF $132,680. TO PROVIDE THESE SERVICES, MLH ABSORBED OVER $34 MILLION IN COSTS DURING 2024. OVER $28 MILLION OF THAT RELATES TO CARE PROVIDED TO MEDICARE AND MEDICAID PATIENTS WITH AN ADDITIONAL $1.4M IN CARE TO THE UNINSURED IN THE FORM OF CHARITY CARE. 208191312 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 167 0 1 1348 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X SHAWN NORDBY 4024615344 715 N ST JOSEPH AVE HASTINGS NE 68901 X MICHAEL ALLEN TREASURER 1.00 40.00 X X 0 156122 9202 JEFF S ANDERSON CHAIR 1.00 0.00 X X 0 0 0 MICHELE BEVER VICE CHAIR 1.00 0.00 X X 0 0 0 ANNA STEHLIK SECRETARY 1.00 0.00 X X 0 0 0 CLARENCE GARY ANDERSON TRUSTEE 1.00 0.00 X 0 0 0 JANIS JOHNSON TRUSTEE 1.00 0.00 X 0 0 0 DANIEL HEROLD TRUSTEE 1.00 0.00 X 0 0 0 ERIC BARBER PRESIDENT/CEO 40.00 0.10 X 546564 0 49678 SHAWN NORDBY CHIEF FINANCIAL OFFICER 40.00 0.10 X 247756 0 48711 BRENT HOOD PHYSICIAN 40.00 0.00 X 1855738 0 55078 KALPESH GANATRA PHYSICIAN 40.00 0.00 X 815657 0 52878 MEHMET COPUR PHYSICIAN 40.00 0.00 X 826465 0 27033 SOE MIN TUN PHYSICIAN 40.00 0.00 X 661186 0 59222 CHARLES SIMPSON PHYSICIAN 40.00 0.00 X 588114 0 43528 5541480 156122 345330 191 0 1 0 THE NEBRASKA MEDICAL CENTER 4350 DEWEY AVE OMAHA NE 68105 SOFTWARE SUPPORT 5972907 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 CONTRACTED STAFFING 3547705 SCHNEIDER ELECTRIC BUILDINGS AMERICAS IN 11225 DAVENPORT ST OMAHA NE 68154 CONSTRUCTION CONTRACTOR 2898297 UNITIMED RECRUITING RESOURCES LLC 1000 N 90TH ST STE 400 OMAHA NE 68114 CONTRACTED STAFFING 1914608 SS PSYCHIATRY GROUP 4110 HARGORD STREET GRAND ISLAND NE 68803 PSYCHIATRIC PHYSICIAN COVERAGE 1348128 41 332532 367868 700400 PATIENT SERVICE REVENUE 621110 214274392 214274392 RADIOLOGY SCHOOL 621500 162992 162992 2623161 2623161 217060545 1824816 1824816 1255784 0 1255784 1255784 1255784 470959 302685 168274 168274 168274 282295 146286 136009 136009 CAFETERIA 722514 810471 810471 PARTNERSHIP INCOME 621610 719212 388089 331123 CATERING 722320 149673 149673 10824 10824 1690180 222836008 217448634 491620 4195354 X 359391 359391 893970 893970 128828 128828 83365797 77453413 5912384 2713488 2509106 204382 24768186 22561756 2206430 5436366 5004705 431661 160666 160666 71915 71915 65361 65361 32048111 28837862 3210249 1086139 881684 204455 4620923 4172780 448143 110087 96750 13337 1640340 1465961 174379 10677443 9550452 1126991 1951056 1765553 185503 MEDICAL SUPPLIES 49703009 49650134 52875 FOOD 1248062 1092620 155442 REPAIRS AND MAINTENANCE 503873 481203 22670 INCOME TAX 10779 10779 3134893 2168335 966558 224698683 208191312 16507371 0 4950 5408485 38473346 4835930 25415915 23125822 6572918 6762120 2799994 3155222 251823988 161135291 92512208 90688697 8872454 36878422 7282756 6835131 3295258 2882746 64408591 76583359 249638390 257155934 27827785 30603089 2885865 2004777 10478213 9188808 14990685 0 17923162 29890747 12374939 12912849 86480649 84600270 X 110780555 109103942 52377186 63451722 163157741 172555664 249638390 257155934 X -1862675 2944 11257654 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 0 0 1 17966 17966 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO AHA, NHA AND NABHO ARE FOR LOBBYING PURPOSES. 