2026-03-09T17:29:21-05:00 2025-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2024-07-01 480764456 Nemaha Valley Community Hospital NEMA 7853366181 1600 Community Drive Seneca KS 66538 KILEY FLOYD CEO 7853366181 2026-03-06 1 0 Eric L Otting P00298454 7852334226 2026-03-06 2024 2025-03-06 01:10:19Z Kiley Floyd 1600 Community Drive Seneca KS 66538 31377509 0 X nemvch.com X 1969 KS To provide personalized, compassionate healthcare while promoting wellness in the communities we serve. 12 9 193 40 0 0 1840889 2510847 23798291 27801995 318121 240255 247413 561532 26204714 31114629 0 0 0 0 15056933 16512568 0 0 43361 9895623 12003217 24952556 28515785 1252158 2598844 50552657 53337979 33077544 33250319 17475113 20087660 To provide personalized, compassionate healthcare while promoting wellness in the communities we serve. 0 0 25419229 28332657 Nemaha Valley Community Hospital provides inpatient and outpatient hospital services and clinic services to patients in its service area. 25419229 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 42 0 1 193 1 0 0 0 0 0 0 0 0 0 0 X 12 9 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Sarah Windmeyer 7853366181 1600 Community Drive Seneca KS 66538 Mike Steinlage Chairman 1.00 X X 0 0 0 Justin Lueger Vice-Chairman 1.00 X X 0 0 0 Nikki Honeyman Secretary 1.00 X X 0 0 0 Ed Mohney Treasurer 1.00 X X 0 0 0 Kris Enneking Trustee 1.00 X 0 0 0 Katie Nordhus Trustee 1.00 X 0 0 0 Leah Hermesch Trustee 1.00 X 0 0 0 Don Strathman Trustee 1.00 X 0 0 0 Dr James Lueger Trustee 1.00 X 0 0 0 TJ Haverkamp Trustee 1.00 X 0 0 0 Galen Niehues Trustee 1.00 X 0 0 0 Dr Alexander Hermesch Trustee/Physician 40.00 X 357404 0 54235 Kiley Floyd CEO 40.00 X 213270 0 27441 Niki Buesing Contract CFO (Thru 02/2025) 40.00 X 128742 0 25751 Sarah Windmeyer CFO (Eff. 02/2025) 40.00 X 0 0 0 Dr Jarod Snyder Physician 40.00 X 428246 0 52796 Dr William Bartkoski Physician 40.00 X 389346 0 56511 Harry Stewart CRNA 40.00 X 376228 0 54400 Dr Heather Myers Physician 40.00 X 329837 0 45099 Tiffany Engelken APRN 40.00 X 275222 0 50909 2498295 0 367142 19 0 1 0 Holistic Pain Management of Kansas LLC 3780 N Garfield Avenue Suite 101 Loveland CO 80538 Pain Management Services 684029 Cerner Corporation PO Box 959156 St Louis MO 63195 Patient Accounting System 561541 Stormont Vail Healthcare 1500 SW 10th Avenue Topeka KS 66604 Lab and Admin Contract Services 388869 Rural Partners in Medicine 100 Technology Dr Bldg C STE 300 Broomfield CO 80021 Surgeon Services 253996 Holton Community Hospital 1110 Columbine Drive Holton KS 66436 Surgeon Services 185100 12 770323 1294025 446499 2510847 Patient service revenue 621110 25496695 25496695 340B retail drug program 456110 2305300 2305300 27801995 503135 503135 1500 0 1500 1500 1500 262880 -262880 -262880 -262880 Contracted labor 900099 300584 300584 Purchase Rebates 621110 217384 217384 Dietary Income 722210 29370 29370 12694 12694 560032 31114629 28332657 0 271125 X 792755 386811 405944 12360525 11101295 1227189 32041 514802 461533 51936 1333 1982002 1758998 217991 5013 862484 761229 99125 2130 16253 7040 9213 6793 6793 3051620 2741499 310119 2 74925 18297 56627 1 128734 102844 25820 70 76768 64587 12181 246477 230815 15303 359 81032 67716 13313 3 538759 506110 31841 808 1437277 1372011 64008 1258 237340 182158 55070 112 Supplies 4475910 4384380 91397 133 Equipment rental and ma 1015977 873457 142447 73 Suicide Prevention Gran 268411 268411 Collection fees 158265 158265 188676 130038 58613 25 28515785 25419229 3053195 43361 512 512 16906164 17691512 2102019 3363743 346036 378813 416779 362828 44057929 16384233 16964950 27673696 13234805 2937785 581392 929090 50552657 53337979 5505657 5252319 27411887 26965000 160000 1033000 33077544 33250319 X 17447985 20036851 27128 50809 17475113 20087660 50552657 53337979 2598844 13703 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5741 0 0 0 5741 0 Part II-B, Line 1: Nemaha Valley Community Hospital is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities as part of the services provided to members. The above amount was estimated based on a percentage of membership dues. 71426 71426 26646989 9557187 17089802 10068766 6827046 3241720 7270748 7270748 27673696 Estimated third-party payor settlements 1033000 1033000 X Part X, Line 2: The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal taxes on related income pursuant to Section 501(a) of the Code. Management is not aware of any uncertain tax positions. 