THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION (EIN 47-0378779)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201913179349303996
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T11:56:24-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	476097913	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT STREET SUITE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	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	470378779	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE MARY LANNING MEMORIAL	BusinessNameLine1Txt
Business Name Line2	HOSPITAL ASSOCIATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	MARY	BusinessNameControlTxt
Phone	4024634521	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	715 NORTH ST JOSEPH AVE	AddressLine1Txt
City	HASTINGS	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERIC BARBER	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	4024634521	PhoneNum
Signature	2019-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY R COOLEY	PreparerPersonNm
PTIN	P01523804	PTIN
Phone	4023302660	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	209.34.201.180	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-12	IPDt
IP Tm	13:30:30	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B319C935D5CD5DD24452FA9CD51ABCBD1A9C8C2C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5D066E2939FE45487034BD10C4A0DC94BE27FEF9	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MARY LANNING HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ERIC BARBER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	715 NORTH ST JOSEPH AVE	AddressLine1Txt
City	HASTINGS	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$181,313,415	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARYLANNING.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1915	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	ADVANCING OUR TRADITION OF SERVICE, EDUCATION AND COMMUNITY INVOLVEMENT, MARY LANNING HEALTHCARE IS DEDICATED TO EXCELLENCE, OFFERING HOPE, HEALTH AND HEALING.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	1380	TotalEmployeeCnt
Total Volunteers	216	TotalVolunteersCnt
Total Gross UBI	$329,512	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,014,825	PYContributionsGrantsAmt
CY Contributions Grants	$752,041	CYContributionsGrantsAmt
PY Program Service Revenue	$170,833,804	PYProgramServiceRevenueAmt
CY Program Service Revenue	$170,912,060	CYProgramServiceRevenueAmt
PY Investment Income	$6,036,869	PYInvestmentIncomeAmt
CY Investment Income	$876,944	CYInvestmentIncomeAmt
PY Other Revenue	$1,127,581	PYOtherRevenueAmt
CY Other Revenue	$1,322,837	CYOtherRevenueAmt
PY Total Revenue	$179,013,079	PYTotalRevenueAmt
CY Total Revenue	$173,863,882	CYTotalRevenueAmt
PY Grants And Similar Paid	$234,610	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$325,606	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$102,644,790	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$100,717,169	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,949,065	PYOtherExpensesAmt
CY Other Expenses	$78,429,644	CYOtherExpensesAmt
PY Total Expenses	$186,828,465	PYTotalExpensesAmt
CY Total Expenses	$179,472,419	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,815,386	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,608,537	CYRevenuesLessExpensesAmt
Total Assets BOY	$211,707,759	TotalAssetsBOYAmt
Total Assets EOY	$195,442,924	TotalAssetsEOYAmt
Total Liabilities BOY	$66,073,742	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$60,853,240	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$145,634,017	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$134,589,684	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ADVANCING OUR TRADITION OF SERVICE, EDUCATION AND COMMUNITY INVOLVEMENT, MARY LANNING HEALTHCARE IS DEDICATED TO EXCELLENCE, OFFERING HOPE, HEALTH AND HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$164,052,587	ExpenseAmt
Grant	$325,606	GrantAmt
Revenue	$170,912,060	RevenueAmt
Desc	MARY LANNING HEALTHCARE (MLH) PROVIDES HEALTHCARE SERVICES TO THE GENERAL PUBLIC AND OPERATES ROUTINE SERVICE BEDS, ICU BEDS TOTALING 26,346 PATIENT DAYS. MLH HAD 181,917 OUTPATIENT VISITS AND EMERGENCY ROOM VISITS OF 15,154 IN 2018. MLH ALSO OPERATES A HOME HEALTH PROGRAM AND A SCHOOL OF NURSING. IN ADDITION, MLH OPERATES EIGHTEEN PHYSICIAN CLINICS IN CENTRAL NEBRASKA, ALONG WITH AN OUTREACH PROGRAM TO SMALLER HOSPITALS IN WHICH TOGETHER MLH SEES APPROXIMATELY 40,000 PATIENTS PER YEAR. MLH OFFERS BEHAVIORAL HEALTH SERVICES ON AN INPATIENT AND OUTPATIENT BASIS, ACCOUNTING FOR 5,526 INPATIENT DAYS AND APPROXIMATELY 30,000 OUTPATIENT VISITS. MLH PROVIDES SEVERAL COMMUNITY PROGRAMS AS WELL. WE LIST ONLY THREE OF THEM. MLH PROVIDES COMMUNITY OUTREACH AND MATERNAL CHILD HEALTH ASSESSMENTS AND EDUCATION AT A COST OF OVER $270,000. MLH PROVIDES A PLACE FOR FAMILY MEMBERS TO STAY AT A MINIMAL COST DURING TREATMENT, AT A COST TO MLH OF $215,000 PER YEAR. AND, MLH 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 $180,000. TO PROVIDE THESE SERVICES, MLH ABSORBED OVER $40 MILLION IN COSTS DURING 2018. OVER $30 MILLION OF THAT RELATES TO CARE PROVIDED TO MEDICARE AND MEDICAID PATIENTS WITH AN ADDITIONAL $3.7 MILLION IN CARE TO THE UNINSURED IN THE FORM OF CHARITY CARE.	Desc
Total Program Service Expenses	$164,052,587	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	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	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	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	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
IRP Document	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1380	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	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHAWN NORDBY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4024615344	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	715 N ST JOSEPH AVE	AddressLine1Txt
