2021-05-10T09:03:35-05:00 2020-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2019-10-01 470379834 BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC % CHAD JURGENS CFO BEAT 4022283344 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 CHAD JURGENS CFO 4022283344 2021-08-15 true Michael J Engle P00482834 8162216300 2019 2022-09-23 18:48:47Z CHAD JURGENS 4800 HOSPITAL PARKWAY PO BO BEATRICE NE 68310 87691786 false X WWW.BEATRICECOMMUNITYHOSPITAL.COM X 1968 NE BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. 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FOR 2019, THE AHA AND NHA HAVE ESTIMATED THAT 22.73% AND 10.33%, RESPECTIVELY, OF MEMBERSHIP DUES WILL BE USED FOR LOBBYING ACTIVITIES. 1939511 142161 2081672 1822622 13000 103889 1939511 1709126 32902 123189 42595 1822622 1574610 24945 149807 40236 1709126 1450952 30600 132222 39164 1574610 0.81000 0.15000 0.04000 false true true 33750 880362 914112 27449363 11436432 16012931 50871770 36243926 14627844 5100371 2463546 2636825 34191712 0 DUE TO THIRD-PARTY PAYERS 11016667 11016667 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD BY BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A SUPPORTING ORGANIZATION OF BEATRICE COMMUNITY HOSPITAL HEALTH CENTER. THESE FUNDS ARE BEING HELD TO PROVIDE HEALTH PROFESSIONAL SCHOLARSHIPS AND SUPPORT THE BEATRICE COMMUNITY HOSPITAL PROGRAM, CAPITAL IMPROVEMENTS AND SPIRITUAL LIFE. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X true X true true true false true true 2880753 2880753 0.03450 9341831 6144494 3197337 0.03830 12222584 6144494 6078090 0.07280 237340 237340 0.00280 880556 880556 0.01050 1117896 1117896 0.01330 13340480 6144494 7195986 0.08610 true 1292659 24518624 28161100 -3642476 X true true 1 1 BEATRICE COMMUNITY HOSPITAL AND HEALT 4800 HOSPITAL PARKWAY BEATRICE NE 68310 SEE PART V, PAGE 8 H000119 X X X X BEATRICE COMMUNITY HOSPITAL AND HEALT 1 false false true X X X X X X X X 20 true false false true X SEE PART V, PAGE 8 X true 20 true SEE PART V, PAGE 8 false true X 150. 300. X X X X X true true X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY FOCUS GROUPS TWO ONE-HOUR FOCUS GROUPS WERE CONDUCTED WITH RESIDENTS OF GAGE COUNTY ON FEBRUARY 22, 2017 AT THE BEATRICE PUBLIC LIBRARY. EACH FOCUS GROUP CONTAINED BETWEEN 9 AND 12 PEOPLE. FOCUS GROUP PARTICIPANTS WERE SELECTED BASED UPON THEIR PROFESSIONAL/CIVIC ROLE IN THE COMMUNITY, AND WERE ASKED TO PROVIDE INPUT BOTH FROM THEIR PERSPECTIVE AS A PRIVATE CITIZEN IN THE COMMUNITY, AND FROM THEIR PROFESSIONAL/CIVIC ROLE IN THE COMMUNITY. THE FOLLOWING LIST PROVIDES THE LIST OF ORGANIZATIONS FROM WHICH INPUT WAS RECEIVED: - BEATRICE CITY COUNCIL - BEATRICE PRESBYTERIAN CHURCH - BEATRICE PUBLIC SCHOOLS - BEATRICE MINISTERIAL ASSOCIATION - BEATRICE SALVATION ARMY - BLUE RIVERS AREA AGENCY ON AGING - BLUE VALLEY COMMUNITY ACTION PARTNERSHIP - COMMUNITY PANTRY AND EMERGENCY SERVICES - DILLER-ODELL PUBLIC SCHOOLS - GAGE COUNTY BOARD OF SUPERVISORS - GAGE COUNTY ECONOMIC DEVELOPMENT - GAGE COUNTY SHERRIFF'S DEPARTMENT - GAGE COUNTY VETERANS SERVICE OFFICE - NEW BEGINNINGS HEALTH CENTER, LLC. - PUBLIC HEALTH SOLUTIONS - MOSAIC THE FOCUS GROUPS WERE CONDUCTED BY CONSULTANTS FROM GE HEALTHCARE CAMDEN GROUP (GEHC CAMDEN GROUP) A HEALTHCARE CONSULTING FIRM THAT IS COMPLETING THIS CHNA ON BEHALF OF THE HOSPITAL. NO MEMBERS OF THE HOSPITAL STAFF OR ADMINISTRATION WERE PRESENT DURING THE FOCUS GROUPS TO PROMOTE THE WILLINGNESS OF PARTICIPANTS TO SHARE INFORMATION ABOUT THE HOSPITAL SPECIFICALLY. FOCUS GROUP PARTICIPANTS WERE ASKED TO RESPOND TO THE FOLLOWING QUESTIONS. HOWEVER, QUESTION 5 WAS NOT ASKED DUE TO TIME LIMITATIONS AND THE EXTENT OF DISCUSSION OCCURRING AROUND THE FIRST FOUR QUESTIONS. 