BRODSTONE MEMORIAL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BRODSTONE MEMORIAL HOSPITAL (EIN 47-0388012)
Tax period: 2019-05-01 to 2020-04-30
Filed: 2021-02-03
IRS object ID: 202140349349301014
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

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

Return header
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	2021-02-03T11:23:05-06:00	ReturnTs
Tax Period End	2020-04-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	476097913	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SEIM JOHNSON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT STREET SUITE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-05-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470388012	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRODSTONE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BROD	BusinessNameControlTxt
Phone	4028793281	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	520 EAST 10TH STREET	AddressLine1Txt
City	SUPERIOR	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	689781225	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TREG VYZOUREK	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4028793281	PhoneNum
Signature	2021-02-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MEGAN L KOZIOL	PreparerPersonNm
PTIN	P01544037	PTIN
Phone	4023302660	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TREG VYZOUREK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	520 EAST 10TH STREET	AddressLine1Txt
City	SUPERIOR	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	689781225	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$32,333,265	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BRODSTONEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1927	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	BRODSTONE MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL DELIVERING INPATIENT, OUTPATIENT AND AMBULATORY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	210	TotalEmployeeCnt
Total Volunteers	220	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$782,555	PYContributionsGrantsAmt
CY Contributions Grants	$1,050,094	CYContributionsGrantsAmt
PY Program Service Revenue	$28,050,231	PYProgramServiceRevenueAmt
CY Program Service Revenue	$30,074,690	CYProgramServiceRevenueAmt
PY Investment Income	$345,403	PYInvestmentIncomeAmt
CY Investment Income	$405,693	CYInvestmentIncomeAmt
PY Other Revenue	$64,194	PYOtherRevenueAmt
CY Other Revenue	$90,651	CYOtherRevenueAmt
PY Total Revenue	$29,242,383	PYTotalRevenueAmt
CY Total Revenue	$31,621,128	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$13,703,435	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$15,549,730	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$27,665	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,465,713	PYOtherExpensesAmt
CY Other Expenses	$12,637,904	CYOtherExpensesAmt
PY Total Expenses	$26,169,148	PYTotalExpensesAmt
CY Total Expenses	$28,187,634	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,073,235	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,433,494	CYRevenuesLessExpensesAmt
Total Assets BOY	$35,421,440	TotalAssetsBOYAmt
Total Assets EOY	$49,966,697	TotalAssetsEOYAmt
Total Liabilities BOY	$7,643,741	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,964,744	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,777,699	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$31,001,953	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	COMPASSIONATE. DEDICATED. UNIFIED. WE CARE FOR YOU.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$17,155,111	ExpenseAmt
Revenue	$16,070,419	RevenueAmt
Desc	ANCILLARY SERVICES - BRODSTONE MEMORIAL HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. SERVICES PROVIDED BY BRODSTONE INCLUDE ANESTHESIOLOGY, RADIOLOGY, CT SCANS, LABORATORY, BLOOD ADMINISTRATION, INHALATION THERAPY, SLEEP STUDIES, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, ELECTROCARDIOLOGY AND ECHOCARDIOLOGY, BEHAVIORAL HEALTH, NUCLEAR MEDICINE AND EMERGENCY SERVICES.DURING 2020, BRODSTONE HAD 1,623 EMERGENCY ROOM VISITS AND PERFORMED 579 SURGERIES. THE LABORATORY PERFORMED 48,751 TESTS AND PHYSICAL THERAPY SERVICES PROVIDED 10,698 TREATMENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,376,520	ExpenseAmt
Revenue	$3,056,678	RevenueAmt
Desc	PHYSICIAN' CLINICS - BRODSTONE MEMORIAL HOSPITAL OWNS 3 RURAL HEALTH CLINICS IN SUPERIOR, NELSON, AND EDGAR, NE. THREE BOARD CERTIFIED FAMILY PRACTICE PHYSICIANS, TWO PA-C, AND TWO APRNS SERVE ALL AGES FROM CHILDREN TO SENIOR CITIZENS. IN ADDITION TO DIAGNOSING AND TREATING ILLNESS, THEY ALSO PROVIDE PREVENTIVE CARE, ROUTINE CHECKUPS, IMMUNIZATION AND SCREENING TESTS, AND HOSPITALIZATION AND NURSING HOME CARE, AND OBSTETRICS. THE CLINICS HAD 15,348 VISITS IN 2020.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,947,448	ExpenseAmt
Revenue	$2,789,834	RevenueAmt
Desc	NURSING SERVICES - BRODSTONE MEMORIAL HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. NURSING SERVICES WORK WITH THE MEDICAL STAFF TO DELIVER QUALITY, AFFORDABLE HEALTH CARE IN A CARING, SAFE AND COMPASSIONATE ENVIRONMENT TO ALL PATIENTS. BRODSTONE PROVIDED 1,266 PATIENT DAYS OF INPATIENT CARE AND 938 PATIENT DAYS OF SWING BED CARE IN 2020.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,006,274	ExpenseAmt
Revenue	$8,157,759	RevenueAmt
Desc	PHARMACY AND INTRAVENOUS THERAPY - BRODSTONE'S PHARMACY DEPARTMENT PREPARES AND DISPENSES MEDICATION BY REVIEWING AND INTERPRETING PHYSICIAN ORDERS. THE PHARMACISTS DETECT THERAPEUTIC INCOMPATIBILITIES, ADVISE INTERVENTIONS, ANSWER QUESTIONS FROM HEALTH PROFESSIONALS, AND COUNSEL PATIENTS ON DRUG THERAPIES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,006,274	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$8,157,759	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$25,485,353	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	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	Yes (1)	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	Yes (1)	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	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	33	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	210	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	0	QuidProQuoContributionsInd
