2025-11-14T13:27:55-06:00 2024-12-31 135565207 KPMG LLP 1212 NORTH 96TH STREET SUITE 300 OMAHA NE 68114 990 2024-01-01 831362276 METHODIST FREMONT HEALTH METH 4023544840 825 S 169TH STREET OMAHA NE 68118 JEFFREY E FRANCIS VP FINANCE & CFO 4023544000 2025-11-14 1 0 HOLLY K MOEN P01800653 4023481450 2024 2025-03-06 01:10:19Z BILL VOBEJDA 825 S 169TH STREET OMAHA NE 68118 198911297 0 X WWW.BESTCARE.ORG X 2018 NE TO PROVIDE AND MAINTAIN HOSPITAL AND AMBULATORY FACILITIES FOR THE CARE OF PATIENTS 9 7 1042 71 114571 13187 360685 6690158 151812457 155168669 2920246 7023851 1345054 1554874 156438442 170437552 4426123 4470556 0 0 74862281 78699242 0 0 0 52132623 55749522 131421027 138919320 25017415 31518232 146117852 176160500 47092891 45998941 99024961 130161559 X THE MISSION OF METHODIST FREMONT HEALTH IS TO IMPROVE THE QUALITY OF LIFE BY CARING FOR THE BODY AND MIND. METHODIST FREMONT HEALTH SUPPORTS ITS MISSION OF CARING FOR PEOPLE THROUGH THE PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES ON ITS MAIN CAMPUS AT 450 E 23RD STREET, FREMONT, NEBRASKA AND AT VARIOUS SATELLITE LOCATIONS THROUGHOUT NORTHEAST NEBRASKA. 0 0 16583623 604670 21668762 THE METHODIST FREMONT HEALTH MEDICAL CENTER SURGICAL STAFF IS A SEASONED GROUP OF PROFESSIONALS WITH YEARS OF EXPERIENCE AND NUMEROUS CERTIFICATIONS. FROM GENERAL SURGERY TO VASCULAR SURGERY, METHODIST FREMONT HEALTH OFFERS A WIDE RANGE OF SERVICES AND EXPERTISE TO THE COMMUNITY.UNIQUE TO METHODIST FREMONT HEALTH, GREENLIGHT PVP (PHOTO-SELECTIVE VAPORIZATION OF THE PROSTATE) IS A NEW, MINIMALLY INVASIVE SURGICAL TECHNIQUE FOR TREATING BENIGN PROSTATIC HYPERPLASIA (BPH), OR ENLARGEMENT OF THE PROSTATE. GREENLIGHT PVP UTILIZES A SPECIALLY DESIGNED LASER LIGHT SOURCE AND FIBER OPTIC DELIVERY SYSTEM TO IMMEDIATELY VAPORIZE AND PRECISELY REMOVE ENLARGED PROSTATE TISSUE. THE PROCEDURE COMBINES THE IMMEDIATE SYMPTOM RELIEF AND THE DRAMATIC FLOW RATE IMPROVEMENTS OF THE CURRENT "GOLD STANDARD PROCEDURE (CALLED TURP OR TRANS-URETHRAL RESECTION OF THE PROSTATE) WITH MINIMAL SIDE EFFECTS, FAST OPERATIVE AND RECOVERY TIMES, AND USUALLY NO NEED FOR A CATHETER AFTER SURGERY. 6754716 246290 8825956 IF A HIGHER LEVEL OF CARE IS NECESSARY DURING A PATIENT'S STAY AT METHODIST FREMONT HEALTH, THE ICU TEAM PROVIDES TOP-NOTCH CARE AND OUR TELEMETRY SERVICES THROUGHOUT THE HOSPITAL KEEP PATIENT CARE AT THE TOP OF THE MIND FOR ALL MEMBERS OF THE CARE TEAM. 3795766 138401 4959684 METHODIST FREMONT HEALTH OFFERS A FULL RANGE OF HEART AND VASCULAR SERVICES FROM AN EMERGENCY DEPARTMENT READY WITH THE LATEST CHEST-PAIN PROTOCOLS, TO COMPREHENSIVE CARDIAC DIAGNOSTICS, TO A STATE-OF-THE-ART CARDIOVASCULAR CATHETERIZATION LAB.THE CARDIAC CATH LAB PROVIDES SOPHISTICATED DIAGNOSTIC AND INTERVENTIONAL TREATMENT OF CARDIAC AND PERIPHERAL VASCULAR DISEASES. THE CUTTING-EDGE SYSTEM PROVIDES HIGHER RESOLUTION IMAGES AND RESULTS IN LESS RADIATION EXPOSURE.AT METHODIST FREMONT HEALTH, CARDIOLOGISTS ARE FELLOWSHIP-TRAINED, BOARD-CERTIFIED AND HIGHLY SKILLED IN TREATING A FULL RANGE OF HEART AND VASCULAR PROBLEMS, DISEASES, AND CONDITIONS.THE GOAL OF METHODIST FREMONT HEALTH'S CONGESTIVE HEART FAILURE OUTPATIENT PROGRAM IS TO OPTIMIZE THE HEALTH STATUS OF ADVANCED STAGE CHF PATIENTS WITH A FOCUS ON MEDICAL COMPLIANCE OF MEDICATION, DIET, PATIENT AND FAMILY EDUCATION, EXERCISE AND RISK FACTOR REDUCTION.A CARDIOVASCULAR CASE MANAGER REGISTERED NURSE (RN) IDENTIFIES CHF PATIENTS THROUGH HOSPITAL ADMISSIONS AND PHYSICIAN REFERRALS. THEY ARE FOLLOWED AS OUTPATIENTS WITH PHONE CALLS AND/OR OUTPATIENT VISITS ON A REGULAR BASIS. 95474978 3481195 120280505 METHODIST FREMONT HEALTH MEDICAL CENTER INCLUDES 75 INPATIENT BEDS AND BOASTS AN ACCREDITED CANCER PROGRAM.THE HOSPITAL HAS AN ATTACHED NURSING HOME FACILITY , DUNKLAU GARDENS, THAT OFFERS 80 LONG-TERM CARE BEDS IN LARGE PRIVATE AND SEMIPRIVATE SUITES, A DEDICATED SHORT-TERM REHABILITATION WING WITH 22 BEDS, AND FOUR SPACIOUS HOSPICE SUITES. METHODIST FREMONT HEALTH ALSO OFFERS A 24/7 EMERGENCY DEPARTMENT THAT TREATS OVER 17,000 PATIENTS PER YEAR.METHODIST FREMONT HEALTH ALSO OFFERS MANY AREAS OF SPECIALIZED CARE, INCLUDING BIRTH AND INFANT SERVICES, WOMEN'S HEALTH, ORTHOPEDICS, AND PHYSICAL THERAPY. 