CRETE AREA MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CRETE AREA MEDICAL CENTER (EIN 47-0841285)
- Tax period
- 2010-06-01 to 2011-05-31
- Filed
- 2012-04-12
- IRS object ID
- 201241039349300319
- Schema version
- 2010v3.7
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-12T12:59:10-05:00 | Timestamp |
| Tax Period End Date | 2011-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | CLAYTON | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470841285 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRETE AREA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CRET | NameControl |
| Phone | 4024813190 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 BETTEN DRIVE | AddressLine1 |
| City | CRETE | City |
| State | NE | State |
| ZIP Code | 683330220 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RUSSELL GRONEWOLD | Name |
| Title | VP FINANCE & CFO | Title |
| Date Signed | 2012-04-06 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142901000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Russell Gronewold | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 68506 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18855999 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CRETEAREAMEDICALCENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | CRETE AREA MEDICAL CENTER IS COMMITTED TO MAKING A DIFFERENCE IN OUR COMMUNITY AND THE LIVES OF THE INDIVIDUALS WE SERVE THROUGH COMPASSIONATE AND EXCEPTIONAL CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 191 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | -131 | TotalGrossUBI |
| Contributions Grants Prior Year | 243317 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 108080 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20202752 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18401907 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 108858 | InvestmentIncomePriorYear |
| Investment Income Current Year | 117467 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 203506 | OtherRevenuePriorYear |
| Other Revenue Current Year | 166839 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20758433 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18794293 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8874926 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8651627 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9155358 | OtherExpensePriorYear |
| Other Expenses Current Year | 9232802 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18030284 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17884429 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2728149 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 909864 | RevenuesLessExpensesCY |
| Total Assets BOY | 26433282 | TotalAssetsBOY |
| Total Assets EOY | 27119835 | TotalAssetsEOY |
| Total Liabilities BOY | 16813197 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16543284 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9620085 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10576551 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The formal mission statement adopted by the Crete Area Medical Center (CAMC) BOARD STATES "CAMC IS COMMITTED TO MAKING A DIFFERENCE IN OUR COMMUNITY AND THE LIVES OF THE INDIVIDUALS WE SERVE THROUGH COMPASSIONATE AND EXCEPTIONAL CARE." CAMC'S VISION IS TO BE A RESPECTED COMMUNITY LEADER AND HEALTH CARE PROVIDER, WHERE PATIENTS SEEK EXCEPTIONAL CARE, PHYSICIANS PREFER TO PRACTICE, AND TEAM MEMBERS DESIRE TO WORK. THE FOCUS OF CAMC IS ON THE PATIENT EXPERIENCE AND MEANINGFUL WORK. CAMC IS COMMITTED TO THE FOLLOWING FUNDAMENTAL BELIEFS: INTEGRITY - OUR FOUNDATION; RESPECT - OUR COMPASSION; SERVICE - OUR STANDARD; EXCELLENCE - OUR DISTINCTION; COLLABORATION - OUR INVESTMENT; AND LEADERSHIP - OUR FUTURE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15922261 | Expense |
| Grants | 0 | Grants |
| Revenue | 18401907 | Revenue |
| Description | CAMC, located in Crete, Nebraska, is a Nebraska nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and has received determination that it is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code in order to provide health care services. CAMC was incorporated in April 2001 and operates a 24-licensed bed critical access hospital and two physician clinics serving patients and residents principally from Saline and Lancaster counties. During the fiscal year ending May 31, 2011, CAMC provided inpatient acute, swing bed and nursery services to 483 patients. CAMC performed 781 surgical procedures and provided primary care physician services with 20,741 visits. CAMC's Physician Clinic is recognized as a Level 3 Patient-Centered Medical Home by the National Committee for Quality Assurance ("NCQA"). | Description |