46159602 9689391 55848993 45165996 993606 46159602 47703742 -2537746 45165996 43653512 4050230 47703742 44556774 -619651 283611 43653512 0.00000 1.00000 0.00000 0 1 1 8468445 8468445 141931642 83908095 58023547 94323569 75322925 19000644 7100332 1904271 5196061 90688697 DEFERRED COMPENSATION ASSETS 4286201 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 8603295 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 55848993 RIGHT OF USE ASSETS 7214240 FINANCE LEASE ASSETS 630630 76583359 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 750000 MALPRACTICE RESERVE 470000 DEFERRED COMPENSATION LIABILITIES 4286201 RIGHT OF USE LIABILITIES 7406648 12912849 X PART V, LINE 4: MARY LANNING HEALTHCARE FOUNDATION AND MARY LANNING HOSPITAL TRUST, BOTH RELATED ORGANIZATIONS, HOLD ENDOWMENT FUNDS RESTRICTED TO DISTRIBUTION TO MARY LANNING HEALTHCARE. THESE FUNDS ARE SHOWN AS BENEFICIAL INTERESTS IN OTHER ASSETS ON THE BALANCE SHEET. THE FUNDS ARE NOT UNDER THE CONTROL OF MARY LANNING HEALTHCARE. THE ENDOWMENT FUNDS ARE HELD FOR CAPITAL ACQUISITION, HOSPITAL OPERATIONS, SCHOLARSHIPS, EDUCATION, RESEARCH, AND COMMUNITY HEALTH CARE. PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2024 AND 2023, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. 1 1 X 1 X 1 X 1 1 1 0 1 1 1402827 1402827 0.00620 25308053 13693741 11614312 0.05170 26710880 13693741 13017139 0.05790 21 101726 438478 438478 0.00200 10 218 649721 78650 571071 0.00250 1 87 8624 8624 0.00000 5 4704 217990 217990 0.00100 37 106735 1314813 78650 1236163 0.00550 37 106735 28025693 13772391 14253302 0.06340 1052 1052 0.00000 120 160296 160296 0.00070 120 161348 161348 0.00070 1 8390442 1048805 29480594 45908712 -16428118 X 1 1 1 HASTINGS SURGICAL CENTER LLC SURGICAL CENTER 0.18870 0.00000 0.16330 1 1 MARY LANNING MEMORIAL HOSPITAL ASSN 715 NORTH ST JOSEPH AVENUE HASTINGS NE 68901 WWW.MARYLANNING.ORG 010002 X X X X THE MARY LANNING MEMORIAL HOSPITAL ASSOC 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.MARYLANNING.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENTS X 1 24 1 HTTPS://WWW.MARYLANNING.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENTS 0 1 X 150.000000000000 200.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.MARYLANNING.ORG/PATIENT-VISITOR-INFO/FINANCIAL-ASSISTANCE X HTTPS://WWW.MARYLANNING.ORG/PATIENT-VISITOR-INFO/FINANCIAL-ASSISTANCE X HTTPS://WWW.MARYLANNING.ORG/PATIENT-VISITOR-INFO/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: THE CHNA CORE TEAM MET TO REVIEW CROSS SECTIONS OF THE COMMUNITY, INCLUDING THOSE RELATED TO HEALTHCARE, AS WELL AS CITY, POLICE, SCHOOLS AND OTHER ENTITIES SERVING THE PUBLIC IN OUR SERVICE AREA. FROM THOSE, KEY STAKEHOLDERS WERE IDENTIFIED AND INVITED TO PARTICIPATE IN THE NEEDS ASSESSMENT PROCESS. TOGETHER WITH THE MARY