BRODSTONE MEMORIAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: BRODSTONE MEMORIAL HOSPITAL (EIN 47-0388012)
Tax period: 2010-05-01 to 2011-04-30
Filed: 2011-12-15
IRS object ID: 201123499349301022
Schema version: 2010v3.4
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	2011-12-15T14:44:24-06:00	Timestamp
Tax Period End Date	2011-04-30	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	2010-05-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470388012	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BRODSTONE MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BROD	NameControl
Phone	4028793281	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	520 EAST 10TH STREET	AddressLine1
City	SUPERIOR	City
State	NE	State
ZIP Code	689781225	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN KEELAN	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Phone	4028793281	Phone
Date Signed	2011-12-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SONJA A CATTAU	Name
Phone	4026946404	Phone
Date Prepared	2011-12-12	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN KEELAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	520 EAST 10TH STREET	AddressLine1
City	SUPERIOR	City
State	NE	State
ZIP Code	689781225	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	18847568	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BRODSTONEHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1927	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	BRODSTONE MEMAORIAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL ESTABLISHED TO DELIVER QUALITY, AFFORDABLE HEALTH CARE IN A CARING, SAFE AND COMPASSIONATE ENVIRONMENT TO ALL PERSONS OF SUCH NEED IN A TOTALLY NON-DISCRIMINATORY MANNER.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	216	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	378389	ContributionsGrantsPriorYear
Contributions Grants Current Year	646043	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	16608604	ProgramServiceRevenuePriorYear
Program Service Revenue CY	18193410	ProgramServiceRevenueCY
Investment Income Prior Year	59872	InvestmentIncomePriorYear
Investment Income Current Year	-62663	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	17046865	TotalRevenuePriorYear
Total Revenue Current Year	18776790	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9570880	SalariesEtcPriorYear
Salaries Etc Current Year	10228809	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6723243	OtherExpensePriorYear
Other Expenses Current Year	7849094	OtherExpensesCurrentYear
Total Expenses Prior Year	16294123	TotalExpensesPriorYear
Total Expenses Current Year	18077903	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	752742	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	698887	RevenuesLessExpensesCY
Total Assets BOY	16920612	TotalAssetsBOY
Total Assets EOY	20547524	TotalAssetsEOY
Total Liabilities BOY	6663800	TotalLiabilitiesBOY
Total Liabilities EOY	9591825	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	10256812	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	10955699	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	BRODSTONE MEMAORIAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL ESTABLISHED TO DELIVER QUALITY, AFFORDABLE HEALTH CARE IN A CARING, SAFE AND COMPASSIONATE ENVIRONMENT TO ALL PERSONS OF SUCH NEED IN A TOTALLY NON-DISCRIMINATORY MANNER.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	18077903	Expense
Description	BRODSTONE MEMORIAL HOSPITAL PROVIDES SHORT TERM INPATIENT AND OUTPATIENT SERVICES SUCH AS ACUTE CARE, ICU, OB, AND NURSERY WITHIN THE SCOPE OF ITS HOSPITAL LICENSE TO ALL PATIENTS IN A NON-DISCRIMINATORY MANNER.	Description
Total Program Service Expense	18077903	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	19	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	216	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
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	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	SANDRA J BORDEN CFO	NamePerson
Telephone Number	4028793281	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	520 EAST TENTH STREET	AddressLine1
City	SUPERIOR	City
State	NE	State
ZIP Code	68978	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
KATHY ESSINK
SECRETARY	2.00	X	X	0	0	0
LYNN CULBERTSON
MEMBER	2.00	X		0	0	0
PAT MCCORD
VICE CHAIR	2.00	X	X	0	0	0
LANE HAWLEY
CHAIR	2.00	X	X	0	0	0
ROBERT TRAPP
MEMBER	2.00	X		0	0	0
JULIE SIMONSEN
TREASURER	2.00	X	X	0	0	0
JOHN KEELAN
CEO	40.00		X	172755	0	14207
SANDRA BORDEN
CFO	40.00		X	113807	0	20760
KORI FIELD
DON	40.00		X	74242	0	21678
TIMOTHY BLECHA
PHYSICIAN	40.00			255982	0	21115	X
JULIE THEIS
