GRAND ISLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: GRAND ISLAND REGIONAL MEDICAL CENTER (EIN 35-2621082)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202413209349316776
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 H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T13:47:07+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	352621082	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grand Island Regional Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAN	BusinessNameControlTxt
Phone	4024818966	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 Prairieview St	AddressLine1Txt
City	Grand Island	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW WATERMAN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4024818966	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	ANDREW WATERMAN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 Prairieview St	AddressLine1Txt
City	Grand Island	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$67,903,202	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GIREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2017	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC") IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTHCARE TEAM.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	475	TotalEmployeeCnt
Total Volunteers	11	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$932,873	PYContributionsGrantsAmt
CY Contributions Grants	$2,732,990	CYContributionsGrantsAmt
PY Program Service Revenue	$52,952,828	PYProgramServiceRevenueAmt
CY Program Service Revenue	$64,280,647	CYProgramServiceRevenueAmt
PY Investment Income	$3,274	PYInvestmentIncomeAmt
CY Investment Income	-$42,220	CYInvestmentIncomeAmt
PY Other Revenue	$441,923	PYOtherRevenueAmt
CY Other Revenue	$839,080	CYOtherRevenueAmt
PY Total Revenue	$54,330,898	PYTotalRevenueAmt
CY Total Revenue	$67,810,497	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$30,540,393	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$32,572,958	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,467,141	PYOtherExpensesAmt
CY Other Expenses	$50,351,048	CYOtherExpensesAmt
PY Total Expenses	$75,007,534	PYTotalExpensesAmt
CY Total Expenses	$82,924,006	CYTotalExpensesAmt
PY Revenues Less Expenses	-$20,676,636	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$15,113,509	CYRevenuesLessExpensesAmt
Total Assets BOY	$104,091,864	TotalAssetsBOYAmt
Total Assets EOY	$62,612,794	TotalAssetsEOYAmt
Total Liabilities BOY	$159,021,495	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$132,655,934	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$54,929,631	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$70,043,140	NetAssetsOrFundBalancesEOYAmt
Mission	GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC") IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTHCARE TEAM.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$67,919,719	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$64,280,647	RevenueAmt
Desc	GRAND ISLAND REGIONAL MEDICAL CENTER BECAME MEDICARE CERTIFIED ON AUGUST 1, 2020 ALLOWING THE HOSPITAL TO BEGIN ACCEPTING PATIENTS. THE EMERGENCY DEPARTMENT BEGAN SEEING PATIENTS AS OF NOVEMBER 2, 2020, AND THE FIRST SURGICAL CASE WAS PERFORMED IN THE SUMMER OF 2020. GRAND ISLAND REGIONAL MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION AND IS COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. IN 2023, GRAND ISLAND REGIONAL MEDICAL CENTER PROVIDED HEALTHCARE SERVICES TO THE GENERAL PUBLIC AND OPERATED ROUTINE SERVICE BEDS, ICU BEDS TOTALING OVER 8,285 PATIENT DAYS, 13,025 OUTPATIENT VISITS INCLUDING EMERGENCY ROOM VISITS OF 10,132 AND 440 DELIVERIES. THE HOSPITAL PROVIDED CHARITY CARE TO 574 PATIENTS IN THE AMOUNT OF $4,313,913.	Desc
Total Program Service Expenses	$67,919,719	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	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	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	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	52	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	475	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	false	InvestmentInJointVentureInd
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	TRACY SCHMITT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3086755000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 PRAIREVIEW ST	AddressLine1Txt
