2024-03-06T09:23:07-06:00 2023-04-30 135565207 KPMG LLP 191 W NATIONWIDE BLVD SUITE 500 COLUMBUS OH 43215 990 2022-05-01 470542043 COLUMBUS COMMUNITY HOSPITAL INC COLU 4025623357 PO BOX 1800 COLUMBUS NE 68602 CHAD VAN CLEAVE CFO 4025623357 2024-03-04 1 CHAD VAN CLEAVE 999009999 0 MOLLIE P LONGHOUSE P00294881 6142492300 2024-03-04 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHAD VAN CLEAVE 4600 38TH STREET COLUMBUS NE 68601 160700239 0 X WWW.COLUMBUSHOSP.ORG X 1972 NE OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 13 12 1052 383 273066 0 497916 9254736 131318499 146739020 1671152 1270322 5568796 2932865 139056363 160196943 107572 155293 0 0 66795234 75675681 0 0 0 62333076 73680485 129235882 149511459 9820481 10685484 199011973 208645655 18421182 18547435 180590791 190098220 X OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 0 0 145743906 155293 146924108 SEE SCHEDULE O 145743906 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 148 0 1 1052 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JENNIFER WEICK 4025624646 4600 38TH STREET COLUMBUS NE 68601 BRETT BONWELL DIRECTOR 1.00 0.00 X 0 0 0 JEFF GOKIE CHAIRMAN 1.00 0.00 X X 0 0 0 JULIE HANEY VICE CHAIRMAN 1.00 0.00 X X 0 0 0 STAN EMERSON DIRECTOR 1.00 0.00 X 0 0 0 JOHN PAVLIK DIRECTOR 1.00 0.00 X 0 0 0 CRAIG PEKNY MD DIRECTOR 1.00 0.00 X 0 0 0 SARAH PILLEN TREASURER 1.00 0.00 X X 0 0 0 ABBIE TESSENDORF DIRECTOR 1.00 0.00 X 0 0 0 DANIEL ROSENQUIST MD DIRECTOR 1.00 0.00 X 0 0 0 TIM TOOLEY DIRECTOR 1.00 0.00 X 0 0 0 CHARLES SEADSCHLAG DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL HANSEN PRESIDENT/CEO/SECRETARY 40.00 0.00 X X 585154 0 120449 JOE CITTA III MD DIRECTOR 1.00 0.00 X 0 0 0 DUSTIN VOLKMER MD DIRECTOR (END 9/2022) 1.00 0.00 X 0 0 0 AMY BLASER VP BUSINESS DEVELOPMENT 40.00 0.00 X 233198 0 67925 CHAD VAN CLEAVE VP FINANCE 40.00 0.00 X 268202 0 68657 SCOTT MESSERSMITH VP OPERATIONS 40.00 0.00 X 230609 0 67203 DOROTHY BYBEE VP NURSING 39.00 1.00 X 237790 0 44700 KEITH LUEDDERS VP ANCIALLARY SERVICES 40.00 0.00 X 203422 0 58132 ROBERT MILLER PHYSICIAN 1.00 0.00 X 383464 0 21350 JOHN BEAUVAIS PHYSICIAN 40.00 0.00 X 640957 0 38226 ANTHONY KRUEGER PHYSICIAN 40.00 0.00 X 651853 0 38226 MATTHEW PIEPER PHYSICIAN 40.00 0.00 X 666884 0 38136 SHAWN BRANDENBURG PHYSICIAN 40.00 0.00 X 854101 0 38226 4955634 0 601230 97 0 1 0 JE DUNN CONSTRUCTION COMPANY 1001 LOCUST ST KANSAS CITY MO 64106 CONSTRUCTION 29528245 AMERISOURCE BERGEN DRUG CORP 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACEUTICALS 5058762 FOCUSONE SOLUTIONS LLC PO BOX 850861 MINNEAPOLIS MN 55485 CONTRACTED STAFFING 4215045 CARDIO SOLUTIONS PO BOX 639028 CINCINNATI OH 45263 CONTRACTED STAFFING 3390998 RURAL PARTNERS IN MEDICINE LLC 8181 ARISTA PLACE SUITE 100 BROOMFIELD CO 80021 CONTRACTED STAFFING 2793058 105 2646156 6608580 9254736 NET PATIENT SERVICE RE 621110 146739020 146739020 146739020 1270325 1270325 701242 503293 197949 197949 197949 3 -3 -3 -3 CAFETERIA 900099 449175 449175 MEALS ON WHEELS 900099 103290 103290 HEALTH WATCH 900099 81798 81798 2100653 273066 1827587 2734916 160196943 146924108 273066 3745033 155293 155293 1758375 1758375 58323574 58323574 2229667 2229667 9508481 9508481 3855584 3855584 814424 814424 9482 9482 30000 30000 9410675 9410675 752764 752764 24580719 24580719 2021548 2021548 2212620 2212620 279457 279457 153051 153051 10720799 10720799 346247 346247 PROVISION FOR BAD DEBTS 8914334 8914334 MINOR EQUIP & FINANCING 6230930 6230930 PURCHASED SERVICES 3539224 3539224 RECRUITING 248624 248624 3415587 3415587 149511459 145743906 3767553 0 19620895 10973061 0 0 0 0 17790908 20297867 0 0 0 0 447891 652777 3512914 4047596 4709899 3804520 217578449 88230416 97915329 129348033 54454266 38898988 0 0 0 0 0 0 559871 622813 199011973 208645655 18421182 18547435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18421182 18547435 X 180590791 190098220 0 0 180590791 190098220 199011973 208645655 X 10685484 -737099 -440956 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 9482 9482 0 PART II-B, LINE 1: DIRECT CONTACT WITH STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENT OFFICIALS. WE HAVE ADVOCATED FOR RURAL HEALTHCARE LEGISLATION (E.G. RURAL HOSPITAL DEMONSTRATION PROGRAM). DUES PAID TO AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING $3,969.44 AND DUES PAID TO NEBRASKA HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING $5,512.85 2600002 18508 2618510 2580574 19428 2600002 2456387 124187 2580574 1912239 544148 2456387 1863805 48434 1912239 1.00000 0 1 1 11149790 11149790 106720429 49213604 57506825 58919772 33081242 25838530 40788458 5935570 34852888 129348033 X PART V, LINE 4: ENDOWMENT FUNDS ARE HELD AND MAINTAINED BY COLUMBUS COMMUNITY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS EXIST IN SUPPORT OF IMPROVED HEALTH SERVICES BY COLUMBUS COMMUNITY HOSPITAL. PART X, LINE 2: THE HOSPITAL ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO, 109. FIN 48 PROVIDES SPECIFIC GUIDANCE ON HOW TO ADDRESS UNCERTAINTY IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES, PRESCRIBING RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES. THE ADOPTION OF FIN 48 BY COLUMBUS COMMUNITY HOSPITAL DID NOT HAVE A MATERIAL IMPACT ON THE HOSPITAL'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOWS. IN FISCAL YEARS ENDING 2023 AND 2022, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 130.000000000000 1 X 1 1 0 1 1 0 0 382759 382759 0.00270 0 0 15047259 8802276 6244983 0.04440 15430018 8802276 6627742 0.04710 34339 152216 12615 139601 0.00100 1566 9418 9796 -378 0.00000 117 4523 4523 0.00000 300 488 488 0.00000 36322 166645 22411 144234 0.00100 36322 15596663 8824687 6771976 0.04810 854 15551 15551 0.00010 940 178626 125355 53271 0.00040 500 7000 7000 0.00000 2294 201177 125355 75822 0.00050 0 8914334 32387358 46772525 -14385167 X 1 1 1 HEALTHPARK LLC PROPERTY MANAGEMENT 0.22920 0.00000 0.77080 2 ZARZ LLC PROPERTY MANAGEMENT 0.00880 0.00000 0.99120 1 1 COLUMBUS COMMUNITY HOSPITAL INC 4600 38TH STREET COLUMBUS NE 686011800 WWW.COLUMBUSHOSP.ORG 630001 X X X 47 BED ACUTE CARE HOSPITAL W/ 24 HR ER SERVICES COLUMBUS COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X 21 1 1 1 1 X SEE SECTION C X X 1 22 1 SEE SECTION C 0 1 X 130.000000000000 200.000000000000 X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 COLUMBUS COMMUNITY HOSPITAL, INC PART V, SECTION B, LINE 5: THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS WAS DEVELOPED BY AND IS RECOMMENDED FOR COMMUNITY ASSESSMENT BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). THE NEBRASKA RURAL HEALTH ASSOCIATION ALSO RECOMMENDED MAPP AS A COMMUNITY ASESSMENT FOR NEBRASKA'S COMMUNITY, NON PROFIT HOSPITALS IN ITS COMMUNITY HEALTH ASSESSMENT COLLABORATIVE PRELIMINARY RECOMMENDATIONS. THIS WAS SO THE HOSPITALS COULD COMPLY WITH NEW REQUIREMENTS FOR TAX-EXEMPT STATUS ENACTED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (SEPTEMBER 2011).MAPP ALLOWS FOR INPUT FROM PARTIES WHO REPRESENT BROAD INTERESTS IN THE COMMUNITIES. INPUT FROM DIVERSE SECTORS INCLUDING MEDICALY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND INDIVIDUALS FROM DIVERSE AGE GROUPS WAS OBTAINED THROUGH SURVEYS, TARGETED FOCUS GROUPS, OPEN PUBLIC MEETINGS AND TARGETED INVITATIONS TO COMMUNITY LEADERS AND AGENCIES.THE HOSPITAL'S PARTICIPATION IN THE CURRENT MAPP ASSESSMENT IS THE MOST THOROUGH TO DATE, WITH MORE THAN 100 INDIVIDUALS IN THE DISTRICT PARTICIPATING IN THE PROCESS. THIS DOES NOT COUNT THE 1,000 INDIVIDUAL SURVEYS OR FOCUS GROUP PARTICIPANTS. COLUMBUS COMMUNITY HOSPITAL, INC PART V, SECTION B, LINE 6A: - CHI HEALTH, SCHUYLER- GENOA COMMUNITY HOSPITAL- BOONE COUNTY HEALTH CENTER COLUMBUS COMMUNITY HOSPITAL, INC PART V, SECTION B, LINE 6B: - EAST CENTRAL DISTRICT HEALTH DEPARTMENT- GOOD NEIGHBOR COMMUNITY HEALTH CENTER COLUMBUS COMMUNITY HOSPITAL, INC PART V, SECTION B, LINE 7D: THE DETAILED ASSESSMENT AND RELATED COMPONENTS ARE AVAILABLE ON THE DISTRICT'S WEBSITE AT:HTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 9 UNDER THE 501(R) REGULATIONS, THE IMPLEMENTATION STRATEGY FOR THE 2021 CHNA WAS SUPPOSED TO BE ADOPTED BY SEPTEMBER 15, 2022. DUE TO UNFORESEEN DELAYS, THE IMPLEMENTATION WAS NOT ADOPTED UNTIL FEBRUARY 6, 2023. SCHEDULE H, PART V, LINE 10A HTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/CHIP-IMPLEMENTATION-PLAN-2021 SCHEDULE H, PART V, SECTION B, LINE 11 IN 2021, COLUMBUS COMMUNITY HOSPITAL (CCH) CONDUCTED - IN COLLABORATION WITH THE EAST CENTRAL DISTRICT HEALTH DEPARTMENT (ECDHD) AND