2024-06-24T13:52:03-04:00 2023-09-30 470585450 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2022-10-01 470461859 MEMORIAL COMMUNITY HEALTH INC MEMO 4026943171 1423 7TH STREET AURORA NE 68818 PHIL FENDT CFO 4026943171 2024-06-20 true PHIL FENDT 999009999 true THOMAS L STEVENSON CPA P00359037 4026946404 2024-06-20 2022 2023-04-26 12:10:37Z PHIL FENDT 29480390 false X MEMORIALCOMMUNITYHEALTH.ORG X 1964 NE PROVIDING PRIMARY HEALTHCARE SERVICES FROM BEGINNING TO END IN ORDER TO IMPROVE LIVES THROUGH COMMUNITY HEALTH SERVICES. 13 13 359 0 33816 893321 26935204 27918872 94267 300861 366276 353243 27429563 29466297 0 0 18331348 18233209 0 215522 10579858 10695936 28911206 28929145 -1481643 537152 35545626 35490129 3581112 2764998 31964514 32725131 PROVIDING PRIMARY HEALTHCARE SERVICES FROM BEGINNING TO END IN ORDER TO IMPROVE LIVES THROUGH COMMUNITY HEALTH SERVICES. false false 21142322 PRIMARY HEALTHCARE SERVICES ARE PROVIDED TO THE RESIDENTS OF HAMILTON AND CLAY COUNTIES IN RURAL NEBRASKA. 21142322 true true false false false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 36 0 359 true false false false false false false false false X 13 13 false false false false false false false true true false false false true true true false true true true false X MEM HOSP ATTN JUSTIN WOLF 4026943171 1423 7TH STREET AURORA NE 68818 JENNIFER HARNEY PHYSICIAN 40.00 X 292700 0 14422 SCOTT JOHNSON PHYSICIAN 40.00 X 278107 0 24143 JEFFREY MUILENBURG PHYSICIAN 40.00 X 271234 0 24143 HOLLY TALKINGTON PHYSICIAN 40.00 X 266206 0 24143 MICHAEL SULLIVAN PHYSICIAN 40.00 X 250840 0 19766 PHIL FENDT CFO 40.00 X 190770 0 17247 DIANE KELLER CEO 40.00 X 173391 0 14929 LINDY FLYNN COO 40.00 X 139588 0 0 JUSTIN WOLF CEO 40.00 X 107905 0 0 BRAD BISH MEMBER 1.00 X 0 0 0 CHAD GARRETT MEMBER 1.00 X 0 0 0 WAYNE HAHN MEMBER 1.00 X 0 0 0 CODY HOEGH MEMBER 1.00 X 0 0 0 MARK KLUTE MEMBER 1.00 X 0 0 0 PAMELA RILEY MEMBER 1.00 X 0 0 0 HARLAN SCHAFER MEMBER 1.00 X 0 0 0 ROGER SCOTT MEMBER 1.00 X 0 0 0 JAYNE SMITH MEMBER 1.00 X 0 0 0 KENNETH SPRAY MEMBER 1.00 X 0 0 0 DENNIS FERGUSON PRESIDENT 1.00 X 0 0 0 JENNIE KUEHNER SECRETARY 1.00 X 0 0 0 JASON SCHNEIDER VICE PRESIDE 1.00 X 0 0 0 1970741 138793 9 true true false 613043 280278 893321 NET PROGRAM SERVICE REVENUE 622110 25560985 25560985 E PARK VILLA-ASSISTED LIV FAC 623312 1761848 1761848 340B PHARMACY REVENUE 622110 596039 596039 27918872 304184 304184 3000 3000 3000 3000 10770 14093 -3323 -3323 -3323 NON-PATIENT REVENUE 350238 350238 ROUNDING 5 5 350243 29466297 28572976 437263 437263 172391 172391 13902116 9984520 3808898 108698 644476 432781 203123 8572 2058807 1393060 656214 9533 1018156 693392 317008 7756 17823 17823 56195 56195 1720603 1081866 638230 507 113790 42051 66061 5678 291090 129741 89635 71714 679949 36842 643107 52605 34450 18155 1620014 1620014 365544 365544 MEDICAL SUPPLIES & DRUGS 3390968 3194274 193102 3592 MINOR EQUIPMENT & REPAIRS 1480703 652085 828618 FOOD 473322 473322 PROVISION FOR BAD DEBTS 238736 238736 194594 159990 35132 -528 28929145 21142322 7571301 