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NEMAHA VALLEY COMMUNITY HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
NEMAHA VALLEY COMMUNITY HOSPITAL (EIN 48-0764456)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-02-11
IRS object ID
202540429349300109
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-02-11T06:46:26-06:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1623 SW 10th Ave Suite 300AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480764456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nemaha Valley Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEMABusinessNameControlTxt
Phone7853366181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Community DriveAddressLine1Txt
CitySenecaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66538ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKILEY FLOYDPersonNm
Person TitleCEOPersonTitleTxt
Phone7853366181PhoneNum
Signature2025-02-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEric L OttingPreparerPersonNm
PTINP00298454PTIN
Phone7852334226PhoneNum
Preparation2025-02-10PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKiley FloydPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Community DriveAddressLine1Txt
CitySenecaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66538ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$26,341,607GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressnemvch.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTo provide personalized, compassionate healthcare while promoting wellness in the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee183TotalEmployeeCnt
Total Volunteers49TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,826,893PYContributionsGrantsAmt
CY Contributions Grants$1,840,889CYContributionsGrantsAmt
PY Program Service Revenue$21,389,159PYProgramServiceRevenueAmt
CY Program Service Revenue$23,798,291CYProgramServiceRevenueAmt
PY Investment Income$157,752PYInvestmentIncomeAmt
CY Investment Income$318,121CYInvestmentIncomeAmt
PY Other Revenue$92,520PYOtherRevenueAmt
CY Other Revenue$247,413CYOtherRevenueAmt
PY Total Revenue$24,466,324PYTotalRevenueAmt
CY Total Revenue$26,204,714CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,113,444PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,056,933CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$43,782CYTotalFundraisingExpenseAmt
PY Other Expenses$8,792,428PYOtherExpensesAmt
CY Other Expenses$9,895,623CYOtherExpensesAmt
PY Total Expenses$21,905,872PYTotalExpensesAmt
CY Total Expenses$24,952,556CYTotalExpensesAmt
PY Revenues Less Expenses$2,560,452PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,252,158CYRevenuesLessExpensesAmt
Total Assets BOY$45,842,624TotalAssetsBOYAmt
Total Assets EOY$50,552,657TotalAssetsEOYAmt
Total Liabilities BOY$29,627,422TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,077,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,215,202NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,475,113NetAssetsOrFundBalancesEOYAmt
MissionTo provide personalized, compassionate healthcare while promoting wellness in the communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,917,521ExpenseAmt
Revenue$24,016,530RevenueAmt
DescNemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area.Desc
Total Program Service Expenses$21,917,521TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee183EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Niki BuesingBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7853366181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Community DriveAddressLine1Txt
CitySenecaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66538ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kris Enneking
Chairman1.00Yes (X)Yes (X)$0$0$0
Mary Haverkamp
Vice-Chairman (Thru 05/24)1.00Yes (X)Yes (X)$0$0$0
Mike Steinlage
Secretary/Vice-Chairman (Eff. 05/24)1.00Yes (X)Yes (X)$0$0$0
Justin Lueger
Treasurer/Secretary (Eff. 05/24)1.00Yes (X)Yes (X)$0$0$0
Katie Nordhus
Trustee1.00Yes (X)$0$0$0
Leah Hermesch
Trustee1.00Yes (X)$0$0$0
Don Strathman
Trustee1.00Yes (X)$0$0$0
Dr James Lueger
Trustee1.00Yes (X)$0$0$0
TJ Haverkamp
Trustee1.00Yes (X)$0$0$0
Nikki Honeyman
Trustee1.00Yes (X)$0$0$0
Ed Mohney
Trustee (Eff. 05/24)1.00Yes (X)$0$0$0
Dr William Bartkoski
Physician/Trustee40.00Yes (X)$518,212$0$52,965
Kiley Floyd
CEO40.00Yes (X)$173,231$0$25,550
Niki Buesing
Contract CFO40.00Yes (X)$117,908$0$23,697
Dr Jarod Snyder
Physician40.00$455,623$0$49,463Yes (X)
Dr Heather Myers
Physician40.00$370,064$0$39,452Yes (X)
Harry Stewart
CRNA40.00$346,351$0$52,455Yes (X)
Marcy Evans
PA40.00$214,818$0$44,746Yes (X)
Lori Lueger
APRN40.00$187,564$0$35,559Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,383,771TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$323,887TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Cerner Corporation
PO Box 959156St LouisMO63195Patient Accounting System$485,981
Holistic Pain Management of Kansas LLC
3780 N Garfield Avenue Suite 101LovelandCO80538Pain Management Services$426,313
Stormont Vail Healthcare
1500 SW 10th AvenueTopekaKS66604Lab and Admin Contract Services$369,588
Rural Partners in Medicine
8181 Artista Place Suite 100BroomfieldCO80021Surgeon Services$273,483
