2016-03-15T14:57:54-05:00 2015-04-30 KPMG LLP 1212 North 96th Street Suite 300 Omaha NE 68114 990 2014-05-01 470542043 Columbus Community Hospital Inc % Shauna Czarnick COLU 4025623357 PO Box 1800 Columbus NE 68602 MICHAEL T HANSEN CHIEF EXECUTIVE OFFICER 4025623357 2016-03-02 true LORRAINE A EGGER P00223617 4023481450 2014 2016-08-17 19:52:53Z Micheal Hansen 4600 38th Street Columbus NE 68601 87199406 false X www.columbushosp.org X 1972 NE OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 10 10 692 339 18456 -30480 61455 209336 79026667 85845372 364263 278753 839618 865945 80292003 87199406 1510490 1527434 0 0 35614672 38405724 0 0 0 31211175 32675999 68336337 72609157 11955666 14590249 108463254 100393386 6261385 6203038 102201869 94190348 X Our mission is to improve the health of the communities we serve. false false 68847198 91630 86410143 Attachment 1 ("CCH") is a 47 bed acute care hospital which currently employs over 600 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 also a needed asset for the local communities where patients can obtain quality healthcare without the need to drive over 50 miles for care. In providing the care necessary for local communities, CCH has a variety of services. Following is a brief summary of some of the areas of service provided by CCH. a) The main focus is acute care services for patients. All 47 acute care beds at CCH are also certified as swing beds. b) To assist our non-English speaking patients, CCH uses competent, certified, dedicated Medical Interpreters as a liaison between the care providers and the patient. Since this is the interpreters' full time job at the hospital, they are available when needed, in house or on call 24/7. c) To make the patient's stay successful and comfortable, CCH provides ICU, Medical Surgical, OB, and an Orthopedic Service Line along with a variety of complimentary ancillary services (Wound Care, Diabetic Education, Cardiac Rehab) and Clinical Pharmacy Services. CCH uses Bar-Coded Medication Administration, Smart Pumps, and Computerized Physician Order Entry to enhance safety. d) CCH offers Rehabilitative Services such as Physical Therapy, Speech Therapy, Occupational Therapy and Drivers Rehab Therapy, so patients don't have to travel so far to get adult therapy. Pediatric Physical Therapy, Speech Therapy, and Occupational Therapy are offered at our off-site location, Wiggles & Giggles Therapy (includes Physical, Speech, and Occupational Therapies) for kids. CCH has Physical Therapists, Occupational Therapists and Speech Therapists with specialized certification in cancer rehab. We launched our certified Star Program at Columbus Community Hospital in November of 2012. We are one of only three hospitals in Nebraska to have achieved the star program certification for Cancer Rehabilitation. Star stands for Survivorship Training and Rehab. We have had at least 74 formal Star Program referrals resulting in consultations for potential rehabilitation needs. Many of our Star Program Participants have needed physical therapy, speech therapy or occupational therapy and some have needed nutritional consults as well as psychosocial referrals. Some patients who have participated have had pulmonary concerns and cardiovascular factors. There also have been some Star Program graduates that have transitioned to medical wellness here at CCH. e) Nurses in the Same Day Services Department prepare patients for surgery and, if going home the same day, care for them after surgery. The department oversees several outpatient procedures, including 90 to 100 Endoscopy Procedures each month, blood transfusions, and Chemotherapy Infusions. f) CCH offers some of the most advanced imaging services including MRI, CT, Digital Mammography, Ultrasound, etc. Radiologists are on campus and/or available 24-7 to read the various scans. The dictation used by the Radiologists is voice recognized and becomes part of the digital image. All images are digital, meaning there are no films. g) CCH has an up to date Laboratory which performs over 13,000 tests on average per month, for both Inpatients and Outpatients. h) CCH has highly trained, employed Emergency Physicians and Nurses in their Emergency Department (ED) and offers 24-7 care. The Department includes support from qualified staff in Respiratory Care, Social Work, Laboratory, Medical Interpreting, and Diagnostic Imaging. The ED was designated as a Level III Trauma Center in May, 2006. 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 the trauma care and participates in injury prevention activities throughout the community. i) CCH opened Wound Care Services in August of 2008. The identified service area includes a 45-mile radius around Columbus. By January, 2009 a second day was added to support the demand. This service has taken off far beyond what was expected. Previously, patients seeking this specialized treatment were required to travel on average 75 miles to see a wound clinic specialist. It was a much needed service for the local communities. Columbus Community Hospital currently sees about 100 patients per month for wound care. j) Centering on services outside the Hospital, the larger services are Home Health and Hospice Services. Home Health is skilled health services for patients at their place of residence. The program is medically directed, therefore, it must be ordered by the attending physician. The Program is Medicare and Medicaid certified and meets the requirements of the Joint Commission. Services provided within the Program are: 1. Supervision and administration of medications 2. Intravenous Therapy 3. Teaching diabetic management 4. Nutritional Assessments 5. Home Health aides 6. Personal Care Services 7. Occupational, Speech and Physical Therapies 8. 