JEFFERSON COMMUNITY HEALTH CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: JEFFERSON COMMUNITY HEALTH CENTER INC (EIN 47-0468078)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-05
IRS object ID: 202642179349301709
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-05T14:50:35-05:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	423603499	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14010 FNB PKWY STE 600	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	681545206	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470468078	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COMMUNITY HEALTH CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	JEFF	BusinessNameControlTxt
Phone	4027293351	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 H ST	AddressLine1Txt
City	FAIRBURY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68352	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHANCE KLASEK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4027293351	PhoneNum
Signature	2026-08-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MEGAN L KOZIOL	PreparerPersonNm
PTIN	P01544037	PTIN
Phone	4023302660	PhoneNum
Preparation	2026-08-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COMMUNITY HEALTH & LIFE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CHANCE KLASEK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 H ST	AddressLine1Txt
City	FAIRBURY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68352	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$41,243,181	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.JCHEALTHANDLIFE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1960	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	TO OPERATE AN ACUTE CARE CRITICAL ACCESS HOSPITAL IN FAIRBURY, NEBRASKA.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	291	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$819,603	PYContributionsGrantsAmt
CY Contributions Grants	$1,195,552	CYContributionsGrantsAmt
PY Program Service Revenue	$33,853,758	PYProgramServiceRevenueAmt
CY Program Service Revenue	$38,948,851	CYProgramServiceRevenueAmt
PY Investment Income	$770,490	PYInvestmentIncomeAmt
CY Investment Income	$865,843	CYInvestmentIncomeAmt
PY Other Revenue	$219,655	PYOtherRevenueAmt
CY Other Revenue	$226,698	CYOtherRevenueAmt
PY Total Revenue	$35,663,506	PYTotalRevenueAmt
CY Total Revenue	$41,236,944	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,713	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,497	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$19,750,038	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$20,884,693	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$29,170	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,591,420	PYOtherExpensesAmt
CY Other Expenses	$16,394,806	CYOtherExpensesAmt
PY Total Expenses	$33,348,171	PYTotalExpensesAmt
CY Total Expenses	$37,283,996	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,315,335	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,952,948	CYRevenuesLessExpensesAmt
Total Assets BOY	$51,704,257	TotalAssetsBOYAmt
Total Assets EOY	$56,250,445	TotalAssetsEOYAmt
Total Liabilities BOY	$19,226,488	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,355,523	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$32,477,769	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$36,894,922	NetAssetsOrFundBalancesEOYAmt
Mission	INSPIRING HEALTHY LIVING BY PROVIDING EXCEPTIONAL HEALTH AND LIFE SERVICES FOR EVERY PERSON, EVERY TIME.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$30,634,205	ExpenseAmt
Grant	$4,497	GrantAmt
Revenue	$35,435,119	RevenueAmt
Desc	JEFFERSON COMMUNITY HEALTH & LIFE OPERATES A 17 BED CRITICAL ACCESS ACUTE CARE HOSPITAL. JEFFERSON COMMUNITY HEALTH & LIFE ALSO OPERATES A FITNESS CENTER, RURAL HEALTH CLINICS, AND PROVIDES HOME HEALTH SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,523,600	ExpenseAmt
Revenue	$3,513,732	RevenueAmt
Desc	JEFFERSON COMMUNITY HEALTH & LIFE OPERATES A 40 BED LONG-TERM CARE FACILITY FOR THE RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING AREA.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$33,157,805	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	8	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	291	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHANCE KLASEK	PersonNm
Phone	4027296856	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 H STREET PO BOX 277	AddressLine1Txt
City	FAIRBURY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68352	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROSS BOECKNER
PRESIDENT	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
STEVEN SNYDER
VICE PRESIDENT	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DIANE WELLSANDT
SECRETARY/TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
TREVOR STEINMEYER
PRESIDENT (THRU 12/24)	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
GLENDA AUSTIN
SECRETARY/TREASURER (THRU 12/24)	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JUSTIN FULTON
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
KENDALL SCHLAKE
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
DALLAS CHRIST
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SARA STEWART
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
CAROLYN SCHERBARTH
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
CHANCE KLASEK
CFO	40.00	1.00		Yes (X)	$217,506	$0	$44,796
BILL WELCH
INTERIM CEO (THRU 01/25)	40.00	1.00		Yes (X)	$53,779	$0	$221
HOLLY WOLFF
CEO	40.00	1.00		Yes (X)	$0	$0	$0
CRAIG SHUMARD
PHYSICIAN	40.00	0.00			$496,538	$0	$54,943	Yes (X)
REBECCA STROKLUND
PHYSICIAN	40.00	0.00			$354,004	$0	$40,725	Yes (X)
BRETT WERGIN
PHYSICIAN	40.00	0.00			$335,910	$0	$29,840	Yes (X)
BRANDON BLEICH
PHARMACY DIRECTOR	40.00	0.00			$191,669	$0	$40,455	Yes (X)
MADHAV NARAYAN
PHYSICIAN	40.00	0.00			$198,838	$0	$12,321	Yes (X)
DR BURKE KLINE
CEO (THRU 08/24)	40.00	1.00			$240,233	$0	$30,708		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,088,477	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$254,009	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	27	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RUTT'S MECHANICAL SERVICES
1001 W 1ST ST	HASTINGS	NE	68901	MECHANICAL SERVICES	$1,126,454
CERNER
2800 ROCK CREEK PKWY	KANSAS CITY	KS	64117	ELECTRONIC HEALTH RECORD SERVICES	$901,501
FIVE NINES TECHNOLOGY GROUP
5617 THOMPSON CREEK BLVD	LINCOLN	NE	68516	INFORMATION TECHNOLOGY SERVICES	$394,548
CHAPPELL ROOFING
302 E ST	FAIRBURY	NE	68352	ROOFING SERVICES	$299,197
RURALMED MANAGEMENT RESOURCES
511 WEST AVE	HOLDREGE	NE	68949	REVENUE CYCLE SERVICES	$227,115

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Fundraising	$15,363	FundraisingAmt
Related Organizations	$51,484	RelatedOrganizationsAmt
Government Grants	$893,667	GovernmentGrantsAmt
All Other Contributions	$235,038	AllOtherContributionsAmt
Total Contributions	$1,195,552	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	624100	$35,989,876	$35,989,876
340B DRUG PRICING PROGRAM	624100	$1,973,383	$1,973,383
CEDARWOOD ASSISTED LIVING SVC FEE	623000	$831,197	$831,197
CEDARWOOD: EQUITY IN JT VENTURE	623000	$56,873	$56,873

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,522	TotalRevenueColumnAmt
Related Or Exempt Func Income	$97,522	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$38,948,851	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$865,843	TotalRevenueColumnAmt
Exclusion	$865,843	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,525	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$15,363	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$6,237	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,712	TotalRevenueColumnAmt
Exclusion	-$1,712	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	722514	BusinessCd
Total Revenue Column	$228,410	TotalRevenueColumnAmt
Exclusion	$228,410	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$228,410	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,236,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,948,851	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,092,541	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,497	TotalAmt
Program Services	$4,497	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$549,281	TotalAmt
Management And General	$549,281	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$312,037	TotalAmt
Program Services	$171,153	ProgramServicesAmt
Management And General	$140,884	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$15,602,763	TotalAmt
Program Services	$14,899,481	ProgramServicesAmt
Management And General	$676,892	ManagementAndGeneralAmt
Fundraising	$26,390	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$515,082	TotalAmt
Program Services	$484,393	ProgramServicesAmt
Management And General	$30,689	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,767,468	TotalAmt
Program Services	$2,593,307	ProgramServicesAmt
Management And General	$174,161	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,138,062	TotalAmt
Program Services	$1,050,446	ProgramServicesAmt
Management And General	$85,631	ManagementAndGeneralAmt
Fundraising	$1,985	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$89,584	TotalAmt
Program Services	$15,685	ProgramServicesAmt
Management And General	$73,899	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$100,603	TotalAmt
Management And General	$100,603	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,904,902	TotalAmt
Program Services	$3,897,164	ProgramServicesAmt
Management And General	$1,007,738	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$153,618	TotalAmt
Program Services	$15,638	ProgramServicesAmt
Management And General	$137,185	ManagementAndGeneralAmt
Fundraising	$795	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,164,866	TotalAmt
Program Services	$995,272	ProgramServicesAmt
Management And General	$169,594	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$557,213	TotalAmt
Program Services	$494,601	ProgramServicesAmt
Management And General	$62,612	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$113,895	TotalAmt
Program Services	$81,220	ProgramServicesAmt
Management And General	$32,675	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$94,298	TotalAmt
Program Services	$82,728	ProgramServicesAmt
Management And General	$11,570	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$473,537	TotalAmt
