2014-03-17T17:01:46-05:00 2013-07-31 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2012-08-01 470421272 COMMUNITY MEDICAL CENTER INC COMM 4022456500 3307 BARADA STREET FALLS CITY NE 68355 SCOTT L SAWYER 4022456500 2014-03-17 true TIMOTHY J COUFAL 4026946404 2014-03-17 2012 2015-11-30 17:44:51Z RYAN LARSEN SAME AS ABOVE FALLS CITY NE 68355 22494738 false X HTTP://CMCFC.ORG X 1995 NE TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, REGLIGIOUS BELIEFS OR FINANCIAL STANDING. 8 8 194 0 29209 322375 20483880 21918647 93895 -164667 0 20606984 22076355 0 0 8798302 9299760 0 0 10228672 11340134 19026974 20639894 1580010 1436461 35434322 36545625 20945801 20620643 14488521 15924982 TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, REGLIGIOUS BELIEFS OR FINANCIAL STANDING. false false 17091377 COMMUNITY MEDICAL CENTER PROVIDES MEDICAL SERVICES TO MEET THE NEEDS OF THE PEOPLE OF RICHARDSON COUNTY AND THE SURROUNDING COMMUNITIES. COMMUNITY MEDICAL CENTER PROVIDED 2,050 INPATIENT DAYS, 1,350 SWING-BED DAYS, 125 NURSERY DAYS, 11,742 CLINIC VISITS AND NUMEREOUS OUTPATIENT SERVICES DURING THE YEAR. COMMUNITY BENEFITS INCLUDE 511,152 OF SUBSIDIZED HEALTH SERVICES, 345,544 OF TRADITIONAL CHARITY CARE, 228,847 OF BAD DEBT, 16,980 OF COMMUNITY ACTIVITIES, 14,999 OF COMMUNITY SERVICES, AND 9,000 OF HEALTH EDUCATION. 17091377 true true false false false false false false false true true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 49 0 true 194 true false false false false false false X 8 8 false false false false false false false true true false false false true true true false true true false false X SCOTT L SAWYER 4022456501 3307 BARADA STREET FALLS CITY NE 68355 STEVE SEVERIN 1.00 X 0 0 0 KENT BIEKER 1.00 X 0 0 0 RENIE GERWECK 1.00 X 0 0 0 CHUCK HUNZEKER 1.00 X 0 0 0 LAURIE KIMBROUGH 1.00 X 0 0 0 DANA RATHJE 1.00 X 0 0 0 RODGER MERZ 1.00 X 0 0 0 JOHN WILSON 1.00 X 0 0 0 CR JAMES 1.00 X 0 0 0 TONY BRUNETTE 1.00 X 0 0 0 RYAN LARSEN 40.00 X 156426 0 38181 SCOTT SAWYER 40.00 X 110017 0 25727 BARBARA HOWARD 40.00 X 101354 0 16033 DAVID BORG 40.00 X 374314 0 58505 SANDRA CATLIN 40.00 X 196492 0 30184 938603 168630 5 false true false PRTS-NACHTIGAL LLC 700 OREGON STREET HIAWATHA KS 66434 PT/OT SERVICES 615825 SHADOW ANESTHESIA SERVICES 65675 711 ROAD FALLS CITY NE 68355 ANESTHESIA SVCS 342983 CARDINAL HEALTH 21337 NETWORK PLACE CHICAGO IL 60673 PHARMACY SVCS 293305 NHI OUTREACH CLINICAL SERVICES 7440 S 91ST STREET LINCOLN NE 68501 NM & ECHO SERV 172862 SHARED MEDICAL SERVICES PO BOX 330 COTTAGE GROVE WI 53527 MRI SERVICES 129295 5 310470 11905 322375 NET PATIENT SERVICE REVENUE 622110 21774282 21774282 CAFETERIA 722310 69729 69729 MISCELLANEOUS HOPSITAL REV 622110 45611 45611 LIFELINE 900099 29025 29025 21918647 14753 14753 238963 418383 -179420 -179420 -179420 22076355 21739227 14753 X 367796 101354 266442 6855073 5796397 1058676 290331 229189 61142 1299083 1072225 226858 487477 397318 90159 14852 14852 26875 26875 3130533 2456086 674447 26315 6346 19969 126625 61649 64976 298291 293546 4745 78856 45566 33290 32202 26050 6152 917181 759494 157687 1672519 1384971 287548 64591 2663 61928 CENTRAL SUPPLY 1658230 1658230 PHARMACY 1317232 1317232 REPAIR AND MAINTENANCE 551248 373886 177362 ADMIN OFFICE 280725 4677 276048 1143859 1104498 39361 20639894 17091377 3548517 0 7360252 6381512 2828675 3601651 89404 12809 3070292 4623371 38312 4688 45119 57816 210919 242702 27576532 7731297 20244216 19845235 3531 5983 433602 408063 1110000 1361795 35434322 36545625 