2024-08-13T17:06:35-05:00 2023-09-30 460403496 CASEY PETERSON LTD 909 ST JOSEPH ST STE 101 RAPID CITY SD 57701 990 2022-10-01 470482234 CHADRON COMMUNITY HOSPITAL CORPORATION CHAD 3084320286 825 CENTENNIAL DRIVE CHADRON NE 69337 JENNIFER L BROWN CFO 3084320286 2024-08-12 1 1 KAYLA GIESEY CPA P01874520 6053481930 2024-08-13 2022 2024-08-08 14:25:15Z CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES JENNIFER L BROWN 825 CENTENNIAL DRIVE CHADRON NE 69337 33478689 0 X HTTPS://WWW.CHADRONHOSPITAL.COM/ X 1957 NE TO PROVIDE AND SUPPORT HEALTH CARE AND COMMUNITY SERVICE PROGRAMS OF EXCELLENCE IN THE COMMUNITIES WE SERVE. 9 9 316 58 0 0 1789322 2853442 29574044 30306710 -343034 139299 272694 157889 31293026 33457340 32900 77700 0 0 13759253 14431936 0 0 15370 18128022 18573130 31920175 33082766 -627149 374574 32695486 31619454 16987681 15537075 15707805 16082379 X TO PROVIDE AND SUPPORT HEALTH CARE AND COMMUNITY SERVICE PROGRAMS OF EXCELLENCE IN THE COMMUNITIES WE SERVE. 0 0 30805544 77700 30468126 CHADRON COMMUNITY HOSPITAL CORPORATION OFFERS ACCESS TO CARE. INDIVIDUALS SHALL BE ACCORDED IMPARTIAL ACCESS TO TREATMENT OR ACCOMMODATIONS THAT ARE AVAILABLE, AND MEDICALLY INDICATED, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, RELIGION, ABILITY TO PAY, OR SOURCES OF PAYMENT FOR CARE. DURING THE FISCAL YEAR CHADRON COMMUNITY HOSPITAL CORPORATION PROVIDED INPATIENT SERVICES AS FOLLOWS: PATIENT DAYS ADULT AND PEDIATRICS 1341 SWING BED - SKILLED 542 NURSERY 164 TOTAL 2047CHADRON COMMUNITY HOSPITAL CORPORATION EMERGENCY ROOM TREATED 2654 PATIENTS AND 482 SURGICAL PROCEDURES WERE PERFORMED IN THE SURGERY AREA. IN ADDITION TO PROVIDING DIRECT INPATIENT AND OUTPATIENT SERVICES, CHADRON COMMUNITY HOSPITAL PROVIDED OUR COMMUNITY/COUNTY RESIDENTS ACCESS TO A VARIETY OF SPECIALISTS. THE FOLLOWING TYPES OF SPECIALTY CLINICS AND SERVICES WERE PROVIDED: CARDIOLOGY, ORTHOPEDICS, EAR, NOSE AND THROAT, UROLOGY, INTERNAL MEDICINE, DERMATOLOGY, ONCOLOGY, VASCULAR, OPHTHALMOLOGY, RHEUMATOLOGY, WOUND CARE AND PODIATRY. THE FOLLOWING COMMUNITY SERVICES WERE PROVIDED AT A MINIMAL OR NO COST BASIS: 1. REGISTERED NURSE SUPPORT WAS PROVIDED TO OUR AREA FIRE AND RESCUE VOLUNTEERS AND LOCAL LAW ENFORCEMENT OFFICERS AND TEACHERS TO ADMINISTER VACCINATIONS.2. WE HAVE A WELLNESS PROGRAM THAT PROMOTES WELLNESS ACTIVITIES AND WELLNESS EVENTS AND INFORMATION THROUGH SOCIAL MEDIA.3. WE PROVIDED FREE DIETARY COUNSELING SERVICES AND EDUCATION FOR DIABETIC AND LOW-INCOME FAMILIES.4. MAMMOGRAPHY SERVICES ARE OFFERED TO WOMEN AT A GREATLY REDUCED PRICE, THROUGH THE EVERY WOMAN MATTERS PROGRAM.5. MEETING ROOMS ARE PROVIDED FREE OF CHARGE TO ALL OUTSIDE SERVICE ORGANIZATIONS WHO ARE PROMOTING GOOD HEALTH.6. WE PROVIDE HEALTH CARE PROFESSIONALS TO SPEAK AT VARIOUS ORGANIZATIONS/MEETINGS TO HELP EDUCATE AND PROMOTE HEALTH CARE CONCERNS AND ISSUES, FREE OF CHARGE. 