2012-03-19T16:08:27-04:00 2011-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2010-07-01 440537826 Community Hospital Association Inc COMM 6606862211 PO Box 107 Fairfax MO 644460107 MYRA EVANS 2012-05-15 true Michael J Engle 8162216300 2010 2016-02-24 21:20:13Z MYRA EVANS 26136 US HWY 59 FAIRFAX MO 66446 11626763 false X WWW.FAIRFAXMED.COM X 1976 MO TO PROVIDE QUALITY ACUTE CARE, EMERGENCY, AND OUTPATIENT HOSPITAL SERVICES. 15 12 127 100 0 0 2038618 1081477 9691201 10395665 6014 23547 100866 96916 11836699 11597605 5475 819009 0 0 4683566 4615909 0 0 101606 4613855 6645621 9302896 12080539 2533803 -482934 17641477 20517337 10080447 13439241 7561030 7078096 TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR THE COMMUNITIES WE SERVE. false false 9079275 819009 10395665 SEE SCHEDULE O 9079275 true true false true false false false false false true false false false false true false true false false false false false false true false true true true true true false false false false false false false false false false false false false true true true false false true 8 0 true 127 true false false false false false true true false false false false X 15 12 false true false false false false false true true false false true true true true true true true true false MO X SUZANNE SOUTHARD 6606862211 26136 US HWY 59 FAIRFAX MO 64446 X ROBERT JACKSON 1.0 X X 0 0 0 NANCY HURST 1.0 X X 0 0 0 SANDRA FUHRMAN 1.0 X X 0 0 0 RICHARD OSWALD 1.0 X 0 0 0 BILL SMITH 1.0 X 0 0 0 JACQUE GEBHARDS 1.0 X 0 0 0 STEVE CUNNINGHAM 1.0 X 0 0 0 NANCY PETERS 1.0 X 0 0 0 DOUGLAS KLINE 1.0 X 0 0 0 BEVERLY WHITE 1.0 X 0 0 0 PATRICIA FISHER 1.0 X 0 0 0 R ARON BURKE MD 1.0 X 45719 0 0 WC BUD TICE 1.0 X 0 160400 10570 STEPHANIE DAUBERT 1.0 X 0 171134 16800 BILL SLAUGHTER 1.0 X 0 0 0 MYRA EVANS 40.0 X 168105 0 14124 SUZANNE SOUTHARD 40.0 X 57675 0 9160 GARY MCINTYRE 40.0 X 141319 0 2120 412818 331534 52774 2 false true false KIEWIT BUILDING GROUP GENERAL CONTRACTOR 3388527 DOCS WHO CARE PHYSICIAN SERVICES 219606 IRELAND CLINIC PHYSICIAN SERVICES 162814 CPSI COMPUTER SERVICES 190663 MORGAN ANESTHESIA SERVICES CRNA SERVICES 149989 9 133970 47679 899828 1081477 NET PATIENT SERVICE REVENUE 621990 10395665 10395665 10395665 5074 5074 0 0 18473 0 18473 18473 18473 57847 133970 29158 28689 28689 0 0 CAFETERIA 722210 48666 48666 MISCELLANEOUS 900099 19561 19561 68227 11597605 10395665 0 120463 813999 813999 5010 5010 0 0 312181 312181 0 3604464 2621887 945451 37126 111205 80891 29169 1145 275597 202562 70275 2760 312462 227285 81959 3218 219181 159432 57491 2258 15301 11130 4013 158 62678 45592 16440 646 0 0 0 1536858 1117910 403118 15830 36396 26474 9547 375 1067471 776478 279998 10995 0 0 212635 154671 55774 2190 40958 29793 10743 422 0 0 543699 395487 142612 5600 0 1250253 909434 327941 12878 76630 55741 20100 789 REPAIRS & MAINT. 280828 204274 73661 2893 DUES & SUBSCRIPTIONS 44621 32457 11704 460 BAD DEBT 673427 673427 MEDICAID 403670 403670 EMPLOYEE RECRUITMENT 64396 46842 16891 663 116619 84829 30590 1200 12080539 9079275 2899658 101606 15369 0 798218 333260 243307 168070 1316635 1412026 226232 276067 97042 92834 20948790 3132706 14944674 17816084 0 418996 17641477 20517337 1743088 575912 8337359 12863329 10080447 13439241 X 7561030 7078096 7561030 7078096 17641477 20517337 -482934 0 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3330 false false false 3330 false 309117 309117 5547392 335318 5212074 13006776 2685180 10321596 2085505 112208 1973297 