BRYAN MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BRYAN MEDICAL CENTER (EIN 47-0376552)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202403209349320715
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T15:08:31+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470376552	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bryan Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BRYA	BusinessNameControlTxt
Phone	4024811111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 SOUTH 48th Street	AddressLine1Txt
City	Lincoln	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	685061299	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID GRIFFITHS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4024811111	PhoneNum
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2024-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID GRIFFITHS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 SOUTH 48th Street	AddressLine1Txt
City	Lincoln	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	685061299	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$961,225,758	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BRYANHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1926	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION AND COMPASSION. DURING 2023, BRYAN MEDICAL CENTER PROVIDED CHARITY CARE TO 7,773 PATIENTS AT A COST OF $12.4 MILLION.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	5510	TotalEmployeeCnt
Total Volunteers	883	TotalVolunteersCnt
Total Gross UBI	$574,208	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$444,640	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,571,441	PYContributionsGrantsAmt
CY Contributions Grants	$18,780,619	CYContributionsGrantsAmt
PY Program Service Revenue	$823,520,655	PYProgramServiceRevenueAmt
CY Program Service Revenue	$867,816,468	CYProgramServiceRevenueAmt
PY Investment Income	$12,703,362	PYInvestmentIncomeAmt
CY Investment Income	$16,002,690	CYInvestmentIncomeAmt
PY Other Revenue	$7,731,900	PYOtherRevenueAmt
CY Other Revenue	$14,418,883	CYOtherRevenueAmt
PY Total Revenue	$865,527,358	PYTotalRevenueAmt
CY Total Revenue	$917,018,660	CYTotalRevenueAmt
PY Grants And Similar Paid	$235,870	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$211,326	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$367,696,698	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$388,687,764	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$406,843,962	PYOtherExpensesAmt
CY Other Expenses	$396,435,824	CYOtherExpensesAmt
PY Total Expenses	$774,776,530	PYTotalExpensesAmt
CY Total Expenses	$785,334,914	CYTotalExpensesAmt
PY Revenues Less Expenses	$90,750,828	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$131,683,746	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,183,111,274	TotalAssetsBOYAmt
Total Assets EOY	$1,246,236,003	TotalAssetsEOYAmt
Total Liabilities BOY	$398,885,546	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$391,414,084	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$784,225,728	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$854,821,919	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION, AND COMPASSION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$718,620,635	ExpenseAmt
Grant	$211,326	GrantAmt
Revenue	$877,686,181	RevenueAmt
Desc	BRYAN MEDICAL CENTER IS A NATIONALLY RECOGNIZED NON-PROFIT, ACUTE CARE HOSPITAL, PROVIDING EXEMPLARY COMPREHENSIVE PATIENT CARE SERVICES, MEDICAL EDUCATION, AND COMMUNITY SERVICES TO RESIDENTS OF THE LINCOLN COMMUNITY, STATE OF NEBRASKA, AND OTHER STATES IN THE REGION. BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN MEDICAL CENTER IS THE LARGEST HOSPITAL IN LINCOLN, LICENSED FOR 664 BEDS AT TWO SEPARATE LOCATIONS. PREMIER SERVICES INCLUDE CARDIOLOGY, ORTHOPEDICS, TRAUMA, NEUROSCIENCE, MENTAL HEALTH, WOMEN AND CHILDREN'S HEALTH AND ONCOLOGY. BRYAN MEDICAL CENTER IS THE COMMUNITY'S ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES AND HAS HELPED THOUSANDS OF INDIVIDUALS OVER THE YEARS THROUGH THE BRYAN INDEPENDENCE CENTER RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM. DURING 2023, BRYAN MEDICAL CENTER ADMITTED 29,978 INPATIENTS, DELIVERED 3,044 BABIES, AND HAD 97,505 EMERGENCY ROOM VISITS. BRYAN MEDICAL CENTER IS COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. DURING 2023, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR OVER 7,773 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT, AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. UNREIMBURSED COST FOR CHARITY CARE TOTALED $12.4 MILLION. BRYAN MEDICAL CENTER ALSO INCURRED $67.2 MILLION IN UNREIMBURSED MEDICARE COSTS, AND $39.4 MILLION IN MEDICAID COSTS AND SUPPORT OF OTHER PUBLIC PROGRAMS. BRYAN MEDICAL CENTER SERVED 25,292 MEDICAID PATIENTS IN 2023. BRYAN MEDICAL CENTER PROVIDED $6.0 MILLION IN THE SUPPORT OF HEALTH PROFESSIONALS' EDUCATION, THROUGH RESIDENCY PROGRAMS AND IN SUPPORT OF THE BRYAN COLLEGE OF HEALTH SCIENCES. DURING FALL 2023, THERE WERE 747 STUDENTS ENROLLED IN GRADUATE AND UNDERGRADUATE DEGREE PROGRAMS THROUGH BRYAN'S SCHOOL OF NURSING, HEALTH PROFESSIONS AND NURSE ANESTHESIA PROGRAMS. COMMUNITY EDUCATION, SUPPORT PROGRAMS, AND SERVICES SUBSIDIZED BY THE MEDICAL CENTER TOTALED $2.3 MILLION. DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS TOTALED MORE THAN $516,000. BRYAN MEDICAL CENTER'S QUANTIFIABLE COMMUNITY BENEFIT FOR 2023 TOTALED MORE THAN $127.7 MILLION.	Desc
Total Program Service Expenses	$718,620,635	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1268	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5510	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NE	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID GRIFFITHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4024811111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 SOUTH 48TH STREET	AddressLine1Txt
City	LINCOLN	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	685061299	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ERIC MOOSS
CEO BRYAN MEDICAL CENTER	50.0	2.0	Yes (X)	Yes (X)	$670,499	$15,147	$48,084
JACK HUCK
TREASURER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
KENNETH GROSS MD
VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
SHANNON HARNER
CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
CONNIE EDMOND
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
ELIZABETH LAU MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
ERIN PEMBERTON JD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
GAYLE PAGE
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JANET CHUNG
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
LORENZO BALL
DIRECTOR (Effective 1/1/2023)	1.0	0	Yes (X)		$0	$0	$0
MARK WALZ
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MAX RODENBURG
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
PABLO CERVANTES
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
ROBERT OAKES MD
DIRECTOR	1.0	50.0	Yes (X)		$10,000	$1,607,882	$49,954
RUSSELL GRONEWOLD
DIRECTOR	1.0	52.0	Yes (X)		$0	$1,558,096	$44,823
SCOTT YOUNG
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
WILLIAM JOHNSON MD
DIRECTOR	1.0	0	Yes (X)		$22,500	$0	$0
DAVID GRIFFITHS
VP - CFO BRYAN MEDICAL CENTER	50.0	1.0		Yes (X)	$354,978	$9,221	$44,142
JOHN TRAPP MD
VP & CHIEF MEDICAL OFFICER	50.0	0		Yes (X)	$776,407	$0	$43,386
TRAVIS GREGG
VP & COO BRYAN MEDICAL CENTER	50.0	0		Yes (X)	$317,002	$0	$42,094
TROY HOTTOVY
CHIEF INFORMATION SECURITY OFFICER	50.0	0		Yes (X)	$339,452	$0	$46,833
RICHARD LLOYD
PRESIDENT - BRYAN COLLEGE HEALTH SCIENCES	50.0	1.0			$449,072	$0	$43,773	Yes (X)
JENNIFER FENCL
REGISTERED NURSE	40.0	0			$222,340	$0	$47,780		Yes (X)
JEROME WOHLEB
PHARMACY DIRECTOR	50.0	0			$253,373	$0	$43,987		Yes (X)
KENT HOXMEIER
ANESTHESIA & PERUSION MANAGER	50.0	0			$249,155	$0	$34,674		Yes (X)
KRISHA ELLINGER
IT APPLICATIONS DIRECTOR	50.0	0			$276,746	$0	$22,011		Yes (X)
SHARON HADENFELDT
DEAN OF NURSE ANESTHESIA	50.0	0			$257,544	$0	$30,843		Yes (X)
ADRIANNE OLSON
CNO	50.0	0			$288,395	$0	$43,539			Yes (X)
DAVID REESE
Bryan Health VP & Physician Partnership & Facilities Officer	0.0	51.0			$12,130	$423,797	$61,926			Yes (X)
JOHN WOODRICH
Bryan Health Exec VP & COO	0.0	54.0			$28,573	$1,118,300	$41,681			Yes (X)
LISA VAIL
BRYAN HEALTH CHIEF NURSING OFFICER	0.0	50.0			$13,182	$525,840	$45,782			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,541,348	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,258,284	TotReportableCompRltdOrgAmt
Total Other Compensation	$735,312	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	725	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
INPATIENT PHYSICIAN ASSOCIATES LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	MEDICAL SERVICES	$15,374,133
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREET	OMAHA	NE	68154	TEMPORARY LABOR	$13,105,154	SUITE 420
ASSOCIATED ANESTHESIOLOGISTS
2900 S 70TH STREET 250	LINCOLN	NE	68506	ANETHESIOLOGY SERVICES	$4,855,721
ALLIED UNIVERSAL SECURITY SRVC
161 WASHINGTON STREET	CONSHOHOCKEN	PA	19428	SECURITY SERVICES	$2,227,194	SUITE 600
DIALYSIS CENTER OF LINCOLN
7910 O STREET	LINCOLN	NE	68510	DIALYSIS FEES	$2,216,690

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	79	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,483,866	RelatedOrganizationsAmt
Government Grants	$13,196,569	GovernmentGrantsAmt
All Other Contributions	$100,184	AllOtherContributionsAmt
Noncash Contributions	$23,032	NoncashContributionsAmt
Total Contributions	$18,780,619	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$835,136,101	$835,136,101
BRYAN COLLEGE OF HEALTH SCIENCES REVENUE	611600	$11,322,765	$11,305,576	$17,189
PHARMACY	456110	$11,397,573	$11,397,573
PROGRAM RENTAL REVENUE	531190	$5,063,503	$5,063,503
SPECIALTY CARE REVENUE	622110	$4,895,134	$4,895,134

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,392	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,392	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$867,816,468	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,777,179	TotalRevenueColumnAmt
Exclusion	$13,777,179	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$46,282,629	SecuritiesAmt
Other	$149,980	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$44,207,098	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,075,531	SecuritiesAmt
Other	$149,980	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,225,511	TotalRevenueColumnAmt
Exclusion	$2,225,511	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$3,974,962	$3,974,962
LAB REFERRED TESTING	900099	$2,335,519		$2,205,266	$130,253
EMPLOYEE LEASED REVENUE	900099	$2,470,817		$2,470,817

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,637,585	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,210,819	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$426,766	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,418,883	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$917,018,660	TotalRevenueColumnAmt
Related Or Exempt Func Income	$877,686,181	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$574,208	UnrelatedBusinessRevenueAmt
Exclusion	$19,977,652	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$211,326	TotalAmt
Program Services	$211,326	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,538,267	TotalAmt
Management And General	$3,538,267	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$299,422,307	TotalAmt
Program Services	$291,738,782	ProgramServicesAmt
Management And General	$7,683,525	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,693,478	TotalAmt
Program Services	$15,129,364	ProgramServicesAmt
Management And General	$2,564,114	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$45,714,151	TotalAmt
Program Services	$39,039,537	ProgramServicesAmt
Management And General	$6,674,614	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,319,561	TotalAmt
Program Services	$18,971,627	ProgramServicesAmt
Management And General	$3,347,934	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$392,325	TotalAmt
Program Services	$358,469	ProgramServicesAmt
Management And General	$33,856	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$48,039	TotalAmt
Program Services	$41,343	ProgramServicesAmt
Management And General	$6,696	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$293,815	TotalAmt
Management And General	$293,815	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$105,889,166	TotalAmt
Program Services	$97,040,419	ProgramServicesAmt
Management And General	$8,848,747	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$612,170	TotalAmt
Program Services	$79,582	ProgramServicesAmt
Management And General	$532,588	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,765,380	TotalAmt
Program Services	$21,855,603	ProgramServicesAmt
Management And General	$4,909,777	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,274,025	TotalAmt
Program Services	$12,764,415	ProgramServicesAmt
Management And General	$8,509,610	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,051,217	TotalAmt
Program Services	$7,145,022	ProgramServicesAmt
Management And General	$2,906,195	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$298,132	TotalAmt
Program Services	$263,847	ProgramServicesAmt
Management And General	$34,285	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$363,467	TotalAmt
Program Services	$321,668	ProgramServicesAmt
Management And General	$41,799	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,003,196	TotalAmt
Program Services	$57,216	ProgramServicesAmt
Management And General	$9,945,980	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$50,784,276	TotalAmt
Program Services	$43,290,680	ProgramServicesAmt
