Civic Intelligence

Health Systems of Beatrice Inc

EIN 47-0691891 • 501(c)3 • Beatrice, NE

Profile

NONE

4800 Hospital Parkway PO Box 278Beatrice, NE 68310

www.beatricecommunityhospital.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

99th percentile

100%

Higher net margin than 99% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2022

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

60th percentile

5.9%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $33,634 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $33,634 (-100%) from 2021

Operations
Liabilities / Revenue62nd percentileNet Margin99th percentile

Revenue

Up

$18

Up $1 (+5.9%) from 2021

Expenses

Flat

$0

Flat from 2021

Net Income

Up

$18

Up $1 (+5.9%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100K$50K$0-$50KAssets 2010: $4,064Liabilities 2010: $28,970Net Assets 2010: -$24,9062010Assets 2011: $70,174Liabilities 2011: $26,895Net Assets 2011: $43,2792011Assets 2012: $42,205Liabilities 2012: $4,200Net Assets 2012: $38,0052012Assets 2013: $38,005Liabilities 2013: $0Net Assets 2013: $38,0052013Assets 2014: $42,356Liabilities 2014: $4,350Net Assets 2014: $38,0062014Assets 2015: $38,006Liabilities 2015: $0Net Assets 2015: $38,0062015Assets 2016: $38,034Liabilities 2016: $0Net Assets 2016: $38,0342016Assets 2017: $37,976Liabilities 2017: $0Net Assets 2017: $37,9762017Assets 2018: $37,974Liabilities 2018: $0Net Assets 2018: $37,9742018Assets 2019: $38,119Liabilities 2019: $0Net Assets 2019: $38,1192019Assets 2020: $33,617Liabilities 2020: $0Net Assets 2020: $33,6172020Assets 2021: $33,634Liabilities 2021: $0Net Assets 2021: $33,6342021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0
Open 2022 Filing

Operations Trend

Revenue Growth60th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80K$60K$40K$20K$0-$20KRevenue 2010: $31Expenses 2010: $1,816Net Income 2010: -$1,7852010Revenue 2011: $70,460Expenses 2011: $2,275Net Income 2011: $68,1852011Expenses 2012: $7,4702012Expenses 2013: $6,9542013Revenue 2014: $7,119Expenses 2014: $7,118Net Income 2014: $12014Revenue 2015: $7,008Expenses 2015: $7,008Net Income 2015: $02015Revenue 2016: $7,489Expenses 2016: $7,461Net Income 2016: $282016Revenue 2017: $7,678Expenses 2017: $7,736Net Income 2017: -$582017Revenue 2018: $7,074Expenses 2018: $7,076Net Income 2018: -$22018Revenue 2019: $6,449Expenses 2019: $6,304Net Income 2019: $1452019Revenue 2020: $59Expenses 2020: $4,561Net Income 2020: -$4,5022020Revenue 2021: $17Expenses 2021: $0Net Income 2021: $172021Revenue 2022: $18Expenses 2022: $0Net Income 2022: $182022

Highlighted filing

2022

Revenue$18
Expenses$0
Net Income$18
Open 2022 Filing

Filings

Most recent year

2022 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$18
Expenses
$0
Net income
$18
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.02$0.00$0.02
2021Detailed filing. Detailed filing data is available for this year.$33.6$0.00$33.6$0.02$0.00$0.02
2020Detailed filing. Detailed filing data is available for this year.$33.6$0.00$33.6$0.06$4.56$4.50
2019Detailed filing. Detailed filing data is available for this year.$38.1$0.00$38.1$6.45$6.30$0.15
2018Detailed filing. Detailed filing data is available for this year.$38.0$0.00$38.0$7.07$7.08$0.00
2017Detailed filing. Detailed filing data is available for this year.$38.0$0.00$38.0$7.68$7.74$0.06
2016Detailed filing. Detailed filing data is available for this year.$38.0$0.00$38.0$7.49$7.46$0.03
2015Detailed filing. Detailed filing data is available for this year.$38.0$0.00$38.0$7.01$7.01$0.00
2014Detailed filing. Detailed filing data is available for this year.$42.4$4.35$38.0$7.12$7.12$0.00
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.0$0.00$38.0$6.95
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.2$4.20$38.0$7.47
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$70.2$26.9$43.3$70.5$2.28$68.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.06$29.0$24.9$0.03$1.82$1.79
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
Aug 15, 2023
Return Version
2021v4.2
Gross Receipts
$18
Mission and Program Overview

Mission

Beatrice community hospital and health center is dedicated to being the healthcare resource for the communities we serve by providing quality services and compassionate care.