17816084 0 0 11597605 12080539 -482934 -482934 12679644 1082039 1082039 11597605 11597605 11340892 74352 74352 11266540 813999 813999 12080539 UNCERTAIN TAX POSITIONS DISCLOSURE SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION'S REVENUE 1,052,881 SPECIAL EVENT EXPENSES 29,158 ----------- TOTAL $1,082,039 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D RELATED ORGANIZATION EXPENSES 49,194 SPECIAL EVENT EXPENSES 29,158 ---------- TOTAL $74,352 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 4B GRANT PAID TO RELATED ORGANIZATION $813,999 GOLF TOURNAMENT 65700 41065 24635 5763 500 3524 8092 ANNUAL APPEAL 97814 75000 22814 312 1 28303 17905 10398 255 3412 957 6343 191817 133970 57847 5763 755 6936 957 14747 29158 28689 true true true X true X true true false false 662893 662893 0.05490 1384300 759261 625039 0.05170 2047193 759261 1287932 0.10660 9266 1475 7791 47742 5500 42242 0.00350 306076 290199 15877 1112 1112 0.00010 364196 297174 67022 0.00360 2411389 1056435 1354954 0.11020 3443 3443 0.00030 14013 14013 0.00120 9140 9140 0.00080 26596 26596 0.00230 false 673427 36038 5408830 5376936 31894 X true true 1 1 COMMUNITY HOSPITAL-FAIRFAX

PO BOX 107 FAIRFAX MO 64446

X X X X COMMUNITY HOSPITAL-FAIRFAX 1 1 PRIMARY CARE CLINIC

26136 US HWY 59 FAIRFAX MO 64446

PRIMARY CARE PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 7G THE HOSPITAL INCLUDED $138,094 FROM A PHYSICIAN CLINIC. SCHEDULE H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $673,427. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II COMMUNITY HOSPITAL REACHES OUT TO OVER 200 WOMEN ON AN ANNUAL BASIS THROUGH A WOMEN'S HEALTH EVENT CALLED ME MARKET. HELD IN NOVEMBER EACH YEAR, THE ME MARKET FEATURES SHOPPING OPPORTUNITIES FOR WOMEN AS WELL AS HEALTH RELATED SPEAKERS AND FREE SCREENINGS. IN 2010, SPEAKERS ON TOPICS LIKE CARING FOR THE ELDERLY WERE OFFERED TO THE PUBLIC. FLU SHOTS, BLOOD PRESSURE CHECKS AND OTHER FREE SCREENINGS WERE ALSO OFFERED. IN FEBRUARY, COMMUNITY HOSPITAL OFFERS A FREE LUNCH TO THE COMMUNITY AND AN OPPORTUNITY FOR THEM TO ASK HEART HEALTH RELATED QUESTIONS TO ONE OF OUR CARDIOLOGISTS. FREE SCREENINGS AND DRAWINGS FOR MEMBERSHIPS TO GYMS ARE ALSO OFFERED TO THE PUBLIC. IN THE SPRING, COMMUNITY HOSPITAL FOCUSES ON CHILDREN'S HEALTH. OUR FIELD DAY OFFERS RACES AND ACTIVITIES FOR CHILDREN. HOSPITAL STAFF IS ON HAND TO TEACH CHILDREN ABOUT HEALTHY EATING HABITS, EXERCISE, AND THE DANGERS OF SMOKING. OVER SIXTY CHILDREN PARTICIPATED IN THIS 2010 EVENT. COMMUNITY HOSPITAL ALSO HOSTS PEDIATRIC ORIENTATION FOR AREA FIRST GRADERS. 90+ FIRST GRADERS JOIN HOSPITAL STAFF IN "ROLE PLAYING" A PATIENT AT THE HOSPITAL. STUDENTS LEARN WHAT GOES ON AT THEIR LOCAL HOSPITAL IN HOPES OF REDUCING THEIR FEAR UPON A VISIT LATER IN LIFE. IN SEPTEMBER OF EACH YEAR, COMMUNITY HOSPITAL HOSTS A FREE PROSTATE SCREENING (DIGITAL EXAM) AND A REDUCED PRICE PSA TEST TO MEN IN THE COMMUNITY. NEARLY 70 MEN PARTICIPATE IN THIS ANNUAL SCREENING. IN ADDITION TO THESE EVENTS, COMMUNITY HOSPITAL PUBLISHES A QUARTERLY NEWSLETTER WITH HEALTH RELATED INFORMATION THAT IS DISTRIBUTED TO AREA RESIDENTS. THE NEWSLETTER IS ACCOMPANIED BY REGULAR NEWSPAPER ARTICLES AND RADIO ADS. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 THE HOSPITAL USED THE ACTUAL ACCOUNT BALANCE AMOUNTS WRITTEN OFF AND SENT TO COLLECTION AGENCIES (NO HOME HEALTH OR FFPC) OR WRITTEN OFF DUE TO BANKRUPTCIES FOR THE TOTAL ON LINE 2. LINE 3 IS THE AMOUNT OF ACCOUNT BALANCES WRITTEN OFF DUE TO BANKRUPTCIES. THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8 THE HOSPITAL'S SERVICE AREA IS APPROXIMATELY 23% MEDICARE BENEFICIARIES WHO PREFER TO GET THEIR MEDICAL CARE LOCALLY. 