City	HASTINGS	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68901	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEFF S ANDERSON
CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHELE BEVER
VICE-CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL ALLEN
TREASURER	1.00	40.00	Yes (X)	Yes (X)	$0	$139,351	$5,771
CLARENCE GARY ANDERSON
SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PRADIPTA CHAUDHURI
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
JANIS JOHNSON
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ANNA STEHLIK
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ERIC BARBER
PRESIDENT/CEO	40.00	0.10		Yes (X)	$541,364	$0	$110,873
SHAWN NORDBY
CHIEF FINANCIAL OFFICER	40.00	0.10		Yes (X)	$201,019	$0	$28,113
BARRY BOHLEN
PHYSICIAN	40.00	0.00			$1,082,945	$0	$42,641	Yes (X)
BRENT HOOD
PHYSICIAN	40.00	0.00			$966,358	$0	$41,018	Yes (X)
KALPESH GANATRA
PHYSICIAN	40.00	0.00			$682,378	$0	$42,411	Yes (X)
RICHARD KOEFOOT
PHYSICIAN	40.00	0.00			$608,062	$0	$18,694	Yes (X)
THOMAS ZUSAG
PHYSICIAN	40.00	0.00			$595,798	$0	$25,689	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,677,924	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$139,351	TotReportableCompRltdOrgAmt
Total Other Compensation	$315,210	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	96	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
THE NEBRASKA MEDICAL CENTER
4350 DEWEY AVE	OMAHA	NE	68105	SOFTWARE SUPPORT	$2,759,001
SS PSYCHIATRY GROUP
4110 HARGORD STREET	GRAND ISLAND	NE	68803	PHYSICIAN COVERAGE	$1,127,978
SCOTT BELL MD PC
715 N KANSAS AVE SUITE 207	HASTINGS	NE	68901	NEUROSURGEON	$780,000
MCKESSON
BOX 98347	CHICAGO	IL	60693	SOFTWARE SUPPORT	$515,716
RESTORIX HEALTH
445 HAMILTON AVE SUITE 800	WHITE PLAINS	NY	10601	WOUND CARE	$489,787

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$745,372	RelatedOrganizationsAmt
All Other Contributions	$6,669	AllOtherContributionsAmt
Total Contributions	$752,041	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ALL OTHER PATIENT REVE	621300	$112,135,753	$112,135,753
NET MEDICARE REVENUE	621300	$46,770,324	$46,770,324
NET MEDICAID REVENUE	621300	$9,179,640	$9,179,640
RADIOLOGY SCHOOL	621300	$106,175	$106,175

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,720,168	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,720,168	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$170,912,060	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$261,656	TotalRevenueColumnAmt
Exclusion	$261,656	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$228,861	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,710	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$223,151	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$223,151	TotalRevenueColumnAmt
Exclusion	$223,151	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,778,487	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,152,195	SecuritiesAmt
Other	$11,004	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$626,292	SecuritiesAmt
Other	-$11,004	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$615,288	TotalRevenueColumnAmt
Exclusion	$615,288	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$274,266	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$280,624	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,358	TotalRevenueColumnAmt
Exclusion	-$6,358	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722210	$776,532	$776,532
PARTNERSHIP INCOME	621610	$179,900		$179,900
CATERING	722320	$141,094		$141,094

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,518	TotalRevenueColumnAmt
Unrelated Business Revenue	$8,518	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,106,044	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$173,863,882	TotalRevenueColumnAmt
Related Or Exempt Func Income	$170,912,060	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$329,512	UnrelatedBusinessRevenueAmt
Exclusion	$1,870,269	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$325,606	TotalAmt
Program Services	$325,606	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$881,369	TotalAmt
Management And General	$881,369	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$64,675	TotalAmt
Program Services	$64,675	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$75,844,376	TotalAmt
Program Services	$70,184,855	ProgramServicesAmt
Management And General	$5,659,521	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,307,178	TotalAmt
Program Services	$2,201,650	ProgramServicesAmt
Management And General	$105,528	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,830,319	TotalAmt
Program Services	$15,507,504	ProgramServicesAmt
Management And General	$1,322,815	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,789,252	TotalAmt
Program Services	$4,377,981	ProgramServicesAmt
Management And General	$411,271	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$330,611	TotalAmt
Management And General	$330,611	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$81,910	TotalAmt
Management And General	$81,910	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$125,411	TotalAmt
Management And General	$125,411	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,485,044	TotalAmt
Program Services	$14,044,722	ProgramServicesAmt
Management And General	$2,440,322	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,509,125	TotalAmt
Program Services	$4,244,151	ProgramServicesAmt
Management And General	$264,974	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,070,998	TotalAmt
Program Services	$3,810,667	ProgramServicesAmt
Management And General	$260,331	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$263,210	TotalAmt
Program Services	$223,171	ProgramServicesAmt
Management And General	$40,039	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$6,545	TotalAmt
