2025-08-07T11:18:55-05:00 2024-09-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-10-01 470482234 CHADRON COMMUNITY HOSPITAL CORPORATION CHAD 3084320286 825 CENTENNIAL DR CHADRON NE 69337 JENNIFER L BROWN CFO 3084320286 2025-08-05 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2025-08-05 2023 2025-03-06 01:10:19Z CHADRON COMMUNITY HOSPITAL AND HEALT JON REINERS 825 CENTENNIAL DR CHADRON NE 69337 32194544 0 X HTTPS://WWW.CHADRONHOSPITAL.COM/ X 1957 NE TO PROVIDE AND SUPPORT HEALTH CARE AND COMMUNITY SERVICE PROGRAMS. 12 9 314 179 0 0 2853442 1819692 30306710 29816266 139299 191025 157889 353676 33457340 32180659 77700 57000 0 0 14431936 15437517 0 0 17048 18573130 17771382 33082766 33265899 374574 -1085240 31619454 30833911 15537075 15836772 16082379 14997139 X TO PROVIDE AND SUPPORT HEALTH CARE AND COMMUNITY SERVICE PROGRAMS OF EXCELLENCE IN THE COMMUNITIES WE SERVE. 0 0 30930840 57000 29902156 CHADRON COMMUNITY HOSPITAL CORPORATION OFFERS ACCESS TO CARE. INDIVIDUALS SHALL BE ACCORDED IMPARTIAL ACCESS TO TREATMENT OR ACCOMMODATIONS THAT ARE AVAILABLE, AND MEDICALLY INDICATED, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, RELIGION, ABILITY TO PAY, OR SOURCES OF PAYMENT FOR CARE. DURING THE FISCAL YEAR CHADRON COMMUNITY HOSPITAL CORPORATION PROVIDED INPATIENT SERVICES AS FOLLOWS: PATIENT DAYS ADULT AND PEDIATRICS: 1,225 SWING BED - SKILLED: 397 NURSERY: 151 TOTAL: 1,773THE HOSPITAL ALSO OPERATES WESTERN COMMUNITY HEALTH RESOURCES (WCHR). THIS DEPARTMENT COLLABORATES WITH COMMUNITIES IN THE PROVISION OF QUALITY HEALTH AND HUMAN SERVICES. THE FOLLOWING PROGRAM AREAS ARE MANAGED WITHIN THE ORGANIZATION:- HEALTH - CONSISTS OF FAMILY REPRODUCTIVE HEALTH SERVICES, HIV EDUCATION AND TESTING, EVERY WOMAN MATTERS, DIABETES PREVENTION, PATIENT PRESCRIPTION ADVOCACY, AND IMMUNIZATION PROGRAMS.- BEHAVIORAL HEALTH - CONSISTS OF COMMUNITY SUPPORT SERVICES, SUPPORTED EMPLOYMENT, EMERGENCY COMMUNITY SUPPORT SERVICES, YOUTH TRANSITION SERVICES, AND MENTAL HEALTH OUTREACH/TELEHEALTH PROGRAMS.- NUTRITION - CONSISTS OF WOMEN, INFANTS, AND CHILDREN GRANT PROGRAM (WIC) AND COMMODITY SUPPLEMENTAL FOOD PROGRAMS.- FAMILY SERVICES - CONSISTS OF RESPITE, CAR SEAT SAFETY, EARLY DEVELOPMENT NETWORK, COMMUNITY ESSENTIALS PANTRY, AND CHILDREN'S OUTREACH PROGRAMS.- EDUCATION - CONSISTS OF SUICIDE PREVENTION, COMMUNITY ORGANIZING, CIRCLE OF SECURITY, FAST -FAMILIES & SCHOOLS TOGETHER, AND LOVE & LOGIC PROGRAMS.- OTHER - CONSISTS OF SMALLER GRANTS FOR HEALTHCARE SERVICES. 