2018-11-14T16:19:19-06:00 2017-12-31 135565207 KPMG LLP 1212 NORTH 96TH STREET SUITE 300 OMAHA NE 68114 990 2017-01-01 420680355 JENNIE EDMUNDSON MEMORIAL HOSPITAL JENN 4023544840 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 JEFFREY E FRANCIS VICE PRES FINANCE, CFO 4023544000 2018-11-14 DONALD NEAL JR P00798244 4023481450 66.37.233.51 2018-11-14 16:19:16 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9B1FB49249C5FFD763C152720F04CD6EF300C973 2017 2019-02-21 02:37:17Z STEVEN BAUMERT 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 124412833 0 X WWW.BESTCARE.ORG X 1894 IA TO PROVIDE AND MAINTAIN HOSPITAL AND AMBULATORY FACILITIES FOR THE CARE OF PATIENTS. 12 10 883 312 421857 38879 1955293 969078 107647825 113144634 1321685 1270957 1039567 1143934 111964370 116528603 4531118 4227824 0 0 47841044 48323442 0 0 0 48050156 52850555 100422318 105401821 11542052 11126782 104336718 118153122 27203286 28166492 77133432 89986630 X THE MISSION OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IS TO IMPROVE THE QUALITY OF LIFE BY CARING FOR THE BODY AND MIND. JENNIE EDMUNDSON SUPPORTS ITS MISSION OF CARING FOR PEOPLE THROUGH THE PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES ON ITS MAIN CAMPUS AT 933 EAST PIERCE STREET, COUNCIL BLUFFS, IOWA AND AT VARIOUS SATELLITE LOCATIONS THROUGHOUT SOUTHWEST IOWA. 0 0 6028706 456783 11662757 JENNIE EDMUNDSON CARDIAC SERVICES INCLUDE SOUTHWEST IOWA'S FIRST STATE-OF-THE-ART CARDIAC CATHETERIZATION LAB. OTHER CARDIAC SERVICES OFFERED AT JENNIE EDMUNDSON MEMORIAL HOSPITAL INCLUDE HEART FAILURE PROGRAM, CARDIAC REHABILITATION SERVICES AND INPATIENT CARE PROVIDED BY HIGHLY TRAINED CARDIAC CARE PROFESSIONALS. 6348450 362536 9258085 JENNIE EDMUNDSON'S CANCER CENTER IS THE ONLY CANCER CENTER IN SOUTHWEST IOWA ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. ALL NEWLY DIAGNOSED CANCER PATIENTS' CASES ARE PRESENTED AND REVIEWED AT THE WEEKLY CANCER CONFERENCE FOR IN-DEPTH REVIEW BY SURGEONS, RADIOLOGISTS, PATHOLOGISTS, MEDICAL AND RADIATION ONCOLOGISTS AND OTHER SPECIALIZED CARE PROVIDERS. EVERY YEAR SINCE 1996, JENNIE EDMUNDSON HAS RECEIVED APPROVAL FROM THE COMMISSION ON CANCER INCLUDING MEETING PROGRAM STANDARDS, PROVIDING SUPPORT AND EDUCATION, AND DELIVERING QUALITY CARE TO ITS PATIENTS. 16603965 766802 19579155 QUALITY, COMPREHENSIVE SURGICAL SERVICES ARE PROVIDED AT JENNIE EDMUNDSON HOSPITAL BY A TEAM OF CARING AND EXPERT PHYSICIANS, NURSES AND ANESTHESIOLOGISTS USING STATE OF THE ART TECHNOLOGY. PATIENTS ARE ENCOURAGED TO TAKE AN ACTIVE ROLE IN THEIR SURGICAL EXPERIENCE. HIGHLY PERSONALIZED PRE- AND POST-OPERATIVE CARE IS DELIVERED FROM ADMISSION TO DISCHARGE BY NURSES WHO SPECIALIZE IN SURGICAL CARE.CARE IS PROVIDED TO CHILDREN, ADOLESCENTS AND ADULTS IN GENERAL, GYNECOLOGY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, RESPIRATORY/PULMONARY, UROLOGY, AND VASCULAR/CARDIAC/THORACIC SURGICAL SPECIALTIES. 63676995 2641703 73285129 JENNIE EDMUNDSON HOSPITAL IS THE OLDEST ENTITY IN THE NEBRASKA HEALTH SYSTEM FAMILY. IT IS A 232-BED REGIONAL HEALTH CARE CENTER SERVING SOUTHWESTERN IOWA. IT IS THE ONLY HOSPITAL IN THE REGION THAT OFFERS NATIONALLY ACCREDITED CANCER AND BREAST CANCER PROGRAMS WHILE ALSO FEATURING SOUTHWEST IOWA'S ONLY ADVANCED WOUND CENTER AS WELL AS A FULL-LINE OF WOMEN'S SERVICES INCLUDING A BIRTHING CENTER AND LEVEL II NURSERY.ADDITIONAL CORE SERVICES INCLUDE MEDICAL/SURGICAL SERVICES, AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND IMAGING SERVICES. EMPHASIS IS PLACED ON EDUCATION FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. 63676995 2641703 73285129 92658116 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 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 X 41 0 1 883 1 1 1 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFFREY E FRANCIS 4023544840 8511 WEST DODGE ROAD OMAHA NE 68114 DAN KINNEY PHD CHAIRMAN 1.00 0.00 X X 0 0 0 EMMA CHANCE VICE CHAIRMAN 1.00 0.00 X X 0 0 0 DEB BASS DIRECTOR 1.00 0.00 X 0 0 0 JOHN NELSON SECRETARY 1.00 0.00 X X 0 0 0 KAREN COLLINS DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM SHIFFERMILLER MD DIRECTOR 1.00 39.00 X 0 423738 77066 JOHN G SOUTHARD MD PHD DIRECTOR 1.00 0.00 X 0 0 0 SPENCER C STEVENS DIRECTOR 1.00 0.00 X 0 0 0 LAWRENCE F UEBNER DIRECTOR 1.00 0.00 X 0 0 0 RICK CROWL JR DIRECTOR 1.00 0.00 X 0 0 0 THOMAS D WHITSON TREASURER 1.00 0.00 X X 0 0 0 MICHAEL ZLOMKE MD DIRECTOR 1.00 0.00 X 0 0 0 STEVEN BAUMERT PRESIDENT 35.00 5.00 X 0 373107 