1 1 0 1 X 1 1 0 1 1 73500 68075 5425 0.00020 1175144 1061901 113243 0.00400 1248644 1129976 118668 0.00420 12605 9955 2650 0.00010 5083861 3910412 1173449 0.04120 81 81 0.00000 5096547 3920367 1176180 0.04130 6345191 5050343 1294848 0.04550 1 392594 82448 10239364 10296347 -56983 X 1 1 1 1 Nemaha Valley Community Hospital 1600 Community Drive Seneca KS 66538 X X X X Rural health clinic Nemaha Valley Community Hospital 1 0 0 1 X X X X X X X X X 23 1 1 0 1 X http://www.nemvch.com/resources X 1 23 1 http://www.nemvch.com/resources 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X http://www.nemvch.com/resources/ X X X X X X 1 X 0 X X X X 1 X 0 0 Nemaha Valley Community Hospital Part V, Section B, Line 5: Community members were invited to attend a meeting in which their input was requested to determine the health needs of the community. The community members identified the health care needs that should be prioritized. These members included medical professionals, government employees, leaders of non-profit organizations, and hospital employees. Nemaha Valley Community Hospital Part V, Section B, Line 6a: Sabetha Community Hospital Nemaha Valley Community Hospital Part V, Section B, Line 11: Priority 1: Childcare (Affordable & Accessible) Hospital administration has had discussions with daycare providers regarding options for employment by the Hospital to provide care for the children of Hospital staff. The reach of the Hospital on this priority is limited as continuous childcare is a problem much larger than the Hospital alone can solve.Priority 2: Mental Health (Diagnosis, Placement, Aftercare, Access to Providers)The Hospital has hired a full-time in-house licensed and certified mental health therapist. The Hospital also contracts with telehealth mental health providers including medication management. The Hospital continues to partner with Health Innovation Network of Kansas in their work with suicide prevention through speaking events, meetings with state-wide organizations, local television broadcasts, and other campaigns. In the Hospital's family practice clinic, drug, alcohol, and depression screenings are part of each patient visit. The Hospital's care coordinator, social worker, and community health worker assist patients with locating and continuing care through education and coaching.Priority 3: Housing (Affordable & Accessible)Access to affordable housing is not part of the mission and goals of the Hospital's critical operations. We recognize the issue but have limited capability to address the need.Priority 4: Substance Abuse (Drugs & Alcohol)Screening for drug and alcohol abuse is part of each patient visit within the family practice clinic. The Hospital employs a social worker and a community health worker. Both employees help educate, advocate, and connect individuals to available resources. They also assist patients in navigating the health system and continuing care as needed. The Hospital holds an annual community health fair at which several organizations provide education and resources regarding substance abuse including prevention and treatment. At local schools, the Hospital's respiratory therapy department provides educational sessions and demonstrations on the dangers of vaping.Priority 5: Chronic Disease Management (Cancer, Diabetes, In-Home Care)The Hospital's care coordinator, social worker, and community health worker assist patients with managing chronic disease by connecting them with resources, helping them set appointments, and continue care after hospitalization and in prevention of an inpatient stay. The Hospital has added an oncology department which will provide chemotherapy infusions to local cancer patients. The service expands access to care by allowing patients to stay close to home instead of driving 2-4 hours for treatment. Discounted lab tests are offered at the annual community health fair. The Hospital's dermatology provider presented skin cancer education, awareness, and prevention for a segment on our local television station. The Hospital's pain management services help relieve pain for cancer patients. The dietitian and diabetes educator hold monthly support group meetings for diabetics. They also offer individual management training.Priority 6: Obesity (Access to Healthy Foods/Exercise)The Hospital encourages utilization of its registered dietician in primary care and specialty care settings. The clinic is involved in the RETOOL weight loss study with KU Medical Center. Clinic providers refer patients to the registered dietician for weight loss management. Employees of the Hospital are allowed to see the dietician at no cost. The Hospital helps promote fitness events put on by the extension office. Through social media posts, the Hospital shares tips and education on healthy eating and exercise habits.Priority 7: Uninsured/UnderinsuranceHospital staff help patients enroll in Medicare and the Marketplace. Through the Hospital's financial assistance policy, discounted care is offered to patients who are uninsured or underinsured. Discounts range from 20% to 90%. The Hospital offers a prompt pay discount of 10% to self-pay or underinsured patients if they pay 90% of the total bill at time of billing. The Hospital also offers a 20% discount to uninsured patients who do not qualify for financial assistance.Priority 8: Youth Health Education (Addition)At local schools, the Hospital's respiratory therapy department provides educational sessions and demonstrations on the dangers of vaping. The nursing supervisor visited local schools educating students on hearing loss prevention. Stop