2016-05-16T16:03:19-05:00 2015-09-30 470585450 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2014-10-01 470379039 YORK GENERAL HEALTH CARE SERVICES YORK 4023626671 2222 LINCOLN AVENUE YORK NE 68467 ROBERT MCQUISTAN VP OF FINANCE 4023626671 2016-05-16 true TIMOTHY J COUFAL P00964304 4026946404 2016-05-16 2014 2016-08-17 19:52:53Z ROBERT MCQUISTAN VP OF FINANCE SAME AS C ABOVE YORK NE 68467 41004771 false X WWW.YORKGENERAL.ORG X 1946 NE TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES. 12 5 621 0 2578653 126581 39422979 40023239 250903 521766 50719 61713 42303254 40733299 0 0 21773486 21927047 0 0 16245315 17209230 38018801 39136277 4284453 1597022 75556117 77125943 25456393 25429197 50099724 51696746 X TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES. false false 28244591 PROVIDED 3,214 PATIENT DAYS OF MEDICAL SERVICES AND 40,436 LONG-TERM CARE RESIDENT DAYS TO A VARIETY OF PATIENTS REGARDLESS OF ABILITY TO PAY FOR THOSE SERVICES. PROVIDE ADDITIONAL SERVICES TO ADDRESS INDIVIDUAL HEALTH INCLUDING ASSISTED LIVING, FITNESS CENTER, HOME HEALTH AND CHILD CARE. 28244591 true true false false false false false false false true true false false false true true true false false false false false false false false false true true false false true true false false false false false false false true true true false false false false false true false false false true 33 0 true 621 true false false false false false true true X 12 5 true false false false false false false true true false false true true true true true true true true false X ROBERT MCQUISTAN 4023626671 2222 LINCOLN AVENUE YORK NE 68467 CHARLES HARRIS CHAIRMAN 0.25 X 0 0 0 DON WITTE VICE CHAIR 0.25 X 0 0 0 ANN KIRKPATRICK SECRETARY 0.25 X 0 0 0 CG KELLY HOLTHUS TREASURER 0.25 X 0 0 0 DR YE YE CHIEF OF STA 0.25 X 0 0 0 KRIS HOLOCH MEMBER 0.25 X 0 0 0 DARROLL J LOSCHEN MEMBER 0.25 X 0 0 0 CY NORTH MEMBER 0.25 X 0 0 0 CANDACE OTTE MEMBER 0.25 X 0 0 0 SALLY RUBEN MEMBER 0.25 X 0 0 0 JERRY STAHR MEMBER 0.25 X 0 0 0 KELLY THOMAS MEMBER 0.25 X 0 0 0 CHARLES SCHULZ CEO 40.00 X 217880 0 27031 ROBERT MCQUISTAN VP OF FINANC 40.00 X 147469 0 28458 JENNIFER OBERMIER VP OF NURSIN 40.00 X 146653 0 28086 JAY COLBURN VP OF LTC 40.00 X 125940 0 28666 JANE THOMPSON VP OF OPERAT 40.00 X 123119 0 7735 THOMAS C MCKENNY CRNA 40.00 X 227516 0 18947 MATTHEW MONTGOMERY CRNA 40.00 X 196948 0 19550 MICHAEL D MONFORE CRNA 40.00 X 194852 0 13729 CORNELL H BONDE PHARMACIST 40.00 X 148111 0 0 ERIK PETERSON PHARMACIST 40.00 X 128505 0 0 WILLIAM C KRAFT I.T. DIRECTO 40.00 X 122046 0 0 JOHN KOWALSKI PHYSICAL THE 40.00 X 111513 0 0 BRENT ENNINGA OCCUPATIONAL 40.00 X 102896 0 0 1993448 172202 13 false true false YORK MEDICAL CLINIC 2114 N LINCOLN AVE YORK NE 68467 ER PHYSICIAN 951960 ICE TECHNOLOGIES 411 SE 9TH ST PELLA IA 50219 I.S. 