92310 JEFFREY FRANCIS CFO 6.00 34.00 X 0 430933 106815 MICHAEL ROMANO MD PHYSICIAN /EXEC MED AFFAIR 40.00 0.00 X 342243 0 81891 PEGGY HELGET EXEC. PATIENT SVCS 40.00 0.00 X 174262 0 34914 PATRICK COSTELLO MD EMERGENCY ROOM PHYSICIAN 40.00 0.00 X 212253 0 63415 HEATHER HERGOTT MD EMERGENCY ROOM PHYSICIAN 40.00 0.00 X 231847 0 16046 NGUYET TRAN MD PHYSICIAN 40.00 0.00 X 192138 0 35904 EVELYN REHER MD PHYSICIAN 40.00 0.00 X 328056 0 51317 EVAN NEESON MD PHYSICIAN 40.00 0.00 X 240433 0 30389 1721232 1227778 590067 46 0 1 0 PATHLAB LTD 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 MEDICAL SERVICES 6894369 HORIZON HEALTH MANAGEMENT P O BOX 840839 DALLAS TX 75284 MEDICAL SERVICES 630431 EMERGENCY PHYSICIANS WESTERN IOWA LLC 4950 SOUTH 177 CIRCLE OMAHA NE 68135 MEDICAL SERVICES 575756 PULMONARY INFECTIOUS DISEASE ASSOCIATES 1 EDMUNDSON PLACE COUNCIL BLUFFS IA 51503 MEDICAL SERVICES 535000 ACCELECARE WOUND CENTERS 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 MEDICAL SERVICES 436976 11 969078 969078 NET PATIENT SVC REV. 621990 112643079 112643079 OTHER PATIENT REVENUE 621990 501555 501555 113144634 1318933 1318933 1878534 1878490 44 44 44 5677445 137625 4957247 905799 720198 -768174 -47976 -47976 224235 142694 81541 81541 CAFETERIA 722210 640492 640492 LABORATORY 621500 421857 421857 1062349 116528603 113785126 421857 1352542 X 27295 27295 4200529 4200529 516504 516504 36757978 36757978 3509526 3425847 83679 4883659 4848803 34856 2655775 2632513 23262 77885 77885 19732 19732 105033 105033 11350529 11350529 232948 232948 1339746 1339746 133887 133887 4406891 4406891 49032 49032 26097 26097 3731640 3731640 155461 53707 101754 MEDICAL SUPPLIES 17665735 17665735 ALLOCATIONS 11781000 11781000 MEDICAID PROVIDER TAX 859104 859104 DUES, LICENSES AND SUBS 231293 231293 684542 684542 105401821 92658116 12743705 0 9267148 7731940 13450498 12798483 553302 333808 2000641 1872284 591717 682752 140100637 103172693 39565465 36927944 37568841 51491987 197290 172863 1141816 6141061 104336718 118153122 11429732 11046983 1240000 0 14533554 17119509 27203286 28166492 X 76567324 89431022 466108 455608 100000 100000 77133432 89986630 104336718 118153122 X 11126782 3522680 -1796264 X 0 1 X 1 0 X 0 0 0 0 0 1 19732 0 0 0 19732 0 PART II-B, LINE 1: A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND IOWA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 206865 13290 12841 207314 203643 9659 6437 206865 212488 -391 8454 203643 218264 4954 10730 212488 213966 11523 7225 218264 0.97200 0.02800 0 1 1 3257783 3257783 80398926 56175889 24223037 56443928 46996804 9447124 36927944 CONSTRUCTION IN PROGRESS 6141061 6141061 MINIMUM PENSION LIABILITY 16194343 COND. ASSET RETIREMENT OBLIGATION 925166 17119509 X PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS INCLUDE ENDOWMENT FUNDS WHICH ARE INTENDED TO BE HELD IN PERPETUITY. THE INCOME ON SUCH FUNDS IS EXPENDABLE FOR THE BENEFIT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL. PART X, LINE 2: JENNIE EDMUNDSON MEMORIAL HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. IN 2017 AND 2016 MANAGEMENT DETERMINED THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. NO CHANGES WERE MADE TO THE FINANCIAL STATEMENTS DUE TO FIN 48. 1 1 X 1 X 1 X 1 1 0 1 1 3254948 286887 2968061 0.02820 19624837 20911204 0 0.00000 22879785 21198091 2968061 0.02820 622886 622886 0.00590 3382860 3382860 0.03210 461860 461860 0.00440 579385 579385 0.00550 5046991 5046991 0.04790 27926776 21198091 8015052 0.07610 1996 1996 0.00000 270 270 0.00000 383 383 0.00000 32464 32464 0.00030 35113 35113 0.00030 1 1861671 33799588 30807098 2992490 X 1 1 1 1 JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 WWW.BESTCARE.ORG 780039H X X X X JENNIE EDMUNDSON MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 15 1 1 1 1 X METHODISTCOMMUNITYBENEFIT.COM/OUR-PLAN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 15 1 WWW.METHODISTCOMMUNITYBENEFIT.COM/OUR-PLAN/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/ X WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/ X WWW.BESTCARE.ORG/TOOLS/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE ASSESSMENT INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS. THIS TELEPHONE SURVEY CONSISTED OF AN INITIAL STRATIFIED RANDOM SAMPLE OF INDIVIDUALS AGE 18 AND OLDER IN THE METRO AREA. OVERSAMPLING WAS THEN UTILIZED, WHICH RESULTED IN CONTACT WITH 2,622 METRO AREA RESIDENTS. IN ADDITION THERE WERE FIVE GROUPS WHICH INCLUDED 138 COMMUNITY