2022-05-11T14:35:51-05:00 2021-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2020-07-01 480764456 Nemaha Valley Community Hospital NEMA 7853366181 1600 Community Drive Seneca KS 66538 KILEY FLOYD CEO 7853366181 2022-05-05 1 KILEY FLOYD 999009999 Eric L Otting P00298454 7852334226 2022-05-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Kiley Floyd 1600 Community Drive Seneca KS 66538 22510724 0 X nemvch.com X 1969 KS Nemaha Valley Community Hospital's mission statement is to provide personalized, compassionate healthcare while promoting wellness in the communities we serve. 10 8 185 35 0 0 831688 4853063 16217138 17507021 94016 41091 59902 109549 17202744 22510724 0 0 0 0 10990068 11130452 0 0 16084 6175515 6974490 17165583 18104942 37161 4405782 21840206 22222330 14152049 10128391 7688157 12093939 Nemaha Valley Community Hospital's mission statement is to provide personalized, compassionate healthcare while promoting wellness in the communities we serve. 0 0 15740040 17594060 Nemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area. 15740040 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 24 0 1 185 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Niki Buesing 7853366181 1600 Community Drive Seneca KS 66538 Fred Henry Chairman 1.00 X X 0 0 0 Bill Love Trustee 1.00 X 0 0 0 Katie Nordhus Trustee 1.00 X 0 0 0 Leah Hermesch Trustee 1.00 X 0 0 0 Mike Steinlage Treasurer 1.00 X X 0 0 0 Kris Enneking Vice-Chairman 1.00 X X 0 0 0 Mary Haverkamp Secretary 1.00 X X 0 0 0 Dr Angela Stueve Physician/Trustee 40.00 X 346996 0 36347 Dr James Lueger Physician/Trustee 1.00 X 16600 0 3 TJ Haverkamp Trustee 1.00 X 0 0 0 Kiley Floyd CEO 40.00 X 150526 0 21099 Abbie Thomas Contract CFO 20.00 X 55286 0 0 Harry Stewart CRNA 40.00 X 377424 0 38185 Dr Heather Myers Physician 40.00 X 395919 0 28865 Dr William Bartkoski Physician 40.00 X 352735 0 43454 Lori Lueger APRN 40.00 X 148711 0 22330 Dr Jarod Snyder Physician 40.00 X 314543 0 35239 2158740 0 225522 7 0 1 0 Cerner Corporation PO Box 959156 St Louis MO 63195 Patient Accounting System 304528 Stormont Vail Healthcare 1500 SW 10th Avenue Topeka KS 66604 Lab and Admin Contract Services 239199 Shared Medical Services Inc PO Box 330 Cottage Grove WI 53527 MRI Scans 109020 13 4608282 244781 4853063 Patient service revenue 621110 16707866 16707866 340B retail drug program 446110 799155 799155 17507021 39591 39591 1500 0 1500 1500 1500 Miscellaneous 621110 87039 87039 Dietary Income 722210 22510 22510 109549 22510724 17594060 0 63601 625095 395862 229233 8364370 7394463 957692 12215 379535 335844 43133 558 1183130 1040143 141269 1718 578322 504933 72579 810 10788 2933 7855 1396719 1163726 232990 3 39968 18650 21317 1 73484 58797 14675 12 31453 24488 6965 137347 121868 15383 96 32697 31450 1246 1 338762 300584 37941 237 1192429 1034401 157729 299 154529 129391 25110 28 Supplies 2478281 2414002 64220 59 Equipment rental and ma 817155 671967 145149 39 Collection fees 95446 7525 87921 Dues and subscriptions 68247 29791 38454 2 107185 59222 47957 6 18104942 15740040 2348818 16084 1504 1504 12820377 13570502 1371972 1533049 253466 329903 323339 306270 22343600 16126585 6146874 6217015 922674 264087 21840206 22222330 2846087 1545430 3985962 1592961 7320000 6990000 14152049 10128391 X 7579330 12018028 108827 75911 7688157 12093939 21840206 22222330 4405782 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3795 0 0 0 3795 0 Part II-B, Line 1: Nemaha Valley Community Hospital is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities as part of the services provided to members. The above amount was estimated based on a percentage of membership dues. 54681 54681 12039279 8392469 3646810 10165931 7734116 2431815 83709 83709 6217015 X 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 is exempt from federal taxes on related income pursuant to Sction 501(a) of the Code. 1 1 0 1 X 1 1 0 1 1 135558 29795 105763 0.00580 729963 413857 316106 0.01750 865521 443652 421869 0.02330 4011170 3331319 679851 0.03760 426 426 0.00000 4011596 3331319 680277 0.03760 4877117 3774971 1102146 0.06090 1 256044 102418 6878926 6810818 68108 X 1 1 1 1 Nemaha Valley Community Hospital 1600 Community Drive Seneca KS 66538 X X X X Rural health clinic Nemaha Valley Community Hospital 1 0 0 1 X X X X X X X X X 20 1 1 0 1 X http://www.nemvch.com/resources X 1 20 1 http://www.nemvch.com/resources 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X X X X X X 1 X 0 X X X X 1 X 0 0 Nemaha Valley Community Hospital Part V, Section B, Line 5: Community members were invited to attend a meeting in which their input was requested to determine the health needs of the community. The community members identified the health care needs that should be prioritized. These members included medical professionals, government employees, leaders of non-profit organizations, and hospital employees. Nemaha Valley Community Hospital Part V, Section B, Line 6a: Sabetha Community Hospital Nemaha Valley Community Hospital Part V, Section B, Line 11: To promote health education, the Hospital emphasized educational programs with a focus on hypertension, diabetes, smoking cessation, increased seat belt usage, and car seat safety. To improve access to mental health assistance, The Hospital has continued two tele-health mental health clinics that provide psychiatry and therapy for the young and old. The Hospital continued to educate the public about mental health issues through social and local media and promoted existing mental health services, facilities and providers. To prevent alcohol abuse, the Hospital provided financial support for specific efforts related to activities in local schools. The Hospital also analyzed data from the county health rankings report