2025-05-27T09:12:37-04:00 2024-07-31 470585450 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2023-08-01 470421272 COMMUNITY MEDICAL CENTER INC COMM 4022456500 3307 BILL SCHOCK BLVD FALLS CITY NE 68355 RYAN LARSEN CEO 4022456501 2025-05-19 true true TIMOTHY J COUFAL CPA P00964304 4026946404 2025-05-22 2023 2025-03-06 01:10:19Z X RYAN LARSEN 3307 BILL SCHOCK BLVD FALLS CITY NE 68355 38247566 false X HTTP://CMCFC.ORG X 1995 NE TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING. 10 9 245 0 510267 350604 34367995 36907604 628508 988259 0 35506770 38246467 47682 39449 0 15253883 16774918 0 0 17894633 19467327 33196198 36281694 2310572 1964773 50543729 51818480 13632013 12411506 36911716 39406974 TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING. false false 28752895 39449 36907604 COMMUNITY MEDICAL CENTER PROVIDES MEDICAL SERVICES TO MEET THE NEEDS OF THE PEOPLE OF RICHARDSON COUNTY AND THE SURROUNDING COMMUNITIES. COMMUNITY MEDICAL CENTER PROVIDED 1,909 INPATIENT DAYS, 296 SWING-BED DAYS, 17,736 CLINIC VISITS AND NUMEREOUS OUTPATIENT SERVICES DURING THE YEAR. COMMUNITY BENEFITS INCLUDE 1,524,308 OF SUBSIDIZED HEALTH SERVICES, 441,350 OF TRADITIONAL CHARITY CARE, 343,243 OF BAD DEBT, 70,617 OF COMMUNITY ACTIVITIES, 25,147 OF COMMUNITY SERVICES, 47,500 OF PHYSICAL IMPROVEMENTS AND HOUSING, 27,040 OF HEALTH EDUCATION, AND 2,100 OF CONTRIBUTIONS FOR COMMUNITY BENEFIT. 28752895 true true false true false false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false true false false false false false false false true false false false true 87 0 true 245 true false false false false false false false false X 10 9 false false false false false false false true true false false false true true true false true true false false X RYAN LARSEN 4022456501 3307 BILL SCHOCK BLVD FALLS CITY NE 68355 NICOLE MASON CHAIRPERSON 1.00 X 0 0 0 STEVE SEVERIN VICE-CHAIR 1.00 X 0 0 0 TRENT SCHEITEL TREASURER 1.00 X 0 0 0 VICKI BANGERT SECRETARY 1.00 X 0 0 0 DEBRA LEWIS DIRECTOR 1.00 X 0 0 0 SUSAN JOHNSON DIRECTOR 1.00 X 0 0 0 BARB HOWARD DIRECTOR 1.00 X 0 0 0 DAVIN TURNER DIRECTOR 1.00 X 0 0 0 ADAM MORRIS DIRECTOR 1.00 X 0 0 0 ALLAN TRAMP DIRECTOR 4.00 X 51363 0 0 RYAN LARSEN CEO 40.00 2.00 X 306168 0 57178 RANDY WILLY CFO 40.00 2.00 X 0 0 0 KARI HOLDSWORTH CCO 40.00 X 112713 0 26873 DAVID BORG PHYSICIAN 40.00 X 214793 0 41072 SANDRA CATLIN APRN 40.00 X 177039 0 38434 ALYSSA FINCK PHYSICIAN 40.00 X 295511 0 55122 JUSTIN WESTENGAARD PHYSICIAN 40.00 X 452095 0 57683 HANNAH SIEL PHYSICIAN 40.00 X 319263 0 73349 1928945 349711 13 false true false GRACE ANESTHESIA SERVICES LLC PO BOX 535 CARROLL IA 51401 ANESTHESIA SVCS 882730 ADAM STREIT DO LLC 70307 633 AVENUE DUBOIS