2025-01-23T16:11:04-06:00 2023-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-01-01 880065829 Boulder City Hospital Inc BOUL 7022934111 901 Adams Blvd Boulder City NV 89005 Thomas Maher CEO 7022934111 2025-01-23 1 1 Kim Hunwardsen CPA P00484560 6122536500 2025-01-23 2023 2024-10-15 13:58:12Z Thomas Maher 901 Adams Blvd Boulder City NV 89005 33224833 0 X www.bchcares.org X 1954 NV Provide health care services to residents of Clark County and surrounding areas in southern Nevada. 13 13 352 199 0 0 558534 572065 27802799 32278743 17 364225 4697657 -5945 33059007 33209088 0 0 0 0 21381180 21855217 0 0 0 13517649 13437478 34898829 35292695 -1839822 -2083607 33797315 31316960 32733307 32303449 1064008 -986489 X Boulder City Hospital seeks to continually improve the quality of the care and service to our patients, guests, and physicians. We promote effective and efficient utilization of available resources to ensure long-term financial viability. Boulder City Hospital seeks to earn the trust of the residents of Boulder City, neighboring communities and area visitors by meeting their health care needs with compassion, integrity, and sincerity without regard to one's ability to pay. 0 0 28845185 0 32278743 Boulder City Hospital operates a 25-bed critical access hospital (CAH), a 47-bed long-term care facility, and a 10-bed geriatric behavioral medicine center. Boulder City Hospital provides emergency services, a behavioral medicine center, a long-term care facility and a skilled nursing unit. 28845185 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 352 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Frey Belete 7022934111 901 Adams Blvd Boulder City NV 89005 Bret Runion President 0.50 X X 0 0 0 Sue Manteris Vice President 0.50 X X 0 0 0 Barbara Murphey-Framke Secretary 0.50 X X 0 0 0 Jennifer Zischke Treasurer 0.50 X X 0 0 0 Cynthia Anderson Director 0.50 X 0 0 0 Alan Bowman Director 0.50 X 0 0 0 Kathy Calhoun Director 0.50 X 0 0 0 Scott Hinson Director 0.50 X 0 0 0 Derek Meeks DO Director 0.50 X 0 0 0 Wendell Whitman Director 0.50 X 0 0 0 Bruce Woodbury Director 0.50 X 0 0 0 Jay Booth Director 0.50 X 0 0 0 William Gray Director (began Feb) 0.50 X 0 0 0 Thomas Maher CEO 40.00 X 385893 0 12753 Doug Lewis CFO 40.00 X 194046 0 3880 Andrea Pastian CNO 40.00 X 168871 0 7228 Rae Cummings COO 40.00 X 170197 0 12372 Roger Kent Waddington Pharmacist 40.00 X 159709 0 10602 Anne Richner Pharmacist 40.00 X 154136 0 9110 Angelique Cross PA 40.00 X 145380 0 8816 Anna Chan RN 40.00 X 141753 0 6997 Michelle Hancock RN 40.00 X 141195 0 6970 1661180 0 78728 44 0 1 0 Horizon Health PO Box 840839 Dallas TX 752840839 Physic Department Managing Partner 1594188 EMCARE 7032 Collections Ctr Dr Chicago IL 60693 Physician Staffing ER 641146 MEDSMART 1701 GreenValley Pkwy Henderson NV 890745886 Imaging Staffing Services 589612 Desert Radiologist 2020 Palomino Ln suite 100 Las Vegas NV 89106 Physician Radiology Services 277238 Craig Jorgenson MD 1000 Green Valley Pkway Henderson NV 890746170 Inpatent Physician Services 246287 14 225090 346975 572065 Net Patient Service Revenue 621500 31766037 31766037 512706 512706 32278743 363545 363545 9800 15745 -5945 -5945 -5945 680 0 680 680 680 33209088 32278743 0 358280 X 956756 956756 16002204 14097826 1904378 185201 157596 27605 3479048 2889011 590037 1232008 1040302 191706 8098 8098 113223 113223 6288219 5344679 943540 125279 125279 997129 910973 86156 379958 258372 121586 1159889 695934 463955 1289468 1018295 271173 308653 222230 86423 Medical Supplies 731611 731611 Registry 718548 707498 11050 Food 420271 420271 Repairs and Maintenance 168852 165228 3624 728280 185359 542921 35292695 28845185 6447510 0 6440116 7448081 170758 158142 5733675 6689667 349747 421375 108516 138796 33137441 19909331 13715055 13228110 7279448 3232789 33797315 31316960 4123665 4732111 28932 16316 23621616 23549554 82583 72674 4876511 3932794 32733307 32303449 X 1064008 -986489 1064008 -986489 33797315 31316960 X -2083607 33110 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 652289 652289 22173238 12826719 9346519 9664622 6646746 3017876 647292 435866 211426 13228110 Estimated Third Paty Payor Settlements 3034021 Interest in Net Assets of Foundation 112432 Interest in Net Assets of Auxiliary 86336 3232789 Estimated Third-Party Payor Settlements 3303129 Capital Lease 629665 3932794 X 33242198 33110 33110 33209088 0 33209088 35292695 0 35292695 0 35292695 Part IV, Line 2b: The organization holds funds on behalf of its residents. Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Change in Investment in Foundation in Revenue on Financial Statements 32,018. Change in Investment in Auxiliary in Revenue on Financial Statements 1,092. 1 1 X 1 X 1 X 1 1 0 0 6512312 5925753 586559 0.01660 6512312 5925753 586559 0.01660 2589269 773304 1815965 0.05150 2589269 773304 1815965 0.05150 9101581 6699057 2402524 0.06810 1 5193794 649171 10278804 11050323 -771519 X 1 1 1 1 Boulder City Hospital Inc 901 Adams Blvd Boulder City NV 89005 www.bchcares.org 633RUH-27 X X X Geriatric behavior medical center Boulder City Hospital Inc 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X https://bchcares.org/compliance/ X 1 21 1 https://bchcares.org/compliance/ 0 1 X 100.000000000000 200.000000000000 X X X X X X 1 1 X X X X 1 X bchcares.org/insurance/ X bchcares.org/insurance/ X bchcares.org/insurance/ X X X X X 1 X 0 X X X X 1 X 0 0 Boulder City Hospital, Inc. Part V, Section B, Line 5: Interviews were conducted in 2020 and 2021 with community stakeholders who represented the broad interests, experiences, and needs of BCH's community, particularly people who represent medically underserved and vulnerable populations. A community health survey was also distributed to ensure that each person had the opportunity to participate and be heard in this process. Boulder City Hospital, Inc. Part V, Section B, Line 11: The 2021 Community Health Needs Assessment (CHNA) identified the following needs:1) Covid 19 Pandemic.2) Supporting the Senior Population.3) Insurance coverage and access to affordable healthcare.4) Access to Behavioral Health Services.5) Access to Surgical specialty.6) Expansion of primary care services.7) Chronic disease and preventive health. The following are actions taken in 2023 to address needs identified in the prior CHNA dated 2021:Covid-19 Pandemic: BCH has continued to support the community by providing COVID-19 testing, administering vaccinations, and otherwise maintaining access to the healthcare needed to support the people who live and work in Boulder City.Supporting the Senior Population: BCH continued to focus on supporting the needs of the senior population by increasing the accessibility of specialty services in Boulder City, which was selected as a priority for this needs assessment. Insurance Coverage and Access to Affordable Healthcare: BCH is committed to expanding its network to include more kinds of insurance, as well as improving transparency regarding what kinds of insurance are accepted by our providers.Access to Behavioral Health Services-Improve advertising and marketing of behavioral health services to improve awareness of services offered in the community: Information on behavioral health services and education on behavioral health topics are rotated through our external communications media including social media (Facebook), back page ads in the local paper (Boulder City Review) and educational articles submitted for publication is the local paper.-Explore feasibility of offering a chemical dependency intensive outpatient program for adolescents: We began negotiations for a management and development contract with a behavioral health/chemical dependency company to manage our outpatient psychiatric program and develop chemical dependency IOP programming. -Explore feasibility of offering outpatient behavioral health services, such as counseling and therapy: Outpatient counseling/therapy services by an LCSW through the Rural Health Clinic were implemented.Access to Specialty Care Strategic Objectives -Improve advertising and marketing of specialty services to improve awareness of services offered in the community: Information on specialty services and education on health topics are rotated through our external communications media including social media (Facebook), back page ads in the local paper (Boulder City Review) and educational articles submitted for publication is the local paper.