1363086 1394348 17413402 17083068 2169313 2143227 20945801 20620643 X 14488521 15924982 14488521 15924982 35434322 36545625 1436461 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1755831 768898 3982 11 2528700 993457 837845 3438 78887 22 1755831 979328 791569 1275 778715 993457 561962 11553894 3723 11140251 979328 1.00000 false false 1184880 1184880 17345085 3551647 13793438 1637624 371217 1266407 7294523 3808433 3486090 114420 114420 19845235 CONDITIONAL CONTRIBUTION 2000000 DEFERRED COMPENSATION 119926 EST THIRD-PARTY PAYOR SETTLEMENTS 23301 2143227 X 22076355 22076355 22076355 20639894 20639894 20639894 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE FUNDS INCLUDE 6,076 DESIGNATED BY THE BOARD FOR CAPITAL IMPROVEMENTS, 177,222 DESIGNATED BY THE BOARD FOR DEFERRED COMPENSATION, 278,100 DESIGNATED BY A LONG-TERM DEBT COVENANT ON THE USDA LOAN, 599,713 DESIGNATED LOAN PROCEEDS TO BE USED FOR EQUIPMENT AND 1,467,589 DESIGNATED AS A DEBT SINKING FUND. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE MEDICAL CENTER IS EXEMPT FROM PAYMENT OF FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, BUT IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE MEDICAL CENTER FOLLOWS FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) APPLICABLE ACCOUNTING STANDARDS FOR UNCERTAINTIES IN INCOME TAXES AND REQUIRED DISCLOSURES THEREON. AS OF JULY 31, 2013 AND 2012, THERE IS NO RESERVE FOR UNCERTAIN TAX POSITIONS. THE MEDICAL CENTER HAS NOT RECOGNIZED ANY INTEREST OR PENALTIES IN RELATION TO INCOME TAX FILINGS AS OF OR FOR THE YEARS ENDED JULY 31, 2013 OR 2012. ADDITIONALLY, TAX YEARS ENDED JULY 31, 2011, 2012 AND 2013 ALL REMAIN OPEN AND ARE SUBJECT TO POTENTIAL EXAMINATION BY TAXING JURISDICTIONS. true true X true X true X true true false true true 345544 345544 0.01670 345544 345544 0.01670 16499 16499 0.00080 9000 9000 0.00040 557823 46670 511153 0.02480 583322 46670 536652 0.02600 928866 46670 882196 0.04270 7500 7500 0.00040 5000 5000 0.00020 2980 2980 0.00010 15480 15480 0.00080 true 228847 22885 11617172 11436100 181072 X true false 1 1 COMMUNITY MEDICAL CENTER

3307 BARADA STREET FALLS CITY NE 68355

X X X X COMMUNITY MEDICAL CENTER 1 true X X X X X X X X X X 13 true false true X X X X X X X true false true true 200.0 true 300.0 true X true true X X X true false X X X X true X false false 2 FAMILY MEDICINE

3307 BARADA STREET FALLS CITY NE 68355

RURAL HEALTH CLINIC HUMBOLDT FAMILY MEDICINE

1120 GRAND AVENUE HUMBOLDT NE 68376

RURAL HEALTH CLINIC EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F NO BAD DEBT EXPENSE IS INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A AS BAD DEBT EXPENSE OF 323650 IS REPORTED WITH NET PATIENT SERVICE REVENUE ON FORM 990 PART VIII LINE 2A CONSISTENT WITH FINANCIAL STATEMENTS COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST TO CHARGE RATIO COMMUNITY BUILDING ACTIVITIES PART II COMMUNITYBUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY HOMELESSNESS AND ENVIRONMENTAL PROBLEMS THE ORGANIZATION PROVIDED 5000 TO FALLS CITY ECONMIC DEVELOPMENT AND GROWTH ENTERPRISE EDGE TO SUPPORT ECONOMIC DEVELOPMENT IN FALLS CITY AND RICHARDSON COUNTY THE ORGANIZATION FUNDED 5000 TO THE BALL FIELD PROJECT AND 2500 TO THE MAIN STREET PROJECT IN SUPPORT OF TWO COMMUNITY IMPROVEMENT AND REVITALIZATION PROJECTS THE ORGANIZATION ALSO CONTRIBUTED 2980 TO VARIOUS HEALTHORIENTED ACTIVITIES AND SCHOOL PROJECTS DURING THE YEAR BAD DEBT EXPENSE EXPLANATION PART III LINE 4 FINANCIAL STATEMENT