City	GRAND ISLAND	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68845	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ERIC BARBER
VICE CHAIRPERSON	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
RUSSELL GRONEWOLD
CHAIRPERSON	1.0	52.0	Yes (X)	Yes (X)	$0	$1,558,096	$44,823
RYAN CROUCH DO
SECRETARY-TREASURER	2.0	51.0	Yes (X)	Yes (X)	$0	$374,479	$18,858
BRANT LUEBBE MD
PHYSICIAN	5.0	50.0	Yes (X)		$0	$931,660	$51,559
CINDY JOHNSON
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
JENNIFER BROWN MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JOHN WOODRICH
DIRECTOR	2.0	52.0	Yes (X)		$0	$1,146,873	$41,681
MOLLY JOHNSON MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
REV LUKE BIGGS
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
TERESA GRABOWSKI
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
TOM WERNER MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
ANDREW WATERMAN
President/CEO Grand Island Regional Medical Center (Start 9/16/2023)	50.0	2.0		Yes (X)	$189,447	$34,999	$5,416
DERICK LORENTZ
CFO/GRAND ISLAND REGIONAL MEDICAL CENTER (EFFECTIVE 7/17/2023)	50.0	0		Yes (X)	$93,165	$0	$18,823
CORY OHLSON MD
PHYSICIAN	50.0	0			$735,791	$0	$40,462	Yes (X)
DAVID RUNNING
PHYSICIAN	50.0	0			$533,706	$0	$16,713	Yes (X)
JEFF BURWELL
PHYSICIAN	50.0	0			$485,292	$0	$29,310	Yes (X)
TERRY ROUNSBORG
PHYSICIAN	50.0	0			$530,017	$0	$27,585	Yes (X)
TRINA STONEHAM MD
PHYSICIAN	50.0	0			$518,141	$0	$15,034	Yes (X)
LARRY SPEICHER
President/CEO Grand Island Regional Medical Center (VACATED 9/15/2023)	50.0	1.0			$445,954	$51,003	$41,201		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,531,513	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,097,111	TotReportableCompRltdOrgAmt
Total Other Compensation	$351,465	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	46	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
FOCUSONE SOLUTIONS INC
13609 CALIFORNIA ST SUITE 420	OMAHA	NE	68154	TEMPORARY LABOR	$4,243,821
IPA GI LLC
3533 Prairieview St	Grand Island	NE	68801	Physician Services	$1,333,907
LIVE WELL PHYSICAL THERAPY
929 S LOCUST ST	GRAND ISLAND	NE	68801	PROFESSIONAL PHYSICIAL THERAPY SERVICES	$969,444
MEDICAL INFORMATION TECHNOLOGY
PO BOX 74569	CHICAGO	IL	60696	ELECTRONIC MEDICAL RECORDS SOFTWARE PROVIDER	$623,664
ASSOCIATED ANESTHESIOLOGIST PC
2900 S 70TH ST 250	LINCOLN	NE	68506	ANESTHESIA SERVICES	$350,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,652,410	GovernmentGrantsAmt
All Other Contributions	$80,580	AllOtherContributionsAmt
Total Contributions	$2,732,990	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$64,142,996	$64,142,996
EMPLOYEE LEASED REVENUE	622110	$137,651	$137,651

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$64,280,647	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,484	TotalRevenueColumnAmt
Exclusion	$9,484	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)
Other	$41,001	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$92,705	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$51,704	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$51,704	TotalRevenueColumnAmt
Exclusion	-$51,704	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER INCOME	900099	$642,700	$642,700
CAFETERIA	722514	$192,726	$192,726
VENDING SALES	722310	$3,654	$3,654

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$839,080	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,810,497	TotalRevenueColumnAmt
Related Or Exempt Func Income	$64,280,647	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$796,860	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$785,345	TotalAmt
Management And General	$785,345	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,741,261	TotalAmt
Program Services	$22,754,080	ProgramServicesAmt
Management And General	$2,987,181	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,089,070	TotalAmt
Program Services	$884,772	ProgramServicesAmt
Management And General	$204,298	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,225,332	TotalAmt
Program Services	$68,277	ProgramServicesAmt
Management And General	$3,157,055	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,731,950	TotalAmt
Program Services	$1,484,281	ProgramServicesAmt
Management And General	$247,669	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,297	TotalAmt
Management And General	$4,297	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$119,924	TotalAmt
Management And General	$119,924	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$929	TotalAmt
