2026-03-30T10:39:55-05:00 2024-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-01-01 880065829 Boulder City Hospital Inc BOUL 7022934111 901 Adams Blvd Boulder City NV 89005 Thomas Maher CEO 7022934111 2026-03-27 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-03-27 2024 2025-03-06 01:10:19Z Thomas Maher 901 Adams Blvd Boulder City NV 89005 36630529 0 X www.bchcares.org X 1954 NV Provide health care services to residents of Clark County and surrounding areas in southern Nevada. 12 12 369 175 0 0 572065 1325241 32278743 35182153 364225 113284 -5945 -1198 33209088 36619480 0 0 0 0 21855217 23269547 0 0 0 13437478 14569285 35292695 37838832 -2083607 -1219352 31316960 26577916 32303449 28690011 -986489 -2112095 X Boulder City Hospital seeks to continually improve the quality of the care and service to our patients, guests, and physicians. We promote effective and efficient utilization of available resources to ensure long-term financial viability. Boulder City Hospital seeks to earn the trust of the residents of Boulder City, neighboring communities and area visitors by meeting their health care needs with compassion, integrity, and sincerity without regard to one's ability to pay. 0 0 31081917 35182153 Boulder City Hospital operates a 25-bed critical access hospital (CAH), a 47-bed long-term care facility, and a 10-bed geriatric behavioral medicine center. Boulder City Hospital provides emergency services, a behavioral medicine center, a long-term care facility and a skilled nursing unit. 31081917 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 369 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Frey Belete 7022934111 901 Adams Blvd Boulder City NV 89005 Bret Runion President 0.50 X X 0 0 0 Sue Manteris Vice President 0.50 X X 0 0 0 Barbara Murphey-Framke Secretary 0.50 X X 0 0 0 Jennifer Zischke Treasurer 0.50 X X 0 0 0 Cynthia Anderson Director 0.50 X 0 0 0 Alan Bowman Director 0.50 X 0 0 0 Kathy Calhoun Director 0.50 X 0 0 0 Scott Hinson Director 0.50 X 0 0 0 Derek Meeks DO Director 0.50 X 0 0 0 Wendell Whitman Director 0.50 X 0 0 0 Bruce Woodbury Director 0.50 X 0 0 0 Jay Booth Director 0.50 X 0 0 0 Thomas Maher CEO 40.00 X 383313 0 17165 Doug Lewis CFO 40.00 X 196996 0 3939 Andrea Pastian CNO 40.00 X 170941 0 4205 Rae Cummings COO 40.00 X 172718 0 12391 Roger Kent Waddington Pharmacist 40.00 X 165564 0 6836 Anne Richner Pharmacist 40.00 X 157576 0 7243 Angelique Cross PA 40.00 X 147313 0 8853 Anna Chan RN 40.00 X 148131 0 7104 Michelle Hancock RN 40.00 X 151687 0 7181 1694239 0 74917 46 0 1 0 Horizon Health PO Box 840839 Dallas TX 752840839 Physic Department Managing Partner 1350662 EMCARE 7032 Collections Ctr Dr Chicago IL 60693 Physician Staffing ER 1092999 MEDSMART 1701 GreenValley Pkwy Henderson NV 890745886 Imaging Staffing Services 647343 Craig Jorgenson MD 1000 Green Valley Pkway Henderson NV 890746170 Inpatent Physician Services 320247 Desert Radiologist 2020 Palomino Ln suite 100 Las Vegas NV 89106 Physician Radiology Services 275649 10 1241377 83864 1325241 Net Patient Service Revenue 621500 34822106 34822106 360047 360047 35182153 88969 88969 9851 11049 -1198 -1198 -1198 24315 0 24315 24315 24315 36619480 35182153 0 112086 X 963185 963185 16152489 14332871 1819618 182604 160039 22565 4705448 3933715 771733 1265821 1077398 188423 500 500 94642 94642 7159038 6037852 1121186 60659 60659 1061456 949716 111740 414003 281523 132480 1185593 711356 474237 1288525 1017550 270975 371679 267609 104070 Medical Supplies 1072290 1072290 Registry 533667 472383 61284 Food 446902 446902 Repairs and Maintenance 150652 138725 11927 729679 181988 547691 37838832 31081917 6756915 0 7448081 3501760 158142 159295 6689667 5845964 421375 415056 138796 150312 33580148 21158703 13228110 12421445 3232789 4084084 31316960 26577916 4732111 4409389 16316 17469 23549554 23619351 72674 63874 3932794 579928 32303449 28690011 X -986489 -2112095 -986489 -2112095 31316960 26577916 X -1219352 93746 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 652289 652289 22206546 13491434 8715112 10080447 7211242 2869205 640866 456027 184839 12421445 Estimated Third Paty Payor Settlements 3791569 Interest in Net Assets of Foundation 167405 Interest in Net Assets of Auxiliary 125110 4084084 Financing Lease 579928 579928 X 36713226 93746 93746 36619480 0 36619480 37838832 0 37838832 0 37838832 Part IV, Line 2b: The organization holds funds on behalf of its residents. Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Change in Investment in Foundation in Revenue on Financial Statements 83,122. Change in Investment in Auxiliary in Revenue on Financial Statements 10,624. 1 1 X 1 X 1 X 1 1 0 0 6680730 3123680 3557050 0.09400 6680730 3123680 3557050 0.09400 6680730 3123680 3557050 0.09400 1 4106129 513266 9416106 9471585 -55479 X 1 1 1 1 Boulder City Hospital Inc 901 Adams Blvd Boulder City NV 89005 www.bchcares.org 633RUH-27 X X X Geriatric behavior medical center, Rural Health Clinic Boulder City Hospital Inc 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X https://bchcares.org/compliance/ X 1 24 1 https://bchcares.org/compliance/ 0 1 X 100.000000000000 200.000000000000 X X X X X X 1 1 X X X X 1 X bchcares.org/insurance/ X bchcares.org/insurance/ X bchcares.org/insurance/ X X X X X 1 X 0 X X X X 1 X 0 0 Boulder City Hospital, Inc. Part V, Section B, Line 5: Primary and secondary data were used to evaluate community needs. Primary data was collected by disseminating a community needs assessment survey. The survey was designed to provide information to Boulder City Hospital and local health decision makers about hospital and clinical health services and included a paper and online instrument. The survey was launched on October 3rd and closed on December 1st of this year. There was a total of 203 responses, with 54 paper surveys and 149 electronic surveys. The Office of Statewide Initiatives at the University of Nevada, Reno School of Medicine provided technical assistance to Boulder City Hospital staff on the community health needs survey and response data, and secondary data collection and analysis contained in the CHNA, Boulder City Hospital, Inc. Part V, Section B, Line 11: The 2024 Community Health Needs Assessment (CHNA) identified the following needs: 1) Mental health and substance abuse 2) Aging related problems (orthopedic, arthritis and auditory issues) 3) Chronic health issues (diabetes, obesity, hypertension)The following health needs were identified throughout the CHNA but were not prioritized by Hospital leadership as BCH is already actively working to improve these issues within their scope of expertise and capabilities as a community hospital and clinic. These areas include: 1) Access to healthcare services 2) Cost of healthcare services 3) Homelessness 4) Housing (rental, utility assistance) 5) Insurance AvailabilityDue to limitations on availability of resources, Boulder City Hospital has the following actions under review to be addressed: 1) Adding providers to Boulder City Primary Care (BCPC). Availability of Specialists and Primary Care providers in Clark County. 2) Expanding or adjusting hours at BCPC a day per week to accommodate later appointments and availability of Providers. 3) Cost of healthcare remains a challenge for all providers given the vicissitudes of the industry, economy and regulatory environment. The hospital does work with individual patients to find ways to assist with financial hardships through payment plans and charity care administration even with limitations on funds.The following actions were taken in 2024 to address needs identified in the CHNA:Mental health and substance abuse: * Developed and implemented plans to increase capacity/utilization of outpatient mental health services. * Explored feasibility of opening outpatient substance abuse program for adolescents.Aging oriented problems (orthopedic, arthritis and auditory issues): * Developed and distributed educational material to the community to increase awareness of aging oriented health problems and ways these issues and concerns can be managed, avoided, treated. * Identified resources for specialty referrals for patients presenting with aging oriented problems at the primary care clinic.Chronic health issues (diabetes, obesity, hypertension): * Increased chronic care awareness via our clinic to provide patients with support via our P2P platform, allowing interactions with the patients care team allowing a coordinated exchange of approved health information, as well as management of care transition and coordination of home and community-based services. * Currently the clinic provides