2025-03-17T10:26:28-05:00 2024-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-07-01 237161473 OSMOND GENERAL HOSPITAL OSMO 4027483393 402 N MAPLE OSMOND NE 68765 LON M KNIEVEL CHIEF EXECUTIVE OFFICER 4027483393 2025-03-14 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2025-03-14 2023 2025-03-06 01:10:19Z LON M KNIEVEL 402 N MAPLE OSMOND NE 68765 9448954 0 X WWW.OSMONDHOSPITAL.ORG X 1966 NE PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 9 8 86 8 0 0 664233 41311 8800912 9179146 237369 152042 48129 76455 9750643 9448954 2500 2000 0 0 4968501 5175522 0 0 0 3888919 4122400 8859920 9299922 890723 149032 11582701 11572025 1133142 690369 10449559 10881656 OSMOND GENERAL HOSPITAL IS COMMITTED TO PROVIDING PATIENT CENTERED, HIGH-QUALITY HEALTHCARE IN A COST EFFECTIVE AND SAFE MANNER. 0 0 7886471 2000 9220900 OSMOND GENERAL HOSPITAL, INC SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND DOES NOT LIMIT ITS SERVICES OR DISCRIMINATE BASED ON RACE, SEX, NATIONAL ORGIN, OR RELIGION. DURING 2023-2024, OSMOND PROVIDED 1,330 INPATIENT DAYS, 319 RELATED TO MEDICAL/SURGICAL AND 1,011 RELATED TO SWING-BED. THERE WERE A TOTAL OF 99 OPERATIONS PERFORMED AND THE EMERGENCY ROOM TREATED 619 PATIENTS. IN ADDITION TO PROVIDING DIRECT INPATIENT AND OUTPATIENT SERVICES, OSMOND GENERAL HOSPITAL, INC. PROVIDED THE FOLLOWING SPECIALTY CLINICS: UROLOGY, MAMMOGRAPHY, SURGERY, CARDIOLOGY, PULMONOLOGY, PAIN, AND TELEHEALTH. 7886471 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 37 0 1 86 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X JODI ASCHOFF CFO 4027483393 OSMOND GEN HOSPITAL 402 NORTH MAPLE OSMOND NE 68765 LON M KNIEVEL MEMBER/CEO 40.00 X X 177703 0 38314 TIM KINT PRESIDENT 4.00 X X 0 0 0 DOUG KETELSEN VICE PRESIDENT 4.00 X X 0 0 0 THERESA STAPELMAN SECRETARY/TREASURER 2.00 X X 0 0 0 DOUG KOEHLER MEMBER 2.00 X 0 0 0 STEPHANIE ANDERSON MEMBER 2.00 X 0 0 0 KEVIN LAUCK PA MEMBER 2.00 X 0 0 0 WILLIAM HEFNER MEMBER 2.00 X 0 0 0 WALTER ASCHOFF MEMBER 2.00 X 0 0 0 JODI ASCHOFF CFO 40.00 X 98722 0 11757 ALICIA VANDERWALLE NURSE PRACTITIONER 40.00 X 142445 0 28088 SAMANTHA KIZZIRE CLINIC/HOSPITAL APRN 40.00 X 125561 0 28088 BOBBIE JO MILLER NURSE PRACTITIONER 40.00 X 146953 0 1984 DR KELLY BULLOCK DOCTOR 40.00 X 119093 0 28088 810477 0 136319 7 0 1 0 GREAT PLAINS HEALTH ALLIANCE 250 NO ROCK ROAD STE 160 WICHITA KS 67206 SOFTWARE SUPPORT 470014 PSYCHIATRIC MEDICAL PO BOX 734606 DALLAS TX 75373 ADMINISTRATOR FOR ELDERLY POPULATION 444736 BLOOMFIELD MEDICAL PARTNERS 105 SOUTH BROADWAY BLOOMFIELD NE 68718 ER COVERAGE 234635 CASSLING 13810 FNB PARKWAY SUITE 200 OMAHA NE 68154 IMAGING EQUIPMENT & SUPPLIES 119409 DIAMOND K CONSTRUCTION LLC 509 N STATE ST OSMOND NE 68765 CONSTRUCTION SERVICES 105464 5 41311 41311 PATIENT SERVICE REVENU 621110 8703153 8703153 340B PHARMACY REVENUE 456110 402195 402195 73798 73798 9179146 151336 151336 21216 0 21216 21216 21216 706 0 706 706 706 BAD DEBT RECOVERIES 624100 41754 41754 CAFETERIA 624200 13485 13485 55239 9448954 9220900 