CRETE AREA MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CRETE AREA MEDICAL CENTER (EIN 47-0841285)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201723149349301962
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-10T11:03:26-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470841285 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRETE AREA MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRET | BusinessNameControlTxt |
| Phone | 4024811111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 BETTEN DRIVE | AddressLine1Txt |
| City | CRETE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 683330220 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUSSELL GRONEWOLD | PersonNm |
| Person Title | VP - FINANCE & CFO | PersonTitleTxt |
| Signature | 2017-11-09 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John Woodhull | PreparerPersonNm |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUSSELL GRONEWOLD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,544,054 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRYANHEALTH.ORG/CAMC | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | CRETE AREA MEDICAL CENTER IS COMMITTED TO ADVANCING THE HEALTH OF THE COMMUNITIES AND REGION WE SERVE, THROUGH COLLABORATION, PREVENTION, INNOVATION, AND EXCEPTIONAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 191 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $55,967 | PYContributionsGrantsAmt |
| CY Contributions Grants | $81,338 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,532,348 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,130,040 | CYProgramServiceRevenueAmt |
| PY Investment Income | $68,231 | PYInvestmentIncomeAmt |
| CY Investment Income | $72,303 | CYInvestmentIncomeAmt |
| PY Other Revenue | $224,629 | PYOtherRevenueAmt |
| CY Other Revenue | $245,411 | CYOtherRevenueAmt |
| PY Total Revenue | $20,881,175 | PYTotalRevenueAmt |
| CY Total Revenue | $22,529,092 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,563 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,198 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,331,178 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,520,475 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,752,869 | PYOtherExpensesAmt |
| CY Other Expenses | $9,772,456 | CYOtherExpensesAmt |
| PY Total Expenses | $20,087,610 | PYTotalExpensesAmt |
| CY Total Expenses | $21,305,129 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $793,565 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,223,963 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,915,350 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,404,427 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,576,551 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,639,663 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,338,799 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,764,764 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CRETE AREA MEDICAL CENTER'S (CAMC) MISSION IS TO ADVANCE THE HEALTH OF THE COMMUNITIES AND REGION WE SERVE, THROUGH COLLABORATION, PREVENTION, INNOVATION, AND EXCEPTIONAL CARE. CAMC'S VISION IS THE COMMUNITIES WE SERVE WILL CHOOSE CRETE AREA MEDICAL CENTER AS THEIR FIRST CHOICE FOR HEALTH. CAMC IS COMMITTED TO THE FOLLOWING FUNDAMENTAL BELIEFS: INTEGRITY - OUR FOUNDATION; SERVICE - OUR STANDARD; EXCELLENCE - OUR DISTINCTION; COLLABORATION - OUR INVESTMENT; AND LEADERSHIP - OUR FUTURE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,358,364 | ExpenseAmt |
| Grant | $12,198 | GrantAmt |
| Revenue | $22,130,040 | RevenueAmt |
| Desc | CRETE AREA MEDICAL CENTER ("CAMC") IS AN AFFILIATE OF BRYAN HEALTH. CAMC, LOCATED IN CRETE, NEBRASKA, IS A NEBRASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED DETERMINATION THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE IN ORDER TO PROVIDE HEALTH CARE SERVICES. CAMC WAS INCORPORATED IN APRIL 2001 AND OPERATES A 24-LICENSED BED CRITICAL ACCESS HOSPITAL AND TWO PHYSICIAN CLINICS SERVING PATIENTS AND RESIDENTS PRINCIPALLY FROM SALINE AND LANCASTER COUNTIES. DURING THE YEAR ENDING DECEMBER 31, 2016, CAMC PROVIDED INPATIENT ACUTE, SWING BED AND NURSERY SERVICES TO 323 PATIENTS. CAMC PERFORMED 786 SURGICAL PROCEDURES AND PROVIDED PRIMARY CARE PHYSICIAN SERVICES WITH 23,247 VISITS. | Desc |
| Total Program Service Expenses | $19,358,364 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 191 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NE | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kurt Kadlec | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4028267948 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 BETTEN DRIVE | AddressLine1Txt |
| City | CRETE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68333 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WAYNE DRUMMOND | ||||||||
| TREASURER | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TAD EICKMAN | ||||||||
| Chairperson | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| REBEKAH MUSSMAN | ||||||||
| PRESIDENT/CEO | 60.0 | 0 | Yes (X) | Yes (X) | $143,777 | $0 | $30,700 | |
| MIKE PAVELKA | ||||||||
| Secretary | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT RAVENSCROFT | ||||||||
| VICE CHAIRPERSON | 1.0 | 59.0 | Yes (X) | Yes (X) | $0 | $465,539 | $38,340 | |
| TOM KOZISEK | ||||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| TIM LIESKE MD | ||||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DAVID REESE | ||||||||
| Trustee | 1.0 | 59.0 | Yes (X) | $0 | $343,837 | $40,702 | ||
