COLUMBUS COMMUNITY HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: COLUMBUS COMMUNITY HOSPITAL INC (EIN 47-0542043)
Tax period: 2019-05-01 to 2020-04-30
Filed: 2021-02-02
IRS object ID: 202120339349300622
Schema version: 2019v5.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-02-02T11:24:14-06:00	ReturnTs
Tax Period End	2020-04-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 North 96th Street Suite 300	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-05-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470542043	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Columbus Community Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% Jennifer Weick	InCareOfNm
Business Name Control	COLU	BusinessNameControlTxt
Phone	4025623357	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1800	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68602	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHAD VAN CLEAVE	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-01-27	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DONALD NEAL JR	PreparerPersonNm
PTIN	P00798244	PTIN
Phone	4023481450	PhoneNum
Preparation	2021-01-25	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Chad Van Cleave	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4600 38th Street	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$115,500,719	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.columbushosp.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	Our mission is to improve the health of the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	855	TotalEmployeeCnt
Total Volunteers	236	TotalVolunteersCnt
Total Gross UBI	$198,978	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$204,348	PYContributionsGrantsAmt
CY Contributions Grants	$4,034,632	CYContributionsGrantsAmt
PY Program Service Revenue	$104,835,880	PYProgramServiceRevenueAmt
CY Program Service Revenue	$105,005,807	CYProgramServiceRevenueAmt
PY Investment Income	$1,882,739	PYInvestmentIncomeAmt
CY Investment Income	$2,445,237	CYInvestmentIncomeAmt
PY Other Revenue	$1,705,994	PYOtherRevenueAmt
CY Other Revenue	$3,663,454	CYOtherRevenueAmt
PY Total Revenue	$108,628,961	PYTotalRevenueAmt
CY Total Revenue	$115,149,130	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,721,884	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,587,616	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$49,847,053	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$58,524,329	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$42,400,110	PYOtherExpensesAmt
CY Other Expenses	$42,934,720	CYOtherExpensesAmt
PY Total Expenses	$94,969,047	PYTotalExpensesAmt
CY Total Expenses	$103,046,665	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,659,914	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,102,465	CYRevenuesLessExpensesAmt
Total Assets BOY	$158,385,214	TotalAssetsBOYAmt
Total Assets EOY	$184,179,331	TotalAssetsEOYAmt
Total Liabilities BOY	$8,780,694	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$21,789,686	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$149,604,520	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$162,389,645	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Our mission is to improve the health of the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$98,377,790	ExpenseAmt
Grant	$239,293	GrantAmt
Revenue	$105,135,621	RevenueAmt
Desc	Columbus Community Hospital (CCH) is a 47 bed acute care hospital which currently employs over 800 people. It is a significant, positive economic force for the Columbus area, returning dollars into the economy through local purchases by the organization and salaries that return to the community. It is an asset for the local communities where patients can obtain quality health care without the need to drive over 50 miles for care. CCH offers a variety of services that provide necessary care for area residents. Below is a brief summary of services offered by Columbus Community Hospital. - All 47 beds of the Hospital?s acute care services are also certified as swing beds. - CCH provides certified, dedicated medical interpreters to assist non-English speaking patients. The interpreters are available in-house or on-call 24/7 and serve as a liaison between the care providers and the patient. - The Hospital provides ICU, medical surgical, OB and orthopedic services, along with a variety of complimentary ancillary services. These ancillary services include wound care, diabetic education and cardiac rehab and also include clinical pharmacy services. To enhance patient safety, CCH uses bar-coded medication administration, smart pumps and computerized physician order entry. - So that area residents can receive care close to home, CCH offers rehabilitative services that include plysical therapy, speech therapy, occupational therapy as well as specialized multidisciplinary therapy programs such as Thrive Cancer Rehabiliation Care, Parkinson Wellness Program, Rock Steady Boxing, Concussion Management Team, Complete Decongestive Lymphedema Therapy Clinic, a Driver's Rehabiliation Program, Visual and Vestibular Rehab, Aquatic Therapy Program, and Pelvic Floor Dysfunction (male/female urinary incontinence and pelvic pain) Program. The hospital's wiggles and giggles therapy for kids offers pediatric physical, occupational and speech for children ranging in age from infants to adolescents. In November 2015, outpatient therapy services moved into first floor space with greater access for patients at the new Columbus Wellness Center and now patients are integrated and transitioned into medical wellness programs after discharge such as the Parkinson's Exercise Group, the Loud Crowd Voice Exercise Group, TBI, & Stroke Support Group, Spinefit Exercise Classes, AI CHI Exercise Classes, Aquatic Exercise Classes, and TAI CHI for better balanceclasses. - Nurses in the Hospital?s Same Day Services (SDS) Department prepare patients for surgery and care for patients in both the inpatient and outpatient setting. The Department oversees several outpatient procedures, including 90 to 100 endoscopy procedures each month. SDS nurses also administer blood transfusions and chemotherapy infusions. - CCH offers some of the most advanced imaging services including MRI, CT, Digital Mammography and ultrasound. Radiologists are on campus and/or available 24/7. All images are digital, and the dictation used by radiologists is voice recognized and becomes part of the digital image. - The Hospital's laboratory performs an average of over 13,000 tests per month for both inpatients and outpatients. - The CCH Emergency Department (ED) employs highly trained emergency physicians and nurses, offering 24/7 care. Other Hospital departments providing support in the ED include Respiratory Care, Social Work, Laboratory, Medical Interpreters and Diagnostic Imaging. In May, 2006, the CCH Emergency Department was designated as a Level III Trauma Center. The Medical Staff and personnel in the Trauma Center have received specialized training to resuscitate and stabilize trauma patients. The Trauma Program provides systematic review of trauma care and participates in injury prevention activities throughout the community. - CCH opened wound care services in August, 2008, offering clinic hours one day per week. The identified service area includes a 45-mile radius around Columbus. By January 2009, a second day was added to support the demand. The program has exceeded the anticipated demand and provides a much needed service close to home. The clinic sees about 100 patients per month for wound care. - For services located in facilities off-site, the larger services are Home Health and Hospice. Home Health provides skilled health services for patients at their place of residence. The program is medically directed and must be ordered by the attending physician. Home Health is Medicare and Medicaid Certified and meets the requirements of the Joint Commission. Services provided within the program are: o Supervision and administration of medications o Intravenous therapy o Instructing patients in diabetic management o Nutritional assessmentso Home Health aides o Personal care services o Occupational, speech and physical therapies - Hospice services are provided to persons who are no longer receiving curative treatment and whose life expectancy is six months or less. Care is provided by an interdisciplinary team which consists of the physician, nurse, social worker, therapist, Home Health aide, spiritual advisor, volunteer and other health professionals. - Our local Healthy Family Nebraska Program (HFN) targets young, primarily single, pregnant mothers and their families. Our voluntary HFN home visitation program targets the most vulnerable young women and their families by offering them intense, in-home education, support and resources. This home visiting program covers families in a four county area. The HFN requires each mother/family to actively participate in building an individualized family plan. This strength-based approach promotes self-improvement and enhances self-esteem and independence for our young parents that will help them make better decisions and break out of destructive cycles. - The CCH Sleep Lab offers complete polysomnographic sleep testing by trained and licensed sleep technicians for the purpose of diagnosing obstructive/central sleep apnea. Both daytime and night sleep studies are performed. - Occupational Health Services (OHS) offers a menu of health care services designed to prevent and treat injuries in the workplace. Partnering with employers in more than 800 companies and with other health care professions, OHS provides the Columbus and regional area businesses and industry with a comprehensive range of services designed to support and maintain a healthy, safe workforce while assisting them in meeting OSHA and DOT compliance regulations. Their full range of services include: o A comprehensive testing procedure called Physical Capacity Profile (PCP) that matches employees to the job and is designed to accommodate individuals with handicaps. The PCP system was developed by an orthopedic physician. Through use of this testing, musculoskeletal imbalances are detected which helps employers place employees in the appropriate job to minimize the potential of injury. o 24/7 drug and alcohol testing services o Pre-employment/post job offer physical assessments o On-site nursing serviceso Hearing/vision testing o Hearing conservation program management o Respiratory fit testingo Respiratory evaluation services o Flu shots and immunization programso Wellness programs - Lifeline, an in-home emergency response program, provides the vital safety net that many people need to continue living at home in familiar and comforting surroundings. The program is completely focused on ensuring the patient's independence, safety and well-being in their home. It operates with a bracelet worn by the patient with a button that can be pressed if help is needed. Pre-determined responders are summoned to their home or emergency transfer can be call if needed. - Meals on Wheels are prepared by the Nutrition Services Department and are delivered by community volunteers. Seniors and physically handicapped adults qualify for the program. Special diets can also be accommodated. Financial assistance is available through the Nebraska Department of Social Services. - The Hospital also participates in and has hosted county-wide natural disaster and pandemic drills. As a member of a larger preparedness team, RROMRS, CCH can assist or receive assistance from this region's Medicare providers. Through these drills and exercises, the Hospital is well-prepared to handle a natural disaster or pandemic should one arise. - To better service our community, Columbus Community Hospital has partnered with Columbus Children's Healthcare to create the Columbus Community Hospital Pediatric Hospitalist Program in May of 2017. This service is applicable to inpatient and observation care only to patients ages newborn to age 18. Pediatric Hospitalists routinely complete rounds in morning and evenings, and as census and acuity demands. Physicians from other communities who are not currently credentialed at Columbus Community Hospital may refer to the Pediatric Hospitalist group for admission.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,348,323	ExpenseAmt