0 186743 X 2000 2000 326494 326494 3559917 3128923 430994 105168 86355 18813 906028 706889 199139 277915 233273 44642 4691 4691 68443 68443 2327846 2141923 185923 197816 161499 36317 149049 148193 856 8190 6669 1521 7470 3649 3821 20293 19377 916 461418 440595 20823 80392 76764 3628 MEDICAL SUPPLIES 669357 656636 12721 MISCELLANEOUS 103621 68078 35543 LICENSES & FEES 20683 2517 18166 DUES AND SUBSCRIPTIONS 3131 3131 9299922 7886471 1413451 0 525 525 6584299 7124322 800722 617827 99532 114421 57094 57997 8826866 6745902 2389438 2080964 1187005 1470070 464086 105899 11582701 11572025 514611 686469 560250 0 58281 3900 1133142 690369 X 10449559 10881656 10449559 10881656 11582701 11572025 149032 283065 0 X X 0 1 X 1 0 X X 0 0 0 0 0 0 0 0 1 1432 1432 0 PART II-B, LINE 1: OSMOND GENERAL HOSPITAL PAYS DUES TO THE NEBRASKA HOSPITAL ASSOCIATION (NHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) OF WHICH A PORTION IS USED FOR LOBBYING ACTIVITIES. 15342 15342 6501987 5164529 1337458 2210707 1485664 725043 98830 95709 3121 2080964 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS - MEDICAID 3900 3900 X 9732019 283065 283065 9448954 0 9448954 9299922 0 9299922 0 9299922 PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING THE GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2024 AND 2023, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. 1 1 X 1 X 1 X 150.000000000000 1 0 0 42393 0 42393 0.00460 496690 395754 100936 0.01090 539083 395754 143329 0.01550 180068 180068 1 8 2000 0 2000 0.00020 1 8 182068 180068 2000 0.00020 1 8 721151 575822 145329 0.01570 1 8246 998 5062010 5129804 -67794 X 1 1 1 1 OSMOND GENERAL HOSPITAL 402 NORTH MAPLE OSMOND NE 68765 OSMONDHOSPITAL.ORG 620001 X X X X OSMOND GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR-INFORMATION/NEW-PATIENT-FORMS/ X 1 21 1 WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR-INFORMATION/NEW-PATIENT-FORMS/ 0 1 X 100.000000000000 150.000000000000 X X X 1 1 X X X 1 X WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/ X WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/ X WWW.OSMONDHOSPITAL.ORG/PATIENT-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X X X X 1 X 0 0 OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 5: OSMOND GENERAL HOSPITAL WORKED WITH THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT PLAN. IN NOVEMBER 2021, THE COMMUNITY HEALTH STATUS ASSESSMENT WAS RELEASED TO NORTH CENTRAL DISTRICT HEALTH DEPARTMENT PARTNERS AND RESIDENTS. THIS GROUP CONSISTS OF SEVERAL COMMUNITY PARTNERS INCLUDING, BUT NOT LIMITED TO, OTHER AREA HOSPITAL FACILITIES, BOARDS OF HEALTH, ROTARY CLUBS, SCHOOL BOARDS, AND ASSISTED LIVING FACILITIES. IN A PRIOR COMMUNITY HEALTH ASSESSMENT, NATIVE AMERICANS, HISPANICS, THE ELDERLY, AND THOSE LIVING IN POVERTY WERE IDENTIFIED AS POPULATIONS THAT ARE DISPROPORTIONATELY AFFECTED BY HEALTH RISKS OR POORER HEALTH OUTCOMES, THE NORTH CENTRAL DISTRACT HEALTH DEPARTMENT ENSURED THESE POPULATIONS WERE REPRESENTED IN THE HEALTH ASSESSMENT