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	6	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	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	SANDRA J BORDEN CFO	PersonNm
Phone	4022071517	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	520 EAST 10TH STREET	AddressLine1Txt
City	SUPERIOR	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68978	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
TIMOTHY BLECHA MD
PHYSICIAN	40.00	0.00	Yes (X)	$448,671	$0	$36,875
JULIE THEIS MD
PHYSICIAN	40.00	0.00	Yes (X)	$349,885	$0	$45,490
TREG VYZOUREK
CEO	40.00	0.00		$229,346	$0	$37,454	Yes (X)
MATTHEW GATLIN PA-C
PHYSICIAN ASSISTANT	40.00	0.00	Yes (X)	$228,200	$0	$39,799
ROBERT LEIBEL MD
PHYSICIAN	40.00	0.00	Yes (X)	$212,453	$0	$43,043
JASON HASS PA-C
PHYSICIAN ASSISTANT	40.00	0.00	Yes (X)	$185,191	$0	$43,946
SANDRA BORDEN
CFO	40.00	0.00		$159,221	$0	$32,610	Yes (X)
PAT MCCORD
PRESIDENT	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
JANET EGGERS
VICE-PRESIDENT	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
JUDY GROVE
SECRETARY	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
JODENE CLABAUGH
TREASURER	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
JACKI PORTER
DIRECTOR	2.00	0.00		$0	$0	$0		Yes (X)
BETH SIEBECKER
DIRECTOR	2.00	0.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,812,967	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$279,217	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
CG-ID LLC
319 E FRANCIS SUITE 101	NORTH PLATTE	NE	69101	ARCHITECT SERVICES	$840,876
CARDINAL HEALTH PHARMACY SERVICES LLC
21377 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY SERVICES	$633,563
BD CONSTRUCTION
209 E 6TH STREET PO BOX 726	KEARNEY	NE	68848	CONSTRUCTION	$272,949
UNMC PHYSICIANS
983135 NEBRASKA MEDICAL CENTER	OMAHA	NE	68198	LAB SERVICES	$220,285
CPSI
6600 WALL ST PO BOX 850309	MOBILE	AL	36695	MAINTENANCE SERVICES	$216,634

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Fundraising	$60,875	FundraisingAmt
Related Organizations	$67,146	RelatedOrganizationsAmt
Government Grants	$864,233	GovernmentGrantsAmt
All Other Contributions	$57,840	AllOtherContributionsAmt
Total Contributions	$1,050,094	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANCILLARY SERVICES	621110	$15,950,113	$15,950,113
PHARMACY & INTRAVENOUS THERAPY	621110	$4,922,396	$4,922,396
340B PHARMACY REVENUE	446110	$3,235,362	$3,235,362
PHYSICIAN CLINICS	621110	$3,056,678	$3,056,678
NURSING SERVICES	621110	$2,789,834	$2,789,834

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,307	TotalRevenueColumnAmt
Related Or Exempt Func Income	$120,307	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$30,074,690	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$271,122	TotalRevenueColumnAmt
Exclusion	$271,122	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$787,617	SecuritiesAmt
Other	$10,415	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$663,461	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$124,156	SecuritiesAmt
Other	$10,415	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$134,571	TotalRevenueColumnAmt
Exclusion	$134,571	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$65,992	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$60,875	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$40,052	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,940	TotalRevenueColumnAmt
Exclusion	$25,940	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$17,450	GamingGrossIncomeAmt
Gaming Direct Expenses	$8,624	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,826	TotalRevenueColumnAmt
Exclusion	$8,826	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$55,885	TotalRevenueColumnAmt
Exclusion	$55,885	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$55,885	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,621,128	TotalRevenueColumnAmt
Related Or Exempt Func Income	$30,074,690	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$496,344	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$458,631	TotalAmt
Management And General	$458,631	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$10,992,063	TotalAmt
Program Services	$10,234,034	ProgramServicesAmt
Management And General	$735,216	ManagementAndGeneralAmt
Fundraising	$22,813	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,328,934	TotalAmt
Program Services	$3,062,713	ProgramServicesAmt
Management And General	$266,221	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$770,102	TotalAmt
Program Services	$695,640	ProgramServicesAmt
Management And General	$74,462	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$86,983	TotalAmt
Management And General	$86,983	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$83,290	TotalAmt
Management And General	$83,290	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$37,703	TotalAmt
Management And General	$37,703	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,032,103	TotalAmt
Program Services	$2,928,107	ProgramServicesAmt
Management And General	$103,996	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,441	TotalAmt
Program Services	$4,441	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,584,436	TotalAmt
Program Services	$1,349,056	ProgramServicesAmt
Management And General	$230,528	ManagementAndGeneralAmt
Fundraising	$4,852	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$486,158	TotalAmt
Program Services	$438,056	ProgramServicesAmt
Management And General	$48,102	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$314,737	TotalAmt
