2011-05-16T17:41:43-05:00 2010-09-30 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2009-10-01 470379039 YORK GENERAL HEALTH CARE SERVICES YORK 4023626671 2222 LINCOLN AVENUE YORK NE 68467 ROBERT MCQUISTAN 4023626671 2011-05-16 true TIMOTHY J COUFAL 4026946404 2011-05-16 2009 2016-02-24 21:20:13Z ROBERT MCQUISTAN VP OF FINANCE SAME AS C ABOVE YORK NE 68467 37889834 false X WWW.YORKGENERAL.ORG X 1946 NE TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES. 12 6 604 0 99936 559420 36746538 36718924 469900 301052 43752 49440 37360126 37628836 0 0 19852701 20701195 0 0 15084317 15049469 34937018 35750664 2423108 1878172 55368758 63932175 18607308 25292553 36761450 38639622 TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES. false false 35750664 PROVIDED 3,203 PATIENT DAYS OF MEDICAL SERVICES AND 42,132 LONG-TERM CARE RESIDENT DAYS TO A VARIETY OF PATIENTS REGARDLESS OF ABILITY TO PAY FOR THOSE SERVICES. PROVIDE ADDITIONAL SERVICES TO ADDRESS INDIVIDUAL HEALTH INCLUDING ASSISTED LIVING, FITNESS CENTER, HOME HEALTH AND CHILD CARE. 35750664 true true false false false false false false true true true false false false false false false false false false true false false true true false false false false false false false true true true false false false false false true false false false true 36 0 true 604 true false false false false false false false false false false false false false false 12 6 true false false false false false false true true false false true true true true true true true true false X ROBERT MCQUISTAN 4023626671 2222 LINCOLN AVENUE YORK NE 68467 CHARLES HARRIS X 0 0 0 DON WITTE X 0 0 0 ANN KIRKPATRICK X 0 0 0 CG KELLY HOLTHUS X 0 0 0 TODD STUCKEY X 0 0 0 KRIS HOLOCH X 0 0 0 DARROLL J LOSCHEN X 0 0 0 CY NORTH X 0 0 0 CANDACE OTTE X 0 0 0 SALLY RUBEN X 0 0 0 JERRY STAHR X 0 0 0 KELLY THOMAS X 0 0 0 CHARLES SCHULZ 40.00 X 173862 0 27126 JANE THOMPSON 40.00 X 137184 0 22828 ROBERT MCQUISTAN 40.00 X 118333 0 24513 JENNIFER OBERMIER 40.00 X 106472 0 21417 THOMAS C MCKENNY 40.00 X 217322 0 19222 MICHAEL D MONFORE 40.00 X 191479 0 14882 MATTHEW MONTGOMERY 40.00 X 190697 0 18280 LEE PFEIFFER 40.00 X 150489 0 13105 CORNELL H BONDE 40.00 X 130218 0 0 ERIK PETERSON 40.00 X 118779 0 0 RONALD ADAMS 40.00 X 113935 0 0 1648770 161373 11 false true false YORK MEDICAL CLINIC 2114 N LINCOLN AVE YORK NE 68467 ER PHYSICIAN 598056 LEO A DALY 8600 INDIAN HILLS DRIVE OMAHA NE 68114 ARCHITECT 333586 WYAD UTILITY CONTRACTORS 1702 N DIVISION AVE YORK NE 68467 CONSTRUCTION 234683 HEALTHCARE SUPPORT SERVICES PO BOX 9804 GRAND ISLAND NE 68802 LAUNDRY SERVICE 173656 SAMPSON CONSTRUCTION 3730 S 14TH STREET LINCOLN NE 68502 CONSTRUCTION 166136 8 16127 543293 559420 NET PATIENT SERVICE REVENUE 26997872 26997872 NET RESIDENT SERVICE REVENUE 8121608 8121608 HEARTHSTONE HOUSING 1116121 1116121 DAYCARE 215681 215681 HC+ MANAGEMENT AND STAFFING 194734 194734 72908 72908 36718924 301052 301052 310438 260998 49440 49440 49440 37628836 36718924 350492 1135349 1135349 15287896 15287896 479066 479066 2648237 2648237 1150647 1150647 41688 41688 109643 109643 966861 966861 97829 97829 