Management And General	$6,545	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,492,083	TotalAmt
Program Services	$1,245,244	ProgramServicesAmt
Management And General	$246,839	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,174,584	TotalAmt
Program Services	$9,325,358	ProgramServicesAmt
Management And General	$1,849,226	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,282,712	TotalAmt
Program Services	$1,101,856	ProgramServicesAmt
Management And General	$180,856	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$25,374,592	$25,363,709	$10,883
BAD DEBT EXPENSE	$9,018,654	$9,018,654
ALL OTHER EXPENSES	$1,361,551	$746,879	$614,672
REPAIRS	$1,201,496	$1,064,729	$136,767

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,651,118	TotalAmt
Program Services	$1,201,176	ProgramServicesAmt
Management And General	$449,942	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$179,472,419	TotalAmt
Program Services	$164,052,587	ProgramServicesAmt
Management And General	$15,419,832	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,111	BOYAmt
EOY	$6,425	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,778,291	BOYAmt
EOY	$4,337,565	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,579,219	BOYAmt
EOY	$19,657,886	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$203,337	BOYAmt
EOY	$207,537	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,125,467	BOYAmt
EOY	$2,459,562	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,380,452	BOYAmt
EOY	$5,125,796	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,261,322	BOYAmt
EOY	$1,626,249	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$199,476,142	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$128,548,108	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,045,671	BOYAmt
EOY	$70,928,034	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$36,010,503	BOYAmt
EOY	$31,903,103	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$59,534,586	BOYAmt
EOY	$57,408,967	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,781,800	BOYAmt
EOY	$1,781,800	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$211,707,759	BOYAmt
EOY	$195,442,924	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,542,441	BOYAmt
EOY	$19,811,249	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$176,591	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,328,119	BOYAmt
EOY	$21,357,454	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,878,719	BOYAmt
EOY	$4,217,926	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$15,776,035	BOYAmt
EOY	$13,809,820	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,548,428	BOYAmt
EOY	$1,480,200	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,073,742	BOYAmt
EOY	$60,853,240	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$96,748,200	BOYAmt
EOY	$87,500,078	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,238,594	BOYAmt
EOY	$3,312,293	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,647,223	BOYAmt
EOY	$43,777,313	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$145,634,017	BOYAmt
EOY	$134,589,684	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$211,707,759	BOYAmt
EOY	$195,442,924	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,608,537	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,422,728	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,013,068	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$12,677	OtherActivitiesAmt
Total Lobbying Expenditures	$12,677	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 DUES PAID TO AHA, NHA AND NABHO ARE FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,647,223	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,869,910	InvestmentEarningsOrLossesAmt
End Year Balance	$43,777,313	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,342,323	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$695,100	InvestmentEarningsOrLossesAmt
End Year Balance	$45,647,223	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,879,485	BeginningYearBalanceAmt
Investment Earnings Or Losses	$462,838	InvestmentEarningsOrLossesAmt
End Year Balance	$46,342,323	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$39,132,823	BeginningYearBalanceAmt
Investment Earnings Or Losses	$6,746,662	InvestmentEarningsOrLossesAmt
End Year Balance	$45,879,485	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,226,433	BeginningYearBalanceAmt
Investment Earnings Or Losses	$9,906,390	InvestmentEarningsOrLossesAmt
End Year Balance	$39,132,823	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
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	$4,678,076	OtherCostOrOtherBasisAmt
Book Value	$4,678,076	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,119,718	OtherCostOrOtherBasisAmt
Depreciation	$63,167,083	DepreciationAmt
Book Value	$43,952,635	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,577,931	OtherCostOrOtherBasisAmt
Depreciation	$63,840,071	DepreciationAmt
Book Value	$20,737,860	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,100,417	OtherCostOrOtherBasisAmt
Depreciation	$1,540,954	DepreciationAmt
Book Value	$1,559,463	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$70,928,034	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
STUDENT LOAN AND RESTRICTED FUNDS	$1,004,544	F
JOINT VENTURES	$6,325,053	F
BENEFICIAL INTEREST IN FOUNDATION	$7,267,021	F
BENEFICIAL INTEREST IN TRUST	$42,812,349	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$57,408,967	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY REIMBURSEMENT CONTRACTS	$912,273
ACCRUED INTEREST PAYABLE	$97,927
MALPRACTICE RESERVE	$470,000

Field	Value	IRS element (for citing)
Total Liability	$1,480,200	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	TEMPORARILY RESTRICTED FUNDS ARE HELD FOR CAPITAL ACQUISITION, SCHOLARSHIPS, EDUCATION AND COMMUNITY HEALTH CARE. PERMANENTLY RESTRICTED FUND ASSETS ARE HELD IN PERPETUITY WITH THE INCOME USED FOR HOSPITAL OPERATIONS, SCHOLARSHIPS AND RESEARCH.