Program Services	$438,058	ProgramServicesAmt
Management And General	$35,479	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,380,832	TotalAmt
Program Services	$2,202,451	ProgramServicesAmt
Management And General	$178,381	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$503,149	TotalAmt
Management And General	$503,149	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$5,013,438	$5,013,438
FOOD EXPENSE	$501,941	$497,725	$4,216
DUES AND SUBSCRIPTIONS	$219,720	$99,169	$120,551
MISCELLANEOUS EXPENSES	$123,210	$121,379	$1,831

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,283,996	TotalAmt
Program Services	$33,157,805	ProgramServicesAmt
Management And General	$4,097,021	ManagementAndGeneralAmt
Fundraising	$29,170	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,078,530	BOYAmt
EOY	$14,753,138	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,925,672	BOYAmt
EOY	$9,066,369	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$586,307	BOYAmt
EOY	$521,015	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$681,175	BOYAmt
EOY	$638,613	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,826,635	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,329,348	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,841,648	BOYAmt
EOY	$18,497,287	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,770,393	BOYAmt
EOY	$10,033,854	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,532,030	BOYAmt
EOY	$1,588,903	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$288,502	BOYAmt
EOY	$1,151,266	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,704,257	BOYAmt
EOY	$56,250,445	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,251,089	BOYAmt
EOY	$3,661,505	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,982,715	BOYAmt
EOY	$6,660,112	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,414,622	BOYAmt
EOY	$8,202,214	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$578,062	BOYAmt
EOY	$831,692	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,226,488	BOYAmt
EOY	$19,355,523	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,114,646	BOYAmt
EOY	$36,569,517	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$363,123	BOYAmt
EOY	$325,405	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$32,477,769	BOYAmt
EOY	$36,894,922	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$51,704,257	BOYAmt
EOY	$56,250,445	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,952,948	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$464,205	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$2,911	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$2,911	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	JCH&L PAID DUES TO THE NEBRASKA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES WERE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$363,123	BeginningYearBalanceAmt
Contributions	$41,711	ContributionsAmt
Investment Earnings Or Losses	$19,397	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$98,826	GrantsOrScholarshipsAmt
End Year Balance	$325,405	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,754	BeginningYearBalanceAmt
Contributions	$335,309	ContributionsAmt
Investment Earnings Or Losses	$14,193	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$37,133	GrantsOrScholarshipsAmt
End Year Balance	$363,123	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,754	BeginningYearBalanceAmt
End Year Balance	$50,754	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,754	BeginningYearBalanceAmt
End Year Balance	$50,754	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,754	BeginningYearBalanceAmt
End Year Balance	$50,754	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.15640	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.84360	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,943	OtherCostOrOtherBasisAmt
Book Value	$50,943	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,173,773	OtherCostOrOtherBasisAmt
Depreciation	$14,731,481	DepreciationAmt
Book Value	$13,442,292	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,924,163	OtherCostOrOtherBasisAmt
Depreciation	$6,390,298	DepreciationAmt
Book Value	$4,533,865	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$677,756	OtherCostOrOtherBasisAmt
Depreciation	$207,569	DepreciationAmt
Book Value	$470,187	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,497,287	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED INTEREST	$71,692
ESTIMATED THIRD-PARTY PAYOR SETTLEMENT	$760,000

Field	Value	IRS element (for citing)
Total Liability	$831,692	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE INTENDED USE OF THE HOSPITAL'S ENDOWMENT FUNDS IS TO PROVIDE NURSING SCHOLARSHIPS AND CAPITAL IMPROVEMENTS.
PART X, LINE 2:	THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. THE HEALTH CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2025 AND 2024, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
SCHEDULE D, PART V, LINE 1B, COLUMN (B):	PRIOR TO THE PRIOR YEAR, THE ENDOWMENT FUNDS REPORTED ON SCHEDULE D, PART V DID NOT INCLUDE TEMPORARY ENDOWMENTS. IN THE PRIOR YEAR, THE ORGANIZATION INCLUDED THE TEMPORARY ENDOWMENTS. THE PRIOR YEAR CONTRIBUTION AMOUNT REPORTED IN COLUMN B INCLUDES THE BEGINNING BALANCE OF THE TEMPORARY ENDOWMENTS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$19,888	GrossReceiptsEvent1Amt
Charitable Contri Event1	$15,363	CharitableContriEvent1Amt
Gross Revenue Event1	$4,525	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,440	CashPrizesEvent1Amt
Non Cash Prizes Event1	$1,170	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,420	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$625	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$582	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$19,888	GrossReceiptsTotalAmt
Charitable Contributions Tot	$15,363	CharitableContributionsTotAmt
Gross Revenue Total Events	$4,525	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,440	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$1,170	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$2,420	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$625	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$582	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$6,237	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,712	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$410,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$410,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,483,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,483,970	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,893,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,483,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$410,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$197,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$186,905	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,225,786	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,650,845	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,574,941	NetCommunityBenefitExpnsAmt
Total Expense	0.09590	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,047	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,047	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,460,788	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,661,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,799,693	NetCommunityBenefitExpnsAmt
Total Expense	0.10190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,354,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,145,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,209,693	NetCommunityBenefitExpnsAmt
Total Expense	0.11290	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$589,225	BadDebtExpenseAmt
Bad Debt Expense Attributable	$57,744	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,086,452	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,141,878	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$55,426	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 H STREET	AddressLine1Txt
City	FAIRBURY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68352	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.JCHEALTHANDLIFE.ORG	WebsiteAddressTxt
State License	440001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COMMUNITY HEALTH CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	JCHEALTHANDLIFE.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	JCHEALTHANDLIFE.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.JCHEALTHANDLIFE.ORG/CARE-SERVICES/PATIENT-RESOURCES/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.JCHEALTHANDLIFE.ORG/CARE-SERVICES/PATIENT-RESOURCES/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.JCHEALTHANDLIFE.ORG/CARE-SERVICES/PATIENT-RESOURCES/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
JEFFERSON COMMUNITY HEALTH CENTER, INC.	PART V, SECTION B, LINE 5: JEFFERSON COMMUNITY HEALTH & LIFE TOOK INTO ACCOUNT INPUT FROM PERSONS AND ORGANIZATIONS REPRESENTING THE BROAD INTERESTS OF JEFFERSON COUNTY, THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. THE 2025 CHNA PROCESS BEGAN IN EARLY 2025 AND INCLUDED FOCUS GROUPS WITH LOCAL ORGANIZATIONS, A COMMUNITY STAKEHOLDERS MEETING AT JCH&L WITH REPRESENTATIVES FROM AREA HEALTH-RELATED AGENCIES, AND A CHURCH-HOSTED COMMUNITY INPUT MEETING. FOCUS GROUPS WERE CONDUCTED WITH KIWANIS, ROTARY, OPTIMISTS, AND ST. MICHAEL'S CATHOLIC CHURCH, WITH A TOTAL OF 34 PEOPLE ATTENDING AND PARTICIPATING IN DISCUSSIONS OF COMMUNITY HEALTH NEEDS. THE REPORT DOES NOT PROVIDE EXACT MEETING DATES BEYOND STATING THAT THE PROCESS BEGAN IN EARLY 2025. ORGANIZATIONS PROVIDING INPUT OR REPRESENTED IN THE CHNA PROCESS INCLUDED PUBLIC HEALTH SOLUTIONS DISTRICT HEALTH DEPARTMENT, BLUE VALLEY COMMUNITY ACTION PARTNERSHIP, BLUE RIVERS AREA AGENCY ON AGING, FAIRBURY ROTARY CLUB, FAIRBURY OPTIMIST CLUB, FAIRBURY KIWANIS CLUB, FAIRBURY PUBLIC SCHOOLS, ST. PAUL'S LUTHERAN SCHOOL OF PLYMOUTH, FAIRBURY DENTAL ASSOCIATES, JEFFERSON COUNTY COMMISSIONERS, CITY OF FAIRBURY, JEFFERSON COUNTY MINISTERIAL ALLIANCE, LOCAL CHURCHES, JCH&L MEDICAL STAFF/PROVIDERS/CLINICAL STAFF, JCH&L TEAM MANAGERS, AND THE JCH&L BOARD OF DIRECTORS. PUBLIC HEALTH SOLUTIONS DISTRICT HEALTH DEPARTMENT REPRESENTS THE REQUIRED GOVERNMENTAL PUBLIC HEALTH DEPARTMENT INPUT, SERVING FILLMORE, JEFFERSON, SALINE, GAGE, AND THAYER COUNTIES IN SOUTHEAST NEBRASKA.
