CHADRON COMMUNITY HOSPITAL CORP: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- CHADRON COMMUNITY HOSPITAL CORP (EIN 47-0482234)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-12
- IRS object ID
- 202632249349301218
- Schema version
- 2024v5.5
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-12T09:43:18-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 423603499 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14010 FNB PKWY STE 600 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 681545206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470482234 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHADRON COMMUNITY HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAD | BusinessNameControlTxt |
| Phone | 3084320286 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 CENTENNIAL DR | AddressLine1Txt |
| City | CHADRON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69337 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER L BROWN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3084320286 | PhoneNum |
| Signature | 2026-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MEGAN L KOZIOL | PreparerPersonNm |
| PTIN | P01544037 | PTIN |
| Phone | 4023302660 | PhoneNum |
| Preparation | 2026-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHADRON COMMUNITY HOSPITAL AND HEALT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JON REINERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 CENTENNIAL DR | AddressLine1Txt |
| City | CHADRON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69337 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,675,017 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.CHADRONHOSPITAL.COM/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AND SUPPORT HEALTH CARE AND COMMUNITY SERVICE PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 338 | TotalEmployeeCnt |
| Total Volunteers | 210 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,819,692 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,588,915 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,816,266 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,576,580 | CYProgramServiceRevenueAmt |
| PY Investment Income | $191,025 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,333 | CYInvestmentIncomeAmt |
| PY Other Revenue | $353,676 | PYOtherRevenueAmt |
| CY Other Revenue | $324,436 | CYOtherRevenueAmt |
| PY Total Revenue | $32,180,659 | PYTotalRevenueAmt |
| CY Total Revenue | $36,491,264 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $57,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $89,400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,437,517 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,125,635 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,905 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,771,382 | PYOtherExpensesAmt |
| CY Other Expenses | $20,383,167 | CYOtherExpensesAmt |
| PY Total Expenses | $33,265,899 | PYTotalExpensesAmt |
| CY Total Expenses | $37,598,202 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,085,240 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,106,938 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,833,911 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,665,119 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,836,772 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,774,918 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,997,139 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,890,201 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE AND SUPPORT HEALTH CARE AND COMMUNITY SERVICE PROGRAMS OF EXCELLENCE IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,898,891 | ExpenseAmt |
| Grant | $89,400 | GrantAmt |
| Revenue | $34,616,858 | RevenueAmt |