95474978 3481195 120280505 122609083 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1042 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFFREY E FRANCIS 4023544840 825 S 169TH STREET OMAHA NE 68118 NICOLE DIX DO DIRECTOR 40.00 0.00 X 370557 0 61556 MONTY SELLON MD CHAIRMAN 1.00 39.00 X X 574238 0 97910 KENNETH BEEBE VICE CHAIRMAN 1.00 0.00 X X 0 0 0 STEVEN NAVARRETTE TREASURER 1.00 0.00 X X 0 0 0 JODY HORNER SECRETARY 1.00 0.00 X X 0 0 0 ADAM LAMPRECHT DDS DIRECTOR 1.00 0.00 X 0 0 0 LINDA EMANUEL DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER BIXBY DIRECTOR 1.00 0.00 X 0 0 0 THOMAS WARING MD DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY FRANCIS CFO 1.00 39.00 X 0 677985 163726 BRETT RICHMOND PRESIDENT 40.00 0.00 X 0 529905 119425 MELINDA KENTFIELD CHIEF NURSING OFFICER 40.00 0.00 X 0 226528 55080 SHAUN CUSTARD VICE PRESIDENT 40.00 0.00 X 0 249928 67891 ANDREA FLAMME MD PHYSICIAN 40.00 0.00 X 513020 0 70810 JAMES SORRELL MD PHYSICIAN 40.00 0.00 X 548735 0 39172 JAMES THIEHEN MD PHYSICIAN 40.00 0.00 X 464946 0 30976 TYLER RONNFELDT MD PHYSICIAN 40.00 0.00 X 457012 0 42277 TIMOTHY GOC MD PHYSICIAN 40.00 0.00 X 451145 0 69232 3379653 1684346 818055 101 0 1 0 MEYERS CARLISLE LEAPLEY 14558 PORTAL CIRCLE OMAHA NE 68138 CONSTRUCTION SERVICES 505770 BRYAN TELEMEDICINE 2222 16TH STREET LINCOLN NE 68502 TELEMEDICINE SERVICES 466154 MIDWEST GASTROINTESTINAL 8901 INDIAN HILLS DRIVE OMAHA NE 68114 MEDICAL SERVICES 296250 AVEL ECARE 4500 N LEWIS AVE SIOUX FALLS SD 57104 TELEMEDICINE SERVICES 286977 PALLIATIVE CARE ASSOCIATES 8303 DODGE STREET OMAHA NE 68114 MEDICAL SERVICES 222556 13 2240558 4449600 6690158 NET PATIENT SERVICE REVENUE 621990 152158208 152158208 OTHER PATIENT REVENUE 621990 3010461 3010461 155168669 2534765 2534765 1051875 211553 840322 840322 840322 32707233 28218147 4489086 4489086 4489086 77788 44045 33743 33743 CAFETERIA 722210 566238 566238 LEASED EMPLOYEES 541900 73736 73736 LABORATORY 621500 40835 40835 680809 170437552 155734907 114571 7897916 13206 13206 4457350 4457350 944795 944795 61675225 61675225 12136905 12136905 3942317 3942317 18301 18301 127740 127740 7317957 7317957 213010 213010 715191 715191 150023 150023 6748775 6748775 60355 60355 1134063 1134063 3630254 3630254 475810 317962 157848 MEDICAL SUPPLIES 17847791 17847791 ALLOCATIONS 16006348 16006348 DUES & SUBSCRIPTIONS 267442 267442 INCOME TAXES 5421 5421 1031041 1031041 138919320 122609083 16310237 0 11869128 19899425 26608592 25415578 781238 2667342 1763228 1794095 704573 688165 47687422 26354770 22194145 21332652 65318182 0 16878766 104363243 146117852 176160500 10127671 11437353 36965220 34561588 47092891 45998941 X 90036513 122166050 8988448 7995509 99024961 130161559 146117852 176160500 X 31518232 641196 -1022830 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 18301 112336 18301 112336 138901019 928381157 138919320 928493493 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 78972 85439 91677 112336 368424 250000 250000 250000 250000 1000000 1500000 5399314 5399314 12579270 9713043 2866227 29708838 16641727 13067111 21332652 DUE FROM AFFILIATES 95121345 CONSTRUCTION IN PROGRESS 869358 BENEFICIAL INTEREST IN THE NET ASSETS OF THE FOUNDATION 7995509 RIGHT OF USE ASSETS 377031 104363243 LONG TERM DEBT AND CAPITAL LEASE OBLIGATIONS 33457660 LONG TERM LEASE LIABILITY 1103928 34561588 X PART X, LINE 2: METHODIST FREMONT HEALTH RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. IN 2023 AND 2024 MANAGEMENT DETERMINED THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. 1 1 1 X 1 X 1 1 0 1 1 4070179 4070179 0.02930 18056081 10562385 7493696 0.05390 22126260 10562385 11563875 0.08320 1976951 1976951 0.01420 482252 482252 0.00350 12932368 12932368 0.09310 32967 32967 0.00020 15424538 15424538 0.11100 37550798 10562385 26988413 0.19420 1 5623612 21507330 30599045 -9091715 X 1 1 1 1 METHODIST FREMONT HEALTH 450 E 23RD STREET FREMONT NE 68025 BESTCARE.ORG/LOCATIONS/METHODIST-FREMO H000133 X X X X METHODIST FREMONT HEALTH 1 0 0 1 X X X X X X X X 23 1 1 1 1 X HTTPS://.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN X 1 23 1 HTTP://.