HENDERSON HEALTH CARE SERVICES INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HENDERSON HEALTH CARE SERVICES INC (EIN 47-0366569)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2019-11-08
- IRS object ID
- 201923129349301417
- Schema version
- 2018v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-08T11:08:22-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470366569 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON HEALTH CARE SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEND | BusinessNameControlTxt |
| Phone | 4027234512 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1621 FRONT STREET | AddressLine1Txt |
| City | HENDERSON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 683710217 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHERYL BROWN | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 4027234512 | PhoneNum |
| Signature | 2019-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY R COOLEY | PreparerPersonNm |
| PTIN | P01523804 | PTIN |
| Phone | 4023302660 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.34.201.180 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-08 | IPDt |
| IP Tm | 09:56:37 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 06718D1991FB6EEBEB7ECD4F00D4AA79CF05A929 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B319C935D5CD5DD24452FA9CD51ABCBD1A9C8C2C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHERYL BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1621 FRONT STREET | AddressLine1Txt |
| City | HENDERSON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 683710217 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,891,163 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HENDERSONHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | WE ARE A NONPROFIT, COMMUNITY BASED HEALTH CARE NETWORK WHOSE MISSION IS TO PROMOTE PROFESSIONAL, COMPETENT, ETHICAL AND COMPASSIONATE HEALTH CARE IN THE NAME OF CHRIST TO INDIVIDUALS, FAMILIES AND COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 199 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $183,124 | PYContributionsGrantsAmt |
| CY Contributions Grants | $974,670 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,892,675 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,759,144 | CYProgramServiceRevenueAmt |
| PY Investment Income | $189,823 | PYInvestmentIncomeAmt |
| CY Investment Income | $216,028 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,844 | PYOtherRevenueAmt |
| CY Other Revenue | $6,615 | CYOtherRevenueAmt |
| PY Total Revenue | $14,274,466 | PYTotalRevenueAmt |
| CY Total Revenue | $14,956,457 | 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 | $8,181,695 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,396,608 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,028,694 | PYOtherExpensesAmt |
| CY Other Expenses | $4,383,416 | CYOtherExpensesAmt |
| PY Total Expenses | $13,210,389 | PYTotalExpensesAmt |
| CY Total Expenses | $12,780,024 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,064,077 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,176,433 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,779,437 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,907,651 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,009,558 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,896,281 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,769,879 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,011,370 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE A NONPROFIT, COMMUNITY BASED HEALTH CARE NETWORK WHOSE MISSION IS TO PROMOTE PROFESSIONAL, COMPETENT, ETHICAL AND COMPASSIONATE HEALTH CARE IN THE NAME OF CHRIST TO INDIVIDUALS, FAMILIES AND COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,560,676 | ExpenseAmt |
| Revenue | $8,149,547 | RevenueAmt |
| Desc | ANCILLARY SERVICES - HENDERSON HEALTH CARE SERVICES IS A 13-BED COMMUNITY-BASED HEALTH CARE NETWORK LOCATED IN THE HEART OF RURAL NEBRASKA. ANCILLARY SERVICES PROVIDED INCLUDE RADIOLOGY, LABORATORY, OPERATING AND RECOVERY ROOMS, PHYSICAL, RESPIRATORY, INTRAVENOUS, OCCUPATIONAL AND SPEECH THERAPIES, CENTRAL SERVICES, EMERGENCY ROOM, SPECIALTY CLINIC, ANESTHESIOLOGY, ELECTROCARDIOLOGY, CARDIAC AND PULMONARY REHABILITATION, LABOR AND DELIVERY ROOMS AND DIABETIC EDUCATION.IN FISCAL YEAR 2019, THE HOSPITAL SERVED 2,397 RADIOLOGY PATIENTS AND 2,075 PHYSICAL THERAPY PATIENTS, HAD 658 VISITS TO THE EMERGENCY ROOM AND PERFORMED 233 OPERATIONS. HENDERSON PROVIDED 329 PATIENT DAYS OF ACUTE CARE AND 341 PATIENT DAYS OF SWING-BED CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,611,353 | ExpenseAmt |