| Desc | CHADRON COMMUNITY HOSPITAL CORPORATION OFFERS ACCESS TO CARE. INDIVIDUALS SHALL BE ACCORDED IMPARTIAL ACCESS TO TREATMENT OR ACCOMMODATIONS THAT ARE AVAILABLE, AND MEDICALLY INDICATED, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, RELIGION, ABILITY TO PAY, OR SOURCES OF PAYMENT FOR CARE. DURING THE FISCAL YEAR CHADRON COMMUNITY HOSPITAL CORPORATION PROVIDED INPATIENT SERVICES AS FOLLOWS: PATIENT DAYS ADULT AND PEDIATRICS: 1,323 SWING BED - SKILLED: 493 NURSERY: 137 TOTAL: 1,953THE HOSPITAL ALSO OPERATES WESTERN COMMUNITY HEALTH RESOURCES (WCHR). THIS DEPARTMENT COLLABORATES WITH COMMUNITIES IN THE PROVISION OF QUALITY HEALTH AND HUMAN SERVICES. THE FOLLOWING PROGRAM AREAS ARE MANAGED WITHIN THE ORGANIZATION:- HEALTH - CONSISTS OF FAMILY REPRODUCTIVE HEALTH SERVICES, HIV EDUCATION AND TESTING, EVERY WOMAN MATTERS, DIABETES PREVENTION, PATIENT PRESCRIPTION ADVOCACY, AND IMMUNIZATION PROGRAMS.- BEHAVIORAL HEALTH - CONSISTS OF COMMUNITY SUPPORT SERVICES, SUPPORTED EMPLOYMENT, EMERGENCY COMMUNITY SUPPORT SERVICES, YOUTH TRANSITION SERVICES, AND MENTAL HEALTH OUTREACH/TELEHEALTH PROGRAMS.- NUTRITION - CONSISTS OF WOMEN, INFANTS, AND CHILDREN GRANT PROGRAM (WIC) AND COMMODITY SUPPLEMENTAL FOOD PROGRAMS.- FAMILY SERVICES - CONSISTS OF RESPITE, CAR SEAT SAFETY, EARLY DEVELOPMENT NETWORK, COMMUNITY ESSENTIALS PANTRY, AND CHILDREN'S OUTREACH PROGRAMS.- EDUCATION - CONSISTS OF SUICIDE PREVENTION, COMMUNITY ORGANIZING, CIRCLE OF SECURITY, FAST -FAMILIES & SCHOOLS TOGETHER, AND LOVE & LOGIC PROGRAMS.- OTHER - CONSISTS OF SMALLER GRANTS FOR HEALTHCARE SERVICES. | Desc |
| Total Program Service Expenses | $34,898,891 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 338 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIFER BROWN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3084320286 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 CENTENNIAL DRIVE | AddressLine1Txt |
| City | CHADRON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69337 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| TONY HEITING | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHANE SHEPHERD | |||||||
| 1ST VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN WEBSTER | |||||||
| 2ND VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN MATHIS | |||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GARY BIEGANSKI | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK GRAVES | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NICHOLAS FISHER | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHIP HARTMAN | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TY HULS | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CURT PLOOSTER | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES NERUD | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AARON SPROCK | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JON REINERS | |||||||
| CEO (FROM 01/2025) | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER BROWN | |||||||
| CFO | 40.00 | Yes (X) | $174,672 | $0 | $42,615 | ||
| SEAN WOLFE | |||||||
| INTERIM CEO (THRU 01/2025) | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA RHEMBRANDT | |||||||
| VP OF PATIENT CARE | 40.00 | $161,840 | $0 | $49,251 | Yes (X) | ||
| KEITH BLAYLOCK | |||||||
| PHYSICAL THERAPIST/REHAB D | 40.00 | $132,032 | $0 | $47,583 | Yes (X) | ||
| DANNY ANDERSON | |||||||
| VP OF HR & SUPPORT SERVICES | 40.00 | $127,002 | $0 | $24,478 | Yes (X) | ||
| LEAH FRYE | |||||||
| PHARMACIST | 40.00 | $141,819 | $0 | $38,234 | Yes (X) | ||
| JANET LACEY | |||||||
| SURGERY DIRECTOR | 40.00 | $159,280 | $0 | $20,661 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $896,645 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $222,822 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SOLUTIONS | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | CONTRACT STAFFING | $2,287,365 |
| CHADRON MEDICAL CLINIC PC | |||||
| PO BOX 431 | CHADRON | NE | 69337 | CONTRACT STAFFING - ED COVERAGE | $767,662 |
| RURAL PARTNERS IN MEDICINE | |||||
| PO BOX 772519 | STEAMBOAT SPRINGS | CO | 80477 | SPECIALTY PROVIDERS | $755,546 |
| RURAL PARTNERS IN MEDICINE HOLDINGS LLC | |||||
| 100 TECHNOLOGY DRIVE BUILDING C S | BROOMFIELD | SD | 80021 | IMPLANTABLES | $211,200 |
| MIDWEST ANESTHESIA SERVICES LLC | |||||
| 133 LAKE AVENUE | WORTHINGTON | MN | 56187 | CRNA COVERAGE | $109,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $5,450 | FederatedCampaignsAmt |
| Fundraising | $58,077 | FundraisingAmt |
| Government Grants | $1,104,617 | GovernmentGrantsAmt |
| All Other Contributions | $420,771 | AllOtherContributionsAmt |
| Total Contributions | $1,588,915 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $32,204,663 | $32,204,663 |
