PHELPS MEMORIAL HEALTH CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PHELPS MEMORIAL HEALTH CENTER (EIN 47-0481628)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-08
IRS object ID: 202443139349303719
Schema version: 2023v5.1
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-08T14:06:03-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT ST STE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470481628	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PHELPS MEMORIAL HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PHEL	BusinessNameControlTxt
Phone	3089952211	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 TIBBALS STREET	AddressLine1Txt
City	HOLDREGE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68949	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOREN SCHRODER	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	3089952211	PhoneNum
Signature	2024-11-08	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 CPA	PreparerPersonNm
PTIN	P01544037	PTIN
Phone	4023302660	PhoneNum
Preparation	2024-11-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK HARREL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 TIBBALS STREET	AddressLine1Txt
City	HOLDREGE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68949	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$99,424,436	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PHELPSMEMORIAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	PROGRESSIVE FAMILY-CENTERED HEALTH CARE PROVIDING EXCEPTIONAL QUALITY AND COMPASSIONATE CARE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	390	TotalEmployeeCnt
Total Volunteers	86	TotalVolunteersCnt
Total Gross UBI	$497,520	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$177,740	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$929,167	PYContributionsGrantsAmt
CY Contributions Grants	$616,873	CYContributionsGrantsAmt
PY Program Service Revenue	$71,294,259	PYProgramServiceRevenueAmt
CY Program Service Revenue	$83,488,007	CYProgramServiceRevenueAmt
PY Investment Income	$1,511,698	PYInvestmentIncomeAmt
CY Investment Income	$648,916	CYInvestmentIncomeAmt
PY Other Revenue	$1,146,342	PYOtherRevenueAmt
CY Other Revenue	$1,194,232	CYOtherRevenueAmt
PY Total Revenue	$74,881,466	PYTotalRevenueAmt
CY Total Revenue	$85,948,028	CYTotalRevenueAmt
PY Grants And Similar Paid	$30,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$57,096	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$25,434,106	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$32,781,067	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$42,461,513	PYOtherExpensesAmt
CY Other Expenses	$51,088,374	CYOtherExpensesAmt
PY Total Expenses	$67,925,619	PYTotalExpensesAmt
CY Total Expenses	$83,926,537	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,955,847	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,021,491	CYRevenuesLessExpensesAmt
Total Assets BOY	$157,386,632	TotalAssetsBOYAmt
Total Assets EOY	$173,624,057	TotalAssetsEOYAmt
Total Liabilities BOY	$31,586,922	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$31,461,913	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$125,799,710	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$142,162,144	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ALWAYS PROVIDE EXCEPTIONAL QUALITY AND COMPASSIONATE CARE FOR THE FAMILIES WE SERVE.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$56,695,227	ExpenseAmt
Grant	$57,096	GrantAmt
Revenue	$54,241,495	RevenueAmt
Desc	PHELPS MEMORIAL HEALTH CENTER (HEALTH CENTER) IS A NOT-FOR-PROFIT NEBRASKA CORPORATION THAT OPERATES A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN HOLDREGE, NEBRASKA. THE HEALTH CENTER PROVIDES INPATIENT, OUTPATIENT, SWING BED, EMERGENCY, CLINIC AND AMBULANCE SERVICES IN THE LOCAL AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA.THE HEALTH CENTER PROVIDES PATIENT FINANCIAL ASSISTANCE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR HEALTHCARE SERVICES THEY RECEIVE. IT IS THE POLICY OF THE HEALTH CENTER NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS PATIENT FINANCIAL ASSISTANCE. ACCORDINGLY, THE HEALTH CENTER DOES NOT REPORT THESE AMOUNTS IN PATIENT SERVICE REVENUE. THE HEALTH CENTER DETERMINES THE COSTS ASSOCIATED WITH PROVIDING PATIENT FINANCIAL ASSISTANCE BY AGGREGATING THE DIRECT AND INDIRECT COSTS, INCLUDING SALARIES, BENEFITS, SUPPLIES, AND OTHER OPERATING EXPENSES, BASED ON AN OVERALL COST TO CHARGE RATIO. THE COSTS OF CARING FOR THESE PATIENTS FOR THE YEAR ENDED DECEMBER 31, 2023 WAS APPROXIMATELY $440,000.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$11,440,991	ExpenseAmt
Revenue	$20,748,795	RevenueAmt
Desc	PHARMACY - THE PHARMACY DEPARTMENT OVERSEES MEDICATION PURCHASING, STORAGE, DISPENSING, AND THE UTILIZATION THROUGHOUT PHELPS MEMORIAL HEALTH CENTER. THE PHARMACY STAFF PLAYS AN IMPORTANT ROLE IN PROVIDING DRUG INFORMATION TO HEALTH CARE PROFESSIONALS AT PHELPS MEMORIAL HEALTH CENTER. WITH THE USE OF DISPENSING TECHNOLOGIES, INCLUDING SMART INFUSION PUMPS, AND BAR-CODING BEDSIDE, THE PHARMACY DEPARTMENT AT PHELPS MEMORIAL HEALTH CENTER GIVES PATIENT SAFETY A TOP PRIORITY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,636,599	ExpenseAmt
Revenue	$8,408,699	RevenueAmt
Desc	PHYSICAL THERAPY - THE THERAPY CENTER INCLUDES A LARGE GYM FOR TRAINING AND REHABILITATION, A WHIRLPOOL ROOM FOR WOUND CARE AND A SPORTS FLOOR FOR ATHLETIC TRAINING. PHYSICAL THERAPY ALLOWS INDIVIDUALS TO DEVELOP, RESTORE AND MAINTAIN MAXIMUM MOVEMENT AND FUNCTIONAL ABILITY THROUGHOUT LIFE. THIS INCLUDES PROVIDING SERVICES IN CIRCUMSTANCES WHERE MOVEMENT AND FUNCTION ARE THREATENED BY AGING, INJURY, OR DISEASE. THE HYDROWORX THERAPY POOL HELPS PATIENTS RECOVER FROM SURGERY AND ARTHRITIC SYMPTOMS AS WELL AS ATHLETIC REHABILITATION.OCCUPATIONAL THERAPY INCORPORATES MEANINGFUL AND PURPOSEFUL OCCUPATION TO ENABLE PEOPLE WITH LIMITATIONS OR IMPAIRMENTS TO PARTICIPATE IN EVERYDAY LIFE. OCCUPATIONAL THERAPISTS WORK WITH INDIVIDUALS, FAMILIES, GROUPS, AND POPULATIONS TO FACILITATE HEALTH AND WELL-BEING THROUGH ENGAGEMENT OR RE-ENGAGEMENT IN OCCUPATIONS AND EVERYDAY ACTIVITIES. OCCUPATIONAL THERAPY MAY INCLUDE RESTORING FUNCTION, ADAPTING THE PATIENT'S ENVIRONMENT, OR EVEN HELPING PATIENTS FIND EQUIPMENT TO HELP THEM PARTICIPATE MORE INDEPENDENTLY IN THEIR EVERYDAY ACTIVITIES. OCCUPATIONAL THERAPY HAS MORE ROOM TO EXPAND THEIR SERVICES AND BETTER SERVE THEIR PATIENTS.SPEECH THERAPY ADDRESSES PEOPLE'S SPEECH PRODUCTION, VOCAL PRODUCTION, SWALLOWING DIFFICULTIES AND LANGUAGE NEEDS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$433,256	ExpenseAmt
Revenue	$785,730	RevenueAmt