Program Services	$282,885	ProgramServicesAmt
Management And General	$31,852	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$207,783	TotalAmt
Program Services	$183,312	ProgramServicesAmt
Management And General	$24,471	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$159,133	TotalAmt
Program Services	$135,803	ProgramServicesAmt
Management And General	$23,330	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,858,861	TotalAmt
Program Services	$1,586,342	ProgramServicesAmt
Management And General	$272,519	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$211,291	TotalAmt
Program Services	$180,315	ProgramServicesAmt
Management And General	$30,976	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$3,649,088	$3,649,088
BAD DEBT EXPENSE	$574,090	$574,090
DIETARY FOOD & SUPPLIES	$135,243	$135,243
DUES AND SUBSCRIPTIONS	$96,880	$18,516	$78,364

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,684	TotalAmt
Program Services	$27,712	ProgramServicesAmt
Management And General	$87,972	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,187,634	TotalAmt
Program Services	$25,485,353	ProgramServicesAmt
Management And General	$2,674,616	ManagementAndGeneralAmt
Fundraising	$27,665	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,821,934	BOYAmt
EOY	$4,478,275	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,875,696	BOYAmt
EOY	$19,779,958	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,066,822	BOYAmt
EOY	$2,698,402	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$24,316	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$224,659	BOYAmt
EOY	$260,999	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$400,244	BOYAmt
EOY	$375,011	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,250,507	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$18,995,675	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,609,297	BOYAmt
EOY	$17,254,832	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,215,934	BOYAmt
EOY	$3,270,278	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,206,854	BOYAmt
EOY	$1,824,626	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,421,440	BOYAmt
EOY	$49,966,697	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,217,569	BOYAmt
EOY	$2,626,241	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,758	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,179,267	BOYAmt
EOY	$4,498,843	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$2,655,400	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$242,147	BOYAmt
EOY	$9,184,260	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,643,741	BOYAmt
EOY	$18,964,744	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	$26,009,704	BOYAmt
EOY	$29,382,756	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,767,995	BOYAmt
EOY	$1,619,197	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,777,699	BOYAmt
EOY	$31,001,953	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$35,421,440	BOYAmt
EOY	$49,966,697	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,433,494	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$117,946	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$91,294	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,450	OtherActivitiesAmt
Total Lobbying Expenditures	$2,450	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	BRODSTONE MEMORIAL HOSPITAL PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE NEBRASKA 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	$1,535,156	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$16,648	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$44,846	GrantsOrScholarshipsAmt
Administrative Expenses	$29,800	AdministrativeExpensesAmt
End Year Balance	$1,443,862	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,718,248	BeginningYearBalanceAmt
Investment Earnings Or Losses	$68,028	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$221,036	GrantsOrScholarshipsAmt
Administrative Expenses	$30,084	AdministrativeExpensesAmt
End Year Balance	$1,535,156	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,745,868	BeginningYearBalanceAmt
Investment Earnings Or Losses	$96,344	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$93,784	GrantsOrScholarshipsAmt
Administrative Expenses	$30,180	AdministrativeExpensesAmt
End Year Balance	$1,718,248	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,675,710	BeginningYearBalanceAmt
Investment Earnings Or Losses	$150,828	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$51,354	GrantsOrScholarshipsAmt
Administrative Expenses	$29,316	AdministrativeExpensesAmt
End Year Balance	$1,745,868	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,773,531	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$46,451	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,136	GrantsOrScholarshipsAmt
Administrative Expenses	$35,234	AdministrativeExpensesAmt
End Year Balance	$1,675,710	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,890	OtherCostOrOtherBasisAmt
Book Value	$117,890	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,965,966	OtherCostOrOtherBasisAmt
Depreciation	$9,412,625	DepreciationAmt
Book Value	$13,553,341	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,830,906	OtherCostOrOtherBasisAmt
Depreciation	$9,274,207	DepreciationAmt
Book Value	$2,556,699	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,335,745	OtherCostOrOtherBasisAmt
Depreciation	$308,843	DepreciationAmt
Book Value	$1,026,902	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,254,832	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION LIABILITIES	$278,276
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,031,800
MEDICARE REIMBURSEMENT ADVANCE	$7,874,184

Field	Value	IRS element (for citing)
Total Liability	$9,184,260	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$29,688,752	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$117,946	NetUnrealizedGainsInvstAmt