OTHER HOSPITAL FACILITIES - A COMPREHENSIVE, JOINT CHNA FOR THE PARTICIPANTS' SHARED COMMUNITIES OF BOONE, COLFAX, NANCE, AND PLATTE COUNTIES. THE CHNA IDENTIFIED THE FIVE AREAS OF GREATEST CONCERN FOR RESIDENTS IN THESE AREAS: MENTAL HEALTH DRUG ABUSE AND MISUSEONGOING DISEASES SUCH AS HEART DISEASE, STROKE, HIGH BLOOD PRESSURE, DIABETES, CANCER AND RESPIRATORY PROBLEMSFINDING HOUSING THAT IS SAFE AND AFFORDABLE BULLYING.CCH HAS CHOSEN TO FOCUS ON ADDRESSING FOUR OF THE FIVE AREAS ON CONCERN. FOR HOUSING THAT IS SAFE AND AFFORDABLE, THE CITY OF COLUMBUS, COLUMBUS AREA CHAMBER OF COMMERCE AND HABITAT FOR HUMANITY ARE ALREADY WORKING ON THAT NEED, SO CCH IS FOCUSING ITS RESOURCES ELSEWHERE.THE HOSPITAL WILL WORK HAND IN HAND WITH THE ECDHD AND OTHER HEALTH-AND BUSINESS-RELATED AGENCIES TO ADDRESS THESE COMMUNITY NEEDS. SPECIFICALLY, CCH WILL TAKE THE LEAD IN ADDRESSING THE IDENTIFIED NEEDS OF ACCESS TO MENTAL HEALTH CARE, TREATMENT FOR DRUG ABUSE AND MISUSE, AND TREATMENT FOR ONGOING DISEASES.MENTAL HEALTH CAREPLATTE COUNTY AND THE SURROUNDING AREAS CONTINUE TO EXPERIENCE AN INCREASE IN MENTAL HEALTH CARE NEEDS-BOTH INPATIENT AND OUTPATIENT. CCH HAS TAKEN THE LEAD IN THE FOLLOWING:OBJECTIVE: ENHANCE AND EXPAND MENTAL HEALTH RESOURCES IN OUR COMMUNITY.ACTION STEP: CCH LED A COMMUNITY HEALTH INVENTORY OF WHAT EXISTS FOR MENTAL HEALTH CARE IN OUR AREA, COMMISSIONING A THIRD-PARTY CONSULTANT SURVEY OF ACCESS BEHAVIORAL HEALTH IN THE GENERAL AREA. THIS SURVEY QUANTIFIED THE MANPOWER IN THE AREA AND LOOKED AT LEAD TIME TO APPOINTMENTS.OBJECTIVE: RECRUIT TOP-LEVEL MENTAL HEALTH PHYSICIANS AND OTHER PROVIDERS TO THE AREA.ACTION STEP: CCH CONTINUED TO EXPAND COLUMBUS PSYCHIATRY CLINIC, WHICH OPENED IN 2019. THE CLINIC NOW HAS MULTIPLE PSYCHIATRISTS, NURSE PRACTITIONERS AND LICENSED INDEPENDENT MENTAL HEALTH PROVIDERS. CCH WORKED WITH BRYAN TELEHEALTH TO CREATE ACCESS TO A WIDE VARIETY OF MENTAL HEALTH EXPERTS.OBJECTIVE: CREATE AN OPTION FOR TOP-LEVEL MENTAL HEALTH CARE FOR THE GERIATRIC POPULATION.ACTION STEP: IN 2021, CCH OPENED A 10-BED SENIOR BEHAVIORAL HEALTH INPATIENT UNIT THAT EXCLUSIVELY SERVES OLDER ADULTS.OBJECTIVE: EXPAND OPTIONS FOR COMMUNITY EDUCATION ON MENTAL HELATH INITIATIVES.ACTION STEP: CCH CONTINUALLY USES EXPERTS FROM THE OUTPATIENT CLINIC TO DEVELOP EDUCATIONAL PROGRAMMING FOR THE COMMUNITY, INCLUDING SEMINARS ON ADHD, CHILDREN AND SCREEN TIME, STRESS IN CHILDREN.DRUG ABUSE AND MISUSECCH WILL WORK TO REDUCE SUBSTANCE ABUSE TO PROTECT THE HEALTH, SAFETY AND QUALITY OF LIFE FOR ALL.OBJECTIVE: CREATE AWARENESS ABOUT ANTIBIOTICS USE AND ABUSE.ACTION STEP: CCH HAS CONTINUED A PUBLIC EDUCATION CAMPAIGN THAT TEACHES OUR COMMUNITY ABOUT PROPER ANTIBIOTICS USE. WHILE ANTIBIOTICS ARE IMPORTANT HEALTH CARE TOOLS, THEY SHOULD ONLY BE USED FOR TREATING CERTAIN INFECTIONS CAUSED BY BACTERIA.OBJECTIVE: OFFER NON-ADDICTIVE OPTIONS FOR PAIN RELIEF.ACTION STEP: CCH CONTINUES TO EXPAND ITS USE OF NON-OPIOID PAIN MANAGEMENT. THE HOSPITAL'S ANESTHESIA DEPARTMENT WAS ONE OF THE FIRST IN THE STATE TO OFFER THE IOVERA TREATMENT. THIS CLINICALLY PROVEN, NON-OPIOID PAIN MANAGEMENT SOLUTION USES THE BODY'S NATURAL RESPONSE TO COLD TO RELIEVE PAIN.CCH CONTINUES TO DELIVER MATERIALS AND PROVIDE PRESENTATIONS FOR PROVIDERS ACROSS THE AREA RELATED TO OPIOID INTERVENTION.CCH CONTINUES TO OFFER TELEMEDICINE OPTIONS FOR OPIOID INTERVENTION.TREATMENT FOR ONGOING DISEASESDISEASES SUCH AS HEART DISEASE, DIABETES, STROKE, CANCER, HIGH BLOOD PRESSURE AND DIABETES CONTINUE TO TAKE LIVES AND REDUCE QUALITY OF LIFE. CCH HAS EMBARKED ON MANY COMMUNITY PARTNERSHIPS TO TACKLE THESE DISEASES HEAD-ON.OBJECTIVE: PREVENT DIABETES AND IMPROVE ADVANCED CARE FOR THOSE WITH THE DISEASE.ACTION STEP: CCH PROVIDES COMPREHENSIVE DIABETES EDUCATION FOR MEMBERS OF THE COMMUNITY. IT OFFERS SPECIALIZED CLASSES AND HOSTS DIABETES EVENTS FOR THE PUBLIC AT LEAST TWICE A YEAR.OBJECTIVE: DECREASE INCIDENCES OF HEART DISEASE IN THE COMMUNITY.ACTION STEP: IN 2022, CCH OPENED A CARDIAC CATHETERIZATION LAB AT THE HOSPITAL THAT ALLOWS DOCTORS TO PERFORM LIFESAVING CARDIAC PROCEDURES. IT ALSO OPENED COLUMBUS CARDIOLOGY CLINIC, WHICH EDUCATES THE COMMUNITY ABOUT SIGNS OF HEART DISEASE AND STEPS PEOPLE CAN TAKE TO IMPROVE THEIR HEART HEALTH.COLUMBUS CARDIOLOGY CLINIC WORKS WITH LOCAL EMPLOYERS TO OFFER FREE HEART-HEALTH SCREENINGS ON SITE, SO THAT EMPLOYEES CAN LEARN WHETHER THEY ARE AT RISK FOR A HEART EVENT.OBJECTIVE: DECREASE OBESITY AND PROVIDE OPTIONS FOR PHYSICAL ACTIVITY IN THE COMMUNITY.ACTION STEP: IN JANUARY 2024, THE HOSPITAL OPENED A 240,000-SQUARE-FOOT FIELDHOUSE, WHICH OFFERS THE COMMUNITY A PLETHORA OF INDOOR RECREATIONAL OPTIONS. IN AN AREA OF THE COUNTRY WHERE PEOPLE SPEND MUCH OF THEIR TIME INDOORS FOR HALF THE YEAR, THE COLUMBUS FIELDHOUSE ENCOURAGES PHYSICAL ACTIVITY NO MATTER THE WEATHER, WHICH DECREASES COMMUNITY MEMBERS' RISK FOR HEART DISEASE, STROKE AND OTHER CHRONIC DISEASES.UP UNTIL DECEMBER 2023, CCH OFFERED WALK WITH A DOC ON A MONTHLY BASIS. IT WAS A WALKING PROGRAM THAT TOOK PLACE AT VARIOUS LOCATIONS AROUND THE COMMUNITY. LOCAL HEALTH CARE PROVIDERS PRESENTED A HEALTH-BASED TOPIC TO THE GROUP, FOLLOWED BY A 45-50 MINUTE WALK WITH THE PROVIDER. THE PURPOSE OF THE WALK WAS TO ENCOURAGE PHYSICAL ACTIVITY AND ALLOW COMMUNITY MEMBERS TO MEET NEW AND ESTABLISHED PHYSICIANS AND HEALTH CARE PROVIDERS FROM AROUND THE COLUMBUS AREA.CCH CONTINUES TO WORK WITH LOCAL RESTAURANTS, ENCOURAGING THEM TO ADD HEALTHY FOODS TO THEIR MENUS SO MEMBERS OF THE COMMUNITY HAVE OPTIONS WHEN THEY GO OUT TO EAT.CCH CONTINUES TO WORK WITH LOCAL CHURCHES TO OFFER THE WALK TO BETHLEHEM AND THE WALK TO JERUSALEM, WALKING PROGRAMS THAT ENCOURAGE PARTICIPANTS TO WALK VIRTUALLY THE DISTANCE FROM COLUMBUS TO BETHLEHEM AND JERUSALEM, RESPECTIVELY.OBJECTIVE: PROVIDE COMPREHENSIVE CARE FOR CANCER PATIENTS.ACTION STEP: IN 2022, THE HOSPITAL ACQUIRED COLUMBUS CANCER CARE, AN OUTPATIENT CLINIC THAT PROVIDES RADIATION ONCOLOGY SERVICES. THIS IS THE FIRST STOP TOWARD CREATING A CANCER CENTER CONCEPT - A FACILITY WHERE COMMUNITY MEMBERS CAN RECEIVE ALL THE CANCER SERVICES THEY NEED IN ONE LOCATION.BULLYINGBULLYING - BOTH IN-PERSON AND ONLINE - IS AN ONGOING PROBLEM FOR CHILDREN OF ALL AGES. CCH HAS PARTNERED WITH SMART GEN SOCIETY TO SPECIFICALLY ADDRESS CHALLENGES FACING CHILDREN IN THE DIGITAL LANDSCAPE.OBJECTIVE: DECREASE SOCIAL MEDIA BULLYINGACTION STEP: CCH BROUGHT IN EXPERTS FROM SMART GEN SOCIETY, AN ORGANIZATION THAT OFFERS PREVENTIVE WORKSHOPS AND RESOURCES FOR PARENTS, TEACHERS, SPORTS TEAMS AND BUSINESSES. THESE EXPERTS PROVIDED EDUCATIONAL PROGRAMMING THAT FOCUSED ON DECREASING BULLYING IN THE DIGITAL LANDSCAPE. SCHEDLE H, PART V, SECTION B, LINE 11 (CONT'D) OTHER NEEDS ADDRESSED:ACCESS TO HEALTH CAREOBJECTIVE: UPDATE OUR FACILITIES TO OFFER OUR PATIENTS THE MOST COMPREHENSIVE, HIGH-QUALITY CAREACTION STEP: IN FALL 2021, CCH COMPLETED CONSTRUCTION ON A $35-MILLION RENOVATION PROJECT THAT STARTED IN APRIL 2019. THE LARGEST STRUCTURAL CHANGE AS PART OF THE PROJECT WAS A NEW, EXPANDED SURGICAL SERVICES AREA. IT INCLUDES OPERATING ROOMS, A PRE & POST-OP AREA, A NEW OP SURGERY DEPARTMENT AND A POST ANESTHESIA CARE UNIT. THE HOSPITAL'S MATERNAL CHILD HEALTH DEPARTMENT ALSO RECEIVED UPGRADES AS PART OF THE RENOVATION AND THE UPDATED UNIT OPENED IN MARCH 2021. IT NOW OCCUPIES 18,400 SQUARE FEET, WHICH IS NEARLY DOUBLE ITS PREVIOUS SIZE. THE SECURE UNIT INCLUDES 8 LDRP ROOMS; A SURGICAL SUITE; 4 POSTPARTUM ROOMS; AND A LARGER NICU. A SEPARATE ADDITION ON THE FIRST FLOOR HOUSES SEVERAL DEPARTMENTS THAT WERE RELOCATED, INCLUDING A RENOVATED CARDIOPULMONARY REHAB DEPARTMENT, WHICH NOW OFFERS MORE SPACE FOR THE DEPARTMENT'S EXERCISE EQUIPMENT. SEVERAL OTHER AREAS OF THE HOSPITAL WERE ALSO RENOVATED OR IMPROVED DURING THE PROJECT, INCLUDING THE RADIOLOGY DEPARTMENT. AS PART OF THE PROJECT, CCH OPENED A 10-BED SENIOR BEHAVIORAL HEALTH UNIT, WHICH OFFERS MENTAL HEALTH CARE FOR PATIENTS AGES 65 AND OLDER. SINCE THE UNIT OPENED IN SEPTEMBER 2021, IT HAS PROVIDED MUCH-NEEDED MENTAL HEALTH SERVICES TO THE COMMUNITY. IN SPRING 2022, CCH OPENED A NEW 1,150-SQUARE-FOOT CARDIAC CATH LAB, WHICH HAS THE LATEST IMAGING AND MONITORING TECHNOLOGY. IT WAS PART OF THE EXPANSION AND RENOVATION PROJECT. THE CATH LAB PUTS TIME ON A PATIENT'S SIDE. IT ALLOWS DOCTORS TO PERFORM MINIMALLY INVASIVE TESTS AND PROCEDURES TO DIAGNOSE AND TREAT HEART DISEASE ON-SITE, REDUCING THE TIME FROM DIAGNOSIS TO RESTORED BLOOD FLOW. IN THE PAST, MEDICAL PROFESSIONALS