Grant	$1,348,323	GrantAmt
Revenue	$0	RevenueAmt
Desc	PROVIDE UNCOMPENSATED SERVICES TO PEOPLE WHO ARE UNABLE TO PAY. CCH CHARITY/FINANCIAL AID POLICY REFLECTS THE MISSION, VISION AND VALUES OF CCH. IT IS INTENDED TO ASSIST LOW-INCOME, UNDERINSURED, AND UNINSURED INDIVIDUALS WHOSE FINANCIAL STATUS, UNDER THE HOSPITAL'S QUALIFICATION CRITERIA, MAKES IT IMPRACTICAL OR IMPOSSIBLE TO PAY FOR NECESSARY MEDICAL SERVICES. CCH HAS A FIDUCIARY RESPONSIBILITY TO SEEK PAYMENT FOR SERVICES FROM THOSE WHO CAN PAY, AND EVERY EFFORT WILL BE MADE TO APPLY CONSISTENT, FAIR AND EQUITABLE FINANCIAL AID PRACTICES IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. CCH FOLLOWS THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE BOTH ELIGIBILITY FOR FREE CARE, 100% OF FPG, AND DISCOUNTED CARE, 200% FPG. CCH ALSO OFFERS CATASTROPHIC CHARITY ASSISTANCE. APPLICANT MAY QUALIFY FOR PARTIAL CHARITY/FINANCIAL ASSISTANCE AND/OR TOTAL BALANCE WRITE-OFF ADDITIONAL WRITE-OFF WILL BE DONE AS OUTLINED BELOW: - REDUCE TO $1,200 - ADJUSTMENTS WILL BE DONE FROM OLDEST TO NEWEST.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$99,726,113	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	95	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	855	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Jennifer Weick	PersonNm
Phone	4025624646	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4600 38th Street	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michael Hansen
President/CEO/Secretary	39.0	1.0	Yes (X)	$785,508	$0	$89,634
Edward Fehringer MD
Physician	40.0	0.0		$650,108	$0	$40,398	Yes (X)
John Beauvais MD
Physician	40.0	0.0		$634,825	$0	$28,467	Yes (X)
Richard Cimpl MD
Physician	40.0	0.0		$609,339	$0	$43,206	Yes (X)
Matthew Pieper MD
Physician	40.0	0.0		$615,965	$0	$30,106	Yes (X)
Anthony Krueger MD
Physician	40.0	0.0		$604,756	$0	$30,158	Yes (X)
Chad Van Cleave
VP Finance	40.0	0.0	Yes (X)	$206,287	$0	$56,142
Amy Blaser
VP Business Development	40.0	0.0	Yes (X)	$197,301	$0	$54,965
Dorothy Bybee
VP Nursing	40.0	0.0	Yes (X)	$211,708	$0	$40,322
Scott Messersmith
VP Operations	40.0	0.0	Yes (X)	$187,344	$0	$53,170
Brett Bonwell
Chairman (START 5/1/19)	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Jeff Gokie
Vice Chairman (START 5/1/19)	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Julie Haney
Treasurer (START 5/1/19)	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Stan Emerson
Director	1.0	0.0		$0	$0	$0		Yes (X)
Jeffrey Gotschall MD
Director	1.0	0.0		$0	$0	$0		Yes (X)
Joan Keit MD
Director	1.0	0.0		$0	$0	$0		Yes (X)
Clark Lehr
Chairman (Thru 5/1/19)	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Sarah Pillen
Director	1.0	0.0		$0	$0	$0		Yes (X)
Elizabeth Przymus
Director	1.0	0.0		$0	$0	$0		Yes (X)
Daniel Rosenquist MD
Director	1.0	0.0		$0	$0	$0		Yes (X)
Tim Tooley
Director	1.0	0.0		$0	$0	$0		Yes (X)
Brian Schmidt
Director	1.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,703,141	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$466,568	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	65	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
JE DUNN CONSTRUCTION COMPANY
1001 Locust St	KANSAS CITY	MO	64106	Construction	$16,380,502
Inpatient Physician Associates
3200 Pine Lake Rd Ste A	Lincoln	NE	68516	Hospitalist Svcs	$1,151,197
TSP CONSTRUCTION SERVICES INC
1112 N West Ave North	SIOUX FALLS	SD	57104	Construction	$1,014,996
Focusone Solutions LLC
PO Box 3037	Omaha	NE	68103	Contract Labor	$315,470
Renovo Solutions LLC
4 Executive Cir Ste 185	Irvine	CA	92614	Equipment Maint	$245,848

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,938,800	RelatedOrganizationsAmt
All Other Contributions	$95,832	AllOtherContributionsAmt
Total Contributions	$4,034,632	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Service Revenue	Desc
Business	621110	BusinessCd
Total Revenue Column	$105,005,807	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,005,807	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$105,005,807	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,449,146	TotalRevenueColumnAmt
Exclusion	$2,449,146	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$507,186	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$351,589	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$155,597	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$155,597	TotalRevenueColumnAmt
Exclusion	$155,597	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	-$3,909	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$3,909	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,909	TotalRevenueColumnAmt
Exclusion	-$3,909	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Meals on Wheels	900099	$61,283	$61,283
Cafeteria	900099	$335,665		$335,665
Health Watch	900099	$68,531	$68,531

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,042,378	TotalRevenueColumnAmt
Unrelated Business Revenue	$198,978	UnrelatedBusinessRevenueAmt
Exclusion	$2,843,400	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,507,857	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,149,130	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,135,621	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$198,978	UnrelatedBusinessRevenueAmt
Exclusion	$5,779,899	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$239,293	TotalAmt
Program Services	$239,293	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,348,323	TotalAmt
Program Services	$1,348,323	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,895,733	TotalAmt
Management And General	$1,895,733	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$44,816,455	TotalAmt
Program Services	$44,816,455	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,676,502	TotalAmt
Program Services	$1,676,502	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,331,540	TotalAmt
Program Services	$7,331,540	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,804,099	TotalAmt
Program Services	$2,804,099	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$447,000	TotalAmt
Management And General	$447,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,519	TotalAmt
Management And General	$7,519	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Program Services	$30,000	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,029,509	TotalAmt
Program Services	$3,029,509	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$576,155	TotalAmt
Management And General	$576,155	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,240,788	TotalAmt
Program Services	$13,240,788	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,064,853	TotalAmt
Program Services	$3,064,853	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,474,076	TotalAmt
Program Services	$1,474,076	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$235,479	TotalAmt
Management And General	$235,479	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$158,666	TotalAmt
Management And General	$158,666	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,331,943	TotalAmt
Program Services	$6,331,943	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$382,345	TotalAmt
Program Services	$382,345	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PROVISION FOR BAD DEBTS	$5,762,702	$5,762,702
Minor Equip & Financing AGR	$4,369,286	$4,369,286
Purchased Services	$2,962,902	$2,962,902
RECRUITING	$299,848	$299,848

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$561,649	TotalAmt
Program Services	$561,649	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$103,046,665	TotalAmt
Program Services	$99,726,113	ProgramServicesAmt
Management And General	$3,320,552	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,528,791	BOYAmt
EOY	$26,168,311	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,778,321	BOYAmt
EOY	$10,293,606	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$542,275	BOYAmt
EOY	$457,780	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,742,090	BOYAmt
EOY	$2,797,519	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,353,570	BOYAmt
EOY	$1,888,374	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$136,320,521	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,630,903	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,610,944	BOYAmt
EOY	$71,689,618	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$73,468,463	BOYAmt
EOY	$70,679,953	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$360,760	BOYAmt
EOY	$204,170	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$158,385,214	BOYAmt
EOY	$184,179,331	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,780,694	BOYAmt
EOY	$21,789,686	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,780,694	BOYAmt
EOY	$21,789,686	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	$149,604,520	BOYAmt
EOY	$162,389,645	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$149,604,520	BOYAmt
EOY	$162,389,645	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$158,385,214	BOYAmt
EOY	$184,179,331	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,102,465	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$731,494	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$48,834	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$7,519	OtherActivitiesAmt
Total Lobbying Expenditures	$7,519	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1g	DIRECT CONTACT WITH STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENT OFFICIALS. WE HAVE ADVOCATED FOR RURAL HEALTHCARE LEGISLATION (E.G. RURAL HOSPITAL DEMONSTRATION PROGRAM).
Schedule C, Part II-B, Line 1i	Dues paid to American Hospital Association allocated to lobbying $3,358 and dues paid to Nebraska Hospital Association allocated to lobbying $4,161.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,912,239	BeginningYearBalanceAmt
Contributions	$544,148	ContributionsAmt
End Year Balance	$2,456,387	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,863,805	BeginningYearBalanceAmt
Contributions	$48,434	ContributionsAmt
End Year Balance	$1,912,239	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,846,405	BeginningYearBalanceAmt
Contributions	$17,400	ContributionsAmt
End Year Balance	$1,863,805	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,832,057	BeginningYearBalanceAmt
Contributions	$14,348	ContributionsAmt
End Year Balance	$1,846,405	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,806,283	BeginningYearBalanceAmt
Contributions	$25,774	ContributionsAmt
End Year Balance	$1,832,057	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,313,043	OtherCostOrOtherBasisAmt
Book Value	$8,313,043	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,785,080	OtherCostOrOtherBasisAmt
Depreciation	$64,630,903	DepreciationAmt
Book Value	$3,154,177	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,041,034	OtherCostOrOtherBasisAmt
Book Value	$37,041,034	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,181,364	OtherCostOrOtherBasisAmt
Book Value	$23,181,364	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$71,689,618	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4

Endowment funds are held and maintained by Columbus Community Hospital Foundation. The endowment funds exist in support of improved health services by Columbus Community Hospital.