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. k) 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. l) CCH's Sleep Lab offers complete Polysomnographic Sleep Testing for the purpose of diagnosing obstructive/central sleep apnea by trained and licensed Sleep Technicians. Both daytime and night sleep studies are performed. m) 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 professionals, OHS provides the Columbus and regional area business and industry with a comprehensive range of services designed to support and maintain a healthy, safe workforce while assisting to meet OSHA and DOT compliance regulations. Their full range of services include: 1. A comprehensive testing procedure called the 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. 2. Drug and Alcohol Testing Services 24/7 3. DOT Physicals 4. Pre Employment/Post Job Offer Physical Assessments 5. On Site Nursing Services 6. Hearing/Vision Testing 7. Hearing Conservation Program Management 8. Respiratory Fit Testing 9. Respiratory Evaluation Services 10. Flu Shots and Immunization Programs 11. Wellness Programs n) 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. Predetermined responders are summoned to their home or emergency transfer can be called if needed. This gives security to the patient and comfort to the patient's relatives. o) 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. p) The Hospital participates in and has hosted County wide Natural Disasters and Pandemic Drills. CCH is a member of a larger Preparedness Team, RROMRS. This allows CCH to assist or receive assistance from this region's Medicare providers. CCH feels we are well prepared to handle a natural disaster or pandemic should one arise. 1435804 1435804 Attachment 2 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. If the applicant qualifies for partial charity/financial assistance and the total balance after all write-off's is greater than $1,200, an additional write-off will be done as outlined below. Reduce to $1,200; adjustments will be done from oldest to newest. 70283002 true true false true false false false false false true true false false false false true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true true false true 45 0 true 692 true true true false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X Shauna Czarnick 4025623362 4600 38th Street Columbus NE 68601 X Jeffrey Gotschall MD Chairman 1.0 0.0 X X 0 0 0 Brian Schmidt Vice Chairman 1.0 0.0 X X 0 0 0 Clark Lehr Treasurer 1.0 0.0 X X 0 0 0 Brett Bonwell Director 1.0 0.0 X 0 0 0 Stan Emerson Director 1.0 0.0 X 0 0 0 Ronald Ernst MD Director 1.0 0.0 X 0 0 0 Bonnie McPhillips Director 1.0 0.0 X 0 0 0 Beth Przymus Director 1.0 0.0 X 0 0 0 Tim Tooley Director 1.0 0.0 X 0 0 0 Christian VanKirk MD Director 1.0 0.0 X 0 0 0 Michael Hansen President/CEO/Secretrary 40.0 0.0 X 560232 0 63373 Amy Blaser VP Business Development 40.0 0.0 X 146817 0 36219 J Joseph Barbaglia VP Finance 40.0 0.0 X 236854 0 32765 Linda Walline VP Nursing 40.0 0.0 X 200087 0 28950 James Goulet VP Operations 40.0 0.0 X 209802 0 29845 Mark Howerter MD Physician 40.0 0.0 X 462749 0 31356 Michael McGuire MD Physician 40.0 0.0 X 532281 0 17420 Dustin Volkmer MD Physician 40.0 0.0 X 448440 0 25114 Edward Fehringer MD Physician 40.0 0.0 X 564613 0 31356 Richard Cimpl Physician 40.0 0.0 X 618751 0 29585 3980626 0 325983 36 false true false TSP Construction Services Inc 1112 N West Ave Sioux Falls SD 571041333 Construction 11898402 McKesson Technologies Inc PO Box 98347 Chicago IL 60693 IT Consulting 1168106 Inpatient Physician Associates 3200 Pine Lake Rd Suite A Lincoln NE 68516 Hospitalist Svcs 941136 Renovo Solutions LLC 1801 E Park Court Plaza Suite 206 Santa Ana CA 92701 Equipment Maint 214412 Harry A Koch Co PO Box 3875 Omaha NE 681030875 Insurance Broker 188574 8 209336 209336 Net Patient Service Revenue 621110 84887462 84887462 Meaningful Use Payment 900099 957910 957910 85845372 276993 276993 0 0 0 0 0 1760 1760 1760 1760 0 0 0 Meals on Wheels 900099 57411 57411 Cafeteria 722514 282718 282718 Health Watch 900099 46130 46130 479686 461230 18456 865945 87199406 86410143 18456 561471 91630 91630 1435804 1435804 0 0 1353792 1353792 0 29497195 29497195 1074053 1074053 4431161 4431161 2049523 2049523 0 80511 80511 171332 171332 6473 6473 0 0 3150709 3150709 163281 163281 9390628 9134310 256318 1793176 1793176 0 1523879 1523879 169415 169415 0 125033 125033 0 0 5070569 5070569 309855 309855 Provision for