Other Revenue	-$19,113	OtherRevenueAmt
Revenue Not Reported	-$137,059	RevenueNotReportedAmt
Revenue Subtotal	$29,825,811	RevenueSubtotalAmt
Other Revenues Not Included	$1,795,317	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,795,317	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$31,621,128	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$26,440,993	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$48,676	OtherExpensesIncludedAmt
Expenses Not Reported	$48,676	ExpensesNotReportedAmt
Expenses Subtotal	$26,392,317	ExpensesSubtotalAmt
Other Expenses Not Included	$1,795,317	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,795,317	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$28,187,634	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	INTEREST EARNINGS MAY BE USED FOR OPERATIONS, HOWEVER THE PRINCIPAL IS TO BE MAINTAINED AS A PERMANENT ENDOWMENT.
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE THE HOSPITAL TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT APRIL 30, 2020 AND 2019, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN TRUSTS -91,294. FUNDRAISING EXPENSES 48,676. ASSETS RELEASED FROM RESTRICTIONS 23,505.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS 574,090. 340B CONTRACTED SERVICES EXPENSE 1,193,562. FUNDRAISING EXPENSES INCLUDED IN NET OPERATING GAINS 27,665.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES 48,676.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS 574,090. 340B CONTRACTED SERVICES EXPENSE 1,193,562. FUNDRAISING EXPENSES INCLUDED IN NET OPERATING GAINS 27,665.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HARVEST MOON GALA	Event1Nm
Gross Receipts Event1	$121,833	GrossReceiptsEvent1Amt
Charitable Contri Event1	$57,794	CharitableContriEvent1Amt
Gross Revenue Event1	$64,039	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$7,243	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$7,365	FoodAndBeverageEvent1Amt
Entertainment Event1	$5,999	EntertainmentEvent1Amt
Other Direct Expenses Event1	$17,432	OtherDirectExpensesEvent1Amt
Event2	NELSON GOLF TOURNAMENT	Event2Nm
Gross Receipts Event2	$5,034	GrossReceiptsEvent2Amt
Charitable Contri Event2	$3,081	CharitableContriEvent2Amt
Gross Revenue Event2	$1,953	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,153	CashPrizesEvent2Amt
Non Cash Prizes Event2	$324	NonCashPrizesEvent2Amt
Food And Beverage Event2	$477	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$59	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$126,867	GrossReceiptsTotalAmt
Charitable Contributions Tot	$60,875	CharitableContributionsTotAmt
Gross Revenue Total Events	$65,992	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,153	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$324	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$7,243	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$7,842	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,999	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$17,491	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$40,052	DirectExpenseSummaryEventsAmt
Net Income Summary	$25,940	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$17,450	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$8,110	NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$514	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$17,450	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$8,110	NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$514	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$8,624	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$8,826	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NE	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	0.00000	GamingOwnFacilityPct
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	NORRISA FLORES	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	520 E 10TH	AddressLine1Txt
City	SUPERIOR	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68978	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	NORRISA FLORES	GamingManagerPersonNm
Gaming Manager Services Prov	SETTING UP CREDIT CARD PROCESSING, DEPOSITING CASH, PREPARING A REPORT OF INCOME AND EXPENSES.	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (1)	CharitableDistributionRqrInd
Distributed	$8,826	DistributedAmt

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$366,093	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$366,093	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,886,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,118,215	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$768,549	NetCommunityBenefitExpnsAmt
Total Expense	0.02780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,252,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,118,215	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,134,642	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	941	PersonsServedCnt
Total Community Benefit Expns	$382,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$372,454	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	411	PersonsServedCnt
Total Community Benefit Expns	$31,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,637	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	130	PersonsServedCnt
Total Community Benefit Expns	$12,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	1482	PersonsServedCnt
Total Community Benefit Expns	$427,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$403,551	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	1482	PersonsServedCnt
Total Community Benefit Expns	$2,679,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,141,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,538,193	NetCommunityBenefitExpnsAmt