Schedule D, Part X, Line 2

The Hospital adopted Financial Accounting Standards Board (FASB) Interpretation No. 48, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No, 109. FIN 48 provides specific guidance on how to address uncertainty in accounting for income tax assets and liabilities, prescribing recognition thresholds and measurement attributes. The adoption of FIN 48 by Columbus Community Hospital did not have a material impact on the Hospital's financial position, results of operations, or cash flows. In fiscal years ending 2020 and 2019, management determined that there are no income tax positions requiring recognition in the financial statements.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	130.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$688,724	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$688,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,825,101	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,467,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,357,861	NetCommunityBenefitExpnsAmt
Total Expense	0.04480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,513,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,467,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,046,585	NetCommunityBenefitExpnsAmt
Total Expense	0.05190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	127599	PersonsServedCnt
Total Community Benefit Expns	$238,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,041	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$214,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	176	PersonsServedCnt
Total Community Benefit Expns	$18,166	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	1379	PersonsServedCnt
Total Community Benefit Expns	$36,570	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,570	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	129154	PersonsServedCnt
Total Community Benefit Expns	$303,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$279,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	129154	PersonsServedCnt
Total Community Benefit Expns	$6,817,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,491,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,325,626	NetCommunityBenefitExpnsAmt
Total Expense	0.05480	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Persons Served	1800	PersonsServedCnt
Total Community Benefit Expns	$18,290	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	225	PersonsServedCnt
Total Community Benefit Expns	$14,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	2025	PersonsServedCnt
Total Community Benefit Expns	$32,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,139	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,762,702	BadDebtExpenseAmt
Reimbursed By Medicare	$22,078,261	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,057,605	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,979,344	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	Property management	PrimaryActivitiesTxt
Org Profit Or Ownership	0.22759	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.77241	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	Columbus Community Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4600 38th Street	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	686011800	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.columbushosp.org	WebsiteAddressTxt
State License	630001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	47 Bed Acute Care Hospital w/ 24 hr ER Services	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Columbus Community Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	130.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Line 5	MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS WAS DEVELOPED BY AND IS RECOMMENDED FOR COMMUNITY ASSESSMENT BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). THE NEBRASKA RURAL HEALTH ASSOCIATION ALSO RECOMMENDED MAPP AS A COMMUNITY ASSESSMENT FOR NEBRASKA'S COMMUNITY, NONPROFIT HOSPITAL IN ITS COMMUNITY HEALTH ASSESSMENT COLLABORATIVE PRELIMINARY RECOMMENDATIONS SO THE HOSPITAL COULD COMPLY WITH NEW REQUIREMENTS FOR TAX EXEMPT STATUS ENACTED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (SEPTEMBER 2011). MAPP ALLOWS FOR INPUT FROM PARTIES WHO REPRESENT BROAD INTERESTS IN THE COMMUNITIES. INPUT FROM DIVERSE SECTORS INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND INDIVIDUALS FROM DIVERSE AGE GROUPS WAS OBTAINED THROUGH SURVEYS, TARGETED FOCUS GROUPS, OPEN PUBLIC MEETINGS AND TARGET INVITATIONS TO COMMUNITY LEADERS AND AGENCIES. THE HOSPITAL'S PARTICIPATION IN THE CURRENT MAPP ASSESSMENT IS THE MOST THOROUGH TO DATE WITH OVER 100 INDIVIDUALS IN THE DISTRICT PARTICIPATING IN THE PROCESS. THIS DOES NOT COUNT THE 1,000 INDIVIDUAL SURVEYS OR FOCUS GROUP PARTICIPANTS.
Schedule H, Part V, Line 6a	- CHI Health, Schuyler - Genoa Community Hospital - Boone County Health Center
Schedule H, Part V, Line 6b	- East Central District Health Department - Good Neighbor Community Health Center
Schedule H, Part V, Line 7d	The detailed assessment and related components are available via link on https://www.columbushosp.org/news_events/community_health_needs_assessment _chna.aspx or available on request and available for review at Columbus Community Hospital.
Schedule H, Part V, Line 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE VIA LINK ON HTTPS://WWW.COLUMBUSHOSP.ORG/NEWS_EVENTS/CHIP_IMPLEMENTATION_PLAN_2018.ASP X
Schedule H, Part V, Line 11	CHNA IDENTIFIED HEALTH CARE NEEDS THE FOLLOWING "HEALTH PRIORITIES" WERE IDENTIFIED AS RECOMMENDED AREAS OF INTERVENTION UNDER THE CHNA CONDUCTED IN COLLABORATION WITH THE East Central District Health Department (ECDHD), COVERING THE COUNTIES OF PLATTE, BOONE, COLFAX & NANCE: - ACCESS TO HEALTH CARE - OBESITY - FAMILY SUPPORT - SUBSTANCE - BEHAVIORAL HEALTH CCH WILL WORK HAND-IN-HAND WITH THE ECDHD & OTHER HEALTH & BUSINESS-RELATED AGENCIES TO ADDRESS THESE NEEDS. CCH WILL TAKE THE LEAD IN ADDRESSING THE IDENTIFIED NEEDS OF ACCESS TO HEALTH CARE & OBESITY BY CONDUCTING THE ACTIVITIES DESCRIBED BELOW. IT WILL SUPPORT THE IDENTIFIED NEEDS OF FAMILY SUPPORT, SUBSTANCE ABUSE & BEHAVIORAL HEALTH AS REQUESTED BY OTHER PARTICIPANTS OF THE CHNA THAT HAVE AGREED TO TAKE THE LEAD IN THESE AREAS. THESE PARTICIPANTS ALREADY HAVE PROGRAMS IN PLACE & EXPERTISE IN THESE AREAS. THE ALLOCATION OF DUTIES IN ADDRESSING THESE IDENTIFIED HEALTH CARE NEEDS, PROMOTES PROGRAM EFFECTIVENESS & SUPPORTS THE EFFICIENT ALLOCATION OF LIMITED HEALTH CARE DOLLARS. IMPLEMENTATION STRATEGY ACCESS TO HEALTH CARE OBJECTIVE: UPDATE OUR FACILITIES TO OFFER OUR PATIENTS THE MOST COMPREHENSIVE, HIGH-QUALITY CARE ACTION STEP: CCH CONTINUED CONSTRUCTION ON A $35-MILLION RENOVATION PROJECT THAT WILL PRIMARILY IMPACT SURGICAL SERVICES, MATERNAL CHILD HEALTH & RADIOLOGY. THE CONSTRUCTION STARTED IN APRIL 2019, WITH THE ENTIRE PROJECT EXPECTED TO BE COMPLETED BY 2021 OBJECTIVE: BRING IN NEW TECHNOLOGY TO OFFER INCREASED SERVICES IN OUR COMMUNITY ACTION STEP: THE CONSTRUCTION PROJECT WILL INTRODUCE NEW & IMPROVED TOOLS. THESE NEW TOOLS WILL HELP EXPAND THE SERVICES THE HOSPITAL WILL BE ABLE TO PROVIDE TO AREA PATIENTS. AMONG THE TOOLS ARE A NEW SYSTEM FOR INTERVENTIONAL RADIOLOGY & CARDIOLOGY PROCEDURES, A NEW CT SCANNER THAT OFFERS SHORTER SCAN TIMES & IMPROVED IMAGING & A NEW MRI MACHINE. OBJECTIVE: BRING IN NEW EQUIPMENT TO OFFER INCREASED SERVICES TO AREA RESIDENTS ACTION STEP: CCH BROUGHT IN NEW EQUIPMENT AS PART OF ITS MULTIMILLION-DOLLAR CONSTRUCTION & RENOVATION PROJECT - CCH'S 2019 REMODEL OF THE CARDIOPULMONARY REHAB DEPARTMENT ALLOWED THE DEPARTMENT TO MOVE FROM THE 3RD FLOOR INTO 4,700 SQUARE FEET IN THE EAST ADDITION. THE MAIN AEROBIC GYM FEATURES 9 TREADMILLS, INCLUDING ONES THAT DECREASE THE IMPACT ON JOINTS & OTHERS THAT OFFER TV & HEADPHONES FOR CUSTOM VIEWING. ADDITIONAL EQUIPMENT INCLUDES RECUMBENT CROSS-TRAINING MACHINES, TOTAL-BODY RECUMBENT ELLIPTICALS, UPRIGHT & RECUMBENT BIKES, BIKES WITH AIR-RESISTANCE TECHNOLOGY & CORE STICKS THAT HELP PROVIDE FUNCTIONAL TRAINING. THERE IS ALSO A WEIGHT AREA TO EXERCISE MAJOR MUSCLE GROUPS. OBJECTIVE: BRING IN NEW EQUIPMENT TO ALLOW PEOPLE TO STAY IN THE COMMUNITY FOR CARE ACTION STEP: CCH BROUGHT IN NEW STATE-OF-THE-ART EQUIPMENT THAT WILL ALLOW IT TO EXPAND SURGICAL OFFERINGS IN THE COMMUNITY - CCH BECAME ONE OF THE FIRST HOSPITALS IN THE AREA TO OFFER ROBOTIC-ARM ASSISTED TOTAL KNEE, PARTIAL KNEE & TOTAL HIP REPLACEMENTS WITH STRYKER'S MAKO ROBOTIC-ARM ASSISTED SURGERY SYSTEM. - CCH PURCHASED THE ACCLARENT TRUDI NAV SYSTEM, AN ELECTROMAGNETIC NAVIGATION SYSTEM FOR EAR, NOSE & THROAT SURGERIES WHICH IS USED FOR ENDOSCOPIC SINUS SURGERY & OTHER TYPES OF ENT PROCEDURES. THE SYSTEM ENABLES CCH'S ENTS TO BETTER SERVE PATIENTS WITH SINUS DISEASE, ALLERGIES & NASAL POLYPS. OBJECTIVE: EXPAND CANCER CARE OFFERINGS IN THE COMMUNITY ACTION STEP: TO BETTER SERVE AREA RESIDENTS WHO HAVE BEEN DIAGNOSED WITH CANCER, CCH DEVELOPED A PATIENT NAVIGATION PROGRAM & CREATED THE POSITIONS OF ONCOLOGY NURSE NAVIGATOR & ONCOLOGY SOCIAL WORKER. ADRIAN TASA, RN, BSN, OCN, WAS HIRED AS CCH'S FIRST ONCOLOGY NURSE NAVIGATOR & SHELBY CZARNICK, CMSW, LIMHP, WAS HIRED AS CCH'S FIRST ONCOLOGY SOCIAL WORKER. THESE POSITIONS WERE CREATED TO HELP BETTER EDUCATE & PREPARE PATIENTS FOR CANCER TREATMENT. TASA & CZARNICK CONNECT WITH PATIENTS SOON AFTER THEIR CANCER DIAGNOSIS & GUIDE THEM THROUGH THE ENTIRE PROCESS OF THEIR CANCER TREATMENT. IN 2019, JUDY PRIBNOW, LPN JOINED THE PROGRAM AS A PT ONCOLOGY NURSE NAVIGATOR. OBJECTIVE: RECRUIT QUALITY PHYSICIANS TO MEET THE GROWING NEEDS OF THE COMMUNITIES WE SERVE ACTION STEP: A TOTAL OF 6 PROVIDERS WERE SUCCESSFULLY RECRUITED. THIS INCLUDES FULL-TIME, MIDLEVEL & SATELLITE PROVIDERS IN AREAS SUCH AS PSYCHIATRY, ORTHOPEDICS & EMERGENCY MEDICINE. OBJECTIVE: ENHANCE HEALTH CARE OFFERINGS BY EXPANDING TELEHEALTH SERVICES ACTION STEP: CCH CONTINUED TO OFFER THE TELESTROKE PROGRAM, E-MENTAL HEALTH TRIAGE & THE TELESTEWARDSHIP PROGRAM. THESE PROGRAMS ALLOW CCH PATIENTS TO INTERACT WITH HEALTH SPECIALISTS IN LARGER COMMUNITIES. TELESTROKE ALLOWS CCH PATIENTS TO CONSULT WITH A NEBRASKA MEDICINE NEUROLOGIST WITHOUT HAVING TO LEAVE COLUMBUS. CCH ALSO HAS A PARTNERSHIP WITH BRYAN TELEMEDICINE TO OFFER LOCAL PATIENTS AROUND-THE-CLOCK ACCESS TO A BOARD-CERTIFIED PSYCHIATRIST WITHOUT LEAVING THE HOSPITAL. THE SERVICE IS AVAILABLE TO ALL PATIENTS IN THE EMERGENCY DEPARTMENT(ED) & ACUTE CARE UNIT FOR EMERGENT OR FOLLOW-UP CONSULTATIONS. THROUGH THE PROGRAM, ATTENDING PHYSICIANS HAVE ACCESS TO A MOBILE TELEMEDICINE CART THAT CAN BE WHEELED INTO EACH PATIENT'S ROOM. ONCE INSIDE, A NURSE OR PHYSICIAN CONNECTS TO A BOARD-CERTIFIED PSYCHIATRIST FROM BRYAN TELEMEDICINE. OBJECTIVE: INCREASE ACCESS TO CANCER SCREENINGS ACTION STEP: CCH OFFERED LOW-DOSE CT LUNG SCREENINGS TO QUALIFYING PATIENTS WHO WERE REFERRED BY THEIR DOCTOR. THE SCREENINGS WERE OFFERED AT A REDUCED COST OF $250 EACH. CCH'S COLUMBUS ENT CLINIC HAS ALSO OFFERED ORAL, HEAD & NECK CANCER SCREENINGS. OBJECTIVE: MAKE THE EHEALTH LIBRARY ON THE CCH WEBSITE A GOOD RESOURCE FOR THE PUBLIC ACTION STEP: THE EHEALTH LIBRARY & THE CCH WEBSITE CONTINUE TO BE UPDATED WITH THE NEWEST INFORMATION ON SERVICE LINES & RESOURCES. IT CONTINUES TO BE A REPUTABLE RESOURCE FOR ALL. OBJECTIVE: EXPAND THE VISITING PHYSICIANS CLINIC TO INCREASE OFFICE HOURS AS WELL AS INCREASE PHYSICIAN RECRUITMENT FOR MULTIPLE SPECIALTIES & LOCAL PRIMARY CARE CLINICS ACTION STEP: CONTINUED PHYSICIAN RECRUITMENT & OFFERED INCREASED ACCESS TO THE VISITING PHYSICIAN'S CLINIC OBJECTIVE: BRING ADDITIONAL MEDICAL SERVICES TO THE COMMUNITY BY OPENING OR ACQUIRING NEW CLINICS ACTION STEP: CCH JOINED FORCES WITH COLUMBUS ENT CLINIC TO PROVIDE A WIDE RANGE OF HIGH-QUALITY & CLOSE-TO HOME ENT SERVICES TO COLUMBUS RESIDENTS. THE CLINIC PROVIDES A FULL RANGE OF ENT SERVICES. CCH EXPANDED ITS SERVICES BY ACQUIRING COLUMBUS GENERAL SURGERY, A GENERAL SURGERY CLINIC THAT HAD BEEN IN THE COMMUNITY SINCE 1987. THE CLINIC OFFERS A VARIETY OF SURGICAL PROCEDURES IN THE FIELD OF GENERAL SURGERY, & TREATS GASTROINTESTINAL PATHOLOGY, BREAST PATHOLOGY, SKIN LESIONS, THYROID NODULES & VARICOSE VEINS. CCH ACQUIRED NORTH CENTRAL RADIOLOGY, A PRACTICE THAT HAD BEEN SERVING THE COMMUNITY FOR MORE THAN 40 YEARS. THE RADIOLOGISTS INTERPRET X-RAY, CT, MRI, PET, MAMMOGRAPHY, ULTRASOUND, FLUOROSCOPY, BONE DENSITY & NUCLEAR MEDICINE EXAMS, AMONG OTHER MEDICAL IMAGING. CCH THEN OPENED COLUMBUS PLASTIC SURGERY. THE CLINIC WAS THE FIRST PLASTIC SURGERY CLINIC TO BE ESTABLISHED IN COLUMBUS. IT OFFERS THE SERVICES OF DR. SANJAY MUKERJI WHO IS BOARD-CERTIFIED IN PLASTIC SURGERY & HAS BEEN IN PRACTICE FOR MORE THAN 20 YEARS. CCH ALSO OPENED THE COLUMBUS PSYCHIATRY CLINIC, THE ONLY FULL-TIME, LOCALLY BASED PSYCHIATRY CLINIC IN COLUMBUS. THE CLINIC OFFERS THE SERVICES OF VENKATA KOLLI, MBBS, WHO IS BOARD-CERTIFIED IN ADULT PSYCHIATRY & CHILD & ADOLESCENT PSYCHIATRY. OBJECTIVE: INCREASE ACCESS TO THE HOSPITAL FOR PATIENTS WHO HAVE TROUBLE WALKING ACTION STEP: CCH INTRODUCED VIP: VERY IMPORTANT PATIENT VALET PARKING. IT IS OFFERED TO PATIENTS & FAMILIES AT NO COST. THE SERVICE IS INTENDED TO PROVIDE PATIENTS & OTHER VISITORS WITH A QUICK ENTRANCE TO THE HOSPITAL TO IMPROVE THEIR EXPERIENCE AT CCH. OBJECTIVE: INCREASE ACCESS TO HEALTH CARE TRAINING ACTION STEP: CCH STARTED OFFERING STOP THE BLEED, A NATIONAL PROGRAM THAT TEACHES MEMBERS OF THE PUBLIC HOW TO CONTROL MASSIVE BLEEDING USING DRESSINGS, TOURNIQUETS & THEIR OWN HANDS. UNCONTROLLED BLEEDING CAN CAUSE DEATH WITHIN MINUTES. IN SITUATIONS WHEN EMERGENCY RESPONSE IS DELAYED, SUCH AS NATURAL DISASTERS, ACTIVE SHOOTER SITUATIONS OR EXPLOSIVE EVENTS, IT BECOMES PARTICULARLY IMPORTANT FOR EVERYDAY CITIZENS TO KNOW HOW TO STOP BLEEDING. OBJECTIVE: WORK TO CONTINUALLY IMPROVE PATIENT'S ACCESS TO HEALTH CARE & THE QUALITY OF HEALTH CARE THEY RECEIVE ACTION STEP: CCH CONTINUED TO USE A PATIENT-CENTERED METHODOLOGY CALLED LEAN HEALTHCARE. THE ULTIMATE GOAL BEHIND LEAN IS TO ELIMINATE WASTE, IMPROVE PROCESSES & INCREASE OVERALL PATIENT SATISFACTION. CCH HAS BEEN WORKING TO CREATE A CULTURE SURROUNDING THESE SIMPLE GOALS. EMPLOYEES ARE ENCOURAGED TO TAKE PART IN THE PRACTICE & SHARE ANY IDEAS THEY HAVE TO IMPROVE QUALITY OF CARE IN THE FACILITY. THE HOPE IS TO IMPROVE PATIENT CARE, PATIENT SATISFACTION, STAFF SATISFACTION & REGULATORY COMPLIANCE, AS WELL AS REDUCE INVENTORY, COSTS, MORTALITY RATES & MORBI
Schedule H, Part V, Line 16A	HTTPS://WWW.COLUMBUSHOSP.ORG/FOR_PATIENTS_VISITORS/PATIENTS_FINANCIAL_INFO RMATION/FINANCIAL_CHARITY_ASSISTANCE_PROGRAM.ASPX SCHEDULE H, PART V, LINE 16B HTTPS://WWW.COLUMBUSHOSP.ORG/SITES/WWW/UPLOADS/CHARITY-FINANCIAL%20ASSISTA NCE%20APPLICATION%20-%20ENGLISH.PDF SCHEDULE H, PART V, LINE 16C HTTPS://WWW.COLUMBUSHOSP.ORG/SITES/WWW/UPLOADS/FILES/CCHFINANCIALASSISTANC EPOLICYSUMMARY.PDF