215522 2260 2106 9765694 10738053 3589911 3788053 963200 825215 787669 806809 42174353 28122914 14915079 14051439 344727 338497 5177086 4939957 35545626 35490129 3031384 2617846 549728 147152 3581112 2764998 X 27592056 28139671 4372458 4585460 31964514 32725131 35545626 35490129 X 537152 223465 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208879 208879 21001370 12410246 8591124 19107886 14572605 4535281 1856218 1140063 716155 14051439 INTEREST IN MEMORIAL FOUNDATION 4557133 DUE FROM THIRD PARTY PAYORS 275000 OTHER ACCOUNTS RECEIVABLE - 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PART V, LINE 3E X FACILITY 1, MEMORIAL COMMUNITY HEALTH, INC. - PART V, LINE 5 COMMUNITY FOCUS GROUPS WERE HELD WITH ASSISTANCE FROM THE CENTRAL DISTRICT HEALTH DEPARTMENT. FACILITY 1, MEMORIAL COMMUNITY HEALTH, INC. - PART V, LINE 6A OTHER HOSPITALS INVOLVED IN THE NEEDS ASSESSMENT INCLUDED CHI ST. FRANCIS AND GRAND ISLAND REGIONAL MEDICAL CENTER, BOTH IN GRAND ISLAND, NE, AS WELL AS MERRICK MEDICAL CENTER IN CENTRAL CITY, NE. FACILITY 1, MEMORIAL COMMUNITY HEALTH, INC. - PART V, LINE 11 MCHI HAS IDENTIFIED WELLNESS/LIFESTYLE ILLNESSES AND MENTAL/BEHAVIORAL HEALTH AS THE TOP NEEDS TO BE ADDRESSED. TO ADDRESS WELLNESS/LIFESTYLE, MCHI CONDUCTS AN ANNUAL HEALTH FAIR, OFFERS AN EMPLOYEE WELLNESS PROGRAM, SPONSORS AN ANNUAL FUN RUN AND NATIONAL WALK AT LUNCH DAY. TO ADDRESS MENTAL/BEHAVIORAL HEALTH, MCHI SCREENS PATIENTS ANNUALLY, EMPLOYS A CARE COORDINATOR AND MCHI PROVIDES COUNSELING AS AN IN-HOUSE SPECIALTY SERVICE. MCHI IS ALSO IMPLEMENTING MENTAL HEALTH FIRST AID TRAINING FOR STAFF. THERE ARE SEVERAL LOWER PRIORITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESMENT THAT ARE NOT BEING ADDRESSED DUE TO STAFFING AND FINANCIAL RESOURCE LIMITATIONS. 3 MEMORIAL HEALTH CLINIC 609 O STREET AURORA NE 68818 PHYSICIAN'S CLINIC MEMORIAL COMMUNITY CARE 1423 7TH STREET AURORA NE 68818 LONG TERM CARE EAST PARK VILLA 1704 L STREET AURORA NE 68818 ASSISTED LIVING SCHEDULE H, PART III, LINE 2 COSTING METHODOLOGY FOR LINE 2 IS ACTUAL REVENUE WRITTEN OFF AND SENT TO COLLECTION MULTIPLIED BY THE MEDICARE COST/CHARGE RATIO FROM 9/30/23 FILED COST REPORT. COSTING METHODOLOGY FOR LINE 3 IS ESTIMATED USING KNOWLEDGE OF DEMOGRAPHICS OF THOSE SENT TO COLLECTIONS. BAD DEBTS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE QUALITY HEALTHCARE WAS GIVEN TO THOSE PATIENTS. OTHER AGENCIES DO NOT HAVE TO SUBSIDIZE THESE PATIENTS MEDICAL CARE. SCHEDULE H, PART III, LINE 8 MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE NOBODY ELSE SUBSIDIZES THE SHORTFALLS AND THE CARE GIVEN ULTIMATELY IMPROVES THE LIVES OF THOSE SERVED. THE MEDICARE COST REPORT AND FINANCIAL STATEMENTS WERE USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 6. SCHEDULE H, PART VI, LINE 2 MEMORIAL COMMUNITY HEALTH PERIODICALLY ASSESSES THE COMMUNITY TO SEEK THEIR HEALTH CARE NEEDS. EMPLOYEES ALSO ACT AS REFERENCES FOR THE COMMUNITIES NEEDS VIA THE SUGGESTIONS AND COMMENTS HEARD FROM PATIENTS REGARDING NEEDS AND WANTS IN THE COMMUNITIES HEALTH CARE. SCHEDULE