| Revenue | $2,178,614 | RevenueAmt |
| Desc | RURAL HEALTH CLINICS - THIS ENCOMPASSES TWO PROVIDER BASED RHCS, ONE LOCATED ADJACENT TO THE CAH AND ONE SATELLITE CLINIC IN SUTTON WHICH OFFERS EXPANDED LAB AND X-RAY. WE EMPLOY 2 MDS AND 3 PAS TO STAFF THESE CLINICS ALONG WITH NURSING AND ADMISSION STAFF. BEING LOCATED NEAR THE INTERSTATE WE ARE ABLE TO SERVE THOSE TRAVELING THROUGH WITH HEALTHCARE NEEDS, BUT OUR GENERAL SERVICE AREA INCLUDES HENDERSON, YORK, HAMPTON, BRADSHAW, MCCOOL, SUTTON, CLAY CENTER, AND AURORA. WE AVERAGE OVER 9,500 CLINIC VISITS BETWEEN THE TWO LOCATIONS AND WE PROVIDE FAMILY PRACTICE SERVICES INCLUDING OBSTETRIC CARE, GERIATRIC CARE, AND PEDIATRIC CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,581,204 | ExpenseAmt |
| Revenue | $2,344,642 | RevenueAmt |
| Desc | LTC NURSING - WE ARE A 40-BED LTC NON-MEDICARE CERTIFIED FACILITY, WE SERVE A MIXTURE OF PRIVATE AND MEDICAID PATIENTS AND FOR FISCAL YEAR 2019 WE HAD 82% OCCUPANCY. THE LARGEST SINGLE COST WITHIN THIS DEPARTMENT IS SALARIES AS THEY CARRY 26.7 FTES IN THIS DEPARTMENT, WHICH INCLUDES A DIRECTOR OF NURSING AND MDS COORDINATOR. THE NEXT HIGHEST COSTS ARE THE EMPLOYEE BENEFITS FOR THE STAFF, INCLUDING HEALTH INSURANCE AND RETIREMENT PLAN. WE ALSO INCUR A QUARTERLY ASSESSMENT TAX FROM NE DHHS, ASSESSED AT $3.50 PER BED PER RESIDENT DAY SO APPROXIMATELY $50,000 PER YEAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $880,202 | ExpenseAmt |
| Revenue | $1,086,341 | RevenueAmt |
| Desc | PHARMACY/ONCOLOGY - SALARIES INCLUDE A FULL TIME PHARMACIST THAT PERFORMS MEDICATION ORDER REVIEWS FOR ALL MEDICATIONS ORDERED FOR THE HHCS CAH, THIS PHARMACIST ALSO PERFORMS THE MONTHLY INTERNAL REVIEW OF PHARMACY/MEDICATION FOR THE CAH AND LTC. SUPPLIES EXPENSE IS MOSTLY COMPOSED OF MEDICATION COSTS FOR ALL THE MEDICATIONS ADMINISTERED TO THE ER, OP, IP, SK AND OPO PATIENTS AT HHCS. MEDICATIONS ARE PURCHASED THROUGH CARDINAL. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $880,202 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,086,341 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,633,435 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | 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 | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 199 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL BROWN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4027234512 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1621 FRONT STREET | AddressLine1Txt |
| City | HENDERSON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 683710217 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JUSTIN OTT | |||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LOWELL HIEBNER | |||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ALAN JANZEN | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ROSELYN KORB | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CURTIS COGSWELL | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRAD FRIESEN | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TERESA HAHN | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KEVIN POSTIER | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| NORMAN YODER | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHERYL BROWN | |||||||
| CEO | 44.00 | Yes (X) | $172,376 | $0 | $16,530 | ||
| JILL MYERS | |||||||
| CFO | 43.00 | Yes (X) | $144,863 | $0 | $13,109 | ||
| JAMES OHRT | |||||||
| PHYSICIAN | 107.00 | $448,877 | $0 | $26,747 | Yes (X) | ||
| CHRISTOPHER VANDERNECK | |||||||
| PHYSICIAN | 100.00 | $341,118 | $0 | $26,465 | Yes (X) | ||
| ALLISON BAUER | |||||||
| PA-C | 65.00 | $123,762 | $0 | $22,318 | Yes (X) | ||
| ALYSSA MRSNY | |||||||
| PA-C | 65.00 | $134,342 | $0 | $7,357 | Yes (X) | ||
| SHELLY AMACK | |||||||
| PROFESSIONAL SERVICES OFFI | 47.00 | $115,559 | $0 | $3,783 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,480,897 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $116,309 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | 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 |
