2024-07-19T14:43:28-05:00 2023-09-30 Forvis Mazars LLP 1201 WALNUT SUITE 1700 Kansas City MO 641062246 990 2022-10-01 470379834 BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC % CHAD JURGENS CFO BEAT 4022283344 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 CHAD JURGENS CFO 4022283344 2024-08-15 true CHAD JURGENS 999009999 April Arnold CPA P01559426 8162216300 2 2022 2023-04-26 12:10:37Z CHAD JURGENS 4800 HOSPITAL PARKWAY BEATRICE NE 68310 99707586 false X https://beatricecommunityhospital.com/ X 1968 NE BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. 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OF MS/PHYSICIAN 40.0 0.0 X 399375 0 54129 STEVEN PAULMEYER MD PHYSICIAN/SR EXECUTIVE MED SVC 40.0 0.0 X 375959 0 55781 JONATHAN STELLING MD PHYSICIAN 40.0 0.0 X 374345 0 55758 DARIN HOFFMAN MD FORMER BOARD MEMBER/PHYSICIAN 40.0 0.0 X 360243 0 54889 BENJAMIN THAYER MD PRESIDENT OF MEDICAL STAFF 40.0 0.0 X 260001 0 52720 SANDRA PARKS MD FORMER MEMBER/PHYSICIAN 40.0 0.0 X 288592 0 18630 CHAD JURGENS CFO 39.0 1.0 X 252324 0 17475 CRAIG ZARYBNICKY MEMBER 2.0 0.0 X 0 0 0 LEROY JANZEN VICE CHAIR 4.0 0.0 X X 0 0 0 BRENDA MCNIFF MEMBER 2.0 0.0 X 0 0 0 BRUCE VITOSH TREASURER 4.0 0.0 X X 0 0 0 SUSAN HARTLEY MEMBER 2.0 0.0 X 0 0 0 DR STEVE SANDMAN CHAIRMAN 5.0 1.0 X X 0 0 0 DEANNE CASPERS-MOON MEMBER 2.0 1.0 X 0 0 0 RODNEY ENSZ SECRETARY 4.0 0.0 X X 0 0 0 RYAN TRAUERNICHT MEMBER 2.0 0.0 X 0 0 0 JENNIFER ELLIOTT MEMBER 4.0 0.0 X 0 0 0 LINDSEY KOSTAL MD PAC MEMBER REP 40.0 0.0 X 0 0 0 5120886 0 577864 71 true true false CASPERS-SAMPSON JNT VENTURE 5825 SOUTH 14TH ST LINCOLN NE 68512 CONSTRUCTION 6156065 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 STAFFING SERVICES 696164 ALTUS ARCHITECTURAL INC 12925 WEST DODGE ROAD OMAHA NE 68154 ARCHITECURAL SERVICE 656518 HEARTLAND BUSINESS SYSTEMS PO BOX 856846 MINNEAPOLIS MN 554856846 TECHNOLOGY SOLUTIONS 591970 BRYAN TELEMEDICINE 2222 SOUTH 16TH ST SUITE 401A LINCOLN NE 68502 TELEMEDICINE SERVICE 391180 27 208111 1922966 17522 2148599 Net Patient Service Revenue 621110 88721556 88721556 340B Program Revenue 621110 3466369 3466369 Pharmacy Revenue 446110 449122 449122 Management Fees 561000 89799 89799 _ 242977 242977 92969823 1469701 1469701 0 0 7965 7965 0 7965 7965 2748717 3025049 -276332 -276332 -276332 0 0 0 0 0 0 0 0 0 Cafeteria Revenue 722514 241668 241668 PURCHASE DISCOUNTS 900099 121113 121113 362781 96682537 93090936 1443002 316994 316994 0 0 0 1049205 910153 139052 0 39653942 34398581 5255361 2368289 2054418 313871 5569154 4831071 738083 2650403 2299143 351260 0 17987 17987 14558 14558 0 0 249532 249532 4086900 3777180 309720 155711 65991 89720 7150975 3030605 4120370 4495669 1905279 2590390 0 1144149 484894 659255 33794 14322 19472 0 300437 127326 173111 1059614 740756 318858 0 4358325 3296805 1061520 541704 409765 131939 Medical Supplies 13309318 13309318 Bad Debts 1858378 1858378 Licenses & Dues 208020 88160 119860 _ 0 137280 58179 79101 90730338 73977318 16753020 0 2184 747 7624859 5307633 0 0 10779922 11025344 0 0 0 0 1045050 265928 2831645 2964222 1384690 1458774 94151925 52413864 36542763 41738061 30962124 34691363 168463 178670 0 0 0 0 3663763 4080720 95005463 101711462 11513559 10752246 0 0 0 0 30559185 28060000 0 0 0 0 0 334228 0 0 1650255 2055501 43722999 41201975 X 51031485 60295642 250979 213845 51282464 60509487 95005463 101711462 X 5952199 3311958 -37134 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8099 8099 false SCHEDULE C, PART II-B, LINE 1H BCH IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). FOR 2022, THE AHA AND NHA HAVE ESTIMATED THAT 26.47% AND 13.09%, RESPECTIVELY, OF MEMBERSHIP DUES WILL BE USED FOR LOBBYING ACTIVITIES. 