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Premier Physical Therapy of CCH
US 30 Center Bldg 3100-23rd St St	Columbus	NE	686013161	Outpatient Physical Therapy SPORTS TRAINING SERVICES
Wiggles & Giggles Therapy for Kids
3912 38th Street Suite B	Columbus	NE	686015100	Pediatric Therapy Services
Occupational Health Services of CCH
3005-19th St Suite 300	Columbus	NE	686014252	Emp Health Care Svcs to Prevent & Treat Work Injuries
Wound Healing Center
4600-38th St Suite 165	Columbus	NE	68601	Wound Treatment Center
Humphrey Clinic of CCH
3003 Main Street	Humphrey	NE	686423155	Clinic in small town to offer medical services to residents
Hospice of Columbus Community Hospital
3005-19th St Suite 600	Columbus	NE	686014248	Hospice Services
Columbus Psychiatry Clinic
4508 38th St Suite 165	Columbus	NE	68601	Free Standing Clinic
Home Health of Columbus Community Hosp
3005-16th St Suite 600	Columbus	NE	686014248	Home Health Services
Columbus Orthopedic & Sports Med Clinic
4508 38th St Suite 133	Columbus	NE	686011668	Free Standing Clinic
Rehabilitative Services
3912 38th Street Suite B	Columbus	NE	686015100	Outpatient Physical Therapy, Occupational Therapy and Speech Therapy
Columbus Otolaryngology Clinic
4508 38th St Suite 152	Columbus	NE	68601	Free Standing Clinic
Columbus General Surgery
4508 38th St Suite 250	Columbus	NE	68601	Free Standing Clinic
Columbus Plastic Surgery
4508 38th St Suite 165	Columbus	NE	68601	Free Standing Clinic

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	N/A
Schedule H, Part I, Line 6a	A COMMUNITY BENEFIT REPORT IS INCLUDED EACH YEAR IN THE HOSPITAL'S QUARTERLY NEWSLETTER "HOUSECALL" WITH AN ELECTRONIC VERSION OF THE NEWSLETTER HOUSED ON THE HOSPITAL'S WEBSITE. A SEPARATE LANDING PAGE ON THE WEBSITE WAS ALSO CREATED FOR THE REPORT TO PROVIDE EASY ACCESS TO THE REPORT.
Schedule H, Part I, Line 7B	THE REVENUE GENERATED BY MEDICAID PATIENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO DEVELOPED IN WORKSHEET 2. THE REMAINING PRODUCT IS THE CALCULATED COST ASSOCIATED WITH THE CHARGES FROM MEDICAID PATIENTS. THESE COSTS ARE REDUCED BY THE REIMBURSEMENTS COLLECTED FOR THE MEDICAID CHARGES. THE REMAINING NUMBER IS THE NET COMMUNITY BENEFIT EXPENSE. Schedule H, PART I, LINE 7E EXPENSES REPRESENT WAGES ALONG WITH SERVICES AND SUPPLIES PURCHASED BY THE HOSPITAL. DIRECT OFFSETTING REVENUES REPRESENT CASH COLLECTED FOR THESE SERVICES. Schedule H, PART I, LINE 7I CASH DONATIONS MADE TO EAST CENTRAL HEALTH DEPARTMENT (ECHD) AND THE GOOD NEIGHBOR COMMUNITY HEALTH CENTER REPRESENT THE MAJORITY OF THESE DONATIONS. Schedule H, PART I, LINE 7, COLUMN (F) THE AMOUNT OF $97,283,963 USED AS THE DENOMINATOR TO COMPUTE COLUMN (F) IS CALCULATED BY TAKING TOTAL FUNCTIONAL EXPENSES OF $103,046,665 MINUS BAD DEBT EXPENSE OF $5,762,702.
Schedule H, Part II	Community Building Activities Columbus Community Hospital (CCH) continues to collaborate with the local Chamber of Commerce to recruit skilled professionals to fill job openings in the community. The Hospital also provides support and staff time to assist in highlighting the health care community, offering specific department or Hospital tours in order to recruit skilled professionals to live and work in Columbus. On Hospital-donated land, the City of Columbus created a twelve acre urban lake and, on the same property, an additional 20 acres designated as the future site of a fire station. A handicap/stroller-accessible dock on the urban lake allows access for fishing or to watch water fowl rest in the area as they migrate through Columbus. The urban lake provides a community space within the city limits for people of all ages. The Hospital continues to partner with our local public health department and community health center (CHC) on several projects and community disease prevention initiatives, providing financial support and professional staff time as liaisons to these community partnerships throughout the year. Working together with these agencies, some of the chronic disease and accident prevention strategies addressed include: Type II Diabetes, hypertension and heart disease, pre and postnatal newborn care, physical activity and exercise, colon cancer prevention and early detection, and community preparedness for natural and man-made disasters. These programs reach countless members of the community each year, making a difference in the lives of people living with chronic health issues. Other hospital-driven community health initiatives include: free flu shots for residents at the shelter for the homeless and participation in numerous community health fairs/events each year providing medical screenings and free health information/education. To encourage entry into the medical profession, Columbus Community Hospital partners with local day care facilities, area schools and colleges, offering its medical professionals as guest speakers or instructors at hands-on learning events. To help in recruitment of health care professionals and also to relieve the daycare shortage in Columbus. In August 2017, Columbus Community Hospital opened the ChildCare Center northeast of the hospital. The ChildCare Center has capacity to care for 105 children from infants to age 12. In an ongoing commitment as an employer and community partner, Columbus Community Hospital strives to provide a better life for the families in our community and to help alleviate the childcare shortage in Columbus. Columbus Community Hospital has an independent Board of Directors, consisting of community leaders with diverse backgrounds. The CCH Board approved the construction of a $21 million, 85,723 square foot community wellness facility that opened on October 27, 2015. The Columbus Family YMCA leased, below fair market value, 62,397 square feet of the facility that is available for use by the entire community and includes: 2 gyms, 3 pools, and weight and exercise equipment. Classes for wellness and fitness are provided by health care professionals from the Hospital and YMCA staff. In separate areas, the facility also houses the Hospital's adult and pediatric therapies. As a way to celebrate the two-year anniversary of Columbus Community Hospital Rehabilitative Services relocating to the Columbus Wellness Center, Columbus Community Hospital hosted an open house for all patients both past and present. The event also acknowledged the exponential growth the hospital's rehabilitative services department and the Columbus Wellness Center have seen since it was completed in 2015.
Schedule H, Part III, Line 2	The methodology used to estimate bad debt expense is to take the private pay write-offs for the year and divide them by the total revenue generated from self-pay patients and multiply the product by the self-pay accounts receivable. This gives the amount of reserve necessary to cover the potential bad debt in current self-pay accounts receivable. Bad debt expense for the fiscal year is the amount of additional expense necessary to bring that reserve account to the calculated (estimated) balance.
Schedule H, Part III, Line 3	N/A
Schedule H, Part III, Line 4	Financial statements do not include any text for bad debt. The amount in Line 2 is the book bad debt amount.