Augmedix
111 Sutter Street Suite 1300San FransiscoCA94104Dictation Services$184,697
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$792,935RelatedOrganizationsAmt
Government Grants$884,158GovernmentGrantsAmt
All Other Contributions$163,796AllOtherContributionsAmt
Total Contributions$1,840,889TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue621110$21,961,139$21,961,139
340B retail drug program456110$1,837,152$1,837,152
FieldValueIRS element (for citing)
Total Program Service Revenue$23,798,291TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,864TotalRevenueColumnAmt
Exclusion$451,864ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,500RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,500RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,500TotalRevenueColumnAmt
Exclusion$1,500ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,150OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$136,893OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$133,743OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$133,743TotalRevenueColumnAmt
Exclusion-$133,743ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Contracted labor900099$124,602$124,602
Miscellaneous621110$93,637$93,637
Dietary Income722210$27,674$27,674
FieldValueIRS element (for citing)
Other Revenue Total$245,913OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,204,714TotalRevenueColumnAmt
Related Or Exempt Func Income$24,016,530RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$347,295ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$813,126TotalAmt
Program Services$472,107ProgramServicesAmt
Management And General$341,019ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,375,256TotalAmt
Program Services$10,060,463ProgramServicesAmt
Management And General$1,281,663ManagementAndGeneralAmt
Fundraising$33,130FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$472,921TotalAmt
Program Services$419,760ProgramServicesAmt
Management And General$51,799ManagementAndGeneralAmt
Fundraising$1,362FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,608,065TotalAmt
Program Services$1,408,694ProgramServicesAmt
Management And General$194,866ManagementAndGeneralAmt
Fundraising$4,505FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$787,565TotalAmt
Program Services$688,166ProgramServicesAmt
Management And General$97,225ManagementAndGeneralAmt
Fundraising$2,174FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,875TotalAmt
Program Services$2,813ProgramServicesAmt
Management And General$18,062ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,898TotalAmt
Management And General$4,898ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,830,318TotalAmt
Program Services$2,526,692ProgramServicesAmt
Management And General$303,621ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,023TotalAmt
Program Services$17,540ProgramServicesAmt
Management And General$28,483ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$105,668TotalAmt
Program Services$75,638ProgramServicesAmt
Management And General$29,938ManagementAndGeneralAmt
Fundraising$92FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$67,637TotalAmt
Program Services$55,844ProgramServicesAmt
Management And General$11,789ManagementAndGeneralAmt
Fundraising$4FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$169,414TotalAmt
Program Services$151,747ProgramServicesAmt
Management And General$17,221ManagementAndGeneralAmt
Fundraising$446FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,539TotalAmt
Program Services$62,941ProgramServicesAmt
Management And General$25,589ManagementAndGeneralAmt
Fundraising$9FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$119,765TotalAmt
Program Services$106,962ProgramServicesAmt
Management And General$12,480ManagementAndGeneralAmt
Fundraising$323FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$965,316TotalAmt
Program Services$908,697ProgramServicesAmt
Management And General$55,463ManagementAndGeneralAmt
Fundraising$1,156FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$205,484TotalAmt
Program Services$149,280ProgramServicesAmt
Management And General$56,039ManagementAndGeneralAmt
Fundraising$165FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies$3,729,566$3,651,845$77,546$175
Equipment rental and ma$982,035$802,177$179,665$193
Suicide Prevention Gran$241,055$241,055
Collection fees$134,653$226$134,427

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$184,377TotalAmt
Program Services$114,874ProgramServicesAmt
Management And General$69,460ManagementAndGeneralAmt
Fundraising$43FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,952,556TotalAmt
Program Services$21,917,521ProgramServicesAmt
Management And General$2,991,253ManagementAndGeneralAmt
Fundraising$43,782FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$533BOYAmt
EOY$512EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,087,546BOYAmt
EOY$16,906,164EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,193,247BOYAmt
EOY$2,102,019EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$344,376BOYAmt
EOY$346,036EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$758,031BOYAmt
EOY$416,779EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,000,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,035,181LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,619,155BOYAmt