2039873 15162 261721 2316756 2485330 -445457 2039873 2081672 403658 2485330 1939511 142161 2081672 1822622 13000 103889 1939511 0.81600 0.13950 0.04450 false true true 914112 914112 29638877 12779951 16858926 57385272 36338892 21046380 6213664 3295021 2918643 41738061 0 DUE TO THIRD-PARTY PAYERS 1421176 OPERATING LEASE LIABILITY 634325 2055501 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD BY BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A SUPPORTING ORGANIZATION OF BEATRICE COMMUNITY HOSPITAL HEALTH CENTER. THESE FUNDS ARE BEING HELD TO PROVIDE HEALTH PROFESSIONAL SCHOLARSHIPS AND SUPPORT THE BEATRICE COMMUNITY HOSPITAL PROGRAM, CAPITAL IMPROVEMENTS AND SPIRITUAL LIFE. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false true true 1066523 1066523 0.01200 13300766 6751318 6549448 0.07370 14367289 6751318 7615971 0.08570 204056 204056 0.00230 993661 993661 0.01120 1197717 1197717 0.01350 15565006 6751318 8813688 0.09920 true 1858378 22512455 22660082 -147627 X true true 1 1 BEATRICE COMMUNITY HOSPITAL AND HEALT 4800 HOSPITAL PARKWAY BEATRICE NE 68310 https://beatricecommunityhospital.com/ H000119 X X X X BEATRICE COMMUNITY HOSPITAL AND HEALT 1 false false true X X X X X X X X X 23 true false false true X SEE PART V, PAGE 8 true 23 true SEE PART V, PAGE 8 false true X 150. 300. X X X X X true true X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 BEATRICE COMMUNITY HOSPITAL COMPLETED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND ACTION PLAN IN 2023. THE ASSESSMENT AND ACTION PLAN WAS FACILITATED/CREATED BY VVV CONSULTANTS, LLC, OF OLATHE, KANSAS, UNDER THE DIRECTION OF VINCE VANDEHAAR. PARTNERING WITH THE PUBLIC HEALTH DEPARTMENT (PUBLIC HEALTH SOLUTIONS), COMMUNITY RESIDENTS WERE INVITED TO PARTICIPATE IN AN ONLINE SURVEY AND A TOWN HALL MEETING TO OFFER FEEDBACK FOR THE CHNA. INFORMATION ABOUT THE ONLINE SURVEY WAS MESSAGED THROUGH SOCIAL MEDIA, LOCAL RADIO, AND LOCAL DAILY AND WEEKLY NEWSPAPERS. THE TOWN HALL MEETING WAS MESSAGED TO THE GENERAL PUBLIC THROUGH SOCIAL MEDIA, LOCAL RADIO, AND LOCAL DAILY AND WEEKLY NEWSPAPERS. INVITED TO THE TOWN HALL MEETING WERE 50 NONPROFIT ORGANIZATION REPRESENTATIVES, CITY OFFICIALS, COUNTY OFFICIALS, STATE GOVERNMENTAL REPRESENTATIVES, FIVE SCHOOL DISTRICT REPRESENTATIVES, LOCAL BUSINESS OWNERS AND LEADERS, AND LOCAL HEALTHCARE AND HEALTH-RELATED BUSINESS REPRESENTATIVES. SCHEDULE H, PART V, SECTION B, LINES 7A & 10A HTTPS://BEATRICECOMMUNITYHOSPITAL.COM/COMMUNITYHEALTHNEEDSASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 CHNA IMPLEMENTATION PLAN TACTICS: MENTAL HEALTH (DIAGNOSIS, PLACEMENT, AFTERCARE, ACCESS TO PROVIDERS) -LAUNCH SUICIDE LOSS SUPPORT GROUP FOR THE COMMUNITY. -CONTINUE TO EVALUATE NEED FOR ADDITIONAL BCH BEHAVIORAL HEALTH PROVIDERS AND THE NEED TO EXPAND THE CURRENT FIVE-MEMBER TEAM. -CONTINUE TO PROVIDE A BEHAVIORAL HEALTH PROVIDER TO SUPPORT LOCAL