30930840 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 65 0 1 314 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 9 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JENNIFER BROWN 3084320286 825 CENTENNIAL DRIVE CHADRON NE 69337 CURT PLOOSTER PRESIDENT 1.00 X X 0 0 0 TONY HEITING 1ST VICE PRESIDENT 1.00 X X 0 0 0 SHANE SHEPHERD 2ND VICE PRESIDENT 1.00 X X 0 0 0 LYNN WEBSTER SECRETARY/TREASURER 1.00 X X 0 0 0 GARY BIEGANSKI TRUSTEE 1.00 X 0 0 0 MARK GRAVES TRUSTEE 1.00 X 0 0 0 NICHOLAS FISHER TRUSTEE 1.00 X 0 0 0 CHIP HARTMAN TRUSTEE 1.00 X 0 0 0 TY HULS TRUSTEE 1.00 X 0 0 0 LYNN MATHIS TRUSTEE 1.00 X 0 0 0 JAMES NERUD TRUSTEE 1.00 X 0 0 0 AARON SPROCK TRUSTEE 1.00 X 0 0 0 NATHAN HOUGH CEO (THRU 05/2024) 40.00 X 188569 0 47331 JENNIFER BROWN CFO 40.00 X 155747 0 36326 SEAN WOLFE INTERIM CEO (FROM 03/2024) 40.00 X 0 0 0 BRENDA RHEMBRANDT VP OF PATIENT CARE 40.00 X 129213 0 38773 KEITH BLAYLOCK PHYSICAL THERAPIST/REHAB DIRECTOR 40.00 X 126564 0 37224 JEFF BOMAN CNO (THRU 03/2024) 40.00 X 133304 0 27501 JAMASON SCHMIDT COO (THRU 05/2024) 40.00 X 126064 0 33208 SHELLEY GRAVES PHARMACIST 40.00 X 118295 0 22582 977756 0 242945 18 0 1 0 FOCUSONE SOLUTIONS LLC PO BOX 850861 MINNEAPOLIS MN 554850861 CONTRACT STAFFING 2907172 CHADRON MEDICAL CLINIC PC PO BOX 431 CHADRON NE 69337 CONTRACT STAFFING - ED COVERAGE 792404 RURAL PARTNERS IN MEDICINE 8181 ARISTA PLACE STE 100 BROOMFIELD CO 80021 SPECIALTY PROVIDERS 786503 PELOTON ANESTHESIA PLLC 3829 PONDEROSA CT RAPID CITY SD 57702 CRNA COVERAGE 412700 AVANT HEALTHCARE PROFESSIONALS LLC PO BOX 744554 ATLANTA GA 303744554 CONTRACT STAFFING 199119 7 5450 62155 1301995 450092 1819692 PATIENT SERVICE REVENUE 621110 27734580 27734580 PRAIRIE PINES LODGE 623990 1576538 1576538 COMMUNITY HEALTH SERVICE 621110 259252 259252 245896 245896 29816266 191025 191025 162660 0 162660 162660 162660 6450 62155 13885 -7435 -7435 CAFETERIA REVENUE 722514 112561 112561 PHARMACY REVENUE 456110 85890 85890 198451 32180659 29902156 0 458811 X 57000 57000 354102 354102 315971 315971 11599347 10934190 653550 11607 2281283 1878796 400657 1830 886814 818790 67039 985 86697 86697 42815 42815 77990 11095 66773 122 6831286 6680580 150344 362 156917 105637 50747 533 517813 470224 47589 509518 467682 41836 1700700 1575705 124574 421 75717 66666 8759 292 66504 57870 8408 226 417424 400727 16697 2284917 2190065 94499 353 413128 396656 16472 MEDICAL SUPPLIES 3845828 3845828 WHCR EXPENSES 329939 326087 3852 DUES AND SUBSCRIPTIONS 238074 170181 67893 MINOR EQUIPMENT 175798 161090 14708 317 317 33265899 30930840 2318011 17048 4841931 5625652 1493640 1839884 7259329 6991662 5209 518609 596330 256737 280756 46323315 33694777 14080360 12628538 1415378 1239116 1748261 1631973 31619454 30833911 2878086 3326335 21737 12553349 11432996 83903 1077441 15537075 15836772 X 15814189 14688096 268190 309043 16082379 14997139 31619454 30833911 -1085240 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3167 3167 0 PART II-B, LINE 1: CHADRON COMMUNITY HOSPITAL CORPORATION PAYS MEMBERSHIP DUES TO THE NEBRASKA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE PORTION OF THE DUES PAID THAT ARE USED FOR LOBBYING PURPOSES IS $3,167. 