Bad Debts 4884845 4884845 Minor Equip & Financing AGR 2502076 2502076 Purchased Services 1622165 1622165 Recruiting 312097 312097 1399955 1399955 72609157 70283002 2326155 0 5961224 3994478 0 0 0 0 9015656 10097589 0 0 0 0 0 0 1348807 1399607 1828137 1918503 107432820 58471431 38650359 48961389 51402269 33844577 0 0 0 0 0 0 256802 177243 108463254 100393386 6261385 6203038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6261385 6203038 X 102201869 94190348 0 0 0 0 102201869 94190348 108463254 100393386 X 14590249 -22601770 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6473 6473 false Form Sch C Part II-B Line 1i Dues paid to American Hospital Association allocated to lobbying $3,111 and dues paid to Nebraska Hospital Association allocated to lobbying $3,362. 1798246 8037 1806283 1742125 56121 1798246 1667736 74389 1742125 1573063 94673 1667736 1506660 66403 1573063 1.00000 false true true 1325401 1325401 44365903 22184385 22181518 42881936 34102087 8779849 18859580 2184959 16674621 48961389 0 0 X Form 990, Sch 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. Form 990, Sch 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 2015 and 2014, management determined that there are no income tax positions requiring recognition in the financial statements. true true X true X true X true true false true true 724507 724507 0.01070 4787421 1984459 2802962 0.04140 5511928 1984459 3527469 0.05210 76711 184778 391 184387 0.00270 352688 7410 345278 0.00510 30777 30777 0.00040 76711 568243 7801 560442 0.00820 76711 6080171 1992260 4087911 0.06030 1 1878 1878 2 1577 31588 22581 9007 0.00010 1 1253 2057 1290 767 4 2830 35523 23871 11652 0.00010 false 4884846 20464568 23799240 -3334672 X true true HealthPark LLC Property management 0.27000 0.73000 ZARZ LLC Property management 0.44000 0.56000 1 1 Columbus Community Hospital Inc 4600 38th Street Columbus NE 686011800 www.columbushosp.org LICENSE #630001 X X X 47 Bed Acute Care Hospital w/ 24 hr ER Services Columbus Community Hospital Inc 1 false false true X X X X X X X X X 14 true true true true X SEE SECTION C X true 14 true SEE SECTION C false false true X 100 200. X X true true X X X true X SEE SECTION C X SEE SECTION C X X X X X true false X X X X true X false false Form 990, Sch H, Part V, SECTION B, 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 CENTER FOR DISEASE CONTROL (CDC). MAPP WAS ALSO A RECOMMENDED COMMUNITY ASSESSMENT BY THE NEBRASKA RURAL HEALTH ASSOCIATION IN ITS COMMUNITY HEALTH ASSESSMENT COLLABORATIVE PRELIMINARY RECOMMENDATIONS FOR NEBRASKA'S COMMUNITY, NONPROFIT HOSPITALS TO COMPLY WITH NEW REQUIREMENTS FOR TAX EXEMPT STATUS ENACTED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (SEPTEMBER OF 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. Form 990, Sch H, Part V, SECTION B, Line 6a -ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER -GENOA COMMUNITY HOSPITAL -BOONE COUNTY HEALTH CENTER Form 990, Sch H, Part V, SECTION B, Line 6b -United Way -East Central District Health Department Form 990, Sch H, Part V, SECTION B, Line 7A 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. Form 990, Sch H, Part V, SECTION B, Line 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE VIA LINK ON HTTPS://WWW.COLUMBUSHOSP.ORG/NEWS_EVENTS/CHIP_IMPLEMENTATION_PLAN.ASPX Form 990, Sch H, Part V, SECTION B, 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 (contracting with Schmeeckle Research, Inc.), covering the counties of Platte (where CCH is located), Boone, Colfax and Nance: Access to Health Care Obesity Family Support Substance Abuse Mental Health CCH will work hand-in-hand with the East Central District Health Department and other health and business related agencies to address these needs of our communities. Specifically, CCH will take the lead in addressing the identified needs of access to health care and obesity by conducting the activities described below. It will support the identified needs of family support, substance abuse and mental health as requested by other participants of the CHNA that have agreed to take the lead on these areas in that they already have programs in place and expertise in these areas. The allocation of duties in addressing these identified health care needs promotes program effectiveness, and supports the efficient allocation of limited health care dollars. Implementation Strategy Access to Health Care - Improve access to comprehensive, quality health care services. CCH will take the lead exploring and/or implementing the following: Objective: Reduce the death rate from cancer of the uterine/cervix. Action Step: Explore ways to provide a free PAP smear screening event at CCH. Collaborate with the University of Nebraska Medical Center on cancer management. Objective: Reduce the female breast cancer death rate. Action Step: Research funding options to increase the number of uninsured/underinsured women's access to mammography. An application was submitted on December 13, 2012 for a Susan G. Komen Grant of $9.000. Objective: To reduce one of the barriers to care, look at the feasibility of creating volunteer transportation