|---|---|---|---|---|---|
| SAMPSON CONSTRUCTION CO INC | |||||
| 3730 S 14TH STREET | LINCOLN | NE | 68502 | CONSTRUCTION | $2,393,546 |
| HEALTH FACILITIES GROUP | |||||
| 142 N MOSLEY | WICHITA | KS | 67202 | ARCHITECT FEES | $485,505 |
| HEALTHLANDCPSI | |||||
| PO BOX 850309 | MOBILE | AL | 36685 | EMR SOFTWARE VENDOR | $186,522 |
| CENTRAL NEBRASKA REHAB SERVICES | |||||
| PO BOX 5285 | GRAND ISLAND | NE | 688025285 | PHYSICAL THERAPY SERVICES | $135,008 |
| PHYSICIANS LABORATORY SERVICES | |||||
| 4840 F STREET | OMAHA | NE | 68117 | REFERENCE LAB SERVICES | $100,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $974,670 | AllOtherContributionsAmt |
| Total Contributions | $974,670 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ANCILLARY SERVICES | 621400 | $7,187,575 | $7,187,575 |
| LONG-TERM-CARE NURSING | 621400 | $2,067,881 | $2,067,881 |
| RURAL HEALTH CLINICS | 621400 | $1,921,451 | $1,921,451 |
| 340B PROGRAM REVENUE | 621400 | $976,388 | $976,388 |
| PHARMACY/ONCOLOGY | 621400 | $958,109 | $958,109 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $647,740 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $647,740 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,759,144 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $222,227 | TotalRevenueColumnAmt |
| Exclusion | $222,227 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $927,607 | SecuritiesAmt |
| Other | $900 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $934,706 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$7,099 | SecuritiesAmt |
| Other | $900 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,199 | TotalRevenueColumnAmt |
| Exclusion | -$6,199 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA SALES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,615 | TotalRevenueColumnAmt |
| Exclusion | $6,615 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,615 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,956,457 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,759,144 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $222,643 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,878 | TotalAmt |
| Management And General | $346,878 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,479,710 | TotalAmt |
| Program Services | $6,221,386 | ProgramServicesAmt |
| Management And General | $258,324 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,803 | TotalAmt |
| Program Services | $197,126 | ProgramServicesAmt |
| Management And General | $10,677 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917,021 | TotalAmt |
| Program Services | $863,832 | ProgramServicesAmt |
| Management And General | $53,189 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,196 | TotalAmt |
| Program Services | $407,455 | ProgramServicesAmt |
| Management And General | $37,741 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909 | TotalAmt |
| Management And General | $909 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,541 | TotalAmt |
| Management And General | $37,541 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,849 | TotalAmt |
| Management And General | $9,849 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,161,984 | TotalAmt |
| Program Services | $900,905 | ProgramServicesAmt |
| Management And General | $261,079 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,014 | TotalAmt |
| Management And General | $24,014 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,061 | TotalAmt |
| Program Services | $528,841 | ProgramServicesAmt |
| Management And General | $12,220 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,206 | TotalAmt |
| Program Services | $133,703 | ProgramServicesAmt |
| Management And General | $12,503 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,487 | TotalAmt |
| Program Services | $268,226 | ProgramServicesAmt |
| Management And General | $13,261 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,559 | TotalAmt |
| Program Services | $13,779 | ProgramServicesAmt |
| Management And General | $1,780 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,880 | TotalAmt |
| Program Services | $16,195 | ProgramServicesAmt |
