BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC (EIN 47-0379834)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349307457
- Schema version
- 2015v3.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T13:52:23-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | 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 | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470379834 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEATRICE COMMUNITY HOSPITAL & HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEAT | BusinessNameControlTxt |
| Phone | 4022283344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 HOSPITAL PARKWAY PO BOX 278 | AddressLine1Txt |
| City | BEATRICE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68310 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN STREETER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4022283344 | PhoneNum |
| Signature | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARC D BEHRENS | PreparerPersonNm |
| PTIN | P01543366 | PTIN |
| Phone | 4023302660 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN STREETER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 HOSPITAL PARKWAY PO BOX 278 | AddressLine1Txt |
| City | BEATRICE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68310 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $72,729,613 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BEATRICECOMMUNITYHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. IS DEDICATED TO BEING THE HEALTHCARE RESOURCE FOR THE COMMUNITIES WE SERVE BY PROVIDING QUALITY SERVICES AND COMPASSIONATE CARE. OUR VISION STATEMENT IS: TO BE THE TRUSTED CHOICE FOR EXEMPLARY, COMPASSIONATE, PATIENT-AND-FAMILY-CENTERED HEALTHCARE FOR BEATRICE AND THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 594 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $156,294 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $146,351 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $195,590 | PYContributionsGrantsAmt |
| CY Contributions Grants | $188,592 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $70,184,298 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,743,563 | CYProgramServiceRevenueAmt |
| PY Investment Income | $86,617 | PYInvestmentIncomeAmt |
| CY Investment Income | $78,922 | CYInvestmentIncomeAmt |
| PY Other Revenue | $605,740 | PYOtherRevenueAmt |
| CY Other Revenue | $718,536 | CYOtherRevenueAmt |
| PY Total Revenue | $71,072,245 | PYTotalRevenueAmt |
| CY Total Revenue | $72,729,613 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $251,106 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $169,489 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,826,040 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,090,956 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,358,142 | PYOtherExpensesAmt |
| CY Other Expenses | $31,924,970 | CYOtherExpensesAmt |
| PY Total Expenses | $68,435,288 | PYTotalExpensesAmt |
| CY Total Expenses | $71,185,415 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,636,957 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,544,198 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $94,042,491 | TotalAssetsBOYAmt |
| Total Assets EOY | $93,610,376 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,294,602 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $48,354,689 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $43,747,889 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $45,255,687 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER IS DEDICATED TO BEING THE HEALTHCARE RESOURCE FOR THE COMMUNITIES WE SERVE BY PROVIDING QUALITY SERVICES AND COMPASSIONATE CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $45,563,886 | ExpenseAmt |
| Revenue | $56,458,707 | RevenueAmt |
| Desc | HOSPITAL INPATIENT AND OUTPATIENT CARE: SERVICES INCLUDE ANCILLARY AND ACUTE CARE ALONG WITH SERVING AS A CLINICAL EDUCATION SITE FOR STUDENTS FOR AREAS INVOLVING THE PHYSICAL THERAPY DEPARTMENT, THE EMERGENCY DEPARTMENT, THE SPEECH PATHOLOGY DEPARTMENT, THE OCCUPATIONAL THERAPY DEPARTMENT AND THE NURSING DEPARTMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,149,857 | ExpenseAmt |
| Revenue | $9,478,248 | RevenueAmt |
| Desc | PHYSICIAN CLINICS: SERVICES INCLUDE ACUTE CARE SERVICES AS WELL AS PROVIDING SPORTS PHYSICALS FOR LOCAL HIGH SCHOOL ATHLETES AND FOR PARTICIPANTS IN THE SPECIAL OLYMPICS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,352,252 | ExpenseAmt |
| Revenue | $2,484,254 | RevenueAmt |
| Desc | HOSPICE/LONG-TERM CARE: SERVICES INCLUDE CARE-TAKING FOR THE ELDERLY ALONG WITH PROVIDING A GRIEF RECOVERY PROGRAM FOR THOSE PEOPLE WHO HAVE LOST A LOVED ONE TO DEATH.HOME HEALTH IS AVAILABLE FOR PEOPLE OF ALL AGES, ASSISTING THEM IN THE RECOVERY AND REHABILITATION FROM ALL TYPES OF ILLNESS, INJURIES AND OTHER HEALTH PROBLEMS. SKILLED INTERMITTENT HOME CARE THAT IS PHYSICIAN ORDERED IS PROVIDED BY REGISTERED NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AND NURSE AIDES. AREAS SERVED INCLUDE: GAGE, JEFFERSON, PAWNEE AND SALINE COUNTIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $413,973 | ExpenseAmt |
| Grant | $169,489 | GrantAmt |
| Revenue | $3,468,320 | RevenueAmt |
| Desc | OTHER PROGRAM | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $413,973 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $169,489 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $3,468,320 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $59,479,968 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | 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 | Yes (1) | 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 | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 594 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN STREETER CFO | PersonNm |