EOY$16,964,950EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,509,475BOYAmt
EOY$13,234,805EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,330,261BOYAmt
EOY$581,392EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$45,842,624BOYAmt
EOY$50,552,657EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,484,327BOYAmt
EOY$5,505,657EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,869,590BOYAmt
EOY$27,411,887EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$273,505BOYAmt
EOY$160,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,627,422BOYAmt
EOY$33,077,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,193,441BOYAmt
EOY$17,447,985EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,761BOYAmt
EOY$27,128EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,215,202BOYAmt
EOY$17,475,113EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,842,624BOYAmt
EOY$50,552,657EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,252,158ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,753NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$4,802GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$4,802TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationNemaha Valley Community Hospital is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities as part of the services provided to members. The above amount was estimated based on a percentage of membership dues.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,426OtherCostOrOtherBasisAmt
Book Value$71,426BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,490,390OtherCostOrOtherBasisAmt
Depreciation$9,176,812DepreciationAmt
Book Value$2,313,578BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,475,214OtherCostOrOtherBasisAmt
Depreciation$6,858,369DepreciationAmt
Book Value$1,616,845BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,963,101OtherCostOrOtherBasisAmt
Book Value$12,963,101BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,964,950TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated Third-Party Payor SettlementsDesc
Amt$160,000Amt
FieldValueIRS element (for citing)
Total Liability$160,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal taxes on related income pursuant to Section 501(a) of the Code. Management is not aware of any uncertain tax positions.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free Care0FPGReferenceFreeCareInd
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,602TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,296DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,306NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,087,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$742,956DirectOffsettingRevenueAmt
Net Community Benefit Expns$344,594NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,212,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$785,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$426,900NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,775,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,331,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,443,759NetCommunityBenefitExpnsAmt
Total Expense0.05790TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$81NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,775,618TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,331,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,443,840NetCommunityBenefitExpnsAmt
Total Expense0.05790TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,987,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,117,030DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,870,740NetCommunityBenefitExpnsAmt
Total Expense0.07500TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$356,419BadDebtExpenseAmt
Bad Debt Expense Attributable$142,568BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,349,467ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,396,079CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$46,612MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nemaha Valley Community HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Community DriveAddressLine1Txt
CitySenecaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66538ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherRural health clinicOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Nemaha Valley Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.nemvch.com/resourcesOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.nemvch.com/resourcesStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.nemvch.com/resources/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.nemvch.com/resources/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.nemvch.com/resources/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Nemaha Valley Community HospitalPart V, Section B, Line 5: Community members were invited to attend a meeting in which their input was requested to determine the health needs of the community. The community members identified the health care needs that should be prioritized. These members included medical professionals, government employees, leaders of non-profit organizations, and hospital employees.
