2023-11-17T13:54:51-06:00 2022-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-01-01 880065829 Boulder City Hospital Inc BOUL 7022934111 901 Adams Blvd Boulder City NV 89005 Doug Lewis CFO 7022934111 2023-11-17 1 Doug Lewis 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2023-11-17 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Thomas Maher 901 Adams Blvd Boulder City NV 89005 33069112 0 X www.bchcares.org X 1954 NV Provide health care services to residents of Clark County and surrounding areas in southern Nevada. 12 12 333 12 0 0 2021451 558534 29694861 27802799 13 17 -12967 4697657 31703358 33059007 0 0 0 0 19075168 21381180 0 0 0 12068758 13517649 31143926 34898829 559432 -1839822 36131938 33797315 33523382 32733307 2608556 1064008 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 28030219 27802799 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. 28030219 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 14 0 1 333 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 Muphey Framke Secretary 0.50 X X 0 0 0 Jay Booth 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 Director 0.50 X 0 0 0 Bruce Woodbury Director 0.50 X 0 0 0 Jennifer Zischke Director 0.50 X 0 0 0 Wendell Whitman Director 0.50 X 0 0 0 Doug Lewis CFO 40.00 X 186110 0 3721 Thomas Maher CEO 40.00 X 365634 0 6100 Andre Pastian CNO 40.00 X 157402 0 112 Rae Cummings COO 40.00 X 158711 0 3057 Ann Richner Pharmacist 40.00 X 146949 0 2976 Anna Chan RN 40.00 X 151805 0 2985 Laurie Sinett House Supervisor ER 40.00 X 167666 0 650 Michelle Hancock RN 40.00 X 148281 0 3035 Roger Kent Waddington Pharmacist 40.00 X 154566 0 2367 1637124 0 25003 37 0 1 0 Horizon Health PO Box 840839 Dallas TX 752840839 Physic Department Managing Partner 1402814 MEDSMART 1701 GreenValley Pkwy Henderson NV 890745886 Imaging Staffing Services 594882 EMCARE 7032 Collections CTR DR Chicago IL 60693 Physician Staffing ER 585438 Sysco Food Services 6201 East Centennial Parkway Las Vegas NV 89005 Food Services 450360 Craig Jorgenson MD 1000 Green Valley PKWAY Henderson NV 890746170 Inpatent Physician Services 243768 24 260343 298191 558534 Net Patient Service Revenue 621500 27551209 27551209 251590 251590 27802799 17 17 8200 10105 -1905 -1905 -1905 Employee Retension Credit 621500 4699562 4699562 4699562 33059007 27802799 0 4697674 X 874747 874747 14779834 12974046 1805788 179938 148260 31678 4405974 3649128 756846 1140687 961284 179403 22639 22639 107708 107708 6035156 4645788 1389368 2326194 2230291 95903 391247 270304 120943 921363 550921 370442 1235248 773334 461914 245108 177478 67630 Registry 1336357 1330556 5801 Equipment Rent 152403 96095 56308 Repairs 143367 141520 1847 Licenses & Taxes 81820 62308 19512 519039 18906 500133 34898829 28030219 6868610 0 11506095 6440116 169904 170758 5349334 5733675 375096 349747 92002 108516 38454784 24739729 14064019 13715055 4575488 7279448 36131938 33797315 3671863 4123665 4560349 0 28078 28932 21323017 23621616 212503 82583 3727572 4876511 33523382 32733307 X 2608556 1064008 2608556 1064008 36131938 33797315 X -1839822 295274 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 652289 652289 22275161 12359366 9915795 14085090 11966219 2118871 1442244 414144 1028100 13715055 Estimated Third Paty Payor Settlements 2414227 Interest in Net Assets of Foundation 80415 Interest in Net Assets of Auxiliary 85244 Employee Retention Credit 4699562 7279448 Estimated Third-Party Payor Settlements 4606511 Capital Lease 270000 4876511 X 33354281 295274 295274 33059007 0 33059007 34898829 0 34898829 0 34898829 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 268,997. Change in Investment in Auxiliary in Revenue on Financial Statements 26,277. 1 1 X 1 X 1 X 1 1 0 0 19728 19728 0.00060 7065990 6096600 969390 0.02780 7085718 6096600 989118 0.02840 2054245 550818 1503427 0.04310 2054245 550818 1503427 0.04310 9139963 6647418 2492545 0.07150 1 4629649 462964 9850051 10680779 -830728 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 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) Mental Illness access to Behavioral Health Services.5) Access to Surgical specialty.6) Expansion of primary care services.7) Chronic disease and preventive health. The Hospital will not address mental illness due to lack of funds. Other organizations in the community are better suited to assist the community with these needs.In the current year the Hospital addressed the other needs the following ways: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: Improved accessibility of outpatient behavioral health programs in Boulder City by exploring the feasibility of offering a chemical dependency intensive outpatient program for adolescents and expanded outpatient behavioral Health services, such as counseling and therapy.Improved access to Surgical specialty services such as General Surgery and Orthopedic Surgery. Expansion of Primary Care Services: Expanded primary care services to provide women's Health and pediatric services. This will include recruitment of Providers that specialize in women's health and pediatrics. Expanded ancillary services such as mammography preventative health screening. Chronic Disease and Preventive Health: Expanded Chronic disease services such as vaccine program for adolescents, adults, and seniors. Explored opportunity to specialty provider outreach to facilitate better access to chronic disease diagnosis and treatment. 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. Part I, Line 7g: Line 7g includes $2,091,481 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 10% 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 365634 0 0 0 0 0 6100 0 0 0 371734 0 0 0 Doug Lewis CFO 186110 0 0 0 0 0 3721 0 0 0 189831 0 0 0 Laurie Sinett House Supervisor ER 167666 0 0 0 0 0 650 0 0 0 168316 0 0 0 Rae Cummings COO 158711 0 0 0 0 0 3057 0 0 0 161768 0 0 0 Andre Pastian CNO 157402 0 0 0 0 0 112 0 0 0 157514 0 0 0 Roger Kent Waddington Pharmacist 154566 0 0 0 0 0 2367 0 0 0 156933 0 0 0 Anna Chan RN 151805 0 0 0 0 0 2985 0 0 0 154790 0 0 0 Michelle Hancock RN 148281 0 0 0 0 0 3035 0 0 0 151316 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 Prior to Form 990 being signed, a copy is forwarded to all board members. Additionally, the Finance Committee reviews the 990 at a committee meeting. 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 determined and approved by an independent compensation committee. 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 290,754. Management and general expenses 0. Fundraising expenses 0. Total expenses 290,754. Purchased Services - Affiliates: Program service expenses 4,355,034. Management and general expenses 1,389,368. Fundraising expenses 0. Total expenses 5,744,402. Form 990, Part XI, line 9: Change in Interest in Foundation 268,997. Change in Interest in Auxiliary 26,277. Schedule H Attached Audited Financials The Organization is in the process of an audit of the financial statements for the year ended 12/31/22. However, at the time of filing this return, the audit is not yet complete. The Organization has attached a copy of its most recent audited financial statements for the years ended December 31, 2021 and 2020 to the Form 990 and answered yes to Part IV, line 20b.