Management And General	$929	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,395,416	TotalAmt
Program Services	$10,882,570	ProgramServicesAmt
Management And General	$2,512,846	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$115,454	TotalAmt
Management And General	$115,454	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$231,632	TotalAmt
Program Services	$198,509	ProgramServicesAmt
Management And General	$33,123	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$842,015	TotalAmt
Program Services	$684,061	ProgramServicesAmt
Management And General	$157,954	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,734,321	TotalAmt
Program Services	$5,495,487	ProgramServicesAmt
Management And General	$2,238,834	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$239,089	TotalAmt
Program Services	$191,271	ProgramServicesAmt
Management And General	$47,818	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$40,462	TotalAmt
Management And General	$40,462	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,520,954	TotalAmt
Program Services	$3,118,574	ProgramServicesAmt
Management And General	$402,380	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,061,807	TotalAmt
Program Services	$4,530,880	ProgramServicesAmt
Management And General	$530,927	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$283,513	TotalAmt
Program Services	$230,496	ProgramServicesAmt
Management And General	$53,017	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,107,363	$10,608,642	$498,721
CORPORATE COST ALLOCATION	$2,300,443	$1,955,377	$345,066
DRUGS	$1,685,706	$1,685,706
DUES AND SUBSCRIPTIONS	$1,273,353	$1,035,236	$238,117

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,394,370	TotalAmt
Program Services	$2,111,500	ProgramServicesAmt
Management And General	$282,870	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$82,924,006	TotalAmt
Program Services	$67,919,719	ProgramServicesAmt
Management And General	$15,004,287	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,751,159	BOYAmt
EOY	$2,066,096	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,309,358	BOYAmt
EOY	$11,469,017	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,818,315	BOYAmt
EOY	$2,205,612	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$395,299	BOYAmt
EOY	$364,831	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,017,139	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,392,124	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,521,527	BOYAmt
EOY	$2,625,015	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,296,206	BOYAmt
EOY	$43,882,223	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,091,864	BOYAmt
EOY	$62,612,794	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,232,420	BOYAmt
EOY	$16,813,181	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$78,356,217	BOYAmt
EOY	$50,206,285	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,432,858	BOYAmt
EOY	$65,636,468	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$159,021,495	BOYAmt
EOY	$132,655,934	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	-$54,929,631	BOYAmt
EOY	-$70,043,140	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$54,929,631	BOYAmt
EOY	-$70,043,140	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,091,864	BOYAmt
EOY	$62,612,794	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$15,113,509	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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	false	FederalGrantAuditRequiredInd

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	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,874	OtherActivitiesAmt
Total Lobbying Expenditures	$2,874	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	GRAND ISLAND REGIONAL MEDICAL CENTER IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION (NHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR THE MEMBERSHIP DUES TO THE NHA AND AHA IN THE AMOUNT OF $17,812 AND $1,700. OF THIS AMOUNT THE NHA REPORTED THAT 13.08% OR $2,330 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. AHA REPORTED THAT 32% OR $544 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$138,545	OtherCostOrOtherBasisAmt
Depreciation	$15,844	DepreciationAmt
Book Value	$122,701	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,707,228	OtherCostOrOtherBasisAmt
Depreciation	$3,376,280	DepreciationAmt
Book Value	$2,330,948	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,366	OtherCostOrOtherBasisAmt