202752 202752 33119770 25398102 7721668 11983350 8296675 3686675 1017443 1017443 12628538 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1144532 RESTRICTED CASH 91988 RIGHT OF USE ASSET 395453 1631973 RESIDENT DEPOSITS - INDEPENDENT LIVING 91988 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 590000 LEASE LIABILITY 395453 1077441 X 32194544 13885 13885 32180659 0 32180659 33279784 13885 13885 33265899 0 33265899 PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2024 AND 2023, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS 13,885. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS 13,885. CIRCLE OF LIGHT GALA 6075 4125 1950 300 3010 600 134 CIRCLE OF LIGHT - SHOW THE LIGHT 62530 58030 4500 250 1215 8376 68605 62155 6450 550 4225 600 8510 13885 -7435 1 1 X 1 X 1 X 1 1 1 0 0 205007 205007 0.00620 3568461 3568461 3773468 3568461 205007 0.00620 2425033 2009031 416002 0.01250 2425033 2009031 416002 0.01250 6198501 5577492 621009 0.01870 1 973464 195000 11691350 11733833 -42483 X 1 1 1 1 CHADRON COMMUNITY HOSPITAL 825 CENTENNIAL DRIVE CHADRON NE 69337 HTTPS://WWW.CHADRONHOSPITAL.COM/ H000117 X X X X CHADRON COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://REPORTS.MYSIDEWALK.COM/ECA6DCE409 X 1 22 1 HTTPS://WWW.CHADRONHOSPITAL.COM/ASSETS/SITE/DOCUMENTS/COMMUNITY%20HEALTH%20 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.CHADRONHOSPITAL.COM/ASSETS/SITE/DOCUMENTS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CHADRONHOSPITAL.COM/ASSETS/SITE/DOCUMENTS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CHADRONHOSPITAL.COM/ASSETS/SITE/DOCUMENTS/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X 1 X 0 0 CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: CHADRON COMMUNITY HOSPITAL PARTNERS WITH PANHANDLE PUBLIC HEALTH DISTRICT FOR COMPLETING THE CHNA. PPHD FACILITATES A JOINT CHNA AND PLANNING PROCESS WITH EIGHT HOSPITALS IN THE NEBRASKA PANHANDLE, ALL OF WHICH ARE MEMBERS OF THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN). MULTIPLE REPRESENTATIVE AND COMMUNITY MEMBERS FROM THE PANHANDLE COMMUNITIES PARTICIPATE IN THE PROCESS. CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: GORDON MEMORIAL HOSPITALMORRILL COUNTY COMMUNITY HOSPITALPERKINS COUNTY HEALTH SERVICESREGIONAL WEST GARDEN COUNTYREGIONAL WEST MEDICAL CENTERSIDNEY REGIONAL MEDICAL CENTER CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: SCOTTS BLUFF COUNTY HEALTH DEPARTMENTKIMBALL HEALTH SERVICESPANHANDLE PARTNERSHIPPANHANDLE AREA DEVELOPMENT DISTRICTNEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED THE FOLLOWING AS SIGNIFICANT NEEDS: RECREATIONAL OPPORTUNITIES, INCLUDING ACCESS TO TRANSPORTATION AND TYPES OF OPPROTUNITIES, INCREASING HEALTHY DIET AND PHYSICAL ACTIVITY INCLUDING ACCESS TO HEALTHY FOOD, AFFORDABLE HOUSING, AND BEHAVIORAL HEALTH INCLUDING SUBSTANCE MISUSE AND MENTAL HEALTH, AWARENESS OF OPTIONS AND REDUCING