2015-01-30T13:05:15-06:00 2014-06-30 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2013-07-01 480764456 Nemaha Valley Community Hospital NEMA 7853366181 1600 Community Drive Seneca KS 66538 Stan Regehr CEO 7853366181 2015-01-22 1 Eric L Otting P00298454 7852334226 2015-01-22 2013 2016-03-07 17:11:31Z Stan Regehr 1600 Community Drive Seneca KS 66538 11378021 0 X nemvch.org X 1969 KS The Nemaha Valley Community Hospital provides an acute care hospital to the surrounding area. 10 9 159 0 0 0 94729 100569 11322949 11116493 18587 -33013 53474 47591 11489739 11231640 0 0 0 0 6400507 6525469 0 0 545 4448672 4771165 10849179 11296634 640560 -64994 14713342 14307601 9288874 8942857 5424468 5364744 The Nemaha Valley Community Hospital is dedicated to providing quality health care and other related services in a compassionate manner sufficient to meet the primary health care needs of its patrons within the scope of its resources and staff. 0 0 9975472 11091412 Nemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area. 9975472 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 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 0 0 0 0 0 0 0 1 1 0 0 0 1 26 0 1 159 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Connie Ingwerson 7853366181 1600 Community Drive Seneca KS 66538 Kathy O'Brien Chairwoman 1.00 X X 0 0 0 Jim Runnebaum Vice Chairman 1.00 X X 0 0 0 Judy Deters Trustee 1.00 X 0 0 0 Steve Haverkamp Trustee 1.00 X 0 0 0 Dennis Henry Trustee 1.00 X 0 0 0 Ed Mohney Trustee 1.00 X 0 0 0 Leroy Strathman Trustee 1.00 X 0 0 0 Fred Henry Trustee 1.00 X 0 0 0 Glen J Meyer Trustee 1.00 X 0 0 0 Dr Angela Stueve Physician/Trustee 40.00 X 220336 0 29844 Connie Ingwerson Chief Financial Officer 40.00 X 85768 0 4460 Stan Regehr Chief Executive Officer 40.00 X 152890 0 6826 Dr William Bartkoski Physician 40.00 X 234793 0 15799 Karen Hynek ARNP 40.00 X 110206 0 9712 Dr James Luegar Physician 40.00 X 222724 0 15579 1026717 0 82220 5 0 1 0 Harry Stewart PO Box 147 Seneca KS 66538 Anesthesia Services 297764 Medhost of Tennessee Inc 2739 Momemtum Place Chicago IL 60689 IT Maintenance 209922 Stormont Vail Healthcare 1500 SW 10th Avenue Topeka KS 66604 Lab Services 127901 Shared Medical Services PO Box 330 Cottage Grove WI 53527 MRI Scans 111636 4 64698 35871 100569 Patient service revenue 621990 11052612 11052612 Electronic Health Record Incentiv 621990 63881 63881 11116493 17043 17043 96325 146381 -50056 -50056 -50056 Miscellaneous 621990 24975 24975 Dietary Income 621990 22616 22616 47591 11231640 11091412 0 39659 X 255545 255545 5146111 4670340 475771 139130 126528 12602 668305 585727 82578 316378 274265 42113 17702 17702 1140200 973021 166634 545 21406 8864 12542 36514 35936 578 51437 37518 13919 507247 507247 919516 864562 54954 90984 90984 Supplies 1037093 982951 54142 Equipment rental and ma 547275 457467 89808 Utilities 190731 190731 Miscellaneous 93952 84431 9521 117108 84900 32208 11296634 9975472 1320617 545 121204 121204 4139439 4293642 200 1161014 1280687 221319 228904 236546 240491 17162940 9351099 8117697 7811841 715923 330832 14713342 14307601 1013874 807857 8275000 8135000 9288874 8942857 X 5370080 5359473 54388 5271 5424468 5364744 14713342 14307601 X -64994 5270 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3509 0 0 0 3509 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 for hospital and general health care interests as part of the services provided to members. 54681 54681 11358286 5199030 6159256 5749973 4152069 1597904 7811841 X Part X, Line 2: The Hospital is a not-for-profit corporation as descripted in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal taxes on related income pursuant to Sction 501(a) of the Code. 1 1 0 1 X 1 1 1 0 1 1 91030 91030 0.00810 246355 42552 203803 0.01800 337385 42552 294833 0.02610 2689577 2133981 555596 0.04920 4786 4786 0.00040 2694363 2133981 560382 0.04960 3031748 2176533 855215 0.07570 150835 60334 5383895 5697299 -313404 X 1 1 1 1 Nemaha Valley Community Hospital 1600 Community Drive Seneca KS 66538 X X X X Nemaha Valley Community Hospital 1 1 X X X X X X X X 12 1 1 1 X www.nemvch.com X X X X