THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION (EIN 47-0378779)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349307254
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T14:19:00-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1
CityOMAHACity
StateNEState
ZIP Code680224722ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470378779EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone4024634521Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 NORTH ST JOSEPH AVEAddressLine1
CityHASTINGSCity
StateNEState
ZIP Code68901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRADLEY NEETName
TitlePRESIDENTTitle
Phone4024634521Phone
Date Signed2011-09-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J FAJENName
Phone4023302660Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MARY LANNING MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRADLEY NEETNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1715 NORTH ST JOSEPH AVEAddressLine1
CityHASTINGSCity
StateNEState
ZIP Code68901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts100095427GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MLMH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1915YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionADVANCING OUR TRADITION OF SERVICE, EDUCATION AND COMMUNITY INVOLVEMENT, MARY LANNING MEMORIAL HEALTHCARE IS DEDICATED TO EXCELLENCE, OFFERING HOPE, HEALTH AND HEALING.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees1104TotalNbrEmployees
Total Nbr Volunteers328TotalNbrVolunteers
Total Gross UBI438264TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year808768ContributionsGrantsPriorYear
Contributions Grants Current Year3104386ContributionsGrantsCurrentYear
Program Service Revenue Prior Year92831185ProgramServiceRevenuePriorYear
Program Service Revenue CY92963581ProgramServiceRevenueCY
Investment Income Prior Year999321InvestmentIncomePriorYear
Investment Income Current Year1533313InvestmentIncomeCurrentYear
Other Revenue Prior Year2423564OtherRevenuePriorYear
Other Revenue Current Year2206802OtherRevenueCurrentYear
Total Revenue Prior Year97062838TotalRevenuePriorYear
Total Revenue Current Year99808082TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year273483GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY313767GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year51371486SalariesEtcPriorYear
Salaries Etc Current Year52508986SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year92220TotalFundrsngExpCurrentYear
Other Expense Prior Year45065997OtherExpensePriorYear
Other Expenses Current Year43982501OtherExpensesCurrentYear
Total Expenses Prior Year96710966TotalExpensesPriorYear
Total Expenses Current Year96805254TotalExpensesCurrentYear
Revenues Less Expenses Prior Year351872RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3002828RevenuesLessExpensesCY
Total Assets BOY134412002TotalAssetsBOY
Total Assets EOY136946286TotalAssetsEOY
Total Liabilities BOY57377893TotalLiabilitiesBOY
Total Liabilities EOY51445541TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY77034109NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY85500745NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionADVANCING OUR TRADITION OF SERVICE, EDUCATION AND COMMUNITY INVOLVEMENT, MARY LANNING MEMORIAL HEALTHCARE IS DEDICATED TO EXCELLENCE, OFFEREING HOPE, HEALTH AND HEALING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense81962849Expense
Grants313767Grants
Revenue93762449Revenue
DescriptionMARY LANNING MEMORIAL HOSPITAL (MLMH) PROVIDES HEALTHCARE SERVICES TO THE GENERAL PUBLIC AND OPERATES ROUTINE SERVICE BEDS, ICU BEDS, OUTPATIENT SERVICES, A HOME HEALTH PROGRAM, AND A SCHOOL OF NURSING. MLMH TAKES ITS RESPONSIBILITIES FOR PROVIDING BENEFITS TO THE SURROUNDING COMMUNITIES SERIOUSLY. THIS IS DEMONSTRATED IN NUMEROUS WAYS. THE HOSPITAL ABSORBED OVER $46 MILLION IN COSTS DURING 2010. OVER $35 MILLION OF THAT AMOUNT RELATES TO CARE PROVIDED TO MEDICARE AND MEDICAID PATIENTS WITH AN ADDITIONAL $1.4 MILLION IN CARE TO THE UNINSURED IN THE FORM OF CHARITY CARE. SEVENTY-TWO (72) ADDITIONAL PROGRAMS SERVED OVER 43,000 PEOPLE. MUCH ATTENTION HAS BEEN PAID RECENTLY TO THE RESPONSIBILITIES OF TAX EXEMPT ORGANIZATIONS. FROM THE INFORMATION SUMMARIZED ABOVE, IT IS CLEAR THAT THE CONTRIBUTIONS OF THE HOSPITAL WOULD FAR EXCEED FUNDS THAT WOULD BE GENERATED BY A CORPORATE TAX STRUCTURE.Description
Total Program Service Expense81962849TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1104NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SHAWN NORDBYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4024615344TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1715 N ST JOSEPH AVEAddressLine1
CityHASTINGSCity
StateNEState
ZIP Code68901ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT ANDERSON MD
CHAIR1.00X000
TIM BOYD
VICE-CHAIR1.00X000
CLARENCE GARY ANDERSON
TRUSTEE1.00X07603732179
COLLEEN WERNER
TRUSTEE1.00X000
DENNIS KRIENERT
TRUSTEE1.00X000
CALVIN JOHNSON
TRUSTEE1.00X000
RUTH KOEPKE
TRUSTEE1.00X000
BRADLEY NEET
PRESIDENT40.00246714024965X
TIMOTHY GRONSETH
CFO THROUGH 07/1040.0021247407972X
LEOTA ROLLS