7. COMMUNITY PRENATAL/MATERNITY CLASSES ARE PROVIDED AT NO COST TO ENSURE AVAILABILITY TO THESE SERVICES FOR THOSE WHO CANNOT AFFORD THE CLASS. PROFESSIONAL STAFF ARE PAID THEIR REGULAR SALARY FOR THESE SERVICES.8. CHADRON COMMUNITY HOSPITAL PROVIDES RECRUITMENT ASSISTANCE TO THE LOCAL COMMUNITY IN EFFORTS TO ATTRACT AND RETAIN NEEDED PRIMARY/FAMILY PRACTICE PHYSICIANS.9. STAFF HAS CONDUCTED NUMEROUS EDUCATIONAL PROGRAMS FOR THE SENIOR CITIZEN CENTER AND VARIOUS SERVICE ORGANIZATIONS INFORMING THEM OF THE ADVANCED DIRECTIVE PROGRAM AND THE VARIOUS PROPOSED HEALTH CARE BILLS.10. ADMINISTRATION HAS PROVIDED THE LOCAL/COUNTY RESIDENTS WITH NUMEROUS PUBLICATIONS PRINTED IN THE LOCAL NEWSPAPERS DEALING WITH ALL ASPECTS OF HEALTH CARE, TO INCLUDE THE RIGHTS AFFORDED TO ALL MEDICARE RECIPIENTS.11. A FOOD PANTRY IS OFFERED TO AREA RESIDENTS THAT HAVE UNIQUE CIRCUMSTANCES AND ARE NOT ELIGIBLE FOR OTHER FOOD ASSISTANCE.12. HOSPITAL STAFF VOLUNTEERS AT THE LOCAL SOUP KITCHEN "CLOSER TO HOME" ON A MONTHLY BASIS.13. OCCUPATIONAL THERAPY STAFF HAS ORGANIZED A BRAIN INJURY SUPPORT GROUP.14. THE HOSPITAL PURCHASED AN AED DEVICE AND PROVIDED TRAINING FOR THE COMMUNITY WELLNESS CENTER.15. THE HOSPITAL CONTRIBUTED TO THE FUNDING FOR THE COMMUNITY WELLNESS CENTER PROJECT.16. THE HOSPICE PROGRAM OFFERS REMEMBRANCE CEREMONIES TO ASSIST COMMUNITY MEMBERS IN DEALING WITH GRIEF.17. THE HOSPITAL PROVIDES ASSISTANCE TO AREA CANCER PATIENTS FOR MEDICAL EXPENSES THROUGH A GRANT PROGRAM CALLED "CIRCLE OF LIGHT".18. THE HOSPITAL DISTRIBUTES SAFETY INFORMATION TO AREA RESIDENTS VIA THE SCHOOLS AND LOCAL BUSINESSES.19. THE HOSPITAL PROVIDED COMMUNITY ACCESS TO FREE COVID TESTING, BEGINNING IN THE SUMMER OF 2020 AND PROVIDED ACCESS TO COVID VACCINATIONS AND TEST KITS THROUGH FEDERAL PROGRAMS.20. WE BEGAN OFFERING A NEW BRAKE FOR BREAKFAST EVENT IN OCTOBER OF 2022 TO PROMOTE BREAST CANCER AWARENESS AND EDUCATE ON SELF DETECTION AND THE IMPORTANCE OF SCREENINGS BY PROVIDING INFORMATION ALONG WITH A DRIVE-THRU BREAKFAST ANNUALLY.21. WE HAVE A COMMUNITY HEALTH CLINIC THAT OFFERS BEHAVIORAL HEALTH SERVICES, FAMILY SERVICES, NUTRITION SERVICES AND HEALTH SERVICES TO OUR COMMUNITY. THESE PROGRAMS ARE GRANT FUNDED AND SERVE VULNERABLE POPULATIONS. 30805544 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 64 0 316 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 1 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X THE ORGANIZATION 3084320286 825 CENTENNIAL DRIVE CHADRON NE 69337 X CURT PLOOSTER PRESIDENT 2.00 X X 0 0 0 ANTHONY HEITING 1ST VICE PRESIDENT 2.00 X X 0 0 0 LOIS BARTLETT MEMBER 2.00 X 0 0 0 NICHOLAS FISHER MEMBER 2.00 X 0 0 0 RUTH HAMAKER MEMBER 2.00 X 0 0 0 CHIP HARTMAN MEMBER 2.00 X 0 0 0 JAMES NERUD MEMBER 2.00 X 0 0 0 SHANE SHEPHERD MEMBER 2.00 X 0 0 0 LYNN WEBSTER MEMBER 2.00 X 0 0 0 NATHAN HOUGH CEO 40.00 X 0 0 0 JENNIFER BROWN CFO 40.00 X 0 0 0 SHELLEY GRAVES PHARMACIST 40.00 X 142987 0 4284 KEITH BLAYLOCK PT DIRECTOR 40.00 X 136862 0 4096 LEAH FRYE PHARMACIST 40.00 X 134977 0 4047 BRENDA RHEMBRANDT NURSE MANAGER 40.00 X 131974 0 3957 JAMASON SCHMIDT CHIEF OPERATING OFFICER 40.00 X 135112 0 0 681912 0 16384 23 0 0 0 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA ST OMAHA NE 68154 LOCUM TENENS 1911015 REGIONAL WEST 4021 AVE B SCOTTSBLUFF NE 69361 MANAGEMENT AND LAB SERVICES 930910 CHADRON MEDICAL CLINIC PO BOX 431 CHADRON NE 69337 PROVIDER SERVICES 837616 PELOTON ANESTHESIA PLLC 3829 PONDEROSA CT RAPID CITY SD 57702 CRNA SERVICES 537263 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 PROVIDER SERVICES; CONTRACT STAFFING 418155 9 52516 2102739 698187 2853442 PATIENT SERVICE REVENUE 621110 28442392 28442392 INDEPENDENT/ASSISTED LIVING APART 623990 1502417 1502417 WCHR PATIENT REVENUES 621400 253772 253772 CAFETERIA SALES 722514 105131 105131 OTHER OPERATING REVENUES 621990 2998 2998 30306710 145359 145359 161416 0 161416 161416 161416 5680 11740 -6060 -6060 -6060 6082 52516 9609 -3527 -3527 33457340 30468126 0 135772 X 77700 77700 47565 47565 10914480 10316891 588817 8772 197042 159559 37302 181 2471199 2001104 467827 2268 801650 755906 44971 773 328554 328554 13672 13672 65550 65550 7398140 7267066 130534 540 159731 106377 52947 407 281069 105646 174166 1257 160414 145297 15117 578592 538900 39456 236 85732 77492 7870 370 57666 50571 6993 102 440853 423219 17634 2042020 1949662 91976 382 340473 326906 13567 MEDICAL SUPPLIES 3956736 3955087 1649 REPAIRS AND MAINTENANCE 763011 738611 24327 73 DUES AND SUBSCRIPTIONS 737833 677291 60542 EQUIPMENT RENTAL 427488 406395 21093 735596 725864 9723 9 33082766 30805544 2261852 15370 10309238 4841931 1852302 1493640 5645242 7259329 6439 5209 489136 518609 219128 256737 45857028 31776668 12582843 14080360 1591158 1415378 0 1748261 32695486 31619454 2978532 2878086 778695 21737 13146804 12553349 83650 83903 16987681 15537075 X 15450919 15814189 256886 268190 15707805 16082379 32695486 31619454 374574 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 202752 202752 32796697 24122133 8674564 116167 87021 29146 11094092 7567514 3526578 1647320 1647320 14080360 PROPERTY TAX REFUND RECEIVABLE 50519 WIRE FRAUD RECEIVABLE 1697742 1748261 SECURITY DEPOSITS - INDEPENDENT LIVING 83903 83903 X 33092234 -374715 -374715 33466949 -9609 -9609 33457340 32717660 9609 9609 32708051 374715 374715 33082766 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT A PRIVATE FOUNDATION. THE HOSPITAL IS NOT LIABLE FOR INCOME TAXES IF IT OPERATES WITHIN THE CONFINES OF ITS EXEMPT STATUS, THOUGH THE HOSPITAL MAY BE RESPONSIBLE FOR TAXES ON UNRELATED BUSINESS ACTIVITIES. IN THE EVENT OF AN EXAMINATION OF THE INCOME TAX RETURNS, THE TAX LIABILITY OF THE HOSPITAL COULD BE CHANGED IF TAXING AUTHORITIES MAKE ADJUSTMENTS TO THE TAX-EXEMPT PURPOSE OF THE HOSPITAL OR IF TAXING AUTHORITIES DETERMINE ACTIVITIES ARE SUBJECT TO UNRELATED BUSINESS INCOME. AS OF SEPTEMBER 30, 2023, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL'S INCOME TAX FILLINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE HOSPITAL IS NO LONGER SUBJECT TO FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2019. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATION, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE HOSPITAL BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. INTEREST AND PENALTIES ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, ARE INCLUDED IN INTEREST EXPENSE. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -374,715. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EVENT EXPENSES -9,609. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EVENT EXPENSES 9,609. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 374,715. SCHEDULE D, PARTS XI AND XII AT THE TIME OF FILING THE FORM 990, THE AUDIT OF THE FINANCIAL STATEMENTS FOR CHADRON COMMUNITY HOSPITAL CORPORATION SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2023 WAS IN PROGRESS. THE RECONCILIATION OF REVENUE AND EXPENSES PER THE AUDITED FINANCIAL STATEMENTS TO THE RETURN WAS COMPLETED USING AMOUNTS FROM THE DRAFT FISCAL YEAR 2023 FINANCIAL STATEMENTS. CIRCLE OF LIGHT GALA 7050 2825 4225 4225 500 36 SHOW THE LIGHT 51548 49691 1857 1857 2991 58598 52516 6082 6082 500 3027 9609 -3527 1 1 X 1 X 1 X 1 1 1 0 0 13720 13720 0.00040 3484519 2258570 1225949 0.03750 3498239 2258570 1239669 0.03790 3498239 2258570 1239669 0.03790 3 35862 779 35083 0.00110 4 1863659 1942619 0 0.00000 1 50619 50619 0.00150 8 1950140 1943398 85702 0.00260 1 374715 42718 14180470 14521351 -340881 X 1 1 1 1 CHADRON COMMUNITY HOSPITAL 825 CENTENNIAL DRIVE CHADRON NE 69337 HTTPS://WWW.CHADRONHOSPITAL.COM/ X X X X CHADRON COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.CHADRONHOSPITAL.COM X 1 22 1 HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/RESOURCES.HTML 0 1 X 100.000000000000 250.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-SERVICES.HTML X HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-SERVICES.HTML X HTTPS://WWW.CHADRONHOSPITAL.COM/PATIENT-INFORMATION/FINANCIAL-SERVICES.HTML X X X X X 1 X 0 X 1 X 0 0 CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: CHADRON COMMUNITY HOSPITAL PARTNERS WITH PANHANDLE PUBLIC HEALTH DISTRICT FOR COMPLETING THE CHNA. PPHD FACILITATES A JOINT CHNA AND PLANNING PROCESS WITH EIGHT HOSPITALS IN THE NEBRASKA PANHANDLE, ALL OF WHICH ARE MEMBERS OF THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN). MULTIPLE REPRESENTATIVE AND COMMUNITY MEMBERS FROM THE PANHANDLE COMMUNITIES PARTICIPATE IN THE PROCESS. CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: BOX BUTTE GENERAL HOSPITALGORDON MEMORIAL HOSPITALMORRILL COUNTY COMMUNITY HOSPITALPERKINS COUNTY HEALTH SERVICESREGIONAL WEST GARDEN COUNTYREGIONAL WEST MEDICAL CENTERSIDNEY REGIONAL MEDICAL CENTER CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: RURAL NEBRASKA HEALTHCARE NETWORKSCOTTS BLUFF COUNTY HEALTH DEPARTMENTKIMBALL HEALTH SERVICESPANHANDLE PARTNERSHIPPANHANDLE AREA DEVELOPMENT DISTRICTNEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES CHADRON COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE TOP 5 PRIORITY AREAS IDENTIFIED WERE COMMUNITY EDUCATION, AFFORDABLE HOUSING, CHILDHOOD CARE & EDUCATION, ACCESS TO MENTAL HEALTH SERVICES, AND CULTURAL AWARENESS AND SUPPORT. 1. CCH IS LOOKING AT WAYS TO EXPAND COMMUNITY EDUCATION. COVID INTERFERED WITH GROUP EDUCATION BUT TWO EXAMPLES OF COMMUNITY EDUCATION ARE THAT WE ARE RESUMING PRENATAL CLASSES AND OFFERING DIABETIC EDUCATION CLASSES. THESE CLASSES ARE FREE OF CHARGE.2. AFFORDABLE HOUSING - WE ARE PARTNERING WITH THE CITY OF CHADRON ON A BROWNFIELD GRANT THEY RECEIVED TO EXPLORE THE BEST USE OF THE LOCATION OF OUR OLD HOSPITAL BUILDING. WE ARE EXPLORING AFFORDABLE HOUSING DEVELOPMENT AS AN OPTION FOR THE USE OF THE LAND.3. CHILDHOOD CARE & EDUCATION - OUR COMMUNITY HEALTH SEGMENT, WESTERN COMMUNITY HEALTH RESOURCES, IS DEEPLY INVOLVED IN THIS AREA. THEY HAVE GRANTS SUCH AS FAST THAT PROMOTE PARENTAL INVOLVEMENT AND SUCCESS FOR ELEMENTARY AGE STUDENTS.4. ACCESS TO MENTAL HEALTH SERVICES - CCH AND WCHR ARE FOCUSED ON ADDING SERVICES IN THIS AREA. WE HAVE PARTNERED WITH A JUVENILE PSYCHIATRIST AT OUR RURAL HEALTH CLINIC. WE HAVE A PROGRAM THAT PROVIDES ACCESS TO CRISIS COUNSELORS WHEN PATIENTS ARE NEEDING SUPPORT BUT DO NOT FALL INTO THE EMERGENCY PROTECTIVE CUSTODY CATEGORY. ADDITIONALLY WCHR HAS PURCHASED ADDITIONAL OFFICE SPACE TO INCREASE THEIR BEHAVIORAL HEALTH OFFERINGS.5. CULTURAL AWARENESS AND SUPPORT - CCH LEADERS HAVE PARTICIPATED IN EDI TRAINING AND HOPE TO EXPAND THIS INTO THE REST OF THE CCH TEAM IN THE COMING YEAR. 3 1 - PRAIRIE PINES LODGE 900 W 7TH ST CHADRON NE 69337 ASSISTED LIVING 2 - LEGEND BUTTES HEALTH SERVICES 11 PADDOCK ST CRAWFORD NE 69339 CLINIC SERVICES 3 - WESTERN COMMUNITY HEALTH SERVICES 300 SHELTON ST CHADRON NE 69337 COMMUNITY HEALTH SERVICES PART I, LN 7 COL(F): THE HOSPITAL PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON A REVIEW OF EXISTING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYORS. BAD DEBT RECOVERIES ARE CHARGED AGAINST THE ALLOWANCE AS REALIZED. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITES, INCLUDING PARTICIPATING IN AND PROMOTING EMPLOYEE WELLNESS INITIATIVES, ADVANCED DIRECTIVE EDUCATION FOR THE COMMUNITY, PROVIDING INFLUENZA VACCINATIONS TO FIRST RESPONDERS AND EDUCATORS, FREE IN-HOME WELL BABY CHECKS TO LOW INCOME PATIENTS, FREE DIETARY COUNSELING AND DIABETIC EDUCATION, LOW-COST MAMMOGRAPHY TO QUALIFYING PATIENTS, FREE COMMUNITY PRENATAL CLASSES, SUPPORT GROUPS RUN BY HOSPITAL PROFESSIONALS, AND FINANCIAL ASSISTANCE TO AREA CANCER PATIENTS. PART III, LINE 2: THE HOSPITAL PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON A REVIEW OF EXISTING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYORS. BAD DEBT RECOVERIES ARE CHARGED AGAINST THE ALLOWANCE AS REALIZED. PART III, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 11.4% (BASED UPON US CENSUS BUREAU QUICKFACTS FOR PERCENTAGE OF CITIZENS BELOW THE POVERTY LEVEL IN THE CITY OF CHADRON, NE). THIS REPRESENTS A REASONABLE PERCENTAGE OF INDIVIDUALS WHO POTENTIALLY QUALIFY FOR CHARITY CARE, BUT MAY NOT HAVE APPLIED AND THEREFORE WERE WRITTEN OFF TO BAD DEBT. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGE 16 OF THE ATTACHED AUDIT REPORT. PART III, LINE 9B: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT BASED ON CRITERIA ESTABLISHED UNDER THE HOSPITAL'S CHARITY CARE POLICY. THIS CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THE CHARGES RELATED TO THIS CARE TOTALED $267,725 AND $310,607 IN FISCAL YEARS 2023 AND 2022, RESPECTIVELY. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY AMOUNTS THAT ARE LESS THAN THE COST OF THE SERVICES PROVIDED TO THE RECIPIENTS. PART VI, LINE 2: CCH HAS A BOARD OF 14 MEMBERS, INCLUDING REPRESENTATIVES FROM THE MEDICAL STAFF AND NEIGHBORING COMMUNITIES. IN ADDITION TO THE CHNA, THE BOARD REPRESENTATIVES ARE THE VOICE OF THE COMMUNITY'S HEALTH CARE NEEDS. ADDITIONALLY, WE ENCOURAGE STAFF TO BE STEWARDS IN THE COMMUNITY AND THIS NATURALLY OPENS THE DOOR FOR CONVERSATIONS RELATED TO COMMUNITY NEEDS. PART VI, LINE 3: THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY (FAP) IN MULTIPLE WAYS: SIGNS POSTED THROUGHOUT THE HOSPITAL, DISTRIBUTING A PLAIN LANGUAGE SUMMARY BEFORE DISCHARGE, INCLUDING A PLAIN LANGUAGE SUMMARY OF THE POLICY WITH EACH BILL, POSTING THE POLICY ON THE HOSPITAL WEBSITE, AND COMMUNICATING THE FAP VERBALLY TO PATIENTS. PART VI, LINE 4: CHADRON COMMUNITY HOSPITAL SERVES THE NORTHWEST CORNER OF NEBRASKA, INCLUDING THE COUNTIES OF DAWES, SIOUX, AND SHERIDAN, AND THE COMMUNITIES OF HARRISON, CRAWFORD, CHADRON, HAY SPRINGS, AND RUSHVILLE. IN ADDITION, DUE TO THE FARMING AND RANCHING ECONOMY, THE HOSPITAL SERVES A GREAT DEAL OF RURAL RESIDENTS. PART VI, LINE 5: RECOGNIZING THAT DIABETIC AND PRE-DIABETIC EDUCATION ARE A SIGNIFICANT NEED FOR OUR POPULATION, WE HAVE MADE THE DECISION TO OFFER THESE CONSULATIONS FREE OF CHARGE TO OUR COMMUNITY. ADDITIONALLY WE MAKE THE EFFORT TO OFFER SERVICES TO OUR REGION THAT ARE NEEDED BUT MAY NOT BE REVENUE CENTERS, SUCH AS DIALYSIS AND HOME HEALTH AND HOSPICE SERVICES. OUR BOARD SUPPORTS THE CONTINUATION OF THESE SERVICES EVEN IF THEY ARE NOT SELF-SUPPORTING. 1 CASH GRANTS TO CANCER PATIENTS 40 77700 PART I, LINE 2: THE HOSPITAL MAINTAINS DETAILED RECORDS TO SUBSTANTIATE THE AMOUNT OF AWARDS TO GRANTEES. A FORMAL APPLICATION IS COMPLETED BY POTENTIAL GRANTEES AND SUBMITTED TO THE HOSPITAL. APPLICATIONS ARE REVIEWED AND GRANTS ARE AWARDED BASED ON ELIGIBILITY AND FINANCIAL NEED. JESSICA HARTMAN SPOUSE OF BOARD MEMBER (CHIP HARTMAN) 73709 EMPLOYEE WAGES 0 FRANCESCA ROBERTS DAUGHTER OF BOARD MEMBER (LOIS BARTLETT) 98219 EMPLOYEE WAGES 0 FORM 990, PART IV, LINE 20B AT THE TIME OF FILING THE FORM 990, THE AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2023 FOR CHADRON COMMUNITY HOSPITAL CORPORATION SERVICES WAS IN PROGRESS. AS A RESULT, THE FISCAL YEAR 2023 AUDITED FINANCIAL STATEMENTS ARE NOT AVAILABLE; INSTEAD THE FISCAL YEAR 2022 AUDITED FINANCIAL STATEMENTS (THE MOST RECENT AUDITED FINANCIAL STATEMENTS) ARE ATTACHED. THE FISCAL YEAR 2023 FINANCIAL STATEMENT AUDIT ALSO INCLUDES A SINGLE AUDIT OF FEDERAL FUND EXPENDITURES, WHICH WAS ALSO IN PROGRESS AS OF THE DATE OF FILING. FORM 990, PART VI, SECTION A, LINE 3 PRIOR TO AUGUST 1, 2023, THE HOSPITAL CEO AND CFO WERE EMPLOYED BY REGIONAL WEST MEDICAL CENTER, A HEALTHCARE ORGANIZATION PAID BY CHADRON COMMUNITY HOSPITAL CORPORATION FOR MANAGEMENT SERVICES. THE MANAGEMENT CONTRACT BETWEEN CHADRON COMMUNITY HOSPITAL CORPORATION AND REGIONAL WEST MEDICAL CENTER WAS TERMINATED ON JULY 31, 2023. THE HOSPITAL CEO AND CFO BECAME EMPLOYEES OF CHADRON COMMUNITY HOSPITAL CORPORATION EFFECTIVE AUGUST 1, 2023. FORM 990, PART VI, SECTION A, LINE 5 ON MAY 11, 2023, THE HOSPITAL WAS THE SUBJECT OF A CYBER INCIDENT THAT RESULTED IN UNAUTHORIZED OUTGOING DOMESTIC WIRE TRANSFERS TOTALING $2,722,628 FROM THEIR OPERATING ACCOUNT BY AN OUTSIDE PARTY. THE HOSPITAL IS WORKING WITH ITS BANK, FEDERAL AGENCIES, AND ITS INSURANCE COMPANY TO RECOVER THE FUNDS. AS OF 9.30.2023, $1,024,886 HAD BEEN RECOVERED; AN ADDITIONAL $397,185 WAS RECOVERED SUBSEQUENT TO 9.30.2023. THE HOSPITAL IS CONTINUING TO WORK TO RECOVER THE REMAINING $1,300,557. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS COMPLETE CONFLICT OF INTEREST DISCLOSURES ANNUALLY. BOARD MEMBERS DECLARE ANY CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES THE FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,124,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,124,414. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,142,652. MANAGEMENT AND GENERAL EXPENSES 130,534. FUNDRAISING EXPENSES 540. TOTAL EXPENSES 2,273,726.