STAKEHOLDERS TAKING PART IN AN ONLINE KEY INFORMANT SURVEY, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS. JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS A COLLABORATIVE EFFORT OF THREE OMAHA HEALTH SYSTEMS - METHODIST HEALTH SYSTEM, CHI HEALTH SYSTEM AND NEBRASKA MEDICINE AS WELL AS LOCAL HEALTH DEPARTMENTS FROM DOUGLAS, SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA. JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT WITH LIVE WELL OMAHA. LIVE WELL OMAHA IS A NON-PROFIT ORGANIZATION WHICH STRIVES TO IMPROVE THE OVERALL HEALTH OF AREA RESIDENTS. JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: 2017 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE METHODIST JENNIE EDMUNDSON HOSPITAL (MJE) IS COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF BEING COMMITTED TO CARING FOR PEOPLE. ALL LEADERSHIP SUPPORT THE IMPORTANCE OF WORKING IN THE COMMUNITY WITH OVER 260 PARTNERS TO ADDRESS THE NEEDS MOST CURRENTLY IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). MANAGEMENT AND BOARD MEMBERS APPROVED THE CURRENT PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA. THE GUIDING FOCUS FOR ALL PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE AND RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ACCESS TO HEALTHCARE SERVICESMETHODIST MOBILE MAMMOGRAPHY BEGAN A SYSTEM-WIDE CAPITAL CAMPAIGN TO FINANCE THE PURCHASE OF A NEW MOBILE COACH, RETROFITTED TO SUPPORT A FULLY FUNCTIONING MAMMOGRAPHY SCREENING ROOM. FULLY EQUIPPED WITH STORAGE, CONSULTATION AND PATIENT AREAS, THIS MOBILE UNIT WILL TRAVEL ACROSS IOWA AND NEBRASKA, SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. WITH PLANS TO TAKE DELIVERY AND FULLY IMPLEMENT REGULAR SCREENING SITES IN 2018, THIS ENDEAVOR WILL CERTAINLY ADDRESS ACCESS TO THOSE GREATEST IN NEED.FOR MORE THAN 25 YEARS, MJE HAS OFFERED COUNCIL BLUFFS RESIDENTS A FREE, ONE-OF-A-KIND TRANSPORTATION SERVICE. THE MEDIBUS AFFORDS PATIENTS WITH LIMITED MEANS OF TRANSPORTATION THE OPPORTUNITY TO ACCESS ALL OF THE HOSPITAL'S SERVICES AND HAS GROWN AS OUR PATIENT'S NEEDS HAVE GROWN. BY OFFERING PROGRAMS LIKE THE MEDIBUS, WE CONTINUE TO FULFILL OUR MISSION TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS IN OUR COMMUNITY. CANCERMETHODIST JENNIE EDMUNDSON CONTINUES TO INCREASE ITS OFFERINGS OF FREE HEAD & NECK SCREENING AND EDUCATION OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND IN THE LOCAL COMMUNITY. THERE ARE A NUMBER OF OTHER FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY IN PARTNERSHIP WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: BREAST, COLON, PROSTATE, HEAD AND NECK, AMONG OTHERS. IN 2017, OVER 162 FREE SKIN SCREENINGS WERE PROVIDED, AND REFERRALS AS NEEDED TO LOCAL PHYSICIANS AND FEDERALLY-QUALIFIED HEALTH CENTERS WERE MADE AVAILABLE.DEMENTIA, INCLUDING ALZHEIMER'S DISEASEIN PARTNERSHIP WITH THE COUNCIL BLUFFS YMCA, "THE CENTER" ANNUALLY SERVES 200 SENIOR CITIZENS WITH FREE PRESENTATION, EDUCATIONAL MATERIALS AND HEALTH FAIRS WHICH COVER A RANGE OF AGE-RELATED HEALTH CONDITIONS. THESE FREE RESOURCES AND REFERRALS ARE MADE THROUGHOUT THE CENTER'S PROGRAMMING, AND SUPPORT GROUPS ARE ALSO FACILITATED HERE.THE MJE FAMILY RESOURCE CENTER WORKS CLOSELY WITH THE ALZHEIMER'S ASSOCIATION BY PROVIDING EDUCATIONAL MATERIAL AND SUPPORT GROUP INFORMATION TO PATIENTS, THEIR FAMILIES, VISITOR`S, PHYSICIAN OFFICES AND EMPLOYEES. THE MJE FAMILY RESOURCE CENTER ATTENDS HEALTH FAIRS AT THE COUNCIL BLUFFS SENIOR CENTER EDUCATING ON ALZHEIMER'S DISEASE, DEMENTIA AND SENIOR HEALTH AND WELLNESS ISSUES. DIABETESAGAIN IN PARTNERSHIP WITH THE NEBRASKA METHODIST COLLEGE (NMC), THE MOBILE DIABETES CENTER (MDC) UNIT IS A FULLY CUSTOMIZED RV THAT TRAVELS ACROSS IOWA AND NEBRASKA IN RESPONSE TO THE WIDE-REACHING DIABETES CONDITION. THIS UNIT, AS FACILITATED BY MJE & NMC STAFF, NURSES AND COLLEGE STUDENTS TRAVELS TO UNDERSERVED AREAS IN COLLABORATION WITH OTHER HEALTH ORGANIZATIONS. THE MDC OFFERS A MULTITUDE OF FREE SCREENINGS, ONE-ON-ONE COUNSELING AND EDUCATION, STATE-OF-THE-ART DATA TRACKING APPLICATIONS, AND REFERRALS WHEN DEEMED NECESSARY BY ON-SITE CLINICAL STAFF. IN 2017, OVER 1,500 INDIVIDUALS WERE SCREENED, AGAIN, AT NO COST TO THE INDIVIDUAL. HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATIONAL METHODS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. FREE BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT EVERY COMMUNITY EVENT. INJURY & VIOLENCEMJE'S SANE/SART (SEXUAL ASSAULT NURSE