NEEDED TO TRANSPORT CRITICALLY ILL PATIENTS TO LARGE FACILITIES THAT HAD CARDIAC CATH LABS.OBJECTIVE: BRING IN NEW TECHNOLOGY TO OFFER INCREASED SERVICES IN OUR COMMUNITYACTION STEP: THE CONSTRUCTION PROJECT CCH STARTED IN 2019 AND COMPLETED IN 2021 HAS INTRODUCED NEW AND IMPROVED TECHNOLOGY AND EQUIPMENT THROUGHOUT THE HOSPITAL. FOR EXAMPLE, RENOVATIONS IN THE RADIOLOGY DEPARTMENT ALLOWED FOR THE ADDITION OF A NEW SYSTEM FOR INTERVENTIONAL RADIOLOGY AND CARDIOLOGY PROCEDURES, A NEW CT SCANNER THAT OFFERS SHORTER SCAN TIMES AND IMPROVED IMAGING, A NEW MRI MACHINE AND NEW EQUIPMENT FOR TOMOSYNTHESIS SCANS AND HIGH-DEFINITION BREAST BIOPSIES. IN AUGUST 2021, CCH BECAME ONE OF JUST 2 HOSPITALS IN THE STATE TO START OFFERING INSPIRE SURGERY, AN OPTION FOR PEOPLE WHO SUFFER FROM SLEEP APNEA. THE SURGERY IMPLANTS A SMALL DEVICE IN PATIENTS' CHEST THAT HELPS THEM BREATHE WHILE THEY SLEEP. IT IS AN EFFECTIVE ALTERNATIVE TO CPAP MACHINES. IN SEPTEMBER 2021, THE HOSPITAL BEGAN PERFORMING SURGERIES USING THE DA VINCI XI ROBOTIC SYSTEM. THE SYSTEM ALLOWS FOR GREATER CAPABILITIES IN THE OPERATING ROOM WHILE PROVIDING A MINIMALLY INVASIVE SURGERY OPTION FOR PATIENTS. OBJECTIVE: EXPAND CANCER CARE OFFERINGS IN THE COMMUNITYACTION STEP: TO BETTER SERVE AREA RESIDENTS WHO HAVE BEEN DIAGNOSED WITH CANCER, CCH DEVELOPED A PATIENT NAVIGATION PROGRAM & CREATED THE POSITIONS OF ONCOLOGY NURSE NAVIGATOR & ONCOLOGY SOCIAL WORKER. IN DECEMBER 2021, CCH ACQUIRED COLUMBUS CANCER CARE, A RADIATION ONCOLOGY PRACTICE. THIS IS A CRUCIAL FIRST STEP TOWARD CREATING A CANCER CENTER.OBJECTIVE: RECRUIT QUALITY PHYSICIANS TO MEET THE GROWING NEEDS OF THE COMMUNITIES WE SERVEACTION STEP: PHYSICIAN AND MIDLEVEL RECRUITMENT; 2021: GROSS 37, NET 30, 2022; GROSS 42, NET 42.OBJECTIVE: ENHANCE HEALTH CARE OFFERINGS BY EXPANDING TELEHEALTH SERVICESACTION STEP: CCH CONTINUED TO OFFER THE TELESTROKE PROGRAM, E-MENTAL HEALTH TRIAGE & THE TELESTEWARDSHIP PROGRAM. THESE PROGRAMS ALLOW CCH PATIENTS TO INTERACT WITH HEALTH SPECIALISTS IN LARGER COMMUNITIES. TELESTROKE ALLOWS CCH PATIENTS TO CONSULT WITH A NEBRASKA MEDICINE NEUROLOGIST WITHOUT HAVING TO LEAVE COLUMBUS. OBJECTIVE: INCREASE ACCESS TO CANCER SCREENINGSACTION STEP: CCH OFFERS LOW-DOSE CT LUNG SCREENINGS TO QUALIFYING PATIENTS WHO WERE REFERRED BY THEIR DOCTOR. CCH'S COLUMBUS ENT CLINIC HAS ALSO OFFERED ORAL, HEAD & NECK CANCER SCREENINGS.OBJECTIVE: MAKE THE EHEALTH LIBRARY ON THE CCH WEBSITE A GOOD RESOURCE FOR THE PUBLICACTION STEP: THE EHEALTH LIBRARY & THE CCH WEBSITE CONTINUE TO BE UPDATED WITH THE NEWEST INFORMATION ON SERVICE LINES & RESOURCES. IT CONTINUES TO BE A REPUTABLE RESOURCE FOR ALL.OBJECTIVE: EXPAND THE VISITING PHYSICIANS CLINIC TO INCREASE OFFICE HOURS AND PHYSICIAN RECRUITMENT FOR MULTIPLE SPECIALTIES AND LOCAL PRIMARY CARE CLINICS.ACTION STEP: THE HOSPITAL CONTINUES ITS PHYSICIAN RECRUITMENT AND OFFERS INCREASED ACCESS TO THE VISITING PHYSICIANS CLINIC.OBJECTIVE: BRING ADDITIONAL MEDICAL SERVICES TO THE COMMUNITY BY OPENING OR ACQUIRING NEW CLINICSACTION STEP: IN JUNE 2021, CCH ACQUIRED COLUMBUS SURGERY CENTER, A FACILITY THAT OFFERS OPHTHALMOLOGY, PAIN AND ENDOSCOPY PROCEDURES. DR. PETER DIEDRICHSEN, A GENERAL OPHTHALMOLOGIST WHO OPENED THE CENTER, WANTED TO TRANSITION OWNERSHIP. HOSPITAL LEADERSHIP FELT THAT PURCHASING THE PRACTICE WOULD ALLOW CONTINUED PATIENT CARE AT THE CENTER AND EXPAND THE HOSPITAL'S SERVICES LINES TO INCLUDE OPTHALMOLOGY. IN DECEMBER 2021, CCH ACQUIRED COLUMBUS CANCER CARE, A RADIATION ONCOLOGY PRACTICE. THIS IS A CRUCIAL FIRST STEP TOWARD CREATING A CANCER CENTER. IN SPRING 2022, THE HOSPITAL ANNOUNCED A PARTNERSHIP WITH THE LINDSAY AREA INVESTMENT CLUB TO BRING A PRIMARY CARE CLINIC TO LINDSAY, NE. THE LINDSAY MEDICAL CLINIC WOULD BE IN THE OLD 5FERS XPRESS BUILDING ON PINE STREET.OBJECTIVE: INCREASE ACCESS TO THE HOSPITAL FOR PATIENTS WHO HAVE TROUBLE WALKINGACTION STEP: CCH CONTINUES TO PROVIDE VIP: VERY IMPORTANT PATIENT VALET PARKING TO PATIENTS AND FAMILIES AT NO COST. THE SERVICE IS INTENDED TO PROVIDE PATIENTS AND OTHER VISITORS WITH A QUICK ENTRANCE TO THE HOSPITAL TO IMPROVE THEIR EXPERIENCE AT CCH. SCHEDLE H, PART V, SECTION B, LINE 11 (CONT'D) OBJECTIVE: INCREASE ACCESS TO HEALTH CARE TRAININGACTION STEP: CCH CONTINUES TO OFFER STOP THE BLEED, A NATIONAL PROGRAM THAT TEACHES MEMBERS OF THE PUBLIC HOW TO CONTROL MASSIVE BLEEDING USING DRESSINGS, TOURNIQUETS AND THEIR OWN HANDS. UNCONTROLLED BLEEDING CAN CAUSE DEATH WITHIN MINUTES. SO, IN SITUATIONS WHEN EMERGENCY RESPONSE IS DELAYED-SUCH AS NATURAL DISASTERS, ACTIVE SHOOTER SITUATIONS OR EXPLOSIVE EVENTS-IT BECOMES PARTICULARLY IMPORTANT FOR EVERYDAY CITIZENS TO KNOW HOW TO STOP BLEEDING.OBJECTIVE: WORK TO CONTINUALLY IMPROVE PATIENT'S ACCESS TO HEALTH CARE & THE QUALITY OF HEALTH CARE THEY RECEIVEACTION STEP: CCH CONTINUED TO USE A PATIENT-CENTERED METHODOLOGY CALLED LEAN HEALTHCARE. THE ULTIMATE GOAL BEHIND LEAN IS TO ELIMINATE WASTE, IMPROVE PROCESSES & INCREASE OVERALL PATIENT SATISFACTION. CCH HAS BEEN WORKING TO CREATE A CULTURE SURROUNDING THESE SIMPLE GOALS. EMPLOYEES ARE ENCOURAGED TO TAKE PART IN THE PRACTICE & SHARE ANY IDEAS THEY HAVE TO IMPROVE QUALITY OF CARE IN THE FACILITY. THE HOPE IS TO IMPROVE PATIENT CARE, PATIENT SATISFACTION, STAFF SATISFACTION & REGULATORY COMPLIANCE, AS WELL AS REDUCE INVENTORY, COSTS, MORTALITY RATES & MORBIDITY RATES.OBJECTIVE: INCREASE ACCESS TO HEALTH CARE INFORMATIONACTION STEP: CCH CONTINUES TO OFFER A LITTLE FREE LIBRARY ON ITS CAMPUS. THE LITTLE FREE LIBRARY, WHICH IS LOCATED NEAR THE CCH CHILD CARE CENTER AT 3970 HEALTH PARKWAY, IS ACCESSIBLE TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK. THE PURPOSE OF THE LIBRARY IS TO ENCOURAGE READING IN COMMUNITY MEMBERS OF ALL AGES. CCH FILLED THE LIBRARY WITH BOOKS TO TEACH CHILDREN ABOUT HEALTH AND WELLNESS. SPANISH AND ENGLISH BOOKS ARE INCLUDED.OBJECTIVE: OFFER ADDITIONAL SUPPORT TO PATIENTS WITH PARKINSON'S DISEASEACTION STEP: CCH'S REHABILITATIVE SERVICES CONTINUED OFFERING ROCK STEADY BOXING CLASSES AT THE COLUMBUS WELLNESS CENTER. ROCK STEADY BOXING IS A NONPROFIT ORGANIZATION THAT GIVES PEOPLE WITH PARKINSON'S DISEASE HOPE BY IMPROVING THEIR QUALITY OF LIFE THROUGH A NONCONTACT, BOXING-BASED FITNESS CURRICULUM. THE INTERNATIONAL CLASSES, DELIVERED LOCALLY NOW, HAVE PROVEN THAT ANYONE, IN ANY STAGE OF PARKINSON'S, CAN LESSEN THEIR SYMPTOMS AND LEAD A HEALTHIER AND HAPPIER LIFE. SCIENCE IS SHOWING THAT INTENSIVE EXERCISES, LIKE THOSE PERFORMED IN ROCK STEADY BOXING, MAY BE NEURO-PROTECTIVE, ACTUALLY SLOWING DISEASE PROGRESSION AND LOSS OF FUNCTIONAL ABILITIES. IN SPRING 2021, 19 COLUMBUS COMMUNITY HOSPITAL REHABILITATIVE SERVICES STAFF MEMBERS BECAME CERTIFIED IN PWR!MOVES, A PARKINSON-SPECIFIC TRAINING PROGRAM THAT HELPS PATIENTS MAINTAIN OR RESTORE SKILLS THAT HAVE DETERIORATED AND INTERFERE WITH EVERYDAY MOVEMENTS.OBJECTIVE: TO OFFER LONG-TERM, RECURRING HEALTH EDUCATION EVENTS & ONE-TIME EVENTS THAT GIVE COMMUNITY MEMBERS AN OPPORTUNITY TO LEARN MORE ABOUT THEIR HEALTH & HOW TO MANAGE ITACTION STEP: CCH OFFERS A VARIETY OF LONG-TERM, RECURRING EVENTS THAT HELP COMMUNITY MEMBERS LEARN MORE ABOUT THEIR HEALTH, INCLUDING: LUNCH AND LEARN EVENTS THAT PROVIDE COMMUNITY MEMBERS WITH INFORMATION ABOUT TOPICS INCLUDING: FOOD TRENDS AND DEPARTMENT OF TRANSPORTATION GUILDLINES, BUMP AND BEYOND PREPARED CHILDBIRTH CLASSES THAT TEACH PARENTS ABOUT LABOR AND DELIVERY, COMFORT TECHNIQUES, NEWBORN CARE AND MORE.OBJECTIVE: OFFER PATIENT TRANSPORTATION FOR CCH PATIENTSACTION STEP: CCH CONTINUED TO CONTRACT WITH CHECKER CAB COMPANY TO PROVIDE 24/7 ACCESS CAB SERVICE AVAILABLE FOR PATIENTS UP TO A 150-MILE DISPOSITION RADIUS. CCH CONTINUED OFFERING THE VERY IMPORTANT PATIENT (VIP) TRANPORTATION SERVICE TO INCREASE ACCESS TO HEALTHCARE. THE CURB-TO-CURB SERVICE PROVIDES FREE TRANSPORTATION FOR NON-EMERGENCY PATIENTS WHO HAVE NO OTHER MEANS OF TRANSPORTATION. THE DRIVERS BRING THE PATIENTS TO THEIR APPOINTMENTS & TAKE THEM HOME AFTERWARD. WHILE THE MAJORITY OF RIDES ARE PROVIDED TO PATIENTS IN COLUMUBS, THE SERVICE HAS BEEN EXTENDED AS FAR AS CENTRAL CITY, WHICH IS ABOUT 40 MILES AWAY.OBJECTIVE: OFFER LONG-TERM PROGRAMS & SUPPORT TO COMMUNITY MEMBERS WITH CHRONIC HEALTH ISSUESACTION PLAN: CCH CONTINUED TO OFFER SUPPORT GROUPS AND ACTIVITIES, INCLUDING THE FOLLOWING: DIABETES ACTIVITY GROUP, COMPREHENSIVE DIABETES GROUP, ADVANCED CARBOHYDRATE COUNTING CLASS, CONTROL DIABETES FOR LIFE, LOUD CROWD EXERCISE GROUP, TBI/STROKE SUPPORT GROUP AND THE