2026-03-10T11:55:02-05:00 2025-04-30 135565207 KPMG LLP 3555 FARNAM STREET SUITE 700 OMAHA NE 68131 990 2024-05-01 470542043 COLUMBUS COMMUNITY HOSPITAL INC COLU 4025623357 PO BOX 1800 COLUMBUS NE 68602 CHAD VAN CLEAVE CFO 4025623357 2026-03-05 1 1 SOPHIE R KING P02233384 4023481450 2026-03-05 2024 2025-03-06 01:10:19Z CHAD VAN CLEAVE 4600 38TH STREET COLUMBUS NE 68601 185174646 0 X WWW.COLUMBUSHOSP.ORG X 1972 NE OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 13 12 1096 295 198888 0 9701082 12260049 160548070 167576568 2035139 1923322 2983909 2964985 175268200 184724924 597311 6508029 0 0 82491057 90718188 0 0 0 78785146 73247142 161873514 170473359 13394686 14251565 222986295 236038460 19353413 16890605 203632882 219147855 X OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 0 0 166693103 6508029 167757269 SEE SCHEDULE O 166693103 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 175 0 1 1096 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JENNIFER WEICK 4025624646 4600 38TH STREET COLUMBUS NE 68601 JEFF GOKIE DIRECTOR 1.00 0.00 X 0 0 0 JULIE HANEY CHAIRMAN 1.00 0.00 X X 0 0 0 SARAH PILLEN VICE CHAIRMAN 1.00 0.00 X X 0 0 0 MICHAEL HANSEN PRESIDENT/CEO/SECRETARY 40.00 0.00 X X 882246 0 120197 ROLANDO SAMUEL RENTERIA DIRECTOR 1.00 0.00 X 0 0 0 JACQUELINE TESSENDORF DIRECTOR 1.00 0.00 X 0 0 0 JOHN PAVLIK TREASURER 1.00 0.00 X X 0 0 0 CRAIG PEKNY MD DIRECTOR 1.00 0.00 X 0 0 0 ABBIE TESSENDORF DIRECTOR 1.00 0.00 X 0 0 0 DANIEL ROSENQUIST MD DIRECTOR 1.00 0.00 X 0 0 0 CHARLES SEADSCHLAG DIRECTOR 1.00 0.00 X 0 0 0 JOE CITTA III MD DIRECTOR 1.00 0.00 X 0 0 0 BENJAMIN HELLBUSH DIRECTOR 1.00 0.00 X 0 0 0 AMY BLASER VP BUSINESS DEVELOPMENT 40.00 0.00 X 243467 0 65886 CHAD VAN CLEAVE VP FINANCE 40.00 0.00 X 309111 0 71799 SCOTT MESSERSMITH VP OPERATIONS 40.00 0.00 X 251341 0 67614 TANYA SANDIFER VP NURSING 39.00 1.00 X 246391 0 52026 KEITH LUEDDERS VP ANCIALLARY SERVICES 40.00 0.00 X 228226 0 57937 MARK HOWERTER MD PHYSICIAN 1.00 0.00 X 574370 0 54497 ROBERT MILLER PHYSICIAN 1.00 0.00 X 392240 0 23800 JOHN BEAUVAIS PHYSICIAN 40.00 0.00 X 761624 0 25378 ANTHONY KRUEGER PHYSICIAN 40.00 0.00 X 788390 0 45294 MATTHEW PIEPER PHYSICIAN 40.00 0.00 X 811601 0 45294 5489007 0 629722 151 0 1 0 AMERISOURCE BERGEN DRUG CORP 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACEUTICALS 5262900 RURAL PARTNERS IN MEDICINE LLC 8181 ARISTA PLACE STE 100 BROOMFIELD CO 80021 CONTRACTED STAFFING 3323858 VITAL SOLUTIONS PO BOX 46344 MADISON WI 53744 CONTRACTED STAFFING 2921983 STRYKER ORTHOPEDICS BOX 93213 CHICAGO IL 606733213 MEDICAL SUPPLIES 1763789 COLUMBUS HOSPITAL MEDICINE INC 5733 S 24TH STREET SUITE 500 LINCOLN NE 68516 HOSPITALIST SERVICES 1760992 120 6313831 5946218 12260049 NET PATIENT SERVICE RE 621110 167576568 167576568 167576568 1923533 1923533 707784 449511 258273 258273 258273 211 -211 -211 -211 CAFETERIA 900099 604891 604891 MEALS ON WHEELS 900099 103928 103928 HEALTH WATCH 900099 76773 76773 1921120 198888 1722232 2706712 184724924 167757269 198888 4508718 6508029 6508029 2160782 2160782 69656093 69656093 2725277 2725277 11473579 11473579 4702457 4702457 824269 824269 10777 10777 30000 30000 16304436 16304436 348905 348905 21514325 21514325 2159799 2159799 2319086 2319086 272984 272984 162539 162539 14055044 14055044 857509 857509 MINOR EQUIP & FINANCING 5687091 5687091 PURCHASED SERVICES 3599039 3599039 RECRUITING 230245 230245 4871094 4871094 170473359 166693103 3780256 0 21020795 7040898 29646106 31427264 773227 1048192 3400687 3811025 3707331 3547356 241949834 109211828 139576440 132738006 24097158 55832822 764551 592897 222986295 236038460 19353413 16890605 19353413 16890605 X 203632882 219147855 203632882 219147855 222986295 236038460 X 14251565 1262157 1251 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 10777 10777 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: DIRECT CONTACT WITH STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENT OFFICIALS. WE HAVE ADVOCATED FOR RURAL HEALTHCARE LEGISLATION (E.G. RURAL HOSPITAL DEMONSTRATION PROGRAM). DUES PAID TO AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING $5,090.88 AND DUES PAID TO NEBRASKA HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING $5,686.22 2636713 18377 2655090 2618510 18203 2636713 2600002 18508 2618510 2580574 19428 2600002 2456387 124187 2580574 1.00000 0 1 1 2203244 2203244 156148493 61992914 94155579 63335579 38944282 24391297 20262518 8274632 11987886 132738006 X PART V, LINE 4: ENDOWMENT FUNDS ARE HELD AND MAINTAINED BY COLUMBUS COMMUNITY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS EXIST IN SUPPORT OF IMPROVED HEALTH SERVICES BY COLUMBUS COMMUNITY HOSPITAL. PART X, LINE 2: THE HOSPITAL ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO, 109. FIN 48 PROVIDES SPECIFIC GUIDANCE ON HOW TO ADDRESS UNCERTAINTY IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES, PRESCRIBING RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES. THE ADOPTION OF FIN 48 BY COLUMBUS COMMUNITY HOSPITAL DID NOT HAVE A MATERIAL IMPACT ON THE HOSPITAL'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOWS. IN FISCAL YEARS ENDING 2025 AND 2024, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 138.000000000000 1 X 1 1 0 1 1 0 0 511570 511570 0.00310 0 0 18328567 17152155 1176412 0.00720 18840137 17152155 1687982 0.01030 36962 6903813 1190641 5713172 0.03520 234 454659 454659 0.00280 855 34930 34930 0.00020 38051 7393402 1190641 6202761 0.03820 38051 26233539 18342796 7890743 0.04850 78 504217 504217 0.00310 49 6414 6414 0.00000 127 510631 510631 0.00310 0 8028868 24473778 35653793 -11180015 X 1 1 1 HEALTHPARK LLC PROPERTY MANAGEMENT 0.22920 0.00000 0.77080 2 ZARZ LLC PROPERTY MANAGEMENT 0.00880 0.00000 0.99120 1 1 COLUMBUS COMMUNITY HOSPITAL