Book Value	$171,366	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,625,015	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSET	$42,511,696
ASSETS LIMITED IN USE	$33,500
SECURITY DEPOSITS	$23,719
INTERCOMPANY DUE TO/FROM	$1,313,308

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$43,882,223	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
RIGHT OF USE LIABILITY	$36,234,790
ESTIMATED THIRD PARTY SETTLEMENT	$252,663
NOTE PAYABLE GIHH	$18,273,559
NOTE PAYABLE BRYAN HEALTH	$10,875,456

Field	Value	IRS element (for citing)
Total Liability	$65,636,468	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER IS A NOT-FOR-PROFIT AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THEY ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. GIHH IS NOT A TAXPAYING ENTITY FOR INCOME TAX PURPOSES AND, THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN RECOGNIZED. THE INCOME, DEDUCTIONS, LOSSES, AND CREDITS OF GIHH ARE REPORTED BY ITS MEMBERS, ON A PRORATE BASIS, ON THEIR RESPECTIVE TAX FILINGS. FASB ASC TOPIC 740, INCOME TAXES, PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED MEDICAL CENTER'S TAX POSITIONS AND CONCLUDED THAT MEDICAL CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
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	$4,313,913	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,313,913	NetCommunityBenefitExpnsAmt
Total Expense	0.0520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,455,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,578,514	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,876,972	NetCommunityBenefitExpnsAmt
Total Expense	0.0588	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$14,769,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,578,514	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,190,885	NetCommunityBenefitExpnsAmt
Total Expense	0.1108	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,865,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,277,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$587,033	NetCommunityBenefitExpnsAmt
Total Expense	0.0071	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,865,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,277,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$587,033	NetCommunityBenefitExpnsAmt
Total Expense	0.0071	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,634,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,856,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,777,918	NetCommunityBenefitExpnsAmt
Total Expense	0.1179	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$15,551,345	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$25,484,092	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,932,747	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
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ISLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 PRAIRIEVIEW ST	AddressLine1Txt
City	GRAND ISLAND	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GIREGIONAL.ORG	WebsiteAddressTxt
State License	H000136	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ISLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	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	https://www.bryanhealth.com/locations/hospitals/girmc/	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	https://www.bryanhealth.com/locations/hospitals/girmc/about-us/chna/	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/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/	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 , 1	Facility , 1 - GRAND ISLAND REGIONAL MEDICAL CENTER. THE HEALTH ASSESSMENT AND PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS REPORT CONSTITUTE A COLLABORATIVE EFFORT BETWEEN GRAND ISLAND REGIONAL MEDICAL CENTER, MERRICK MEDICAL CENTER, MEMORIAL COMMUNITY HEALTH, CHI ST. FRANCIS, CENTRAL DISTRICT HEALTH DEPARTMENT AND THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NALHD), GATHERING EXTENSIVE INPUT FROM INDIVIDUALS REPRESENTING A BROAD INTEREST OF GRAND ISLAND, CENTRAL CITY, MERRICK COUNTY, HALL COUNTY AND HAMILTON COUNTY. FOR THE PURPOSES OF THIS REPORT, THE COMMUNITY SERVED BY GRAND ISLAND REGIONAL MEDICAL CENTER IS HALL COUNTY, NEBRASKA. HALL COUNTY IS 546.2 SQUARE MILES OF LAND AREA AND IS THE 70TH LARGEST COUNTY IN NEBRASKA BY TOTAL AREA. THE POPULATION IS 62,895, MAKING IT THE 4TH MOST POPULATED COUNTY IN THE STATE. 