VP PATIENT STRATEGY40.00192834085489X
LEON JOE DAVIS
VP PROVIDER STRATEGY40.00240661010660X
BRUCE CUTRIGHT
VP OF PEOPLE STRATEGY40.001355020-10567X
MARK CALLAHAN
VP OF OUTPATIENT STRATEGY40.00110051025866X
SHAWN RIGGS
EXECUTIVE DIRECTOR OF MEDICAL GROUP40.004007805532X
SHAWN NORDBY
INTERIM CFO40.0093955018158X
KALPESH D GANATRA
PHYSICIAN40.00840997027994X
DENNIS HATCH
PHYSICIAN40.00279770022153X
JOHN BECK
PHYSICIAN40.00371927025595X
THOMAS SCHEER
PHYSICIAN40.00495457015237X
BRENELLY LOZADA
PHYSICIAN THROUGH 12/1040.0023863105463X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3499051TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs76037TotalReportableCompFrmRltdOrgs
Total Other Compensation296696TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KIEWIT BUILDING GROUP
3921 MASON STREETOMAHANE68105GENERAL CONTRACTOR9271382
MCKESSON INFORMATION
BOX 98347CHICAGOIL60693SOFTWARE SUPPORT1427677
SS PSYCHIATRY GROUP
4110 HARGORD STREETGRAND ISLANDNE68803PHYSICIAN COVERAGE888468
VISIONS IN ARCHITECTURE
8700 EXECUTIVE WOODS DR SUITE 300LINCOLNNE68512ARCHITECT323603
HASTINGS HEART INSTITUTE LLC
715 N KANSASHASTINGSNE68901CARDIAC CATH SERVICES300443
FieldValueIRS element (for citing)
Number Of Contractors GT100 K79NumberOfContractorsGT100K
Membership Dues1048MembershipDues
Related Organizations3011674RelatedOrganizations
All Other Contributions91664AllOtherContributions
Total Contributions3104386TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ALL OTHER PATIENT REVE6213005378694853786948
NET MEDICARE REVENUE6213003398704833987048
NET MEDICAID REVENUE62130051895855189585
FieldValueIRS element (for citing)
Total Program Service Revenue92963581TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column114328TotalRevenueColumn
Exclusion$114,328ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column863693TotalRevenueColumn
Exclusion$863,693ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real346936Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real4360Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real342576Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column342576TotalRevenueColumn
Exclusion$342,576ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities538862Securities
Other17103Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other673Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities538862Securities
Other16430Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column555292TotalRevenueColumn
Related Or Exempt Function Income16430RelatedOrExemptFunctionIncome
Exclusion$538,862ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory285350GrossSalesOfInventory
Cost Of Goods Sold282312CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3038TotalRevenueColumn
Exclusion$3,038ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS900099782438782438
CAFETERIA722210640486$640,486

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column438264TotalRevenueColumn
Unrelated Business Revenue438264UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1861188TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column99808082TotalRevenueColumn
Related Or Exempt Function Income93762449RelatedOrExemptFunctionIncome
Unrelated Business Revenue438264UnrelatedBusinessRevenue
Exclusion$2,502,983ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total313767Total
Program Services313767ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1358631Total
Management And General1358631ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total92220Total
Fundraising92220Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38516607Total
Program Services34143707ProgramServices
Management And General4372900ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2545169Total
Program Services2265644ProgramServices
Management And General279525ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7288308Total
Program Services6487865ProgramServices
Management And General800443ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2708051Total
Program Services2410638ProgramServices
Management And General297413ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total204827Total
Management And General204827ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total60042Total
Management And General60042ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total90040Total
Management And General90040ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2201626Total
Program Services2201626ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2204979Total
Program Services1751829ProgramServices
Management And General453150ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1110374Total
Program Services1110374ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total266678Total
Program Services236145ProgramServices
Management And General30533ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total169052Total
Program Services92033ProgramServices
Management And General77019ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total836116Total
Program Services836116ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6116764Total
Program Services5290834ProgramServices