| Phone | 4022283344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 HOSPITAL PARKWAY PO BOX 278 | AddressLine1Txt |
| City | BEATRICE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68310 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MITCHELL DEINES | |||||||||
| CHAIRMAN | 5.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LARRY THIMM | |||||||||
| VICE CHAIRMAN | 4.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LEROY JANZEN | |||||||||
| SECRETARY | 4.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES ENSZ | |||||||||
| TREASURER | 4.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE BECKMAN LMT | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BLAKE BUTLER MD | |||||||||
| MEMBER | 40.00 | 0.00 | Yes (X) | $492,761 | $0 | $40,407 | |||
| BARBARA JOHNSEN CPA | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE PERKINS | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB REED | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC THOMSEN MD | |||||||||
| MEMBER | 40.00 | 0.00 | Yes (X) | $250,834 | $0 | $39,089 | |||
| VERDELLA VETROVSKY | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR BRENDA MCNIFF | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR STEVE SANDMAN | |||||||||
| MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE VITOSH | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM BAUER | |||||||||
| MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS SOMMERS | |||||||||
| CEO | 36.00 | 4.00 | Yes (X) | $387,198 | $0 | $39,941 | |||
| ALAN STREETER | |||||||||
| CFO | 36.00 | 4.00 | Yes (X) | $167,503 | $0 | $39,587 | |||
| DR JOHN FINDLEY | |||||||||
| CMO | 40.00 | 0.00 | $289,547 | $0 | $29,569 | Yes (X) | |||
| DEREK WEICHEL MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $626,614 | $0 | $47,677 | Yes (X) | |||
| RONALD BEAR MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $430,530 | $0 | $27,775 | Yes (X) | |||
| PAUL ZUERCHER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $399,233 | $0 | $45,216 | Yes (X) | |||
| BRETT STUDLEY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $369,466 | $0 | $47,766 | Yes (X) | |||
| AMANDA LOEFFLER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $350,212 | $0 | $23,195 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,763,898 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $380,222 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | 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 |
|---|---|---|---|---|---|
| CASPERS CONSTRUCTION | |||||
| 800 S 10TH ST | BEATRICE | NE | 68310 | CONSTRUCTION | $4,010,356 |
| AOSNC LLC | |||||
| 9140 W DODGE RD | OMAHA | NE | 68114 | CONSTRUCTION | $302,970 |
| GE HEALTHCARE CAMDEN GROUP | |||||
| 29 NORTH WACKER DRIVE SUITE 1010 | CHICAGO | IL | 60606 | HEALTHCARE CONSULTING | $293,748 |
| GREENWAY MEDICAL TECHNOLOGIES INC | |||||
| 4301 W BOY SCOUT BLVD SUITE 800 | TAMPA | FL | 33607 | HEALTHCARE CONSULTING | $285,110 |
| MEDICAL SOLUTIONS | |||||
| 1010 N 102ND ST 300 | OMAHA | NE | 68114 | MEDICAL STAFFING | $239,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $153,492 | RelatedOrganizationsAmt |
| All Other Contributions | $35,100 | AllOtherContributionsAmt |
| Total Contributions | $188,592 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE - PRIVATE PAY | 621110 | $36,671,886 | $36,671,886 |
| PATIENT SERVICE - MEDICARE & MEDI | 621110 | $31,749,323 | $31,749,323 |
| 340B PROGRAM REVENUE | 621300 | $2,548,260 | $2,548,260 |
| PHARMACY REVENUE | 621300 | $312,093 | $312,093 |
| MANAGEMENT FEES | 561000 | $177,392 | $177,392 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,609 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $284,609 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,743,563 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,156 | TotalRevenueColumnAmt |
| Exclusion | $72,156 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $62,328 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $62,328 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,328 | TotalRevenueColumnAmt |
| Exclusion | $62,328 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,766 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,766 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,766 | TotalRevenueColumnAmt |
| Exclusion | $6,766 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722210 | $304,979 | $304,979 | ||
| MHR HOME CARE LLC | 446199 | $156,294 | $156,294 | ||
| PURCHASE DISCOUNTS | 900099 | $145,966 | $145,966 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,969 | TotalRevenueColumnAmt |
| Exclusion | $48,969 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $656,208 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,729,613 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,889,529 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $156,294 | UnrelatedBusinessRevenueAmt |
| Exclusion | $495,198 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,489 | TotalAmt |
| Program Services | $169,489 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,776,436 | TotalAmt |
| Program Services | $857,700 | ProgramServicesAmt |
| Management And General | $918,736 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,177 | TotalAmt |
| Program Services | $46,177 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,837,804 | TotalAmt |
| Program Services | $26,318,244 | ProgramServicesAmt |
| Management And General | $3,519,560 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,975 | TotalAmt |
| Program Services | $1,307,999 | ProgramServicesAmt |
| Management And General | $189,976 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,970,569 | TotalAmt |
| Program Services | $3,349,334 | ProgramServicesAmt |
| Management And General | $621,235 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,961,995 | TotalAmt |