PHYSICIAN	40.00			176147	0	19135	X
ROBERT LEIBEL
PHYSICIAN	40.00			167690	0	21115	X
JASON HASS
PHYS ASST	40.00			123062	0	21115	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1083685	TotalReportableCompFromOrg
Total Other Compensation	139125	TotalOtherCompensation
Number Individuals GT100 K	6	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	Address Line2AddressOfContractor/AddressUS/AddressLine2
BD CONSTRUCTION
PO BOX 726 209 E 6TH STREET	KEARNEY	NE	68848	BLDG CONTRACTOR	3121212
GE HEALTHCARE
PO BOX 96483	CHICAGO	IL	60693	EQUIPMENT, SERV	1557858
CARDINAL HEALTH
21377 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY	1226368
BROWN'S MEDICAL IMAGING
14315 C CIRCLE	OMAHA	NE	68144	EQUIPMENT, SERV	621265
MERITAIN HEALTH
PO BOX 8000	BUFFALO	NY	14267	HEALTH INSURANC	443978	DEPT 207

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Government Grants	63910	GovernmentGrants
All Other Contributions	582133	AllOtherContributions
Total Contributions	646043	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
NET PATIENT SERVICE REVENUE	18126239	18126239
CAFETERIA	38906		$38,906
MISCELLANEOUS	28268		$28,268
MEDICAL RECORDS TRANSCRIPTS	1246		$1,246
FINANCE CHARGES	-1249		-$1,249

Field	Value	IRS element (for citing)
Total Program Service Revenue	18193410	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-25631	TotalRevenueColumn
Exclusion	-$25,631	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	33746	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	70778	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-37032	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-37032	TotalRevenueColumn
Related Or Exempt Function Income	-37032	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18776790	TotalRevenueColumn
Related Or Exempt Function Income	18089207	RelatedOrExemptFunctionIncome
Exclusion	$41,540	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	286562	Total
Program Services	286562	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	7657627	Total
Program Services	7657627	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	189512	Total
Program Services	189512	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1549204	Total
Program Services	1549204	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	545904	Total
Program Services	545904	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	32437	Total
Program Services	32437	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	28300	Total
Program Services	28300	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	507669	Total
Program Services	507669	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	303392	Total
Program Services	303392	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1141732	Total
Program Services	1141732	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	216305	Total
Program Services	216305	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
SUPPLIES, FEES & PURCH SE	4342662	4342662
PROVISION FOR BAD DEBTS	581911	581911
DATA PROCESSING	320810	320810
ADMINISTRATIVE EXPENSES	201067	201067
COLLECTION FEES	128533	128533

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	44276	Total
Program Services	44276	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	18077903	Total
Program Services	18077903	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2055969	BOY
EOY	1721238	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	580131	BOY
EOY	363641	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2690295	BOY
EOY	2999529	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	216047	BOY
EOY	228705	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	240074	BOY
EOY	206126	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	22564895	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8326610	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	10245849	BOY
EOY	14238285	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	662247	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	230000	BOY
EOY	790000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	16920612	BOY
EOY	20547524	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2396650	BOY
EOY	2410010	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4043150	BOY
EOY	7075554	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	224000	BOY
EOY	106261	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	6663800	BOY
EOY	9591825	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10066520	BOY
EOY	10334594	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	190292	BOY
EOY	621105	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10256812	BOY
EOY	10955699	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	16920612	BOY