| LINDA STONES | ||||||||
| Trustee | 1.0 | 49.0 | Yes (X) | $0 | $165,183 | $11,406 | ||
| AMY VERTIN MD | ||||||||
| PHYSICIAN & Trustee | 50.0 | 0 | Yes (X) | $264,074 | $0 | $34,460 | ||
| BRYCE BETKE | ||||||||
| Interim CFO (2/8/2015 - 4/18/16) | 10.0 | 40.0 | Yes (X) | $0 | $158,530 | $30,574 | ||
| Doug Kucera | ||||||||
| Chief Financial Officer (effective 4/18/2016) | 50.0 | 0 | Yes (X) | $81,707 | $0 | $7,178 | ||
| RUSSELL EBKE MD | ||||||||
| PHYSICIAN | 50.0 | 0 | $215,313 | $0 | $37,775 | Yes (X) | ||
| MITCHELL EBKE | ||||||||
| CERTIFIED REGISTERED NURSE ANESTHETIST | 50.0 | 0 | $289,346 | $0 | $36,697 | Yes (X) | ||
| KATE HESSER MD | ||||||||
| PHYSICIAN | 50.0 | 0 | $236,859 | $0 | $35,416 | Yes (X) | ||
| JASON HESSER MD | ||||||||
| PHYSICIAN | 50.0 | 0 | $258,012 | $0 | $13,071 | Yes (X) | ||
| TROY MILLER MD | ||||||||
| PHYSICIAN | 50.0 | 0 | $270,961 | $0 | $36,611 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,760,048 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,133,088 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $352,931 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CloudWave | |||||
| Dept CH 19800 | Palatine | IL | 60055 | Hosting Software | $232,546 |
| Electronic Contracting Company | |||||
| PO Box 29195 | LINCOLN | NE | 68529 | Construction | $200,231 |
| Early Out Services Inc | |||||
| 5807 N 102 St | Omaha | NE | 68134 | Collection Agency | $165,341 |
| Medical Information Technology Inc | |||||
| PO Box 74569 | Chicago | IL | 60696 | Medical Information | $143,103 |
| TIME WARNER CABLE | |||||
| 5400 S 16th St | Lincoln | NE | 68512 | Installation | $136,324 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $72,318 | RelatedOrganizationsAmt |
| All Other Contributions | $9,020 | AllOtherContributionsAmt |
| Total Contributions | $81,338 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT CARE REVENUE | 900099 | $20,255,089 | $20,255,089 |
| 340B RETAIL PHARMACY | 900099 | $1,785,062 | $1,785,062 |
| Health Information Services | 621300 | $7,521 | $7,521 |
| ATHLETIC TRAINING OUTREACH | 624100 | $82,368 | $82,368 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,130,040 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,088 | TotalRevenueColumnAmt |
| Exclusion | $76,088 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,288 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,177 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,111 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,111 | TotalRevenueColumnAmt |
| Exclusion | $46,111 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,785 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$3,785 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,785 | TotalRevenueColumnAmt |
| Exclusion | -$3,785 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 900099 | $83,892 | $83,892 |
| PURCHASED DISCOUNTS | 900099 | $14,062 | $14,062 |
| GIFT SHOP REVENUE | 900099 | $7,795 | $7,795 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,551 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $93,551 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $199,300 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,529,092 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,130,040 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $317,714 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,198 | TotalAmt |
| Program Services | $12,198 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,897 | TotalAmt |
| Program Services | $298,535 | ProgramServicesAmt |
| Management And General | $263,362 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,734,264 | TotalAmt |
| Program Services | $8,252,945 | ProgramServicesAmt |
| Management And General | $481,319 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,053 | TotalAmt |
| Program Services | $359,110 | ProgramServicesAmt |
| Management And General | $20,943 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,265,208 | TotalAmt |
| Program Services | $1,195,486 | ProgramServicesAmt |
| Management And General | $69,722 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $579,053 | TotalAmt |
| Program Services | $547,143 | ProgramServicesAmt |
| Management And General | $31,910 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,121 | TotalAmt |
| Management And General | $27,121 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,450 | TotalAmt |
| Management And General | $58,450 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,822,982 | TotalAmt |
| Program Services | $1,722,523 | ProgramServicesAmt |
| Management And General | $100,459 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,611 | TotalAmt |
| Management And General | $90,611 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,079,232 | TotalAmt |
| Program Services | $1,964,652 | ProgramServicesAmt |
| Management And General | $114,580 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,098 | TotalAmt |
| Program Services | $264,663 | ProgramServicesAmt |
| Management And General | $15,435 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,378 | TotalAmt |
| Program Services | $266,817 | ProgramServicesAmt |
| Management And General | $15,561 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,705 | TotalAmt |
| Program Services | $16,999 | ProgramServicesAmt |
| Management And General | $2,706 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,711 | TotalAmt |
| Program Services | $51,711 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,049,751 | TotalAmt |