Program Services

DescriptionGrantsExpenses
A HOLDING COMPANY ORGANIZED TO PROVIDE COORDINATION, MANAGEMENT, PLANNING SERVICES AND ANY OTHER NECESSARY SERVICES TO BEATRICE COMMUNITY HOSPITAL AND RELATED ENTITIES.--
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
DR STEVE SANDMANTreasurer-$0--
LARRY THIMMMember-$0--
LEROY JANZENVice Chairman-$0--
CHAD JURGENSBch CFO-$0--
RICHARD H HOVENDICKMember-$0--
JOHN A BAUERMember-$0--
JUNE SEITZMember-$0--
DR DARIN HOFFMANMember-$0--
MARK BATHELChairman-$0--
RICK HARALDSONBch CEO-$0--
JAMES ENSZMember-$0--
STEVE HOVENDICKMember-$0--
MITCHELL DEINESMember-$0--
WILLIAM THIMMMember-$0--
Filing and Contact Details

Filer

Filer Name
Health Systems of Beatrice Inc
EIN
47-0691891
In Care Of
% CHAD JURGENS CFO
Phone
4022283344
Address
4800 HOSPITAL PARKWAY PO BOX 278, BEATRICE, NE 68310

Signing Officer

Name
Chad Jurgens
Title
CFO
Phone
4022283344
Signed
2023-08-15
Discuss with paid preparer
Yes

Preparer

Firm
Forvis Llp
Address
1201 Walnut Suite 1700, Kansas City, MO 64106-2246
Preparer
April Arnold CPA
Phone
8162216300
Supplemental Narrative

Additional Explanations

Form 990EZ Part I Line 20

“Description:FUNDS TRANSFER TO AFFLIATES Amount:33652”