Management And General	$7,493,596	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$826,076	TotalAmt
Program Services	$826,076	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$175,596,478	$175,596,478
RECRUITMENT EXPENSE	$1,245,477	$1,014,116	$231,361
MEMBERSHIP DUES	$622,558	$540,222	$82,336
CORPORATE COST ALLOCATIONS	-$10,054,624	-$8,399,895	-$1,654,729

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,424,651	TotalAmt
Program Services	$734,738	ProgramServicesAmt
Management And General	$689,913	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$785,334,914	TotalAmt
Program Services	$718,620,635	ProgramServicesAmt
Management And General	$66,714,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$29,082,093	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$123,676,374	BOYAmt
EOY	$71,538,509	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$140,765,916	BOYAmt
EOY	$165,208,267	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,125,985	BOYAmt
EOY	$19,689,084	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,218,100	BOYAmt
EOY	$20,000,787	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,215,381,031	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$774,763,878	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$435,346,384	BOYAmt
EOY	$440,617,153	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$324,374,880	BOYAmt
EOY	$367,187,121	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$60,888,000	BOYAmt
EOY	$65,266,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$47,565,342	BOYAmt
EOY	$49,904,581	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$636,691	BOYAmt
EOY	$48,976	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,513,602	BOYAmt
EOY	$17,693,432	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,183,111,274	BOYAmt
EOY	$1,246,236,003	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$92,274,523	BOYAmt
EOY	$84,798,488	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,287,339	BOYAmt
EOY	$98,337,694	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$175,955,000	BOYAmt
EOY	$175,955,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,368,684	BOYAmt
EOY	$32,322,902	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$398,885,546	BOYAmt
EOY	$391,414,084	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$753,405,996	BOYAmt
EOY	$823,479,063	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,819,732	BOYAmt
EOY	$31,342,856	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$784,225,728	BOYAmt
EOY	$854,821,919	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,183,111,274	BOYAmt
EOY	$1,246,236,003	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$131,683,746	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,728,878	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$93,816,433	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,011	OtherActivitiesAmt
Total Lobbying Expenditures	$40,011	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	BRYAN MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE AHA OF $71,794 AND THE NHA OF $130,256 AND OF THIS AMOUNT THE AHA REPORTED THAT 32% OR $22,974 AND THE NHA REPORTED THAT 13.08% OR $17,037 OF THE TOTAL DUES PAID WERE FOR LOBBYING ACTIVITIES. ON VARIOUS OCCASIONS THROUGHOUT THE YEAR, THE CEO MET WITH STATE AND LOCAL LEGISLATORS TO DISCUSS ISSUES RELATED TO HEALTHCARE. WHILE SOME RELATED TO HEALTHCARE REFORM, OTHER ISSUES DISCUSSED INCLUDED MEETING THE NEEDS OF THE INDIGENT/UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS THE ONGOING NEED FOR HEALTH SERVICES INCLUDING MENTAL HEALTH SERVICES FOR THE COMMUNITY.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$539,796	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,301	InvestmentEarningsOrLossesAmt
Administrative Expenses	$2,127	AdministrativeExpensesAmt
End Year Balance	$538,970	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$572,754	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$27,039	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,919	AdministrativeExpensesAmt
End Year Balance	$539,796	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$592,994	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$20,240	InvestmentEarningsOrLossesAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$572,754	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$590,272	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,882	InvestmentEarningsOrLossesAmt
Administrative Expenses	$160	AdministrativeExpensesAmt
End Year Balance	$592,994	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$587,826	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,288	InvestmentEarningsOrLossesAmt
Administrative Expenses	$2,842	AdministrativeExpensesAmt
End Year Balance	$590,272	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,695,345	OtherCostOrOtherBasisAmt
Book Value	$21,695,345	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,474,929	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$645,391,929	OtherCostOrOtherBasisAmt
Depreciation	$347,736,545	DepreciationAmt
Book Value	$299,130,313	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,675,256	OtherCostOrOtherBasisAmt
Depreciation	$1,211,371	DepreciationAmt
Book Value	$3,463,885	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$522,862,767	OtherCostOrOtherBasisAmt
Depreciation	$419,762,655	DepreciationAmt
Book Value	$103,100,112	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,280,805	OtherCostOrOtherBasisAmt
Depreciation	$6,053,307	DepreciationAmt
Book Value	$13,227,498	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$440,617,153	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	LIMITED PARTNERSHIPS - HEDGE FUND OF FUNDS	Desc
Book Value	$65,266,000	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$65,266,000	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
RIGHT-OF-USE LIABILITY	$9,373,364
SELF INSURANCE LIABILITY	$7,271,982
OTHER LIABILITIES	$14,718,753
ACCRUED PENSION BENEFIT OBLIGATION	$3,752,437
COLLEGE GRANTS	$1,324,081
THIRD PARTY PAYOR SETTLEMENTS	-$5,839,457
DUE TO RELATED PARTIES	$1,721,742

Field	Value	IRS element (for citing)
Total Liability	$32,322,902	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 4 Collections of art - description of collections	BRYAN MEDICAL CENTER IS THE OWNER OF THE WILLIAM JENNINGS BRYAN HOUSE, ALSO KNOWN AS FAIRVIEW. FAIRVIEW IS A HISTORICIAL HOUSE BUILT IN 1902-1903 IN LINCOLN, NEBRASKA. IN 1922, THE HOUSE AND SURROUNDING LAND WAS DONATED TO THE NEBRASKA METHODIST CONFERENCE, WHICH THEN FORMED A SEPARATE NON-PROFIT ORGANIZATION FOR THE PURPOSES OF ESTABLISHING BRYAN MEMORIAL HOSPITAL AND AFFILATED SCHOOL OF NURSING. FAIRVIEW WAS DECLARED A NATIONAL HISTORIC LANDMARK IN 1963. THE HOUSE IS NOW USED FOR BRYAN MEETINGS AND FUNCTIONS. IN ADDITION, APPROXIMATELY 500 VISITORS TOUR THE HOME ANNUALLY. THIS ASSET IS FULLY DEPRECIATED AND REPORTED ON THE BALANCE SHEET AT A NET AMOUNT OF ZERO.
Schedule D, Part V, Line 4 Intended uses of endowment funds	BRYAN MEDICAL CENTER'S ("MEDICAL CENTER") ENDOWMENT FUNDS ARE ESTABLISHED TO PROVIDE FOR LOANS FOR THE STUDENTS WHO ATTEND THE BRYAN COLLEGE OF HEALTH SCIENCES. BRYAN COLLEGE OF HEALTH SCIENCES PROVIDES HEALTHCARE PROFESSIONAL EDUCATION WITH PROGRAMS LEADING TO GRADUATE AND UNDERGRADUATE ACADEMIC DEGREES. BRYAN COLLEGE OF HEALTH SCIENCES IS PART OF THE MEDICAL CENTER AND ITS OPERATIONS ARE INCLUDED IN THE MEDICAL CENTER'S FORM 990.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	UNDER ACCOUNTING STANDARDS CODIFICATION(ASC), SUBTOPIC 740-10, INCOME TAXES, THE SYSTEM MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS "MORE-LIKELY-THAN-NOT" THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT, ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECONGITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURE. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AT DECEMBER 31, 2023, AND 2022. TAX RETURNS FILED BY THE SYSTEM ARE SUBJECT TO EXAMINATION BY THE IRS UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THE SYSTEM RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE SYSTEM DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES ON DECEMBER 31, 2023, AND 2022.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$65,304,982	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$65,304,982	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$65,304,982	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,393,378	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,393,378	NetCommunityBenefitExpnsAmt
Total Expense	0.0158	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,161,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,755,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,406,705	NetCommunityBenefitExpnsAmt
Total Expense	0.0502	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$122,555,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,755,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,800,083	NetCommunityBenefitExpnsAmt
Total Expense	0.0660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,008,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,008,158	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,016,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,033,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,983,322	NetCommunityBenefitExpnsAmt
Total Expense	0.0076	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,054,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$793,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$261,010	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$516,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$516,339	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,595,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,826,563	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,768,829	NetCommunityBenefitExpnsAmt
Total Expense	0.0112	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$145,150,601	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,581,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,568,912	NetCommunityBenefitExpnsAmt
Total Expense	0.0771	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,110	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,110	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$292,436,533	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$359,609,528	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$67,172,995	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
DOCTORS OUTPATIENT SURGERY CENTER
OUTPATIENT SURGERY CENTER	0.51	0.0	0.49
LINCOLN DIGESTIVE HEALTH CENTER LLC
AMBULATORY SURGERY CENTER	0.51	0.0	0.49
HEAD AND NECK SURGICAL PARTNERS LLC
AMBULATORY SURGERY CENTER	0.51	0.0	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
BRYAN MEDICAL CENTER EAST
1	1600 SOUTH 48TH STREET	LINCOLN	NE	68506	WWW.BRYANHEALTH.COM	500001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BRYAN MEDICAL CENTER WEST
2	2300 SOUTH 16TH STREET	LINCOLN	NE	68502	WWW.BRYANHEALTH.COM	500003	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, A COLLABORATION EFFORT BETWEEN BRYAN MEDICAL CENTER, THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, AND CHI ST. ELIZABETH, GATHERING INPUT REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. PRIORITIZED SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED BY SUBJECT MATTER EXPERTS AT BRYAN HEALTH, BASED ON FINDINGS FROM THE COLLABORATIVE ASSESSMENT. THE LINCOLN COMMUNITY HEALTH SURVEY PROVIDES INFORMATION AND INSIGHT CRITICAL TO BRYAN MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT. THIS SURVEY WAS PLANNED, CONDUCTED, AND ANALYZED AS A JOINT EFFORT BETWEEN THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, BRYAN HEALTH AND CHI HEALTH. DURING THE FISCAL YEAR ENDED DECEMBER 31, 2021, BRYAN MEDCIAL CENTER, CHI ST. ELIZABETH AND THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT DISTRIBUTED SURVEYS TO ONE IN EVERY SEVEN HOUSEHOLDS THROUGHOUT THE AREA. IN ADDITION TO SURVEYING ONE IN SEVEN HOUSEHOLDS THROUGHOUT LANCASTER COUNTY, OVERSAMPLING WAS PERFORMED WITH LINCOLN'S CULTURAL CENTERS COALITION, THE LINCOLN HOMELESS COALITION, AND ALSO THE NEBRASKA COMMISSION FOR THE BLIND SUPPORTED AND THE FEDERATION FOR THE BLIND. THE LINCOLN COMMUNITY HEALTH SURVEY CONSISTED OF FIVE QUESTIONS: FOUR OPEN-ENDED WRITE-IN QUESTIONS, AND ONE MULTIPLE CHOICE QUESTION. THE LINCOLN COMMUNITY HEALTH SURVEY WAS MAILED WITH A PAPER SURVEY AND BUSINESS REPLY ENVELOPE ENCLOSED. THE SURVEY INVITED PEOPLE TO COMPLETE THE SURVEY EITHER ONLINE OR BY HAND. THE BACK OF THE PAPER SURVEY OFFERED INSTRUCTIONS FOR LANGUAGE HELP IN SEVEN LANGUAGES, INCLUDING SPANISH, ARABIC, KURDISH, VIETNAMESE, AND RUSSIAN. IN ADDITION, INSTRUCTIONS FOR COMPLETING THE SURVEY ONLINE WERE ALSO INCLUDED VIA PICTURES WITH MINIMAL WORDS. THE BOTTOM OF THE SURVEY ALSO OFFERS A CHANCE FOR FURTHER PARTICIPATION IN THE NEEDS ASSESSMENT. THE LINCOLN COMMUNITY HEALTH SURVEY MAILER WAS APPROVED FOR DISTRIBUTION ON SEPTEMBER 22, 2020. 13,946 SURVEYS WERE MAILED TO HOUSEHOLDS. OF THAT DISTRIBUTION, 1,752 RESPONSES WERE RECEIVED - A 12.6% RESPONSE RATE. ALONG WITH OVERALL RESULTS, RESPONSES WERE WEIGHTED WITHIN THEIR CENSUS TRACT. THE TOP THREE HEALTH CONCERNS IN THE CITY OF LINCOLN AND LANCASTER COUNTY ARE BEHAVIORAL HEALTH CARE (MENTAL HEALTH), ALCOHOL, DRUG, AND TOBACCO USE; HEART DISEASE; AND CANCER.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. SEE SCHEDULE H, PART V, SECTION B, LINE 5
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. THE HOSPITAL'S CHNA WAS A COLLABORATIVE EFFORT BETWEEN THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, BRYAN HEALTH, AND CHI HEALTH (REFERENCED IN SCHEDULE H, PART V, SECTION B, LINE 5).
