2026-05-26T11:35:35-04:00 2025-09-30 470585450 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2024-10-01 470461859 MEMORIAL COMMUNITY HEALTH INC MEMO 4026943171 1423 7TH STREET AURORA NE 68818 PHIL FENDT CFO 4026943171 2026-05-21 true true THOMAS L STEVENSON CPA P00359037 4026946404 2026-05-21 2024 2025-03-06 01:10:19Z PHIL FENDT 33823383 false X MEMORIALCOMMUNITYHEALTH.ORG X 1964 NE PROVIDING PRIMARY HEALTHCARE SERVICES FROM BEGINNING TO END IN ORDER TO IMPROVE LIVES THROUGH COMMUNITY HEALTH SERVICES. 15 15 373 0 291005 267867 29411310 32776323 443979 423140 373368 350821 30519662 33818151 0 0 20141281 22231258 0 162724 11148238 11825366 31289519 34056624 -769857 -238473 36069916 37689018 3102545 4076673 32967371 33612345 PROVIDING PRIMARY HEALTHCARE SERVICES FROM BEGINNING TO END IN ORDER TO IMPROVE LIVES THROUGH COMMUNITY HEALTH SERVICES. false false 24876005 32776323 PRIMARY HEALTHCARE SERVICES ARE PROVIDED TO THE RESIDENTS OF HAMILTON AND CLAY COUNTIES IN RURAL NEBRASKA. 24876005 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 43 0 373 true false false false false false false false false X 15 15 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 SCOTT JOHNSON PHYSICIAN 40.00 X 308189 0 44735 SEAN FLOR PHYSICIAN 40.00 X 301168 0 10656 HOLLY TALKINGTON PHYSICIAN 40.00 X 261730 0 44735 MARK JOBMAN PHYSICIAN 40.00 X 267355 0 36141 JUSTIN WOLF CEO 40.00 X 269001 0 29143 PHIL FENDT CFO 40.00 X 221759 0 27207 LINDY FLYNN COO 40.00 X 168854 0 40695 NICOLE DVORAK PHARMACIST 40.00 X 166612 0 14526 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 MICHAEL MCQUISTON MEMBER 1.00 X 0 0 0 DEBORAH NELSON 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 1964668 247838 21 false true false 32749 235118 267867 NET PROGRAM SERVICE REVENUE 622110 29029961 29029961 E PARK VILLA-ASSISTED LIV FAC 623312 2011867 2011867 340B PHARMACY REVENUE 622110 1734495 1734495 32776323 421398 421398 4500 4500 4500 4500 6974 5232 1742 1742 1742 NON-PATIENT REVENUE 346321 346321 346321 33818151 33550284 659614 659614 16260467 11593403 4554510 112554 874784 612069 253507 9208 3253872 2141808 1098957 13107 1182521 808977 364974 8570 20184 20184 60635 60635 1568133 894037 673787 309 122953 80281 34637 8035 279936 99085 175030 5821 672292 31262 641030 42884 23578 19306 1590641 1590641 380929 380929 MEDICAL SUPPLIES & DRUGS 4245049 4060750 180648 3651 MINOR EQUIPMENT & REPAIRS 1499878 601390 898448 40 FOOD 481152 481152 PROVISION FOR BAD DEBTS 460393 460393 400307 356636 42242 1429 34056624 24876005 9017895 162724 2270 2558 9478966 9563833 4146765 4703267 836086 790676 863995 1075365 43286492 30582246 13563536 12704246 338919 365821 6839379 8483252 36069916 37689018 2960393 3959521 142152 117152 3102545 4076673 X 27388774 27124553 5578597 6487792 32967371 33612345 36069916 37689018 X -238473 883447 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208879 208879 21385995 13686025 7699970 19816165 15597271 4218894 1875453 1298950 576503 12704246 INTEREST IN MEMORIAL FOUNDATION 6452677 DUE FROM THIRD PARTY PAYORS 1683766 OTHER ACCOUNTS RECEIVABLE 331854 ACCRUED INTEREST 14955 8483252 DUE TO THIRD PARTY PAYORS 117152 117152 33818151 33818151 33818151 34056624 34056624 34056624 true true X true X 1.250000000000 true X 2.250000000000 true false false 171655 171655 0.00500 4521912 4487979 33933 0.00100 4693567 4487979 205588 0.00600 15 1091 311344 27303 284041 0.00830 13 62860 62860 0.00180 10046915 7869201 2177714 0.06390 34537 