2016-11-04T10:55:29-05:00 2016-06-30 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2015-07-01 480764456 Nemaha Valley Community Hospital NEMA 7853366181 1600 Community Drive Seneca KS 66538 KILEY FLOYD CEO 7853366181 2016-10-27 1 Eric L Otting P00298454 7852334226 2016-10-27 2015 2017-02-10 21:41:12Z Kiley Floyd 1600 Community Drive Seneca KS 66538 13928777 0 X http://www.nemvch.com/ X 1969 KS Nemaha Valley Community Hospital provides acute care services to the surrounding area. 10 9 164 9 0 0 63954 582758 11583819 13231906 29621 74771 66713 39342 11744107 13928777 0 0 0 0 7005765 8704325 0 0 732 4873440 4896872 11879205 13601197 -135098 327580 18582959 19013291 13353313 13456065 5229646 5557226 Nemaha Valley Community Hospital is dedicated to providing quality health care and other related services in a compassionate manner sufficient to meet the primary health care needs of its patrons within the scope of its resources and staff. 0 0 11834660 13243657 Nemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area. 11834660 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 31 0 1 164 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Connie Ingwerson 7853366181 1600 Community Drive Seneca KS 66538 Jim Runnebaum Chairman 1.00 X X 0 0 0 Leroy Strathman Vice Chairman 1.00 X X 0 0 0 Ed Mohney Secretary 1.00 X X 0 0 0 Kathy O'Brien Trustee 1.00 X 0 0 0 Judy Deters Trustee 1.00 X 0 0 0 Steve Haverkamp Trustee 1.00 X 0 0 0 Dennis R Henry Trustee 1.00 X 0 0 0 Glen J Meyer Trustee 1.00 X 0 0 0 Fred Henry Trustee 1.00 X 0 0 0 Tony Bartkoski DO Physician/Trustee 40.00 X 283888 0 22543 Stan Regehr Chief Executive Officer 40.00 X 171758 0 8159 Connie Ingwerson Chief Financial Officer 40.00 X 99650 0 6282 Dr Angela Stueve Physician 40.00 X 332281 0 34620 Dr James Lueger Physician 40.00 X 200836 0 17962 Harry Stewart CRNA 40.00 X 156404 0 4955 Lori Lueger APRN 40.00 X 124510 0 5645 1369327 0 100166 6 0 1 0 Medhost of Tennessee Inc 2739 Momemtum Place Chicago IL 60689 IT Maintenance 244019 Harry Stewart PO Box 147 Seneca KS 66538 CRNA Services 170820 Stormont Vail Healthcare 1500 SW 10th Avenue Topeka KS 66604 Lab Services 153009 3 33500 408480 140778 582758 Patient service revenue 621990 13231906 13231906 13231906 74771 74771 Dietary Income 722210 27591 27591 Miscellaneous 621990 11751 11751 39342 13928777 13243657 0 102362 280155 280155 6760076 6008627 751449 168098 148643 19455 1108453 954406 154047 387543 331388 56155 14092 14092 802275 594363 207180 732 18011 9569 8442 80405 36988 43417 76746 76746 161444 161444 55730 35280 20450 659449 659449 903455 885702 17753 101296 77392 23904 Supplies 1241032 1241032 Equipment rental and ma 556406 502334 54072 Miscellaneous 126451 124415 2036 Education 55965 44323 11642 44115 19305 24810 13601197 11834660 1765805 732 121355 121351 9543461 9368732 1038874 1666942 259924 233036 342297 317348 18053264 11096325 7097300 6956939 65996 179748 282947 18582959 19013291 908313 1166065 12445000 12290000 13353313 13456065 X 5224828 5549828 4818 7398 5229646 5557226 18582959 19013291 327580 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4084 0 0 0 4084 0 Part II-B, Line 1: Nemaha Valley Community Hospital is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. 54681 54681 11390148 6175817 5214331 6138162 4920508 1217654 470273 470273 6956939 X Part X, Line 2: The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal taxes on related income pursuant to Sction 501(a) of the Code. 1 1 0 1 X 1 1 0 1 1 49927 1236 48691 0.00360 415358 369147 46211 0.00340 465285 370383 94902 0.00700 3547114 2535934 1011180 0.07430 435 435 0.00000 3547549 2535934 1011615 0.07430 4012834 2906317 1106517 0.08130 1 157293 62917 4994893 5036823 -41930 X 1 1 1 1 Nemaha Valley Community Hospital 1600 Community Drive Seneca KS 66538 X X X X Rural health clinic Nemaha Valley Community Hospital 1 0 0 1 X X X X X X X X 15 1 1 0 1 X http://www.nemvch.com/resources X 1 15 1 http://www.nemvch.com/resources 0 0 1 X 200.000000000000 X X X X X 1 1 X X X 1 X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X X X X X 1 X 0 X X X X 1 X 0 0 Nemaha Valley Community Hospital Part V, Section B, Line 5: Community members were invited to attend a meeting in which their input was requested to determine the health needs of the community. The community members decided what the health care needs are and prioritized these needs. These members included medical professionals, government employees, leaders of non-profit organizations, and hospital employees. Nemaha Valley Community Hospital Part V, Section B, Line 6a: Sabetha Community Hospital, Inc Nemaha Valley Community Hospital Part V, Section B, Line 11: To promote health, wellness, and chronic disease prevention, the Hospital regularly posted on social media to educate on health and mental health