-Improve primary care provider awareness of specialty services to facilitate better care planning with patients: Marketing and informational collaterals are produced and disseminated by Marketing and Community Education staff to local providers, health fairs and other community events. -Explore feasibility of offering specialty services that complement BCH's existing service offerings, such as orthopedic surgery: Through management agreement with InReach, BCH has implemented an outpatient surgical program currently staffed with a general surgeon and an orthopedic surgeon. Primary Care Service Offerings -Expand clinic and hospital outpatient ancillary department operational hours into the evening and weekends to reduce reliance on emergency department for after-hours care or quick care: Saturday hours were added to the clinic -Recruit provider(s) who specialize in full scope of primary care, including women's health and pediatrics: Recruited one midlevel provider with experience in women's health. Recruited a pediatric provider that resigned. -Explore collaborating with the local school district to offer wellness visits and sport physicals: Partnered with local fire department to provide annual physicals.Chronic Disease and Preventative Health -Explore feasibility of offering mammography services in Boulder City to facilitate ease of access for patients for preventative health screening: Pursued and received grant to start mammography services-Explore vaccine program for adolescents, adults, and seniors: Covid, Flu and Shingles vaccines available to all patients through the clinic.-Explore opportunity to improve specialty provider outreach to facilitate better access to chronic disease diagnosis and treatment for patients: Improved referral system and staffing education to direct patients to specialty services within BCH as well as to other providers such as Pain, Cardiology and other specialties. Boulder City Hospital, Inc. Part V, Section B, Line 13h: Boulder City Hospital, Inc. ('The Hospital') uses 200% of the Federal Poverty Guidelines ('FPG') to qualify patients for discounted patient care. Once qualified, the Hospital uses a sliding scale based on income and number of dependents to determine the amount of discount they receive. Patients not falling within the FPG may qualify for charity care after being considered by the Administrative Council. Factors considered by the Council may include medical indigence, deceased status, bankruptcy, and homelessness. In addition, a patient's assets may also be considered. 2 1 - Boulder City Primary Care 999 Adams Blvd Ste 102 Boulder City NV 89005 Rural Health Clinic 2 - Boulder City Long Term Care Facility 901 Adams Blvd Boulder City NV 89005 Long Term Care Facility Part I, Line 3c: Boulder City Hospital, Inc. uses 200% of the Federal Poverty Guidelines (FPG) to qualify patients for discounted patient care. Once qualified, the Hospital uses a sliding scale based on income and number of dependents to determine the amount of discount they receive. Patients not falling within the FPG may qualify for charity care after being considered by the Administrative Council. Factors considered by the Council may include medical indigence, deceased status, bankruptcy, and homelessness. In addition, a patient's assets may also be considered. Part I, Line 7: Lines 7b and 7g were converted to cost based on an average ratio of costs to gross charges according to costs allocated to the relevant costs centers on the Medicare Cost Report.Line 7a does not report charity care. The hospital does have a charity care policy but no one has applied in the year. Part I, Line 7g: Line 7g includes $2,604,397 of costs from a rural health clinic. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients. Part III, Line 3: It is estimated that 12.5% of implicit price concessions patients would have been charity care if applicants would have applied. Part III, Line 4: The footnote to the organization's financial statements addressing implicit price concessions may be found on page 11 and 12 of the attached audited financial statements. Part III, Line 8: One hundred percent of any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole.Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increase their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Part III, Line 9b: BCH provides a plain language summary of the FAP within 30 days after need for assistance is identified. BCH provides a 120 Day notification period to individuals to submit a completed FAP application from the date the first post discharge billing statement is provided. During the 120 Day-notification period BCH will make all reasonable efforts to notify the individual about FAP eligibility prior to initiating EAC's.BCH will accept and process applications within a 240 day application period beginning from post discharge statement to accept and process. Once an application is submitted within the 240 day period, BGH will stop any collection activities. In circumstances where an incomplete FAP application was submitted during the 240-day