SCHOOL NEEDS. -CONTINUE EMERGENCY DEPARTMENT TELE-PSYCH SERVICE PROGRAM. -CONTINUE TO PROVIDE ONGOING EDUCATION TO ALL HOSPITAL STAFF ON SUICIDE PREVENTION. -SUPPORT COMMUNITY ELEMENTARY, MIDDLE, AND HIGH SCHOOL EFFORTS TO EDUCATE STUDENTS AND FAMILIES ON MENTAL HEALTH (DE-STIGMATIZE MENTAL HEALTH CONDITIONS, SUICIDE PREVENTION AND SOCIAL MEDIA BULLYING). -SUPPORT LOCAL COMMUNITY AND SCHOOL MENTAL HEALTH INITIATIVES. -PROMOTE ALL EXISTING MENTAL HEALTH SERVICE OFFERINGS, FACILITIES, AND PROVIDERS IN THE COMMUNITY. CHILDCARE (ACCESSIBLE & AFFORDABLE) -THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. --GAGE COUNTY ECONOMIC DEVELOPMENT (NGAGE) IS LEADING THE EFFORT TO IMPROVE CHILDCARE SERVICES IN THE COUNTY. GAGE COUNTY WAS ONE OF FIVE AREAS IN NEBRASKA SELECTED FOR ROOTED COMMUNITY PARTNERSHIPS, A CHILDCARE PROVIDER QUALITY ENHANCEMENT ACTIVITIES PROJECT THROUGH THE NEW PRESCHOOL DEVELOPMENT GRANT (PDG 4.0). --NGAGE IS COLLABORATING WITH NEBRASKA CHILDREN, NEBRASKA DHHS, AND THE GAGE COUNTY C4K TEAM TO CREATE THE CHILDCARE CAPACITY EXPANSION GRANT. FOUR AWARDEES RECEIVED GRANTS TO IMPROVE THEIR CHILDCARE FACILITIES TO INCREASE CAPACITY. -HAVE HOSPITAL REPRESENTATIVES SERVE ON THE GAGE COUNTY C4K (COMMUNITY FOR KIDS) COMMITTEE TO IMPLEMENT STRATEGIES TO IMPROVE CHILDCARE SERVICES IN THE COUNTY. -CONTINUE TO PARTNER WITH GAGE COUNTY C4K (COMMUNITY FOR KIDS) AND GAGE COUNTY 4-H TO PROVIDE A BABYSITTING CLINIC TO TRAIN YOUNG BABYSITTERS AND TO HELP YOUNG ENTREPRENEURS START BABYSITTING BUSINESSES. -WORK WITH NGAGE/COMMUNITY AGENCIES TO EXPLORE OPPORTUNITIES TO PROVIDE CHILDCARE IN THE COMMUNITY FOR HEALTHCARE WORKERS AND OTHERS WHO WORK IN A 24/7 SERVICE/MANUFACTURING INDUSTRY. HOUSING (SAFE AND AFFORDABLE) -THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. --GAGE COUNTY ECONOMIC DEVELOPMENT (NGAGE) IS LEADING THE EFFORT TO PROVIDE SAFE AND AFFORDABLE HOUSING IN THE COUNTY AS WELL AS PROVIDE MORE HOUSING IN THE COUNTY. -SUPPORT THE COUNTY HOUSING DEVELOPMENT PLAN THAT WOULD ADDRESS AFFORDABLE AND SAFE HOUSING FOR COMMUNITY RESIDENTS. -SUPPORT COMMUNITY INITIATIVES FOR IMPROVED HOUSING, I.E., HABITAT FOR HUMANITY. TRANSPORTATION SERVICES -THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. -SUPPORT LOCAL INITIATIVES TO EXPLORE EXPANSION OF COUNTY-WIDE TRANSPORTATION SERVICES. WORK WITH FOUNDATIONS TO SECURE FUNDING FOR LOCAL MEDICAL TRANSPORTATION SERVICE (VANS AND DRIVERS). -SUPPORT BCH CASE MANAGERS AND PROVIDERS ON THE IMPORTANCE TO CONSOLIDATE APPOINTMENTS WITH DIFFERENT PROVIDERS ON SAME DAY IN ORDER TO MINIMIZE TRAVEL NEEDED. -EDUCATE COMMUNITY ON TRANSPORTATION OFFERINGS AS IT RELATES TO HEALTHCARE. -EVALUATE ESTABLISHING HOSPITAL HEALTHCARE TRANSPORTATION PROGRAM. -CONTINUE TO SUPPORT BCH PATIENT HARDSHIP PROGRAM WHERE TRANSPORTATION SUPPORT IS MADE AVAILABLE TO PATIENTS IN NEED, PARTICULARLY VIA THE PURCHASE OF FUEL AND/OR TAXI SERVICES. -CONTINUE TO SUPPORT COMMUNITY AGENCIES THAT PROVIDE TRANSPORTATION SERVICES, VIA BCH MARKETING CHANNELS OR THROUGH COMMUNITY GRANTS PROVIDED BY THE BCH FOUNDATION. POVERTY / EMPLOYMENT READINESS -THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. -CONTINUE TO SUPPORT LOCAL ECONOMIC DEVELOPMENT PLAN TO DECREASE POVERTY / INCREASE EMPLOYMENT READINESS. CONTINUE TO SUPPORT AREA