JEFFERSON COMMUNITY HEALTH CENTER, INC.	PART V, SECTION B, LINE 11: THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED A BROAD RANGE OF COMMUNITY HEALTH NEEDS AND CONCERNS IN JEFFERSON COUNTY. AFTER REVIEW AND PRIORITIZATION, JEFFERSON COMMUNITY HEALTH & LIFE SELECTED THE FOLLOWING NEEDS AS THE MOST IMPORTANT FOR THE HOSPITAL TO ADDRESS OVER THE NEXT THREE YEARS:1. INCREASING THE NUMBER OF PRIMARY CARE PROVIDERS 2. MENTAL/BEHAVIORAL HEALTH 3. OBESITY, NUTRITION, AND SEDENTARY LIFESTYLE 4. CHRONIC DISEASES AFFECTED BY OBESITY AND SEDENTARY LIFESTYLE, INCLUDING DIABETES, HEART DISEASE, STROKE, AND CANCER BECAUSE THE NEW CHNA WAS COMPLETED DURING THE CURRENT TAX YEAR, THE FACILITY HAD LIMITED TIME TO BEGIN FULLY IMPLEMENTING NEW ACTIVITIES UNDER THE 2025 PLAN. HOWEVER, JCH&L BEGAN OR CONTINUED WORK IN AREAS THAT ALIGN WITH THE NEWLY IDENTIFIED PRIORITIES, INCLUDING PRIMARY CARE ACCESS, MENTAL/BEHAVIORAL HEALTH, OBESITY/NUTRITION/SEDENTARY LIFESTYLE, AND CHRONIC DISEASE PREVENTION AND MANAGEMENT.LTO ADDRESS THE NEED FOR ADDITIONAL PRIMARY CARE PROVIDERS, JCH&L BEGAN A CONCENTRATED RECRUITMENT EFFORT TO ADD AT LEAST TWO PRIMARY CARE FAMILY PRACTICE PHYSICIANS. JCH&L FAIRBURY CLINIC CONTINUED TO PROVIDE PRIMARY CARE SERVICES WITH ONE FAMILY PRACTICE PROVIDER AND FIVE ADVANCED PRACTICE PROVIDERS, INCLUDING FAMILY NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. JCH&L ALSO WORKED TOWARD IMPLEMENTATION OF AVEL TO PROVIDE TELEHEALTH COVERAGE AND BACKUP FOR THE EMERGENCY DEPARTMENT.TO ADDRESS MENTAL AND BEHAVIORAL HEALTH NEEDS, JCH&L ADDED A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER AND A PROVISIONALLY LICENSED MENTAL HEALTH PRACTITIONER IN 2025. BEHAVIORAL HEALTH SERVICES BEGAN BEING OFFERED THROUGH JCH&L BEHAVIORAL HEALTH. JCH&L ALSO PARTICIPATED IN LOCAL EFFORTS RELATED TO MENTAL HEALTH AND SUBSTANCE ABUSE, INCLUDING PARTICIPATION IN AN UPSTREAM MAPPING WORKSHOP AND REPRESENTATION ON THE JEFFERSON COMMUNITY COALITION.TO ADDRESS OBESITY, NUTRITION, AND SEDENTARY LIFESTYLE, JCH&L CONTINUED ACTIVITIES AIMED AT ENCOURAGING HEALTHIER LIFESTYLES. SEVERAL KIDS COOKING CLASSES WERE HELD FOR AREA YOUTH AND A PARENT OR GUARDIAN, WITH PARTICIPANTS PREPARING AND SHARING A MEAL UNDER THE DIRECTION OF A DIETITIAN. JCH&L CONTINUED SUPPORTING COMMUNITY WALKING AND BIKING EFFORTS, INCLUDING SUPPORT FOR CITY OF FAIRBURY GRANT EFFORTS TO IMPROVE SIDEWALKS, WALKING ROUTES, AND TRAILS. JCH&L ALSO WORKED WITH THE CITY TO ESTABLISH A WALKING AREA IN THE FAIRBURY COMMUNITY BUILDING AND PROVIDED MONTHLY PRIZES FOR THE FIRST SIX MONTHS TO ENCOURAGE USE OF THE SPACE. THE JCH&L BURKLEY FITNESS CENTER OFFERED YOUTH SWIM EVENTS, FITNESS IS FUN SUMMER ACTIVITIES FOR CHILDREN, AND OTHER YOUTH WELLNESS PROGRAMMING.TO ADDRESS CHRONIC DISEASES AFFECTED BY NUTRITION, OBESITY, AND SEDENTARY LIFESTYLE, INCLUDING DIABETES, HEART DISEASE, STROKE, AND CANCER, JCH&L CONTINUED MEN'S AND WOMEN'S HEALTH ACTIVITIES. THE FACILITY PROVIDED INCENTIVES FOR MEN AND WOMEN WHO RECEIVED PHYSICALS AND FOR WOMEN WHO RECEIVED MAMMOGRAMS. WOMEN'S HEALTH DAYS CONTINUED TO BE OFFERED, ALLOWING WOMEN TO RECEIVE A MAMMOGRAM, BLOOD WORK, AND ANNUAL EXAM IN ONE VISIT. JCH&L ALSO CONTINUED PROMOTING MEDICARE WELLNESS VISITS, PROVIDED HEALTH EDUCATION PROGRAMS, AND CONTINUED EFFORTS TO EXPAND CHRONIC CARE COORDINATION AND DIABETES EDUCATION.JCH&L ALSO CONTINUED TO SUPPORT COMMUNITY HEALTH EDUCATION AND PREVENTION ACTIVITIES CONNECTED TO THE PRIOR CHNA PRIORITIES. THESE INCLUDED PROVIDING SCHOOL AND YOUTH EDUCATION PROGRAMS, SUCH AS VAPING EDUCATION DURING RED RIBBON WEEK, PROGRAMS FOR PROGRESSIVE AGRICULTURE SAFETY DAYS, AND A TEDDY BEAR CLINIC FOR AREA CHILDREN AND PARENTS. JCH&L SPORTS MEDICINE AND REHAB SERVICES CONTINUED PROVIDING SIDELINE SERVICES FOR FAIRBURY HIGH SCHOOL FOOTBALL. THE FACILITY ALSO CONTINUED PROVIDING MONTHLY EDUCATIONAL PROGRAMS AT FAIRBURY SENIOR DINERS AND HELPED PROMOTE THE SENIOR DINERS PROGRAM, WHICH PROVIDES NUTRITIOUS MEALS AND SOCIAL INTERACTION FOR ADULTS AGE 60 AND OLDER.OVERALL, DURING THE CURRENT TAX YEAR, JCH&L CONTINUED IMPLEMENTING ACTIVITIES FROM THE PRIOR CHNA WHILE ALSO BEGINNING WORK ON THE PRIORITIES IDENTIFIED IN THE NEWLY COMPLETED 2025 CHNA.DURING THE IMPLEMENTATION STRATEGY PROCESS, JEFFERSON COMMUNITY HEALTH & LIFE REVIEWED THE NEEDS IDENTIFIED THROUGH THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZED THE AREAS WHERE THE FACILITY DETERMINED IT COULD HAVE THE GREATEST IMPACT BASED ON COMMUNITY