34537 0.00100 15 1104 10455656 7896504 2559152 0.07510 15 1104 15149223 12384483 2764740 0.08120 true 332655 133062 5926895 8092296 -2165401 X true false 1 1 MEMORIAL COMMUNITY HEALTH INC 1423 7TH STREET AURORA NE 68818 WWW.MEMORIALCOMMUNITYHEALTH.ORG X X X X MEMORIAL COMMUNITY HEALTH INC 1 false false true X X X X X X X X X 24 true true false true X WWW.MEMORIALCOMMUNITYHEALTH.ORG X true 24 true MEMORIALCOMMUNITYHEALTH.ORG false false true X 125.000000000000 X X X true true X X X true X WWW.MEMORIALCOMMUNITYHEALTH.ORG X WWW.MEMORIALCOMMUNITYHEALTH.ORG X WWW.MEMORIALCOMMUNITYHEALTH.ORG X X X X X true X false X X X true X false false FACILITY 1, MEMORIAL COMMUNITY HEALTH, INC. - PART V, LINE 5 THE CENTRAL DISTRICT HEALTH DEPARTMENT DISTRIBUTED A COMMUNITY SURVEY TO HEAR DIRECTLY FROM THE COMMUNITY ABOUT THEIR HEALTH NEEDS AND CONCERNS. DISTRIBUTION OF THE SURVEY WAS CONDUCTED THROUGH RADIO PROMOTION, FLYERS, AND BUSINESS CARDS WITH QR CODES WITH HELP FROM LOCAL ORGANIZATIONS AS WELL AS THROUGH DISTRIBUTION AT COMMUNITY EVENTS. 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 ACCESS TO HEALTHCARE, WELLNESS/LIFESTYLE, MENTAL HEALTH AS THE AREAS TO BE ADDRESSED. TO ADDRESS ACCESS TO HEALTHCARE TACTICS INCLUDE: SATELLITE CLINICS, PATIENT ENGAGEMENT SOFTWARE, ACUTE CARE CLINIC, CARE COORDINATION, NEW PROVIDERS, AND GROWTH OF SPECIALIST. TO ADDRESS WELLNESS/LIFESTYLE MCHI CONDUCTS AN ANNUAL HEALTH FAIR, OFFERS AN EMPLOYEE WELLNESS PROGRAM/WELLNESS CENTER, ACTIVE LIFESTYLE CLASS FOR CHILDREN, SPONSORS AN ANNUAL FUN RUN, PFAC GROUP, NATIONAL WALK AT LUNCH DAY, AND A VARIETY OF EMPLOYEE AND PUBLIC CLASSES. TO ADDRESS MENTAL/BEHAVIORAL HEALTH MCHI SCREENS PATIENTS ANNUALLY, EMPLOYS A CARE COORDINATOR, EMPLOYEE ASSISTANCE PROGRAM, AND MCHI PROVIDES COUNSELING AS AN IN-HOUSE SPECIALTY SERVICE. AREAS NOT ADDRESSED INCLUDE HOUSING, TRANSPORTATION, AND CHILDCARE. THESE AREAS ARE PRIMARILY NOT ADDRESSED BY MCHI DUE TO THE AVAILABLE RESOURCES AND SCOPE OF SERVICES PROVIDED AT MCHI. 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 I, LINE 7G MCHI DID INCLUDE COSTS FROM THE PHYSICIANS' CLINIC. MCHI REPORTS ALL COSTS DIRECTLY RELATED TO MHC = 5,265,595 AS OF 9/30/25. SCHEDULE H, PART I, LINE 7, COLUMN (F) SEE FORM 990, PART IX, LINE 24D PROVISION FOR BAD DEBTS = 460,393. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE AMOUNTS IN THE TABLE IS A COST- TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO- CHARGES. 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 9/30/25 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 4 SEE THE DESCRIPTION OF BAD DEBT EXPENSE IN FOOTNOTE 2 STARTING ON PAGE 16 OF THE ATTACHED FINANCIAL STATEMENTS. 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 THROUGH 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. X X false false false true false false false false false SCOTT JOHNSON PHYSICIAN 251431 51116 5642 18000 26735 352924 SEAN FLOR PHYSICIAN 287912 13256 10656 311824 HOLLY TALKINGTON PHYSICIAN 258431 3299 18000 26735 306465 MARK JOBMAN PHYSICIAN 225023 28082 14250 18000 18141 303496 JUSTIN WOLF CEO 226308 33000 9693 18000 11143 298144 PHIL FENDT CFO 194200 25442 2117 16175 11032 248966 LINDY FLYNN COO 151511 17343 14264 26431 209549 NICOLE DVORAK PHARMACIST 166612 13340 1186 181138 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 46 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 883,447 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 53150 CASH