BUSINESS GROWTH / EXPANSION PLANS. -SUPPORT AND PARTICIPATE IN CAREER EDUCATION ACTIVITIES AND JOB FAIRS GEARED TOWARD STUDENTS, UNDER-EMPLOYED AND UNEMPLOYED. -CONTINUE JOB SHADOW PROGRAM AT HOSPITAL. -CONTINUE TO SUPPORT COMMUNITY AGENCIES THAT PROVIDE SUCH SERVICES, VIA BCH MARKETING CHANNELS OR THROUGH COMMUNITY GRANTS PROVIDED BY THE BCH FOUNDATION. SUBSTANCE ABUSE (DRUGS & ALCOHOL) -THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. -CONTINUE TO SUPPORT SCHOOL AND COMMUNITY INITIATIVES TO EDUCATE AND PREVENT SUBSTANCE ABUSE, I.E., PROVIDE FINANCIAL SPONSORSHIP SUPPORT OF LAW ENFORCEMENT EDUCATIONAL RESOURCES. -CONTINUE TO SUPPORT MEANINGFUL COMMUNITY YOUTH ACTIVITIES TO KEEP YOUTH BUSY / SUPERVISED. -CONTINUE TO MONITOR PRESCRIPTION DRUG ABUSE. SUPPORT PHYSICIANS IN DISCOURAGING PRESCRIPTION DRUG ABUSE. -EXPAND BCH PAIN MANAGEMENT PROGRAM FOCUSING ON ALTERNATIVES TO PRESCRIBING PAIN MEDICATIONS. -SUPPORT LOCAL ADVERTISEMENT / SOCIAL MEDIA CAMPAIGN TO COMBAT DRUG AND ALCOHOL ABUSE AND EDUCATE ON THE RAMIFICATIONS. -EDUCATE COMMUNITY ON DISCARDING "OLD PRESCRIPTIONS," I.E., DROP-OFF PROGRAM AT LOCAL LAW ENFORCEMENT DEPARTMENTS WITH FOCUS ON OPIOIDS. OBESITY (HEALTHY FOODS & EXERCISE) -IMPLEMENT WEIGHT MANAGEMENT SERVICE LINE. -PROVIDERS AND CASE MANAGERS CONTINUE TO ENHANCE THEIR PROCESSES FOR MANAGING PATIENTS WITH CHRONIC HEALTH CONDITIONS. -CONTINUE TO OFFER FREE DIABETES MANAGEMENT CLASS AND POP-UP EDUCATIONAL BOOTHS ON MANAGING BLOOD PRESSURE, ETC., EXPLORE ADDITIONAL HOSPITAL-SPONSORED EDUCATIONAL OPPORTUNITIES. -CONTINUE TO OFFER DIABETES AND NUTRITION COUNSELING AS BCH PATIENT SERVICES. -CONTINUE FINANCIAL PARTNERSHIP WITH BEATRICE PUBLIC SCHOOLS BACKPACK PROGRAM TO PROVIDE NUTRITIOUS FOOD FOR STUDENTS IN NEED. -PROMOTE COMMUNITY HEALTH AND WELLNESS PROGRAMS, INCLUDING THE WELLNESS PROGRAM PROVIDED FOR BCH EMPLOYEES. -SUPPORT LOCAL FOOD PANTRIES. -CONTINUE TO PARTNER WITH MEALS ON WHEELS ORGANIZATION TO PROVIDE DAILY LUNCH TO HOMEBOUND COMMUNITY MEMBERS. -SUPPORT COMMUNITY AWARENESS OF HIKING/BIKING PATHS THROUGHOUT GAGE COUNTY. -PARTICIPATE IN COMMUNITY EVENTS THAT FOCUS ON PHYSICAL ACTIVITY, HEALTHY NUTRITION, AND WELLNESS, I.E., HEALTHY KIDS DAY AT THE YMCA, HEALTH FAIRS, ETC. -CONTINUE TO PARTNER WITH BEATRICE YMCA TO EXPAND AWARENESS OF EXERCISE PROGRAMS AND OTHER HEALTH INITIATIVES. -CONTINUE TO SUPPORT RELEVANT COMMUNITY AGENCIES THAT PROVIDE SUCH SERVICES, VIA BCH MARKETING CHANNELS OR THROUGH COMMUNITY GRANTS PROVIDED BY THE BCH FOUNDATION. SCHEDULE H, PART V, SECTION B, LINE 13H OTHER PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE: - MEDICAID PATIENTS ARE CONSIDERED PRE-ENROLLED FOR FINANCIAL ASSISTANCE. HOWEVER, A COMPLETED APPLICATION IS REQUIRED FOR DETERMINATION OF POSSIBLE COPAYMENTS. - PATIENTS INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE PROGRAM ETC. TO QUALIFY FOR ASSISTANCE, ELIGIBLE PATIENTS MUST COMPLETE AN APPLICATION BY THE LATER OF THE 240TH DAY AFTER THE FIRST POST DISCHARGE BILLING STATEMENT IS PROVIDED TO THE PATIENT OR NOT LESS THAN 30 DAYS AFTER THE DATE THE HOSPITAL PROVIDES THE PATIENT THE REQUIRED FINAL NOTICE TO COMMENCE EXTRAORDINARY COLLECTION ACTIONS. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY Website: https://beatricecommunityhospital.com/financialservices SCHEDULE H, PART V, SECTION B, LINE 16J OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY INCLUDE: - THE POLICY WILL BE INCLUDED WITH INFORMATION IN OR ON THE BILLING STATEMENTS; - THE POLICY INFORMATION WILL BE DISTRIBUTED AT THE PATIENT ACCESS POINTS; - THE POLICY WILL BE PRESENTED TO THE PATIENT AS THEY PRESENT FOR MEDICAL SERVICES, INCLUDING ADMISSION; - THE POLICY WILL BE DISTRIBUTED IN INFORMATION WITH DISCHARGE MATERIALS; - THE POLICY WILL BE MENTIONED WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE. 5 THE BEATRICE WOMEN'S & CHILDREN'S CLINIC 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC WYMORE MEDICAL CLINIC 116 EAST H STREET WYMORE NE 68318 OUTPATIENT PHYSICIAN CLINIC GAGE COUNTY MEDICAL CLINIC 1101 NORTH 10TH STREET BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC BEATRICE MEDICAL CENTER 805 WEST COURT STREET BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC BEATRICE INTERNAL MEDICINE 4800 HOSPITAL PARKWAY PO BOX 278 BEATRICE NE 68310 OUTPATIENT PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 3C OTHER THAN THE FPG, THE HOSPITAL USED ASSET LEVEL TEST, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, MEDICAID STATUS, AND GOVERMENT HEALTHCARE PROGRAM STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST AS DERIVED FROM BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER'S INTERNAL ACCOUNTING RECORDS. SCHEDULE H, PART I, LINES 7E & 7F OUR MOST SIGNIFICANT COMMUNITY BENEFIT ACTIVITIES INCLUDE: 1. READY, SET, GO! BACK-TO-SCHOOL PROGRAM. BCHHC PARTNERS WITH THE BEATRICE SALVATION ARMY TO PROVIDE A VARIETY OF FREE SERVICES AND ITEMS TO MEET THE BACK-TO-SCHOOL NEEDS OF LOW-INCOME GAGE COUNTY RESIDENTS. DURING THIS EVENT, FAMILIES CAN RECEIVE FREE SCHOOL PHYSICALS, A PACKAGE OF PERSONAL CARE ITEMS LIKE A TOOTHBRUSH AND TOOTHPASTE, AND A BACKPACK WITH SCHOOL SUPPLIES. IN ADDITION, THERE ARE EDUCATIONAL BOOTHS ON NUTRITION AND DIABETES AS WELL AS INFORMATIONAL BOOTHS BY ORGANIZATIONS SUCH AS BOY SCOUTS AND GIRL SCOUTS. 2. JOB SHADOWING. BCHHC OFFERS AN EXTENSIVE JOB SHADOWING PROGRAM THAT ALLOWS UPPER HIGH SCHOOL AND COLLEGE-AGED STUDENTS TO SHADOW PHYSICIANS AND CLINICAL STAFF IN ANY DEPARTMENT FOR A FIRST-HAND LOOK AT HEALTH-RELATED CAREERS. 3. PEOPLE CARING FOR PEOPLE. PEOPLE CARING FOR PEOPLE IS A FREE HOSPITAL SERVICE THAT SENDS A REGISTERED NURSE TO THE HOMES OF ALL NEWBORNS IN THE COUNTY TO ENSURE THAT NEWBORNS ARE THRIVING IN THE HOME AND PARENTS CAN ASK QUESTIONS AND LEARN ABOUT RESOURCES IN THE COMMUNITY. SCHEDULE H, PART I, LINE 7G AS THERE ARE NO SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G, THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON LINE 7G. SCHEDULE H, PART I, LINE 7 COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,858,378. SCHEDULE H, PART III, LINE 2 IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 4 PAGES 10 AND 12 OF THE ATTACHED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE"PATIENT SERVICE REVENUE." PAGES 17 AND 18 OF THE ATTACHED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE TITLED "PATIENT AND UNINSURED PAYORS". SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT; D, E, H AND M WORKSHEETS; OR PROVIDER STATISTICAL AND REIMBURSEMENT REPORT. SCHEDULE H, PART III, SECTION C, LINE 9B CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., EMERGENCY DEPARTMENT AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. THE COLLECTIONS - CHARITY WRITE-OFF POLICY PROVIDES THAT ONCE THE RESPONSIBLE PARTY HAS BEEN DETERMINED TO BE ELIGIBLE FOR PATIENT FINANCIAL ASSISTANCE, A LETTER TO THE RESPONSIBLE PARTY IS SENT INDICATING THE FREE AND DISCOUNTED CARE AMOUNTS AND THE REMAINING BALANCE DUE. THE BALANCE DUE MAY BE PAID BY INSTALLMENT PAYMENTS USING THE GUIDELINES OF THE HOSPITAL POLICY ON COLLECTIONS OF PRIVATE PAY ACCOUNTS. SCHEDULE H, PART VI, LINE 2 THE DEMAND ANALYSIS PERFORMED BEGINS WITH THE ASSUMPTION THE HISTORICAL TRENDS WILL BE CONTINUED BUT AUGMENTED BY INCREASED GROWTH IN INPATIENT AND OUTPATIENT SERVICES. THE FOLLOWING ARE ELEMENTS OF PLANNING USED BY MANAGEMENT IN FORMULATING THE DEMAND FOR HOSPITAL SERVICES: - MARKET ASSESSMENT OF OTHER HEALTHCARE PROVIDERS WITHIN THE SERVICE AREA - HISTORIC AND FORECASTED INPATIENT AND OUTPATIENT UTILIZATION WITHIN THE SERVICE AREA - MARKET SHARE BY SERVICE AND HOSPITAL USE RATES - SERVICE AREA USE RATES - HOSPITAL'S MEDICAL STAFF SCHEDULE H, PART VI, LINE 3 CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., EMERGENCY DEPARTMENT AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES FOR "SELF-PAY" PATIENTS NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE AVAILABLE ON THE WEBSITE. SCHEDULE H, PART VI, LINE 4 Beatrice Community Hospital and Health Center is a 25-bed Critical Access Hospital located in the community of Beatrice in southeastern Nebraska. The hospital'S primary service area includes Gage County, with second service areas including eastern Jefferson and Saline counties and western Pawnee and Johnson counties in Nebraska and northern Marshall and Washington counties in Kansas. Agriculture is the primary income producing activity for rural Gage County. The most common employment sectors for those who live in Gage County are health care and social assistance, followed by manufacturing and retail trade. Gage County had an estimated population of 21,634 in 2023. Population remains stable. Median age is 42.9, and 22.2 percent of the population is 65 years and older. The racial makeup of the county is 95.8 percent white, followed by Black or African American, Native American and Asian. The unemployment rate was 3.1 percent in January 2024. The poverty rate was 13.8 percent in 2021. SCHEDULE H, PART VI, LINE 5 PROVIDE CHARITY CARE AND FINANCIAL ASSISTANCE TO PROVIDE PATIENTS WITH CARE THEY COULD NOT OTHERWISE AFFORD. PARTNER WITH THE LOCAL MEALS ON WHEELS ORGANIZATION TO PROVIDE A DAILY MEAL TO HOMEBOUND INDIVIDUALS IN THE COMMUNITY. OFFER DISCOUNTED BLOOD TESTS ON DEMAND TO THE COMMUNITY. OFFER FREE SUPPORT GROUPS, I.E., BREASTFEEDING MOMS, FAMILIES WHO HAVE LOST INFANTS, PARKINSON'S PATIENTS, ETC. SERVE AS A HEALTH RESOURCE FOR COMMUNITY EDUCATION PROGRAMS AND NEEDS, I.E., HOSTING MONTHLY POP-UP EDUCATIONAL BOOTHS IN THE COMMUNITY, PROVIDING EXPERTS FOR TEACHING FIRST AID AT ANNUAL COMMUNITY BABY-SITTING CLINIC, PROVIDING EXPERTS FOR TEACHING CPR AT THE ANNUAL RURAL SAFETY DAY FOR ELEMENTARY STUDENTS, OFFERING A FREE MONTHS-LONG DIABETES EDUCATION CLASS TWICE A YEAR, ETC. PROVIDE CASH AND IN-KIND DONATIONS FOR COMMUNITY EVENTS THAT FOCUS ON HEALTH AND WELLNESS, SUCH AS HIKING