NEED, AVAILABLE RESOURCES, THE SEVERITY OF THE ISSUE, THE NUMBER OF PEOPLE AFFECTED, AND THE EXTENT TO WHICH OTHER ORGANIZATIONS ARE ALREADY ADDRESSING OR MAY BE BETTER POSITIONED TO ADDRESS THE NEED.THE FACILITY WILL NOT DIRECTLY ADDRESS SUBSTANCE ABUSE AND SMOKING AS PRIORITY AREAS. JCH&L RECOGNIZES THESE AS IMPORTANT COMMUNITY CONCERNS AND WILL CONTINUE TO SERVE AS A COMMUNITY PARTNER WITH OTHER AGENCIES WORKING IN THESE AREAS. HOWEVER, THESE ISSUES REQUIRE A BROADER COMMUNITY-WIDE APPROACH AND ARE BETTER ADDRESSED THROUGH PARTNERSHIPS AND ORGANIZATIONS SPECIFICALLY FOCUSED ON PREVENTION, TREATMENT, AND COMMUNITY INTERVENTION.SUICIDE PREVENTION WILL ALSO NOT BE ADDRESSED AS A SEPARATE PRIORITY AREA. JCH&L WILL CONTINUE SUPPORTING AND PARTNERING WITH COMMUNITY ORGANIZATIONS WORKING ON SUICIDE PREVENTION AND SUPPORT FOR THOSE AFFECTED BY SUICIDE, BUT THE FACILITY DETERMINED THAT REDUCING SUICIDE REQUIRES A BROADER COMMUNITY RESPONSE BEYOND THE HOSPITAL'S DIRECT RESOURCES.ALZHEIMER'S DISEASE WAS IDENTIFIED AS A NEED BUT WILL NOT BE A MAJOR PRIORITY AREA. JCH&L WILL CONTINUE OFFERING AN ALZHEIMER'S CAREGIVER SUPPORT GROUP, PROVIDING EDUCATIONAL RESOURCES THROUGH THE ALZHEIMER'S ASSOCIATION, AND PARTNERING WITH FAIRBURY HIGH SCHOOL FBLA ON AN ANNUAL ALZHEIMER'S MEMORY WALK. HOWEVER, THE FACILITY DETERMINED THAT THIS LEVEL OF INVOLVEMENT IS APPROPRIATE AT THIS TIME AND WILL NOT MAKE ALZHEIMER'S DISEASE A MAJOR FOCUS AREA.ADDITIONAL SPECIALTIES AND NEW SERVICES WILL CONTINUE TO BE CONSIDERED AS PART OF JCH&L'S ONGOING STRATEGIC PLANNING PROCESS, BUT MOST SPECIALTY AND SERVICE EXPANSION NEEDS WILL NOT BE NAMED AS CHNA PRIORITIES BECAUSE OF STAFFING, PERSONNEL, AND RESOURCE LIMITATIONS. THE FACILITY WILL FOCUS ONLY ON SELECTED AREAS THAT DIRECTLY SUPPORT ITS PRIORITY GOALS.DENTAL HEALTH WILL NOT BE ADDRESSED AS A PRIORITY AREA BECAUSE IT IS OUTSIDE JCH&L'S CURRENT SERVICE OFFERINGS. THE FACILITY WILL CONTINUE TO BE A COMMUNITY PARTNER WITH AGENCIES AND PRACTICES THAT PROVIDE DENTAL SERVICES, BUT IT DOES NOT INTEND TO MAKE DENTAL HEALTH A DIRECT PRIORITY AT THIS TIME.ECONOMIC CONCERNS, HOUSING NEEDS, UNSAFE OR SUBSTANDARD HOUSING, TRANSPORTATION, DAYCARE, BROADBAND EXPANSION, WATER QUALITY CONCERNS, AND HUNGER WILL NOT BE DIRECTLY ADDRESSED AS PRIORITY AREAS. JCH&L RECOGNIZES THAT THESE SOCIAL AND ECONOMIC FACTORS AFFECT HEALTH AND WELL-BEING, BUT THEY ARE BROADER COMMUNITY AND SOCIETAL ISSUES THAT ARE BETTER ADDRESSED BY OTHER AGENCIES, LOCAL GOVERNMENT, COMMUNITY ORGANIZATIONS, AND SERVICE PROVIDERS. JCH&L WILL CONTINUE TO SUPPORT THESE EFFORTS AS A COMMUNITY PARTNER WHERE APPROPRIATE.INSURANCE, UNINSURED, AND UNDERINSURED CONCERNS WILL NOT BE LISTED AS A SEPARATE PRIORITY AREA. JCH&L WILL CONTINUE SEEKING WAYS TO SERVE UNINSURED AND UNDERINSURED PATIENTS, INCLUDING THROUGH CHARITY CARE, BUT THE FACILITY DID NOT SELECT THIS AS ONE OF ITS MAJOR PRIORITY AREAS.COUNTY DEMOGRAPHICS AND THE CHANGING NEEDS OF THE COUNTY'S POPULATION WILL NOT BE A SEPARATE PRIORITY AREA. JCH&L WILL CONTINUE PLANNING FOR DEMOGRAPHIC CHANGES AND WORKING WITH LOCAL PARTNERS SUCH AS THE CITY, COUNTY, CHAMBER OF COMMERCE, AND OTHER ORGANIZATIONS TO SUPPORT COMMUNITY GROWTH AND SERVICE PLANNING.AWARENESS OF SERVICES, GENERAL HEALTH EDUCATION, PARENTING EDUCATION, VETERANS' SERVICES, SERVICES FOR DISABLED RESIDENTS, SCHOOL BEHAVIOR CONCERNS, SCHOOL ACTIVITIES, SOCIALIZATION, WALKABLE COMMUNITY EFFORTS, INCENTIVES TO EXERCISE, SOCIAL ISOLATION, DOMESTIC VIOLENCE, SEATBELT AND CHILD SAFETY SEAT USE, SUPPORT GROUPS, AND IMMUNIZATIONS WILL ALSO NOT BE ADDRESSED AS SEPARATE PRIORITY AREAS. IN MANY OF THESE AREAS, JCH&L WILL CONTINUE PROVIDING EDUCATION, SERVICES, PARTNERSHIPS, SUPPORT GROUPS, CHILD SAFETY SEAT CHECKUPS, IMMUNIZATION PARTNERSHIPS, OR COMMUNITY INFORMATION, BUT THE FACILITY DETERMINED THAT THESE NEEDS ARE EITHER OUTSIDE ITS MAIN FOCUS, ALREADY BEING ADDRESSED BY OTHER ORGANIZATIONS, OR NOT THE HIGHEST PRIORITIES FOR DIRECT FACILITY ACTION DURING THIS IMPLEMENTATION PERIOD.OVERALL, JCH&L DETERMINED THAT WHILE MANY NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT, THE FACILITY'S DIRECT IMPLEMENTATION STRATEGY WILL FOCUS ON THE NEEDS WHERE IT CAN MAKE THE GREATEST MEASURABLE IMPACT: INCREASING THE NUMBER OF PRIMARY CARE PROVIDERS, MENTAL AND BEHAVIORAL HEALTH, OBESITY/NUTRITION/SEDENTARY LIFESTYLE, AND CHRONIC DISEASES AFFECTED BY OBESITY AND SEDENTARY LIFESTYLE, INCLUDING DIABETES, HEART DISEASE, STROKE, AND CANCER.