Management And General825930ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1063284Total
Program Services474887ProgramServices
Management And General588397ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES174079061733730270604
CONTRACTED SERVICES716839655480381620358
BAD DEBT EXPENSE32462143246214
REPAIRS1108025104957958446
MINOR EQUIPMENT537399330086207313

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total190779Total
Program Services82379ProgramServices
Management And General108400ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total96805254Total
Program Services81962849ProgramServices
Management And General14750185ManagementAndGeneral
Fundraising92220Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12662586BOY
EOY5345066EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10368909BOY
EOY9902145EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY539325BOY
EOY527390EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2273244BOY
EOY2146691EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY929096BOY
EOY1038602EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis138154874LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec72928500LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY54441824BOY
EOY65226374EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY29007619BOY
EOY29366443EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY22969414BOY
EOY22230245EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1219985BOY
EOY1163330EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY134412002BOY
EOY136946286EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12272660BOY
EOY11836931EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY31065000BOY
EOY29820000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14040233BOY
EOY9788610EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY57377893BOY
EOY51445541EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56725358BOY
EOY65607501EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4103468BOY
EOY1899028EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16205283BOY
EOY17994216EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77034109BOY
EOY85500745EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY134412002BOY
EOY136946286EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3002828ReconcilationRevenueExpenses
Reconcilation Other Changes5463808ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$17,025OtherActivitiesAmount
Total Lobbying Expenditures IIB17025TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA PORTION OF DUES PAID TO AHA AND NHA IS FOR LOBBYING PURPOSES AND 100% OF DUES PAID TO NABHO IS FOR LOBBYING ACTIVITIES. IN ADDITION, $4,500 PAID TO RURAL REFERRAL CENTER / SOLE COMMUNITY HOSPITAL COALITION SUPPORTS LOBBYING ACTIVITY CONDUCTED BY THAT ORGANIZATION.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15975895BeginningOfYearBalance
Contributions87241Contributions
Investment Earnings Or Losses1850255InvestmentEarningsOrLosses
Other Expenditures70777OtherExpenditures
End Of Year Balance17842614EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14499723BeginningOfYearBalance
Contributions67547Contributions
Investment Earnings Or Losses1873061InvestmentEarningsOrLosses
Other Expenditures464436OtherExpenditures
End Of Year Balance15975895EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13467863BeginningOfYearBalance
Contributions37074Contributions
Investment Earnings Or Losses994786InvestmentEarningsOrLosses
End Of Year Balance14499723EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5608172OtherCostOrOtherBasis
Book Value5608172BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67241476OtherCostOrOtherBasis
Depreciation33751327Depreciation
Book Value33490149BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis51078167OtherCostOrOtherBasis
Depreciation39177173Depreciation
Book Value11900994BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14227059OtherCostOrOtherBasis
Book Value14227059BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings65226374TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
STUDENT LOAN AND RESTRICTED FUNDS855474F
JOINT VENTURES121745F
BENEFICIAL INTEREST IN FOUNDATION4037847F
BENEFICIAL INTEREST IN TRUST17215179F
FieldValueIRS element (for citing)
Total Of Book Value Securities22230245TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY REIMBURSEMENT CONTRACTS$1,843,564
LIABILITY FOR PENSION BENEFITS$7,945,046
FieldValueIRS element (for citing)
Total Of Amounts9788610TotalOfAmounts
Total Revenue99808082TotalRevenue
Total Expenses96805254TotalExpenses
Excess Or Deficit For Year3002828ExcessOrDeficitForYear
Net Unrealized GL On Investments1263190NetUnrealizedGLOnInvestments
Other$4,200,618OtherAmount
Total Adjustments5463808TotalAdjustments
Excess Or Deficit Per FS8466636ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. IN GENERAL, SUCH STANDARDS REQUIRE THE HOSPITAL TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB 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, 2010, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST OF FOUNDATION -2,165,130. CHANGE IN BENEFICIAL INTEREST OF TRUST 1,787,487. PENSION RELATED CHANGES 4,578,261.