issues. Also, the Hospital played a slide show in multiple waiting rooms and on local television which highlighted the Hospital's services and informed viewers about health related issues. Finally, the Hospital regularly conducted newspaper articles, radio ads, and a newsletter to highlight health related topics.To improve access to mental health assistance, the Hospital continued to provide an online screening tool for mental health diseases. The hospital had a contract with Marillac Children's Hospital to provide psychiatry as well as therapy through our outpatient clinic for all children. The Hospital continued to educate the public about mental health issues through social media and its newsletter. The Hospital continued to use the same cost effective methods in educating the community. Part I, Line 7: This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 by the Medical Center's bad debt expense for the tax year. Part I, Line 7g: The costs of subsidized health services include costs attributable to a rural health clinic in the amount of $703,053. Part II, Community Building Activities: N/A Part III, Line 4: Nemaha Valley Community Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. This estimate is based on the aging of its accounts receivable by payor and historical collection experience. See note A5 (page 7) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 by the Medical Center's bad debt expense for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Hospital's financial assistance policy. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit. Part III, Line 8: Medicare costs were obtained from the Medical Center's as-filed Medicare cost report for the tax year. The shortfall is a benefit to the Medical Center's community since it represents health care provided at less than cost to elderly and needy residents of the Medical Center's service area. Part III, Line 9b: Nemaha Valley Community Hospital makes every effort to get correct financial and billing information and to educate patients on the eligibility requirements of charity care programs and payment options. Part VI, Line 2: N/A Part VI, Line 3: Notification associated with patient encounter. Part VI, Line 4: The community served is primarily residents who reside in Nemaha County Kansas and consists of approximately 2,000 residents. The median family income is $39,063. 13.3% of the community residents live below federal poverty level, and 4.0% of the community residents live below 50% of the federal poverty level. Neighboring hospitals are located in Sabetha, Pawnee County, NE, and Hiawatha. They are approximately 21, 20, and 28 miles away respectively. Part VI, Line 5: The Hospital maintains a Facebook page which posts general health information topics and announces dates of general health-related group activities. The Hospital offers periodic diabetic educational programs and education programs for expectant mothers. The Hospital uses all excess funds to maintain and improve Hospital facilities and equipment and to insure the delivery of high quality patient care services. Part VI, Line 6: N/A X X 0 0 0 0 0 0 0 0 0 Tony Bartkoski DO Physician/Trustee 280364 0 3524 0 0 0 12031 0 10512 0 306431 0 0 0 Stan Regehr Chief Executive Officer 151758 0 20000 0 0 0 6720 0 1439 0 179917 0 0 0 Dr Angela Stueve Physician 281668 0 50613 0 0 0 14009 0 20611 0 366901 0 0 0 Dr James Lueger Physician 200836 0 0 0 0 0 11306 0 6656 0 218798 0 0 0 Harry Stewart CRNA 156404 0 0 0 0 0 3489 0 1466 0 161359 0 0 0 A City of Seneca Kansas 486026237 81712RAP4 2008-12-01 8835000 To refund notes payable and construction costs for an addition to Hospital 0 0 0 B City of Seneca Kansas 486026237 81712RBB4 2015-02-19 4455000 To refund 2008 series bond 0 0 0 A 1000000 8835000 498789 161535 6834436 1358153 2011 0 1 1 1 B 4455000 4220904 88270 205310 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Schedule K, Part II The difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income. Schedule K, Part IV, Arbitrage, Line 2c (a) Issuer Name: City of Seneca, Kansas Date the Rebate Computation was Performed: 06/01/2013 Form 990, Part VI, Section B, line 11 The 990 is not formally presented to the board prior to filing. The document is made available upon request. Form 990, Part VI, Section B, line 12c The board in required to annually sign conflict of interest statements. Form 990, Part VI, Section B, line 15a The CEO salary and compensation is approved by the Hospital's board. Form 990, Part VI, Section C, line 19 Documents are available upon request. Nemaha Valley Health Care Foundation 1600 Community Drive Seneca KS 66538 481097250 Fundraising for the benefit of community healthcare KS 501(c)(3) Line 7 Nemaha Valley Community Hospital 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0