COMMUNITY MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEDICAL CENTER INC (EIN 47-0421272)
Tax period: 2009-08-01 to 2010-07-31
Filed: 2011-03-15
IRS object ID: 201140749349300344
Schema version: 2009v1.7
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 D
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-03-15T17:04:35-05:00	Timestamp
Tax Period End Date	2010-07-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DOHMAN AKERLUND & EDDY LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 470	AddressLine1
City	AURORA	City
State	NE	State
ZIP Code	688180470	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-08-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470421272	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	4022456501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3307 BARADA STREET	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT L SAWYER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	4022456501	Phone
Date Signed	2011-03-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TIMOTHY J COUFAL	Name
Phone	4026946404	Phone
Date Prepared	2011-03-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RYAN LARSEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	SAME AS C ABOVE	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	17263790	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	HTTP://CMCFC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	213	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	530551	ContributionsGrantsPriorYear
Contributions Grants Current Year	128051	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	15767361	ProgramServiceRevenuePriorYear
Program Service Revenue CY	16957330	ProgramServiceRevenueCY
Investment Income Prior Year	35581	InvestmentIncomePriorYear
Investment Income Current Year	-2282000	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	16333493	TotalRevenuePriorYear
Total Revenue Current Year	14803381	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7745141	SalariesEtcPriorYear
Salaries Etc Current Year	8547567	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6843851	OtherExpensePriorYear
Other Expenses Current Year	8357305	OtherExpensesCurrentYear
Total Expenses Prior Year	14588992	TotalExpensesPriorYear
Total Expenses Current Year	16904872	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1744501	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-2101491	RevenuesLessExpensesCY
Total Assets BOY	28927420	TotalAssetsBOY
Total Assets EOY	33807196	TotalAssetsEOY
Total Liabilities BOY	14695691	TotalLiabilitiesBOY
Total Liabilities EOY	21676433	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	14231729	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12130763	NetAssetsOrFundBalancesEOY
Mission Description	TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	16904872	Expense
Revenue	14675854	Revenue
Description	COMMUNITY MEDICAL CENTER PROVIDES MEDICAL SERVICES TO MEET THE NEEDS OF THE PEOPLE OF RICHARDSON COUNTY AND THE SURROUNDING COMMUNITIES. COMMUNITY MEDICAL CENTER PROVIDED 2,327 INPATIENT DAYS, 1,956 SWING-BED DAYS, 100 NURSERY DAYS, 11,223 CLINIC VISITS AND NUMEREOUS OUTPATIENT SERIVCES DURING THE YEAR. COMMUNITY BENEFITS INCLUDE 503,288 OF SUBSIDIZED HEALTH SERVICES, 350,879 OF TRADITIONAL CHARITY CARE, 207,066 OF BAD DEBT AND 6,000 OF HEALTH EDUCATION.	Description
Total Program Service Expense	16904872	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	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
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	false	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	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
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	213	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
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	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	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SCOTT L SAWYER	NamePerson
Telephone Number	4022456501	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3307 BARADA STREET	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 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
RODGER MERZ
CHAIRPERSON	1.00	X	0	0	0
RENIE GERWECK
VICE-CHAIR	1.00	X	0	0	0
STEVE SEVERIN
SECRETARY	1.00	X	0	0	0
DANA RATHJE
TREASURER	1.00	X	0	0	0
RAMONA GODEMANN
DIRECTOR	1.00	X	0	0	0
CHUCK HUNZEKER
DIRECTOR	1.00	X	0	0	0
KENT BIEKER
DIRECTOR	1.00	X	0	0	0
MARK LANNEY
DIRECTOR	1.00	X	0	0	0
RYAN LARSEN
CEO	40.00		146993	0	32178	X
SCOTT SAWYER
CFO	40.00		108172	0	15188	X
BARBARA HOWARD
DON	40.00		87976	0	12246	X
DAVID BORG
PHYSICIAN	40.00		337015	0	49803		X
SANDRA CATLIN
ARNP	40.00		157999	0	22696		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	838155	TotalReportableCompFromOrg
Total Other Compensation	132111	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	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
SAMPSON CONSTRUCTION
730 SOUTH 14TH STREET	LINCOLN	NE	68502	CONSTRUCTION SE	12497690
PHYSICAL AND RESPIRATORY SERVICES
204 SOUTH 6TH STREET	HIAWATHA	KS	66434	PT/OT SERVICES	533018
HART FREELAND ROBERTS INC
9237 WARD PARKWAY SUITE 108	KANSAS CITY	MO	64114	ARCHITECT SVCS	323385
CARDINAL HEALTH
21337 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY SVCS	276198
CORNERSTONE ANESTHESIA
924 PATRICIA DRIVE	FALLS CITY	NE	68355	CRNA SERVICES	226109