| Total Program Service Expense | 15922261 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 191 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NE | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRYCE BETKE | NamePerson |
| Telephone Number | 4028267945 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 BETTEN DRIVE | AddressLine1 |
| City | CRETE | City |
| State | NE | State |
| ZIP Code | 68333 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| COLLYN FLORENDO | ||||||||
| BOARD CHAIRPERSON | 1.0 | X | 0 | 0 | 0 | |||
| GARY LOTHROP DVM | ||||||||
| VICE CHAIRPERSON | 1.0 | X | 0 | 0 | 0 | |||
| CAROL FRIESEN | ||||||||
| PRESIDENT & CEO | 70.0 | X | 197325 | 0 | 11269 | X | ||
| SHIRLEY SIEDHOFF | ||||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X | ||
| KATHLEEN CAMPBELL | ||||||||
| TREASURER | 1.0 | X | 0 | 268341 | 17836 | X | ||
| WAYNE DRUMMOND | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RUSSELL EBKE MD | ||||||||
| DIRECTOR | 50.0 | X | 257819 | 0 | 33092 | |||
| TAD EICKMAN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JACK HUCK | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| BRYCE BETKE | ||||||||
| CHIEF FINANCIAL OFFICER | 50.0 | 128665 | 0 | 21445 | X | |||
| ROBERT TUMA MD | ||||||||
| PHYSICIAN | 50.0 | 156412 | 0 | 22796 | X | |||
| KATE HESSER MD | ||||||||
| PHYSICIAN | 50.0 | 179186 | 0 | 22792 | X | |||
| JASON HESSER MD | ||||||||
| PHYSICIAN | 50.0 | 164303 | 0 | 6162 | X | |||
| AMY VERTIN MD | ||||||||
| PHYSICIAN | 50.0 | 132444 | 0 | 8294 | X | |||
| TAMMY SCHROEDER | ||||||||
| NURSE PRACTITIONER | 50.0 | 131088 | 0 | 7330 | X | |||
| JENNIFER LESOING-LUCS | ||||||||
| DIRECTOR, RESIGNED 1/22/2010 | 0.0 | 0 | 505435 | 20921 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1347242 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 773776 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 171937 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLEY TODD | |||||
| 2525 SOUTH 79TH STREET | LINCOLN | NE | 68506 | ANESTHESIA SERVICES | 313830 |
| BRESTER CONSTRUCTION INC | |||||
| 5940 SOUTH 57TH STREET | LINCOLN | NE | 68516 | CONSTRUCTION SERVICE | 298424 |
| SAMPSON CONSTRUCTION INC | |||||
| 6402 JUDSON | LINCOLN | NE | 68502 | CONSTRUCTION SERVICE | 186206 |
| HEALTHLAND | |||||
| 625 SOUTH LAKESHORE DRIVE | GLENWOOD | MN | 56334 | MAINTENANCE CONTRACT | 156832 |
| NEBRASKA LABLINC | |||||
| 5440 SOUTH STREET SUITE 100 | LINCOLN | NE | 68506 | LAB SERVICES | 139124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 96073 | RelatedOrganizations |
| All Other Contributions | 12007 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 108080 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Care Revenue | 900099 | 18256051 | 18256051 |
| Athletic Training Outreach | 624100 | 123000 | 123000 |
| Patient Wellness | 900099 | 13740 | 13740 |
| Health Information Services | 621300 | 8041 | 8041 |
| EDUCATION INCOME | 611600 | 1075 | 1075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18401907 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 128173 | TotalRevenueColumn |
| Exclusion | $128,173 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 49070 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 51000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -1930 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1930 | TotalRevenueColumn |
| Exclusion | -$1,930 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10706 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -10706 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10706 | TotalRevenueColumn |
| Exclusion | -$10,706 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA SALES | 900099 | 83901 | $83,901 |
| GIFT SHOP REVENUE | 453220 | 18526 | $18,526 |
| PHARMACY SALES | 446110 | 4426 | $4,426 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61916 | TotalRevenueColumn |
| Unrelated Business Revenue | -131 | UnrelatedBusinessRevenue |
| Exclusion | $62,047 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 168769 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18794293 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18401907 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -131 | UnrelatedBusinessRevenue |
| Exclusion | $284,437 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 686309 | Total |
| Program Services | 404922 | ProgramServices |
| Management And General | 281387 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6439272 | Total |
| Program Services | 5893866 | ProgramServices |
| Management And General | 545406 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245849 | Total |