| Management And General | $1,685 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,799 | TotalAmt |
| Program Services | $50,972 | ProgramServicesAmt |
| Management And General | $1,827 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,275 | TotalAmt |
| Program Services | $773,894 | ProgramServicesAmt |
| Management And General | $21,381 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,986 | TotalAmt |
| Program Services | $164,577 | ProgramServicesAmt |
| Management And General | $9,409 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $707,179 | $707,179 | |
| FOOD | $152,329 | $152,329 | |
| MINOR EQUIPMENT | $80,932 | $78,738 | $2,194 |
| LICENSES AND PERMITS | $78,463 | $77,421 | $1,042 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,963 | TotalAmt |
| Program Services | $76,877 | ProgramServicesAmt |
| Management And General | $29,086 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,780,024 | TotalAmt |
| Program Services | $11,633,435 | ProgramServicesAmt |
| Management And General | $1,146,589 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,357,841 | BOYAmt |
| EOY | $2,490,550 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,629,785 | BOYAmt |
| EOY | $1,452,194 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,101 | BOYAmt |
| EOY | $278,061 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,488 | BOYAmt |
| EOY | $90,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,604,157 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,800,305 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,701,532 | BOYAmt |
| EOY | $12,803,852 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,511,176 | BOYAmt |
| EOY | $3,747,620 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,514 | BOYAmt |
| EOY | $45,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,779,437 | BOYAmt |
| EOY | $20,907,651 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,111,734 | BOYAmt |
| EOY | $2,088,797 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,306 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,596,954 | BOYAmt |
| EOY | $1,482,098 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,564 | BOYAmt |
| EOY | $325,386 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,009,558 | BOYAmt |
| EOY | $3,896,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,725,285 | BOYAmt |
| EOY | $16,946,620 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,594 | BOYAmt |
| EOY | $64,750 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,769,879 | BOYAmt |
| EOY | $17,011,370 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,779,437 | BOYAmt |
| EOY | $20,907,651 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,176,433 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $65,058 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $623 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $623 | 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 | A PORTION OF THE DUES PAID TO THE NEBRASKA HOSPITAL ASSOCIATION (NHA) ARE USED BY THOSE ORGANIZATIONS FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $770,708 | OtherCostOrOtherBasisAmt |
| Book Value | $770,708 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,597,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,140,896 | DepreciationAmt |
| Book Value | $10,456,316 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,965,206 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,551,994 | DepreciationAmt |
| Book Value | $1,413,212 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,415 | DepreciationAmt |
| Book Value | $163,616 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,803,852 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $310,386 |