| Program Services | $1,936,796 | ProgramServicesAmt |
| Management And General | $112,955 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,465 | TotalAmt |
| Program Services | $91,150 | ProgramServicesAmt |
| Management And General | $5,315 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Corporate Cost Allocation | $526,733 | $526,733 | |
| Medical Supplies | $499,193 | $499,193 | |
| Drugs | $1,337,967 | $1,337,967 | |
| Interest Rate Swap | $376,168 | $376,168 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,891 | TotalAmt |
| Program Services | $164,308 | ProgramServicesAmt |
| Management And General | $9,583 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,305,129 | TotalAmt |
| Program Services | $19,358,364 | ProgramServicesAmt |
| Management And General | $1,946,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,302,830 | BOYAmt |
| EOY | $4,784,542 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,338,754 | BOYAmt |
| EOY | $2,351,089 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,352 | BOYAmt |
| EOY | $224,148 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,447 | BOYAmt |
| EOY | $105,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,681,754 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,133,073 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,816,971 | BOYAmt |
| EOY | $9,548,681 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,667,551 | BOYAmt |
| EOY | $16,800,758 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,426 | BOYAmt |
| EOY | $4,378 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,019 | BOYAmt |
| EOY | $585,763 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,915,350 | BOYAmt |
| EOY | $34,404,427 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,832,567 | BOYAmt |
| EOY | $2,686,173 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,743,984 | BOYAmt |
| EOY | $11,953,490 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,576,551 | BOYAmt |
| EOY | $14,639,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,338,799 | BOYAmt |
| EOY | $19,764,764 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,338,799 | BOYAmt |
| EOY | $19,764,764 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,915,350 | BOYAmt |
| EOY | $34,404,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,223,963 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $60,839 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $141,163 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,096 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,096 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | 1) g ) On various occasions throughout the year, the CEO met with state and local legislators to discuss issues related to healthcare. While some related to healthcare reform, other issues discussed included meeting the needs of indigent/uninsured and underinsured patients, as well as the ongoing need for health services for the community. 1) i) CAMC paid annual dues to the Nebraska Hospital Association. A portion of these dues were determined to be used for lobbying activities. The related amount has been reported in Part II-B, Line 1i. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | 1) g ) On various occasions throughout the year, the CEO met with state and local legislators to discuss issues related to healthcare. While some related to healthcare reform, other issues discussed included meeting the needs of indigent/uninsured and underinsured patients, as well as the ongoing need for health services for the community. 1) i) CAMC paid annual dues to the Nebraska Hospital Association. A portion of these dues were determined to be used for lobbying activities. The related amount has been reported in Part II-B, Line 1i. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,247 | OtherCostOrOtherBasisAmt |
| Book Value | $61,247 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,910,446 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,625,741 | DepreciationAmt |
| Book Value | $6,284,705 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,819 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,819 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,486,606 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,647,034 | DepreciationAmt |
| Book Value | $2,839,572 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,219,636 | OtherCostOrOtherBasisAmt |
| Depreciation | $856,479 | DepreciationAmt |
| Book Value | $363,157 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,548,681 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SWAP AGREEMENT | $1,467,078 |
| LONG TERM DEBT INTERCOMPANY LOAN | $10,486,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,953,490 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,742,274 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $60,839 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $152,343 | OtherRevenueAmt |