EXAMINER/SEXUAL ASSAULT RESPONSE TEAM) PROGRAM HAS SERVICES IN ALL 3 HOSPITAL EMERGENCY DEPARTMENTS. THIS SEXUAL ASSAULT PROGRAM IS FOR SURVIVORS, AND WORKING WITH LAW ENFORCEMENT, PROVIDES THE BEST TREATMENT AND EMOTIONAL SUPPORT. OUR SANE/SART PROGRAM IN 2017 ASSISTED 300 SURVIVORS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, STRANGULATION AND HUMAN TRAFFICKING, UP NEARLY 100 UNIQUE CASES. IN 2017, MJE PARTNERED WITH CATHOLIC CHARITIES TO FORM THE SOUTHWEST IOWA HUMAN TRAFFICKING COALITION. COMPRISED OF OVER 25 AGENCIES WORKING TOGETHER, ASSISTING WITH TEMPORARY AND PERMANENT HOUSING, AS WELL AS PROVIDING ASSISTANCE IN RETURNING GLOBAL TRAFFICKING VICTIMS TO THEIR HOME COUNTRY. EDUCATION IS ALSO A STRATEGIC INITIATIVE FOR THE COALITION, WHERE OVER 300 REGIONAL INDIVIDUALS WERE EDUCATED ON HUMAN TRAFFICKING.MJE ALSO COLLECTS AND DONATES TOILETRY SUPPLIES, CELL PHONES AND OTHER BASIC NEEDS ITEMS TO THE PHOENIX HOUSE DOMESTIC VIOLENCE SHELTER THROUGH THE FAMILY RESOURCE CENTER.MENTAL HEALTHMJE PARTICIPATES IN LOCAL HEALTH FAIRS, EDUCATING PEERS AND THE COMMUNITY ON BEHAVIORAL AND MENTAL HEALTH. IN ADDITION TO HEALTH FAIR REPRESENTATION, MJE HAS A STRONG MEMBERSHIP ON THE FOLLOWING BOARDS, COMMITTEES AND COALITIONS WHO MEET AND COLLABORATE MONTHLY: BOARD OF DIRECTORS FOR THE NATIONAL ALLIANCE ON MENTAL ILLNESS METRO AREA SUICIDE PREVENTION COALITION TREASURER POSITION OF THE MENTAL HEALTH AND SUBSTANCE ABUSE NETWORK COMMUNITY COLLABORATIVE SUPPORT TEAMRESPIRATORY DISEASESIN ORDER TO ENSURE OUR COMMUNITIES' ENVIRONMENT IS SAFE AND FREE OF HAZARDS, MJE HAS EMBARKED ON REDUCING OUR OVERALL CARBON FOOTPRINT THROUGH THE WORK OF A SYSTEM-WIDE SUSTAINABILITY PLAN. THIS PLAN WILL INCLUDE MEASURES, GOALS AND ACTION PLANS TO REDUCE WATER AND AIR POLLUTION EMITTED FROM HOSPITAL FACILITIES. BY REDUCING AIR AND WATER POLLUTANTS, MJE WILL CREATE A HEALTHIER ENVIRONMENT FOR ALL, WITH THE GOAL OF REDUCING RESPIRATORY ILLNESSES CAUSED BY WATER AND AIR POLLUTANTS. SEXUALLY TRANSMITTED DISEASESMJE PARTICIPATES IN METHODIST HEALTH SYSTEM'S (MHS) SANE/SART (SEXUAL ASSAULT NURSE EXAMINER/SEXUAL ASSAULT RESPONSE TEAM) PROGRAM, WHICH HAS SERVICES IN ALL 3 HOSPITAL EMERGENCY DEPARTMENTS, AND HAS SET THE BAR FOR INDIVIDUAL TREATMENT. IN COORDINATION WITH LOCAL LAW ENFORCEMENT, BY NOT ONLY CARING FOR THE IMMEDIATE NEEDS OF THESE VICTIMS, BUT ALSO IN PROVIDING FOLLOW-UP TREATMENT CARE THROUGH METHODIST COMMUNITY HEALTH CLINIC IN REGARDS TO TREATMENT, ESPECIALLY WHEN THE PATIENT REQUIRES PREVENTIVE HIV TREATMENT AND ONGOING LAB WORK. THIS SEXUAL ASSAULT PROGRAM IS FOR SURVIVORS OF SEXUAL ASSAULT, AND TOGETHER WITH LAW ENFORCEMENT, THIS PROGRAM PROVIDES BEST PRACTICE TREATMENT AND EMOTIONAL SUPPORT. OUR SANE/SART PROGRAM IN 2017 ASSISTED 400 SURVIVORS IN METHODIST-AFFILIATED HOSPITALS, AND IS QUICKLY BECOMING A NATIONALLY-RECOGNIZED PROGRAM OF EXCELLENCE.SUBSTANCE ABUSEAS THE ONGOING NATIONAL CRISES REACHES A BREAKING POINT, MJE HAS METHODICALLY RESPONDED TO THE OPIOID EPIDEMIC, AS WE BEGAN TO NOTICE A NEED IN COMMUNITY. IN A RESPONSE TO THIS, OUR QUALITY DEPARTMENT ENGAGED A MULTI-DISCIPLINARY TEAM THROUGHOUT THE ENTIRE METHODIST HEALTH SYSTEM (MHS) TO IDENTIFY AREAS OF OPPORTUNITY IN ALL CLINICAL AND NON-CLINICAL SETTINGS TO REDUCE SUBSTANCE MISUSE AND UNNECESSARY PRESCRIBING. EIGHT STRATEGIC WORKING GROUPS WERE CREATED TO FOCUS ON DATA, COMMUNITY ENGAGEMENT, PHARMACY AND PROVIDERS THAT REGULARLY REPORTS TO A LARGER STEERING COMMITTEE FINANCIAL ASSISTANCEIN 2017, METHODIST HEALTH SYSTEM (MHS), WHICH INCLUDES MJE, WAS ABLE TO ASSIST OVER 8,000 INDIVIDUALS WITH FINANCIAL ASSISTANCE. THIS PROGRAM HAS SUPPORTED FAMILIES AND INDIVIDUALS THAT WERE UNABLE TO MEET THEIR FINANCIAL DEBTS. OUR FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO ALL PATIENTS UPON ADMISSION AND OUR PROVIDERS ARE KNOWLEDGEABLE REGARDING HOW THEIR PATIENTS CAN APPLY FOR THIS PROGRAM. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, MJE CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. MJE USES A MULTI-DISCIPLINE APPROACH IN REVIEWING ALL PROGRAMS, WHERE OUR CURRENT PLAN INCLUDES SEVERAL DIFFERENT TYPES OF EVALUATIONS THAT WILL DETERMINE HOW THE IMPACT OF THOSE PROGRAMS PROVIDED WILL IMPROVE THE QUALITY OF LIFE FOR OUR COMMUNITIES.OUR COMMUNITY BENEFIT IMPACT CONTINUES TO SIGNIFICANTLY GIVE BACK TO THOSE WE SERVE NOT ONLY THROUGH OUR MISSION STATEMENT, BUT IN OUR STRATEGIC PLAN, COMMUNITY BENEFIT PLANS AND TOTAL COMMUNITY IMPACT. JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: JENNIE EDMUNDSON MEMORIAL HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION. JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: JENNIE EDMUNDSON MEMORIAL HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO MAKE AN INFORMED DECISION ON FINANCIAL NEED SUCH AS; HOMELESS, DECEASED - NO KNOWN ESTATE, WIC PROGRAM ELIGIBILITY OR SNAP BENEFITS.ADDITIONALLY, JENNIE EDMUNDSON MEMORIAL HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIO-ECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT FINANCIAL SERVICES TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES JENNIE EDMUNDSON MEMORIAL HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE. JENNIE EDMUNDSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. PART I, LINE 7: THE METHODS PRIMARILY USED ARE THE FINANCIAL INFORMATION FROM THE MEDICARE COST REPORT AND ACTUAL EXPENDITURES. PART I, LINE 7G: A SUBSIDIZED HEALTH BENEFIT IS CALCULATED FOR DEPARTMENTS AND SERVICES RECOGNIZING THESE AREAS OPERATE AT A NEGATIVE MARGIN. TRANSPORT SERVICES AND CLINICS IN UNDERSERVED AREAS, FOR EXAMPLE, ARE SERVICES THAT OPERATE AT NEGATIVE MARGINS. PART I, LN 7 COL(F): THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSES IN COLUMN (E) BY THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN (A). PART I, LINE 6A AND 6B: ANNUAL COMMUNITY BENEFIT REPORT:NEBRASKA METHODIST HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH INCLUDES INFORMATION ON COMMUNITY BENEFITS ACTIVITIES FROM ALL AFFILIATES. IN ADDITION, A QUARTERLY PUBLICATION, "CHART" ADDRESSES ONGOING COMMUNITY BENEFIT ACTIVITIES. THE WEBSITE "METHODISTCOMMUNITYBENEFIT.COM" IS DEDICATED TO JENNIE EDMUNDSON MEMORIAL HOSPITAL AND NEBRASKA METHODIST HEALTH SYSTEM AFFILIATES' COMMUNITY WORKS. IT PROVIDES INFORMATION ABOUT THE SUCCESSES IN IMPACTING THE COMMUNITY'S OVERALL HEALTH.PART VI, LINE 7:NO DIRECT REPORT IS PROVIDED TO THE STATE OF IOWA. HOWEVER, INFORMATION FROM THE HOSPITAL'S COMMUNITY BENEFIT DATA IS INCLUDED IN A REPORT COMPILED BY THE IOWA HOSPITAL ASSOCIATION.PART I, LINE 7:INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES AND IN-KIND DONATIONS IS COLLECTED THROUGHOUT THE YEAR USING THE COMMUNITY BENEFITS INVENTORY SOCIAL ACCOUNTABILITY SOFTWARE WHICH FOLLOWS CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR COMMUNITY BENEFIT REPORTING. AMOUNTS SHOWN AS COMMUNITY BENEFIT ARE AT COST LESS ANY REVENUE EXCLUSIVE OF ANY GRANTS. CASH AND IN-KIND DONATIONS THAT SUPPORT FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN CONTRIBUTIONS.PART I, LINE 7E:JENNIE EDMUNDSON AND 20 OTHER ORGANIZATIONS IN THE COMMUNITY HAVE UNITED IN THE SHAKEN BABY TASK FORCE IN A COMMUNITY EFFORT TO PREVENT SHAKEN BABY SYNDROME. THE TASK FORCE, LED BY MEMBERS OF THE STAFF OF JENNIE EDMUNDSON HOSPITAL, DEVELOPED A COPYRIGHTED CURRICULUM, VIDEO AND SAFEBABY.ORG WEBSITE AND THE NATION'S ONLY 24-HOUR DEDICATED CRYING BABY HOTLINE. THE VIDEO "SHAKEN BABIES: SHATTERED LIVES" IS FREE ON REQUEST AND HAS BEEN SENT TO REQUESTERS IN THE UNITED STATES AND COUNTRIES OUTSIDE THE UNITED STATES. IN 2014, THE TASK FORCE EXPANDED THEIR MISSION TO INCLUDE KEEPING BABIES SAFE FROM SUDDEN INFANT DEATH SYNDROME (SIDS), CO-SLEEPING, AND SECOND AND THIRD-HAND SMOKE EXPOSURE.JENNIE EDMUNDSON'S COMMITMENT TO SOUTHWEST IOWA EXTENDS TO A WIDE VARIETY OF OTHER ANNUAL SCREENING PROGRAMS ON PROSTATE CANCER, COLORECTAL CANCER, BREAST CANCER AND CERVICAL CANCER. IN ADDITION, PHYSICIANS AND HOSPITAL STAFF PROVIDE EDUCATIONAL PROGRAMS TO ORGANIZATIONS AND AT COMMUNITY EVENTS. PART II, COMMUNITY BUILDING ACTIVITIES: AS A COMMUNITY LEADER, JENNIE EDMUNDSON EMPLOYEES ARE ACTIVE IN COMMUNITY ORGANIZATIONS, HOLDING LEADERSHIP ROLES ON BOARDS OF DIRECTORS, COMMITTEE CHAIRMANSHIPS AND MEMBERSHIPS. JENNIE EDMUNDSON PARTICIPATES IN THE CHAMBER OF COMMERCE, THE AMERICAN HEART ASSOCIATION AND OTHER ORGANIZATIONS TO STRENGTHEN THE INFRASTRUCTURE OF THE COMMUNITY. PART III, LINE 4: FOOTNOTE TO THE FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE IS SHOWN IN THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGE 11.