2025-07-21T09:16:58-05:00 2024-09-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-10-01 470375220 MEMORIAL HEALTH CARE SYSTEMS MEMO 4026432971 300 N COLUMBIA AVE SEWARD NE 68434 GREG JERGER CHIEF FINANCIAL OFFICER 4026432971 2025-07-17 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2025-07-16 2023 2025-03-06 01:10:19Z GREG JERGER 300 N COLUMBIA AVE SEWARD NE 68434 49897402 0 X WWW.MHCS.US X 1947 NE WE PROVIDE HOSPITAL ACUTE INPATIENT, SKILLED NURSING, AND OUTPATIENT SERVICES FOR THE RESIDENTS OF OUR COMMUNITY. WE PROVIDE FAMILY PRACTICE PHYSICIAN CLINIC SERVICES TO THE COMMUNITIES IN OUR SERVICE AREA. 6 6 322 17 0 0 1098519 369906 44336837 43865604 1853419 2892877 469203 -61159 47757978 47067228 0 750000 0 0 24836170 25571479 0 0 52808 16653090 17596846 41489260 43918325 6268718 3148903 96622421 102764564 5146749 5226499 91475672 97538065 X WE ENHANCE THE QUALITY OF LIFE FOR INDIVIDUALS IN OUR COMMUNITIES BY PROVIDING EXCELLENCE IN HEALTH CARE SERVICES IN THE MOST APPROPRIATE SETTINGS. 0 0 20945488 25493771 HOSPITAL OUTPATIENT SERVICES - THE HOSPITAL PROVIDES OUTPATIENT DIAGNOSTIC, THERAPEUTIC, SURGICAL AND EMERGENCY SERVICES TO THE COMMUNITY. THERE WERE APPROXIMATELY 41,265 OUTPATIENT VISITS THIS YEAR. 7874188 8187493 FAMILY PRACTICE PHYSICIAN CLINIC SERVICES - THE ORGANIZATION PROVIDES 9 BOARD CERTIFIED FAMILY PRACTICE PHYSICIANS AND 5 PHYSICIAN ASSISTANTS THAT STAFF THE CLINICS IN SEWARD, MILFORD AND UTICA. THESE CLINICS OFFER THE MAIN SOURCE OF PRIMARY CARE FOR THE COMMUNITY. THERE WERE APPROXIMATELY 29,380 OFFICE VISITS THIS YEAR. 4563399 5554334 HOSPITAL ACUTE INPATIENT, SKILLED NURSING AND ASSISTED LIVING SERVICES - THE HOSPITAL PROVIDES THREE DIFFERENT LEVELS OF INPATIENT SERVICES TO THE COMMUNITY TO MEET THE LEVEL OF CARE NEEDS FOR EACH PATIENT, INCLUDING DELIVERY AND NURSERY SERVICES. THERE WERE APPROXIMATELY 4,097 PATIENT DAYS THIS YEAR. 3928211 750000 4632623 FAMILY PHARMACY AND OTHER SERVICES. 3928211 750000 4632623 37311286 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 54 0 1 322 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 X GREG JERGER 4026432971 300 NORTH COLUMBIA AVE SEWARD NE 68434 MIKE HECKER CHAIRPERSON 8.00 X X 0 0 0 DONNA HAVENER VICE CHAIR 5.00 X X 0 0 0 MIKE TOMES SECRETARY/TREASURER 5.00 X X 0 0 0 LANA DAWS DIRECTOR 4.00 X 0 0 0 KEVIN WINGARD DIRECTOR 4.00 X 0 0 0 BRAD PERDUE DIRECTOR 4.00 X 0 0 0 JILL EBERSPACHER DIRECTOR THRU 01/24 4.00 X 0 0 0 GREG JERGER CHIEF FINANCIAL OFFICER 55.00 X 376019 0 53690 ROGER REAMER CHIEF EXECUTIVE OFFICER 55.00 X 411060 0 52600 JAMES PLASEK PHYSICIAN 55.00 X 460764 0 66716 JOEL GABRIEL PHYSICIAN 55.00 X 321974 0 67046 JARED KETNER PHYSICIAN 55.00 X 324221 0 67716 TRISHA SAMS PHYSICIAN 55.00 X 328134 0 66530 BRANDON HENLEY PHYSICIAN 55.00 X 318583 0 61668 2540755 0 435966 38 0 1 0 ACUTE CARE INC 1609 N ANKENY BLVD SUITE 200 ANKENY IA 50023 PHYSICIAN ER SERVICES 1023663 WEATHERCRAFT CO OF LINCOLN 5410 