JEFFERSON COMMUNITY HEALTH CENTER, INC.	PART V, SECTION B, LINE 13H: SOME INDIVIDUALS OR GUARANTORS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IN EXCESS OF WHAT WOULD HAVE BEEN GRANTED UNDER THE INCOME CRITERIA IF THEY HAD INCURRED CATASTROPHIC MEDICAL COSTS OR OTHER OBLIGATIONS (PRESENTLY OR ONGOING) THAT HAVE SUBSTANTIALLY REDUCED THEIR ABILITY TO PAY. IN SUCH CASES THE INDIVIDUAL OR GUARANTOR MAY BE DETERMINED BY JEFFERSON COMMUNITY HEALTH & LIFE TO BE MEDICALLY INDIGENT AND MAY, AT JEFFERSON COMMUNITY HEALTH & LIFE'S DISCRETION, BE ELIGIBLE FOR FINANCIAL ASSISTANCE IN THE FORM OF FREE OR DISCOUNTED LIABILITIES. THERE ARE INSTANCES WHEN A PATIENT WILL COMPLETE THE FINANCIAL ASSISTANCE APPLICATION, PROVIDES SUPPORTING DOCUMENTATION AND DOES NOT QUALIFY FOR ASSISTANCE. IF THE PATIENT'S BALANCE EXCEEDS MORE THAN 20% OF THEIR TOTAL INCOME, THIS WILL BE DEEMED A CATASTROPHIC BALANCE. IN THESE INSTANCES, THE CHIEF FINANCIAL OFFICER WILL HAVE THE AUTHORITY TO DETERMINE IF A PORTION OF THE BALANCE SHOULD BE FORGIVEN TO FINANCIAL ASSISTANCE. THIS WILL BE HANDLED ON A CASE-BY-CASE BASIS AND THE TOTALITY OF CIRCUMSTANCES WILL BE UTILIZED IN DETERMINING ELIGIBILITY. THE DISCOUNT SHALL NOT EXCEED 20% OF OUTSTANDING BALANCES.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - GARDENSIDE
200 H STREET	FAIRBURY	NE	68352	LONG TERM CARE FACILITY
2 - FAIRBURY CLINIC
825 22ND STREET	FAIRBURY	NE	68352	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO FEDERAL POVERTY GUIDELINES, JCH&L USES MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS TO DETERMINE ELIGIBILITY FOR PROVING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. SOME INDIVIDUALS OR GUARANTORS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IN EXCESS OF WHAT WOULD HAVE BEEN GRANTED UNDER THE INCOME CRITERIA IF THEY HAD INCURRED CATASTROPHIC MEDICAL COSTS OR OTHER OBLIGATIONS (PRESENTLY OR ONGOING) THAT HAVE SUBSTANTIALLY REDUCED THEIR ABILITY TO PAY. IN SUCH CASES THE INDIVIDUAL OR GUARANTOR MAY BE DETERMINED BY JEFFERSON COMMUNITY HEALTH & LIFE TO BE MEDICALLY INDIGENT AND MAY, AT JEFFERSON COMMUNITY HEALTH & LIFE'S DISCRETION, BE ELIGIBLE FOR FINANCIAL ASSISTANCE IN THE FORM OF FREE OR DISCOUNTED LIABILITIES. THERE ARE INSTANCES WHEN A PATIENT WILL COMPLETE THE FINANCIAL ASSISTANCE APPLICATION, PROVIDES SUPPORTING DOCUMENTATION AND DOES NOT QUALIFY FOR ASSISTANCE. IF THE PATIENT'S BALANCE EXCEEDS MORE THAN 20% OF THEIR TOTAL INCOME, THIS WILL BE DEEMED A CATASTROPHIC BALANCE. IN THESE INSTANCES, THE CHIEF FINANCIAL OFFICER WILL HAVE THE AUTHORITY TO DETERMINE IF A PORTION OF THE BALANCE SHOULD BE FORGIVEN TO FINANCIAL ASSISTANCE. THIS WILL BE HANDLED ON A CASE-BY-CASE BASIS AND THE TOTALITY OF CIRCUMSTANCES WILL BE UTILIZED IN DETERMINING ELIGIBILITY. THE DISCOUNT SHALL NOT EXCEED 20% OF OUTSTANDING BALANCES.
PART I, LINE 7:	FINANCIAL ASSISTANCE AT COST, LINE 7A, UNREIMBURSED MEDICAID, LINE 7B, AND SUBSIDIZED HEALTH SERVICES, LINE 7G, ARE CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONS EDUCATION, LINE 7F, AND CASH AND IN-KIND CONTRIBUTIONS, LINE 7I, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER.
PART I, LINE 7G:	THERE ARE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC INCLUDED ON LINE 7G. TOTAL REVENUE RECEIVED FROM MEDICARE RELATED TO PHYSICIAN CLINICS INCLUDES $496,684 WITH MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS OF $967,897.
PART I, LINE 7:	JCH&L REACHES OUT TO THE COMMUNITY IN A VARIETY OF WAYS INCLUDING, IN 2025:I. BENEFITS FOR THE POOR/PUBLIC PROGRAMS A. TRADITIONAL CHARITY CARE - JCH&L PROVIDED CHARITY CARE IN FISCAL 2025 FOR ALL JCH&L SERVICES TO THOSE WHO MEET UP TO 400 PERCENT OF FEDERAL POVERTY GUIDELINES. THE HOSPITAL BUSINESS OFFICE STAFF MEMBERS FILE INSURANCE CLAIMS FOR PATIENTS. PATIENTS ASSISTED: 112 VALUE: $410,000 B. UNPAID COSTS OF PUBLIC PROGRAMS C. BAD DEBT - BESIDES OFFICIAL CHARITY CARE, JCH&L WROTE OFF $590,862 IN BAD DEBT DURING FISCAL 2025. II. COMMUNITY BENEFIT SERVICESA. COMMUNITY HEALTH EDUCATION AND OUTREACH. - HEALTHCARE HEROES PIPELINE JEFFERSON COMMUNITY HEALTH & LIFE HAS PARTNERED WITH THE FAIRBURY PUBLIC SCHOOLS, NEBRASKA HOSPITAL ASSOCIATION AND NEBRASKA HEALTHCARE FOUNDATION TO BRING THE HEALTH CARE HEROES LEAGUE TO FAIRBURY THIRD GRADERS IN THE FALL OF FISCAL 2025. THE PROGRAM IS A COLLABORATIVE EFFORT TO PROVIDE FUN, ENGAGING, AND INNOVATIVE APPROACHES TO TEACH STUDENTS ABOUT A MULTITUDE OF DIFFERENT HEALTH CARE CAREER CHOICES. FOUR JCH&L STAFF MEMBERS WERE TRAINED FOR THE PROGRAM, AND ARE TAKING TURNS WORKING WITH A PE TEACHER IN THE SCHOOL TO OFFER THE PROGRAM. STAFF MEMBERS MET WEEKLY WITH SCHOOL CLASSES FROM OCTOBER 2024 THROUGH SEPTEMBER 2025. TOTAL INDIVIDUALS REACHED: 139. ESTIMATED COST OF STAFF TIME: $4,160. - HEALTH FAIR JCH&L PROVIDES EDUCATIONAL BOOTHS, FREE HEALTH SCREENINGS, HANDOUTS, INFORMATION, ETC., AT COMMUNITY EVENTS. NO HEALTH FAIR WAS HELD IN 2025. - SPEAKERS BUREAU. JCH&L STAFF MEMBERS PROVIDE EDUCATIONAL PROGRAMS FOR COMMUNITY ORGANIZATIONS ON A VARIETY OF TOPICS. A TOTAL OF 21 PROGRAMS WERE DONE IN FISCAL 2025. TOTAL INDIVIDUALS REACHED: 875. ESTIMATED COST OF STAFF TIME: $1,050. - SUPPORT GROUPS - ALZHEIMER'S ASSOCIATION CAREGIVERS SUPPORT GROUP RESUMED IN FISCAL 2023 AFTER BEING OFF BECAUSE OF COVID. JCH&L STAFF COORDINATE MEETINGS, OFFERING ASSISTANCE TO ANYONE INTERESTED IN MORE INFORMATION ABOUT ALZHEIMER'S AND BEING A CAREGIVER. JCH&L PROVIDES EDUCATIONAL PROGRAMS FOR THE GROUP -- INCLUDING SPEAKER'S FEES IF NEEDED, POSTAGE TO SEND OUT MEETING NOTICES, AND REFRESHMENTS. WE ALSO PROVIDE MEETING SPACE AND DRINKS FOR A GRIEF SUPPORT GROUP COORDINATED BY COTTONWOOD HOSPICE. TOTAL NUMBER REACHED: 81. APPROXIMATE COST OF STAFF TIME SPENT: $3,250. ESTIMATED COST OF POSTAGE: $252 (MEETING NOTICES) ESTIMATED OTHER COSTS (MATERIALS, SPEAKER FEES, REFRESHMENTS): $600. B. COMMUNITY-BASED CLINICAL SERVICES SCREENINGS AND ONE-TIME OR OCCASIONALLY HELD CLINICS. - COMPLETE BLOOD PROFILES JCH&L OFFERS PATIENT-REQUESTED BLOOD SCREENINGS FOR THOSE WITH HIGH DEDUCTIBLES OR WHO WOULD LIKE RESULTS MORE OFTEN THAN THEY CAN GET THEM THROUGH INSURANCE COVERAGE. THIS WAS TO TAKE THE PLACE OF COMPLETE BLOOD PROFILES PREVIOUSLY OFFERED TO OUR COMMUNITY AT A REDUCED RATE EACH SPRING. SEVERAL TYPES OF SCREENINGS ARE OFFERED WEEKLY AT A REDUCED RATE. DURING THE FISCAL YEAR WE DID 563 SCREENINGS, AND BROUGHT IN $10,250 IN PAYMENTS FOR THE SERVICE. WHEN COMPARED AGAINST TYPICAL CHARGES THE TOTAL COMMUNITY BENEFIT WAS