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2017 FILED MEDICARE COST REPORT. PART III, LINE 8: SOURCE FOR MEDICARE REVENUE AND ALLOWABLE COSTS IS THE 2017 MEDICARE COST REPORT AS FILED. PART III, LINE 9B: COLLECTION PRACTICES FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE.JENNIE EDMUNDSON MEMORIAL HOSPITAL HAS ADOPTED A PROCEDURE FOR THOSE SITUATIONS WHERE A PATIENT POTENTIALLY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE THE APPLICATION. THIS PROCEDURE, REFERRED TO AS THE PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS ASSISTING WITH SELF-PAY COLLECTIONS.SOME OF THE INDIVIDUAL LIFE CIRCUMSTANCES THAT HAVE BEEN ESTABLISHED AS INDICATORS OF PRESUMPTIVE ELIGIBILITY INCLUDE:PARTICIPATION IN STATE-FUNDED PRESCRIPTION PROGRAMS; RECEIVING CARE FROM A HOMELESS PERSONS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAMS; SNAP BENEFITS; ELIGIBILITY FOR SUBSIDIZED SCHOOL LUNCH PROGRAM; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN); LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS VALID ADDRESS.THE HOSPITAL STAFF, AS WELL AS VENDORS UTILIZED FOR SELF-PAY COLLECTIONS, HAVE BEEN TRAINED TO IDENTIFY INDICATORS OF PRESUMPTIVE ELIGIBILITY AND DOCUMENT SUCH AS SUPPORT FOR A FINANCIAL ASSISTANCE DETERMINATION.THE HOSPITAL BILLS ALL THIRD PARTY RESOURCES THAT MAY BE ABLE TO PROVIDE REIMBURSEMENT FOR CARE PROVIDED TO PATIENTS. THIS INCLUDES, BUT IS NOT LIMITED TO, COMMERCIAL INSURANCE, MEDICARE, MEDICAID, COUNTY GOVERNMENT AND OTHER GOVERNMENT PROGRAMS, AND ANY OTHER POTENTIAL SOURCE OF REIMBURSEMENT.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO OR DURING THE TIME OF SERVICE. THOSE PATIENTS ARE ENCOURAGED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: BROAD-BASED COMMUNITY HEALTH AND OUTREACH INTIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN WITH KEY HEALTH NEEDS IDENTIFIED BY LIVE WELL OMAHA. LIVE WELL OMAHA IS A FORUM OF ORGANIZATIONS WORKING TOGETHER TO POSITIVELY IMPACT HEALTH OUTCOMES FOR ALL INDIVIDUALS AND FAMILIES IN THE COMMUNITY. PART VI, LINE 3: FINANCIAL ASSISTANCE APPLICATIONS ARE INCLUDED IN ALL INPATIENT ADMISSION PACKETS. JENNIE EDMUNDSON HOSPITAL CONTRACTS WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED AT THE HOSPITAL FOR PRIVATE CONSULTATION FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO ENSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM. THE HOSPITAL CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL NEED. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE PROVIDED WITH APPLICATIONS AND ARE ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE.APPROPRIATE RESOURCES ARE USED TO PROVIDE EFFECTIVE COMMUNICATION WITH NON-ENGLISH SPEAKING PATIENTS INCLUDING CYRACOM LANGUAGE LINE SYSTEM THAT PROVIDES 24-HOUR ACCESS TO SEVERAL HUNDRED DIFFERENT LANGUAGE INTERPRETERS. OTHER RESOURCES INCLUDE HOPE MEDICAL OUTREACH AND ON-SITE STAFF OR CONTRACTED INTERPRETER SERVICES. THE HOSPITAL PROVIDES FOR INTERPRETATIVE SERVICES AT NO COST TO THE PATIENT.INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON THE BESTCARE.ORG WEBSITE IN BOTH ENGLISH AND SPANISH. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION. PLAIN LANGUAGE SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION DESKS WITHIN THE HOSPITAL. PART VI, LINE 4: JENNIE EDMUNDSON SERVES COUNCIL BLUFFS, IOWA AND SURROUNDING COMMUNITIES IN SOUTHWESTERN IOWA.JENNIE EDMUNDSON'S PROGRAMS ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY LIVE WELL OMAHA, A COLLABORATION OF LOCAL NON-PROFIT, GOVERNMENTAL AND FOR-PROFIT ORGANIZATIONS DEDICATED TO IMPROVING THE HEALTH OF THOSE WHO LIVE AND WORK IN THE AREA. PART VI, LINE 5: JENNIE EDMUNDSON'S BOARD OF DIRECTORS IS COMPOSED OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS AND PROVIDES OVERSIGHT OF ALL OPERATIONS. THE COMPOSITION INCLUDES A COMBINATION OF THOSE WITH LONGEVITY ON THE BOARD AND THOSE WHO ARE NEWER MEMBERS. PHYSICIAN INVOLVEMENT ON THE BOARD ENHANCES THE HOSPITAL'S ABILITY TO BE A LEADER IN MEDICAL SERVICES.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS TO PROMOTE A UNIFORM STANDARD OF QUALITY PATIENT CARE, TREATMENT AND SERVICES. PART VI, LINE 6: THE NEBRASKA METHODIST HEALTH SYSTEM INCLUDES JENNIE EDMUNDSON MEMORIAL HOSPITAL AND JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION, NEBRASKA METHODIST HOSPITAL, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC INC., NEBRASKA METHODIST COLLEGE OF NURSING AND NEBRASKA METHODIST HOSPITAL FOUNDATION. AS A GROUP, THESE ENTITIES ARE COMMITTED TO CARING FOR THE PEOPLE OF THE COMMUNITY BY PROVIDING OUTSTANDING HEALTH CARE, EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES. TO FULFILL OUR MISSION OF CARING FOR PEOPLE, AFFILIATES HAVE DEVELOPED A VARIETY OF WAYS TO CONTRIBUTE CARE AND HEALTH-RELATED EDUCATION TO THE POOR, TO MINORITIES, AND TO OTHER UNDERSERVED GROUPS AS WELL AS TO THE BROADER COMMUNITY. AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM AND AN ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, JENNIE EDMUNDSON MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THIS COMMUNITY. 