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 METHODIST FREMONT HEALTH PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS SPONSORED BY METHODIST FREMONT HEALTH, MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM, SAUNDERS MEDICAL CENTER AND THREE RIVERS PUBLIC HEALTH DEPARTMENT. THE PROJECT WAS MADE POSSIBLE THROUGH GRANT FUNDING FROM THE STATE OF NEBRASKA DEPARTMENT OF HEALTH AND SERVICE, DIVISION OF PUBLIC HEALTH, COMMUNITY HEALTH AND PERFORMANCE MANAGEMENT AND REGION 6 BEHAVIORAL HEALTH CARE.IN 2023, METHODIST FREMONT HEALTH ADAPTED THE ABOVE REFERENCED CHNA TO MAKE IT SPECIFIC TO METHODIST FREMONT HEALTH. METHODIST FREMONT HEALTH PART V, SECTION B, LINE 6A: A BROAD ARRAY OF SOURCES PROVIDED QUALITATIVE DATA FOR THE REPORT, INCLUDING THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, THE NEBRASKA CRIME COMMISSION, NEBRASKA DEPARTMENT OF EDUCATION, NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, NEBRASKA RISK AND PROTECTIVE FACTOR STUDENT SURVEY AND THE U.S. CENSUS/AMERICAN COMMUNITY SURVEY. METHODIST FREMONT HEALTH PART V, SECTION B, LINE 6B: THIS CHNA ALSO INCORPORATED A MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) STEERING COMMITTEE TO HELP GUIDE THE PROCESS. STEERING COMMITTEE MEMBERS INCLUDED REPRESENTATIVES FROM THE ABOVE-MENTIONED ENTITIES, AS WELL AS FREMONT PUBLIC SCHOOLS, SAUNDERS COUNTY YOUTH SERVICES, AND FREMONT FAMILY COALITION. A COMMUNITY HEALTH SURVEY, ASKING HEALTH RELATED QUESTIONS WAS ADMINISTERED TO INDIVIDUALS WHO LIVE AND WORK IN DODGE, WASHINGTON, AND SAUNDERS COUNTIES IN NEBRASKA TO IDENTIFY WHAT COMMUNITY MEMBERS VIEWED AS THE MOST IMPORTANT HEALTH ISSUES TO ADDRESS.FROM THE CHNA, A PLAN IS DEVELOPED - THE PURPOSE OF WHICH IS TO IDENTIFY HOW TO STRATEGICALLY AND COLLABORATIVELY ADDRESS COMMUNITY PRIORITY ISSUES TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. METHODIST FREMONT HEALTH PART V, SECTION B, LINE 11: 2024 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWFOR MORE THAN 80 YEARS, METHODIST FREMONT HEALTH (MFH), A CLINICAL ENTITY OF THE METHODIST HEALTH SYSTEM, HAS CARED FOR FAMILIES IN THE FREMONT, NE REGION, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. MFH LEADERSHIP SUPPORTS THE IMPORTANCE OF WORKING IN THE COMMUNITY WITH OVER 80 PARTNERS TO ADDRESS THE NEEDS IDENTIFIED IN THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT. THE MFH COMMUNITY HEALTH ACTION TEAM, MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE CURRENT PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE CHNA, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY HEALTH PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE, AND RELIEVING OR REDUCING THE BURDEN ON THE GOVERNMENT. ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE PARTNER WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. MANY PROGRAMS AND SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL THE RESULTS OF THE NEXT CHNA; HOWEVER, EACH PROGRAM OR SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS.AS MENTIONED THROUGHOUT THIS REPORT, METHODIST FREMONT HEALTH IS COMMITTED TO WORKING WITH LOCAL EMPLOYERS AND COMMUNITY PARTNERS THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY. ACCESS TO HEALTHCARE SERVICESMETHODIST FREMONT HEALTH, LOCAL PROVIDERS AND ORGANIZATIONS WORKED COLLABORATIVELY TO PROVIDE EXPANDED AND AFFORDABLE ACCESS TO CARE A PRIORITY IDENTIFIED FOR THE THREE COUNTIES THAT THREE RIVERS PUBLIC HEALTH DEPARTMENT COVERS. METHODIST FREMONT HEALTH'S TRANSPORTATION BUS CONTINUES TO TRAVEL ACROSS DODGE COUNTY, SAUNDERS COUNTY AND WASHINGTON COUNTY PROVIDING OVER 3,100 ANNUAL COMPLIMENTARY RIDES TO PATIENTS WITH LIMITED TRANSPORTATION AVAILABILITY. 1 IN 3 INDIVIDUALS WHO TOOK THE MINORITY HEALTH ASSESSMENT SURVEY INDICATED "ACCESS TO HEALTHCARE" IS A TOP CONCERN. GOOD NEIGHBOR FREMONT, A FEDERALLY QUALIFIED HEALTH CENTER, PROVIDES PRIMARY CARE, DENTAL, MENTAL HEALTH AND OB/GYN SERVICES OFFERED BY MFH MEDICAL STAFF TO ANYONE, REGARDLESS OF AGE OR INCOME LEVEL. MFH PROVIDES FREE SCREENINGS, EDUCATION (PRINTED IN ENGLISH AND SPANISH), AND SUPPORT GROUPS ON NEEDS IDENTIFIED IN THE 2023 - 2025 COMMUNITY HEALTH NEEDS ASSESSMENT. MFH HAS A STRONG SPORTS MEDICINE PROGRAM, PROVIDING CERTIFIED ATHLETIC TRAINERS AT NO COST TO 8 AREA HIGH SCHOOLS AS WELL AS A FULL TIME STAFF MEMBER AT MIDLAND UNIVERSITY. IN ADDITION, MFH OPERATES A FREE SATURDAY SPORTS