INC 4600 38TH STREET COLUMBUS NE 686011800 WWW.COLUMBUSHOSP.ORG 630001 X X X 50 BED ACUTE CARE HOSPITAL W/ 24 HR ER SERVICES COLUMBUS COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X 24 1 1 1 1 X SEE SECTION C X X 1 22 1 SEE SECTION C 0 1 X 130.000000000000 200.000000000000 X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 COLUMBUS COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 5: THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS WAS DEVELOPED BY AND IS RECOMMENDED FOR COMMUNITY ASSESSMENT BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). THE NEBRASKA RURAL HEALTH ASSOCIATION ALSO RECOMMENDED MAPP AS A COMMUNITY ASSESSMENT FOR NEBRASKA'S COMMUNITY, NON PROFIT HOSPITALS IN ITS COMMUNITY HEALTH ASSESSMENT COLLABORATIVE PRELIMINARY RECOMMENDATIONS. THIS WAS SO THE HOSPITALS COULD COMPLY WITH NEW REQUIREMENTS FOR TAX-EXEMPT STATUS ENACTED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (SEPTEMBER 2011).MAPP ALLOWS FOR INPUT FROM PARTIES WHO REPRESENT BROAD INTERESTS IN THE COMMUNITIES. INPUT FROM DIVERSE SECTORS INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND INDIVIDUALS FROM DIVERSE AGE GROUPS WAS OBTAINED THROUGH SURVEYS, TARGETED FOCUS GROUPS, OPEN PUBLIC MEETINGS AND TARGETED INVITATIONS TO COMMUNITY LEADERS AND AGENCIES.THE HOSPITAL'S PARTICIPATION IN THE CURRENT MAPP ASSESSMENT IS THE MOST THOROUGH TO DATE, WITH MORE THAN 100 INDIVIDUALS IN THE DISTRICT PARTICIPATING IN THE PROCESS. THIS DOES NOT COUNT THE 1,000 INDIVIDUAL SURVEYS OR FOCUS GROUP PARTICIPANTS.THROUGH THE 2024 CHNA PROCESS, PRIMARY DATA COLLECTION EFFORTS INCLUDED ENSURING BROAD INTEREST FROM THOSE WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH INCLUDING ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS WERE REPRESENTED.KEY INFORMANT INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. WE SPOKE WITH 78 EXPERTS FROM VARIOUS ORGANIZATIONS SERVING THE COMMUNITY AND INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. AGENCIES REPRESENTED INCLUDED: COLUMBUS COMMUNITY HOSPITAL, COLUMBUS/PLATTE COUNTY CONVENTION & VISITORS BUREAU, THE COLUMBUS FAMILY YMCA, NEBRASKA DEPARTMENT OF ECONOMIC DEVELOPMENT, GOOD NEIGHBOR COMMUNITY HEALTH CENTER, CITY OF COLUMBUS, COLUMBUS COMMUNITY HOSPITAL FOUNDATION, COLUMBUS MEDICAL CENTER, LAKEVIEW COMMUNITY SCHOOLS, AND EAST CENTRAL DISTRICT HEALTH DEPARTMENT.FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM SPECIFIC SUB-POPULATIONS IN THE COMMUNITY WHO ARE MOST AFFECTED BY HEALTH NEEDS. WE CONDUCTED 8 FOCUS GROUPS WITH A TOTAL OF 54 PEOPLE IN THE COMMUNITY. FOCUS GROUPS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. GROUPS REPRESENTED IN THE FOCUS GROUPS INCLUDED THE HISPANIC POPULATION, PEOPLE WHO USE SUBSTANCES OR ARE IN RECOVERY FROM SUBSTANCE USE, YOUTH, ELDERLY/SENIORS (65+), BUSINESS AND INDUSTRY LEADERS, ENGLISH LANGUAGE LEARNERS/AFRICAN IMMIGRANTS (FRENCH SPEAKING), AND GENERAL - BOONE AND NANCE (RURAL) COUNTIES.A COMMUNITY MEMBER SURVEY WAS CREATED TO BETTER UNDERSTAND THE NEEDS OF COMMUNITY MEMBERS. THE HEALTH DEPARTMENT, HOSPITALS AND COMMUNITY PARTNERS SHARED THE SURVEY LINK WITH CLIENTS, PATIENTS, AND OTHERS WHO LIVE AND/OR WORK IN THE COMMUNITY. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, FRENCH, SOMALI, AND SPANISH. THIS RESULTED IN 727 RESPONSES TO THE COMMUNITY SURVEY. COLUMBUS COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 6A: - CHI HEALTH, SCHUYLER- GENOA COMMUNITY HOSPITAL- BOONE COUNTY HEALTH CENTER COLUMBUS COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 6B: - EAST CENTRAL DISTRICT HEALTH DEPARTMENT- GOOD NEIGHBOR COMMUNITY HEALTH CENTER COLUMBUS COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 7D: THE DETAILED ASSESSMENT AND RELATED COMPONENTS ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 10A HTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/CHIP-IMPLEMENTATION-PLAN-2021 SCHEDULE H, PART V, SECTION B, LINE 11 IN 2024, COLUMBUS COMMUNITY HOSPITAL (CCH) CONDUCTED - IN COLLABORATION WITH THE EAST CENTRAL DISTRICT HEALTH DEPARTMENT (ECDHD) AND OTHER HOSPITAL FACILITIES - A COMPREHENSIVE, JOINT CHNA FOR THE PARTICIPANTS' SHARED COMMUNITIES OF BOONE, COLFAX, NANCE, AND PLATTE COUNTIES. THE CHNA IDENTIFIED THE FIVE AREAS OF GREATEST CONCERN FOR RESIDENTS IN THESE AREAS: MENTAL HEALTHDRUG ABUSE AND MISUSE ONGOING DISEASES SUCH AS HEART DISEASE, STROKE, HIGH BLOOD PRESSURE, DIABETES, CANCER AND RESPIRATORY PROBLEMSFINDING HOUSING THAT IS SAFE AND AFFORDABLEBULLYINGCCH HAS CHOSEN TO FOCUS ON ADDRESSING FOUR OF THE FIVE AREAS OF CONCERN. FOR HOUSING THAT IS SAFE AND AFFORDABLE, THE CITY OF COLUMBUS, COLUMBUS AREA CHAMBER OF COMMERCE AND HABITAT FOR HUMANITY ARE ALREADY WORKING ON THAT NEED, SO CCH IS FOCUSING ITS RESOURCES ELSEWHERE.THE HOSPITAL WILL WORK HAND IN HAND WITH THE ECDHD AND OTHER HEALTH-AND BUSINESS-RELATED AGENCIES TO ADDRESS THESE COMMUNITY NEEDS. SPECIFICALLY, CCH WILL TAKE THE LEAD IN ADDRESSING THE IDENTIFIED NEEDS OF ACCESS TO MENTAL HEALTH CARE, TREATMENT FOR DRUG ABUSE AND MISUSE, AND TREATMENT FOR ONGOING DISEASES.MENTAL HEALTH CAREPLATTE COUNTY AND THE SURROUNDING AREAS CONTINUE TO EXPERIENCE AN INCREASE IN MENTAL HEALTH CARE NEEDS-BOTH INPATIENT AND OUTPATIENT. CCH HAS TAKEN THE LEAD IN THE FOLLOWING:OBJECTIVE: RECRUIT TOP-LEVEL MENTAL HEALTH PHYSICIANS AND OTHER PROVIDERS TO THE AREA.ACTION STEP: AS PROVIDERS HAVE RETIRED AND LEFT THE AREA, CCH HAS CONTINUED TO ATTRACT TOP-QUALITY CAREGIVERS TO COLUMBUS PSYCHIATRY CLINIC, WHICH OPENED IN 2019. THE CLINIC HAS A PSYCHIATRIST, NURSE PRACTITIONERS AND LICENSED INDEPENDENT MENTAL HEALTH PROVIDERS, AND A CHILD PSYCHOLOGIST.OBJECTIVE: CREATE AN OPTION FOR TOP-LEVEL MENTAL HEALTH CARE FOR THE GERIATRIC POPULATION.ACTION STEP: CCH CONTINUED