| PRAIRIE PINES LODGE | 623990 | $1,651,556 | $1,651,556 |
| COMMUNITY HEALTH SERVICE | 621110 | $449,664 | $449,664 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $270,697 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $270,697 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,576,580 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $149,165 | TotalRevenueColumnAmt |
| Exclusion | $149,165 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $178,502 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $178,502 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,502 | TotalRevenueColumnAmt |
| Exclusion | $178,502 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $21,300 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $169,132 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$147,832 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$147,832 | TotalRevenueColumnAmt |
| Exclusion | -$147,832 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $7,050 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $58,077 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $14,621 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,571 | TotalRevenueColumnAmt |
| Exclusion | -$7,571 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $113,227 | $113,227 | |
| PHARMACY REVENUE | 456110 | $40,278 | $40,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $153,505 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,491,264 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,616,858 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $285,491 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,400 | TotalAmt |
| Program Services | $89,400 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,777 | TotalAmt |
| Management And General | $255,777 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,231 | TotalAmt |
| Program Services | $322,231 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,168,563 | TotalAmt |
| Program Services | $12,104,300 | ProgramServicesAmt |
| Management And General | $1,051,538 | ManagementAndGeneralAmt |
| Fundraising | $12,725 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,378,605 | TotalAmt |
| Program Services | $1,926,254 | ProgramServicesAmt |
| Management And General | $450,387 | ManagementAndGeneralAmt |
| Fundraising | $1,964 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,459 | TotalAmt |
| Program Services | $899,346 | ProgramServicesAmt |
| Management And General | $100,056 | ManagementAndGeneralAmt |
| Fundraising | $1,057 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,697 | TotalAmt |
| Management And General | $86,697 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,841 | TotalAmt |
| Management And General | $65,841 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,012 | TotalAmt |
| Program Services | $2,313 | ProgramServicesAmt |
| Management And General | $85,674 | ManagementAndGeneralAmt |
| Fundraising | $25 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,112,711 | TotalAmt |
| Program Services | $7,056,692 | ProgramServicesAmt |
| Management And General | $55,737 | ManagementAndGeneralAmt |
| Fundraising | $282 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,521 | TotalAmt |
| Program Services | $104,935 | ProgramServicesAmt |
| Management And General | $16,361 | ManagementAndGeneralAmt |
| Fundraising | $225 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742,322 | TotalAmt |
| Program Services | $645,825 | ProgramServicesAmt |
| Management And General | $96,497 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,876 | TotalAmt |
| Program Services | $556,455 | ProgramServicesAmt |
| Management And General | $37,421 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,776,782 | TotalAmt |
| Program Services | $3,567,814 | ProgramServicesAmt |
| Management And General | $208,409 | ManagementAndGeneralAmt |
| Fundraising | $559 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,590 | TotalAmt |
| Program Services | $114,685 | ProgramServicesAmt |
| Management And General | $3,635 | ManagementAndGeneralAmt |
| Fundraising | $270 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,561 | TotalAmt |
| Program Services | $62,449 | ProgramServicesAmt |