NW 44TH STREET LINCOLN NE 68524 CONSTRUCTION SERVICES 673030 SAMPSON CONSTRUCTION COMPANY INC 5825 S 14TH STREET LINCOLN NE 68512 CONSTRUCTION SERVICES 538421 ONESTAFF MEDICAL LLC 10802 FARNAM DRIVE OMAHA NE 68154 CONTRACT NURSING SERVICES 327724 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 CONTRACT NURSING SERVICES 266632 16 265136 59083 45687 369906 PATIENT SERVICE REVENUE 621400 39391620 39391620 PHARMACY AND 340B REVENUE 456110 4473984 4473984 43865604 1618282 1618282 4088733 16036 2734079 96095 1354654 -80059 1274595 1274595 DAY CARE REVENUE 624100 169033 169033 DIETARY REVENUE 623990 29829 29829 MISCELLANEOUS 624100 2617 2617 -262638 -262638 -61159 47067228 43868221 0 2829101 X 750000 750000 922809 922809 18903233 16173390 2707751 22092 672318 571985 99440 893 3780181 3149871 624835 5475 1292938 1067171 224353 1414 8379 8379 49874 49874 35293 35293 5515904 4747350 766814 1740 87590 4666 81905 1019 2028505 1583454 427321 17730 13107 13107 540399 483691 56708 3015227 2682877 332350 352742 313861 38881 MEDICAL SUPPLIES 5424360 5424360 FOOD 200748 200748 DUES & SUBSCRIPTIONS 194178 51748 140259 2171 TRAINING & EDUCATION 103380 78954 24152 274 27160 27160 43918325 37311286 6554231 52808 2133 2134 35225670 33906744 6174146 5693061 49375 36875 660452 711674 601905 527496 54253785 34844187 20589482 19409598 24205076 33051096 9114182 9379981 0 45905 96622421 102764564 3313664 3656531 1833085 1569968 5146749 5226499 X 83125863 88394868 8349809 9143197 91475672 97538065 96622421 102764564 X 3148903 2429059 484431 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6931 6931 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO NHA, AHA, NALA/NCAL AND THE CHAMBER OF COMMERCE IS DEDICATED TO LOBBYING ACTIVITIES. 1787417 1350 392683 85076 2096374 1572334 16841 198242 1787417 2441843 1660 -370536 500633 1572334 2090776 3445 347622 2441843 1937298 1288 152190 2090776 0.00000 0.73377 0.26623 0 0 380521 380521 20871771 12176031 8695740 31049108 21369544 9679564 1952385 1298612 653773 19409598 599858 F BENEFICIAL INT - PERPETUAL TRUST 7046823 F LONG TERM CERTIFICATES OF DEPOSIT 1733300 C 9379981 DEFERRED COMPENSATION LIABILITY 1569968 1569968 X 49195425 2429059 -265569 2163490 47031935 35293 35293 47067228 43133032 0 43133032 35293 750000 785293 43918325 PART V, LINE 4: INCOME FROM THE HOSPITAL ENDOWMENT FUND WILL BE USED FOR MEMORIAL HOSPITAL TO ENHANCE AND IMPROVE THE QUALITY OF HOSPITAL SERVICES PROVIDED TO THE COMMUNITY. THIS COULD TAKE THE FORM OF KEEPING UP WITH CHANGING TECHNOLOGY, ACQUIRING THE BEST EQUIPMENT, OR IMPROVING OUR BUILDING FACILITIES. PART X, LINE 2: THE SYSTEM ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION, INCOME TAXES. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2024 AND 2023, THE SYSTEM HAD NO UNCERTAIN TAX POSITIONS ACCRUED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN BENEFICIAL TRUST 484,431. COMMUNITY DONATION -750,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: COMMUNITY DONATION 750,000. 