Nemaha Valley Community HospitalPart V, Section B, Line 6a: Sabetha Community Hospital
Nemaha Valley Community HospitalPart V, Section B, Line 11: To support mental health education and assistance in the community, the Hospital has invested in education for staff including the completion of the Zero Suicide Academy for multiple staff and partnering with the Health Innovation Network of Kansas' (HINK) Suicide Prevention and Early Intervention Network (SPIN). The Hospital continued to educate the public about mental health issues through partnerships, social and local media and promoted existing mental health services, facilities, and providers. The Hospital has added Behavioral Health Services in the Seneca Family Practice RHC. Services include tele-health, psychotherapy, medication assessment and medication management. The Hospital has also implemented drug, alcohol and depression screenings with ER, OB and Wellness visits in order to increase focus on mental health. The Hospital partnered with other area hospitals to promote the STAY: Suicide Awareness Campaign. Funds raised during this campaign were donated to Damon's Purpose, a local group who advocates for suicide awareness/prevention and encourages/promotes openness about mental health and mental wellness. The Hospital sponsored a Northeast Kansas Women of Ag event where a portion of the focus was on mental health awareness. Additionally, the Hospital promoted Suicide Prevention month to community and staff members. In order to help educate and coach individuals who are navigating the health system, the Hospital hired a Community Health Worker. Finally, the Hospital has partnered with HINK to receive a 4 year $1.2 million grant from the Health and Human Services Administration (HRSA) to support the development of a suicide prevention improvement network across Northeast Kansas.To educate on alcohol abuse, the Hospital's Social Services Director was SBIRT (screening, brief intervention & referral for treatment) certified and completed the Expert Series: Improving Outcomes for Families Affected by Prenatal Alcohol Exposure. The Hospital provided a board member for the United 4 Youth organization, which focuses on underage drinking. In addition, the Hospital provided funding for this organization to assist with education for schools. Several organizations who participated in the Hospital's annual Health Fair provided education and resources regarding alcohol abuse.To assist in the prevention of substance abuse, the Hospital had initiated education and community outreach regarding substance abuse in the community and surrounding communities. Hospital staff participated in the Mountain Plains Addiction Technology Transfer Center Network (MPATTC) Cannabis Four Part Series. The Hospital participated in the NCHS Health Fair and provided education on prescription drug abuse and vaping and other inhaled substances. Freedom from Smoking classes were provided to the community. The Hospital also promoted Nemaha County Sheriff's department's efforts to collect discarded prescriptions.To prevent obesity, the Hospital continued to educate business and industry on the benefits of offering wellness programs for their employees. They encouraged primary care and other providers to refer patients to nutritionists and diabetic educators for in-house and online Diabetes Education & Prevention Classes and Support Group. Finally, the Hospital educated area businesses and students on topics including making lab improvements through diet changes, healthy eating habits, deficiencies of vitamins and minerals found in teens, energy drink education and risks. The Hospital regularly supported area school sports, golf tournaments, and summer food programs. Social media, print and radio ads are all used by the Hospital to promote healthy habits.To promote health education, the Hospital regularly provided health and wellness education to the public through in-person presentations, social media, print media, and radio ads with a focus on a wide variety of areas including hypertension, CPR/first aid training, diabetes, fall prevention, stop the bleed, cancer awareness, increased seat belt usage, and car seat safety. The Hospital maintains communication with current and potential industrial wellness businesses by offering a variety of health education sessions.To improve childcare, the Hospital conducted various types of childcare support education. The Hospital has a car seat technician who educates the public on proper usage and performs safety checks throughout the year. The Hospital provides education for the area babysitting clinic, CPR classes for area high school students, and education on infection prevention and child immunizations through presentations, social media and radio ads. Special clinics were conducted to promote vaccinations for childcare providers. To promote cancer care and education, the Hospital provided in house dermatology services. A feature video was also created for the Hospital's dermatology services. On-site skin cancer checks are offered to industrial wellness businesses. One of the Hospital's staff members was certified as a Freedom from Smoking program instructor with the American Lung Association. This program is designed for tobacco users who are ready to quit. The Hospital has collaborated with The Race Against Breast Cancer (RABC), whose focus is to pay for a full range of screening and diagnostic mammography services to those who live and work in Northeast Kansas counties. The proceeds of the Hospital's annual Bunco for Breast Cancer event are donated to the RABC. Physician education on RABC services is conducted regularly. Several Hospital staff members completed the iSURVIVE Cancer Survivorship educational training session through the Midwest Cancer Alliance. This session focuses on helping ease the transition for cancer surviving patients and helps the Hospital's physicians provide the best care for cancer survivors. Hospital staff does regular cancer care education through a variety of mediums. For the community, the Hospital provides a Breast Cancer Risk Assessment tool, donates sunscreen to the local swimming pool and golf course, posts PSAs regarding sunscreen usage and skin cancer risk, and maintains a cancer resource notebook for individuals who have been recently diagnosed. Finally, oncology services have been included in the Hospital's expansion remodel project.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 for the tax year.
Part I, Line 7g:The net community benefit expense of subsidized health services include costs attributable to a rural health clinic in the amount of $1,310,881.