| Management And General | $1,976 | ManagementAndGeneralAmt |
| Fundraising | $136 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,940 | TotalAmt |
| Program Services | $377,222 | ProgramServicesAmt |
| Management And General | $15,718 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,150,233 | TotalAmt |
| Program Services | $2,052,759 | ProgramServicesAmt |
| Management And General | $96,925 | ManagementAndGeneralAmt |
| Fundraising | $549 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,989 | TotalAmt |
| Program Services | $523,309 | ProgramServicesAmt |
| Management And General | $21,680 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $3,814,612 | $3,813,499 | $1,113 | |
| DUES AND SUBSCRIPTIONS | $267,286 | $252,820 | $14,466 | |
| WHCR EXPENSES | $238,138 | $234,503 | $3,635 | |
| MINOR EQUIPMENT | $201,756 | $189,872 | $11,884 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,300 | TotalAmt |
| Program Services | $2,208 | ProgramServicesAmt |
| Management And General | $92 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,598,202 | TotalAmt |
| Program Services | $34,898,891 | ProgramServicesAmt |
| Management And General | $2,680,406 | ManagementAndGeneralAmt |
| Fundraising | $18,905 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,625,652 | BOYAmt |
| EOY | $3,374,455 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,839,884 | BOYAmt |
| EOY | $1,948,742 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,991,662 | BOYAmt |
| EOY | $6,337,188 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,330 | BOYAmt |
| EOY | $609,113 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,756 | BOYAmt |
| EOY | $353,090 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,007,760 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,629,707 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,628,538 | BOYAmt |
| EOY | $11,378,053 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,239,116 | BOYAmt |
| EOY | $1,063,336 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,631,973 | BOYAmt |
| EOY | $5,601,142 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,833,911 | BOYAmt |
| EOY | $30,665,119 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,326,335 | BOYAmt |
| EOY | $5,330,394 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,432,996 | BOYAmt |
| EOY | $10,562,735 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,077,441 | BOYAmt |
| EOY | $881,789 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,836,772 | BOYAmt |
| EOY | $16,774,918 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,688,096 | BOYAmt |
| EOY | $13,567,371 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,043 | BOYAmt |
| EOY | $322,830 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,997,139 | BOYAmt |
| EOY | $13,890,201 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,833,911 | BOYAmt |
| EOY | $30,665,119 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,106,938 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,492 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,492 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | CHADRON COMMUNITY HOSPITAL CORPORATION PAYS MEMBERSHIP DUES TO THE NEBRASKA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE PORTION OF THE DUES PAID THAT ARE USED FOR LOBBYING PURPOSES IS $3,492. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $202,752 | OtherCostOrOtherBasisAmt |
| Book Value | $202,752 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,257,156 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,394,375 | DepreciationAmt |
| Book Value | $6,862,781 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,342,084 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,235,332 | DepreciationAmt |
| Book Value | $3,106,752 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,205,768 | OtherCostOrOtherBasisAmt |
| Book Value | $1,205,768 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,378,053 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $5,237,553 |
| RESTRICTED CASH | $88,896 |
| RIGHT OF USE ASSET | $274,693 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,601,142 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| RESIDENT DEPOSITS - INDEPENDENT LIVING | $88,896 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $518,200 |