NE 68345 ORTHOPEDIC 741063 CARDINAL HEALTH 21337 NETWORK PLACE CHICAGO IL 60673 PHARMACY SVCS 601785 NATIONAL THERAPEUTIC ASSOCATION 11623 ARBOR STREET OMAHA NE 68144 PT/OT SERVICES 326919 SHARED MEDICAL SERVICES 209 LIMESTONE PASS COTTAGE GROVE WI 53527 MRI SERVICES 302125 8 132104 218500 350604 NET PATIENT SERVICE REVENUE 621110 34855867 34855867 PHARMACY 446110 1806716 1806716 MISCELLANEOUS HOSPITAL REV 621110 151349 151349 CAFETERIA 722320 68962 68962 LIFELINE 900099 24710 24710 36907604 900948 900948 88410 1099 87311 87311 87311 38246467 36994915 900948 X 39449 39449 418881 418881 12151677 10210147 1941530 521588 420497 101091 2831061 1595015 1236046 851711 690954 160757 72258 72258 51210 51210 5640710 4658729 981981 86701 27440 59261 160265 82382 77883 628727 618013 10714 101517 76201 25316 40971 36547 4424 204865 18639 186226 2500729 2085608 415121 159125 46856 112269 CENTRAL SUPPLY 2985725 2985725 PHARMACY 2887126 2887126 REPAIR AND MAINTENANCE 1985866 903908 1081958 ADMIN OFFICE 492206 32473 459733 1469326 1337186 132140 36281694 28752895 7528799 0 11009125 6042092 17089332 20935057 3995917 6189172 488813 456450 693452 549544 45863827 28760913 17146947 17102914 10971 11251 109172 532000 50543729 51818480 2877737 3956259 5404955 4737480 3367961 2958401 1981360 759366 13632013 12411506 X 36911716 39406974 36911716 39406974 50543729 51818480 1964773 530485 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3243 3243 false SCHEDULE C, PART II-B, LINE 1 THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: NEBRASKA HOSPITAL ASSOCIATION - 1,699, AMERICAN HOSPITAL ASSOCIATION 1,543 4866959 311800 5178759 4854205 12754 4866959 4987235 45000 -178030 4854205 3672159 1314311 865 100 4987235 4130577 535306 6395 1000120 3672159 1.00000 false false 1175312 1175312 27242594 17012249 10230345 1920689 1502645 418044 14772216 10246019 4526197 753016 753016 17102914 CONDITIONAL CONTRIBUTION 700000 EST THIRD-PARTY PAYOR SETTLEMENTS 100000 DEBT ISSUE COST -40634 759366 X SCHEDULE D, PAGE 2, PART V, LINE 4 THE FUNDS INCLUDE 4,326,754 DESIGNATED BY THE BOARD FOR CAPITAL IMPROVEMENTS AND 852,005 DESIGNATED BY A LONG-TERM DEBT COVENANT ON THE AMERICAN NATIONAL BANK LOAN. SCHEDULE D, PAGE 3, PART X AS OF JULY 31, 2024 AND 2023, THERE IS NO RESERVE FOR UNCERTAIN TAX POSITIONS. true true X true X true X true true false true true 441350 441350 0.01220 441350 441350 0.01220 25147 25147 0.00070 27040 27040 0.00070 1524308 1524308 0.04200 2100 2100 0.00010 1578595 1578595 0.04350 2019945 2019945 0.05570 47500 47500 0.00130 6064 6064 0.00020 64553 64553 0.00180 118117 118117 0.00330 true 17664321 17761106 -96785 X true true 1 1 COMMUNITY MEDICAL CENTER 3307 BILL SCHOCK