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. 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, 2018 AND 2017, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
PART V, LINE 3A(II):	MARY LANNING HEALTHCARE FOUNDATION AND MARY LANNING HOSPITAL TRUST HOLD ENDOWMENT FUNDS RESTRICTED TO DISTRIBUTION TO MARY LANNING HEALTHCARE. THESE FUNDS ARE REFLECTED ON MARY LANNING HEALTHCARE'S BALANCE SHEET IN "INVESTMENTS - OTHER SECURITIES AND ARE SHOWN ON SCHEDULE D, PART VII. THESE FUNDS ARE NOT UNDER THE CONTROL OF MARY LANNING HEALTHCARE.

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	125.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$3,741,329	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,741,329	NetCommunityBenefitExpnsAmt
Total Expense	0.02080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,819,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,179,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,639,992	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,560,961	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,179,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,381,321	NetCommunityBenefitExpnsAmt
Total Expense	0.06890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	55219	PersonsServedCnt
Total Community Benefit Expns	$1,048,955	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,656	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,037,299	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1729	PersonsServedCnt
Total Community Benefit Expns	$1,252,178	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,391	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,044,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1165	PersonsServedCnt
Total Community Benefit Expns	$171,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$133,652	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	2857	PersonsServedCnt
Total Community Benefit Expns	$234,783	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$234,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	78	ActivitiesOrProgramsCnt
Persons Served	60970	PersonsServedCnt
Total Community Benefit Expns	$2,707,668	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$257,147	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,450,521	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	78	ActivitiesOrProgramsCnt
Persons Served	60970	PersonsServedCnt
Total Community Benefit Expns	$24,268,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,436,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,831,842	NetCommunityBenefitExpnsAmt
Total Expense	0.08250	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,128	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	282	PersonsServedCnt
Total Community Benefit Expns	$171,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	282	PersonsServedCnt
Total Community Benefit Expns	$178,170	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,018,654	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,301,704	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$57,583,607	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,281,903	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HASTINGS SURGICAL CENTER LLC
SURGICAL CENTER	0.21050	0.00000	0.16330
2 HASTINGS MOB LLC
REAL ESTATE	0.51000	0.00000	0.39000

Field	Value	IRS element (for citing)
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	MARY LANNING HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	715 NORTH ST JOSEPH AVENUE	AddressLine1Txt
City	HASTINGS	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68901	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MARYLANNING.ORG	WebsiteAddressTxt
State License	010002	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	MARY LANNING HEALTHCARE	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
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	HTTPS://WWW.MARYLANNING.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENTS	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	HTTPS://WWW.MARYLANNING.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENTS	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	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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	HTTPS://WWW.MARYLANNING.ORG/PATIENT-VISITOR-INFO/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MARYLANNING.ORG/PATIENT-VISITOR-INFO/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MARYLANNING.ORG/PATIENT-VISITOR-INFO/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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARY LANNING HEALTHCARE	PART V, SECTION B, LINE 5: MARY LANNING HEALTHCARE CONDUCTED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT IN 2012 USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. MAPP IS AN EVIDENCE-BASED PROCESS FOR ENGAGING THE COMMUNITY AND STAKEHOLDERS IN GATHERING DATA ABOUT THE COMMUNITY, REVIEWING THE DATA TO PRIORITIZE HEALTH NEEDS OF THE COMMUNITY AND IDENTIFYING STRATEGIES TO ADDRESS THOSE IDENTIFIED PRIORITIES. THIS WAS CONDUCTED IN PARTNERSHIP WITH THE SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT (SHDHD). THE COMMUNITY HEALTH NEEDS ASSESSMENT ENABLED MARY LANNING'S ADMINISTRATIVE TEAM AND BOARD OF TRUSTEES TO INCLUDE THE FINDINGS IN THE OVERALL STRATEGIC PLAN AND TO CREATE AN IMPLEMENTATION STRATEGY THAT IS IN ALIGNMENT WITH THE SHDHD'S CHIP (COMMUNITY HEALTH IMPROVEMENT PLAN) AS BOTH PLANS WORK TOGETHER TO ADDRESS THE NEEDS IN THE IDENTIFIED COMMUNITY.A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN 2015 IN PARTNERSHIP WITH SHDHD AND USING A SCALED DOWN VERSION OF THE MAPP PROCESS (MINI-MAPP) PROVIDING OPPORTUNITY FOR MARY LANNING TO UPDATE THE MLH IMPLEMENTATION PLAN. ANOTHER FULL CHNA WAS COMPLETED WITH SHDHD DURING THE CURRENT YEAR 2018.
MARY LANNING HEALTHCARE	PART V, SECTION B, LINE 6A: MEMBERS OF THE CORE TEAM FOR THE 2018 CHNA INCLUDED REPRESENTATIVES FROM BRODSTONE MEMORIAL HOSPITAL AND WEBSTER COUNTY COMMUNITY HOSPITAL.