466075 466075 2862726 2862726 PRO CARE OF PATIENTS-HOSP 6468766 6468766 ADMINISTRATIVE&GENERAL-HO 875057 875057 BAD DEBTS 676618 676618 PRO CARE OF PATIENTS-LTC 486643 486643 RENTAL/LEASE 481017 481017 1516546 1516546 35750664 35750664 0 0 1058269 3377143 11693254 18188833 4323768 4109545 134083 57845 968187 852434 292103 263973 64014220 28066309 35674018 35947911 1225076 1134491 55368758 63932175 4297436 4754679 14075000 20425000 234872 112874 18607308 25292553 X 36209338 38044390 552112 595232 36761450 38639622 55368758 63932175 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 7640257 9440267 564122 -3529727 -290 14114629 8673112 5972338 747559 -7752502 -250 7640257 0.95780 0.04220 false false false 456000 1045335 1501335 43438457 16884647 26553810 1337915 652781 685134 14876624 10528881 4347743 2859889 2859889 35947911 EST. THIRD-PARTY PAYOR SETTLEMENTS 70000 DEPOSITS 42874 112874 37628836 35750664 1878172 -516962 -516962 1361210 37111874 37111874 516962 516962 37628836 35750664 35750664 35750664 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 ASSETS WHOSE USE IS LIMITED OR RESTIRCTED: FUNDS ON DEPOSIT WITH TRUSTEE - 10,443,025 BOND FUNDS AND DEBT SERVICE RESERVE FUNDS ARE AVAILABLE TO MEET PRINCIPAL AND INTEREST PAYMENTS ON BONDS OUTSTANDING. CONSTRUCTION FUNDS ARE USED TO PAY COSTS OF THE HOSPITAL PROJECT. BY BOARD FOR ENDOWMENT FUND - 2,966,586 ASSETS SET ASIDE FOR FUTURE CAPITAL IMPROVEMENTS. BY BOARD FOR SCHOLARSHIP FUND - 99,715 INTENDED FOR SCHOLARSHIPS IN THE HEALTHCARE FIELD. BY DONORS OR GRANTORS - 595,232 INTENDED FOR VARIOUS HOSPITAL EQUIPMENT AND OPERATIONS. ESCROW DEPOSITS - 10,071 RETURNED TO DUPLEX OWNERS OR LESSEES AND APARTMENT RESIDENTS. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE MEDICAL FACILITY HAS NO RESERVE FOR UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2010 AND 2009. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 TEMPORARILY RESTRICTED CONTRIBUTIONS -556,478 NET ASSETS RELEASED FROM RESTRICTION FOR OPERATING PURPOSE 39,516 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B TEMPORARILY RESTRICTED CONTRIBUTIONS 556,478 NET ASSETS RELEASED FROM RESTRICTION FOR OPERATING PURPOSE -39,516 true true true X true X false true true false false 230910 230910 0.00660 230910 230910 0.00660 9453 9453 0.00030 9453 9453 0.00030 240363 240363 0.00690 250 250 0.00010 250 250 0.00010 true 509617 43979 9916830 9818644 98186 X true false YORK GENERAL HEALTH CARE SERVICES

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YORK GENERAL DIALYSIS

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YORK GENERAL HOME HEALTH

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YORK GENERAL MEADOWLARK ASST LIVING

406 MEADOWVIEW DR YORK NE 68467