1. WHAT DO YOU FEEL ARE THE 3 MOST PRESSING HEALTH ISSUES IMPACTING YOUR COMMUNITY MEMBERS TODAY? A. WHAT DO YOU BELIEVE ARE THE PRIMARY SOCIO-ECONOMIC ISSUES AFFECTING THESE HEALTH ISSUES(E.G., LITERACY, HOMELESSNESS, INCOME, TRANSPORTATION) 2. WHAT DO YOU FEEL ARE THE BIGGEST GAPS IN HEALTHCARE IN THE COMMUNITY TODAY? 3. HOW WOULD YOU DESCRIBE THE ACCESS TO HEALTHCARE SERVICES (I.E., PHYSICIANS, SPECIALTY SERVICES, MENTAL HEALTH SERVICES, LABS, IMAGING, ETC.) IN YOUR COMMUNITTY? A. WHAT DO YOU SEE AS MAJOR BARRIERS TO ACCESSING HEALTHCARE SERVICES IN THE COMMUNITY (I.E., TRANSPORTATION, HEALTH LITERACY, LIMITED PROVIDER RESOURCES OR PRACTICE OFFICE HOURS, LIMITED PROVIDER FOLLOW-UP AND COMMUNICATION, ETC.)? B. IN LIGHT OF WHAT YOU HAVE MENTIONED, WHAT ARE SOME WAYS YOU FEEL ACCESS TO HEALTHCARE COULD BE EXPANDED (I.E., TELEHEALTH AND E- HEALTH OPTIONS, PATIENT PORTAL/DIRECT LINE OF COMMUNICATION WITH DOCTOR'S OFFICE, HOME-BASED CARE, URGENT CARE/AFTER-HOURS URGENT CARE)? 4. WHAT ROLE DO YOU ENVISION BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER PLAYING IN ADDRESSING THE HEALTHCARE NEEDS YOU'VE IDENTIFIED, OR IN WORKING WITH OTHER COMMUNITY ORGANIZATIONS TO ACHIEVE YOUR VISION FOR A HEALTHY COMMUNITY? 5. WHAT DOES YOUR VISION FOR A HEALTHY COMMUNITY LOOK LIKE? WHAT IS THE ONE THING THAT MIGHT MAKE THE BIGGEST DIFFERENCE IN GETTING THERE? SCHEDULE H, PART V, SECTION B, LINE 7A https://beatricecommunityhospital.com/communityhealthneedsassessment SCHEDULE H, PART V, SECTION B, LINE 11 GOAL 1: EXPAND THE ACCESS AND AVAILABILITY OF HEALTHCARE SERVICES TO RESIDENTS OF GAGE COUNTY, WITH CONSIDERATION TO PATIENT AFFORDABILITY, CONVENIENCE AND QUALITY. a. The COVID-19 pandemic provided unique challenges during the past fiscal year. BCH re-focused to provide a COVID-Unit to keep patients in our critical access hospital rather than transferring out-of-town to other facilities. BCH provided internal COVID-19 testing; was able to offer breathing treatments including ventilators; was able to access and offer antibody infusion treatments as well as convalescent plasma; and was able to keep approximately 80 patients in our hospital close to home rather than having to transfer them to other hospitals. b. Expanded telehealth within the constraints of telehealth guidelines for critical access hospitals and rural health clinics GOAL 2: ELEVATE THE COMMUNITY'S AWARENESS AND UTILIZATION OF PREVENTATIVE HEALTHCARE SERVICES (I.E. ANNUAL PHYSICAL, IMMUNIZATIONS, SCREENINGS). a. Added case managers and social workers to assist physicians with reviewing patient health needs to create strong physician-patient relationships and better ensure follow-up with annual physicals, immunizations and screenings. b. Grew social media awareness