Schedule H, Part III, Line 8	In accordance with 42 CFR 413.24, Columbus Community Hospital uses the step-down method as its costing methodology. Departments within a provider are usually divided into two types: 1) Those that produce patient care revenue (e.g., routing services, radiology), and 2) Those that do not directly generate patient care revenue, but are utilized as a service by other departments (e.g., laundry and linen, dietary). The two types of departments are commonly referred to as revenue-producing cost centers and nonrevenue-producing cost centers. Although nonrevenue-producing cost centers do not directly produce patient care revenue, they contribute indirectly to patient care revenue generated by serving as a service to the revenue-producing centers and also to other nonrevenue-producing centers. Therefore, for the purpose of proper matching of revenue and expenses, the cost of the revenue-producing centers should include both its direct expenses and its proportionate share of the costs of each nonrevenue-producing center (indirect costs) based on the amount of services received. The process of allocating the cost of a particular nonrevenue-producing center to other nonrevenue-producing centers and revenue-producing centers is performed by utilizing a set of statistics (e.g. pounds of laundry for allocating laundry and linen costs, square feet for allocating depreciation building costs). Every nonrevenue-producing cost center has the potential of being allocated to every other nonrevenue-producing cost center in addition to the revenue-producing cost centers. This precludes a simple allocation of the direct expense of the nonrevenue-producing cost center because the indirect costs derived from allocation of other nonrevenue-producing cost centers must be computed in determining the full cost (direct and indirect costs) of the nonrevenue-producing cost center being allocated. The step-down method recognizes that services furnished by certain nonrevenue-producing departments are utilized by certain other nonrevenue-producing centers as well as by the revenue-producing centers. All costs of nonrevenue-producing centers are allocated to all centers that they serve, regardless of whether or not these centers produce revenue. The cost of the nonrevenue-producing center servicing the greatest number of other centers, while receiving benefits from the least number of centers, is apportioned first, following the apportionment of the cost of the non-revenue-producing center, that center will be considered closed and no further costs are apportioned to that center. This applies even though it may have received some service from a center whose cost is apportioned later. Generally, if two centers furnish services to an equal number of centers while receiving benefits from an equal number, that center which has the greatest amount of expense should be allocated first.
Schedule H, Part III, Line 9b	The purpose of our Financial Assistance/Charity Program is to further the charitable mission of CCH by providing financially disadvantaged and other qualified patients with an avenue to apply for and receive free or discounted care consistent with the requirements of the Internal Revenue Code and implementing regulations under 501(r). CCH's Financial Assistance Policy reflects the mission, vision and values of CCH. It is intended to assist low income, uninsured and underinsured individuals whose financial status, under the hospital's qualification criteria, makes it impractical or impossible to pay for medically necessary and emergency care. Our Financial Assistance Program has an Implied and Presumptive avenue, as well as medical indigence. The Program provides a fair and comprehensive system of distributing free or discounted medical care to poor and financially disadvantaged patients within the available resources of CCH. This Policy addresses: Eligibility criteria for financial assistance, The extent to which financial assistance includes free and discounted care, and medically indigent care, The basis for calculating amounts charged to eligible patients (the calculations of amounts generally billed (AGB)); The method for applying for assistance and application period; Actions that may be taken by CCH in the event of nonpayment; and Measures to widely publicize the Policy. CCH recognizes the individual's right to obtain quality health care regardless of age, sex, race, disability, national origin, marital status, sexual orientation, personal beliefs or their ability to pay. CCH has a fiduciary responsibility to seek payment for services from those who can pay.
Schedule H, Part VI, Line 2	Needs Assessment In 2010, Columbus Community Hospital began implementing a five-year strategic plan. The plan includes a thorough assessment of the organization's external environment in terms of opportunities and threats, as well as an assessment of the organization's internal strengths and weaknesses. The plan also includes strategic issues, goals and related strategies for future organizational effectiveness. Six organizational pillars were identified: Quality, Culture, People, Service, Facilities and Finance. 1) Quality: Quality efforts have been focused on evidence-based processes (EBP) and educating staff on the importance of using and integrating these processes in daily operations. CCH has implemented an electronic medical record to afford ease of information access and communication across the continuum of care. The clinical leadership groups for nursing and respiratory therapy have initiated a review of how to integrate EBP into the clinical areas and will be starting classes to educate staff within and outside nursing. 2) Culture: In an effort to achieve a high-performance organization, CCH is in the process of implementing a 4-part culture improvement initiative that includes: TeamStepps, Just Culture, Student and LEAN/Six Sigma process improvement. The hospital continues to work with the Studer Group to hardwire appropriate tools, focusing on improving patient outcomes and create a culture/environment, making CCH an employer of choice, and where physicians want to bring their patients for care. 3) People: CCH has continued to be aggressive in its recruitment efforts to attract and retain the workforce needed to support strategic growth initiatives across all service lines. CCH is initiating a new on-boarding process for new employees. In addition, nursing has updated their orientation program and has trained preceptors and nurse mentors/coaches. 4) Services: CCH performs an annual comprehensive program review of existing and new services and has ranked priority service line development in the areas of hospital medicine, orthopedics, cardiology, cancer and rehab services. 5) Facilities: CCH has developed a comprehensive master facilities plan that can adapt to current and future patient care needs. An emergency department expansion was completed in 2012 with a new medical office building recently completed to house Visiting Physicians and the Wound, Ostomy, and Continence Care (W.O.C.) Clinic. 6) Finance: CCH is working diligently to maintain financial stability. Our approach includes: Work to extend the Demonstration Project with an alternate plan in place if the program is discontinued. The hospital maintains a conservative successful investment strategy and continue growth in the CCH Foundation.
Schedule H, Part VI, Line 3	Patient Education of Eligibility for Assistance Financial assistance information is available on the Hospital's website, including links to additional, in-depth information. CCH has taken measures to widely publicize the financial assistance policy. Patient Charity/Financial Assistance Program: A) Monthly Payment Option: 1) If you are unable to pay your balance in full, please call the Patient accounts Department to set up an acceptable payment arrangement. B) Patient Charity/Financial Assistance Program: 1) If patients feel their income is not sufficient to pay for services at Columbus Community Hospital, they are encouraged to contact the Patient Accounts Department and/or Social Workers for information regarding charity/financial assistance. 2) Further information about Medicare/Medicaid/Charity Care is provided in both English and Spanish on our website. The State has Medicaid applications available online. Our Registration, Patient Accounts and Social Services staff can provide patients with financial/charity applications in either English or Spanish. 3) Additionally, signage is posted to include the Financial Assistance Policy Summary in English and Spanish directing patients to call or come in as needed for financial help and employees are encouraged at the earliest possible point to refer individuals to Patient Accounts or Social Services who will see patients individually and counsel on specific circumstances. We have implemented measures to widely publicize the Financial Assistance Program. 4) Monthly statements include the following information: a. Payment plans b. Charity/Financial Assistance Program c. 24/7 online Business Office access, which includes information on payment plans, charity/financial assistance and applications for financial/charity assistant available in both English and Spanish that can be downloaded from our website. d. The phone number of Patient Accounts and the on-line hospital website. 5) All registration areas have signage posted in English and Spanish of the Financial Assistance Policy Summary, brochures which address financial assistance, CCH affiliates and non-affiliates (independent physicians and other independents). 6) The CCH Website in English and Spanish Charity/Financial Assistance application, Financial Assistance Policy Summary, Financial Aid/Charity Program Policy, calculations of amounts generally billed (AGB) which is revised annually, Columbus Community Hospital and CCH-Employed Physicians, practitioners and clinics and independent community physicians and other independents (which are revised quarterly).