program for patients. Action Step: Explore programs operated by volunteers. Objective: Explore other disease health screening opportunities to increase access to health care and develop a plan to address early screening. Action Step: CCH will take the lead for Tune Up for Life Health Fair and explore options for more screenings. Objective: Facilitate communication opportunities between providers and patients to increase access to care. Action Step: Provide and support Nurse Triage Line to area local providers for a small fee. Objective: Implement a home monitoring program for patients receiving home health services. Action Step: Ensure home health tele-monitoring systems are being utilized by patients. Objective: Provide community screening and an information day regarding diabetes. Action Step: CCH will be the lead for Diabetes Awareness Day scheduled yearly in October. Objective: Explore forming a geriatric assessment team to complete patient testing and evaluation for best setting for patients. Action Step: Collaboration with Pender Hospital and Columbus Family Practice. Family Support - To improve the stability, health and well-being of women, infants, children and families through the effective use of community resources. The Child Well-being Work Group will take the lead in exploring and/or implementing the objectives and actions steps. Obesity - Promote healthy weight and reduce chronic disease risk. Columbus Community Hospital's dedication to helping create a healthier community is seen in the Hospital's commitment to building a new Health and Wellness Center. The Center will not only provide increased access to exercise and fitness opportunities, but to registered dietitians as well who, through classes and individual consultation, can address lifestyle changes that can help decrease health issues associated with obesity and chronic diseases. CCH will also take the lead exploring and/or implementing the following: Objective: Reduce the number of adults who are considered obese. Action Step: Include the Chamber of Commerce and meet with local HR people monthly to develop a worksite wellness plan that is user friendly and can be packaged and ready for business use. Objective: Grow the Platte County CHIP Obesity Prevention Coalition and gather resources for public distribution. Action Steps: Have coalition members invite other community agencies and individuals to join. Gather list of resources available for physical activity and nutrition and distribute to area businesses. Regularly publish articles in newspaper and on website. Substance Abuse - Reduce substance abuse to protect the health, safety and quality of life for all, especially children in grades 6-12. The East Central District Health Department, Columbus Police Department and Platte County Sheriff's Department will take the lead in exploring and/or implementing the objectives and actions steps. CCH will provide advice and support as requested. Form 990, Sch H, Part V, SECTION B, Line 11 (Continued) MENTAL HEALTH - IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY, MENTAL HEALTH SERVICES. THE PLATTE COUNTY MENTAL HEALTH CHIP GROUP WILL TAKE THE LEAD IN EXPLORING AND/OR IMPLEMENTING THE OBJECTIVES AND ACTIONS STEPS. CCH WILL PROVIDE ADVICE AND SUPPORT AS REQUESTED. Form 990, Sch H, Part V, SECTION B, Line 16A https://www.columbushosp.org/for_patients_visitors/patient_financial_infor mation/discount_charity_care_programs.aspx Form 990, Sch H, Part V, SECTION B, Line 16B https://www.columbushosp.org/sites/www/Uploads/Charity-Financial%20Assista nce%20Application%20-%20English.pdf https://www.columbushosp.org/sites/www/Uploads/Charity-Financial%20Assista nce%20Applicaiton%20-%20Spanish.pdf Form 990, Sch H Part V, SECTION B, Line 16i INFORMATION BROCHURES ON FINANCIAL/CHARITY ASSISTANCE (F/C) ARE AVAILABLE IN KEY AREAS OF THE HOSPITAL. THE CCH WEBSITE HAS INFORMATION REGARDING F/C ASSISTANCE, AS WELL AS APPLICATIONS IN BOTH SPANISH AND ENGLISH. THE PATIENT STATEMENTS HAVE INFORMATION REGARDING F/C ASSISTANCE. THE F/C APPLICATIONS ARE AVAILABLE TO ALL STAFF ON THE H DRIVE UNDER FORMS. THE EMERGENCY REGISTRATION, MAIN REGISTRATION, PATIENT ACCOUNTS AND SOCIAL SERVICES DEPARTMENTS HAVE THE F/C APPLICATIONS IN BOTH ENGLISH AND SPANISH AVAILABLE. 9 Premier Physical Therapy of CCH US 30 Center Bldg 3100-23rd St St Columbus NE 686013161 Physical & Aquatic Therapy, Sports Training Services Wiggles & Giggles Therapy for Kids 2108-13th Street 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 Community Hospital Sleep Lab 3020-19th St Suite 100 Columbus NE 686014252 Polysomnographic Sleep Testing 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 Form 990, Sch H, Part I, Line 3c N/A Form 990, Sch 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. Form 990, Sch H, Part I, Line 7 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. 