messaging of preventative healthcare services. c. Expanded overall community messaging across all communication channels of hospital service availability for primary care, immunizations and screenings close to home. d. COVID presented challenges for patients to come to hospital and clinic buildings. Messaging was designed to promote telehealth when appropriate and keep patients aware that services were being offered and should not be delayed. GOAL 3: EXPAND THE RESOURCES AND SERVICES AVAILABLE TO SUPPORT THE HEALTH NEEDS OF COMMUNITY MEMBERS SUFFERING FROM MENTAL ILLNESS (INCLUDING SUICIDE, DEPRESSION, DRUGS/SUBSTANCE ABUSE AND/OR ADDITIONS). a. Expanded BCH Behavioral Health Program by adding a third full-time clinical psychologist. In addition to patient care, the Behavioral health Services Team continues to provide community education and to collaborate with schools and other agencies. b. Continue to offer mental health triage services via telehealth in the Emergency Department. c. Expanded messaging via a variety of channels to keep the community aware that services were available if they needed care. SCHEDULE H, PART V, SECTION B, LINE 13H OTHER PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE: - MEDICAID PATIENTS ARE CONSIDERED PRE-ENROLLED FOR FINANCIAL ASSISTANCE. HOWEVER, A COMPLETED APPLICATION IS REQUIRED FOR DETERMINATION OF POSSIBLE COPAYMENTS; - PATIENTS INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE PROGRAM ETC. TO QUALIFY FOR ASSISTANCE, ELIGIBLE PATIENTS MUST COMPLETE AN APPLICATION BY THE LATER OF THE 240TH DAY AFTER THE FIRST POST DISCHARGE BILLING STATEMENT IS PROVIDED TO THE PATIENT OR NOT LESS THAN 30 DAYS AFTER THE DATE THE HOSPITAL PROVIDES THE PATIENT THE REQUIRED FINAL NOTICE TO COMMENCE EXTRAORDINARY COLLECTION ACTIONS. SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: http://www.beatricecommunityhospital.com/communityhealthneedsassessment SCHEDULE H, PART V, SECTION B, LINE 16A FAP Website: http://www.beatricecommunityhospital.com/financialassistancepolicy SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE: http://www.beatricecommunityhospital.com/financialassistanceapplication SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE: http://www.beatricecommunityhospital.com/financialassistanceplainlanguage SCHEDULE H, PART V, SECTION B, LINE 16J OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY INCLUDE: - THE POLICY WILL BE INCLUDED WITH INFORMATION IN OR ON THE BILLING STATEMENTS; - THE POLICY INFORMATION WILL BE DISTRIBUTED AT THE PATIENT ACCESS POINTS; - THE POLICY WILL BE PRESENTED TO THE PATIENT AS THEY PRESENT FOR MEDICAL SERVICES, INCLUDING ADMISSION; - THE POLICY WILL BE DISTRIBUTED IN INFORMATION WITH DISCHARGE MATERIALS; - THE POLICY WILL BE MENTIONED WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE. 5 THE BEATRICE WOMEN'S AND CHILDREN CLINIC 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC WYMORE MEDICAL CLINIC 116 EAST H STREET WYMORE NE 68318 OUTPATIENT PHYSICIAN CLINIC GAGE COUNTY MEDICAL CLINIC 1101 N 10TH STREET BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC BEATRICE MEDICAL CENTER 805 W COURT STREET BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC BEATRICE INTERNAL MEDICINE 