COST WERE TAKEN FROM THE MEDICARE COST REPORT. FINANCIAL STATEMENT FOOTNOTE - EXPENSES INCLUDE A PROVISION FOR DOUBTFUL ACCOUNTS TO ALLOW FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS. THIS PROVISION IS BASED ON PAST EXPERIENCE AND ANALYSIS OF CURRENT ACCOUNTS RECEIVABLE COLLECTIBILITY. ACCOUNTS ARE CONSIDERED DELINQUENT BASED ON PASSAGE OF A SPECIFIED PERIOD OF TIME AND CONSIDERATION OF PAYMENT HISTORY. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED TO THE ALLOWANCE IN THE YEAR THEY ARE DEEMED UNCOLLECTIBLE. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 383,070 AND 465,065 AT SEPTEMBER 30, 2010 AND 2009, RESPECTIVELY. COSTING METHODOLOGY FOR LINE 2 - OVERALL COST TO CHARGE RATIO WAS USED TO DETERMINE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2. BAD DEBT EXPENSE REPORTED INCLUDED ON FORM 990, PART IX, LINE 25 WAS 676,618. COSTING METHODOLOGY FOR LINE 3 - AFTER REVIEW OF BAD DEBTS WRITTEN OFF IT WAS DETERMINED APPROXIMATELY 5% OF BAD DEBT ACCOUNTS WRITTEN OFF WOULD HAVE QUALIFIED FOR CHARITY CARE IF THE INDIVIDUALS WOULD HAVE COMPLETED THE APPLICATION PROCESS. RATIONALE FOR INCLUDING BAD DEBT AMOUNTS AS COMMUITY BENEFIT - WE DO NOT CONSIDER BAD DEBT AS COMMUNITY BENEFIT. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 6. THE ORGANIZATION HAS NOT BUT WILL CONDUCT A COMMUNITY NEEDS ASSESSMENT IN THE FUTURE TO ASSESS THE NEEDS OF THE COMMUNITY IT SERVES. THE CHARITY CARE NOTICE IS POSTED IN THE ADMITTING BOOTHS AT THE MAIN ENTRANCE, IN ER, AND IN THE SPECIALTY CLINIC. A WRITTEN NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICES. THE CHARITY CARE POLICY IS ALSO DISCUSSED WITH PATIENTS WHEN MAKING COLLECTION CALLS. YORK, NE IS LOCATED AT THE INTERSECTION OF U.S. HIGHWAY 81 AND INTERSTATE 80. THE POPULATION OF YORK COUNTY AS OF 2010 WAS 13,665. THE AVERAGE HOUSEHOLD INCOME IS ALMOST 54,000. THE UNEMPLOYMENT RATE IN THE YORK COUNTY AREA WAS 4.3% IN 2009. AS OF 2008, APPROXIMATELY 9% OF PEOPLE OF ALL AGES WERE IN POVERTY. YORK COUNTY IS CURRENTLY NOT DESIGNATED AS A MEDICALLY UNDERSERVED AREA. APPROXIMATELY 6% OF HOSPITAL REVENUES ARE FROM MEDICAID ELIGIBLE PATIENTS. APPROXIMATELY 3% OF HOSPITAL GROSS REVENUES ARE FROM PATIENTS WITH NO INSURANCE COVERAGE. ALL OF THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA OF YORK GENERAL HEALTH CARE SERVICES. THE OCCUPATIONS OF THE BOARD MEMBERS INCLUDE BUSINESS PROFESSIONALS, RETIRED MEDICAL PROFESSIONALS, FARMER, AND LAWYER. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. SURPLUS FUNDS ARE USED TO UPDATE AND ADD NEW TECHNOLOGY AND EQUIPMENT, ADD NEW SERVICES, AND UPDATE THE PHYSICAL FACILITIES. OVER THE PAST YEARS, PROJECTS THAT HAVE BEEN EITHER PARTIALLY FUNDED OR TOTALLY FUNDED WITH SURPLUS REVENUES INCLUDING THE FOLLOWING: A NEW 129 BED NURSING HOME TO REPLACE AN OUTDATED AND UNSAFE FACILITY, NEW ASSISTED LIVING FACILITY, ADDITION OF DIALYSIS SERVICES FOR THE COMMUNITY, NEW MEDICAL OFFICE BUILDING AND WELLNESS CENTER, HOSPITAL REMODEL, AND CT AND MRI UPDATES. THESE ARE SOME OF THE MORE RECENT MAJOR PROJECTS. WE HAVE BEEN ABLE TO MAKE AVAILABLE TO THE RESIDENTS OF YORK THESE NEW SERVICES. X false true false false false false false false false CHARLES SCHULZ 163862 10000 6778 20348 200988 JANE THOMPSON 133684 3500 5154 17674 160012 THOMAS C MCKENNY 215547 1775 8178 11044 236544 MICHAEL D MONFORE 184222 7257 3838 11044 206361 MATTHEW MONTGOMERY 183651 7046 7236 11044 208977 LEE PFEIFFER 144889 5600 5031 8074 163594 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 