| LEASE LIABILITY | $274,693 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $881,789 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $36,505,916 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $14,652 | OtherRevenueAmt |
| Revenue Not Reported | $14,652 | RevenueNotReportedAmt |
| Revenue Subtotal | $36,491,264 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $36,491,264 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,612,854 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $14,652 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $14,652 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,598,202 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $37,598,202 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2025 AND 2024, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENTS 14,652. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENTS 14,652. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CIRCLE OF LIGHT GALA | Event1Nm |
| Gross Receipts Event1 | $8,390 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $5,990 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,400 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $125 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,155 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $800 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $144 | OtherDirectExpensesEvent1Amt |
| Event2 | CIRCLE OF LIGHT - SHOW THE LIGHT | Event2Nm |
| Gross Receipts Event2 | $56,737 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $52,087 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,650 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $1,325 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $8,072 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $65,127 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $58,077 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $7,050 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $125 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $5,480 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $800 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,216 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $14,621 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,571 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $601,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $601,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,990,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,990,460 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,591,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,990,460 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $601,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,114,062 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,898,391 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $215,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,266,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,797,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,468,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06570 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,380,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,695,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,684,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,971,861 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,686,337 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,285,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08740 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $849,289 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $135,037 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,836,999 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,812,965 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $24,034 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHADRON COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 CENTENNIAL DRIVE | AddressLine1Txt |
| City | CHADRON | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69337 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.CHADRONHOSPITAL.COM/ | WebsiteAddressTxt |