75% OF GRAND ISLAND REGIONAL MEDICAL CENTER'S INPATIENT DISCHARGES AND OUTPATIENT VISITS COME FROM PATIENTS RESIDING IN HALL COUNTY. THE FOLLOWING COMMUNITIES ARE LOCATED IN HALL COUNTY: GRAND ISLAND (POPULATION 51,147), CAIRO (POPULATION 916), ALDA (POPULATION 665), WOOD RIVER (POPULATION 1,420) AND DONIPHAN (POPULATION 958). HALL COUNTY HAS A POPULATION ESTIMATE IN 2020 OF 62,895 WITH A 2.2% GROWTH IN POPULATION SINCE 2010. HALL COUNTY HAS A MEDIAN AGE OF 35.9, COMPARED TO THE NEBRASKA AVERAGE OF 36.8. THE POPULATION 65 YEARS AND OLDER ACCOUNTS FOR 14.6%, WHICH IS NEARLY 2% LOWER THAN THE NEBRASKA AVERAGE OF 16.1%. THE PRIMARY RACE/ETHNICITY IS COMPRISED OF 22% HISPANIC, 63% NON-HISPANIC/WHITE, AND 15% NON-HISPANIC/OTHER RACES. THE PRIMARY LANGUAGE SPOKEN IN THE COUNTY IS ENGLISH (77.5%) AND THE SECONDARY LANGUAGE IS SPANISH (19.5%). ECONOMIC CHARACTERISTICS: HALL COUNTY HAS A 68% EMPLOYMENT RATE AND AN UNEMPLOYMENT RATE OF 2%. THE MEDIAN HOUSEHOLD INCOME IS $57,104, WHICH IS LESS THAN 1% LOWER THAN THE NEBRASKA AVERAGE OF $63,229. THE COUNTY'S POVERTY LEVEL OF 11.8% IS HIGHER THAN THE NEBRASKA AVERAGE OF 9.9% IN JUNE 2021 , 35 PARTNERS PARTICIPATED IN A FOCUSED DISCUSSION TO IDENTIFY FORCES THAT IMPACT HEALTH IN COMMUNITIES WITHIN THE COMMUNITY AS PART OF THE 2021 COMMUNITY HEALTH ASSESSMENT. PARTICIPANTS REPRESENTED PUBLIC HEALTH, GOVERNMENT OFFICIALS, PUBLIC SCHOOLS, SOCIAL SERVICE AGENCIES AND PROVIDERS OF SPECIALIZED SERVICES SUCH AS EARLY CHILDHOOD DEVELOPMENT, SUBSTANCE ABUSE, HOUSING, ETC. A COMPLETE LIST OF COMMUNITY PARTNERS IS INCLUDED ON PAGES 8 AND 9 OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. THIS COMMUNITY HEALTH ASSESSMENT GATHERED DATA FROM SECONDARY SOURCES SUCH AS BEHAVIORAL RISK SURVEILLANCE SURVEY (BRFSS), COUNTY HEALTH RANKINGS, AMERICAN COMMUNITY SURVEY/US CENSUS BUREAU, CENTER FOR DISEASE CONTROL, NEBRASKA DEPARTMENT OF EDUCATION, AND SO ON TO ASSESS THE HEALTH STATUS OF THE CENTRAL DISTRICT HEALTH DEPARTMENT (CDHD) REGION TO IDENTIFY EMERGING ISSUES AND TRENDS, WHEN POSSIBLE, AND TO GAUGE CHANGES FROM THE PREVIOUS 2019 COMMUNITY HEALTH IMPROVEMENT PLAN PRIORITIES. AT THE BEGINNING OF 2020, LOCAL HEALTH DEPARTMENTS IN NEBRASKA BEGAN THE RESPONSE TO A GLOBAL PANDEMIC RESULTING FROM A NOVEL VIRUS, CORONAVIRUS 2019. WHILE EAGER TO KNOW THEIMPACT OF COVID-19 ON POPULATION HEALTH, THIS DATA WAS NOT AVAILABLE AT THE TIME OF THIS COMMUNITY HEALTH ASSESSMENT. IN EFFORTS TO LEARN MORE ABOUT THE IMPACT OF COVID19 ON COMMUNITIES IN THE CDHD AREA, CDHD LAUNCHED A 5-QUESTION SURVEY. THE SURVEY WAS DEVELOPED BY THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NALHD) AS AN OPEN-ENDED SURVEY DESIGN INTENDED TO ALLOW RESPONDENTS TO TELL LHDS THEIR EXPERIENCE RELATED TO THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY TO IDENTIFY EMERGING ISSUES IN THE COMMUNITY. THE NALHD MADE THE SURVEY ACCESSIBLE TO ALL LHDS ACROSS NEBRASKA TO IDENTIFY STATEWIDE IMPACTS AND TRENDS. THE SURVEY IS INTENDED TO BE INITIALLY LAUNCHED DURING THE COMMUNITY HEALTH ASSESSMENT AND RELEASED MORE FREQUENTLY THROUGHOUT THE COMMUNITY HEALTH IMPROVEMENT PROCESS TO KEEP CURRENT ON EMERGING ISSUES IN THE COMMUNITY; HOWEVER, RESULTS DISCUSSED THROUGHOUT THIS REPORT ARE FROM THE INITIAL LAUNCH IN JUNE 2021. THIS SURVEY WILL ASSIST CDHD BY HIGHLIGHTING COMMUNITY THEMES AND STRENGTHS THAT MAY NOT BE IDENTIFIED SOLELY WITH THE USE OF SECONDARY DATA SOURCES. THE SURVEY ASSESSED EXPERIENCES OF COMMUNITY MEMBERS RELATED TO MAJOR HEALTH ISSUES FOR THEM OR THEIR FAMILY, WHAT IT MEANS TO BE HEALTHY, TOP HEALTH CONCERNS, AND WAYS TO BE HEALTHY IN THEIR COMMUNITY AND WAS MADE AVAILABLE IN ENGLISH, SPANISH, SOMALI AND ARABIC BY PRINT AND ONLINE. THE SURVEY WAS DISTRIBUTED THROUGH CDHD AND THEIR PARTNERS, INCLUDING MULTICULTURAL COALITION, AREA HOSPITALS, AND OTHERS. ADDITIONALLY, CDHD POSTED THE SURVEY LINK ON THE CDHD WEBSITE AND FACEBOOK PAGE AND PROVIDED A KIOSK STATION FOR CLIENTS ATTENDING VACCINATION CLINICS TO FILL OUT THE SURVEY ONLINE WHEN WAITING FOR APPOINTMENTS. IN ALL, 665 RESPONSES WERE COLLECTED.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MERRICK MEDICAL CENTER. 501(C)(3) HOSPITAL IN CENTRAL CITY, NE
Schedule H, Part V, Section B, Line 6a Facility , 2	Facility , 2 - MEMORIAL COMMUNITY HEALTH. INCLUDES THREE FAMILY MEDICINE CLINICS, A CRITICAL ACCESS HOSPITAL, OUTPATIENT SPECIALTY AND DIAGNOSTIC SERVICES, INDEPENDENT AND ASSISTED LIVING FACILITIES AND A NURSING HOME IN AURORA, NEBRASKA.