LANNING HEALTHCARE, TWO OTHER HEALTH SYSTEMS, TWO HEALTH DEPARTMENTS, AND OUR LOCAL UNITED WAY, THE TEAM CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2024 TO BETTER UNDERSTAND AND ADDRESS THE MOST PRESSING HEALTH CONCERNS IN THE COMMUNITIES WE SERVE UTILIZING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: MEMBERS OF THE CORE TEAM FOR THE 2024 CHNA INCLUDED REPRESENTATIVES FROM BRODSTONE MEMORIAL HOSPITAL AND WEBSTER COUNTY COMMUNITY HOSPITAL. THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED: -SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT -CLAY COUNTY OF HEALTH DEPARTMENT -UNITED WAY OF SOUTH CENTRAL NEBRASKA THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: MARY LANNING HEALTHCARE (MLH) CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2024 TO BETTER UNDERSTAND AND ADDRESS THE MOST PRESSING HEALTH CONCERNS IN THE COMMUNITIES WE SERVE. THROUGH COLLABORATION WITH THE SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT, INTERNAL STAKEHOLDERS, AND COMMUNITY PARTNERS, THREE PRIMARY AREAS OF NEED WERE IDENTIFIED: MENTAL WELLBEING, CHRONIC DISEASE CONDITIONS, AND SENIOR/ELDER CARE, WITH A CONSISTENT EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH (SDOH). THERE WERE NO SIGNIFICANT NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED. BY ENGAGING LEADERS FROM ACROSS MLH, THE ASSESSMENT PROVIDED A COMMUNITY-DRIVEN FOUNDATION FOR DEVELOPING STRATEGIES TO IMPROVE HEALTH OUTCOMES, REDUCE DISPARITIES, AND ENSURE EQUITABLE ACCESS TO CARE.IN RESPONSE, MLH DEVELOPED A THREE-YEAR IMPLEMENTATION STRATEGY (2024-2027) THAT OUTLINES CLEAR GOALS, MEASURABLE STRATEGIES, AND ACCOUNTABILITY FOR PROGRESS IN EACH IDENTIFIED PRIORITY AREA. THESE STRATEGIES INCLUDE EXPANDING TELEHEALTH AND SCREENING SERVICES FOR MENTAL HEALTH, STRENGTHENING CHRONIC DISEASE MANAGEMENT PROGRAMS, ENHANCING TRANSITIONAL CARE AND COMMUNITY HEALTH SCREENINGS, AND EMBEDDING THE NATIONALLY RECOGNIZED AGE-FRIENDLY 4MS FRAMEWORK INTO ELDER CARE PRACTICES. THE PLAN ALSO EMPHASIZES THE INTEGRATION OF SDOH SCREENING TOOLS, CROSS-SECTOR COLLABORATION, AND ALIGNMENT WITH STATE AND NATIONAL HEALTH EQUITY PRIORITIES. MLH WILL MONITOR PROGRESS THROUGH A PERFORMANCE DASHBOARD, HOLD ANNUAL REVIEWS WITH STAKEHOLDERS, AND MAKE ADJUSTMENTS AS NEEDED TO ENSURE THAT THE IMPLEMENTATION REMAINS RESPONSIVE TO COMMUNITY NEEDS AND DELIVERS MEASURABLE IMPROVEMENTS IN POPULATION HEALTH.OVER THE PAST 5 YEARS FORMAL DIABETES SELF MANAGEMENT EDUCATION HAS BEEN PROVIDED TO OVER 1,200 INDIVIDUALS THROUGH THE MLH CERTIFIED DIABETES PROGRAM. APPROXIMATELY 990 WERE NEW REFERRALS OVER THE PAST 5 YEARS. THE PROGRAM HAS ALSO INCREASED THE USAGE OF CONTINUOUS GLUCOSE MONITORING TO APPROXIMATELY 90 PERCENT OF THE DIABETES PATIENTS WHO UTILIZE THE MLH CLINIC AS WELL AS THE NEBRASKA MEDICINE TELEMEDICINE CLINIC. THE PROGRAM ALSO LED 10 TELEMEDICINE CLINICS WITH CHILDREN'S HOSPITAL ENDOCRINOLOGY WITH 7 PLANNED FOR 2025 AND 9 SCHEDULED FOR 2026. HASTINGS FAMILY CARE HAS BEEN