AMERICAN CANCER SOCIETY'S LOOK GOOD-FEEL BETTER PROGRAM.OBJECTIVE: PROVIDE THE NECESSARY RESOURCES TO PROTECT COMMUNITY MEMBERS FROM COVID-19ACTION STEP: IN SPRING 2020, CCH CREATED MARKETING CAMPAIGNS THAT URGED COMMUNITY MEMBERS TO STAY SAFE & STAY HOME & IMPLEMENTED INTERNAL SAFETY PRECAUTIONS SUCH AS VISITOR RESTRICTIONS COVID-19 SCREENINGS & MASK REQUIREMENTS. IT ALSO CANCELLED HOSPITAL EVENTS OR MOVED THEM ONLINE. IN MAY 2020, CCH HIRED & TRAINED MEDICAL SCREENERS WHO STARTED PERFORMING COVID-19 SCREENINGS AT LOCAL BUSINESSES OFFICES & MANUFACTURING PLANTS. IN JUNE 2020, CCH BECAME A TESTNEBRASKA SITE & STARTED OFFERING DRIVE-THRU COVID-19 TESTING. THE TESTNEBRASKA INITIATIVE WAS A PARTNERSHIP BETWEEN THE STATE GOVERNMENT & PRIVATE COMPANIES TO INCREASE COVID-19 TESTING & REDUCE THE VIRUS' SPREAD. IN JANUARY 2021, CCH BEGAN COLLABORATING WITH THE EAST CENTRAL DISTRICT HEALTH DEPARTMENT TO ADMINISTER COVID-19 VACCINES TO THE PUBLIC. IN APRIL 2021, CCH ANNOUNCED IT WAS CLOSING ITS TESTNEBRASKA SITE, EFFECTIVE AT THE END OF THE MONTH, AS MORE TESTING OPTIONS HAD BECOME AVAILABLE AT CLINICS AND RETAIL PHARMACIES. AT THE END OF APRIL 2021, CCH HAD LARGELY RESUMED ALL ITS USUAL OPERATIONS, EVEN AS IT MAINTAINED SEVERAL COVID-19 SAFETY PRECAUTIONS. THROUGHOUT THE COVID-19 PANDEMIC, CCH HAS WORKED HARD TO PROVIDE LOCAL RESIDENTS WITH RELIABLE HEATLH CARE INFORMATION THROUGH MARKETING CAMPAIGNS, ITS WEBSITE AND ITS SOCIAL MEDIA CHANNELS. IT ALSO POSTED A SERIES OF EDUCATIONAL VIDEOS ON ITS WEBSITE AND ITS SOCIAL MEDIA CHANNELS. IN THESE VIDEOS, LOCAL PUBLIC HEALTH EXPERTS, INCLUDING CCH PHYSICIANS, GIVE UP-TO-DATE INFORMATION ON THE VIRUS, HOSPITAL RECOURCE, VACCINES, SAFETY GUIDANCE, MASKS AND MORE. SCHEDLE H, PART V, SECTION B, LINE 11 (CONT'D) IMPLEMENTATION STRATEGYOBESITYOBJECTIVE: BUILD FACILITIES THAT INCREASE COMMUNITY MEMBERS' ACCESS TO EXERCISE AND WELLNESS OPPORTUNITIESACTION STEP: CCH IS CONTINUING WITH ITS PLANS TO BUILD A NEW FIELDHOUSE. THE MULTIPURPOSE FIELDHOUSE WILL BE AN INDOOR SPORTS AND FITNESS FACILITY THAT WILL PROVIDE EXERCISE AND WELLNESS OPPORTUNITIES FOR ALL AGES. INITIAL DESIGNS OF THE FACILITY ANTICIPATE IT WILL BE APPROXIMATELY 260,000 SQUARE FEET AND COST APPROXIMATELY $34 MILLION. THE HOSPITAL BROKE GROUND ON THE FIELDHOUSE IN FALL 2021, AND LEADERS EXPECT TO OPEN THE FACILITY IN EARLY 2024. THE FIELDHOUSE WILL OFFER A WIDE VARIETY OF FITNESS AND RECREATION AREAS, BOTH INDOOR AND OUTDOOR. IT ALSO WILL HAVE RUNNING AND WALKING TRACKS AND SPACE FOR SOME OF CCH'S PHYSICAL THERAPY AND REHABILITATION SERVICES. CCH WILL MANAGE AND OPERATE THE FACILITY, BUT THE YMCA ALSO WILL OFFER PROGRAMS AND ACTIVITIES THERE.OBJECTIVE: OFFER SPECIAL EVENTS TO ENCOURAGE COMMUNITY MEMBERS TO INCREASE THEIR PHYSICAL ACTIVITY, AND IMPROVE THEIR OVERALL HEALTHACTION STEP: PROMOTED INCREASED PHYSICAL ACTIVITY THROUGH A VARIETY OF PROGRAMS AND SPECIAL EVENTS, INCLUDING, THE PLATTE COUNTY LIFESTYLE COALITION, WHICH IS A PROGRAM OF CCH. CCH HAS SPONSORED MANY FITNESS-BASED PROGRAMS INCLUDING: PARK YOUR CHAIR AND WALK THE SQUARE, AN INITIATIVE DURING THE SUMMER LAWN CHAIRS ON THE SQUARE CONCERT SERIES IN WHICH SPECTATORS ARE ENCOURAGED TO WALK FOR A HALF HOUR PRIOR TO THE EVENT. WALK TO BETHLEHEM, A CHRISTMAS-TIME EVENT IN WHICH CONGREGATIONS AND INDIVIDUAL FAMILY MEMBERS WORK TOGETHER TO WALK THE SAME NUMBER OF MILES AS THEY WOULD IF THEY WERE WALKING TO JERUSALEM.OBJECTIVE: IMPROVE COMMUNITY MEMBERS' HEALTH & NUTRITION THROUGH THE USE OF EDUCATIONAL PROGRAMS & EVENTSACTION STEP: CCH OFFERED A VARIETY OF PROGRAMS AND EVENTS TO TEACH COMMUNITY MEMBERS HOW TO IMPROVE THEIR NUTRITION AND THEREFORE THEIR OVERALL HEALTH. CCH HAS OFFERED THE NATIONAL DIABETES PREVENTION PROGRAM SINCE 2017. IN THIS YEARLONG PROGRAM, PARTICIPANTS WORK WITH A TRAINED LIFESTYLE COACH TO MAKE HEALTHY CHANGES TO THEIR LIFESTYLE. CCH CONTINUED TO OFFER THE CHIP PROGRAM TO PROMOTE EVIDENCE-BASED MEDICAL GUIDELINES TO HELP COMMUNITY MEMBERS LIVE A HEALTHY LIFESTYLE. THE CHIP PROGRAM CONTINUES TO GROW AND EXPAND. THE PROGRAM IS OFFERED TO PHYSICIAN-REFERRED CLIENTS AND HAS BEEN EXPANDED TO THE GENERAL PUBLIC. PARTICIPANTS HAVE SEEN MARKED REDUCTIONS IN THEIR CHOLESTORAL LEVELS AND EXCESS WEIGHT. CCH ALSO CONTINUED TO OFFER CLUB CHIP, A SUPPORT GROUP FOR PEOPLE WHO HAVE SUCCESSFULLY COMPLETED THE CHIP PROGRAM. CLUB CHIP MEETINGS ARE HELD ONCE MONTH FROM 5:30-6:30 PM IN THE COLUMBUS WELLNESS CENTER'S MULTIPURPOSE ROOM. HEALTHY COOKING DEMONSTRATION CLASSES LED BY CCH DIETITIANS ARE OFFERED MONTHLY. IN THIS LOW-COST PROGRAM, COMMUNITY MEMBERS CAN SEE A DEMONSTARTION AND OBTAIN A COLLECTION OF EASY AND HEALTHY RECIPES. CCH DIETITIANS ALSO OFFER FOOD THOUGHT SESSIONS WEEKLY. THESE FREE, EDUCATIONAL EVENTS GIVE COMMUNITY MEMBERS THE OPPORTUNITY TO GET ONE-ON-ONE TIME WITH A DIETITIAN TO GET THEIR HEALTH AND NUTRITION QUESTIONS ANSWERED.OBJECTIVE: TO OFFER FITNESS PROGRAMS & CLASSES THAT HELP PEOPLE OF ALL LEVELS OF FITNESS GET MORE PHYSICAL ACTIVITYACTION STEP: CCH CONTINUED THE WALK WITH A DOC PROGRAM WHICH WAS DESIGNED TO GET COMMUNITY MEMBERS OUTSIDE & EXERCISING. IN THIS PROGRAM, HELD ONCE A MONTH IN VARIOUS LOCATIONS ACROSS COLUMBUS, CCH HEALTH CARE PROVIDERS SHARE INFORMATION ABOUT HEALTH & WELLNESS TOPICS WHILE THEY WALK WITH COMMUNITY MEMBERS. THESE WALKS ARE HELD IN THE EVENINGS FOR ABOUT AN HOUR. THE PROGRAM WAS DESIGNED TO PROMOTE PHYSICAL ACIVITY IN PEOPLE OF ALL AGES IN ORDER TO REVERSE THE CONSEQUENCES OF A SEDENTARY LIFESTYLE.OBJECTIVE: WORK WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO INCREASE HEALTH & FITNESS OFFERINGSACTION STEP: CCH, ALONG WITH COLUMBUS IN ACTION INC. CONTINUED TO OFFER A BIKE-SHARE PROGRAM. THE PROGRAM LETS COMMUNITY MEMBERS RENT A BICYCLE FOR A SMALL FEE. THE BIKES ARE AVAILABLE AT THE RAMADA-RIVER'S EDGE CONVENTION CENTER, CCH & THE COLUMBUS WELLNESS CENTER. RIDERS CAN PICK & RETURN THE BIKES AT THESE LOCATIONS USING A FREE APP ON THEIR SMARTPHONES. THE BIKE-SHARE PROGRAM WAS CREATED TO PROVIDE A LOW-COST RECREATIONAL ACTIVITY TO COMMUNITY MEMBERS & PROMOTE HEALTH & WELLNESS THROUGHOUT THE COMMUNITYOBJECTIVE: INCREASE OPPORTUNITIES TO BE ACTIVE IN THE COMMUNITYACTION STEP: CCH WAS AWARDED A $1,500 COMMUNITY CHANGE GRANT FROM THE AMERICA WALKS ORGANIZATION. COLUMBUS WAS 1 OF 19 COMMUNITIES CHOSEN FROM MORE THAN 400 APPLICATIONS TO RECEIVE FUNDING & WORK WITH AMERICA WALKS THROUGHOUT 2020. AS PART OF THE GRANT, THE COMMUNITY WILL RECEIVE FUNDING TO HELP CREATE SAFE, ACCESSIBLE & ENJOYABLE PLACES TO WALK.OBJECTIVE: EDUCATE AREA CHILDREN ABOUT HEALTH & WELLNESSACTION STEP: IN 2020, CCH ADDED A NEW LITTLE FREE LIBRARY TO ITS CAMPUS. THE LITTLE FREE LIBRARY, LOCATED NEAR THE CHILD CARE CENTER IS ACCESSIBLE TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK. THE PURPOSE OF THE LIBRARY IS TO ENCOURAGE READING IN COMMUNITY MEMBERS OF ALL AGES. CCH WILL INTIALLY FILL THE LIBRARY WITH BOOKS TO INFORM CHILDREN ABOUT HEALTH & WELLNESS. SPANISH AND ENGLISH BOOKS WILL BE INCLUDED.IMPLEMENTATION STRATEGYFAMILY SUPPORTCCH OPENED THE 13,000 SQUARE-FOOT CCH CHILD CARE CENTER IN FALL 2017. IT CONTINUES TO CARE FOR MORE THAN 100 CHILDREN FROM 6 WEEKS TO 13 YEARS OF AGE. CCH CONTINUED ITS HEALTHY FAMILIES NETWORK, A HOME VISITATION PROGRAM THAT WORKS WITH YOUNG, AT-RISK FAMILIES IN PLATTE, COLFAX, BOONE & NANCE COUNTIES. THE PROGRAM OFFERS SUPPORT TO MORE THAN 340 FAMILIES. IT HELPS YOUNG FAMILIES WHO NEED SUPPORT & EDUCATION & TEACHES PARENTS ABOUT THE IMPORTANCE OF THE FIRST 4 YEARS OF A CHILD'S LIFE. IT OFFERS HOME VISITS TO MOTHERS, STARTING IN THE 2ND TRIMESTER & CONTINUES UNTIL THE CHILDREN ARE 3 YEARS OLD. THE PROGRAM IS OFFERED TO THE COMMUNITY AT NO CHARGE TO THE FAMILIES. CCH ALSO CONTINUED ITS BABY CARE & BREASTFEEDING CLASSES & ITS BUMP & BEYOND SERIES OF CLASSES FOR EXPECTING PARENTS. CCH CONTINUES TO SUPPORT LOCAL FAMILIES WHOSE FIRST LANGUAGE IS NOT ENGLISH BY OFFERING FREE INTERPRETER SERVICES AT THE HOSPITAL. CCH CONTINUES TO PARTICIPATE IN KIDS SAFETY DAY, WHERE AREA FAMILIES CAN LEARN SAFETY TIPS FROM LOCAL EXPERTS. THE EVENT INCLUDES DEMONSTRATIONS AND DISPLAYS THAT ALLOW CHILDREN AND TEENS TO LEARN ABOUT FIRE, SEAT BELT AND POWERLINE SAFETY, AMONG OTHER IMPORTANT TOPICS. CCH CONTINUED TO OFFER SUPPORT FOR FAMILIES WHO HAD SUFFERED THE LOSS OF A PREGNANCY WITH THEIR PRECIOUS H.E.A.R.T.S. INTERFAITH MEMORIAL SERVICE. THIS ANNUAL MEMORIAL SERVICE IS HELD EACH OCTOBER TO COINCIDE WITH NATIONAL PREGNANCY LOSS & INFANT DEATH MONTH. INDIVIDUALS