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. BRYAN HEALTH HAS WORKED DILIGENTLY TO IMPLEMENT AND CONTINUE STRATEGIES THAT WILL ALLOW THE ORGANIZATION TO MEET THE NEEDS OF THE LINCOLN COMMUNITY AS WELL AS THE SURROUNDING LANCASTER COUNTY AREA. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN, AND 2021 BRYAN HEALTH STRATEGIC PLAN, BRYAN HEALTH CONTINUES TO PARTNER THROUGHOUT THE CITY AND COUNTY TO IMPROVE FOUR MAJOR AREAS OUTLINED IN THE CHNA: 1) BEHAVIORAL HEALTH 2) CARDIOVASCULAR DISEASE 3) CANCER CARE 4) COVID-19 PANDEMIC THROUGH THE RESULTS OF THE LINCOLN COMMIUNITY HEALTH SURVEY AS WELL AS THROUGH OTHER PRIMARY RESEARCH AND DATA AVAILABLE, BRYAN HAS IDENTIFIED 4 SIGNIFICANT HEALTH NEEDS WITHIN LINCOLN AND LANCASTER COUNTY THAT REQUIRED PRIORITIZED FOCUS OVER THE NEXT FEW YEARS. THIS STRATEGY OF PRECISELY FOCUSED NEED PRIORITIES IS A DEPARTURE FROM BRYAN'S PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, WHOSE BOARD AND ENCOMPASSING NEED PRIORITIES CREATED A MORE OR LESS COMPREHENSIVE LANDSCAPE OF HEALTH NEEDS WITHIN LANCASTER COUNTY. BY TIGHTENING FOCUS TO A FEW SPECIFIC NEEDS, BRYAN HOPES TO MAKE TANGIBLE AND STRATEGIC IMPACTS ON SOME OF OUR COMMUNITY'S MOST PRESSING NEEDS. THESE SIGNIFICANT HEALTH NEEDS WERE SELECTED BASED ON A COMBINATION OF FACTORS, INCLUDING RESPONSES FROM THE LINCOLN COMMUNITY HEALTH SURVEY, ANALYSIS OF COMMUNITY DATA SOURCES SUCH AS LANCASTER COUNTY'S VITAL STATISTICS, BRYAN HEALTH'S OWN INTERNAL HOSPITALIZATION DATA AND OTHER FORMS OF RESEARCH. 1.BEHAVIORAL HEALTH OPTIONS REPRESENTING BEHAVIORAL HEALTH WERE THE TWO MOST-SELECTED ANSWERS IN THE LINCOLN COMMUNITY HEALTH SURVEY. MENTAL HEALTH WAS THE MOST SELECTED OPTION, AND ALCOHOL, DRUG AND TOBACCO USE WAS THE SECOND-MOST SELECTED. ATTEMPTED SUICIDES IN LINCOLN, NEBRASKA HAVE RISEN TO A TWENTY-YEAR HIGH, BOTH AMONG THE 10-24 YEAR OLD AGE GROUP AND AMONG ALL AGES IN GENERAL. REPORTS OF AGGRAVATED DOMESTIC ASSAULT IN LANCASTER COUNTY HAVE RISEN OVER THE PAST 3 YEARS. BETWEEN JANUARY AND MAY 2021, THE LINCOLN POLICE DEPARTMENT RESPONDED TO 1,698 MENTAL HEALTH CALLS FOR SERVICE. THESE CALLS INCLUDED MORE THAN 170 ATTEMPTED SUICIDES. MORE THAN 100 OF THE CALLS FOR SERVICE, REQUIRED EMERGENCY PROTECTIVE CARE. THE LINCOLN POLICE DEPARTMENT REPORTED 133 NON-FATAL OVERDOSES IN 2020, A 76 PERCENT INCREASE OVER THE 5-YEAR AVERAGE. WHILE LANCASTER COUNTY REPRESENTS ROUGHLY 16% OF NEBRASKA'S POPULATION, IT CONTRIBUTES 35% OF THE STATE'S 2019 HERION OVERDOSES. ON AUGUST 19, 2021, THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT ISSUED A HEALTH ALERT REGARDING A SPIKE IN ACCIDENTAL DRUG OVERDOSES CAUSED BY ILLEGAL DRUGS BEING MIXED WITH FENTANYL. THE LINCOLN POLICE DEPARTMENT REPORTED RESPONDING TO 50 OVERDOSE CASES WITHIN A PERIOD OF 30 DAYS. UPON INVESTIGATION, AT LEAST 26 IN THE PRIOR 3 WEEKS HAD BEEN CASUED BY THIS COMBINATION. BRYAN HEALTH CONTINUES TO SUPPORT CHANGE AND INNOVATION IN PILOT PROGRAMS SUCH AS DRUG COURT, AS WELL AS WORKING WITH LAW ENFORCEMENT AND THE CRISIS CENTER TO SUPPORT ENHANCED PRE-CRISIS CARE. OVERALL, BRYAN HEALTH HAS MADE PROGRESS IN SUPPORTING BEHAVIORAL HEALTH IN THE COMMUNITY WITH ITS INDEPENDENCE CENTER FACILITY FOR SUBSTANCE ABUSE TREATMENT. THIS STATE OF THE ART FACILITY PROVIDES A CARING ENVIRONMENT FOR TREATMENT AND HEALING FOR INDIVIDUALS IN LANCASTER COUNTY AND BEYOND WHO ARE SEEKING INPATIENT OR OUTPATIENT TREATMENT FOR SUBSTANCE ABUSE. THE INDEPENDENCE CENTER ALSO CONTINUES TO PROVIDE INTERVENTION NURSES AT BRYAN HEALTH AND OTHER LOCAL MEDICAL FACAILITES TO ASSESS SUBSTANCE ABUSE. WE CONTINUE WORKING WITH DHHS TO PROVIDE INTERVENTION NURSE TELEHEALTH CONSULTS TO 5 RURAL NEBRASKA COMMUNITIES FOR OPIOID USE ASSESSMENT AND REDUCTION. WE ALSO CONTINUE TO COLLABORATE WITH THE SCHOOL COMMUNITY INTERVENTION PROGRAM (SCIP) TO PROVIDE FREE CONTRACTED SUBSTANCE USE EVALUATIONS TO LINCOLN PUBLIC SCHOOL YOUTH. THE INDEPENDENCE CENTER SUPPORTS A POSITION TITLED COMMUNITY OUTREACH LIAISON. THIS INDIVIDUAL HELPS CLIENTS AND THEIR FAMILITES NAVIGATE THE PROVIDER COMMUNITY AND CONNECTS THEM WITH THE SERVICES NEEDED. THIS POSITION ALSO ASSISTS THOSE WHO ARE RETURNING FROM RESIDENTIAL SERVICES BACK INTO THE HOME, SCHOOL, AND COMMUNITY. OUTREACH LIAISON IS TO EDUCATE THE COMMUNITY ABOUT SUBSTANCE USE AND INDEPENDENCE CENTER SERVICES. FURTHERMORE, BRYAN HEALTH SUPPORTS EFFORTS IN THE COMMUNITY TO PROVIDE AN INTEGRATED BEHAVIORAL HEALTH SAFETY NET AND EXPAND ACCESS TO BEHAVIORAL HEALTH PROVIDERS WHO SERVE POOR, UNINSURED, AND MEDICAID ELIGIBLE POPULATIONS. BRYAN HEARTLAND PSYCHIATRY SIGNIFICANTLY INCREASED THEIR NUMBER OF PROVIDERS TO MEET COMMUNITY NEEDS FOR BEHAVIORAL HEALTH SERVICES. THESE EFFORTS INCLUDE PROVIDING A SEGREGATED MENTAL HEALTH EMERGENCY DEPARTMENT STAFFED WITH SPECIALLY TRAINED BEHAVIORAL HEALTH NURSES, AND SOCIAL WORKERS. IN ORDER TO FURTHER LEVERAGE THESE SPECIALLY TRAINED STAFF TO ASSIST WITH THE LACK OF MENTAL HEALTH PROVIDERS AND SERVICES IN THE VAST UNDERSERVED AREAS OF THE STATE, BRYAN HEALTH OFFERS BEHAVIORAL HEALTH EVALUATIONS VIA TELEHEALTH TO 10 EMERGENCY DEPARTMENT SITES ACROSS THE STATE. BY PROVIDING THIS SERVICE WE ASSIST WITH PROVIDING A QUALITY EVALUATION AND PLAN RECOMMENDATIONS THAT REDUCE PREVENTABLE INPATIENT ADMISSIONS AND ASSIGNMENT TO OTHER HIGHER LEVELS OF CARE. IN A SPECIAL PROJECT, BRYAN HEALTH'S MENTAL HEALTH EMERGENCY DEPARTMENT HAS PARTNERED WITH CENTERPOINTE TO PROVIDE IMMEDIATE LINKAGE TO SUBSTANCE USE OUTPATIENT SERVICES FOR PATIENTS NOT BEING ADMITTED TO MEDICAL CENTER HIGHER LEVELS OF CARE. THIS INITIATIVE IS INTENDED TO IMPROVE LOCAL AND STATE PERFORMANCE REGARDING SUBSTANCE USE FOLLOW UP AFTER HOSPITAL VISIT. BRYAN HEALTH UTILIZES PEER SPECIALISTS. THESE PEERS USE PRINCIPLES OF RECOVERY, WELLNESS RECOVERY ACTION PLANNING, WHOLE HEALTH ACTION MANAGEMENT AND OTHER EVIDENCE-BASED PRACTICES IN THEIR WORK. THEY HOLD WEEKLY COMMUNITY WELLNESS GROUPS AT NO COST TO THE PARTICIPANTS; PROVIDE INPATIENT WELLNESS/RECOVERY GROUPS; PAIN MANAGEMENT CONSULTS; STAFF COVID WELLNESS SUPPORT GROUPS; CANCER SUPPORT GROUPS AND RESPOND TO INDIVIDUAL REQUESTS FROM PROVIDERS. BRYAN HAS MADE IT A PRIORITY TO SERVE AS A TRAINING SITE FOR COUNSELORS, SOCIAL WORKERS, NURSES, PHYICIAN ASSISTANTS, AND PRIMARY CARE PHYSICIANS THROUGH THE LINCOLN MEDICAL EDUCATION PROGRAM. SOUTHEAST COMMUNITY COLLEGE, DOANE UNIVERSITY, UNION COLLEGE, BRYAN COLLEGE OF HEALTH SCIENCES, UNIVERSITY OF NEBRASKA AND OTHER EDUCATIONAL INSTITUTIONS. THESE EFFORS HAVE SIGNIFICANT VALUE IN DEVELOPING OUR FUTURE WORKFORCE. ONLINE SCREENING FOR DEPRESSION, ANXIETY, POST-TRAUMATIC STRESS DISORDER, ALCOHOL ABUSE, AND ADOLESCENT DEPRESSION ARE MADE AVAILABLE AT NO COST TO THE PUBLIC ON THE BRYAN HEALTH WEBSITE. IF THE ENDORSED ITEMS SUGGEST THERE IS A CLINCIAL PROBLEM PRESENT, AT COMPLETION OF THE SURVEY, A RECOMMENDATION IS PROVIDED FOR THE INDIVIDUAL TO SEEK PROFESSIONAL HELP. THERE HAS BEEN A STEADY ANNUAL INCREASE IN NUMBER OF SCREENINGS ACCESSED. BRYAN HEALTH WORKS WITH OTHER LINCOLN PROVIDERS AND GROUPS ACROSS THE STATE TO ADDRESS GAPS AND SPECIAL NEEDS IN THE POPULATION AS WELL AS THOSE WHO ARE UNDERSERVED. THESE INCLUDE CENTERPOINT AND THE BRIDGE BEHAVIORAL HEALTH TO IMPROVE COORDINATION OF CARE FOR CLIENTS REQUIRING SPECIALIZED SUBSTANCE USE SERVICES; YOUTH CRISIS RESPONSE COALITION TO PREVENT YOUTH FROM ENTERING THE JUVENILE JUSTICE SYSTEM AND CREATING A 24 HOUR RESPITE SERVICE FOR YOUTH IN CRISIS BUT NOT REQUIRING HOSPITAL OR LEGAL LODGING. WE ARE PROUD TO CONTINUE TO WORK WITH LINCOLN POLICE DEPARTMENT'S MOBILE CRISIS SERVICE; CENTERPOINTE'S CRISIS SERVICES, MENTAL HEALTH ASSOCIATION'S RESPITE SERVICES, AND REGION 5'S TARGETED ADULT SERVICE COORDINATION (TASC) SERVICES. THESE AND OTHER PRE-CRISIS SERVICES HAVE PROVEN VALUABLE IN HELPING INDIVIDUALS TO PREVENT THE NEED FOR HIGHER LEVELS OF CARE.