| ADVANCE FEES | $15,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $325,386 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,993,862 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $65,058 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $65,058 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,928,804 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $9,849 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $17,804 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $27,653 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,956,457 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,752,371 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,752,371 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $9,849 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $17,804 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $27,653 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,780,024 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | HENDERSON HEALTH CARE SERVICES, INC. (HHCS) IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED DETERMINATION LETTERS THAT IT 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 HHCS' TAX EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE HHCS TO MEET A COMMUNITY BENEFITS STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. HHCS ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. HHCS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2019 AND 2018, HHCS HAD NO UNCERTAIN TAX POSITIONS ACCRUED. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 17,804. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 17,804. |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,177 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $643,548 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $421,494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $222,054 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $671,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $431,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $240,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 698 | PersonsServedCnt |
| Total Community Benefit Expns | $31,291 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 1371 | PersonsServedCnt |
| Total Community Benefit Expns | $4,203 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,203 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 2069 | PersonsServedCnt |
| Total Community Benefit Expns | $35,494 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,369 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 2069 | PersonsServedCnt |
| Total Community Benefit Expns | $707,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $456,796 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $250,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,804 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,560 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,382,782 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,495,345 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$112,563 | 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 | HENDERSON HEALTH CARE SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1621 FRONT ST | AddressLine1Txt |
| City | HENDERSON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68371 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HENDERSONHEALTHCARE.ORG | WebsiteAddressTxt |
| State License | 820001 | 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 | HENDERSON HEALTH CARE SERVICES INC | 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 |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | 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 | WWW.HENDERSONHEALTHCARE.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ | 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 | WWW.HENDERSONHEALTHCARE.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT/ | 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 | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HENDERSONHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.HENDERSONHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.HENDERSONHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/ | 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 Translated | Yes (X) | FAPTranslatedInd |
| 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 Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HENDERSON HEALTH CARE SERVICES INC | PART V, SECTION B, LINE 5: THIS ASSESSMENT FOCUSES ON COLLECTING THE COMMUNITY'S PERSPECTIVE ON ISSUES SUCH AS HEALTH CARE, EDUCATION, CARE FOR OLDER ADULTS, JOBS, SUPPORT NETWORKS, HEALTH PROBLEMS, AND RISKY BEHAVIORS. A SURVEY WAS DESIGNED BY UTILIZING A SAMPLE SURVEY PROVIDED BY NACCHO. AN UPDATED SURVEY WAS DESIGNED AND DISTRIBUTED IN 2018. THE SURVEY WAS DISTRIBUTED THROUGHOUT THE DISTRICT FROM MAY TO JULY 31, 2018 TO COMMUNITY MEETINGS SUCH AS ROTARY, KIWANIS, OR SERTOMA CLUBS. THEY WERE TAKEN TO AREA CHURCHES, SCHOOL EVENTS, COUNTY FAIRS, ETC. THE SURVEY WAS ALSO AVAILABLE ONLINE AT SURVEY MONKEY. RESPONSES WERE RECEIVED FROM 254 INDIVIDUALS. |
