2025-02-11T06:46:26-06:00 2024-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2023-07-01 480764456 Nemaha Valley Community Hospital NEMA 7853366181 1600 Community Drive Seneca KS 66538 KILEY FLOYD CEO 7853366181 2025-02-10 1 0 Eric L Otting P00298454 7852334226 2025-02-10 2023 2025-03-06 01:10:19Z Kiley Floyd 1600 Community Drive Seneca KS 66538 26341607 0 X nemvch.com X 1969 KS To provide personalized, compassionate healthcare while promoting wellness in the communities we serve. 11 8 183 49 0 0 2826893 1840889 21389159 23798291 157752 318121 92520 247413 24466324 26204714 0 0 0 0 13113444 15056933 0 0 43782 8792428 9895623 21905872 24952556 2560452 1252158 45842624 50552657 29627422 33077544 16215202 17475113 To provide personalized, compassionate healthcare while promoting wellness in the communities we serve. 0 0 21917521 24016530 Nemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area. 21917521 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 41 0 1 183 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Niki Buesing 7853366181 1600 Community Drive Seneca KS 66538 Kris Enneking Chairman 1.00 X X 0 0 0 Mary Haverkamp Vice-Chairman (Thru 05/24) 1.00 X X 0 0 0 Mike Steinlage Secretary/Vice-Chairman (Eff. 05/24) 1.00 X X 0 0 0 Justin Lueger Treasurer/Secretary (Eff. 05/24) 1.00 X X 0 0 0 Katie Nordhus Trustee 1.00 X 0 0 0 Leah Hermesch Trustee 1.00 X 0 0 0 Don Strathman Trustee 1.00 X 0 0 0 Dr James Lueger Trustee 1.00 X 0 0 0 TJ Haverkamp Trustee 1.00 X 0 0 0 Nikki Honeyman Trustee 1.00 X 0 0 0 Ed Mohney Trustee (Eff. 05/24) 1.00 X 0 0 0 Dr William Bartkoski Physician/Trustee 40.00 X 518212 0 52965 Kiley Floyd CEO 40.00 X 173231 0 25550 Niki Buesing Contract CFO 40.00 X 117908 0 23697 Dr Jarod Snyder Physician 40.00 X 455623 0 49463 Dr Heather Myers Physician 40.00 X 370064 0 39452 Harry Stewart CRNA 40.00 X 346351 0 52455 Marcy Evans PA 40.00 X 214818 0 44746 Lori Lueger APRN 40.00 X 187564 0 35559 2383771 0 323887 16 0 1 0 Cerner Corporation PO Box 959156 St Louis MO 63195 Patient Accounting System 485981 Holistic Pain Management of Kansas LLC 3780 N Garfield Avenue Suite 101 Loveland CO 80538 Pain Management Services 426313 Stormont Vail Healthcare 1500 SW 10th Avenue Topeka KS 66604 Lab and Admin Contract Services 369588 Rural Partners in Medicine 8181 Artista Place Suite 100 Broomfield CO 80021 Surgeon Services 273483 Augmedix 111 Sutter Street Suite 1300 San Fransisco CA 94104 Dictation Services 184697 9 792935 884158 163796 1840889 Patient service revenue 621110 21961139 21961139 340B retail drug program 456110 1837152 1837152 23798291 451864 451864 1500 0 1500 1500 1500 3150 136893 -133743 -133743 -133743 Contracted labor 900099 124602 124602 Miscellaneous 621110 93637 93637 Dietary Income 722210 27674 27674 245913 26204714 24016530 0 347295 X 813126 472107 341019 11375256 10060463 1281663 33130 472921 419760 51799 1362 1608065 1408694 194866 4505 787565 688166 97225 2174 20875 2813 18062 4898 4898 2830318 2526692 303621 5 46023 17540 28483 105668 75638 29938 92 67637 55844 11789 4 169414 151747 17221 446 88539 62941 25589 9 119765 106962 12480 323 965316 908697 55463 1156 205484 149280 56039 165 Supplies 3729566 3651845 77546 175 Equipment rental and ma 982035 802177 179665 193 Suicide Prevention Gran 241055 241055 Collection fees 134653 226 134427 184377 114874 69460 43 24952556 21917521 2991253 43782 533 512 8087546 16906164 2193247 2102019 344376 346036 758031 416779 33000131 16035181 6619155 16964950 26509475 13234805 1330261 581392 45842624 50552657 1484327 5505657 27869590 27411887 273505 160000 29627422 33077544 X 16193441 17447985 21761 27128 16215202 17475113 45842624 50552657 1252158 7753 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4802 0 0 0 4802 0 Part II-B, Line 1: Nemaha Valley Community Hospital is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities as part of the services provided to members. The above amount was estimated based on a percentage of membership dues. 71426 71426 11490390 9176812 2313578 8475214 6858369 1616845 12963101 12963101 16964950 Estimated Third-Party Payor Settlements 160000 160000 X Part X, Line 2: The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal taxes on related income pursuant to Section 501(a) of the Code. Management is not aware of any uncertain tax positions. 