INJURY CLINIC TO STUDENT ATHLETES FOR APPROXIMATELY 12 WEEKS DURING THE FULL SPORTS SEASON, STAFFED BY AN ORTHOPEDIC SURGEON, PHYSICAL THERAPISTS, AND CERTIFIED ATHLETIC TRAINERS, PROVIDED INJURY EVALUATION AND PROVIDED 34 INDIVIDUALIZED TREATMENT PLANS.TO ADDRESS LANGUAGE BARRIERS, MFH PROVIDES IN-HOUSE INTERPRETER AND TRANSLATION SERVICES FOR NON-ENGLISH SPEAKING PATIENTS, IN ADDITION TO MARTTI (MY ACCESSIBLE REAL-TIME TRUSTED INTERPRETER), A 2-WAY VIDEO AND AUDIO CONNECTION TO A SKILLED, CERTIFIED MEDICAL INTERPRETER.FOR OUR HISPANIC COMMUNITY, MFH HOLDS A HISPANIC FESTIVAL WHICH FEATURES OUR MOBILE DIABETES UNIT, DIETICIANS, AND INTERPRETER SERVICES. MFH ALSO PARTNERS WITH LOCAL EMPLOYERS TO PROVIDE FURTHER HEALTH SCREENING OPPORTUNITIES.FINALLY, METHODIST FREMONT HEALTH HAS AN AGREEMENT TO PROVIDE A STUDENT HEALTH NURSE ON CAMPUS 32 HOURS A WEEK THROUGH THE SCHOOL YEAR. CANCERMETHODIST FREMONT HEALTH CONTINUES TO PROVIDE A VARIETY OF CANCER SCREENINGS THROUGHOUT THE COMMUNITY WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: LUNG, BREAST, COLORECTAL, AND SKIN, AMONG OTHERS. IN 2024, MFH COORDINATED SPECIAL SCREENING EVENTS WITH 7 LOCAL FREMONT EMPLOYERS, PROVIDING MAMMOGRAMS TO 206 WOMEN. METHODIST FREMONT HEALTH ALSO PROVIDED 583 LUNG SCREENS AND 119 PROSTATE-SPECIFIC ANTIGEN (PSA) SCREENING TESTS THROUGHOUT THE YEAR. IN COLLABORATION WITH THREE RIVERS HEALTH DEPT, MFH OFFERED FREE TAKE HOME COLORECTAL CANCER SCREENING KITS WITH 71 KITS GIVEN OUT, 42 RETURNED, AND 13 WITH POSITIVE SCREENING RESULTS.IN 2025, MFH'S CANCER PROGRAM RECEIVED "ACCREDITED" STATUS BY THE COMMISSION ON CANCER AND SURVEYED FOR YEARS 2022 - 2024. THE CANCER PROGRAM STANDARDS ARE REVIEWED EVERY THREE YEARS AND HAS BEEN AWARDED ACCREDITATION SINCE 1996. THIS ACCREDITATION MEANS THAT OUR PATIENTS RECEIVE COMPREHENSIVE, PERSONALIZED CARE PROVIDED BY A TEAM OF SPECIALISTS, WITH ACCESS TO CLINICAL TRIALS AND NEW TREATMENT OPTIONS. IN 2024, MFH PROVIDED ANTI-VAPING AND TABACCO USE EDUCATION TO OVER 400 FREMONT THIRD GRADERS FROM 9 LOCAL SCHOOLS DURING TOURS OF THE HOSPITAL.HEART DISEASE SIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY HEART DISEASE & STROKE SCREENING INCLUDES FREE BLOOD PRESSURE AND CONSULTATION WITH A LICENSED STAFF MEMBER. THESE CONSULTATIONS INCLUDE EDUCATION THAT CAN REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING AND LIFESTYLE CHOICES, FOOD PORTIONS, COOKING DEMONSTRATIONS, AND AFFORDABLE MEAL IDEAS FOR FAMILIES.METHODIST FREMONT HEALTH COLLABORATES WITH THE LOCAL YMCA AND HY-VEE GROCERY STORES THROUGH OUR INTERACTIVE KIOSKS MEASURING BODY MASS INDEX AND BLOOD PRESSURES WITH THE GOAL OF REDUCING THE NUMBER OF ADULTS AGE 18 AND OVER WITH A BMI GREATER THAN 30.METHODIST FREMONT HEALTH HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ACUTE STROKE READY CERTIFICATION.MENTAL HEALTHMETHODIST FREMONT HEALTH HAS BEEN INSTRUMENTAL IN EXPANDING MENTAL HEALTH SERVICES IN THE COMMUNITY, AND OPERATES A 20-BED INPATIENT BEHAVIORAL HEALTH UNIT THAT CONTINUES TO BE AT CAPACITY. IN ADDITION, MFH PROVIDES A CONTINUUM OF CARE THROUGH THE BEHAVIORAL HEALTH OUTPATIENT CLINIC OFFERING PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT; MENTAL HEALTH ASSESSMENT; AND INDIVIDUAL AND FAMILY THERAPY FOR CHILDREN AND ADULTS. THE BEHAVIORAL HEALTH TEAM CONSISTS OF BOARD CERTIFIED PSYCHIATRISTS, A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, A MASTERS LEVEL SOCIAL WORKER, LICENSED INDEPENDENT MENTAL HEALTH PRACTITIONERS, REGISTERED NURSES, AND SUPPORT STAFF.A NURSE NAVIGATOR IS LOCATED AT THE MFH OB/GYN CLINIC AND CONDUCTS PRE-NATAL AND POST-PARTUM DEPRESSION SCREENINGS, WORKING COLLABORATIVELY WITH THE PHYSICIANS TO PROVIDE EARLY INTERVENTIONS IF DETERMINED NECESSARY. THE NURSE NAVIGATOR SCREENED 1334 MOTHERS FOR PSYCHOSOCIAL NEEDS PRENATALLY, INCLUDING MATERNAL SAFETY AND POSTPARTUM DEPRESSION SCREENS, AND PROVIDED THEM ALL WITH EDUCATION ON BREASTFEEDING. OUR NURSE NAVIGATOR SUPPORTED INPATIENTS WITH THEIR INITIAL BREASTFEEDING NEEDS AND PROVIDED 107 MOTHERS AND BABIES FOR OUTPATIENT LACTATION VISITS. SHE ALSO SUPPORTED MOTHERS WITH THEIR MOOD/MENTAL HEALTH VIA PHONE CALLS AND NAVIGATION TO MENTAL HEALTH CARE DURING POSTPARTUM TIME. ABOUT 30% OF MOTHERS WERE