H, PART VI, LINE 3 MEMORIAL COMMUNITY HEALTH INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAM THRU THE FACE SHEET WHERE IT IDENTIFIES THE PROGRAM TO PATIENTS. THE FINANCIAL ASSISTANCE PROGRAM IS ALSO MADE KNOWN VIA THE ORGANIZATION'S WEBSITE. ANY PATIENT WHO INQUIRES ABOUT THE POLICY OR SUGGESTS THAT THEY ARE HAVING DIFFICULTY MAKING PAYMENTS IS OFFERED THE CHARITY CARE PROGRAM BY OUR COLLECTORS. UPON IDENTIFICATION OF NEED, AN APPLICATION IS MAILED TO THE PATIENT AND EVALUATED UPON RETURN. SCHEDULE H, PART VI, LINE 4 MEMORIAL COMMUNITY HEALTH SERVES A RURAL POPULATION WITH AVERAGE TO HIGHER THAN AVERAGE INCOME LEVELS. THE MEDICAID AND INDIGENT POPULATION IS LOWER THAN AVERAGE. MCHI HAS A LOW PERCENTAGE OF UNINSURED PATIENTS AS WELL. SCHEDULE H, PART VI, LINE 5 ALL OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION DOES EXTEND MEDICAL STAFF PRIVELEDGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. MCHI ALSO PROVIDES NUMEROUS EDUCATIONAL AND COMMUNITY ORIENTED PROGRAMS TO ASSIST THE COMMUNITY WITH ALL OF ITS HEALTH CARE NEEDS. false false false true false false false false false JENNIFER HARNEY PHYSICIAN 186434 90663 15603 9600 4822 307122 SCOTT JOHNSON PHYSICIAN 226809 40989 10309 9600 14543 302250 JEFFREY MUILENBURG PHYSICIAN 206570 47304 17360 9600 14543 295377 HOLLY TALKINGTON PHYSICIAN 265206 1000 9600 14543 290349 MICHAEL SULLIVAN PHYSICIAN 212722 24704 13414 9600 10166 270606 PHIL FENDT CFO 189770 1000 9600 7647 208017 DIANE KELLER CEO 172391 1000 9600 5329 188320 SCHEDULE J, PAGE 1, PART I, LINE 5A FOR PHYSICIAN PRODUCTION WORK RVUS PERFORMED DURING THE CONTRACT YEAR IN EXCESS OF 2128, PHYSICIAN SHALL BE COMPENSATED AT THE RATE OF 43 PER WORK RVU. SCHEDULE J, PART III FOR BONUS/INCENTIVE COMPENSATION LISTED PER PART II, PHYSICIAN COMPENSATION INCENTIVE BONUS DETERMINED BASED UPON PRODUCTION USING A CLINIC RVU METHODOLOGY - SEE PART 1, LINE 5A. FORM 990, PAGE 6, PART VI, LINE 11B THE GOVERNING BOARD OF DIRECTORS HAS DESIGNATED AND AUTHORIZED THE FACILITY'S CHIEF FINANCIAL OFFICER TO REVIEW AND APPROVE THE FEDERAL FORM 990 ON BEHALF OF THE GOVERNING BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 12C IF A CONFLICT OF INTEREST WAS TO ARISE, THAT MEMBER REFRAINS FROM PARTICIPATION IN THE DECISION INVOLVING THE CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE CEO'S PERFORMANCE AND REGULATES THE COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE APPROVES ANY COMPENSATION INCREASE EACH YEAR. FORM 990, PAGE 6, PART VI, LINE 15B ALL KEY EMPLOYEES HAVE A YEARLY REVIEW BY THE CEO THAT INCLUDES PERFORMANCE MEASURES AND DISCUSSION OF THE PRIOR YEAR GOALS AND HOW THEY WERE MET OR NOT. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART XI, LINE 9 RECORD CHANGE IN NA OF FOUNDATION 223,465 MEMORIAL FOUNDATION INC 1423 7TH STREET AURORA NE 68818 363819764 FUNDRAISE NE 501C3 12A MCHI false false false true false false false false false false false false false false false false false false false false MEMORIAL FOUNDATION INC MEMORIAL FOUNDATION INC C 84661 CASH