Desc	PHYSICIAN CLINIC - PHELPS MEMORIAL HEALTH CENTER IS DEDICATED TO PROVIDING OUR PATIENTS WITH A HIGH LEVEL OF QUALITY CARE, RIGHT HERE IN HOLDREGE, NEBRASKA. PHMC CONTRACTS WITH MANY VISITING SPECIALISTS TO PROVIDE OUR PATIENTS WITH THE SPECIALTY CARE THEY NEED WITHOUT LEAVING TOWN. VISITING PHYSICIANS AND SURGEONS PROVIDE SPECIALTIES IN THE AREAS OF CARDIOLOGY, EAR, NOSE, THROAT, GENERAL SURGERY, PAIN MANAGEMENT, NEPHROLOGY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, OPTHALMOLOGY, ORTHOPAEDICS, SPINE, PODIATRY, PULMONARY, UROLOGY, AND WOUND TREATMENT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$433,256	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$785,730	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$73,206,073	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	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	79	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	390	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
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	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	Yes (1)	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LOREN D SCHRODER CFO	PersonNm
Phone	3089952211	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 TIBBALS STREET	AddressLine1Txt
City	HOLDREGE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68949	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MARK HARREL
CEO	40.00	Yes (X)	$520,108	$0	$50,927
LOREN D SCHRODER
CFO	40.00	Yes (X)	$391,738	$0	$50,105
RUBEN CHAVEZ
CRNA	40.00		$333,076	$0	$51,754	Yes (X)
JAMIE ROOKS
CRNA	40.00		$304,164	$0	$73,521	Yes (X)
RYAN LIESKE
PHYSICIAN ASSISTANT	40.00		$213,999	$0	$42,248	Yes (X)
LACIE WESTCOTT
CHIEF EXPERIENCE OFFICER	40.00		$197,799	$0	$39,096	Yes (X)
TYLER FRIES
DIRECTOR OF PHARMACY	40.00		$190,470	$0	$41,946	Yes (X)
MIKE PELSTER
PRESIDENT	2.00	Yes (X)	$0	$0	$0		Yes (X)
KYLE ANDERSON
VICE PRESIDENT	2.00	Yes (X)	$0	$0	$0		Yes (X)
LINDA HEIDEN
SECRETARY	2.00	Yes (X)	$0	$0	$0		Yes (X)
STEVE KNESS
TREASURER	2.00	Yes (X)	$0	$0	$0		Yes (X)
JEFF BERNEY MD
CHIEF OF STAFF	2.00		$17,040	$0	$0		Yes (X)
STEPHANIE DANNEHL
MEMBER	2.00		$0	$0	$0		Yes (X)
DOUG HOHMAN
MEMBER	2.00		$0	$0	$0		Yes (X)
DON KRAUS
MEMBER	2.00		$0	$0	$0		Yes (X)
MARK KRAUS
MEMBER	2.00		$0	$0	$0		Yes (X)
HEATHER MCQUILLAN
MEMBER	2.00		$0	$0	$0		Yes (X)
WAYNE QUINCY
MEMBER	2.00		$0	$0	$0		Yes (X)
LANCE THORELL
MEMBER	2.00		$0	$0	$0		Yes (X)
BENJAMIN LANS
MEMBER (THRU 7/23)	2.00		$0	$0	$0		Yes (X)
NATALIE NELSEN
MEMBER (THRU 4/23)	2.00		$0	$0	$0		Yes (X)
WILLIAM SANDY MD
MEMBER (THRU 4/23)	2.00		$14,016	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,182,410	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$349,597	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	48	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
RURAL PARTNERS IN MEDICINE LLC
PO BOX 772519	STEAMBOAT SPRINGS	CO	80477	SPECIALTY PHYSICIANS	$2,909,983
INSPIRE HOLDREGE LLC
2810 W 35TH ST	KEARNEY	NE	68845	CONTRACTED LABOR	$2,151,941
PAPJV LLC
1215 TIBBALS ST	HOLDREGE	NE	68949	PROFESSIONAL FEES AND SERVICES	$2,120,622
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	100875068	CONTRACTED LABOR	$2,029,263
HOLDREGE MEDICAL CLINIC
516 WEST 14TH AVE	HOLDREGE	NE	68949	EMERGENCY ROOM AND REHAB. COVERAGE	$1,605,388

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Government Grants	$603,941	GovernmentGrantsAmt
All Other Contributions	$12,932	AllOtherContributionsAmt
Total Contributions	$616,873	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$79,023,687	$79,023,687
AIR TRANSPORTATION	621990	$2,201,948	$2,201,948
EMPLOYEE PHARMACY REVENUE	621110	$1,296,723	$1,296,723
PHARMACY REVENUE	621110	$340,948	$340,948
CAFETERIA	722514	$247,273	$247,273

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377,428	TotalRevenueColumnAmt
Related Or Exempt Func Income	$224,458	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$152,970	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$83,488,007	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,458,201	TotalRevenueColumnAmt
Exclusion	$2,458,201	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$849,682	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	$849,682	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$849,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$849,682	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,653,611	SecuritiesAmt
Other	$13,512	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,457,666	SecuritiesAmt
Other	$18,742	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,804,055	SecuritiesAmt
Other	-$5,230	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,809,285	TotalRevenueColumnAmt
Exclusion	-$1,809,285	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CUSTOM SOFTWARE LEASE	Desc
Business	541519	BusinessCd
Total Revenue Column	$344,550	TotalRevenueColumnAmt
Unrelated Business Revenue	$344,550	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$344,550	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$85,948,028	TotalRevenueColumnAmt
Related Or Exempt Func Income	$84,184,719	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$497,520	UnrelatedBusinessRevenueAmt
Exclusion	$648,916	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$57,096	TotalAmt
Program Services	$57,096	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,012,878	TotalAmt
Management And General	$1,012,878	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$31,056	TotalAmt
Program Services	$31,056	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$22,411,514	TotalAmt
Program Services	$19,087,042	ProgramServicesAmt
Management And General	$3,324,472	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$615,357	TotalAmt
Program Services	$516,979	ProgramServicesAmt
Management And General	$98,378	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,119,270	TotalAmt
Program Services	$5,609,776	ProgramServicesAmt
Management And General	$1,509,494	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,590,992	TotalAmt
Program Services	$1,303,635	ProgramServicesAmt
Management And General	$287,357	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$169,000	TotalAmt
Management And General	$169,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$199,108	TotalAmt
Program Services	$16,246	ProgramServicesAmt
Management And General	$182,862	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,887	TotalAmt
Program Services	$30,887	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,182	TotalAmt
Management And General	$5,182	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$275,022	TotalAmt
Program Services	$275,022	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,671,777	TotalAmt
Program Services	$17,904,871	ProgramServicesAmt
Management And General	$1,766,906	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$306,715	TotalAmt
Program Services	$3,467	ProgramServicesAmt
Management And General	$303,248	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,097,120	TotalAmt