Total Expense	0.05580	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,486	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$574,090	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,752,852	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,883,368	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$130,516	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	BRODSTONE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	520 E 10TH	AddressLine1Txt
City	SUPERIOR	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68978	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.BRODSTONEHOSPITAL.ORG	WebsiteAddressTxt
State License	570001	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	BRODSTONE MEMORIAL HOSPITAL	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
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.BRODSTONEHOSPITAL.ORG/PATIENTS-AND-VISITORS/COMMUNITY_HEALTH_NE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.BRODSTONEHOSPITAL.ORG/PATIENTS-AND-VISITORS/COMMUNITY_HEALTH_NE	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	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.BRODSTONEHOSPITAL.ORG/PATIENTS-AND-VISITORS/FINANCE-SERVICES/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BRODSTONEHOSPITAL.ORG/PATIENTS-AND-VISITORS/FINANCE-SERVICES/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BRODSTONEHOSPITAL.ORG/PATIENTS-AND-VISITORS/FINANCE-SERVICES/	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 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
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3J: THE REPORT INCLUDES A LIST OF MEASURES IN THE THREE YEAR PLAN (2018 THROUGH 2021) AND THE COMMUNITY HEALTH IMPROVEMENT PLAN (2018 THROUGH 2021) FIRST YEAR ENDED 4/30/2020. THE PLAN INCLUDES PERFORMANCE MEASURES ALONG WITH STRATEGIES AND ACTIVITIES FOR THE PRIORITY AREAS OF ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE MISUSE, OBESITY & RELATED HEALTH CONDITIONS, AND CANCER.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: INCLUDED IN THE REPORT ARE RESULTS FROM A PUBLIC HEALTH SURVEY THAT WAS MADE AVAILABLE OVER A 4 COUNTY AREA (WEBSTER, ADAMS, CLAY AND NUCKOLLS), FOLLOWED BY A BROAD SPECTRUM OF STAKEHOLDERS THAT PARTICIPATED IN FOCUS GROUPS AND CONTRIBUTED TO EACH ASSESSMENT, DATA REVIEW, PRIORITY SETTING, AND STRATEGY MEETINGS. ITEMS FOR DISCUSSION WERE GAPS IN SERVICES, WHERE COMMUNITY MEMBERS GO FOR HEALTHCARE, WHERE DO THEY GET THEIR HEALTH INFORMATION, THEIR BIGGEST HEATHCARE CONCERNS, AND WHAT HEALTHCARE SERVICES ARE USED (OR NOT USED) BY THE PEOPLE THEY KNOW. ALSO DISCUSSED WERE THE STRENGTHS OF LOCAL HEALTHCARE AND FUTURE DEMANDS.THIS WAS A COLLABORATION BETWEEN SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT, MARY LANNING HEALTHCARE IN HASTINGS, WEBSTER COUNTY HOSPITAL IN RED CLOUD, CLAY COUNTY HEALTH DEPARTMENT IN CLAY COUNTY AND BRODSTONE MEMORIAL HOSPITAL IN SUPERIOR. A REPORT FOR THE FIRST YEAR OF THE PLAN MAY BE FOUND ON THE WEBSITE BRODSTONEHOSPITAL.ORG.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: BRODSTONE'S CHNA WAS CONDUCTED WITH WEBSTER COUNTY COMMUNITY HOSPITAL AND MARY LANNING HEALTHCARE.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: BRODSTONE'S CHNA WAS CONDUCTED WITH SOUTH HEARTLAND DISTRICT HEALTH DEPARTMENT AND THE CLAY COUNTY HEALTH DEPARTMENT AS THAT COUNTY DOES NOT HAVE A HOSPITAL.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE STRATEGIES THAT WERE SCHEDULED FOR THIS YEAR ON OUR COMMUNITY HEALTH IMPROVEMENT PLAN THAT WERE ACCOMPLISHED ARE AS FOLLOWS:HEALTH PRIORITY GOAL #1: ACCESS TO CAREBRODSTONE MEMORIAL HOSPITAL TRANSITIONED TO A NEW PROVIDER FOR THE PATIENT PORTAL. WE CONTINUE TO ENHANCE THE SERVICE AND SIGN UP NEW SUBSCRIBERS. WE INTEND TO USE THE PORTAL FOR TEXT APPOINTMENT REMINDERS, BUT HAVE NOT DONE SO AT THIS TIME. CENTRALIZED SCHEDULING IS ALSO IN OUR FUTURE PLANS FOR BRODSTONE.UROLOGY, EXPANDED OPTIONS FOR MENTAL HEALTH AND MORE MENTAL HEALTH PROVIDER DAYS WERE ADDED THIS FY. WE CONTINUE TO WORK TO ADD OTHER SPECIALTIES AND ADDITIONAL DAYS FOR EXISTING SERVICES. WE CONTINUE TO WORK ON RECRUITING AN ADDITIONAL PROVIDER FOR OUR RURAL HEALTH CLINIC. THIS IS AN ONGOING PROCESS.WE HAVE NOT DEVELOPED A TRANSPORTATION PLAN FOR PATIENTS, HOWEVER WE DO PROVIDE TRANSPORTATION FOR THRIVE CENTER (MENTAL HEALTH) PATIENTS THAT HAVE NO OTHER MODE OF TRANSPORTATION FOR THEIR APPOINTMENTS.BRODSTONE HAS A DESIGNATED FINANCIAL COUNSELOR THAT WORKS WITH PATIENTS THROUGH OUR FINANCIAL ASSISTANCE PROGRAM FOR CHARITY CARE, BANK LOANS AND SELF-PAYMENT PLANS. A LIST OF CHARGES IS LOCATED ON OUR WEBSITE FOR ACCESS BY THE PUBLIC TO DETERMINE THE COST OF OUR SERVICES. A PATIENT LIABILITY ESTIMATOR IS AVAILABLE TO THE PUBLIC BY CALLING BRODSTONE'S FINANCIAL COUNSELOR. WE DO STILL PLAN TO DEVELOP A PATIENT ADVISORY TEAM; HOWEVER, WE DO NOT HAVE ONE AT THIS TIME. BECAUSE OF COVID-19, OUR HEALTH FAIR HAD TO BE POSTPONED IN THIS FY. A SPORTS MEDICINE PROGRAM HAS BEEN ESTABLISHED WITH THREE SCHOOLS, SUPERIOR PUBLIC SCHOOLS, SOUTH CENTRAL USD #5 IN NELSON AND SOUTH CENTRAL USD #5 IN SANDY CREEK. THE EMPLOYMENT OF A PHYSICAL THERAPY ASSISTANT, ALONG WITH EXISTING SPORTS MEDICINE PERSONNEL AIDED IN THIS PROJECT.THE EXPANSION OF THE BUSINESS WELLNESS PROGRAM IS ADDRESSED IN PRIORITY #4.HEALTH PRIORITY GOAL #2: MENTAL HEALTHBRODSTONE MEMORIAL HOSPITAL CONTRACTED WITH BOYS TOWN PSYCHIATRY TO BE A HUB FOR THEIR SERVICES IN FY20. BECAUSE OF THIS AGREEMENT, SERVICES ARE AVAILABLE TO AREA YOUTH, AGES 5 TO 18 YEARS, BOTH AT BRODSTONE SPECIALTY CLINIC AND SUPERIOR PUBLIC SCHOOLS. WHILE BRODSTONE HAS HAD MENTAL HEALTH SERVICES AVAILABLE VIA TELEHEALTH THROUGH THE UNIVERSITY OF NEBRASKA AT LINCOLN, THIS WAS ALSO MADE AVAILABLE AT SUPERIOR SCHOOLS THIS LAST FISCAL YEAR.BRODSTONE ALSO DEVELOPED A MENTAL HEALTH PROGRAM FOR SENIORS, AGE 55+, FOR BOTH GROUP AND INDIVIDUAL THERAPY. IN THE LAST FISCAL YEAR, THERE WERE 1,096 VISITS TO THE THRIVE CENTER.ERICA FERRELL, PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, INCREASED HER OFFICE DAYS AT BRODSTONE SPECIALTY CLINIC FROM TWICE A