56% OF THE HOSPITAL'S REVENUE IS GENERATED BY THESE MEDICARE BENEFICIARIES. OUR CUSTOMER SERVICE SURVEYS RATE COMMUNITY HOSPITAL CONSISTENTLY OVER 90%, SHOWING THESE MEDICARE BENEFICIARIES APPRECIATE THE SERVICES COMMUNITY HOSPITAL PROVIDES AND HOW THE SERVICES ARE PROVIDED. THE COSTING SOURCE WAS THE FY11 MEDICARE COST REPORT. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B Collection policy states all uninsured and insured patients are informed on their first statement of services that Community Hospital has a grant program (for financial assistance) for those who qualify. This same type of 'assistance available' information is also in the Patient Information brochures in the patient rooms and waiting areas. Patients may qualify for a charity discount or a medically indigent discount, depending on their financial situation and using the Federal Poverty Guidelines. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 No community needs assessment has been done to date. Community Hospital staff are scheduled for training in early 2012, which will help guide staff in the process and knowledge of who to involve in the gathering of the information. The plan is to have an assessment survey in the hands of local residents by November 2012. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 Community Hospital Business Office staff will discuss with inpatients and outpatients the options available to help the patients meet their financial obligations to Community Hospital. They discuss the federal/state government programs available and the hospital's financial assistance program. Then information is included in the statements sent to patients (explaining the amounts owed by the patient's insurance or the patient), much the same information as is discussed in person. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 Community Hospital provides access to healthcare to a region where health services are sparse, the physician ratio is 3008:1, and emergency services would otherwise be 30 miles or more from the population centers. The greatest health needs in the community tend to be chronic diseases such as heart disease, COPD and Asthma, stroke and diabetes. Nearly 30% of the service population is obese, 69% report physical inactivity, and 26% smoke. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 To educate and provide services to its community, Community Hospital responds by providing the following activities: monthly free blood pressure screening at area nutrition centers; an annual 'heart healthy' event with a Q&A session with an onsite cardiologist, and free blood pressure checks; diabetes counseling classes with a Registered Dietician and Certified Diabetes Educator; free glucose screening, BMI checks and blood pressure checks at annual women's event; Stroke Awareness event explaining the hospital's "stroke ready" response; an annual Kid's Cafe which involves children learning healthy eating choices, and a pool party for the participants which promotes physical activity; an annual Back to School Fair where school supplies are distributed to needy children and healthy eating choices are discussed; an annual prostate screening which includes a free exam for local residents. true COMMUNITY HEALTHCARE FOUNDATION PO