2023-07-25T10:36:23-05:00 2022-09-30 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2021-10-01 470379834 BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC % CHAD JURGENS CFO BEAT 4022283344 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 CHAD JURGENS CFO 4022283344 2023-08-15 true CHAD JURGENS 999009999 April Arnold CPA P01559426 8162216300 3 2021 2023-04-26 12:10:37Z CHAD JURGENS 4800 HOSPITAL PARKWAY BEATRICE NE 68310 95347029 false X WWW.BEATRICECOMMUNITYHOSPITAL.COM X 1968 NE BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. IS DEDICATED TO BEING THE HEALTHCARE RESOURCE FOR THE COMMUNITIES WE SERVE BY PROVIDING QUALITY SERVICES (SEE SCHEDULE O) 12 9 639 50 0 0 6362948 1425290 83123595 89253972 1660587 1191406 298800 365133 91445930 92235801 256172 280146 0 0 47845680 49279691 0 0 0 35409003 37958642 83510855 87518479 7935075 4717322 106904187 95005463 52682769 43722999 54221418 51282464 X BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER IS DEDICATED TO BEING THE HEALTHCARE RESOURCE FOR THE COMMUNITIES WE SERVE BY PROVIDING QUALITY SERVICES AND COMPASSIONATE CARE. false true 71988181 280146 89388655 SEE SCHEDULE O 71988181 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 48 0 true 639 true false false false false false false false false false false false false X 12 9 false false true false false false false true true false false true true true true true true true true false X CHAD JURGENS CFO 4022283344 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 X DERRICK WEICHEL MD FORMER BOARD MEMBER/PHYSICIAN 40.0 0.0 X 606632 0 53001 BRETT STUDLEY FORMER BOARD MEMBER/PHYSICIAN 40.0 0.0 X 452700 0 52272 RONALD BEAR PHYSICIAN 40.0 0.0 X 445627 0 34060 RICK HARALDSON CEO 38.0 2.0 X X 426049 0 20244 JONATHAN STELLING PHYSICIAN 40.0 0.0 X 384935 0 54539 WENDY REEVES PHYSICIAN 40.0 0.0 X 372515 0 53829 DEANN PAULSON MD PRESIDENT OF MEDICAL STAFF 40.0 0.0 X 373363 0 51990 VICTORIA HALL PHYSICIAN 40.0 0.0 X 385286 0 27962 ANGELA GRONE PHYSICIAN 40.0 0.0 X 362019 0 50663 DARIN HOFFMAN FORMER BOARD MEMBER/PHYSICIAN 40.0 1.0 X 354339 0 54504 SANDRA PARKS FORMER MEMBER 40.0 0.0 X 294305 0 17955 BENJAMIN THAYER MD PAC MEMBER REP 40.0 0.0 X 245786 0 48991 CHAD JURGENS CFO 38.0 2.0 X 242041 0 17967 CRAIG ZARYBNICKY MEMBER 2.0 0.0 X 0 0 0 LEROY JANZEN VICE CHAIR 4.0 1.0 X X 0 0 0 BRENDA MCNIFF MEMBER 2.0 0.0 X 0 0 0 BRUCE VITOSH TREASURER 4.0 0.0 X X 0 0 0 SUSAN HARTLEY MEMBER 2.0 0.0 X 0 0 0 DR STEVE SANDMAN CHAIRMAN 5.0 2.0 X X 0 0 0 DEANNE CASPERS-MOON MEMBER 2.0 1.0 X 0 0 0 RODNEY ENSZ SECRETARY 4.0 0.0 X X 0 0 0 RYAN TRAUERNICHT MEMBER 2.0 0.0 X 0 0 0 JENNIFER ELLIOTT MEMBER 4.0 0.0 X 0 0 0 4945597 0 537977 84 true true false ANTHONY CHISANO 1265 LAKEVIEW LANE BEATRICE NE 68310 SECURITY 127315 BKD LLP 1201 WALNUT SUITE 1700 KANSAS CITY MO 641062246 ACCOUNTING SERVICES 121490 2 208362 1205410 11518 1425290 Net Patient Service Revenue 621110 85446251 85446251 340B Program Revenue 621110 3256455 3256455 Pharmacy Revenue 621300 236463 236463 MANAGEMENT FEES 561000 85455 85455 _ 229348 229348 89253972 1377832 1377832 0 0 8005 8005 0 8005 8005 2924802 3111228 -186426 -186426 -186426 0 0 0 0 0 0 0 0 0 Cafeteria Revenue 722210 222445 222445 Purchase Discounts 900099 134683 134683 357128 92235801 89388655 1421856 280146 280146 0 0 0 1443162 1256682 186480 0 38033432 33118883 4914549 2194706 1911114 283592 5074391 4418697 655694 2534000 2206565 327435 0 18170 