reminder notices for appointments and testing to patients with diabetic related diagnosis. Our clinic can expand these notices to other chronic conditions to assist patients with staying on track with mechanisms to ensure conditions are being monitored by both the patient and clinic providers.In the Pipeline: *Added patient portal access for main hospital. Virtual scheduling options for adding and canceling ancillary service appointments. Appointment reminders are coming soon. * Full-time fixed MRI * Potential addition of DEXA * Added payers allowing for more access to services provided at the Hospital. * Mammography recently added. * New contracted service to increase accessibility to PHP and health programs. Boulder City Hospital, Inc. Part V, Section B, Line 13h: Boulder City Hospital, Inc. ('The Hospital') uses 200% of the Federal Poverty Guidelines ('FPG') to qualify patients for discounted patient care. Once qualified, the Hospital uses a sliding scale based on income and number of dependents to determine the amount of discount they receive. Patients not falling within the FPG may qualify for charity care after being considered by the Administrative Council. Factors considered by the Council may include medical indigence, deceased status, bankruptcy, and homelessness. In addition, a patient's assets may also be considered. 1 2 - Boulder City Long Term Care Facility 901 Adams Blvd Boulder City NV 89005 Long Term Care Facility Part I, Line 3c: Boulder City Hospital, Inc. uses 200% of the Federal Poverty Guidelines (FPG) to qualify patients for discounted patient care. Once qualified, the Hospital uses a sliding scale based on income and number of dependents to determine the amount of discount they receive. Patients not falling within the FPG may qualify for charity care after being considered by the Administrative Council. Factors considered by the Council may include medical indigence, deceased status, bankruptcy, and homelessness. In addition, a patient's assets may also be considered. Part I, Line 7: Line 7g was converted to cost based on an average ratio of costs to gross charges according to costs allocated to the relevant costs centers on the Medicare Cost Report.Line 7a does not report charity care. The hospital does have a charity care policy but no one has applied in the year. Part I, Line 7g: Line 7g includes $2,831,257 of costs from a rural health clinic. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients. Part III, Line 3: It is estimated that 12.5% of implicit price concessions patients would have been charity care if applicants would have applied. Part III, Line 4: The footnote to the organization's financial statements addressing implicit price concessions may be found on page 11 and 12 of the attached audited financial statements. Part III, Line 8: One hundred percent of any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole.Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increase their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on 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 rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $8,518.Medicare fee schedule revenue: $11,407Medicare estimated costs of care relating to payments: $19,925Net (shortage): $(8,518) Part III, Line 9b: BCH provides a plain language summary of the FAP within 30 days after need for assistance is identified. BCH provides a 120 Day notification period to individuals to submit a completed FAP application from the date the first post discharge billing statement is provided. During the 120 Day-notification period BCH will make all reasonable efforts to notify the individual about FAP eligibility prior to initiating EAC's.BCH will accept and process applications within a 240 day application period beginning from post discharge statement to accept and process. Once an application is submitted within the 240 day period, BGH will stop any collection activities. In circumstances where an incomplete FAP application was submitted during the 240-day application period BCH notifies the individual and will give additional time to complete the FAP application. Part VI, Line 2: The Hospital identifies needs of the community through interaction and feedback from board members, physicians, staff, and patients. Part VI, Line 3: Admitting