MORE THAN $180,943. ESTIMATED NUMBER REACHED: 466 VALUE OF ESTIMATED STAFF TIME: $76,354.33. ESTIMATED VALUE OF COMMUNITY BENEFIT: $180,943. - IMMUNIZATION CLINICS. JCH&L COOPERATES WITH BLUE VALLEY COMMUNITY ACTION IN PROVIDING IMMUNIZATION CLINIC FOR CHILDREN TWICE EACH MONTH. JCHC PROVIDES SPACE WHERE IMMUNIZATIONS ARE DONE, NURSING STAFF, THE PATIENT WAITING AREAS, AND JANITORIAL AND SUPPORT SERVICES. NUMBER OF PATIENTS SERVED: 126. TOTAL OF 340 VACCINATIONS PROVIDED. ESTIMATED COST OF NURSES PROVIDED BY JCH&L TO GIVE SHOTS: $6,900.III. MEDICAL EDUCATION A. SCHOLARSHIP FUNDING FOR HEALTH PROFESSIONS. - PHYSICIAN/MEDICAL STUDENTS, NURSES/NURSING STUDENTS, TECHNICIANS AND OTHER HEALTH PROFESSIONALS. MEDICAL STUDENTS COME REGULARLY FOR RURAL ROTATIONS TO LEARN FROM LOCAL PHYSICIANS. JCH&L PROVIDES AN APARTMENT FOR THE MEDICAL STUDENTS TO STAY IN DURING THEIR TIME IN FAIRBURY, AND ALSO PROVIDES THEM USE OF OUR FITNESS CENTER DURING THEIR STAY. A TOTAL OF 5 PHYSICIAN STUDENTS, 4 PA STUDENTS, 1 NURSE PRACTITIONER STUDENT, AND 2 THERAPY STUDENTS LEARNED AT OUR FACILITY IN FISCAL 2025. JCH&L IS A PARTNER IN OFFERING THE LILLIAN HANSEN REESMAN RN MEMORIAL NURSES SCHOLARSHIP FUND. SCHOLARSHIPS ARE OFFERED FROM THIS FUND, ESTABLISHED IN 1980. ONLY INTEREST IS USED FROM THIS $10,000 PERPETUAL FUND, DONATED BY THE REESMAN FAMILY, TO PROVIDE NURSING SCHOLARSHIPS. SCHOLARSHIPS ARE PROVIDED AS INTEREST FUNDS ARE AVAILABLE. ONE $500 SCHOLARSHIP WAS AWARDED IN FISCAL 2025. THE JCH&L AUXILIARY PROVIDES A SCHOLARSHIP FOR STUDENTS PURSUING AN EDUCATION IN MEDICAL FIELDS. THE $400 SCHOLARSHIP IS GIVEN FROM THE AUXILIARY'S FUNDS, AND THE NUMBER OF SCHOLARSHIPS GIVEN EACH YEAR IS BASED ON THE AUXILIARY'S FUNDING AVAILABILITY AND THE NUMBER OF REQUESTS. ESTIMATED NUMBER REACHED: 11. JCH&L COST (APARTMENT RENT, STAFF TIME, ETC.): $20,000. B. OTHER - JOB SHADOWING. JCH&L TYPICALLY HOSTS JOB SHADOW STUDENTS THROUGH FAIRBURY HIGH SCHOOL'S ANATOMY AND PHYSIOLOGY CLASS, THROUGH THE SOUTHEAST COMMUNITY COLLEGE-FAIRBURY HIGH SCHOOL CAREER ACADEMY PROGRAM, AND FOR INTERESTED INDIVIDUALS. NUMBER REACHED: 28. ESTIMATED COST OF STAFF TIME: $7,800.IV. SUBDIZED HEALTH SERVICES - WELLNESS CENTER SUPPORT. JEFFERSON COMMUNITY HEALTH & LIFE HAS OPERATED THE BURKLEY FITNESS CENTER AS A COMMUNITY FITNESS/WELLNESS CENTER SINCE IT OPENED IN 1996. JCH&L PAYS THE WELLNESS CENTER'S OPERATING EXPENSES THAT EXCEED REVENUES. BECAUSE OF THE HEALTH CENTER'S SUPPORT OF THE FITNESS CENTER'S CASH FLOW, PRICES FOR MEMBERSHIPS AND SERVICES CAN REMAIN REASONABLE FOR COMMUNITY RESIDENTS. IF THE FITNESS CENTER WERE A STAND-ALONE OPERATION, PRICES WOULD HAVE TO RISE CONSIDERABLY TO PAY ALL EXPENSES. TOTAL VISITS FOR FISCAL 2025: 53,828. ESTIMATED AMOUNT OF WELLNESS CENTER SUPPORT: $170,903. - HOME HEALTH SUPPORT. JEFFERSON COMMUNITY HEALTH & LIFE HAS OPERATED A HOME HEALTH AGENCY SINCE 1984. JCH&L PAYS THE AGENCY'S OPERATING EXPENSES THAT EXCEED REVENUES. THE HEALTH CENTER'S SUPPORT MAKES IT POSSIBLE FOR THE HOME HEALTH AGENCY TO CONTINUE TO PROVIDE SKILLED CARE IN THE HOMES OF AREA RESIDENTS. INCOME: $174,784. EXPENSES: $531,968. NET LOSS: $357,184. - GARDENSIDE LONG-TERM CARE. JEFFERSON COMMUNITY HEALTH & LIFE HAS OPERATED GARDENSIDE LONG-TERM CARE SINCE OPENING IN 1963. GARDENSIDE PROVIDES A HOME (SHORT-TERM FOR SKILLED CARE OR LONG-TERM FOR THOSE UNABLE TO LIVE IN THEIR OWN HOME INDEPENDENTLY) FOR UP TO 40 INDIVIDUALS. MOST ARE FROM THIS AREA AND HAVING A LONG-TERM CARE FACILITY NEAR THEIR HOMES AND FAMILIES IS A GREAT BENEFIT TO OUR RESIDENTS, AS WELL AS TO THEIR FAMILIES. INCOME: $3,559,320. EXPENSES: $4,587,257. NET LOSS: $1,027,937.V. RESEARCH. NO RESEARCH DOLLARS EXPENDED.VI. CASH AND IN-KIND DONATIONS.A. CASH DONATIONS. JCH&L MAKES DONATIONS TO VARIOUS CHARITABLE CAUSES, INCLUDING GIRL SCOUTS, SOFTBALL, BASEBALL AND CHURCH CAMP FIRST AID KITS; SPONSORSHIP OF BASEBALL AND SOFTBALL TEAMS; GOLF TOURNAMENTS, AREA HIGH SCHOOL POST PROM ACTIVITIES; AREA COMMUNITY CELEBRATIONS; CHAMBER OF COMMERCE BANQUET, CHAMBER OF COMMERCE NEW TEACHER WELCOME, CHAMBER OF COMMERCE TEACHER RECOGNITION; AND DONATIONS TO TEAMMATES, LIGHT IT UP BLUE, FIVE STAR BIBLE CAMP; STATEBOUND ATHLETES FROM JEFFERSON COUNTY SCHOOLS; BONHAM THEATRE; ROTARY FUND-RAISERS; KGMT-KUTT ANNUAL THANKSGIVING MEAL; BLUE VALLEY COMMUNITY ACTION; BLUE RIVERS AREA AGENCY ON AGING; AND AREA SCHOOLS' WRESTLING PROGRAMS. THESE TOTALED $4,497. JCH&L ALSO CONTRIBUTES ITEMS -- SUCH AS FITNESS CENTER PASSES, JCH&L ITEMS, ETC., TO COMMUNITY EVENTS AS DOOR PRIZES. THESE TOTALED AN ESTIMATED $1,000. DONATIONS DURING FISCAL 2025 TOTALED $5,497. B. IN-KIND DONATIONS. - BLOOD DRIVE SUPPORT JCH&L ASSISTS NEBRASKA COMMUNITY BLOOD BANK BY SCHEDULING APPOINTMENTS FOR SIX BLOOD DRIVES EACH YEAR. THE BLOOD PRODUCTS ULTIMATELY HELP OUR COMMUNITY, AS NEBRASKA COMMUNITY BLOOD BANK IS JCH&L'S SUPPLIER OF BLOOD AND BLOOD PRODUCTS. ESTIMATED STAFF TIME: $1,500. - SAFETY DAY FOR KIDS. JCHL IS ONE OF THE COSPONSORS OF THE ANNUAL SAFETY DAY FOR KIDS IN JEFFERSON COUNTY. A TOTAL OF 77 KIDS -- AGES KINDERGARTEN THROUGH SIXTH GRADES ATTENDED THE AUGUST 2025 EVENT. STAFF MEMBERS ASSISTED IN PLANNING THE EVENT AND ASSISTED IN COORDINATING AND INSTRUCTING ON THE DAY OF THE CAMP. THE COST OF STAFF TIME DONATED IS ESTIMATED AT: $2,550. TOTAL COST OF SUPPLIES FURNISHED WAS $500.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT. JEFFERSON COMMUNITY HEALTH & LIFE IS ACTIVE IN LOCAL ECONOMIC DEVELOPMENT ACTIVITIES. JCH&L IS A MEMBER OF THE FAIRBURY CHAMBER OF COMMERCE. WE SEEK OPPORTUNITIES TO OFFER TOURS, HEALTH CARE INFORMATION ON COMMUNITY WEBSITES, ETC. COST OF CHAMBER MEMBERSHIP: $275. IN ADDITION TO THESE DIRECT PROGRAMS AND SERVICES, THE EMPLOYEES OF JEFFERSON COMMUNITY HEALTH & LIFE SERVE THEIR COMMUNITY IN MANY WAYS INCLUDING SERVING IN THEIR CHURCHES, AS GIRL AND BOY SCOUT LEADERS, 4-H LEADERS, AS LEADERS IN CIVIC ORGANIZATIONS, AS YOUTH GROUP LEADERS, AS CITY GOVERNMENT MEMBERS, ON COMMUNITY DEVELOPMENT BOARDS, FOR EMERGENCY RESPONSE ORGANIZATIONS, AND OTHERS. JCH&L STAFF MEMBERS ARE A RESOURCE AS COMMUNITY ROLE MODELS.JCH&L IS PROUD OF ITS CONTRIBUTIONS TO THE CITIZENS OF JEFFERSON COUNTY AND THE SURROUNDING AREA. THE CITIZENS OF THIS AREA ALSO HIGHLY REGARD JCH&L'S CONTRIBUTIONS TO THE COMMUNITY.THE GOAL OF THE JCH&L BOARD OF DIRECTORS, ADMINISTRATION AND STAFF IS TO EXPAND THAT PARTNERSHIP WITH AREA RESIDENTS AND FIND MORE WAYS TO SERVE AS A RESOURCE FOR HEALTH AND WELLNESS INFORMATION.