| Revenue Not Reported | $213,182 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,529,092 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,529,092 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,316,309 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $11,180 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $11,180 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,305,129 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,305,129 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | CAMC accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in FASB Accounting Standards Codification (ASC) Topic 740, Income Taxes. CAMC recognizes the effect of income tax provisions only if those positions are more likely than not of being sustained. At December 31, 2016 and 2015, CAMC had no uncertain tax positions accrued. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | Change in value of swap agreement - 289729 Office Building Rental Expense - 11177 Deferred Tax Expense - -11772 Transfers From Related Parties - -136793 Rounding - 2 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | Office Building Rental Expense - 11177 Rounding - 3 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $331,948 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $331,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0156 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $331,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $331,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0156 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $190,138 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0086 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $190,138 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0086 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $522,086 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $514,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0241 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $650,618 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $130,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,558,820 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,610,474 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$51,654 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | CRETE AREA MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 BETTEN DRIVE | AddressLine1Txt |
| City | CRETE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68333 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bryanhealth.org | WebsiteAddressTxt |
| State License | 670001NE | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| 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 | CRETE AREA MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.bryanhealth.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.bryanhealth.org | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.bryanhealth.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.bryanhealth.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.bryanhealth.org | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Crete Area Medical Center. Invitations were sent to persons believed to represent the broad interests of the community, including health care providers, dentists, the county board of health, colleges, schools, police, fire and rescue, city and county officials, area business leaders, pharmacists, and religious organizations. Those in attendance provided input during focus group discussions which was utilized to prioritize health issues. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Crete Area Medical Center. Hospital facilities that participated include Crete Area Medical Center and Bryan Medical Center. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Crete Area Medical Center. CAMC COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN EVALUATION FOLLOWING THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2015, CRETE AREA MEDICAL CENTER (CAMC) WORKED WITH ITS COMMUNITY PARTNERS TO OUTLINE GOALS FOR ADDRESSING EACH COMMUNITY PRIORITY AS WELL AS IMPLEMENTATION ACTIONS THAT WOULD WORK TOWARD ACHIEVING EACH OF THESE GOALS WITHIN THE CRETE COMMUNITY AND SALINE COUNTY. THE FOLLOWING EVALUATION OF THE IMPLEMENTATION PLAN SHOWS THAT TREMENDOUS PROGRESS HAS BEEN MADE BY CAMC AND OTHER COMMUNITY PARTNERS TO ADDRESS THE FOUR KEY PRIORITIES ESTABLISHED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. 1) LIFESTYLE/HEALTH & WELLNESS: GOAL A: MOTIVATE INDIVIDUALS TO TAKE AN ACTIVE INTEREST IN A LIFESTYLE THAT PROMOTES GOOD HEALTH AND WELLNESS. CAMC HAS TAKEN SEVERAL STEPS TO CONVENE LOCAL AGENCIES AND PROVIDERS TO COLLABORATE ON A PLAN TO PROVIDE INCREASED EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS. CAMC HOSTS A COMMUNITY PICNIC WHICH INCLUDES VARIOUS HEALTH EDUCATION OPPORTUNITIES INCLUDING FIRST AID AND SUN PROTECTION AMONG OTHERS. CAMC HOSTS A BI-ANNUAL HEALTH FAIR AND PROVIDES PREVENTATIVE SCREENINGS AT REDUCED RATES FOR COMMUNITY MEMBERS. LAB SCREENINGS AND FLU SHOTS WERE PROVIDED FOR THE COMMUNITIES OF CRETE AND WILBER AT A REDUCED RATE; BLOOD PRESSURE SCREENINGS AND CANCER RELATED HEALTH EDUCATION ARE PROVIDED TO THE COMMUNITY; FLU SHOTS WERE PROVIDED TO BUSINESS AT THEIR PLACE OF EMPLOYMENT FOR A REDUCED RATE; ALSO ATTENDANCE AT THE SALINE COUNTY FARM SHOW PROVIDED FREE HEALTH SCREENINGS AND HEALTH EDUCATION RELATED TO CANCER. GOAL B: DEVELOP COMPREHENSIVE COMMUNITY HEALTH INITIATIVES. CAMC HAS BUILT ON CRETE MASTER PLANNING EFFORTS TO INCORPORATE EXERCISE AND WELLNESS BY EXPANDING THE WALKING TRAIL AT CAMC IN SEPTEMBER 2013 AND ASSISTING WITH FUTURE PLANS TO EXPAND THE TRAIL TO CONNECT CAMC TO WALMART. MULTIPLE ACCESS POINTS HAVE ALSO BEEN IDENTIFIED FOR HEALTH EDUCATION, EXERCISE, AND WELLNESS ACTIVITIES INCLUDING THE CARDIAC RISK ASSESSMENT TOOL AVAILABLE ON THE CAMC WEBSITE. CAMC HAS ALSO WORKED WITH ELEMENTARY AND MIDDLE SCHOOLS TO TARGET FITNESS, NUTRITION, AND OBESITY THROUGH EVENTS AND ACTIVITIES SUCH AS YOUTH DAY, KIDS CLUB, AND A WALKING TRAIL EVENT. ADDITIONALLY, THROUGH EXPLORING DEVELOPMENT OF MEDICAL WELLNESS PROGRAMS IN THE COUNTY, CAMC HAS BEEN ABLE TO PROVIDE A DIABETIC EDUCATION PROGRAM AS WELL AS AN ACTIVE LIFESTYLE PROGRAM THAT ALLOWS MEMBERS TO USE CAMC EXERCISE EQUIPMENT. 