REFERRED TO SOCIAL WORK FOR PSYCHOSOCIAL SUPPORT AND/OR CONNECTED MOTHERS TO COMMUNITY SUPPORTS AND RESOURCES.WOMEN'S HEALTHMFH COLLABORATES WITH LARGE EMPLOYERS TO ENSURE FEMALE STAFF HAVE AN ANNUAL MAMMOGRAM, PAP SMEAR, AND PHYSICAL, WITH THE GOAL OF INCREASING TO 81%, THE PERCENT OF WOMEN WHO HAVE HAD A MAMMOGRAM WITHIN THE LAST 2 YEARS.MFH WILL CONTINUE TO OFFER SCREENINGS FOR EARLY DETECTION OF CANCERS AND OTHER ISSUES UNIQUE TO WOMEN AND OFFER RECOMMENDATIONS AND BEHAVIORAL RISK EDUCATION.MFH WILL ALSO CONTINUE TO OFFER EDUCATION AND ENGAGEMENT SERVICES TO INCREASE POSITIVE OUTCOMES FOR NEW MOTHERS AND THEIR BABIES. AMONG THESE SERVICES WILL INCLUDE OFFERING INCREASED BREAST FEEDING EDUCATION USING ENGLISH AND SPANISH MATERIALS, AND PROVIDING FREE BREAST PUMP EQUIPMENT TO WOMEN NOT COVERED BY INSURANCE, AND CONTINUING WITH REFERRALS TO OUR MANY COMMUNITY PARTNERS AS NECESSARY. FINANCIAL ASSISTANCEIN 2024, MFH MADE FINANCIAL ASSISTANCE AVAILABLE TO OVER 4,000 INDIVIDUALS, REDUCING OR EVEN ELIMINATING THE MEDICAL EXPENSE OR DEBT ON FAMILIES. OUR FINANCIAL ASSISTANCE PROGRAM IS OFFERED TO ALL PATIENTS UPON ADMISSION AND OUR PROVIDERS ARE KNOWLEDGEABLE REGARDING HOW THEIR PATIENTS CAN APPLY FOR THIS PROGRAM.EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, METHODIST FREMONT HEALTH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. MFH USES A MULTI-DISCIPLINARY APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. METHODIST FREMONT HEALTH PART V, SECTION B, LINE 13B: METHODIST FREMONT HEALTH CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION. METHODIST FREMONT HEALTH PART V, SECTION B, LINE 13H: METHODIST FREMONT HEALTH UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILTY.METHODIST FREMONT HEALTH UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIO-ECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT FINANCIAL SERVICES TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST FREMONT HEALTH TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE. METHODIST FREMONT HEALTH PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. 1 1 - DUNKLAU GARDENS 450 E 23RD STREET FREMONT NE 68025 SKILLED NURSING FACILITY PART I, LINE 7: THE METHODS PRIMARILY USED ARE ESTIMATES USING A COST REPORT METHODOLOGY AND ACTUAL EXPENDITURES.INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND IN-KIND DONATIONS IS COLLECTED THROUGH THE YEAR USING THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR COMMUNITY BENEFITS REPORTING. AMOUNTS SHOWN AS COMMUNITY BENEFIT ARE AT COST LESS ANY REVENUE EXCLUSIVE OF ANY GRANTS. CASH AND IN-KIND DONATIONS THAT SUPPORT FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN CONTRIBUTIONS. PART I, LINE 7G: A SUBSIDIZED HEALTH SERVICE BENEFIT IS CALCULATED FOR DEPARTMENTS AND SERVICES RECOGNIZING THESE AREAS OPERATE AT A NEGATIVE MARGIN.THE BEHAVIORAL HEALTH CLINIC AND INFECTIOUS DISEASE DEPARTMENT ARE AMONG THE MANY COMMUNITY HEALTH IMPROVEMENT AND SUBSIDIZED HEALTH SERVICES OPERATED AT NEGATIVE MARGINS. PART I, LN 7 COL(F): THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSE IN COLUMN (E) BY THE SUM OF THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN A. SCH H, PART VI, LINE 7 NO DIRECT REPORT IS REQUIRED BY THE STATE OF NEBRASKA. HOWEVER, INFORMATION FROM THE HOSPITAL'S COMMUNITY BENEFITS REPORT DATA IS INCLUDED IN A REPORT COMPILED BY THE NEBRASKA HOSPITAL ASSOCIATION. PART III, LINE 4: THE METHODIST HEALTH SYSTEM ADOPTED THE NEW REVENUE RECOGNITION STANDARD IN 2019. BAD DEBT EXPENSE IS NO LONGER DISCUSSED SEPARATELY. THE FOOTNOTE ADDRESSING REVENUE RECOGNITION IS ON THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGES 11 - 12.