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. WE ARE PROUD TO CO-SPONSOR AND HOST MENTAL ILLNESS AWARENESS WEEK TO PROVIDE COMMUNITY EDUCATION WITH ADDITIONAL OFFERINGS THROUGHOUT THE YEAR ON TOPICS SUCH AS SOCIAL MEDIA IMPACT ON ADOLESCENTS; STIGMA; CHRONIC PAIN, HOLISTIC SELF-CARE, ETC. WE HAVE ADDITIONALLY SUPPORTED OUR COMMUNITY THROUGH MULTIPLE MEDIA SUPPORTING STRESS REDUCTION, BURNOUT PREVENTION AND RECOVERY, WELLNESS, FAMILY AND GENERAL SUPPORT TOPICS AS WE WORKED THROUGH THE RAVAGES OF COVID ON OUR COMMUNITY AND PROVIDERS. BRYAN MEDICAL CENTER MENTAL HEALTH HAS BEEN A LEADER IN SUICIDE PREVENTION FOR OUR COMMUNITY AND STATE. ONE OF THE MANAGERS FOR BRYAN MENTAL HEALTH HELPED TO START THE NEBRASKA STATE SUICIDE PREVENTION COALITION IN 1999 AND CONTINUES TO SERVE ON THE EXECUTIVE COMMITTEE. THE DIRECTOR RECENTLY HELPED THE COALITION ACHIEVE 501(C)(3) STATUS. THE LATEST PROJECT IS THE DEVELOPMENT OF A PHONE APP THAT APPEALS TO THE 15-24 Y/O AGE GROUP, WHICH INCLUDES A JOURNALING APP, IMMEDIATE ACCESS TO SUICIDE CRISIS TEXT AND TELEPHONE LINE SERVICE THROUGH BOYS TOWN NATIONAL HOTLINE. SERVED ON THE LEADERSHIP GROUP OF THE LINCOLN SUICIDE PREVENTION COALITION (HOPELINK). IN ADDITION, THIS BRYAN BEHAVIORAL HEALTH DIRECTOR PROVIDED LEADERSHIP IN DEVELOPING THE FIRST LOCAL OUTREACH TO SUICIDE SURVIVORS (LOSS) TEAM IN LINCOLN, NEBRASKA AND HAS CONTINUED TO ASSIST IN THE DEVELOPMENT OF AN ADDITIONAL 10 LOSS TEAMS IN OTHER NEBRASKA COUNTIES. DEVELOPING AND IMPLEMENTING THE LOSS TEAM WAS A COLLABORATIVE EFFORT IN WORKING WITH LAW ENFORCEMENT AND POLICE CHAPLAINS AS WELL AS OTHER COMMUNITY AND COUNTY AGENCIES. A LOSS TEAM IS A GROUP OF 3 PEOPLE WHO ARE ON CALL (2 PEOPLE WHO HAVE LOST SOMEONE FROM SUICIDE AND A CLINICIAN) AND THEY RESPOND TO FAMILIES WHO HAVE LOST SOMEONE TO SUICIDE AND PROVIDE RESOURCES. CONNECTING SUICIDE SURVIVORS TO OTHER SUICIDE SURVIVORS AND RESOURCES IS CONSIDERED SUICIDE POSTVENTION WHICH IS ALSO PREVENTION. IN RESPONSE TO THE GROWING PRESENCE AND AWARENESS OF OPIOID MISUSE AND ABUSE IN THE COMMUNITY AND ACROSS THE NATION, BRYAN HEALTH CREATED THE PAIN MANAGEMENT AND OPIOID STEWARDSHIP PROGRAM IN SUMMER 2018. LOCAL PAIN MANAGEMENT SPECIALIST KELLY ZACH, MD LEADS A 24-MEMBER STEERING TEAM TO RUN THE PROGRAM. THE TEAM INCLUDES REPRESENTATION FROM MEDICAL STAFF, HOSPITAL ADMINISTRATION, PHARMACY, NURSING, BEHAVIORAL HEALTH, SUBSTANCE ABUSE, PHYSICAL THERAPY AND ORGANIZATIONAL QUALITY. THIS ONGOING PROGRAM WILL EVALUATE AND UTLIZE EVIDENCE-BASED BEST PRACTICES TO ACHIEVE SAFE AND APPROPRIATE PAIN MANAGEMENT, WHILE REDUCING THE RISK OF OPIOID ADDICTION, OVERDOSE AND DEATHS. THIS TEAM HAS WORKED THROUGH NUMEROUS PHASE ONE GOALS AND ENTERED PHASE TWO. PHASE TWO GOALS MOVE INTERVENTIONS OUT INTO THE COMMUNITY AT LARGE. THERE HAVE BEEN INDEPENDENT OUTPATIENT PROVIDER EDUCATION, EDUCATION TO NEBRASKA MEDICAL ASSOCIATION MEMBERS; PARTNERING WITH THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT COMMITTEE; LINCOLN POLICE DEPARTMENT; AND SEVERAL OTHERS. 2. CARDIOVASCULAR DISEASE THE PREVALENCE OF CARDIOVASCULAR DISEASE WITHIN LINCOLN AND LANCASTER COUNTY GIVES CREDENCE TO THE COMMUNITY'S CONCERN FOR HEART DISEASE WITHIN THE SURVEY. HEART DISEASE HAS BEEN ONE OF THE TWO LEADING CAUSES OF DEATH IN LANCASTER COUNTY AT LEAST AS FAR BACK AS 2005. IT TRAILS JUST BEHIND CANCER AS THE LEADING CAUSE OF DEATH, AND BOTH ARE FAR AHEAD OF ALL OTHER CAUSES OF DEATH IN THE COUNTY. IN 2020, THE WALL STREET JOURNAL ANALYZED THE CDC'S MORTALITY DATA AMOUNT PEOPLE AGES 45-64 DURING THE YEARS BETWEEN 2010 AND 2016. THE ANALYSIS STUDIED INCREASES IN CARDIOVASCULAR-RELATED DEATHS IN THAT AGE GROUP ACROSS THE NATIONAL CITIES WITH POPULATIONS GREATER THAN 100,000. THE ANALYSIS CITED LINCOLN, NEBRASKA AS HAVING A 25.1% INCREASE IN THAT TIME PERIOD; RANKING FOURTH NATIONALLY. WHILE CARDIOVASCULAR DISEASE IS A MAJOR AND GROWING HEALTH CONCERN FOR LINCOLN AND LANCASTER COUNTY, IT MUST BE NOTED THAT LINCOLN'S CARE FOR CARDIOVASCULAR PATIENTS IS EXCELLENT. LINCOLN FIRE AND RESCUE RECENTLY REPORTED THAT LINCOLN'S SURVIVAL RATE FOR NON-TRAUMATIC CARDIAC ARREST CASES IN 2023 IS 22.4%, COMPARED TO THE NATIONAL AVERAGE OF 10.2%. HYPERTENSION IS THE LARGEST CONTRIBUTOR TO CARDIOVASCULAR DISEASE, AND BRYAN HAS MADE THE CONTROL OF HYPERTENSION AN ORGANIZATION GOAL AMONG ALL BRYAN SITES AND PROVIDERS. AS A RESULT, THE PERCENTAGE OF PATIENTS WITH CONTROLLED HYPERTENSION HAS INCREASED ALMOST 10%. 3. CANCER CARE CANCER HAS HELD AS LANCASTER COUNTY'S MOST PROMINENT CAUSE OF DEATH FOR MORE THAN A DECADE. THE ONLY OTHER SIGNIFICANT CAUSE OF DEATH FOR THE AREA IS HEART DISEASE, WHICH HAS YET TO ECLIPSE IT. WHILE THE CANCER OPTION APPEARS NOT TO BE OFTEN SELECTED IN THE SURVEY, IT MUST BE NOTED THAT THE "CANCER" OPTION WAS ONLY DISPLAYED ON THE ONLINE VERSION, NOT ON THE PAPER VERSION. THIS MISTAKE WAS IDENTIFIED AFTER THE PAPER SURVEY WAS DISTRIBUTED. EVIDENCE STILL SPEAKS TO CANCER BEING A STRONG CONCERN TO THE LINCOLN AND LANCASTER COUNTY COMMUNITY. AS FAR BACK AS 2005, LUNG CANCER HAS BEEN THE DEFINITIVE LEADER AMONG CAUSES OF DEATH BY CANCER IN LANCASTER COUNTY. HOWEVER, THE PERCENTAGE OF CANCER DEATHS BY LUNG CANCER HAS BEEN DECREASING DURING THIS TIME AND IS LIKELY TO CONTINUE. OVER THE LAST FIVE YEARS, THE RECENT TREND IN CASES FOR LANCASTER COUNTY HAS BEEN FALLING BY 1.5 TIMES. BRYAN LEADERS MET ON FOUR OCCASIONS WITH FOCUS GROUPS COMPRISING INDIVIDUALS FROM THE REGION WHO HAVE LIVED OR ARE LIVING WITH CANCER. QUALITATIVE FINDINGS REVEALED CANCER PATIENTS RELY UPON THEIR PHYSICIAN, EXPERIENCE AND THEIR OWN RESEARCH WHEN THEY DECIDE WHERE TO RECEIVE CARE. THIS GROUP ARTICULATED A DEEP UNDERSTANDING OF THE PROTOCOL-DRIVEN NATURE OF CANCER CARE. THEY WERE UNIVERSALLY COMPLIMENTARY OF THE SKILL AND EXPERIENCE OF THEIR PHYSICIANS AND QUALITY OF THE CARE AND OUTCOMES EXPERIENCED IN LINCOLN AND ELSEWHERE. HOWEVER, IT WAS CLEAR THAT THEY DESIRED AND STRONGLY RECOMMENDED THAT BRYAN FACILITATE A BETTER OPTION THAN CURRENTLY EXISTS. THEY ADVISED US TO DO ALL WE CAN TO REMEDY THE DISJOINTED CARE, AND ENHANCE THE CONVENIENCE AND PERSONALIZED CARE THAT WAS LACKING WHEN THEY LEFT LINCOLN FOR SECOND OPINIONS OR ADDITIONAL CARE. BRYAN HEALTH CONDUCTED SPECIFIC RESEARCH INTO THE IMPACT OF CANCER IN THE AREA WHILE IT WAS PLANNING THE APRIL SAMPSON CANCER CENTER. ADDITIONAL CANCER CARE NAVIGATORS HAVE BEEN HIRED AND DEPLOYED TO ASSIST NEW CANCER PATIENTS THROUGH THEIR JOURNEY. THE APRIL SAMPSON CANCER CENTER WAS OPEN IN APRIL 2023 AND STARTED CANCER TREATMENTS FOR PATIENTS. TO SUPPORT THE PREVENTION AND TREATMENT OF CANCER IN THE COMMUNITY, BRYAN HEALTH CONTINUES TO SPONSOR CANCER CONFERENCES WEEKLY, WITH SPECIAL THORACIC CONFERENCES HELD TWICE MONTHLY. LIFESPRING CANCER RECOVERY PROGRAM STILL PROVIDES SUPPORT AND EXPERTISE FOR CANCER PATIENTS AND SURVIVORS WITHIN LINCOLN AND THE SURROUNDING AREA. BRYAN MEDICAL CENTER ALSO PARTICIPATES WITH THE NEBRASKA CANCER RESEARCH CENTER (NCRC) AND THE CANCER ALLIANCE OF NEBRASKA TO OFFER CLINCIAL TRIAL OPPORTUNIITIES LOCALLY TO CANCER PATIENTS. EDUCATION ON CANCER PREVENTION AND SCREENING, AS WELL AS OTHER CANCER-RELATED TOPICS, ARE PRESENTED TO SERVICE GROUPS AND ORGANIZATIONS AS PART OF BRYAN MEDICAL CENTER'S COMMUNITY OUTREACH. BRYAN HOSTS EDUCATION CLASSES ON SMOKING CESSATION, RADON PREVENTION, THE LINKS BETWEEN OBESITY AND CANCER, AND CARING FOR A LOVED ONE WITH CANCER. BRYAN RAISES COMMUNITY AWARENESS SURROUNDING LUNG CANCER EVERY NOVEMBER WITH ITS SHINE A LIGHT ON LUNG CANCER EVENT.