FOOTNOTE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IF NECESSARY FOR EXAMPLE FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY FOR RECEIVABLES ASSOCIATED WITH UNINSUREDSELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE AS A RESULT THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR UNINSUREDSELFPAY PATIENTS INCREASED FROM 470000 AT JULY 31 2012 TO 556000 AT JULY 31 2013 AS INSURED AND UNINSUREDSELFPAY ACCOUNTS RECEIVABLE BALANCES INCREASED BY APPROXIMATELY 700000 COSTING METHODOLOGY FOR LINE 2 OVERALL COST TO CHARGE RATIO WAS USED TO DETERMINE AMOUNTS REPORTED ON SCHEDULE H PART III LINE 2 BAD DEBT EXPENSE REPORTED ON FORM 990 PART VIII LINE 2A WAS 323650 COSTING METHODOLOGY FOR LINE 3 AFTER REVIEW OF BAD DEBTS WRITTEN OFF IT WAS DETERMINED APPROXIMATELY 10 OF BAD DEBT ACCOUNTS WRITTEN OFF WOULD HAVE QUALIFIED FOR CHARITY CARE IF THE INDIVIDUALS WOULD HAVE COMPLETED THE APPLICATION PROCESS RATIONALE FOR INCLUDED BAD DEBT AS A COMMUNITY BENEFIT BY LAW THE ORGANIZATION CANNOT REFUSE CERTAIN SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY THUS BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT MEDICARE EXPLANATION PART III LINE 8 THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 6 NEEDS ASSESSMENT PART VI THE ORGANIZATION USES ITS CHNA TO ASSESS THE NEEDS OF THE COMMUNITY IT SERVICES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS HELPFUL OPTIONS FOR PATIENT EXPENSES HOPE PROGRAM OR FINANCIAL ASSISTANCE POLICY BY HAVING THE INFORMATION AVAILABLE ON THEIR WEBSITE PROVIDING THE INFORMATION TO ALL WHO INQUIRE ABOUT OBTAINING FINANCIAL ASSISTANCE AND BY REFERRING THOSE KNOWN TO BE UNINSURED ANDOR TO HAVE LOW INCOME TO FINANCIAL COUNSELORS WHO WILL DISCUSS THE POLICY COMMUNITY INFORMATION PART VI RICHARDSON COUNTY NEBRASKA IS PRIMARILY RURAL AND INCLUDES THE CITIES OF BARADA DAWSON FALLS CITY HUMBOLDT PRESTON RULO SALEM SHUBERT STELLA AND VERDON IT IS LOCATED IN THE SOUTHEAST CORNER OF NEBRASKA POPULATION ACCORDING TO THE 2010 CENSUS IS 8363 DECLINING 123 FROM 2000 PERSONS 65 YEARS AND OLDER IS 232 WHILE PERSONS 18 AND YOUNGER IS 210 ETHNIC BACKGROUDS BY PERCENT INCLUDE WHITE 942 AMERICAN INDIAN AND ALASKA NATIVE PERSONS 33 WITH ALL OTHERS REPORTING LESS THAN 2 THERE ARE 3782 HOUSEHOLDS WITH AN AVERAGE OF 215 PERSONS PER HOUSEHOLD MEDIAN HOUSEHOLD INCOME IS 38977 WITH 159 OF PERSONS BELOW THE POVERTY LEVEL THERE ARE 55184 TOTAL SQUARE MILES AND 152 PERSON PER SQUARE MILE HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI THE ORGANIZATIONS BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVALEDGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY IN ADDITION THE ORGANIZATION CONTINUALLY APPLIES SURPLUS FUNDS TOWARD THE IMPROVEMENT OF PATIENT CARE SUCH AS NEW FACILITIES AND THE PURCHASE OF NEWUPDATED MEDICAL EQUIPMENT ADDITIONAL INFORMATION PART VI PART I LINE 7G THERE ARE 177237 IN COSTS ATTRIBUTABLE TO A RURAL HEALTH CLINIC INCLUDED ON LINE 7G COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 5A CHNA CAN BE ACCESSED AT WWWCMCFCORG COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 3 PART V LINE 3 FOCUS GROUP MEETINGS WERE HELD AS PART OF THE MAPP MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS STRATGIC PLANNING PROCESS REPRESENTATIVES FROM BOTH FALLS CITY AND HUMBOLDT INCLUDED THE THREE SCHOOL DISTRICTS MINISTERIAL ASSOCIATION HOME HEALTH CARE LONG TERM CARE LAW ENFORCEMENT AMBULANCE SERVICES FOR PROFIT AND VOLUNTEER MEDICAL COMMUNITY COUNTY GOVERNMENT EMERGENCY MANAGEMENT SCHOOL NURSING THE