WHO HAVE EXPERIENCED A PREGNANCY LOSS ARE WELCOME TO ATTEND, ALONG WITH THEIR FAMILY & FRIENDS. SCHEDLE H, PART V, SECTION B, LINE 11 (CONT'D) IMPLEMENTATION STRATEGYSUBSTANCE ABUSETO DECREASE THE USE AND ABUSE OF OPIOIDS, CCH EXPLORED NON-OPIOID TREATMENT OPTIONS. THE CCH ANESTHESIA DEPARTMENT IS NOW DOING MORE THAN A DOZEN DIFFERENT NERVE BLOCKS TO HELP PROVIDE POSTOPERATIVE PAIN RELIEF. THIS INCLUDES NERVE BLOCKS FOR GENERAL, OBSTETRIC AND ORTHOPEDIC PATIENTS. CCH'S CRNAS ARE ALSO UTILIZING ENHANCE RECOVERY AFTER SURGERY. IOVERA WAS ANOTHER ONE OF THE NON-OPIOID OPTIONS USED TO TREAT PAIN. THE IOVERA TREATMENT IS A CLINCALLY PROVEN, NON-OPIOID, LONG-LASTING PAIN MANAGEMENT SOLUTION THAT USES THE BODY'S NATURAL RESPONSE TO COLD TO RELIEVE PAIN. THE IOVERA TREATMENT IS BASED UPON THE WELL-ESTABLISHED PRINCIPLES OF CRYONEUROLYSIS. THE IOVERA SYSTEM USED AN INNOVATIVE PROCESS TO FORM A TARGETED COLD ZONE SURROUNDING PERIPHERAL NERVE TISSUE TO IMMEDIATELY BLOCK THE NERVE FROM SENDING PAIN SIGNALS. THE SYSTEM IS SPECIFICALLY DESIGNED TO CREATE A TEMPORARY, REVERSIBLE NERVE BLOCK THROUGH A PROCESS CALLED WALLERIAN DEGENERATION, THAT IS FOLLOWED BY PREDICTABLE REGENERATION OF THE NERVES. CCH CONTINUES TO OFFER AN OPIOD INTERVENTION PROGRAM. THE PROGRAM IS OFFERED THROUGH BRYAN HEALTH'S BRYAN INDEPENDENCE CENTER, A SUBSTANCE USE TREATMENT CENTER WHICH OFFERS INPATIENT AND OUTPATIENT TREATMENT FOR SUBSTANCE ABUSE. CCH'S OPIOID INTERVENTION PROGRAM IS AN EXTENSION OF THE INDEPENDENCE CENTER'S INTERVENTION NURSE CONSULTATION PROGRAM. IN THE PROGRAM, CCH PHYSICIANS CAN REFER PATIENTS WHO ARE MISUSING OPIOIDS/OPIATES TO A TELEMEDICINE SUBSTANCE USE ASSESSMENT WITH ONE OF BRYAN'S SPECIALIZED INTERVENTION NURSES. THE NURSE WILL DO A FULL SUBSTANCE USE VALUATION ON THE PATIENT AND PROVIDE DIAGNOSES AND RECOMMENDED TREATMENT OPTIONS, IF APPLICABLE. FROM THERE, THE PATIENT'S EVALUATION CAN BE FORWARDED TO SUBSTANCE USE TREATMENT AGENCIES, IF THAT IS WHAT THE PATIENT WISHES TO DO. CCH CONTINUES TO USE THE SERVICES OF ITS FIRST CHAPLAIN, MARY JO "MITCH" SHEMEK. SHE PROVIDES SPIRITUAL CARE AND EMOTIONAL SUPPORT FOR STAFF, PATIENTS AND PATIENTS' FAMILIES; FACILITATES VISITS; AND CONNECTS PATIENTS WITH THEIR PASTORS, IF REQUESTED.IMPLEMENTATION STRATEGYBEHAVIORAL HEALTHOBJECTIVE: CONTINUE TO ENHANCE THE BEHAVIORAL HEALTH SERVICE LINE WITHIN THE COMMUNITYACTION STEPS: CCH CONTINUES TO OPERATE COLUMBUS PSYCHIATRY CLINIC, THE ONLY FULL-TIME LOCALLY BASED PSYCHIATRY CLINIC IN COLUMBUS. IN SEPTEMBER 2021, CCH OPENED A NEW SENIOR BEHAVIORAL HEALTH UNIT. THE INPATIENT GERIATRIC PSYCHIATRY PROGRAM TREATS OLDER ADULTS WHO HAVE MENTAL HEALTH CONDITIONS LIKE DEPRESSION, ANXIETY AND BIPOLAR DISORDER. THE 10-BED UNITY IS DESIGNED FOR SHORT-TERM STAYS OF 10 TO 14 DAYS. AN ADVANCED PRACTICE NURSE IN PSYCHIATRY WORKS IN THE UNITY FOR THE DAY-TO-DAY HANDLING OF PATIENTS. EACH DAY, PATIENTS HAVE ACTIVITIES AND 5 THERAPEUTIC GROUP SESSIONS. PATIENTS ARE ALSO EXPECTED TO EAT TOGETHER IN A COMMUNAL DINING/ACTIVITY AREA. THE PROGRAM IS OFFERED IN PARTNERSHIP WITH HORIZON HEALTH BEHAVIORAL HEALTH SERVICES, A TEXAS-BASED ORGANIZATION THAT FOCUSES ON HOSPITAL-BASED BEHAVIORAL HEALTH. HORIZON, WHICH HAS PARTNERSHIPS WITH ABOUT 100 HOSPITALS IN THE COUNTRY, HAS PROVIDED A DIRECTOR AND COMMUNITY OUTREACH PERSON TO MANAGE THE PROGRAM AT CCH. THE REST OF THE STAFF MEMBERS ON THE UNIT ARE CCH EMPLOYEES. SCHEDULE H, PART V, LINE 16A HTTPS://WWW.COLUMBUSHOSP.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-PROGRAMSCHEDULE H, PART V, LINE 16BHTTPS://WWW.COLUMBUSHOSP.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-PROGRAMSCHEDULE H, PART V, LINE 16CHTTPS://WWW.COLUMBUSHOSP.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-PROGRAM 14 1 - PREMIER PHYSICAL THERAPY OF CCH US 30 CENTER BLDG 3100-23RD ST STE 15 COLUMBUS NE 686013161 OUTPATIENT PHYSICAL THERAPY 2 - WIGGLES & GIGGLES THERAPY FOR KIDS 3912 38TH STREET SUITE B COLUMBUS NE 686015100 PEDIATRIC THERAPY SERVICES 3 - OCCUPATIONAL HEALTH SERVICES OF CCH 3005-19TH ST SUITE 300 COLUMBUS NE 686014252 EMP HEALTH CARE SVCS TO PREVENT & TREAT WORK INJURIES 4 - WOUND HEALING CENTER 4600-38TH ST SUITE 165 COLUMBUS NE 68601 WOUND TREATMENT CENTER 5 - HUMPHREY CLINIC OF CCH 3003 MAIN STREET HUMPHREY NE 686423155 CLINIC IN SMALL TOWN TO OFFER MEDICAL SERVICES TO RESIDENTS 6 - HOSPICE OF COLUMBUS COMMUNITY HOSPITAL 3005-19TH ST SUITE 600 COLUMBUS NE 686014248 HOSPICE SERVICES 7 - COLUMBUS PSYCHIATRY CLINIC 4508 38TH ST SUITE 165 COLUMBUS NE 68601 FREE STANDING CLINIC 8 - HOME HEALTH OF COLUMBUS COMMUNITY HOSP 3005-16TH ST SUITE 600 COLUMBUS NE 686014248 HOME HEALTH SERVICES 9 - COLUMBUS ORTHOPEDIC & SPORTS MED CLINIC 4508 38TH ST SUITE 133 COLUMBUS NE 686011668 FREE STANDING CLINIC 10 - REHABILITATIVE SERVICES 3912 38TH STREET SUITE B COLUMBUS NE 686015100 OUTPATIENT PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY 11 - COLUMBUS OTOLARYNGOLOGY CLINIC 4508 38TH ST SUITE 152 COLUMBUS NE 68601 FREE STANDING CLINIC 12 - COLUMBUS GENERAL SURGERY 4508 38TH ST SUITE 250 COLUMBUS NE 68601 FREE STANDING CLINIC 13 - COLUMBUS PLASTIC SURGERY 4508 38TH ST SUITE 165 COLUMBUS NE 68601 FREE STANDING CLINIC 15 - LINDSAY MEDICAL CLINIC 110 PINE STREET LINDSAY NE 68644 CLINIC IN SMALL TOWN TO OFFER MEDICAL SERVICES TO RESIDENTS PART I, LINE 6A: A COMMUNITY BENEFIT REPORT IS INCLUDED EACH YEAR IN THE HOSPITAL'S QUARTERLY NEWSLETTER "HOUSECALL" WITH AN ELECTRONIC VERSION OF THE NEWSLETTER HOUSED ON THE HOSPITAL'S WEBSITE. A SEPARATE LANDING PAGE ON THE WEBSITE WAS ALSO CREATED FOR THE REPORT TO PROVIDE EASY ACCESS TO THE REPORT. PART I, LINE 7B THE REVENUE GENERATED BY MEDICAID PATIENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO DEVELOPED IN WORKSHEET 2. THE REMAINING PRODUCT IS THE CALCULATED COST ASSOCIATED WITH THE CHARGES FROM MEDICAID PATIENTS. THESE COSTS ARE REDUCED BY THE REIMBURSEMENTS COLLECTED FOR THE MEDICAID CHARGES. THE REMAINING NUMBER IS THE NET COMMUNITY BENEFIT EXPENSE.PART I, LINE 7EEXPENSES REPRESENT WAGES ALONG WITH SERVICES AND SUPPLIES PURCHASED BY THE HOSPITAL. DIRECT OFFSETTING REVENUES REPRESENT CASH COLLECTED FOR THESE SERVICES.PART I, LINE 7ICASH DONATIONS MADE TO EAST CENTRAL HEALTH DEPARTMENT (ECHD) AND THE GOOD NEIGHBOR COMMUNITY HEALTH CENTER REPRESENT THE MAJORITY OF THESE DONATIONS.PART I, LINE 7, COLUMN (F)THE AMOUNT OF $140,597,125 USED AS THE DENOMINATOR TO COMPUTE COLUMN (F) IS CALCULATED BY TAKING TOTAL FUNCTIONAL EXPENSES OF $149,511,459 MINUS BAD DEBT EXPENSE OF $8,914,334. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESCCH CONTINUES TO COLLABORATE WITH THE LOCAL CHAMBER OF COMMERCE TO RECRUIT SKILLED PROFESSIONALS TO FILL JOB OPENINGS IN THE COMMUNITY. THE HOSPITAL ALSO PROVIDES SUPPORT AND STAFF TIME TO ASSIST IN HIGHLIGHTING THE HEALTH CARE COMMUNITY, OFFERING SPECIFIC DEPARTMENT OR HOSPITAL TOURS IN ORDER TO RECRUIT SKILLED PROFESSIONALS TO LIVE AND WORK IN COLUMBUS.THE HOSPITAL CONTINUES TO PARTNER WITH OUR LOCAL PUBLIC HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (CHC) ON SEVERAL PROJECTS AND COMMUNITY DISEASE PREVENTION INITIATIVES, PROVIDING FINANCIAL SUPPORT AND PROFESSIONAL STAFF TIME AS LIAISONS TO THESE COMMUNITY PARTNERSHIPS THROUGHOUT THE YEAR. WORKING TOGETHER WITH THESE AGENCIES, SOME OF THE CHRONIC DISEASE AND ACCIDENT PREVENTION STRATGEIS ADDRESSED INCLUDE: TYPE 2 DIABETES, HYPERTENSION AND HEART DISEASE, PRE-AND POST-NATAL NEWBORN CARE, PHYSICAL ACTIVITY AND EXERCISE, COLON CANCER PREVENTION AND EARLY DETECTION, AND COMMUNITY PREPAREDENSS FOR NATURAL AND MAN-MADE DISASTERS. THESE PROGRAMS REACH COUNTLESS MEMBERS OF THE COMMUNITY EACH YEAR, MAKING A DIFFERENCE IN THE LIVES OF PEOPLE LIVING WITH CHRONIC HEALTH ISSUES.OTHER HOSPITAL-DRIVEN COMMUNITY HEALTH INITIATIVES INCLUDE: FREE FLU SHOTS FOR RESIDENTS AT THE SHELTER FOR THE HOMELESS, AND PARTICIPATION IN NUMEROUS COMMUNITY HEALTH FAIRS/EVENTS EACH YEAR, PROVIDING MEDICAL SCREENINGS AND FREE HEALTH INFORMATION/EDUCATION.TO ENCOURAGE ENTRY INTO THE MEDICAL PROFESSION, CCH BEGAN OFFERING THE HEALTH SCIENCE PATHWAY PROGRAM. THE EDUCATIONAL PROGRAM IS A COLLABORATION BETWEEN AREA HIGH SCHOOLS, CENTRAL COMMUNITY COLLEGE AND THE HOSPITAL, ALLOWING STUDENTS TO LEARN ABOUT CAREERS IN THE MEDICAL FIELD. IT INCLUDES A SERIES OF CLASSES THAT MEET REQUIREMENTS FROM THE STATE OF NEBRASKA AND EXPLORES VARIOUS AREAS OF HEALTH CARE, INCLUDING PHLEBOTOMY, RADIOLOGY, PHARMACY, NURSING, RESPIRATORY THERAPY, HOUSEKEEPING AND FACILITIES. MANY STUDENTS HAVE