BLVD FALLS CITY NE 68355 WWW.CMCFC.ORG H000112 X X X X COMMUNITY MEDICAL CENTER 1 false false true X X X X X X X X 22 true false false true X WWW.CMCFC.ORG X X true 22 true WWW.CMCFC.ORG false false true X 200.000000000000 300.000000000000 true true X X X true X WWW.CMCFC.ORG/PATIENTS-VISITORS/ X WWW.CMCFC.ORG/PATIENTS-VISITORS/ X WWW.CMCFC.ORG/PATIENTS-VISITORS/ X X X X true X false X X X X true X false false FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 3E SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY INCLUDE: 1. INCREASE ACCESS TO FITNESS AND WELLNESS OPPORTUNITIES. WHETHER IN NEW OR EXISTING FACILITIES, COMMUNITY MEMBERS NEED MORE OPPORTUNITIES TO BE ACTIVE. 2. INCREASE ACCESS TO BEHAVIORAL HEALTH RESOURCES. SUBSTANCE ABUSE IS A PERVASIVE PROBLEM. LIKEWISE, MORE SUPPORT IS NEEDED FOR THOSE SUFFERING FROM DEPRESSION, ANXIETY AND OTHER MENTAL HEALTH CONCERNS. ISOLATION FROM COVID-19 AND ONLINE LIFESTYLES IS WORSENING THESE ISSUES, ESPECIALLY AMONG YOUTH. 3. STRENGTHEN SOCIAL SUPPORT COORDINATION AND EMERGENCY SERVICES. MORE SUPPORT IS NEEDED FOR AT-RISK FAMILIES AND INDIVIDUALS. FURTHER, GREATER CONNECTEDNESS AMONG THOSE PROVIDING SOCIAL SUPPORTS WILL HELP REDUCE FATIGUE AND BURNOUT. ADDITIONAL PLANNING AND CAPACITY-BUILDING IS NECESSARY TO ADDRESS CURRENT AND POTENTIAL EMERGENCY SITUATIONS. 4. INCREASE USE OF PREVENTATIVE SERVICES AND EARLY DETECTION SCREENINGS. THESE MEASURES ARE UNDERUTILIZED. SUPPORT IS NEEDED FOR EDUCATION, HARNESSING THE INFLUENCE OF COMMUNITY ORGANIZATIONS, AND STRENGTHENING SOCIAL NETWORKS. FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 5 THE PROCESS USED INVOLVED PRE-PLANNING WITH THE HEALTH DEPARTMENT; REVIEW OF AVAILABLE DATA REGARDING HEALTH STATUS INDICATORS IN THE COUNTY; USE OF INTERNAL AND EXTERNAL EXPERTS; A SURVEY OF COMMUNITY MEMBERS; A STAKEHOLDER MEETING OPEN TO ALL COMMUNITY MEMBERS AND INVOLVING REPRESENTATIVES FROM GOVERNMENT, SCHOOLS, MEDICAL STAFF, AND SOCIAL SERVICE PROVIDERS; REVIEW OF PROGRESS ON PRIORITIES ESTABLISHED IN THE PREVIOUS PLAN; PRIORITIZATION OF NEEDS IDENTIFIED; AND DEVELOPMENT OF A STRATEGIC PLAN TO RESPOND TO PRIORITIES. FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 7D COPIES PROVIDED TO ALL STAKEHOLDER ORGANIZATIONS, COUNTY, CITY AND TOWNSHIP GOVERNMENT OFFICES, COMMUNITY LIBRARIES, NEWSPAPER, RADIO AND TELEVISION NEWS MEDIA. FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 11 THE HOSPITAL STRATEGIES TO ADDRESS SIGNIFICATE NEEDS: A. SIX INITIATIVES TO INCREASE ASSESS TO FITNESS AND WELLNESS OPPORTUNITIES: 1. EXPLORE POTENTIAL FOR COMBINED EARLY CHILDHOOD/FITNESS/RECREATION CENTER LEAD BY PUBLIC SCHOOL AND PARTNERED WITH CITY AND ECONOMIC DEVELOPMENT. 