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Government Grants	19263	GovernmentGrants
All Other Contributions	108788	AllOtherContributions
Total Contributions	128051	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	622110	16737795	16737795
EMS CONTRACTED SERVICES	621910	68687	68687
CAFETERIA	722310	64011	64011
MISC HOSPITAL REVENUE	622110	53760	53760
LIFELINE	900099	33077	33077

Field	Value	IRS element (for citing)
Total Program Service Revenue	16957330	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11679	TotalRevenueColumn
Exclusion	$11,679	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	166730	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2460409	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-2293679	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2293679	TotalRevenueColumn
Related Or Exempt Function Income	-2293679	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	14803381	TotalRevenueColumn
Related Or Exempt Function Income	14663651	RelatedOrExemptFunctionIncome
Exclusion	$11,679	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	343141	Total
Program Services	343141	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6509060	Total
Program Services	6509060	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	247870	Total
Program Services	247870	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	971830	Total
Program Services	971830	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	475666	Total
Program Services	475666	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	65071	Total
Program Services	65071	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31730	Total
Program Services	31730	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2087467	Total
Program Services	2087467	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	30732	Total
Program Services	30732	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	296561	Total
Program Services	296561	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	126981	Total
Program Services	126981	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	440137	Total
Program Services	440137	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	34841	Total
Program Services	34841	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	48879	Total
Program Services	48879	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	639051	Total
Program Services	639051	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1290213	Total
Program Services	1290213	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	84135	Total
Program Services	84135	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
PHARMACY	1040892	1040892
MEDICAL SUPPLIES	702537	702537
MINOR EQUIPMENT	439636	439636
EQUIPMENT RENTAL	260171	260171
PROVISION FOR BAD DEBTS	226954	226954

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	511317	Total
Program Services	511317	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	16904872	Total
Program Services	16904872	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1912855	BOY
EOY	5118584	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1639799	BOY
EOY	2057340	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	565738	BOY
EOY	424759	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2661795	BOY
EOY	2325439	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	194203	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	39654	BOY
EOY	53186	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	180339	BOY
EOY	417251	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	25199178	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3172433	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	21272794	BOY
EOY	22026745	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	13247	BOY
EOY	13772	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	500199	BOY
EOY	485917	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	141000	BOY
EOY	690000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	28927420	BOY
EOY	33807196	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3344494	BOY
EOY	1460180	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	9219673	BOY
EOY	18047208	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2131524	BOY
EOY	2169045	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	14695691	BOY
EOY	21676433	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14231728	BOY
EOY	12130763	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14231728	BOY
EOY	12130763	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	28927419	BOY
EOY	33807196	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	561962	BeginningOfYearBalance
Contributions	11553894	Contributions
Investment Earnings Or Losses	3723	InvestmentEarningsOrLosses
Other Expenditures	11140251	OtherExpenditures
End Of Year Balance	979328	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1342211	OtherCostOrOtherBasis
Book Value	1342211	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17340819	OtherCostOrOtherBasis
Depreciation	652029	Depreciation
Book Value	16688790	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1597003	OtherCostOrOtherBasis
Depreciation	66058	Depreciation
Book Value	1530945	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4736584	OtherCostOrOtherBasis
Depreciation	2454346	Depreciation
Book Value	2282238	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	182561	OtherCostOrOtherBasis
Book Value	182561	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	22026745	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
CONDITIONAL CONTRIBUTION	$2,000,000
DEFERRED COMPENSATION	$156,045
EST THIRD-PARTY PAYOR SETTLEMENTS	$13,000