EFFORTS. OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 6A: - ANTELOPE MEMORIAL IN NELIGH, NE- PLAINVIEW COMMUNITY HOSPITAL IN PLAINVIEW, NE- AVERA CREIGHTON HOSPITAL IN KNOX COUNTY, NE- AVERA ST. ANTHONY'S IN O'NEILL, NE- BROWN COUNTY HOSPITAL IN AINSWORTH, NE- CHERRY COUNTY HOSPITAL IN VALENTINE, NE- ROCK COUNTY HOSPITAL IN BASSETT, NE- WEST HOLT MEMORIAL HOSPITAL IN ATKINSON, NE- NIOBRARA VALLEY HOSPITAL IN LYNCH, NE OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 6B: NORTH CENTRAL DISTRICT HEALTH DEPARTMENT OSMOND GENERAL HOSPITAL PART V, SECTION B, LINE 11: THROUGH THE PROCESS OF COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS ASSESSING THE RESOURCES AVAILABLE TO THIS ORGANIZATION AND SURROUNDING COMMUNITIES, IT WAS DETERMINED THAT THE MOST SIGNIFICANT NEED TO BE ADDRESSED BY OSMOND GENERAL HOSPITAL IS THE CARDIOVASCULAR HEALTH OF THE COMMUNITY. BY TACKLING THIS SPECIFIC HEALTH ISSUE, OSMOND HOSPITAL HAS THE OPPORTUNITY TO VASTLY DECREASE THE OCCURRENCES AND SEVERITY OF HEART DISEASE RESULTING IN HEART ATTACK AND DEATH.OSMOND GENERAL HOSPITAL WILL CONTINUE TO UTILIZE PROVEN COMMUNITY WEIGHT LOSS ACTIVITIES AS WELL AS INTRODUCE NEW STRATEGIES TO WORK WITH OTHER COMMUNITY PARTNERS TO INCREASE AWARENESS OF AND PROMOTE BETTER NUTRITIONAL ALTERNATIVES AND OPPORTUNITIES FOR PHYSICAL ACTIVITY. THIS PAST YEAR THE TWO RURAL HEALTH CLINICS HAVE BEEN PARTICIPANTS IN A GRANT OPPORTUNITY TO PROMOTE AND IMPROVE HEART HEALTH WITHIN THE COMMUNITIES. THIS GRANT OPPORTUNITY ADDRESSES HEART HEALTH BY TRACKING BLOOD PRESSURE MEASUREMENTS OF PATIENTS DIAGNOSED WITH HYPERTENSION, PROVIDING EDUCATION AROUND HYPERTENSION AND HEART HEALTH, PRESCRIBING MEDICATION AS NEEDED AND EVEN SUPPLYING BLOOD PRESSURE MONITORS FOR DAILY TRACKING.AS A SECONDARY PRIORITY, OSMOND GENERAL HOSPITAL HAS ALSO EXPAND ITS EFFORTS INTO ADDRESSING THE MENTAL HEALTH NEEDS OF THE COMMUNITIES IT SERVES WITH THE GOAL OF REDUCING THE SUICIDE RATE AMONG IT CITIZENS. OSMOND GENERAL HOSPITAL OPERATES AN INTENSIVE OUTPATIENT GROUP THERAPY PROGRAM FOR SENIOR CITIZENS. THE PROGRAM HOLDS GROUP COUNSELING SESSIONS 3 HOURS A DAY FOR THREE DAYS A WEEK WITH 2-8 PARTICIPANTS. THE PROGRAM INCLUDES COMMUNITY EDUCATION REGARDING MENTAL HEALTH FOR SENIORS AS WELL AS PROMOTION AND EDUCATION IN THIS COMMUNITY AND SURROUNDING COMMUNITIES FOR MENTAL HEALTH FOR ALL AGES AND SUICIDE PREVENTION AWARENESS. OSMOND GENERAL HOSPITAL UTILIZES ITS FACEBOOK PAGE, LOCAL NEWSPAPER ADS AND ARTICLES, AS WELL AS HOSPITAL BANNERS TO PROMOTE MENTAL HEALTH AND SUICIDE PREVENTION AWARENESS.THERE WERE NO HEALTH NEEDS IDENTIFIED IN THE LATEST CHNA THAT ARE NOT BEING ADDRESSED. 2 1 - RANDOLPH CLINIC 106 EAST WAYNE RANDOLPH NE 68771 MEDICAL CLINIC 2 - WAUSA CLINIC 100 N LINCOLN WAUSA NE 68786 MEDICAL CLINIC PART I, LINE 3C: IN ADDITION TO FEDERAL POVERTY GUIDELINES, THE HOSPITAL USES ASSET LEVEL, INSURANCE STATUS, AND UNDERINSURANCE STATUS TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE. PART I, LINE 6A: A COMMUNITY BENEFIT REPORT WAS NOT PREPARED IN THE CURRENT YEAR. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, AND HEALTH PROFESSIONS EDUCATION, LINE 7F, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER. PART I, LINE 7G: NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: THERE ARE NO COMMUNITY BUILDING ACTIVITIES REPORTED. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 12.1% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 10 AND 11 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: THE HOSPITAL WILL NOT TAKE EXTRAORDINARY COLLECTION ACTIONS AGAINST A PATIENT OR ANY OTHER INDIVIDUAL WHO HAS ACCEPTED OR IS REQUIRED TO ACCEPT FINANCIAL RESPONSIBILITY FOR A PATIENT UNLESS AND UNTIL THE HOSPITAL HAS MADE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THE CEO IS RESPONSIBLE TO DETERMINE WHETHER THE HOSPITAL HAS ENGAGED IN REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE OTHER THAN FREE CARE, THE HOSPITAL WILL: 1. PROVIDE THE PATIENT WITH A REVISED BILL SETTING FORTH: (I) THE AMOUNT THE PATIENT OWES FOR CARE PROVIDED AFTER FINANCIAL ASSISTANCE, (II) HOW THE REVISED AMOUNT WAS DETERMINED; AND (III) EITHER THE AGB FOR THE CARE PROVIDED OR INSTRUCTIONS ON HOW THE PATIENT CAN OBTAIN INFORMATION REGARDING THE ABG FOR THE CARE PROVIDED;2. PROVIDE THE PATIENT WITH A REFUND FOR ANY AMOUNT THE PATIENT HAS PAID IN EXCESS OF THE AMOUNT OWED TO THE HOSPITAL (UNLESS SUCH AMOUNT IS LESS THAN $5); AND 3. TAKE REASONABLE MEASURES TO REVERSE ANY ECAS TAKEN AGAINST THE PATIENT. PART VI, LINE 2: OUTSIDE RESOURCES FROM THE HEALTH DEPARTMENT ARE UTILIZED TO IDENTIFY THE CURRENT PATIENT DEMOGRAPHIC TRENDS, HEALTH CARE CONCERNS IN OUR COUNTY AND STATE, PHYSICIAN NEED, ETC. WITH THIS DATA, THE ORGANIZATION IS ABLE TO PINPOINT THE NEEDS OF THE COMMUNITY AND MOLD PROGRAMS AND INITIATIVES TO TARGET THOSE NEEDS. PART VI, LINE 3: THE HOSPITAL ENCOURAGES PATIENTS WHO MAY QUALIFY TO APPLY FOR FINANCIAL ASSISTANCE. PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING AND SUBMITTING A FINANCIAL ASSISTANCE APPLICATION TO PATIENT FINANCIAL SERVICES AT THE HOSPITAL. A COPY OF THE POLICY AND A FINANCIAL ASSISTANCE APPLICATION MAY BE OBTAINED AT NO CHARGE BY GOING TO THE HOSPITAL'S WEBSITE OR BY VISITING THE HOSPITAL'S PATIENT FINANCIAL SERVICES. THE POLICY AND A FINANCIAL ASSISTANCE APPLICATION MAY ALSO BE SENT TO YOU BY MAIL FREE OF CHARGE BY CONTACTING PATIENT FINANCIAL SERVICES PART VI, LINE 4: THE ORGANIZATION SERVES THE COMMUNITIES OF OSMOND, RANDOLPH AND WAUSA IN NORTHEASTERN NEBRASKA. THE ORGANIZATION ALSO SERVES THE COMMUNITIES OF PIERCE, COLERIDGE AND PLAINVIEW WITH ITS OUTREACH CLINICS AND OTHER SERVICES. OSMOND GENERAL HOSPITAL'S SERVICE AREA INCLUDES A POPULATION OF APPROXIMATELY 16,000. THE MEDIAN HOUSEHOLD INCOME FOR THE COMMUNITY IS $37,938 COMPARED TO THE U.S. AVERAGE OF $51,324 AND THE NEBRASKA AVERAGE OF $51,381. THE AREA POPULATION IS PREDOMINATELY WHITE ELDERLY AND LOW INCOME. PART VI, LINE 5: THE ORGANIZATION HAS MANY WAYS THAT IT FURTHERS ITS EXEMPT