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. PART I, LINE 7F EXPENSES REPRESENT WAGES ALONG WITH SERVICES AND SUPPLIES PURCHASED BY THE HOSPITAL. DIRECT OFFSETTING REVENUES REPRESENT CASH COLLECTED FOR THESE SERVICES. PART I, LINE 7I CASH DONATIONS REPRESENT THE MAJORITY OF THESE DONATIONS, THE LARGEST AMOUNT, $25,000 GOING TO THE EAST CENTRAL DISTRICT HEALTH DEPARTMENT TO SUPPORT COMMUNITY HEALTH PROGRAMS. OTHER CASH DONATIONS WERE MADE TO SMALLER ORGANIZATIONS FOR PROGRAMS OR EVENTS RELATING TO HEALTH as follows: Prescription medicine for out-patient (non-employee) - $809; Hotel Accommodations for out-patient (non-employee) - $267; Loup d' Loup Bike Ride to end Polio - $500; Platte County Historical Society $300; Bluefest for Cystic Fibrosis - $250; ALS in the Heartland - $250; Alzheimer's Association - $300; American Cancer Society - $3,000; Meals on Wheels - $101 PART I, LINE 7, COLUMN (F) THE AMOUNT OF 67,724,312 USED AS THE DENOMINATOR TO COMPUTE COLUMN (F) IS CALCULATED BY TAKING TOTAL FUNCTIONAL EXPENSES OF 72,609,157 MINUS BAD DEBT EXPENSE OF 4,884,845. Form 990, Sch H, Part II COMMUNITY BUILDING ACTIVITIES - THE HOSPITAL 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 HEALTHCARE COMMUNITY, PROVIDING SPECIFIC DEPARTMENT OR HOSPITAL TOURS IN ORDER TO RECRUIT SKILLED PROFESSIONALS TO LIVE AND WORK HERE IN THE COMMUNITY. THE HOSPITAL DONATED LAND TO THE CITY OF COLUMBUS PROVIDING SPACE FOR A TWELVE-ACRE URBAN LAKE AND 20 ACRES OF LAND FOR A FUTURE FIRE STATION ON THIS PROPERTY. THE URBAN LAKE IS EQUIPPED WITH A NICE WOODEN DOCK MAKING IT VERY ACCESSIBLE FOR STROLLERS, WHEELCHAIRS AND OTHER ASSISTIVE DEVICES TO FISH OR WATCH THE WATER FOWL ON THE LAKE. LOCAL ASSISTED LIVING AND NURSING CARE CENTERS CAN DRIVE TO THE ACCESSIBLE DOCK, ALLOWING THEIR RESIDENTS TO HAVE CONVENIENT ACCESS TO THE LAKE AS WELL. THIS URBAN LAKE, WATERFOWL AREA PROVIDES A COMMUNITY SPACE WITHIN THE CITY LIMITS FOR THE WHOLE COMMUNITY, YOUNG AND OLD ALIKE. - THE HOSPITAL CONTINUES TO PARTNER WITH OUR LOCAL DISTRICT PUBLIC HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (CHC) ON SEVERAL PROJECTS AND COMMUNITY DISEASE PREVENTION INITIATIVES. THE HOSPITAL PROVIDES FINANCIAL SUPPORT AND PROFESSIONAL STAFF TIME AS LIAISONS TO THESE COMMUNITY PARTNERSHIPS THROUGHOUT THE YEAR WORKING ON MULTIPLE CHRONIC DISEASE AND ACCIDENT PREVENTION STRATEGIES. SOME OF THESE COMMUNITY INITIATIVES INCLUDE TYPE II DIABETES, HYPERTENSION AND HEART DISEASE, PRE AND POST NATAL NEWBORN CARE, PHYSICAL ACTIVITY AND EXERCISE, COLON CANCER PREVENTION AND EARLY DETECTION AS WELL AS COMMUNITY PREPAREDNESS TO NATURAL AND MANMADE DISASTERS. SEVERAL OTHER INITIATIVES ARE ADDRESSED THROUGHOUT THE YEAR AS COMMUNITY HEALTH ISSUES ARISE. THOUSANDS OF COMMUNITY MEMBERS ARE REACHED WITH THESE COMMUNITY INITIATIVE CAMPAIGNS EACH YEAR AND MAKING A REAL DIFFERENCE IN THE LIVES OF PEOPLE LIVING WITH CHRONIC HEALTH ISSUES. THE HOSPITAL ALSO PROVIDES FREE FLU SHOTS TO RESIDENTS OF HARBOR OF HOPE, A HOMELESS SHELTER. - ADDITIONALLY, CCH PARTICIPATES IN OVER A DOZEN COMMUNITY HEALTH FAIRS/COMMUNITY EVENTS EACH YEAR, PROVIDING MEDICAL SCREENINGS AND INFORMATION FOR ALL COMMUNITY MEMBERS. - CCH ALSO PARTNERS WITH LOCAL DAY CARES, SCHOOLS AND COLLEGES TO PROVIDE SPEAKERS AND HANDS ON LEARNING EVENTS FOR STUDENTS TO ENCOURAGE ENTRY INTO THE MEDICAL PROFESSIONS. ADDITIONALLY, THE CCH BOARD HAS APPROVED THE CONSTRUCTION OF A DAY CARE CENTER THAT WILL PROVIDE NOT ONLY DAY CARE, BUT PRE-SCHOOL LEARNING USING THE EDUCARE MODEL. - THE CCH BOARD OF DIRECTORS HAS APPROVED THE CONSTRUCTION OF A $21.0 MILLION, 85,723 SQUARE FEET COMMUNITY WELLNESS FACILITY THAT WILL BE LEASED, BELOW FAIR MARKET VALUE, TO THE YMCA. THE WELLNESS CENTER WILL BE AVAILABLE FOR USE BY THE ENTIRE COMMUNITY AND INCLUDE 2 GYMS, POOL, WEIGHTS AND EXERCISE EQUIPMENT, ALL IN 62,397 SQUARE FEET. CLASSES FOR WELLNESS AND FITNESS WILL BE PROVIDED BY HEALTHCARE PROFESSIONALS FROM THE HOSPITAL AND YMCA STAFF. THE FACILITY WILL ALSO HOUSE THE HOSPITAL'S ADULT THERAPIES AND PEDIATRIC THERAPY IN SEPARATE AREAS. THIS FACILITY OPENED ON OCTOBER 27, 2015. Form 990, Sch H, Part III, SECTION A, Line 2 THE METHODOLOGY USED TO ESTIMATE THE 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. Form 990, Sch H, Part III, SECTION A, Line 3 N/A Form 990, Sch H, Part III, SECTION A, Line 4 FINANCIAL STATEMENTS DO NOT INCLUDE ANY TEXT FOR BAD DEBT. THE AMOUNT IN LINE 2 IS THE BOOK BAD DEBT AMOUNT. CHARITY CARE IS KEPT SEPARATE FROM BAD DEBT. Form 990, Sch 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 CENTERS 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 SERVING 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 NONREVENUE-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. Form 990, Sch H, Part III, Line 9b CHARITY (FINANCIAL AID) PROGRAM POLICY/PROCEDURE COLUMBUS COMMUNITY HOSPITAL (CCH) OFFERS A CHARITY/FINANCIAL AID PROGRAM TO 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. 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 ORGANIZATIONS 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 GROUP 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 INCLUDING TEAMSTEPPS, JUST CULTURE, STUDER 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 CREATING A CULTURE/ENVIRONMENT WHERE STAFF WANT TO WORK AND PHYSICIANS WANT TO BRING THEIR PATIENTS. 