TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JOHN RYPMA CHAIRMAN	4.00	X	X	0	0
(2) MITCHELL DEINES VICE CHAIRMAN	4.00	X	X	0	0
(3) JAMES ENSZ SECRETARY	4.00	X	X	0	0
(4) ROLAND PENNER TREASURER	4.00	X	X	0	0
(5) BRETT STUDLEY MD MEDICAL STAFF PRESIDENT	40.00	X	X	301,535	36,503
(6) JAMES BAUER MEMBER	2.00	X		0	0
(7) BLAKE BUTLER MD MEMBER	2.00	X		0	0
(8) DARIN HOFFMAN MD MEMBER	40.00	X		271,253	21,800
(9) LEROY JANZEN MEMBER	2.00	X		0	0
(10) BARBARA JOHNSEN MEMBER	2.00	X		0	0
(11) STEPHANIE PERKINS MEMBER	2.00	X		0	0
(12) BOB REED MEMBER	2.00	X		0	0
(13) LARRY THIMM MEMBER	2.00	X		0	0
(14) ERIC THOMSEN MD MEMBER	2.00	X		0	0
(15) THOMAS SUMMERS CEO	38.00		X	303,441	32,539
(16) CHARLOTTE CAMPBELL CHIEF HR OFFICER	40.00		X	119,555	16,088
(17) ARLINDA AMENT COMPL & RISK MGT OFFICER	40.00		X	105,023	17,405

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	315,668	315,668
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,404,538	631,091	773,447
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	34,958	34,958
7	Other salaries and wages	16,665,752	14,767,338	1,898,414
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....
9	Other employee benefits .......	3,176,560	2,770,045	406,515
10	Payroll taxes ...........	1,284,049	1,098,314	185,735
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	103,776		103,776
c	Accounting ...........	73,250		73,250
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	3,330,603	2,693,583	637,020
12	Advertising and promotion ....	171,756	50,521	121,235
13	Office expenses .......	6,600,506	5,720,481	880,025
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	546,022	531,091	14,931
17	Travel ............	112,688	108,988	3,700
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	162,059	119,513	42,546
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	2,098,438	2,098,438
23	Insurance ..............	243,806	243,806
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBTS	1,473,916	1,473,916
b	MISCELLANEOUS	375,791	33,543	342,248
c	BOOKS & SUBSCRIPTIONS	147,867	29,999	117,868
d	LICENSES & DUES	91,595	61,483	30,112
e	EDUCATION & TRAINING	2,955	2,955
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	38,416,553	32,785,731	5,630,822	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	480	1	480
2	Savings and temporary cash investments .......	14,554,462	2	17,715,682
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	6,667,236	4	6,091,709
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	872,061	7	788,328
8	Inventories for sale or use ..............	1,492,601	8	1,291,742
9	Prepaid expenses and deferred charges ............	1,199,056	9	1,241,968
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	69,095,642
b	Less: accumulated depreciation. .....	10b	22,471,482	14,275,513	10c	46,624,160
11	Investments—publicly traded securities ..........	42,238,824	11	14,621,196
12	Investments—other securities. See Part IV, line 11 ......	2,246	12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	1,766,577	15	994,392
16	Total assets. Add lines 1 through 15 (must equal line 34)...	83,069,056	16	89,369,657
	17	Accounts payable and accrued expenses .	5,076,220	17	9,030,530
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	45,000,000	20	45,000,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....		25
26	Total liabilities. Add lines 17 through 25.....	50,076,220	26	54,030,530
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	32,992,836	27	35,339,127
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	32,992,836	33	35,339,127
34	Total liabilities and net assets/fund balances .....	83,069,056	34	89,369,657

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization BEATRICE COMM HOSP & HEALTH CENTER INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization BEATRICE COMM HOSP & HEALTH CENTER INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

4,346

Total. lines 1c through 1i ...................................

4,346

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	BCH IS A MEMBER OF AHA AND NHA. FOR 2011 THE AHA AND NHA HAS ESTIMATED THAT 23.76% AND 7.68%, RESPECTIVELY, OF MEMBERSHIP DUES WILL BE USED FOR LOBBYING AND POLITICAL ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	1,128,237	1,074,190	1,008,139
b	Contributions ........	6,015	7,169
c	Investment earnings or losses ...	-116,276	46,878	66,051
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	1,017,976	1,128,237	1,074,190

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

77.850 %

Permanent endowment: SchDMd Bullet

18.250 %

Term endowment: SchDMd Bullet

3.900 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		901,362		901,362
b	Buildings ................		5,804,575	4,623,544	1,181,031
c	Leasehold improvements ............
d	Equipment ................		21,559,762	17,424,009	4,135,753
e	Other .................	273,359	40,556,584	423,929	40,406,014
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					46,624,160

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes









Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	40,758,771
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	38,416,553
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	2,342,218
4	Net unrealized gains (losses) on investments ..........................	4	4,073
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9	4,073
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	2,346,291

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	40,762,844
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	4,073
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................			2e	4,073
3	Subtract line 2e from line 1.....................			3	40,758,771
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	40,758,771

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1	38,416,553
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e	0
3	Subtract line 2e from line 1.....................		3	38,416,553
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c	0
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5	38,416,553

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ENDOWMENT FUNDS ARE HELD BY BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC., A SUPPORTING ORGANIZATION OF BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER. THESE FUNDS ARE BEING HELD TO PROVIDE HEALTH PROFESSIONAL SCHOLARSHIPS AND SUPPORT THE BEATRICE COMMUNITY HOSPITAL HOSPICE PROGRAM.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE THE HOSPITAL TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 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 SEPTEMBER 30, 2011 AND 2010, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2007.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	723,941		723,941	1.960 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	3,613,833	3,724,349	-110,516	0 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	4,337,774	3,724,349	613,425	1.960 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	2,283,893		2,283,893	6.180 %
f Health professions education (from Worksheet 5) ..	42,613		42,613	0.120 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..
jTotal Other Benefits ...	2,326,506		2,326,506	6.300 %
kTotal. Add lines 7d and 7j. ..	6,664,280	3,724,349	2,939,931	8.260 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

779,702

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

13,309,225

Enter Medicare allowable costs of care relating to payments on line 5.....