| HENDERSON HEALTH CARE SERVICES INC | PART V, SECTION B, LINE 6B: FOUR CORNERS HEALTH DEPARTMENT |
| HENDERSON HEALTH CARE SERVICES INC | PART V, SECTION B, LINE 11: HENDERSON HEALTH CARE SERVICES, INC. CONTINUES TO PUT FORTH RESOURCES TO ADDRESS THE IDENTIFIED NEEDS AS FOLLOWS:1) OBESITY/NUTRITION/PHYSICAL ACTIVITY: HHCS PROMOTES HEALTHY LIFESTYLES BY PARTNERING WITH FOUR CORNERS HEALTH DEPARTMENT, SPONSORING AN ANNUAL COMMUNITY WEIGHT LOSS CHALLENGE, OFFERING AN ANNUAL HEALTH FAIR TO EMPLOYEES AND THE GENERAL PUBLIC, OFFERING WELLNESS CENTER ACCESS TO EMPLOYEES AND THE PUBLIC, AND PROVIDING NUTRITIONAL COUNSELING AND DIABETIC EDUCATION TO PATIENTS. 2) CANCER: HHCS CONTINUES TO PROMOTE CANCER AWARENESS BY PARTNERING WITH FOUR CORNERS HEALTH DEPARTMENT, RELEASING MESSAGES TO THE PUBLIC ENCOURAGING SCREENING AND EARLY DETECTION IN THE LOCAL NEWSPAPER, WEBSITE OR QUARTERLY NEWSLETTER, AND HOST COMMUNITY HEALTH EVENTS.3) MENTAL HEALTH: HHCS PROMOTES MENTAL HEALTH BY MAKING APPROPRIATE MENTAL HEALTH REFERRALS WHEN DEEMED NECESSARY AND DEVELOPING A CLEAR AND CONSISTENT MESSAGE TO THE GENERAL PUBLIC AND PATIENTS OF HHCS. THIS INCLUDES SPONSORING A SPEAKER AT THE HEARTLAND COMMUNITY SCHOOL AND SUTTON PUBLIC SCHOOL FOCUSING ON SUICIDE PREVENTION/MENTAL HEALTH AMONGST TEENAGERS, CYBER BULLYING AND RISKY BEHAVIORS, AND CONTRACTING FOR EMERGENCY SERVICES WHERE MENTAL HEALTH COORDINATION CAN BE INITIATED.4) ALCOHOL/DRUG ABUSE: HHCS PROVIDES SUPPORT FOR ALCOHOL/DRUG ABUSE BY COLLARBORATING WITH THE LOCAL PUBLIC HEALTH SYSTEM TO EDUCATE AND BE A RESOURCE FOR MEMBERS OF THE COMMUNITY. 5) HEART DISEASE AND STROKE: HHCS PROVIDES SUPPORT FOR HEART DISEASE AND STROKES BY PROVIDING SPECIALTY CLINICS THAT SPECIALIZE IN CARDIOLOGY AND CARDIOVASCULAR SERVICES. THEY ALSO PROMOTE THESE SERVICES THROUGH PUBLIC EDUCATION AND VIA A FACILITY NEWSLETTER.OF THE NEEDS IDENTIFIED, THERE WERE NO SIGNIFICANT NEEDS THAT ARE NOT BEING ADDRESSED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HENDERSON FAMILY CARE | ||||
| 1621 FRONT STREET | HENDERSON | NE | 68371 | RURAL HEALTH CLINIC |
| 2 - SUTTON FAMILY PRACTICE | ||||
| 1106 N SAUNDERS SUITE 2 | SUTTON | NE | 68979 | RURAL HEALTH CLINIC |
| 3 - CARE CENTER | ||||
| 1621 FRONT STREET | HENDERSON | NE | 68371 | LONG-TERM CARE |
| 4 - ROSEWOOD COURT | ||||
| 1621 FRONT STREET | HENDERSON | NE | 68371 | ASSISTED LIVING |
| 5 - PRAIRIE GARDEN ESTATES | ||||
| 1621 FRONT STREET | HENDERSON | NE | 68371 | INDEPENDENT LIVING |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NOT APPLICABLE |
| PART I, LINE 6A: | THE ORGANIZATION DID NOT PREPARE A COMMUNITY BENEFIT REPORT DURING THE YEAR. |
| PART I, LINE 7: | HENDERSON HEALTH CARE SERVICES, INC. USED THE WORKSHEETS PROVIDED IN THE IRS INSTRUCTIONS FOR SCHEDULE H IN ADDITION TO THE INTERNAL COST ACCOUNTING SYSTEM. |
| PART I, LN 7 COL(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 $17,804. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HHCS IS THE LARGEST EMPLOYER IN THE COMMUNITY WITH APPROXIMATELY 160 EMPLOYEES FROM THE SURROUNDING COMMUNITIES. THE DIRECTOR OF NURSING STAFF AND HUMAN RESOURCES REGULARLY ATTENDS JOB FAIRS PROMOTING HEALTH CARE POSITIONS. HHCS ALSO HOSTS THE HENDERSON HEARTLAND SCHOOL JUNIOR HIGH FOR A CAREER DAY IN WHICH THEY COME FOR A TOUR OF THE FACILITY TO LEARN ABOUT THE VAST ARRAY OF JOBS OFFERED WITHIN THE HEALTHCARE INDUSTRY. A NEW PHYSICIAN ASSISTANT HAS BEEN RECRUITED TO THE FACILITY WITHIN THE LAST YEAR. THE HOSPITAL OFFERS AN ANNUAL HEALTH FAIR LAB PROGRAM THAT PROVIDES REDUCED COST TESTS FOR THE PUBLIC, HHCS ALSO PROMOTES HEALTHCARE AT THE SUTTON AND HENDERSON ANNUAL HOME SHOWS AND ALSO HOLDS AN ANNUAL WELLNESS CHALLENGE FOR THE PUBLIC TO PROMOTE FITNESS. DURING THE MONTHS OF JANUARY THROUGH MAY, HHCS HOSTS TRAIN YOUR BRAIN FOR WEIGHT LOSS CLASSES FEATURING BIGGEST LOSER CONTESTANT MARTY WOLFF. |