2) BEHAVIORAL HEALTH: GOAL A: REDUCE BEHAVIORAL HEALTH DISORDERS THROUGH EARLY INTERVENTION AND TREATMENT. CAMC IS PROVIDING GREATER ACCESS TO BEHAVIORAL HEALTH EDUCATION MATERIALS THROUGHOUT THE COUNTY BY PARTNERING WITH BRYAN HEALTH TO SUPPLY BEHAVIORAL AND MENTAL HEALTH BROCHURES THAT ARE MADE READILY AVAILABLE FOR WILBER SCHOOLS, WILBER POLICE DEPARTMENT AND THE SALINE COUNTY SHERIFF'S OFFICE. CAMC HAS ALSO BEEN DILIGENT IN PROVIDING TRAINING TO KEY INDIVIDUALS IN THE EARLY IDENTIFICATION OF BEHAVIORAL HEALTH ISSUES. CAMC CONTINUES TO PARTICIPATE IN THE YOUTH SUICIDE PREVENTION COALITION. A FIVE YEAR SUICIDE PREVENTION PLAN IS NOW IN PLACE FOR ALL LOCAL SCHOOLS AND THE ORGANIZATION IS PARTICIPATING IN A COUNTY-WIDE INITIATIVE AIMED AT IDENTIFYING THE NEEDS OF CHILDREN AGE 1-8 ENTITLED "ROOTED IN RELATIONSHIPS." INCREASED ACCESS TO ONLINE SCREENING TOOLS IS NOW PROVIDED THROUGH A BEHAVIORAL HEALTH SCREENING TOOL AVAILABLE ON THE BRYAN HEALTH WEBSITE. IN ADDITION TO INCREASED ACCESS TO SCREENING, CAMC HAS ALSO IMPROVED ACCESS TO TREATMENT FACILITIES BY PROVIDING CHILD AND ADULT PSYCHOLOGY SERVICES AT THE CRETE CLINIC AND CHILD PSYCHOLOGY SERVICES AT THE WILBER CLINIC AS WELL AS PROVIDING PSYCHIATRY SERVICES THROUGH TELEMEDICINE AND ON-SITE. 3) PREVENTION/CHRONIC DISEASE: GOAL A: EXCEED STATE AVERAGE BY 5% IN CANCER SCREENING AREAS. TO AID IN RAISING PUBLIC AWARENESS AND PROMOTING SCREENING PROGRAMS, CAMC MAILS REMINDER LETTERS TO THEIR PATIENTS. IN ADDRESSING CHANGES IN CRITERIA TO THE EVERY WOMAN MATTERS PROGRAM, CAMC PARTNERED WITH THE LOCAL HEALTH DEPARTMENT, PUBLIC HEALTH SOLUTIONS, TO PROVIDE MAMMOGRAMS AND BREAST EXAMS TO PATIENTS WHO DID NOT QUALIFY FOR THE EVERY WOMAN MATTERS PROGRAM. EXAMS WERE PAID FOR BY PUBLIC HEALTH SOLUTIONS (PHS). CAMC ALSO WORKS TO PROMOTE THE POSITIVE ASPECTS OF SCREENING TO REDUCE FEAR OF SCREENINGS SUCH AS COLONOSCOPY BY PROVIDING EDUCATION FOR LOCAL EMPLOYERS AND AT COMMUNITY EVENTS. GOAL B: ENHANCE THE AVAILABILITY OF RESOURCES TO HELP MANAGE CHRONIC DISEASE PROACTIVELY TO REDUCE MORBIDITY AND MORTALITY IN SALINE COUNTY. CAMC CONTINUES TO WORK WITH AREA PROVIDERS TO SUPPORT ACCESS TO TESTS, TREATMENT, AND MEDICATION FOR THE UNINSURED AND UNDERINSURED. THE ORGANIZATION HAS FINANCIAL ASSISTANCE AVAILABLE FOR QUALIFYING PATIENTS AND NOW OBESITY CARE CAN BE PART OF MEDICAL HOME CARE PLANS. AS MENTIONED PREVIOUSLY, DIABETES EDUCATION CLASSES ARE ALSO OFFERED AT CAMC. TO DEVELOP SMOKING CESSATION PROGRAMS WHICH RECOGNIZE ETHNIC DIVERSITY AND ATTITUDES TOWARD SMOKING, CAMC RESPIRATORY THERAPISTS RECEIVED SPECIAL TRAINING IN ORDER TO PROVIDE SMOKING CESSATION EDUCATION. 4) ACCESS TO CARE/EMERGENCY SERVICES: GOAL A: MAINTAIN ACCESS TO EMERGENCY MEDICAL SERVICES THROUGHOUT SALINE COUNTY. CLASSES ARE AVAILABLE THROUGH SOUTHEAST COMMUNITY COLLEGE FOR AMBULANCE CREWS, AND SINCE 2013 CAMC HAS PROVIDED ADVANCED LIFE SUPPORT INTERCEPT SERVICES FOR RURAL VOLUNTEER RESCUE SQUADS IN SURROUNDING COMMUNITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| WILBER MEDICAL CLINIC | ||||
| 203 W 4TH STREET | WILBER | NE | 68465 | RURAL HEALTH CLINIC |
| CRETE MEDICAL CLINIC | ||||
| 2910 BETTEN DRIVE | CRETE | NE | 68333 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community Benefit Report | Crete Area Medical Center's Community Benefit Report was included in the Bryan Health Consolidated Report to the Community. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE COST OF CRETE AREA MEDICAL CENTER'S BAD DEBT EXPENSE WAS DETERMINED BY APPLYING A RATIO OF PATIENT CARE COST TO CHARGES TO THE BAD DEBT EXPENSE REPORTED IN THE FINANCIAL STATEMENTS. DISCOUNTS AND PAYMENTS REDUCE BAD DEBT EXPENSE. ONLY THE REMAINING UNCOLLECTIBLE BALANCE IS WRITTEN-OFF AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS DETERMINED ON BALANCES AFTER DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED TO PATIENT ACCOUNTS. THE REMAINING BALANCE DUE FROM THE PATIENT IS EVALUATED TO DETERMINE IF THE ACCOUNT IS WRITTEN OFF BASED ON THE EXISTING COLLECTION POLICY. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | ABOUT 1 OF 5 FINANCIAL ASSISTANCE (CHARITY CARE) APPLICATIONS IS DENIED BECAUSE THE PATIENT WOULD NOT PROVIDE THE SUPPORTING INFORMATION REQUIRED PER THE POLICY AND PROCEDURE. WITHOUT SUPPORTING DOCUMENTATION, FINANCIAL ASSISTANCE IS DIFFICULT TO PROCESS. FINANCIAL INFORMATION IS NECESSARY TO DETERMINE THE PATIENT'S ABILITY OR INABILITY TO PAY BASED ON ESTABLISHED GUIDELINES IN THE FINANCIAL ASSISTANCE POLICY. No portion of bad debt has been included as community benefit. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | SEE CAMC'S AUDITED FINANCIAL REPORT, PAGE 7, SECTION E, "PATIENT RECEIVABLES, NET" FOR THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. CRETE AREA MEDICAL CENTER PROVIDES CARE TO MEDICARE PATIENTS, AND MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO THESE PATIENTS CAUSING A SHORTFALL, OR LOSS TO THE ORGANIZATION. THE FUNDS CRETE AREA MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN CRETE AREA MEDICAL CENTER'S MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE ORGANIZATION'S DEBT COLLECTION POLICY PROHIBITS ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part V, Section B, Line 16a FAP website | - CRETE AREA MEDICAL CENTER: Line 16a URL: www.bryanhealth.org; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - CRETE AREA MEDICAL CENTER: Line 16b URL: www.bryanhealth.org; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - CRETE AREA MEDICAL CENTER: Line 16c URL: www.bryanhealth.org; |
