Methodist Fremont Health

Methodist Fremont Health, located at 450 East 23rd Street in Fremont, Nebraska, is dedicated to improving the health of our communities through compassionate care, education, and innovation. As a leading medical center serving Dodge and surrounding counties, we offer a wide range of specialties, including cancer care, cardiology, emergency services, and behavioral health, with over 100 active physicians. Our 75-bed medical center includes a skilled nursing facility, Dunklau Gardens, and a 24/7 Emergency Department that treats over 17,000 patients annually. With a mission to provide exceptional and cost-effective healthcare, Methodist Fremont Health is committed to being the trusted choice for health and wellness in the region.

Identifiers

Hospital Name Methodist Fremont Health
Facility ID 280077

Location

Address 450 EAST 23RD ST
City/Town Fremont
State NE
ZIP Code 68025
County/Parish DODGE

Health System

Health System Nebraska Methodist Health System
Health System Website Domain bestcare.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 2
Health System Total Beds 326
Health System Hospital Locations Iowa and Nebraska

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Nebraska Methodist Health System
Emergency Services Yes

Bill Vobejda

President and CEO

Has served as Methodist Fremont Health's president and CEO since September 2024. Previously vice president of Integrated Service for Methodist Health System for four years. Prior to that, vice president of operations at Methodist Fremont Health for eight years. Before joining Methodist, was regional publisher of the Fremont Tribune and Columbus Telegram and marketing director at the Lincoln Journal Star. Has taught at the University of Nebraska-Lincoln and Midland University. Earned bachelor's and master's degrees from the University of Nebraska-Lincoln. Involved in the Fremont community, including past board president roles.

Shaun Custard

Vice President, Ancillary and Professional Services

Vice President, Ancillary and Professional Services for Methodist Fremont Health. Oversees services including laboratory, radiology, pharmacy, cardio-pulmonary, sleep, rehabilitation, radiation oncology and cancer care. Over 15 years of experience in healthcare administration. Came to Methodist from Children's Hospital & Medical Center in Omaha, where he was director of the Criss Heart Center. Previously practice administrator for congenital heart surgery at Texas Children's Hospital in Houston. At Baylor College of Medicine surgery department in Houston, served as manager of financial reporting before becoming director of business operations. Also inpatient business manager and administrative fellow at the University of Texas MD Anderson Cancer Center in Houston. Received master's degree in business administration from the University of Missouri Trulaske College of Business and his master's degree in health care administration from the University of Missouri School of Medicine. Also has a degree from the University of Nebraska-Lincoln.

Melinda Kentfield

Vice President, Chief Nursing Executive

Vice President, Chief Nursing Executive for Methodist Fremont Health. Has served as vice president of patient services and chief nursing officer since 2019. Oversees patient services, including medical/surgical unit, telemetry, intensive care, the Labor and Delivery Department, the Emergency Department, case management, perioperative services, outpatient services, and the behavioral health division. Joined Methodist Fremont Health in 2014 as the director of acute care after years of nursing leadership roles in hospitals in Nebraska and Iowa. Holds MSAS, BSN, RN, CENP.

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 90

Staffing & Personnel

FTE Employees on Payroll 1
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 3516
Inpatient Days (Title XIX) 377
Total Inpatient Days 8530
Bed Count 50
Available Bed Days 18250
Discharges (Title V) NA
Discharges (Title XVIII) 905
Discharges (Title XIX) 526
Total Discharges 2533

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3516
Inpatient Days (Title XIX; Adults & Peds) 7
Total Inpatient Days (Adults & Peds) 7925
Bed Count (Adults & Peds) 50
Available Bed Days (Adults & Peds) 18250
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 905
Discharges (Title XIX; Adults & Peds) 526
Total Discharges (Adults & Peds) 2533

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients were very positive about the quiet atmosphere of the hospital. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns Hospital struggles with high infection rates

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 66%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 138

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -11.8
Readmission Score Hospital Return Days for Pneumonia Patients -11.1
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 11.6
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.5
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.7
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 19.4
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.1
Readmission Score Rate of Readmission After Hip/Knee Replacement 3.9
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.7
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.7
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Worse than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) N/A
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) 2.048
CDI SIR (Standardized Infection Ratio) 0.779
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $3,567
Bad Debt Expense $4,551
Uncompensated Care Cost $4,979
Total Uncompensated Care $10,611

Operating Expenses ($ thousands)

Total Salaries $44,568
Overhead Expenses (Non-Salary) $76,243
Depreciation Expense $5,627
Total Operating Costs $108,766

Charges ($ thousands)

Inpatient Charges $118,067
Outpatient Charges $233,238
Total Patient Charges $351,306

Wage-Related Details ($ thousands)

Core Wage Costs $9,396
Wage Costs (RHC/FQHC)
Adjusted Salaries $44,568
Contract Labor (Patient Care) $8,563
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $4,984
Short-Term Investments
Notes Receivable
Accounts Receivable $21,306
Allowance for Doubtful Accounts
Inventory $2,036
Prepaid Expenses $632
Other Current Assets
Total Current Assets $26,210

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,399
Land Improvements Value $508
Building Value $10,636
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $22,496
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $18,535

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $73,263
Other Assets $2,805
Total Other Assets $76,068
Total Assets $120,813

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $1,654
Salaries & Wages Payable $4,443
Payroll Taxes Payable
Short-Term Debt $5,599
Deferred Revenue
Other Current Liabilities $493
Total Current Liabilities $12,189

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $39,225
Total Long-Term Liabilities $39,225
Total Liabilities $51,414

Balance Sheet – Equity ($ thousands)

General Fund Balance $60,497
Total Fund Balances $69,399
Total Liabilities & Equity $120,813

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,387
DRG (Post-Oct 1) $2,087
Outlier Payments
DSH Adjustment $81
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $118,067
Outpatient Revenue $233,238
Total Patient Revenue $351,306
Contractual Allowances & Discounts $221,331
Net Patient Revenue $129,975
Total Operating Expenses $120,811
Net Service Income $9,164
Other Income $2,173
Total Income $11,337
Other Expenses $115
Net Income $11,222

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $9,850
Medicaid Charges $50,008
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No