BECOME CERTIFIED NURSING ASSISTANTS (CNAS) THROUGH THE PROGRAM AND STARTED WORKING AT THE HOSPITAL. PART III, LINE 2: THE METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE IS TO TAKE THE PRIVATE PAY WRITE-OFFS FOR THE YEAR AND DIVIDE THEM BY THE TOTAL REVENUE GENERATED FROM SELF-PAY PATIENTS AND MULTIPLY THE PRODUCT BY THE SELF-PAY ACCOUNTS RECEIVABLE. THIS GIVES THE AMOUNT OF RESERVE NECESSARY TO COVER THE POTENTIAL BAD DEBT IN CURRENT SELF-PAY ACCOUNTS RECEIVABLE. BAD DEBT EXPENSE FOR THE FISCAL YEAR IS THE AMOUNT OF ADDITIONAL EXPENSE NECESSARY TO BRING THAT RESERVE ACCOUNT TO THE CALCULATED (ESTIMATED) BALANCE. PART III, LINE 4: FINANCIAL STATEMENTS DO NOT INCLUDE ANY TEXT FOR BAD DEBT. THE AMOUNT IN LINE 2 IS THE BOOK BAD DEBT AMOUNT. PART III, LINE 8: IN ACCORDANCE WITH 42 CFR 413.24, COLUMBUS COMMUNITY HOSPITAL USES THE STEP-DOWN METHOD AS ITS COSTING METHODOLOGY. DEPARTMENTS WITHIN A PROVIDER ARE USUALLY DIVIDED INTO TWO TYPES: 1) THOSE THAT PRODUCE PATIENT CARE REVENUE (E.G., ROUTING SERVICES, RADIOLOGY), AND 2) THOSE THAT DO NOT DIRECTLY GENERATE PATIENT CARE REVENUE, BUT ARE UTILIZED AS A SERVICE BY OTHER DEPARTMENTS (E.G., LAUNDRY AND LINEN, DIETARY). THE TWO TYPES OF DEPARTMENTS ARE COMMONLY REFERRED TO AS REVENUE-PRODUCING COST CENTERS AND NONREVENUE-PRODUCING COST CENTERS. ALTHOUGH NONREVENUE-PRODUCING COST CENTERS DO NOT DIRECTLY PRODUCE PATIENT CARE REVENUE, THEY CONTRIBUTE INDIRECTLY TO PATIENT CARE REVENUE GENERATED BY SERVING AS A SERVICE TO THE REVENUE-PRODUCING CENTERS AND ALSO TO OTHER NONREVENUE-PRODUCING CENTERS. THEREFORE, FOR THE PURPOSE OF PROPER MATCHING OF REVENUE AND EXPENSES, THE COST OF THE REVENUE-PRODUCING CENTERS SHOULD INCLUDE BOTH ITS DIRECT EXPENSES AND ITS PROPORTIONATE SHARE OF THE COSTS OF EACH NONREVENUE-PRODUCING CENTER (INDIRECT COSTS) BASED ON THE AMOUNT OF SERVICES RECEIVED. THE PROCESS OF ALLOCATING THE COST OF A PARTICULAR NONREVENUE-PRODUCING CENTER TO OTHER NONREVENUE-PRODUCING CENTERS AND REVENUE-PRODUCING CENTERS IS PERFORMED BY UTILIZING A SET OF STATISTICS (E.G. POUNDS OF LAUNDRY FOR ALLOCATING LAUNDRY AND LINEN COSTS, SQUARE FEET FOR ALLOCATING DEPRECIATION BUILDING COSTS).EVERY NONREVENUE-PRODUCING COST CENTER HAS THE POTENTIAL OF BEING ALLOCATED TO EVERY OTHER NONREVENUE-PRODUCING COST CENTER IN ADDITION TO THE REVENUE-PRODUCING COST CENTERS. THIS PRECLUDES A SIMPLE ALLOCATION OF THE DIRECT EXPENSE OF THE NONREVENUE-PRODUCING COST CENTER BECAUSE THE INDIRECT COSTS DERIVED FROM ALLOCATION OF OTHER NONREVENUE-PRODUCING COST CENTERS MUST BE COMPUTED IN DETERMINING THE FULL COST (DIRECT AND INDIRECT COSTS) OF THE NONREVENUE-PRODUCING COST CENTER BEING ALLOCATED. THE STEP-DOWN METHOD RECOGNIZES THAT SERVICES FURNISHED BY CERTAIN NONREVENUE-PRODUCING DEPARTMENTS ARE UTILIZED BY CERTAIN OTHER NONREVENUE-PRODUCING CENTERS AS WELL AS BY THE REVENUE-PRODUCING CENTERS. ALL COSTS OF NONREVENUE-PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS THAT THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. THE COST OF THE NONREVENUE-PRODUCING CENTER SERVICING THE GREATEST NUMBER OF OTHER CENTERS, WHILE RECEIVING BENEFITS FROM THE LEAST NUMBER OF CENTERS, IS APPORTIONED FIRST, FOLLOWING THE APPORTIONMENT OF THE COST OF THE NON-REVENUE-PRODUCING CENTER, THAT CENTER WILL BE CONSIDERED CLOSED AND NO FURTHER COSTS ARE APPORTIONED TO THAT CENTER. THIS APPLIES EVEN THOUGH IT MAY HAVE RECEIVED SOME SERVICE FROM A CENTER WHOSE COST IS APPORTIONED LATER. GENERALLY, IF TWO CENTERS FURNISH SERVICES TO AN EQUAL NUMBER OF CENTERS WHILE RECEIVING BENEFITS FROM AN EQUAL NUMBER, THAT CENTER WHICH HAS THE GREATEST AMOUNT OF EXPENSE SHOULD BE ALLOCATED FIRST. PART III, LINE 9B: THE PURPOSE OF OUR FINANCIAL ASSISTANCE/CHARITY PROGRAM IS TO FURTHER THE CHARITABLE MISSION OF CCH BY PROVIDING FINANCIALLY DISADVANTAGED AND OTHER QUALIFIED PATIENTS WITH AN AVENUE TO APPLY FOR AND RECEIVE FREE OR DISCOUNTED CARE CONSISTENT WITH THE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND IMPLEMENTING REGULATIONS UNDER 501(R). CCH'S FINANCIAL ASSISTANCE POLICY REFLECTS THE MISSION, VISION AND VALUES OF CCH. IT IS INTENDED TO ASSIST LOW INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS WHOSE FINANCIAL STATUS, UNDER THE HOSPITAL'S QUALIFICATION CRITERIA, MAKES IT IMPRACTICAL OR IMPOSSIBLE TO PAY FOR MEDICALLY NECESSARY AND EMERGENCY CARE. OUR FINANCIAL ASSISTANCE PROGRAM HAS AN IMPLIED AND PRESUMPTIVE AVENUE, AS WELL AS MEDICAL INDIGENCE. THE PROGRAM PROVIDES A FAIR AND COMPREHENSIVE SYSTEM OF DISTRIBUTING FREE OR DISCOUNTED MEDICAL CARE TO POOR AND FINANCIALLY DISADVANTAGED PATIENTS WITHIN THE AVAILABLE RESOURCES OF CCH.THIS POLICY ADDRESSES: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE EXTENT TO WHICH FINANCIAL ASSISTANCE INCLUDES FREE AND DISCOUNTED CARE, AND MEDICALLY INDIGENT CARE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO ELIGIBLE PATIENTS (THE CALCULATIONS OF AMOUNTS GENERALLY BILLED (AGB)); THE METHOD FOR APPLYING FOR ASSISTANCE AND APPLICATION PERIOD; ACTIONS THAT MAY BE TAKEN BY CCH IN THE EVENT OF NONPAYMENT; AND MEASURES TO WIDELY PUBLICIZE THE POLICY. CCH RECOGNIZES THE INDIVIDUAL'S RIGHT TO OBTAIN QUALITY HEALTH CARE REGARDLESS OF AGE, SEX, RACE, DISABILITY, NATIONAL ORIGIN, MARITAL STATUS, SEXUAL ORIENTATION, PERSONAL BELIEFS OR THEIR ABILITY TO PAY. CCH HAS A FIDUCIARY RESPONSIBILITY TO SEEK PAYMENT FOR SERVICES FROM THOSE WHO CAN PAY. PART VI, LINE 2: IN 2021, CCH UNDERWENT A COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH CAN BE FOUND ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFINANCIAL ASSISTANCE INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE, INCLUDING LINKS TO ADDITIONAL, IN-DEPTH INFORMATION. CCH HAS TAKEN MEASURES TO WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY.PATIENT CHARITY/FINANCIAL ASSISTANCE PROGRAM:A) MONTHLY PAYMENT OPTION1) IF YOU ARE UNABLE TO PAY YOUR BALANCE IN FULL, PLEASE CALL THE PATIENT ACCOUNTS DEPARTMENT TO SET UP AN ACCEPTABLE PAYMENT ARRANGEMENT.B) PATIENT CHARITY/FINANCIAL ASSISTANCE PROGRAM:1) IF PATIENTS FEEL THEIR INCOME IS NOT SUFFICIENT TO PAY FOR SERVICES AT COLUMBUS COMMUNITY HOSPITAL, THEY ARE ENCOURAGED TO CONTACT THE PATIENT ACCOUNTS DEPARTMENT AND/OR SOCIAL WORKERS FOR INFORMATION REGARDING CHARITY/FINANCIAL ASSISTANCE.2) FURTHER INFORMATION ABOUT MEDICARE/MEDICAID/CHARITY CARE IS PROVIDED IN BOTH ENGLISH AND SPANISH ON OUR WEBSITE. THE STATE HAS MEDICAID APPLICATIONS AVAILABLE ONLINE. OUR REGISTRATION, PATIENT ACCOUNTS AND SOCIAL SERVICES STAFF CAN PROVIDE PATIENTS WITH FINANCIAL/CHARITY APPLICATIONS IN EITHER ENGLISH OR SPANISH.3) ADDITIONALLY, SIGNAGE IS POSTED TO INCLUDE THE FINANCIAL ASSISTANCE POLICY SUMMARY IN ENGLISH AND SPANISH DIRECTING PATIENTS TO CALL OR COME IN AS NEEDED FOR FINANCIAL HELP AND EMPLOYEES ARE ENCOURAGED AT THE EARLIEST POSSIBLE POINT TO REFER INDIVIDUALS TO PATIENT ACCOUNTS OR SOCIAL SERVICES WHO WILL SEE PATIENTS INDIVIDUALLY AND COUNSEL ON SPECIFIC CIRCUMSTANCES. WE HAVE IMPLEMENTED MEASURES TO WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE PROGRAM. 4) MONTHLY STATEMENTS INCLUDE THE FOLLOWING INFORMATION:A. PAYMENT PLANSB. CHARITY/FINANCIAL ASSISTANCE PROGRAMC. 24/7 ONLINE BUSINESS OFFICE ACCESS, WHICH INCLUDES INFORMATION ON PAYMENT PLANS, CHARITY/FINANCIAL ASSISTANCE AND APPLICATIONS FOR FINANCIAL/CHARITY ASSISTANT AVAILABLE IN BOTH ENGLISH AND SPANISH THAT CAN BE DOWNLOADED FROM OUR WEBSITE.D. THE PHONE NUMBER OF PATIENT ACCOUNTS AND THE ON-LINE HOSPITAL WEBSITE.5) ALL REGISTRATION AREAS HAVE SIGNAGE POSTED IN ENGLISH AND SPANISH OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, BROCHURES WHICH ADDRESS FINANCIAL ASSISTANCE, CCH AFFILIATES AND NON-AFFILIATES (INDEPENDENT PHYSICIANS AND OTHER INDEPENDENTS).6) THE CCH WEBSITE IN ENGLISH AND SPANISH CHARITY/FINANCIAL ASSISTANCE APPLICATION, FINANCIAL ASSISTANCE POLICY SUMMARY, FINANCIAL AID/CHARITY PROGRAM POLICY, CALCULATIONS OF AMOUNTS GENERALLY BILLED (AGB) WHICH IS REVISED ANNUALLY, COLUMBUS COMMUNITY HOSPITAL AND CCH-EMPLOYED PHYSICIANS, PRACTITIONERS AND CLINICS AND INDEPENDENT COMMUNITY PHYSICIANS AND OTHER INDEPENDENTS (WHICH ARE REVISED QUARTERLY). PART VI, LINE 4: COMMUNITY INFORMATIONTHE LOCAL ECOMONYCOLUMBUS COMMUNITY HOSPITAL IS LOCATED IN COLUMBUS, NEBRASKA, WHICH HAS A POPULATION OF APPROXIMATELY 22,000. IT IS THE COUNTY SEAT AND THE LARGEST CITY IN PLATTE COUNTY, WHICH HAS A POPULATION OF APPROXIMATELY 33,500. ALMOST 70% OF PLATTE COUNTY'S RESIDENTS LIVE IN COLUMBUS.ACCORDING TO THE NEBRASKA DEPARTMENT