MARY LANNING HEALTHCARE	PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED: -SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT -THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES -UNITED WAY OF SOUTH CENTRAL NEBRASKA -UNITED WAY OF SOUTH CENTRAL NEBRASKA
MARY LANNING HEALTHCARE	PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY: ADOPTING AN IMPLEMENTATION STRATEGY ADDRESSING EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED, EXECUTION OF THE IMPLEMENTATION STRATEGY, PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN, INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS, ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF THE HEALTH NEEDS IN THE COMMUNITY AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. MARY LANNING PARTNERED WITH THE SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT TO COORDINATE OUR IMPLEMENTATION PLAN WITH THEIR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). MONTHLY MEETINGS WERE HELD WITH THE HEALTH DEPARTMENT AND OTHER PARTNER ORGANIZATIONS TO DISCUSS PROGRESS AND AVOID DUPLICATION. THE MARY LANNING TEAM ALSO CONTINUED TO UPDATE AND PROVIDE SERVICES IN THE FIVE AREAS OF NEED. HIGHLIGHTS FROM EACH AREA OF NEED INCLUDE THE FOLLOWING: OBESITY AND RELATED HEALTH CONDITIONS: MLH IS COMMITTED TO PROVIDING ACTIVITIES, EDUCATION AND ASSESSMENT TO ASSIST COMMUNITY MEMBERS WITH THE TOOLS AND RESOURCES FOR BETTER DISEASE PREVENTION AND SELF MANAGEMENT THROUGH THE FOLLOWING ACTIONS: CREATING A CHRONIC CARE MANAGEMENT POSITION, ESTABLISHING A DIABETES REGISTRY, OFFERING AT LEAST ONE DIABETES PREVENTION CLASS PER YEAR AND ENSURING THE CARDIAC AND PULMONARY REHAB PATIENTS COMPLETE EDUCATION FOCUSED ON THEIR DIAGNOSED DIASEASE STATE AMONG OTHER ACTIVITIES. CANCER: MLH IS COMMITTED TO DECREASING THE INCIDENCE OF CANCER BY PROVIDING LIMITED SKIN SCREENINGS AT HEALTH FAIRS AND FOR EMPLOYEES, COORDINATING AN EVENT TO ADDRESS OVERALL WOMEN'S HEALTH, SEEKING FUNDS TO SUPPLY ORAL CHEMOTHERAPY FOR PATIENTS WHOSE COVERAGE DOES NOT PAY, ESTABLISHING A MAMMOGRAM REGISTRY AND ESTABLISHING A SYSTEM TO NOTIFY PATIENTS OF UPCOMING PREVENTATIVE SCREENINGS AT THE FIRST YEAR OF ELIGIBILITY. MENTAL HEALTH: MLH IS COMMITTED TO PROVIDE EDUCATION AND SCREENINGS IN CLINIC AND COACHING SETTINGS FOR BETTER MENTAL HEALTH ASSESSMENT AND SELF-CARE BY THE FOLLOWING ACTIONS: ESTABLISHING TRACKING MECHANISMS TO DEMONSTRATE THE USAGE OF MENTAL HEALTH RESOURCES, ESTABLISHING INSOMNIA PATHWAY AT HASTINGS FAMILY CARE, DEVELOPING A STRESS QUESTIONNAIRE TO PUT IN INITIAL EVALUATION PACKETS AND OTHER ACTIONS. SUBSTANCE MISUSE: MLH IS COMMITTED TO PROVIDING EDUCATION AND RESOURCES TO 100% OF HEALTHY BEGINNINGS CLIENTS WHO HAVE BEEN IDENTIFIED AS POTENTIAL OR CONFIRMED AT RISK FOR SUBSTANCE MISUSE, DEVELOPING A PRESENTATION ON SUBSTANCE MISUSE/MENTAL HEALTH TARGETED AT 8TH GRADERS AND INCORPORATING A HUMAN TRAFFICKING ASSESSMENT IN THE EMERGENCY ROOM. ACCESS TO CARE: MLH IS COMMITTED TO DEVELOPING A STRATEGY TO ENCOURAGE ACCESS TO SPECIALTY SERVICES BY EXPLORING TELEMEDICINE OUTREACH AND PROVIDING EDUCATION ABOUT HOME CARE SERVICES TO AT LEAST TWO COMMUNITY GROUPS EVERY QUARTER. MLH IS ALSO SEEKING TO INCREASE THE AVAILABILITY OF URGENT CARE IN THE CLINIC, AS WELL AS INCREASING THE PATIENTS ABILITY TO MANAGE THEIR OWN CARE. PRIORITIZED NEEDS STAKEHOLDERS IN THE 2018 MAPP PROCESS WERE ASKED TO RANK ALL NEEDS ON A SCALE TO DETERMINE PRIORITY AREAS. THE TOP FIVE RANKED AREAS THROUGH THIS PROCESS WERE: ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE MISUSE, OBESITY AND RELATED HEALTH CONDITIONS AND CANCER. THE OTHER NEEDS THAT WERE IDENTIFIED THROUGH THE ASSESSMENT PROCESS THAT ARE NOT CURRENTLY BEING ADDRESSED INCLUDE: AGING PROBLEMS, ENVIRONMENTAL, CHILD ABUSE/NEGLECT, DOMESTIC VIOLENCE, AND INJURY. EVEN THOUGH THESE ISSUES WERE NOT STAND ALONE PRIORITY NEEDS, IT IS ANTICIPATED THAT SEVERAL AREAS WILL OVERLAP AND ONE ACTIVITY MAY MEET THE STRATEGIC GOAL IN SEVERAL AREAS AND MAY HAVE A POSITIVE IMPACT ON NEEDS THAT ARE IDENTIFIED BUT NOT IN THE TOP FIVE PRIORITY AREAS. FOR EXAMPLE, ADDRESSING MENTAL HEALTH AND SUBSTANCE MISUSE PRIORITY AREAS WOULD LOGICALLY HAVE AN IMPACT ON PREVALENCE OF CHILD ABUSE/NEGLECT AND DOMESTIC VIOLENCE; ADDRESSING MENTAL HEALTH ACROSS THE LIFESPAN NATURALLY INCLUDES THE AGAIN POPULATION AND INCLUDES STRATEGIES FOR INCREASING ACCESS TO (MENTAL HEALTH) CARE. SOME OF THE IDENTIFIED NEEDS THAT ARE NOT PRIORITY AREAS ARE BEING ADDRESSED AT SOME LEVEL BY OTHER STAKEHOLDERS IN THE COMMUNITY, SUCH AS THE PUBLIC HEALTH DEPARTMENT.