PUSHING TO ENROLL PATIENTS IN THE PATIENT PORTAL AND TO DATE HAVE 5,668 ACTIVATED (64%), WHICH IS RIGHT ON THE STATED TARGET GOAL OF 65%. NOTIFICATIONS ARE ALSO SENT TO PATIENTS WHO ARE DUE FOR COLON CANCER AND BREAST CANCER SCREENING. TELEHEALTH IS ALSO BEING UTILIZED MORE FREQUENTLY FOR BEHAVIORAL HEALTH WITH RECENT GRANTS OBTAINED TO HELP IMPROVE AND EXPAND THE PROGRAM. THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16J: THE FULL POLICY IS AVAILABLE UPON REQUEST, FREE OF CHARGE, AS WELL AS ON THE HOSPITAL'S WEBSITE. A SUMMARY OF THE POLICY AND CONTACT INFORMATION IS POSTED ON MARY LANNING HEALTHCARE'S WEBSITE, PRINTED ON BILLING STATEMENTS, POSTED IN ALL ADMISSION AREAS AND PROVIDED IN WRITING TO ALL PATIENTS UPON CHECK IN. 14 1 - HASTINGS ORTHOPEDICS 715 N KANSAS AVE STE 106 HASTINGS NE 68901 OUTPATIENT CLINIC 2 - HASTINGS FAMILY CARE 715 N KANSAS AVE STE 208 HASTINGS NE 68901 OUTPATIENT CLINIC 3 - CENTRAL NE UROLOGY 2115 N KANSAS AVENUE STE 108 HASTINGS NE 68901 OUTPATIENT CLINIC 4 - CENTRAL NE UROLOGY 620 N ALPHA ST GRAND ISLAND NE 68803 OUTPATIENT CLINIC 5 - LANNING CENTER 815 S BURLINGTON AVENUE HASTINGS NE 68901 OUTPATIENT CLINIC 6 - CENTRAL NE GENERAL SURGERY 715 N KANSAS AVENUE STE 205 HASTINGS NE 68901 OUTPATIENT CLINIC 7 - HASTINGS PULMONARY & SLEEP 715 N KANSAS AVENUE STE 101 HASTINGS NE 68901 OUTPATIENT CLINIC 8 - CENTRAL NEBRASKA ANESTHESIA 715 N SAINT JOSEPH AVE HASTINGS NE 689014451 OUTPATIENT CLINIC 9 - CENTRAL NE KIDNEY CARE 715 N KANSAS AVENUE STE 202 HASTINGS NE 68901 OUTPATIENT CLINIC 10 - MLH MEDICAL ONCOLOGY 815 N KANSAS AVE STE 100 HASTINGS NE 689014470 OUTPATIENT CLINIC 11 - WOUND CENTER 715 N KANSAS AVE STE 302 HASTINGS NE 68901 OUTPATIENT CLINIC 12 - PATHOLOGY PROFESSIONAL SERVICES 715 N SAINT JOSEPH AVE HASTINGS NE 689014451 OUTPATIENT CLINIC 13 - MARY LANNING HEALTHCARE NEUROLOGY 715 N KANSAS AVE STE 201 HASTINGS NE 689014438 OUTPATIENT CLINIC 14 - MLH RADIATION ONCOLOGY 815 N KANSAS AVE STE 100 HASTINGS NE 689014470 OUTPATIENT CLINIC PART I, LINE 3C: IN ADDITION TO FEDERAL POVERTY GUIDELINES, THE ORGANIZATION ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF AT THE HOSPITAL. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONS EDUCATION, LINE 7F, AND CONTRIBUTIONS FOR COMMUNITY BENEFIT, LINE 7I, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER. THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS CALCULATED USING THE RATIO OF PATIENT COST TO CHARGES ON WORKSHEET 2. PART I, LINE 7G: NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: THE LEADERSHIP TEAM OF MARY LANNING, ALONG WITH THE COUNTY HEALTH DEPARTMENT, ARE WORKING TO PROMOTE NEW GOALS FOR THE HEALTH DEPARTMENT. SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT HAS AN EMERGENCY STOCKPILE OF SUPPLIES STORED AT MARY LANNING. THE STOCK IS ROTATED TO KEEP THE DEPARTMENT READY IN THE EVENT OF A MASS EMERGENCY. THE HOSPITAL ALSO MAINTAINS RECORDS AND REPORTS FOR THE AUXILIARY, AS WELL AS ATTENDING BOARD MEETINGS AND SUPERVISING VOLUNTEERS. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 12.5% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: MLH (OR ITS THIRD PARTY CONTRACTORS) WILL NOT TAKE ECAS AGAINST A PATIENT OR ANY OTHER INDIVIDUAL WHO HAS ACCEPTED OR IS REQUIRED TO ACCEPT FINANCIAL RESPONSIBILITY FOR A PATIENT UNLESS AND UNTIL MLH HAS MADE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THE PATIENT BUSINESS SERVICES DEPARTMENT IS RESPONSIBLE TO DETERMINE WHETHER MLH HAS ENGAGED IN REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE AND QUALIFIES FOR FINANCIAL ASSISTANCE OTHER THAN FREE CARE, MLH WILL PROVIDE THE PATIENT WITH A REVISED BILL SETTING FORTH: (I) THE AMOUNT THE PATIENT OWES FOR CARE PROVIDED AFTER FINANCIAL ASSISTANCE, (II) HOW THE REVISED AMOUNT WAS DETERMINED; AND (III) EITHER THE AGB FOR THE CARE PROVIDED OR INSTRUCTIONS ON HOW THE PATIENT CAN OBTAIN INFORMATION REGARDING THE ABG FOR THE CARE PROVIDED.IF A PATIENT IS ELIGIBLE FOR ANY TYPE OF FINANCIAL ASSISTANCE, MLH WILL: PROVIDE THE PATIENT WITH A REFUND FOR ANY AMOUNT THE PATIENT HAS PAID IN EXCESS OF THE AMOUNT OWED TO MLH AFTER APPLICATION OF THIS POLICY TO THE PATIENT'S ACCOUNT BALANCE (UNLESS SUCH AMOUNT IS LESS THAN $5); AND TAKE REASONABLE MEASURES TO REVERSE ANY ECAS TAKEN AGAINST THE PATIENT. PART VI, LINE 2: IN ADDITION TO THE STANDARD CHNAS CONDUCTED USING THE MAPP (2012, 2018, 2024) OR MINI-MAPP (2015, 2021), MARY LANNING UTILIZES OTHER METHODS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. IN PARTNERSHIP WITH THE SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT (SHDHD), THE 2018 CHNA INCLUDED A NEW SPECIAL FOCUS ON ACCESS TO CARE, TO INCLUDE FOCUS GROUPS WITH HEALTH SYSTEM USERS (IN ENGLISH AND SPANISH) AND FOCUS GROUPS WITH HEALTH SYSTEM PROVIDERS AND COMMUNITY LEADERS. THE OVERALL GOAL OF THIS SPECIAL FOCUS WAS TO IDENTIFY GAPS IN HEALTH SERVICES AND BARRIERS TO ACCESSING HEALTH CARE. IN 2022, MARY LANNING HAD A SPECIAL FOCUS ON MINORITY HEALTH ASSESSMENTS AND THE IMPACT OF THE PANDEMIC ON ACCESS TO SERVICES AND HEALTH BEHAVIORS. MARY LANNING ALSO PARTNERS WITH THE SHDHD ON AN ONGOING BASIS TO ASSESS OR RECEIVE ASSESSMENT REPORTS ON SPECIFIC HEALTH NEEDS TO SUPPORT PLANNING AND IMPLEMENTATION OF COMMUNITY OUTREACH PROGRAMS. CLINICS ARE ALSO UTILIZING CLIENT/PATIENT POPULATION DATA REPORTED FROM THE ELECTRONIC HEALTH RECORDS TO UNDERSTAND THE NEEDS OF PATIENTS (SUCH AS HYPERTENSION MANAGEMENT OR PRE-DIABETES) AND ADDRESSING THESE NEEDS IN PART THROUGH PARTNERSHIPS WITH, AND REFERRALS TO, EVIDENCE-BASED COMMUNITY PROGRAMS. PART VI, LINE 3: MLH INFORMS AND EDUCATES PATIENTS BY POSTING SIGNS IN ALL ADMISSION AREAS AND PATIENT ROOMS. BROCHURES ARE AVAILABLE IN ADMISSION AREAS. ALL NON-INSURED INPATIENTS ARE PERSONALLY VISITED AND PATIENTS MAY HAVE DISCUSSIONS WITH A FINANICAL COUNSELOR AT ANYTIME DURING THE BILLING/COLLECTION PROCESS. PART VI, LINE 4: MLH'S PRIMARY SERVICE AREA IS ADAMS COUNTY WITH A SECONDARY AREA INCLUDING