| Program Services | $1,689,750 | ProgramServicesAmt |
| Management And General | $272,245 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,565 | TotalAmt |
| Management And General | $78,565 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,429 | TotalAmt |
| Management And General | $18,429 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,056,051 | TotalAmt |
| Program Services | $2,873,558 | ProgramServicesAmt |
| Management And General | $2,182,493 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,109 | TotalAmt |
| Program Services | $126,794 | ProgramServicesAmt |
| Management And General | $178,315 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,323,624 | TotalAmt |
| Program Services | $2,639,418 | ProgramServicesAmt |
| Management And General | $684,206 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,521,897 | TotalAmt |
| Program Services | $57,405 | ProgramServicesAmt |
| Management And General | $1,464,492 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,216 | TotalAmt |
| Program Services | $1,145,509 | ProgramServicesAmt |
| Management And General | $24,707 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,626 | TotalAmt |
| Program Services | $146,231 | ProgramServicesAmt |
| Management And General | $3,395 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,693 | TotalAmt |
| Program Services | $268,360 | ProgramServicesAmt |
| Management And General | $111,333 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,224,885 | TotalAmt |
| Program Services | $1,933,318 | ProgramServicesAmt |
| Management And General | $291,567 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,859,797 | TotalAmt |
| Program Services | $5,091,881 | ProgramServicesAmt |
| Management And General | $767,916 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,759 | TotalAmt |
| Program Services | $233,016 | ProgramServicesAmt |
| Management And General | $11,743 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| INCOME TAXES | $70,476 | $70,476 | |
| MEDICAL SUPPLIES | $8,236,858 | $8,236,858 | |
| BAD DEBTS | $2,791,686 | $2,791,686 | |
| LICENSES & DUES | $279,536 | $155,571 | $123,965 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,763 | TotalAmt |
| Program Services | $73,276 | ProgramServicesAmt |
| Management And General | $140,487 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,185,415 | TotalAmt |
| Program Services | $59,479,968 | ProgramServicesAmt |
| Management And General | $11,705,447 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065 | BOYAmt |
| EOY | $1,218 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,563,375 | BOYAmt |
| EOY | $26,318,753 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,355,379 | BOYAmt |
| EOY | $9,576,399 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,583 | BOYAmt |
| EOY | $144,416 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,336,506 | BOYAmt |
| EOY | $2,418,357 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $947,988 | BOYAmt |
| EOY | $1,024,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $92,635,893 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,518,107 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,693,956 | BOYAmt |
| EOY | $46,117,786 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,003,575 | BOYAmt |
| EOY | $4,663,074 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $486,895 | BOYAmt |
| EOY | $452,418 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,619,169 | BOYAmt |
| EOY | $2,893,471 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,042,491 | BOYAmt |
| EOY | $93,610,376 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,219,631 | BOYAmt |
| EOY | $8,735,632 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,074,971 | BOYAmt |
| EOY | $39,619,057 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,294,602 | BOYAmt |
| EOY | $48,354,689 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,477,070 | BOYAmt |
| EOY | $45,029,768 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,819 | BOYAmt |
| EOY | $225,919 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,747,889 | BOYAmt |
| EOY | $45,255,687 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,042,491 | BOYAmt |
| EOY | $93,610,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,544,198 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,500 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$44,900 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,116 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,116 | 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 | BCH IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION(AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION(NHA). FOR 2016, THE AHA AND NHA HAVE ESTIMATED THAT 22.80% AND 11.36%, RESPECTIVELY, OF MEMBERSHIP DUES WILL BE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,450,952 | BeginningYearBalanceAmt |
| Contributions | $30,600 | ContributionsAmt |
| Investment Earnings Or Losses | $132,222 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $39,164 | OtherExpendituresAmt |
| End Year Balance | $1,574,610 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,334,989 | BeginningYearBalanceAmt |
| Contributions | $186,851 | ContributionsAmt |
| Investment Earnings Or Losses | -$27,545 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $43,343 | OtherExpendituresAmt |
| End Year Balance | $1,450,952 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,288,188 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $46,801 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,334,989 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,184,704 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $103,484 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,288,188 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,017,976 | BeginningYearBalanceAmt |