HOSPITAL AND THE HEALTH DEPARTMENT COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 14G PART V LINE 14G AT ADMISSION OR AT LEAST PRIOR TO DISCHARGE REGISTRATION PERSONNEL REFER UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 20D PART V LINE 20D THE HOSPITAL FACILITY CHARGES PATIENTS WITHOUT INSURANCE THE SAME RATES AS PATIENTS WHO HAVE INSURANCE FOR THOSE SERVICES AT THE HOSPITAL FACILITY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE GIVEN A MINIMUM OF 25 DISCOUNT ON SERVICES THE 25 REDUCTION IS BETTER THAN THE AVERAGE OF ITS THREE LOWEST NEGOTIATED COMMERICAL INSURANCE RATES X true true X X X false false false true false false false false false RYAN LARSEN 145426 11000 17935 20246 194607 DAVID BORG 143182 193719 37413 38212 20293 432819 SANDRA CATLIN 57675 126592 12225 9891 20293 226676 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A RYAN LARSEN, CEO - ACHE DUES 325.00, LIONS CLUB DUES 140.00, FALLS CITY ROTARY CLUB 74.00 COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 5A PROVIDER PRODUCTIVITY BONUSES ARE CALCULATED BASED ON RURAL HEALTH CLINIC REVENUES. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PRODUCTIVITY BONUSES BASED ON REVENUES: DAVID BORG 165,119 SANDRA CATLIN 124,792 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO AND IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING THE RETURN. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C MANAGEMENT CONTINUALLY REVIEWS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUAL DISCLOSURES AND RELATIONSHIPS WITH COMMUNITY MEDICAL CENTER TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST. ONCE A CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICT WOULD BE DOCUMENTED AND MONITORED TO ENSURE APPROPRIATE ACTION IS TAKEN BASED ON THE SITUATION. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZE INDEPENDENT PARTIES OR STUDIES OCCASIONALLY. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST STATEMENTS, AND FINANCIAL STATEMETNS ARE NOT MADE AVAILABLE TO THE PUBLIC WITHOUT APPROVAL BY THE BOARD OF DIRECTORS. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G PHYSICAL THERAPY CONTRACT SVC 446,904 0 0 CRNA CONTRACT SVC 363,775 0 0 PHARMACY PURCHASED SVC 293,583 0 0 INFORMATION SYSTEMS PURCHASED 0 287,519 0 ER DOCTORS CONTRACT SVC 225,720 0 0 INFORMATION SYSTEMS CONSULTIN 0 219,754 0 BLOOD PROC/STRNG/ADM PURCHASE 92,042 0 0 MRI PURCHASED SVC 108,575 0 0 OCCUPATIONAL THERAPY CONTRACT 190,906 0 0 ER CONTRACT LABOR 85,186 0 0 LABORATORY CONTRACT SERVICE 85,037 0 0 ECHOCARDIOGRAPHY PURCHASED SV 80,403 0 0 NUCLEAR MED PURCHASED SVC 70,264 0 0 VASCULAR STUDIES PURCHASED SV 56,783 0 0 PHARMACY RX CONTRACT SVC 42,432 0 0 QUALITY ASSURANCE PURCHASED S 50,658 0 0 LAUNDRY PURCHASED SVC 39,250 0 0 ADMINISTRATION PURCHASED SVC 0 30,821 0 SPEECH THERAPY PURCHASED SVC 28,753 0 0 SLEEP STUDY PURCHASED SVC 26,100 0 0 HUMBOLDT CLINIC PHYSICIAN CON 23,975 0 0 HLTH INFO MGMT PURCHASED SVC 0 21,014 0 HUMAN RESOURCES PURCHASED SVC 0 22,980 0 ALL OTHER 145,740 92,359 0 COMMUNITY MEDICAL CENTER FOUNDATION 3307 BARADA STREET FALLS CITY NE 68355 463491851 SUPPORT NE CMC COMMUNITY MEDICAL CENTER FOUNDATION C CORP false false false false false false false false false false false false false false false false false false false false ADDITIONAL INFORMATION SCHEDULE R PART VI RELATED ORGANIZATION 1 COMMUNITY MEDICAL CENTER IS THE SOLE MEMBER OF COMMUNITY MEDICAL CENTER FOUNDATION A NONPROFIT CORPORATION THAT IS AWAITING APPROVAL OF TAXEXEMPT STATUS FROM THE IRS