| Program Services | 225026 | ProgramServices |
| Management And General | 20823 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 789036 | Total |
| Program Services | 722205 | ProgramServices |
| Management And General | 66831 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 491161 | Total |
| Program Services | 449560 | ProgramServices |
| Management And General | 41601 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24502 | Total |
| Management And General | 24502 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42609 | Total |
| Management And General | 42609 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 717 | Total |
| Management And General | 717 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1763804 | Total |
| Program Services | 1614410 | ProgramServices |
| Management And General | 149394 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117122 | Total |
| Management And General | 117122 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2847492 | Total |
| Program Services | 2799255 | ProgramServices |
| Management And General | 48237 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134512 | Total |
| Program Services | 123119 | ProgramServices |
| Management And General | 11393 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269295 | Total |
| Program Services | 264733 | ProgramServices |
| Management And General | 4562 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77072 | Total |
| Program Services | 41237 | ProgramServices |
| Management And General | 35835 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32964 | Total |
| Program Services | 32964 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 508959 | Total |
| Management And General | 508959 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1605786 | Total |
| Program Services | 1578584 | ProgramServices |
| Management And General | 27202 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143450 | Total |
| Program Services | 141020 | ProgramServices |
| Management And General | 2430 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 871387 | 871387 | |
| DUES & SUBSCRIPTIONS | 57552 | 36855 | 20697 |
| All other expenses | 735579 | 723118 | 12461 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17884429 | Total |
| Program Services | 15922261 | ProgramServices |
| Management And General | 1962168 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1841494 | BOY |
| EOY | 2700790 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2466425 | BOY |
| EOY | 2087386 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226016 | BOY |
| EOY | 197976 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176899 | BOY |
| EOY | 116248 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23917464 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10688326 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13785559 | BOY |
| EOY | 13229138 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7624934 | BOY |
| EOY | 7755378 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62381 | BOY |
| EOY | 67276 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 249574 | BOY |
| EOY | 965643 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26433282 | BOY |
| EOY | 27119835 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1983011 | BOY |
| EOY | 1824106 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14830186 | BOY |
| EOY | 14719178 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16813197 | BOY |
| EOY | 16543284 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9620085 | BOY |
| EOY | 10576551 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9620085 | BOY |
| EOY | 10576551 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26433282 | BOY |
| EOY | 27119835 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 909864 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 46602 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $717 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 717 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION - LOBBYING | Identifier |
| Return Reference | SCHEDULE C, PART IV | ReturnReference |
| Explanation | CRETE AREA MEDICAL CENTER IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION (NHA). DURING THE CURRENT YEAR THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE NHA IN THE AMOUNT OF $9,338. THE NHA REPORTED THAT 7.68% OF DUES PAID, OR $717, WAS USED FOR LOBBYING ACTIVITIES. SCHEDULE C, PART II-B, LINE G ON VARIOUS OCCASIONS THROUGHOUT THE YEAR, THE CEO MET WITH STATE AND LOCAL LEGISLATORS TO DISCUSS ISSUES RELATED TO HEALTHCARE. WHILE SOME RELATED TO HEALTHCARE REFORM, OTHER ISSUES DISCUSSED INCLUDED MEETING THE NEEDS OF INDIGENT/UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS THE ONGOING NEED FOR HEALTH SERVICES FOR THE COMMUNITY. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61247 | OtherCostOrOtherBasis |