MARY LANNING HEALTHCARE	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.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HASTINGS ORTHOPEDICS
2207 OSBORNE DR WEST STE 100	HASTINGS	NE	68901	OUTPATIENT CLINIC
2 - HASTINGS FAMILY CARE
223 E 14TH STREET STE 100	HASTINGS	NE	68901	OUTPATIENT CLINIC
3 - LANNING CENTER
815 S BURLINGTON AVENUE	HASTINGS	NE	68901	OUTPATIENT CLINIC
4 - CENTRAL NE UROLOGY
2115 N KANSAS AVENUE STE 108	HASTINGS	NE	68901	OUTPATIENT CLINIC
5 - CENTRAL NE UROLOGY
620 N ALPHA ST	GRAND ISLAND	NE	68803	OUTPATIENT CLINIC
6 - INSPIRED BRAIN & SPINE SURGERY
715 N KANSAS AVE STE 207	HASTINGS	NE	68901	OUTPATIENT CLINIC
7 - CENTRAL NE GENERAL SURGERY
715 N KANSAS AVENUE STE 205	HASTINGS	NE	68901	OUTPATIENT CLINIC
8 - HASTINGS PULMONARY & SLEEP
715 N KANSAS AVENUE STE 101	HASTINGS	NE	68901	OUTPATIENT CLINIC
9 - CENTRAL NE PAIN CENTER
715 N KANSAS AVENUE STE 202	HASTINGS	NE	68901	OUTPATIENT CLINIC
10 - CENTRAL NE FAMILY CARE
3016 W FAIDLEY AVE	GRAND ISLAND	NE	68803	OUTPATIENT CLINIC
11 - COMMUNITY HEALTH CENTER
606 N MINNESOTA AVENUE STE 1	HASTINGS	NE	68901	OUTPATIENT CLINIC
12 - CENTRAL NE KIDNEY CARE
715 N KANSAS AVENUE	HASTINGS	NE	68901	OUTPATIENT CLINIC
13 - DONIPHAN CLINIC
2011 W CLARICE STREET	DONIPHAN	NE	68832	OUTPATIENT CLINIC
14 - WOUND CENTER
715 N KANSAS AVE STE 302	HASTINGS	NE	68901	OUTPATIENT CLINIC
15 - BLUE HILL CLINIC
102 N PINE STREET	BLUE HILL	NE	68930	OUTPATIENT CLINIC
16 - MIDWEST COSMETIC & WOUND SURGERY
715 N KANSAS AVE STE 206	HASTINGS	NE	68901	OUTPATIENT CLINIC
17 - CENTRAL NE INFECTIOUS DISEASE CLINIC
715 N KANSAS AVENUE	HASTINGS	NE	68901	OUTPATIENT CLINIC
18 - WOOD RIVER FAMILY CARE
905 MAIN STREET	WOOD RIVER	NE	68883	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE ORGANIZATION ONLY USED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS NOT PREPARED BY A RELATED ORGANIZATION.
PART I, LINE 7:	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST-TO-CHARGE RATIO. THE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LINE 7G:	THE HOSPITAL DOES NOT REPORT ANY SUBSIDIZED HEALTH SERVICES ON LINE 7(G).
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,018,654.
PART II, COMMUNITY BUILDING ACTIVITIES:	HASTINGS FAMILY CARE, A CLINIC OF MLH, HOSTED PROJECT SEARCH STUDENTS FOR AN EIGHT WEEK ROTATION SO THAT THEY MAY GAIN JOB SKILLS TO PREPARE THEM FOR FUTURE JOB OPPORTUNITIES.