PART V, LINE 3A(II): MARY LANNING HEALTHCARE FOUNDATION AND MARY LANNING HOSPITAL TRUST HOLD ENDOWMENT FUNDS RESTRICTED TO DISTRIBUTION TO MARY LANNING MEMORIAL HOSPITAL. THESE FUNDS ARE REFLECTED ON MARY LANNING MEMORIAL HEALTHCARE'S BALANCE SHEET IN "INVESTMENTS - OTHER SECURITIES" AND ARE SHOWN ON SCHEDULE D, PART VIII. THESE FUNDS ARE NOT UNDER THE CONTROL OF MARY LANNING MEMORIAL HEALTHCARE.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1701310TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1701310NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9172214TotalCommunityBenefitExpense
Direct Offsetting Revenue7253659DirectOffsettingRevenue
Net Community Benefit Expense1918555NetCommunityBenefitExpense
Percent Of Total Expense0.02050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10873524TotalCommunityBenefitExpense
Direct Offsetting Revenue7253659DirectOffsettingRevenue
Net Community Benefit Expense3619865NetCommunityBenefitExpense
Percent Of Total Expense0.03870PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense828454TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense828454NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense829850TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense829850NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense60795TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense60795NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense245967TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense245967NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1965066TotalCommunityBenefitExpense
Net Community Benefit Expense1965066NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12838590TotalCommunityBenefitExpense
Direct Offsetting Revenue7253659DirectOffsettingRevenue
Net Community Benefit Expense5584931NetCommunityBenefitExpense
Percent Of Total Expense0.05970PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense320TotalCommunityBuildingExpense
Net Community Building Expense320NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense9078TotalCommunityBuildingExpense
Net Community Building Expense9078NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense9398TotalCommunityBuildingExpense
Net Community Building Expense9398NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,798,960BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare17802416AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare53337860CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-35535444MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY LANNING MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1715 NORTH ST JOSEPH AVENUEAddressLine1
CityHASTINGSCity
StateNEState
ZIP Code68901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
LANNING CENTER
815 S BURLINGTON AVENUEHASTINGSNE68901OUTPATIENT CLINIC
HASTINGS PULMONARY
715 N KANSAS AVENUE STE 203HASTINGSNE68901OUTPATIENT CLINIC
PRIMARY CARE CENTER
715 N KANSAS AVENUEHASTINGSNE68901OUTPATIENT CLINIC
SUTTON MEDICAL CLINIC
301 S WAYSUTTONNE68979OUTPATIENT CLINIC
BLUE HILL CLINIC
102 N PINE STREETBLUE HILLNE68930OUTPATIENT CLINIC
CENTRAL NE INFECTIOUS DISEASE
715 N KANSAS AVENUEHASTINGSNE68901OUTPATIENT CLINIC
COMMUNITY HEALTH CENTER
715 N KANSAS AVENUEHASTINGSNE68901OUTPATIENT CLINIC
EDGAR CLINIC
315 N C STREETEDGARNE68944OUTPATIENT CLINIC
HASTINGS IMAGING CENTER
2207 OSBORNE DRIVE WESTHASTINGSNE68901DIAGNOSTIC IMAGING SERVICES
HASTINGS HEART INSTITUTE
715 N KANSAS AVENUEHASTINGSNE68901HEART MEDICAL CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation
PART I, LINE 3C: NOT APPLICABLE
PART I, LINE 6A: NOT APPLICABLE
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, L7 COL(F): BAD DEBT EXPENSE IS $3,246,214.