Field	Value	IRS element (for citing)
Total Of Amounts	2169045	TotalOfAmounts
Total Revenue	14803381	TotalRevenue
Total Expenses	16904872	TotalExpenses
Excess Or Deficit For Year	-2101491	ExcessOrDeficitForYear
Net Unrealized GL On Investments	525	NetUnrealizedGLOnInvestments
Total Adjustments	525	TotalAdjustments
Excess Or Deficit Per FS	-2100966	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	14803906	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	525	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	525	RevenueNotRptdF990
Revenue Subtotal	14803381	RevenueSubtotal
Total Revenue Per Form990	14803381	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	16904872	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	16904872	ExpensesSubtotal
Total Expenses Per Form990	16904872	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	INTENDED USES FOR ENDOWMENT FUNDS	Identifier
Return Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	ReturnReference
Explanation	THE FUNDS INCLUDE 5,137 DESIGNATED BY BOARD FOR CAPITAL IMPROVEMENTS, 76,589 DESIGNATED BY BOARD FOR DEFERRED COMPENSATION, 111,240 DESIGNATED BY LONG-TERM DEBT COVENANT ON USDA LOAN AND 786,362 DESIGNATED LOAN PROCEEDS TO BE USED FOR CONSTRUCTION.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	false	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	350879	TotalCommunityBenefitExpense
Net Community Benefit Expense	350879	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	350879	TotalCommunityBenefitExpense
Net Community Benefit Expense	350879	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4916	TotalCommunityBenefitExpense
Net Community Benefit Expense	4916	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6000	TotalCommunityBenefitExpense
Net Community Benefit Expense	6000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	525193	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21905	DirectOffsettingRevenue
Net Community Benefit Expense	503288	NetCommunityBenefitExpense
Percent Of Total Expense	0.02980	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	536109	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21905	DirectOffsettingRevenue
Net Community Benefit Expense	514204	NetCommunityBenefitExpense
Percent Of Total Expense	0.03040	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	886988	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21905	DirectOffsettingRevenue
Net Community Benefit Expense	865083	NetCommunityBenefitExpense
Percent Of Total Expense	0.05120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$176,466	BadDebtExpenseAmount
Amount Attributable To	8823	AmountAttributableTo
Amount Reimbursed By Medicare	9393960	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9366217	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	27743	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Childrens HospitalChildrensHospital	Critical Access HospitalCriticalAccessHospital
COMMUNITY MEDICAL CENTER
3307 BARADA STREET	FALLS CITY	NE	68355	X	X
FAMILY MEDICINE
3307 BARADA STREET	FALLS CITY	NE	68355
HUMBOLDT FAMILY MEDICINE
1120 GRAND AVENUE	HUMBOLDT	NE	68376