1 1 X 1 X 175.000000000000 1 X 1 1 0 0 119147 119147 0.00270 2316997 1497823 819174 0.01870 2436144 1497823 938321 0.02140 844785 0 844785 0.01920 844785 844785 0.01920 3280929 1497823 1783106 0.04060 0 824249 56791 15473824 16039183 -565359 X 1 1 1 1 MEMORIAL HOSPITAL 300 N COLUMBIA AVE SEWARD NE 68434 WWW.MHCS.US 720001 X X X X MEMORIAL HEALTH CARE SYSTEMS 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X WWW.MHCS.US/PATIENTS-VISITORS X 1 21 1 WWW.MHCS.US/PATIENTS-VISITORS 0 1 X 175.000000000000 300.000000000000 X X X 1 1 X X X 1 X WWW.MHCS.US/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X WWW.MHCS.US/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X WWW.MHCS.US/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MEMORIAL HEALTH CARE SYSTEMS PART V, SECTION B, LINE 5: THERE WERE A TOTAL OF 19 INDIVIDUALS THAT COLLABORATED ON OUR CHNA. THESE INDIVIDUALS REPRESENTED A WIDE VARIETY OF COMMUNITY INTERESTS, INCLUDING HEALTH DEPARTMENTS, PUBLIC SCHOOLS, PHYSICIANS PRACTICES, MENTAL HEALTH, NURSING HOMES, AND VARIOUS COMMUNITY REPRESENTATIVES. THIS COMMUNITY TEAM USED A PROCESS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO). THIS PROCESS IS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) AND IT WAS USED TO PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES FOR ADDRESSING THEM. MEMORIAL HEALTH CARE SYSTEMS PART V, SECTION B, LINE 6B: FOUR CORNERS HEALTH DEPARTMENT MEMORIAL HEALTH CARE SYSTEMS PART V, SECTION B, LINE 11: THERE WERE 5 HEALTH NEEDS IDENTIFIED IN THE NEEDS ASSESSMENT. MEMORIAL HEALTH CARE SYSTEMS (MHCS) DIRECTLY ADDRESSES ALL OF THESE 5 NEEDS AS FOLLOWS. 1. MENTAL HEALTH - MHCS ARRANGES FOR MENTAL HEALTH SERVICES VIA TELEHEALTH AT THE MEMORIAL HOSPITAL SPECIALTY CLINIC. MEMORIAL HOSPITAL ALSO PROVIDES TELEHEALTH MENTAL HEALTH SCREENING IN ITS EMERGENCY ROOM AND OTHER AREAS AS NEEDED. AFTER SCREENING, ARRANGEMENTS CAN BE MADE FOR FURTHER CARE IF NEEDED. OUR FAMILY PRACTICE PROVIDERS CAN ALSO RECOGNIZE MENTAL HEALTH COMPLICATIONS DURING CLINIC VISITS AND REFER TO APPROPRIATE SOURCES FOR ADDITIONAL TREATMENT. 2. CANCER - MHCS STAFF IS TRAINED TO ADMINISTER INFUSION THERAPY AND PROVIDE CARE TO PATIENTS RECEIVING CHEMOTHERAPY AND RELATED CANCER TREATMENTS. MHCS ALSO PROVIDES CANCER SCREENING SERVICES TO THE COMMUNITY. 3. AGING ISSUES - MHCS PROVIDES PRIMARY CARE HOSPITAL INPATIENT, HOSPITAL OUTPATIENT, EMERGENCY DEPARTMENT, AND PHYSICIAN SERVICES TO THE AGING POPULATION IN ITS COMMUNITY. MHCS ARRANGES FOR VARIOUS SPECIALISTS TO PROVIDE ON-SITE VISITS TO THIS POPULATION FOR SPECIALTY CARE. MHCS PROVIDES TRAINED SOCIAL SERVICE WORKERS THAT ACT AS A VITAL RESOURCE TO THIS POPULATION. 4. HEART DISEASE & STROKE - MHCS PROVIDES REGULAR EDUCATION ON HEART DISEASE & STROKE. MHCS PROVIDES A SPECIALTY PHYSICIAN CLINIC WITH PHYSICIAN SPECIALISTS IN THESE AREAS. MHCS'S EMERGENCY DEPARTMENT IS WELL EQUIPPED & TRAINED, AND PREPARED TO PROVIDE EMERGENCY TREATMENT. 