COMMUNITY MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEDICAL CENTER INC (EIN 47-0421272)
Tax period: 2011-08-01 to 2012-07-31
Filed: 2013-03-15
IRS object ID: 201320749349300632
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-15T14:03:37-05:00	Timestamp
Tax Period End Date	2012-07-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DOHMAN AKERLUND & EDDY LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 470	AddressLine1
City	AURORA	City
State	NE	State
ZIP Code	688180470	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-08-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470421272	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	4022456501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3307 BARADA STREET	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT L SAWYER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	4022456501	Phone
Date Signed	2013-03-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TIMOTHY J COUFAL	Name
Phone	4026946404	Phone
Date Prepared	2013-03-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RYAN LARSEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	SAME AS ABOVE	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	20794290	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	HTTP://CMCFC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	191	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	219218	ContributionsGrantsPriorYear
Contributions Grants Current Year	29209	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	18026525	ProgramServiceRevenuePriorYear
Program Service Revenue CY	20483880	ProgramServiceRevenueCY
Investment Income Prior Year	-58647	InvestmentIncomePriorYear
Investment Income Current Year	93895	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	18187096	TotalRevenuePriorYear
Total Revenue Current Year	20606984	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8265693	SalariesEtcPriorYear
Salaries Etc Current Year	8798302	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9143655	OtherExpensePriorYear
Other Expenses Current Year	10228672	OtherExpensesCurrentYear
Total Expenses Prior Year	17409348	TotalExpensesPriorYear
Total Expenses Current Year	19026974	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	777748	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1580010	RevenuesLessExpensesCY
Total Assets BOY	33958439	TotalAssetsBOY
Total Assets EOY	35434322	TotalAssetsEOY
Total Liabilities BOY	21049928	TotalLiabilitiesBOY
Total Liabilities EOY	20945801	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	12908511	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	14488521	NetAssetsOrFundBalancesEOY
Mission Description	TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	15978000	Expense
Description	COMMUNITY MEDICAL CENTER PROVIDES MEDICAL SERVICES TO MEET THE NEEDS OF THE PEOPLE OF RICHARDSON COUNTY AND THE SURROUNDING COMMUNITIES. COMMUNITY MEDICAL CENTER PROVIDED 2,122 INPATIENT DAYS, 2,050 SWING-BED DAYS, 121 NURSERY DAYS, 11,569 CLINIC VISITS AND NUMEREOUS OUTPATIENT SERVICES DURING THE YEAR. COMMUNITY BENEFITS INCLUDE 457,619 OF SUBSIDIZED HEALTH SERVICES, 450,647 OF TRADITIONAL CHARITY CARE, 169,449 OF BAD DEBT AND 9,750 OF HEALTH EDUCATION.	Description
Total Program Service Expense	15978000	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	51	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	191	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SCOTT L SAWYER	NamePerson
Telephone Number	4022456501	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3307 BARADA STREET	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
RODGER MERZ
DIRECTOR	1.00	X	0	0	0
RENIE GERWECK
SECRETARY	1.00	X	0	0	0
STEVE SEVERIN
CHAIRPERSON	1.00	X	0	0	0
DANA RATHJE
DIRECTOR	1.00	X	0	0	0
LAURIE KIMBROUGH
DIRECTOR	1.00	X	0	0	0
CHUCK HUNZEKER
TREASURER	1.00	X	0	0	0
KENT BIEKER
VICE-CHAIR	1.00	X	0	0	0
JOHN WILSON
DIRECTOR	1.00	X	0	0	0
RYAN LARSEN
CEO	40.00		150277	0	36706	X
SCOTT SAWYER
CFO	40.00		103947	0	24963	X
BARBARA HOWARD
CHIEF CLINIC	40.00		92075	0	15154	X
DAVID BORG
PHYSICIAN	40.00		352968	0	50240		X
SANDRA CATLIN
APRN	40.00		176776	0	28049		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	876043	TotalReportableCompFromOrg
Total Other Compensation	155112	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PTRS-NACHTIGAL LLC
700 OREGON STREET	HIAWATHA	KS	66434	PT/OT SERVICES	593299
SHADOW ANESTHESIA
65675 711 ROAD	FALLS CITY	NE	68355	ANESTHESIA SVCS	349928
CARDINAL HEALTH
21337 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY SVCS	296427
NHI OUTREACH CLINICAL SERVICES
7440 S 91ST STREET	LINCOLN	NE	68501	NM & ECHO SERV	157896
SHARED MEDICAL SERVICES
PO BOX 330	COTTAGE GROVE	WI	53527	MRI SERVICES	113970

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	8631	GovernmentGrants
All Other Contributions	20578	AllOtherContributions
Total Contributions	29209	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	622110	20301151	20301151
MISCELLANEOUS HOPSITAL REV	622110	81054	81054
CAFETERIA	722310	70568	70568
LIFELINE	900099	31410	31410
PHARMACY	900099	-303	-303