| Contributions | $5,955 | ContributionsAmt |
| Investment Earnings Or Losses | $160,773 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,184,704 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.80170 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.17250 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02580 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $901,362 | OtherCostOrOtherBasisAmt |
| Book Value | $901,362 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,425,438 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,464,234 | DepreciationAmt |
| Book Value | $18,961,204 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,679,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,402,231 | DepreciationAmt |
| Book Value | $22,277,070 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $270,389 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,359,403 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,651,642 | DepreciationAmt |
| Book Value | $3,978,150 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,117,786 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $69,901,527 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,500 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$44,900 | OtherRevenueAmt |
| Revenue Not Reported | -$36,400 | RevenueNotReportedAmt |
| Revenue Subtotal | $69,937,927 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,791,686 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,791,686 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $72,729,613 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $68,393,729 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $68,393,729 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,791,686 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,791,686 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $71,185,415 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE HELD BY BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A SUPPORTING ORGANIZATION OF BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER. THESE FUNDS ARE BEING HELD TO PROVIDE HEALTH PROFESSIONAL SCHOLARSHIPS AND SUPPORT THE BEATRICE COMMUNITY HOSPITAL HOSPICE PROGRAM, CAPITAL IMPROVEMENTS AND SPIRITUAL LIFE. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE THE HOSPITAL TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDENCE INCLUDED IN TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2016 AND 2015, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN BEATRICE COMMUNITY HOSPITAL FOUNDATION -44,900. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 2,791,686. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 2,791,686. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $930,699 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $930,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,565,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,671,507 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $894,235 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,496,441 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,671,507 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,824,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,443,001 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,443,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $486,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $486,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,929,999 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,929,999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05740 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,426,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,671,507 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,754,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,791,686 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,917,521 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,731,229 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $186,292 | 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 | BEATRICE COMMUNITY HOSPITAL AND HEALTH C | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 HOSPITAL PARKWAY | AddressLine1Txt |
| City | BEATRICE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 683106906 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BEATRICECOMMUNITYHOSPITAL.COM | WebsiteAddressTxt |
| State License | H000119 | 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 | BEATRICE COMM HOSP & HEALTH CENTER 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 | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | Yes (1) | OrganizationIncurExciseTaxInd |
| Form4720 Filed | Yes (1) | Form4720FiledInd |
| Excise Report Form4720 For All | $50,000 | ExciseReportForm4720ForAllAmt |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.BEATRICECOMMUNITYHOSPITAL.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.BEATRICECOMMUNITYHOSPITAL.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.BEATRICECOMMUNITYHOSPITAL.COM | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BEATRICE COMM HOSP & HEALTH CENTER, INC. | PART V, SECTION B, LINE 13H: OTHER PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE: - MEDICAID PATIENTS ARE CONSIDERED PRE-ENROLLED FOR FINANCIAL ASSISTANCE. HOWEVER, A COMPLETED APPLICATION IS REQUIRED FOR DETERMINATION OF POSSIBLE COPAYMENTS; - PATIENTS INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE PROGRAM ETC.TO QUALIFY FOR ASSISTANCE, ELIGIBLE PATIENTS MUST COMPLETE AN APPLICATION BY THE LATER OF THE 240TH DAY AFTER THE FIRST POST DISCHARGE BILLING STATEMENT IS PROVIDED TO THE PATIENT OR NOT LESS THAN 30 DAYS AFTER THE DATE THE HOSPITAL PROVIDES THE PATIENT THE REQUIRED FINAL NOTICE TO COMMENCE EXTRAORDINARY COLLECTION ACTIONS. |