to gain a better understanding of the needs within the area. The Hospital provided a board member for the United 4 Youth organization.To promote cancer care, the Hospital created a Facebook education video on Mammograms and Facebook postings on breast cancer awareness. The Hospital provided education on assessing breast cancer risks and the importance of preventive health care visits in early cancer detection. To prevent obesity, the Hospital continued to educate business and industry on the benefits of offering wellness programs for their employees and suggested primary care and other providers to refer patients to nutritionists and diabetic educators. Finally, the Hospital provided education programs titled "Prevent T2 Prediabetes and "Living Health with Diabetes".To prevent substance abuse, the Hospital continued to monitor prescription drug abuse by creating an alert system between physicians and pharmacies for drug abuse. The Hospital continued to participate in Ktracks to identify abuse and participated in regional efforts for opioid management. To improve child care, the Hospital conducted child care support education such as teen babysitting classes. The Hospital continued to provide support for licensure such as CPR Classes and education on infection prevention and child immunizations. Part I, Line 7: This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 for the tax year. Part I, Line 7g: The net community benefit expense of subsidized health services include costs attributable to a rural health clinic in the amount of $516,808. Part II, Community Building Activities: N/A Part III, Line 4: Nemaha Valley Community Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. This estimate is based on the aging of its accounts receivable by payor and historical collection experience. See note A4 (page 7) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Hospital's financial assistance policy. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies this amount as a community benefit. Part III, Line 8: Medicare costs were obtained from the Hospital's as-filed Medicare cost report for the tax year. Any shortfalls are a benefit to the Hospital's community since it represents health care provided at less than cost to elderly and needy residents of the Hospital's service area. Part III, Line 9b: Nemaha Valley Community Hospital makes every effort to get correct financial and billing information and to educate patients on the eligibility requirements of charity care programs and payment options. Part VI, Line 2: N/A Part VI, Line 3: Notification associated with patient encounter. Part VI, Line 4: The community served is primarily residents who reside in Nemaha County Kansas and consists of approximately 2,139 residents. The median family income is $55,078. 7.00% of the community residents live below federal poverty level. Neighboring hospitals are located in Sabetha, Pawnee County, NE, and Hiawatha. They are approximately 21, 20, and 28 miles away respectively. Part VI, Line 5: The Hospital maintains a Facebook page which posts general health information topics and announces dates of general health-related group activities. The Hospital offers periodic diabetic educational programs and education programs for expectant mothers. The Hospital uses all excess funds to maintain and improve Hospital facilities and equipment and to insure the delivery of high quality patient care services. Part VI, Line 6: N/A X X 0 0 0 0 0 0 0 0 0 Dr Heather Myers Physician 305729 0 90190 0 0 0 11424 0 17441 0 424784 0 0 0 Harry Stewart CRNA 377424 0 0 0 0 0 11591 0 26594 0 415609 0 0 0 Dr William Bartkoski Physician 332532 0 20203 0 0 0 12825 0 30629 0 396189 0 0 0 Dr Angela Stueve Physician/Trustee 293202 0 53794 0 0 0 11854 0 24493 0 383343 0 0 0 Dr Jarod Snyder Physician 272014 0 42529 0 0 0 10768 0 24471 0 349782 0 0 0 Kiley Floyd CEO 144026 0 6500 0 0 0 6981 0 14118 0 171625 0 0 0 Lori Lueger APRN 122369 0 26342 0 0 0 7010 0 15320 0 171041 0 0 0 A City of Seneca Kansas 486026237 81712RAP4 2008-12-01 8835000 To refund notes payable and construction costs for an addition to Hospital 0 0 0 B City of Seneca Kansas 486026237 81712RBB4 2015-02-19 4455000 To refund a portion of 2008 series bond 0 0 0 A 5335000 8835000 498789 161535 6834436 1358153 2011 0 0 1 1 B 965000 4455000 88270 4517530 2018 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: City of Seneca, Kansas Date the Rebate Computation was Performed: 06/01/2018 Schedule K, Part II The difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income. Arlene Henry Family member of Fred Henry, Board Member 50268 Employment 0 Lynda Cross Family member of Mary Haverkamp and Mike Steinlage, Board Members 140811 Employment 0 Form 990, Part VI, Section A, line 2 Mary Haverkamp, Board Member, is a family relation to Mike Steinlage, Board Member. Form 990, Part VI, Section B, line 11b The 990 is presented to the finance committee of the board prior to filing. The document is made available to all other board members upon request. Form 990, Part VI, Section B, line 12c The board is required to annually sign conflict of interest statements. Form 990, Part VI, Section B, line 15a The CEO salary and compensation is approved by the Hospital's board. Form 990, Part VI, Section C, line 19 Documents are available upon request. 990 Part XII Line 2c The 990 is presented to the finance committee of the board prior to filing. The document is made available to all board members upon request. Nemaha Valley Health Care Foundation 1600 Community Drive Seneca KS 66538 481097250 Fundraising for the benefit of community healthcare KS 501(c)(3) Line 7 Nemaha Valley Community Hospital 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0