X X X X 0 0 1 0 1 200.000000000000 1 X X X X X X 1 1 X X X X 1 0 X X X X 1 X 0 0 Nemaha Valley Community Hospital Part V, Section B, Line 3: Community members were invited to attend three meetings in which their input was requested to determine the health needs of the community. The community members decided what the health care needs are and prioritized these needs. Nemaha Valley Community Hospital Part V, Section B, Line 4: Sabetha Community Hospital, Inc. Nemaha Valley Community Hospital Part V, Section B, Line 7: The scope of one specific need identified was too large and the sponsors of the health needs assessment are unable to address it at this time due to financial constraints. Nemaha Valley Community Hospital Part V, Section B, Line 10: The hospital's Financial Assistance policy makes financial assistance available to all patients who qualify under Federal Poverty Guidelines (FPG). Discounts begin for patients whose income is up to 200 percent of FPG. The hospital's assistance begins at a 20 percent discount of amounts generally billed and increases to a 90 percent discount for patients at or below 100 percent of the FPG. Nemaha Valley Community Hospital Part V, Section B, Line 11: The hospital's Financial Assistance policy makes financial assistance available to all patients who qualify under Federal Poverty Guidelines (FPG). Discounts begin for patients whose income is up to 200 percent of FPG. The hospital's assistance begins at a 20 percent discount of amounts generally billed and increases to a 90 percent discount for patients at or below 100 percent of the FPG. 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. Part III, Line 8: The Hospital provides service to all patients in their service area, regardless of the patient's ability to pay, and any shortfall absorbed by the Hospital is a benefit to the community. 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: A Community Health Needs Assessment was conducted in October 2012. The health care needs of the commmunity were identified during this assessment through input of the community members who participated in multiple meetings held to gather this information. 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 2,000 residents. The median family income is $41,356. 14.8% of the community residents live below federal poverty level, and 1.6% of the community residents live below 50% of the 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 Angela Stueve Physician/Trustee 220336 0 0 0 0 0 9524 0 20320 0 250180 0 0 0 Stan Regehr Chief Executive Officer 137890 0 15000 0 0 0 6826 0 0 0 159716 0 0 0 Dr William Bartkoski Physician 234793 0 0 0 0 0 10927 0 4872 0 250592 0 0 0 Dr James Luegar Physician 222724 0 0 0 0 0 10707 0 4872 0 238303 0 0 0 A City of Seneca Kansas 486026237 81712RAP4 2008-12-01 8835000 To refund notes payable and construction costs for an addition to Hospital 0 0 0 A 700000 8852850 498789 161472 6834436 1358153 2011 0 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 Form 990, Part VI, Section B, line 11 The 990 is not formally presented to the board prior to filing. The document is made available upon request. Form 990, Part VI, Section B, line 12c The board in 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. Form 990, Part VI, Section C, line 19 Documents are available upon request. Form 990, Part IX, line 11g Professional: Program service expenses 973,021. Management and general expenses 166,634. Fundraising expenses 545. Total expenses 1,140,200. Form 990, Part XI, line 9: Temporarily restricted net assets, contributions and grants 5,270. FORM 990 PART XI, Line 2C The board is responsible for the oversight of the financial statement audit and selection of the independent accountant. The independent accountant presents the financial statements and related communications to the Board for their approval. Nemaha Valley Health Care Foundation 1600 Community Drive Seneca KS 66538 481097250 Fundraising for the benefit of Nemaha Valley Community Hospital KS 501(c)(3) 509(a) Nemaha Valley Community Hospital 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0