5. HIGH BLOOD PRESSURE - MHCS PROVIDES FAMILY PRACTICE PHYSICIANS TRAINED TO IDENTIFY AND TREAT HIGH BLOOD PRESSURE. MHCS PROVIDES A SPECIALTY PHYSICIAN CLINIC WITH PHYSICIAN SPECIALISTS IN THIS AREA. MHCS PROVIDES AN ANNUAL HEALTH FAIR WITH SCREENING, AND PROVIDES REGULAR PATIENT EDUCATION. 4 1 - SEWARD FAMILY MEDICAL CENTER 250 N COLUMBIA AVE SEWARD NE 68434 RURAL HEALTH CLINIC 2 - SEWARD FAMILY PHARMACY 250 N COLUMBIA AVE SEWARD NE 68434 PHARMACY - CONVENIENCE OF PATIENT/EMPLOYEE 3 - MILFORD FAMILY MEDICAL CENTER 119 S C ST MILFORD NE 68405 RURAL HEALTH CLINIC 4 - UTICA FAMILY MEDICAL CENTER 100 4TH ST UTICA NE 68456 RURAL HEALTH CLINIC PART I, LINE 3C: THE HOSPITAL DOES NOT USE AN ASSET TEST OR OTHER THRESHOLD AS A FACTOR IN DETERMINING ELIGIBILITY FOR FREE FOR DISCOUNTED CARE. IN ADDITION TO FPG, THE ORGANIZATION ALSO USED MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS. TO QUALIFY AS MEDICALLY INDIGENT, THE PATIENT MUST HAVE CURRENT UNPAID MEDICAL BILLS FOR SERVICES RENDERED WITHIN THE PAST SIX (6) MONTHS FROM THE DATE OF THE APPLICATION FROM ANY SOURCE IN EXCESS OF 30 PERCENT OF THE PATIENT'S HOUSEHOLD INCOME. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 6.89% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 12 AND 13 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: PATIENTS THAT ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER RECEIVE FREE EMERGENCY AND URGENT CARE IN THE HOSPITAL IF THEY ARE AT OR BELOW 175% OF POVERTY, OR A SLIDING DISCOUNT IF THEY ARE AT OR BELOW 300% OF POVERTY. SHOULD THESE PATIENTS OWE A PORTION OF THEIR BILL, THE ORGANIZATION FOLLOWS THE SAME COLLECTION POLICY AS IT DOES FOR PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE PROCESS IS: 1) STATEMENTS ARE SENT MONTHLY; 2) PHONE CONTACT IS MADE AFTER 30-35 DAYS IF NO PAYMENT FROM FIRST STATEMENT; 3) IF THE PATIENT CANNOT PAY FULL BALANCE, MONTHLY PAYMENT ARRANGEMENTS ARE OFFERED; 4) AFTER 120 DAYS FROM FIRST STATEMENT THE ACCOUNT MAY BE SENT TO A COLLECTION AGENCY. PART VI, LINE 2: THE ORGANIZATION IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS WHICH HAS 6 MEMBERS FROM THE COMMUNITY. THE BOARD OF DIRECTORS ASSISTS HOSPITAL ADMINISTRATION IN IDENTIFYING SERVICES NEEDED BY THE COMMUNITIES SERVED. PART VI, LINE 3: THE BUSINESS OFFICE IS EDUCATED ON HOW TO INFORM PATIENTS ABOUT THE PROCESS OF APPLYING FOR MEDICAID COVERAGE. OUR FINANCIAL ASSISTANCE POLICY, FAP SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE ALL LISTED ON THE ORGANIZATION'S WEB-SITE. A COPY OF THE FAP SUMMARY IS INCLUDED WITH THE FINANCIAL AGREEMENT EACH PATIENT SIGNS UPON ADMISSION TO THE HOSPITAL. A NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS. PART VI, LINE 4: THE ORGANIZATION'S PRIMARY SERVICE AREA IS SEWARD COUNTY, NEBRASKA, WHICH HAS A POPULATION OF AROUND 17,000. IT MAINLY PROVIDES PRIMARY CARE SERVICES WITH SOME SPECIALTY CARE OFFERED BY VISITING SPECIALISTS THAT PRACTICE HERE MAINLY OUT OF LINCOLN, NEBRASKA. PART VI, LINE 5: THE ORGANIZATION OFFERS EXTENSIVE HEALTHCARE AND WELLNESS EDUCATION TO THE COMMUNITY ON AN ON-GOING BASIS. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF AND HAS A GOVERNING BOARD OF DIRECTORS WHO ARE ALL MEMBERS OF THE COMMUNITY SERVED. ALL SURPLUS FUNDS ARE USED TO FURTHER THE MISSION OF PROVIDING EXCELLENT HEALTHCARE SERVICES TO THE MEMBERS OF THE COMMUNITIES SERVED. 1 SEWARD CHANGING THE GAME INC 612 SEWARD ST SEWARD NE 68434 831355502 501(C)(3) 750000 0 CONSTRUCTION OF A WELLNESS CENTER 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES GRANT FUNDS TO CLOSE COMMUNITY PARTNERS AND MONITORS THEIR USE THROUGHOUT THE CONSTRUCTION PHASES OF THE WELLNESS CENTER. X 1 1 X X X 0 0 0 1 0 0 0 0 0 JAMES PLASEK PHYSICIAN 235673 0 224953 0 138 0 13200 0 56191 0 530155 0 0 0 ROGER REAMER CHIEF EXECUTIVE OFFICER 360037 0 51023 0 0 0 13200 0 40857 0 465117 0 0 0 GREG JERGER CHIEF FINANCIAL OFFICER 327944 0 48075 0 0 0 13200 0 41927 0 431146 0 0 0 TRISHA SAMS PHYSICIAN 235673 0 92323 0 138 0 13200 0 56140 0 397474 0 0 0 JARED KETNER PHYSICIAN 235673 0 88290 0 258 0 13200 0 57193 0 394614 0 0 0 JOEL GABRIEL PHYSICIAN 235673 0 86241 0 60 0 13176 0 56498 0 391648 0 0 0 BRANDON HENLEY PHYSICIAN 235673 0 82850 0 60 0 13048 0 51695 0 383326 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDES A SECTION 162 BONUS PLAN IN WHICH THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER RECEIVE TAXABLE COMPENSATION ON AN ANNUAL BASIS TO PURCHASE LIFE INSURANCE, DISABILITY INSURANCE, AND/OR OTHER INSURANCE BENEFITS. THE BONUS PLAN AND AMOUNT WERE ESTABLISHED BY THE BOARD OF DIRECTORS AND ARE GROSSED-UP PER THE PLAN DESIGN IN ORDER TO PROVIDE A FIXED AMOUNT AFTER TAXES THAT IS AVAILABLE FOR INSURANCE PREMIUMS. THE FULL TAXABLE AMOUNT IS INCLUDED IN BOX 5 OF THE W-2 AND HAS BEEN INCLUDED IN PART II OF THIS SCHEDULE J UNDER COLUMN B(II). PART I, LINE 5 PHYSICIANS RECEIVE BONUSES BASED ON THEIR INDIVIDUAL PROFESSIONAL CHARGES. FORM 990, PART VI, SECTION A, LINE 6 MEMORIAL HEALTH CARE SYSTEMS IS A CORPORATION THAT HAS MEMBERS. ANYONE DONATING $100 TO MEMORIAL HEALTH CARE SYSTEMS CAN FILL OUT AN APPLICATION AND BECOME A MEMBER. MEMORIAL HEALTH CARE SYSTEMS CURRENTLY HAS 665 CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF MEMORIAL HEALTH CARE SYSTEMS (AS DESCRIBED ON FORM 990, PART VI, SECTION A, LINE 6) ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF MEMORIAL HEALTH CARE SYSTEMS (AS DESCRIBED ON FORM 990, PART VI, SECTION A, LINE 6) APPROVE ANY CHANGES IN THE ARTICLES OF INCORPORATION AND ANY CHANGES TO THE BYLAWS THAT EFFECT THE ELECTION OF THE BOARD OF DIRECTORS (VOTING RIGHTS). THE MEMBERS WOULD ALSO APPROVE ANY SIGNIFICANT DECISIONS, SUCH AS THE SALE OR MERGER OF THE CORPORATION OR A SALE OF ALL OF THE ASSETS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. ANY