the Bleed, AED, and CPR education is held at area schools and colleges. The diabetes educator provides presentations to area students regarding diabetes signs, symptoms, and how to support diabetic friends. Each spring, the therapy department and other volunteers provide a Learn to Bike Camp for anyone 4 years old and older. Part I, Line 7: This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 for the tax year. Part I, Line 7g: The net community benefit expense of subsidized health services include costs attributable to a rural health clinic in the amount of $1,127,108. Part II, Community Building Activities: N/A Part III, Line 4: Nemaha Valley Community Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. This estimate is based on the aging of its accounts receivable by payor and historical collection experience. See note A5 (page 7) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Hospital's financial assistance policy. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies this amount as a community benefit. Part III, Line 8: Medicare costs were obtained from the Hospital's as-filed Medicare cost report for the tax year. Any shortfalls are a benefit to the Hospital's community since it represents health care provided at less than cost to elderly and needy residents of the Hospital's service area. Part III, Line 9b: Nemaha Valley Community Hospital makes every effort to get correct financial and billing information and to educate patients on the eligibility requirements of charity care programs and payment options. Part VI, Line 2: N/A Part VI, Line 3: Notification associated with patient encounter. Part VI, Line 4: The community served is primarily residents who reside in Nemaha County Kansas and consists of approximately 2,139 residents. The median family income is $70,221. 8.50% of the community residents live below federal poverty level. Neighboring hospitals are located in Sabetha, Pawnee County, NE, and Hiawatha. They are approximately 21, 20, and 28 miles away respectively. Part VI, Line 5: The Hospital maintains a Facebook page which posts general health information topics and announces dates of general health-related group activities. The Hospital offers periodic diabetic educational programs and education programs for expectant mothers. The Hospital uses all excess funds to maintain and improve Hospital facilities and equipment and to insure the delivery of high quality patient care services. X X 0 0 0 0 0 0 0 0 0 Dr Jarod Snyder Physician 315805 0 112441 0 0 0 15525 0 37271 0 481042 0 0 0 Dr William Bartkoski Physician 352498 0 36848 0 0 0 15525 0 40986 0 445857 0 0 0 Harry Stewart CRNA 376228 0 0 0 0 0 15283 0 39117 0 430628 0 0 0 Dr Alexander Hermesch Trustee/Physician 301477 0 55927 0 0 0 15306 0 38929 0 411639 0 0 0 Dr Heather Myers Physician 293724 0 36113 0 0 0 14991 0 30108 0 374936 0 0 0 Tiffany Engelken APRN 171444 0 103778 0 0 0 12460 0 38449 0 326131 0 0 0 Kiley Floyd CEO 213270 0 0 0 0 0 8132 0 19309 0 240711 0 0 0 Niki Buesing Contract CFO (Thru 02/2025) 128742 0 0 0 0 0 0 0 25751 0 154493 0 0 0 A City of Seneca Kansas 486026237 81712RBB4 2015-02-19 4455000 To refund a portion of 2008 series bond 0 0 0 B City of Seneca Kansas 486026237 81712RBC2 2023-06-14 25064361 To fund renovation costs to hospital and purchase equipment 0 0 0 A 2370000 4455000 88270 4517530 2018 1 0 1 1 B 25064361 2132078 477380 20118731 4041673 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: City of Seneca, Kansas Date the Rebate Computation was Performed: 02/01/2025 Schedule K, Part II The difference between Part II, line 3 and the sum of Part II, lines 4 through 12 is due to accumulating of investment income. Lynda Cross Family member of Mike Steinlage, Board Member 163958 Employment 0 Lori Lueger Family member of Justin Lueger, Board Member 222682 Employment 0 Patricia Hermesch Family member of Alexander Hermesch, Board Member 106528 Employment 0 Form 990, Part VI, Section A, line 2 James Lueger, Board Member, is a family relation to Justin Lueger, Board Member. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CEO and CFO prior to filing. Form 990, Part VI, Section B, line 12c The board is required to annually sign conflict of interest statements. Form 990, Part VI, Section B, line 15a The CEO salary and compensation is approved by the Hospital's board and is based on information from a compensation study. Form 990, Part VI, Section C, line 19 Documents are available upon request. Form 990, Part IX, line 11g Professional: Program service expenses 2,741,499. Management and general expenses 310,119. Fundraising expenses 2. Total expenses 3,051,620. 990 Part XII Line 2c The Finance Committee selects the independent auditor of the financial statements. Nemaha Valley Health Care Foundation 1600 Community Drive Seneca KS 66538 481097250 Fundraising for the benefit of community healthcare KS 501(c)(3) Line 7 Nemaha Valley Community Hospital 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 Nemaha Valley Health Care Foundation C 770323 Amount Paid