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 3C OTHER THAN THE FPG, THE HOSPITAL USED ASSET LEVEL TEST, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, MEDICAID STATUS, AND GOVERMENT HEALTHCARE PROGRAM STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST AS DERIVED FROM BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER'S INTERNAL ACCOUNTING RECORDS. SCHEDULE H, PART I, LINE 7G AS THERE ARE NO SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G, THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON LINE 7G. SCHEDULE H, PART I, LINE 7 COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,292,659. SCHEDULE H, PART II NOT APPLICABLE OUR MOST SIGNIFICANT "COMMUNITY BENEFIT" ACTIVITIES WOULD INCLUDE: 1.READY, SET, GO! BACK-TO-SCHOOL PROGRAM. BCHHC PARTNERS WITH THE BEATRICE SALVATION ARMY TO PROVIDE A VARIETY OF FREE SERVICES AND ITEMS TO MEET THE BACK-TO-SCHOOL NEEDS OF LOW-INCOME GAGE COUNTY RESIDENTS. DURING THIS EVENT, FAMILIES CAN RECEIVE FREE SCHOOL PHYSICALS, A PACKAGE OF PERSONAL CARE ITEMS LIKE A TOOTHBRUSH AND TOOTHPASTE, AND A BACKPACK WITH SCHOOL SUPPLIES. IN ADDITION, THERE ARE EDUCATIONAL BOOTHS ON NUTRITION AND DIABETES AS WELL AS INFORMATIONAL BOOTHS BY ORGANIZATIONS SUCH AS BOY SCOUTS AND GIRL SCOUTS. 2. JOB SHADOWING. BCHHC OFFERS AN EXTENSIVE JOB SHADOWING PROGRAM THAT ALLOWS UPPER HIGH SCHOOL AND COLLEGE-AGED STUDENTS TO SHADOW PHYSICIANS AND CLINICAL STAFF IN ANY DEPARTMENT FOR A FIRST-HAND LOOK AT HEALTH-RELATED CAREERS. 3. PEOPLE CARING FOR PEOPLE. PEOPLE CARING FOR PEOPLE IS A FREE HOSPITAL SERVICE THAT SENDS A REGISTERED NURSE TO THE HOMES OF ALL NEWBORNS IN THE COUNTY TO ENSURE THAT NEWBORNS ARE THRIVING IN THE HOME AND PARENTS CAN ASK QUESTIONS AND LEARN ABOUT RESOURCES IN THE COMMUNITY. SCHEDULE H, PART III, LINE 2 In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. SCHEDULE H, PART III, LINE 4 PAGES 9 AND 11 OF THE ATTACHED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT ACCOUNT RECEIVABLE"NET PATIENT SERVICE REVENUE." SCHEDULE H, PART III, LINE 8 "MEDICARE ALLOWABLE COSTS OF CARE" WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT, D, E, H AND M WORKSHEETS, OR PS&R. SCHEDULE H, PART III, SECTION C, LINE 9B CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. THE COLLECTIONS - CHARITY WRITE-OFF POLICY PROVIDES THAT ONCE THE RESPONSIBLE PARTY HAS BEEN DETERMINED TO BE ELIGIBLE FOR PATIENT FINANCIAL ASSISTANCE, A LETTER TO THE RESPONSIBLE PARTY WILL BE SENT INDICATING THE FREE CARE AMOUNT AND THE REMAINING BALANCE DUE. THE BALANCE DUE MAY BE PAID BY INSTALLMENT PAYMENTS USING THE GUIDELINES OF THE HOSPITAL POLICY ON COLLECTIONS OF PRIVATE PAY ACCOUNTS. SCHEDULE H, PART VI, LINE 2 THE DEMAND ANALYSIS PERFORMED BEGINS WITH THE ASSUMPTION THE HISTORICAL TRENDS WILL BE CONTINUED BUT AUGMENTED BY INCREASED GROWTH IN INPATIENT AND OUTPATIENT SERVICES. THE FOLLOWING ARE ELEMENTS OF PLANNING USED BY MANAGEMENT IN FORMULATING THE DEMAND FOR HOSPITAL SERVICES: - MARKET ASSESSMENT OF OTHER HEALTHCARE PROVIDERS WITHIN THE SERVICE AREA - HISTORIC AND FORECASTED INPATIENT AND OUTPATIENT UTILIZATION WITH THE SERVICE AREA - MARKET SHARE BY SERVICE AND HOSPITAL USE RATES - SERVICE AREA USE RATES- HOSPITAL'S MEDICAL STAFF SCHEDULE H, PART VI, LINE 