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. 4. EFFECTS OF THE COVID-19 PANDEMIC RESIDENTS OF LANCASTER COUNTY FIRST STARTED TESTING POSITIVE FOR COVID-19 IN EARLY 2020. THE COVID-19 PANDEMIC HAS HAD SEISMIC EFFECTS ON OUR COMMUNITY AND ACROSS THE WORLD. WITHIN LINCOLN, BUSINESSES HAVE BEEN CLOSED AND REOPENED, REMOTE LEARNING HAS BEEN EMPLOYED IN SCHOOLS, MASK MANDATES HAVE BEEN IMPLEMENTED, LIMITATIONS ON GATHERING SIZES HAVE BEEN ENFORCED, VACCINATION REQUIREMENTS AMONG PRIVATE BUSINESSES HAVE BEEN IMPOSED AND ELECTIVE SURGICAL PROCEDURES HAVE BEEN SUSPENDED OR DELAYED MULTIPLE TIMES. AT THE TIME THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BEING COMPOSED, LANCASTER COUNTY WAS SEVERAL WEEKS INTO THE DELTA VARIANT WAVE OF THE COVID-19 PANDEMIC. THE STRENGTH OF THE DELTA VARIANT WAVE ILLUSTRATES THE POSSIBILITY OF THE COVID-19 PANDEMIC AS BEING AN ACUTE NEED ALL THROUGHOUT THE CHNA PERIOD, AS THE THREAT OF POSSIBLE FUTURE VARIANT LOOMS. THE LINCOLN COMMUNITY HEALTH SURVEY WAS DISTRIBUTED IN LATE SEPTEMBER 2020. THE DOMINANT RESPONSE CATEGORY FOR QUESTION 2 ("WHAT WORRIES YOU MOST ABOUT YOUR OR YOUR FAMILY'S HEALTH") WAS "INFECTIOUS DISEASE", GARNERING 29.1% OF RESPONSES. OF THOSE RESPONSES, A FULL 99% SPECIFICALLY LISTED COVID-19 AS THEIR PRIMARY HEALTH WORRY. IN ATTEMPT TO MAINTAIN CAPACITY DURING PERIODS OF COVID-19 SURGE OVER THE PAST FEW YEARS, BRYAN HAS EMPLOYED STRATEGIES TO STOP, REDUCE, SUSPEND OR DELAY ELECTIVE SURGERIES MULTIPLE TIMES. DURING 2023, BRYAN MEDICAL CENTER DID NOT NEED TO EMPLOY THESE STRATEGIES AS THE LOCAL COVID-19 RISK LEVEL HAS BEEN LOW ALONG WITH HOSPITALIZATIONS. NATIONALLY, AS OF SEPTEMBER 2020: 36% OF ADULTS REPORTED DELAYING OR FORGOING HEALTH CARE DUE TO WORRY ABOUT EXPOSURE TO COVID-19, OR BECAUSE A PROVIDER LIMITED SERVICES DURING THE PANDEMIC. 76% OF ADULTS WHO DELAYED OR FOREWENT CARE HAD ONE OR MORE CHRONIC HEALTH DISEASE AND CANCER. 32% OF THE ADULTS REPORTING DELAYED OR FORGONE CARE REPORTED THAT DOING SO WORSENED THEIR HEALTH CONDITIONS. DURING 2023, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR 7,773 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT, AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. THERE ARE MANY REASONS BEHIND LACK OF ACCESS TO HEALTH SERVICES; THE SHORTAGE OF HEALTHCARE PROFESSIONALS IS JUST ONE OF THESE REASONS. BRYAN HEALTH IS A HUGE SUPPORTER OF EDUCATION FOR HEALTH CARE PROFESSIONALS - INCLUDING ONGOING FINANCIAL SUPPORT FOR: 1) THE BRYAN COLLEGE OF HEALTH SCIENCES, WITH 747 STUDENTS ENROLLED IN GRADUATE AND UNDERGRADUATE DEGREE PROGRAMS THROUGH BRYAN'S SCHOOL OF NURSING, HEALTH PROFESSION AND NURSE ANESTHESIA PROGRAMS, AND 2) THE LINCOLN MEDICAL EDUCATION PARTNERSHIP RESIDENCY PROGRAM FOR FUTURE PRIMARY CARE PROVIDERS. IN ADDITION, BRYAN ALSO SERVES AS A CLINICAL TRAINING SITE FOR A LONG LIST OF HEALTH CARE DISCIPLINES; INCLUDING RADIOLOGY, LAB, PHYSICAL THERAPY, PHARMACY, EMTS AND PARAMEDICS, ETC. THIS COMMITMENT TO EDUCATION OF THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS ULTIMATELY IMPROVES ACCESS TO HEALTHCARE IN OUR REGION. MADONNA IS THE DESIGNATED ORGANIZATION IN THE LINCOLN COMMUNITY THAT PROVIDES HANDICAP-ACCESSIBLE BUS TRANSPORTATION FOR COMMUNITY MEMBERS TO/FROM DOCTORS' APPOINTMENTS, THERAPY AND OTHER OUTPATIENT APPOINTMENTS. BRYAN PROVIDES AN ANNUAL CONTRIBUTION OF $25,000 FOR THESE SERVICES SO THAT FINANCIALLY CHALLENGED MEMBERS OF OUR COMMUNITY WILL HAVE ACCESS TO MEDICAL CARE. MANY PRIVATE PRACTICE PHYSICIANS IN LINCOLN HAVE ELECTED NOT TO SERVE MEDICAID AND/OR MEDICARE PATIENTS IN THEIR OUTPATIENT CLINICS FOR FINANCIAL REASONS. BRYAN PHYSICIAN NETWORK PHYSICIANS ACCEPT MEDICAID/MEDICARE PATIENTS INTO THEIR PRACTICE BY POLICY; THEREFORE, AS BRYAN PHYSICIAN NETWORK CONTINUES TO EXPAND WITHIN THE COMMUNITY, SO DOES ACCESS TO PHYSICIAN CARE FOR AREA MEDICAID/MEDICARE PATIENTS. BRYAN PHYSICIAN NETWORK ESTABLISHED BRYAN NORTHPOINTE FAMILY MEDICINE WHICH INCLUDES A TEAM OF 7 FAMILY PRACTICE PHYSICIANS, 20 PHYSICIAN ASSISTANTS, 7 INTERNAL MEDICINE PHYSICIANS, 1 ENDOCRINOLOGY PHYSICIAN, 2 PSYCHIATRY PHYICIANS, AND 2 TRAUMA SURGEONS. FOURTH QUARTER 2020, BRYAN MEDICAL CENTER ESTABLISHED A FREE STANDING IMAGING CENTER AT THE PINE LAKE CAMPUS CALLED THE BRYAN IMAGING AND DIAGNOSTIC. THE BRYAN IMAGING AND DIAGNOSTIC PROVIDES A LOWER COST OPTION FOR OUR PATIENTS. OPENED IN MARCH OF 2020, THE BRYAN TRAUMA OUTPATIENT SERVICES DEPARTMENT PROVIDES A CLINIC HOME FOR BRYAN PHYSICIAN NETWORK'S TRAUMA AND ORTHOPEDIC TRAUMA SERVICE. THE HOSPITAL BASED PRACTICE EMPLOYS 3 GENERAL/TRAUMA SURGEONS AND 3 OTHOPEDIC TRAUMA SURGEONS. A MAJORITY OF THE CLINIC VISITS ARE FOR ORTHOPEDIC INJURIES AND FOLLOW-UP CARE BUT ALSO INCLUDE GENERAL SURGERY AND TRAUMA SURGERY VISITS. IN ADDITION TO PERIOPERATIVE OUTPATIENT CARE, SERVICES INCLUDE CASTING, X-RAY, AND PTSD SCREENING FOR PATIENTS. DOCTORS OUTPATIENT SURGERY CENTER (DOSC) AND LINCOLN DIGESTIVE HEALTH CENTER (LDHC) ARE JOINT VENTURES BETWEEN BRYAN MEDICAL CENTER AND AREA PHYSICIAN GROUPS THAT BEGAN SEEING PATIENTS IN 2018. DOSC WILL PROVIDE A LOWER COST OUTPATIENT ALTERNATIVE TO THE COMMUNITY WHERE GENERAL AND SPECIALTY SURGIES WILL BE PERFORMED, INCLUDING ORTHOPEDICS, GYNECOLOGY, PODIATRY, PLASTICS AND DENTAL. LDHC WILL INCREASE THE CAPACITY OF LOWER COST GASTRONITESTINAL SCREENINGS (COLONOSCOPIES) AND GASTRONITESTINAL SERVICES TO THE COMMUNITY.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET SUITE 600 RO	OM 1	LINCOLN	NE	68506	CARDIAC OUTPATIENT SERVICES
BRYAN MEDICAL CENTER MRI SERVICES
2222 SOUTH 16TH STREET TOWER B SUIT	E 10	LINCOLN	NE	68502	MRI SERVICES
BRYAN MEDICAL CENTER OUTPATIENT RADIOLOGY
3901 PINE LAKE ROAD SUITE 110		LINCOLN	NE	68516	OUTPATIENT RADIOLOGY SERVICES
BRYAN MEDICAL CENTER LABORATORY
2221 SOUTH 17TH STREET SUITE 100		LINCOLN	NE	68502	LABORATORY SERVICES
BRYAN MEDICAL CENTER THERAPY SERVICES
7501 SOUTH 27TH STREET		LINCOLN	NE	68512	THERAPY SERVICES
BRYAN MEDICAL CENTER COUNSELING CENTER
2221 SOUTH 17TH STREET SUITE 201		LINCOLN	NE	68502	COUNSELING SERVICES
BRYAN MEDICAL CENTER OUTPATIENT SERVICES
1500 SOUTH 48TH STREET 1ST FLOOR		LINCOLN	NE	68506	LAB & RADIOLOGY SERVICES
BRYAN MEDICAL CENTER CARDIAC-VASCULAR OUTPATIENTS
1600 SOUTH 48TH STREET SUITE 301		LINCOLN	NE	68506	VASCULAR OUTPATIENT SERVICES
BRYAN MEDICAL CENTER
2222 SOUTH 16TH STREET TOWER B SUIT	E 110	LINCOLN	NE	68502	RADIOLOGY SERVICES
BRYAN MEDICAL CENTER COUNSELING CENTER
2221 SOUTH 17TH STREET SUITE 310		LINCOLN	NE	68502	COUNSELING SERVICES
BRYAN MEDICAL CENTER PEDIATRIC REHABILITATION SERV
1500 SOUTH 48TH STREET SUITE 709		LINCOLN	NE	68502	PEDIATRIC REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	BRYAN HEALTH
Schedule H, Part I, Line 7g Subsidized Health Services	N/A - THERE ARE NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC ON LINE 7G.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	BRYAN MEDICAL CENTER'S UNCOMPENSATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. DIRECT AND INDIRECT COSTS WERE DEDUCTED FROM PAYMENTS TO CALCULATE THE AMOUNTS ON 7B. FOR LINES 7E, 7F, AND 7I, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY.