| BEATRICE COMM HOSP & HEALTH CENTER, INC. | PART V, SECTION B, LINE 16I: OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY INCLUDE:- THE POLICY WILL BE INCLUDED WITH INFORMATION IN OR ON THE BILLING STATEMENTS;- THE POLICY INFORMATION WILL BE DISTRIBUTED AT THE PATIENT ACCESS POINTS;- THE POLICY WILL BE PRESENTED TO THE PATIENT AS THEY PRESENT FOR MEDICAL SERVICES, INCLUDING ADMISSION;- THE POLICY WILL BE DISTRIBUTED IN INFORMATION WITH DISCHARGE MATERIALS;- THE POLICY WILL BE MENTIONED WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE. |
| BEATRICE COMM HOSP & HEALTH CENTER, INC. | PART V, SECTION B, LINE 20E: ONCE A DETERMINATION OF FINANCIAL ASSISTANCE HAS BEEN AUTHORIZED, PATIENT FINANCIAL SERVICES WILL MAIL A LETTER TO THE INDIVIDUAL INDICATING THE FINANCIAL ASSISTANCE AMOUNT WITH ANY REMAINING BALANCE DUE OR REFUND FOR ANY EXCESS PAYMENTS. THE FINANCIAL ASSISTANCE DETERMINATION MAY TAKE UP TO 180 DAYS OVER THE COURSE OF TREATMENT FOR WHICH FINANCIAL ASSISTANCE WAS ORIGINALLY SOUGHT, UNLESS THERE IS A CHANGE IN THE FINANCIAL OR MARITAL STATUS OF THE INDIVIDUAL. |
| BEATRICE COMM HOSP & HEALTH CENTER, INC. | PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS WILL NOT BE MORE THAN THE AMOUNT GENERALLY BILLED (AGB) TO THOSE WHO HAVE INSURANCE COVERAGE. THE HOSPITAL DETERMINES AGB BY MULTIPLYING THE GROSS CHARGES FOR CARE PROVIDED TO PATIENTS BY THE AGB PERCENTAGE. THE HOSPITAL HAS ELECTED TO USE THE LOOK-BACK METHOD IN WHICH THE AGB PERCENTAGE IS BASED ON MEDICARE FEE FOR SERVICE AND ALL PRIVATE INSURANCE AS PRIMARY PAYER. THE AGB IS UPDATED ANNUALLY. |
| PART V, SECTION B, LINE 3 AND 12A: | DISCLOSURE AND CORRECTION OF FAILURE TO MEET IRC SECTION 501(R)(3) REQUIREMENTS, PURSUANT TO REV. PROC. 2015-21: THE BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC. (THE HOSPITAL) FAILED TO COMPLETE A CHNA REPORT AND APPROVE AN IMPLEMENTATION PLAN AS REQUIRED UNDER IRC SEC. 501(R)(3) FOR ITS HOSPITAL FACILITY LOCATED AT 4800 HOSPITAL PARKWAY, BEATRICE, NE 68310-6906. THE HOSPITAL LAST COMPLETED A CHNA REPORT AND APPROVED AN IMPLEMENTATION PLAN DURING ITS 2012 TAX YEAR, FISCAL YEAR ENDING SEPTEMBER 30, 2013. THEREFORE, UNDER IRC SEC. 501(R)(3) THE HOSPITAL WAS REQUIRED TO COMPLETE A NEW CHNA REPORT AND APPROVE AN IMPLEMENTATION PLAN DURING THE 2015 TAX YEAR; FISCAL YEAR ENDING SEPTEMBER 30, 2016. THE CHNA REPORT WAS REQUIRED TO BE COMPLETED BY SEPTEMBER 30, 2016 AND THE IMPLEMENTATION PLAN WAS REQUIRED TO BE APPROVED BY AN AUTHORIZED GOVERNING BODY BY FEBRUARY 15, 2017, HOWEVER DUE TO SEVERAL UNFORESEEN CIRCUMSTANCES NEITHER THE CHNA REPORT NOR THE IMPLEMENTATION PLAN WAS COMPLETE BY THEIR APPLICABLE DUE DATES.THE FAILURE TO MEET THE REQUIREMENTS OF IRC SEC. 501(R)(3) WAS DUE TO UNFORESEEN CIRCUMSTANCES OUTSIDE THE CONTROL OF THE HOSPITAL MANAGEMENT. THE HOSPITAL INTENDED TO COMPLETE THE CHNA AND IMPLEMENTATION PLAN DURING THE 2015 TAX YEAR. THE HOSPITAL BEGAN WORKING ON A NEW STRATEGIC PLAN, WHICH WOULD BE FOLLOWED BY A NEW CHNA, IN EARLY 2015. THIS PROJECT WAS HALTED IN MARCH OF 2015 WHEN THE HOSPITAL'S CEO, THOMAS SOMMERS, TOOK A MEDICAL LEAVE OF ABSENCE. MR. SOMMERS RETURNED FOR A BRIEF PERIOD IN JUNE OF 2015, BUT THEN TOOK MEDICAL LEAVE AGAIN UNTIL JANUARY 2016. DURING MR. SOMMERS'S ABSENCE, SENIOR LEADERSHIP TRIED TO CONTINUE THE STRATEGIC PLANNING PROCESS, BUT DUE TO THE UNCERTAINTY OF THE LEADERSHIP AND STRATEGIC DIRECTION OF THE HOSPITAL IT WAS DETERMINED THAT CONTINUING WOULD NOT BE PRACTICAL UNTIL MR. SOMMERS RETURNED OR THE LEADERSHIP WAS DEFINED.MR. SOMMERS RESUMED HIS POSITION AS HOSPITAL CEO IN JANUARY 2016. ON JANUARY 26, 2016, THE BOARD APPROVED A CONTRACT WITH AN OUTSIDE SERVICE PROVIDER, GE HEALTHCARE/CAMDEN GROUP, FOR STRATEGIC PLANNING SERVICES. THE CONTRACT WITH THE SERVICE PROVIDER CALLED FOR A TIMELINE OF 18-20 WEEKS TO COMPLETE THE STRATEGIC PLANNING ONCE THE ENGAGEMENT WAS STARTED. AT THAT POINT, THE TIMING OF COMPLETING THE CHNA WAS PENDING, AS THE CHNA COULD NOT BEGIN UNTIL THE BOARD HAD APPROVED THE NEW STRATEGIC PLAN. A FEW MONTHS PASSED BEFORE THE SERVICE PROVIDER BEGAN THE STRATEGIC PLANNING ENGAGEMENT.THE STRATEGIC PLANNING RESUMED IN JUNE OF 2016, BUT WAS NOT FINALIZED AND APPROVED BY THE HOSPITAL BOARD UNTIL JANUARY 2017. THE GE HEALTHCARE/CAMDEN GROUP WAS ENGAGED AND BEGAN WORK ON THE CHNA IMMEDIATELY AFTER THE STRATEGIC PLAN'S BOARD APPROVAL. THE TIMELINE WAS TO HAVE THE CHNA COMPLETED BY MAY 15, 2017; THE DATE MANAGEMENT BELIEVED THE CHNA WAS REQUIRED TO BE COMPLETED IN ORDER TO BE IN COMPLIANCE WITH IRC SEC. 501(R)(3). MANAGEMENT WAS NOTIFIED IN APRIL 2017 BY THE HOSPITAL'S ACCOUNTING FIRM DURING PREPARATION OF THE 2015 FORM 990 OF THE CORRECT DEADLINES FOR COMPLETION OF THE CHNA AND IMPLEMENTATION PLAN, AND THAT THE HOSPITAL WAS NOT IN COMPLIANCE.AFTER BEING NOTIFIED OF THIS FAILURE BY THE ACCOUNTING FIRM, MANAGEMENT IMMEDIATELY BEGAN WORKING TO FINALIZE THE CHNA AS SOON AS POSSIBLE. THE CHNA AND APPROVED IMPLEMENTATION PLAN WERE COMPLETED ON MAY 4, 2017, THE DATE THE FINAL REPORTS WERE MADE WIDELY AVAILABLE TO THE PUBLIC ELECTRONICALLY ON THE HOSPITAL'S WEBSITE AND IN PAPER FORM AT THE HOSPITAL FACILITY. MANAGEMENT IS NOW AWARE OF THE NECESSARY TIMING FOR FUTURE CHNA REPORTS AND APPROVED IMPLEMENTATION PLANS TO BE CONSIDERED COMPLETE WITH REGARD TO A CERTAIN TAX YEAR. THE HOSPITAL WILL ADD WRITTEN IRC SEC. 501(R) COMPLIANCE PROCEDURES THAT WILL INSURE PROPER TIMING OF THE CHNA AND IMPLEMENTATION PLAN IN FUTURE TAX YEARS. THE HOSPITAL IS AWARE THAT A CHNA MUST BE CONDUCTED ONCE EVERY THREE TAX YEARS AND HAS ADJUSTED ITS SCHEDULES TO ENSURE THE HOSPITAL IS IN COMPLIANCE GOING FORWARD. THE HOSPITAL IS DISCLOSING THIS IRC SEC. 501(R)(3) COMPLIANCE FAILURE IN ACCORDANCE WITH REV. PROC. 2015-21. IT HAS CORRECTED THIS FAILURE AS PROVIDED IN REV. PROC. 2015-21 AND IT WILL BE IN COMPLIANCE FOR THE 2016, 2017 AND 2018 TAX YEARS. THE NEXT YEAR A CHNA AND IMPLEMENTATION PLAN ARE REQUIRED TO BE COMPLETED IS THE 2019 TAX YEAR; THREE YEARS AFTER THE CHNA AND IMPLEMENTATION PLAN COMPLETION IN THE 2016 TAX YEAR. THE CHNA REPORT MUST BE COMPLETED BY SEPTEMBER 30, 2020 AND THE IMPLEMENTATION PLAN MUST BE APPROVED AND WIDELY AVAILABLE BY FEBRUARY 15, 2021. |