BOX 107 FAIRFAX MO 64446 431757553 501(C)(3) 813999 GENERAL SUPPORT 1 0 TUITION AND BOOKS ASSISTANCE 15 5010 MONITORING THE USE OF GRANT FUNDS IN THE U.S. SCHEDULE I, PART I, LINE 2 STUDENTS COMPLETE AND SUBMIT APPLICATIONS FOR SCHOLARSHIPS TWICE A YEAR. A COMMITTEE MEETS AND DETERMINES WHO IS AWARDED A SCHOLARSHIP. THE AMOUNT OF THE SCHOLARSHIPS AWARDED IS DEPENDENT ON THE ANNUAL BUDGET. X X false false false false false false false false false WC BUD TICE 0 160400 0 0 0 0 0 7052 0 3518 0 170970 0 0 STEPHANIE DAUBERT 0 171134 0 0 0 0 0 13123 0 3677 0 187934 0 0 MYRA EVANS 168105 0 0 0 0 0 10515 0 3609 0 182229 0 0 0 COMPENSATION FROM RELATED ORGANIZATION FORM 990, PART VII, SECTION A, LINE 1A AND SCHEDULE J, PART II THE CEO COMPENSATION IS PAID THROUGH A MANAGEMENT CONTRACT WITH THE NEBRASKA MEDICAL CENTER (NMC), A RELATED ORGANIZATION. THE RELATED COMPENSATION PAID TO DIRECTORS IS FOR THEIR EMPLOYMENT WITH NMC, NOT FOR THEIR ROLE AS A DIRECTOR WITH THE HOSPITAL. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A Community Hospital-Fairfax (CH-F) prides itself in providing access to healthcare to a region where health services are sparse, the physician ratio is 3008:1 (national benchmark is 631:1) and emergency services would otherwise be 30 miles or more from the population centers. Community Hospital-Fairfax provides the Northwest Missouri area population of 11,000 in Holt, Atchison and western Nodaway County with a 24 hour emergency room, acute care (including obstetrics) and post-acute care services, many outpatient services, surgery, ancillary services, and a full-service therapy department. In addition to serving the health needs of a population that would otherwise not have access to care, Community Hospital-Fairfax continues to invest in a healthy future for the community. CH-F tries to focus on the greatest health needs in the community which tend to be chronic diseases such as heart disease, COPD and Asthma, stroke and diabetes. Risk factors for these diseases are obesity, cigarette smoking and physical inactivity. Nearly 30% of the CH-F service population is obese, 69% report physical inactivity and 26% smoke. TO EDUCATE AND PROVIDE SERVICES TO A COMMUNITY WHERE THESE CHRONIC CONDITIONS PREVAIL, THE FOLLOWING ACTIVITIES ARE PART OF CH-F'S RESPONSE TO HEALTH NEEDS OF THE COMMUNITY: 1. Monthly free blood pressure checks at area nutrition centers. 2. February heart healthy event with an onsite cardiologist. Participants can attend and ask the cardiologist any question they desire about heart health. Fifty adults participated in this event in FY2011. 3. Diabetes counseling classes with a Registered Dietician and Certified Diabetes Educator. 4. Free glucose screenings, BMI checks and blood pressure checks biannually at a women's event (attended by 200 women) and the heart event. 5. Attendance at area health fairs offering free screenings. 6. CH-F is stroke ready and has protocol in place to respond to a stroke within 60 minutes. Continuing education, including a stroke awareness event where 50 attended, contributes to public awareness about stroke response. 7. CH-F sponsors healthy eating activities for kids. The Kid's Caf teaches kids about the food plate and encourages children to try new healthy foods. Over 80 children were reached through this activity in FY2011. 8. CH-F staff teaches healthy eating choices at the area Back to School Fair where school supplies are distributed to needy children. Over 100 children were reached through this activity. 