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 ONBOARDING 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 TO BEGIN 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 AND WE NOW ARE IN THE PROCESS OF BUILDING A NEW MEDICAL OFFICE BUILDING WHICH WILL HOUSE OUR VISITING PHYSICIANS AND W.O.C. HEALTH CENTER (WOUND, OSTOMY AND CONTINENCE CARE). 6)FINANCE - CCH WILL WORK DILIGENTLY TO MAINTAIN FINANCIAL STABILITY. THEIR APPROACH INCLUDES: WORK TO EXTEND THE DEMONSTRATION PROJECT WITH A PLAN IN PLACE IF THE PROGRAM IS DISCONTINUED, MAINTAIN A CONSERVATIVE SUCCESSFUL INVESTMENT STRATEGY AND GROW THE CCH FOUNDATION/AUXILIARY. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HERE IS A SAMPLE OF WHAT IS AVAILABLE ON OUR CCH WEB SITE WITH DETAILED LINKS. A HARD COPY WITH INFORMATION IS ALSO AVAILABLE IN A SPECIAL WALL UNIT LOCATED INSIDE EACH PATIENT ROOM AS WELL AS IN BROCHURES LOCATED IN OUTPATIENT AREAS. THERE IS ALSO A TUTORIAL LISTING EACH STEP AND LETTING THE PATIENT KNOW WHAT THEY WILL NEED TO BRING ALONG OR HAVE AVAILABLE FOR COPYING PURPOSES. 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 YOU FEEL YOUR INCOME IS NOT SUFFICIENT TO PAY FOR YOUR SERVICES AT COLUMBUS COMMUNITY HOSPITAL, PLEASE 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. THE STATE HAS MEDICAID APPLICATIONS AVAILABLE ONLINE. OUR PATIENT ACCOUNTS AND SOCIAL SERVICES STAFF HAVE FINANCIAL/CHARITY APPLICATIONS AVAILABLE IN BOTH ENGLISH AND SPANISH TO PROVIDE TO OUR PATIENTS. 3. ADDITIONALLY, SIGNAGE IS POSTED DIRECTING PATIENTS TO CALL AS NEEDED FOR FINANCIAL HELP, AND REFERRALS ARE BUILT INTO THE MEDICAL ADMISSION SOFTWARE, SO IF PATIENTS VOICE CONCERNS ABOUT THE COST, OR THEIR LACK OF COVERAGE A REFERRAL IS GENERATED TO SOCIAL SERVICES STAFF WHO WILL SEE PATIENTS INDIVIDUALLY AND COUNSEL ON SPECIFIC CIRCUMSTANCES. 4. MONTHLY STATEMENTS HAVE THE FOLLOWING INFORMATION ON THEM: A. PAYMENT PLANS B. CHARITY/FINANCIAL ASSISTANCE PROGRAM C. 24/7 ONLINE BUSINESS OFFICE, WHICH INCLUDES INFORMATION ON PAYMENT PLANS, CHARITY/FINANCIAL ASSISTANCE, AND DOWNLOADABLE FINANCIAL/CHARITY APPLICATIONS (AVAILABLE IN ENGLISH AND SPANISH). COMMUNITY INFORMATION THE LOCAL ECONOMY- COLUMBUS COMMUNITY HOSPITAL IS LOCATED IN COLUMBUS, NEBRASKA, WHICH IS THE LARGEST CITY IN PLATTE COUNTY. WITH A GROWING POPULATION OF 33,066, PLATTE COUNTY IS THE LARGEST COUNTY OF THE SEVEN COUNTY SERVICE AREAS. FROM JULY 31, 2013 TO JULY 31, 2014, UNEMPLOYMENT IN THE CITY OF COLUMBUS DECREASED SLIGHTLY FROM 3.9% RATE OR 756 JOBLESS TO 3.3% RATE OR 610 JOBLESS. DURING THIS SAME PERIOD OF TIME, THE NEBRASKA JOBLESS RATE WAS 3.6% AND THE NATIONAL AVERAGE WAS REPORTED AT 6.2%. AS REPORTED IN MONEY MAGAZINE, COLUMBUS IS LISTED AS THE THIRD BEST PLACE IN THE U.S. TO FIND EMPLOYMENT AND IN THE TOP 100 BEST SMALL TOWNS TO LIVE. THREE COUNTIES IN NEBRASKA WERE LISTED IN THE TOP TEN COUNTIES IN THE U.S. TO LIVE AND WORK, INCLUDING PLATTE, MADISON (WHICH IS CONTIGUOUS TO PLATTE COUNTY) AND SARPY COUNTY NEAR LINCOLN, NEBRASKA. OUR LOCAL ECONOMY IS BASED ON AGRICULTURE AND MANUFACTURING, WITH MANY INDUSTRIAL COMPANIES ATTRACTED BY PLENTIFUL, LOW-PRICED HYDROELECTRIC POWER. AMONG THE MAJOR EMPLOYERS ARE ARCHER DANIELS MIDLAND (ADM), AN ETHANOL MANUFACTURING COMPANY; FLEX-CON; CENTRAL CONFINEMENT SERVICE; PILLEN FAMILY FARMS; VISHAY; BD MEDICAL PLANTS, A MEDICAL EQUIPMENT COMPANY; BEHLEN MANUFACTURING, WHICH MANUFACTURES STEEL BUILDINGS; AND NEBRASKA PUBLIC POWER, WITH HEADQUARTERS LOCATED IN COLUMBUS. DUE TO SUCCESSFUL ECONOMIC AND INDUSTRIAL DEVELOPMENT IN OUR AREA, THIS LARGE MANUFACTURING BASE REMAINS INTACT. A HARD-WORKING, WELL-EDUCATED WORKFORCE, LOW ENERGY COSTS AND A LOCAL ENVIRONMENT FRIENDLY TO BUSINESS, PROVIDE ENCOURAGEMENT FOR STRONG ECONOMIC AND INDUSTRIAL DEVELOPMENT WITHIN OUR SERVICE AREA. 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. WE CONTINUE TO SEE AN INFLUX OF SINGLE AND YOUNG FAMILIES MOVING INTO OUR AREA SEEKING EMPLOYMENT. OUR COMMUNITY GROWTH CORRELATES TO OUR CONTINUING INCREASE IN HOSPITAL OUTPATIENT VISITS. OUTPATIENT VISITS REACHED 44,613 VISITS FOR THE FISCAL YEAR ENDING APRIL 2014. IN 2005, OUR OUTPATIENT VISITS OVER A TWELVE MONTH PERIOD TOTALED 38,129. THIS 17% INCREASE IN OUR OUTPATIENT VISITS OVER THE PAST NINE YEARS IS A REFLECTION OF THE SIGNIFICANT IMPACT THE DEMONSTRATION PROJECT HAS HAD ON OUR HOSPITAL. SERVICE CAPACITY: THE W.O.C. HEALTH CENTER OPENED AUGUST OF 2008. IT HAS GROWN TO 1,107 PATIENTS/VISITS AS OF APRIL 30, 2014. THE IDENTIFIED SERVICE AREA INCLUDES A 45-MILE RADIUS AROUND COLUMBUS. THE W.O.C. HEALTH CENTER IS LOCATED IN THE VISITING PHYSICIAN OFFICE SUITE OF THE ATTACHED MEDICAL OFFICE BUILDING. THE CENTER HAS SCHEDULED VISITS TWO DAYS PER WEEK. ADDITIONAL NURSE STAFF TIME IS SPENT EACH WEEK ASSISTING OUTPATIENT CLIENTS WITH WOUND APPLICATIONS, AS WELL AS ASSISTING WITH APPLICATIONS OF WOUND VACS IN SURGERY OR ON OUR MEDICAL FLOOR, SCHEDULING APPOINTMENTS AND OTHER RESPONSIBILITIES SUCH AS ORDERING SUPPLIES AND MAINTAINING COMPLIANCE WITH NATIONAL STANDARDS. PREVIOUSLY, PATIENTS SEEKING THIS SPECIALIZED TREATMENT WERE REQUIRED TO TRAVEL ON AVERAGE 75 