Schedule H, Part II Community Building Activities	THE COSTS REPORTED IN PART II COMMUNITY BUILDING ACTIVITES ARE FOR THE UPKEEP OF A COMMUNITY PARK AND GARDEN.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, BRYAN MEDICAL CENTER HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE ON IRS FORM 990, PART IX.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE AMOUNT OF THE MEDICAL CENTER'S BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY IS ESTIMATED TO BE ZERO BASED ON THE FOLLOWING: (1) BRYAN MEDICAL CENTER HAS ESTABLISHED POLICIES THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENT'S ABILITY TO PAY; AND ONCE ELIGIBILITY IS VERIFIED, THE MEDICAL CENTER WILL WRITE ACCOUNTS OFF TO CHARITY CARE AND NO LONGER PURSUE DEBT COLLECTION PROCEDURES; (2) BRYAN MEDICAL CENTER HAS COUNSELORS AVAILABLE TO WORK WITH ANY PATIENT BOTH PRE AND POST DISCHARGE TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE; (3) BRYAN MEDICAL CENTER PROVIDES PRESUMPTIVE FINANCIAL ASSISTANCE WHEN A PATIENT MAY APPREAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO THE LACK OF SUPPORTING DOCUMENTATION. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 18-20 OF THE BRYAN HEALTH CONSOLIDATED AUDIT REPORT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. BRYAN MEDICAL CENTER PROVIDES CARE TO MEDICARE PATIENTS, AND MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO THESE PATIENTS CAUSING A SHORTFALL, OR LOSS TO THE ORGANIZATION. THE FUNDS BRYAN MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS BRYAN'S POLICY TO OFFER PATIENTS A PAYMENT PLAN AND/OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN THAT A PATIENT IS IN NEED OF ASSISTANCE TO HELP PAY FOR THEIR HOSPITAL BILL. IF BRYAN IS AWARE THAT A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THIS ACCOUNT WILL NEVER BE REFERRED TO A COLLECTION AGENCY. IF AN ACCOUNT HAS BEEN SENT TO COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO BRYAN FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Schedule H, Part V, Section B, Line 16a FAP website	A - BRYAN MEDICAL CENTER EAST: Line 16a URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - BRYAN MEDICAL CENTER EAST: Line 16b URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - BRYAN MEDICAL CENTER EAST: Line 16c URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part VI, Line 2 Needs assessment	AS A HEALTHCARE LEADER IN NEBRASKA, BRYAN MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. THE COMMUNITY OF LINCOLN AND LANCASTER COUNTY, NEBRASKA HAS A WIDE RANGE OF PERSONAL HEALTH CARE PROVIDERS, PHYSICIAN CLINICS, OTHER HEALTH FACILITES AND MEDICAL AND DENTAL PROVIDERS THAT ADDRESS THE NEEDS OF THE LOCAL POPULATION, AS WELL AS RESIDENTS THROUGHOUT THE STATE AND REGION. SOME OF THE RESOURCES THAT BRYAN HAS ARE: 1.) ACUTE CARE SERVICES, WHICH INCLUDE CARDIOLOGY, ORTHOPEDICS, TRAUMA, NEUROSCIENCE, MENTAL HEALTH, OBSTETICS, NEONATAL INTENSIVE CARE, REHABILITATION AND ONCOLOGY. BRYAN IS THE COMMUNITY'S ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES AND SUBSTANCE USE TREATMENT. 2) PRIMARY CARE SERVICES, BRYAN PROVIDES URGENT CARE CLINICS THROUGHOUT LINCOLN THAT PROVIDE PRIMARY CARE SERVICES OUTSIDE PHYSICIANS' NORMAL WORKING HOURS. THERE ARE CURRENTLY 5 URGENT CARE CLINICS THROUGHOUT LINCOLN AND MORE WITHIN THE OUTLYING TOWNS AND COMMUNITIES OF LANCASTER COUNTY. 3) BEHAVORIAL HEALTH SERVICE. BRYAN MEDICAL CENTER IS THE ONLY ACUTE CARE HOSPITAL IN THE LINCOLN LANCASTER COUNTY AREA TO PROVIDE BEHAVIORAL HEALTH SERVICES AND IS ONE OF ONLY A FEW ACUTE CARE HOSPITALS IN THE NATION TO SUPPORT A DEDICATED MENTAL HEALTH EMERGENCY DEPARTMENT. THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT HAS SEVERAL PLANNED STAGES OF FURTHER DEVELOPMENT AND ENRICHMENT OF THE LINCOLN COMMUNITY HEALTH SURVEY. THESE SUNSEQUENT STAGES HAVE BEEN DELAYED DUE TO THE EFFECTS OF THE COVID-19 PANDEMIC, BUT WORK ON ALL OF THEM CONTINUES. THE HEALTH DEPARMENT PARTNERED WITH UNIVERSITY OF NEBRASKA MEDICAL CENTER TO DEVELOP PROGRAMMING FOR A SERIES OF COMMUNITY CONVERSATIONS WITH SURVEY RESPONDENTS WHO INDICATED THEY WOULD BE WILLING TO PARTICIPATE IN FURTHER DISCUSSIONS ABOUT HEALTH IN THEIR AREA. THESE COMMUNITY CONVERSATIONS WILL BE HOSTED BY A TECHNOLOGY OF PARTICIPATION CERTIFIED FACILITATOR FROM THE HEALTH DEPARTMENT, AND WILL GATHER ROUGHLY 6 TO 12 MEMBERS OF THE COMMUNITY, 5 GEOGRAPHICALLY-BASED SESSIONS ARE SCHEDULED - ONE FOR EACH QUADRANT OF THE AREA, AND A FIFTH FOR THE CENTRAL AREA. ADDITIONAL CONVERSATIONS ARE SCHEDULED FOR OVERSAMPLED POPULATIONS, INCLUDING LINCOLN'S CULTURAL COALITION, THE LINCOLN HOMELESS COALITION, AND ORGANIZATIONS REPRESENTING LANCASTER COUNTY'S BLIND COMMUNITY. ONCE THE TEAM HAS COMPLETED ANALYSIS OF THE QUANTITATIVE DATA GATHERED THROUGH THE LINCOLN COMMUNITY SURVEY AND ITS RESULTING COMMUNITY CONVERSATIONS, IT WILL HOST A SUMMIT WHERE IT WILL PRESENT ITS FINDINGS TO THE COMMUNITY. MEMBERS OF THE COMMUNITY WILL BE INVITED TO ATTEND, INCLUDING REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS, THE POLICE AND FIRE DEPARTMENTS, THE PUBLIC-SCHOOL DISTRICTS, LOCAL BUSINESSES, LOCAL HEALTHCARE PRACTICES, AND THE COMMUNITY AT LARGE. THE SUMMIT WILL REFLECT THE COLLABORATIVE EFFORT FROM THE HEALTH DEPARTMENT, BRYAN HEALTH, AND CHI HEALTH.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	IN KEEPING WITH BRYAN MEDICAL CENTER'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, BRYAN OFFERS A FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM IS PROVIDED AT EACH NEW EMPLOYEE ORIENTATION SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. BRYAN HAS TRAINED FINANCIAL COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENTS FINANCIAL NEED. UNINSURED PATIENTS WHO ARE ADMITTED TO BRYAN WILL AUTOMATICALLY RECEIVE A CONSULTATION WITH A FINANCIAL COUNSELOR. THE COUSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. WHEN APPLICABLE, THE FINANCIAL COUNSELORS PROVIDE ASSISTANCE FOR QUALIFYING FOR THE FINANCIAL ASSISTANCE POLICY OR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY; INCLUDING THE PHONE NUMBER TO CONTACT A BILLING CUSTOMER SERVICE REPRESENTATIVE, IS PROVIDED: 1) ON BRYAN'S WEBSITE, 2) IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, 3) IN BILLING OFFICES, 4) IN ALL INPATIENT ADMISSION PACKETS; AND 5) ON EACH BILLING STATEMENT. THE ORGANIZATION'S PROCEDURE IS TO MAIL, THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM TO PATIENTS FREE OF CHARGE UPON REQUEST. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT FROM PRE-ADMISSION TO THE FINAL PAYMENT OF THE BILL, AS WE RECOGNIZE THAT A PATIENT'S ABILITY TO PAY OVER AN EXTENDED PERIOD OF TOME MAY BE SUBSTANTIALLY ALTERED DUE TO ILLNESS OR FINANCIAL HARDSHIP, RESULTING IN A NEED FOR FINANCIAL ASSISTANCE. ANNUALLY, ALL HOSPITAL EMPLOYEES ARE REQUIRED TO RECEIVE TRAINING REGARDING THE FINANCIAL ASSISTANCE POLICY INCLUDING HOW TO ANSWER QUESTIONS FROM A PATIENT REGARDING WHERE THE PATIENT CAN RECEIVE ADDITIONAL INFORMATION REGARDING THE POLICY.
Schedule H, Part VI, Line 4 Community information	BRYAN MEDICAL CENTER PROVIDES A NETWORK OF COMPREHENSIVE HEALTH CARE SERVICES TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. BRYAN IS LOCATED IN THE CAPITAL CITY OF NEBRASKA, LINCOLN, NEBRASKA, WHICH IS THE STATE'S SECOND LARGEST METROPOLITAN AREA. WHILE BRYAN SERVES A REGIONAL GEOGRAPHIC AREA EXTENDING BEYOND THE COUNTY, LANCASTER COUNTY RESIDENTS ACCOUNT FOR NEARLY 67 PERCENT OF THE INPATIENTS AND 83 PERCENT OF OUTPATIENTS. THE MEDIAN HOUSEHOLD INCOME FOR 2023 IN LANCASTER COUNTY, NEBRASKA WAS ESTIMATED AT $70,637 AND 12.2% OF THE POPULATION HAD INCOMES BELOW THE POVERTY LEVEL. THE PERCENT OF UNISURED ADULTS AGED 19 TO 64 IN LANCASTER COUNTY HAS BEEN ESTIMATED AT A RATE OF 5.3% IN 2023. CANCER REMAINED THE LEADING CAUSE OF DEATH FOR LANCASTER COUNTY IN 2020, FOLLOWED BY HEART DISEASE, COVID-19, CHRONIC LUNG DISEASE, ACCIDENTAL DEATHS, CEREBROVASCULAR DISEASE, AND ALZHEIMER'S DISEASE. BRYAN AND CHI HEALTH ST. ELIZABETH ARE THE PRIMARY HOSPITALS SERVING LANCASTER COUNTY. THE CENSUS BUREAU REPORTS THAT THE COUNTY'S POPULATION GREW FROM 250,291 IN 2000 TO AN ESTIMATED 326,716 IN 2023. POPULATION IS PROJECTED TO BE NEARLY 440,000 BY 2050, WITH GROWTH EXPECTED AMONG ALL MAJOR AGE GROUPS. THE 60 AND OVER AGE GROUP IS PROJECTED TO HAVE THE HIGHEST RATE OF GROWTH, INCREASING FROM AN ESTIMATED 64,291 IN 2019 TO AN ESTIMATED 85,000 IN 2050. BECAUSE OF LINCOLN'S SIZE, RELATIVELY STABLE ECONOMY, AND EDUCATIONAL OPPORTUNITIES, THE U.S. STATE DEPARTMENT DESIGNATED LINCOLN AS "REFUGEE FRIENDLY" IN THE 1970S. SINCE THE 70S, WAVES OF IMIGRANTS FROM ACROSS THE WORLD HAVE RESETTLED IN LINCOLN. LINCOLN PUBLIC SCHOOLS CURRENTLY SERVES APPROXIMATELY 2,500 ENGLISH LEARNERS, REPRESENTING 152 DIFFERENT COUNTRIES AND OVER 60 DIFFERENT LANGUAGES. THE MINORITY POPULATION IN LANCASTER COUNTY IS ESTIMATED TO BE 21.7% IN 2023. PERSONS OF HISPANIC ORIGIN (MAY BE OF ANY RACE) ARE ESTIMATED TO BE 8.1% IN 2023, WHILE PERSONS REPORTING AS ASIAN ALONE ARE ESTIMATED TO BE 4.5%. PROJECTED GROWTH IN MINORITY POPULATIONS CHALLENGES US TO ACCOMMODATE DIVERSE LANGUAGE AND CULTURAL NEEDS. WITH THE SERVICE AREA RAPIDLY EXPANDING AND THE OVER 65 AGE GROUP EXPECTED TO INCREASE, BRYAN RECOGNIZES THE IMMENSE NEEDS OF OUR SERVICE AREA ARE EXPANDING AND CHANGING.