3 CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF-PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. SCHEDULE H, PART VI, LINE 4 BEATRICE, NE IS LOCATED IN GAGE COUNTY IN THE SOUTHEASTERN PART OF NEBRASKA. BEATRICE IS LOCATED 40 MILES SOUTH OF LINCOLN, NE. THE CLOSEST HOSPITAL FACILITY IS 32 MILES WEST. THE MAIN COMPETITION IS FROM TWO LINCOLN, NE HOSPITALS. THE PRIMARY SERVICE AREA (PSA) HAS BEEN DEFINED AS BEATRICE (ZIP CODE 68310) COUNTY AND HAS AN AGING POPULATION THAT UTILIZES HOSPITAL HEALTH SERVICES. THE AGE GROUP OF 65 AND OVER COMPRISES 20% OF THE TOTAL POPULATION OF THE PSA FOR THE HOSPITAL IN 2008 AND THAT AGE DEMOGRAPHIC IS PROJECTED TO INCREASE TO 21% IN THE NEXT TEN YEARS. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL SPONSORS AN ANNUAL HEALTH AND WELLNESS FAIR EVERY SPRING WITH FREE OR REDUCED COST SCREENINGS AND A VARIETY OF EDUCATIONAL BOOTHS BY HOSPITAL DEPARTMENTS AND COMMUNITY PARTNERS. DIABETES EDUCATORS PROVIDE FREE SCREENINGS AND EDUCATION DURING A DIABETES HEALTH EVENT FOR THE COMMUNITY HELD EVERY NOVEMBER. IN ADDITION, THE DIABETES EDUCATORS OFFER A MONTHLY OPEN HOUSE FOR ANYONE FROM THE PUBLIC SEEKING DIABETES INFORMATION. FREE ONGOING EDUCATIONAL PROGRAMS ON HEALTH TOPICS, KNOWN AS HEALTHY CONNECTIONS, ARE HELD THROUGHOUT THE YEAR FEATURING TOPICS SUCH AS DIABETES, NUTRITION, HEART DISEASE AND MEDICARE. A BREAST CANCER EDUCATION AND FELLOWSHIP EVENT IS HELD EVERY OCTOBER. IN ADDITION, THE HOSPITAL PARTICIPATES IN THE ANNUAL AMERICAN CANCER SOCIETY RELAY FOR LIFE EVENT BY SERVING A FREE MEAL TO ALL PARTICIPATING CANCER SURVIVORS TO KICK OFF THE RELAY EVENT. PEOPLE CARING FOR PEOPLE PROVIDES IN-HOME ASSESSMENTS AND EDUCATIONAL RESOURCES TO EACH FAMILY WITH A NEWBORN WHO RESIDES IN GAGE COUNTY. THE HOME VISITATION PROGRAM PROMOTES POSITIVE PARENTING SKILLS. A PARTNERSHIP OF BEATRICE COMMUNITY HOSPITAL, THE SALVATION ARMY AND THE BEATRICE COMMUNITY HOSPITAL FOUNDATION, ALONG WITH SERVICE ORGANIZATION DONATIONS, SPONSOR READY, SET, GO!, AN ANNUAL BACK-TO-SCHOOL PROGRAM. SOME OF THE ITEMS GIVEN AWAY INCLUDE: A BOOK BAG, SCHOOL SUPPLIES, SHAMPOO, SOAP, SCHOOL PHYSICALS, HAIRCUT VOUCHERS, CLOTHING VOUCHERS, SHOE DISCOUNT COUPONS, HEALTH INFORMATION AND MORE. THE HOSPITAL GIVES AWAY BOTTLES OF WATER AT THE GAGE COUNTY FAIR AND DURING HOMESTEAD DAYS CELEBRATION ACTIVITIES DURING THE SUMMER AS A WAY TO REDUCE DEHYDRATION AND HEALTH-RELATED ISSUES EXPERIENCED BY COMMUNITY MEMBERS DURING THESE HOT SUMMER OUTDOOR ACTIVITIES. HOSPICE CONDUCTS A GRIEF EDUCATION AND SUPPORT PROGRAM FOR THOSE PEOPLE IN THE COMMUNITY WHO HAVE LOST A LOVED ONE TO DEATH. THIS PROGRAM IS HELD ON A QUARTERLY BASIS. AN EDUCATIONAL PROGRAM FOR FIRST-GRADERS IS OFFERED EVERY SPRING. AREA SCHOOLS ARE INVITED TO BRING THEIR FIRST-GRADERS TO THE HOSPITAL TO BECOME FAMILIAR WITH THE HOSPITAL, LEARN ABOUT COMMON CHILDHOOD HEALTH CONCERNS SUCH AS A BROKEN ARM, AND MEET DOCTORS AND NURSES. IN-KIND AND EMPLOYEE SUPPORT WAS GIVEN TO A VARIETY OF LOCAL HEALTHCARE-RELATED ORGANIZATIONS AND ACTIVITIES, SUCH AS UNITED WAY, BEATRICE PUBLIC SCHOOLS BACKPACK PROGRAM, ALZHEIMER'S MEMORY WALK, MOTHER TO MOTHER MINISTRY, PUBLIC HEALTH SOLUTIONS PUBLIC HEALTH DEPARTMENT, GREAT STRIDES FOR CYSTIC