MILES TO SEE A WOUND CENTER SPECIALIST. THE VOLUME WE ARE SEEING AT THIS W.O.C. HEALTH CENTER REINFORCES THE AMOUNT OF COMMUNITY NEED THAT EXISTED FOR THIS SERVICE AND HAS GREATLY INCREASED THE LOCAL ACCESS FOR SO MANY OF OUR HIGHER ACUITY PATIENTS AND THEIR FAMILIES. OUR NURSES ARE WCOM CERTIFIED, SO IN ADDITION TO WOUND CARE, OUR PATIENTS WHO HAVE CHALLENGES WITH OSTOMY APPLIANCES AND CONTINENCE PROBLEMS CAN BE ADDRESSED. Form 990, Sch H, Part III, Line 9b (Continued) CCH INSTALLED A NEW CT SCANNER, NEW RADIOLOGIC/FLUOROSCOPY SYSTEM AND NUCLEAR MEDICINE CAMERA. THESE REPLACED EXISTING SYSTEMS. WE RECENTLY OPENED A WOMEN'S IMAGING AREA WITHIN THE HOSPITAL WHICH IS SEPARATE FROM THE RADIOLOGY DEPARTMENT. A NEW REGISTRATION AREA RECENTLY OPENED WHICH PROVIDES PATIENT PRIVACY. WE REDUCED OUR MAMMOGRAPHY PROCEDURE PRICING 21% ON FEBRUARY 8, 2012 AND SOUGHT AND RECEIVED A SUSAN G. KOMEN GRANT, WHICH THE HOSPITAL FOUNDATION MATCHED, TO PROMOTE MAMMOGRAPHY SCREENING FOR WOMEN IN THE COMMUNITY. IN 2010 WE CHANGED OUR BONE DENSITY SERVICE FROM CONTRACTING WITH A MOBILE SERVICE UNIT TO PURCHASING OUR OWN BONE DENSITY STATIONARY EQUIPMENT, THE NECESSARY SUPPORT EQUIPMENT AND TRAINED STAFF. THE BENEFITS TO THE COMMUNITY INCLUDE INCREASED ACCESS FOR PATIENTS AND PROVIDERS WHO NO LONGER HAVE TO WAIT FOR DIAGNOSIS WITH THE MOBILE UNITS' INTERMITTENT SERVICE. THIS IS ANOTHER NEW PROGRAM MADE POSSIBLE BY THE DEMONSTRATION PROJECT THAT INCREASES ACCESS AND ELIMINATES THE NEED TO TRAVEL OUT OF TOWN FOR PROMPT DIAGNOSIS. COLUMBUS COMMUNITY HOSPITAL IS A 47 BED, ACUTE CARE HOSPITAL SERVING NEEDS OFFERING A VARIETY OF SURGICAL PROCEDURES AND SHORT TERM HOSPITALIZATIONS. ALL 47 BEDS ARE LICENSED FOR EITHER ACUTE CARE OR SWING BED PATIENTS. IN ADDITION, WE PROVIDE COMPREHENSIVE OUTPATIENT LABORATORY, RADIOLOGY, RESPIRATORY AND REHABILITATIVE SERVICES. WE ALSO PROVIDE FREE INTERPRETER SERVICES 24/7. OUR FACILITY OFFERS COMPREHENSIVE CARE, INCLUDING INTENSIVE CARE, MEDICAL-SURGICAL CARE, INPATIENT AND OUTPATIENT SURGICAL PROCEDURES (GENERAL, ENT, UROLOGY, PODIATRY, ORTHOPEDIC), AS WELL AS OTHER COMPLIMENTARY ANCILLARY SERVICES INCLUDING RESPIRATORY, WOUND CARE, DIABETES EDUCATION, ENDOSCOPIES AND CARDIOPULMONARY REHABILITATION. IN 2006, THE HOSPITAL'S EMERGENCY DEPARTMENT WAS DESIGNATED AS A LEVEL III TRAUMA CENTER WITH NURSES CERTIFIED IN TNCC, ACLS AND PALS. EIGHT OF THE EMERGENCY DEPARTMENT NURSES ARE ALSO CERTIFIED IN ENPC. A 30,000 SQUARE FOOT, ADDITION IN 2012 PROVIDED THE EMERGENCY DEPARTMENT WITH EXPANDED SPACE. THE ED ADDED TWO TRAUMA BAYS, A TWO-BAY AMBULANCE GARAGE, A DEDICATED DECONTAMINATION AREA, A DEDICATED FAMILY GRIEF AND COUNSELING ROOM, COVERED DRIVE-UP ACCESS AND A NEGATIVE AIR-PRESSURE ROOM, WHICH ALLOWS PATIENTS WITH COMMUNICABLE DISEASES TO BE TREATED WHILE PROTECTING OTHER PATIENTS AND STAFF. OUR HOME HEALTH/HOSPICE INTERDISCIPLINARY SERVICES ARE PROVIDED TO PATIENTS WITHIN A 30 MILE RADIUS OF COLUMBUS AND CAN PROVIDE IN HOME TELEHEALTH MONITORING. THE HOSPITAL'S SLEEP LAB PROVIDES POLYSOMNOGRAPHIC SLEEP TESTING. IN ADDITION, WE HAVE AVAILABLE BOTH DAYTIME AND HOME SLEEP TESTS. IN JANUARY 2010, THE HOSPITAL HIRED A FULLTIME RN AS THE ORTHOPEDIC SERVICE LINE COORDINATOR. A MULTI-DISCIPLINARY TEAM WAS ORGANIZED TO REVIEW, STANDARDIZE AND IMPROVE THE PATIENT'S TOTAL JOINT PROCESS FROM DIAGNOSIS TO POST-SURGICAL RECOVERY IN NOVEMBER. IN MARCH, 2012 THE HOSPITAL ACQUIRED COLUMBUS ORTHOPEDIC AND SPORTS MEDICINE CLINIC, ENABLING THE HOSPITAL TO EXPAND THE SERVICE LINE AND ENSURE THE COMMUNITY'S AGING POPULATION ORTHOPEDIC SERVICES CLOSE TO HOME. IN MAY 2013, WE EXPANDED THE RN COORDINATORS RESPONSIBILITY INTO CASE MANAGEMENT IN THE TRANSITIONAL CARE DEPARTMENT. THIS EXPANSION OF HER DUTIES ENABLES US TO PLAN FOR CONTINUITY OF CARE POST HOSPITALIZATION. THREE CARDIOLOGISTS HAVE RELOCATED TO COLUMBUS, PROVIDING FULL TIME CARDIOLOGY SERVICES TO THE AREA. SINCE 2010, 63 PHYSICIANS IN TOTAL HAVE BEEN RECRUITED TO SERVICE THE NEEDS OF OUR PRIMARY AND SECONDARY SERVICE AREAS TO INCLUDE 55 MDS, 1 DPM AND 7 MIDLEVELS, 34 ARE FULL TIME PROVIDERS AND THE OTHER 29 ARE SERVING THE COMMUNITY IN A VISITING CAPACITY. THE HOSPITAL HAS COMPLETED CONSTRUCTION ON THREE ROAD PROJECTS ON AND AROUND THE CAMPUS TO INCREASE ACCESS TO THE FACILITY. TWO CLINIC BUILDINGS, ONE FOR A FAMILY PRACTICE GROUP AND ONE FOR A PHARMACY HAVE BEEN COMPLETED AS WELL. THE HOSPITAL'S BOARD OF DIRECTORS HAS AUTHORIZED THE CONSTRUCTION OF A $21.0 MILLION, 85,723 SQUARE FEET COMMUNITY WELLNESS CENTER FOR USE BY THE ENTIRE COMMUNITY. THE FACILITY WILL BE LEASED TO THE YMCA, WITH 62,397 SQUARE FEET CONTAINING 2 GYMS, POOL, WEIGHTS AND EXERCISE EQUIPMENT PROMOTING EXERCISE AND WELLNESS IN OUR COMMUNITY. THE FACILITY WILL ALSO HOUSE THE HOSPITAL'S ADULT THERAPIES AND PEDIATRIC THERAPY. PROMOTION OF COMMUNITY HEALTH -THE HOSPITAL REINVESTS CAPITAL TO IMPROVE PATIENT CARE, ATTRACT THE BEST QUALIFIED STAFF TO PROVIDE QUALITY CARE FOR OUR PATIENTS, PROVIDE MEDICAL EDUCATION AND PREVENTION ACTIVITIES IN THE COMMUNITY. -OUR HOSPITAL IS LIVING OUR MISSION AND VISION WITHIN THE COMMUNITY: *OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE *OUR VISION IS TO COMPASSIONATELY DELIVER THE STATE'S HIGHEST QUALITY PATIENT CARE -CORE VALUES CCH CORE VALUES ARE: *INTEGRITY *COMPASSION (CHANGED FROM COMMITMENT AS PART OF THE COMMUNICATION OF THIS STRATEGIC PLAN) *ACCOUNTABILITY *RESPECT *EXCELLENCE -THE HOSPITAL HAS PRIORITIZED OUR CAPITAL REINVESTMENT BY ALIGNING IT TO THE STRATEGIC PLAN. OUR PLAN CONSISTS OF SIX ORGANIZATIONAL PILLARS WITH GOALS AND STRATEGIES ASSOCIATED WITH EACH. THE SIX PILLARS OF EXCELLENCE CONSIST OF: *QUALITY *CULTURE *PEOPLE *SERVICES *FACILITIES *FINANCE MEASUREMENT OF ONGOING OPERATIONAL PERFORMANCE IS ORGANIZED AROUND THESE PILLARS OF EXCELLENCE. THESE PILLARS WERE STRATEGICALLY IDENTIFIED AS COMMON MEASURES AROUND WHICH OPERATIONAL PERFORMANCE IS ORGANIZED IN MANY HEALTH CARE INSTITUTIONS AND ADAPTED FOR CCH. COLUMBUS COMMUNITY HOSPITAL HAS AN INDEPENDENT BOARD OF DIRECTORS MADE UP OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS. COLUMBUS COMMUNITY HOSPITAL HAS AN OPEN EMERGENCY ROOM AVAILABLE TO ALL IN NEED NO MATTER OF RACE, CREED, AGE, OR ABILITY TO PAY. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF. AFFILIATED HEALTH CARE SYSTEM N/A STATE FILING OF COMMUNITY BENEFIT REPORT NONE true Columbus Community Hospital Foundation 4600 38th Street Columbus NE 68601 470836747 501(c)(3) 55908 To support exempt purpose East Central District Health Department 1453 29th Avenue Columbus NE 68601 470835183 GOVT 35722 TO SUPPORT EXEMPT Support Community 2 0 CHARITY CARE TO PATIENTS 177 1435804 BOOK WRITE-OFF OF MED EXP Form 990, Sch I, Part I, Line 2 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 their related organizations as necessary to support their exempt purpose. X true true X X X X X X false true false false false true false false false Michael Hansen President/CEO/Secretrary 312375 0 81250 0 166607 0 42900 0 24954 0 628086 0 0 0 Amy Blaser VP Business Development 122082 0 23600 0 1135 0 15263 0 22778 0 184858 0 0 0 J Joseph Barbaglia VP Finance 168307 0 51047 0 17500 0 11809 0 23075 0 271738 0 0 0 Linda Walline VP Nursing 139559 0 43028 0 17500 0 7994 0 22751 0 230832 0 0 0 James Goulet VP Operations 145396 0 46906 0 17500 0 8889 0 22755 0 241446 0 0 0 Mark Howerter MD Physician 462749 0 0 0 0 0 10400 0 25215 0 498364 0 0 0 Michael McGuire MD Physician 481082 0 51199 0 0 0 10400 0 11140 0 553821 0 0 0 Dustin Volkmer MD Physician 448440 0 0 0 0 0 4158 0 26271 0 478869 0 0 0 Edward Fehringer MD Physician 537113 0 10000 0 17500 0 10400 0 26703 0 601716 0 0 0 Richard Cimpl Physician 460827 0 140424 0 17500 0 10400 0 24505 0 653656 0 0 0 Form 990, Sch J, Part I, Line 1a The organization paid for social and health club dues and part of the CEO's employment agreement. These amounts were reflected on the CEO's W-2. Form 990, Sch J, Part I, Line 4b THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE 2014 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: MICHAEL HANSEN - $32,500 AMY BLASER - $9,440 Form 990, Sch J, Part I, Line 6a WITH THE ASSISTANCE OF IHSTRATEGIES, EXECUTIVE COMPENSATION CONSULTANTS, THE BOARD AUTHORIZED PAYING AN INCENTIVE TO THE EXECUTIVES FOR MEETING SPECIFIC BOARD- ESTABLISHED DIRECTIVES. THE BOARD AUTHORIZED PAYING 25% OF BASE COMPENSATION FOR MICHAEL HANSEN AND 20% FOR THE FOLLOWING VPS: JOSEPH BARBAGLIA JAMES GOULET LINDA WALLINE AMY BLASER 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 1-5. NO INCENTIVE IS PAID IF THE HOSPITAL'S OPERATING MARGIN FALLS BELOW 5.0%, REGARDLESS OF THE OUTCOMES OF THE OTHER MEASURES. THE INCENTIVES WERE PAID IN THIS FISCAL YEAR FOR WORK DONE IN THE PREVIOUS FISCAL YEAR. THE BONUSES PAID WERE: MICHAEL HANSEN - $81,250 RICHARD CIMPL - $140,424 EDWARD FEHRINGER - $10,000 MICHAEL MCQUIRE - $51,199 JOE BARBAGLIA - $51,047 AMY BLASER - $23,600 JAMES GOULET - $46,906 LINDA WALLINE - $43,028 Form 990, Part VI, Line 11b The Form 990 will be available for all members of the Finance Committee to review. Upon Committee review, the 990 will then be submitted to the 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. Hospital reviews any of 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 employees 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 Bylaws B) Conflict of interest policy C) Audited financial statements D) Forms 990 and 990-T FORM 990, PART XI, LINE 9 OTHER CHANGES Columbus Community Hospital Foundation 4600 38th Street Columbus NE 68601 470836747 Fundraising NE 501(C)(3) Line 11, I CCH true Healthpark Title Company 4600 38th Street Columbus NE 68601 470830945 Holding Co NE 501(C)(2) N/A CCH true ZARZ LLC PO Box 1800 Columbus NE 68602 273676428 Property Mgmt NE Hlthpk Title Co Related 0 0 false false 0.44450 HealthPark LLC PO Box 1800 Columbus NE 68602 470836733 Propert Mgmt NE Hlthpk Title Co Related 0 0 false false 0.27210 false true true false true false false false false false true false true true true false true false false Columbus Community Hospital Foundation b 55908 Cash Columbus Community Hospital Foundation c 209336 Cash Healthpark Title Company k 263022 Book Columbus Community Hospital Foundation e 22500000 Cash