Schedule H, Part VI, Line 5 Promotion of community health	BRYAN MEDICAL CENTER HAS PROVIDED HIGH QUALITY, COMPREHENSIVE MEDICAL SERVICES TO BENEFIT THE COMMUNITY FOR OVER 97 YEARS, AND IS COMMITTED TO IDENTIFYING AND ADDRESSING NEEDS IN THE COMMUNITY IN THE FUTURE. FUNDAMENTAL TO OUR COMMUNITY COMMITMENT IS THE LEADERSHIP OF OUR LOCAL GOVERNING BOARD. THE MAJORITY OF BRYAN'S GOVERNING BOARD CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS, AND COMMUNITY LEADERS WHO ARE INDEPENDENT, AND ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, AND UNDERSTAND THE NEEDS OF THE COMMUNITY. THESE VOLUNTEERS DEDICATE THEIR TIME, WISDOM, INSIGHTS, AND EXPERTISE TO SET POLICY AND STRATEGIC DIRECTION TO ENSURE THAT BRYAN'S VISION, MISSION AND STRATEGIC PLANS ARE ALIGNED WITH ITS CHARITABLE PURPOSE. THE MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT BOARD MEMBERS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIRMENTS. AS OF DECEMBER 31, 2023, BRYAN HAD AN ORGANIZED MEDICAL STAFF OF OVER 800 PHYSICIANS. AS A NON-PROFIT MEDICAL CENTER, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY; INCLUDING BUT NOT LIMITED TO: 1) PROVIDING A COMPLETE DIAGNOSTIC AND INTERVENTIONAL CARDIAC PROGRAM; 2) PROVIDING A COMPREHENSIVE LEVEL II TRAUMA CENTER FOR SOUTHEAST NEBRASKA WHICH PROVIDES 24-HOUR COVERAGE OF EMERGENCY SERVICES; 3) PROVIDING A HOSPITAL-BASED RESIDENTAL TREATMENT SUBSTANCE ABUSE FACILITY IN LINCOLN, WHICH SERVES PATIENTS THAT STRUGGLE WITH ADDICTION TO DRUGS AND ALCOHOL FROM SOUTHEAST NEBRASKA AND MANY OTHER STATES; 4) PROVIDING HOSPITAL-BASED MENTAL HEALTH CARE TO LINCOLN AND SURROUNDING COMMUNITIES; AND 5) PROVIDING A STATE-OF-THE-ART WOMENS AND CHILDREN'S TOWER WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT; 6) MAJOR RENOVATION AND EXPANSION AIMED AT MODERIZING THE MEDICAL CENTER'S OPERATION AND RECOVERY ROOMS ON THE EAST CAMPUS WHICH WAS COMPLETED IN JUNE OF 2022. BRYAN IS COMMITTED TO TEACHING AND TRAINING THE HEALTH CARE PROFESSIONALS OF TOMORROW. OUR COLLEGE OF HEALTH SCIENCES OFFERS GRADUATE AND UNDERGRADUATE DEGREES THROUGH ITS SCHOOL OF NURSING, SCHOOL OF HEALTH PROFESSIONALS, AND SCHOOL OF NURSE ANESTHESIA PROGRAMS. MANY OF THE GRADUATES STAY IN LINCOLN OR THE SURROUNDING AREA, THEREBY PROVIDING A CONTINUOUS SUPPLY OF MEDICAL PROFESSIONALS FOR THE COMMUNITY. IN ADDITION, THE MEDICAL CENTER ASSURES CONTINUING QUALITY HEALTH IN OUR COMMUNITY THROUGH RESIDENCY PROGRAMS, WORKSHOPS AND SEMINARS, AND CLINICAL EDUCATION PROGRAMS.
Schedule H, Part VI, Line 6 Affiliated health care system	BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN HEALTH EXISTS TO: PROMOTE AND PROVIDE ACCESS TO QUALITY HEALTH CARE; PROVIDE MEDICAL EDUCATION, AND COMMUNITY SERVICE. THE COMMUNITY BENEFITS PROVIDED BY BRYAN HEALTH INCLUDE: 1) PROVIDING FREE OR DISCOUNTED HEALTH CARE TO THE UNINSURED AND UNDERINSURED, 2) PROVIDING GOVERNMENTAL SPONSORED PROGRAMS SUCH AS MEDICARE AND MEDICAID; 3) HEALTH PROFESSIONALS' EDUCATION 4) COMMUNITY HEALTH IMPROVEMENT SERVICES AND 5) CASH AND IN-KIND CONTRIBUTIONS TO OTHER NON-PROFIT ORGANIZATIONS. BRYAN HEALTH PROVIDES A FULL SPECTRUM OF PREVENTION, WELLNESS, ACUTE CARE AND REHABILITATION SERVICES TO URBAN, SUBURBAN AND RURAL COMMUNITIES IN NEBRASKA, KANSAS, IOWA, AND MISSOURI. BRYAN HEALTH CONSISTS OF FIVE ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, FIVE URGENT CARE CENTERS, THREE PHILANTHROPIC FOUNDATIONS, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREIMER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH. ONCOLOGY, IMAGING AND MENTAL HEALTH.
Schedule H, Part VI, Line 7 State filing of community benefit report	NE

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MADONNA REHAB HOSPITAL
5401 SOUTH STREET	LINCOLN	NE	68506	470439599	501(C)(3)	$25,000	GENERAL OPERATIONS
CLINIC WITH A HEART
1701 S 17TH ST 4G	LINCOLN	NE	68502	202850139	501(C)(3)	$20,000	GENERAL OPERATIONS
MALONE COMMUNITY CENTER
2032 U STREET	LINCOLN	NE	68506	470376577	501(C)(3)	$12,500	GENERAL OPERATIONS
AMERICAN HEART ASSOCIATION
9900 NICHOLAS ST 200	OMAHA	NE	68114	135613797	501(C)(3)	$10,000	GENERAL OPERATIONS
KEARNEY AREA CHAMBER COMMERCE
1007 2ND AVENUE	KEARNEY	NE	68847	470208070	501(C)(6)	$10,000	GENERAL OPERATIONS
PROJECT PINK'D
11405 DAVENPORT STREET	OMAHA	NE	68154	455212995	501(C)(3)	$10,000	GENERAL OPERATIONS
NEBRASKA HOSPITAL ASSOCIATION
3255 SALT CREEK CIR 100	LINCOLN	NE	68504	470384546	501(C)(6)	$8,700	GENERAL OPERATIONS
HEARTLAND CANCER FOUNDATION
PO BOX 5203	LINCOLN	NE	68505	205952202	501(C)(3)	$8,500	GENERAL OPERATIONS
LINCOLN CHAMBER OF COMMERCE
1128 LINCOLN MALL 100	LINCOLN	NE	68508	941506195	501(C)(6)	$6,711	GENERAL OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE CONTRIBUTIONS COMMITTEE OF BRYAN HEALTH OVERSEES THE GRANT ALLOCATION AND MANAGEMENT FOR THIS ORGANIZATION. EACH POTENTIAL RECIPIENT IS REQUIRED TO APPLY FOR A GRANT. THE CONTRIBUTIONS COMMITTEE REVIEWS AND DISCUSSES ALL SUBMITTED REQUESTS IN DETAIL. THE COMMITTEE EVALUATES REQUESTS ON THESE CRITERIA: DOES THE PROJECT OR AGENCY ADDRESS NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, IS THE REQUESTING AGENCY LOCAL, IS THE REQUEST RELATED TO HEALTH IN THE COMMUNITIES WE SERVE & DOES THE REQUEST HELP KIDS. GRANTS ARE AWARDED BASED ON NEED AND ELIGIBILITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ADRIANNE OLSON
CNO	$259,027	$0	$26,765	$0	$2,603	$0	$9,068	$0	$34,471	$0	$331,934	$0	$0	$0
ERIC MOOSS
CEO BRYAN MEDICAL CENTER	$481,594	$15,112	$62,137	$0	$126,768	$35	$17,299	$0	$30,424	$361	$718,222	$15,508	$0	$0
RUSSELL GRONEWOLD
DIRECTOR	$0	$1,001,357	$0	$162,356	$0	$394,383	$0	$21,450	$0	$23,373	$0	$1,602,919	$0	$0
ROBERT OAKES MD
DIRECTOR	$10,000	$969,121	$0	$595,478	$0	$43,283	$0	$18,150	$0	$31,804	$10,000	$1,657,836	$0	$0
JOHN WOODRICH
Bryan Health Exec VP & COO	$28,573	$672,662	$0	$109,951	$0	$335,688	$1,790	$18,982	$804	$20,105	$31,167	$1,157,388	$0	$0
DAVID REESE
Bryan Health VP & Physician Partnership & Facilities Officer	$12,130	$306,851	$0	$48,224	$0	$68,722	$1,292	$32,407	$1,086	$27,141	$14,508	$483,346	$0	$0
TROY HOTTOVY
CHIEF INFORMATION SECURITY OFFICER	$231,416	$0	$98,756	$0	$9,280	$0	$18,150	$0	$28,683	$0	$386,285	$0	$0	$0
JOHN TRAPP MD
VP & CHIEF MEDICAL OFFICER	$543,709	$0	$86,799	$0	$145,899	$0	$18,150	$0	$25,236	$0	$819,793	$0	$0	$0
DAVID GRIFFITHS
VP - CFO BRYAN MEDICAL CENTER	$322,079	$9,179	$21,043	$0	$11,856	$42	$17,623	$528	$24,992	$999	$397,593	$10,748	$0	$0
TRAVIS GREGG
VP & COO BRYAN MEDICAL CENTER	$259,862	$0	$23,877	$0	$33,263	$0	$7,334	$0	$34,760	$0	$359,096	$0	$0	$0
LISA VAIL
BRYAN HEALTH CHIEF NURSING OFFICER	$13,182	$285,585	$0	$56,487	$0	$183,768	$863	$20,587	$936	$23,396	$14,981	$569,823	$0	$0
RICHARD LLOYD
PRESIDENT - BRYAN COLLEGE HEALTH SCIENCES	$272,771	$0	$80,755	$0	$95,546	$0	$18,150	$0	$25,623	$0	$492,845	$0	$0	$0
SHARON HADENFELDT
DEAN OF NURSE ANESTHESIA	$240,154	$0	$15,087	$0	$2,303	$0	$26,875	$0	$3,968	$0	$288,387	$0	$0	$0
KENT HOXMEIER
ANESTHESIA & PERUSION MANAGER	$233,737	$0	$12,853	$0	$2,565	$0	$10,837	$0	$23,837	$0	$283,829	$0	$0	$0
JENNIFER FENCL
REGISTERED NURSE	$213,551	$0	$6,550	$0	$2,239	$0	$17,337	$0	$30,443	$0	$270,120	$0	$0	$0
KRISHA ELLINGER
IT APPLICATIONS DIRECTOR	$158,301	$0	$91,267	$0	$27,178	$0	$11,780	$0	$10,231	$0	$298,757	$0	$0	$0
JEROME WOHLEB
PHARMACY DIRECTOR	$225,116	$0	$23,465	$0	$4,792	$0	$16,279	$0	$27,708	$0	$297,360	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	THE MAJORITY OF THE MEMBERS OF THE BOARD OF THE TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYAN MEDICAL CENTER ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYAN MEDICAL CENTER. REIMBURSEMENT FOR COMPANIONS OF VOLUNTEER TRUSTEES IS LIMITED BY THE BOARD OF TRUSTEES' TRAVEL POLICY TO AIR TRAVEL AT THE COACH LEVEL OR THE EXTENDED COACH/EXTENDED LEG ROOM LEVEL. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER OF BRYAN HEALTH, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	THE ORGANIZATION PROVIDES SOCIAL CLUB MEMBERSHIPS FOR SELECT EMPLOYEES IF THERE IS A BUSINESS NEED FOR THE MEMBERSHIP. THE CLUB MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ORGANIZATION REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. ONE OFFICER LISTED IN FORM 990, PART VII, SECTION A, RECEIVED THIS BENEFIT DURING THE TAX YEAR.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI -HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2023. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	IN ORDER TO ATTRACT AND RETAIN TALENTED, EXPERIENCED EXECUTIVES, BRYAN HEALTH OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2023: RUSSELL GRONEWOLD $316,077, RICHARD LLOYD $82,589, ERIC MOOSS $87,943, JOHN TRAPP $100,975, DAVID REECE $57,320, JOHN WOODRICH $264,413, AND LISA VAIL $122,742.