Program Services	$7,577,237	ProgramServicesAmt
Management And General	$519,883	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,197,964	TotalAmt
Program Services	$1,053,946	ProgramServicesAmt
Management And General	$144,018	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,437,659	TotalAmt
Program Services	$3,080,705	ProgramServicesAmt
Management And General	$356,954	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$721,777	TotalAmt
Program Services	$630,868	ProgramServicesAmt
Management And General	$90,909	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,110,346	TotalAmt
Program Services	$7,328,602	ProgramServicesAmt
Management And General	$781,744	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$700,072	TotalAmt
Program Services	$624,420	ProgramServicesAmt
Management And General	$75,652	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$7,227,619	$7,227,619
DUES AND SUBSCRIPTIONS	$844,443	$759,318	$85,125
TAXES AND LICENSES	$46,797	$46,797
UBI TAXES	$7,293	$7,293

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,593	TotalAmt
Program Services	$33,191	ProgramServicesAmt
Management And General	$6,402	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$83,926,537	TotalAmt
Program Services	$73,206,073	ProgramServicesAmt
Management And General	$10,720,464	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,300	BOYAmt
EOY	$5,203	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,202,737	BOYAmt
EOY	$10,441,508	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,776,935	BOYAmt
EOY	$8,771,535	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$8,742,703	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,253,649	BOYAmt
EOY	$1,194,502	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,334,205	BOYAmt
EOY	$1,729,374	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$129,850,974	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$70,934,028	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$59,268,539	BOYAmt
EOY	$58,916,946	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$76,491,809	BOYAmt
EOY	$76,350,800	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$48,836	BOYAmt
EOY	$49,641	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$298,850	BOYAmt
EOY	$445,394	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$596,914	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,705,772	BOYAmt
EOY	$6,379,537	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$157,386,632	BOYAmt
EOY	$173,624,057	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,934,795	BOYAmt
EOY	$6,514,080	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,781,956	BOYAmt
EOY	$12,662,003	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,443,763	BOYAmt
EOY	$11,162,442	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$426,408	BOYAmt
EOY	$1,123,388	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,586,922	BOYAmt
EOY	$31,461,913	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	$125,350,682	BOYAmt
EOY	$141,679,051	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$449,028	BOYAmt
EOY	$483,093	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$125,799,710	BOYAmt
EOY	$142,162,144	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$157,386,632	BOYAmt
EOY	$173,624,057	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,021,491	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$13,852,734	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$488,209	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	$5,182	OtherActivitiesAmt
Total Lobbying Expenditures	$5,182	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	A PORTION OF THE DUES PAID TO NHA AND AHA ARE ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$640,264	BeginningYearBalanceAmt
Investment Earnings Or Losses	$27,463	InvestmentEarningsOrLossesAmt
End Year Balance	$667,727	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$606,685	BeginningYearBalanceAmt
Investment Earnings Or Losses	$33,579	InvestmentEarningsOrLossesAmt
End Year Balance	$640,264	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$567,283	BeginningYearBalanceAmt
Investment Earnings Or Losses	$39,402	InvestmentEarningsOrLossesAmt
End Year Balance	$606,685	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$545,964	BeginningYearBalanceAmt
Investment Earnings Or Losses	$21,319	InvestmentEarningsOrLossesAmt
End Year Balance	$567,283	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$519,175	BeginningYearBalanceAmt
Investment Earnings Or Losses	$26,789	InvestmentEarningsOrLossesAmt
End Year Balance	$545,964	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.66000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.34000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$695,258	OtherCostOrOtherBasisAmt
Book Value	$695,258	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,255,346	OtherCostOrOtherBasisAmt
Depreciation	$41,672,738	DepreciationAmt
Book Value	$42,582,608	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,653,768	OtherCostOrOtherBasisAmt
Depreciation	$27,572,187	DepreciationAmt
Book Value	$12,081,581	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,246,602	OtherCostOrOtherBasisAmt
Depreciation	$1,689,103	DepreciationAmt
Book Value	$3,557,499	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$58,916,946	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER LT LIAB - 457B DEFERRED COMP	$530,393
LEASE LIABILITY	$592,995

Field	Value	IRS element (for citing)
Total Liability	$1,123,388	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE INTENDED USES FOR THE ENDOWMENT FUNDS ARE CHILD HEALTHCARE AND UNUSUAL HARDSHIP COSTS.

PART X, LINE 2:

THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740, INCOME TAXES. THE HEALTH CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2023 AND 2022, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED.

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$435,901	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$435,901	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,011,941	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,093,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$918,250	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,447,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,093,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,354,151	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,085	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,085	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,603	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$182,603	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,630,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,093,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,536,754	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	8988	PersonsServedCnt
Total Community Benefit Expns	$30,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	18583	PersonsServedCnt
Total Community Benefit Expns	$37,081	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,081	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	450	PersonsServedCnt
Total Community Benefit Expns	$892	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$892	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4825	PersonsServedCnt
Total Community Benefit Expns	$12,049	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,049	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	44606	PersonsServedCnt
Total Community Benefit Expns	$67,625	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,625	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	515000	PersonsServedCnt
Total Community Benefit Expns	$44,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1500	PersonsServedCnt
Total Community Benefit Expns	$4,116	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,116	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	7970	PersonsServedCnt
Total Community Benefit Expns	$12,573	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	601922	PersonsServedCnt
Total Community Benefit Expns	$209,176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$209,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$765,530	BadDebtExpenseAmt
Bad Debt Expense Attributable	$116,361	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$32,426,690	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,629,427	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,202,737	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NEBRASKA PROVIDER ALLIANCE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PHYSICIAN SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.40000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.40000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	PHELPS MEMORIAL HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 TIBBALS ST	AddressLine1Txt
City	HOLDREGE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68949	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PHELPSMEMORIAL.COM	WebsiteAddressTxt
State License	610003	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	PHELPS MEMORIAL HEALTH CENTER	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	0	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	SEE PART V, PAGE 8	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	SEE PART V, PAGE 8	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.PHELPSMEMORIAL.COM/HEALTH-CENTER/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.PHELPSMEMORIAL.COM/HEALTH-CENTER/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.PHELPSMEMORIAL.COM/HEALTH-CENTER/FINANCIAL-ASSISTANCE	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 Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PHELPS MEMORIAL HEALTH CENTER	PART V, SECTION B, LINE 5: DATA WAS GATHERED THROUGH A SURVEY STARTING ON AUGUST 22, 2022 AND ENDED ON SEPTEMBER 9, 2022 FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. A SURVEY OF A SELECT GROUP OF LOCAL EXPERT ADVISORS AS WELL AS THE BROAD COMMUNITY WAS PERFORMED TO REVIEW AND PROVIDE FEEDBACK ON THE PRIOR CHNA AND TO ASCERTAIN THE CONTINUED RELEVANCE OF PREVIOUSLY IDENTIFIED NEEDS. ADDITIONALLY, THE GROUP REVIEWED THE DATA GATHERED FROM SECONDARY SOURCES TO SUPPORT THE DETERMINATION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE FOLLOWING CLASSIFICATIONS:1) PUBLIC HEALTH OFFICIAL2) GOVERNMENT EMPLOYEE OR REPRESENTATIVE3) MINORITY OR UNDERSERVED POPULATION4) CHRONIC DISEASE GROUPS5) COMMUNITY RESIDENT6) EDUCATOR7) HEALTHCARE PROFESSIONAL
PHELPS MEMORIAL HEALTH CENTER	PART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES
PHELPS MEMORIAL HEALTH CENTER	PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022 AND IDENTIFIED THE FOLLOWING NEEDS:- MENTAL HEALTH- AFFORDABILITY- CHRONIC DISEASE MANAGEMENT: CANCER, OBESITY, HEART DISEASE, DIABETES- WOMEN'S HEALTHMENTAL HEALTH- TRANSPORTS PROVIDED FOR PATIENTS TO OTHER FACILITIES WITH HIGHER-LEVEL PSYCHIATRIC NEEDS- PRIMARY CARE PROVIDERS CONDUCT DEPRESSION/MENTAL HEALTH SCREENINGS DURING WELLNESS VISITS- PMHC HAS A GOOD STANDING RELATIONSHIP WITH LOCAL COUNSELORS IN THE COMMUNITY WHERE THEY CAN REFER PATIENTS- A SAFE ROOM IS AVAILABLE ONSITE TO PROVIDE PROTECTIVE SPACE FOR PATIENTS WITH IDENTIFIED BEHAVIORAL HEALTH ISSUES UNTIL THE PATIENT CAN BE TRANSFERRED- HEALTHCARE STAFF PROVIDE SERVICES TO INPATIENTS, OUTPATIENTS, AND EMPLOYEES, AND HELP PROVIDE ACCESS TO BEHAVIORAL HEALTH RESOURCES AND OTHER CONTACTS IN THE COMMUNITY- EMPLOYEE ASSISTANCE PROGRAM (EAP) IS AVAILABLE TO HOSPITAL EMPLOYEES AND FAMILIES THAT COVERS SESSIONS FOR COUNSELING AND PROVIDES EDUCATIONAL MATERIALS, RESOURCES, AND REFERRALS- ATTEND REGION 3 BEHAVIORAL HEALTH SERVICES MEETINGS TO HELP COORDINATE COMMUNITY EFFORTS TO ADDRESS MENTAL HEALTH NEEDS- HOST PRESENTATIONS TO AREA HIGH SCHOOL STUDENTS ON MENTAL HEALTH AND SUICIDE PREVENTION- TELE-PSYCHIATRY SERVICES ARE AVAILABLE FOR PATIENTS WHO NEED A HIGHER LEVEL OF CARE- PROVIDE ACTIVITIES FOR AREA NURSING HOMES TO IMPROVE DEPRESSION SYMPTOMS AND STIMULATE RESIDENTSTHE IMPACT OF ACTIONS TAKEN SINCE THE IMMEDIATELY PRECEDING CHNA:- SHARED EDUCATION ON MENTAL HEALTH AND HOW PATIENTS CAN GET CONNECTED WITH MENTAL HEALTH RESOURCES AT PMHC- CONTINUED TO WORK WITH REGION 3 BEHAVIORAL HEALTH SERVICES TO ADDRESS MENTAL HEALTH NEEDS IN THE COMMUNITY- WORKED WITH SCHOOL COUNSELORS TO DETERMINE THE NEEDS OF THE STUDENTSADDITIONALLY, PMHC PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED:- INCREASE EDUCATION AND AWARENESS OF MENTAL HEALTH SERVICES THAT ARE AVAILABLE IN THE COMMUNITY THROUGH MARKETING AND INVOLVEMENT IN COMMUNITY EVENTS- PROVIDE DE-ESCALATION TRAINING FOR EMERGENCY DEPARTMENT (ED) AND CLINIC STAFF- COMPLETE TRAINING WITH AMERICAN FOUNDATION FOR SUICIDE PREVENTION WALKAFFORDABILITY- FINANCIAL ASSISTANCE POLICY WITH A SLIDING FEE SCALE AND SELF-PAY DISCOUNTS- FINANCIAL COUNSELORS ON STAFF TO HELP PATIENTS UNDERSTAND AND PAY THEIR BILLS, AND ORGANIZE PAYMENT PLANS- STAFF AVAILABLE TO HELP PATIENTS SIGN UP FOR MEDICAID AND PROVIDE INFORMATION ON THE HEALTH INSURANCE EXCHANGE- PHELPS MEDICAL GROUP CLINIC INCREASES ACCESS TO AFFORDABLE WOMEN'S HEALTH AND PRIMARY CARE- PRICE TRANSPARENCY IS AVAILABLE ON THE HOSPITAL WEBSITE- HOSPITAL UNDERWRITES BANK LOANS FOR PATIENTS TO HELP COVER SERVICES- THE CARE MANAGEMENT TEAM SCREENS ADMITTED INPATIENTS FOR FINANCIAL ASSISTANCE- FREE BLOOD PRESSURE CHECKS AND CONTINUOUS GLUCOSE MONITORING ARE PROVIDED AT LOCAL NURSING HOMES- SIMPLE SOLUTIONS PROGRAM PROVIDES FREE DIABETIC EDUCATIONTHE IMPACT OF ACTIONS TAKEN SINCE THE IMMEDIATELY PRECEDING CHNA:- ADDED THE PATIENT NAVIGATOR SUCCESS PROGRAM TO HELP CONNECT PATIENTS WITH SERVICES, RECEIVE TIMELY CARE, AND SUPPORT CARE COORDINATION- NOW OFFERING FREE CPR CLASSES TO THE COMMUNITY- NOW PROVIDING FREE COLORECTAL SCREENING KITS TO ELIGIBLE PATIENTS TO INCREASE ACCESS TO PREVENTATIVE SCREENINGS- ADDED TELEHEALTH VIRTUAL VISIT SERVICES WHICH ALLOW PATIENTS TO RECEIVE CARE AT HOME WITHOUT NEEDING TO TRAVELADDITIONALLY, PMHC PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED:- EVALUATE OPPORTUNITIES TO PROVIDE TRANSPORTATION TO PATIENTS TO INCREASE ACCESS TO CARE FOR PRIORITY POPULATIONSCHRONIC DISEASE MANAGEMENT- CHRONIC CARE MANAGEMENT PROGRAM AT THE RURAL MEDICINE CLINIC- ONCOLOGY AND HEMATOLOGY OUTREACH CLINIC PROVIDES CHEMOTHERAPY, INFUSION THERAPY, AND FOLLOW-UP APPOINTMENTS- DIGITAL MAMMOGRAPHY, PET/CT (LUNG SCREENINGS) ARE AVAILABLE ON SITE- GENERAL SURGERY IS AVAILABLE FOR BIOPSIES WITH FULL LAB SERVICES- FREE ANNUAL COLON CANCER SCREENINGS- ENDOSCOPY AND COLONOSCOPY PROCEDURES AVAILABLE ON SITE- PROMOTION OF BREAST CANCER AWARENESS MONTH, AND EDUCATION ON TESTING AND PREVENTION FOR OTHER TYPES OF CANCERS- ANNUAL SPONSOR OF THE CENTRAL NEBRASKA RELAY FOR LIFE WITH A PARTICIPATING HOSPITAL TEAM AND ONE TEAMMATE ON THE LEADERSHIP TEAM THROUGHOUT THE YEAR.- CANCER SURVIVORS' DINNER AND EDUCATION EVENT- RAISE MONEY EACH YEAR FOR CANCER RESEARCH ORGANIZATIONS- CARDIAC REHABILITATION PROGRAM- CARDIOLOGY OUTREACH CLINICS ARE AVAILABLE ON-SITE, AND CARDIOLOGISTS PERFORM OUTREACH AND EDUCATION IN THE COMMUNITY- HOST TRAINING EVENT FOR LOCAL FIRST RESPONDERS/EMTS ON A VARIETY OF TOPICS FROM TRAUMA, STROKE, HEART ISSUES AND MORE- PROVIDE COMMUNITY EDUCATION, MARKETING, AND FUNDRAISING FOR GO RED FOR WOMEN AND PROMOTE STROKE AWARENESS AND EDUCATION- REGISTERED DIETICIAN ON STAFF WHO WORKS WITH INPATIENTS AND OUTPATIENTS- SPONSOR OF THE ANNUAL SILVER RUN (LOCAL FUN RUN), ZOMBIE RUN, SANTA SLEIGH 5K TO HELP SUPPORT LOCAL YMCA; OVERALL CORPORATE SPONSOR OF YMCA- SPONSOR MULTIPLE LOCAL EVENTS PROMOTING PHYSICAL ACTIVITY AND HEALTH & WELLNESS- SHARES MATERIALS, COLLATERAL, AND PUBLIC SERVICE ANNOUNCEMENTS WITH EDUCATION ON HEALTH AND WELLNESS AND PREVENTIVE SCREENINGS- SIMPLE SOLUTIONS PRE-DIABETES PROGRAM EDUCATES INDIVIDUALS TO TRY AND PREVENT OR DELAY THE ONSET OF TYPE 2 DIABETES- ON-SITE WOUND CARE CLINIC AVAILABLE- GRANTS FUNDS TO THE FOLLOWING NON-PROFIT ORGANIZATIONS: YMCA OF THE PRAIRIE; CHEER AND DANCE CLINIC; SHAMROCK SHUFFLE; ALZHEIMER'S ASSOCIATION WALK; TEAMMATES WALK; HPS FOUNDATION GOLF; SILVER RUN; NEBRASKA KIDNEY ASSOCIATION WALK; RAY RUYBALID TENNIS TOURNEY; HOLDREGE DUSTER BOOSTER CLUB; BETRAND VIKING BOOSTER CLUB; DARE; SAFE CENTER-GROCERY STORE TOURS TO THE COMMUNITY FOR HEALTH AND WELLNESS EDUCATION AND DIABETES PREVENTION- CERTIFIED DIABETES EDUCATOR ON STAFF WHO WORKS WITH INPATIENTS AND OUTPATIENTS THROUGH ONE-ON-ONE CONSULTATIONS; SPEAKS ON LOCAL RADIO SEGMENT "HEALTH TALK; PRESENTS AT LOCAL SCHOOLS; PROVIDES FREE GLUCOMETERS TO SOME PATIENTS- PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY ARE OFFERED TO STROKE PATIENTSTHE IMPACT OF ACTIONS TAKEN SINCE THE IMMEDIATELY PRECEDING CHNA:- OPENED A CARDIAC CATH PROGRAM WITH A CARDIAC-SPECIFIC PHYSICIANS ASSISTANT (PA) WHO PROVIDES EDUCATION- ADDED THE PATIENT NAVIGATOR SUCCESS PROGRAM TO HELP CONNECT PATIENTS WITH SERVICES, RECEIVE TIMELY CARE, AND SUPPORT CARE COORDINATION- ADDED AN IN-HOUSE PET SCANNER- THE CARDIAC REHABILITATION PROGRAM RECEIVED CERTIFICATION FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR)ADDITIONALLY, PMHC PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED:- FORMED A PARTNERSHIP WITH ANOTHER LOCAL FACILITY TO OFFER RADIATION/ONCOLOGY SERVICES TO INCREASE THE AVAILABILITY OF ONCOLOGY SERVICES AND PROCEDURES- PROVIDE FREE COLORECTAL SCREENING KITS TO ELIGIBLE PATIENTS TO INCREASE ACCESS TO PREVENTATIVE SCREENINGS- PROVIDE CT CALCIUM SCORING AS A PREVENTATIVE SCREENING OPTION- CONTINUE TO PROVIDE EDUCATION AND PROGRAMMING AROUND HEALTH AND WELLNESS TO REDUCE THE BURDEN OF CHRONIC DISEASE IN THE COMMUNITYWOMEN'S HEALTH- PROMOTION OF BREAST CANCER AWARENESS MONTH, AND EDUCATION ON TESTING AND PREVENTION FOR OTHER TYPES OF CANCERS- HOST BREAST CANCER AWARENESS AND EDUCATION EVENTS- OBSTETRICS AND GYNECOLOGICAL SERVICES PROVIDED ONSITE- WOMEN'S HEALTH SERVICES PROVIDED AT PHELPS MEDICAL GROUP CLINIC: WELL-WOMAN VISITS, GYNECOLOGY, BREAST HEALTH, HEART HEALTH, LUNG HEALTH, REPRODUCTIVE AND SEXUAL HEALTH- LACTATION COUNSELING SERVICES- OCCUPATIONAL THERAPY WORKS WITH THE ONCOLOGY TEAM TO OFFER A LYMPHOMA PROGRAM- ED PATIENTS ARE SCREENED FOR SAFETY AND CONNECTED WITH THE S.A.F.E. CENTER IF NEEDED- PMHC PROVIDES SUPPORT AND DONATIONS TO THE S.A.F.E. CENTER- OFFER CPR AND FIRST AID CLASSES- PROVIDE COMMUNITY EDUCATION, MARKETING, AND FUNDRAISING FOR GO RED FOR WOMEN- BLOOD PRESSURE CHECKS AND DIABETES EDUCATION AT WOMEN'S NIGHT OUTTHE IMPACT OF ACTIONS TAKEN SINCE THE IMMEDIATELY PRECEDING CHNA:- HOSTED "POSITIVELY PINK," A CANCER AWARENESS AND EDUCATIONAL EVENT WHERE OVER 80 WOMEN WERE EDUCATED ABOUT AVAILABLE PREVENTION SCREENINGS- OCCUPATIONAL THERAPIST RECEIVED CERTIFICATION AS A PREGNANCY AND POSTPARTUM CORRECTIVE EXERCISE SPECIALIST TO BE ABLE TO ASSIST WOMEN HAVING PREGNANCY OR POSTPARTUM ISSUES- ADDED THE CENTRICITY PERINATAL MONITORING SYSTEMADDITIONALLY, PMHC PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED:- PROVIDE A SAFE AND CALM HOSPITAL ENVIRONMENT SO THAT MOTHERS CAN FEEL COMFORTABLE LEAVING THEIR BABIES TO RECEIVE CARE AT THE HOSPITAL- ADD WOMEN'S HEALTH SCREENING SERVICES LIKE STEREOTACTIC BREAST BIOPSY IN MAMMOGRAPHY, VACUUM ASSIST BREAST BIOPSY IN ULTRASOUND, AND BREAST MRITHERE ARE NO IDENTIFIED NEEDS THAT ARE NOT BEING ADDRESSED UNDER THE CURRENT ASSESSMENT.
PHELPS MEMORIAL HEALTH CENTER	PART V, SECTION B, LINE 13H: TO RECEIVE FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY, YOU MUST BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT. TO QUALIFY AS FINANCIALLY INDIGENT YOU MUST BE UNINSURED OR UNDERINSURED AND HAVE A HOUSEHOLD INCOME EQUAL TO OR LESS THAN 200% OF FEDERAL POVERTY LEVEL. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AS FINANCIALLY INDIGENT ARE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE ON THEIR BALANCE AS SET FORTH IN THE POLICY. TO QUALIFY AS MEDICALLY INDIGENT, THE PATIENT MUST BE UNINSURED OR UNDERINSURED AND THE PATIENT'S TOTAL MEDICAL BILLS WITH THE HOSPITAL MUST EXCEED THE GREATER OF 10 PERCENT (10%) OF HOUSEHOLD NET WORTH OR 12 PERCENT (12%) OF HOUSEHOLD INCOME. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AS MEDICALLY INDIGENT WILL BE RESPONSIBLE FOR THE MEDICAL BILLS UP TO THE GREATER OF 10% OF THEIR NET WORTH OR 12% OF THEIR HOUSEHOLD INCOME. ANY REMAINING AMOUNT WILL BE CONSIDERED FINANCIAL ASSISTANCE UNDER THIS POLICY.
PART V, SECTION B, LINES 7A AND 10A:	COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGYWWW.PHELPSMEMORIAL.COM/HEALTH-CENTER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - PHELPS MEDICAL GROUP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1315 TIBBALS STREET	AddressLine1Txt
City	HOLDREGE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68949	ZIPCd

Field	Value	IRS element (for citing)
Facility	RURAL HEALTH CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	TO RECEIVE FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY, YOU MUST BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT. TO QUALIFY AS FINANCIALLY INDIGENT YOU MUST BE UNINSURED OR UNDERINSURED AND HAVE A HOUSEHOLD INCOME EQUAL TO OR LESS THAN 200% OF FEDERAL POVERTY LEVEL. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AS FINANCIALLY INDIGENT ARE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE ON THEIR BALANCE AS SET FORTH IN THE POLICY. TO QUALIFY AS MEDICALLY INDIGENT, THE PATIENT MUST BE UNINSURED OR UNDERINSURED AND THE PATIENT'S TOTAL MEDICAL BILLS WITH THE HOSPITAL MUST EXCEED THE GREATER OF 10 PERCENT (10%) OF HOUSEHOLD NET WORTH OR 12 PERCENT (12%) OF HOUSEHOLD INCOME. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AS MEDICALLY INDIGENT WILL BE RESPONSIBLE FOR THE MEDICAL BILLS UP TO THE GREATER OF 10% OF THEIR NET WORTH OR 12% OF THEIR HOUSEHOLD INCOME. ANY REMAINING AMOUNT WILL BE CONSIDERED FINANCIAL ASSISTANCE UNDER THIS POLICY.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF AT PMHC AND IS POSTED ON PMHC'S WEBSITE.
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 ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, AND HEALTH PROFESSIONS EDUCATION, LINE 7F, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	COALITION BUILDING:ONE OF THE MAJOR COMMUNITY BUILDING ACTIVITIES THAT PMHC HELPS LEAD IS THE SAFE COMMUNITIES COALITION. PMHC EMPLOYS ONE COALITION MEMBER, INCLUDING THE COALITION COORDINATOR WHO IS RESPONSIBLE FOR THE DAY-TO-DAY ORGANIZATIONAL RESPONSIBILITIES, MINUTES, AGENDAS, AND PROGRAM AND EVENT COORDINATION. SAFE COMMUNITIES COALITION IS A GROUP OF REPRESENTATIVES FROM SEVERAL COMMUNITY AGENCIES, INCLUDING PHELPS MEMORIAL HEALTH CENTER, HOLDREGE POLICE DEPARTMENT, PHELPS COUNTY SHERIFF'S DEPARTMENT, NEBRASKA STATE PATROL, YMCA OF THE PRAIRIE, SAFE CENTER, TWO RIVERS PUBLIC HEALTH DEPARTMENT, HOLDREGE, LOOMIS, AND BERTRAND SCHOOLS, AND OTHERS. PMHC ALSO WORKS WITH OTHER COMMUNITY EMS SQUADS, TO ARRANGE MUTUAL AID AMBULANCE HANDOFFS. PMHC STAFF LEAVE THE PMHC AMBULANCE AND TAKE IT THE REMAINDER OF THE WAY TO THE HOSPITAL, THUS BEING ABLE TO GIVE A HIGHER LEVEL OF CARE TO THE PATIENT. THIS SERVICE IS NOT BILLED TO ANYONE BY PMHC. ANOTHER ORGANIZATION THAT PMHC HAS BEEN SUPPORTING IS CASA (COURT APPOINTED SPECIAL ADVOCATES). THIS IS A NATIONAL ASSOCIATION THAT SUPPORTS AND PROMOTES COURT-APPOINTED ADVOCATES FOR ABUSED OR NEGLECTED CHILDREN. THIS YEAR PMHC HELPED COORDINATE AN EMS MASS CASUALTY DRILL FOR AREA FIRST RESPONDERS WITH 30 PMHC EMPLOYEES PARTICIPATING. DONATIONS WERE GIVEN TO AREA AGENCIES (FIRE & EMS) TO HELP WITH SAFETY WITHIN THESE ORGANIZATIONS.LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS:PMHC WORKED WITH VARIOUS LOCAL GROUPS INCLUDING TEAMMATES, 4-H PROGRAMS, AND AREA SCHOOLS TO PROVIDE THE OPPORTUNITY FOR COMMUNITY MEMBERS TO DEVELOP LEADERSHIP SKILLS IN VARIOUS AREAS SUCH AS MENTORING, FIRST AID & COMMUNITY RESOURCES.COMMUNITY SUPPORT:PMHC WORKED WITH LAW ENFORCEMENT, CRIME STOPPERS, AND LOCAL MEDIA TO HELP EDUCATE THE COMMUNITY ON SAFETY, CHILD DEVELOPMENT AND CRIME/ABUSE PREVENTION. PMHC ALLOWS MANY OF ITS EMPLOYEES TO BE INVOLVED IN COMMUNITY ORGANIZATIONS, MANY SITTING ON THE BOARD OF THESE. PMHC ALSO SUPPORTS AREA ACTIVITIES SUCH AS BACKPACK BLESSINGS, RED CROSS BELL RINGING, TEAMMATES, TOYS FOR TOTS, AND FOOD PANTRY TO NAME A FEW BY ALLOWING EMPLOYEES TO PARTICIPATE. PMHC ALSO HOSTS BLOOD DRIVES SEVERAL TIMES THROUGHOUT THE YEAR, ENCOURAGES EMPLOYEES TO GIVE, AND ASSISTS IN THE SET UP AND TEAR DOWN OF OFFSITE COMMUNITY BLOOD DRIVES. AREA CHILDREN BENEFITED BY PMHC SUPPORTING CHILDCARE PROVIDERS, SCHOOLS, AND SUMMER LUNCH PROGRAMS.ECONOMIC DEVELOPMENT:PMHC WORKED WITH PHELPS COUNTY DEVELOPMENT CORP (PCDC) BY DONATING TO THE PROSPERITY PROJECT. PCDC LEADS ECONOMIC EFFORTS IN PHELPS COUNTY. THEY ADVOCATE WITH LOCAL OFFICIALS AND COLLABORATE WITH REGIONAL PARTNERS TO PROVIDE BUSINESS SUPPORT. PMHC ALSO EMPLOYS A MEMBER ON THE LOAN COMMITTEE, HACC VISITORS COMMITTEE, AND RETAIL COMMITTEE FORMED BY PCDC. PMHC ALSO SUPPORTS THE HOLDREGE AREA CHAMBER OF COMMERCE WHICH ADVOCATES FOR ECONOMIC DEVELOPMENT.COMMUNITY HEALTH IMPROVEMENT ADVOCACY:PMHC HELPED SUPPORT SCAR (SOUTH CENTRAL AREA RECOVERY), A GROUP THAT WOULD PROVIDE HEALING AND RECOVERY THROUGH 12-STEP ORGANIZATIONS, SUPPORT GROUPS AND GENERAL COUNSELING. PMHC EMPLOYES A MEMBER OF THE COMMUNITY REDEVELOPMENT AUTHORITY WITH THE CITY OF HOLDREGE.
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 THIS CLASS 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 15.2% 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 12 AND 13 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.
PART III, LINE 9B:	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 UNDER THIS POLICY.THE HOSPITAL DOES NOT TAKE ECAS AGAINST THE PATIENTS FOR AT LEAST 120 DAYS FROM THE DATE THE HOSPITAL PROVIDES THE PATIENT WITH THE FIRST POST-DISCHARGE BILL FOR CARE. A WRITTEN NOTICE IS SENT TO THE PATIENT AT LEAST 30 DAYS PRIOR TO ANY ECAS. THE NOTICE CONTAINS THE FOLLOWING INFORMATION:1. NOTIFIES THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE,2. IDENTIFIES THE SPECIFIC ECA(S) THE HOSPITAL INTENDS TO INITIATE AGAINST THE PATIENT,3. STATES A DEADLINE AFTER WHICH ECAS MAY BE INITIATED THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THE NOTICE IS PROVIDED TO THE PATIENT,4. PROVIDES A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND5. MAKES A REASONABLE EFFORT TO ORALLY NOTIFY THE PATIENT ABOUT THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE.
PART VI, LINE 2:	PHELPS MEMORIAL HEALTH CENTER MANAGEMENT, BOARD OF DIRECTORS AND MEDICAL STAFF MEET EVERY 3 TO 5 YEARS FOR A MAJOR STRATEGIC PLANNING AGENDA THAT INCLUDES ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITY. OUTSIDE RESOURCES ARE UTILIZED TO IDENTIFY THE CURRENT PATIENT DEMOGRAPHIC TRENDS, HEALTH CARE CONCERNS IN OUR COUNTY AND STATE, PHYSICIAN NEED, ETC. EVERY YEAR MANAGEMENT, BOARD OF DIRECTORS AND MEDICAL STAFF MEET TO DISCUSS AND ASSESS THE ONGOING HEALTH CARE NEEDS OF THE COMMUNITY AND DEVELOP AN ANNUAL BUSINESS PLAN TO ADDRESS THESE NEEDS IN THE UPCOMING YEAR.
PART VI, LINE 3:	PHELPS MEMORIAL HEALTH CENTER PATIENT CARE COORDINATORS AND PATIENT FINANCIAL LIASONS MONITOR PATIENTS WITHIN THE HOSPITAL AND IDENTIFY POSSIBLE PATIENTS THAT COULD QUALIFY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT. A REPRESENTATIVE THEN MEETS WITH THE PATIENT TO ASSIST IN REGISTERING FOR SUCH ASSISTANCE. EVERY PATIENT REGISTERING AT PHELPS MEMORIAL HEALTH CENTER IS GIVEN A BILLING PAMPHLET THAT EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM. ATTACHED TO EVERY STATEMENT THERE IS A PAYMENT OPTIONS LETTER THAT ALLOWS PATIENTS TO INQUIRE ABOUT THE FINANCIAL ASSISTANCE PROGRAM. EVERY PATIENT WITH A SELF PAY BALANCE IS SENT A LETTER INFORMING THEM PHELPS MEMORIAL HEALTH CENTER HAS A FINANCIAL ASSISTANCE PROGRAM THAT THEY MAY APPLY FOR.
PART VI, LINE 4:	PHELPS MEMORIAL HEALTH CENTER (PMHC) IS A NOT-FOR-PROFIT NEBRASKA CORPORATION THAT OPERATES A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN HOLDREGE, NEBRASKA. PHELPS COUNTY NEBRASKA IS LOCATED ON THE HIGH PLAINS IN RURAL NEBRASKSA. THE PRIMARY INDUSTRY IS AGRICULTURE INCLUDING CROPS AND LIVESTOCK. ADDITIONAL INDUSTRY INCLUDES MANUFACTURING. PMHC'S PRIMARY SERVICE AREA IS THE COUNTY OF PHELPS AND PORTIONS OF SURROUNDING COUNTIES WITH A TOTAL SERVICE POPULATION OF APPROXIMATELY 20,000.THE MEDIAN HOUSEHOLD INCOME IN HOLDREGE, NE IS $53,241 AND 15.2% OF INDIVIDUALS ARE BELOW THE FEDERAL POVERTY LEVEL.
PART VI, LINE 5:	PHELPS MEMORIAL HEALTH CENTER IS THE LEADING ENTITY FOR HEALTH PROMOTION IN THE COMMUNITY IN PARTNERSHIP WITH LOCAL PHYSICIANS, OTHER HEALTH CARE PROFESSIONALS AND THE LOCAL PUBLIC HEALTH DEPARTMENT. THE HOSPITAL IS GOVERNED BY A VOLUNTEER GROUP OF LOCAL CITIZENS REPRESENTING ALL ASPECTS OF THE COMMUNITY. THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS AND MEDICAL STAFF PROFESSIONALS THAT MEET CREDENTIALING CRITERIA. PMHC PROVIDES EMERGENCY ROOM SERVICES REGARDLESS OF ABILITY TO PAY. EXCESS FUNDS ARE REINVESTED IN EQUIPMENT AND BUILDING UPGRADES.PHELPS MEMORIAL HEALTH CENTER MAINTAINS A PERMANENT SUB-COMMITTEE OF THE BOARD THAT SUPPORTS AND PROMOTES COMMUNITY HEALTH PROJECTS THROUGH GRANT FUNDING AND OTHER ASSISTANCE. IN ADDITION, THE HOSPITAL PROVIDES MULTIPLE HEALTH RELATED EVENTS TO THE PUBLIC AT NO CHARGE THAT ADDRESS HEALTH CARE NEEDS AND RISKS OF THE COMMUNITY.
PART VI, LINE 6:	PMCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
BERTRAND VOLUNTEER FIRE DEPARTMENT
516 MINOR AVENUE	BERTRAND	NE	68927	476006103	GOVERNMENT ENTITY	$7,076	$0	NEW PAGERS/RADIOS FOR FIRE AND RESCUE
WILCOX FIRE DEPARTMENT
112 S MAIN ST	WILCOX	NE	68982	141929168	GOVERNMENT ENTITY	$15,000	$0	2023 AMBULANCE
SOUTH CENTRAL ECONOMIC DEVELOPMENT DISTRICT INC
PO BOX 79 401 EAST AVE	HOLDREGE	NE	68949	900187120	501(C)(3)	$7,450	$0	TRAINING FOR 12-15 PROVIDERS ON THE PYRAMID MODEL FOR PROMOTING SOCIAL-EMOTIONAL COMPETENCE IN INFANTS AND YOUNG CHILDREN
PHELPS COUNTY EMERGENCY MANAGEMENT
715 5TH AVE STE 22	HOLDREGE	NE	68949	476006496	GOVERNMENT ENTITY	$6,970	$0	DUAL-BAND HANDHELD RADIO
BEAVER CITY AMBULANCE
301 10TH ST	BEAVER CITY	NE	68926	476006095	GOVERNMENT ENTITY	$5,600	$0	NEW POWER COT WITH LOADING SYSTEM

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL GRANTS ARE MADE TO LOCAL ORGANIZATIONS IN PHELPS COUNTY AND SURROUNDING COUNTIES. THERE IS CRITERIA IN PLACE TO ENSURE GRANTS ARE AWARDED TO ORGANIZATIONS MEETING FOUNDATION GUIDELINES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (7 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
MARK HARREL
CEO	$452,527	$0	$67,581	$0	$0	$0	$9,150	$0	$41,777	$0	$571,035	$0	$0	$0
LOREN D SCHRODER
CFO	$331,720	$0	$60,018	$0	$0	$0	$7,646	$0	$42,459	$0	$441,843	$0	$0	$0
RUBEN CHAVEZ
CRNA	$306,659	$0	$26,417	$0	$0	$0	$9,150	$0	$42,604	$0	$384,830	$0	$0	$0
JAMIE ROOKS
CRNA	$277,997	$0	$26,167	$0	$0	$0	$23,944	$0	$49,577	$0	$377,685	$0	$0	$0
RYAN LIESKE
PHYSICIAN ASSISTANT	$193,745	$0	$20,254	$0	$0	$0	$5,565	$0	$36,683	$0	$256,247	$0	$0	$0
LACIE WESTCOTT
CHIEF EXPERIENCE OFFICER	$158,336	$0	$39,463	$0	$0	$0	$5,351	$0	$33,745	$0	$236,895	$0	$0	$0
TYLER FRIES
DIRECTOR OF PHARMACY	$170,294	$0	$20,176	$0	$0	$0	$5,959	$0	$35,987	$0	$232,416	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE COUNTY OF PHELPS IN THE STATE OF NEBRASKA
A	476006496	000000000	2021-03-16	$9,585,509	REFUND BOND ISSUED 12/20/2018	0	0	0
THE COUNTY OF PHELPS IN THE STATE OF NEBRASKA
B	476006496	000000000	2021-04-29	$8,267,757	REFUND BONDS ISSUED 10/30/2012 AND 12/12/2012	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,809,817	$9,585,509	$9,585,509	Yes (1)	0	Yes (1)	Yes (1)
B	$3,184,497	$8,267,757	$8,267,757	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)
B	0	0	Yes (1)	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
MARK HARREL
CEO	SPLIT DOLLAR LIFE INSURANCE POLICY	Yes (X)	$4,567,323	$4,644,016	0	Yes (1)	Yes (1)
LOREN SCHRODER
CFO	SPLIT DOLLAR LIFE INSURANCE POLICY	Yes (X)	$4,031,000	$4,098,687	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$8,742,703	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NEBRASKA PROVIDER ALLIANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	JEFFREY BERNEY, CHIEF OF STAFF, AND WILLIAM SANDY, BOARD MEMBER, OWN 40%	RelationshipDescriptionTxt
Transaction	$1,505,935	TransactionAmt
Transaction	CONTRACTED SERVICES/CHRONIC CARE	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	PHELPS MEMORIAL CARDIAC CATH LAB OFFERS MINIMALLY INVASIVE CARDIAC CATH PROCEDURES, AS WELL AS INTERVENTIONAL RADIOLOGY PROCEDURES, IN PARTNERSHIP WITH CARDIOLOGISTS FROM LINCOLN BASED PIONEER HEART INSTITUTE AND RADIOLOGISTS FROM ADVANCED MEDICAL IMAGING. THIS SERVICE BEGAN IN EARLY 2023. PROCEDURES DONE IN THE CATH LAB ARE OUTPATIENT PROCEDURES CONDUCTED BY A TEAM OF INTERVENTIONAL CARDIOLOGISTS, NURSES AND RADIOLOGY TECHNICIANS. THESE PROCEDURES CAN HELP IDENTIFY AND DIAGNOSE CORONARY ARTERY DISEASE, ASSESS VASCULAR ISSUES, OR IDENTIFY ANY ISSUES WITH BLOOD FLOW TO AND FROM THE HEART. THE CATH LAB ALSO HAS MORE ADVANCED IMAGING EQUIPMENT THAT WILL ALSO ALLOW THE INTERVENTIONAL RADIOLOGISTS TO PERFORM BIOPSIES AND OTHER PROCEDURES THAT REQUIRE IMAGING GUIDANCE.
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD AND HAS AUTHORITY TO MAKE DECISIONS ON BEHALF OF THE BOARD IN INSTANCES DEEMED TO BE AN EMERGENCY SITUATION.
FORM 990, PART VI, SECTION A, LINE 2	JEFF BERNEY, CHIEF OF STAFF, AND WILLIAM SANDY, BOARD MEMBER, SHARE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	EVERY DONOR OF A GIFT OF $100 OR MORE TO PHELPS COUNTY MEMORIAL HOSPITAL ASSOCIATION SHALL BE A MEMBER OF PHELPS MEMORIAL HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	EACH MEMBER OF PHELPS MEMORIAL HEALTH CENTER HAS ONE VOTE IN THE ELECTION OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. THE CEO AND CFO REVIEW THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	PMHC BOARD OF TRUSTEES DISCLOSE CONFLICTS OF INTEREST ON AN ANNUAL BASIS BY SIGNING A CONFLICT OF INTEREST STATEMENT. ALL MEMBERS OF THE BOARD OF DIRECTORS, THE TOP MANAGEMENT OFFICIAL (CEO) AND THE TOP FINANCIAL OFFICIAL (CFO) ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, ALL INTERESTS THAT COULD GIVE RISE TO A CONFLICT. THESE DISCLOSURES ARE REVIEWED BY THE BOARD OF DIRECTORS, THE CEO AND THE ORGANIZATION'S COMPLIANCE OFFICER. ACTUAL CONFLICTS ARE ALSO REVIEWED BY THE ENTIRE BOARD OF DIRECTORS. UPON A DIRECTOR'S DISCLOSURE OF A CONFLICT OF INTEREST, THAT DIRECTOR WITHDRAWS FROM BOARD CONSIDERATION AND DISCUSSION, DOES NOT PARTICIPATE IN THE VOTING OR DECISION-MAKING AND, AT THE REQUEST OF THE PRESIDENT, IS EXCUSED FROM THE BOARD MEETING DURING DISCUSSION AND VOTING.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL EVALUATION FOR THE CEO AND CFO. A NATIONAL COMPARATIVE BENCHMARK IS PRESENTED TO THE BOARD OF DIRECTORS. THIS COMPARATIVE DATA IS BASED ON SIMILAR HOSPITAL SIZE AND SIMILAR ANNUAL NET REVENUE. THIS DATA IS UTILIZED BY THE BOARD OF DIRECTORS IN ADDITION TO THE ANNUAL PERFORMANCE OF THE CEO AND CFO TO DETERMINE COMPENSATION. THE DELIBERATION AND DETERMINATION IS DOCUMENTED IN THE PERSONNEL FILES.
FORM 990, PART VI, SECTION C, LINE 19	PHELPS MEMORIAL HEALTH CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	PHYSICIAN AND MEDICAL FEES: PROGRAM SERVICE EXPENSES 9,818,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,818,302. OUTSIDE PHYSICAL AND OCCUPATIONAL THERAPY FEES: PROGRAM SERVICE EXPENSES 1,497,667. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,497,667. X-RAY SERVICES: PROGRAM SERVICE EXPENSES 725,112. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 725,112. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 5,315,054. MANAGEMENT AND GENERAL EXPENSES 1,766,906. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,081,960. SURGICAL SERVICES: PROGRAM SERVICE EXPENSES 548,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 548,736.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NEBRASKA PROVIDER ALLIANCE, LLC 146,545. BOOK-TAX DIFFERENCE IN LICENSE REVENUE -257,389. DISTRIBUTION TO MAJORITY OWNER INTEREST 599,053.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADJACENT AIR LLC
1215 TIBBALS STREET	HOLDREGE	NE	68949	843951918	OPERATE AIR TRANSPORTATION	NE	$2,201,948	$4,560,818	PHELPS MEMORIAL HEALTH CENTER
ADJACENT PROPERTIES LLC
413 EAST AVENUE PO BOX 466	HOLDREGE	NE	68949	470481628	MANAGE REAL ESTATE HOLDINGS	NE	$818,901	$5,058,009	PHELPS MEMORIAL HEALTH CENTER
ADJACENT ENTERTAINMENT LLC
1215 TIBBALS STREET	HOLDREGE	NE	68949	853735617	THEATER OPERATION	NE	$259,421	$1,864,441	PHELPS MEMORIAL HEALTH CENTER
PMHC PHARMACY GROUP
1215 TIBBALS STREET	HOLDREGE	NE	68949	872087872	RETAIL PHARMACY OPERATION	NE	$1,296,771	$478,256	PHELPS MEMORIAL HEALTH CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PAPJV LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 TIBBALS ST	AddressLine1Txt
City	HOLDREGE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68949	ZIPCd

Field	Value	IRS element (for citing)
EIN	920534929	EIN
Primary Activities	CARDIAC CATHETERIZATION LAB	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PHELPS MEMORIAL HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$644,601	ShareOfTotalIncomeAmt
Share Of EOY Assets	$446,445	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PAPJV LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	A	TransactionTypeTxt
Involved	$25,200	InvolvedAmt
Method Of Amount Determination	CASH TRANSFERRED	MethodOfAmountDeterminationTxt