AND BIKING EVENTS, SPECIAL OLYMPICS AND HEALTH FAIRS. SUPPORT SCHOOL, CIVIC, AND ECONOMIC DEVELOPMENT AGENCIES AND ACTIVITIES THAT PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY, I.E., PARTNERING WITH LOCAL BLUE VALLEY SHRINE CLUB TO HOST A LOCAL SHRINERS CLINIC FOR ORTHOPEDIC SCREENING, SERVING ON A COUNTY-WIDE COALITION TO GROW AND IMPROVE CHILDCARE AGENCIES, PARTNERING WITH BEATRICE YMCA TO CREATE AWARENESS ABOUT PROGRAMS LIKE LIVESTRONG THAT EXTEND WELLNESS SUPPORT OUTSIDE OF THE HOSPITAL. OFFER HEALTH-CARE CAREER OPPORTUNITIES SUCH AS JOB SHADOWING AND CLINICAL ROTATIONS. SCHEDULE H, PART VI, LINE 7 NEBRASKA true BEATRICE COMMUNITY HOSPITAL FOUNDATION INC 4800 HOSPITAL PARKWAY BEATRICE NE 68310 476024984 501(C)(3) 316994 SUPPORT 1 PART I, LINE 2 BECAUSE THE RECIPIENT OF THE GRANT MONEY WAS BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A RELATED ORGANIZATION, BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. X X X X false false false false false false false false false DERRICK WEICHEL MD FORMER BOARD MEMBER/PHYSICIAN 619868 0 0 0 0 0 17925 0 36977 0 674770 0 0 0 BRETT STUDLEY MD FORMER BOARD MEMBER/PHYSICIAN 485082 0 19600 0 0 0 14765 0 36970 0 556417 0 0 0 RONALD BEAR MD PHYSICIAN 426539 0 17100 0 0 0 17681 0 15057 0 476377 0 0 0 JAY MEYER MD PHYSICIAN 388728 0 11710 0 0 0 20544 0 36870 0 457852 0 0 0 WENDY REEVES MD PHYSICIAN 385193 0 19241 0 0 0 16203 0 36033 0 456670 0 0 0 RICK HARALDSON CEO 436986 0 0 0 0 0 17925 0 1532 0 456443 0 0 0 DEANN PAULSON MD FORMER PRES. OF MS/PHYSICIAN 347505 0 51870 0 0 0 18183 0 35946 0 453504 0 0 0 STEVEN PAULMEYER MD PHYSICIAN/SR EXECUTIVE MED SVC 363566 0 12393 0 0 0 18278 0 37503 0 431740 0 0 0 JONATHAN STELLING MD PHYSICIAN 359635 0 14710 0 0 0 18024 0 37734 0 430103 0 0 0 DARIN HOFFMAN MD FORMER BOARD MEMBER/PHYSICIAN 346407 0 13836 0 0 0 17833 0 37056 0 415132 0 0 0 BENJAMIN THAYER MD PRESIDENT OF MEDICAL STAFF 254332 0 5669 0 0 0 15803 0 36917 0 312721 0 0 0 SANDRA PARKS MD FORMER MEMBER/PHYSICIAN 269344 0 19248 0 0 0 17662 0 968 0 307222 0 0 0 CHAD JURGENS CFO 252324 0 0 0 0 0 14955 0 2520 0 269799 0 0 0 A HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA 470785499 362615AN6 2017-07-27 31375000 REFUND PRIOR BONDS (6/24/10) false false false A 3285000 0 31766835 0 0 30409696 450556 0 0 0 906584 0 2012 false true false true A false false false false 0 false false false true A false false false true true false 0 false 0 false true A true SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART IV, ARBITRAGE, LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2018 NOTE REGARDING THE REBATE COMPUTATION ON 1/31/18: AS NO REBATABLE ARBITRAGE WILL BE EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY. FORM 990, PART I, LINE 1 AND COMPASSIONATE CARE. OUR VISION STATEMENT IS: TO BE THE TRUSTED CHOICE FOR EXEMPLARY, COMPASSIONATE, PATIENT-AND-FAMILY-CENTERED HEALTHCARE FOR BEATRICE AND THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A HOSPITAL INPATIENT AND OUTPATIENT CARE: SERVICES INCLUDE ANCILLARY AND ACUTE CARE ALONG WITH SERVING AS A CLINICAL EDUCATION SITE FOR STUDENTS FOR AREAS INVOLVING THE PHYSICAL THERAPY DEPARTMENT, THE EMERGENCY DEPARTMENT, THE SPEECH PATHOLOGY DEPARTMENT, THE OCCUPATIONAL THERAPY DEPARTMENT AND THE NURSING DEPARTMENT. PHYSICIAN