PART III, LINE 2:	THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.
PART III, LINE 3:	THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 9.8% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA.
PART III, LINE 4:	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 14 AND 15 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES RENDERED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATIONS PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $76,422.MEDICARE FEE SCHEDULE REVENUE $129,336MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $205,757NET (SHORTAGE) ($76,422)
PART III, LINE 9B:	IF A PATIENT IS GRANTED FINANCIAL ASSISTANCE THAT IS FREE CARE, THE WRITTEN NOTICE TO THE PATIENT SHALL SO STATE AND REASONABLE MEASURES SHALL BE TAKEN TO ENSURE THAT ALL ECAS ARE REVERSED. IN ADDITION, ANY AMOUNTS PAID BY THE PATIENT IN EXCESS OF $5 SHALL BE REFUNDED. IF THE PATIENT IS GRANTED FINANCIAL ASSISTANCE THAT IS OTHER THAN FREE CARE, JCH&L WILL:1. PROVIDE THE PATIENT WITH A REVISED BILL SETTING FORTH: (I) THE AMOUNT THE PATIENT OWES FOR CARE PROVIDED AFTER FINANCIAL ASSISTANCE, (II) HOW THE REVISED AMOUNT WAS DETERMINED; AND (III) EITHER THE AGB FOR THE CARE PROVIDED OR INSTRUCTIONS ON HOW THE PATIENT CAN OBTAIN INFORMATION REGARDING THE AGB FOR THE CARE PROVIDED;2. PROVIDE THE PATIENT WITH A REFUND FOR ANY AMOUNT THE PATIENT HAS PAID IN EXCESS OF THE AMOUNT OWED TO JCH&L (UNLESS SUCH AMOUNT IS LESS THAN $5); AND3. TAKE REASONABLE MEASURES TO REVERSE ANY ECAS TAKEN AGAINST THE PATIENT.
PART VI, LINE 2:	JCH&L ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY JCH&L SERVES IN SEVERAL WAYS. JCH&L UTILIZES SURVEYS BY PUBLIC HEALTH SOLUTIONS OF THE HEALTH CARE NEEDS FOR RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING COMMUNITY. JCH&L VISITS LOCAL COMMUNITY SERVICE ORGANIZATIONS AND SEEKS INPUT ON NEEDS. JCH&L REVIEWS SURVEYS DONE BY THE STATE AND OTHER ORGANIZATIONS ON THE HEALTH CARE NEEDS FOR RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING AREA.
PART VI, LINE 3:	JCH&L INFORMS AND EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE ON AN INDIVIDUAL BASIS WHEN QUESTIONS ARISE. THE PATIENT BOOKLET PROVIDES BUSINESS OFFICE CONTACT INFORMATION FOR PATIENT QUESTIONS ABOUT THEIR BILL. THE SELF-PAY BILLING VENDOR ENGAGED BY JCH&L HAS A SET OF CRITERIA IT USES TO ASSESS WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE PROGRAMS, OR IF THEY QUALIFY FOR JCH&L'S CHARITY CARE PROGRAM.
PART VI, LINE 4:	JCH&L SERVES JEFFERSON COUNTY AND PARTS OF THAYER, FILLMORE, SALINE AND GAGE COUNTIES, ALL IN NEBRASKA; AND PARTS OF WASHINGTON AND MARSHALL COUNTIES IN KANSAS. THE POPULATION OF THE SERVICE AREA IS ESTIMATED AT ABOUT 18,000. REVENUE FROM MEDICARE PATIENTS AVERAGES APPROXIMATELY 50%, AND REVENUE FROM MEDICAID CLIENTS AVERAGES APPROXIMATELY 10%.
PART VI, LINE 5:	JCH&L OPERATES IN JEFFERSON COUNTY WITH A COMMUNITY BOARD AND OPEN MEDICAL STAFF. ALL SURPLUS FUNDS ARE REINVESTED BACK INTO THE FACILITY THROUGH BUILDING CONSTRUCTION, EQUIPMENT PURCHASES, OR COMMUNITY PROGRAMS PROVIDED. JCH&L PROMOTES THE HEALTH OF THE COMMUNITY BY OFFERING A COMMUNITY FITNESS CENTER AT A REASONABLE RATE AND OFFERING SCHOLARSHIPS FOR THE COMMUNITY'S YOUTH WHO HAVE FINANCIAL NEED. THE NET COMMUNITY BENEFIT REPORTED IN PART I RELATING TO THE FITNESS CENTER WAS APPROXIMATELY $143,000. JCH&L PROMOTES THE HEALTH OF THE COMMUNITY BY PROMOTING COMMUNITY-WIDE PROGRAMS SUCH AS LIVE HEALTHY NEBRASKA AND STEP-2-IT (PROGRAMS WHICH ENCOURAGE INCREASING ACTIVITY AND LOSING WEIGHT.) JCH&L IS ALSO INVOLVED IN PROGRESSIVE AG SAFETY DAY AND WORKING WITH BLUE VALLEY COMMUNITY ACTION TO OFFER IMMUNIZATIONS TO AREA CHILDREN. JCH&L PROMOTES THE HEALTH OF THE COMMUNITY BY OFFERING PROGRAMS, TOURS, SPEAKERS, AND EDUCATION, INCLUDING SUPPORT GROUPS, EDUCATIONAL PROGRAMS AND PROGRAMS FOR LOCAL ORGANIZATIONS.
