2011-01-24T13:30:58-06:00 2010-06-30 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2009-07-01 480764456 Nemaha Valley Community Hospital NEMA 7853366181 1600 Community Drive Seneca KS 66538 Stan Regehr 7853366181 2011-01-18 1 Gary D Knoll 7852334226 2011-01-18 2009 2016-02-24 21:20:13Z Stan Regehr 1600 Community Drive Seneca KS 66538 9963015 0 X N/A X 1969 KS The Nemaha Valley Community Hospital provides an acute care hospital to the surrounding area. 10 9 143 0 1126 0 32328 50234 9059744 9741488 42727 31652 106981 99530 9241780 9922904 0 0 5461270 5669531 0 0 3666252 4043012 9127522 9712543 114258 210361 14837785 14405762 10618139 9825983 4219646 4579779 The Nemaha Valley Community Hospital is dedicated to providing quality health care and other related services in a compassionate manner sufficient to meet the primary health needs of its patrons within the scope of its resources and staff. 0 0 8768159 9799960 Nemaha Valley Community Hospital provides healthcare treatment to its patients. 8768159 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 143 1 0 0 0 0 0 0 0 0 0 0 10 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Connie Ingwerson 7853366181 1600 Community Drive Seneca KS 66538 Mark Heiniger 4.00 X X 0 0 0 Steven Kramer 4.00 X X 0 0 0 Joyce Schmitz 4.00 X X 0 0 0 Larry Kuckelman 4.00 X 0 0 0 Dale Olberding 4.00 X 0 0 0 Connie Ronnebaum 4.00 X 0 0 0 Judy Deters 4.00 X 0 0 0 Kathy Brinker 4.00 X 0 0 0 Dr Jody Bieker 40.00 X X 203086 0 21946 Stan Regehr 40.00 X 148512 0 5821 Connie Ingwerson 40.00 X 63492 0 0 Dr James Lueger 40.00 X 219019 0 9586 Dr William Bartkoski 40.00 X 227666 0 10192 Dr Angela Stueve 40.00 X 218387 0 20083 Karen Hynek 40.00 X 106017 0 4682 Ron Johnson 4.00 X 0 0 0 1186179 0 72310 6 0 1 0 Harry Stewart PO Box 147 Seneca KS 66538 CRNA 317700 1 31684 18550 50234 Patient service 621990 9741488 9741488 9741488 44589 44589 3300 2174 1126 1126 1126 25000 37937 -12937 -12937 -12937 Miscellaneous 621990 71409 71409 Dietary Income 621990 26995 26995 98404 9922904 9799960 1126 71584 218206 218206 4551189 4204346 346843 122312 113238 9074 502141 449268 52873 275683 243638 32045 4917 4917 15693 9090 6603 37209 36961 248 186174 186108 66 48512 33666 14846 272468 272468 578260 530378 47882 108139 108139 Supplies 1147588 1115740 31848 Professional fees 819286 736839 82447 Equipment rental and ma 376226 312346 63880 Collection fees and bad 292307 292307 Miscellanous 88567 82288 6279 67666 41339 26327 9712543 8768159 944384 0 130427 233654 8125899 3701836 237211 91261 918713 1199853 218322 210599 241846 229184 15724224 6995309 4888518 8728915 76849 10460 14837785 14405762 1762585 1116761 75554 44222 8780000 8665000 10618139 9825983 X 4215543 4579078 4103 701 4219646 4579779 14837785 14405762 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54681 54681 8731187 1693491 7037696 6938356 5301818 1636538 8728915 9922904 9712543 210361 149772 149772 360133 9925078 2174 2174 9922904 0 9922904 9714717 2174 2174 9712543 0 9712543 Part X: Description of Uncertain Tax Positions Under FIN 48: Not applicable. Part XI, Line 8 - Other Adjustments: Net assets released from restrictions used for operations: -31684. Temporarily restricted contributions: 123782. Restricted Investment Income: 7674. Intercomany Transfers: 50000. Temporarily restricted assets released for property and equipment: -103174. Unrestricted assets used for property and equipment: 103174. Part XII, Line 2d - Other Adjustments: Rental expenses that offset rental income: 2174. Part XIII, Line 2d - Other Adjustments: Rental expenses that offset rental income: 2174. 1 1 1 X 1 X 1 1 1 0 0 45760 45760 0.00490 282432 147214 135218 0.01440 328192 147214 180978 0.01930 8346 6396 1950 0.00020 63570 14520 49050 0.00520 5431 0 5431 0.00060 77347 20916 56431 0.00600 405539 168130 237409 0.02530 184446 73778 5233110 5326936 -93826 X 1 1 Nemaha Valley Community Hospital

1600 Community Drive Seneca KS 66538

X X X X Part III, Line 4: Nemaha Valley Community Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. Nemaha Valley Community Hospital estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor. Part III, Line 8: The Hospital provides service to all patients in their service area, regardless of the patient's ability to pay, and any shortfall absorbed by the Hospital is a benefit to the community. Part III, Line 9b: Nemaha Valley Community Hospital will make every effort to get correct financial and billing information and educate patients on charity programs and payment options. Part VI, Line 2: The Hospital receives feedback from community members regarding services currently offered and potential availability of services not offered. The Hospital also discusses the service needs of the community with the medical staff and board of trustees, who are in tune with the needs of the patients. Part VI, Line 3: Notification associated with patient encounter. Part VI, Line 4: The community being served consists of approximately 2,000 residents. The average household income is $41,827. 7.1% of the community residents live below federal poverty level, and 1.9% of the community residents live below 50% of the federal poverty level. Neighboring hospitals are located in Sabetha, Pawnee County, NE, and Hiawatha. They are approximately 15, 20, and 28 miles away respectively. Part VI, Line 5: N/A Part VI, Line 6: The Hospital notifies the public in quarterly newsletters about services available at the hospital. The Hospital offers periodic diabetic educational programs and education programs for expectant mothers. The Hospital uses all excess funds to maintain and improve Hospital facilities and patient services. Part VI, Line 7: N/A X X 0 0 0 0 0 0 0 0 0 Dr Jody Bieker 192694 0 0 0 10392 0 8230 0 13716 0 225032 0 99829 0 Stan Regehr 148512 0 0 0 0 0 5821 0 0 0 154333 0 69319 0 Dr James Lueger 219019 0 0 0 0 0 9586 0 0 0 228605 0 113568 0 Dr William Bartkoski 227666 0 0 0 0 0 10192 0 0 0 237858 0 125360 0 Dr Angela Stueve 199787 0 0 0 18600 0 6367 0 13716 0 238470 0 102881 0 City of Seneca 486026237 81712RAP4 2008-12-01 8835000 To refund notes payable and construction cost for an addition to Hospital 0 0 8746650 1358153 7388497 73122 498789 6816586 2011 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Dr Stueve Assist with transition from medical school X 16000 6222 0 0 1 Dr Bieker Assist with transition from medical school X 16000 445 0 0 1 6667 Form 990, Part VI, Section B, line 11 The 990 is not formally presented to the board. The document is made available upon request. Form 990, Part VI, Section B, line 12c The board in required to annually sign conflict of interest statement. Form 990, Part VI, Section B, line 15a The CEO salary and compensation is approved by the hospital's board. Form 990, Part VI, Section C, line 19 Documents are available upon request. FORM 990 PART VII LINE 12C The board in required to annually sign conflict of interest statement. Nemaha Valley Health Care Foundation 1600 Community Drive Seneca KS 66538 481097250 Fundraising for the benefit of Nemaha Valley Community Hospital KS 501(c)(3) 509(a) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Nemaha Valley Health Care Foundation C 50000