PART II: MLMH PARTICIPATES IN NEBRASKA HEALTH INFORMATION INITIATIVE WHICH ALLOWS PHYSICIANS TO VIEW THE ENTIRE RECORD OF A PATIENT. THIS BENEFITS THE PATIENT BECAUSE THE DOCTOR SEES THEIR ENTIRE HISTORY INSTEAD OF JUST THE ILLNESS OR INJURY FOR WHICH THEY ARE CURRENTLY BEING TREATED.
PART III, LINE 4: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. AN ALLOWANCE FOR BAD DEBTS HAS BEEN ESTABLISHED FOR THE UNCOLLECTIBLE PORTION OF THESE RECEIVABLES AND IS ADJUSTED THROUGHOUT THE YEAR BASED ON THE AGING OF EACH FUNDING SOURCE'S RECEIVABLE ACCOUNT. INDIVIDUAL ACCOUNTS WITH BALANCES OVER NINETY DAYS ARE REVIEWED PERIODICALLY FOR FUNDING SOURCE DENIALS, REBILLS TO DIFFERENT FUNDING SOURCES, SUBMISSIONS TO A COLLECTION AGENCY OR WRITE-OFF AS BAD DEBT. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINES 2 AND 3 IS TOTAL EXPENSES DIVIDED BY TOTAL REVENUE TIMES BAD DEBT EXPENSE.
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.
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: MLMH CURRENTLY UTILITIZES THE MAPP ASSESSMENT CONDUCTED BY THE SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT IN 2008. THIS ASSESSMENT COVERS A FOUR COUNTY AREA THAT CLOSELY MATCHES THE PATIENT BASE OF MLMH. PARNERSHIPS AND COLLABORATIONS OCCUR REGULARLY WITH THE HEALTH DEPARTMENT AND OTHER AGENCIES IN THE COMMUNITY TO ADDRESS AND MEET NEEDS. MLMH CURRENTLY PROVIDES MANY SERVICES AND PROJECTS THAT TARGET THE NEEDS OF THE COMMUNITY INCLUDING THE ANNUAL FLU SHOT PROGRAM AS WELL AS OUTREACH OF HEALTHY LIVING AND DISEASE MANAGEMENT TO WORKSITES, MINORITIES AND THE COMMUNITY AT LARGE.
PART VI, LINE 3: MLMH 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: MLMH'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 6: NOT APPLICABLE
PART VI, LINE 7: NOT APPLICABLE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY LANNING HEALTHCARE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1715 NORTH ST JOSEPH AVENUEAddressLine1
CityHASTINGSCity
StateNEState
ZIP Code68901ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient470800042EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant313767AmountOfCashGrant
Purpose Of GrantTO ASSIST WITH THE OPERATING COSTS OF FUNDRAISING.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MARY LANNING MEMORIAL HOSPITAL 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRADLEY NEET
2467140000069900179750271679000
TIMOTHY GRONSETH
1465080006596602859051130220446000
LEOTA ROLLS
19283400000753140101750278323000
LEON JOE DAVIS
240661000006534041260251321000
KALPESH D GANATRA
399311000441686073500206440868991000
DENNIS HATCH
2701160009654073500148030301923000
JOHN BECK
3719270000073500182450397522000
THOMAS SCHEER
4954570000000152370510694000
BRENELLY LOZADA
2050150240000961600054630244094000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1APART I, LINE 1A: HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: A COUNTRY CLUB MEMBERSHIP IS PROVIDED TO BRADLEY NEET, CEO, FOR PERSONAL USE. THE VALUE OF THE MEMBERSHIP WAS INCLUDED AS TAXABLE WAGES IN MR. NEET'S 2010 W-2. CHAUFFEUR: VEHICLES OWNED BY MARY LANNING MEMORIAL HOSPITAL 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. PERSONAL SERVICES: A VEHICLE ALLOWANCE IS GIVEN MONTHLY TO BRADLEY NEET. THE ALLOWANCE WAS INCLUDED AS TAXABLE WAGES IN MR. NEET'S 2010 FORM W-2. PART I, LINE 1B: MR. NEET TURNS IN THE MONTHLY BILL FROM THE COUNTRY CLUB FOR THE MEMBERSHIP DUES. 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 4ATIMOTHY GRONSETH, CFO THROUGH JULY 2010, RECEIVED SEVERANCE PAYMENTS OF $65,966.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HOSPITAL REVENUE BONDS SERIES 2003 OF ADAMS COUNTY NE