staff hand out pamphlets explaining the charity policy to patients. The patient is instructed to read the pamphlet and complete an application if necessary. Business office staff contact patients after the first bill is sent. The patient is instructed to apply for charity care at that time if needed.If at any time a patient indicates they cannot afford to pay for a service, the staff bring in a financial consultant immediately to discuss applying for financial assistance. The financial consultant assists the patient with completing the financial assistance application.The Financial Assistance policy and instructions are also available on the BCH web site https://bchcares.org/insurance/. Part VI, Line 4: Boulder City Hospital, Inc. serves Boulder City, Nevada and the western portion of Henderson, Nevada. Nearly half of the area's residents rely on Medicare subsidies to pay for health care. Part VI, Line 5: The Hospital's governing body is comprised of persons who reside in the Organization's primary service area. The Hospital applies any surplus funds to improve the Facility and equipment to improve patient care. The Hospital also extends medical staff privileges to other qualified physicians in the community.Boulder City Hospital, Inc. maintains a 24 hour emergency room that is available to residents in its community without regard to ability to pay. The Hospital is designated a critical access hospital, and therefore, the hospital provides health care to residents who would not otherwise have access to readily available health care. X X X 0 0 0 0 0 0 0 0 0 Thomas Maher CEO 383313 0 0 0 0 0 6000 0 11544 0 400857 0 0 0 Doug Lewis CFO 196996 0 0 0 0 0 3939 0 379 0 201314 0 0 0 Rae Cummings COO 172718 0 0 0 0 0 3549 0 9221 0 185488 0 0 0 Andrea Pastian CNO 170941 0 0 0 0 0 151 0 4433 0 175525 0 0 0 Roger Kent Waddington Pharmacist 165564 0 0 0 0 0 2782 0 4433 0 172779 0 0 0 Anne Richner Pharmacist 157576 0 0 0 0 0 3189 0 4433 0 165198 0 0 0 Michelle Hancock RN 151687 0 0 0 0 0 3127 0 4433 0 159247 0 0 0 Angelique Cross PA 147313 0 0 0 0 0 2980 0 6252 0 156545 0 0 0 Anna Chan RN 148131 0 0 0 0 0 3049 0 4433 0 155613 0 0 0 Form 990, Part VI, Section A, line 1a The Executive Committee can act on behalf of the Board of Trustees on items of an emergency nature between meetings of the Board of Trustees. The Executive Committee shall be composed of the elected officers of the Board of Trustees and the immediate Past President. The President of the Board of Trustees shall serve as Chairman and the Vice President shall serve as Vice Chairman of the committee. The Administrator/CEO shall be an ex-officio of this committee. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the Board of Directors for their review prior to filing with the IRS. Form 990, Part VI, Section B, line 12c On an annual basis, all officers, directors, and key employees complete the conflict of interest disclosure statement. The board of directors review for any potential conflicts, as well as determine if one exists. If an individual has a potential conflict, that individual will abstain from the deliberation and voting of that situation. Form 990, Part VI, Section B, line 15a The CEO's compensation is reviewed and approved annually by an independent compensation committee using the Nevada CEO compensation survey. This review is documented each year. Compensation of other individuals is determined annually by the human resources department (HR). HR uses a salary survey from the Nevada Hospital Association to determine the appropriate compensation amounts. Persons involved in this process are independent and the conclusions are documented. Form 990, Part VI, Section C, line 19 Boulder City Hospital makes its governing documents, conflict of interest policy, and financial statements available to the public through the hospital's administration department. Form 990, Part IX, line 11g Professional Fees: Program service expenses 289,692. Management and general expenses 0. Fundraising expenses 0. Total expenses 289,692. Purchased Services - Affiliates: Program service expenses 5,748,160. Management and general expenses 1,121,186. Fundraising expenses 0. Total expenses 6,869,346. Form 990, Part XI, line 9: Change in Interest in Foundation 83,122. Change in Interest in Auxiliary 10,624.