FIBROSIS, MOSAIC, BLUE VALLEY BEHAVIORAL HEALTH, WALK TO PREVENT SUICIDE, ETC. THE HOSPITAL SPONSORS AN INFORMATIONAL RADIO PROGRAM THAT COVERS GENERAL HEALTHCARE TOPICS OF INTEREST TO THE COMMUNITY, SUCH AS ORGAN DONATION, STRESS DURING THE HOLIDAYS, DIABETES, HEART HEALTH, ETC. THE HOSPITAL WORKS WITH COLLEGES AND UNIVERSITIES TO SERVE AS A TRAINING SITE FOR NURSING AND OTHER HEALTH-CARE RELATED JOBS. THE HOSPITAL HAS AN EXTENSIVE JOB SHADOWING PROGRAM FOR HIGH SCHOOL AND COLLEGE STUDENTS INTERESTED IN HEALTHCARE. THE HOSPITAL IS A CERTIFIED AMERICAN HEART ASSOCIATION TRAINING SITE, AND PROVIDES CPR AND OTHER TRAINING TO LOCAL BUSINESSES AND EMERGENCY SERVICES. STAFF ALSO PARTICIPATE IN TEACHING HANDS ONLY CPR TO FIFTH-GRADERS AT THE ANNUAL PROGRESSIVE AGRICULTURE SAFETY DAY. THE HOSPITAL INVITES THE RED CROSS BLOODMOBILE BUS TO VISIT THE HOSPITAL CAMPUS SEVERAL TIMES A YEAR AND ENCOURAGES EMPLOYEES TO DONATE BLOOD DURING WORK HOURS TO SUPPORT THE HEALTHCARE INDUSTRY'S ONGOING NEED FOR BLOOD SUPPLIES AROUND THE COUNTRY. THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND ACTION PLAN. SCHEDULE H, PART VI, LINE 7 NEBRASKA true BEATRICE COMMUNITY HOSPITAL FOUNDATION INC 4800 HOSPITAL PARKWAY BEATRICE NE 68310 476024984 501(C)(3) 238233 SUPPORT 1 PART I, LINE 2 BECAUSE THE RECIPIENTS OF THE GRANT MONEY WAS BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A RELATED ORGANIZATION, BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. X X X X true false false false false false false false false ERIC THOMSEN MD MEMBER 266506 0 1015 0 0 0 10824 0 25566 0 303911 0 0 0 RICK HARALDSON CEO 378809 0 15000 0 0 0 15229 0 24866 0 433904 0 0 0 BRETT STUDLEY MD PHYSICIAN 400581 0 14625 0 0 0 12852 0 31497 0 459555 0 0 0 ALAN STREETER CFO 161459 0 0 0 103795 0 7090 0 17137 0 289481 0 0 0 RONALD BEAR MD PHYSICIAN 528533 0 14625 0 0 0 16719 0 13556 0 573433 0 0 0 DEANN PAULSON MD PHYSICIAN 330395 0 51792 0 0 0 13910 0 29826 0 425923 0 0 0 BLAKE BUTLER MD PHYSICIAN 425966 0 0 0 0 0 15030 0 26718 0 467714 0 0 0 DERRICK WEICHEL MD PHYSICIAN 662828 0 80183 0 0 0 22856 0 31998 0 797865 0 0 0 JONATHAN STELLING PHYSICIAN 389715 0 14125 0 0 0 11480 0 31770 0 447090 0 0 0 DARIN HOFFMAN MD FORMER BOARD MEMBER 348004 0 15125 0 0 0 14993 0 31297 0 409419 0 0 0 WENDY REEVES PHYSICIAN 373749 0 3246 0 0 0 15349 0 33274 0 425618 0 0 0 SCHEDULE J, PART I, LINE 4A ALAN STREETER $103,795 A HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA 470785499 2015-03-20 9934971 REFUND PRIOR BONDS (6/08/10) false false false B HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA 470785499 362615AN6 2017-07-27 31375000 REFUND PRIOR BONDS (6/24/10) false false false A 5655639 0 9934971 0 0 0 175362 0 0 0 9759609 0 2012 true false true true B 225000 0 31766835 0 0 30409696 450556 0 0 0 906584 0 2012 false true false true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true A false false true true false false 0 false 0 false true B false false false true true false 0 false 0 false true A true B true SCHEDULE K, PART IV, ARBITRAGE, LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED: 02/28/2018 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2018 NOTE REGARDING THE REBATE COMPUTATION ON 