18170 2163 2163 0 0 265055 265055 4888252 4580376 307876 168355 76030 92325 6316792 2852688 3464104 4265887 1926492 2339395 0 1226527 553904 672623 134468 60726 73742 0 281719 127225 154494 1148810 815391 333419 0 4299160 3285329 1013831 460178 351601 108577 Medical Supplies 12303939 12303939 Bad Debts 1601530 1601530 Licenses & Dues 211792 95646 116146 _ 0 365845 165217 200628 87518479 71988181 15530298 0 2236 2184 18039255 7624859 0 0 10418054 10779922 0 0 0 0 313134 1045050 2482176 2831645 1263874 1384690 85055836 48513073 31233369 36542763 38643805 30962124 178618 168463 0 0 0 0 4329666 3663763 106904187 95005463 9556156 11513559 0 0 0 0 33013196 30559185 0 0 0 0 0 0 0 0 10113417 1650255 52682769 43722999 X 53702602 51031485 518816 250979 54221418 51282464 106904187 95005463 X 4717322 -7422091 -234185 X true X true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7322 7322 false SCHEDULE C, PART II-B, LINE 1 BCH IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). FOR 2021, THE AHA AND NHA HAVE ESTIMATED THAT 25.56% AND 10.79%, RESPECTIVELY, OF MEMBERSHIP DUES WILL BE USED FOR LOBBYING ACTIVITIES. 2485330 -445457 2039873 2081672 403658 2485330 1939511 142161 2081672 1822622 13000 103889 1939511 1709126 32902 123189 42595 1822622 0.80300 0.15800 0.03900 false true true 914112 914112 25607762 11741415 13866347 47510919 33730088 13780831 11023043 3041570 7981473 36542763 0 DUE TO THIRD-PARTY PAYERS 1650255 1650255 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD BY BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A SUPPORTING ORGANIZATION OF BEATRICE COMMUNITY HOSPITAL HEALTH CENTER. THESE FUNDS ARE BEING HELD TO PROVIDE HEALTH PROFESSIONAL SCHOLARSHIPS AND SUPPORT THE BEATRICE COMMUNITY HOSPITAL PROGRAM, CAPITAL IMPROVEMENTS AND SPIRITUAL LIFE. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false true true 926805 926805 0.01080 11477206 5945934 5531272 0.06440 12404011 5945934 6458077 0.07520 213130 213130 0.00250 1646672 1646672 0.01920 1859802 1859802 0.02170 14263813 5945934 8317879 0.09690 true 1601530 22071635 24923962 -2852327 X true true 1 1 BEATRICE COMMUNITY HOSPITAL AND HEALT 4800 HOSPITAL PARKWAY BEATRICE NE 68310 SEE PART V, PAGE 8 H000119 X X X X BEATRICE COMMUNITY HOSPITAL AND HEALT 1 false false true X X X X X X X X 20 true false false true X SEE PART V, PAGE 8 true 20 true SEE PART V, PAGE 8 false true X 150. 300. X X X X X true true X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 BEATRICE COMMUNITY HOSPITAL COMPLETED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND ACTION PLAN IN 2020. THE ASSESSMENT AND ACTION PLAN WAS FACILITATED/CREATED BY VVV CONSULTANTS, LLC OF OLATHE, KANSAS, UNDER THE DIRECTION OF VINCE VANDEHAAR. PARTNERING WITH THE PUBLIC HEALTH DEPARTMENT (PUBLIC HEALTH SOLUTIONS), COMMUNITY RESIDENTS WERE INVITED TO PARTICIPATE IN AN ONLINE SURVEY AND A TOWN HALL MEETING TO OFFER FEEDBACK FOR THE CHNA. INFORMATION ABOUT THE ONLINE SURVEY WAS MESSAGED THROUGH SOCIAL MEDIA, LOCAL RADIO AND LOCAL DAILY AND WEEKLY NEWSPAPERS. THE TOWN HALL MEETING WAS MESSAGED TO THE GENERAL PUBLIC THROUGH SOCIAL MEDIA, LOCAL RADIO AND LOCAL DAILY AND WEEKLY NEWSPAPERS. INVITED TO THE TOWN HALL MEETING WERE 30 NONPROFIT ORGANIZATION REPRESENTATIVES, CITY OFFICIALS, COUNTY OFFICIALS, STATE GOVERNMENTAL REPRESENTATIVES, FIVE SCHOOL DISTRICT REPRESENTATIVES, LOCAL BUSINESS OWNERS AND LEADERS, AND LOCAL HEALTHCARE AND HEALTH-RELATED