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Bad Debt Footnote	FINANCIAL STATEMENT FOOTNOTE - EXPENSES INCLUDE A PROVISION FOR DOUBTFUL ACCOUNTS TO ALLOW FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS. THIS PROVISION IS BASED ON PAST EXPERIENCE AND ON 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 465,000 AND 459,000 AT JULY 31, 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 ON FORM 990, PART IX, LINE 25 WAS 226,954. COSTING METHODOLOGY FOR LINE 3 - AFTER REVIEW OF BAD DEBTS WRITTEN OFF IT WAS DETERIMINED 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 COMMUNITY BENEFIT - BY LAW, THE ORGANZIATION CAN NOT REFUSE CERTAIN SERVICES TO PATIENTS THUS BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT.	BadDebtFootnote
Shortfall As Community Benefit	THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 6.	ShortfallAsCommunityBenefit
Needs Assessment	THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVICES BY MONITORING THE UTILIZATION OF SERVICES OFFERED AND EVALUATING NEW SERVICES WHICH COULD BE OFFERED TO IMPROVE THE HEALTH AND WELFARE OF THE CITIZENS IN THE COMMUNITIES IT SERVES. STARTING IN 2012 THE ORGANIZATION WILL CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY 3 YEARS AND EXECUTE AGAINST IT.	NeedsAssessment
Patient Education Assistance	THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING THEIR CHARITY CARE POLICIES AND OTHER FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S HELPFUL OPTIONS FOR PATIENT EXPENSES (HOPE) PROGRAM OR CHARITY CARE POLICY BY POSTING GUIDELINES IN ADMITTING AREAS, HAVING THE INFORMATION AVAILABLE ON THEIR WEBSITE, PUBLICATIONS IN NEWSPAPERS ADS AND THROUGHT DISCUSSIONS WITH INDIVIDUALS SEEKING INFORMATION.	PatientEducationAssistance
Community Information	RICHARDSON COUNTY, NEBRASKA IS PRIMARILY RURAL AND INCLUDES THE CITIES OF BARADA, DAWSON, FALLS CITY, HUMBOLDT, PRESTON, RULO, SALEM SHUBERT, STELLA AND VERDON. IT IS LOCATED IN THE SOUTHEAST CORNER OF NEBRASKA. POPULATION ESTIMATE FOR 2009 IS 8,125. PERSONS 65 YEARS OLD AND OVER 21.7%. PERSONS UNDER 18 YEAS OND 21.9%. WHITE PERSONS 94.6%, BLACK PERSONS .3%, AMERICAN INDIAN AND ALASKA NATIVE PERSONS 3.0%, ASIAN PERSONS .3%, AND PERSONS REPORTING TWO OR MORE RACES 1.8%. NUMBER OF HOUSEHOLDS (2000) 3,993, PERSONS PER HOUSEHOLD (2000) 2.34, MEDIAN HOUSEHOLD INCOME (2008) 37,937, PER CAPITA MONEY INCOME (1999) 16,460 AND PERCENT OF PERSONS BELOW POVERTY LEVEL (2008) 10.9%.	CommunityInformation
Community Building Activities	ALTHOUGH, NO COMMUNITY BUILDING ACTIVITIES WERE REPORTED IN PART II THE ORGANIZATION WORKS CLOSELY WITH OTHERS IN THE COMMUNITY TO IMPROVE THE HEALTH AND WELFARE OF COMMUNITY MEMBERS. THE ORGANIZATION HAS RECENTLY MOVED INTO A NEW HOSPITAL FACILITY TO PROVIDE THE BEST POSSIBLE CARE TO PATIENTS IT SERVES. ALSO, AS THE LARGEST EMPLOYER IN FALLS CITY, THE NEW FACILITY PROVIDES A BETTER WORK ENVIRONMENT FOR THE ORGANIZATIONS WORKFORCE.	CommunityBuildingActivities
Other Information	THE ORGANIZATION BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN ADDITION, THE ORGANIZATION CONTINUALLY APPLIES SURPLUS FUNDS TOWARD THE IMPROVEMENT OF PATIENT CARE, SUCH AS NEW FACILITIES AND THE PURCHASE OF NEW/UPDATED MEDICAL EQUIPMENT.	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg
RYAN LARSEN
126993	20000	17435	14743	179171
DAVID BORG
150763	152677	35060	14743	386818	33575
SANDRA CATLIN
58172	82262	7953	14743	180695	17565

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	RYAN LARSON, CEO- LIONS CLUB DUES 70.00
COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 5A	PROVIDER PRODUCTIVITY BONUSES ARE CALCULATED BASED ON RURAL HEALTH CLINIC REVENUE. DAVID BORG 152,677 SANDY CATLIN 82,262

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11	FORM 990 IS REVIEWED BY THE CFO AND IS PRESENTED TO THE FIANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	MANAGEMENT CONTINUALLY REVIEWS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUAL DISCLOSURES AND RELATIONSHIPS WITH COMMUNITY MEDICAL CENTER TO IDENTIFY POSSIBLE CONFLICT OF INTEREST. ONCE A CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICT WOULD BE DOCUMENTED AND MONITORED TO ENSURE APPROPRIATE ACTION BASED ON THE SITUATION.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZE INDEPENDENT PARTIES OR STUDIES OCCASIONALLY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICTS OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC WITHOUT APPROVAL BY THE BOARD OF DIRECTORS.
ADDITIONAL INFORMATION	SCHEDULE O	FORM 990, PART VI, LINE 10 - ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 - THE FORM 990 AND SUPPORTING SCHEDULES WERE MADE AVAILABLE TO THE FINANCE COMMITTEE AND CFO PRIOR TO FILING. UPON REVIEW, THE FINANCE COMMITTEE AND CFO APPROVED THE FILING OF THE FORM 990 AND SUPPORTING SCHEDULES. FORM 990, PART VI, LINE 19 - AVAILIBILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS - THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC WITHOUT BOARD APPROVAL.