MONTH TO FIVE TIMES A MONTH, THUS INCREASING THE NUMBER OF APPOINTMENTS AVAILABLE TO PATIENTS. HEALTH PRIORITY GOAL #3: SUBSTANCE MISUSEWE CONTINUE TO DEVELOP BEST PRACTICE PROTOCOLS FOR LOW BACK PAIN, SEPSIS, OPIOID AND DIABETES. OUR GOAL IS TO REDUCE THE NUMBER OF OPIOID PRESCRIPTIONS BY 50 OVER THE THREE-YEAR PERIOD. WE DID NOT BEGIN TRACKING THE NUMBER OF PRESCRIPTIONS AT THE BEGINNING OF FY 19, WE DO NOT HAVE A BASELINE. WE ARE WORKING TO REPORT THESE NUMBERS ON NEXT YEAR'S REPORT. WE PLAN TO PARTNER WITH THE SCHOOL TO DEVELOP A DRUG EDUCATION PROGRAM, HOWEVER WE HAVE NOT DONE SO YET.HEALTH PRIORITY GOAL #4: OBESITY & RELATED HEALTH CONDITIONSBRODSTONE CONTINUES TO WORK ON CHRONIC CARE MANAGEMENT. OUR GOAL WAS TO HAVE A 5% INCREASE IN THE NUMBER OF PATIENTS SERVED. WE HAD A 14% DECREASE ON PATIENTS IN THE LAST FY.OUR GOAL WAS TO DECREASE OUR 30 DAY, ALL CAUSE, READMIT PERCENTAGE. AT THE END OF FY19 WE HAD A READMIT PERCENTAGE OF 12.4%, AND OUR RATE AT THE END OF FY20 WAS 8.5%.WE HAVE NOT FORMALIZED OUR TRANSITIONAL CARE PROGRAM. THIS IS STILL A WORK IN PROGRESS.OUR GOAL WAS TO INSTITUTE A TEAM BASED CARE PROGRAM WITH 80% ATTENDANCE OF ALL DEPARTMENTS INVOLVED. TOTAL STAFF ATTENDANCE WAS AT 97%.WE CONTINUE TO RECRUIT BUSINESSES FOR A BUSINESS HEALTH PROGRAM TO IMPROVE OUR CONTINUITY OF CARE BETWEEN LOCAL HEALTHCARE ORGANIZATIONS. AT THIS TIME OUR LAB IS PERFORMING THE DRUG SCREENINGS AND THERAPY FUNCTIONAL SCREENINGS FOR ONE BUSINESS. WELLNESS ACTIVITIES FOR THE COMMUNITY IN THE LAST FISCAL YEAR INCLUDED YOGA IN THE PARK, TWO WALK/RUN EVENTS, WALKING SCHOOL BUS AND GOLF COURSES WERE SUPPLIED WITH SUN SAFETY INFORMATION, SUN SCREEN AND BUG SPRAY. WE HAVE INCREASED THE AQUA THERAPY POOL USAGE FROM 208 VISITS IN FY19 TO 312 VISITS IN FY20, AN INCREASE OF 66%. OUR GOAL WAS 25%HEALTH PRIORITY GOAL #5: CANCEROUR OBJECTIVE WAS TO ACHIEVE ACO GOALS BY BEING MORE PROACTIVE WITH PATIENT WELLNESS VISITS AND SCREENINGS. A FAVORABLE OUTCOME WOULD BE A 10% INCREASE. IN FY 20 WE HAD A 32% INCREASE IN WELLNESS VISITS. WE WILL CONTINUE TO WORK ON INCREASING THE INDIVIDUAL SCREENINGS OF COLON, BREAST AND BMI.WE HAVE EDUCATED OUR STAFF FOR THE TOBACCO CESSATION PROGRAM AND WILL PROMOTE THE PROGRAM IN THE NEXT FISCAL YEAR. WE HAVE HAD A SETBACK DUE TO COVID-19. CHEMOTHERAPY INFUSION BECAME AVAILABLE AT BRODSTONE IN APRIL, 2020. WE HAD PLANNED TO HAVE THIS SERVICE AVAILABLE BY JANUARY 1, 2020, BUT HAD SOME SETBACKS DUE TO CONSTRUCTION. WE HAD A GOAL OF TREATING 3 TO 5 PATIENTS IN THE FIRST THREE MONTHS OF OPERATION, HOWEVER OUR FIRST PATIENT WAS JUST 2 WEEKS BEFORE THE END OF THE FY. WE SHOULD BE ABLE TO MEET THE GOAL OF 3 TO 5 PATIENTS IN THE FIRST QUARTER, HOWEVER THAT WILL BE REPORTED NEXT YEAR. WE WILL CONTINUE TO PROMOTE THIS SERVICE SO OUR PATIENTS DO NOT HAVE TO TRAVEL SO FAR FOR THERAPY.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF BRODSTONE MEMORIAL HOSPITAL.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: IN INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT THERE IS NO FINANCIAL APPLICATION FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION, FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN SITUATIONS BASED ON PRESUMPTIVE CIRCUMSTANCES. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH FINANCIAL ASSISTANCE. IN THE EVENT THERE IS NO EVIDENCE TO SUPPORT A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, BRODSTONE COULD USE OUTSIDE AGENCIES IN DETERMINING ESTIMATED INCOME AMOUNTS FOR THE BASIS OF DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY AND POTENTIAL DISCOUNT AMOUNTS. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED IN CERTAIN SITUATIONS, AND BASED ON THE APPROVAL OF BRODSTONE'S MANAGEMENT, ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:A) STATE-FUNDED PRESCRIPTION PROGRAMS;B) TRANSIENT, HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC, OR UNIDENTIFIED PERSONS;C) PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);D) FOOD STAMP ELIGIBILITY;E) ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN);F) CRIME VICTIMS BILLED CHARGES AFTER STATE OR FEDERAL FUNDS HAVE PAID OR ARE EXHAUSTED;G) LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS;H) PATIENT IS DECEASED WITH NO KNOWN ESTATE OR RESPONSIBLE PARTY; ANDI) PERSONS WHO INCOME IS AT OR BELOW 100% OF THE CURRENT POVERTY LEVEL.
BRODSTONE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 15E: PATIENTS MAY APPLY FOR ASSISTANCE BY CALLING BRODSTONE MEMORIAL HOSPITAL AT 402-879-4432 EXT. 5110 AND REQUESTING A FINANCIAL ASSISTANCE APPLICATION; OR BY REQUESTING AN APPLICATION IN PERSON FROM REGISTRATION OR THE BUSINESS OFFICE. AN APPLICATION MAY BE DOWNLOADED FROM THE HOSPITAL'S WEBSITE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SUPERIOR FAMILY MEDICAL CENTER
525 E 11TH ST	SUPERIOR	NE	68978	RURAL HEALTH CLINIC
2 - NELSON FAMILY MEDICAL CENTER
76 W 8TH ST	NELSON	NE	68961	RURAL HEALTH CLINIC
3 - EDGAR MEDICAL CLINIC
315 N C ST	EDGAR	NE	68935	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	NOT APPLICABLE: FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
PART I, LINE 6A:	BRODSTONE'S COMMUNITY BENEFIT REPORT IS NOT PREPARED BY A RELATED ORGANIZATION.
PART I, LINE 7:	THE COST TO CHARGE RATIO AS FOLLOWS WAS USED TO DETERMINE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST: (TOTAL EXPENSES - BAD DEBT) / GROSS PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGE. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST BASED ON BRODSTONE'S INTERNAL ACCOUNTING RECORDS.
PART I, LINE 7G:	THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC INCLUDED ON LINE 7G.
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 $ 574,090.
PART II, COMMUNITY BUILDING ACTIVITIES:	BRODSTONE HAS MANY ACTIVITIES TO PROMOTE HEALTH IN THE COMMUNITIES SERVED. THESE ACTIVITIES INCLUDE: SPONSOR OF HEALTH FAIR, SUPPORT GROUPS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.