BUSINESS REPRESENTATIVES. SCHEDULE H, PART V, SECTION B, LINE 7A BEATRICECOMMUNITYHOSPITAL.COM/COMMUNITYHEALTHNEEDSASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 CHNA IMPLEMENTATION PLAN TACTICS: MENTAL HEALTH (DIAGNOSIS, TREATMENT, AFTERCARE) - Continue to maintain and grow BCH Behavioral Health Services - Hired a third clinical psychologist in 2023 - Continue to offer ED tele-psychiatry services - Offer ongoing suicide prevention training for staff - Encourage staff to present community education programs HEALTHCARE APATHY - OWN YOUR OWN HEALTH AND OBESITY (NUTRITION AND EXERCISE) - Partner with community businesses and nonprofits to host wellness events, health fairs, hiking and biking events, etc. - Support YMCA financially - Encourage staff to present community education programs - Provide community health and wellness education, such as a local To Your Health radio show - Teach CPR to the community - Support local farmers' markets with cash and in-kind donations - Support community walking trail with cash and in-kind donations - Support local food pantry with financial support and donations SUICIDE - See Mental Health Action Steps above - Review and consider partnership with other agencies - Promote and message what services are available in the community as well as state and national hotline numbers - Ensure physician clinics have protocols in place to screen patients SUBSTANCE ABUSE (DRUGS AND ALCOHOL) - Consider partnership/sponsorship opportunities in the community for education, support programs, recovery programs, etc. - Continue BCH Behavioral Health Services to provide counseling and support for substance abusers - Promote the discarding of old medical prescriptions at local law enforcement departments, especially opioids - Support law enforcement and first responders with training and resources ECONOMIC DEVELOPMENT (POVERTY) - Continue to work with county/city leaders to promote economic development, i.e., serve on Economic Development and Chamber of Commerce boards - Support public transportation initiatives, i.e., foundation grants - Support Beatrice and area job fairs - Continue healthcare job shadowing and education opportunities - Assist with business and manufacturing recruitment visits to showcase the healthcare benefits of the area ACCESS TO AFFORDABLE HEALTHCARE INSURANCE - Work to ensure that information about hospital/clinic payment choices and programs are easily accessible and understandable, i.e., full payment discounts, bank loan program, etc. - Continue Immunization Clinic services for those who are un-insured or under-insured - Promote awareness of Medicare benefits, i.e., annual well visits - Provide sign-up and education opportunities on Medicare Enrollment and Medicare Part D Enrollment SCHEDULE H, PART V, SECTION B, LINE 13H OTHER PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE: - MEDICAID PATIENTS ARE CONSIDERED PRE-ENROLLED FOR FINANCIAL ASSISTANCE. HOWEVER, A COMPLETED APPLICATION IS REQUIRED FOR DETERMINATION OF POSSIBLE COPAYMENTS; - PATIENTS INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE PROGRAM ETC. TO QUALIFY FOR ASSISTANCE, ELIGIBLE PATIENTS MUST COMPLETE AN APPLICATION BY THE LATER OF THE 240TH DAY AFTER THE FIRST POST DISCHARGE BILLING STATEMENT IS PROVIDED TO THE PATIENT OR NOT LESS THAN 30 DAYS AFTER THE DATE THE HOSPITAL PROVIDES THE PATIENT THE REQUIRED FINAL NOTICE TO COMMENCE EXTRAORDINARY