2/28/18: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. NOTE REGARDING THE REBATE COMPUTATION ON 1/31/18: AS NO REBATABLE ARBITRAGE WILL BE EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY. SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. BRETT STUDLEY SEE PART V SEE PART V X 10000 1846 false true true 1846 SEE PART V SCHEDULE L, PART II LINE 1 - BRETT STUDLEY (B) RELATIONSHIP WITH ORGANIZATION: BOARD MEMBER AND EMPLOYED PHYSICIAN (C) PURPOSE OF LOAN: RECRUITMENT SCHEDULE L, PART IV (A) NAME OF PERSON: COLLEEN DEINES (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: COLLEEN IS THE WIFE OF MITCHELL DEINES, BOARD MEMBER (C) AMOUNT OF TRANSACTION $ 45,198 (D) DESCRIPTION OF TRANSACTION: COLLEEN DEINES IS EMPLOYED BY BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. (E) SHARING OF ORGANIZATION REVENUES? = NO FORM 990, PART I, LINE 1 AND COMPASSIONATE CARE. OUR VISION STATEMENT IS: TO BE THE TRUSTED CHOICE FOR EXEMPLARY, COMPASSIONATE, PATIENT-AND-FAMILY-CENTERED HEALTHCARE FOR BEATRICE AND THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A HOSPITAL INPATIENT AND OUTPATIENT CARE: SERVICES INCLUDE ANCILLARY AND ACUTE CARE ALONG WITH SERVING AS A CLINICAL EDUCATION SITE FOR STUDENTS FOR AREAS INVOLVING THE PHYSICAL THERAPY DEPARTMENT, THE EMERGENCY DEPARTMENT, THE SPEECH PATHOLOGY DEPARTMENT, THE OCCUPATIONAL THERAPY DEPARTMENT AND THE NURSING DEPARTMENT. PHYSICIAN CLINICS: SERVICES INCLUDE ACUTE CARE SERVICES AS WELL AS PROVIDING SPORTS PHYSICALS FOR LOCAL HIGH SCHOOL ATHLETES AND FOR PARTICIPANTS IN THE SPECIAL OLYMPICS. HOSPICE/LONG-TERM CARE: SERVICES INCLUDE CARE-TAKING FOR THE ELDERLY ALONG WITH PROVIDING A GRIEF RECOVERY PROGRAM FOR THOSE PEOPLE WHO HAVE LOST A LOVED ONE TO DEATH. HOME HEALTH IS AVAILABLE FOR PEOPLE OF ALL AGES, ASSISTING THEM IN THE RECOVERY AND REHABILITATION FROM ALL TYPES OF ILLNESS, INJURIES AND OTHER HEALTH PROBLEMS. SKILLED INTERMITTENT HOME CARE THAT IS PHYSICIAN ORDERED IS PROVIDED BY REGISTERED NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AND NURSE AIDES. AREAS SERVED INCLUDE: GAGE, JEFFERSON, PAWNEE AND SALINE COUNTIES. FORM 990, PART VI, SECTION A, LINE 7A THE NOMINEES FOR THE BOARD OF DIRECTORS ARE APPROVED BY HEALTH SYSTEM OF BEATRICE, INC. AND THEN FORWARDED TO THE BOARD OF DIRECTORS FOR VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE HEALTH SYSTEM OF BEATRICE, INC., A TAX EXEMPT CORPORATION, HAS THE FOLLOWING POWER AND AUTORITY: - TO APPROVE ALL DIRECTORS AND ADVISORY MEMBERS - TO APPROVE OF ANY INDEBTEDNESS OR ENCUMBRANCE OF THE CORPROATION AND ANY EXPENDITURE, INDEBTEDNESS OR ENCUMBRANCE WHICH REQUIRES PLEDGING OF THE CORPORATIONS ASSETS - TO APPROVE THE ANNUAL BUDGET - TO APPROVE THE MISSION STATEMENT - TO APPROVAL ANY COOPERATIVE ARRANGEMENTS OR JOINT VENTURES WITH ANY OTHER PARTY - TO APPROVAL ANY AMENDMENTS TO THE ARTICLES OR BYLAWS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED BY THE ORGANIZATIONS OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THEY HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FORM 990 IS THEN PROVIDED TO THE BEATRICE COMMUNITY HOSPITAL'S FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING. ONCE THE FINANCE COMMITTEE RECOMMENDS SUBMISSION OF THE FORM 990 TO THE IRS, EACH BOARD MEMBER