| Book Value | 61247 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16134630 | OtherCostOrOtherBasis |
| Depreciation | 5604104 | Depreciation |
| Book Value | 10530526 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 105470 | OtherCostOrOtherBasis |
| Depreciation | 87256 | Depreciation |
| Book Value | 18214 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6472284 | OtherCostOrOtherBasis |
| Depreciation | 4450318 | Depreciation |
| Book Value | 2021966 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1143833 | OtherCostOrOtherBasis |
| Depreciation | 546648 | Depreciation |
| Book Value | 597185 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13229138 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SWAP AGREEMENT | $1,764,178 |
| LONG TERM DEBT INTERCOMPANY LOAN | $12,955,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14719178 | TotalOfAmounts |
| Total Revenue | 18794293 | TotalRevenue |
| Total Expenses | 17884429 | TotalExpenses |
| Excess Or Deficit For Year | 909864 | ExcessOrDeficitForYear |
| Other | $46,602 | OtherAmount |
| Total Adjustments | 46602 | TotalAdjustments |
| Excess Or Deficit Per FS | 956466 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 18900593 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 44594 | OtherRevenues |
| Revenue Not Rptd F990 | 44594 | RevenueNotRptdF990 |
| Revenue Subtotal | 18855999 | RevenueSubtotal |
| Other Revenues Not Included | -61706 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -61706 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 18794293 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17944127 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 59698 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 59698 | ExpensesNotRptdF990 |
| Expenses Subtotal | 17884429 | ExpensesSubtotal |
| Total Expenses Per Form990 | 17884429 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIN 48 FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS | FORM 990, SCHEDULE D, PART X | "CAMC ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. CAMC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT MAY 31, 2011 AND 2010, CAMC HAD NO UNCERTAIN TAX POSITIONS ACCRUED." |
| RECONCILIATION OF CHANGE IN NET ASSETS FORM 990 | SCHEDULE D, PART XI, LINE 8 | CHANGE IN VALUE OF SWAP AGREEMENT $(48,992) DEFERRED TAX BENEFIT $ 1,697 TRANSFERS FROM RELATED ENTITY, NET $ 42,897 OFFICE BUILDING RENT EXPENSES $ 51,000 --------- TOTAL $ 46,602 |
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS | SCHEDULE D, PART XII, LINE 2D, OTHER | TRANSFERS FROM RELATED PARTY, NET $42,897 DEFERRED TAX BENEFIT $ 1,697 ------- TOTAL $44,594 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS SCHEDULE D, PART XII, LINE 4B, OTHER LOSS ON EQUIPMENT ($10,706) OFFICE BUILDING RENT EXPENSES ($51,000) --------- TOTAL ($61,706) |
| Reconciliation of Exp Per Audited Financial Stmts with Expenses Per Return | Schedule D, Part XIII, Line 2D, Other | CHANGE IN VALUE OF SWAP AGREEMENT $48,992 LOSS ON EQUIPMENT $10,706 ------- TOTAL $59,698 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 285631 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 285631 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01680 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 285631 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 285631 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01680 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 189337 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25321 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 164016 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 189337 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25321 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 164016 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 474968 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25321 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 449647 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02640 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $636,548 | BadDebtExpenseAmount |
| Amount Attributable To | 127310 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5682192 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5621433 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 60759 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRETE AREA MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 BETTEN DRIVE | AddressLine1 |
| City | CRETE | City |
| State | NE | State |