| State License | H000117 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHADRON COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/RESOURCES.HTML | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/RESOURCES.HTML | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-SERVICES.HTML | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-SERVICES.HTML | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-SERVICES.HTML | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHADRON COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: CHADRON COMMUNITY HOSPITAL PARTNERS WITH PANHANDLE PUBLIC HEALTH DISTRICT FOR COMPLETING THE CHNA. PPHD FACILITATES A JOINT CHNA AND PLANNING PROCESS WITH EIGHT HOSPITALS IN THE NEBRASKA PANHANDLE, ALL OF WHICH ARE MEMBERS OF THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN). MULTIPLE REPRESENTATIVE AND COMMUNITY MEMBERS FROM THE PANHANDLE COMMUNITIES PARTICIPATE IN THE PROCESS. |
| CHADRON COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: GORDON MEMORIAL HOSPITALMORRILL COUNTY COMMUNITY HOSPITALPERKINS COUNTY HEALTH SERVICESREGIONAL WEST GARDEN COUNTYREGIONAL WEST MEDICAL CENTERSIDNEY REGIONAL MEDICAL CENTER |
| CHADRON COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: SCOTTS BLUFF COUNTY HEALTH DEPARTMENTKIMBALL HEALTH SERVICESPANHANDLE PARTNERSHIPPANHANDLE AREA DEVELOPMENT DISTRICTNEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| CHADRON COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED THE FOLLOWING AS SIGNIFICANT NEEDS: RECREATIONAL OPPORTUNITIES, INCLUDING ACCESS TO TRANSPORTATION AND TYPES OF OPPROTUNITIES, INCREASING HEALTHY DIET AND PHYSICAL ACTIVITY INCLUDING ACCESS TO HEALTHY FOOD, AFFORDABLE HOUSING, AND BEHAVIORAL HEALTH INCLUDING SUBSTANCE MISUSE AND MENTAL HEALTH, AWARENESS OF OPTIONS AND REDUCING STIGMA. DURING THE YEAR, THE HOSPITAL ADDRESSED THESE NEEDS WITH BELOW LISTED ACTIONS:IMPROVE COMMUNITY RECREATION OPPORTUNITIES1. COMPLETED WALK AUDITS AROUND SCHOOLS AND COMMUNITY AND CREATED MAPS WITH SAFE ROUTES FOR DISTRIBUTION.2. CONTINUED WORK TO SUPPORT ENHANCING COMMUNITY BIKING INFRASTRUCTURE AND BIKING TRAILS.IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES1. EXPANDED PATIENT CAPACITY FOR BH SERVICES AT RURAL HEALTH CLINIC.2. ADDED VISITING PSYCHIATRIST IN HOSPITAL OUTPATIENT CLINIC.3. CONTINUED COLLABORATION WITH REGION TO DEVELOP CRISIS STABILIZATION CENTER TO ADDRESS EMERGENCY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS IN THE AREA.4. COMMUNITY HEALTH CLINIC OWNED BY THE HOSPITAL HAS CONTINUED TO OFFER CRISIS SUPPORT FOR INDIVIDUALS IN NEED, PARTICULARLY IN THE ER AWAITING PLACEMENT WITH A BH FACILITY.IMPROVE ACCESS TO AFFORDABLE HOUSING1. CONTINUED WORK WITH CITY OF CHADRON AS PART OF A BROWNFIELD GRANT TO ASSESS POSSIBLE HOUSING DEVELOPMENTS FOR VACANT PROPERTY THAT WAS THE SITE OF OUR OLD HOSPITAL.2. THE HOSPITAL CEO AND EXECUTIVE TEAM PARTICIPATE IN OPPORTUNITIES TO MEET WITH COMMUNITY GROUPS FOCUSED ON IMPROVING ACCESS TO AFFORDABLE HOUSING IN THE COMMUNITY, INCLUDING SERVING ON BOARDS FOCUSED ON ECONOMIC DEVELOPMENT, HOUSING AND CHILDCARE ACCESS.IMPROVE ACCESS TO HEALTHY FOOD1. CONTINUING PARTNERSHIPS WITH LOCAL PUBLIC SCHOOLS AND LOCAL STATE COLLEGE FOR INITIATIVES FOCUSED ON HEALTHY FOOD ACCESS AND CULINARY DEMONSTRATIONS.2. WE CONTINUE TO OFFER A FREE DIABETES PREVENTION CLASS TO MEMBERS OF THE COMMUNITY THAT FOCUSES ON HEALTHY EATING AND EXERCISES, INCLUDING RECIPES AND GROUP DISCUSSION. WE RECENTLY HAD OUR LARGEST CLASS YET FOR THIS PROGRAM.THERE WERE NO SIGINIFICANT NEEDS IDENTIFIED THAT ARE NOT CURRENTLY BEING ADDRESSED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PRAIRIE PINES LODGE | ||||
| 900 W 7TH ST | CHADRON | NE | 69337 | ASSISTED LIVING |
| 2 - LEGEND BUTTES HEALTH SERVICES | ||||
| 11 PADDOCK ST | CRAWFORD | NE | 69339 | CLINIC SERVICES |
| 3 - WESTERN COMMUNITY HEALTH SERVICES | ||||
| 300 SHELTON ST | CHADRON | NE | 69337 | COMMUNITY HEALTH SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | OTHER THAN FEDERAL POVERTY GUIDELINES, THE HOSPITAL ALSO USES INSURANCE STATUS, UNDER INSURANCE STATUS, ASSET LEVEL AND MEDICAL INDIGENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. |
| PART I, LINE 7: | CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID, LINE 7B, AND SUBSIDIZED HEALTH SERVICES, LINE 7G, WERE CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER. |