EOY	20547524	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	698887	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	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

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	1294935	BeginningOfYearBalance
Investment Earnings Or Losses	108665	InvestmentEarningsOrLosses
End Of Year Balance	1403600	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1098170	BeginningOfYearBalance
Investment Earnings Or Losses	196765	InvestmentEarningsOrLosses
End Of Year Balance	1294935	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1375015	BeginningOfYearBalance
Investment Earnings Or Losses	-276845	InvestmentEarningsOrLosses
End Of Year Balance	1098170	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	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	117890	OtherCostOrOtherBasis
Book Value	117890	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13653898	OtherCostOrOtherBasis
Depreciation	3421826	Depreciation
Book Value	10232072	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	431319	OtherCostOrOtherBasis
Depreciation	177802	Depreciation
Book Value	253517	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8361788	OtherCostOrOtherBasis
Depreciation	4726982	Depreciation
Book Value	3634806	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	14238285	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO THIRD PARTY PAYORS	Description
Amount	$106,261	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	106261	TotalOfAmounts
Total Revenue	18776790	TotalRevenue
Total Expenses	18077903	TotalExpenses
Excess Or Deficit For Year	698887	ExcessOrDeficitForYear
Excess Or Deficit Per FS	698887	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	18776790	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	18776790	RevenueSubtotal
Total Revenue Per Form990	18776790	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	18077903	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	18077903	ExpensesSubtotal
Total Expenses Per Form990	18077903	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	BOTH ENDOWMENT FUNDS LISTED ARE TO BE MAINTAINED AS A PERMANENT ENDOWMENT. THE TRUST FUND CAN BE USED FROM TIME TO TIME IN OR TOWARDS THE EXECUTION OF ANY NECESSARY OR PROPER IMPROVEMENTS IN OR ADDITIONS TO THE BUILDING OR FABRIC OF THE HOSPITAL AND SUBJECT THERETO IN OR TOWARDS PAYING THE ORDINARY CURRENT EXPENSES OF MANAGING, CONDUCTING, AND OPERATING THE HOSPITAL AND CONTINUE TO KEEP THE GRAVES AND MONUMENTS OF THE DONOR FAMILY IN GOOD REPAIR AND THE INSCRIPTIONS THEREON LEGIBLE.	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
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	166026	TotalCommunityBenefitExpense
Net Community Benefit Expense	166026	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1128824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	777625	DirectOffsettingRevenue
Net Community Benefit Expense	351199	NetCommunityBenefitExpense
Percent Of Total Expense	0.02010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1294850	TotalCommunityBenefitExpense
Direct Offsetting Revenue	777625	DirectOffsettingRevenue
Net Community Benefit Expense	517225	NetCommunityBenefitExpense
Percent Of Total Expense	0.02960	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	2058	PersonsServed
Total Community Benefit Expense	135433	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53463	DirectOffsettingRevenue
Net Community Benefit Expense	81970	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	11	PersonsServed
Total Community Benefit Expense	18060	TotalCommunityBenefitExpense
Net Community Benefit Expense	18060	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	559	PersonsServed
Total Community Benefit Expense	25184	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9025	DirectOffsettingRevenue
Net Community Benefit Expense	16159	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	512	PersonsServed
Total Community Benefit Expense	950	TotalCommunityBenefitExpense
Net Community Benefit Expense	950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	3140	PersonsServed
Total Community Benefit Expense	179627	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62488	DirectOffsettingRevenue
Net Community Benefit Expense	117139	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	3140	PersonsServed
Total Community Benefit Expense	1474477	TotalCommunityBenefitExpense
Direct Offsetting Revenue	840113	DirectOffsettingRevenue
Net Community Benefit Expense	634364	NetCommunityBenefitExpense
Percent Of Total Expense	0.03630	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$453,972	BadDebtExpenseAmount