Raw XML Appendix253 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt04800 HOSPITAL PARKWAY PO BOX 278
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0BEATRICE
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NE
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd068310
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt033634
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IRS990EZ/LobbyingActivitiesInd0false
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DR STEVE SANDMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1LARRY THIMM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2LEROY JANZEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3CHAD JURGENS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4RICHARD H HOVENDICK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5JOHN A BAUER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6JUNE SEITZ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7DR DARIN HOFFMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8MARK BATHEL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9RICK HARALDSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10JAMES ENSZ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11STEVE HOVENDICK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm12MITCHELL DEINES
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm13WILLIAM THIMM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2VICE CHAIRMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3BCH CFO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8CHAIRMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9BCH CEO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt12MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt13MEMBER
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt00
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherChangesInNetAssetsAmt0-33652
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER IS DEDICATED TO BEING THE HEALTHCARE RESOURCE FOR THE COMMUNITIES WE SERVE BY PROVIDING QUALITY SERVICES AND COMPASSIONATE CARE.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0A HOLDING COMPANY ORGANIZED TO PROVIDE COORDINATION, MANAGEMENT, PLANNING SERVICES AND ANY OTHER NECESSARY SERVICES TO BEATRICE COMMUNITY HOSPITAL AND RELATED ENTITIES.
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0true
IRS990EZ/SalariesOtherCompEmplBnftAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
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IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt00
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IRS990EZ/TransactionWithControlEntInd0false
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IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.BEATRICECOMMUNITYHOSPITAL.COM
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType3FuncIntGrp/AppointElectMajorityOfficerInd0true
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ExerciseDirectionPoliciesInd0true
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd0true
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd0true
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd0true
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE SUPPORTED ORGANIZATIONS MAINTAIN A SIGNIFICANT VOICE IN THE HEALTH SYSTEMS OF BEATRICE'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF HEALTH SYSTEMS OF BEATRICE'S ASSETS THROUGH THEIR FINANCE COMMITTEE. THE FINANCE COMMITTEE REGULARLY COMMUNICATES WITH THE HEALTH SYSTEMS OF BEATRICE AND IS INVOLVED IN ALL FINANCIAL DECISIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1THE HEALTH SYSTEMS OF BEATRICE HAS THE POWER TO APPOINT AND/OR RATIFY THE MAJORITY OF THE OFFICERS AND DIRECTORS OF EACH OF THE SUPPORTED ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2THE HEALTH SYSTEMS OF BEATRICE HAS RESERVED AUTHORITY REGARDING THE DIRECTION OVER POLICIES, PROGRAMS AND ACTIVITIES AS EXPRESSED IN THE SUPPORTED ORGANIZATIONS' BYLAWS. THE HEALTH SYSTEMS OF BEATRICE HAS THE RIGHT TO APPROVE OR VETO ANY DECISIONS RELATING TO POLICIES, PROGRAMS AND/OR ACTIVITIES OF THE SUPPORTED ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART IV, SECTION D, LINE 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1SCHEDULE A, PART IV, SECTION E, LINE 3A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2SCHEDULE A, PART IV, SECTION E, LINE 3B
IRS990ScheduleA/OtherSupportSumAmt00
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IRS990ScheduleA/SupportedOrganizationsTotalCnt02
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt033652
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0BEATRICE COMMUNITY HOSPITAL AND HEALTH
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1BEATRICE RETIREMENT INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
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IRS990ScheduleN/AssetsDistributedInd0true
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IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0true
IRS990ScheduleN/EmployeeOfSuccessorInd0true
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02022-09-30
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0BEATRICE COMMUNITY HOSPITAL HEALT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt04800 HOSPITAL PARKWAY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0BEATRICE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0NE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd068310
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0RICK HARALDSON, LEROY JANZEN, AND DR. STEVE SANDMAN ARE DIRECTORS OF BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. (BCHHC), THE TRANSFEREE ORGANIZATION. THESE INDIVIDUALS WERE DIRECTORS OF BCHHC PRIOR TO THE DISSOLUTION OF HEALTH SYSTEMS OF BEATRICE, INC.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1CHAD JURGENS, DR. DARIN HOFFMAN, AND RICK HARALDSON ARE EMPLOYEES OF BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC. (BCHHC), THE TRANSFEREE ORGANIZATION. THESE INDIVIDUALS WERE EMPLOYEES OF BCHHC PRIOR TO THE DISSOLUTION OF HEALTH SYSTEMS OF BEATRICE, INC.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PART I, LINE 2A
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE N, PART I, LINE 2B
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Description:FUNDS TRANSFER TO AFFLIATES Amount:33652
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990EZ PART I LINE 20
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ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0CHAD JURGENS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum04022283344
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-08-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HEALTH SYSTEMS OF BEATRICE INC
ReturnHeader/Filer/BusinessNameControlTxt0HEAL
ReturnHeader/Filer/EIN0470691891
ReturnHeader/Filer/InCareOfNm0% CHAD JURGENS CFO
ReturnHeader/Filer/PhoneNum04022283344
ReturnHeader/Filer/USAddress/AddressLine1Txt04800 HOSPITAL PARKWAY PO BOX 278
ReturnHeader/Filer/USAddress/CityNm0BEATRICE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NE
ReturnHeader/Filer/USAddress/ZIPCd068310
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FORVIS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01201 Walnut Suite 1700
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Kansas City
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0641062246
ReturnHeader/PreparerPersonGrp/PhoneNum08162216300
ReturnHeader/PreparerPersonGrp/PreparationDt02023-08-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0April Arnold CPA
ReturnHeader/ReturnTs02023-07-25T10:35:15-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0CHAD
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0JURGENS
ReturnHeader/TaxPeriodBeginDt02021-10-01
ReturnHeader/TaxPeriodEndDt02022-09-30
ReturnHeader/TaxYr02021

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