470762824006060BUO2003-10-153305000RENOVATION OF LOBBY AND ELEVATORS000
HOSPITAL REVENUE BONDS SERIES 2008 OF ADAMS COUNTY NE
470762824006060CL92008-07-0123725120TWO ADDITIONS TO THE HOSPITAL000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
13200003353561305276304828520050011
580000241736791752073224216060011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonKATHY ANDERSONNamePerson
Purpose Of LoanSTUDENT LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$40,800OriginalPrincipalAmount
Balance Due40800BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due40800TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ELLERBROCK NORRIS INSURANCE BROKERAGEBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipTHE MAJORITY OWNER IS THE BROTHER OF COLLEEN WERNER, A TRUSTEE.Relationship
Amount Of Transaction178195AmountOfTransaction
Description Of TransactionINSURANCE SERVICES.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 WAS PROVIDED TO THE MEMBERS OF THE BOARD AND WAS REVIEWED WITH THOSE MEMBERS PRIOR TO FILING THE RETURN.
EACH EMPLOYEE AND BOARD MEMBER MUST ANNUALLY FILL OUT A CONFLICT SURVEY AND SIGN A CONFLICT OF INTEREST STATEMENT.FORM 990, PART VI, SECTION B, LINE 12C
AN EXECUTIVE COMPENSATION REVIEW IS PERFORMED ANNUALLY. IN 2010, THE BOARD HIRED AN INDEPENDENT CONSULTANT, GRANT THORTON, TO PERFORM A REVIEW OF EXECUTIVE COMPENSATION.FORM 990, PART VI, SECTION B, LINE 15
ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST THROUGH MARY LANNING MEMORIAL HOSPITAL'S ADMINISTRATIVE OFFICES.FORM 990, PART VI, SECTION C, LINE 19
CLARENCE (GARY) ANDERSON IS EMPLOYED BY MARY LANNING TRUST. HE WORKS 40 HOURS PER WEEK FOR THE TRUST.FORM 990, PART VII, SECTION A, COLUMN B:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 1,263,190. CHANGE IN BENEFICIAL INTEREST OF FOUNDATION -2,165,130. CHANGE IN BENEFICIAL INTEREST OF TRUST 1,787,487. PENSION RELATED CHANGES 4,578,261. TOTAL TO FORM 990, PART XI, LINE 5: 5,463,808.FORM 990, PART XI, LINE 5:
AUDIT OF ORGANIZATION'S FINANCIAL STATEMENTSTHE BOARD OF TRUSTEES OF THE ORGANIZATION ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.FORM 990, PART XI, LINE 2C:
SCHOOLS CONDUCTED WITHIN MARY LANNING MEMORIAL HOSPITALFORM 990, PART IV, LINE 13 IS ANSWERED "NO" BECAUSE MARY LANNING MEMORIAL HOSPITAL'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 RACIALLY NONDISCRIMINITORY BASIS.FORM 990, PART IV, LINE 13:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MARY LANNING HEALTHCARE FOUNDATION
741 N DENVER AVEHASTINGSNE68901470800042FUNDRAISING ACTIVITIESNE501(C)(3)509(A)(3) TYPE IIIN/A1
MARY LANNING HOSPITAL TRUST
122 N HASTINGS AVEHASTINGSNE68901476000224INVESTMENT MANAGEMENTNE501(C)(3)509(A)(3) TYPE IIN/A1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MARY LANNING HOSPITAL TRUST
C750000CASH TRANSFER
MARY LANNING HEALTHCARE FOUNDATION
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