PART III, LINE 2:	IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PATIENT RECEIVABLES ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
PART III, LINE 3:	THE HOSPITAL PROVIDES CHARITY CARE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR THE HEALTH CARE SERVICES THEY RECEIVE. PATIENTS WHO QUALIFY FOR CHARITY CARE ARE GIVEN A PERCENTAGE DISCOUNT FROM ESTABLISHED CHARGES BASED ON A SLIDING SCALE USING POVERTY GUIDELINES. IT IS THE POLICY OF THE HOSPITAL NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. ACCORDINGLY, THE HOSPITAL DOES NOT REPORT THESE AMOUNTS IN NET OPERATING REVENUE OR IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL DETERMINES THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE BY AGGREGATING THE DIRECT AND INDIRECT COSTS, INCLUDING SALARIES, BENEFITS, SUPPLIES, AND OTHER OPERATING EXPENSES, BASED ON THE OVERALL COST TO CHARGE RATIO FOR THE HOSPITAL ONLY. THE COSTS OF CARING FOR CHARITY CARE PATIENTS FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017 WERE APPROXIMATELY $3,740,000 AND $5,200,000, RESPECTIVELY.
PART III, LINE 4:	THE COSTING METHODOLOGY USED IN DETERMINING THE BAD DEBT EXPENSES INCLUDES CALCULATING ON A MONTHLY BASIS THE TOTAL ESTIMATED AMOUNTS BASED ON HISTORICAL WRITE OFFS.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. FOOTNOTES TITLED "PATIENT RECEIVABLES, NET," "NET PATIENT SERVICE REVENUE, AND "FINANCIAL ASSISTANCE/CHARITY CARE" CAN BE FOUND ON PAGES 8 AND 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	FOR-PROFIT SPECIALITY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH-MARGIN SERVICES, LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER-MARGIN SERVICES RATHER THAN INEFFICIENT OPERATIONS. ALL OF THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	ACCOUNTS WILL BE SCREENED FOR APPROPRIATE REFERRAL TO FINANCIAL ASSISTANCE VS. BAD DEBT WRITE OFF DURING THE COLLECTION PROCESS. THE FINANCIAL ASSISTANCE POLICY DOES INCLUDE PROVISION FOR IMPLIED CHARITY CARE IF THERE IS SUFFICIENT KNOWLEDGE TO DETERMINE THAT THE PATIENT MEETS THE QUALIFYING FACTORS OF THE PROGRAM.
PART VI, LINE 2:	IN ADDITION TO THE STANDARD CHNAS CONDUCTED USING THE MAPP (2012, 2018) OR MINI-MAPP (2015), 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. MARY LANNING ALSO PARTNERS WITH THE SHDHD ON AN ONGOING BASIS TO ASSESS OR RECEIVE ASSESSMENT REPORTS ON SPECIFIC HEALTH NEEDS, SUCH AS SKIN CANCER, TO SUPPORT PLANNING AND IMPLEMENTATION OF COMMUNITY OUTREACH PROGRAMS, SUCH AS FOR SKIN CANCER PREVENTIVE SCREENING OPPORTUNITIES. 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MARY LANNING HEALTHCARE FOUNDATION
741 N DENVER AVE	HASTINGS	NE	68901	470800042	501(C)(3)	$300,606	TO ASSIST WITH THE OPERATING COSTS OF FUNDRAISING.
CITY OF HASTINGS
220 N HASTINGS AVE	HASTINGS	NE	68901	476006221	GOVERNMENTAL	$25,000	TO FUND THE COST OF A NEW AMBULANCE.

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
ERIC BARBER
PRESIDENT/CEO	$488,033	$0	$52,588	$0	$743	$0	$81,000	$0	$29,873	$0	$652,237	$0	$101,627	$0
SHAWN NORDBY
CHIEF FINANCIAL OFFICER	$200,723	$0	$0	$0	$296	$0	$8,352	$0	$19,761	$0	$229,132	$0	$0	$0
BARRY BOHLEN
PHYSICIAN	$1,081,782	$0	$0	$0	$1,163	$0	$11,000	$0	$31,641	$0	$1,125,586	$0	$0	$0
BRENT HOOD
PHYSICIAN	$965,567	$0	$0	$0	$791	$0	$11,000	$0	$30,018	$0	$1,007,376	$0	$0	$0
KALPESH GANATRA
PHYSICIAN	$681,474	$0	$0	$0	$904	$0	$11,000	$0	$31,411	$0	$724,789	$0	$0	$0
RICHARD KOEFOOT
PHYSICIAN	$602,511	$0	$0	$0	$5,551	$0	$11,000	$0	$7,694	$0	$626,756	$0	$0	$0
THOMAS ZUSAG
PHYSICIAN	$583,153	$0	$0	$0	$12,645	$0	$11,000	$0	$14,689	$0	$621,487	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	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 2018 W-2'S. CHAUFFEUR: VEHICLES OWNED BY MARY LANNING HEALTHCARE AND DRIVERS EMPLOYED BY THE HOSPITAL ARE MADE AVAILABLE TO PHYSICIANS WHO CHOOSE TO USE THEM FOR TRAVEL TO CLINICS IN OTHER CITIES. SUCH TRAVEL IS STRICTLY FOR HOSPITAL BUSINESS PURPOSES, AND THE PROVISION OF CARS AND DRIVERS ENABLES THE PHYSICIANS TO PERFORM VARIOUS ADMINISTRATIVE TASKS DURING THE TRAVEL TIME. PHYSICIANS ARE NOT REQUIRED TO "ACCOUNT" TO THE HOSPITAL FOR THE NUMBER OF MILES DRIVEN, AS THE ENTIRE TRAVEL COST IS A HOSPITAL BUSINESS EXPENSE.