Schedule J, Part I, Line 7 Non-fixed payments	BRYAN HEALTH OFFERS A MARKET COMPETITIVE INCENTIVE COMPENSATION PROGRAM FOR MEMBERS OF MANAGEMENT. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. THE GOALS ARE SET AND REVIEWED FOR LEVEL OF ACCOMPLISHMENT BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES.
Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EXECUTIVES OF BRYAN HEALTH AND BRYAN MEDICAL CENTER, AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE COUNTY OF LANCASTER NEBRASKA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	476006482	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2022-09-01	BondIssuedDt
Issue Price	$99,045,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$99,319,562	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$411,439	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$35,000,000	CapitalExpendituresAmt
Other Spent Proceeds	$59,302,600	OtherSpentProceedsAmt
Unspent	$4,605,523	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	THE SERIES 2022C BONDS WERE ISSUED TO (1) ACQUIRE, CONSTRUCT, IMPROVE, EXTEND, REPAIR, EQUIP AND FURNISH A NEW SURGERY CENTER; (2) ACQUIRE, CONSTRUCT, IMPROVE, EXTEND, REPAIR, EQUIP AND FURNISH AN ADMINISTRATION AND MEDICAL CARE FACILITIES; (3) MAKE IMPROVEMENTS TO THE CORPORATION'S WEST CAMPUS; AND (4) REFUND THE SERIES 2008B-1, 2008B-2 AND SERIES 2008C BONDS.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART 1, LINE A, COLUMN (E) DUE TO INVESTMENT EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	MANY OF THE PERSONS LISTED IN PART VII, SECTION A, HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT BY A BRYAN HEALTH ENTITY.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY AND TREASURER OF THE BOARD, THE CHIEF OF STAFF, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SYSTEM AND THE PRESIDENT/CHIEF OPERATING OFFICER OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, EXCEPT THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER (A) TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY TRUSTEE OR OFFICERS OF THE CORPORATION; (B) TO AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY THE EXECUTIVE COMMITTEE. THE DESIGNATION AND APPOINTMENT OF AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD, OR ANY INDIVIDUAL TRUSTEE, OF ANY RESPONSIBLITIY IMPOSED UPON IT OR HIM/HER BY LAW.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	ELIZABETH LAU MD AND KEN GROSS MD - Business relationship, GAYLE PAGE AND MARK WALZ - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: (1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; (2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND (3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRYAN HEALTH AS SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF ALL THE VOTING TRUSTEES OF BRYAN HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	BRYAN HEALTH IS THE SOLE MEMBER OF BRYAN MEDICAL CENTER ("MEDICAL CENTER"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF THE MEDICAL CENTER MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM: (1) ADOPT ANY LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $5,000,000 IN ANY SINGLE TRANSACTION OR $10,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR STRATEGIC PLAN; (4) APPROVE ANY INDEBTEDNESS OR INCUR A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $5,000,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (5) ENGAGE IN OR ENTER INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION OF $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (6) APPROVE THE ELECTION OF MEMBERS OF THE BOARD; (7) APPROVE THE APPOINTMENT OF THE SYSTEM PRESIDENT/CHIEF EXECUTIVE OFFICER; (8) APPROVE PARTICIPATION IN OTHER HEALTH CARE SYSTEMS BY AFFILIATION OR MERGER; (9) APPROVE ITS LIQUIDATION OR DISSOLUTION; (10) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY INTEREST IN, AS ALLOWED BY THE CODE, OF ANY CORPORATION, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP; TRUST, SHARED SERVICE ARRANGEMENT; JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURES OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY SINGLE TRANSACTION EXCEEDS $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (11) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; OR (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE SYSTEM'S GOALS AND OBJECTIVES.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THIS 990 WAS PREPARED BY BRYAN HEALTH'S TAX DIVISION. DURING THE RETURN PREPARATION PROCESS, THE TAX DIVISION WORKS DILIGENTLY WITH OTHER DEPARTMENTS INCLUDING HUMAN RESOURCES, FINANCE, LEGAL, AND ADVANCEMENT TO GATHER INFORMATION TO COMPLETE FORM 990 AND ATTACHED SCHEDULES IN AN ACCURATE AND THOROUGH MANNER. THIS 990 WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND OTHER KEY OFFICERS OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. BRYAN HEALTH'S BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD'S AUDIT COMMITTEE. EACH MEMBER OF THE AUDIT COMMITTEE HAS THE OPPORTUNITY TO REVIEW A COPY OF THIS 990, PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	BRYAN MEDICAL CENTER HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES OF BRYAN HEALTH. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT. THE QUESTIONNAIRE REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE; (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2023. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE FORM 990, PART VI, SECTION B, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION.
Form 990, Part VII, Section A COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON BRYAN MEDICAL CENTER'S BOARD IS COMPENSATED FOR THEIR SERVICES AS BOARD MEMBERS. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION.
Form 990, Part VIII, Line 2f Other Program Service Revenue	PURCHASE DISCOUNTS - Total Revenue: 1392, Related or Exempt Function Revenue: 1392, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER NON-OPERATING INCOME - Total Revenue: 3048814, Related or Exempt Function Revenue: 3048814, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS INCOME - Total Revenue: 2468939, Related or Exempt Function Revenue: 2042173, Unrelated Business Revenue: 426766, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EPIC COMMUNITY CONNECT - Total Revenue: 119832, Related or Exempt Function Revenue: 119832, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	CONSULTING - Total Expense: 4153825, Program Service Expense: 3456169, Management and General Expenses: 697656, Fundraising Expenses: ; LEASE COMMISSIONS - Total Expense: 94199, Program Service Expense: 7661, Management and General Expenses: 86538, Fundraising Expenses: ; MEDICAL DIRECTOR FEES - Total Expense: 2510905, Program Service Expense: 2442473, Management and General Expenses: 68432, Fundraising Expenses: ; TEST SERVICES - Total Expense: 2777616, Program Service Expense: 2777616, Management and General Expenses: , Fundraising Expenses: ; LABORATORY FEES - Total Expense: 5555882, Program Service Expense: 5555882, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 30106754, Program Service Expense: 29386572, Management and General Expenses: 720182, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 1762552, Program Service Expense: 1762552, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 7386392, Program Service Expense: 7386392, Management and General Expenses: , Fundraising Expenses: ; ANESTHESIOLOGY FEES - Total Expense: 4610961, Program Service Expense: 4610961, Management and General Expenses: , Fundraising Expenses: ; MISCELLANEOUS FEES - Total Expense: 4833079, Program Service Expense: 2750934, Management and General Expenses: 2082145, Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 1725345, Program Service Expense: 1725191, Management and General Expenses: 154, Fundraising Expenses: ; SECURITY - Total Expense: 3867767, Program Service Expense: 3313711, Management and General Expenses: 554056, Fundraising Expenses: ; SERVICE AGREEMENTS - Total Expense: 15973949, Program Service Expense: 11772920, Management and General Expenses: 4201029, Fundraising Expenses: ; AMBULANCE SERVICE - Total Expense: 634243, Program Service Expense: 634243, Management and General Expenses: , Fundraising Expenses: ; TEMPORARY LABOR - Total Expense: 12819606, Program Service Expense: 12819606, Management and General Expenses: , Fundraising Expenses: ; MISCELLANEOUS OUTSIDE SERVICE - Total Expense: 6690379, Program Service Expense: 6314892, Management and General Expenses: 375487, Fundraising Expenses: ; JANITORIAL SERVICES - Total Expense: 385712, Program Service Expense: 322644, Management and General Expenses: 63068, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION LIABILITY - 6763148; TRANSFER TO RELATED ENTITY - -101000000; CHANGE IN TEMPORARILY RESTRICTED INTEREST IN BRYAN FOUNDATION - -850526; CHANGE IN PERMANENTLY RESTRICTED INTEREST IN BRYAN FOUNDATION - 1374476; OTHER - -103531;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BRYAN HEALTH
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	363414823	HEALTHCARE	NE	501(c)(3)	Type III-FI	BRYAN HEALTH	false
CRETE AREA MEDICAL CENTER
2910 BETTEN DRIVE	CRETE	NE	68333	470841285	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN FOUNDATION
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	237005720	FUNDRAISING	NE	501(c)(3)	7	BRYAN HEALTH	Yes (true)
BRYAN PHYSICIAN NETWORK
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	201357375	HEALTHCARE	NE	501(c)(3)	10	BRYAN HEALTH	Yes (true)
MERRICK MEDICAL CENTER
2802 28TH STREET	CENTAL CITY	NE	688269501	820906268	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
MERRICK MEDICAL CENTER FOUNDATION
2802 28TH STREET	CENTRAL CITY	NE	68826	470710738	FUNDRAISING	NE	501(c)(3)	7	MERRICK MEDICAL CENTER	Yes (true)
GRAND ISLAND REGIONAL MEDICAL CENTER
3533 PRAIRIEVIEW ST	GRAND ISLAND	NE	68803	352621082	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER
804 22ND AVENUE	KEARNEY	NE	68845	873486516	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN HOSPITAL KEARNEY FOUNDATION
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	923387978	FUNDRAISING	NE	501(c)(3)	Type II	BRYAN FOUNDATION	Yes (true)
GRAND ISLAND REGIONAL MEDICAL CENTER FOUNDATION
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	931718948	FUNDRAISING	NE	501(c)(3)	Type II	BRYAN FOUNDATION	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line2USAddress/AddressLine2Txt
LINCOLN DIGESTIVE HEALTH CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	371833798	HEALTHCARE	NE	BRYAN MEDICAL CENTER	Related	$695,425	$783,100	false	false	0.51
DOCTOR'S OUTPATIENT SURGERY CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	364835603	HEALTHCARE	NE	BRYAN MEDICAL CENTER	Related	$977,971	$1,079,377	false	false	0.51
HEAD AND NECK SURGICAL PARTNERS LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	911824787	HEALTHCARE	NE	BRYAN MEDICAL CENTER	Related	$910,699	$76,192	false	false	0.51
GRAND ISLAND HOSPITAL HOLDINGS LLC
3533 PRAIRIEVIEW STREET	GRAND ISLAND	NE	68803	475381241	LEASE PROPERTY, HOLDING COMPANY	NE	NA	N/A
SEWARD URGENT CARE PARTNERSHIP LLC
2222 SOUTH 16TH STREET	LINCOLN	NE	68502	923319265	HEALTHCARE	NE	NA	N/A						SUITE 400A
BRYAN TELEMEDICINE LLC
2222 S 16TH ST STE 401A	LINCOLN	NE	68502	383932523	HEALTHCARE	NE	NA	N/A
BRYAN HEART MARY LANNING CARDIOLOGY LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	464822260	CARDIOLOGY SERVICES	NE	NA	N/A						SUITE 600

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BRYAN ENTERPRISES INC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	470701037	MEDICAL SERVICES	NE	NA	C Corporation	Yes (true)
INTEGRATED CARDIOLOGY GROUP LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	470844961	CARDIOLOGY	NE	NA	C Corporation	Yes (true)
BRYAN HEALTH CONNECT
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	364771145	PHYSICIAN HOSPITAL ORGANIZATION	NE	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INEGRATED CARDIOLOGY GROUP LLC
A	$949,520	FMV
DOCTORS OUTPATIENT SURGERY CENTER
A	$611,089	FMV
BRYAN PHYSICIAN NETWORK
A	$574,983	FMV
HEAD & NECK SURGICAL PARTNERS LLC
A	$387,679	FMV
BRYAN FOUNDATION
C	$5,483,866	FMV
DOCTORS OUTPATIENT SURGERY CENTER
C	$1,116,900	FMV
HEAD & NECK SURGICAL PARTNERS LLC
C	$1,005,720	FMV
LINCOLN DIGESTIVE HEALTH CENTER LLC
C	$382,500	FMV