MERRICK, HALL, HAMILTON, KEARNEY, CLAY, FRANKLIN, WEBSTER, AND NUCKOLLS COUNTIES. THE ESTIMATED POPULATION OF ADAMS COUNTY IS 35,000 AND THE SECONDARY SERVICE AREA IS 93,000. ADAMS COUNTY IS 563 SQ. MILES. FIFTEEN PERCENT OF THE POPULATION IN ADAMS COUNTY IS MEDICARE AGE OR OLDER. PART VI, LINE 5: MARY LANNING CURRENTLY PROMOTES HEALTH IN THE COMMUNITY THROUGH OUTREACH TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS. MUCH FOCUS IS ALREADY PLACED ON THE FIVE PRIORITY NEED AREAS IDENTIFIED IN THE CHNA. MANY DEPARTMENTS WITHIN MARY LANNING PARTICIPATE IN COMMUNITY COALITIONS, PROVIDE OUTREACH TO WORKSITES AND COMMUNITY MEMBERS INCLUDING MINORITIES AND LOW INCOME GROUPS, EDUCATE AND PROVIDE LOW COST OR NO COST SCREENINGS AND CARE. PART VI, LINE 6: MARY LANNING IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 MARY LANNING HEALTHCARE FOUNDATION 741 N DENVER AVE HASTINGS NE 68901 470800042 501(C)(3) 359391 0 ASSIST WITH FUNDRAISING OPERATING COSTS 1 0 PART I, LINE 2: MARY LANNING HEALTHCARE ONLY MAKES CONTRIBUTIONS AND GRANTS TO CHARITABLE OR GOVERNMENTAL TAX EXEMPT ENTITIES. THE HOSPITAL VERIFIES THE TAX EXEMPT STATUS OF THE GRANT RECIPIENTS PRIOR TO MAKING THE GRANT. TERMS OF THE GRANT STATE THAT THE FUNDS ARE ONLY TO BE USED FOR CHARITABLE PURPOSES. X 0 0 X X X X 0 1 0 0 0 0 0 1 0 BRENT HOOD PHYSICIAN 1010721 0 844051 0 966 0 13800 0 42056 0 1911594 0 0 0 KALPESH GANATRA PHYSICIAN 588855 0 225836 0 966 0 13800 0 39856 0 869313 0 0 0 MEHMET COPUR PHYSICIAN 823265 0 0 0 3200 0 13800 0 13739 0 854004 0 0 0 SOE MIN TUN PHYSICIAN 660808 0 0 0 378 0 13800 0 46200 0 721186 0 0 0 CHARLES SIMPSON PHYSICIAN 585342 0 0 0 2772 0 13800 0 30505 0 632419 0 0 0 ERIC BARBER PRESIDENT/CEO 545598 0 0 0 966 0 13800 0 36656 0 597020 0 81414 0 SHAWN NORDBY CHIEF FINANCIAL OFFICER 247208 0 0 0 548 0 10352 0 38842 0 296950 0 0 0 MICHAEL ALLEN TREASURER 0 141122 0 15000 0 0 0 9002 0 1200 0 166324 0 0 PART I, LINE 1B HEALTH OR SOCIAL CLUB DUES: A COUNTRY CLUB MEMBERSHIP IS PROVIDED TO ERIC BARBER AND SHAWN NORDBY FOR PERSONAL USE. THE VALUE OF THE MEMBERSHIP WAS INCLUDED AS TAXABLE WAGES IN THEIR 2024 W-2'S. PART I, LINE 4B THE HOSPITAL CONTRIBUTED $75,000 TO A 457(F) ACCOUNT FOR ERIC BARBER, PRESIDENT/CEO. ERIC ALSO RECEIVED A TAXABLE DISTRIBUTION FROM A 457(F) ACCOUNT OF $81,414. PART I, LINE 7 ERIC BARBER, PRESIDENT/CEO, EMPLOYMENT AGREEMENT PROVIDES FOR UP TO A 20% DISCRETIONARY BONUS. A HOSPITAL AUTHORITY NO 1 OF ADAMS COUNTY NE 470762824 000000000 2024-08-29 9763652 REFUND ISSUE (8/27/15) 0 0 0 A 347178 9763652 152637 9611015 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HOSPITAL AUTHORITY NO 1 OF ADAMS COUNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2024 PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. MONICA NORDBY SPOUSE OF SHAWN NORDBY, CFO 82113 COMPENSATION AND BENEFITS AS EMPLOYEE 0 ALEXIS NORDBY DAUGHTER OF SHAWN NORDBY, CFO 46715 COMPENSATION AND BENEFITS AS EMPLOYEE 0 FORM 990, PART IV, LINE 13: FORM 990, PART IV, LINE 13 IS ANSWERED "NO" BECAUSE