Field	Value	IRS element (for citing)
Total Program Service Revenue	20483880	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16228	TotalRevenueColumn
Exclusion	$16,228	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	264973	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	187306	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	77667	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	77667	TotalRevenueColumn
Related Or Exempt Function Income	77667	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20606984	TotalRevenueColumn
Related Or Exempt Function Income	20561547	RelatedOrExemptFunctionIncome
Exclusion	$16,228	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	346299	Total
Program Services	92075	ProgramServices
Management And General	254224	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6440971	Total
Program Services	5437387	ProgramServices
Management And General	1003584	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	265379	Total
Program Services	205539	ProgramServices
Management And General	59840	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1292628	Total
Program Services	1069203	ProgramServices
Management And General	223425	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	453025	Total
Program Services	367349	ProgramServices
Management And General	85676	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	10962	Total
Management And General	10962	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	25730	Total
Management And General	25730	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2688088	Total
Program Services	2485863	ProgramServices
Management And General	202225	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	26749	Total
Program Services	5359	ProgramServices
Management And General	21390	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	149334	Total
Program Services	75122	ProgramServices
Management And General	74212	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	372088	Total
Program Services	366875	ProgramServices
Management And General	5213	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	39287	Total
Program Services	23508	ProgramServices
Management And General	15779	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	35947	Total
Program Services	17440	ProgramServices
Management And General	18507	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	935590	Total
Program Services	795885	ProgramServices
Management And General	139705	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1528872	Total
Program Services	1300611	ProgramServices
Management And General	228261	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	63365	Total
Program Services	2963	ProgramServices
Management And General	60402	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CENTRAL SUPPLY	1171278	1171278
PHARMACY	1107434	1107434
REPAIR AND MAINTENANCE	415228	294635	120593
EQUIPMENT RENTAL	265556	246115	19441

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1393164	Total
Program Services	913359	ProgramServices
Management And General	479805	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	19026974	Total
Program Services	15978000	ProgramServices
Management And General	3048974	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6320809	BOY
EOY	7360252	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2066194	BOY
EOY	2828675	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	254822	BOY
EOY	89404	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3109352	BOY
EOY	3070292	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	82502	BOY
EOY	38312	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	48650	BOY
EOY	45119	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	280321	BOY
EOY	210919	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	26346673	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6102457	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	20841873	BOY
EOY	20244216	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	14355	BOY
EOY	3531	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	459561	BOY
EOY	433602	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	480000	BOY
EOY	1110000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	33958439	BOY
EOY	35434322	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1206342	BOY
EOY	1363086	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	17737886	BOY
EOY	17413402	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2105700	BOY
EOY	2169313	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	21049928	BOY
EOY	20945801	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12908511	BOY
EOY	14488521	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12908511	BOY
EOY	14488521	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	33958439	BOY
EOY	35434322	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1580010	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	993457	BeginningOfYearBalance
Contributions	837844	Contributions
Investment Earnings Or Losses	3438	InvestmentEarningsOrLosses
Other Expenditures	78887	OtherExpenditures
Administrative Expenses	22	AdministrativeExpenses
End Of Year Balance	1755831	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	979328	BeginningOfYearBalance
Contributions	791570	Contributions
Investment Earnings Or Losses	1275	InvestmentEarningsOrLosses
Other Expenditures	778715	OtherExpenditures
End Of Year Balance	993457	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	561962	BeginningOfYearBalance
Contributions	11553894	Contributions
Investment Earnings Or Losses	3723	InvestmentEarningsOrLosses
Other Expenditures	11140251	OtherExpenditures
End Of Year Balance	979328	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1192090	OtherCostOrOtherBasis
Book Value	1192090	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17558876	OtherCostOrOtherBasis
Depreciation	2580498	Depreciation
Book Value	14978378	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1680612	OtherCostOrOtherBasis
Depreciation	269422	Depreciation
Book Value	1411190	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5734468	OtherCostOrOtherBasis
Depreciation	3252537	Depreciation
Book Value	2481931	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	180627	OtherCostOrOtherBasis
Book Value	180627	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	20244216	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
CONDITIONAL CONTRIBUTION	$2,000,000
EST THIRD-PARTY PAYOR SETTLEMENTS	$86,000
DEFERRED COMPENSATION	$83,313