Amount Attributable To	98521	AmountAttributableTo
Amount Reimbursed By Medicare	10366546	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10299097	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	67449	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	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	BRODSTONE MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	520 E 10TH	AddressLine1
City	SUPERIOR	City
State	NE	State
ZIP Code	68978	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	BRODSTONE MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	200.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Other Actions	X	PermitOtherActions
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Other Actions	X	OtherActions
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Lowest Negotiated Rates	X	LowestNegotiatedRates
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	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SUPERIOR FAMILY MEDICAL CENTER
525 E 11TH ST	SUPERIOR	NE	68978	RURAL HEALTH CLINIC
NELSON FAMILY MEDICAL CENTER
76 W 8TH ST	NELSON	NE	68961	RURAL HEALTH CLINIC
EDGAR FAMILY MEDICAL CENTER
315 N C ST	EDGAR	NE	68935	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	581911 BAD DEBT EXPENSE WAS EXCLUDED FROM PERCENT OF TOTAL EXPENSE
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	EXPENSES INCLUDE A PROVISION FOR DOUBTFUL ACCOUNTS BAD DEBTS 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 AS A RESULT THERE IS AT LEAST A RESONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED TO THE ALLOWANCE IN THE YEAR THEY ARE DEEMED UNCOLLECTIBLE COSTING METHODOLOGY FOR LINE 2 IS ACTUAL REVENUE WRITTEN OFF AND SENT TO COLLECTION MULTIPLIED BY THE OVERALL COSTCHARGE RATIO PER THE FINANCIAL STATEMENTS COSTING METHODOLOGY FOR LINE 3 IS ACTUAL REVENUE WRITTEN OFF ESTIMATED FROM A REVIEW OF DEMOGRAPHICS AND THEN MULTIPLIED BY THE OVERALL COSTCHARGE RATIO PER THE FINANCIAL STATEMENTS
MEDICARE EXPLANATION	PART III LINE 8	THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECUASE OTHER AGENCIES DONT HAVE TO SUBSIDIZE MEDICAL CARE AND THE MEDICAL CARE IMPROVES QUALITY OF LIFE TO PATIENTS
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	PATIENTS WHO QUALIFY FOR MEDICAID WILL AUTOMATICALLY QUALIFY FOR 20 FINANCIAL ASSISTANCE AND MAY QUALIFY FOR MORE IF THEY FILL OUT THE FINANCIAL ASSISTANCE APPLICATION THESE PATIENTS WILL NOT BE SENT TO COLLECTIONS IF THEY PAY THE THEY QUALIFY FOR
NEEDS ASSESSMENT	PART VI	BRODSTONE MEMORIAL HOSPITAL HAS DONE COMMUNITY SURVEYS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY WE ALSO GATHER INPUT FROM MEDICAL STAFF AND EMPLOYEES ON THE NEED FOR SERVICES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	BRODSTONE MEMORIAL HOSPITAL MAKES AVAILABLE CHARITY CARE BROCHURES TO ALL PATIENTS AT THE HOSPITAL AND CLINIC THE FINANCIAL ASSISTANCE IS MENTIONED BY COLLECTORS WHEN SETTING UP PAYMENT PLANS PATIENTS WHO INQUIRE ARE GIVEN BROCHURES AND EXPLANATION
COMMUNITY INFORMATION	PART VI	THE HOSPITAL SERVICE AREA INCLUDES RESIDENTS OF NUCKOLLS COUNTY AND POPULATION WITHIN 30 MILES OF NUCKOLLS COUNTY INCLUDING WEBSTER CLAY THAYER REPUBLIC AND JEWELL THE SERVICE AREA IS PRIMARILY RURAL WITH AN ESTIMATED COUNTY POPULATION OF 4334 THE POPULATION IS ESTIMATED AT 979 WHITE WITH LESS THAN 2 EACH OF OTHER DEMOGRAPHIC DECENT CATEGORIES THE MEDIAN HOUSEHOLD INCOME ESTIMATE IS 35086 WITH 132 OF PEOPLE WITH INCOME BELOW THE FEDERAL POVERTY LEVEL THE SERVICE AREA IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	THE GOVERNING BOARD CONSISTS OF SIX PEOPLE WHO MUST BE MEMBERS OF THE COMMUNITY THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND MIDLEVEL PRACTITIONERS SURPLUS FUNDS ARE USED TO PURCHASE EQUIPMENT AND CAPITAL IMPROVEMENT PROJECTS TO IMPROVE PATIENT CARE
BRODSTONE MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	ACCOUNT COLLECTORS INFORM THE PATIENT THAT THEY MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE
BRODSTONE MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 15E	PART V LINE 15E	REFER TO COLLECTION AGENCY
BRODSTONE MEMORIAL HOSPITAL LINE NUMBER 1 PART V LINE 16E	PART V LINE 16E	GARNISHMENT OF WAGES AND LIEN ON BANK ACCOUNT

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 (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Bonus Filing OrgBonusFilingOrg
JOHN KEELAN
172755	14207	186962	167862
TIMOTHY BLECHA
193336	21115	277097	267580	62646
JULIE THEIS
175744	19135	195282	175795	403
ROBERT LEIBEL
167690	21115	188805	169665

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	JOHN KEELAN, CEO, IS PROVIDED THE LOCAL COUNTRY CLUB MEMBERSHIP.
COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 5A	IN ACCORDANCE WITH RELATED EMPLOYMENT CONTRACTS, ADDITIONAL COMPENSATION IS PAID BASED ON REVENUES GENERATED BY EACH MEDICAL PROVIDER, AS DEFINED. THESE ADDITIONAL AMOUNTS HAVE BEEN LISTED AS INCENTIVE COMPENSATION IN PART II OF THIS SCHEDULE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	BRODSTONE MEMAORIAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL ESTABLISHED TO DELIVER QUALITY, AFFORDABLE HEALTH CARE IN A CARING, SAFE AND COMPASSIONATE ENVIRONMENT TO ALL PERSONS OF SUCH NEED IN A TOTALLY NON-DISCRIMINATORY MANNER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A FINAL COPY OF FORM 990, AS WILL BE ELECTRONICALLY FILED, WAS REVIEWED BY ALL VOTING MEMBERS OF THE BOARD. THIS REVIEW WAS COMPLETED AT THE REGULAR BOARD MEETING ON NOVEMBER 28, 2011 BEFORE THIS RETURN WAS ELECTRONICALLY FILED. A DETAIL REVIEW WAS DONE BY MANAGEMENT AND THEN A GENERAL REVIEW WAS DONE BY THE BOARD.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST WOULD REFRAIN FROM DISCUSSION AND VOTING ON THOSE MATTERS. THERE IS AN ANNUAL BOARD MEMBER TRAINING THAT COVERS THIS POLICY. ADDITIONALLY, ALL BOARD MEMBERS ARE WELL ACQUAINTED WITH EACH OTHER SO IF THERE WAS A CONFLICT OF INTEREST AND THE MEMBER DID NOT DISCLOSE, THE OTHER BOARD MEMBERS WOULD BRING IT TO THE BOARD'S ATTENTION.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE HR DIRECTOR PREPARES A SALARY SURVEY ANNUALLY FOR ALL JOB DESCRIPTIONS WITH HOSPITALS OF SIMILAR SIZE AND REVENUES. THE BOARD OF DIRECTORS REVIEWS THE SURVEY AND PRIOR SALARY INCREASES FOR THE CEO BEFORE GRANTING PAY INCREASES.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THE HR DIRECTOR PREPARES A SALARY SURVEY ANNUALLY FOR ALL JOB DESCRIPTIONS WITH HOSPITALS OF SIMILAR SIZE AND REVENUES. THE HR DIRECTOR AND CFO MAKE RECOMMENDATIONS TO THE CEO. THE CEO REVIEWS THE SURVEY, PRIOR SALARY INCREASES, AND RECOMMENDATIONS BEFORE APPROVING PAY INCREASES FOR EMPLOYEES. THE PAY INCREASES ARE APPROVED BY THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.