PART VI, LINE 6:	JCH&L IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM BUT DOES WORK TO BE A LEADER IN PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. JCH&L PARTNERS WITH MANY OTHER AREA ORGANIZATIONS, INCLUDING PUBLIC HEALTH SOLUTIONS, FARM SAFETY 4 JUST KIDS, NEBRASKA SAFE KIDS, JEFFERSON COUNTY EXTENSION, BLUE VALLEY COMMUNITY ACTION, FAIRBURY CHAMBER OF COMMERCE, FAIRBURY PUBLIC SCHOOLS, NEBRASKA COMMUNITY BLOOD BANK, RURAL COMPREHENSIVE CARE NETWORK, BLUE RIVER VALLEY NETWORK, HEARTLAND HEALTH ALLIANCE, AND OTHERS. DEPENDING ON THE ACTIVITY, JCH&L MAY BE THE LEAD ORGANIZATION, OR AN ORGANIZATION PROVIDING HELP AND ASSISTANCE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG SHUMARD
PHYSICIAN	$379,241	$0	$117,297	$0	$0	$0	$24,649	$0	$30,295	$0	$551,482	$0	$0	$0
REBECCA STROKLUND
PHYSICIAN	$354,004	$0	$0	$0	$0	$0	$7,910	$0	$32,815	$0	$394,729	$0	$0	$0
BRETT WERGIN
PHYSICIAN	$335,910	$0	$0	$0	$0	$0	$16,107	$0	$13,733	$0	$365,750	$0	$0	$0
DR BURKE KLINE
CEO (THRU 08/24)	$240,233	$0	$0	$0	$0	$0	$4,798	$0	$25,911	$0	$270,942	$0	$0	$0
CHANCE KLASEK
CFO	$217,506	$0	$0	$0	$0	$0	$11,469	$0	$33,327	$0	$262,302	$0	$0	$0
BRANDON BLEICH
PHARMACY DIRECTOR	$191,669	$0	$0	$0	$0	$0	$10,387	$0	$30,068	$0	$232,124	$0	$0	$0
MADHAV NARAYAN
PHYSICIAN	$198,838	$0	$0	$0	$0	$0	$720	$0	$11,601	$0	$211,159	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4A

DURING THE YEAR, A SEVERANCE PAYMENT WAS MADE TO BURKE N. KLINE, A FORMER EMPLOYEE OF THE ORGANIZATION. UNDER A SEPARATION AGREEMENT AND RELEASE, THE ORGANIZATION AGREED TO PAY SEVERANCE COMPENSATION IN THE TOTAL GROSS AMOUNT OF $123,760, EQUIVALENT TO 26 WEEKS OF BASE SALARY, FOLLOWING HIS SEPARATION FROM EMPLOYMENT. IN ADDITION, IF THE EMPLOYEE ELECTED COBRA CONTINUATION COVERAGE, THE EMPLOYER AGREED TO CONTRIBUTE TO HEALTH INSURANCE PREMIUMS AT THE SAME LEVEL AS EXISTING EMPLOYEES THROUGH DECEMBER 2024. THE SEVERANCE PAYMENT WAS MADE IN ACCORDANCE WITH THE TERMS OUTLINED IN THE AGREEMENT AND WAS SUBJECT TO STANDARD PAYROLL DEDUCTIONS. THE AGREEMENT INCLUDED CONFIDENTIALITY, NON-DISPARAGEMENT, AND RELEASE OF CLAIMS PROVISIONS.

PART I, LINE 5

THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO CERTAIN EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS BASED ON INDIVIDUAL PRODUCTIVITY AS MEASURED BY WORK RELATIVE VALUE UNITS (WRVUS). PROVIDERS RECEIVE A BASE SALARY AND ARE ELIGIBLE FOR ADDITIONAL INCENTIVE COMPENSATION FOR WRVUS PERFORMED IN EXCESS OF AN ESTABLISHED THRESHOLD. THE INCENTIVE COMPENSATION IS CALCULATED QUARTERLY AT A FIXED WRVU CONVERSION FACTOR AND RECONCILED AGAINST A BI-WEEKLY DRAW SYSTEM. THIS INCENTIVE STRUCTURE IS BASED ON INDIVIDUAL PHYSICIAN PRODUCTIVITY AND NOT DIRECTLY ON THE OVERALL REVENUES OF THE ORGANIZATION OR ANY RELATED ENTITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	611683496	BondIssuerEIN
Bond Issued	2021-12-18	BondIssuedDt
Issue Price	$8,291,780	IssuePriceAmt
Purpose	RENOVATE FACILITY & REF BOND ISSUE (12/18/12)	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$1,546,361	RetiredAmt
Total Proceeds	$8,291,780	TotalProceedsAmt
Capital Expenditures	$4,024,791	CapitalExpendituresAmt
Other Spent Proceeds	$4,266,989	OtherSpentProceedsAmt
Substantial Completion	2022	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE THE REBATE COMPUTATION WAS PERFORMED:	03/31/2022
NOTE REGARDING THE REBATE COMPUTATION:	SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
PATRICIA SNYDER
EMPLOYEE OF THE HOSPITAL AND SPOUSE OF STEVEN SNYDER, BOARD OF DIRECTOR	$81,153	EMPLOYEE COMPENSATION	0
JUDD STEWART
EMPLOYEE OF THE HOSPITAL AND SPOUSE OF SARA STEWART, BOARD OF DIRECTOR	$90,000	EMPLOYEE COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE, COMPRISED OF THE BOARD PRESIDENT, VICE PRESIDENT, SECRETARY/TREASURER AND ONE OTHER APPOINTED MEMBER OF THE BOARD, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 6	JEFFERSON COMMUNITY HEALTH & LIFE HAS MEMBERS. ANY PERSON, CORPORATION OR OTHER ENTITY MAY BECOME A LIFETIME MEMBER IF A CONTRIBUTION OF $100 OR MORE IS MADE TO THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	VACANCIES, OCCURRING ON THE BOARD BY EXPIRATION, SHALL BE FILLED THROUGH ELECTION BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE BOARD DEVELOPMENT COMMITTEE SHALL SUBMIT A SLATE OF PROSPECTIVE CANDIDATES TO THE BOARD OF DIRECTORS AT THEIR MEETING PRIOR TO THE ANNUAL MEETING WHICH WILL THEN BE PRESENTED AT THE ANNUAL MEETING FOR CONSIDERATION FOR ELECTION TO THE BOARD. IN ADDITION, MEMBERS OF THE CORPORATION MAY MAKE NOMINATIONS FROM THE FLOOR.
FORM 990, PART VI, SECTION A, LINE 7B	EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO THE VOTE OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD WILL REVIEW THE FORM 990 AT A REGULARLY SCHEDULED BOARD MEETING, WHICH DOES NOT NECESSARILY OCCUR PRIOR TO THE FILING OF FORM 990. FORM 990 IS REVIEWED BY MR. CHANCE KLASEK, CFO, PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED, BY THE ARTICLES AND BYLAWS, TO REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. A BOARD MEMBER WITH A CONFLICT OF INTEREST IS REQUIRED TO ABSTAIN FROM VOTING ON ANY MOTION FOR WHICH HE HAS A CONFLICT OF INTEREST. BOARD MEMBERS ARE WELL ACQUAINTED WITH EACH OTHER AND WOULD BE AWARE OF ANY PERSONAL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE HOSPITAL PARTICIPATES IN THE NEBRASKA COMPDATA SALARY SURVEYS FOR ALL POSITIONS. THE CEO SURVEY DATA IS GIVEN TO THE BOARD TO REVIEW, AND THE BOARD APPROVES THE CEO'S SALARY ON AN ANNUAL BASIS. OTHER OFFICER COMPENSATION IS REVIEWED AND APPROVED BY THE CEO AND HR DIRECTOR. THE BOARD OF DIRECTORS REVIEWS COMPENSATION RANGES PROPOSED BY OR THROUGH THE CEO FOR JCH&L'S OFFICERS AND KEY EMPLOYEES AND DETERMINES THAT SUCH COMPENSATION RANGES ARE REASONABLE AND CONSISTENT WITH FAIR MARKET VALUE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,888,501. MANAGEMENT AND GENERAL EXPENSES 821,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,710,083. FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 35,551. MANAGEMENT AND GENERAL EXPENSES 139,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,707. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 895,042. MANAGEMENT AND GENERAL EXPENSES 47,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 942,042. CONSULTING: PROGRAM SERVICE EXPENSES 127,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,550. ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 557,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 557,845. 340B DISPENSING FEE: PROGRAM SERVICE EXPENSES 392,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 392,675.
FORM 990, PAGE 11, PART XI, LINE 2C:	THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. UPON CONCLUSION OF THE AUDIT, THE AUDITING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE FINANCE COMMITTEE. THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JCHC REAL ESTATE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 H STREET	AddressLine1Txt
City	FAIRBURY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68352	ZIPCd

Field	Value	IRS element (for citing)
EIN	881755265	EIN
Primary Activities	REAL ESTATE HOLDINGS	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12C, III-FI	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COMMUNITY HEALTH CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	JCHC REAL ESTATE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$51,484	InvolvedAmt
Method Of Amount Determination	FAIR MARKET VALUE	MethodOfAmountDeterminationTxt