COLLECTION ACTIONS. SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: http://www.beatricecommunityhospital.com/communityhealthneedsassessment SCHEDULE H, PART V, SECTION B, LINE 16A FAP Website: https://beatricecommunityhospital.com/financialservices SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE: https://beatricecommunityhospital.com/financialservices SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE: https://beatricecommunityhospital.com/financialservices SCHEDULE H, PART V, SECTION B, LINE 16J OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY INCLUDE: - THE POLICY WILL BE INCLUDED WITH INFORMATION IN OR ON THE BILLING STATEMENTS; - THE POLICY INFORMATION WILL BE DISTRIBUTED AT THE PATIENT ACCESS POINTS; - THE POLICY WILL BE PRESENTED TO THE PATIENT AS THEY PRESENT FOR MEDICAL SERVICES, INCLUDING ADMISSION; - THE POLICY WILL BE DISTRIBUTED IN INFORMATION WITH DISCHARGE MATERIALS; - THE POLICY WILL BE MENTIONED WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE. 5 THE BEATRICE WOMEN'S AND CHILDREN CLINIC 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC WYMORE MEDICAL CLINIC 116 EAST H STREET WYMORE NE 68318 OUTPATIENT PHYSICIAN CLINIC GAGE COUNTY MEDICAL CLINIC 1101 N 10TH STREET BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC BEATRICE MEDICAL CENTER 805 W COURT STREET BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC BEATRICE INTERNAL MEDICINE 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 3C OTHER THAN THE FPG, THE HOSPITAL USED ASSET LEVEL TEST, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, MEDICAID STATUS, AND GOVERMENT HEALTHCARE PROGRAM STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST AS DERIVED FROM BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER'S INTERNAL ACCOUNTING RECORDS. SCHEDULE H, PART I, LINE 7G AS THERE ARE NO SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G, THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON LINE 7G. SCHEDULE H, PART I, LINE 7 COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,601,530. SCHEDULE H, PART II NOT APPLICABLE OUR MOST SIGNIFICANT "COMMUNITY BENEFIT" ACTIVITIES WOULD INCLUDE: 1.READY, SET, GO! BACK-TO-SCHOOL PROGRAM. BCHHC PARTNERS WITH THE BEATRICE SALVATION ARMY TO PROVIDE A VARIETY OF FREE SERVICES AND ITEMS TO MEET THE BACK-TO-SCHOOL NEEDS OF LOW-INCOME GAGE COUNTY RESIDENTS. DURING THIS EVENT, FAMILIES CAN RECEIVE FREE SCHOOL PHYSICALS, A PACKAGE OF PERSONAL CARE ITEMS LIKE A TOOTHBRUSH AND TOOTHPASTE, AND A BACKPACK WITH SCHOOL SUPPLIES. IN ADDITION, THERE ARE EDUCATIONAL BOOTHS ON NUTRITION AND DIABETES AS WELL AS INFORMATIONAL BOOTHS BY ORGANIZATIONS SUCH AS BOY SCOUTS AND GIRL SCOUTS. 2. JOB SHADOWING. BCHHC OFFERS AN EXTENSIVE JOB SHADOWING PROGRAM THAT ALLOWS UPPER HIGH SCHOOL AND COLLEGE-AGED STUDENTS TO SHADOW PHYSICIANS AND CLINICAL STAFF IN ANY DEPARTMENT FOR A FIRST-HAND LOOK AT HEALTH-RELATED CAREERS. 3. PEOPLE CARING FOR PEOPLE. PEOPLE CARING FOR PEOPLE IS A FREE HOSPITAL SERVICE THAT SENDS A REGISTERED NURSE TO THE HOMES OF ALL NEWBORNS IN THE COUNTY TO ENSURE THAT NEWBORNS ARE THRIVING IN THE HOME AND PARENTS CAN ASK QUESTIONS AND LEARN ABOUT RESOURCES IN THE COMMUNITY. SCHEDULE H, PART III, LINE 2 IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 4 PAGES 9 AND 11 OF THE ATTACHED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT ACCOUNT RECEIVABLE"NET PATIENT SERVICE