CHARLES SCHULZ 0 6,778 0 JANE THOMPSON 0 5,154 0 ROBERT MCQUISTAN 0 4,472 0 JENNIFER OBERMIER 0 3,976 0 THOMAS C. MCKENNY 0 8,178 0 MICHAEL D. MONFORE 0 3,838 0 MATTHEW MONTGOMERY 0 7,236 0 LEE PFEIFFER 0 5,031 0 HOSPITAL AUTHORITY NO 1 OF YORK COUNTY NEBRASKA 470379039 986356EL3 2003-04-15 9970000 REVENUE & REFUNDING false false HOSPITAL AUTHORITY NO 1 OF YORK COUNTY NEBRASKA 470769138 986356FQ1 2009-09-23 5225000 REFINANCE 2001 BONDS false false HOSPITAL AUTH NO 1 2009 HOSPITAL 470379039 986356GE7 2009-09-23 2190000 HOSPITAL PROJECT false false HOSPITAL AUTH NO1 2010 HOSPITAL 470379039 986356GT4 2010-09-15 7195000 HOSPITAL CONSTRUCTIO false false 6010000 310343 5936827 2004 false true true true 5030000 2009 false true true true 2190000 185545 417370 1587085 false false false true 7195000 7195000 false false false true false false false false false true false false false false false true false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false CORNERSTONE BANK SEE SCH O SEE SCH O false ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 C.G. KELLY HOLTHUS KRIS HOLOCH TREASURER BOARD MEMBER FAMILY C.G. KELLY HOLTHUS CORNERSTONE BANK TREASURER PRESIDENT GREATER THAN 35% OWNER KRIS HOLOCH CORNERSTONE BANK BOARD MEMBER OFFICER OFFICER CHARLES HARRIS CORNERSTONE BANK CHAIRMAN DIRECTOR DIRECTOR DON WITTE CORNERSTONE BANK VICE CHAIR DIRECTOR DIRECTOR DARROLL J. LOSCHEN CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR KELLY THOMAS CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 THE 990 IS REVIEWED BY THE VP OF FINANCE AND IS SENT TO EACH DIRECTOR FOR THEIR REVIEW. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANY MEMBERS WITH A CONFLICT OF INTEREST ABSTAIN FROM VOTING. THE ABSTENTION IS DOCUMENTED IN THE MEETING MINUTES. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION FOR THE CEO. A COMPARISON OF AREA CEOS IS INCLUDED. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B A SALARY SURVEY FOR KEY EMPLOYEES IS COMPLETED BY HUMAN RESOURCES. THE H.R. DIRECTOR REVIEWS THE INFORMATION WITH THE CEO AND A RECOMMENDATION IS MADE. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST FOR REVIEW ON THE PREMISES. ADDITIONAL INFORMATION SCHEDULE O SCHEDULE L, PART IV: (A) NAME OF INTERESTED PERSON: CORNERSTONE BANK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: KELLY HOLTHUS IS PRESIDENT OF CORNERSTONE BANK, HIS DAUGHER KRIS HOLOCH IS ALSO EMPLOYED AS OFFICER AT CORNERSTONE BANK AND TOGETHER THEY OWN GREATER THAN 35% INTEREST IN CORNERSTONE BANK. CHARLES HARRIS, DON WITTE, DARROLL LOSCHEN AND KELLY THOMAS ARE ALL ON CORNERSTONE BANK'S BOARD OF DIRECTORS. (C)&(D) AMOUNT AND DESCRIPTION OF TRANSACTION: VARIOUS TRANSACTION IN CAPICITY AS YORK GENERAL'S FINANICAL INSTITUTION. ADDITIONALLY, CORNERSTONE BANK IS TRUSTEE TO BOND FUNDS IN WHICH 1,516,860 WAS DEPOSITED THIS YEAR. HEARTHSTONE RETIREMENT HOMES 2319 N LINCOLN AVE YORK NE 68467 900149281 SR. LIVING NE 501 YGHCS HOME CARE PLUS 2319 N LINCOLN AVE YORK NE 68467 470807087 HOME HLTH NE 501 YGHCS false false false false false false false false false false false false false false false false false false