PURPOSE. THE ORGANIZATION PUBLISHES HEALTH RELATED ARTICLES IN AREA NEWSPAPERS, HOLDS THE CARDIAC REHAB CLINIC, AS WELL AS MULTIPLE WELLNESS ACTIVITIES INCLUDING THE FUNWALK AND WELLNESS WEDNESDAYS. FOR WELLNESS WEDNESDAY, ON THE FIRST WEDNESDAY OF EACH MONTH, PATIENTS CALL IN TO SCHEDULE AN APPOINTMENT TO TAKE ADVANTAGE OF THE SAME LAB TESTING AND EKGS THAT WERE PREVIOUSLY OFFERED AT OUR COMMUNITY HEALTH FAIRS AT A DISCOUNTED PRICE. PART VI, LINE 6: THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. X X X X 0 0 0 0 0 0 0 0 0 LON M KNIEVEL MEMBER/CEO 174703 0 3000 0 0 0 7298 0 31016 0 216017 0 0 0 ALICIA VANDERWALLE NURSE PRACTITIONER 139445 0 3000 0 0 0 0 0 33243 0 175688 0 0 0 SAMANTHA KIZZIRE CLINIC/HOSPITAL APRN 123561 0 2000 0 0 0 0 0 33624 0 159185 0 0 0 BOBBIE JO MILLER NURSE PRACTITIONER 144953 0 2000 0 0 0 0 0 8621 0 155574 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S 990 IS REVIEWED BY THE CEO AND CFO. IT IS PRESENTED TO THE BOARD AS SOON AS THE REVIEWS ARE COMPLETE, AND PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY. THE CONFLICT OF INTEREST FORMS ARE SIGNED BY THE BOARD AT THIS TIME. WHEN A CONFLICT IS PRESENT, THE BOARD MEMBER WITH THE CONFLICT ABSTAINS FROM DISCUSSION AND VOTE. THIS IS DOCUMENTED IN BOARD MINUTES WHEN THE OCCASION ARISES. FORM 990, PART VI, SECTION B, LINE 15 THE CEO COMPARES EMPLOYEES' SALARIES AND WAGES WITH OTHER NEBRASKA HOSPITALS USING A SURVEY FROM THE NEBRASKA HOSPITAL ASSOCIATION. FOLLOWING COMPARISON STUDIES, HE RECOMMENDS A PERCENTAGE INCREASE TO THE BOARD. THE FINAL WAGE ADJUSTMENT IS DETERMINED BY THE BOARD OF DIRECTORS. THE CEO AND CFO WAGE SCALES ARE COMPARED TO AREA HOSPITALS AND THE NHA SURVEY RESULTS. THE BOARD DISCUSSES AND DETERMINES THE LEVEL OF COMPENSATION. THE PHYSICIAN PAY SCALES ARE COMPARED TO PUBLISHED NATIONAL STANDARDS. FORM 990, PART VI, SECTION C, LINE 19 OSMOND GENERAL HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PHYSICAL THERAPY FEES: PROGRAM SERVICE EXPENSES 58,685. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,685. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,382,393. MANAGEMENT AND GENERAL EXPENSES 185,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,568,316. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 59,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,228. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 348,147. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,147. LAB FEES: PROGRAM SERVICE EXPENSES 25,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,105. EMERGENCY ROOM PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 268,365. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 268,365. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE IS COMPRISED OF THE TREASURER OF THE BOARD OF DIRECTORS AND AT LEAST THREE OTHER DIRECTORS. THE JOB OF THE FINANCE COMMITTEE IS TO SUPERVISE ALL CURRENT AND FUTURE FINANCES OF THE CORPORATION, INCLUDING THE REVIEW OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.