STIGMA. DURING THE YEAR, THE HOSPITAL ADDRESSED THESE NEEDS WITH BELOW LISTED ACTIONS:IMPROVE COMMUNITY RECREATION OPPORTUNITIES1. CONDUCTED WALK AUDITS AROUND SCHOOLS AND COMMUNITY TO DETERMINE AREAS OF GREATEST NEED.2. INCREASED AWARENESS OF COMMUNITY RECREATION OPPORTUNITIES.3. ENHANCED COMMUNITY BIKING INFRASTRUCTURE.IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES1. INCREASED CAPACITY FOR MENTAL HEALTH CARE IN THE REGION.2. HOSPITAL LEADERSHIP PARTICIPATED IN REGIONAL ROUND TABLES/WORK GROUPS TO IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES IN THE PANHANDLE OF NEBRASKA.3. COLLABORATED WITH THE REGION TO DEVELOP A CRISIS STABILIZATION CENTER TO ADDRESS EMERGENCY BEHAVIORAL HEALTH NEEDS IN THE AREA.IMPROVE ACCESS TO AFFORDABLE HOUSING1. WORKED WITH THE CITY OF CHADRON AS PART OF A BROWNFIELD GRANT TO ASSESS POSSIBLE HOUSING DEVELOPMENTS FOR VACANT PROPERTY THAT WAS THE SITE OF OUR OLD HOSPITAL.2. PARTICIPATED IN COMMUNITY GROUPS FOCUSED ON IMPROVING ACCESS TO AFFORDABLE HOUSING IN THE COMMUNITY.IMPROVE ACCESS TO HEALTHY FOOD1. EXPLORED GRANT FUNDING TO SUPPORT YEAR-ROUND SCHOOL MEALS TO ENSURE THAT ALL CHILDREN HAVE ACCESS TO HIGH QUALITY FOOD YEAR-ROUND.2. COLLABORATED WITH CHADRON STATE COLLEGE TO PROVIDE CULINARY CLASS DEMONSTRATIONS AT THE ANNUAL HEALTH FAIR.3. OFFERED FREE DIABETES PREVENTION CLASSES TO MEMBERS OF THE COMMUNITY THAT FOCUSES ON HEALTH EATING, INCLUDING RECIPES AND GROUP DISCUSSION.THERE WERE NO SIGINIFICANT NEEDS IDENTIFIED THAT ARE NOT CURRENTLY BEING ADDRESSED. 3 1 - PRAIRIE PINES LODGE 900 W 7TH ST CHADRON NE 69337 ASSISTED LIVING 2 - LEGEND BUTTES HEALTH SERVICES 11 PADDOCK ST CRAWFORD NE 69339 CLINIC SERVICES 3 - WESTERN COMMUNITY HEALTH SERVICES 300 SHELTON ST CHADRON NE 69337 COMMUNITY HEALTH SERVICES PART I, LINE 3C: OTHER THAN FEDERAL POVERTY GUIDELINES, THE HOSPITAL ALSO USES INSURANCE STATUS, UNDER INSURANCE STATUS, ASSET LEVEL AND MEDICAL INDIGENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. PART III, LINE 3: WE ADDED ADDITIONAL STAFF IN FY25 TO MORE ACTIVELY ASSIST WITH CHARITY CARE APPLICATIONS AND HAVE SEEN A SIGNIFICANT INCREASE IN THE CURRENT YEAR. BASED ON THE NUMBERS WE ARE SEEING IN THE CURRENT YEAR, WE ARE ESTIMATING THAT 20% OF PRIOR YEAR BAD DEBT EXPENSE IS REASONABLY ATTRIBUTED TO PATIENTS WHO WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE IF THEY HAD COMPLETED THE PROCESS. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: INDIVIDUALS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE ASSISTED THROUGH THE PROCESS. IF THEY QUALIFY FOR A DISCOUNT, RATHER THAN FULL WRITE-OFF, WE WORK WITH THEM TO SET UP A PAYMENT PLAN FOR THE REMAINING BALANCE. WE HAVE HISTORICALLY TAKEN A VERY SOFT APPROACH TO COLLECTIONS AND HAVE NEVER TAKEN EXTRAORDINARY COLLECTION ACTIONS. WE USE A LOCAL AGENCY FOR ACCOUNTS THAT ARE SENT TO COLLECTIONS, AND THEY