OF LABOR, COLUMBUS IS CONSIDERED A MAJOR HUB FOR THE MANUFACTURING INDUSTRY, AND HAS A GREATER SHARE OF MANUFACTURING EMPLOYMENT THAN OTHER NEBRASKA METROPOLITAN AREAS. THE COLUMBUS AND AREA ECONOMY IS BASED ON AGRICULTURE AND MANUFACTURING, WITH MANY INDUSTRIAL COMPANIES ATTRACTED BY PLENTIFUL, LOW-PRICED HYDROELECTRIC POWER. A HARDOWRKING, WELL-EDUCATED WORKFORCE, LOW ENERGY COSTS AND A LOCAL ENVIRONMENT FRIENDLY TO BUSINESS PROVIDE ENCOURAGEMENT FOR STRONG ECONOMIC AND INDUSTRIAL DEVELOPMENT WITHIN OUR AREA. AMONG THE MAJOR EMPLOYERS ARE ARCHER DANIELS MIDLAND, AN ETHANOL MANUFACTURING COMPANY; FLEXCON; CENTRAL CONFIEMENT SERVICES; PILLEN FAMILY FARMS; VISHAY; TWO BD MEDICAL PLANTS, WHICH ARE MEDICAL EQUIPMENT COMPANIES; BEHLEN MANUFACTURING, WHICH MANUFACTURES STEEL BUILDINGS; AND NEBRASKA PUBLIC PWER, WHOSE HEADQUARTERS IN IN COLUMBUS.THESE BUSINESS OPPORTUNITIES HAVE LED TO AN INFLUX OF SINGLE PEOPLE AND YOUNG FAMILIES MOVING INTO THE COLUMBUS AREA SEEKING EMPLOYMENT.AS REPORTED IN THE 2022-23 CCH ANNUAL REPORT, THE HOSPITAL HAD ABOUT 2,200 INAPTIENT ADMISSIONS; NEARLY 12,000 EMERGENCY VISITS; 2,400 OUTPATIENT PROCEDURES AND 360 INPATIENT PROCEDURES IN THE PRECEING YEAR.SERVICE CAPACITYCOLUMBUS COMMUNITY HOSPITAL (CCH) IS A COMMUNITY-OWNED, NOT-FOR-PROFIT HOSPITAL, LOCATED ON 60 ACRES IN THE NORTHWEST PART OF COLUMBUS, NEBRASKA. IT IS A 50-BED ACUTE CARE FACILITY THAT IS CERTIFIED FOR SWING BEDS, WITH FOUR SKILLED NURSING BEDS AND 15 AMBULATORY OUTPATIENT BEDS.CCH OFFERS COMPREHENSIVE CARE, INCLUDING 24-HOUR EMERGENCY CARE; INTENSIVE CARE; MEDICAL-SURGICAL CARE; INPATIENT AND OUTPATIENT CARE; AND GENERAL, ENT, UROLOGY, PODIATRY AND ORTHOPEDIC SURGICAL PROCEDURES. OTHER ANCILLARY SERVICES INCLUDE: RESPIRATORY CARE, WOUND CARE, DIABETES EDUCATION , ENDOSCOPY, A CARDIAC CATHETERIZATION LAB AND CARDIOPULMONARY REHABILITATION. THE HOSPITAL ALSO OFFERS COMPREHENSIVE OUTPATIENT LABORATORY, RADIOLOGY AND REHABILITATIVE SERVICES, AS WELL AS FREE, 24/7 INTERPRETER SERVICES.THE HOSPITAL HAS MORE THAN 900 EMPLOYEES AND AN ACTIVE MEDICAL STAFF OF 50 PHYSICIANS WHO REPRESENT 16 MEDICAL SPECIALTIES. AN ADDITIONAL 15 SPECIALTY SERVICES ARE BROUGHT TO THE COMMUNITY ON AN INTERMITTENT BASIS BY VISITING PHYSICIANS PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHCCH'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. EACH YEAR, THE HOSPITAL STRIVES TO PROVIDE THE BEST CARE TO ITS PATIENTS, WHILE ALSO PROVIDING WELLNESS EVENTS AND ACTIVITIES THAT ARE EASILY ACCESSIBLE TO COMMUNITY MEMBERS. THESE INCLUDE DIABETES WELLNESS EVENTS, HEALTHY COOKING CLASSES AND CAR SEAT SAFETY CHECKS FOR FAMILIES. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMN/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTTHE COMMUNITY BENEFIT INFORMATION FROM THE 2022-2023 ANNUAL REPORT CAN BE FOUND AT:HTTPS://WWW.COLUMBUSHOSP.ORG/NEWS_EVENTS/ANNUAL_REPORT.ASPX 1 COLUMBUS COMMUNITY HOSPITAL FOUNDATION 4600 38TH STREET COLUMBUS NE 68601 470836747 501(C)(3) 155293 0 BOOK CHARITY CARE TO PATIENTS 1 0 PART I, LINE 2: COLUMBUS COMMUNITY HOSPITAL DOES NOT TYPICALLY GIVE OUT DONATIONS, BUT OCCASIONALLY A REQUEST IS BROUGHT FORWARD AND THE BOARD DETERMINES THAT IT IS IN THE BEST INTEREST OF THE COMMUNITY TO PROVIDE A PARTICULAR GRANT. PRIOR TO PROVIDING THE GRANT, THE HOSPITAL DETERMINES THAT THE ORGANIZATION IT GIVES TO IS A 501(C)(3) ORGANIZATION OR A GOVERNMENT AGENCY. THE HOSPITAL WILL ALSO MAKE GRANTS TO THESE RELATED ORGANIZATIONS AS NECESSARY TO SUPPORT THEIR EXEMPT PURPOSE. X 1 1 X X X X X X 0 1 0 0 0 1 0 0 0 SHAWN BRANDENBURG PHYSICIAN 653009 0 181592 0 19500 0 12200 0 30031 0 896332 0 0 0 MICHAEL HANSEN PRESIDENT/CEO/SECRETARY 501279 0 63375 0 20500 0 85141 0 39313 0 709608 0 0 0 MATTHEW PIEPER PHYSICIAN 504833 0 141551 0 20500 0 12110 0 30031 0 709025 0 0 0 ANTHONY KRUEGER PHYSICIAN 500183 0 131170 0 20500 0 12200 0 30031 0 694084 0 0 0 JOHN BEAUVAIS PHYSICIAN 621457 0 0 0 19500 0 12200 0 30031 0 683188 0 0 0 ROBERT MILLER PHYSICIAN 383464 0 0 0 0 0 21350 0 0 0 404814 0 0 0 CHAD VAN CLEAVE VP FINANCE 236361 0 23718 0 8123 0 33349 0 38457 0 340008 0 0 0 AMY BLASER VP BUSINESS DEVELOPMENT 206043 0 19612 0 7543 0 32617 0 38006 0 303821 0 0 0 SCOTT MESSERSMITH VP OPERATIONS 179051 0 19359 0 32199 0 31895 0 37978 0 300482 0 0 0 DOROTHY BYBEE VP NURSING 217054 0 20736 0 0 0 9392 0 37940 0 285122 0 0 0 KEITH LUEDDERS VP ANCIALLARY SERVICES 175411 0 17848 0 10163 0 22824 0 37812 0 264058 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID FOR SOCIAL AND HEALTH CLUB DUES AS PART OF THE CEO'S EMPLOYMENT AGREEMENT. THESE AMOUNTS WERE REFLECTED ON THE CEO'S W-2. PART I, LINE 4B THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE 2022 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: MICHAEL HANSEN - $69,891 AMY BLASER - $16,474 SCOTT MESSERSMITH - $16,261 CHAD VAN CLEAVE - $19,923 KEITH LUEDDERS - $14,993 PART I, LINE 4C: THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT HOSPITAL BOARD MEMBERS, REVIEWS THE CEO'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED. PART I, LINE 6 WITH THE ASSISTANCE OF TOWERS-WATSON, EXECUTIVE COMPENSATION CONSULTANTS, THE BOARD AUTHORIZED PAYING AN INCENTIVE TO THE EXECUTIVES FOR MEETING SPECIFIC BOARD-ESTABLISHED DIRECTIVES. THE BOARD AUTHORIZED PAYING UP TO 25% OF BASE COMPENSATION FOR MICHAEL HANSEN AND UP TO 20% FOR THE FOLLOWING VPS: - DOROTHY BYBEE - AMY BLASER - CHAD VAN CLEAVE - SCOTT MESSERSMITH - KEITH LUEDDERS THE INCENTIVE IS BASED ON GOALS ESTABLISHED BY THE BOARD WHICH ARE NOW REVIEWED ANNUALLY. ONE OF THE GOALS IS THE HOSPITAL'S OPERATING MARGIN. THE BOARD DETERMINES THE ASSOCIATED METRICS FOR EACH INDIVIDUAL GOAL. EACH OF THE GOALS IS THEN ASSIGNED A WEIGHT BASED ON THE LEVEL OF IMPORTANCE, AS DETERMINED BY THE BOARD. THE RESULTS ARE ENTERED AND THE METRIC IS TABULATED. THAT NUMBER IS MULTIPLIED BY THE CORRESPONDING WEIGHT. ONCE WEIGHTED, THE FIGURES ARE ADDED IN TOTAL TO ESTABLISH A SCORE BETWEEN 1 AND 5. NO INCENTIVE IS PAID IF THE HOSPITAL'S OPERATING MARGIN FALLS BELOW 5.0%, REGARDLESS OF THE OUTCOMES OF THE OTHER MEASURES. ANY PHYSICIAN BONUSES ARE BASED ON PRODUCTIVITY. THE INCENTIVES WERE PAID IN THIS FISCAL YEAR FOR WORK DONE IN THE PREVIOUS FISCAL YEAR. THE BONUSES PAID WERE: DOROTHY BYBEE - $20,735.52 CHAD VAN CLEAVE - $23,718.24 AMY BLASER - $19,612.32 SCOTT MESSERSMITH - $19,358.56 MICHAEL HANSEN - $63,375.00 KEITH LUEDDERS - $17,848.48 SHAWN BRANDENBURG - $181,592.36 MATTHEW PIEPER - $141,551.00 ANTHONY KRUEGER - $131,170.00 PART III, LINE 4A COLUMBUS COMMUNITY HOSPITAL (CCH) IS A 47 BED ACUTE CARE HOSPITAL WHICH CURRENTLY EMPLOYS OVER 800 PEOPLE. IT IS A SIGNIFICANT, POSITIVE ECONOMIC FORCE FOR THE COLUMBUS AREA, RETURNING DOLLARS INTO THE ECONOMY THROUGH LOCAL PURCHASES BY THE ORGANIZATION AND SALARIES THAT RETURN TO THE COMMUNITY. IT IS AN ASSET FOR THE LOCAL COMMUNITIES WHERE PATIENTS CAN OBTAIN QUALITY HEALTH CARE WITHOUT THE NEED TO DRIVE OVER 50 MILES FOR CARE. CCH OFFERS A VARIETY OF SERVICES THAT PROVIDE NECESSARY CARE FOR AREA RESIDENTS. BELOW IS A BRIEF SUMMARY OF SERVICES OFFERED BY COLUMBUS COMMUNITY HOSPITAL. - ALL 47 BEDS OF THE HOSPITAL'S ACUTE CARE SERVICES ARE ALSO CERTIFIED AS SWING BEDS. - CCH PROVIDES CERTIFIED, DEDICATED MEDICAL INTERPRETERS TO ASSIST NON-ENGLISH SPEAKING PATIENTS. THE INTERPRETERS ARE AVAILABLE IN-HOUSE OR ON-CALL 24/7 AND SERVE AS A LIAISON BETWEEN THE CARE PROVIDERS AND THE PATIENT. - THE HOSPITAL PROVIDES ICU, MEDICAL SURGICAL, OB AND ORTHOPEDIC SERVICES, ALONG WITH A VARIETY OF COMPLIMENTARY ANCILLARY SERVICES. THESE ANCILLARY SERVICES INCLUDE WOUND CARE, DIABETIC EDUCATION AND CARDIAC REHAB AND ALSO INCLUDE CLINICAL PHARMACY SERVICES. TO ENHANCE PATIENT SAFETY, CCH USES BAR-CODED MEDICATION ADMINISTRATION, SMART PUMPS AND COMPUTERIZED PHYSICIAN ORDER ENTRY. - SO THAT AREA RESIDENTS CAN RECEIVE CARE CLOSE TO HOME, CCH OFFERS REHABILITATIVE SERVICES THAT INCLUDE PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AS WELL AS SPECIALIZED MULTIDISCIPLINARY THERAPY PROGRAMS SUCH AS THRIVE CANCER REHABILIATION CARE, PARKINSON WELLNESS PROGRAM, ROCK STEADY BOXING, CONCUSSION MANAGEMENT TEAM, COMPLETE DECONGESTIVE LYMPHEDEMA THERAPY CLINIC, A DRIVER'S REHABILIATION PROGRAM, VISUAL AND VESTIBULAR REHAB, AQUATIC THERAPY PROGRAM, AND PELVIC FLOOR DYSFUNCTION (MALE/FEMALE URINARY INCONTINENCE AND PELVIC PAIN) PROGRAM. THE HOSPITAL'S WIGGLES AND GIGGLES THERAPY FOR KIDS OFFERS PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH FOR CHILDREN RANGING IN AGE FROM