| PART I, LINE 7G: | THERE ARE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC INCLUDED ON LINE 7G. TOTAL REVENUE RECEIVED RELATED TO PHYSICIAN CLINICS INCLUDES $1,149,873 WITH ESTIMATED COSTS OF CARE RELATING TO PAYMENTS OF $2,186,806. |
| PART III, LINE 2: | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. |
| PART III, LINE 3: | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 15.9% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. |
| PART III, LINE 4: | THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 14 AND 15 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED, THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $245,876.MEDICARE FEE SCHEDULE REVENUE $ 210,842MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS (456,718)NET (SHORTAGE) $ (245,876) |
| PART III, LINE 9B: | INDIVIDUALS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE ASSISTED THROUGH THE PROCESS. IF THEY QUALIFY FOR A DISCOUNT, RATHER THAN FULL WRITE-OFF, WE WORK WITH THEM TO SET UP A PAYMENT PLAN FOR THE REMAINING BALANCE. IF THEY ARE ABLE TO PAY OFF THE DEBT WITHIN 12 MONTHS, WE KEEP THE BALANCE IN-HOUSE. IF THEY ARE NOT ABLE TO, WE OFFER THEM A BANK LOAN OPTION. WE PARTNER WITH A COMPANY CALLED ENCORE FOR PRE-COLLECT/ 501R COMPLIANCE AND A SEPARATE COLLECTION AGENCY FOR AFTER AN ACCOUNT RUNS THROUGH PRE-COLLECT WITH NO RESPONSE.THE HOSPITAL WILL NOT TAKE ECAS AGAINST A PATIENT OR ANY OTHER INDIVIDUAL WHO HAS ACCEPTED OR IS REQUIRED TO ACCEPT FINANCIAL RESPONSIBILITY FOR A PATIENT UNLESS AND UNTIL THE HOSPITAL HAS MADE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PATIENT FINANCIAL COUNSELING IS RESPONSIBLE TO DETERMINE WHETHER THE HOSPITAL HAS ENGAGED IN REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | CCH HAS A BOARD OF 12 MEMBERS, INCLUDING REPRESENTATIVES FROM THE MEDICAL STAFF AND NEIGHBORING COMMUNITIES. IN ADDITION TO THE CHNA, THE BOARD REPRESENTATIVES ARE THE VOICE OF THE COMMUNITY'S HEALTH CARE NEEDS. ADDITIONALLY, WE ENCOURAGE STAFF TO BE STEWARDS IN THE COMMUNITY AND THIS NATURALLY OPENS THE DOOR FOR CONVERSATIONS RELATED TO COMMUNITY NEEDS. MEMBERS OF OUR EXECUTIVE TEAM SERVE ON BOARDS THROUGHOUT THE COMMUNITY IN ORDER TO STAY CONNECTED TO COMMUNITY NEEDS SUCH AS HOUSING, CHILDCARE AND FOOD INSECURITY. |
| PART VI, LINE 3: | THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY (FAP) IN MULTIPLE WAYS: SIGNS POSTED THROUGHOUT THE HOSPITAL, DISTRIBUTING A PLAIN LANGUAGE SUMMARY BEFORE DISCHARGE, INCLUDING A PLAIN LANGUAGE SUMMARY OF THE POLICY WITH EACH BILL, POSTING THE POLICY ON THE HOSPITAL WEBSITE, AND COMMUNICATING THE FAP VERBALLY TO PATIENTS. THE HOSPITAL ADDED AN INDIVIDUAL IN THE BILLING OFFICE WHOSE TIME IS DEDICATED TO FINANCIAL ASSISTANCE AND COUNSELING. THIS HAS GREATLY INCREASED THE NUMBER OF COMPLETED FINANCIAL ASSISTANCE APPLICATIONS THAT WE ARE RECEIVING. |
| PART VI, LINE 4: | CHADRON COMMUNITY HOSPITAL SERVES THE NORTHWEST CORNER OF NEBRASKA, INCLUDING THE COUNTIES OF DAWES, SIOUX, AND SHERIDAN, AND THE COMMUNITIES OF HARRISON, CRAWFORD, CHADRON, HAY SPRINGS, AND RUSHVILLE. IN ADDITION, DUE TO THE FARMING AND RANCHING ECONOMY, THE HOSPITAL SERVES A GREAT DEAL OF RURAL RESIDENTS. AT $51,925, HOUSEHOLD INCOME IN THE COUNTY IS WELL BELOW THE MEDIAN FOR BOTH NEBRASKA AND THE NATION. APPROXIMATELY 13.1% OF DAWES COUNTY RESIDENTS ARE BELOW THE POVERTY LINE. |
| PART VI, LINE 5: | THE HOSPITAL PARTICIPATES IN SEVERAL ACTIVITES TO PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING PARTICIPATING IN AND PROMOTING EMPLOYEE WELLNESS INITIATIVES, ADVANCED DIRECTIVE EDUCATION FOR THE COMMUNITY, PROVIDING INFLUENZA VACCINATIONS TO FIRST RESPONDERS AND EDUCATORS, FREE IN-HOME WELL BABY CHECKS TO LOW INCOME PATIENTS, FREE DIETARY COUNSELING AND DIABETIC EDUCATION, LOW-COST MAMMOGRAPHY TO QUALIFYING PATIENTS, FREE COMMUNITY PRENATAL CLASSES, SUPPORT GROUPS RUN BY HOSPITAL PROFESSIONALS, AND FINANCIAL ASSISTANCE TO AREA CANCER PATIENTS.RECOGNIZING THAT DIABETIC AND PRE-DIABETIC EDUCATION ARE A SIGNIFICANT NEED FOR OUR POPULATION, WE HAVE MADE THE DECISION TO OFFER THESE CONSULATIONS FREE OF CHARGE TO OUR COMMUNITY. ADDITIONALLY WE MAKE THE EFFORT TO OFFER SERVICES TO OUR REGION THAT ARE NEEDED BUT MAY NOT BE REVENUE CENTERS, SUCH AS DIALYSIS AND HOME HEALTH AND HOSPICE SERVICES. OUR BOARD SUPPORTS THE CONTINUATION OF THESE SERVICES EVEN IF THEY ARE NOT SELF-SUPPORTING. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CANCER PATIENT GRANT | GrantTypeTxt |