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2024 MEDICARE COST REPORT. PART III, LINE 8: SOURCE IS THE 2024 MEDICARE COST REPORT AS FILED.THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE CY 2023 MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST USING A COST-TO-CHARGE RATIO IN ORDER TO DETERMINE THE SHORTFALL FROM THE MEDICARE PROGRAM. THIS MEDICARE SHORTFALL LISTED ON LINE 7 IS NOT CURRENTLY TREATED AS COMMUNITY BENEFIT, HOWEVER, REPRESENTS METHODIST FREMONT HEALTH'S SERVICES THAT ARE ESSENTIAL TO VARIOUS UNDERSERVED POPULATIONS IN THE COMMUNITY. PART III, LINE 9B: COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE.METHODIST FREMONT HEALTH HAS ADOPTED A PROCEDURE FOR THOSE SITUATIONS WHERE A PATIENT POTENTIALLY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE THE APPLICATION. THIS PROCEDURE, REFERRED TO AS THE PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS ASSISTING WITH SELF-PAY COLLECTIONS.SOME OF THE INDIVIDUAL LIFE CIRCUMSTANCES THAT HAVE BEEN ESTABLISHED AS INDICATORS OF PRESUMPTIVE ELIGIBILITY INCLUDE:PARTICIPATION IN STATE FUNDED PRESCRIPTION PROGRAMS; IDENTIFICATION AS HOMELESS OR RECEIVING CARE FROM A HOMELESS PERSONS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM; FOOD STAMP ELIGIBILITY; SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN); LOW INCOME/SUBSIDIZED HOUSING PROVIDED AS VALID ADDRESS.THE HOSPITAL STAFF, AS WELL AS VENDORS UTILIZED FOR SELF-PAY COLLECTIONS, HAVE BEEN TRAINED TO IDENTIFY INDICATORS OF PRESUMPTIVE ELIGIBILITY AND DOCUMENT SUCH AS SUPPORT FOR FINANCIAL ASSISTANCE DETERMINATION.THE HOSPITAL BILLS ALL THIRD PARTY RESOURCES THAT MAY BE ABLE TO PROVIDE REIMBURSEMENT FOR CARE PROVIDED TO PATIENTS. THIS INCLUDES, BUT IS NOT LIMITED TO, COMMERCIAL INSURANCE, MEDICARE, MEDICAID, COUNTY GOVERNMENT AND OTHER GOVERNMENT PROGRAMS, AND ANY OTHER POTENTIAL SOURCE OF REIMBURSEMENT.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO OR DURING THE TIME OF SERVICE. THOSE PATIENTS ARE ENCOURAGED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY THREE RIVERS PUBLIC HEALTH DEPARTMENT WHICH REPRESENTS DODGE, WASHINGTON, AND SAUNDERS COUNTIES IN NEBRASKA. PART VI, LINE 3: FINANCIAL ASSISTANCE APPLICATIONS ARE INCLUDED IN ALL INPATIENT ADMISSION PACKETS. METHODIST FREMONT HEALTH CONTRACTS WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED FOR PRIVATE CONSULTATION FIVE DAYS A WEEK FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO ENSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM.THE BILLING CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE NEEDS. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE PROVIDED WITH APPLICATIONS AND ARE ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE.APPROPRIATE RESOURCES ARE USED TO PROVIDE EFFECTIVE COMMUNICATION WITH NON-ENGLISH SPEAKING PATIENTS INCLUDING THE MARTTI LANGUAGE SYSTEM THAT PROVIDES 24-HOUR ACCESS TO SEVERAL HUNDRED DIFFERENT LANGUAGE INTERPRETERS. OTHER RESOURCES INCLUDE HOPE MEDICAL OUTREACH AND ON-SITE STAFF OR CONTRACTED INTERPRETER SERVICES. THE HOSPITAL PROVIDES FOR INTERPRETATIVE SERVICES AT NO COST TO THE PATIENTS.INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON THE BESTCARE.ORG WEBSITE IN BOTH ENGLISH AND SPANISH. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION. PLAIN LANGUAGE SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION DESKS WITHIN THE HOSPITAL. PART VI, LINE 4: METHODIST FREMONT HEALTH'S SERVICE AREA INCLUDES DODGE AND TWO ADJOINING COUNTIES IN NEBRASKA. ACCORDING TO U.S. CENSUS DEPARTMENT REPORTS, THIS AREA IS HOME TO ALMOST 79,000 PEOPLE. PART VI, LINE 5: PROMOTING HEALTH OF THE COMMUNITY:METHODIST FREMONT HEALTH'S BOARD OF DIRECTORS PROVIDES OVERSITE OF ALL OPERATIONS. IT IS COMPOSED OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS. THERE IS PHYSICIAN INVOLVEMENT ON THE BOARD LENDING TO THE ABILITY TO BE LEADERS IN MEDICAL SERVICES. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS TO PROMOTE A UNIFORM STANDARD OF QUALITY PATIENT CARE, TREATMENT AND SERVICES. ADDITIONAL CRITERIA FOR CLINICAL PRIVILEGES MAY INCLUDE A REQUIREMENT OF SPECIALTY BOARD CERTIFICATION IF IT IS BELIEVED TO BE AN IMPORTANT OBJECTIVE INDICATOR OF TRAINING AND COMPETENCE. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:THE NEBRASKA METHODIST HEALTH SYSTEM INCLUDES NEBRASKA METHODIST HOSPITAL, METHODIST WOMEN'S HOSPITAL, NEBRASKA METHODIST HOSPITAL FOUNDATION, JENNIE EDMUNDSON MEMORIAL HOSPITAL, JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION, METHODIST FREMONT HEALTH, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC, AND THE NEBRASKA METHODIST COLLEGE OF NURSING. AS A GROUP, THESE ENTITIES ARE COMMITTED TO CARING FOR THE PEOPLE OF THEIR COMMUNITIES BY PROVIDING OUTSTANDING CARE, EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES. THE MORE THAN 10,000 EMPLOYEES OF OUR HOSPITALS, CLINICS, COLLEGE AND FOUNDATIONS WORK TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES SERVED. TO FULFILL OUR MISSION OF CARING FOR PEOPLE, AFFILIATES HAVE DEVELOPED A VARIETY OF WAYS TO CONTRIBUTE CARE AND HEALTH-RELATED EDUCATION TO THE POOR, MINORITIES, AND TO OTHER UNDERSERVED GROUPS AS WELL AS TO THE BROADER COMMUNITY.BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY THREE RIVERS PUBLIC HEALTH DEPARTMENT.AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM, AND ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, METHODIST FREMONT HEALTH AND THE ENTITIES OF NEBRASKA METHODIST HEALTH SYSTEM ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THE REGION. METHODIST FREMONT HEALTH RESPECTS AND EMBRACES THE RESPONSIBILITY THAT ACCOMPANIES TAX EXEMPT STATUS AND IS HONORED TO OFFER LEADERSHIP, SUPPORT AND RESOURCES TO BENEFIT THE COMMUNITY. 0 FREMONT AREA UNITED WAY 445 E 1ST STREET FREMONT NE 68025 476000166 501(C)3 12500 0 SUPPORTING PROGRAMS FOCUSING ON ADVANCING INCOME, EDUCATION, AND HEALTH 1 FINANCIAL ASSISTANCE 4267 4457350 BOOK FINANCIAL ASSISTANCE TO PATIENTS PART I, LINE 2: METHODIST FREMONT HEALTH ONLY PROVIDES GRANTS TO IRC SECTION 501(C)(3) ORGANIZATIONS AND 501(C)(3) ACTIVITIES TO ENSURE THE FUNDS ARE USED FOR EXEMPT PURPOSES. 0 1 0 0 0 0 0 0 0 JEFFREY FRANCIS CFO 0 604070 0 0 0 73915 0 124762 0 39535 0 842282 0 68909 MONTY SELLON MD CHAIRMAN 416988 0 101157 0 56093 0 78182 0 20651 0 673071 0 45465 0 BRETT RICHMOND PRESIDENT 0 446548 0 0 0 83357 0 81129 0 38690 0 649724 0 34228 JAMES SORRELL MD PHYSICIAN 371357 0 118551 0 58827 0 19322 0 21711 0 589768 0 12884 0 ANDREA FLAMME MD PHYSICIAN 497921 0 0 0 15099 0 31518 0 41153 0 585691 0 0 0 TIMOTHY GOC MD PHYSICIAN 436848 0 0 0 14297 0 28936 0 41601 0 521682 0 0 0 TYLER RONNFELDT MD PHYSICIAN 409655 0 15000 0 32357 0 28900 0 15238 0 501150 0 0 0 JAMES THIEHEN MD PHYSICIAN 418938 0 15000 0 31008 0 29180 0 3657 0 497783 0 0 0 NICOLE DIX DO DIRECTOR 369315 0 0 0 1242 0 29904 0 33513 0 433974 0 0 0 SHAUN CUSTARD VICE PRESIDENT 0 234245 0 0 0 15683 0 36095 0 32366 0 318389 0 14893 MELINDA KENTFIELD CHIEF NURSING OFFICER 0 193989 0 0 0 32539 0 45360 0 10272 0 282160 0 0 PART I, LINE 3 METHODIST FREMONT HEALTH IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. NEBRASKA METHODIST HEALTH SYSTEM, WITH WHICH METHODIST FREMONT HEALTH IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION AND A VOTING MEMBER OF METHODIST FREMONT HEALTH. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2024 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $97,162 ACCRUAL, $68,909 PLAN DISTRIBUTION BRETT RICHMOND $50,079 ACCRUAL; $34,228 PLAN DISTRIBUTION NICOLE DIX DO $2,304 ACCRUAL SHAUN CUSTARD $18,535 ACCRUAL; $14,893 DISTRIBUTION JAMES THIELEN MD $5,030 ACCRUAL ANDREA FLAMME MD $7,368 ACCRUAL JAMES SORRELL MD $12,884 DISTRIBUTION TYLER RONNFELDT MD $4,750 ACCRUAL MONTY SELLON MD $54,032 ACCRUAL; $45,465 DISTRIBUTION TIMOTHY GOC MD, $4,786 ACCRUAL MELINDA KENTFIELD, $27,238 ACCRUAL FORM 990, PART V, LINE 2B THE PAYROLL SYSTEM FOR METHODIST FREMONT HEALTH IS HANDLED BY A COMMON PAYMASTER, NEBRASKA METHODIST HEALTH SYSTEM, INC. ALL W-2 FORMS ARE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM AND ALL REQUIRED EMPLOYMENT TAX RETURNS ARE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF METHODIST FREMONT HEALTH IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A NEBRASKA METHODIST HEALTH SYSTEM, INC. THE MEMBER, HAS THE POWER TO ELECT AND REMOVE THE DIRECTORS OF THE CORPORATION. NEBRASKA METHODIST HEALTH SYSTEM ALSO HAS THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE CORPORATION'S PRESIDENT BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO APPROVE OR REFUSE TO APPROVE ANY AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS OR ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION UNDER THE NEBRASKA NONPROFIT CORPORATION ACT. NEBRASKA METHODIST HEALTH SYSTEM ALSO HAS APPROVAL AUTHORITY WITH REGARD TO THE ANNUAL BUDGET, CAPITAL EXPENDITURES IN EXCESS OF ESTABLISHED THRESHOLDS, THE MISSION STATEMENT, LONG-RANGE PLAN, INCURRENCE OF DEBT AND ESTABLISHMENT OF A SUBSIDIARY OR PARTICIPATION AS A SHAREHOLDER, PARTNER OR EQUITY MEMBER OF ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE OF NEBRASKA METHODIST HEALTH SYSTEM AND THE METHODIST FREMONT HEALTH BOARD OF DIRECTORS. THEY ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS OR REQUEST MORE INFORMATION. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION, INCLUDING THE ORGANIZATION'S HUMAN RESOURCES, FINANCE, COMPLIANCE, AND COMMUNITY BENEFITS DEPARTMENTS; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS, MEDICAL DIRECTORS, AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING THE QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. A POTENTIAL CONFLICT OF INTEREST ONCE IDENTIFIED MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF METHODIST FREMONT HEALTH AND/OR ITS HEALTH SYSTEM AFFILIATES, IS FAIR AND REASONABLE AND, AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 METHODIST FREMONT HEALTH IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. NEBRASKA METHODIST HEALTH SYSTEM, WITH WHICH METHODIST FREMONT HEALTH IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION AND THE VOTING MEMBER OF METHODIST FREMONT HEALTH. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) AND THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA). THE POLICY ON "PHYSICIAN COMPENSATION" IS FOLLOWED WHEN CONTRACTING WITH PHYSICIANS TO ENSURE APPROPRIATE APPROVALS, INCLUDING APPROVAL BY THE BOARD OF DIRECTORS, ARE OBTAINED WHEN WARRANTED. OPINIONS OF FAIR MARKET VALUE REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION MAY ALSO BE OBTAINED FROM REPUTABLE, INDEPENDENT VALUATION CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 18 A COPY OF THE IRS LETTER 947 WILL BE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, ARTICLES OF INCORPORATION FOR THE ORGANIZATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION WILL ALSO CONTRIBUTE INFORMATION REGARDING THE COMMUNITY BENEFITS IT PROVIDES AS PART OF THE METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE: BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-COMMUNITY-AND-FINANCIAL-IMPACT. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF THE FOUNDATION -992,939. EQUITY TRANSFERS TO AFFILIATES -29,891. NEBRASKA METHODIST HOSPITAL 825 S 169TH STREET OMAHA NE 68118 470376604 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST HEALTH SYSTEM 825 S 169TH STREET OMAHA NE 68118 470639839 ADMINISTRATIVE SUPPORT NE 501(C)(3) L12: I N/A 0 NEBRASKA METHODIST COLLEGE OF NURSING & ALLIED HEALTH 825 S 169TH STREET OMAHA NE 68118 470724387 NURSING AND HEALTH EDUCATION FACILITY NE 501(C)(3) L2 NEBRASKA METHODIST HOSPITAL 0 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST 825 S 169TH STREET OMAHA NE 68118 363699672 INSURANCE NE 501(C)(3) L12: III-FI NEBRASKA METHODIST HEALTH SYSTEM 0 REAL ESTATE HOLDINGS INC 825 S 169TH STREET OMAHA NE 68118 470649790 PROPERTY MANAGEMENT NE 501(C)(2) N/A NEBRASKA METHODIST HEALTH SYSTEM 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 LICENSED HOSPITAL IA 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 470595345 SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IA 501(C)(3) L7 JENNIE EDMUNDSON MEMORIAL HOSPITAL 0 NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA NE 68118 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL & METHODIST HEALTH SYSTEM NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM 0 PHYSICIANS CLINIC INC 825 S 169TH STREET OMAHA NE 68118 470687317 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM 0 SHARED SERVICE SYSTEMS INC 825 S 169TH STREET OMAHA NE 68118 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE NEBRASKA METHODIST HEALTH SYSTEM C 0 METHODIST HEALTH PARTNERS 825 S 169TH STREET OMAHA NE 68118 470797563 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 HEALTH CHOICE OF NEBRASKA 450 E 23RD STREET FREMONT NE 68025 470783732 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 NEBRASKA METHODIST HOSPITAL 825 S 169TH STREET OMAHA NE 68118 470376604 X 0 41535 41535 694090667 694132202 1000000 250000 0 0 0 NEBRASKA METHODIST HEALTH SYSTEM 825 S 169TH STREET OMAHA NE 68118 470639839 X 0 52500 52500 95389471 95441971 1000000 250000 0 0 0 METHODIST FREMONT HEALTH 825 S 169TH STREET OMAHA NE 68118 831362276 X 0 18301 18301 138901019 138919320 1000000 250000 0 0 0