| 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 - THE BEATRICE WOMEN'S & CHILDREN'S CLINIC | ||||
| 4800 HOSPITAL PARKWAY PO BOX 278 | BEATRICE | NE | 68310 | OUTPATIENT OB/GYN CLINIC |
| 2 - WYMORE MEDICAL CLINIC | ||||
| 116 EAST H STREET | WYMORE | NE | 68318 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - GAGE COUNTY MEDICAL CLINIC | ||||
| 1101 N 10TH STREET | BEATRICE | NE | 68310 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - BEATRICE MEDICAL CENTER | ||||
| 805 W COURT STREET | BEATRICE | NE | 68310 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - BEATRICE INTERNAL MEDICINE | ||||
| 4800 HOSPITAL PARKWAY PO BOX 278 | BEATRICE | NE | 68310 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. |
| PART I, LINE 6A: | BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC.'S COMMUNITY BENEFIT REPORT IS NOT PREPARED BY A RELATED ORGANIZATION. |
| PART I, LINE 7: | THE COST TO CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST AS DERIVED FROM BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER'S INTERNAL ACCOUNTING RECORDS. |
| PART I, LINE 7G: | AS THERE ARE NO SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G, THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON LINE 7G. |
| 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 $2,791,686. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | NOT APPLICABLEOUR MOST SIGNIFICANT "COMMUNITY BENEFIT" ACTIVITIES WOULD INCLUDE:1. READY, SET, GO! BACK-TO-SCHOOL PROGRAM. BCHHC PARTNERS WITH THE BEATRICE SALVATION ARMY TO PROVIDE A VARIETY OF FREE SERVICES AND ITEMS TO MEET THE BACK-TO-SCHOOL NEEDS OF LOW-INCOME GAGE COUNTY RESIDENTS. DURING THIS EVENT, FAMILIES CAN RECEIVE FREE SCHOOL PHYSICALS, A PACKAGE OF PERSONAL CARE ITEMS LIKE A TOOTHBRUSH AND TOOTHPASTE, AND A BACKPACK WITH SCHOOL SUPPLIES. IN ADDITION, THERE ARE EDUCATIONAL BOOTHS ON NUTRITION AND DIABETES AS WELL AS INFORMATIONAL BOOTHS BY ORGANIZATIONS SUCH AS BOY SCOUTS AND GIRL SCOUTS.2. JOB SHADOWING. BCHHC OFFERS AN EXTENSIVE JOB SHADOWING PROGRAM THAT ALLOWS UPPER HIGH SCHOOL AND COLLEGE-AGED STUDENTS TO SHADOW PHYSICIANS AND CLINICAL STAFF IN ANY DEPARTMENT FOR A FIRST-HAND LOOK AT HEALTH-RELATED CAREERS. 3. PEOPLE CARING FOR PEOPLE. PEOPLE CARING FOR PEOPLE IS A FREE HOSPITAL SERVICE THAT SENDS A REGISTERED NURSE TO THE HOMES OF ALL NEWBORNS IN THE COUNTY TO ENSURE THAT NEWBORNS ARE THRIVING IN THE HOME AND PARENTS CAN ASK QUESTIONS AND LEARN ABOUT RESOURCES IN THE COMMUNITY. |
| 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 FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT RECEIVABLES, NET," "NET PATIENT SERVICE REVENUE AND "CHARITY CARE". |
| PART III, LINE 8: | "MEDICARE ALLOWABLE COSTS OF CARE" WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT, D, E, H AND M WORKSHEETS, OR PS&R. |
| PART III, LINE 9B: | CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE.THE COLLECTIONS - CHARITY WRITE-OFF POLICY PROVIDES THAT ONCE THE RESPONSIBLE PARTY HAS BEEN DETERMINED TO BE ELIGIBLE FOR PATIENT FINANCIAL ASSISTANCE, A LETTER TO THE RESPONSIBLE PARTY WILL BE SENT INDICATING THE FREE CARE AMOUNT AND THE REMAINING BALANCE DUE. THE BALANCE DUE MAY BE PAID BY INSTALLMENT PAYMENTS USING THE GUIDELINES OF THE HOSPITAL POLICY ON COLLECTIONS OF PRIVATE PAY ACCOUNTS. |
| PART VI, LINE 2: | THE DEMAND ANALYSIS PERFORMED BEGINS WITH THE ASSUMPTION THE HISTORICAL TRENDS WILL BE CONTINUED BUT AUGMENTED BY INCREASED GROWTH IN INPATIENT AND OUTPATIENT SERVICES. THE FOLLOWING ARE ELEMENTS OF PLANNING USED BY MANAGEMENT IN FORMULATING THE DEMAND FOR HOSPITAL SERVICES:- MARKET ASSESSMENT OF OTHER HEALTHCARE PROVIDERS WITHIN THE SERVICE AREA- HISTORIC AND FORECASTED INPATIENT AND OUTPATIENT UTILIZATION WITH THE SERVICE AREA- MARKET SHARE BY SERVICE AND HOSPITAL USE RATES- SERVICE AREA USE RATES- HOSPITAL'S MEDICAL STAFF |
| PART VI, LINE 3: | CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF-PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. |
| PART VI, LINE 4: | BEATRICE, NE IS LOCATED IN GAGE COUNTY IN THE SOUTHEASTERN PART OF NEBRASKA. BEATRICE IS LOCATED 40 MILES SOUTH OF LINCOLN, NE. THE CLOSEST HOSPITAL FACILITY IS 32 MILES WEST. THE MAIN COMPETITION IS FROM TWO LINCOLN, NE HOSPITALS. THE PRIMARY SERVICE AREA (PSA) HAS BEEN DEFINED AS BEATRICE/ZIP CODE 68310 COUNTY AND HAS AN AGING POPULATION THAT UTILIZES HOSPITAL HEALTH SERVICES. THE AGE GROUP OF 65 AND OVER COMPRISES 20% OF THE TOTAL POPULATION OF THE PSA FOR THE HOSPITAL IN 2008 AND THAT AGE DEMOGRAPHIC IS PROJECTED TO INCREASE TO 21% IN THE NEXT TEN YEARS. |
| PART VI, LINE 5: | BEATRICE COMMUNITY HOSPITAL BUDGETS ANNUALLY SALARY EXPENSES OF APPROXIMATELY $45,000 FOR WELLNESS PROGRAMS TO BENEFIT THE HEALTH-RELATED PROGRAMS SPONSORED BY THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY. THE HOSPITAL SPONSORS AN ANNUAL HEALTH FAIR EVERY SPRING WITH FREE OR REDUCED COST SCREENINGS AND A VARIETY OF EDUCATIONAL BOOTHS BY HOSPITAL DEPARTMENTS AND COMMUNITY PARTNERS.A FREE DIABETES HEALTH FAIR FOR THE COMMUNITY IS HELD IN THE FALL. DIABETES EDUCATORS PROVIDE EDUCATIONAL PROGRAMS, ALONG WITH FREE SCREENINGS.FREE ONGOING EDUCATIONAL PROGRAMS ON HEALTH TOPICS, KNOWN AS HEALTHY CONNECTIONS, ARE HELD THROUGHOUT THE YEAR FEATURING TOPICS SUCH AS DIABETES, NUTRITION, HEART DISEASE AND MEDICARE.EVENING IN PINK IS AN ANNUAL EDUCATIONAL AND FELLOWSHIP PROGRAM HELD IN OCTOBER TO RAISE AWARENESS ABOUT BREAST CANCER. IN ADDITION, THE HOSPITAL PARTICIPATES IN THE ANNUAL AMERICAN CANCER SOCIETY RELAY FOR LIFE EVENT BY SERVING A FREE MEAL TO ALL