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THIRD-PARTY PAYOR SETTLEMENTS 39239 93329 X 40654280 40654280 79019 79019 40733299 39117474 39117474 18803 18803 39136277 SCHEDULE D, PAGE 2, PART V, LINE 4 ASSETS WHOSE USE IS LIMITED OR RESTRICTED: FUNDS ON DEPOSIT WITH TRUSTEE - 3,838,903 BOND FUNDS AND DEBT SERVICE FUNDS ARE AVAILABLE TO MEET PRINCIPAL AND INTEREST PAYMENTS ON BONDS OUTSTANDING. CONSTRUCTION FUNDS ARE USED TO PAY COSTS OF THE HOSPITAL PROJECT. BY BOARD FOR ENDOWMENT FUND - 2,323,722 ASSETS SET ASIDE FOR FUTURE CAPITAL IMPROVEMENTS. BY BOARD FOR SCHOLARSHIP FUND - 99,732 INTENDED FOR SCHOLARSHIPS IN THE HEALTHCARE FIELD. BY DONORS OR GRANTORS - 614,801 INTENDED FOR VARIOUS HOSPITAL EQUIPMENT AND OPERATIONS. ESCROW DEPOSITS - 10,183 RETURNED TO DUPLEX OWNERS OR LESSEES AND APARTMENT RESIDENTS. SCHEDULE D, PAGE 3, PART X THE MEDICAL FACILITY HAS NO RESERVE FOR UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2015 AND 2014. SCHEDULE D, PAGE 4, PART XI, LINE 4B TEMPORARILY RESTRICTED CONTRIBUTIONS 79,019 SCHEDULE D, PAGE 4, PART XII, LINE 4B NET ASSETS RELEASED FROM RESTRICTION FOR OPERATING PURPOSE 18,803 true true X true X true X true true false false 525388 525388 0.01340 1413538 1290882 122656 0.00310 1938926 1290882 648044 0.01660 59386 59386 0.00150 58837 58837 0.00150 3474956 2529000 945956 0.02420 76350 76350 0.00200 3669529 2529000 1140529 0.02910 5608455 3819882 1788573 0.04570 9363 9363 0.00020 78908 78908 0.00200 134197 134197 0.00340 222468 222468 0.00570 false 543651 27182 11641249 11735371 -94122 X true true 1 1 YORK GENERAL HEALTH CARE SERVICES 2222 LINCOLN AVE YORK NE 68467 X X X SKILLED NURSING, ASST. LIVING YORK GENERAL HEALTH CARE SERVICES 1 false false true X X X X X X X X X X 12 true false false true X WWW.YORKGENERAL.ORG true 14 true WWW.YORKGENERAL.ORG false false true X 100.000000000000 200.000000000000 X X true true X X X X true X WWWYORKGENERALORG X WWWYORKGENERALORG X X X X X true X true X X X X true X false false FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 5 IN OCTOBER OF 2010, FOUR CORNERS HEALTH DEPARTMENT LAUNCHED A COMMUNITY HEALTH ASSESSMENT PROJECT THAT WILL HAVE LASTING EFFECTS FOR THE ENTIRE PUBLIC HEALTH SYSTEM IN THE DISTRICT. A COMMUNITY-DRIVEN PROCESS, CALLED MAAP, WAS CHOSEN TO COMPLETE THE ASSESSMENT. MOBELIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) IS A DYNAMIC PROCESS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS THAT HELPS COMMUNITIES PRIORIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES FOR ADDRESSING THEM. COMMUNITY OWNERSHIP IS THE FUNDAMENTAL COMPONENT OF MAPP. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT FOCUSES ON COLLECTING THE COMMUNITY'S PERSPECTIVE ON ISSUES SUCH AS HEALTH CARE, EDUCATION, CARE FOR OLDER ADULTS, JOBS, SUPPORT NETWORKS, HEALTH PROBLEMS, AND RISKY BEHAVIORS. A SURVEY WAS DESIGNED UTILIZING A SAMPLE SURVEY TEMPLATE PROVIDED BY THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH - COMMUNITY HEALTH AND PERFORMANCE MANAGEMENT. MAPP PLANNING TEAM MEMBERS WORKED TOGETHER TO DISTRIBUTE PAPER COPIES OF THE SURVEYS AT COMMUNITY MEETINGS SUCH AS CHAMBER, ROTARY, KIWANIS, AND LIONS CLUB. THEY WERE TAKEN TO COMMUNITY BREAKFASTS, CHURCHES, SCHOOL EVENTS, ETC. THE GOAL WAS TO COLLECT RESPONSES FROM 500 INDIVIDUALS IN THE COMMUNITY. 673 RESPONSES WERE RECEIVED BY THE END OF THE PROCESS. THE MAPP PLANNING TEAM DECIDED TO COMPLETE THE ASSESSMENT AS A DAY-LONG WORKSHOP FOR LOCAL PUBLIC HEALTH SYSTEM PARTICIPANTS. OVER 300 INVITATIONS WERE DISTRIBUED. THE WORKSHOP WAS ORGANIZED BY BREAKING DOWN THE TEN ESSENTIAL SERVICES INTO FULL GROUP AND SMALL GROUP SESSIONS. FACILITATORS FOR THE DAY WERE VICKI DUEY, EXECUTIVE DIRECTOR OF FCHD AND COLLEEN SVOBODA, NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES. FORTY-NINE ATTENDEES WERE PRESENT, REPRESENTING THIRTY AGENCIES AMOUNG THE FCHD DISTRICT. FOR EACH ASSESSMENT QUESTION, DISCUSSION FOLLOWED AS TO THE SERVICES AND PRACTICES AMOUNG SYSTEM PARTNERS. THIS DISCUSSION HELPED TO BUILD THE KNOWLEDGE OF THE LOCAL PUBLIC HEALTH SYSTEM PARTNERS, AS WELL AS RELATIONSHIPS AMOUNG THOSE PRESENT. RESPONDENTS WERE THEN ASKED TO INDICATE THE LEVEL OF PROGRESS THEY FELT THE SYSTEM HAD MADE TOWARD THAT SERVICE. THEY DID SO BY CHOOSING FROM THE FOLLOWING FIVE LEVELS OF PROGRESS: NO, MINIMAL, MODERATE, SIGNIFICANT, AND OPTIMAL. COLLABORATORS INCLUDE INDIVIDUALS FROM FOUR CORNERS HEALTH DEPARTMENT, MIDWEST COVENANT HOME, POLK COUNTY EXTENSION SERVICES, AGING PARTERS, YORK GENERAL HOSPITAL, YORK MEDICAL CLINIC, ANNIE JEFFREY HEALTH CARE SERVICES, PARISH HEALTH NURSING, HENDERSON HEALTH CARE SERVICES, NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, BUTLER COUNTY HEALTH CARE CENTER, YORK COUNTY EXTENSION SERVICES, EMERGENCY MANAGEMENT, RIDGEWOOD CARE CENTER, A RETIRED PHYSICIAN, BLUE VALLEY COMMUNITY ACTION, YORK AREA SENIOR CENTER, CONCORDIA UNIVERSITY, MOSAIC, A COMMUNITY VOLUNTEER, LEMKE MICHELS PSYCHOTHERAPY, MEMORIAL HEALTH CARE SYSTEMS, MAHONEY HOUSE, BLUE VALLEY BEHAVIORAL HEALTH, DAVID CITY SENIOR CENTER, SEWARD PUBLIC SCHOOLS, OSCEOLA GOOD SAMARITAN CENTER, DAVID PLACE NURSING HOME, TABITHA, HOME CARE PLUS, AND SUNRISE COUNTY MANOR FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 11 YORK GENERAL IS ADDRESSING THE FIVE HEALTH NEEDS IDENTIFIED IN THE COMMUNITY BY: 1. OBESITY: YORK GENERAL WELLNESS CENTER PROVIDES AN AFFORDABLE OPTION FOR COMMUNITY MEMBERS SEEKING TO INCREASE THEIR PHYSICAL ACTIVITY AND WELL BEING. WELLNESS STAFF CAN PROVIDE CONSULTATION TO INDIVIDUAL COMMUNITY MEMBER'S THAT FOCUSES ON HEALTHLY LIFESTYLE MAINTENANCE. YORK GENERAL HOSPITAL CAN PROVIDE NUTRITIONAL COUNSELING WITH ONE OF OUR REGISTERED DIETICIANS. 