IS GIVEN ACCESS TO THE FORM 990 VIA THE BOARD PORTAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS HANDED OUT ANNUALLY FOR BOARD MEMBERS AND OFFICERS TO IDENTIFY ANY BOARDS, BUSINESSES, ETC. THAT MAY POTENTIALLY GIVE RISE TO CONFLICT. IF A CONFLICT SHOULD ARISE, THE AFFECTED BOARD MEMBER OR OFFICER WILL BE EXCUSED FROM THE DISCUSSION AND/OR VOTE. FORM 990, PART VI, SECTION B, LINE 15A & 15B LISTED BELOW IS INFORMATION FROM OUR POLICY ON WAGE AND SALARY ADMINISTRATION. THIS POLICY APPLIES TO ALL EMPLOYEES EXCEPT EXECUTIVE LEVEL STAFF AND THOSE WITH WRITTEN CONTRACTS (PHYSICIANS, ALLIED HEALTH STAFF,ETC.). AN OUTSIDE CONSULTING FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS BASED UPON MARKET DATA FOR THE POSITION. A. STRUCTURE OF THE WAGE AND SALARY PLAN 1. PAY GRADES AND WAGE SCALES/RANGES ARE ESTABLISHED TO REWARD EMPLOYEES FOR DIFFERENT LEVELS OF SKILLS, RESPONSIBILITY AND KNOWLEDGE. JOB POSITIONS ARE ASSIGNED A PAY GRADE BASED UPON MARKET CONDITIONS, SKILLS, RESPONSIBILITY, EDUCATION EXPERIENCE, PHYSICAL DEMANDS AND WORKING CONDITIONS REQUIRED OF THE POSITION. EACH PAY GRADE HAS A RANGE OF PAY FROM MINIMUM TO MAXIMUM, ESTABLISHED TO REWARD EMPLOYEES FOR EXPERIENCE AND PERFORMANCE. B. ADJUSTMENTS TO THE WAGE AND SALARY PLAN 1. THE WAGE PLAN IS REVIEWED AT LEAST ANNUALLY TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. LABOR MARKET SURVEYS ARE COMPLETED AND UTILIZED ON A REGULAR BASIS. BASED UPON MARKET INFORMATION AND/OR A REVIEW OF JOB DESCRIPTIONS, ADJUSTMENTS MAY BE MADE TO THE WAGE AND SALARY PLAN THAT INCLUDE ADJUSTMENTS TO THE OVERALL WAGE AND SALARY STRUCTURE OR REPOSITIONING OF A SPECIFIC JOB POSITION(S) TO A DIFFERENT PAY GRADE. FOR THE CEO POSITION THAT IS HELD BY RICK HARALDSON, THE BOARD CHAIR WORKED WITH A CONSULTING COMPANY TO DETERMINE THE APPROPRIATE COMPENSATION UPON HIRING. IN SUBSEQUENT YEARS, THE HOSPITAL USES NEBRASKA HOSPITAL ASSOCIATION COMPARISON DATA AND OTHER AVAILABLE MARKET DATA EACH YEAR TO EVALUATE HIS COMPENSATION. THIS INFORMATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 NET TRANSFERS TO RELATED ORGANIZATIONS $ (238,233) CHANGE IN INTEREST IN BEATRICE FOUNDATION $ 20,473 ------------ TOTAL $ (217,760) HEALTH SYSTEMS OF BEATRICE INC 4800 HOSPITAL PKWY PO BOX 278 BEATRICE NE 68310 470691891 MANAGEMENT CO NE 501(C)(3) LINE 12C NA false HOMESTEAD VILLAGE INC 1119 MONROE BEATRICE NE 68310 470591716 LOW INC APART NE 501(C)(3) LINE 10 HLTH SYS BEA true PARKVIEW VILLAGE INC 1200 SOUTH 8TH STREET BEATRICE NE 68310 363381263 LOW INC APART NE 501(C)(3) LINE 10 HLTH SYS BEA true BEATRICE COMM HOSPITAL FOUNDATION INC 4800 HOSPITAL PKWY PO BOX 641 BEATRICE NE 68310 476024984 SUPPORT NE 501(C)(3) LINE 12A HLTH SYS BEA true BEATRICE RETIREMENT INC 4800 HOSPITAL PKWY PO BOX 278 BEATRICE NE 68310 470649975 RETIREMENT NE 501(C)(3) LINE 10 HLTH SYS BEA true PHYSICIAN'S BUILDING INC 4800 HOSPITAL PARKWAY BEATRICE NE 68310 470697398 OFFICE RENTAL NE NA C CORP true false true true false false false false false true true true true false false true true true false false BEATRICE RETIREMENT INC L 77505 FMV BEATRICE COMMUNITY HOSPITAL FOUNDATION INC C 146216 CASH BEATRICE RETIREMENT INC K 53148 FMV BEATRICE COMMUNITY HOSPITAL FOUNDATION INC B 238233 FMV