COMMITTEE WHICH REPORTS TO THE BOARD HAS ITS REPORT DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR THE TIMELY FILING OF THE FORM 990. THE ACTUAL FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. ALL INFORMATION IS PROVIDED BY THE ORGANIZATION TO THE ACCOUNTING FIRM WHO THEN PREPARES THE FORM 990 FOR SUBMITTAL TO THE IRS. PRIOR TO SUBMISSION TO THE IRS, A FULL COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS. THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AT A REGULAR FINANCE COMMITTEE MEETING. THIS REVIEW MAY TAKE PLACE AFTER THE FORM 990 HAS BEEN FILED WITH THE IRS IN ORDER TO MEET THE FILING DEADLINE. THE FINANCE COMMITTEE REVIEW IS DOCUMENTED IN THE FINANCE COMMITTEE MINUTES WHICH ARE THEN APPROVED BY THE FULL BOARD AT THE NEXT REGULAR BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS AND ALL SENIOR MANAGEMENT OFFICIALS OF THE ORGANIZATION FILE AN ANNUAL CONFLICT OF INTEREST FORM IN WHICH THEY ARE REQUIRED TO LIST ALL CONFLICTS OF INTEREST. ADMINISTRATION REVIEWS THE ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL CONFLICTS ARE REPORTED TO THE BOARD CHAIRPERSON. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS PERFORMS AN ANALYSIS OF THE FAIR MARKET VALUE OF COMPENSATION FOR BOTH THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. LONGEVITY, QUALITY OF THE HEALTHCARE SERVICES PROVIDED, COMMUNITY PERCEPTION, AND FINANCIAL PERFORMANCE ARE ALL FACTORED INTO THE ANALYSIS. THE BOARD OF DIRECTORS THEN APPROVES THE COMPENSATION PACKAGES. THE LAST FULL REVIEW AND ANALYSIS WAS DONE IN OCTOBER 2023 AND ANNUAL COMPENSATION WAS SET UNDER THE CEO CONTRACT FOR A 3 YEAR PERIOD OF 2024 THROUGH 2026. THE CFO COMPENSATION WAS REVIEWED BY THE BOARD OF DIRECTORS AT THE SAME TIME AND THE CEO WAS DELEGATED THE AUTHORITY TO ADJUST AND MONITOR CFO COMPENSATION WITHIN THE PARAMETERS SET BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. HOWEVER, THE CORPORATE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF 665 MEMBERS OF THE COMMUNITY SERVED. THE CORPORATE MEMBERSHIP APPROVES THE ARTICLES OF INCORPORATION. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,935,317. MANAGEMENT AND GENERAL EXPENSES 766,814. FUNDRAISING EXPENSES 1,740. TOTAL EXPENSES 4,703,871. EMERGENCY ROOM PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 812,033. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 812,033. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN BENEFICIAL TRUST 484,431. FORM 990, PART XI, LINE 2C: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SEWARD URGENT CARE PARTNERSHIP LLC 2222 S 16TH STREET LINCOLN NE 68502 923319265 URGENT CARE NE MEMORIAL HEALTH CARE SYSTEMS RELATED -180407 298093 0 1 0.50000 CHARITABLE TRUST TRUST NE MEMORIAL HEALTH CARE SYSTEMS 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 CHARITABLE TRUST C 265136 CASH TRANSFERRED EQUALS FMV SEWARD URGENT CARE PARTNERSHIP LLC B 478500 CASH TRANSFERRED EQUALS FMV