REVENUE." SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT, D, E, H AND M WORKSHEETS, OR PS&R. SCHEDULE H, PART III, SECTION C, LINE 9B CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. THE COLLECTIONS - CHARITY WRITE-OFF POLICY PROVIDES THAT ONCE THE RESPONSIBLE PARTY HAS BEEN DETERMINED TO BE ELIGIBLE FOR PATIENT FINANCIAL ASSISTANCE, A LETTER TO THE RESPONSIBLE PARTY WILL BE SENT INDICATING THE FREE CARE AMOUNT AND THE REMAINING BALANCE DUE. THE BALANCE DUE MAY BE PAID BY INSTALLMENT PAYMENTS USING THE GUIDELINES OF THE HOSPITAL POLICY ON COLLECTIONS OF PRIVATE PAY ACCOUNTS. SCHEDULE H, PART VI, LINE 2 THE DEMAND ANALYSIS PERFORMED BEGINS WITH THE ASSUMPTION THE HISTORICAL TRENDS WILL BE CONTINUED BUT AUGMENTED BY INCREASED GROWTH IN INPATIENT AND OUTPATIENT SERVICES. THE FOLLOWING ARE ELEMENTS OF PLANNING USED BY MANAGEMENT IN FORMULATING THE DEMAND FOR HOSPITAL SERVICES: - MARKET ASSESSMENT OF OTHER HEALTHCARE PROVIDERS WITHIN THE SERVICE AREA - HISTORIC AND FORECASTED INPATIENT AND OUTPATIENT UTILIZATION WITH THE SERVICE AREA - MARKET SHARE BY SERVICE AND HOSPITAL USE RATES - SERVICE AREA USE RATES- HOSPITAL'S MEDICAL STAFF SCHEDULE H, PART VI, LINE 3 CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF-PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. SCHEDULE H, PART VI, LINE 4 BEATRICE, NE IS LOCATED IN GAGE COUNTY IN THE SOUTHEASTERN PART OF NEBRASKA. BEATRICE IS LOCATED 40 MILES SOUTH OF LINCOLN, NE. THE CLOSEST HOSPITAL FACILITY IS 32 MILES WEST. THE MAIN COMPETITION IS FROM TWO LINCOLN, NE HOSPITALS. THE PRIMARY SERVICE AREA (PSA) HAS BEEN DEFINED AS BEATRICE (ZIP CODE 68310) COUNTY AND HAS AN AGING POPULATION THAT UTILIZES HOSPITAL HEALTH SERVICES. THE AGE GROUP OF 65 AND OVER COMPRISES 20% OF THE TOTAL POPULATION OF THE PSA FOR THE HOSPITAL IN 2008 AND THAT AGE DEMOGRAPHIC IS PROJECTED TO INCREASE TO 21% IN THE NEXT TEN YEARS. SCHEDULE H, PART VI, LINE 5 Provide experts in the community for COVID-19 related support, such as the school system, the community health board, Unified Command, Public Health District, etc. Provide charity care and financial assistance to provide patients with care they could not otherwise afford. Partner with the local Meals on Wheels organization to provide a daily meal to homebound individuals in the community. Offer discounted blood tests on demand to the community. Offer free support groups, for example, breastfeeding moms, families who have lost infants, Parkinson's patients, etc. Serve as a health resource for community education programs and needs, including Monthly Pop-up Booths in the hospital. Provide cash and in-kind donations for community events that focus on health and wellness, such as hiking and biking events, Special Olympics, health fairs and education. Support civic and economic development agencies and activities that promote the health and well-being of the community as well as job shadowing and health career activities. SCHEDULE H, PART VI, LINE 7 NEBRASKA true BEATRICE COMMUNITY HOSPITAL FOUNDATION INC 4800 HOSPITAL PARKWAY BEATRICE NE 68310 476024984 501(C)(3) 280146 SUPPORT 1 PART I, LINE 2 BECAUSE THE RECIPIENTS OF THE GRANT MONEY WAS BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A RELATED ORGANIZATION, BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. X X X X false false false false false false false false false CHAD JURGENS CFO 241041 0 1000 0 0 0 15771 0 2196 0 260008 0 0 0 RICK HARALDSON CEO 425049 0 1000 