Field	Value	IRS element (for citing)
Total Of Amounts	2169313	TotalOfAmounts
Total Revenue	20606984	TotalRevenue
Total Expenses	19026974	TotalExpenses
Excess Or Deficit For Year	1580010	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1580010	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	20606984	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	20606984	RevenueSubtotal
Total Revenue Per Form990	20606984	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	19026974	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	19026974	ExpensesSubtotal
Total Expenses Per Form990	19026974	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	INTENDED USES FOR ENDOWMENT FUNDS	Identifier
Return Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	ReturnReference
Explanation	THE FUNDS INCLUDE 5,949 DESIGNATED BY THE BOARD FOR CAPITAL IMPROVEMENTS, 143,309 DESIGNATED BY THE BOARD FOR DEFERRED COMPENSATION, 222,480 DESIGNATED BY A LONG-TERM DEBT COVENANT ON THE USDA LOAN, 400,118 DESIGNATED PROCEEDS FROM THE SALE OF ASSETS TO BE USED FOR EQUIPMENT, AND 983,975 DESIGNATED AS A DEBT SINKING FUND.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	false	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	450647	TotalCommunityBenefitExpense
Net Community Benefit Expense	450647	NetCommunityBenefitExpense
Percent Of Total Expense	0.02400	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	450647	TotalCommunityBenefitExpense
Net Community Benefit Expense	450647	NetCommunityBenefitExpense
Percent Of Total Expense	0.02400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9750	TotalCommunityBenefitExpense
Net Community Benefit Expense	9750	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	481071	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23452	DirectOffsettingRevenue
Net Community Benefit Expense	457619	NetCommunityBenefitExpense
Percent Of Total Expense	0.02430	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	490821	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23452	DirectOffsettingRevenue
Net Community Benefit Expense	467369	NetCommunityBenefitExpense
Percent Of Total Expense	0.02480	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	941468	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23452	DirectOffsettingRevenue
Net Community Benefit Expense	918016	NetCommunityBenefitExpense
Percent Of Total Expense	0.04880	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$169,449	BadDebtExpenseAmount
Amount Attributable To	16945	AmountAttributableTo
Amount Reimbursed By Medicare	11619201	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	11509324	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	109877	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	3307 BARADA STREET	AddressLine1
City	FALLS CITY	City
State	NE	State
ZIP Code	68355	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FAMILY MEDICINE
3307 BARADA STREET	FALLS CITY	NE	68355	RURAL HEALTH CLINIC
HUMBOLDT FAMILY MEDICINE
1120 GRAND AVENUE	HUMBOLDT	NE	68376	RURAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR OF THE CALCULATION WAS 244324
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	ALTHOUGH NO COMMUNITY BUILDING ACTIVITIES WERE REPORTED IN PART II THE ORGANIZATION WORKS CLOSELY WITH OTHERS IN THE COMMUNITY TO IMPROVE THE HEALTH AND WELFARE OF COMMUNITY MEMBERS THE ORGANIZATION HAS RECENTLY MOVED INTO A NEW HOSPITAL FACILITY TO PROVIDE THE BEST POSSIBLE CARE TO PATIENTS IT SERVES ALSO AS THE LARGEST EMPLOYER IN FALLS CITY THE NEW FACILITY PROVIDES A BETTER WORK ENVIRONMENT FOR THE ORGANIZATIONS WORKFORCE
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	FINANCIAL STATEMENT FOOTNOTE EXPENSES INCLUDE A PROVISION FOR DOUBTFUL ACCOUNTS TO ALLOW FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS THIS PROVISION IS BASED ON PAST EXPERIENCE AND ON ANALYSIS OF CURRENT ACCOUNTS RECEIVABLE COLLECTIBILITY ACCOUNTS ARE CONSIDERED DELINQUENT BASED ON PASSAGE OF A SPECIFIED PERIOD OF TIME AND CONSIDERATION OF PAYMENT HISTORY ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED TO THE ALLOWANCE IN THE YEAR THEY ARE DEEMED UNCOLLECTIBLE AS A RESULT THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 470000 AND 434000 AT JULY 31 2012 AND 2011 RESPECTIVELY 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 IX LINE 25 WAS 244324 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 ASSESSES THE NEEDS OF THE COMMUNITIES IS SERVICES BY MONITORING THE UTILIZATION OF SERVICES OFFERED AND EVALUATING NEW SERVICES WHICH COULD BE OFFERED TO IMPROVE THE HEALTH AND WELFARE OF THE CITIZENS IN THE COMMUNITIES IT SERVES STARTING IN 2013 THE ORGANIZATION WILL CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY 3 YEARS AND EXECUTE AGAINST IT
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 229 WHILE PERSONS 18 AND YOUNGER IS 215 ETHNIC BACKGROUDS BY PERCENT INCLUDE WHITE 943 AMERICAN INDIAN AND ALASKA NATIVE PERSONS 30 WITH ALL OTHERS REPORTING LESS THAN 2 THERE ARE 3862 HOUSEHOLDS WITH AN AVERAGE OF 219 PERSONS PER HOUSEHOLD MEDIAN HOUSEHOLD INCOME IS 35165 WITH 142 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
COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	REGISTRATION PERSONNEL REFERRED UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY
COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg
RYAN LARSEN
140277	10000	17612	19094	186983
DAVID BORG
155002	159152	31099	19141	403208	38814
SANDRA CATLIN
57625	98920	8908	19141	204825	20231

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	RYAN LARSEN, CEO - LIONS CLUB DUES 426.50, FALLS CITY ROTARY CLUB 150.00, FALLS CITY JAYCEES 45.50
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 134,152 SANDRA CATLIN 97,007

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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.