MARY LANNING HEALTHCARE'S PRIMARY PROGRAM SERVICE IS THE PROVISION OF MEDICAL CARE THROUGH ITS HOSPITAL. HOWEVER, IT ALSO CONDUCTS A RADIOLOGY SCHOOL IN CONJUNCTION WITH BRYAN COLLEGE OF HEALTH SCIENCES. SCHEDULE E HAS NOT BEEN PREPARED BECAUSE THE ORGANIZATION DOES NOT CHECK BOX 2, PART I OF SCHEDULE A TO INDICATE IT IS A "SCHOOL". THE RADIOLOGY SCHOOL IS OPERATED ON A NONDISCRIMINATORY BASIS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, CONSISTING OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 2 MICHELE BEVER, VICE CHAIR, AND JANIS JOHNSON, TRUSTEE, HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE MEMBERS OF THE BOARD ELECTRONICALLY AND WAS REVIEWED BY THOSE MEMBERS PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, TRUSTEES, COMMITTEE MEMBERS AND KEY EMPLOYEES MUST ANNUALLY REVIEW AND COMPLETE A CONFLICT SURVEY AND SIGN A CONFLICT OF INTEREST STATEMENT. AS PER THE POLICY, ANY POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED AND MADE A MATTER OF RECORD. ANY PERSON WITH A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. TARGETS ARE SET AND COMPENSATION IS APPROVED. IN 2022, THE VICE PRESIDENT OF HUMAN RESOURCES PROVIDED RESULTS OF A SURVEY COMPARING CEO COMPENSATION TO NEBRASKA AND REGIONAL AREA FACILITIES. THE BOARD REVIEWED THAT INFORMATION PRIOR TO SETTING CEO COMPENSATION. IT IS THE BOARD'S GOAL TO REVIEW CEO COMPENSATION IN DETAIL A MINIMUM OF EVERY THIRD YEAR. AN INDEPENDENT THIRD PARTY CONSULTANT COMPENSATION REVIEW OF THE CEO TOOK PLACE IN BOTH 2023 AND 2024. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST THROUGH MARY LANNING HEALTHCARE'S ADMINISTRATIVE OFFICES. FORM 990, PART VII, SECTION A, COLUMN B: MICHAEL ALLEN IS EMPLOYED BY MARY LANNING TRUST, A RELATED ENTITY. FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 8,944,233. MANAGEMENT AND GENERAL EXPENSES 244,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,189,042. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 19,893,629. MANAGEMENT AND GENERAL EXPENSES 2,965,440. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,859,069. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 10,358,611. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 899,043. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES OF THE ORGANIZATION ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MARY LANNING HEALTHCARE FOUNDATION 741 N DENVER AVE HASTINGS NE 68901 470800042 FUNDRAISING AND SUPPORT NE 501(C)(3) LINE 12A, I THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION 1 MARY LANNING HOSPITAL TRUST 122 N HASTINGS AVE HASTINGS NE 68901 476000224 INVESTMENT MANAGEMENT NE 501(C)(3) LINE 12A, I THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION 1 0 1 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 MARY LANNING HEALTHCARE FOUNDATION B 359391 CASH TRANSFER MARY LANNING HEALTHCARE FOUNDATION C 182532 CASH TRANSFER MARY LANNING HOSPITAL TRUST C 150000 CASH TRANSFER MARY LANNING HOSPITAL TRUST E 2500000 FAIR MARKET VALUE