2. CANCER: YORK GENERAL HOSPITAL PROVIDES COMPREHENSIVE CANCER SERVICES TO AREA PATIENTS. YORK GENERAL'S ONCOLOGY DEPARTMENT AND EXPERIENCED STAFF ARE EQUIPPED TO PROVIDE CARE TO PATIENTS RECEIVING CHEMOTHERAPY AND RELATED CANCER TREATMENTS. YORK GENERAL HOSPITAL SPECIALTY CLINIC PROVIDES A VISITING ONCOLOGY PHYSICIAN TWICE A MONTH IN SPECIALTY CLINIC, ALLOWING PATIENTS TO RECEIVE TREATMENT CLOSE TO HOME. 3. SUICIDE: YORK GENERAL EMERGENCY DEPARTMENT TREATS VARIOUS PATIENTS WHO ARE DEALING WITH SUICIDE OR SEEKING TREATMENT DUE TO SUICIDAL TENDENCIES. YORK GENERAL ABILITY TO IMPACT PATIENTS AND THE COMMUNITY WILL INCLUDE THOSE THAT SEEK TREATMENT DUE TO SUICIDAL TENDENCIES, AND EDUCATION OF THE COMMUNITY. 4. MENTAL HEALTH PROBLEMS: YORK GENERAL CURRENTLY PROVIDES FOUR DAYS OF SPECIALTY CLINIC COVERAGE WITH A MENTAL HEALTH PROFESSIONAL. YORK GENERAL DOES NOT HAVE INPATIENT MENTAL HEALTH TREATMENT AVAILABLE, BUT CAN ADDRESS THAT COMMUNITY NEED OF OUTPATIENT SERVICES THROUGH SPECIALTY CLINIC. 5. ALCOHOL ABUSE: BASIC REFERRAL SERVICES FOR SUBSTANCE ABUSE TREATMENT ARE AVAILABLE. YORK GENERAL HOSPITAL IS NOT ABLE TO PROVIDE LONG TERM INPATIENT SUBSTANCE ABUSE TREATMENT. IT IS IN THE BEST INTEREST OF THE PATIENT TO ACCEPT REFERRAL AS WE DO NOT HAVE THE STAFF WITH THE EXPERTISE AVAILABLE IN SUBSTANCE ABUSE TREATMENT. YORK GENERAL HOSPITAL IS ABLE TO REFER PATIENT WITH SUBSTANCE ABUSE NEEDS TO VARIETY OF SERVICES THROUGHOUT THE STATE OF NEBRASKA. WE ARE ABLE TO ADDRESS ALCOHOL ABUSE IN THE COMMUNITY THROUGH PROMOTING AWARENESS AND PROVIDING EDUCATION. FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 16I THE POLICY IS MENTIONED ON ALL FOLLOW UP ACCOUNT COLLECTION PHONE CALLS. 4 YORK GENERAL HEARTHSTONE 2222 LINCOLN AVE YORK NE 68467 SKILLED NURSING FACILITY YORK GENERAL DIALYSIS 2600 LINCOLN AVE YORK NE 68467 DIALYSIS YORK GENERAL HOME HEALTH 2319 LINCOLN AVE YORK NE 68467 HOME HEALTH AGENCY YORK GENERAL MEADOWLARK ASST LIVING 406 MEADOWVIEW DR YORK NE 68467 ASSISTED LIVING PART I, LINE 6A - RELATED ORGANIZATION INFORMATION REPORT IS NOT PREPARED BY A RELATED ORGANIZATION. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COSTING METHODOLOGY FOR TABLE IN PART I - OVERALL COST TO CHARGE RATIO EXCEPT FOR SUBSIDISED HEALTH SERVICES WHERE COSTS WERE TAKEN FROM THE MEDICARE COST REPORT. PART II - COMMUNITY BUILDING ACTIVITIES THE HOSPITAL HAS MANY ACTIVITIES TO PROMOTE HEALTH IN THE COMMUNITIES SERVED. THESE ACTIVITIES INCLUDE SPONSOR OF HEALTH FAIR, SUPPORT GROUPS, EDUCATION PROGRAMS, AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE ORGANIZATION'S FINANCIAL STATEMENT FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE IS FOOT (2), STARTING ON PAGE 13 OF THE FINANCIAL STATEMENTS. PART III, LINE 2 - COSTING METHODOLOGY FOR LINE 2 - OVERALL COST TO CHARGE RATIO WAS USED TO DETERMINE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2. BAD DEBT EXPENSE REPORTED WAS 887,755. PART III, LINE 3 - COSTING METHODOLOGY FOR LINE 3 - AFTER REVIEW OF BAD DEBTS WRITTEN OFF IT WAS DETERMINED APPROXIMATELY 5% OF BAD DEBT ACCOUNTS WRITTEN OFF WOULD HAVE QUALIFIED FOR CHARITY CARE IF THE INDIVIDUALS WOULD HAVE COMPLETED THE APPLICATION PROCESS. PART III, LINE 8 - RATIONALE FOR INCLUDING BAD DEBT AMOUNTS AS COMMUITY BENEFIT - WE DO NOT CONSIDER BAD DEBT AS COMMUNITY BENEFIT. PART III, LINE 8 - MEDICARE EXPLANATION THE MEDICARE COST REPORT WHICH USES COST TO CHARGE RATIOS BY DEPARTMENT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 8. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION COLLECTION ACTIONS. FAILURE TO MAKE AND HONOR SATISFACTORY ARRANGEMENTS FOR PAYMENT TO THE HOSPITAL MAY RESULT IN REFERRAL TO A COLLECTION AGENCY, REPORTING TO THE CREDIT AGENCIES, AND LEGAL ACTION. THE HOSPITAL WILL NOT TAKE AN EXTRAORDINARY COLLECTION ACTION (LEGAL ACTION, REPORTING TO CREDIT AGENCY) UNTIL REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE IF A PERSON IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PERSON APPLIES FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, ALL COLLECTION EFFORTS WILL STOP UNTIL THE DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE. IN THE EVENT A PATIENT APPLIES FOR FINANCIAL ASSISTANCE IN A TIMELY MANNER RELATED TO THE DATE WHEN CARE WAS PROVIDED AND IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL TAKE STEPS TO REVERSE COLLECTION ACTIONS, REPORTS, AND OTHER ACTIONS THAT HAVE BEEN TAKEN TO OBTAIN PAYMENT. UPON RECEIPT OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, NO FURTHER COLLECTION ACTION SHALL BE TAKEN AGAINST A PATIENT UNTIL THE FINANCE COMMITTEE HAS REVIEWED AND MADE A DETERMINATION ON THE APPLICATION ACCORDING TO THE PROCESS SET FORTH HEREIN. PART VI, LINE 2 - NEEDS ASSESSMENT THE BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND IN TOUCH WITH THE RESIDENTS OF YORK COUNTY AND ARE AWARE OF THE NEEDS OF THE COMMUNITY, ON AN ONGOING BASIS. THE ADDITION OF OUR DIALYSIS PROGRAM WAS A RESULT OF BOARD INTERACTION WITH THE COMMUNITY. IN ADDITION, THE ORGANIZATION WILL BE CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN THE COMING YEAR. WE WILL BE COORDINATING THESE EFFORTS WITH THE LOCAL PUBLIC HEALTH OFFICE. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE CHARITY CARE NOTICE IS POSTED IN THE ADMITTING BOOTHS AT THE MAIN ENTRANCE, IN ER, AND IN THE SPECIALTY CLINIC. A WRITTEN NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICES. THE CHARITY CARE POLICY IS ALSO DISCUSSED WITH PATIENTS WHEN MAKING COLLECTION CALLS. PART VI, LINE 4 - COMMUNITY INFORMATION YORK, NE IS LOCATED AT THE INTERSECTION OF U.S. HIGHWAY 81 AND INTERSTATE 80. THE POPULATION OF YORK COUNTY AS OF 2010 WAS 13,665. THE AVERAGE HOUSEHOLD INCOME IS ALMOST 54,000. THE UNEMPLOYMENT RATE IN THE YORK COUNTY AREA WAS 4.3% IN 2009. AS OF 2008, APPROXIMATELY 9% OF PEOPLE OF ALL AGES WERE IN POVERTY. YORK COUNTY IS CURRENTLY NOT DESIGNATED AS A MEDICALLY UNDERSERVED AREA. APPROXIMATELY 6% OF HOSPITAL REVENUES ARE FROM MEDICAID ELIGIBLE PATIENTS. APPROXIMATELY 3% OF HOSPITAL GROSS REVENUES ARE FROM PATIENTS WITH NO INSURANCE COVERAGE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA OF YORK GENERAL HEALTH CARE SERVICES. THE OCCUPATIONS OF THE BOARD MEMBERS INCLUDE BUSINESS PROFESSIONALS, RETIRED MEDICAL PROFESSIONALS, FARMER, AND LAWYER. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. SURPLUS FUNDS ARE USED TO UPDATE AND ADD NEW TECHNOLOGY AND EQUIPMENT, ADD NEW SERVICES, AND UPDATE THE PHYSICAL FACILITIES. OVER THE PAST YEARS, PROJECTS THAT HAVE BEEN EITHER PARTIALLY FUNDED OR TOTALLY FUNDED WITH SURPLUS REVENUES INCLUDE THE FOLLOWING: A NEW 129 BED NURSING HOME TO REPLACE AN OUTDATED AND UNSAFE FACILITY, NEW ASSISTED LIVING FACILITY, ADDITION OF DIALYSIS SERVICES FOR THE COMMUNITY, NEW MEDICAL OFFICE BUILDING AND WELLNESS CENTER, HOSPITAL REMODEL AND EXPANSION, DIGITAL MAMMOGRAPHY, AND CT AND MRI UPDATES. THESE ARE SOME OF THE MORE RECENT MAJOR PROJECTS. WE HAVE BEEN ABLE TO MAKE AVAILABLE TO THE RESIDENTS OF YORK THESE NEW SERVICES. THE ORGANIZATION IS ALSO ACTIVE IN ONGOING HEALTH AND WELLNESS ACTIVITIES IN THE COMMUNITY AND SCHOOLS. X false true false false false false false false false CHARLES SCHULZ CEO 210380 7500 8732 18299 244911 ROBERT MCQUISTAN VP OF FINANCE 142469 5000 5930 22528 175927 JENNIFER OBERMIER VP OF NURSING 139153 7500 5720 22366 174739 JAY COLBURN VP OF LTC 120940 5000 5100 23566 154606 THOMAS C MCKENNY CRNA 227516 9266 9681 246463 MATTHEW MONTGOMERY CRNA 196948 8199 11351 216498 MICHAEL D MONFORE CRNA 194852 4048 9681 208581 SCHEDULE J, PAGE 1, PART I, LINE 4 CHARLES SCHULZ 0 8,732 0 ROBERT MCQUISTAN 0 5,930 0 JENNIFER OBERMIER 0 5,720 0 JANE THOMPSON 0 3,784 0 THOMAS C. MCKENNY 0 9,266 0 MATTHEW MONTGOMERY 0 8,199 0 MICHAEL D. MONFORE 0 4,048 0 A HOSPITAL AUTH NO 1 OF YORK COUNTY NE 470769138 986356HC0 2013-07-09 3380000 REFUND PRIOR ISSUES (04/15/03) false false false B HOSPITAL AUTH NO 1 2014 LTCHOSP 470769138 986356HD8 2014-04-30 8780000 REFUND & HOSPITAL PROJECT false false false C HOSPITAL AUTH NO 1 2015 HOSPITAL 470379039 2015-07-02 8250000 HOSPITAL PROJECT. false false false A 540000 3380000 342014 3380000 2005 true false true true B 545000 8800673 