INFANTS TO ADOLESCENTS. IN NOVEMBER 2015, OUTPATIENT THERAPY SERVICES MOVED INTO FIRST FLOOR SPACE WITH GREATER ACCESS FOR PATIENTS AT THE NEW COLUMBUS WELLNESS CENTER AND NOW PATIENTS ARE INTEGRATED AND TRANSITIONED INTO MEDICAL WELLNESS PROGRAMS AFTER DISCHARGE SUCH AS THE PARKINSON'S EXERCISE GROUP, THE LOUD CROWD VOICE EXERCISE GROUP, TBI, & STROKE SUPPORT GROUP, SPINEFIT EXERCISE CLASSES, AI CHI EXERCISE CLASSES, AQUATIC EXERCISE CLASSES, AND TAI CHI FOR BETTER BALANCE CLASSES. - NURSES IN THE HOSPITAL'S SAME DAY SERVICES (SDS) DEPARTMENT PREPARE PATIENTS FOR SURGERY AND CARE FOR PATIENTS IN BOTH THE INPATIENT AND OUTPATIENT SETTING. THE DEPARTMENT OVERSEES SEVERAL OUTPATIENT PROCEDURES, INCLUDING 90 TO 100 ENDOSCOPY PROCEDURES EACH MONTH. SDS NURSES ALSO ADMINISTER BLOOD TRANSFUSIONS AND CHEMOTHERAPY INFUSIONS. - CCH OFFERS SOME OF THE MOST ADVANCED IMAGING SERVICES INCLUDING MRI, CT, DIGITAL MAMMOGRAPHY AND ULTRASOUND. RADIOLOGISTS ARE ON CAMPUS AND/OR AVAILABLE 24/7. ALL IMAGES ARE DIGITAL, AND THE DICTATION USED BY RADIOLOGISTS IS VOICE RECOGNIZED AND BECOMES PART OF THE DIGITAL IMAGE. - THE HOSPITAL'S LABORATORY PERFORMS AN AVERAGE OF OVER 13,000 TESTS PER MONTH FOR BOTH INPATIENTS AND OUTPATIENTS. - THE CCH EMERGENCY DEPARTMENT (ED) EMPLOYS HIGHLY TRAINED EMERGENCY PHYSICIANS AND NURSES, OFFERING 24/7 CARE. OTHER HOSPITAL DEPARTMENTS PROVIDING SUPPORT IN THE ED INCLUDE RESPIRATORY CARE, SOCIAL WORK, LABORATORY, MEDICAL INTERPRETERS AND DIAGNOSTIC IMAGING. IN MAY 2006, THE CCH EMERGENCY DEPARTMENT WAS DESIGNATED AS A LEVEL III TRAUMA CENTER. THE MEDICAL STAFF AND PERSONNEL IN THE TRAUMA CENTER HAVE RECEIVED SPECIALIZED TRAINING TO RESUSCITATE AND STABILIZE TRAUMA PATIENTS. THE TRAUMA PROGRAM PROVIDES SYSTEMATIC REVIEW OF TRAUMA CARE AND PARTICIPATES IN INJURY PREVENTION ACTIVITIES THROUGHOUT THE COMMUNITY. - CCH OPENED WOUND CARE SERVICES IN AUGUST 2008, OFFERING CLINIC HOURS ONE DAY PER WEEK. THE IDENTIFIED SERVICE AREA INCLUDES A 45-MILE RADIUS AROUND COLUMBUS. BY JANUARY 2009, A SECOND DAY WAS ADDED TO SUPPORT THE DEMAND. THE PROGRAM HAS EXCEEDED THE ANTICIPATED DEMAND AND PROVIDES A MUCH NEEDED SERVICE CLOSE TO HOME. THE CLINIC SEES ABOUT 100 PATIENTS PER MONTH FOR WOUND CARE. PART III, LINE 4A (CONT) - FOR SERVICES LOCATED IN FACILITIES OFF-SITE, THE LARGER SERVICES ARE HOME HEALTH AND HOSPICE. HOME HEALTH PROVIDES SKILLED HEALTH SERVICES FOR PATIENTS AT THEIR PLACE OF RESIDENCE. THE PROGRAM IS MEDICALLY DIRECTED AND MUST BE ORDERED BY THE ATTENDING PHYSICIAN. HOME HEALTH IS MEDICARE AND MEDICAID CERTIFIED AND MEETS THE REQUIREMENTS OF THE JOINT COMMISSION. SERVICES PROVIDED WITHIN THE PROGRAM ARE: O SUPERVISION AND ADMINISTRATION OF MEDICATIONS O INTRAVENOUS THERAPY O INSTRUCTING PATIENTS IN DIABETIC MANAGEMENT O NUTRITIONAL ASSESSMENTS O HOME HEALTH AIDES O PERSONAL CARE SERVICES O OCCUPATIONAL, SPEECH AND PHYSICAL THERAPIES - HOSPICE SERVICES ARE PROVIDED TO PERSONS WHO ARE NO LONGER RECEIVING CURATIVE TREATMENT AND WHOSE LIFE EXPECTANCY IS SIX MONTHS OR LESS. CARE IS PROVIDED BY AN INTERDISCIPLINARY TEAM WHICH CONSISTS OF THE PHYSICIAN, NURSE, SOCIAL WORKER, THERAPIST, HOME HEALTH AIDE, SPIRITUAL ADVISOR, VOLUNTEER AND OTHER HEALTH PROFESSIONALS. - OUR LOCAL HEALTHY FAMILY NEBRASKA PROGRAM (HFN) TARGETS YOUNG, PRIMARILY SINGLE, PREGNANT MOTHERS AND THEIR FAMILIES. OUR VOLUNTARY HFN HOME VISITATION PROGRAM TARGETS THE MOST VULNERABLE YOUNG WOMEN AND THEIR FAMILIES BY OFFERING THEM INTENSE, IN-HOME EDUCATION, SUPPORT AND RESOURCES. THIS HOME VISITING PROGRAM COVERS FAMILIES IN A FOUR COUNTY AREA. THE HFN REQUIRES EACH MOTHER/FAMILY TO ACTIVELY PARTICIPATE IN BUILDING AN INDIVIDUALIZED FAMILY PLAN. THIS STRENGTH-BASED APPROACH PROMOTES SELF-IMPROVEMENT AND ENHANCES SELF-ESTEEM AND INDEPENDENCE FOR OUR YOUNG PARENTS THAT WILL HELP THEM MAKE BETTER DECISIONS AND BREAK OUT OF DESTRUCTIVE CYCLES. - THE CCH SLEEP LAB OFFERS COMPLETE POLYSOMNOGRAPHIC SLEEP TESTING BY TRAINED AND LICENSED SLEEP TECHNICIANS FOR THE PURPOSE OF DIAGNOSING OBSTRUCTIVE/CENTRAL SLEEP APNEA. BOTH DAYTIME AND NIGHT SLEEP STUDIES ARE PERFORMED. - OCCUPATIONAL HEALTH SERVICES (OHS) OFFERS A MENU OF HEALTH CARE SERVICES DESIGNED TO PREVENT AND TREAT INJURIES IN THE WORKPLACE. PARTNERING WITH EMPLOYERS IN MORE THAN 800 COMPANIES AND WITH OTHER HEALTH CARE PROFESSIONS, OHS PROVIDES THE COLUMBUS AND REGIONAL AREA BUSINESSES AND INDUSTRY WITH A COMPREHENSIVE RANGE OF SERVICES DESIGNED TO SUPPORT AND MAINTAIN A HEALTHY, SAFE WORKFORCE WHILE ASSISTING THEM IN MEETING OSHA AND DOT COMPLIANCE REGULATIONS. THEIR FULL RANGE OF SERVICES INCLUDE: O A COMPREHENSIVE TESTING PROCEDURE CALLED PHYSICAL CAPACITY PROFILE (PCP) THAT MATCHES EMPLOYEES TO THE JOB AND IS DESIGNED TO ACCOMMODATE INDIVIDUALS WITH HANDICAPS. THE PCP SYSTEM WAS DEVELOPED BY AN ORTHOPEDIC PHYSICIAN. THROUGH USE OF THIS TESTING, MUSCULOSKELETAL IMBALANCES ARE DETECTED WHICH HELPS EMPLOYERS PLACE EMPLOYEES IN THE APPROPRIATE JOB TO MINIMIZE THE POTENTIAL OF INJURY. O 24/7 DRUG AND ALCOHOL TESTING SERVICES O PRE-EMPLOYMENT/POST JOB OFFER PHYSICAL ASSESSMENTS O ON-SITE NURSING SERVICES O HEARING/VISION TESTING O HEARING CONSERVATION PROGRAM MANAGEMENT O RESPIRATORY FIT TESTING O RESPIRATORY EVALUATION SERVICES O FLU SHOTS AND IMMUNIZATION PROGRAMS O WELLNESS PROGRAMS - LIFELINE, AN IN-HOME EMERGENCY RESPONSE PROGRAM, PROVIDES THE VITAL SAFETY NET THAT MANY PEOPLE NEED TO CONTINUE LIVING AT HOME IN FAMILIAR AND COMFORTING SURROUNDINGS. THE PROGRAM IS COMPLETELY FOCUSED ON ENSURING THE PATIENT'S INDEPENDENCE, SAFETY AND WELL-BEING IN THEIR HOME. IT OPERATES WITH A BRACELET WORN BY THE PATIENT WITH A BUTTON THAT CAN BE PRESSED IF HELP IS NEEDED. PRE-DETERMINED RESPONDERS ARE SUMMONED TO THEIR HOME OR EMERGENCY TRANSFER CAN BE CALL IF NEEDED. - MEALS ON WHEELS ARE PREPARED BY THE NUTRITION SERVICES DEPARTMENT AND ARE DELIVERED BY COMMUNITY VOLUNTEERS. SENIORS AND PHYSICALLY HANDICAPPED ADULTS QUALIFY FOR THE PROGRAM. SPECIAL DIETS CAN ALSO BE ACCOMMODATED. FINANCIAL ASSISTANCE IS AVAILABLE THROUGH THE NEBRASKA DEPARTMENT OF SOCIAL SERVICES. - THE HOSPITAL ALSO PARTICIPATES IN AND HAS HOSTED COUNTY-WIDE NATURAL DISASTER AND PANDEMIC DRILLS. AS A MEMBER OF A LARGER PREPAREDNESS TEAM, RROMRS, CCH CAN ASSIST OR RECEIVE ASSISTANCE FROM THIS REGION'S MEDICARE PROVIDERS. THROUGH THESE DRILLS AND EXERCISES, THE HOSPITAL IS WELL-PREPARED TO HANDLE A NATURAL DISASTER OR PANDEMIC SHOULD ONE ARISE. - TO BETTER SERVICE OUR COMMUNITY, COLUMBUS COMMUNITY HOSPITAL HAS PARTNERED WITH COLUMBUS CHILDREN'S HEALTHCARE TO CREATE THE COLUMBUS COMMUNITY HOSPITAL PEDIATRIC HOSPITALIST PROGRAM IN MAY OF 2017. THIS SERVICE IS APPLICABLE TO INPATIENT AND OBSERVATION CARE ONLY TO PATIENTS AGES NEWBORN TO AGE 18. PEDIATRIC HOSPITALISTS ROUTINELY COMPLETE ROUNDS IN MORNING AND EVENINGS, AND AS CENSUS AND ACUITY DEMANDS. PHYSICIANS FROM OTHER COMMUNITIES WHO ARE NOT CURRENTLY CREDENTIALED AT COLUMBUS COMMUNITY HOSPITAL MAY REFER TO THE PEDIATRIC HOSPITALIST GROUP FOR ADMISSION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE AVAILABLE FOR ALL THE MEMBERS OF THE FINANCE COMMITTEE TO REVIEW. UPON COMMITTEE REVIEW, THE 990 WILL THEN BE SUBMITTED TO THE FULL BOARD FOR REVIEW AND THE BOARD WILL MAKE ANY CORRECTIONS IF APPLICABLE. FORM 990, PART VI, SECTION B, LINE 12C COLUMBUS COMMUNITY HOSPITAL MONITORS ANY CONFLICT OF INTEREST BASED ON THEIR CONFLICT OF INTEREST POLICY. EMPLOYEES AND VOLUNTEERS ARE REQUIRED TO FULLY DISCLOSE ANY CONFLICT OF INTEREST THAT MAY EXIST OR APPEARS TO EXIST. HOSPITAL REVIEWS ANY OF THESE CONFLICTS AND WORKS WITH THE VICE PRESIDENT OR CEO TO DETERMINE IF A CONFLICT EXISTS. IF ONE DOES EXIST, THE HOSPITAL INITIATES ACTIONS TO MANAGE, REDUCE, OR ELIMINATE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT HOSPITAL BOARD MEMBERS, REVIEWS THE CEO'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED. THE HOSPITAL'S CEO AND DIRECTOR OF HUMAN RESOURCES, REVIEW THE VP'S AND OTHER HIGHLY COMPENSATED EMPLOYEE'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 AT COLUMBUS COMMUNITY HOSPITAL, A 3-RING BINDER EXISTS IN THE EXECUTIVE ASSISTANT'S OFFICE LABELED FOR PUBLIC DISCLOSURE WHICH INCLUDES THE MOST CURRENT OF THE FOLLOWING: A) GOVERNING DOCUMENTS WHICH ARE THE HOSPITAL'S BYLAWS B) CONFLICT OF INTEREST POLICY C) AUDITED FINANCIAL STATEMENTS D) FORMS 990 AND 990-T FORM 990, PART XI, LINE 9: NET ASSET CHANGE FOR HEALTHPARK AND ZARZ -376,704. OTHER CHANGES IN NET ASSETS -64,252. 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