Part II, Community Building Activities:N/A
Part III, Line 4:Nemaha Valley Community Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. This estimate is based on the aging of its accounts receivable by payor and historical collection experience. See note A5 (page 11) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Hospital's financial assistance policy. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies this amount as a community benefit.
Part III, Line 8:Medicare costs were obtained from the Hospital's as-filed Medicare cost report for the tax year. Any shortfalls are a benefit to the Hospital's community since it represents health care provided at less than cost to elderly and needy residents of the Hospital's service area.
Part III, Line 9b:Nemaha Valley Community Hospital makes every effort to get correct financial and billing information and to educate patients on the eligibility requirements of charity care programs and payment options.
Part VI, Line 2:N/A
Part VI, Line 3:Notification associated with patient encounter.
Part VI, Line 4:The community served is primarily residents who reside in Nemaha County Kansas and consists of approximately 2,139 residents. The median family income is $72,670. 7.90% of the community residents live below federal poverty level. Neighboring hospitals are located in Sabetha, Pawnee County, NE, and Hiawatha. They are approximately 21, 20, and 28 miles away respectively.
Part VI, Line 5:The Hospital maintains a Facebook page which posts general health information topics and announces dates of general health-related group activities. The Hospital offers periodic diabetic educational programs and education programs for expectant mothers. The Hospital uses all excess funds to maintain and improve Hospital facilities and equipment and to insure the delivery of high quality patient care services.
Part VI, Line 6:N/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr William Bartkoski
Physician/Trustee$424,694$0$93,518$0$0$0$14,850$0$38,115$0$571,177$0$0$0
Dr Jarod Snyder
Physician$308,395$0$147,228$0$0$0$14,850$0$34,613$0$505,086$0$0$0
Dr Heather Myers
Physician$305,560$0$64,504$0$0$0$14,821$0$24,631$0$409,516$0$0$0
Harry Stewart
CRNA$346,351$0$0$0$0$0$14,256$0$38,199$0$398,806$0$0$0
Marcy Evans
PA$214,818$0$0$0$0$0$8,465$0$36,281$0$259,564$0$0$0
Lori Lueger
APRN$141,430$0$46,134$0$0$0$8,678$0$26,881$0$223,123$0$0$0
Kiley Floyd
CEO$173,231$0$0$0$0$0$8,016$0$17,534$0$198,781$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Seneca Kansas
A48602623781712RBB42015-02-19$4,455,000To refund a portion of 2008 series bond000
City of Seneca Kansas
B48602623781712RBC22023-06-14$25,064,361To fund renovation costs to hospital and purchase equipment000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$2,000,000$4,455,000$88,270$4,517,5302018Yes (1)0Yes (1)Yes (1)
B$25,064,361$477,380000Yes (1)$888,078$8,055,463$16,654,476

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Lynda Cross
Family member of Mary Haverkamp and Mike Steinlage, Board Members$151,804Employment0
Lori Lueger
Family member of Justin Lueger, Board Member$215,373Employment0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Mary Haverkamp, Board Member, is a family relation to Mike Steinlage, Board Member. James Lueger, Board Member, is a family relation to Justin Lueger, Board Member.
Form 990, Part VI, Section B, line 11bThe Form 990 is presented to the finance committee of the board prior to filing. The document is made available to all other board members upon request. It is also reviewed by the CEO and CFO prior to filing.
Form 990, Part VI, Section B, line 12cThe board is required to annually sign conflict of interest statements.
Form 990, Part VI, Section B, line 15aThe CEO salary and compensation is approved by the Hospital's board and is based on information from a compensation study.
Form 990, Part VI, Section C, line 19Documents are available upon request.
Form 990, Part IX, line 11gProfessional: Program service expenses 2,526,692. Management and general expenses 303,621. Fundraising expenses 5. Total expenses 2,830,318.
990 Part XII Line 2cThe Finance Committee selects the independent auditor of the financial statements.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Nemaha Valley Health Care FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Community DriveAddressLine1Txt
CitySenecaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66538ZIPCd
FieldValueIRS element (for citing)
EIN481097250EIN
Primary ActivitiesFundraising for the benefit of community healthcarePrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Nemaha Valley Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Nemaha Valley Health Care FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$792,935InvolvedAmt
Method Of Amount DeterminationAmount PaidMethodOfAmountDeterminationTxt