2. ADD/EXPAND WALKING TRAIL TO HOSPITAL CAMPUS. 3. SPONSOR/ENCOURAGE REGULAR WEEKLY FITNESS ACTIVITIES (YOGA, WATER AEROBICS & COMMUNITY BASKETBALL). 4. SPONSOR TEAMS TO SUPPORT RECREATION (YOUTH SOCCER, BASEBALL, SOFTBALL & ADULT VOLLEYBALL). 5. SPONSOR EVENTS AND CHALLENGES IN PARTNERSHIP WITH CITY RECREATION TEAM (FUN RUN, FITNESS CHALLENGES & OTHER ACTIVITIES). 6. EVALUATE MEDICALLY- DIRECTED WEIGHT LOSS PROGRAMS. B. FOUR INITIATIVES TO INCREASE ACCESS TO BEHAVIORAL HEALTH RESOURCES: 1. PROVIDE SUBSIDIES & FINANCIAL SUPPORT TO INCREASE AVAILABILITY OF BEHAVIORAL HEALTH SERVICES. 2. EXPAND BEHAVIORAL HEALTH OFFERINGS IN HOSPITAL CLINICS. 3. EXPLORE ADULT FOCUSED STRUCTURED OUTPATIENT SERVICES. 4. CONTINUE TO IMPLEMENT OPIOID BEST PRACTICE RECOMMENDATIONS. C. SIX INITIATIVE TO STRENGTHEN SOCIAL SUPPORT COORDINATION AND EMERGENCY SERVICES: 1. PROVIDE SUBSIDY TO FCVAS TO SUPPORT ON-CALL AVAILABILITY, ESPECIALLY FOR TRANSFERS. 2. RECRUIT & TRAIN HOSPITAL STAFF TO DRIVER ROLE, AND ESTABLISH ROTATION. AS ABLE, EXPAND TO OTHER BUSINESSES. 3. INCREASE HOURS FOR HOSPITAL-BASED SOCIAL WORK IN HOSPITAL. 4. OFFER MEDICAL TRIAGE LINE TO SUPPORT AFTER HOURS NEEDS. 5. ENHANCE AWARENESS/COORDINATION AMOUNT SOCIAL SERVICE PROVIDERS. 6. EXPLORE FEASIBILITY OF ADDITIONAL TRANSPORTATION SERVICES, ESPECIALLY BEHAVIORAL HEALTH. D. FOUR INITIATIVES TO INCREASE USE OF PREVENTATIVE SERVICES AND EARLY DETECTION SCREENINGS: 1. INCREASE COMMUNICATION TO PATIENTS REGARDING RECOMMENDED SCREENINGS, DIABETIC PRECAUTIONS, ETC., USING WRITTEN, ELECTRONIC AND VERBAL METHODS. 2. PROVIDE EDUCATION TO COMMUNITY MEMBERS AROUND RECOMMENDED SCREENINGS. 3. INCREASE USE OF CHRONIC CARE MANAGEMENT, TRANSITIONS OF CARE MANAGEMENT AND REMOTE PATIENT MONITORING, AS APPROPRIATE. 4. PROVIDE ACCESS TO HOME RADON TESTING FOR COMMUNITY MEMBERS. FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 16J AT ADMISSION OR AT LEAST PRIOR TO DISCHARGE REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. 2 FAMILY MEDICINE 3307 BILL SCHOCK BLVD FALLS CITY NE 68355 RURAL HEALTH CLINIC HUMBOLDT FAMILY MEDICINE 1120 GRAND AVENUE HUMBOLDT NE 68376 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST TO CHARGE RATIO. SCHEDULE H, PART II COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THE ORGANIZATION PROVIDED FUNDS TO SUPPORT FALLS CITY ECONOMIC DEVELOPMENT AND GROWTH ENTERPRISE (EDGE) TO SUPPORT ECONOMIC DEVELOPEMENT IN FALLS CITY AND RICHARDSON COUNTY. THE ORGANIZATION ALSO CONTRIBUTED TO VARIOUS HEALTH-ORIENTED COMMUNITY ACTIVITIES AND SCHOOL PROJECTS DURING THE YEAR. SCHEDULE H, PART III, LINE 8 THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 6. SCHEDULE H, PART III, LINE 9B BILLING AND