application period BCH notifies the individual and will give additional time to complete the FAP application. Part VI, Line 2: The Hospital identifies needs of the community through interaction and feedback from board members, physicians, staff, and patients. Part VI, Line 3: Admitting staff hand out pamphlets explaining the charity policy to patients. The patient is instructed to read the pamphlet and complete an application if necessary. Business office staff contact patients after the first bill is sent. The patient is instructed to apply for charity care at that time if needed.If at any time a patient indicates they cannot afford to pay for a service, the staff bring in a financial consultant immediately to discuss applying for financial assistance. The financial consultant assists the patient with completing the financial assistance application.The Financial Assistance policy and instructions are also available on the BCH web site https://bchcares.org/insurance/. Part VI, Line 4: Boulder City Hospital, Inc. serves Boulder City, Nevada and the western portion of Henderson, Nevada. Nearly half of the area's residents rely on Medicare subsidies to pay for health care. Part VI, Line 5: The Hospital's governing body is comprised of persons who reside in the Organization's primary service area. The Hospital applies any surplus funds to improve the Facility and equipment to improve patient care. The Hospital also extends medical staff privileges to other qualified physicians in the community.Boulder City Hospital, Inc. maintains a 24 hour emergency room that is available to residents in its community without regard to ability to pay. The Hospital is designated a critical access hospital, and therefore, the hospital provides health care to residents who would not otherwise have access to readily available health care. X X X 0 0 0 0 0 0 0 0 0 Thomas Maher CEO 385893 0 0 0 0 0 1823 0 11309 0 399025 0 0 0 Doug Lewis CFO 194046 0 0 0 0 0 3880 0 379 0 198305 0 0 0 Rae Cummings COO 170197 0 0 0 0 0 3499 0 9251 0 182947 0 0 0 Andrea Pastian CNO 168871 0 0 0 0 0 86 0 7521 0 176478 0 0 0 Roger Kent Waddington Pharmacist 159709 0 0 0 0 0 1232 0 9749 0 170690 0 0 0 Anne Richner Pharmacist 154136 0 0 0 0 0 3120 0 6369 0 163625 0 0 0 Angelique Cross PA 145380 0 0 0 0 0 2943 0 6252 0 154575 0 0 0 Anna Chan RN 141753 0 0 0 0 0 2943 0 8750 0 153446 0 0 0 Form 990, Part VI, Section A, line 1a The Executive Committee can act on behalf of the Board of Trustees on items of an emergency nature between meetings of the Board of Trustees. The Executive Committee shall be composed of the elected officers of the Board of Trustees and the immediate Past President. The President of the Board of Trustees shall serve as Chairman and the Vice President shall serve as Vice Chairman of the committee. The Administrator/CEO shall be an ex-officio of this committee. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the Board of Directors for their review prior to filing with the IRS. Form 990, Part VI, Section B, line 12c On an annual basis, all officers, directors, and key employees complete the conflict of interest disclosure statement. The board of directors review for any potential conflicts, as well as determine if one exists. If an individual has a potential conflict, that individual will abstain from the deliberation and voting of that situation. Form 990, Part VI, Section B, line 15a The CEO's compensation is reviewed and approved annually by an independent compensation committee using the Nevada CEO compensation survey. This review is documented each year. Compensation of other individuals is determined annually by the human resources department (HR). HR uses a salary survey from the Nevada Hospital Association to determine the appropriate compensation amounts. Persons involved in this process are independent and the conclusions are documented. Form 990, Part VI, Section C, line 19 Boulder City Hospital makes its governing documents, conflict of interest policy, and financial statements available to the public through the hospital's administration department. Form 990, Part IX, line 11g Professional Fees: Program service expenses 292,304. Management and general expenses 0. Fundraising expenses 0. Total expenses 292,304. Purchased Services : Program service expenses 5,052,375. Management and general expenses 943,540. Fundraising expenses 0. Total expenses 5,995,915. Form 990, Part XI, line 9: Change in Interest in Foundation 32,018. Change in Interest in Auxiliary 1,092.