| PART III, LINE 2: | IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, HHCS ANALYZES ITS HISTORICAL COLLECTIONS 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 AND RESIDENTS WHO HAVE THIRD-PARTY COVERAGE, HHCS 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 AND RESIDENTS (WHICH INCLUDES BOTH PATIENTS AND RESIDENTS WITHOUT INSURANCE, AND PATIENTS AND RESIDENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), HHCS RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS AND RESIDENTS 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: | THE ORGANIZATION REVIEWED THEIR BAD DEBTS WRITTEN OFF DURING THE YEAR AS WELL AS PAST EXPERIENCE WITH PATIENTS SERVED AND DETERMINED APPROXIMATELY 20% OF BAD DEBT ACCOUNTS WRITTEN OFF WOULD HAVE QUALIFIED FOR CHARITY CARE IF THE INDIVIDUALS WOULD HAVE COMPLETED THE APPLICATION PROCESS. |
| 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 AND RESIDENT RECEIVABLES, NET", "NET PATIENT AND RESIDENT SERVICE REVENUE AND "FINANCIAL ASSISTANCE/CHARITY CARE". |
| PART III, LINE 8: | THE INFORMATION IS FROM THE MEDICARE COST REPORT WHICH IS BASED ON ROUTINE COST PER DAY AND COST TO CHARGE RATIOS. A SHORTFALL REPRESENTS ACTUAL UNREIMBURSED COSTS INCURRED BY THE HOSPITAL IN PROVIDING SERVICES TO INDIVIDUALS ELIGIBLE FOR MEDICARE. THIS IS A BENEFIT TO THE COMMUNITY AS IT IS PROVIDED BELOW COST. |
| PART III, LINE 9B: | HHCS RESERVES THE RIGHT TO PROVIDE FINANCIAL ASSISTANCE EVEN THOUGH AN APPLICATION HAS NOT BEEN SUBMITTED FOR THE APPLICABLE CARE. HHCS MAY UTILIZE PREVIOUS FAP APPLICATIONS TO DETERMINE THE ASSISTANCE PROVIDED TO THE PATIENT. IF THE PATIENT IS PROVIDED LESS THAN THE MAXIMUM POSSIBLE LEVEL OF FINANCIAL ASSISTANCE, HHCS WILL: - NOTIFY THE PATIENT REGARDING THE BASIS FOR THE PRESUMPTIVE FINANCIAL ASSISTANCE; - NOTIFY THE PATIENT AS TO HOW TO APPLY FOR POTENTIALLY MORE FINANCIAL ASSISTANCE; - GIVE THE PATIENT A REASONABLE AMOUNT OF TIME TO APPLY FOR MORE GENEROUS ASSISTANCE BEFORE INITIATING COLLECTION ACTIONS; AND - IF THE INDIVIDUAL SUBMITS A COMPLETED APPLICATION SEEKING ADDITIONAL FINANCIAL ASSISTANCE DURING THE LATER OF THE APPLICATION PERIOD OR THE RESPONSE TIME SET FORTH IN THE NOTICE, PROCESS THE APPLICATION IN ACCORDANCE WITH THE POLICY. |
| PART VI, LINE 2: | MEDICAL STAFF MEETINGS (INCLUDES ADMINISTRATION, DONS, ALL EMPLOYED PROVIDERS, PHARMACISTS) AND PROVIDER MEETINGS (INCLUDES ONLY EMPLOYED PROVIDERS, CEO AND DON) ARE HELD MONTHLY DURING WHICH OUR MEDICAL STAFF HAVE AN OPPORTUNITY TO SHARE WHAT THEY ARE SEEING FOR RECURRING CASES OF DISEASE MANAGEMENT IN THEIR PATIENTS. IF A TREND IS IDENTIFIED THRU THAT DISCUSSION THEN WE TRY TO DEVELOP AN OUTREACH TO THE COMMUNITY. FOR EXAMPLE, PATIENT EDUCATION IN THE NEWSLETTER OR PAMPHLETS IN THE CLINIC EXAM ROOMS, IT BECOMES A FOCUS POINT FOR ALL PROVIDERS WHEN SEEING THEIR PATIENTS. WE MAY ALSO TURN TO COMMUNITY OUTREACH EDUCATION SESSIONS WHERE OUR STAFF HOLD "TOWN HALL" MEETINGS TO EDUCATE THOSE INTERESTED IN ATTENDING. WE ALSO HOLD ANNUAL HEALTH FAIR LABS IN FEBRUARY AND WE COLLECTIVELY LOOK AT RESULTS TO DETERMINE ANY TRENDS IN HEALTH MANAGEMENT THAT NEED TO BE A FOCUS FOR OUR PROVIDERS FOR THE NEXT YEAR. THIS CAN HELP US IDENTIFY ADDITIONAL LAB OR RADIOLOGY TESTS THAT WE NEED TO OFFER IN OUR FACILITY. IT CAN ALSO TELL US IF WE NEED TO FOCUS ON A SPECIALTY CLINIC THAT MAY NEED TO BE RECRUITED TO PROVIDE THE SERVICE IN-HOUSE. FOR EXAMPLE, WE ARE CURRENTLY SEEING A LOT OF ALLERGY INJECTIONS, SO WE WOULD HOPE TO RECRUIT AN ALLERGIST TO COME PROVIDE A SPECIALTY CLINIC MONTHLY IN OUR FACILITY. LASTLY, WE HAVE PURCHASED KPI NINJA SOFTWARE THAT WILL ALLOW US TO DATA MINE OUR CLAIMS AND DIAGNOSIS SO WE CAN ANALYZE TO SEE WHAT TYPES OF HEALTH MANAGEMENT ARE PREVALENT IN OUR COMMUNITIES. |
| PART VI, LINE 3: | IT IS NOTED THAT HENDERSON HEALTH CARE OFFERS CHARITY CARE IN THE ADMISSION FORMS THAT ALL PATIENTS SIGN WHEN THEY COME TO THE CLINIC AND HOSPITAL AND THE FAP IS POSTED IN THE HOSPITAL WAITING ROOMS. ALSO, IN COLLECTION LETTERS, PATIENTS ARE ENCOURAGED TO CONTACT THE HOSPITAL IF THEY ARE INTERESTED IN APPLYING FOR CHARITY CARE. LASTLY, CHARITY CARE IS VERBALLY EXPLAINED TO PATIENTS IF THEY CALL STATING THEY CAN'T PAY FOR THEIR MEDICAL BILL. HHCS ALSO PUBLISHES A NOTICE ANNUALLY IN A NEWSLETTER THAT WE OFFER CHARITY CARE, AND WE PROVIDE OUR POLICY AND APPLICATIONS TO THE CLAY COUNTY AND YORK COUNTY HEALTH DEPARTMENT IN AN EFFORT TO REACH THOSE IN NEED. |