PART III, LINE 2:	IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR THOSE ACCOUNTS OVER A CERTAIN AGE BASED ON DISCHARGE THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3:	IN ACCORDANCE WITH ITS MISSION OBJECTIVES, THE HOSPITAL PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES TO PAY FOR THE SERVICES THEY RECEIVE. INCLUDED IN THE PROVISION FOR CONTRACTUAL ALLOWANCES IS THE VALUE (AT STANDARD CHARGES) OF THESE SERVICES TO PATIENTS WHO ARE UNABLE TO PAY, THAT IS ELIMINATED FROM NET PATIENT SERVICE REVENUES WHEN IT IS DETERMINED THEY QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ESTIMATED COST INCURRED BY THE HOSPITAL TO PROVIDE THESE SERVICES TO PATIENTS WHO ARE UNABLE TO PAY WAS APPROXIMATELY $251,000 AND $242,000 FOR THE YEARS ENDED APRIL 30, 2020 AND 2019, RESPECTIVELY. THE ESTIMATED COST OF THESE CHARITY CARE SERVICES WAS DETERMINED USING A RATIO OF COSTS TO GROSS CHARGES AND APPLYING THAT RATIO TO THE GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS FOR THE PERIOD. GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS INCLUDES ONLY THE RELATED CHARGES FOR THOSE PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY AND QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY AND THAT DO NOT OTHERWISE QUALIFY FOR REIMBURSEMENT FROM A GOVERNMENTAL PROGRAM. DURING THE YEARS ENDED APRIL 30, 2020 AND 2019, THE HOSPITAL RECEIVED NO FUNDS TO HELP DEFRAY THE COSTS OF INDIGENT CARE.
PART III, LINE 4:	THE HOSPITAL'S FINANCIAL STATMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, PAGES 8 AND 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT RECEIVABLES, NET", "NET PATIENT SERVICE REVENUE AND "CHARITY CARE".
PART III, LINE 8:	"MEDICARE ALLOWABLE COSTS OF CARE" WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT D, E, H & M WORKSHEETS, OR PS&R. THESE COSTS ARE MEDICARE REIMBURSABLE COSTS, NOT ALL COSTS. NO MEDICARE SHORTFALL IS TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENTS WHO QUALIFY FOR MEDICAID WILL AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE AND MAY QUALIFY FOR MORE IF THEY COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THESE PATIENTS WILL NOT BE SENT TO COLLECTIONS IF THEY PAY THE AMOUNT FOR WHICH THEY QUALIFY.BRODSTONE'S POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM THE HOSPITAL AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH THE HOSPITAL. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR BILLS, BRODSTONE MAY OFFER EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS, WILL NOT IMPOSE WAGE GARNISHMENTS OR LIENS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES AND WILL CEASE ALL COLLECTION EFFORTS.
PART VI, LINE 2:	BRODSTONE ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH A SURVEY. THE BUDGETING PROCESS PUBLISHES SUGGESTIONS AND STRATEGIC PLANNING. HOSPITAL STAFF ALSO NETWORKS WITH OTHER HEALTH CARE ORGANIZATIONS TO DEVELOP IDEAS OF WHAT CAN BE DONE TO IMPROVE THE AVAILABILITY OF SERVICES IN THE COMMUNITY.
PART VI, LINE 3:	BRODSTONE HAS A BROCHURE CALLED CHARITY POLICY THAT ADDRESSESS THE FINANCIAL ASSISTANCE AVAILABILITY. IT IS POSTED AT THE ADMISSIONS AREAS AND EMERGENCY ROOM. THE CHARITY POLICY IS DISCUSSED WHEN MAKING PAYMENT ARRANGEMENTS. THIS POLICY IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4:	SUPERIOR HAS A POPULATION OF 1,828 AND IS LOCATED ON THE NEBRASKA-KANSAS BORDER. BRODSTONE'S SERVICE AREA COVERS ALL OF NUCKOLLS COUNTY AND PARTS OF 2 OTHER COUNTIES IN NEBRASKA AND 3 COUNTIES IN KANSAS. THE MEDIAN HOUSEHOLD INCOME FOR NUCKOLLS COUNTY IS $42,055 COMPARED TO THE U.S. AVERAGE AT $61,937 AND THE NEBRASKA AVERAGE OF $59,566. THE AREA POPULATION IS PREDOMINATELY WHITE ELDERLY AND LOW INCOME. 48.3% OF THE HOSPITAL'S PATIENTS ARE MEDICARE PATIENTS.
PART VI, LINE 5:	BRODSTONE'S GOVERNING BODY CONSISTS OF FEMALES WITH NO IMMEDIATE FAMILY TIES TO ANY EMPLOYEE NOR ARE THEY CONTRACTORS OF THE ORGANIZATION. ALL BOARD MEMBERS HAVE SUPERIOR NEBRASKA ADDRESSES BUT 2 MEMBERS LIVE IN JEWELL COUNTY, KANSAS. ALL FAMILY PRACTICE PHYSIANS AND MIDLEVELS IN THE AREA WHO HAVE REQUESTED MEDICAL STAFF PRIVILEGES AND MEET THE REQUIREMENTS HAVE PRIVILEGES AT THE HOSPITAL. ONE DENTIST HAS COURTESY PRIVELEGES. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE USED TO FUND THE BUDGET FOR THE COMING YEARS OR SET ASIDE FOR FUTURE PROJECTS.