13,497,616

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-188,391

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	BEATRICE COMMUNITY HOSPITAL AND HEALTH C 4800 HOSPITAL PARKWAY BEATRICE,NE68310	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NOT REQUIRED

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?3
Name and address		Type of Facility (Describe)
1	PARKVIEW CENTER 1201 SOUTH 9TH STREET BEATRICE,NE68310	LONG TERM CARE/NURSING HOME
2	PARKVIEW CENTER 1201 SOUTH 9TH STREET BEATRICE,NE68310	LONG TERM CARE/NURSING HOME
3	PARKVIEW CENTER 1201 SOUTH 9TH STREET BEATRICE,NE68310	LONG TERM CARE/NURSING HOME
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 3C: FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
		PART I, LINE 6A: BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC.'S COMMUNITY BENEFIT REPORT IS NOT PREPARED BY A RELATED ORGANIZATION.
		PART I, LINE 7: THE COST TO CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST AS DERIVED FROM BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER'S INTERNAL ACCOUNTING RECORDS.
		PART I, LINE 7G: AS THERE ARE NO SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G, THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON LINE 7G.
		PART I, L7 COL(F): THE BAD DEBT EXPENSE THAT HAS BEEN SUBTRACTED FROM TOTAL EXPENSES TO DETERMINE THE DENOMINATOR IN THE PERCENTAGES FOR LINE 7 COLUMN(F) IS $1,473,916.
		PART II: NOT APPLICABLEOUR MOST SIGNIFICANT "COMMUNITY BENEFIT" ACTIVITIES WOULD INCLUDE:1. THE GAGE COUNTY IMMUNIZATION CLINIC. BCH PROVIDES AN IMMUNIZATION CLINIC FOR ALL INFANTS AND CHILDREN TO AGE 18. THE VACCINE IS PROVIDED BY THE STATE OF NEBRASKA AND HOSPITAL NURSES AND CLERICAL STAFF PROVIDE THE MANPOWER. A FREEWILL DONATION IS ENCOURAGED. THE CLINIC IS AVAILABLE ON A WEEKLY BASIS.2. READY-SET-GO BACK-TO-SCHOOL PROGRAM. BCH PARTNERS WITH THE BEATRICE SALVATION ARMY TO PROVIDE A VARIETY OF FREE SERVICES AND ITEMS TO MEET THE BACK-TO-SCHOOL NEEDS FOR LOW-INCOME GAGE COUNTY RESIDENTS. DURING THIS EVENT, FAMILIES CAN RECEIVE FREE SCHOOL PHYSICALS, A HEARING EXAM, A PACKAGE OF PERSONAL CARE ITEMS LIKE A TOOTHBRUSH AND TOOTHPASTE AND A BACKPACK WITH SCHOOL SUPPLIES. IN ADDITION, THERE ARE EDUCATIONAL BOOTHS ON NUTRITION AND DIABETES, FOR EXAMPLE, AND INFORMATIONAL BOOTHS BY LOCAL ORGANIZATIONS LIKE BOY SCOUTS AND GIRL SCOUTS.3. JOB SHADOWING. BCH OFFERS AN EXTENSIVE JOB SHADOWING PROGRAM THAT ALLOWS UPPER HIGH SCHOOL AND COLLEGE-AGED STUDENTS TO SHADOW PHYSICIANS AND CLINICAL STAFF IN ANY DEPARTMENT FOR A FIRST-HAND LOOK AT HEALTH-RELATED JOBS AND CAREERS.
		PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, THE FOLLOWING IS THE TEXT OF THE FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE" AND "CHARITY CARE":NET PATIENT RECEIVABLES CONSIST OF UNCOLLATERALIZED PATIENT AND THIRD-PARTY OBLIGATIONS REDUCED BY A VALUATION ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ADJUSTMENTS FROM THIRD PARTY PAYORS. THE ALLOWANCES REFLECT MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED IN THE FUTURE AND ARE BASED ON REVIEWS OF PATIENT BALANCES BY PAYOR CLASSES. PERCENTAGES ARE APPLIED TO EACH OF THE PAYOR CLASS BASED ON CONTRACTUAL AGREEMENTS, HISTORICAL COLLECTION AND RECOVERY INFORMATION TO DETERMINE THE NET REALIZABLE VALUE OF THE PATIENT RECEIVABLES.PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF BILLING. ACCOUNTS CONSIDERED PAST DUE ARE PURSED IN-HOUSE FOR APPROXIMATELY 60 DAYS FROM THE DATE OF FIRST BILLING AND THEN ARE SENT TO A COLLECTION AGENCY. ANY AMOUNTS DEEMED UNCOLLECTIBLE ARE WRITTEN OFF ON A MONTHLY BASIS. THE HOSPITAL DOES NOT CHARGE INTEREST ON OUTSTANDING BALANCES OWED.THE HEALTHCARE CENTER ALSO MAINTAINS A CHARITY CARE POLICY.THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THE HOSPITAL RECORDED A PROVISION OF $1,368,508 AND $873,960 IN 2011 AND 2010, RESPECTIVELY, RELATING TO THESE SERVICES.THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO ALL SEGMENTS OF SOCIETY, INCLUDING THE AGED AND OTHERWISE ECONOMICALLY DISADVANTAGED. IN ADDITION, THE HOSPITAL PROVIDES A VARIETY OF COMMUNITY HEALTH SERVICES AT OR BELOW COST.THE OVERALL COST-TO-CHARGE RATIO WAS USED TO ESTIMATE BAD DEBT AT COST.PART III, SECTION A, LINE 2 WAS CALCULATED AS FOLLOWS:[(OPERATING EXPENSES - COMMUNITY BENEFIT EXPENSES - BAD DEBT) / (GROSS PATIENT SERVICE REVENUE + OTHER REVENUE)] X BAD DEBT.[(38,100,885 - 2,326,506 - 1,473,916) / 63,671,774 + 1,120,172] X 1,473,916 = 779,702
		PART III, LINE 8: "MEDICARE ALLOWABLE COSTS OF CARE" WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT, D, E, H AND M WORKSHEETS, OR PS&R.THE SHORTFALL REPRESENTS ACTUAL UNREIMBURSED COSTS INCURRED BY BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC. IN PROVIDING SERVICES TO INDIVIDUALS ELIGIBLE FOR MEDICARE. THE COMMUNITY BENEFITS BECAUSE THE HOSPITAL APPLIES OTHER REVENUES TO COVER THE COSTS OF CARING FOR MEDICARE PATIENTS.
		PART III, LINE 9B: CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES-SELF PAY NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILIBILITY OF FINANCIAL ASSISTANCE. ONCE IT IS UPDATED THE ACTUAL APPLICATION WILL BE AVAILABLE ON THE WEBSITE.THE COLLECTIONS - CHARITY WRITE-OFF POLICY PROVIDES THAT ONCE THE RESPONSIBLE PARTY HAS BEEN DETERMINED TO BE ELIGIBLE FOR PATIENT FINANCIAL ASSISTANCE, A LETTER TO THE RESPONSIBLE PARTY WILL BE SENT INDICATING THE FREE CARE AMOUNT AND THE REMAINING BALANCE DUE. THE BALANCE DUE MAY BE PAID BY INSTALLMENT PAYMENTS USING THE GUIDELINES OF THE HOSPITAL POLICY ON COLLECTIONS OF PRIVATE PAY ACCOUNTS.
	PART V, SECTION B:	NOT APPLICABLE
		PART VI, LINE 2: THE DEMAND ANALYSIS PERFORMED BEGINS WITH THE ASSUMPTION THE HISTORICAL TRENDS WILL BE CONTINUED BUT AUGMENTED BY INCREASED GROWTH IN INPATIENT AND OUTPATIENT SERVICES. THE FOLLOWING ARE ELEMENTS OF PLANNING USED BY MANAGEMENT IN FORMULATING THE DEMAND FOR HOSPITAL SERVICES:- MARKET ASSESSMENT OF OTHER HEALTHCARE PROVIDERS WITHIN THE SERVICE AREA- HISTORIC AND FORECASTED INPATIENT AND OUTPATIENT UTILIZATION WITH THE SERVICE AREA- MARKET SHARE BY SERVICE AND HOSPITAL USE RATES- SERVICE AREA USE RATES- HOSPITAL'S MEDICAL STAFF
		PART VI, LINE 3: CHARITY CARE DOCUMENTS AND EDUCATION ARE PROVIDED AT THE POINTS OF REGISTRATION (I.E., ED AND OUTPATIENT). INFORMATION RELATED TO AVAILABILITY IS IDENTIFIED ON THE MONTHLY STATEMENTS. THE PATIENT ACCOUNT REPRESENTATIVES-SELF PAY NOTIFY THE PATIENT/GUARANTOR DURING COLLECTION CALLS OF THE AVAILIBILITY OF FINANCIAL ASSISTANCE. ONCE IT IS UPDATED THE ACTUAL APPLICATION WILL BE AVAILABLE ON THE WEBSITE.
		PART VI, LINE 4: BEATRICE, NE IS LOCATED IN GAGE COUNTY IN THE SOUTHEASTERN PART OF NEBRASKA. BEATRICE IS LOCATED 40 MILES SOUTH OF LINCOLN, NE. THE CLOSEST HOSPITAL FACILITY IS 28 MILES WEST. THE MAIN COMPETITION IS FROM TWO LINCOLN, NE HOSPITALS. THE PRIMARY SERVICE ARES (PSA) HAS BEEN DEFINED AS BEATRICE/ZIP CODE 68310 COUNTY AND HAS AN AGING POPULATION THAT UTILIZES HOSPITAL HEALTH SERVICES. THE AGE GROUP OF 65 AND OVER COMPRISES 20% OF THE TOTAL POPULATION OF THE PSA FOR THE HOSPITAL IN 2008 AND THAT AGE DEMOGRAPHIC IS PROJECTED TO INCREASE TO 21% IN THE NEXT TEN YEARS.
		PART VI, LINE 6: BEATRICE COMMUNITY HOSPITAL BUDGETS ANNUALLY SALARY EXPENSES OF APPROXIMATELY $90,000 FOR WELLNESS PROGRAMS TO BENEFIT THE HEALTH RELATED PROGRAMS SPONSORED BY THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY. ALONG WITH LOCAL BUSINESSES AND SERVICE ORGANIZATIONS THE HOSPITAL SPONSORED THE HEALTH FAIR. 10 DIFFERENT HEALTH SCREENS AND A WIDE VARIETY OF EDUCATIONAL BOOTHS WERE AVAILABLE TO THE PARTICIPANTS. THE LABORATORY DEPARTMENT OF THE HOSPITAL PROCESSES THE BLOOD CHEMISTRY TESTS FOR WHICH A MINIMAL FEE IS CHARGED.THE HOSPITAL PARTICIPATED IN THE PEOPLE CARING FOR PEOPLE PROGRAM WHICH PROVIDES AN IN-HOME ASSESSMENT AND EDUCATION TO EACH FAMILY AND NEWBORN THAT RESIDES IN GAGE COUNTY WITH THE INTENT OF EDUCATION AND REFERRAL TO APPROPRIATE COMMUNITY RESOURCES, IF NECESSARY. THE HOME VISITATION PROGRAM IS A VALUABLE TOOL IN PROMOTING POSITIVE PARENTING AND PREVENTING CHILD ABUSE. THIS PROGRAM IS CARRIED OUT IN PARTNERSHIP WITH BLUE VALLEY COMMUNITY ACTION AND THE FAMILY RESOURCE CENTER. A MONTHLY TEEN SUPPORT GROUP IS FACILITATED IN COOPERATION WITH MOTHER TO MOTHER MINISTRY PROGRAM. MONTHLY, THE JUVENILE JUSTICE TEAM MEETING IS ATTENDED.UROLOGISTS WHO WORK IN THE BEATRICE COMMUNITY HOSPITAL SPECIALTY CLINICS VOLUNTEER THEIR SERVICES AND THE HOSPITAL'S LABORATORY DEPARTMENT PROCESSES THE BLOOD TESTS FOR THE PROSTATE SCREENING CLINIC.THE HOSPTIAL PROVIDED THE GAGE COUNTY IMMUNIZATION CLINIC FOR CHILDHOOD IMMUNIZATIONS. THE CLINIC ROUTINELY MEETS THREE TIMES PER MONTH AND IS SUPPORTED BY VACCINES AND AN IAP GRANT PROVIDED BY THE STATE OF NEBRASKA IMMUNIZATION PROGRAM. A PARTNERSHIP OF BEATRICE COMMUNITY HOSPITAL, THE SALVATION ARMY AND THE BEATRICE COMMUNITY HOSPITAL FOUNDATION, ALONG WITH SERVICE ORGANIZATION DONATIONS, SPONSORED READY-SET-GO, AN ANNUAL BACK TO SHCOOL PROGRAM. SOME OF THE ITEMS GIVEN AWAY INCLUDE: BOOK BAG, SCHOOL SUPPLIES, SHAMPOO, SOAP, SCHOOL PHYSICALS, HAIRCUT VOUCHERS, CLOTHING VOUCHERS, SHOE COUPONS, HEALTH INFORMATION AND MORE.FLU SHOT CLINICS WERE PROVIDED TO RESIDENTS OF GAGE COUNTY.THE HOSPITAL GAVE AWAY BOTTLES OF WATER AT THE GAGE COUNTY FAIR AND THE HOMESTEAD DAY'S PARADE.THE HOSPITAL SPONSORS AN INFORMATIONAL RADIO PROGRAM CALLED TO YOUR HEALTH.HOSPITAL MANAGEMENT AND STAFF, ON BEHALF OF THE HOSPITAL, PROVIDED AT MINIMAL, OR NO COST, THE FOLLOWING HOSPITAL BASED SERVICES WHICH, WHEN LINKED WITH COMMUNITY BASED SERVICES, CONTRIBUTED TO HEALTH EDUCATION FOR THE COMMUNITY. 1. THE WYMORE MEDICAL CLINIC PROVIDED SPORTS PHYSICALS FOR LOCAL HIGH SCHOOL ATHLETES AT A REDUCED CHARGE. PHYSICALS WERE ALSO PROVIDED FOR PARTICIPANTS IN THE SPECIAL OLYMPICS.2. THE PHYSICAL THERAPY DEPARTMENT SERVES AS A CLINICAL EDUCATION SITE FOR STUDENTS FROM THE UNIVERSITY OF NEBRASKA MEDICAL CENTER, WICHITA STATE UNIVERSITY,AND ROCKHURST UNIVERSITY. STUDENTS ARE PROVIDED WITH AN EDUCATION EXPERIENCE INCLUDING PATIENT EVALUATIONS AND DEVELOPING TREATMENT PLANS. THE PT DEPARTMENT ALSO PROVIDED SERVICES BEATRICE HIGH SCHOOL ATHLETES IN THE FORM OF EVALUATIONS, MODALITIES AND EXERCISE.THE PT DEPARTMENT PARTICIPATED IN THE SCC CAREER FAIR PROVIDING GENERAL HEALTH INFORMATION. 3. THE HUMAN RESOURCES DEPARTMENT COORDINATED JOB SHADOWING FOR SEVERAL STUDENTS IN VARIOUS DEPARTMENTS. 4. THE DIAGNOSTIC IMAGING STAFF PROVIDES DEPARTMENTAL TOURS FOR THE PUBLIC. TOURS AND JOB SHADOWING EXPERIENCES FOR LOCAL HIGH SCHOOL STUDENTS WHO WISH TO PARTICIPATE IN A JOB EXPERIENCE IS PROVIDED AT NO CHARGE. DIAGNOSTIC IMAGING HAS BECOME A CLINICAL SITE FOR STUDENTS TAKING CLASSES THROUGH SOUTHEAST COMMUNITY COLLEGE IN LINCOLN AND THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. WE ARE ALSO A SOLE CLINICAL SITE FOR STUDENTS THAT LIVE NEAR BEATRICE THAT ARE TAKING THE ONLINE RADIOGRAPHY PROGRAM THROUGH SOUTHEAST COMMUNITY COLLEGE.5. EMERGENCY DEPARTMENT PROFESSIONAL STAFF HAS DEVELOPED VARIOUS PROGRAMS, WHICH ARE OFFERED TO THE COMMUNITY IN THE AREAS OF DISASTER PLANNING, CARDIOVASCULAR DISEASE, EMERGENCY PREPAREDNESS AND MEDICAL TRAINING. THE DEPARTMENT ALSO SERVES AS A CLINICAL TRAINING SITE FOR PHYSICIAN ASSISTANT STUDENTS FROM UNION COLLEGE, NURSING STUDENTS FROM A VARIETY OF PROGRAMS, AND SOUTHEAST COMMUNITY COLLEGE PARAMEDIC, EMT-B AND EMT-I STUDENTS. THE GAGE COUNTY AMBULANCE SERVICES UTILIZES HOSPITAL STAFF TO TRAIN AND PROVIDE CLINICAL PRACTICUM FOR THE EMT-I AND PARAMEDIC PROGRAM. 6. THE HOSPITAL SPONSORS A 55PLUS PROGRAM IN CONJUNCTION WITH BRYAN/LGH HEALTH SYSTEMS. A PART-TIME COORDINATOR IS EMPLOYED BY THE HOSPITAL. THE COORDINATOR IS CALLED UPON TO SPEAK AT A VARIETY OF COMMUNITY CIVIC ORGANIZATIONS ABOUT THE 55PLUS PROGRAM. THE COORDINATOR ARRANGES HEALTH RELATED SEMINARS, WHICH ARE PRESENTED TO THE COMMUNITY THROUGHOUT THE YEAR. PROGRAMS INCLUDED THE FOLLOWING SUBJECTS: MEDICARE PART D COUNSELING, TREATING URINARY INCONTINENCE, WHAT TO DO FOR PAIN AND AARP DRIVER EDUCATION. 55PLUS SPONSORED 2 CHRISTMAS SOCIALS. THE 55PLUS PROGRAM ALSO PROVIDES TWO COMPLIMENTARY MEAL TICKETS FROM THE HOSPITAL CAFETERIA TO THE MEMBERS WHO ARE HOSPITALIZED.7. THE SPEECH PATHOLOGY DEPARTMENT ASSISTED THE NURSING CLASS AT SOUTHEAST COMMUNITY COLLEGE WITH GENERAL INSTRUCTION ON NEUROLOGY AND NEUROLOGICAL EVENTS. THERAPIST PROVIDED INFORMATION REGARDING SWALLOWING AND COMMUNICATION DEFICITS ACQUIRED BY NEUROLOGICAL INVOLVEMENT. 8. EMPLOYEES SERVED CANCER SURVIVOR SUPPER AT THE ANNUAL RELAY FOR LIFE EVENT.OTHER EMPLOYEES WORKED WITH THESE ORGANIZATIONS ON BEHALF OF BEATRICE COMMUNITY HOSPITAL: AMERICAN CANCER SOCIETY, UNITED WAY, AMERICAN HEART ASSOCIATION, FAMILY RESOURCE CENTER, ALCOHOL, TOBACCO AND DRUG COUNCIL, BEATRICE MARY YMCA, ALZHEIMER'S ASSOCIATION, AMERICAN DIABETES ASSOCIATION, MOTHER TO MOTHER MINISTRY, SAFE SCHOOLS HEALTHY KIDS AND NUMEROUS OTHER PROFESSIONAL ORGANIZATIONS.9. THE OB NURSING STAFF CONDUCTS TOURS AND EDUCATIONAL SESSIONS TO HIGH SCHOOL CLASSES STUDYING THE AREA OF CHILDBIRTH AND PARENTING. TOURS ARE SCHEDULED 4-5 TIMES EACH YEAR REQUIRING ONE HOUR PER TOUR.NURSING STAFF WAS INVOLVED IN A COLLABORATIVE TASK FORCE TO PROVIDE SERVICES TO GAGE COUNTY RELATED TO CAR SEAT SAFETY. 10. MEETING ROOMS WITHIN THE HOSPITAL AND PARKVIEW FACILITIES ARE PROVIDED AT NO CHARGE TO NUMEROUS HEALTH RELATED ORGANIZATIONS, INCLUDING THE AMERICAN RED CROSS, TOPS CLUB, STROKE CLUB, HOMESTEAD STRIDERS, DRUG AND ALCOHOL PROGRAMS, FOSTER CARE REVIEW BOARD, PARENTS GRIEF SUPPORT GROUP, DIABETIC AND HEALTH TRAUMA SUPPORT GROUPS, CHILDREN'S RIGHTS SUPPORT GROUP, GASTRIC BYPASS SUPPORT GROUP, CROHN'S DISEASE SUPPORT GROUP, SMOKING CESSATION, PLANNED APPROACH TO COMMUNITY HEALTH (PATCH) AND SUICIDE PREVENTION TASK FORCE.11. THE HOSPITAL PROVIDES A PART-TIME COORDINATOR FOR THE PLANNED APPROACH TO COMMUNITY HEALTH (PATCH) PROGRAM. THIS PROGRAM PROMOTES AND DEVELOPS ACTIVITIES TO ENHANCE COMMUNITY HEALTH, IMPROVEMENT IN SEDENTARY LIFESTYLES, SAFETY, NUTRITION, AND DRUG FREE. A COMMUNITY TEAM MEETS MONTHLY. ONE OF THE MANY WAYS THE GROUP PROMOTES ITS ACTIVITIES IS THROUGH A PATCH WEB SITE (WWW.BEATRICENE.COM/PATCH). THE COORDINATOR REPRESENTS THE HOSPITAL IN COLLABORATING WITH OTHER COMMUNITY ORGANIZATIONS.12. THE OCCUPATIONAL THERAPY DEPARTMENT PROVIDED SOUTHEAST COMMUNITY COLLEGE NURSING STUDENTS WITH 8 HOURS OF INSTRUCTION ON OCCUPATIONAL THERAPY AS WELL AS LECTURES. 13. THE COMPLIANCE AND RISK MANAGEMENT OFFICER SERVES ON THE BOARD OF DIRECTORS FOR THE 5-COUNTY DISTRICT PUBLIC HEALTH DEPARTMENT NAMED SOLUTIONS PUBLIC HEALTH.14. THE CARDIOPULMONARY DEPARTMENT OFFERED SMOKING CESSATION CLASSES TO THOSE INTERESTED IN QUITTING SMOKING.
		PART VI, LINE 7: NOT APPLICABLE
REPORTS FILED WITH STATES	PART VI, LINE 7	NE

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number
47-0379834

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BEATRICE RETIREMENT INC4800 HOSPITAL PARKWAY BEATRICE,NE68310	47-0649975	501(C)(3)	245,209	CAPTIAL PROJECTS
(2) HEALTH SYSTEM OF BEATRICE INC4800 HOSPITAL PARKWAY BEATRICE,NE68310	47-0691891	501(C)(3)	70,459	CAPITAL PROJECTS

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: SINCE THE RECIPIENTS OF THE GRANT MONEY ARE BEATRICE RETIREMENT, INC. AND HEALTH SYSTEM OF BEATRICE, INC., RELATED ORGANIZATIONS, BEATRICE COMM HOSP & HEALTH CENTER, INC. IS ABLE TO MONITOR THE USE OF THE GRANTS FUNDS.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) BRETT STUDLEY MD	(i) (ii)	300,223 0	1,312 0	0 0	14,700 0	21,803 0	338,038 0	0 0
(2) DARIN HOFFMAN MD	(i) (ii)	236,459 0	34,794 0	0 0	0 0	21,800 0	293,053 0	0 0
(3) THOMAS SUMMERS	(i) (ii)	303,441 0	0 0	0 0	14,700 0	17,839 0	335,980 0	0 0
(4) JON MCMILLAN	(i) (ii)	171,293 0	0 0	0 0	0 0	8,103 0	179,396 0	0 0
(5) AMANDA MCKINNEY	(i) (ii)	311,090 0	0 0	0 0	14,700 0	21,897 0	347,687 0	0 0
(6) MICHAEL HAVEKOST	(i) (ii)	255,246 0	45,654 0	0 0	14,700 0	21,800 0	337,400 0	0 0
(7) DEBORAH GREGORY	(i) (ii)	289,456 0	0 0	0 0	14,700 0	22,003 0	326,159 0	0 0
(8) ERIC RIDDLE	(i) (ii)	284,899 0	0 0	0 0	14,700 0	21,803 0	321,402 0	0 0
(9) CHRISTOPHER HALL	(i) (ii)	281,590 0	0 0	0 0	14,700 0	21,803 0	318,093 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number
47-0379834

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA	47-0785499	362615AH9	06-08-2010	15,000,000	REFUND PRIOR ISSUE 12/23/09		X		X		X
B	HOSPITAL AUTHORITY NO 1 OF GAGE COUNTY NEBRASKA	47-0785499	362615AL0	06-24-2010	30,000,000	CONSTRUCTION PROJECT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	15,000,000		30,136,871
4 Gross proceeds in reserve funds . .	1,620,819		2,227,695
5 Capitalized interest from proceeds.	1,844,513		1,844,513
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	20,600,465		20,600,465
11 Other spent proceeds . .	15,000,000
12 Other unspent proceeds. . .	7,691,893		7,691,893
13 Year of substantial completion . . .	2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X			X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .
6 Total of lines 4 and 5 . . .. . . . . .
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .	X			X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
PART II, LINE 3:		THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART II, LINE 3:		THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No
(1) BRETT STUDLEY MD COMPENSATION AGREEMENT		X	89,250	31,981		No	Yes		Yes
(2) DARIN HOFFMAN MD COMPENSATION AGREEMENT		X	60,000	0		No	Yes		Yes
(3) AMANDA MCKINNEY MD COMPENSATION AGREEMENT		X	90,000	0		No	Yes		Yes
(4) CHRISTOPHER HALL MD COMPENSATION AGREEMENT		X	40,000	8,111		No	Yes		Yes
(5) DEBORAH GREGORY DO COMPENSATION AGREEMENT		X	90,000	0		No	Yes		Yes
(6) ERIC RIDDLE MD COMPENSATION AGREEMENT		X	40,000	13,998		No	Yes		Yes
Total ............... $				54,090

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) COLLEEN DEINES	COLLEEN DEINES IS MITCHELL DEINES WIFE, MITCHELL DEINES IS A BOARD MEMBER	34,958	COLLEEN DEINES IS EMPLOYED BY BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11		THE FINANCE COMMITTEE RECEIVED A COPY OF THE FORM 990 FOR THEIR REVIEW VIA E-MAIL. THEY WERE INSTRUCTED TO REVIEW THE FORM 990 AND SUBMIT ANY QUESTIONS OR COMMENTS TO THE CFO. THE CFO COMMUNICATED THE QUESTIONS AND COMMENTS TO THE ACCOUNTING FIRM PREPARING THE FORM 990. ALL QUESTIONS AND COMMENTS WERE RESOLVED PRIOR TO THE SUBMISSION OF THE FORM 990 TO THE IRS. EACH BOARD OF DIRECTOR RECEIVED A COPY OF THE FORM 990 PRIOR TO SUBMISSION TO THE IRS.
	FORM 990, PART VI, SECTION B, LINE 12C	EVERY BOARD MEMBER, ADMINISTRATIVE EMPLOYEE, AND DEPARTMENT MANAGER IS REQUIRED TO FILL OUT A NEW CONFLICT OF INTEREST FORM DURING THE FIRST QUARTER OF THE YEAR. THESE ARE KEPT ON FILE WITH THE COMPLIANCE & RISK MANAGEMENT OFFICER.
	FORM 990, PART VI, SECTION B, LINE 15	LISTED BELOW IS INFORMATION FROM OUR POLICY ON WAGE AND SALARY ADMINISTRATION. THIS POLICY APPLIES TO ALL EMPLOYEES EXCEPT EXECUTIVE LEVEL STAFF AND THOSE WITH WRITTEN CONTRACTS (PHYSICIANS, ALLIED HEALTH STAFF, ETC.,) AN OUTSIDE CONSULTING FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS BASED UPON MARKET DATA FOR THE POSITION. A. STRUCTURE OF THE WAGE AND SALARY PLAN 1. PAY GRADES AND WAGE SCALES/RANGES ARE ESTABLISHED TO REWARD EMPLOYEES FOR DIFFERENT LEVELS OF SKILLS, RESPONSIBILITY, AND KNOWLEDGE. JOB POSITIONS ARE ASSIGNED A PAY GRADE BASED UPON MARKET CONDITIONS, SKILLS, RESPONSIBILITY, EDUCATION EXPERIENCE, PHYSICAL DEMANDS, AND WORKING CONDITIONS REQUIRED OF THE POSITION. EACH PAY GRADE HAS A RANGE OF PAY FROM MINIMUM TO MAXIMUM, ESTABLISHED TO REWARD EMPLOYEES FOR EXPERIENCE AND PERFORMANCE. B. ADJUSTMENTS TO THE WAGE AND SALARY PLAN: 1. THE WAGE PLAN IS REVIEWED AT LEAST ANNUALLY TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. LABOR MARKET SURVEYS ARE COMPLETED AND UTILIZED ON A REGULAR BASIS. BASED UPON MARKET INFORMATION AND/OR A REVIEW OF JOB DESCRIPTIONS, ADJUSTMENTS MAY BE MADE TO THE WAGE AND SALARY PLAN THAT INCLUDE ADJUSTMENTS TO THE OVERALL WAGE AND SALARY STRUCTURE, OR REPOSITIONING OF A SPECIFIC JOB POSITION(S) TO A DIFFERENT PAY GRADE. FOR THE CEO POSITION THAT IS CURRENTLY HELD BY TOM SOMMERS, THE BOARD CHAIR WORKS WITH A CONSULTING COMPANY, IH STRATEGIES, TO DETERMINE THE APPROPRIATE COMPENSATION. THIS INFORMATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS.
	FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
	FORM 990, PARK VII, LINE 1A:	JOHN RYPMA, CHAIRMAN, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE RETIREMENT, INC. AS A BOARD MEMBER. HE ALSO SERVES AS A BOARD MEMBER OF THE HEALTH SYSTEM OF BEATRICE, INC. MITCHELL DEINES, VICE CHAIRMAN, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC. AS VICE PRESIDENT. JAMES ENSZ, SECRETARY, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE RETIREMENT, INC. AS CHAIRMAN. HE ALSO SERVES AS A BOARD MEMBER OF THE HEALTH SYSTEM OF BEATRICE, INC. ROLAND PENNER, TREASURER, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC. AS A BOARD MEMBER. JAMES BAUER, MEMBER, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE RETIREMENT, INC. AS A BOARD MEMBER. DARIN HOFFMAN, MD, MEMBER, SERVED AS A BOARD MEMBER OF THE HEALTH SYSTEM OF BEATRICE, INC. THOMAS SOMMERS, CEO, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE RETIREMENT, INC. AS CEO. HE ALSO DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC. AS CEO. JON MCMILLAN, CFO, DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE RETIREMENT, INC. AS CFO. HE ALSO DEVOTED AN AVERAGE OF 1.0 HOURS PER WEEK TO BEATRICE COMMUNITY HOSPITAL FOUNDATION, INC. AS CFO.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 4,073.
	FORM 990, PART XI, LINE 2C:	THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. UPON COMPLETION OF THE AUDIT, THE AUDITING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE FINANCE COMMITTEE.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BEATRICE COMM HOSP & HEALTH CENTER INC

Employer identification number

47-0379834

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) BEATRICE COMMUNITY HOSPITAL FOUNDATION INC 4800 HOSPITAL PARKWAY BEATRICE,NE68310 47-6024984	TO SUPPORT BEATRICE COMMUNITY HOSPITAL AND ITS AFFILIATES.	NE	501(C)(3)	11C	N/A		No
(2) HEALTH SYSTEM OF BEATRICE INC 4800 HOSPITAL PARKWAY BEATRICE,NE68310 47-0691891	TO SUPPORT BEATRICE COMMUNITY HOSPITAL AND ITS AFFILIATES.	NE	501(C)(3)	11C	N/A		No
(3) BEATRICE RETIREMENT INC 2211 SUNSET DRIVE BEATRICE,NE68310 47-0649975	ASSISTED LIVING FACILITIES FOR THE ELDERLY/RETIRED.	NE	501(C)(3)	9	N/A		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER IS DEDICATED TO PROVIDING COMPASSIONATE HEALTHCARE AND TO ACHIEVING EXCELLENCE THROUGH COMMITMENT TO QUALITY. OUR VISION STATEMENT STATES THAT WE ARE TO BE THE HEALTHCARE PROVIDER OF CHOICE PROVIDING ACCESS TO NEEDED SERVICES AND TAKING A LEADERSHIP ROLE IN THE HEALTHCARE DELIVERY SYSTEM. IN ACCORDANCE WITH THIS STATEMENT, WE CONTINUE TO WORK WITH OTHERS TO IDENTIFY THE HEALTHCARE NEEDS OF OUR COMMUNITY AND STRIVE TO MEET OR EXCEED THOSE NEEDS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	11
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	416
6	Total number of volunteers (estimate if necessary) ....	6	119
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	121,372
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	113,921

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,060,321	70,449
9	Program service revenue (Part VIII, line 2g) .........	40,541,533	40,191,008
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	100,096	94,335
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	384,358	402,979
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	42,086,308	40,758,771
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	315,668
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	23,141,855	22,565,857
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	16,408,540	15,535,028
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	39,550,395	38,416,553
19	Revenue less expenses. Subtract line 18 from line 12......	2,535,913	2,342,218
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	83,069,056	89,369,657
21	Total liabilities (Part X, line 26)............	50,076,220	54,030,530
22	Net assets or fund balances. Subtract line 21 from line 20 .....	32,992,836	35,339,127

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 29,764,546 including grants of $ ) (Revenue $ 36,299,716 )
	HOSPITAL INPATIENT AND OUTPATIENT CARE: SERVICES INCLUDE ANCILLARY AND ACUTE CARE ALONG WITH SERVING AS A CLINICAL EDUCATION SITES FOR STUDENTS FOR AREAS INVOLVING THE PHYSICAL THERAPY DEPARTMENT, THE EMERGENCY DEPARTMENT, THE SPEECH PATHOLOGY DEPARTMENT, THE OCCUPATIONAL THERAPY DEPARTMENT, AND THE NURSING DEPARTMENT.

4b	(Code: ) (Expenses $ 1,546,244 including grants of $ ) (Revenue $ 1,885,741 )
	PHYSICIAN CLINICS: SERVICES INCLUDE ACUTE CARE SERVICES AS WELL AS PROVIDING SPORTS PHYSICALS FOR LOCAL HIGH SCHOOL ATHLETES AND FOR PARTICIPANTS IN THE SPECIAL OLYMPICS.

4c	(Code: ) (Expenses $ 850,662 including grants of $ ) (Revenue $ 1,037,435 )
	HOSPICE/LONG-TERM CARE: SERVICES INCLUDE CARE-TAKING FOR THE ELDERLY ALONG WITH PROVIDING A GRIEF RECOVERY PROGRAM FOR THOSE PEOPLE WHO HAVE LOST A LOVED ONE TO DEATH.HOME HEALTH IS AVAILABLE FOR PEOPLE OF ALL AGES, ASSISTING THEM IN THE RECOVERY AND REHABILITATION FROM ALL TYPES OF ILLNESS, INJURIES AND OTHER HEALTH PROBLEMS. SKILLED INTERMITTENT HOME CARE THAT IS PHYSICIAN ORDERED IS PROVIDED BY REGISTERED NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AND NURSE AIDES. AREAS SERVED INCLUDE: GAGE, JEFFERSON , PAWNEE AND SALINE COUNTIES.

	(Code: ) (Expenses $ 624,279 including grants of $ 315,668 ) (Revenue $ 968,126 )
	OTHER PROGRAM

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 624,279 including grants of $ 315,668 ) (Revenue $ 968,126 )
4e	Total program service expenses$ 32,785,731

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JON MCMILLAN CFO	38.00	X		171,293	0	8,103
(19) AMANDA MCKINNEY OB/GYN PHYSICIAN	40.00		X	311,090	0	36,597
(20) MICHAEL HAVEKOST ED - PHYSICIAN	40.00		X	300,900	0	36,500
(21) DEBORAH GREGORY OB/GYN PHYSICIAN	40.00		X	289,456	0	36,703
(22) ERIC RIDDLE PHYSICIAN - HOSPITALIST	40.00		X	284,899	0	36,503
(23) CHRISTOPHER HALL PHYSICIAN - HOSPITALIST	40.00		X	281,590	0	36,503

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,740,035	0	315,244

(A) Name and business address	(B) Description of services	(C) Compensation
SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA,NE68022	FINANCIAL - AUDIT SERVICES	137,269
BAIRD HOLM LLP 1700 FARNAM STREET SUITE 1500 OMAHA,NE68102	LEGAL SERVICES	127,774



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 2

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		61,797
e	Government grants (contributions)1e		8,652

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			70,449
			Business Code
2a	PATIENT SERVICE REVENU		621,990	20,204,551	20,204,551
b	MEDICARE & MEDICAID		621,990	19,218,341	19,218,341
c	MEDICAL SERVICES TO OT		621,990	249,691	249,691
d	SALE OF SUPPLIES		339,110	244,823	244,823
e	MGMT FEES - BEATRICE R		541,610	55,044	55,044
f	All other program service revenue .			218,558	218,558
g	Total. Add lines 2a–2f........			40,191,008
3	Investment income (including dividends, interest
	and other similar amounts).....			92,935			92,935
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	100,810
b	Less: rental expenses	7,919
c	Rental income or (loss)	92,891
d	Net rental income or (loss).......			92,891			92,891
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		1,400
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		1,400
d	Net gain or (loss)..........			1,400			1,400
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA SALES & VEND		722,210	174,496			174,496
b	MHR HOME CARE LLC		446,199	121,372		121,372
c	GIFT SHOP REVENUE		453,220	14,220			14,220
d	All other revenue ....
e	Total. Add lines 11a–11d ......			310,088
12	Total revenue. See Instructions....			40,758,771	40,191,008	121,372	375,942


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			480	1	480
2	Savings and temporary cash investments .......			14,554,462	2	17,715,682
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			6,667,236	4	6,091,709
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			872,061	7	788,328
8	Inventories for sale or use ..............			1,492,601	8	1,291,742
9	Prepaid expenses and deferred charges ............			1,199,056	9	1,241,968
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	69,095,642
b	Less: accumulated depreciation. .....	10b	22,471,482	14,275,513	10c	46,624,160
11	Investments—publicly traded securities ..........			42,238,824	11	14,621,196
12	Investments—other securities. See Part IV, line 11 ......			2,246	12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			1,766,577	15	994,392
16	Total assets. Add lines 1 through 15 (must equal line 34)...			83,069,056	16	89,369,657
17	Accounts payable and accrued expenses .			5,076,220	17	9,030,530
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			45,000,000	20	45,000,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....				25
26	Total liabilities. Add lines 17 through 25.....			50,076,220	26	54,030,530
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			32,992,836	27	35,339,127
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			32,992,836	33	35,339,127
34	Total liabilities and net assets/fund balances .....			83,069,056	34	89,369,657