TO OPERATE A 10-BED SENIOR BEHAVIORAL HEALTH INPATIENT UNIT THAT EXCLUSIVELY SERVES OLDER ADULTS.OBJECTIVE: EXPAND OPTIONS FOR COMMUNITY EDUCATION ON MENTAL HEALTH INITIATIVES.ACTION STEP: CCH CONTINUALLY USES EXPERTS FROM THE OUTPATIENT CLINIC TO DEVELOP EDUCATIONAL PROGRAMMING FOR THE COMMUNITY.DRUG ABUSE AND MISUSECCH WILL WORK TO REDUCE SUBSTANCE ABUSE TO PROTECT THE HEALTH, SAFETY AND QUALITY OF LIFE FOR ALL.OBJECTIVE: CREATE AWARENESS ABOUT ANTIBIOTICS USE AND ABUSE.ACTION STEP: CCH HAS CONTINUED A PUBLIC EDUCATION CAMPAIGN THAT TEACHES OUR COMMUNITY ABOUT PROPER ANTIBIOTICS USE. WHILE ANTIBIOTICS ARE IMPORTANT HEALTH CARE TOOLS, THEY SHOULD ONLY BE USED FOR TREATING CERTAIN INFECTIONS CAUSED BY BACTERIA.OBJECTIVE: OFFER NON-ADDICTIVE OPTIONS FOR PAIN RELIEF.ACTION STEP: IN SEPTEMBER 2024, CCH BEGAN WORKING WITH MD PAIN IN LINCOLN, NEBRASKA, TO OFFER A VARIETY OF ADVANCED PAIN PROCEDURES. THESE INCLUDE DORSAL ROOT GANGLION STIMULATORS, VIA DISC NP, THE INTRACEPT PROCEDURE, THE VERTIFLEX PROCEDURE, KYPHOPLASTY AND SPINAL CORD STIMULATORS.CCH CONTINUES TO EXPAND ITS USE OF NON-OPIOID PAIN MANAGEMENT. THE HOSPITAL'S ANESTHESIA DEPARTMENT WAS ONE OF THE FIRST IN THE STATE TO OFFER THE IOVERA TREATMENT. THIS CLINICALLY PROVEN, NON-OPIOID PAIN MANAGEMENT SOLUTION USES THE BODY'S NATURAL RESPONSE TO COLD TO RELIEVE PAIN.CCH CONTINUES TO DELIVER MATERIALS AND PROVIDE PRESENTATIONS FOR PROVIDERS ACROSS THE AREA RELATED TO OPIOID INTERVENTION.CCH CONTINUES TO OFFER TELEMEDICINE OPTIONS FOR OPIOID INTERVENTION.TREATMENT FOR ONGOING DISEASESDISEASES SUCH AS HEART DISEASE, STROKE, CANCER, HIGH BLOOD PRESSURE AND DIABETES CONTINUE TO TAKE LIVES AND REDUCE QUALITY OF LIFE. CCH HAS EMBARKED ON MANY COMMUNITY PARTNERSHIPS TO TACKLE THESE DISEASES HEAD-ON.OBJECTIVE: PREVENT DIABETES AND IMPROVE ADVANCED CARE FOR THOSE WITH THE DISEASE.ACTION STEP: CCH PROVIDES COMPREHENSIVE DIABETES EDUCATION FOR MEMBERS OF THE COMMUNITY. IT OFFERS SPECIALIZED CLASSES AND HOSTS DIABETES EVENTS FOR THE PUBLIC AT LEAST TWICE A YEAR.OBJECTIVE: DECREASE INCIDENCES OF HEART DISEASE IN THE COMMUNITY.ACTION STEP: CCH CONTINUES TO OPERATE A CARDIAC CATHETERIZATION LAB AT THE HOSPITAL THAT ALLOWS DOCTORS TO PERFORM LIFESAVING CARDIAC PROCEDURES. IT ALSO OPERATES COLUMBUS CARDIOLOGY CLINIC, WHICH EDUCATES THE COMMUNITY ABOUT SIGNS OF HEART DISEASE AND STEPS PEOPLE CAN TAKE TO IMPROVE THEIR HEART HEALTH. THE HOSPITAL RECEIVED BOTH THE GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD AND THE GET WITH THE GUIDELINES - STROKE RURAL RECOGNITION, TARGET:" TYPE 2 DIABETES HONOR ROLL IN SUMMER 2024.DR. LAUREN JAZWICK, A DOCTOR AT COLUMBUS OTOLARYNGOLOGY CLINIC, OFFER INSPIRE, A SURGICAL OPTION FOR PEOPLE WHO CANNOT USE CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) TO TREAT THEIR SLEEP APNEA. SLEEP APNEA CAN BE A MAJOR RISK FACTOR FOR HEART DISEASE.OBJECTIVE: DECREASE OBESITY AND PROVIDE OPTIONS FOR PHYSICAL ACTIVITY IN THE COMMUNITY.ACTION STEP: IN JANUARY 2025, THE HOSPITAL CELEBRATED THE ONE-YEAR ANNIVERSARY OF THE COLUMBUS FIELDHOUSE. THIS INDOOR RECREATION DESTINATION HAS BECOME A CENTERPIECE OF THE COMMUNITY, GIVING RESIDENTS OPPORTUNITIES FOR PHYSICAL EXERCISE NO MATTER THE WEATHER.CCH CONTINUES TO WORK WITH LOCAL RESTAURANTS, ENCOURAGING THEM TO ADD HEALTH FOODS TO THEIR MENUS SO MEMBERS OF THE COMMUNITY HAVE OPTIONS WHEN THEY GO OUT TO EAT.DR. LUKE LEMKE, A LONGTIME FAMILY MEDICINE DOCTOR IN COLUMBUS, COMPLETED THE BLACKBURN COURSE IN OBESITY MEDICINE TO BETTER SERVE THE COMMUNITY.CCH'S OCCUPATIONAL HEALTH SERVICES CONTINUES TO OFFER PIVIO, A NEW LIFESTYLE MEDICINE PROGRAM, TO THE PUBLIC.OBJECTIVE: PROVIDE COMPREHENSIVE CARE FOR CANCER PATIENTS.ACTION STEP: THE HOSPITAL BEGAN WORK ON THE MEAD FAMILY CANCER CENTER, A FULL-SERVICE FACILITY WHERE COMMUNITY MEMBERS CAN RECEIVE ALL THE CANCER SERVICES THEY NEED IN ONE LOCATION. THE CENTER WILL OPEN IN FALL 2026.THE ONCOLOGY NURSE NAVIGATION TEAM OFFERS FREE SERVICES TO ANY PERSON WHO IS DIAGNOSED WITH CANCER AT COLUMBUS COMMUNITY HOSPITAL. THE TEAM HELPS PATIENTS SCHEDULE APPOINTMENTS, FIND RESOURCES AND RECEIVE SUPPORT.BULLYINGBULLYING - BOTH IN-PERSON AND ONLINE - IS AN ONGOING PROBLEM FOR CHILDREN OF ALL AGES. CCH HAS PARTNERED WITH SMART GEN SOCIETY TO SPECIFICALLY ADDRESS CHALLENGES FACING CHILDREN IN THE DIGITAL LANDSCAPE.OBJECTIVE: DECREASE SOCIAL MEDIA BULLYINGACTION STEP: CCH BROUGHT IN EXPERTS FROM SMART GEN SOCIETY, AN ORGANIZATION THAT OFFERS PREVENTIVE WORKSHOPS AND RESOURCES FOR PARENTS, TEACHERS, SPORTS TEAMS AND BUSINESSES. THESE EXPERTS PROVIDED EDUCATIONAL PROGRAMMING THAT FOCUSED ON DECREASING BULLYING IN THE DIGITAL LANDSCAPE. SCHEDULE H, PART V, LINE 16A HTTPS://WWW.COLUMBUSHOSP.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-PROGRAMSCHEDULE H, PART V, LINE 16BHTTPS://WWW.COLUMBUSHOSP.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-INFORMATION/FINANCIAL-ASSITANCE-PROGRAMSCHEDULE H, PART V, LINE 16CHTTPS://WWW.COLUMBUSHOSP.