CLINICS: SERVICES INCLUDE ACUTE CARE SERVICES AS WELL AS PROVIDING SPORTS PHYSICALS FOR LOCAL HIGH SCHOOL ATHLETES AND FOR PARTICIPANTS IN THE SPECIAL OLYMPICS. HOSPICE/LONG-TERM CARE: SERVICES INCLUDE CARE-TAKING FOR THE ELDERLY ALONG WITH PROVIDING A GRIEF RECOVERY PROGRAM FOR THOSE PEOPLE WHO HAVE LOST A LOVED ONE TO DEATH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THEY HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. EACH BOARD MEMBER IS GIVEN ACCESS TO THE FORM 990 VIA THE BOARD PORTAL PRIOR TO FILING. THE BOARD REVIEWS AND APPROVES THE FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS HANDED OUT ANNUALLY FOR BOARD MEMBERS AND OFFICERS TO IDENTIFY ANY BOARDS, BUSINESSES, ETC. THAT MAY POTENTIALLY GIVE RISE TO CONFLICT. IF A CONFLICT SHOULD ARISE, THE AFFECTED BOARD MEMBER OR OFFICER WILL BE EXCUSED FROM THE DISCUSSION AND/OR VOTE. FORM 990, PART VI, SECTION B, LINES 15A & 15B LISTED BELOW IS INFORMATION FROM OUR POLICY ON WAGE AND SALARY ADMINISTRATION. THIS POLICY APPLIES TO ALL EMPLOYEES EXCEPT EXECUTIVE LEVEL STAFF AND THOSE WITH WRITTEN CONTRACTS (PHYSICIANS, ALLIED HEALTH STAFF, ETC.). AN OUTSIDE CONSULTING FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS BASED UPON MARKET DATA FOR THE POSITION. A. STRUCTURE OF THE WAGE AND SALARY PLAN 1. PAY GRADES AND WAGE SCALES/RANGES ARE ESTABLISHED TO REWARD EMPLOYEES FOR DIFFERENT LEVELS OF SKILLS, RESPONSIBILITY AND KNOWLEDGE. JOB POSITIONS ARE ASSIGNED A PAY GRADE BASED UPON MARKET CONDITIONS, SKILLS, RESPONSIBILITY, EDUCATION EXPERIENCE, PHYSICAL DEMANDS AND WORKING CONDITIONS REQUIRED OF THE POSITION. EACH PAY GRADE HAS A RANGE OF PAY FROM MINIMUM TO MAXIMUM, ESTABLISHED TO REWARD EMPLOYEES FOR EXPERIENCE AND PERFORMANCE. B. ADJUSTMENTS TO THE WAGE AND SALARY PLAN 1. THE WAGE PLAN IS REVIEWED AT LEAST ANNUALLY TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. LABOR MARKET SURVEYS ARE COMPLETED AND UTILIZED ON A REGULAR BASIS. BASED UPON MARKET INFORMATION AND/OR A REVIEW OF JOB DESCRIPTIONS, ADJUSTMENTS MAY BE MADE TO THE WAGE AND SALARY PLAN THAT INCLUDE ADJUSTMENTS TO THE OVERALL WAGE AND SALARY STRUCTURE OR REPOSITIONING OF A SPECIFIC JOB POSITION(S) TO A DIFFERENT PAY GRADE. FOR THE CEO POSITION THAT IS HELD BY RICK HARALDSON, THE BOARD CHAIR WORKED WITH A CONSULTING COMPANY TO DETERMINE THE APPROPRIATE COMPENSATION UPON HIRING. IN SUBSEQUENT YEARS, THE HOSPITAL USES NEBRASKA HOSPITAL ASSOCIATION COMPARISON DATA AND OTHER AVAILABLE MARKET DATA EACH YEAR TO EVALUATE HIS COMPENSATION. THIS INFORMATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN BEATRICE FOUNDATION $ (37,134) BEATRICE COMM HOSPITAL FOUNDATION INC 4800 HOSPITAL PKWY PO BOX 641 BEATRICE NE 68310 476024984 SUPPORT NE 501(C)(3) LINE 12A BCHHC true BEATRICE RETIREMENT INC 4800 HOSPITAL PKWY PO BOX 278 BEATRICE NE 68310 470649975 RETIREMENT NE 501(C)(3) LINE 10 BCHHC true PHYSICIAN'S BUILDING INC 4800 HOSPITAL PARKWAY BEATRICE NE 68310 470697398 OFFICE RENTAL NE NA C CORP true false true true false false false false false true true true true false false true true true false false BEATRICE COMMUNITY HOSPITAL FOUNDATION INC B 316994 CASH BEATRICE COMMUNITY HOSPITAL FOUNDATION INC C 208111 CASH BEATRICE RETIREMENT INC L 85599 FMV BEATRICE COMMUNITY HOSPITAL FOUNDATION INC O 250356 FMV