| ZIP Code | 68333 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRETE AREA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CRETE MEDICAL CLINIC | ||||
| 2910 BETTEN DRIVE | CRETE | NE | 68333 | RURAL HEALTH CLINIC |
| WILBER MEDICAL CLINIC | ||||
| 203 W 4TH STREET | WILBER | NE | 68465 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART I, LINE 6A: | CRETE AREA MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS MAILED ANNUALLY TO HOUSEHOLDS IN CRETE AND THE SURROUNDING AREA. THIS REPORT DESCRIBES THE PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT ARE SERVED BY CRETE AREA MEDICAL CENTER. CRETE AREA MEDICAL CENTER'S COMMUNITY BENEFIT INFORMATION IS ALSO CONTAINED IN A CONSOLIDATED REPORT PREPARED ANNUALLY BY BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THE BRYANLGH HEALTH SYSTEM COMMUNITY BENEFIT REPORT IS MAILED ANNUALLY TO VARIOUS HOUSEHOLDS IN EASTERN NEBRASKA AND THE SURROUNDING AREA. THE CONSOLIDATED REPORT IS ALSO AVAILABLE ONLINE AT WWW.BRYANLGH.COM/COMMUNITYBENEFIT. PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE INCLUDED IN TOTAL EXPENSES ON FORM 990 WAS $871,387. THIS BAD DEBT EXPENSE WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSE OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES IN COLUMN (F) ($17,884,429 - $871,387 = $17,013,042). PART I, LINE 7: THE COST OF CRETE AREA MEDICAL CENTER'S CHARITY CARE EXPENSE ON LINE 7A WAS DETERMINED BY APPLYING A RATIO OF PATIENT CARE COST TO CHARGES TO THE CHARITY CARE DEDUCTIONS REPORTED IN THE FINANCIAL STATEMENTS. THE TOTAL EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITIES WERE REPORTED ON LINE 7E. PART III, LINE 4: The cost of Crete Area Medical Center's bad debt expense was determined by applying a ratio of patient care cost to charges to the bad debt expense reported in the financial statements. Discounts and payments reduce bad debt expense. Only the remaining uncollectible balance is written-off as bad debt expense. About 1 of 5 financial assistance (charity care) applications is denied because the patient would not provide the supporting information required per the policy and procedure. The following is the footnote from Crete Area Medical Center's audited financial statements regarding bad debt expense: "The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients and others. An allowance for doubtful accounts has been established for the uncollectable portion of these receivables and is adjusted throughout the year based on a percentage of each funding source's receivable account balance. Individual accounts with balances over ninety days are reviewed periodically for funding source denial, rebills to different funding sources, submissions to a collection agency or write-off as bad debt." PART III, LINE 8: THE MEDICARE ALLOWABLE COST ON LINE 6 IS FROM THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL IS NOT REPORTED AS A COMMUNITY BENEFIT. NEEDS ASSESSMENT: Crete Area Medical Center ("CAMC") conducted a study to examine community awareness and perceptions in June 2008. This information was used to build a three-year plan to effectively develop and execute CAMC's strategic plans. The study highlighted opportunities for improvement and needs within our primary service area. CAMC annually uses information provided by the Nebraska Hospital Association to determine what services patients in our service area are using and where they are getting access. If services are identified that CAMC can provide for patients closer to home we will evaluate the need and options. CAMC also reviews information on the appropriate number of physicians for our service area and will actively recruit physicians or other providers as needed to the community. CAMC partnered with Public Health Solutions to complete a community needs assessment in 2010. The results of this survey will be used to determine needs and opportunities to serve our patient population. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Charity care information is provided to patients during admission in their information packet. Patients may contact the hospital at anytime to request a charity care application. Hospital patient account collectors will also inform patients about our charity care program if they are unable to pay their bill and may qualify for charity care based on information provided. In addition, information regarding the charity care policy is provided on the website, in all hospital registration areas, including the emergency department, and on each billing statement. COMMUNITY INFORMATION: Crete Area Medical Center ("CAMC") is located in Crete, Nebraska. Crete has a population of 6,960 people and includes diverse ethnic backgrounds. Crete has a large