2026-02-16T11:57:36-06:00 2025-04-30 135565207 KPMG LLP 3555 FARNAM STREET SUITE 700 OMAHA NE 68131 990 2024-05-01 470836747 COLUMBUS COMMUNITY HOSPITAL FOUNDATION COLU 4025624646 4600 38TH STREET COLUMBUS NE 68601 JEROD TROUBA CHAIRMAN 4025624646 2026-02-12 1 1 SOPHIE R KING P02233384 4023481450 2026-02-12 2024 2025-03-06 01:10:19Z JEROD TROUBA 4600 38TH STREET COLUMBUS NE 68601 12810371 0 X WWW.COLUMBUSHOSP.ORG X 2001 NE THE MISSION OF COLUMBUS COMMUNITY HOSPITAL FOUNDATION IS TO BUILD GOODWILL AND FINANCIAL SUPPORT FOR COLUMBUS COMMUNITY HOSPITAL. 11 11 0 295 0 0 2611813 4635958 0 0 7269269 8152813 -8039 -7160 9873043 12781611 3112922 6313831 0 0 0 0 0 0 0 63953 72500 3176875 6386331 6696168 6395280 129735967 141394665 619659 602463 129116308 140792202 TO BUILD GOODWILL AND FINANCIAL SUPPORT FOR COLUMBUS COMMUNITY HOSPITAL. 0 0 6355785 6313831 0 FUNDRAISING AND GENERATING PUBLIC SUPPORT FOR COLUMBUS COMMUNITY HOSPITAL. 6355785 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NE X JENNIFER WIECK 4025624646 4600 38TH STREET COLUMBUS NE 68601 JEROD TROUBA CHAIRMAN 1.00 0.00 X X 0 0 0 KIM MEYER VICE-CHAIRMAN 1.00 0.00 X X 0 0 0 TERRY MILLARD TREASURER 1.00 0.00 X X 0 0 0 RORY BOWEN DIRECTOR 1.00 0.00 X 0 0 0 TOBY GOC DIRECTOR 1.00 0.00 X 0 0 0 JEREMY ALBIN DIRECTOR 1.00 0.00 X 0 0 0 BOB NIEDBALSKI DIRECTOR 1.00 0.00 X 0 0 0 BRYAN CHOCHON DIRECTOR 1.00 0.00 X 0 0 0 PAT ANDERSON DIRECTOR 1.00 0.00 X 0 0 0 JANET HIBBS-JONES DIRECTOR 1.00 0.00 X 0 0 0 PAT HEIMES DIRECTOR 1.00 0.00 X 0 0 0 JAY TROFHOLZ CHAIRMAN (THRU 06/24) 1.00 0.00 X X 0 0 0 MICHAEL HANSEN CEO/PRESIDENT 1.00 39.00 X 0 882246 120197 CORINNE FULLNER EXECUTIVE DIRECTOR 40.00 0.00 X 0 104283 38818 0 986529 159015 0 0 1 0 0 129923 1075654 3430381 1217853 4635958 3295307 3295307 4857506 0 4857506 4857506 4857506 21600 129923 28760 -7160 -7160 12781611 0 0 8145653 6313831 6313831 30000 30000 10025 10025 546 546 285 285 VARIOUS PROGRAM EXPENSE 24611 24611 DIABETES EDUCATION FUND 5096 5096 OTHER 1937 1937 6386331 6355785 30546 0 550780 590202 0 0 0 0 282319 194259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128815732 140523068 0 0 0 0 0 0 87136 87136 129735967 141394665 619659 602463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619659 602463 X 125352609 136902512 3763699 3889690 129116308 140792202 129735967 141394665 X 6395280 5263418 17196 X 0 1 X 1 0 X X 1 COLUMBUS COMMUNITY HOSPITAL 470542043 3 1 6313831 0 1 6313831 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2636713 18378 2655091 2618510 18203 2636713 2600002 18508 2618510 2580574 19428 2600002 2456387 124187 2580574 1.00000 0 0 0 X 18244565 5263418 153580 45956 5462954 12781611 0 12781611 6568671 153580 28760 182340 6386331 0 6386331 PART V, LINE 4: ENDOWMENT FUND HELD AND MAINTAINED BY CAMBRIDGE INVESTMENT ADVISORS. THE ENDOWMENT FUND EXISTS IN SUPPORT OF IMPROVED HEALTH SERVICES BY COLUMBUS COMMUNITY HOSPITAL. PART X, LINE 2: FIN 48 FOOTNOTE - THE FOUNDATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. IN 2024 AND 2023, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 28,760. CONTRIBUTION PAYABLE 17,196. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 28,760. GOLF 142940 121340 21600 22789 OTHER 8583 8583 5971 151523 129923 21600 28760 28760 -7160 0 COLUMBUS COMMUNITY HOSPITAL INC 4600 38TH STREET COLUMBUS NE 68601 470542043 501(C)(3) 6313831 0 BOOK 0 SUPPORT OF HOSPITAL 1 0 PART I, LINE 2: MONIES ARE ONLY DISTRIBUTED TO RELATED ORGANIZATIONS AND AFFILIATES. THEREFORE, THE FOUNDATION IS ASSURED OF THE PROPER USE OF FUNDS. 0 1 0 0 0 0 0 0 0 MICHAEL HANSEN CEO/PRESIDENT 0 493586 0 67285 0 321375 0 88841 0 34889 0 1005976 0 0 PART I, LINE 3 MICHAEL HANSEN IS THE CHIEF EXECUTIVE OFFICER OF COLUMBUS COMMUNITY HOSPITAL, INC. 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, FROM SALARY SURVEYS, AND THEN DECISIONS ARE DOCUMENTED. PART-I LINE-4B THE FOLLOWING REPORTABLE INDIVIDUAL PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN DURING THE 2024 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: MICHAEL HANSEN - $88,841 X 26 1217853 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FINAL FORM 990 WAS PRESENTED TO THE BOARD BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS SIGNED BY EACH MEMBER OF THE BOARD AND STAFF AND THEN IS FILED IN FOUNDATION FILES ANNUALLY. WHEN COLUMBUS COMMUNITY HOSPITAL FOUNDATION IS ASKED TO ADDRESS A POTENTIAL CONFLICT OF INTEREST, ANY SUCH POTENTIAL CONFLICT WHICH CANNOT BE REASONABLY RESOLVED OR ELIMINATED MAY BE REVIEWED WITH THE ASSISTANCE OF THE COMPLIANCE OFFICER, CEO, THE BOARD OF DIRECTORS AND/OR FOUNDATION LEGAL COUNSEL AND APPROPRIATE ACTION WILL BE TAKEN. FORM 990, PART VI, SECTION C, LINE 19 COPIES PROVIDED ON REQUEST FORM 990, PART XI, LINE 9: CONTRIBUTION PAYABLE 17,196. COLUMBUS COMMUNITY HOSPITAL 4600 38TH STREET COLUMBUS NE 68601 470542043 HOSPITAL NE 501(C)(3) 3 N/A 0 HEALTHPARK TITLE CO 4600 38TH STREET COLUMBUS NE 68601 470830945 HOLDING CO. NE 501(C)(2) N/A CCH 0 PLATTE VALLEY PHO 4600 38TH STREET COLUMBUS NE 68601 470790385 HEALTH ADMIN NE CCH C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0