PART VI, LINE 6:	BRODSTONE MEMORIAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7:	BRODSTONE DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	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
TIMOTHY BLECHA MD
PHYSICIAN	$336,966	$0	$110,364	$0	$1,341	$0	$8,250	$0	$28,625	$0	$485,546	$0	$0	$0
JULIE THEIS MD
PHYSICIAN	$304,466	$0	$45,165	$0	$254	$0	$8,104	$0	$37,386	$0	$395,375	$0	$0	$0
TREG VYZOUREK
CEO	$224,038	$0	$5,000	$0	$308	$0	$2,615	$0	$34,839	$0	$266,800	$0	$0	$0
MATTHEW GATLIN PA-C
PHYSICIAN ASSISTANT	$201,596	$0	$26,496	$0	$108	$0	$6,245	$0	$33,554	$0	$267,999	$0	$0	$0
ROBERT LEIBEL MD
PHYSICIAN	$211,463	$0	$0	$0	$990	$0	$6,591	$0	$36,452	$0	$255,496	$0	$0	$0
JASON HASS PA-C
PHYSICIAN ASSISTANT	$185,038	$0	$0	$0	$153	$0	$5,870	$0	$38,076	$0	$229,137	$0	$0	$0
SANDRA BORDEN
CFO	$158,322	$0	$0	$0	$899	$0	$4,941	$0	$27,669	$0	$191,831	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 5	FormAndLineReferenceDesc
Explanation	IN ACCORDANCE WITH RELATED EMPLOYMENT CONTRACTS, ADDITIONAL COMPENSATION IS PAID BASED ON REVENUES GENERATED BY EACH MEDICAL PROVIDER, AS DEFINED. THESE ADDITIONAL AMOUNTS HAVE BEEN LISTED AS INCENTIVE COMPENSATION IN PART II OF THIS SCHEDULE.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE CITY OF SUPERIOR NEBRASKA
A	476006376	2013-05-22	$4,000,000	REFUND ISSUES (9/9/03, 9/10/09, 9/10/09)	0	0	0
THE COUNTY OF NUCKOLLS NEBRASKA
B	476006492	2013-05-22	$4,000,000	REFUND ISSUES (9/9/03, 9/10/09, 9/10/09)	0	0	0
CITY OF SUPERIOR NEBRASKA
C	476006376	2019-12-12	$10,000,000	CONSTRUCT AND EQUIP FACILITY	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$1,614,849	$4,000,000	$4,000,000	2010	Yes (1)	Yes (1)	Yes (1)
B	$1,614,849	$4,000,000	$4,000,000	2010	Yes (1)	Yes (1)	Yes (1)
C		$50,001			0	0	Yes (1)	$50,001

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	0	Yes (1)
B	0	Yes (1)	Yes (1)	0	Yes (1)
C	Yes (1)	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2C:	FormAndLineReferenceDesc
Explanation	(A) ISSUER NAME: CITY OF SUPERIOR, NEBRASKA DATE THE REBATE COMPUTATION WAS PERFORMED: 08/07/2020 (B) ISSUER NAME: THE COUNTY OF NUCKOLLS, NEBRASKA DATE THE REBATE COMPUTATION WAS PERFORMED: 08/07/2020 NOTE REGARDING THE 8/7/2020 REBATE COMPUTATIONS: SINCE THE BOND PROCEEDS WERE SPENT ON THE ISSUE DATE, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART II, LINE 3, COLUMN C - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL AVAILABLE HAS NOT YET BEEN DRAWN.	ExplanationTxt

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	BEN VYZOUREK	PersonNm
Relationship With Org	BEN IS THE SON OF THE CEO, TREG VYZOUREK.	RelationshipWithOrgTxt
Cash Grant	$1,000	CashGrantAmt
Type Of Assistance	CASH GRANT	TypeOfAssistanceTxt
Assistance Purpose	HEALTH CAREER EDUCATION	AssistancePurposeTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS JUDY GROVE AND JACKI PORTER HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. BEFORE IT IS FILED, IT IS GIVEN A DETAILED REVIEW BY MANAGEMENT AND THEN A GENERAL REVIEW BY THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING. A FINAL COPY OF THE FORM 990 WILL BE ELECTRONICALLY FILED AFTER APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST WOULD REFRAIN FROM DISCUSSION AND VOTING ON THOSE MATTERS. THERE IS AN ANNUAL BOARD MEMBER TRAINING THAT COVERS THIS POLICY. ADDITIONALLY, ALL BOARD MEMBERS ARE WELL ACQUAINTED WITH EACH OTHER SO IF THERE WAS A CONFLICT OF INTEREST AND THE BOARD MEMBER DID NOT DISCLOSE, THE OTHER BOARD MEMBERS WOULD BRING IT TO THE BOARD'S ATTENTION.
FORM 990, PART VI, SECTION B, LINE 15	THE HUMAN RESOURCE DIRECTOR PREPARES A SALARY SURVEY ANNUALLY FOR ALL JOBS DESCRIPTIONS WITH HOSPITALS OF SIMILAR SIZE AND REVENUES. THE BOARD OF DIRECTORS REVIEWS THE SURVEY AND PRIOR SALARY INCREASES FOR THE CEO BEFORE GRANTING PAY INCREASES. THE HUMAN RESOURCE DIRECTOR AND CFO MAKE RECOMMENDATIONS TO THE CEO FOR OTHER EMPLOYEES. THE CEO REVIEWS THE SURVEY, PRIOR SALARY INCREASES, AND RECOMMENDATIONS BEFORE APPROVING PAY INCREASES FOR EMPLOYEES. THE PAY INCREASES ARE APPROVED BY THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, BUT FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PHARMACY: PROGRAM SERVICE EXPENSES 1,827,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,827,125. ANESTHESIA: PROGRAM SERVICE EXPENSES 416,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 416,642. LABORATORY: PROGRAM SERVICE EXPENSES 150,654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,654. NUCLEAR MEDICINE: PROGRAM SERVICE EXPENSES 105,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,832. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 427,854. MANAGEMENT AND GENERAL EXPENSES 103,996. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,850.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST IN TRUSTS -91,294.
FORM 990, PART XII, LINE 2C:	THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED 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	PNC VESTEY TRUST UA UNB & NORTHERN CO SUCC BENEFIT BRODSTONE MEM HOSP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	116 ALLEGHENY CENTER MALL	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15212	ZIPCd

Field	Value	IRS element (for citing)
EIN	226023351	EIN
Primary Activities	ASSISTING IN THE OPERATIONS OF BRODSTONE MEMORIAL HOSPITAL	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Exempt Code Section	4947(A)(1)	ExemptCodeSectionTxt
Public Charity Status	PF	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BRODSTONE MEMORIAL HOSPITAL	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	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	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	PNC VESTEY TRUST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$67,146	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt