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Nonprofiteer
← JEFFERSON COMMUNITY HEALTH CENTER INC

Form 990 for tax year 2024

Filed by JEFFERSON COMMUNITY HEALTH CENTER INC.

Totals

Total revenue
$41,236,944
Total expenses
$37,283,996
Contributions and grants received
$1,195,552
Grants paid
$4,497
Program service revenue
$38,948,851
Investment income
$865,843
Other revenue
$226,698
Total assets, end of year
$56,250,445
Total liabilities, end of year
$19,355,523
Net assets or fund balances, end of year
$36,894,922
Program services expenses (Part IX)
$33,157,805
Management and general expenses
$4,097,021
Fundraising expenses
$29,170
Program service expenses (Part III)
$33,157,805

Program services were 88.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $15,363

  • 1d · Related organizations

    $51,484

  • 1e · Government grants (contributions)

    $893,667

  • 1f · All other contributions, gifts and grants

    $235,038

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $35,989,876 · related or exempt $35,989,876

  • 2b · Program service revenue: 340B DRUG PRICING PROGRAM

    total $1,973,383 · related or exempt $1,973,383

  • 2c · Program service revenue: CEDARWOOD ASSISTED LIVING SVC FEE

    total $831,197 · related or exempt $831,197

  • 2d · Program service revenue: CEDARWOOD: EQUITY IN JT VENTURE

    total $56,873 · related or exempt $56,873

  • 2f · All other program service revenue

    total $97,522 · related or exempt $97,522

  • 3 · Investment income

    total $865,843 · excluded $865,843

  • 8a · Fundraising events: gross income

    $4,525

  • 8a · Fundraising events: contributions included on line 1c

    $15,363

  • 8b · Fundraising events: direct expenses

    $6,237

  • 8c · Net income from fundraising events

    total -$1,712 · excluded -$1,712

  • 11a · Other revenue: CAFETERIA

    total $228,410 · excluded $228,410

  • 11e · Other revenue, total

    $228,410

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,497 · program services $4,497

  • 5 · Compensation of officers, directors and key employees

    total $549,281 · management and general $549,281

  • 6 · Compensation of disqualified persons

    total $312,037 · program services $171,153 · management and general $140,884

  • 7 · Other salaries and wages

    total $15,602,763 · program services $14,899,481 · management and general $676,892 · fundraising $26,390

  • 8 · Pension plan contributions

    total $515,082 · program services $484,393 · management and general $30,689

  • 9 · Other employee benefits

    total $2,767,468 · program services $2,593,307 · management and general $174,161

  • 10 · Payroll taxes

    total $1,138,062 · program services $1,050,446 · management and general $85,631 · fundraising $1,985

  • 11b · Fees: legal

    total $89,584 · program services $15,685 · management and general $73,899

  • 11c · Fees: accounting

    total $100,603 · management and general $100,603

  • 11g · Fees: other

    total $4,904,902 · program services $3,897,164 · management and general $1,007,738

  • 12 · Advertising and promotion

    total $153,618 · program services $15,638 · management and general $137,185 · fundraising $795

  • 13 · Office expenses

    total $1,164,866 · program services $995,272 · management and general $169,594

  • 16 · Occupancy

    total $557,213 · program services $494,601 · management and general $62,612

  • 17 · Travel

    total $113,895 · program services $81,220 · management and general $32,675

  • 19 · Conferences, conventions and meetings

    total $94,298 · program services $82,728 · management and general $11,570

  • 20 · Interest

    total $473,537 · program services $438,058 · management and general $35,479

  • 22 · Depreciation, depletion and amortization

    total $2,380,832 · program services $2,202,451 · management and general $178,381

  • 23 · Insurance

    total $503,149 · management and general $503,149

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $5,013,438 · program services $5,013,438

  • 24b · Other expenses: FOOD EXPENSE

    total $501,941 · program services $497,725 · management and general $4,216

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $219,720 · program services $99,169 · management and general $120,551

  • 24d · Other expenses: MISCELLANEOUS EXPENSES

    total $123,210 · program services $121,379 · management and general $1,831

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $12,078,530 · end of year $14,753,138

  • 4 · Accounts receivable

    beginning of year $8,925,672 · end of year $9,066,369

  • 8 · Inventories for sale or use

    beginning of year $586,307 · end of year $521,015

  • 9 · Prepaid expenses and deferred charges

    beginning of year $681,175 · end of year $638,613

  • 10a · Land, buildings and equipment: cost or other basis

    $39,826,635

  • 10b · Land, buildings and equipment: accumulated depreciation

    $21,329,348

  • 10c · Land, buildings and equipment, net

    beginning of year $18,841,648 · end of year $18,497,287

  • 11 · Investments: publicly traded securities

    beginning of year $8,770,393 · end of year $10,033,854

  • 13 · Investments: program-related

    beginning of year $1,532,030 · end of year $1,588,903

  • 15 · Other assets

    beginning of year $288,502 · end of year $1,151,266

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,251,089 · end of year $3,661,505

  • 20 · Tax-exempt bond liabilities

    beginning of year $6,982,715 · end of year $6,660,112

  • 23 · Secured mortgages and notes payable

    beginning of year $8,414,622 · end of year $8,202,214

  • 25 · Other liabilities

    beginning of year $578,062 · end of year $831,692

  • 27 · Net assets without donor restrictions

    beginning of year $32,114,646 · end of year $36,569,517

  • 28 · Net assets with donor restrictions

    beginning of year $363,123 · end of year $325,405

Mission and programs · 2024

Mission

INSPIRING HEALTHY LIVING BY PROVIDING EXCEPTIONAL HEALTH AND LIFE SERVICES FOR EVERY PERSON, EVERY TIME.

Activities or mission (Part I)

TO OPERATE AN ACUTE CARE CRITICAL ACCESS HOSPITAL IN FAIRBURY, NEBRASKA.

  • JEFFERSON COMMUNITY HEALTH & LIFE OPERATES A 17 BED CRITICAL ACCESS ACUTE CARE HOSPITAL. JEFFERSON COMMUNITY HEALTH & LIFE ALSO OPERATES A FITNESS CENTER, RURAL HEALTH CLINICS, AND PROVIDES HOME HEALTH SERVICES.

    Expenses $30,634,205 · Grants $4,497 · Revenue $35,435,119

  • JEFFERSON COMMUNITY HEALTH & LIFE OPERATES A 40 BED LONG-TERM CARE FACILITY FOR THE RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING AREA.

    Expenses $2,523,600 · Revenue $3,513,732

As filed on the 2024 return.

Listed in Part VII

  • Ross Boeckner

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Steven Snyder

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Diane Wellsandt

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Trevor Steinmeyer

    PRESIDENT (THRU 12/24)

    Total calculated
    $0
    Hours/week
    1
  • Glenda Austin

    SECRETARY/TREASURER (THRU 12/24)

    Total calculated
    $0
    Hours/week
    1
  • Justin Fulton

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Kendall Schlake

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Dallas Christ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Sara Stewart

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Carolyn Scherbarth

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Chance Klasek

    CFO

    Total calculated
    $262,302
    From this org
    $217,506
    From related orgs
    $0
    Other
    $44,796
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $217,506
    Bonus
    $0
    Other
    $0
    Deferred
    $11,469
    Nontaxable benefits
    $33,327
    Filer's total
    $262,302
  • Bill Welch

    INTERIM CEO (THRU 01/25)

    Total calculated
    $54,000
    From this org
    $53,779
    From related orgs
    $0
    Other
    $221
    Hours/week
    40 + 1 related
  • Holly Wolff

    CEO

    Total calculated
    $0
    Hours/week
    40 + 1 related
  • Craig Shumard

    PHYSICIAN

    Total calculated
    $551,481
    From this org
    $496,538
    From related orgs
    $0
    Other
    $54,943
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $379,241
    Bonus
    $117,297
    Other
    $0
    Deferred
    $24,649
    Nontaxable benefits
    $30,295
    Filer's total
    $551,482
  • Rebecca Stroklund

    PHYSICIAN

    Total calculated
    $394,729
    From this org
    $354,004
    From related orgs
    $0
    Other
    $40,725
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $354,004
    Bonus
    $0
    Other
    $0
    Deferred
    $7,910
    Nontaxable benefits
    $32,815
    Filer's total
    $394,729
  • Brett Wergin

    PHYSICIAN

    Total calculated
    $365,750
    From this org
    $335,910
    From related orgs
    $0
    Other
    $29,840
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $335,910
    Bonus
    $0
    Other
    $0
    Deferred
    $16,107
    Nontaxable benefits
    $13,733
    Filer's total
    $365,750
  • Brandon Bleich

    PHARMACY DIRECTOR

    Total calculated
    $232,124
    From this org
    $191,669
    From related orgs
    $0
    Other
    $40,455
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,669
    Bonus
    $0
    Other
    $0
    Deferred
    $10,387
    Nontaxable benefits
    $30,068
    Filer's total
    $232,124
  • Madhav Narayan

    PHYSICIAN

    Total calculated
    $211,159
    From this org
    $198,838
    From related orgs
    $0
    Other
    $12,321
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,838
    Bonus
    $0
    Other
    $0
    Deferred
    $720
    Nontaxable benefits
    $11,601
    Filer's total
    $211,159
  • Dr Burke Kline

    CEO (THRU 08/24)

    Total calculated
    $270,941
    From this org
    $240,233
    From related orgs
    $0
    Other
    $30,708
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $240,233
    Bonus
    $0
    Other
    $0
    Deferred
    $4,798
    Nontaxable benefits
    $25,911
    Filer's total
    $270,942

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4A
DURING THE YEAR, A SEVERANCE PAYMENT WAS MADE TO BURKE N. KLINE, A FORMER EMPLOYEE OF THE ORGANIZATION. UNDER A SEPARATION AGREEMENT AND RELEASE, THE ORGANIZATION AGREED TO PAY SEVERANCE COMPENSATION IN THE TOTAL GROSS AMOUNT OF $123,760, EQUIVALENT TO 26 WEEKS OF BASE SALARY, FOLLOWING HIS SEPARATION FROM EMPLOYMENT. IN ADDITION, IF THE EMPLOYEE ELECTED COBRA CONTINUATION COVERAGE, THE EMPLOYER AGREED TO CONTRIBUTE TO HEALTH INSURANCE PREMIUMS AT THE SAME LEVEL AS EXISTING EMPLOYEES THROUGH DECEMBER 2024. THE SEVERANCE PAYMENT WAS MADE IN ACCORDANCE WITH THE TERMS OUTLINED IN THE AGREEMENT AND WAS SUBJECT TO STANDARD PAYROLL DEDUCTIONS. THE AGREEMENT INCLUDED CONFIDENTIALITY, NON-DISPARAGEMENT, AND RELEASE OF CLAIMS PROVISIONS.
PART I, LINE 5
THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO CERTAIN EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS BASED ON INDIVIDUAL PRODUCTIVITY AS MEASURED BY WORK RELATIVE VALUE UNITS (WRVUS). PROVIDERS RECEIVE A BASE SALARY AND ARE ELIGIBLE FOR ADDITIONAL INCENTIVE COMPENSATION FOR WRVUS PERFORMED IN EXCESS OF AN ESTABLISHED THRESHOLD. THE INCENTIVE COMPENSATION IS CALCULATED QUARTERLY AT A FIXED WRVU CONVERSION FACTOR AND RECONCILED AGAINST A BI-WEEKLY DRAW SYSTEM. THIS INCENTIVE STRUCTURE IS BASED ON INDIVIDUAL PHYSICIAN PRODUCTIVITY AND NOT DIRECTLY ON THE OVERALL REVENUES OF THE ORGANIZATION OR ANY RELATED ENTITY.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • JCHC REAL ESTATE INC

    501(C)(3) · REAL ESTATE HOLDINGS · NE · controlled entity

    Directly controlled by JEFFERSON COMMUNITY HEALTH CENTER INC

Provenance

Return type
form_990
Tax year
2024
Filed
4 August 2026
IRS schema version
2024v5.5
Source object
202642179349301709

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