1 1 0 1 X 1 1 0 1 1 124602 42296 82306 0.00330 1087550 742956 344594 0.01380 1212152 785252 426900 0.01710 4775537 3331778 1443759 0.05790 81 81 0.00000 4775618 3331778 1443840 0.05790 5987770 4117030 1870740 0.07500 1 356419 142568 9349467 9396079 -46612 X 1 1 1 1 Nemaha Valley Community Hospital 1600 Community Drive Seneca KS 66538 X X X X Rural health clinic Nemaha Valley Community Hospital 1 0 0 1 X X X X X X X X X 23 1 1 0 1 X http://www.nemvch.com/resources X 1 23 1 http://www.nemvch.com/resources 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X X X X X X 1 X 0 X X X X 1 X 0 0 Nemaha Valley Community Hospital Part V, Section B, Line 5: Community members were invited to attend a meeting in which their input was requested to determine the health needs of the community. The community members identified the health care needs that should be prioritized. These members included medical professionals, government employees, leaders of non-profit organizations, and hospital employees. Nemaha Valley Community Hospital Part V, Section B, Line 6a: Sabetha Community Hospital Nemaha Valley Community Hospital Part V, Section B, Line 11: To 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. 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 X X 0 0 0 0 0 0 0 0 0 Dr William Bartkoski Physician/Trustee 424694 0 93518 0 0 0 14850 0 38115 0 571177 0 0 0 Dr Jarod Snyder Physician 308395 0 147228 0 0 0 14850 0 34613 0 505086 0 0 0 Dr Heather Myers Physician 305560 0 64504 0 0 0 14821 0 24631 0 409516 0 0 0 Harry Stewart CRNA 346351 0 0 0 0 0 14256 0 38199 0 398806 0 0 0 Marcy Evans PA 214818 0 0 0 0 0 8465 0 36281 0 259564 0 0 0 Lori Lueger APRN 141430 0 46134 0 0 0 8678 0 26881 0 223123 0 0 0 Kiley Floyd CEO 173231 0 0 0 0 0 8016 0 17534 0 198781 0 0 0 A City of Seneca Kansas 486026237 81712RBB4 2015-02-19 4455000 To refund a portion of 2008 series bond 0 0 0 B City of Seneca Kansas 486026237 81712RBC2 2023-06-14 25064361 To fund renovation costs to hospital and purchase equipment 0 0 0 A 2000000 4455000 88270 4517530 2018 1 0 1 1 B 25064361 888078 477380 8055463 16654476 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Lynda Cross Family member of Mary Haverkamp and Mike Steinlage, Board Members 151804 Employment 0 Lori Lueger Family member of Justin Lueger, Board Member 215373 Employment 0 Form 990, Part VI, Section A, line 2 Mary 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 11b The 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 12c The board is required to annually sign conflict of interest statements. Form 990, Part VI, Section B, line 15a The CEO salary and compensation is approved by the Hospital's board and is based on information from a compensation study. Form 990, Part VI, Section C, line 19 Documents are available upon request. Form 990, Part IX, line 11g Professional: Program service expenses 2,526,692. Management and general expenses 303,621. Fundraising expenses 5. Total expenses 2,830,318. 990 Part XII Line 2c The Finance Committee selects the independent auditor of the financial statements. Nemaha Valley Health Care Foundation 1600 Community Drive Seneca KS 66538 481097250 Fundraising for the benefit of community healthcare KS 501(c)(3) Line 7 Nemaha Valley Community Hospital 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 Nemaha Valley Health Care Foundation C 792935 Amount Paid