882185 2316 3157154 5468866 30 true false false true C 8257650 675891 467297 6568383 1221970 false false false true A false false false false false false true B false false false false false false true C false false false false false false true A false false false false false false false false true B false false false false false false false false true C false false false false false false false false true A true B true C false CORNERSTONE BANK SEE PART V SEE PART V false SCHEDULE L, PART V SCHEDULE L, PART IV: (A) NAME OF INTERESTED PERSON: CORNERSTONE BANK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: C.G. KELLY HOLTUS IS PRESIDENT OF CORNERSTONE BANK, HIS DAUGHTER KRIS HOLOCH IS ALSO EMPLOYED AS AN OFFICER AT CORNERSTONE BANK AND TOGETHER THEY OWN GREATER THAN 35% INTEREST IN CORNERSTONE BANK. CHARLES HARRIS, DON WITTE, DARROLL LOSCHEN, KELLY THOMAS, AND CANDACE OTTE ARE ALL ON CORNERSTONE BANK'S BOARD OF DIRECTORS. (C) & (D) AMOUNT AND DESCRIPTION OF TRANSACTION: VARIOUS TRANSACTIONS IN CAPICITY AS YORK GENERAL HEALTH CARE SERVICES' FINANICAL INSTITUTION. ADDIONTALLY, CORNERSTONE BANK IS TRUSTEE TO BOND FUNDS IN WHICH 1,849,660 WAS DEPOSITED THIS YEAR. FORM 990 - ORGANIZATION'S MISSION TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES. FORM 990, PAGE 6, PART VI, LINE 2 C.G. KELLY HOLTHUS KRIS HOLOCH TREASURER BOARD MEMBER FAMILY C.G. KELLY HOLTHUS CORNERSTONE BANK TREASURER PRESIDENT GREATER THAN 35% OWNER KRIS HOLOCH CORNERSTONE BANK BOARD MEMBER OFFICER OFFICER CHARLES HARRIS CORNERSTONE BANK CHAIRMAN DIRECTOR DIRECTOR DON WITTE CORNERSTONE BANK VICE CHAIR DIRECTOR DIRECTOR DARROLL J. LOSCHEN CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR KELLY THOMAS CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR CANDACE OTTE CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED BY THE VP OF FINANCE AND IS SENT TO EACH DIRECTOR FOR THEIR REVIEW. FORM 990, PAGE 6, PART VI, LINE 12C ANY MEMBERS WITH A CONFLICT OF INTEREST ABSTAIN FROM VOTING. THE ABSTENTION IS DOCUMENTED IN THE MEETING MINUTES. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION FOR THE CEO. A COMPARISON OF AREA CEOS IS INCLUDED. FORM 990, PAGE 6, PART VI, LINE 15B A SALARY SURVEY FOR KEY EMPLOYEES IS COMPLETED BY HUMAN RESOURCES. THE H.R. DIRECTOR REVIEWS THE INFORMATION WITH THE CEO AND A RECOMMENDATION IS MADE. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST FOR REVIEW ON THE PREMISES. MEADOW VIEW RETIREMENT HOMES 2319 N LINCOLN AVE YORK NE 68467 900149281 SR. LIVING NE 501C3 YGHCS false HOME CARE PLUS 2319 N LINCOLN AVE YORK NE 68467 470807087 HOME HLTH NE 501C3 YGHCS false false false false false false false false false false true false true false false false false false false false HOME CARE PLUS J 600 HOME CARE PLUS L 237494