9. CH-F also sponsors an annual pool party to celebrate kids attendance at the Kid's Caf and promote physical activity. 10. An annual prostate screening is held by CH-F. A free exam was provided to nearly 60 men this year. IN ADDITION TO RESPONDING TO AREA HEALTH CONCERNS, CH-F ALSO WANTS TO ENSURE THAT THERE ARE HEALTHCARE PROVIDERS FOR FUTURE GENERATIONS IN Northwest Missouri. $6000 in scholarships is awarded each year to students enrolled in a healthcare program. Additionally, CH-F staff logged over 375 hours in FY11 with area high school students as they job shadowed. As the sole healthcare facility in the area, CH-F takes serious its obligation to be prepared in an emergency. Over 55 hours were spent by CH-F's emergency preparedness coordinator last year training to be ready in case a disaster strikes. CH-F continues to serve the community by providing healthcare to a population that would not otherwise have access. Recruiting physicians, nurses, therapists and other healthcare providers is ongoing, purchasing state of the art equipment when possible and making sure that each member of our community has the care they deserve is not an easy task, but one CH-F is proud to do. DELEGATION OF CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, LINE 3 COMMUNITY HOSPITAL ASSOCIATION, INC. HOLDS A MANAGEMENT CONTRACT WITH THE NEBRASKA MEDICAL CENTER (NMC). NMC APPOINTS A CHIEF EXECUTIVE OFFICER TO MANAGE DAY-TO-DAY OPERATIONS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S ADMINISTRATION. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S ADMINISTRATION HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 WITH ALL COMPLETED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY OBTAINS WRITTEN AFFIRMATIONS FROM EACH OFFICER AND DIRECTOR AS TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A DISCLOSURE OCCURS, THE MATTER IS VOTED ON BY THE BOARD OF DIRECTORS. IF A MAJORITY VOTE OCCURS THEN THE DISCLOSURE IS CONSIDERED A CONFLICT. THE CONFLICTED INDIVIDUAL MAY NOT VOTE OR PARTICIPATE IN THE MATTERS INVOLVING THE CONFLICT. IT IS NOTED IN THE BOARD MEETING MINUTES THAT THE INDIVIDUAL ABSTAINED FROM VOTING. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION USES COMPARABILITY DATA TO DETERMINE THE COMPENSATION OF THE CEO AND OTHER OFFICERS. THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE OTHER OFFICERS IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT JACKSON TITLE:DIRECTOR/VICE PRESIDENT HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SANDRA FUHRMAN TITLE:DIRECTOR/SECRETARY/TREASURER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BILL SMITH TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY PETERS TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOUGLAS KLINE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BEVERLY WHITE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:R. ARON BURKE, M.D. TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MYRA EVANS TITLE:CEO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUZANNE SOUTHARD TITLE:CFO HOURS:1 COMMUNITY HEALTCARE FOUNDATION PO BOX 107 FAIRFAX MO 64446 431757553 SUPPORT ORG MO 501(C)(3) 11A CHA THE NEBRASKA MEDICAL CENTER 4350 DEWEY AVENUE OMAHA NE 68198 911858433 HOSPITAL NE 501(C)(3) 3 NA false true true false true false false false false false true false true true false true false false COMMUNITY HEALTHCARE FOUNDATION B 813999 COMMUNITY HEALTHCARE FOUNDATION E 12734712