Schedule H, Part VI, Line 4	Community Information The Local Economy Columbus Community Hospital is located in Columbus, Nebraska, which has a population of approximately 22,000. It is the county seat and the largest city in Platte County, which has a population of approximately 33,500. Almost 70 percent of Platte County's residents live in Columbus. The average unemployment rate in Platte County over the past five years is 3.2 percent as of September 2018. The average unemployment rate reported in August 2020 was also 3.2 percent. This is compared to the national average unemployment rate of 8.4 percent which was reported in September 2020. Platte County has been recognized as the third best place to find a job by CNN/Money Magazine and the average per capita income in the county is about $30,000 as of July 2019. The estimated average wage in Platte County, as reported in 2016, was about $18/hour or $730/week. Columbus has also been recognized by Money Magazine as one of The Top 100 Best Small Towns to Live. According to the Nebraska Department of Labor, Columbus is considered a major hub for the manufacturing industry and has a greater share of manufacturing employment than other Nebraska metropolitan areas. The Columbus and area economy is based on agriculture and manufacturing, with many industrial companies attracted by plentiful, low-priced hydroelectric power. A hardworking, well-educated workforce, low energy costs and a local environment friendly to business, provide encouragement for strong economic and industrial development within our area. Among the major employers are Archer Daniels Midland (ADM), an ethanol manufacturing company; Flexcon; Central Confinement Services; Pillen Family Farms; Vishay; two BD medical plants which are medical equipment companies; Behlen Manufacturing, which manufactures steel buildings and Nebraska Public Power, whose headquarters is in Columbus. These business opportunities have led to an influx of single people and young families moving into the Columbus-area seeking employment. This growth of Columbus, Platte County and the surrounding communities has, in turn, led to an increase in admissions at CCH. As reported in the 2019-2020 CCH Annual Report, the hospital had about 1,800 inpatient admissions; 11,900 emergency visits, 2,900 outpatient procedures and 600 inpatient procedures in the preceding year. Service Capacity Columbus Community Hospital (CCH) is a community-owned, not-for-profit hospital, located on 60 acres in the northwest part of Columbus, Nebraska. It is a 47-bed acute care facility that is certified for Swing Beds, with four Skilled Nursing beds and 14 ambulatory outpatient beds. CCH moved to its current location more than 5 years ago. Since 2002, the community has grown and the hospital's services have followed suit. To keep up with increased demand for health care offerings in the area, CCH is in the process of a $35-million renovation project. The renovation will primarily impact CCH's surgical services, maternal child health and radiology departments and will cause several structural and departmental adjustments within the hospital. Construction started in April 2019, with the entire project slated for completion by 2021. CCH offers comprehensive care, including 24-hour emergency care, intensive care, medical-surgical care, inpatient and outpatient care, as well as general, ENT, urology, podiatry and orthopedic surgical procedures. Other ancillary services include: respiratory care, wound care, diabetes education, endoscopy and cardiopulmonary rehabilitation. The hospital also offers comprehensive outpatient laboratory, radiology and rehabilitative services as well as free, 24/7 interpreter services. The hospital's Healthpark medical office building currently houses a Visiting Physicians' Clinic and the CCH Laboratory, along with Columbus Otolaryngology Clinic, Columbus Orthopedic & Sports Medicine Clinic, Columbus Plastic Surgery, Columbus General Surgery, Columbus Concussion Management Clinic and the Columbus Psychiatry Clinic. Additionally, CCH has a second campus, which houses medical outreach services such as Home Health and Hospice, Healthy Families and Occupational Health Services. The hospital has more than 800 employees and an active medical staff of 53 physicians who represent 14 medical specialties. An additional 15 specialty services are brought to the community on an intermittent basis by visiting physicians. CCH is committed to actively recruiting and developing long-term relationships with physicians to meet the growing needs of the communities it serves. In the 2019-2020 fiscal year, a total of 6 providers were successfully recruited. This includes full-time, midlevel and satellite providers in areas such as emergency medicine, orthopedics, and psychiatry, among others. To better serve the needs of its community, CCH added an on-call Pediatric Hospitalist program which is available 24/7 and 365 days a year. This service provides care to inpatient and observation patients who are newborn up to 18 years old. The pediatric hospitalist's job is to help stabilize and improve a patient's health as quickly as possible. Pediatric hospitalists are available by request. Once a pediatric hospitalist has been requested, the hospitalist will follow the patient until discharge. Recently, CCH also added several new telehealth services, including the telestroke program, e-mental health triage and the telestewardship program. Each program gives CCH's physicians access to specialists in larger communities without leaving Columbus. These expanded telehealth services increase access to psychiatry, and geriatric psychiatry services, as well as services for stroke patients. E-mental health triage allows for behavioral health assessments out of CCH's emergency department and the telestroke program allows CCH stroke patients and the physicians to immediately connect and consult with expert Nebraska Medicine neurologists. This fiscal year, CCH expanded its partnership with Bryan Telemedicine to offer local patients around-the-clock access to a board-certified psychiatrist without leaving the hospital. In 2018, CCH expanded its service offerings by forming new partnerships and opening a new clinic. In May 2018, CCH merged with Columbus General Surgery to provide even better, more coordinated general surgery care to area patients. The surgeons at Columbus General Surgery evaluate and treat the following: gastrointestinal pathology, breast pathology, skin lesions, thyroid nodules and varicose veins. Columbus General Surgery also provides colon cancer screenings. In October 2018, CCH merged with North Central Radiology, a radiology practice that has been in the community more than 40 years. In January 2019, CCH opened Columbus Plastic Surgery, the first Plastic Surgery to be established in Columbus. It offers the services of Dr. Sanjay Mukerji who is board-certified in Plastic Surgery and has been in practice for more than 20 years. In August 2019, CCH opened the Columbus Psychiatry Clinic, the only full-time, locally based psychiatry clinic in Columbus. The clinic offers the services of Venkata Kolli, MBBS, who is board-certified in adult psychiatry and child and adolescent psychiatry. The Columbus Psychiatry Clinic is in the Healthpark Medical Office building at 4508 38th St., Suite 165. To further improve patient experiences, CCH continues to use a patient-centered methodology called LEAN Healthcare. The ultimate goal behind LEAN is to eliminate waste, improve processes and increase overall patient satisfaction. CCH has been working to create a culture surrounding these simple goals. Employees are encouraged to take part in the practice and share any ideas they have to improve quality of care in the facility. The hope is to improve patient care, patient satisfaction, staff satisfaction and regulatory compliance, as well as reduce inventory, costs, mortality rates and morbidity rates.
Schedule H, Part VI, Line 5	Promotion of Community Health CCH's mission is to improve the health of the communities it serves. Each year, the hospital strives to provide the best care to its patients, while also providing wellness events and activities that are easily accessible to community members. In accordance with these goals, CCH holds various community health and wellness events, and organized health and safety initiatives. In August 2018, CCH held a S.N.A.P. camp (S - Safety, N - Nutrition, A - Awareness, P - Physical Activity) camp for children to help them make healthy choices in nutrition, exercise and safety. The camp was for children entering grades 4, 5 and 6. CCH held the camp again in August 2019 and though the event was cancelled in 2020, CCH posted information on its social media about these subjects. CCH held two community health events in September 2019. The 15th Annual Tune Up for Life Community Health Fair was held Saturday, September 7, 2019. The health fair featured free health screenings for blood pressure, body composition, bone mineral density, colorectal cancer, flexibility, hearing, strength and vision. Discounted health tests and vaccines were also available, including arterial fibrillation, abdominal aortic ultrasound, peripheral arterial disease, carotid artery ultrasound, seasonal flu shots, pneumonia vaccinations and much more. On September 24, 2019, CCH held a Senior Living Festival that provided local seniors with information on the latest innovations in hearing and balance, as well as information on medication safety. CCH offered medical services such as blood pressure and bone mineral density screenings free of charge. Flu shots and Pneumonia vaccinations were also available for attendees. To promote community wellness, CCH held its 9th annual We Can Run, Walk & Roll event on September 14, 2019. The event is designed to celebrate the abilities of individuals with disabilities and to promote health and well-being in the community. Proceeds from We Can Run, Walk & Roll are used to purchase amtrykes for those in the community who need the adapted tricycles and would not otherwise be able to purchase them. CCH held the 16th annual diabetes awareness day on October 15, 2019 that offered community members the chance to learn about a variety of diabetes-related topics, attend a healthy cooking demonstration, and do a variety of health screenings as well as receive immunizations and vaccines. In November 2017, CCH created the pain management task force with the goal of delivering safe, compassionate, evidence-based pain management to the community of Columbus. During the fiscal year, the task force developed guidelines for pain management and the dispensing of opioids. It also added non-narcotic pain options to the pharmacy formulary and developed a non-medication comfort menu for patients, among other accomplishments. These efforts were designed to change the way providers and patients think about pain management, reduce the number of opioid pills which become uncontrolled and make education easily accessible to everyone. CCH continues to follow the guidelines set forth by the taskforce. On June 22, 2018, CCH hosted the CCH Pain Management Symposium. The topic of the symposium was 2018: The opioid epidemic and the current state of pain management in America. The event was held to educate community members about opioid abuse, prescription addiction and deaths associated with prescription medication. The event featured the speakers Dr. Marty Makary, a surgeon and researcher at John Hopkins University School of Medicine and Dr. Phillip Essay with Nebraska Spine + Pain Center. To address the health of the children in its community, CCH offered the Food, Fitness & Fun Program in January 2019. The free, eight-week afterschool program taught kids in grades one through six about nutrition and healthy lifestyle choices. In 2018, CCH offered low-dose CT lung screenings to qualifying patients who were referred by their doctors. The screenings were offered at a reduced cost of $250 each. To further enhance medication safety, CCH and local health care providers urged community members to think about medication safety. To this end, the team produced and promoted updated medication lists. These are lists people can carry with them in case of an emergency or take to a doctor's appointment. They help providers in our community make better informed decisions about their patients so patients can receive better quality care. The medication lists, pockets and brochures have been well received by nursing homes, assisted living facilities, pharmacies, home health care agencies, emergency services, physician's clinics and the hospital. The complete health improvement program (CHIP) is another program CCH implemented to improve the health of its community. The program initially began as a pilot program for employees in June 2016 but was expanded in later years to be open to the public. CHIP is an affordable, evidence-based, intensive lifestyle enrichment program designed to reduce disease risk factors through the adoption of better health habits and appropriate lifestyle modifications. The goal of the program is to lower blood cholesterol, hypertension and blood sugar levels and reduce excess weight by improving dietary choices, enhancing daily exercise, increasing support systems and decreasing stress, thus aiding in the prevention and reduction of disease. As of August 2018, more than 15 sessions of CHIP have been completed. The following are the average results per session: - 5.1 reduction in blood glucose - 10.1 reduction in triglycerides - 12.0 LDL cholesterol reduction - 4.8 HDL cholesterol reduction - 18.4 total cholesterol reduction - 6.0 diastolic blood pressure reduction - 11.3 systolic blood pressure reduction - 136.9 pounds lost Participants have reported feeling better overall in addition to having increased energy. They've also reported reduced inflammation and joint pain, and increased range of motion. Several participants who had previously been taking prescription medication under their physician's guidance, have had their dosage reduced or been able to be completely taken off the medication. In addition to CHIP, CCH offers several ongoing programs that educate the community about nutrition and healthy eating. This includes monthly cooking classes and a program called food thoughts. The healthy cooking classes are held the third Tuesday of each month. For $15, community members can learn a collection of easy and healthy recipes. Dieticians also give participants advice on how to cut down on unhealthy ingredients like fat and sodium. CCH dieticians also offer free food thoughts sessions which give community members the opportunity to get one-on-one time with a dietician every week. Each session includes an educational discussion, followed by a question and answer segment. CCH dietitians can answer questions about diabetes, weight loss, heart health, healthy cooking and much more. CCH held its 16th annual Tune-up for Life on September 7, 2019. the event featured free health screenings for blood pressure, body composition, bone mineral density, as well as tests on flexibility, strength, hearing and vision. At the event, attendees could also get discounted health screenings, and seasonal flu shots and the pneumonia vaccine. Also in September 2019, CCH participated in Kids Safety Day, where area families could learn safety tips from local experts. The event included demonstrations and displays that allowed children and teens to learn about fire, seat belt and powerline safety, among other important topics. Attendees could also participate in various drawings, including the chance to win a free bicycle. On September 24, 2019 CCH held a senior living festival which educated seniors on skin lesions and CCH's surge joint replacement center. The event also gave participants the chance to get free bone mineral density and blood pressure screenings, as well as flu shots and pneumonia vaccinations. CCH staff were also on hand to answer questions about the hospital's services and a diabetes educator was on-site as well. On September 14, 2019 CCH again held its annual We Can Run, Walk and Roll event in which participants could choose to compete in a 5k (3.1 miles) or 1-mile race. Proceeds from the event went toward purchasing amtrykes for individuals and families in the community. Amtrykes are adaptive tricycles that allow differently-abled individuals to participate more fully in health and wellness activities. CCH held its 16th annual Diabetes Awareness Day on October 15, 2019. The event allowed area residents to learn more about diabetes and CCH staff were on hand to provide health screenings. Attendees could also visit numerous informational booths, listen to speakers and attend a health cooking demonstration.