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-INFORMATION/FINANCIAL-ASSITANCE-PROGRAM 13 1 - PREMIER PHYSICAL THERAPY OF CCH US 30 CENTER BLDG 3100-23RD ST STE 15 COLUMBUS NE 686013161 OUTPATIENT PHYSICAL THERAPY 2 - WIGGLES & GIGGLES THERAPY FOR KIDS 3912 38TH STREET SUITE B COLUMBUS NE 686015100 PEDIATRIC THERAPY SERVICES 3 - OCCUPATIONAL HEALTH SERVICES OF CCH 3005-19TH ST SUITE 300 COLUMBUS NE 686014252 EMP HEALTH CARE SVCS TO PREVENT & TREAT WORK INJURIES 6 - HOSPICE OF COLUMBUS COMMUNITY HOSPITAL 3005-19TH ST SUITE 600 COLUMBUS NE 686014248 HOSPICE SERVICES 7 - COLUMBUS PSYCHIATRY CLINIC 4508 38TH ST SUITE 165 COLUMBUS NE 68601 FREE STANDING CLINIC 8 - HOME HEALTH OF COLUMBUS COMMUNITY HOSP 3005-16TH ST SUITE 600 COLUMBUS NE 686014248 HOME HEALTH SERVICES 9 - COLUMBUS ORTHOPEDIC & SPORTS MED CLINIC 4508 38TH ST SUITE 133 COLUMBUS NE 686011668 FREE STANDING CLINIC 10 - REHABILITATIVE SERVICES 3912 38TH STREET SUITE B COLUMBUS NE 686015100 OUTPATIENT PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY 11 - COLUMBUS OTOLARYNGOLOGY CLINIC 4508 38TH ST SUITE 152 COLUMBUS NE 68601 FREE STANDING CLINIC 12 - COLUMBUS GENERAL SURGERY 4508 38TH ST SUITE 250 COLUMBUS NE 68601 FREE STANDING CLINIC 13 - COLUMBUS CARDIOLOGY CLINIC 4508 38TH ST SUITE 250 COLUMBUS NE 68601 FREE STANDING CLINIC 14 - COLUMBUS DERMATOLOGY CLINIC 4508 38TH ST SUITE 152 COLUMBUS NE 68601 FREE STANDING CLINIC 15 - COLUMBUS MASSAGE THERAPY CLINIC 4508 38TH ST SUITE 210 COLUMBUS NE 68601 FREE STANDING CLINIC PART I, LINE 6A: A COMMUNITY BENEFIT REPORT IS INCLUDED EACH YEAR IN THE HOSPITAL'S QUARTERLY NEWSLETTER "HOUSECALL" WITH AN ELECTRONIC VERSION OF THE NEWSLETTER HOUSED ON THE HOSPITAL'S WEBSITE. A SEPARATE LANDING PAGE ON THE WEBSITE WAS ALSO CREATED FOR THE REPORT TO PROVIDE EASY ACCESS TO THE REPORT. PART I, LINE 7B THE REVENUE GENERATED BY MEDICAID PATIENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO DEVELOPED IN WORKSHEET 2. THE REMAINING PRODUCT IS THE CALCULATED COST ASSOCIATED WITH THE CHARGES FROM MEDICAID PATIENTS. THESE COSTS ARE REDUCED BY THE REIMBURSEMENTS COLLECTED FOR THE MEDICAID CHARGES. THE REMAINING NUMBER IS THE NET COMMUNITY BENEFIT EXPENSE.PART I, LINE 7EEXPENSES REPRESENT WAGES ALONG WITH SERVICES AND SUPPLIES PURCHASED BY THE HOSPITAL. DIRECT OFFSETTING REVENUES REPRESENT CASH COLLECTED FOR THESE SERVICES.PART I, LINE 7ICASH DONATIONS MADE TO EAST CENTRAL HEALTH DEPARTMENT (ECHD) AND THE GOOD NEIGHBOR COMMUNITY HEALTH CENTER REPRESENT THE MAJORITY OF THESE DONATIONS.PART I, LINE 7, COLUMN (F)THE AMOUNT OF $162,444,491 USED AS THE DENOMINATOR TO COMPUTE COLUMN (F) IS CALCULATED BY TAKING TOTAL FUNCTIONAL EXPENSES OF $170,473,359 MINUS BAD DEBT EXPENSE OF $8,028,868. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESCCH PROVIDES SUPPORT TO HABITAT FOR HUMANITY, OFFERING FUNDING SUPPORT AS WELL AS STAFF TIME DEDICATED TO COMMUNITY BUILDS.CCH OFFERS EDUCATIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS INTERESTED IN THE MEDICAL PROFESSION. THIS INCLUDES SHADOWING OPPORTUNITIES AND YOUTH LEADERSHIP OPPORTUNITIES, SUPPORTING ASPIRING HEALTH PROFESSIONALS IN THE COMMUNITY.TO ENCOURAGE ENTRY INTO THE MEDICAL PROFESSION, CCH BEGAN OFFERING THE HEALTH SCIENCE PATHWAY PROGRAM. THE EDUCATIONAL PROGRAM IS A COLLABORATION BETWEEN AREA HIGH SCHOOLS, CENTRAL COMMUNITY COLLEGE AND THE HOSPITAL, ALLOWING STUDENTS TO LEARN ABOUT CAREERS IN THE MEDICAL FIELD. IT INCLUDES A SERIES OF CLASSES THAT MEET REQUIREMENTS FROM THE STATE OF NEBRASKA AND EXPLORES VARIOUS AREAS OF HEALTH CARE, INCLUDING PHLEBOTOMY, RADIOLOGY, PHARMACY, NURSING, RESPIRATORY THERAPY, HOUSEKEEPING AND FACILITIES. MANY STUDENTS HAVE BECOME CERTIFIED NURSING ASSISTANTS (CNAS) THROUGH THE PROGRAM AND STARTED WORKING AT THE HOSPITAL. PART III, LINE 2: THE METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE IS TO TAKE THE PRIVATE PAY WRITE-OFFS FOR THE YEAR AND DIVIDE THEM BY THE TOTAL REVENUE GENERATED FROM SELF-PAY PATIENTS AND MULTIPLY THE PRODUCT BY THE SELF-PAY ACCOUNTS RECEIVABLE. THIS GIVES THE AMOUNT OF RESERVE NECESSARY TO COVER THE POTENTIAL BAD DEBT IN CURRENT SELF-PAY ACCOUNTS RECEIVABLE. BAD DEBT EXPENSE FOR THE FISCAL YEAR IS THE AMOUNT OF ADDITIONAL EXPENSE NECESSARY TO BRING THAT RESERVE ACCOUNT TO THE CALCULATED (ESTIMATED) BALANCE. PART III, LINE 4: FINANCIAL STATEMENTS DO NOT INCLUDE ANY TEXT FOR BAD DEBT. THE AMOUNT IN LINE 2 IS THE BOOK BAD DEBT AMOUNT. PART III, LINE 8: IN ACCORDANCE WITH 42 CFR 413.24, COLUMBUS COMMUNITY HOSPITAL USES THE STEP-DOWN METHOD AS ITS COSTING METHODOLOGY. DEPARTMENTS WITHIN A PROVIDER ARE USUALLY DIVIDED INTO TWO TYPES: 1) THOSE THAT PRODUCE PATIENT CARE REVENUE (E.G., ROUTING SERVICES, RADIOLOGY), AND 2) THOSE THAT DO NOT DIRECTLY GENERATE PATIENT CARE REVENUE, BUT ARE UTILIZED AS A SERVICE BY OTHER DEPARTMENTS (E.G., LAUNDRY AND LINEN, DIETARY). THE TWO TYPES OF DEPARTMENTS ARE COMMONLY REFERRED TO AS REVENUE-PRODUCING COST CENTERS AND NONREVENUE-PRODUCING COST CENTERS. ALTHOUGH NONREVENUE-PRODUCING COST CENTERS DO NOT DIRECTLY PRODUCE PATIENT CARE REVENUE, THEY CONTRIBUTE INDIRECTLY TO PATIENT CARE REVENUE GENERATED BY SERVING AS A SERVICE TO THE REVENUE-PRODUCING CENTERS AND ALSO TO OTHER NONREVENUE-PRODUCING CENTERS. THEREFORE, FOR THE PURPOSE OF PROPER MATCHING OF REVENUE AND EXPENSES, THE COST OF THE REVENUE-PRODUCING CENTERS SHOULD INCLUDE BOTH ITS DIRECT EXPENSES AND ITS PROPORTIONATE SHARE OF THE COSTS OF EACH NONREVENUE-PRODUCING CENTER (INDIRECT COSTS) BASED ON THE AMOUNT OF SERVICES RECEIVED. THE PROCESS OF ALLOCATING THE COST OF A PARTICULAR NONREVENUE-PRODUCING CENTER TO OTHER NONREVENUE-PRODUCING CENTERS AND REVENUE-PRODUCING CENTERS IS PERFORMED BY UTILIZING A SET OF STATISTICS (E.G. POUNDS OF LAUNDRY FOR ALLOCATING LAUNDRY AND LINEN COSTS, SQUARE FEET FOR ALLOCATING DEPRECIATION BUILDING COSTS).EVERY NONREVENUE-PRODUCING COST CENTER HAS THE POTENTIAL OF BEING ALLOCATED TO EVERY OTHER NONREVENUE-PRODUCING COST CENTER IN ADDITION TO THE REVENUE-PRODUCING COST CENTERS. THIS PRECLUDES A SIMPLE ALLOCATION OF THE DIRECT EXPENSE OF THE NONREVENUE-PRODUCING COST CENTER BECAUSE THE INDIRECT COSTS DERIVED FROM ALLOCATION OF OTHER NONREVENUE-PRODUCING COST CENTERS MUST BE COMPUTED IN DETERMINING THE FULL COST (DIRECT AND INDIRECT COSTS) OF THE NONREVENUE-PRODUCING COST CENTER BEING ALLOCATED. THE STEP-DOWN METHOD RECOGNIZES THAT SERVICES FURNISHED BY CERTAIN NONREVENUE-PRODUCING DEPARTMENTS ARE UTILIZED BY CERTAIN OTHER NONREVENUE-PRODUCING CENTERS AS WELL AS BY THE REVENUE-PRODUCING CENTERS. ALL COSTS OF NONREVENUE-PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS THAT THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE. THE COST OF THE NONREVENUE-PRODUCING CENTER SERVICING THE GREATEST NUMBER OF OTHER CENTERS, WHILE RECEIVING BENEFITS FROM THE LEAST NUMBER OF CENTERS, IS APPORTIONED FIRST, FOLLOWING THE APPORTIONMENT OF THE COST OF THE NON-REVENUE-PRODUCING CENTER, THAT CENTER WILL BE CONSIDERED CLOSED AND NO FURTHER COSTS ARE APPORTIONED TO THAT CENTER. THIS APPLIES EVEN THOUGH IT MAY HAVE RECEIVED SOME SERVICE FROM A CENTER WHOSE COST IS APPORTIONED LATER. GENERALLY, IF TWO CENTERS FURNISH SERVICES TO AN EQUAL NUMBER OF CENTERS WHILE RECEIVING BENEFITS FROM AN EQUAL NUMBER, THAT CENTER WHICH HAS THE GREATEST AMOUNT OF EXPENSE SHOULD BE ALLOCATED FIRST. PART III, LINE 9B: THE PURPOSE OF OUR FINANCIAL ASSISTANCE/CHARITY PROGRAM IS TO FURTHER THE CHARITABLE MISSION OF CCH BY PROVIDING FINANCIALLY DISADVANTAGED AND OTHER QUALIFIED PATIENTS WITH AN AVENUE TO APPLY FOR AND RECEIVE FREE OR DISCOUNTED CARE CONSISTENT WITH THE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND IMPLEMENTING REGULATIONS UNDER 501(R). CCH'S FINANCIAL ASSISTANCE POLICY REFLECTS THE MISSION, VISION AND VALUES OF CCH. IT IS INTENDED TO ASSIST LOW INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS WHOSE FINANCIAL STATUS, UNDER THE HOSPITAL'S QUALIFICATION CRITERIA, MAKES IT IMPRACTICAL OR IMPOSSIBLE TO PAY FOR MEDICALLY NECESSARY AND EMERGENCY CARE. OUR FINANCIAL ASSISTANCE PROGRAM HAS AN IMPLIED AND PRESUMPTIVE AVENUE, AS WELL AS MEDICAL INDIGENCE. THE PROGRAM PROVIDES A FAIR AND COMPREHENSIVE SYSTEM OF DISTRIBUTING FREE OR DISCOUNTED MEDICAL CARE TO POOR AND FINANCIALLY DISADVANTAGED PATIENTS WITHIN THE AVAILABLE RESOURCES OF CCH.THIS POLICY ADDRESSES: ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE EXTENT TO WHICH FINANCIAL ASSISTANCE INCLUDES FREE AND DISCOUNTED CARE, AND MEDICALLY INDIGENT CARE, THE BASIS FOR CALCULATING AMOUNTS CHARGED TO ELIGIBLE PATIENTS (THE CALCULATIONS OF AMOUNTS GENERALLY BILLED (AGB)); THE METHOD FOR APPLYING FOR ASSISTANCE AND APPLICATION PERIOD; ACTIONS THAT MAY BE TAKEN BY CCH IN THE EVENT OF NONPAYMENT; AND MEASURES TO WIDELY PUBLICIZE THE POLICY. CCH RECOGNIZES THE INDIVIDUAL'S RIGHT TO OBTAIN QUALITY HEALTH CARE REGARDLESS OF AGE, SEX, RACE, DISABILITY, NATIONAL ORIGIN, MARITAL STATUS, SEXUAL ORIENTATION, PERSONAL BELIEFS OR THEIR ABILITY TO PAY. CCH HAS A FIDUCIARY RESPONSIBILITY TO SEEK PAYMENT FOR SERVICES FROM THOSE WHO CAN PAY. PART VI, LINE 2: IN 2024, CCH UNDERWENT A COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH CAN BE FOUND ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFINANCIAL ASSISTANCE INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE, INCLUDING LINKS TO ADDITIONAL, IN-DEPTH INFORMATION. CCH HAS TAKEN MEASURES TO WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY.PATIENT CHARITY/FINANCIAL ASSISTANCE PROGRAM:A) MONTHLY PAYMENT OPTION1) IF YOU ARE UNABLE TO PAY YOUR BALANCE IN FULL, PLEASE CALL THE PATIENT ACCOUNTS DEPARTMENT TO SET UP AN ACCEPTABLE PAYMENT ARRANGEMENT.B) PATIENT CHARITY/FINANCIAL ASSISTANCE PROGRAM:1) IF PATIENTS FEEL THEIR INCOME IS NOT SUFFICIENT TO PAY FOR SERVICES AT COLUMBUS COMMUNITY HOSPITAL, THEY ARE ENCOURAGED TO CONTACT THE PATIENT ACCOUNTS DEPARTMENT AND/OR SOCIAL WORKERS FOR INFORMATION REGARDING CHARITY/FINANCIAL ASSISTANCE.2) FURTHER INFORMATION ABOUT MEDICARE/MEDICAID/CHARITY CARE IS PROVIDED IN BOTH ENGLISH AND SPANISH ON OUR WEBSITE. THE STATE HAS MEDICAID APPLICATIONS AVAILABLE ONLINE. OUR REGISTRATION, PATIENT ACCOUNTS AND SOCIAL SERVICES STAFF CAN PROVIDE PATIENTS WITH FINANCIAL/CHARITY APPLICATIONS IN EITHER ENGLISH OR SPANISH.3) ADDITIONALLY, SIGNAGE IS POSTED TO INCLUDE THE FINANCIAL ASSISTANCE POLICY SUMMARY IN ENGLISH AND SPANISH DIRECTING PATIENTS TO CALL OR COME IN AS NEEDED FOR FINANCIAL HELP AND EMPLOYEES ARE ENCOURAGED AT THE EARLIEST POSSIBLE POINT TO REFER INDIVIDUALS TO PATIENT ACCOUNTS OR SOCIAL SERVICES WHO WILL SEE PATIENTS INDIVIDUALLY AND COUNSEL ON SPECIFIC CIRCUMSTANCES. WE HAVE IMPLEMENTED MEASURES TO WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE PROGRAM. 4) MONTHLY STATEMENTS INCLUDE THE FOLLOWING INFORMATION:A. PAYMENT PLANSB. CHARITY/FINANCIAL ASSISTANCE PROGRAMC. 24/7 ONLINE BUSINESS OFFICE ACCESS, WHICH INCLUDES INFORMATION ON PAYMENT PLANS, CHARITY/FINANCIAL ASSISTANCE AND APPLICATIONS FOR FINANCIAL/CHARITY ASSISTANT AVAILABLE IN BOTH ENGLISH AND SPANISH THAT CAN BE DOWNLOADED FROM OUR WEBSITE.D. THE PHONE NUMBER OF PATIENT ACCOUNTS AND THE ON-LINE HOSPITAL WEBSITE.E. BANK LOAN PROGRAM5) ALL REGISTRATION AREAS HAVE SIGNAGE POSTED IN ENGLISH AND SPANISH OF THE FINANCIAL ASSISTANCE POLICY SUMMARY, BROCHURES WHICH ADDRESS FINANCIAL ASSISTANCE, CCH AFFILIATES AND NON-AFFILIATES (INDEPENDENT PHYSICIANS AND OTHER INDEPENDENTS).6) THE CCH WEBSITE IN ENGLISH AND SPANISH CHARITY/FINANCIAL ASSISTANCE APPLICATION, FINANCIAL ASSISTANCE POLICY SUMMARY, FINANCIAL AID/CHARITY PROGRAM POLICY, CALCULATIONS OF AMOUNTS GENERALLY BILLED (AGB) WHICH IS REVISED ANNUALLY, COLUMBUS COMMUNITY HOSPITAL AND CCH-EMPLOYED PHYSICIANS, PRACTITIONERS AND CLINICS AND INDEPENDENT COMMUNITY PHYSICIANS AND OTHER INDEPENDENTS (WHICH ARE REVISED QUARTERLY). PART VI, LINE 4: COMMUNITY INFORMATIONTHE LOCAL ECONOMYCOLUMBUS COMMUNITY HOSPITAL IS LOCATED IN COLUMBUS, NEBRASKA, WHICH HAS A POPULATION OF APPROXIMATELY 22,000. IT IS THE COUNTY SEAT AND THE LARGEST CITY IN PLATTE COUNTY, WHICH HAS A POPULATION OF APPROXIMATELY 33,500. ALMOST 70% OF PLATTE COUNTY'S RESIDENTS LIVE IN COLUMBUS.ACCORDING TO THE NEBRASKA DEPARTMENT OF LABOR, COLUMBUS IS CONSIDERED A MAJOR HUB FOR THE MANUFACTURING INDUSTRY, AND HAS A GREATER SHARE OF MANUFACTURING EMPLOYMENT THAN OTHER NEBRASKA METROPOLITAN AREAS. THE COLUMBUS AND AREA ECONOMY IS BASED ON AGRICULTURE AND MANUFACTURING, WITH MANY INDUSTRIAL COMPANIES ATTRACTED BY PLENTIFUL, LOW-PRICED HYDROELECTRIC POWER. A HARDWORKING, WELL-EDUCATED WORKFORCE, LOW ENERGY COSTS AND A LOCAL ENVIRONMENT FRIENDLY TO BUSINESS PROVIDE ENCOURAGEMENT FOR STRONG ECONOMIC AND INDUSTRIAL DEVELOPMENT WITHIN OUR AREA. AMONG THE MAJOR EMPLOYERS ARE ARCHER DANIELS MIDLAND, AN ETHANOL MANUFACTURING COMPANY; FLEXCON; CENTRAL CONFINEMENT SERVICES; PILLEN FAMILY FARMS; VISHAY; TWO BD MEDICAL PLANTS, WHICH ARE MEDICAL EQUIPMENT COMPANIES; BEHLEN MANUFACTURING, WHICH MANUFACTURES STEEL BUILDINGS; AND NEBRASKA PUBLIC POWER, WHOSE HEADQUARTERS IN IN COLUMBUS.THESE BUSINESS OPPORTUNITIES HAVE LED TO AN INFLUX OF SINGLE PEOPLE AND YOUNG FAMILIES MOVING INTO THE COLUMBUS AREA SEEKING EMPLOYMENT.ACCORDING TO THE US CENSUS BUREAU, THE INCOME AND POVERTY STATISTICS FOR THOSE LIVING IN PLATTE COUNTY IS PROVIDED BELOW:MEDIAN HOUSEHOLD INCOME: $69,943PERSONS IN POVERTY: 9.9%SERVICE CAPACITYCOLUMBUS COMMUNITY HOSPITAL (CCH) IS A COMMUNITY-OWNED, NOT-FOR-PROFIT HOSPITAL, LOCATED ON 60 ACRES IN THE NORTHWEST PART OF COLUMBUS, NEBRASKA. IT IS A 50-BED ACUTE CARE FACILITY THAT IS CERTIFIED FOR SWING BEDS AND 15 AMBULATORY OUTPATIENT BEDS.CCH OFFERS COMPREHENSIVE CARE, INCLUDING 24-HOUR EMERGENCY CARE; INTENSIVE CARE; MEDICAL-SURGICAL CARE; INPATIENT AND OUTPATIENT CARE; AND GENERAL, ENT, UROLOGY, PODIATRY AND ORTHOPEDIC SURGICAL PROCEDURES. OTHER ANCILLARY SERVICES INCLUDE: RESPIRATORY CARE, WOUND CARE, DIABETES EDUCATION, ENDOSCOPY, A CARDIAC CATHETERIZATION LAB AND CARDIOPULMONARY REHABILITATION. THE HOSPITAL ALSO OFFERS COMPREHENSIVE OUTPATIENT LABORATORY, RADIOLOGY AND REHABILITATIVE SERVICES, AS WELL AS FREE, 24/7 INTERPRETER SERVICES.THE HOSPITAL HAS MORE THAN 900 EMPLOYEES AND AN ACTIVE MEDICAL STAFF OF 50 PHYSICIANS WHO REPRESENT 16 MEDICAL SPECIALTIES. AN ADDITIONAL 15 SPECIALTY SERVICES ARE BROUGHT TO THE COMMUNITY ON AN INTERMITTENT BASIS BY VISITING PHYSICIANS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHCCH'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. EACH YEAR, THE HOSPITAL STRIVES TO PROVIDE THE BEST CARE TO ITS PATIENTS, WHILE ALSO PROVIDING WELLNESS EVENTS AND ACTIVITIES THAT ARE EASILY ACCESSIBLE TO COMMUNITY MEMBERS. THESE INCLUDE DIABETES WELLNESS EVENTS, HEALTHY COOKING CLASSES AND CAR SEAT SAFETY CHECKS FOR FAMILIES.CCH INVOLVES COMMUNITY MEMBERS AS AN ESSENTIAL COMPONENT OF THE BOARD OF DIRECTORS. A MAJORITY OF THE HOSPITAL GOVERNING BODY IS COMPOSED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. THE HOSPITAL USES SURPLUS FUNDS FOR IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING AND EDUCATION. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMN/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTHTTPS://WWW.COLUMBUSHOSP.ORG/FOR-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTNOT APPLICABLE - NO NEBRASKA STATE REPORT 1 COLUMBUS COMMUNITY HOSPITAL FOUNDATION 4600 38TH STREET COLUMBUS NE 68601 470836747 501(C)(3) 1000000 0 BOOK CHARITY CARE TO PATIENTS 1 0 PART I, LINE 2: COLUMBUS COMMUNITY HOSPITAL DOES NOT TYPICALLY GIVE OUT DONATIONS, BUT OCCASIONALLY A REQUEST IS BROUGHT FORWARD AND THE BOARD DETERMINES THAT IT IS IN THE BEST INTEREST OF THE COMMUNITY TO PROVIDE A PARTICULAR GRANT. PRIOR TO PROVIDING THE GRANT, THE HOSPITAL DETERMINES THAT THE ORGANIZATION IT GIVES TO IS A 501(C)(3) ORGANIZATION OR A GOVERNMENT AGENCY. THE HOSPITAL WILL ALSO MAKE GRANTS TO THESE RELATED ORGANIZATIONS AS NECESSARY TO SUPPORT THEIR EXEMPT PURPOSE. X 1 1 X X X X X X 0 1 0 0 0 1 0 0 0 MICHAEL HANSEN PRESIDENT/CEO/SECRETARY 493586 0 67285 0 321375 0 88841 0 34889 0 1005976 0 0 0 MATTHEW PIEPER PHYSICIAN 508732 0 279869 0 23000 0 13600 0 35227 0 860428 0 0 0 ANTHONY KRUEGER PHYSICIAN 503569 0 261821 0 23000 0 13600 0 35227 0 837217 0 0 0 JOHN BEAUVAIS PHYSICIAN 739108 0 0 0 22516 0 13600 0 15311 0 790535 0 0 0 MARK HOWERTER MD PHYSICIAN 549472 0 24898 0 0 0 23141 0 34695 0 632206 0 0 0 ROBERT MILLER PHYSICIAN 392240 0 0 0 0 0 23800 0 0 0 416040 0 0 0 CHAD VAN CLEAVE VP FINANCE 283336 0 25775 0 0 0 40443 0 34345 0 383899 0 0 0 SCOTT MESSERSMITH VP OPERATIONS 201094 0 21037 0 29210 0 36258 0 33895 0 321494 0 0 0 AMY BLASER VP BUSINESS DEVELOPMENT 222153 0 21314 0 0 0 34530 0 33921 0 311918 0 0 0 TANYA SANDIFER VP NURSING 224890 0 21501 0 0 0 20670 0 33939 0 301000 0 0 0 KEITH LUEDDERS VP ANCIALLARY SERVICES 204306 0 19398 0 4522 0 26581 0 33739 0 288546 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID FOR SOCIAL AND HEALTH CLUB DUES AS PART OF THE CEO'S EMPLOYMENT AGREEMENT. THESE AMOUNTS WERE REFLECTED ON THE CEO'S W-2. PART I, LINE 4B THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE 2024 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: MICHAEL HANSEN - $88,841 AMY BLASER - $34,530 TANYA SANDIFER - $20,670 SCOTT MESSERSMITH - $36,258 CHAD VAN CLEAVE - $40,443 KEITH LUEDDERS - $26,581 MARK HOWERTER, M.D. - $23,141 PART I, LINE 4C: THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT HOSPITAL BOARD MEMBERS, REVIEWS THE CEO'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED. PART I, LINE 6 WITH THE ASSISTANCE OF TOWERS-WATSON, EXECUTIVE COMPENSATION CONSULTANTS, THE BOARD AUTHORIZED PAYING AN INCENTIVE TO THE EXECUTIVES FOR MEETING SPECIFIC BOARD-ESTABLISHED DIRECTIVES. THE BOARD AUTHORIZED PAYING UP TO 12.5% OF BASE COMPENSATION FOR MICHAEL HANSEN AND UP TO 10% FOR THE FOLLOWING VPS: - TANYA SANDIFER - AMY BLASER - CHAD VAN CLEAVE - SCOTT MESSERSMITH - KEITH LUEDDERS THE INCENTIVE IS BASED ON GOALS ESTABLISHED BY THE BOARD WHICH ARE NOW REVIEWED ANNUALLY. ONE OF THE GOALS IS THE HOSPITAL'S OPERATING MARGIN. THE BOARD DETERMINES THE ASSOCIATED METRICS FOR EACH INDIVIDUAL GOAL. EACH OF THE GOALS IS THEN ASSIGNED A WEIGHT BASED ON THE LEVEL OF IMPORTANCE, AS DETERMINED BY THE BOARD. THE RESULTS ARE ENTERED AND THE METRIC IS TABULATED. THAT NUMBER IS MULTIPLIED BY THE CORRESPONDING WEIGHT. ONCE WEIGHTED, THE FIGURES ARE ADDED IN TOTAL TO ESTABLISH A SCORE BETWEEN 1 AND 5. NO INCENTIVE IS PAID IF THE HOSPITAL FINISHES THE YEAR WITH A NEGATIVE OPERATING MARGIN, REGARDLESS OF THE OUTCOMES OF THE OTHER MEASURES. ANY PHYSICIAN BONUSES ARE BASED ON PRODUCTIVITY. THE INCENTIVES WERE PAID IN THIS FISCAL YEAR FOR WORK DONE IN THE PREVIOUS FISCAL YEAR. THE BONUSES PAID WERE: TANYA SANDIFER - $21,501 CHAD VAN CLEAVE - $25,775 AMY BLASER - $21,314 SCOTT MESSERSMITH - $21,037 MIKE HANSEN - $67,285 KEITH LUEDDERS - $19,398 BRANDON BORER, M.D. - $191,886 DILLON CLAREY, M.D. - $328,552 MATTHEW PIEPER, M.D. - $155,338 ANTHONY KRUEPER, M.D. - $141,518 VENKATA KOLLI, M.D. - $35,000 PART III, LINE 4A COLUMBUS COMMUNITY HOSPITAL (CCH) IS A 50 BED ACUTE CARE HOSPITAL WHICH CURRENTLY EMPLOYS OVER 800 PEOPLE. IT IS A SIGNIFICANT, POSITIVE ECONOMIC FORCE FOR THE COLUMBUS AREA, RETURNING DOLLARS INTO THE ECONOMY THROUGH LOCAL PURCHASES BY THE ORGANIZATION AND SALARIES THAT RETURN TO THE COMMUNITY. IT IS AN ASSET FOR THE LOCAL COMMUNITIES WHERE PATIENTS CAN OBTAIN QUALITY HEALTH CARE WITHOUT THE NEED TO DRIVE OVER 50 MILES FOR CARE. CCH OFFERS A VARIETY OF SERVICES THAT PROVIDE NECESSARY CARE FOR AREA RESIDENTS. BELOW IS A BRIEF SUMMARY OF SERVICES OFFERED BY COLUMBUS COMMUNITY HOSPITAL. - ALL 50 BEDS OF THE HOSPITAL'S ACUTE CARE SERVICES ARE ALSO CERTIFIED AS SWING BEDS. - CCH PROVIDES CERTIFIED, DEDICATED MEDICAL INTERPRETERS TO ASSIST NON-ENGLISH SPEAKING PATIENTS. THE INTERPRETERS ARE AVAILABLE IN-HOUSE OR ON-CALL 24/7 AND SERVE AS A LIAISON BETWEEN THE CARE PROVIDERS AND THE PATIENT. - THE HOSPITAL PROVIDES ICU, MEDICAL SURGICAL, OB AND ORTHOPEDIC SERVICES, ALONG WITH A VARIETY OF COMPLIMENTARY ANCILLARY SERVICES. THESE ANCILLARY SERVICES INCLUDE WOUND CARE, DIABETIC EDUCATION AND CARDIAC REHAB AND ALSO INCLUDE CLINICAL PHARMACY SERVICES. TO ENHANCE PATIENT SAFETY, CCH USES BAR-CODED MEDICATION ADMINISTRATION, SMART PUMPS AND COMPUTERIZED PHYSICIAN ORDER ENTRY. - SO THAT AREA RESIDENTS CAN RECEIVE CARE CLOSE TO HOME, CCH OFFERS REHABILITATIVE SERVICES THAT INCLUDE PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AS WELL AS SPECIALIZED MULTIDISCIPLINARY THERAPY PROGRAMS SUCH AS THRIVE CANCER REHABILITATION CARE, PARKINSON WELLNESS PROGRAM, ROCK STEADY BOXING, CONCUSSION MANAGEMENT TEAM, COMPLETE DECONGESTIVE LYMPHEDEMA THERAPY CLINIC, A DRIVER'S REHABILITATION PROGRAM, VISUAL AND VESTIBULAR REHAB, AQUATIC THERAPY PROGRAM, AND PELVIC FLOOR DYSFUNCTION (MALE/FEMALE URINARY INCONTINENCE AND PELVIC PAIN) PROGRAM. THE HOSPITAL'S WIGGLES AND GIGGLES THERAPY FOR KIDS OFFERS PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH FOR CHILDREN RANGING IN AGE FROM INFANTS TO ADOLESCENTS. IN NOVEMBER 2015, OUTPATIENT THERAPY SERVICES MOVED INTO FIRST FLOOR SPACE WITH GREATER ACCESS FOR PATIENTS AT THE NEW COLUMBUS WELLNESS CENTER AND NOW PATIENTS ARE INTEGRATED AND TRANSITIONED INTO MEDICAL WELLNESS PROGRAMS AFTER DISCHARGE SUCH AS THE PARKINSON'S EXERCISE GROUP, THE LOUD CROWD VOICE EXERCISE GROUP, TBI, & STROKE SUPPORT GROUP, SPINEFIT EXERCISE CLASSES, AI CHI EXERCISE CLASSES, AQUATIC EXERCISE CLASSES, AND TAI CHI FOR BETTER BALANCE CLASSES. - NURSES IN THE HOSPITAL'S SAME DAY SERVICES (SDS) DEPARTMENT PREPARE PATIENTS FOR SURGERY AND CARE FOR PATIENTS IN BOTH THE INPATIENT AND OUTPATIENT SETTING. THE DEPARTMENT OVERSEES SEVERAL OUTPATIENT PROCEDURES, INCLUDING 90 TO 100 ENDOSCOPY PROCEDURES EACH MONTH. SDS NURSES ALSO ADMINISTER BLOOD TRANSFUSIONS AND CHEMOTHERAPY INFUSIONS. - CCH OFFERS SOME OF THE MOST ADVANCED IMAGING SERVICES INCLUDING MRI, CT, DIGITAL MAMMOGRAPHY AND ULTRASOUND. RADIOLOGISTS ARE ON CAMPUS AND/OR AVAILABLE 24/7. ALL IMAGES ARE DIGITAL, AND THE DICTATION USED BY RADIOLOGISTS IS VOICE RECOGNIZED AND BECOMES PART OF THE DIGITAL IMAGE. - THE HOSPITAL'S LABORATORY PERFORMS AN AVERAGE OF OVER 13,000 TESTS PER MONTH FOR BOTH INPATIENTS AND OUTPATIENTS. - THE CCH EMERGENCY DEPARTMENT (ED) EMPLOYS HIGHLY TRAINED EMERGENCY PHYSICIANS AND NURSES, OFFERING 24/7 CARE. OTHER HOSPITAL DEPARTMENTS PROVIDING SUPPORT IN THE ED INCLUDE RESPIRATORY CARE, SOCIAL WORK, LABORATORY, MEDICAL INTERPRETERS AND DIAGNOSTIC IMAGING. IN MAY 2006, THE CCH EMERGENCY DEPARTMENT WAS DESIGNATED AS A LEVEL III TRAUMA CENTER. THE MEDICAL STAFF AND PERSONNEL IN THE TRAUMA CENTER HAVE RECEIVED SPECIALIZED TRAINING TO RESUSCITATE AND STABILIZE TRAUMA PATIENTS. THE TRAUMA PROGRAM PROVIDES SYSTEMATIC REVIEW OF TRAUMA CARE AND PARTICIPATES IN INJURY PREVENTION ACTIVITIES THROUGHOUT THE COMMUNITY. - CCH OPENED WOUND CARE SERVICES IN AUGUST 2008, OFFERING CLINIC HOURS ONE DAY PER WEEK. THE IDENTIFIED SERVICE AREA INCLUDES A 45-MILE RADIUS AROUND COLUMBUS. BY JANUARY 2009, A SECOND DAY WAS ADDED TO SUPPORT THE DEMAND. THE PROGRAM HAS EXCEEDED THE ANTICIPATED DEMAND AND PROVIDES A MUCH NEEDED SERVICE CLOSE TO HOME. THE CLINIC SEES ABOUT 100 PATIENTS PER MONTH FOR WOUND CARE. PART III, LINE 4A (CONT) - FOR SERVICES LOCATED IN FACILITIES OFF-SITE, THE LARGER SERVICES ARE HOME HEALTH AND HOSPICE. HOME HEALTH PROVIDES SKILLED HEALTH SERVICES FOR PATIENTS AT THEIR PLACE OF RESIDENCE. THE PROGRAM IS MEDICALLY DIRECTED AND MUST BE ORDERED BY THE ATTENDING PHYSICIAN. HOME HEALTH IS MEDICARE AND MEDICAID CERTIFIED AND MEETS THE REQUIREMENTS OF THE JOINT COMMISSION. SERVICES PROVIDED WITHIN THE PROGRAM ARE: O SUPERVISION AND ADMINISTRATION OF MEDICATIONS O INTRAVENOUS THERAPY O INSTRUCTING PATIENTS IN DIABETIC MANAGEMENT O NUTRITIONAL ASSESSMENTS O HOME HEALTH AIDES O PERSONAL CARE SERVICES O OCCUPATIONAL, SPEECH AND PHYSICAL THERAPIES - HOSPICE SERVICES ARE PROVIDED TO PERSONS WHO ARE NO LONGER RECEIVING CURATIVE TREATMENT AND WHOSE LIFE EXPECTANCY IS SIX MONTHS OR LESS. CARE IS PROVIDED BY AN INTERDISCIPLINARY TEAM WHICH CONSISTS OF THE PHYSICIAN, NURSE, SOCIAL WORKER, THERAPIST, HOME HEALTH AIDE, SPIRITUAL ADVISOR, VOLUNTEER AND OTHER HEALTH PROFESSIONALS. - OUR LOCAL HEALTHY FAMILY NEBRASKA PROGRAM (HFN) TARGETS YOUNG, PRIMARILY SINGLE, PREGNANT MOTHERS AND THEIR FAMILIES. OUR VOLUNTARY HFN HOME VISITATION PROGRAM TARGETS THE MOST VULNERABLE YOUNG WOMEN AND THEIR FAMILIES BY OFFERING THEM INTENSE, IN-HOME EDUCATION, SUPPORT AND RESOURCES. THIS HOME VISITING PROGRAM COVERS FAMILIES IN A FOUR COUNTY AREA. THE HFN REQUIRES EACH MOTHER/FAMILY TO ACTIVELY PARTICIPATE IN BUILDING AN INDIVIDUALIZED FAMILY PLAN. THIS STRENGTH-BASED APPROACH PROMOTES SELF-IMPROVEMENT AND ENHANCES SELF-ESTEEM AND INDEPENDENCE FOR OUR YOUNG PARENTS THAT WILL HELP THEM MAKE BETTER DECISIONS AND BREAK OUT OF DESTRUCTIVE CYCLES. - THE CCH SLEEP LAB OFFERS COMPLETE POLYSOMNOGRAPHIC SLEEP TESTING BY TRAINED AND LICENSED SLEEP TECHNICIANS FOR THE PURPOSE OF DIAGNOSING OBSTRUCTIVE/CENTRAL SLEEP APNEA. BOTH DAYTIME AND NIGHT SLEEP STUDIES ARE PERFORMED. - OCCUPATIONAL HEALTH SERVICES (OHS) OFFERS A MENU OF HEALTH CARE SERVICES DESIGNED TO PREVENT AND TREAT INJURIES IN THE WORKPLACE. PARTNERING WITH EMPLOYERS IN MORE THAN 800 COMPANIES AND WITH OTHER HEALTH CARE PROFESSIONS, OHS PROVIDES THE COLUMBUS AND REGIONAL AREA BUSINESSES AND INDUSTRY WITH A COMPREHENSIVE RANGE OF SERVICES DESIGNED TO SUPPORT AND MAINTAIN A HEALTHY, SAFE WORKFORCE WHILE ASSISTING THEM IN MEETING OSHA AND DOT COMPLIANCE REGULATIONS. THEIR FULL RANGE OF SERVICES INCLUDE: O A COMPREHENSIVE TESTING PROCEDURE CALLED PHYSICAL CAPACITY PROFILE (PCP) THAT MATCHES EMPLOYEES TO THE JOB AND IS DESIGNED TO ACCOMMODATE INDIVIDUALS WITH HANDICAPS. THE PCP SYSTEM WAS DEVELOPED BY AN ORTHOPEDIC PHYSICIAN. THROUGH USE OF THIS TESTING, MUSCULOSKELETAL IMBALANCES ARE DETECTED WHICH HELPS EMPLOYERS PLACE EMPLOYEES IN THE APPROPRIATE JOB TO MINIMIZE THE POTENTIAL OF INJURY. O 24/7 DRUG AND ALCOHOL TESTING SERVICES O PRE-EMPLOYMENT/POST JOB OFFER PHYSICAL ASSESSMENTS O ON-SITE NURSING SERVICES O HEARING/VISION TESTING O HEARING CONSERVATION PROGRAM MANAGEMENT O RESPIRATORY FIT TESTING O RESPIRATORY EVALUATION SERVICES O FLU SHOTS AND IMMUNIZATION PROGRAMS O WELLNESS PROGRAMS - LIFELINE, AN IN-HOME EMERGENCY RESPONSE PROGRAM, PROVIDES THE VITAL SAFETY NET THAT MANY PEOPLE NEED TO CONTINUE LIVING AT HOME IN FAMILIAR AND COMFORTING SURROUNDINGS. THE PROGRAM IS COMPLETELY FOCUSED ON ENSURING THE PATIENT'S INDEPENDENCE, SAFETY AND WELL-BEING IN THEIR HOME. IT OPERATES WITH A BRACELET WORN BY THE PATIENT WITH A BUTTON THAT CAN BE PRESSED IF HELP IS NEEDED. PRE-DETERMINED RESPONDERS ARE SUMMONED TO THEIR HOME OR EMERGENCY TRANSFER CAN BE CALL IF NEEDED. - MEALS ON WHEELS ARE PREPARED BY THE NUTRITION SERVICES DEPARTMENT AND ARE DELIVERED BY COMMUNITY VOLUNTEERS. SENIORS AND PHYSICALLY HANDICAPPED ADULTS QUALIFY FOR THE PROGRAM. SPECIAL DIETS CAN ALSO BE ACCOMMODATED. FINANCIAL ASSISTANCE IS AVAILABLE THROUGH THE NEBRASKA DEPARTMENT OF SOCIAL SERVICES. - THE HOSPITAL ALSO PARTICIPATES IN AND HAS HOSTED COUNTY-WIDE NATURAL DISASTER AND PANDEMIC DRILLS. AS A MEMBER OF A LARGER PREPAREDNESS TEAM, RROMRS, CCH CAN ASSIST OR RECEIVE ASSISTANCE FROM THIS REGION'S MEDICARE PROVIDERS. THROUGH THESE DRILLS AND EXERCISES, THE HOSPITAL IS WELL-PREPARED TO HANDLE A NATURAL DISASTER OR PANDEMIC SHOULD ONE ARISE. - TO BETTER SERVICE OUR COMMUNITY, COLUMBUS COMMUNITY HOSPITAL HAS PARTNERED WITH COLUMBUS CHILDREN'S HEALTHCARE TO CREATE THE COLUMBUS COMMUNITY HOSPITAL PEDIATRIC HOSPITALIST PROGRAM IN MAY OF 2017. THIS SERVICE IS APPLICABLE TO INPATIENT AND OBSERVATION CARE ONLY TO PATIENTS AGES NEWBORN TO AGE 18. PEDIATRIC HOSPITALISTS ROUTINELY COMPLETE ROUNDS IN MORNING AND EVENINGS, AND AS CENSUS AND ACUITY DEMANDS. PHYSICIANS FROM OTHER COMMUNITIES WHO ARE NOT CURRENTLY CREDENTIALED AT COLUMBUS COMMUNITY HOSPITAL MAY REFER TO THE PEDIATRIC HOSPITALIST GROUP FOR ADMISSION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE AVAILABLE FOR ALL THE MEMBERS OF THE FINANCE COMMITTEE TO REVIEW. UPON COMMITTEE REVIEW, THE 990 WILL THEN BE SUBMITTED TO THE FULL BOARD FOR REVIEW AND THE BOARD WILL MAKE ANY CORRECTIONS IF APPLICABLE. FORM 990, PART VI, SECTION B, LINE 12C COLUMBUS COMMUNITY HOSPITAL MONITORS ANY CONFLICT OF INTEREST BASED ON THEIR CONFLICT OF INTEREST POLICY. EMPLOYEES AND VOLUNTEERS ARE REQUIRED TO FULLY DISCLOSE ANY CONFLICT OF INTEREST THAT MAY EXIST OR APPEARS TO EXIST. HOSPITAL REVIEWS ANY OF THESE CONFLICTS AND WORKS WITH THE VICE PRESIDENT OR CEO TO DETERMINE IF A CONFLICT EXISTS. IF ONE DOES EXIST, THE HOSPITAL INITIATES ACTIONS TO MANAGE, REDUCE, OR ELIMINATE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT HOSPITAL BOARD MEMBERS, REVIEWS THE CEO'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED. THE HOSPITAL'S CEO AND DIRECTOR OF HUMAN RESOURCES, REVIEW THE VP'S AND OTHER HIGHLY COMPENSATED EMPLOYEE'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 AT COLUMBUS COMMUNITY HOSPITAL, A 3-RING BINDER EXISTS IN THE EXECUTIVE ASSISTANT'S OFFICE LABELED FOR PUBLIC DISCLOSURE WHICH INCLUDES THE MOST CURRENT OF THE FOLLOWING: A) GOVERNING DOCUMENTS WHICH ARE THE HOSPITAL'S BYLAWS B) CONFLICT OF INTEREST POLICY C) AUDITED FINANCIAL STATEMENTS D) FORMS 990 AND 990-T FORM 990, PART XI, LINE 9: NET ASSET CHANGE FOR HEALTHPARK AND ZARZ -42,597. OTHER CHANGES IN NET ASSETS 43,848. 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