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 EAST PIERCE ST COUNCIL BLUFFS IA 51503 421439454 501(C)(3) 10000 SUPPORT OF FOUNDATION PROGRAMS COUNCIL BLUFFS CHAMBER OF COMMERCE PO BOX 1565 COUNCIL BLUFFS IA 51502 420198270 501(C)(3) 5395 SUPPORT PROGRAMS AND SERVICES OF THE CHAMBER OF COMMERCE SUPPORT OF CHAMBER'S PROGRAMS 2 SCHOLARSHIPS 8 10500 FINANCIAL ASSISTANCE 8363 4190029 BOOK FINANCIAL ASSISTANCE TO PATIENTS PART I, LINE 2: JENNIE EDMUNDSON MEMORIAL HOSPITAL ONLY PROVIDES GRANTS TO IRC SECTION 501(C)(3) ORGANIZATIONS AND 501(C)(3) ACTIVITIES TO ENSURE THE FUNDS ARE USED FOR EXEMPT PURPOSES. 0 1 0 0 0 0 0 0 0 WILLIAM SHIFFERMILLER MD DIRECTOR 0 346592 0 0 0 77146 0 58556 0 20068 0 502362 0 33218 STEVEN BAUMERT PRESIDENT 0 330843 0 0 0 42264 0 76388 0 16544 0 466039 0 0 JEFFREY FRANCIS CFO 0 429295 0 0 0 1638 0 87087 0 20345 0 538365 0 0 MICHAEL ROMANO MD PHYSICIAN /EXEC MED AFFAIR 284268 0 0 0 57975 0 55355 0 28094 0 425692 0 0 0 PEGGY HELGET EXEC. PATIENT SVCS 171838 0 0 0 2424 0 28650 0 6762 0 209674 0 0 0 PATRICK COSTELLO MD EMERGENCY ROOM PHYSICIAN 199900 0 0 0 12353 0 40123 0 24316 0 276692 0 0 0 HEATHER HERGOTT MD EMERGENCY ROOM PHYSICIAN 220514 0 0 0 11333 0 8333 0 8610 0 248790 0 0 0 NGUYET TRAN MD PHYSICIAN 192138 0 0 0 0 0 10212 0 25718 0 228068 0 0 0 EVELYN REHER MD PHYSICIAN 259856 0 68200 0 0 0 35727 0 15616 0 379399 0 0 0 EVAN NEESON MD PHYSICIAN 228080 0 0 0 12353 0 9167 0 22119 0 271719 0 0 0 PART I, LINE 3 JENNIE EDMUNDSON MEMORIAL HOSPITAL IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. METHODIST HEALTH SYSTEM, WITH WHICH JENNIE EDMUNDSON IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION AND A VOTING MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2017 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: STEVEN BAUMERT $49,388 ACCRUAL JEFFREY FRANCIS $71,994 ACCRUAL WILLIAM SHIFFERMILLER MD PLAN DISTRIBUTION $33,218, $31,556 ACCRUAL MICHAEL ROMANO MD $33,365 ACCRUAL PEGGY HELGET $18,213 ACCRUAL PATRICK COSTELLO $18,133 ACCRUAL HEATHER HERGOTT $8,333 ACCRUAL NGUYET TRAN $10,212 ACCRUAL EVELYN REHER $35,727 ACCRUAL EVAN NEESON $9,167 ACCRUAL JOHN G SOUTHARD MD PHD MEMBER OF THE BOARD 535000 DR. SOUTHARD IS A 50% OWNER OF PULMONARY/INFECTIOUS DISEASE WHICH CONTRACTS WITH THE HOSPITAL TO PROVIDE SERVICES. 0 FORM 990, PART V, LINE 2B THE PAYROLL SYSTEM FOR JENNIE EDMUNDSON MEMORIAL HOSPITAL IS BEING HANDLED BY A COMMON PAYMASTER, NEBRASKA METHODIST HEALTH SYSTEM INC. ALL W-2 FORMS ARE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM. ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. WAGES AND BENEFITS SHOWN IN THIS FORM 990 ARE ACTUAL EXPENSES ASSOCIATED WITH JENNIE EDMONDSON MEMORIAL HOSPITAL PERSONNEL. FORM 990, PART VI, SECTION A, LINE 6 UNDER THE ARTICLES OF INCORPORATION OF JENNIE EDMUNDSON MEMORIAL HOSPITAL, AS RESTATED ON APRIL 29, 1994, THE WOMEN'S CHRISTIAN ASSOCIATION OF IOWA, AN IOWA NON-PROFIT CORPORATION IS A SPONSORING MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL. UNDER THE SAME ARTICLES OF INCORPORATION, NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION, IS A CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A UNDER THE ARTICLES OF INCORPORATION OF JENNIE EDMUNDSON MEMORIAL HOSPITAL, AS RESTATED ON APRIL 29 1994, THE WOMEN'S CHRISTIAN ASSOCIATION OF COUNCIL BLUFFS, IOWA, AN IOWA NON-PROFIT CORPORATION, IS A SPONSORING MEMBER OF THE ORGANIZATION AND HAS THE RIGHT TO NOMINATE TWO (2) OF ITS MEMBERS TO THE HOSPITAL'S BOARD OF DIRECTORS. LIKEWISE, THE NEBRASKA METHODIST HEALTH SYSTEM INC. HAS THE RIGHT TO NOMINATE TO THE HOSPITAL'S BOARD OF DIRECTORS THE NUMBER OF DIRECTORS THAT IS ONE (1) LESS THAN A MAJORITY OF THE SEATS ON THE BOARD OF DIRECTORS. NEBRASKA METHODIST HEALTH SYSTEM ALSO HAS THE RIGHT TO APPROVE ALL OF THE DIRECTORS NOMINATED. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM AND THE JENNIE EDMUNDSON MEMORIAL HOSPITAL BOARD OF DIRECTORS. THEY ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS OR REQUEST MORE INFORMATION. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION, INCLUDING THE ORGANIZATION'S HUMAN RESOURCES, FINANCE, COMPLIANCE, AND COMMUNITY BENEFITS DEPARTMENTS; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS, MEDICAL DIRECTORS, AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING THE QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. A POTENTIAL CONFLICT OF INTEREST ONCE IDENTIFIED MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF JENNIE EDMUNDSON MEMORIAL HOSPITAL AND/OR ITS HEALTH SYSTEM AFFILIATES, IS FAIR AND REASONABLE AND, AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 JENNIE EDMUNDSON MEMORIAL HOSPITAL IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. METHODIST HEALTH SYSTEM, WITH WHICH JENNIE EDMUNDSON IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION AND THE VOTING MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA). THE POLICY ON "PHYSICIAN COMPENSATION" IS FOLLOWED WHEN CONTRACTING WITH PHYSICIANS TO ENSURE APPROPRIATE APPROVALS, INCLUDING APPROVAL BY THE BOARD OF DIRECTORS, ARE OBTAINED WHEN WARRANTED. OPINIONS OF FAIR MARKET VALUE REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION MAY ALSO BE OBTAINED FROM REPUTABLE, INDEPENDENT VALUATION CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS LETTER 947 WILL BE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, ARTICLES OF INCORPORATION FOR THE ORGANIZATION ARE AVAILABLE THROUGH THE IOWA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING THE COMMUNITY BENEFITS IT PROVIDES AS PART OF THE METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.METHODISTCOMMUNITYBENEFIT.COM FORM 990, PART IX, LINE 11G MEDICAL DIRECTOR SERVICES: PROGRAM SERVICE EXPENSES 46,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,845. CONTRACT STAFFING EXPENSE: PROGRAM SERVICE EXPENSES 3,160,970. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,160,970. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,836,090. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,836,090. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 86,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,337. ACCOUNTING FEES: PROGRAM SERVICE EXPENSES 4,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,000. SOFTWARE - CLOUD SERVICES: PROGRAM SERVICE EXPENSES 49,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,000. COLLECTION FEES: PROGRAM SERVICE EXPENSES 143,199. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,199. BILLING SERVICES: PROGRAM SERVICE EXPENSES 502,410. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 502,410. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,521,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,521,678. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -1,796,264. LOESS HILLS PROPERTIES LLC 8511 W DODGE RD OMAHA NE 68114 475070644 RENTAL INCOME IA 36891 669046 JENNIE EDMUNDSON MEMORIAL HOSPITAL JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 SUPPORT OF JENNIE EDMUNDSON HOSPITAL IA 501(C)(3) L7 JENNIE EDMUNDSON MEMORIAL HOSPITAL 1 WOMEN'S CHRISTIAN ASSOCIATION OF COUNCIL BLUFFS IOWA 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 930957829 MEMBER OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IA 501(C)(3) L12: III-O N/A 0 NEBRASKA METHODIST HEALTH SYSTEM INC 8511 W DODGE ROAD OMAHA NE 68114 470639839 ADMINISTRATIVE SUPPORT NE 501(C)(3) L12: III-FI N/A 0 NEBRASKA METHODIST HOSPITAL 8511 W DODGE ROAD OMAHA NE 68114 470376604 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM INC 0 NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH 8511 W DODGE ROAD OMAHA NE 68114 470724387 NURSING AND HEALTH EDUCATION FACILITY NE 501(C)(3) L2 NEBRASKA METHODIST HOSPITAL 0 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST FUND 8511 W DODGE ROAD OMAHA NE 68114 363699672 INSURANCE NE 501(C)(3) L11: III-FI NEBRASKA METHODIST HEALTH SYSTEM INC 0 REAL ESTATE HOLDINGS 8511 W DODGE ROAD OMAHA NE 68114 470649790 PROPERTY MANAGEMENT NE 501(C)(2) N/A NEBRASKA METHODIST HEALTH SYSTEM INC 0 PHYSICIANS CLINIC INC 8511 W DODGE ROAD OMAHA NE 68114 470687317 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM INC 0 NEBRASKA METHODIST HOSPITAL FOUNDATION 8511 W DODGE ROAD OMAHA NE 68114 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM INC 0 SHARED SERVICE SYSTEMS INC & SUBSIDIARY 8511 W DODGE ROAD OMAHA NE 68114 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE NEBRASKA METHODIST HEALTH SYSTEM INC C 0 METHODIST HEALTH PARTNERS 8511 W DODGE ROAD OMAHA NE 68114 470797563 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM INC C 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION C 969078 BOOK JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION B 10000 BOOK