COLLECTION POLICY PART III. I.COMPLETED APPLICATION - IF A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE FAP IS SUBMITTED BY A RESPONSIBLE INDIVIDUAL(S), AT ANY TIME PRIOR TO THE APPLICATION DEADLINE, CMC WILL SUSPEND ECA'S WHILE SUCH FINANCIAL ASSISTANCE APPLICATION IS PENDING. THIS WILL INCLUDE ANY CURRENT ACCOUNTS AND BAD DEBT ACCOUNTS GOING BACK 240 DAYS FROM THE DATE OF THE FIRST STATEMENT ON THE ACCOUNT. 1.IF PATIENT ACCOUNTS DETERMINES DEFINITIVELY THAT THE RESPONSIBLE INDIVIDUAL(S) IS INELIGIBLE FOR ANY FINANCIAL ASSISTANCE UNDER THE FAP, CMC WILL INFORM THE RESPONSIBLE INDIVIDUAL(S) IN WRITING THE DENIAL, INCLUDING REASON(S) FOR THE DENIAL. 2.IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE OTHER THAN FREE CARE, CMC WILL: A. PROVIDE THE PATIENT WITH A REVISED BILL SETTING FORTH: (I) THE AMOUNT THE PATIENT OWES FOR CARE PROVIDED AFTER FINANCIAL ASSISTANCE, (II) HOW THE REVISED AMOUNT WAS DETERMINED; AND (III) EITHER THE AGB FOR THE CARE PROVIDED OR INSTRUCTIONS ON HOW THE PATIENT CAN OBTAIN INFORMATION REGARDING THE AGB FOR THE CARE PROVIDED; B. PROVIDE THE PATIENT WITH A REFUND FOR ANY AMOUNT THE PATIENT HAS PAID IN EXCESS OF THE AMOUNT OWED TO CMC (UNLESS SUCH AMOUNT IS LESS THAN 5); AND C. TAKE REASONABLE MEASURES TO REVERSE ANY ECAS TAKEN AGAINST THE PATIENT. SCHEDULE H, PART VI, LINE 2 THE ORGANIZATION USES ITS CHNA TO ASSESS THE NEEDS OF THE COMMUNITY IT SERVICES. SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S HELPFUL OPTIONS FOR PATIENT EXPENSES (HOPE) PROGRAM OR FINANCIAL ASSISTANCE POLICY BY HAVING THE INFORMATION AVAILABLE ON THEIR WEBSITE, PROVIDING THE INFORMATION TO ALL WHO INQUIRE ABOUT OBTAINING FINANCIAL ASSISTANCE, AND BY REFERRING THOSE KNOWN TO BE UNINSURED AND/OR TO HAVE LOW INCOME TO FINANCIAL COUNSELORS WHO WILL DISCUSS THE POLICY. SCHEDULE H, PART VI, LINE 4 RICHARDSON COUNTY, NEBRASKA IS PRIMARILY RURAL AND INCLUDES THE CITIES OF BARADA, DAWSON, FALLS CITY, HUMBOLDT, PRESTON, RULO, SALEM SHUBERT, STELLA, AND VERDON. IT IS LOCATED IN THE SOUTHEAST CORNER OF NEBRASKA. POPULATION ACCORDING TO THE 2020 CENSUS IS 7,871, DECLINING 5.9% FROM 2010. PERSONS 65 YEARS AND OLDER IS 24.9% WHILE PERSONS 18 AND YOUNGER IS 21.4%. ETHNIC BACKGROUDS BY PERCENT INCLUDE WHITE - 93.0%, AMERICAN INDIAN AND ALASKA NATIVE PERSONS - 3.3%, WITH ALL OTHERS REPORTING LESS THAN 4% COMBINED. THERE ARE 3,706 HOUSEHOLDS WITH AN AVERAGE OF 2.10 PERSONS PER HOUSEHOLD. MEDIAN HOUSEHOLD INCOME IS 44,524 WITH 9.5% OF PERSONS BELOW THE POVERTY LEVEL. THERE ARE 551.84 TOTAL SQUARE MILES AND 14.2 PERSON PER SQUARE MILE. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN ADDITION, THE ORGANIZATION CONTINUALLY APPLIES SURPLUS FUNDS TOWARD THE IMPROVEMENT OF PATIENT CARE, SUCH AS NEW FACILITIES AND THE PURCHASE OF NEW/UPDATED MEDICAL EQUIPMENT. true FALLS CITY PUBLIC SCHOOLS 1415 MORTON ST FALLS CITY NE 68355 476005008 GOV 20026 MENTAL HEALTH BLUE VALLEY BEHAVIORAL HEALTH 103 E 35TH ST SUITE A FALLS CITY NE 68355 470528515 501C3 19423 MENTAL HEALTH 2 X X X false false false true false false false false false RYAN LARSEN CEO 226168 80000 14525 42653 363346 DAVID BORG PHYSICIAN 214793 10159 30913 255865 SANDRA CATLIN APRN 139582 37457 8444 29990 215473 ALYSSA FINCK PHYSICIAN 257129 38382 13939 41183 350633 JUSTIN WESTENGAARD PHYSICIAN 274556 177539 16500 41183 509778 HANNAH SIEL PHYSICIAN 291769 27494 9854 63495 392612 SCHEDULE J, PAGE 1, PART I, LINE 5A PROVIDER PRODUCTIVITY BONUSES ARE CALCULATED BASED ON RHC REVENUE PRODUCED. BONUSES BASED ON REVENUES: SANDRA CATLIN 37,456 JUSTIN WESTENGAARD 177,539 ALYSSA FINCK 38,382 HANNAH SIEL 27,494 A CITY OF FALLS CITY NEBRASKA 476006187 2015-12-23 9945000 REFUND 2009 NEW HOSPITAL DEBT false false false A 5207520 9945000 400000 9945000 2015 true false true true A false false true false false false false true A false true true false true false false false true A true PURPOSE OF ISSUE DESCRIPTION CITY OF FALLS CITY, NEBRASKA REFUND 2009 NEW HOSPITAL DEBT ALLAN TRAMP BOARD MEMBER 51363 SUPERVISOR/PHYSICIAN false FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO AND IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C MANAGEMENT CONTINUALLY REVIEWS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUAL DISCLOSURES AND RELATIONSHIPS WITH COMMUNITY MEDICAL CENTER TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST. ONCE A CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICT WOULD BE DOCUMENTED AND MONITORED TO ENSURE APPROPRIATE ACTION IS TAKEN BASED ON THE SITUATION. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZE INDEPENDENT PARTIES OR STUDIES OCCASIONALLY. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST STATEMENTS, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC WITHOUT APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART IX, LINE 11G CONSULTING FEES 43,000 52,867 0 COLLECTION FEES 0 5,802 0 BILLING FEES 13,720 71,555 0 COMPUTER MAINTENANCE 0 52,608 0 SERVICE AND LICENSE FEES 2,547 18,890 0 BANK/CREDIT CARD FEES 0 78,932 0 CONTRACT LABOR 1,054,718 36,595 0 PURCHASED SERVICE 1,321,764 664,732 0 CONTRACT SERVICE 2,222,980 0 0 TOTAL 4,658,729 981,981 0 COMMUNITY MEDICAL CENTER FOUNDATION 3307 BILL SCHROCK BLVD FALLS CITY NE 68355 463491851 SUPPORT NE 501C3 12A CMC COMMUNITY MEDICAL CENTER INC false false false false false false false false false false false false false false false false false false false false