| Schedule H, Part VI, Line 2 Needs assessment | Crete Area MEDICAL CENTER ("CAMC") IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. DURING YEAR ENDED December 31, 2015, CAMC PARTNERED WITH PUBLIC HEALTH SOLUTIONS, LOCATED IN CRETE, TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. THE HEALTH NEEDS IDENTIFIED FROM THE ASSESSMENT WERE PRIORITIZED BY A REPRESENTATIVE GROUP OF STAKEHOLDERS FROM THROUGHOUT THE COUNTY AND UTILIZED TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. CAMC'S COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY WAS DEVELOPED TO ENSURE THAT OUR STRENGTHS AND AVAILABLE RESOURCES ARE ALIGNED WITH THE HEALTH NEEDS OF OUR COMMUNITY. CAMC ALSO REVIEWS INFORMATION ON THE APPROPRIATE NUMBER OF PHYSICIANS FOR OUR SERVICE AREA AND WILL ACTIVELY RECRUIT PHYSICIANS OR OTHER PROVIDERS AS NEEDED TO THE COMMUNITY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO PATIENTS DURING ADMISSION IN THEIR INFORMATION PACKET. PATIENTS MAY CONTACT THE HOSPITAL AT ANYTIME TO REQUEST A FINANCIAL ASSISTANCE APPLICATION. HOSPITAL PATIENT ACCOUNT COLLECTORS WILL ALSO INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IF THEY ARE UNABLE TO PAY THEIR BILL AND MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON INFORMATION PROVIDED. IN ADDITION, INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED ON THE WEBSITE, IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, AND ON EACH BILLING STATEMENT. |
| Schedule H, Part VI, Line 4 Community information | CRETE AREA MEDICAL CENTER ("CAMC") IS LOCATED IN CRETE, NEBRASKA. CRETE HAS A POPULATION OF 7,059 PEOPLE AND INCLUDES DIVERSE ETHNIC BACKGROUNDS. THE CITY OF CRETE HAS THE FASTEST-GROWING HISPANIC POPULATION IN NEBRASKA. THE 2016 AMERICAN COMMUNITY SURVEY ESTIMATES INDICATE THAT PERSONS OF HISPANIC ORIGIN MAKE UP 35.7% OF THE POPULATION IN SALINE COUNTY, VERSUS 10.7% FOR NEBRASKA. CRETE HAS THREE PRIMARY EMPLOYERS: BUNGE MILLING, SMITHFIELD-FARMLAND, AND NESTLE/PURINA. IN ADDITION, CRETE IS HOME TO DOANE COLLEGE, A PRIVATE, LIBERAL ARTS COLLEGE. CAMC SERVES PEOPLE IN CRETE AND THE SURROUNDING COMMUNITIES IN SALINE AND LANCASTER COUNTIES. OUR PRIMARY SERVICE AREA IS A 30-MILE RADIUS OF CRETE. |
| Schedule H, Part VI, Line 5 Promotion of community health | CRETE AREA MEDICAL CENTER ("CAMC") IS A NEBRASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CAMC OPERATES A 24-LICENSED BED CRITICAL ACCESS HOSPITAL AND TWO PHYSICIAN CLINICS. CAMC HAS AN OPEN MEDICAL STAFF. THE HOSPITAL BOARD OF TRUSTEES INCLUDES MEMBERS FROM THE COMMUNITY. CAMC IS COMMITTED TO SERVING OUR PATIENTS AND OUR COMMUNITY BY INVESTING FUNDS IN FACILITIES, TECHNOLOGY, PHYSICIANS, AND STAFF TO DELIVER PREMIUM HEALTHCARE IN OUR FACILITIES. CAMC PARTICIPATES IN LOCAL ORGANIZATIONAL EVENTS AND PROVIDES UNCOMPENSATED AND CHARITY CARE TO OUR PATIENTS. CAMC SUPPORTS EDUCATIONAL OPPORTUNITIES FOR STAFF, HIGH SCHOOL STUDENTS, LOCAL EMS VOLUNTEERS, AND COMMUNITY MEMBERS. PUBLIC ASSISTANCE WITH TRANSLATION SERVICES, AND HEALTHY LIFESTYLE PROGRAMS ARE ALSO OFFERED AT CAMC. |
| Schedule H, Part VI, Line 6 Affiliated health care system | CRETE AREA MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT, LOCALLY OWNED HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN HEALTH EXISTS TO: PROMOTE AND PROVIDE ACCESS TO QUALITY HEALTH CARE; PROVIDE MEDICAL EDUCATION, AND COMMUNITY SERVICE. THE COMMUNITY BENEFITS PROVIDED BY THE SYSTEM INCLUDE: 1) PROVIDING FREE OR DISCOUNTED HEALTH CARE TO THE UNINSURED AND UNDERINSURED, 2) PROVIDING GOVERNMENTAL SPONSORED PROGRAMS SUCH AS MEDICARE AND MEDICAID; 3) HEALTH PROFESSIONALS' EDUCATION 4) COMMUNITY HEALTH IMPROVEMENT SERVICES AND 5) CASH AND IN-KIND CONTRIBUTIONS TO OTHER NON-PROFIT ORGANIZATIONS. BRYAN HEALTH PROVIDES A FULL SPECTRUM OF PREVENTION, WELLNESS, ACUTE CARE AND REHABILITATION SERVICES TO URBAN, SUBURBAN AND RURAL COMMUNITIES IN NEBRASKA, KANSAS, IOWA, MISSOURI AND SOUTH DAKOTA. BRYAN HEALTH CONSISTS OF THREE ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, AN URGENT CARE CENTER, A HEALTH AND WELLNESS FACILITY, A PHILANTHROPIC FOUNDATION, A PHYSICIAN HOSPITAL ORGANIZATION AND OTHER HEALTHCARE PROVIDERS. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, ONCOLOGY, IMAGING AND MENTAL HEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $12,198 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE CRETE AREA HEALTH CARE FOUNDATION OVERSEES THE SCHOLARSHIP MANAGEMENT. THE FOUNDATION AWARDS THE SCHOLARSHIPS AND CRETE AREA MEDICAL CENTER DISTRIBUTES THE FUNDS. EACH POTENTIAL RECIPIENT IS REQUIRED TO APPLY FOR A SCHOLARSHIP. THE FOUNDATION REVIEWS AND DISCUSSES ALL SUBMITTED REQUESTS IN DETAIL SCHOLARSHIPS ARE AWARDED BASED ON ELIGIBILITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REBEKAH MUSSMAN | ||||||||||||||
| PRESIDENT/CEO | $139,880 | $0 | $0 | $0 | $3,896 | $0 | $4,648 | $0 | $26,053 | $0 | $174,477 | $0 | $0 | $0 |
| ROBERT RAVENSCROFT | ||||||||||||||
| VICE CHAIRPERSON | $0 | $295,294 | $0 | $67,287 | $0 | $102,958 | $0 | $12,556 | $0 | $25,784 | $0 | $503,879 | $0 | $0 |
| DAVID REESE | ||||||||||||||
| Trustee | $0 | $255,150 | $0 | $56,064 | $0 | $32,623 | $0 | $16,877 | $0 | $23,825 | $0 | $384,538 | $0 | $0 |
| LINDA STONES | ||||||||||||||
| Trustee | $0 | $137,232 | $0 | $14,593 | $0 | $13,359 | $0 | $8,886 | $0 | $2,520 | $0 | $176,589 | $0 | $0 |
| AMY VERTIN MD | ||||||||||||||