PARTICIPATING CANCER SURVIVORS TO KICK OFF THE RELAY EVENT.PEOPLE CARING FOR PEOPLE PROVIDES IN-HOME ASSESSMENTS AND EDUCATIONAL RESOURCES TO EACH FAMILY WITH A NEWBORN THAT RESIDES IN GAGE COUNTY. THE HOME VISITATION PROGRAM PROMOTES POSITIVE PARENTING SKILLS.A PARTNERSHIP OF BEATRICE COMMUNITY HOSPITAL, THE SALVATION ARMY AND THE BEATRICE COMMUNITY HOSPITAL FOUNDATION, ALONG WITH SERVICE ORGANIZATION DONATIONS, SPONSOR READY, SET, GO!, AN ANNUAL BACK-TO-SCHOOL PROGRAM. SOME OF THE ITEMS GIVEN AWAY INCLUDE: A BOOK BAG, SCHOOL SUPPLIES, SHAMPOO, SOAP, SCHOOL PHYSICALS, HAIRCUT VOUCHERS, CLOTHING VOUCHERS, SHOE DISCOUNT COUPONS, HEALTH INFORMATION AND MORE.FLU AND PNEUMONIA SHOT CLINICS ARE PROVIDED TO RESIDENTS OF GAGE COUNTY.THE HOSPITAL GIVES AWAY BOTTLES OF WATER AT THE GAGE COUNTY FAIR AND DURING HOMESTEAD DAYS CELEBRATION ACTIVITIES DURING THE SUMMER AS A WAY TO REDUCE DEHYDRATION AND HEALTH-RELATED ISSUES EXPERIENCED BY COMMUNITY MEMBERS DURING THESE HOT SUMMER OUTDOOR ACTIVITIES.CHILD CAR SEAT SAFETY INITIATIVES INCLUDE HAVING LABOR AND DELIVERY AND NURSERY NURSES CERTIFIED IN CHILD CAR SEAT SAFETY. A FREE ANNUAL CHILD CAR SEAT SAFETY EVENT IS HELD FOR COMMUNITY RESIDENTS.HOSPICE CONDUCTS A GRIEF EDUCATION AND SUPPORT PROGRAM FOR THOSE PEOPLE IN THE COMMUNITY WHO HAVE LOST A LOVED ONE TO DEATH. THIS PROGRAM IS HELD ON A QUARTERLY BASIS.AN EDUCATIONAL PROGRAM FOR FIRST-GRADERS IS OFFERED EVERY SPRING. AREA SCHOOLS ARE INVITED TO BRING THEIR FIRST-GRADERS TO THE HOSPITAL TO BECOME FAMILIAR WITH THE HOSPITAL, LEARN ABOUT COMMON CHILDHOOD HEALTH CONCERNS SUCH AS A BROKEN ARM, AND MEET DOCTORS AND NURSES.IN-KIND AND EMPLOYEE SUPPORT WAS GIVEN TO A VARIETY OF LOCAL HEALTHCARE-RELATED ORGANIZATIONS AND ACTIVITIES, SUCH AS UNITED WAY, BEATRICE PUBLIC SCHOOLS BACKPACK PROGRAM, ALZHEIMER'S MEMORY WALK, MOTHER TO MOTHER MINISTRY, PUBLIC HEALTH SOLUTIONS PUBLIC HEALTH DEPARTMENT, GREAT STRIDES FOR CYSTIC FIBROSIS, MOSAIC, BLUE VALLEY BEHAVIORAL HEALTH, WALK TO PREVENT SUICIDE, ETC.THE GAGE COUNTY AMBULANCE SERVICES UTILIZES HOSPITAL STAFF TO TRAIN AND PROVIDE CLINICAL PRACTICUM FOR THE EMT-I AND PARAMEDIC PROGRAM.EMPLOYEES SERVED CANCER SURVIVOR SUPPER AT THE ANNUAL RELAY FOR LIFE EVENT. OTHER EMPLOYEES WORKED WITH THESE ORGANIZATIONS ON BEHALF OF BEATRICE COMMUNITY HOSPITAL: AMERICAN CANCER SOCIETY, UNITED WAY, AMERICAN HEART ASSOCIATION, BEATRICE MARY YMCA, ALZHEIMER'S ASSOCIATION, AMERICAN DIABETES ASSOCIATION, MOTHER TO MOTHER MINISTRY AND OTHER PROFESSIONAL ORGANIZATIONS.THE HOSPITAL SPONSORS AN INFORMATIONAL RADIO PROGRAM THAT COVERS GENERAL HEALTHCARE TOPICS OF INTEREST TO THE COMMUNITY, SUCH AS ORGAN DONATION, STRESS DURING THE HOLIDAYS, DIABETES, NUTRITION, ETC.THE HOSPITAL WORKS WITH COLLEGES AND UNIVERSITIES TO SERVE AS A TRAINING SITE FOR NURSING AND OTHER HEALTH-CARE RELATED JOBS. THE HOSPITAL HAS AN EXTENSIVE JOB SHADOWING PROGRAM FOR HIGH SCHOOL AND COLLEGE STUDENTS INTERESTED IN HEALTHCARE. THE HOSPITAL IS A CERTIFIED AMERICAN HEART ASSOCIATION TRAINING SITE, AND PROVIDES CPR AND OTHER TRAINING TO LOCAL BUSINESSES AND EMERGENCY SERVICES. STAFF ALSO PARTICIPATE IN TEACHING HANDS ONLY CPR TO FIFTH-GRADERS AT THE ANNUAL PROGRESSIVE AGRICULTURE SAFETY DAY.THE CHIEF COMPLIANCE OFFICER SERVES ON THE BOARD OF DIRECTORS FOR THE 5-COUNTY DISTRICT PUBLIC HEALTH DEPARTMENT NAMED SOLUTIONS PUBLIC HEALTH.THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND ACTION PLAN. ONE OF THE OUTCOMES IS TO WORK WITH PUBLIC HEALTH SOLUTIONS PUBLIC HEALTH DEPARTMENT ON A GAGE COUNTY PLANNING COMMITTEE TO ADDRESS OBESITY ISSUES IN THE COMMUNITY.THE HOSPITAL INVITES THE RED CROSS BLOODMOBILE BUS TO VISIT THE HOSPITAL CAMPUS SEVERAL TIMES A YEAR AND ENCOURAGES EMPLOYEES TO DONATE BLOOD DURING WORK HOURS TO SUPPORT THE HEALTHCARE INDUSTRY'S ONGOING NEED FOR BLOOD SUPPLIES AROUND THE COUNTRY. |
| PART VI, LINE 6: | NOT APPLICABLE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BEATRICE RETIREMENT INC | |||||||
| 4800 HOSPITAL PARKWAY | BEATRICE | NE | 68310 | 470649975 | 501(C)(3) | $162,000 | OPERATION EXPENSES |
| HEALTH SYSTEMS OF BEATRICE INC | |||||||
| 4800 HOSPITAL PARKWAY | BEATRICE | NE | 68310 | 470691891 | 501(C)(3) | $7,489 | OPERATION EXPENSES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | BECAUSE THE RECIPIENTS OF THE GRANT MONEY WERE BEATRICE RETIREMENT, INC. AND HEALTH SYSTEMS OF BEATRICE, INC., BOTH RELATED ORGANIZATIONS, BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLAKE BUTLER MD | ||||||||||||||
| MEMBER | $378,784 | $0 | $113,977 | $0 | $0 | $0 | $15,600 | $0 | $24,807 | $0 | $533,168 | $0 | $0 | $0 |
| ERIC THOMSEN MD | ||||||||||||||
| MEMBER | $250,834 | $0 | $0 | $0 | $0 | $0 | $15,473 | $0 | $23,616 | $0 | $289,923 | $0 | $0 | $0 |
| THOMAS SOMMERS | ||||||||||||||
| CEO | $386,766 | $0 | $0 | $0 | $432 | $0 | $15,600 | $0 | $24,341 | $0 | $427,139 | $0 | $0 | $0 |
| ALAN STREETER | ||||||||||||||
| CFO | $167,071 | $0 | $0 | $0 | $432 | $0 | $10,465 | $0 | $29,122 | $0 | $207,090 | $0 | $0 | $0 |
| DR JOHN FINDLEY | ||||||||||||||
| CMO | $289,547 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29,569 | $0 | $319,116 | $0 | $0 | $0 |
| DEREK WEICHEL MD | ||||||||||||||
| PHYSICIAN | $626,614 | $0 | $0 | $0 | $0 | $0 | $15,600 | $0 | $32,077 | $0 | $674,291 | $0 | $0 | $0 |
| RONALD BEAR MD | ||||||||||||||
| PHYSICIAN | $369,909 | $0 | $60,621 | $0 | $0 | $0 | $15,600 | $0 | $12,175 | $0 | $458,305 | $0 | $0 | $0 |
| PAUL ZUERCHER | ||||||||||||||
| PHYSICIAN | $386,498 | $0 | $12,735 | $0 | $0 | $0 | $15,600 | $0 | $29,616 | $0 | $444,449 | $0 | $0 | $0 |
| BRETT STUDLEY MD | ||||||||||||||
| PHYSICIAN | $354,665 | $0 | $14,801 | $0 | $0 | $0 | $15,600 | $0 | $32,166 | $0 | $417,232 | $0 | $0 | $0 |
| AMANDA LOEFFLER | ||||||||||||||
| PHYSICIAN | $341,995 | $0 | $8,217 | $0 | $0 | $0 | $0 | $0 | $23,195 | $0 | $373,407 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA | ||||||||
| A | 470785499 | NONEAVAIL | 2015-03-20 | $9,934,971 | PARTIAL REFUND PRIOR BONDS (06/08/10) | 0 | 0 | 0 |
| HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA | ||||||||
| B | 470785499 | 362615AL0 | 2010-06-24 | $30,000,000 | CONSTRUCTION OF FACILITY | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $315,914 | $9,934,971 | $951,023 | $175,362 | $9,759,609 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $30,150,084 | $2,871,743 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $2,181,107 | $27,968,976 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2C: | ISSUER NAME: HOSPITAL AUTHORITY NO. 1 OF GAGE COUNTY, NE. DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2015 |
| PART II, LINE 3: | THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. |
| PART II, LINE 3: | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| RONALD BEAR MD | |||||||
| HIGHEST COMPENSATED EMPLOYEE | COMPENSATION AGREEMENT | Yes (X) | $40,000 | $20,000 | 0 | Yes (1) | Yes (1) |
| DR JOHN FINDLEY | |||||||
| KEY EMPLOYEE | COMPENSATION AGREEMENT | Yes (X) | $25,000 | $14,583 | 0 | Yes (1) | Yes (1) |
| PAUL ZUERCHER | |||||||
| HIGHEST COMPENSATED EMPLOYEE | COMPENSATION AGREEMENT | Yes (X) | $80,000 | $24,000 | 0 | Yes (1) | Yes (1) |
| AMANDA LOEFFLER | |||||||
| HIGHEST COMPENSATED EMPLOYEE | COMPENSATION AGREEMENT | Yes (X) | $130,000 | $85,833 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $144,416 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COLLEEN DEINES | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | COLLEEN IS THE WIFE OF MITCHELL DEINES, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $46,177 | TransactionAmt |
| Transaction | COLLEEN DEINES IS EMPLOYED BY BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS MADE AVAILABLE TO ALL BOARD MEMBERS VIA THE BOARD PORTAL. THE FINANCE COMMITTEE WAS INSTRUCTED TO REVIEW THE FORM 990. ONCE THEY REVIEWED THE FORM 990, THEY RECOMMENDED SUBMISSION OF THE FORM 990 TO THE IRS. PRIOR TO FILING, EACH BOARD MEMBER WILL HAVE ACCESS TO THE FORM 990 VIA THE BOARD PORTAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY BOARD MEMBER, ADMINISTRATIVE EMPLOYEE AND DEPARTMENT MANAGER IS REQUIRED TO FILL OUT A NEW CONFLICT OF INTEREST FORM DURING THE FIRST QUARTER OF THE YEAR. THESE ARE KEPT ON FILE WITH THE CHIEF COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15 | LISTED BELOW IS INFORMATION FROM OUR POLICY ON WAGE AND SALARY ADMINISTRATION. THIS POLICY APPLIES TO ALL EMPLOYEES EXCEPT EXECUTIVE LEVEL STAFF AND THOSE WITH WRITTEN CONTRACTS (PHYSICIANS, ALLIED HEALTH STAFF, ETC.). AN OUTSIDE CONSULTING FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS BASED UPON MARKET DATA FOR THE POSITION. A. STRUCTURE OF THE WAGE AND SALARY PLAN 1. PAY GRADES AND WAGE SCALES/RANGES ARE ESTABLISHED TO REWARD EMPLOYEES FOR DIFFERENT LEVELS OF SKILLS, RESPONSIBILITY AND KNOWLEDGE. JOB POSITIONS ARE ASSIGNED A PAY GRADE BASED UPON MARKET CONDITIONS, SKILLS, RESPONSIBILITY, EDUCATION EXPERIENCE, PHYSICAL DEMANDS AND WORKING CONDITIONS REQUIRED OF THE POSITION. EACH PAY GRADE HAS A RANGE OF PAY FROM MINIMUM TO MAXIMUM, ESTABLISHED TO REWARD EMPLOYEES FOR EXPERIENCE AND PERFORMANCE. B. ADJUSTMENTS TO THE WAGE AND SALARY PLAN: 1. THE WAGE PLAN IS REVIEWED AT LEAST ANNUALLY TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. LABOR MARKET SURVEYS ARE COMPLETED AND UTILIZED ON A REGULAR BASIS. BASED UPON MARKET INFORMATION AND/OR A REVIEW OF JOB DESCRIPTIONS, ADJUSTMENTS MAY BE MADE TO THE WAGE AND SALARY PLAN THAT INCLUDE ADJUSTMENTS TO THE OVERALL WAGE AND SALARY STRUCTURE OR REPOSITIONING OF A SPECIFIC JOB POSITION(S) TO A DIFFERENT PAY GRADE. FOR THE CEO POSITION THAT IS HELD BY THOMAS SOMMERS, THE BOARD CHAIR WORKS WITH A CONSULTING COMPANY, IH STRATEGIES, TO DETERMINE THE APPROPRIATE COMPENSATION. THIS INFORMATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN BEATRICE COMMUNITY HOSPITAL FOUNDATION -44,900. |
| FORM 990, PART XI, LINE 2C: | THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. UPON COMPLETION OF THE AUDIT, THE AUDITING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE FINANCE COMMITTEE. |
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 | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEM OF BEATRICE INC | |||||||||||
| 4800 HOSPITAL PARKWAY PO BOX 278 | BEATRICE | NE | 683106906 | 470691891 | MANAGEMENT COMPANY | NE | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| HOMESTEAD VILLAGE INC | |||||||||||
| 1119 MONROE | BEATRICE | NE | 68310 | 470591716 | APARTMENTS FOR LOW INCOME ELDERLY INDIVIDUALS | NE | 501(C)(3) | LINE 9 | 0 | HEALTH SYSTEM OF BEATRICE INC | |
| PARKVIEW VILLAGE INC | |||||||||||
| 1200 SOUTH 8TH STREET | BEATRICE | NE | 68310 | 363381263 | APARTMENTS FOR LOW INCOME ELDERLY INDIVIDUALS | NE | 501(C)(3) | LINE 9 | 0 | HEALTH SYSTEM OF BEATRICE INC | |
| BEATRICE COMMUNITY HOSP FOUNDATION INC | |||||||||||
| 4800 HOSPITAL PARKWAY PO BOX 641 | BEATRICE | NE | 68310 | 473024984 | FINANCIAL SUPPORT FOR BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC. | NE | 501(C)(3) | LINE 11C, III-FI | 0 | HEALTH SYSTEM OF BEATRICE INC | |
| BEATRICE RETIREMENT INC | |||||||||||
| 4800 HOSPITAL PARKWAY PO BOX 278 | BEATRICE | NE | 683106906 | 470649975 | RETIREMENT FACILITY | NE | 501(C)(3) | LINE 9 | 0 | HEALTH SYSTEM OF BEATRICE INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICIAN'S BUILDING INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 HOSPITAL PARKWAY | AddressLine1Txt |
| City | BEATRICE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68310 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470697398 | EIN |
| Primary Activities | OFFICE RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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