PART I, LINE 4B	THE HOSPITAL CONTRIBUTED $70,000 TO A 457(F) ACCOUNT FOR ERIC BARBER. HE ALSO RECEIVED A DISTRIBUTION FROM A 457(F) ACCOUNT OF $101,627.
PART I, LINE 7	THE PRESIDENT OF THE ORGANIZATION'S EMPLOYMENT AGREEMENT PROVIDES FOR UP TO A 20% DISCRETIONARY BONUS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL AUTHORITY NO 1 OF ADAMS COUNTY NE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	470762824	BondIssuerEIN
Bond Issued	2015-08-27	BondIssuedDt
Issue Price	$28,335,905	IssuePriceAmt
Purpose	RENOVATIONS & REFUND ISSUE (7/1/08)	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,835,647	RetiredAmt
Total Proceeds	$28,812,743	TotalProceedsAmt
Capital Expenditures	$7,500,327	CapitalExpendituresAmt
Other Spent Proceeds	$21,312,417	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART IV, LINE 2C:	(A) ISSUER NAME: HOSP AUTHORITY NO. 1 OF ADAMS COUNTY NE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2018 NOTE REGARDING THE REBATE COMPUTATION ON 7/31/2018: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
PART II, LINE 3:	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ERIC BARBER	PersonNm
Relationship With Org	CEO/EMPLOYEE OF ORGANIZATION	RelationshipWithOrgTxt
Loan Purpose	FORGIVABLE LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$200,000	OriginalPrincipalAmt
Balance Due	$207,537	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$207,537	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	MONICA NORDBY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	EMPLOYEE OF ORGANIZATION AND WIFE OF SHAWN NORDBY, CFO	RelationshipDescriptionTxt
Transaction	$64,675	TransactionAmt
Transaction	EMPLOYEES W-2 WAGES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 NURSING SCHOOL IN CONJUNCTION WITH CREIGHTON UNIVERSITY AND A RADIOLOGY SCHOOL. 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". BOTH THE NURSING SCHOOL AND THE RADIOLOGY SCHOOL ARE OPERATED ON A NONDISCRIMINATORY BASIS.
FORM 990, PART VI, SECTION A, LINE 2	MICHELE BEVER, VICE-CHAIR, AND JANIS JOHNSON, TRUSTEE, SHARE 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 CEO'S COMPENSATION IS REVIEWED BY THE FULL BOARD OF TRUSTEES ANNUALLY. TARGETS ARE SET AND COMPENSATION IS APPROVED. IN MARCH OF 2018, THE BOARD PRESIDENT CONSULTED WITH KATHY NOLAN REGARDING THE REASONABLENESS OF CEO COMPENSATION. IN NOVEMBER OF 2018, THE BOARD PURCHASED AND REVIEWED AN EXECUTIVE COMPENSATION SURVEY FROM TOTAL COMPENSATION SOLUTIONS. IT IS THE BOARD'S GOAL TO REVIEW CEO COMPENSATION IN DETAIL A MINIMUM OF EVERY THIRD YEAR.
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 XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST OF FOUNDATION -143,158. CHANGE IN BENEFICIAL INTEREST OF TRUST -1,869,910.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
MARY LANNING HEALTHCARE FOUNDATION
741 N DENVER AVE	HASTINGS	NE	68901	470800042	FUNDRAISING ACTIVITIES	NE	501(C)(3)	LINE 12A, I	THE MARY LANNING HOSPITAL ASSOCIATION	Yes (1)
MARY LANNING HOSPITAL TRUST
122 N HASTINGS AVE	HASTINGS	NE	68901	476000224	INVESTMENT MANAGEMENT	NE	501(C)(3)	LINE 12B, II	THE MARY LANNING HOSPITAL ASSOCIATION	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HASTINGS MOB LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	715 N ST JOSEPH AVE	AddressLine1Txt
City	HASTINGS	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68901	ZIPCd

Field	Value	IRS element (for citing)
EIN	830657006	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	THE MARY LANNING HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	UNRELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$446	ShareOfTotalIncomeAmt
Share Of EOY Assets	$174,485	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

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	Yes (1)	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	0	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	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARY LANNING HOSPITAL TRUST
C	$600,000	CASH TRANSFER
MARY LANNING HEALTHCARE FOUNDATION
B	$300,606	CASH TRANSFER
MARY LANNING HEALTHCARE FOUNDATION
C	$145,372	CASH TRANSFER
HASTINGS MOB LLC
D	$143,001	FMV
HASTINGS MOB LLC
B	$102,000	CASH TRANSFER