COMMUNICATE WITH THE PATIENTS AND WORK TO COLLECT THE BALANCES. PART VI, LINE 2: CCH HAS A BOARD OF 12 MEMBERS, INCLUDING REPRESENTATIVES FROM THE MEDICAL STAFF AND NEIGHBORING COMMUNITIES. IN ADDITION TO THE CHNA, THE BOARD REPRESENTATIVES ARE THE VOICE OF THE COMMUNITY'S HEALTH CARE NEEDS. ADDITIONALLY, WE ENCOURAGE STAFF TO BE STEWARDS IN THE COMMUNITY AND THIS NATURALLY OPENS THE DOOR FOR CONVERSATIONS RELATED TO COMMUNITY NEEDS. MEMBERS OF OUR EXECUTIVE TEAM SERVE ON BOARDS THROUGHOUT THE COMMUNITY IN ORDER TO STAY CONNECTED TO COMMUNITY NEEDS SUCH AS HOUSING, CHILDCARE AND FOOD INSECURITY. PART VI, LINE 3: THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY (FAP) IN MULTIPLE WAYS: SIGNS POSTED THROUGHOUT THE HOSPITAL, DISTRIBUTING A PLAIN LANGUAGE SUMMARY BEFORE DISCHARGE, INCLUDING A PLAIN LANGUAGE SUMMARY OF THE POLICY WITH EACH BILL, POSTING THE POLICY ON THE HOSPITAL WEBSITE, AND COMMUNICATING THE FAP VERBALLY TO PATIENTS. THE HOSPITAL ADDED AN INDIVIDUAL IN THE BILLING OFFICE WHOSE TIME IS DEDICATED TO FINANCIAL ASSISTANCE AND COUNSELING. THIS HAS GREATLY INCREASED THE NUMBER OF COMPLETED FINANCIAL ASSISTANCE APPLICATIONS THAT WE ARE RECEIVING. PART VI, LINE 4: CHADRON COMMUNITY HOSPITAL SERVES THE NORTHWEST CORNER OF NEBRASKA, INCLUDING THE COUNTIES OF DAWES, SIOUX, AND SHERIDAN, AND THE COMMUNITIES OF HARRISON, CRAWFORD, CHADRON, HAY SPRINGS, AND RUSHVILLE. IN ADDITION, DUE TO THE FARMING AND RANCHING ECONOMY, THE HOSPITAL SERVES A GREAT DEAL OF RURAL RESIDENTS. AT $51,925, HOUSEHOLD INCOME IN THE COUNTY IS WELL BELOW THE MEDIAN FOR BOTH NEBRASKA AND THE NATION. APPROXIMATELY 13.1% OF DAWES COUNTY RESIDENTS ARE BELOW THE POVERTY LINE. PART VI, LINE 5: THE HOSPITAL PARTICIPATES IN SEVERAL ACTIVITES TO PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING PARTICIPATING IN AND PROMOTING EMPLOYEE WELLNESS INITIATIVES, ADVANCED DIRECTIVE EDUCATION FOR THE COMMUNITY, PROVIDING INFLUENZA VACCINATIONS TO FIRST RESPONDERS AND EDUCATORS, FREE IN-HOME WELL BABY CHECKS TO LOW INCOME PATIENTS, FREE DIETARY COUNSELING AND DIABETIC EDUCATION, LOW-COST MAMMOGRAPHY TO QUALIFYING PATIENTS, FREE COMMUNITY PRENATAL CLASSES, SUPPORT GROUPS RUN BY HOSPITAL PROFESSIONALS, AND FINANCIAL ASSISTANCE TO AREA CANCER PATIENTS.RECOGNIZING THAT DIABETIC AND PRE-DIABETIC EDUCATION ARE A SIGNIFICANT NEED FOR OUR POPULATION, WE HAVE MADE THE DECISION TO OFFER THESE CONSULATIONS FREE OF CHARGE TO OUR COMMUNITY. ADDITIONALLY WE MAKE THE EFFORT TO OFFER SERVICES TO OUR REGION THAT ARE NEEDED BUT MAY NOT BE REVENUE CENTERS, SUCH AS DIALYSIS AND HOME HEALTH AND HOSPICE SERVICES. OUR BOARD SUPPORTS THE CONTINUATION OF THESE SERVICES EVEN IF THEY ARE NOT SELF-SUPPORTING. 