0 0 0 19090 0 1154 0 446293 0 0 0 DEANN PAULSON MD PRESIDENT OF MEDICAL STAFF 326859 0 46504 0 0 0 18840 0 33150 0 425353 0 0 0 BENJAMIN THAYER MD PAC MEMBER REP 244786 0 1000 0 0 0 14926 0 34065 0 294777 0 0 0 DERRICK WEICHEL MD FORMER BOARD MEMBER/PHYSICIAN 605632 0 1000 0 0 0 18700 0 34301 0 659633 0 0 0 BRETT STUDLEY FORMER BOARD MEMBER/PHYSICIAN 438800 0 13900 0 0 0 18044 0 34228 0 504972 0 0 0 RONALD BEAR PHYSICIAN 433527 0 12100 0 0 0 19512 0 14548 0 479687 0 0 0 JONATHAN STELLING PHYSICIAN 369835 0 15100 0 0 0 18041 0 36498 0 439474 0 0 0 WENDY REEVES PHYSICIAN 355975 0 16540 0 0 0 18852 0 34977 0 426344 0 0 0 SANDRA PARKS FORMER MEMBER 274338 0 19967 0 0 0 16992 0 963 0 312260 0 0 0 DARIN HOFFMAN FORMER BOARD MEMBER/PHYSICIAN 343439 0 10900 0 0 0 18750 0 35754 0 408843 0 0 0 VICTORIA HALL PHYSICIAN 376486 0 8800 0 0 0 13453 0 14509 0 413248 0 0 0 ANGELA GRONE PHYSICIAN 341594 0 20425 0 0 0 19553 0 31110 0 412682 0 0 0 A HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA 470785499 2015-03-20 9934971 REFUND PRIOR BONDS (6/08/10) false false false B HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA 470785499 362615AN6 2017-07-27 31375000 REFUND PRIOR BONDS (6/24/10) false false false A 8491786 0 9934971 0 0 0 175362 0 0 0 9579609 0 2012 true false true true B 2265000 0 31766835 0 0 30409696 450556 0 0 0 906584 0 2012 false true false true A false false false false 0 false false false true B false false false false 0 false false false true A false false true true false false 0 false 0 false true B false false false true true false 0 false 0 false true A true B true SCHEDULE K, PART IV, ARBITRAGE, LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED: 02/28/2018 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2018 NOTE REGARDING THE REBATE COMPUTATION ON 2/28/18: 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. NOTE REGARDING THE REBATE COMPUTATION ON 1/31/18: AS NO REBATABLE ARBITRAGE WILL BE EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY. SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. FORM 990, PART I, LINE 1 AND COMPASSIONATE CARE. OUR VISION STATEMENT IS: TO BE THE TRUSTED CHOICE FOR EXEMPLARY, COMPASSIONATE, PATIENT-AND-FAMILY-CENTERED HEALTHCARE FOR BEATRICE AND THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 3 BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER NO LONGER PROVIDES HOME HEALTH, HOSPICE OR PERSONAL NURSING SERVICES. FORM 990, PART III, LINE 4A HOSPITAL INPATIENT AND OUTPATIENT CARE: SERVICES INCLUDE ANCILLARY AND ACUTE CARE ALONG WITH SERVING AS A CLINICAL EDUCATION SITE FOR STUDENTS FOR AREAS INVOLVING THE PHYSICAL THERAPY DEPARTMENT, THE EMERGENCY DEPARTMENT, THE SPEECH PATHOLOGY DEPARTMENT, THE OCCUPATIONAL THERAPY DEPARTMENT AND THE NURSING DEPARTMENT. PHYSICIAN CLINICS: SERVICES INCLUDE ACUTE CARE SERVICES AS WELL AS PROVIDING SPORTS PHYSICALS FOR LOCAL HIGH SCHOOL ATHLETES AND FOR PARTICIPANTS IN THE SPECIAL OLYMPICS. HOSPICE/LONG-TERM CARE: SERVICES INCLUDE CARE-TAKING FOR THE ELDERLY ALONG WITH PROVIDING A GRIEF RECOVERY PROGRAM FOR THOSE PEOPLE WHO HAVE LOST A LOVED ONE TO DEATH. HOME HEALTH IS AVAILABLE FOR PEOPLE OF ALL AGES, ASSISTING THEM IN THE RECOVERY AND REHABILITATION FROM ALL TYPES OF ILLNESS, INJURIES AND OTHER HEALTH PROBLEMS. SKILLED INTERMITTENT HOME CARE THAT IS PHYSICIAN ORDERED IS PROVIDED BY REGISTERED NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AND NURSE AIDES. AREAS SERVED INCLUDE: GAGE, JEFFERSON, PAWNEE AND SALINE COUNTIES. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO REMOVE POWER AND AUTHORITY RESERVED FROM HEALTH SYSTEM OF BEATRICE, INC. HEALTH SYSTEM OF BEATRICE, INC. DISSOLVED DURING THE TAX YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THEY HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. EACH BOARD MEMBER IS GIVEN ACCESS TO THE FORM 990 VIA THE BOARD PORTAL PRIOR TO FILING. THE BOARD REVIEWS AND APPROVES THE FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS HANDED OUT ANNUALLY FOR BOARD MEMBERS AND OFFICERS TO IDENTIFY ANY BOARDS, BUSINESSES, ETC. THAT MAY POTENTIALLY GIVE RISE TO CONFLICT. IF A CONFLICT SHOULD ARISE, THE AFFECTED BOARD MEMBER OR OFFICER WILL BE EXCUSED FROM THE DISCUSSION AND/OR VOTE. FORM 990, PART VI, SECTION B, LINE 15A & 15B LISTED BELOW IS INFORMATION FROM OUR POLICY ON WAGE AND SALARY ADMINISTRATION. THIS POLICY APPLIES TO ALL EMPLOYEES EXCEPT EXECUTIVE LEVEL STAFF AND THOSE WITH WRITTEN CONTRACTS (PHYSICIANS, ALLIED HEALTH STAFF, ETC.). AN OUTSIDE CONSULTING FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS BASED UPON MARKET DATA FOR THE POSITION. A. STRUCTURE OF THE WAGE AND SALARY PLAN 1. PAY GRADES AND WAGE SCALES/RANGES ARE ESTABLISHED TO REWARD EMPLOYEES FOR DIFFERENT LEVELS OF SKILLS, RESPONSIBILITY AND KNOWLEDGE. JOB POSITIONS ARE ASSIGNED A PAY GRADE BASED UPON MARKET CONDITIONS, SKILLS, RESPONSIBILITY, EDUCATION EXPERIENCE, PHYSICAL DEMANDS AND WORKING CONDITIONS REQUIRED OF THE POSITION. EACH PAY GRADE HAS A RANGE OF PAY FROM MINIMUM TO MAXIMUM, ESTABLISHED TO REWARD EMPLOYEES FOR EXPERIENCE AND PERFORMANCE. B. ADJUSTMENTS TO THE WAGE AND SALARY PLAN 1. THE WAGE PLAN IS REVIEWED AT LEAST ANNUALLY TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. LABOR MARKET SURVEYS ARE COMPLETED AND UTILIZED ON A REGULAR BASIS. BASED UPON MARKET INFORMATION AND/OR A REVIEW OF JOB DESCRIPTIONS, ADJUSTMENTS MAY BE MADE TO THE WAGE AND SALARY PLAN THAT INCLUDE ADJUSTMENTS TO THE OVERALL WAGE AND SALARY STRUCTURE OR REPOSITIONING OF A SPECIFIC JOB POSITION(S) TO A DIFFERENT PAY GRADE. FOR THE CEO POSITION THAT IS HELD BY RICK HARALDSON, THE BOARD CHAIR WORKED WITH A CONSULTING COMPANY TO DETERMINE THE APPROPRIATE COMPENSATION UPON HIRING. IN SUBSEQUENT YEARS, THE HOSPITAL USES NEBRASKA HOSPITAL ASSOCIATION COMPARISON DATA AND OTHER AVAILABLE MARKET DATA EACH YEAR TO EVALUATE HIS COMPENSATION. THIS INFORMATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN BEATRICE FOUNDATION $ (267,837) NET ASSET TRANSFER FROM AFFILIATE $ 33,652 ------------- TOTAL $ (234,185) HEALTH SYSTEMS OF BEATRICE INC 4800 HOSPITAL PKWY PO BOX 278 BEATRICE NE 68310 470691891 MANAGEMENT CO NE 501(C)(3) LINE 12C NA false BEATRICE COMM HOSPITAL FOUNDATION INC 4800 HOSPITAL PKWY PO BOX 641 BEATRICE NE 68310 476024984 SUPPORT NE 501(C)(3) LINE 12A BCHHC true BEATRICE RETIREMENT INC 4800 HOSPITAL PKWY PO BOX 278 BEATRICE NE 68310 470649975 RETIREMENT NE 501(C)(3) LINE 10 BCHHC true PHYSICIAN'S BUILDING INC 4800 HOSPITAL PARKWAY BEATRICE NE 68310 470697398 OFFICE RENTAL NE NA C CORP true false true true false false false false false true true true true false false true true true false false BEATRICE COMMUNITY HOSPITAL FOUNDATION INC C 208362 CASH BEATRICE RETIREMENT INC L 81255 FMV BEATRICE COMMUNITY HOSPITAL FOUNDATION INC B 280146 FMV BEATRICE COMMUNITY HOSPITAL FOUNDATION INC O 223525 FMV