| PART VI, LINE 4: | HENDERSON HEALTH CARE SERVICES IS LOCATED IN HENDERSON, NEBRASKA PROVIDING HEALTH CARE SERVICES TO RURAL COMMUNITIES THAT PRIMARILY INCLUDE YORK COUNTY (13,665), CLAY COUNTY (6,624), AND HAMILTON COUNTY (9,132) RESPECTIVELY; APPROXIMATELY 30,000 IN TOTAL. HENDERSON HEALTH CARE PROVIDES HEALTH CARE SERVICES TO INFANTS, CHILDREN, ADOLESCENTS, ADULT MEN AND WOMEN, AND THE AGED. THERE IS AN AVERAGE OF 16.67 PERSONS PER SQUARE MILE IN THE SERVICE AREA COMPARED TO ABOUT 80 PER SQUARE MILE ACROSS THE UNITED STATES. THE RESIDENTS OF THESE COUNTIES ARE 97.44% WHITE WITH 17.64% OVER THE AGE OF 65 YEARS AND 5.94% BELOW POVERTY LEVEL. |
| PART VI, LINE 5: | HHCS OFFERS A FULL ARRAY OF HEALTH CARE SERVICES FROM BIRTH TO DEATH BY PROVIDING OBSTETRIC CARE ALL THE WAY TO LONG TERM CARE NEEDS AND RESPITE NEEDS. THE HOSPITAL BRINGS SPECIALISTS OF MANY AREAS TO THE LOCAL COMMUNITY BY PROVIDING SPECIALTY CLINICS WITHIN THE COMMUNITY. THE HOSPITAL ALSO OFFERS A BABY BOOT CAMP FOR EXPECTING MOTHERS TO PROMOTE POSITIVE PRENATAL HEALTH AND EDUCATION FOR MOTHERS ABOUT PROPER BABY SAFETY AND IMMUNIZATIONS. PHYSICIANS DO SPEAKING ENGAGEMENTS AT THE SUTTON AND HENDERSON SCHOOLS ON VARIOUS HEALTH TOPICS RELATED TO THEIR AGE GROUP. HHCS HOSTS MEDICAL STUDENTS FOR ROTATION AND STRIVES TO EDUCATE THESE STUDENTS AND RESIDENTS. A QUARTERLY NEWSLETTER IS ISSUED THAT SPOTLIGHTS OUR NEW SERVICES BUT ALSO OFFERS A QUESTION AND ANSWER SESSION FOR HOT TOPICS WITH THE PROVIDERS. HHCS RECENTLY HIRED A PHARMACIST AND PLANS TO INITIATE PUBLIC EDUCATION ON MEDICATIONS IN THE NEAR FUTURE. HHCS OFFERS 24 HOUR ER CARE AND WORKS WITH AVERA EEMERGENCY PROGRAM TO PROVIDE THE BEST TRAUMA AND CRITICAL CARE TO ER PATIENTS. THE HOSPITAL ALSO OFFERS A DIABETES PREVENTION CLASS FREE TO THE PUBLIC WHICH MEETS WEEKLY TO PROVIDE EDUCATION AND SUPPORT FOR ATTENDEES. |
| PART VI, LINE 6: | HENDERSON HEALTH CARE SERVICES, INC. IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHERYL BROWN | ||||||||||||||
| CEO | $172,376 | $0 | $0 | $0 | $0 | $0 | $6,629 | $0 | $9,901 | $0 | $188,906 | $0 | $0 | $0 |
| JILL MYERS | ||||||||||||||
| CFO | $144,863 | $0 | $0 | $0 | $0 | $0 | $5,454 | $0 | $7,655 | $0 | $157,972 | $0 | $0 | $0 |
| JAMES OHRT | ||||||||||||||
| PHYSICIAN | $430,055 | $0 | $18,822 | $0 | $0 | $0 | $10,747 | $0 | $16,000 | $0 | $475,624 | $0 | $0 | $0 |
| CHRISTOPHER VANDERNECK | ||||||||||||||
| PHYSICIAN | $338,847 | $0 | $2,271 | $0 | $0 | $0 | $11,000 | $0 | $15,465 | $0 | $367,583 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | PHYSICIAN BONUSES ARE DEPENDENT UPON THE INDIVIDUAL PHYSICIAN'S CHARGED FEES (ADJUSTED FOR CONTRACTUAL AGREEMENTS AND PHYSICIAN'S PERSONAL PROFESSIONAL SERVICES) AND ARE PAID OUT AS A PERCENTAGE OF REVENUE ABOVE A THRESHOLD, WHICH VARIES WITH PHYSICIAN'S PRODUCTIVITY. JAMES OHRT AND CHRISTOPHER VANDERNECK RECEIVED BONUSES DURING THE YEAR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | EVERY PERSON, SOCIETY, BUSINESS OR CONGREGATION WHO HAS DONATED ONE HUNDRED DOLLARS OR MORE FOR THE BENEFIT OF HENDERSON HEALTH CARE SERVICES, INC.(HHCS) DURING THEIR LIFETIME SHALL BE A MEMBER OF HHCS. NO PERSON, SOCIETY, BUSINESS OR CONGREGATION SHALL BE ENTITLED TO MORE THAN ONE VOTE REGARDLESS OF THE CONTRIBUTIONS IN EXCESS OF ONE HUNDRED DOLLARS, AND A PERSON MUST BE OF LEGAL AGE TO EXERCISE VOTING PRIVILEGES. ACCEPTANCE OF ANY DONATION OF $100.00 OR MORE CONSTITUTES APPROVAL OF A LIFETIME MEMBERSHIP. THE MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS ARE ELECTED BY THE MEMBERSHIP AT THE ANNUAL MEMBERSHIP MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT. A FINAL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, 2) HAS READ AND UNDERSTANDS THE POLICY, 3) HAS AGREED TO COMPLY WITH THE POLICY, AND 4) UNDERSTANDS THAT THE CORPORATION IS A TAX EXEMPT CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. ANY PERSON WITH A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY A FACILITY EVALUATION TOOL COMPLETED BY THE BOARD PRESIDENT AND REVIEWED WITH AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE DISTRIBUTED AT THE ANNUAL MEETING TO THOSE IN ATTENDANCE AND ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF HHCS'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
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