| PHYSICIAN & Trustee | $253,121 | $0 | $50 | $0 | $10,903 | $0 | $10,963 | $0 | $23,498 | $0 | $298,535 | $0 | $0 | $0 |
| BRYCE BETKE | ||||||||||||||
| Interim CFO (2/8/2015 - 4/18/16) | $0 | $148,891 | $0 | $7,161 | $0 | $2,478 | $0 | $7,356 | $0 | $23,218 | $0 | $189,104 | $0 | $0 |
| RUSSELL EBKE MD | ||||||||||||||
| PHYSICIAN | $204,134 | $0 | $200 | $0 | $10,979 | $0 | $11,927 | $0 | $25,848 | $0 | $253,088 | $0 | $0 | $0 |
| MITCHELL EBKE | ||||||||||||||
| CERTIFIED REGISTERED NURSE ANESTHETIST | $288,783 | $0 | $0 | $0 | $564 | $0 | $11,925 | $0 | $24,772 | $0 | $326,044 | $0 | $0 | $0 |
| KATE HESSER MD | ||||||||||||||
| PHYSICIAN | $141,723 | $0 | $67,588 | $0 | $27,548 | $0 | $9,311 | $0 | $26,105 | $0 | $272,275 | $0 | $0 | $0 |
| JASON HESSER MD | ||||||||||||||
| PHYSICIAN | $154,615 | $0 | $83,865 | $0 | $19,532 | $0 | $9,706 | $0 | $3,365 | $0 | $271,083 | $0 | $0 | $0 |
| TROY MILLER MD | ||||||||||||||
| PHYSICIAN | $133,493 | $0 | $129,274 | $0 | $8,194 | $0 | $11,798 | $0 | $24,813 | $0 | $307,572 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES | IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EMPLOYED PHYSICIANS AND EXECUTIVES; AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE PROCESS FOR REVIEWING AND EVALUATING COMPENSATION FOR THIS ORGANIZATION'S CEO AND FOR ALL RURAL HOSPITAL CEOS EMPLOYED BY BRYAN HEALTH, IS OVERSEEN BY BRYAN HEALTH'S HUMAN RESOURCES DEPARTMENT. THE PROCESS INCLUDES AN ANNUAL ASSESSMENT OF CEO COMPENSATION INCLUDING BENCHMARKING SALARIES TO SEVERAL NATIONAL SALARY SURVEYS TO DETERMINE THAT THE COMPENSATION IS CONSISTENT WITH THE ORGANIZATION'S CHARITABLE MISSION AND REASONABLE COMPARED WITH FAIR MARKET VALUE IN THE INDUSTRY. BRYAN HEALTH TARGETS BASE SALARY FOR RURAL HOSPITAL CEOS AT THE 50TH PERCENTILE OF THE MARKET. THE LAST ASSESSMENT WAS COMPLETED IN APRIL 2016. TWO BOARD MEMBERS OF THIS ORGANIZATION ARE MEMBERS OF THE BRYAN HEALTH SENIOR MANAGEMENT TEAM. BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF THE LARGEST PRIVATE EMPLOYER IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON APRIL 20, 2016. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. EMPLOYED PHYSICIAN COMPENSATION IS UNDER THE PURVIEW OF THE BRYAN HEALTH COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE HAS ESTABLISHED A POLICY REGARDING PHYSICIAN COMPENSATION WHICH ASSURES THAT PHYSICIAN COMPENSATION MEETS FAIR MARKET VALUE AND ALL OTHER LEGAL REQUIREMENTS. PHYSICIAN COMPENSATION IS BENCHMARKED AGAINST SEVERAL INDEPENDENT PHYSICIAN SPECIALTY - SPECIFIC SALARY SURVEYS AND IS REGULARLY REVIEWED BY THE COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | IN ORDER TO ATTRACT AND RETAIN TALENTED, EXPERIENCED EXECUTIVES, BRYAN HEALTH OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN, OR RECEIVED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2016: ROBERT RAVENSCROFT AND DAVID REESE. |
| Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization | IN THE CASE OF CERTAIN PHYSICIAN EMPLOYEE AGREEMENTS, INCENTIVE COMPENSATION IS PAID ON A PERCENTAGE OF PROFESSIONAL SERVICES PERFORMED ABOVE A PREDETERMINED THRESHOLD. |
| Schedule J, Part I, Line 7 Non-fixed payments | CRETE AREA MEDICAL CENTER OFFERS AN INCENTIVE COMPENSATION PROGRAM FOR ALL EMPLOYEES. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL, DEPARTMENTAL, AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kate Hesser MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family member of a former board member from 2014 | RelationshipDescriptionTxt |
| Transaction | $236,859 | TransactionAmt |
| Transaction | Compensation | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS | MANY OF THE PERSONS LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT BY A BRYAN HEALTH ENTITY. |
| Form 990, Part VI, Line 1a Governing Body Delegated Broad Authority to Committee | As the sole member of the filing organization, Bryan Health, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b and Part XII, Line 2c for descriptions of such authority. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | Effective January 1, 2017 the board shall consist of up to eight members instead of ten. Up to three voting members shall be nominated by the Board for approval by the System. Up to three voting members shall be appointed by the System without the necessity of approval by the board. There is no change to the two members that are ex offico voting trustees. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE MEMBER OF CRETE AREA MEDICAL CENTER IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: 1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; 2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND 3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | BRYAN HEALTH, AS SOLE CORPORATE MEMBER OF CRETE AREA MEDICAL CENTER, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A TWO-THIRDS (2/3) VOTE OF THE VOTING TRUSTEES OF BRYAN HEALTH. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | BRYAN HEALTH IS THE SOLE CORPORATE MEMBER OF CRETE AREA MEDICAL CENTER ("CAMC"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF CAMC MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF BRYAN HEALTH: (1) ADOPT ANY LONG-TERM CAPITAL OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR $1,000,000 IN ANY CORPORATION FISCAL YEAR; (3) ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; (4) AMEND THE BYLAWS OR ARTICLES OF INCORPORATION (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000, OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY CORPORATION, SHARED SERVICE ARRANGEMENT, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURE OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WHEN IT EXCEEDS $500,000 IN A SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (7) APPROVE ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (8) ELECT OR APPOINT TRUSTEES OF THE CORPORATION; (9) APPOINT OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 10) PURCHASE INSURANCE COVERAGE FOR THE CORPORATION AND ITS OPERATIONS; 11) SELECT THE AUDITOR TO PERFORM THE ANNUAL AUDIT OF THE RECORDS OF THE CORPORATION; AND 12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH BRYAN HEALTH'S GOALS AND OBJECTIVES. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THIS 990 WAS PREPARED BY BRYAN HEALTH'S TAX DIVISION. DURING THE RETURN PREPARATION PROCESS, THE TAX DIVISION WORKS DILIGENTLY WITH CRETE AREA MEDICAL CENTER'S CFO AND OTHER DEPARTMENTS, INCLUDING HUMAN RESOURCES, FINANCE, LEGAL, AND DEVELOPMENT, TO GATHER INFORMATION TO COMPLETE FORM 990 AND ATTACHED SCHEDULES IN AN ACCURATE AND THOROUGH MANNER. THIS 990 WAS REVIEWED BY THE CEO AND CFO OF CRETE AREA MEDICAL CENTER. IN ADDITION, THIS 990 WAS REVIEWED BY THE CEO AND CFO OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS DISTRIBUTED FOR REVIEW TO EACH MEMBER OF CRETE AREA MEDICAL CENTER'S BOARD OF TRUSTEES, AND TO BRYAN HEALTH'S AUDIT COMMITTEE PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. |
| Form 990, Part VI, Line 12c Conflict of interest policy | CRETE AREA MEDICAL CENTER ("CAMC") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE CAMC BOARD OF TRUSTEES. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT. THE QUESTIONNAIRES REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE; (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST; SUCH AS, PROHIBITING THEM FROM PARTICIPATING IN DELIBERATIONS AND VOTING WITH REGARD TO CERTAIN TRANSACTIONS IN WHICH THEY HAVE AN INTEREST. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE PROCESS FOR REVIEWING AND EVALUATING COMPENSATION FOR THIS ORGANIZATION'S CEO AND FOR ALL RURAL HOSPITAL CEOS EMPLOYED BY BRYAN HEALTH, IS OVERSEEN BY BRYAN HEALTH'S HUMAN RESOURCES DEPARTMENT. THE PROCESS INCLUDES AN ANNUAL ASSESSMENT OF CEO COMPENSATION INCLUDING BENCHMARKING SALARIES TO SEVERAL NATIONAL SALARY SURVEYS TO DETERMINE THAT THE COMPENSATION IS CONSISTENT WITH THE ORGANIZATION'S CHARITABLE MISSION AND REASONABLE COMPARED WITH FAIR MARKET VALUE IN THE INDUSTRY. BRYAN HEALTH TARGETS BASE SALARY FOR RURAL HOSPITAL CEOS AT THE 50TH PERCENTILE OF THE MARKET. THE LAST ASSESSMENT WAS COMPLETED IN APRIL 2016. TWO BOARD MEMBERS OF THIS ORGANIZATION ARE MEMBERS OF THE BRYAN HEALTH SENIOR MANAGEMENT TEAM. BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF THE LARGEST PRIVATE EMPLOYER IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON APRIL 20, 2016. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. EMPLOYED PHYSICIAN COMPENSATION IS UNDER THE PURVIEW OF THE BRYAN HEALTH COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE HAS ESTABLISHED A POLICY REGARDING PHYSICIAN COMPENSATION WHICH ASSURES THAT PHYSICIAN COMPENSATION MEETS FAIR MARKET VALUE AND ALL OTHER LEGAL REQUIREMENTS. PHYSICIAN COMPENSATION IS BENCHMARKED AGAINST SEVERAL INDEPENDENT PHYSICIAN SPECIALTY - SPECIFIC SALARY SURVEYS AND IS REGULARLY REVIEWED BY THE COMPENSATION COMMITTEE. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. |
| Form 990, Part VII, Section A, Line 1a, Column (D) COMPENSATION OF MEMBERS | IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A ARE FOR SERVICES PERFORMED AS PHYSICIANS AND EXECUTIVES OF CRETE AREA MEDICAL CENTER AND BRYAN HEALTH AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other - Total Revenue: 93551, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 93551; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in Value of Swap Agreement - 289728; Deferred Tax Expense - -11772; Transfers from Related Parties - -136793; |
| Form 990, Part XII, Line 2c RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT | THE AUDIT COMMITTEE OF BRYAN HEALTH'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE ORGANIZATION'S AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN HEALTH | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 363414823 | HEALTHCARE | NE | 501(c)(3) | Type III-FI | NA | false |
| BRYAN PHYSICIAN NETWORK | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 201357375 | HEALTHCARE | NE | 501(c)(3) | 9 | BRYAN HEALTH | false |
| BRYAN MEDICAL CENTER | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470376552 | HEALTHCARE | NE | 501(c)(3) | 3 | BRYAN HEALTH | false |
| BRYAN FOUNDATION | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 237005720 | FUNDRAISING | NE | 501(c)(3) | 7 | BRYAN HEALTH | false |
| CRETE AREA HEALTH CARE FOUNDATION | ||||||||||
| 2910 BETTEN DRIVE | CRETE | NE | 68333 | FUNDRAISING | NE | 501(c)(3) | Type III-FI | NA | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN ENTERPRISES INC | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470701037 | MEDICAL SERVICES | NE | BRYAN HEALTH | C Corporation | 0 | false |
| INTEGRATED CARDIOLOGY GROUP LLC | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470844961 | CARDIOLOGY | NE | BRYAN HEALTH | C Corporation | 0 | false |
| BRYAN HEALTH CONNECT | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 364771145 | PHYSICIAN HOSPITAL ORGANIZATION | NE | BRYAN HEALTH | C Corporation | 0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |