2022-05-12T09:08:52-05:00 2021-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2020-07-01 237161473 OSMOND GENERAL HOSPITAL INC OSMO 4027483393 402 NORTH MAPLE OSMOND NE 68765 LON M KNIEVEL CHIEF EXECUTIVE OFFICER 4027483393 2022-05-10 1 LON KNIEVEL 999009999 MEGAN L KOZIOL P01544037 4023302660 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LON M KNIEVEL 402 NORTH MAPLE OSMOND NE 68765 12039600 0 X WWW.OSMONDHOSPITAL.ORG X 1966 NE PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 9 8 80 8 0 0 72062 3180894 8420643 8216423 -27679 62882 42564 570422 8507590 12030621 0 0 0 0 4051012 4754425 0 0 0 4040898 3832324 8091910 8586749 415680 3443872 13512500 12251639 7873743 2847453 5638757 9404186 OSMOND GENERAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF OSMOND AND THE SURROUNDING COMMUNITIES BY PROVIDING HIGH QUALITY, PERSONALIZED, AND TECHNOLOGICALLY CURRENT HEALTH CARE WITH COMPASSION, DIGNITY, AND RESPECT IN A COST EFFECTIVE AND SAFE MANNER. 0 0 7155223 8745497 OSMOND GENERAL HOSPITAL, INC SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND DOES NOT LIMIT ITS SERVICES OR DISCRIMINATE BASED ON RACE, SEX, NATIONAL ORGIN, OR RELIGION. DURING 2020-2021, OSMOND PROVIDED 1,773 INPATIENT DAYS, 353 RELATED TO MEDICAL/SURGICAL AND 1,420 RELATED TO SWING-BED. THERE WERE A TOTAL OF 133 OPERATIONS PERFORMED AND THE EMERGENCY ROOM TREATED 525 PATIENTS. IN ADDITION TO PROVIDING DIRECT INPATIENT AND OUTPATIENT SERVICES, OSMOND GENERAL HOSPITAL, INC. PROVIDED THE FOLLOWING SPECIALTY CLINICS: PODIATRY, UROLOGY, MOBILE MRI, MAMMOGRAPHY, SURGERY, ECHOCARDIOGRAPHY, CARDIOLOGY, AND ULTRASOUND. 7155223 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 37 0 1 80 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X JODI ASCHOFF CFO 4027483393 OSMOND GEN HOSPITAL 402 NORTH MAPLE OSMOND NE 68765 LON M KNIEVEL MEMBER/CEO 40.00 X X 155344 0 46167 ALICIA MAVIS NURSE PRACTITIONER 40.00 X 140669 0 24571 DR KELLY ELLIS DOCTOR 40.00 X 128452 0 23286 BOBBIE JO MILLER NURSE PRACTITIONER 40.00 X 134883 0 9952 JODI ASCHOFF CFO 40.00 X 68060 0 12631 TIM KINT PRESIDENT 4.00 X X 0 0 0 DOUG KETELSEN VICE PRESIDENT 4.00 X X 0 0 0 THERESA STAPELMAN SECRETARY/TREASURER 2.00 X X 0 0 0 WALTER ASCHOFF MEMBER 2.00 X 0 0 0 DOUG KOEHLER MEMBER 2.00 X 0 0 0 KEVIN LAUCK PA MEMBER 2.00 X 0 0 0 LORI MUNTER MEMBER 2.00 X 0 0 0 LARRY PAULSEN MEMBER 2.00 X 0 0 0 627408 0 116607 4 0 1 0 MHS DATA CENTER 625 3RD STREET PO BOX 366 PHILLIPSBURG KS 67661 SOFTWARE SUPPORT 523411 PSYCHIATRIC MEDICAL PO BOX 734606 DALLAS TX 75373 ADMINISTRATOR FOR ELDERLY POPULATION 367142 BLOOMFIELD MEDICAL PARTNERS 105 SOUTH BROADWAY BLOOMFIELD NE 68718 ER COVERAGE 299773 AMERISOURCE BERGEN 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACY 177786 OVERLAND REHABILITATION 3300 W 8TH ST SUITE 1 YANKTON SD 57078 REHABILITATION 115148 7 3083009 97885 3180894 MEDICARE/MEDICAID 621110 5116312 5116312 PATIENT SERVICE REVENUE 621110 3056589 3056589 43522 43522 8216423 71861 71861 22216 0 22216 22216 22216 8979 -8979 -8979 -8979 BAD DEBT RECOVERIES 624100 529074 529074 CAFETERIA 624200 18059 18059 PHARMACY 624100 1073 1073 548206 12030621 8745497 0 104230 X 282202 282202 3434815 2923788 511027 779879 585726 194153 257529 207029 50500 42169 42169 59781 59781 1967478 1811604 155874 330043 292871 37172 129112 127914 1198 6605 6294 311 6734 4484 2250 30756 30100 656 421390 412400 8990 62410 61079 1331 MEDICAL SUPPLIES 609906 598469 11437 MISCELLANEOUS 145217 91300 53917 LICENSES & FEES 18647 1105 17542 DUES AND SUBSCRIPTIONS 2076 1060 1016 8586749 7155223 1431526 0 527 525 8975398 7654523 931357 801988 77246 82690 22386 19693 8452803 6008848 2614086 2443955 891500 1248265 13512500 12251639 536071 530600 1809905 895333 5527767 1421520 7873743 2847453 X 5638757 9404186 5638757 9404186 13512500 12251639 3443872 321557 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 0 0 0 0 0 0 1 1147 1147 0 PART II-B, LINE 1: OSMOND GENERAL HOSPITAL PAYS DUES TO THE NEBRASKA HOSPITAL ASSOCIATION (NHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) OF WHICH A PORTION IS USED FOR LOBBYING ACTIVITIES. FOR FISCAL YEAR 2021, 11.36% OF THE DUES PAID TO NHA AND 23.32% OF THE DUES PAID TO AHA WERE USED FOR LOBBYING. 47806 15461 63267 5958687 4371639 1587048 2332019 1544690 787329 98830 92519 6311 2443955 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 641337 REFUNDABLE ADVANCES 780183 1421520 X 12352178 321557 321557 12030621 0 12030621 8586749 0 8586749 0 8586749 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN THE HOSPITAL'S TAX EXEMPT STATUS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING THE GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2021, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. 1 1 X 1 X 1 X 150.000000000000 1 0 0 415830 415830 0.04840 274584 191771 82813 0.00960 690414 191771 498643 0.05800 123557 123557 0.01440 1 16 4000 4000 0.00050 1 16 127557 127557 0.01490 1 16 817971 191771 626200 0.07290 13371 13371 0.00160 13371 13371 0.00160 1 0 0 5240253 4946246 294007 X 1 1 1 1 OSMOND GENERAL HOSPITAL 402 NORTH MAPLE OSMOND NE 68765 OSMONDHOSPITAL.COM 620001 X X X X OSMOND GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTPS://WWW.OSMONDHOSPITAL.ORG/COMMUNITY-EDUCATION/ X 1 18 1 HTTPS://WWW.OSMONDHOSPITAL.ORG/COMMUNITY-EDUCATION/ 0 1 X 100.000000000000 150.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X X X X 1 X 0 0 OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 5: OSMOND GENERAL HOSPITAL WORKED WITH THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT PLAN. OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 6A: - ANTELOPE MEMORIAL IN NELIGH, NE- PLAINVIEW COMMUNITY HOSPITAL IN PLAINVIEW, NE- AVERA CREIGHTON HOSPITAL IN KNOX COUNTY, NE- AVERA ST. ANTHONY'S IN O'NEILL, NE- BROWN COUNTY HOSPITAL IN AINSWORTH, NE- CHERRY COUNTY HOSPITAL IN VALENTINE, NE- ROCK COUNTY HOSPITAL IN BASSETT, NE- WEST HOLT MEMORIAL HOSPITAL IN ATKINSON, NE- NIOBRARA VALLEY HOSPITAL IN LYNCH, NE OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 6B: NORTH CENTRAL DISTRICT HEALTH DEPARTMENT OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 11: THROUGH THE PROCESS OF COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS ASSESSING THE RESOURCES AVAILABLE TO THIS ORGANIZATION AND SURROUNDING COMMUNITIES, IT WAS DETERMINED THAT THE MOST SIGNIFICANT NEED TO BE ADDRESSED BY OSMOND GENERAL HOSPITAL IS THE DETECTION AND MANAGEMENT OF CHRONIC DISEASE, WITH A FOCUS PRIMARILY ON HEART DISEASE. BY TACKLING THIS SPECIFIC HEALTH ISSUE, OSMOND HOSPITAL HAS THE OPPORTUNITY TO VASTLY DECREASE THE OCCURRENCES AND SEVERITY OF LIFE THREATING DISEASES SUCH AS CARDIOVASCULAR DISEASE, DIABETES AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE.OSMOND GENERAL HOSPITAL WILL CONTINUE TO UTILIZE PROVEN COMMUNITY WEIGHT LOSS ACTIVITIES AS WELL AS INTRODUCE NEW STRATEGIES TO WORK WITH OTHER COMMUNITY PARTNERS TO INCREASE AWARENESS OF AND PROMOTE BETTER NUTRITIONAL ALTERNATIVES AND OPPORTUNITIES FOR PHYSICAL ACTIVITY. THIS GOAL WILL BE ACCOMPLISHED THROUGH THE DEVELOPMENT AND STRENGTHENING OF COMMUNITY PARTNERSHIPS, WORKPLACE WELLNESS PROGRAMS, NUTRITION AND PHYSICAL ACTIVITY EDUCATIONAL SESSIONS AS WELL AS PROGRAMS TO INVOLVE COMMUNITY MEMBERS IN WEIGHT LOSS AND PHYSICAL ACTIVITY CHALLENGES.AS A SECONDARY PRIORITY, OSMOND GENERAL HOSPITAL WILL ALSO EXPAND IT'S EFFORTS INTO ADDRESSING THE MENTAL HEALTH NEEDS OF THE COMMUNITIES IT SERVES WITH THE GOAL OF REDUCING THE SUICIDE RATE AMONG IT CITIZENS. OSMOND GENERAL HOSPITAL WILL UTILIZE TWO NEW SERVICES OFFERED ON AN OUTPATIENT BASIS; SENIOR LIFE SOLUTIONS, WHICH IS A GROUP MENTAL HEALTH THERAPY PROGRAM DIRECTED TOWARDS SENIORS; TELE-PSYCH IS OFFERED THROUGH A PARTNERSHIP WITH BRYAN TELE-MEDICINE AND GENESIS PSYCHIATRIC GROUP IN LINCOLN, NEBRASKA. OGH WILL ALSO PROMOTE MENTAL HEALTH AND SUICIDE PREVENTION THROUGH PUBLICATIONS AND ADVERTISEMENT.THERE WERE NO HEALTH NEEDS IDENTIFIED IN THE LATEST CHNA THAT ARE NOT BEING ADDRESSED. 3 1 - RANDOLPH CLINIC 106 EAST WAYNE RANDOLPH NE 68771 MEDICAL CLINIC 2 - WAUSA CLINIC 100 N LINCOLN WAUSA NE 68786 MEDICAL CLINIC 3 - OSMOND FAMILY PRACTICE PO BOX 370 OSMOND NE 68765 MEDICAL CLINIC PART I, LINE 3C: NO OTHER CRITERIA WAS USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 6A: A COMMUNITY BENEFIT REPORT WAS NOT PREPARED IN THE CURRENT YEAR. PART I, LN 7 COL(F): DURING THE YEAR ENDED JUNE 30, 2021, THE BAD DEBT RECOVERIES EXCEEDED THE BAD DEBT EXPENSE. THERE IS NO BAD DEBT EXPENSE INCLUDED ON FORM 990, PART XI, LINE 25. PART II, COMMUNITY BUILDING ACTIVITIES: OSMOND GENERAL HOSPITAL HELD SEVERAL VACCINATION CLINICS AND BLOOD DRIVES, PROVIDED SPACE FOR WEEKLY AA MEETINGS, AS WELL AS PROVIDED CANCER KITS TO FAMILIES IN THE COMMUNITY. PART III, LINE 2: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HOSPITAL PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUALADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF CHANGE.FOR THE YEAR ENDED JUNE 30, 2021, NO SIGNIFICANT ADJUSTMENTS TO REVENUE WERE RECOGNIZED DUE TO CHANGES IN ESTIMATES OF IMPLICIT PRICE CONCESSIONS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. PART III, LINE 3: THE HOSPITAL PROVIDES PATIENT FINANCIAL ASSISTANCE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR THE HEALTHCARE SERVICES THEY RECEIVE. IT IS THE POLICY OF THE HOSPITAL NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS PATIENT FINANCIAL ASSISTANCE. ACCORDINGLY, THE HOSPITAL DOES NOT REPORT THESE AMOUNTS IN PATIENT SERVICE REVENUE. THE HOSPITAL DETERMINES THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE BY AGGREGATING THE DIRECT AND INDIRECT COSTS, INCLUDING SALARIES, BENEFITS, SUPPLIES, AND OTHER OPERATINGEXPENSES, BASED ON AN OVERALL COST TO CHARGE RATIO. THE COSTS FOR CARING FOR THESE PATIENTS FOR THE YEAR ENDED JUNE 30, 2021 WAS APPROXIMATELY $307,000. PART III, LINE 4: THE HOSPITAL'S FINANCIAL STATMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, PAGES 7, 9 AND 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLES", "PATIENT SERVICE REVENUE AND "PATIENT FINANCIAL ASSISTANCE". PART III, LINE 8: THE ORGANIZATION USED WORKSHEETS D-1, D-3, E, E-2 AND E-3 OF THE JUNE 30, 2021 COST REPORT. IT DOES NOT INCLUDE ALL OF THE MEDICARE REVENUES AND COSTS. IF ALL OF THE MEDICARE REVENUES AND COSTS WERE INCLUDED, THERE WOULD BE A LARGE SHORTFALL SHOWN ON LINE 7. THE SHORTFALL REPRESENTS ACTUAL UNREIMBURSED COSTS INCURRED BY OSMOND GENERAL HOSPITAL IN PROVIDING SERVICES TO INDIVIDUALS ELIGIBLE FOR MEDICARE. THE COMMUNITY BENEFITS BECAUSE THE HOSPITAL APPLIES OTHER REVENUES TO COVER THE COSTS OF CARING FOR MEDICARE PATIENTS. PART III, LINE 9B: THE HOSPITAL WILL NOT TAKE EXTRAORDINARY COLLECTION ACTIONS 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 CEO IS RESPONSIBLE TO DETERMINE WHETHER THE HOSPITAL HAS ENGAGED IN REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE ORGANIZATION USES DATA PROVIDED BY THE HEALTH DEPARTMENT TO DETERMINE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. WITH THIS DATA, THE ORGANIZATION IS ABLE TO PINPOINT NEEDS OF THE COMMUNITY AND MOLD PROGRAMS AND INITIATIVES TO TARGET THOSE NEEDS. PART VI, LINE 3: IN THE HOSPITAL AND CLINICS, THE BILLING AND CHARITY CARE POLICIES ARE POSTED IN MULTIPLE LOCATIONS. PART VI, LINE 4: THE ORGANIZATION SERVES THE COMMUNITIES OF OSMOND, RANDOLPH AND WAUSA IN NORTHEASTERN NEBRASKA. THE ORGANIZATION ALSO SERVES THE COMMUNITIES OF PIERCE, COLERIDGE AND PLAINVIEW WITH ITS OUTREACH CLINICS AND OTHER SERVICES. OSMOND GENERAL HOSPITAL'S SERVICE AREA INCLUDES A POPULATION OF APPROXIMATELY 16,000. THE MEDIAN HOUSEHOLD INCOME FOR THE COMMUNITY IS $37,938 COMPARED TO THE U.S. AVERAGE OF $51,324 AND THE NEBRASKA AVERAGE OF $51,381. THE AREA POPULATION IS PREDOMINATELY WHITE ELDERLY AND LOW INCOME. PART VI, LINE 5: THE ORGANIZATION HAS MANY WAYS THAT IT FURTHERS ITS EXEMPT PURPOSE. THE ORGANIZATION PUBLISHES HEALTH RELATED ARTICLES IN AREA NEWSPAPERS, HOLDS THE CARDIAC REHAB CLINIC, AND MULTIPLE WELLNESS ACTIVITIES INCLUDING THE MAYO CLINIC DIET. THESE ACTIVITIES INCLUDE THE FUNWALK, SCHOOL HEALTH FAIRS, AND COMMUNITY HEALTH FAIRS. PART VI, LINE 6: THE ORGANIZATION HAS WORKED WITH HEARTLAND HEALTH AND THE NORTH CENTRAL HEALTH DEPARTMENT BUT DOES NOT HAVE ANY ACTIVITIES TO REPORT. THE ORGANIZATION IS OPEN TO WORKING WITH THESE AFFILIATES IN THE FUTURE TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED. X X X X 0 0 0 0 0 0 0 0 0 LON M KNIEVEL MEMBER/CEO 155344 0 0 0 0 0 6656 0 39511 0 201511 0 0 0 ALICIA MAVIS NURSE PRACTITIONER 140669 0 0 0 0 0 0 0 24571 0 165240 0 0 0 DR KELLY ELLIS DOCTOR 128452 0 0 0 0 0 0 0 23286 0 151738 0 0 0 A HOSPITAL AUTHORITY NO 1 OF PIERCE COUNTY NEBRASKA 900198234 2017-02-28 1688000 REFUNDING HOSPITAL REVENUE BONDS DATED 01/05/11 AND 10/11/11 0 0 0 A 792667 1688000 25148 1688000 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S 990 IS REVIEWED BY THE CEO AND CFO. IT IS PRESENTED TO THE BOARD AS SOON AS THE REVIEWS ARE COMPLETE, AND PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS OF THE CONFLICT OF INTEREST POLICY ANNUALLY. THE CONFLICT OF INTEREST FORMS ARE SIGNED BY THE BOARD AT THIS TIME. WHEN A CONFLICT IS PRESENT, THE BOARD MEMBER WITH THE CONFLICT ABSTAINS FROM DISCUSSION AND VOTE. THIS IS DOCUMENTED IN BOARD MINUTES WHEN THE OCCASION ARISES. FORM 990, PART VI, SECTION B, LINE 15 THE CEO COMPARES EMPLOYEES' SALARIES AND WAGES WITH OTHER NEBRASKA HOSPITALS USING A SURVEY FROM THE NEBRASKA HOSPITAL ASSOCIATION. FOLLOWING COMPARISON STUDIES, HE RECOMMENDS A PERCENTAGE INCREASE TO THE BOARD. THE FINAL WAGE ADJUSTMENT IS DETERMINED BY THE BOARD OF DIRECTORS. THE CEO AND CFO WAGE SCALES ARE COMPARED TO AREA HOSPITALS AND THE NHA SURVEY RESULTS. THE BOARD DISCUSSES AND DETERMINES THE LEVEL OF COMPENSATION. THE PHYSICIAN PAY SCALES ARE COMPARED TO PUBLISHED NATIONAL STANDARDS. FORM 990, PART VI, SECTION C, LINE 19 OSMOND GENERAL HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PHYSICAL THERAPY FEES: PROGRAM SERVICE EXPENSES 109,249. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,249. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,214,531. MANAGEMENT AND GENERAL EXPENSES 155,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,370,405. ANESTHESIA: PROGRAM SERVICE EXPENSES 67,272. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,272. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 57,692. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,692. LAB FEES: PROGRAM SERVICE EXPENSES 29,527. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,527. EMERGENCY ROOM PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 333,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 333,333. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE IS COMPRISED OF THE TREASURER OF THE BOARD OF DIRECTORS AND AT LEAST THREE OTHER DIRECTORS. THE JOB OF THE FINANCE COMMITTEE IS TO SUPERVISE ALL CURRENT AND FUTURE FINANCES OF THE CORPORATION, INCLUDING THE REVIEW OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.