1 CANCER PATIENT GRANT 29 57000 PART I, LINE 2: THE HOSPITAL MAINTAINS DETAILED RECORDS TO SUBSTANTIATE THE AMOUNT OF AWARDS TO GRANTEES. A FORMAL APPLICATION IS COMPLETED BY POTENTIAL GRANTEES AND SUBMITTED TO THE HOSPITAL. APPLICATIONS ARE REVIEWED AND GRANTS ARE AWARDED BASED ON ELIGIBILITY AND FINANCIAL NEED. 0 0 0 0 0 0 0 0 0 NATHAN HOUGH CEO (THRU 05/2024) 188569 0 0 0 0 0 4615 0 43176 0 236360 0 0 0 JENNIFER BROWN CFO 155747 0 0 0 0 0 4137 0 32520 0 192404 0 0 0 BRENDA RHEMBRANDT VP OF PATIENT CARE 129126 0 0 0 87 0 4205 0 34568 0 167986 0 0 0 KEITH BLAYLOCK PHYSICAL THERAPIST/REHAB DIRECTOR 126117 0 0 0 447 0 4110 0 33113 0 163787 0 0 0 JEFF BOMAN CNO (THRU 03/2024) 123198 0 10000 0 106 0 0 0 27501 0 160805 0 0 0 JAMASON SCHMIDT COO (THRU 05/2024) 125971 0 0 0 93 0 0 0 33208 0 159272 0 0 0 JESSICA HARTMAN SPOUSE OF BOARD MEMBER 76941 EMPLOYEE WAGES 0 SHELLEY GRAVES SPOUSE OF BOARD MEMBER 140868 EMPLOYEE WAGES 0 KRISTLE SPROCK SPOUSE OF BOARD MEMBER 98162 EMPLOYEE WAGES 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPOSED OF THE PRESIDENT, FIRST VICE PRESIDENT, SECOND VICE PRESIDENT, SECRETARY/TREASURER AND IMMEDIATE PAST PRESIDENT, HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESS WISHES OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THERE IS ONLY ONE CLASS OF MEMBERS. THESE ARE PERSONS THAT HAVE CONTRIBUTED $50 OR MORE TO THE CORPORATION AND SHALL BE CARRIED ON THE RECORDS OF THE CORPORATION AS SUCH. IF $100 IS CONTRIBUTED FOR A HUSBAND AND WIFE, THEY EACH SHALL BE ENTITLED TO SEPARATE AND INDIVIDUAL MEMBERSHIPS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS GENERALLY REVIEWED BY THE CEO AND CFO AND THEN A FULL COPY IS PROVIDED TO THE BOARD IN THEIR BOARD PACKET. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS COMPLETE CONFLICT OF INTEREST DISCLOSURES ANNUALLY. BOARD MEMBERS DECLARE ANY CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD MEETING. ANY BOARD MEMBER DETERMINED TO HAVE A CONFLICT SHALL REFRAIN FROM VOTING ON THAT MATTER. FORM 990, PART VI, SECTION B, LINE 15 COMPARABILITY DATA FROM THE NHA SALARY SURVEY IS USED TO DETERMINE THE APPROPRIATE RANGE OF COMPENSATION FOR THE CEO. APPROPRIATE COMPENSATION IS THEN DETERMINED BASED ON PERFORMANCE AND EXPERIENCE. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO AND INCLUDED IN THE BUDGET APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 3,192,106. MANAGEMENT AND GENERAL EXPENSES 150,344. FUNDRAISING EXPENSES 362. TOTAL EXPENSES 3,342,812. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 389,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,006. NURSING SERVICES: PROGRAM SERVICE EXPENSES 1,337,633. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,337,633. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 928,878. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 928,878. EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 832,957. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 832,957. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.