Hispanic population (35.7%). Crete has three primary industrial employers: Farmland Industries, Nestle/Purina, and Bunge Mills. They employ almost 3,000 people. CAMC serves people in Crete and the surrounding communities in SalINE and Lancaster counties. Our primary service area is a 30-mile radius of Crete. OTHER INFORMATION: Crete Area Medical Center ("CAMC") is a Nebraska nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code. CAMC operates a 24-licensed bed critical access hospital and two physician clinics. CAMC has an open medical staff. The hospital Board of Directors includes members from the community. CAMC is committed to serving our patients and our community by investing funds in facilities, technology, physicians, and staff to deliver premium healthcare in our facilities. CAMC participates in local organizational events and provides uncompensated and charity care to our patients. CAMC supports educational opportunities for staff, high school students, local EMS volunteers, and community members. Public assistance with translation services, and healthy lifestyle programs are also offered at CAMC. AFFILIATED HEALTH CARE SYSTEM ROLES: Crete Area Medical Center is a member of BryanLGH Health System, one of the largest nonprofit health care organizations in THE REGION. BryanLGH Health System includes two medical centers as well as numerous outpatient services and clinics THAT SERVE URBAN, SUBURBAN AND RURAL COMMUNITIES IN NEBRASKA, KANSAS, IOWA, MISSOURI AND SOUTH DAKOTA. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, IMAGING, AND MENTAL HEALTH. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | 990 SCHEDULE H, PART VI | NONE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROL FRIESEN | |||||||||||||
| 162762 | 0 | 16427 | 0 | 18136 | 0 | 9269 | 0 | 2554 | 0 | 209148 | 0 | 0 | 0 |
| KATHLEEN CAMPBELL | |||||||||||||
| 0 | 192534 | 0 | 25231 | 0 | 50576 | 0 | 10936 | 0 | 7411 | 0 | 286688 | 0 | 0 |
| RUSSELL EBKE MD | |||||||||||||
| 203226 | 0 | 54593 | 0 | 0 | 0 | 12503 | 0 | 22144 | 0 | 292466 | 0 | 0 | 0 |
| BRYCE BETKE | |||||||||||||
| 126264 | 0 | 2401 | 0 | 0 | 0 | 6613 | 0 | 15328 | 0 | 150606 | 0 | 0 | 0 |
| ROBERT TUMA MD | |||||||||||||
| 156412 | 0 | 0 | 0 | 0 | 0 | 9445 | 0 | 13563 | 0 | 179420 | 0 | 0 | 0 |
| KATE HESSER MD | |||||||||||||
| 154683 | 0 | 24503 | 0 | 0 | 0 | 3203 | 0 | 19732 | 0 | 202121 | 0 | 0 | 0 |
| JASON HESSER MD | |||||||||||||
| 151367 | 0 | 12936 | 0 | 0 | 0 | 3162 | 0 | 3175 | 0 | 170640 | 0 | 0 | 0 |
| JENNIFER LESOING-LUCS | |||||||||||||
| 0 | 22938 | 0 | 0 | 0 | 482497 | 0 | 1752 | 0 | 20281 | 0 | 527468 | 0 | 280252 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COMPENSATION OF ORG'S CEO/EXECUTIVE DIRECTOR | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 3 | ReturnReference |
| Explanation | The Health System Board of Trustees believes compensation for the senior management team must reflect the complexities of leading and managing a multi-hospital health system that provides services throughout much of the state. The Health System board recognizes that leaders of the Health System are responsible for the quality of care, patient services and overall financial health of the largest private employer in Lincoln/Lancaster County. The Health System board has established a compensation plan that matches this level of responsibility. This Plan, known as the Senior Management Compensation Philosophy is reviewed at least annually by the Health System Board of Trustees and the Compensation Committee. This Compensation Philosophy targets base salary for senior managers at the 50th percentile of the market. The Compensation Committee is appointed by the Health System Board of Trustees and is made up of independent community leaders who all serve voluntarily, and who must adhere to a stringent conflict of interest policy. Executive compensation is determined and reviewed pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation Section 53.4958-6. The Compensation Committee conducts a comprehensive annual review of all compensation and benefits provided by the organization to the senior management team. This review is conducted by the Committee by utilizing national salary surveys, conducted by independent external firms. Compensation for senior managers is compared to compensation of senior managers at like institutions across the U.S. to determine that the value of compensation and benefits provided are reasonable and at fair market value. The Compensation Committee also works directly with an external independent compensation consultant to review the reasonableness of total compensation provided to the senior management team, and to assure that the total compensation paid conforms to the overall Compensation Philosophy. The compensation consultant provides written opinions to the Compensation Committee that assesses the reasonableness of the total executive compensation paid to senior managers. All decisions of the Compensation Committee are contemporaneously documented in the Compensation Committee minutes which are timely reviewed and approved by the Committee. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A JENNIFER LESOING-LUCS, FORMER VP-FINANCE AND CFO OF BRYANLGH HEALTH SYSTEM, RECEIVED SEVERANCE PAYMENTS FROM BRYANLGH HEALTH SYSTEM, TOTALING $280,252 DURING CALENDAR YEAR 2010. MS. LESOING-LUCS RECEIVED SEVERANCE PAYMENTS TOTALING $30,693 DURING CALENDAR YEAR 2011. THIS COMPENSATION HAS BEEN INCLUDED AS REQUIRED ON SCHEDULE J, PART II SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN, OR RECEIVED A PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CAROL FRIESEN: $ 8,362 KATHLEEN CAMPBELL $ 42,974 JENNIFER LESOING-LUCS: $111,348 COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES SCHEDULE J, PART II IN KEEPING WITH BRYANLGH HEALTH SYSTEM'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON CRETE AREA MEDICAL CENTER'S BOARD, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE BASED ON THE ON THE CALENDAR YEAR ENDING DECEMBER 31, 2010. 2010. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DENISE LOTHROP | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 16386 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV, COLUMN (B) | ReturnReference |
| Explanation | (1) DENISE LOTHROP'S SPOUSE, GARY LOTHROP, IS A MEMBER OF CRETE AREA MEDICAL CENTER'S BOARD | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Family or Business Relationships | Form 990, Part VI, Question 2 | THE FOLLOWING FAMILY AND BUSINESS RELATIONSHIPS WERE REPORTED DURING THE FISCAL YEAR BETWEEN THE ORGANIZATION'S TRUSTEES, OFFICERS OR KEY EMPLOYEES: Collyn Florendo and Carol Friesen Collyn Florendo and Russel Ebke, M.D. Collyn Florendo and Bryce Betke DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE MEMBER OF CRETE AREA MEDICAL CENTER IS BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM"). HEALTH SYSTEM HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: 1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; 2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND 3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") AS SOLE MEMBER OF CRETE AREA MEDICAL CENTER ("CAMC"), HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A TWO-THIRDS (2/3) VOTE OF THE VOTING TRUSTEES OF HEALTH SYSTEM. DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") IS THE SOLE MEMBER OF CRETE AREA MEDICAL CENTER ("CAMC"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF CAMC MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM (1) ADOPT ANY LONG-TERM CAPITAL OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR $1,000,000 IN ANY CORPORATION FISCAL YEAR; (3) ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; (4) AMEND THE BYLAWS OR ARTICLES OF INCORPORATION (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000, OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY CORPORATION, SHARED SERVICE ARRANGEMENT, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURE OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WHEN IT EXCEEDS $500,000 IN A SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (7) APPROVE ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (8) ELECT OR APPOINT TRUSTEES OF THE CORPORATION; (9) APPOINT OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 10) PURCHASE INSURANCE COVERAGE FOR THE CORPORATION AND ITS OPERATIONS; 11) SELECT THE AUDITOR TO PERFORM THE ANNUAL AUDIT OF THE RECORDS OF THE CORPORATION; AND 12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE HEALTH SYSTEM'S GOALS AND OBJECTIVES. DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THIS FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS ALSO REVIEWED BY CRETE AREA MEDICAL CENTER'S CEO AND CFO; AND BRYANLGH HEALTH SYSTEM'S CEO AND CFO. THE 990 WAS DISTRIBUTED FOR REVIEW TO EACH MEMBER OF CRETE AREA MEDICAL CENTER'S BOARD OF DIRECTORS, AND TO BRYANLGH HEALTH SYSTEM'S FINANCE COMMITTEE PRIOR TO THE SUBMISSION OF THE FORM TO THE INTERNAL REVENUE SERVICE. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST FORM 990, PART VI, QUESTION 12C CRETE AREA MEDICAL CENTER ("CAMC") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE CAMC BOARD OF DIRECTORS. BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST. THE BOARD REVIEWS ALL IDENTIFIED CONFLICTS RELATIVE TO THE MEMBER'S ABILITY TO VOTE ON CERTAIN TYPES OF TRANSACTIONS AND/OR WHETHER ANY IDENTIFIED CONTRACTS/TRANSACTIONS WILL REQUIRE FURTHER REVIEW/ALTERATION. PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION FORM 990, PART VI, QUESTION 15 The Health System Board of Trustees believes compensation for the senior management team must reflect the complexities of leading and managing a multi-hospital health system that provides services throughout much of the state. The Health System board recognizes that leaders of the Health System are responsible for the quality of care, patient services and overall financial health of the largest private employer in Lincoln/Lancaster County. The Health System board has established a compensation plan that matches this level of responsibility. This Plan, known as the Senior Management Compensation Philosophy is reviewed at least annually by the Health System Board of Trustees and the Compensation Committee. This Compensation Philosophy targets base salary for senior managers at the 50th percentile of the market. The Compensation Committee is appointed by the Health System Board of Trustees and is made up of independent community leaders who all serve voluntarily, and who must adhere to a stringent conflict of interest policy. Executive compensation is determined and reviewed pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation Section 53.4958-6. The Compensation Committee conducts a comprehensive annual review of all compensation and benefits provided by the organization to the senior management team. This review is conducted by the Committee by utilizing national salary surveys, conducted by independent external firms. Compensation for senior managers is compared to compensation of senior managers at like institutions across the U.S. to determine that the value of compensation and benefits provided are reasonable and at fair market value. The Compensation Committee also works directly with an external independent compensation consultant to review the reasonableness of total compensation provided to the senior management team, and to assure that the total compensation paid conforms to the overall Compensation Philosophy. The compensation consultant provides written opinions to the Compensation Committee that assesses the reasonableness of the total executive compensation paid to senior managers. All decisions of the Compensation Committee are contemporaneously documented in the Compensation Committee minutes which are timely reviewed and approved by the Committee. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES FORM 990, PART VII, SECTION A IN KEEPING WITH BRYANLGH HEALTH SYSTEM'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON CRETE AREA MEDICAL CENTER'S BOARD, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS REPORTED IN COLUMNS (E) AND (F) ARE BASED ON THE CALENDAR YEAR ENDING DECEMBER 31, 2010. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, QUESTION 5 DESCRIPTION AMOUNT CHANGE IN VALUE OF SWAP AGREEMENT $(48,992) DEFERRED TAX BENEFIT $ 1,697 TRANSFERS FROM RELATED ENTITY, NET $ 42,897 OFFICE BUILDING RENT EXPENSES $ 51,000 --------- TOTAL $ 46,602 RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT FORM 990, PART XI, QUESTION 2C THE AUDIT COMMITTEE OF BRYANLGH HEALTH SYSTEM'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE ORGANIZATION'S AUDIT. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KATHLEEN CAMPBELL TITLE:TREASURER HOURS:60 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JENNIFER LESOING-LUCS TITLE:DIRECTOR, RESIGNED 1/22/2010 HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BRYANLGH HEALTH SYSTEM | |||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 363414823 | HEALTHCARE | NE | 501(c)(3) | 11C | NA |
| BRYANLGH MEDICAL CENTER | |||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470376552 | HEALTHCARE | NE | 501(C)(3) | 3 | NA |
| BRYANLGH FOUNDATION | |||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 237005720 | CHARITABLE | NE | 501(c)(3) | 7 | NA |
| BRYANLGH PHYSICIAN NETWORK INC | |||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 201357375 | HEALTHCARE | NE | 501(c)(3) | 9 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYANLGH ENTERPRISES INC | |||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470701037 | MEDICAL SERVICES | NE | NA | C | 0 | 0 | 0.00000 |
| INTEGRATED CARDIOLOGY GROUP LLC | |||||||||||
| 1600 SOUTH 48TH STREET SUITE 600 | LINCOLN | NE | 68506 | 470844961 | CARDIOLOGY | NE | NA | C | 0 | 0 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| BRYANLGH MEDICAL CENTER | |
| E | 13115000 |
| BRYANLGH MEDICAL CENTER | |
| L | 215819 |
| BRYANLGH MEDICAL CENTER | |
| N | 60234 |
| BRYANLGH MEDICAL CENTER | |
| O | 238020 |
| BRYANLGH MEDICAL CENTER | |
| Q | 601264 |
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