| Recipient | 37 | RecipientCnt |
| Cash Grant | $89,400 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL MAINTAINS DETAILED RECORDS TO SUBSTANTIATE THE AMOUNT OF AWARDS TO GRANTEES. A FORMAL APPLICATION IS COMPLETED BY POTENTIAL GRANTEES AND SUBMITTED TO THE HOSPITAL. APPLICATIONS ARE REVIEWED AND GRANTS ARE AWARDED BASED ON ELIGIBILITY AND FINANCIAL NEED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENNIFER BROWN | ||||||||||||||
| CFO | $174,438 | $0 | $0 | $0 | $234 | $0 | $1,793 | $0 | $40,822 | $0 | $217,287 | $0 | $0 | $0 |
| BRENDA RHEMBRANDT | ||||||||||||||
| VP OF PATIENT CARE | $161,635 | $0 | $0 | $0 | $205 | $0 | $5,230 | $0 | $44,021 | $0 | $211,091 | $0 | $0 | $0 |
| LEAH FRYE | ||||||||||||||
| PHARMACIST | $141,709 | $0 | $0 | $0 | $110 | $0 | $4,296 | $0 | $33,938 | $0 | $180,053 | $0 | $0 | $0 |
| JANET LACEY | ||||||||||||||
| SURGERY DIRECTOR | $153,599 | $0 | $5,250 | $0 | $431 | $0 | $712 | $0 | $19,949 | $0 | $179,941 | $0 | $0 | $0 |
| KEITH BLAYLOCK | ||||||||||||||
| PHYSICAL THERAPIST/REHAB D | $131,303 | $0 | $0 | $0 | $729 | $0 | $4,283 | $0 | $43,300 | $0 | $179,615 | $0 | $0 | $0 |
| DANNY ANDERSON | ||||||||||||||
| VP OF HR & SUPPORT SERVICES | $126,858 | $0 | $0 | $0 | $144 | $0 | $3,899 | $0 | $20,579 | $0 | $151,480 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART II: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID COMMUNITY HOSPITAL (MCCOOK), AN UNRELATED ORGANIZATION, $86,697 FOR MANAGEMENT SERVICES PROVIDED BY SEAN WOLFE, INTERIM CEO THROUGH JANUARY 2025. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JESSICA HARTMAN | |||
| SPOUSE OF BOARD MEMBER | $89,297 | EMPLOYEE WAGES | 0 |
| SHELLEY GRAVES | |||
| SPOUSE OF BOARD MEMBER | $92,890 | EMPLOYEE WAGES | 0 |
| KRISTLE SPROCK | |||
| SPOUSE OF BOARD MEMBER | $140,045 | EMPLOYEE WAGES | 0 |
| SDS CONSTRUCTION | |||
| OWNED BY SHANE SHEPHERD, BOARD MEMBER | $193,472 | CONSTRUCTION SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE, COMPOSED OF THE PRESIDENT, FIRST VICE PRESIDENT, SECOND VICE PRESIDENT, SECRETARY/TREASURER AND IMMEDIATE PAST PRESIDENT, HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESS WISHES OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | THERE IS ONLY ONE CLASS OF MEMBERS. THESE ARE PERSONS THAT HAVE CONTRIBUTED $50 OR MORE TO THE CORPORATION AND SHALL BE CARRIED ON THE RECORDS OF THE CORPORATION AS SUCH. IF $100 IS CONTRIBUTED FOR A HUSBAND AND WIFE, THEY EACH SHALL BE ENTITLED TO SEPARATE AND INDIVIDUAL MEMBERSHIPS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS GENERALLY REVIEWED BY THE CEO AND CFO AND THEN A FULL COPY IS PROVIDED TO THE BOARD IN THEIR BOARD PACKET. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS COMPLETE CONFLICT OF INTEREST DISCLOSURES ANNUALLY. BOARD MEMBERS DECLARE ANY CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD MEETING. ANY BOARD MEMBER DETERMINED TO HAVE A CONFLICT SHALL REFRAIN FROM VOTING ON THAT MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPARABILITY DATA FROM THE NHA SALARY SURVEY IS USED TO DETERMINE THE APPROPRIATE RANGE OF COMPENSATION FOR THE CEO. APPROPRIATE COMPENSATION IS THEN DETERMINED BASED ON PERFORMANCE AND EXPERIENCE. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO AND INCLUDED IN THE BUDGET APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 3,244,505. MANAGEMENT AND GENERAL EXPENSES 55,737. FUNDRAISING EXPENSES 282. TOTAL EXPENSES 3,300,524. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 426,394. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 426,394. NURSING SERVICES: PROGRAM SERVICE EXPENSES 1,857,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,857,929. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 837,015. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 837,015. EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 690,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 690,849. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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