Schedule H, Part VI, Line 6	Affiliated Health Care System N/A
Schedule H, Part VI, Line 7	State Filing of Community Benefit Report The Community Benefit information from the 2017-2018 annual report can be found at: https://www.columbushosp.org/sites/www/Uploads/AnnualReport0818web.pdf

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Columbus Community Hospital Foundation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4600 38th Street	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68601	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	470836747	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$239,293	CashGrantAmt
Purpose Of Grant	Program Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Charity Care to Patients	GrantTypeTxt
Recipient	683	RecipientCnt
Non Cash Assistance	$1,348,323	NonCashAssistanceAmt
Valuation Method Used	Book	ValuationMethodUsedDesc
Non Cash Assistance	write-off of med exp	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	Columbus Community Hospital does not typically give out donations, but occasionally a request is brought forward and the Board determines that it is in the best interest of the community to provide a particular grant. Prior to providing the grant, the Hospital determines that the organization it gives to is a 501(C)(3) organization or a government agency. The Hospital will also make grants to these related organizations as necessary to support their exempt purpose.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
Amy Blaser
VP Business Development	$173,930	$0	$15,783	$0	$7,588	$0	$22,959	$0	$34,254	$0	$254,514	$0	$0	$0
Chad Van Cleave
VP Finance	$181,750	$0	$17,867	$0	$6,670	$0	$24,136	$0	$34,512	$0	$264,935	$0	$0	$0
Scott Messersmith
VP Operations	$162,136	$0	$15,671	$0	$9,537	$0	$21,164	$0	$34,239	$0	$242,747	$0	$0	$0
Dorothy Bybee
VP Nursing	$193,450	$0	$18,258	$0	$0	$0	$8,316	$0	$34,366	$0	$254,390	$0	$0	$0
Michael Hansen
President/CEO/Secretary	$442,174	$0	$54,751	$0	$288,583	$0	$57,628	$0	$36,011	$0	$879,147	$0	$269,583	$0
Edward Fehringer MD
Physician	$565,687	$0	$65,421	$0	$19,000	$0	$11,200	$0	$33,203	$0	$694,511	$0	$0	$0
Richard Cimpl MD
Physician	$590,339	$0	$0	$0	$19,000	$0	$11,200	$0	$35,822	$0	$656,361	$0	$0	$0
John Beauvais MD
Physician	$615,825	$0	$0	$0	$19,000	$0	$4,885	$0	$27,587	$0	$667,297	$0	$0	$0
Anthony Krueger MD
Physician	$511,699	$0	$83,707	$0	$9,350	$0	$6,576	$0	$27,587	$0	$638,919	$0	$0	$0
Matthew Pieper MD
Physician	$506,179	$0	$90,786	$0	$19,000	$0	$6,524	$0	$27,587	$0	$650,076	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	The Organization paid for social and health club dues as part of the CEO's employment agreement. These amounts were reflected on the CEO's W-2.
Schedule J, Part I, Line 4b	The following reportable individuals participated in a supplemental nonqualified retirement plan during the 2019 calendar year. Amounts deferred from the plan were included in Column C of the Schedule J: Michael Hansen - $46,428 Amy Blaser - $14,647 Scott Messersmith - $13,916 Chad Van Cleave - $15,866
Schedule J, Part I, Line 4c	The Hospital's Executive Compensation Committee, made up of independent Hospital Board members, reviews the CEO's compensation annually. The wage range is compared to information provided by third party consultants. Decisions are documented.
Schedule J, Part I, Line 6a	With the assistance of Towers-Watson, executive compensation consultants, the Board authorized paying an incentive to the executives for meeting specific Board-Established Directives. The Board authorized paying up to 25% of base compensation for Michael Hansen and up to 20% for the following VPs: - Dorothy Bybee - Amy Blaser - Chad Van Cleave - Scott Messersmith The incentive is based on goals established by the Board which are now reviewed annually. One of the goals is the Hospital's operating margin. The Board determines the associated metrics for each individual goal. Each of the goals is then assigned a weight based on the level of importance, as determined by the Board. The results are entered and the metric is tabulated. That number is multiplied by the corresponding weight. Once weighted, the figures are added in total to establish a score between 1 and 5. No incentive is paid if the Hospital?s operating margin falls below 7.0%, regardless of the outcomes of the other measures. Any physician bonuses are based on productivity. The incentives were paid in this fiscal year for work done in the previous fiscal year. The bonuses paid were: - Michael Hansen - $54,751 - Edward Fehringer, M.D. - $65,421 - Dustin Volkmer - $69,625 - Amy Blaser - $15,783 - Chad Van Cleave - $17,867 - Scott Messersmith - $15,671 - Dorothy Bybee - $18,258 - Anthony Krueger, M.D. - $83,707 - Matthew Pieper, M.D. - $90,785 - Myron Morse, M.D. - $14,240 - Jeremy Albin, M.D. - $5,118 - Ronald Ernst, M.D. - $17,080 - Brandon Borer, M.D. - $81,855

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b	The Form 990 will be available for all the Members of the Finance Committee to review. Upon Committee review, the 990 will then be submitted to the full Board for review and the Board will make any corrections if applicable.
Form 990, Part VI, Line 12c	Columbus Community Hospital monitors any conflict of interest based on their Conflict of Interest Policy. Employees and Volunteers are required to fully disclose any conflict of interest that may exist or appears to exist. Columbus Community Hospital reviews these conflicts and works with the Vice President or CEO to determine if a conflict exists. If one does exist, the Hospital initiates actions to manage, reduce, or eliminate the conflict.
Form 990, Part VI, Line 15a	The Hospital's Executive Compensation Committee, made up of independent Hospital Board Members, reviews the CEO's compensation annually. The wage range is compared to information provided by third party consultants. Decisions are documented.
Form 990, Part VI, Line 15b	The Hospital's CEO and Director of Human Resources, review the VP's and other highly compensated employee's compensation annually. The wage range is compared to information provided by third party consultants. Decisions are documented.
Form 990, Part VI, Line 19	At Columbus Community Hospital, a 3-ring binder exists in the Executive Assistant's office labeled for public disclosure which includes the most current of the following: A) Governing Documents which are the Hospital's Bylaws B) Conflict of Interest Policy C) Audited Financial Statements D) Forms 990 and 990-T
Form 990, Part XI, Line 9	Other changes: A) HealthPark, LLC separate 990 income - ($48,834)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Columbus Community Hospital Foundation
4600 38th Street	Columbus	NE	68601	470836747	Fundraising	NE	501(C)(3)	Line 12, I	CCH	Yes (true)
Healthpark Title Company
4600 38th Street	Columbus	NE	68601	470830945	Holding Co	NE	501(C)(2)	N/A	CCH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ZARZ LLC
PO Box 1800	Columbus	NE	68602	273676428	Property Mgmt	NE	Hlthpk Title Co	RELATED	$0	$0	false	$0	Yes (true)	0.01000
HealthPark LLC
PO Box 1800	Columbus	NE	68602	470836733	Property Mgmt	NE	Hlthpk Title Co	RELATED	$0	$0	false	$0	Yes (true)	0.22759

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PLATTE VALLEY PHYSICIAN ORG	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1800	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68602	ZIPCd

Field	Value	IRS element (for citing)
EIN	470790385	EIN
Primary Activities	Health Admin	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	nonprofit corp	EntityTypeTxt
Share Of Total Income	$1,200	ShareOfTotalIncomeAmt
Share Of EOY Assets	$7,738	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Columbus Community Hospital Foundation
b	$239,293	Cash
Columbus Community Hospital Foundation
c	$3,938,800	Cash
Healthpark Title Company
k	$23,761	book