Schedule H, Part V, Section B, Line 6a Facility , 3	Facility , 3 - CHI ST. FRANCIS. 501(C)(3) HOSPITAL IN GRAND ISLAND, NE
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GRAND ISLAND REGIONAL MEDICAL CENTER. GRAND ISLAND REGIONAL MEDICAL CENTER IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTH CARE TEAM. GRAND ISLAND REGIONAL MEDICAL CENTER HAS THE OPPORTUNITY TO WORK WITH NEIGHBORS, LEADERS, AND PARTNER ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED WITH COMMUNITY PARTNERS AND RESIDENTS IN ORDER TO ENSURE TO IDENTIFY THE TOP HEALTH NEEDS IMPACTING THE COMMUNITY, LEVERAGE RESOURCES TO IMPROVE THESE HEALTH NEEDS, AND COMPLETE IMPACTFUL IMPROVEMENT IN THE COMMUNITY THROUGH EVIDENCE-BASED STRATEGIES. THE HEALTH ASSESSMENT AND PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED CONSTITUTE A COLLABORATIVE EFFORT BETWEEN GRAND ISLAND REGIONAL MEDICAL CENTER, MERRICK MEDICAL CENTER, MEMORIAL COMMUNITY HEALTH, CHI ST. FRANCIS, CENTRAL DISTRICT HEALTH DEPARTMENT AND THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NALHD), GATHERING EXTENSIVE INPUT FROM INDIVIDUALS REPRESENTING A BROAD INTEREST OF GRAND ISLAND, CENTRAL CITY, MERRICK COUNTY, HALL COUNTY, AND HAMILTON COUNTY. THE GOALS OF THIS CHNA ARE TO: 1.) IDENTIFY AREAS OF HIGH NEED THAT IMPACT THE HEALTH AND QUALITY OF LIFE OF RESIDENTS IN THE COMMUNITY. 2.) ENSURE THAT RESOURCES ARE LEVERAGED TO IMPROVE THE HEALTH OF THE MOST VULNERABLE MEMBERS OF THE COMMUNITY AND TO REDUCE EXISTING HEALTH DISPARITIES. 3.) SET PRIORITIES AND GOALS TO IMPROVE THESE HIGH NEED AREAS USING EVIDENCE AS A GUIDE FOR DECISION MAKING. 4.) ENSURE COMPLIANCE WITH SECTION 501(R) OF THE INTERNAL REVENUE CODE FOR NON-FOR-PROFIT HOSPITALS UNDER THE REQUIREMENTS OF THE AFFORDABLE CARE ACT. THE CHNA GATHERED DATA FROM SECONDARY SOURCES SUCH AS BEHAVIORAL RISK SURVEILLANCE SURVEY (BRFSS), COUNTY HEALTH RANKINGS, AMERICAN COMMUNITY SURVEY/US CENSUS BUREAU, CENTER FOR DISEASE CONTROL, AND NEBRASKA DEPARTMENT OF EDUCATION TO ASSESS THE HEALTH STATUS OF THE CENTRAL DISTRICT HEALTH DEPARTMENT (CDHD) REGION TO IDENTIFY EMERGING ISSUES AND TRENDS. THE CDHD WANTED TO LEARN MORE ABOUT THE IMPACT OF COVID-19 ON THE COMMUNITIES IN THE AREA, CDHD LAUNCHED A 5-QUESTION SURVEY. THE SURVEY WAS DEVELOPED BY THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NALHD) AS AN OPEN-ENDED SURVEY DESIGN INTENDED TO ALLOW RESPONDENTS TO TELL LHDS THEIR EXPERIENCE RELATED TO THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY TO IDENTIFY EMERGING ISSUES IN THE COMMUNITY. THE NALHD MADE THE SURVEY ACCESSIBLE TO ALL LHDS ACROSS NEBRASKA TO IDENTIFY STATEWIDE IMPACTS AND TRENDS. THIS SURVEY ASSISTED CDHD BY HIGHLIGHTING COMMUNITY THEMES AND STRENGTHS THAT MAY NOT BE IDENTIFIED SOLELY WITH THE USE OF SECONDARY DATA SOURCES. THE SURVEY ASSESSED EXPERIENCES OF COMMUNITY MEMBERS RELATED TO MAJOR HEALTH ISSUES FOR THEM OR THEIR FAMILY, WHAT IT MEANS TO BE HEALTHY, TOP HEALTH CONCERNS, AND WAYS TO BE HEALTHY IN THEIR COMMUNITY AND WAS MADE AVAILABLE IN ENGLISH, SPANISH, SOMALI, AND ARABIC BY PRINT AND ONLINE. THE SURVEY WAS DISTRIBUTED THROUGH CDHD AND THEIR PARTNERS, INCLUDING MULTICULTURAL COALITION, AREA HOSPITALS, AND OTHERS. ADDITIONALLY. CDHD POSTED THE SURVEY LINK ON THE CHDH WEBSITE AND FACEBOOK PAGE AND PROVIDED A KIOSK STATION FOR CLIENTS ATTENDING VACCINATION CLINICS TO FILL OUT THE SURVEY ONLINE WHEN WAITING FOR APPOINTMENTS. IN JUNE 2021, 35 PARTNERS PARTICIPATED IN A FOCUSED DISCUSSION TO IDENTIFY FORCES THAT IMPACT HEALTH IN COMMUNITIES WITHIN THE CDHD AREA AS PART OF THE COMMUNITY HEALTH ASSESSMENT. SEPTEMBER 2, 2021, THE CDHD HELD A SECOND MEETING TO DISCUSS THE FINDINGS FROM THE FIVE QUESTION SURVEY. 33 PARTICIPANTS ATTENDED THIS MEETING FROM MERRICK, HALL, AND HAMILTON COUNTIES. THE TOP 3 HEALTH CONCERNS FROM THE SURVEY REVEALED 1.) CANCER; 2.) DIABETES AND 3.) GETTING ENOUGH EXERCISE. THERE WERE ALSO THREE ADDITIONAL AREAS OF CONCERN SPECIFIC TO HALL COUNTY; THE TEEN BIRTH RATE, THE UNINSURED RATE, AND THE RATIO OF PRIMARY CARE PHYSICIANS TO THE POPULATION. THEREFORE, THE PRIORITY FOCUS AREAS FOR GRAND ISLAND REGIONAL MEDICAL CENTER ARE 1.) CANCER; 2.) CULTURE OF HEALTH; 3.) ACCESS TO CARE; 4.) PREVENTING TEEN PREGNANCY 1.) CANCER CANCER IS THE LEADING CAUSE OF DEATH IN THE COHO DISTRICT AND ACROSS THE STATE. IN THE CDHD REGION, FEMALE BREAST CANCER WAS THE LEADING TYPE OF CANCER DIAGNOSED. PROSTATE CANCER FOLLOWED AS A CLOSE SECOND FOR THE CDHD DISTRICT. CANCER MORTALITY RATES ARE ON THE DECLINE IN THE CDHD DISTRICT, STATE, AND NATION. DESPITE THIS TREND, CANCER REMAINED ONE OF THE TOP TWO LEADING CAUSES OF DEATH IN THE CDHD DISTRICT THROUGH 2017. NATIVE AMERICANS, AFRICAN AMERICANS, AND WHITES ACROSS NEBRASKA HAD CANCER MORTALITY RATES IN EXCESS OF THE STATE TARGET OF 145.2/100,000 POPULATION. LUNG (AND BRONCHUS) CANCER WAS THE LEADING TYPE OF CANCER THAT RESULTED IN DEATH IN THE CDHD DISTRICT. TOBACCO SMOKING REMAINS THE LEADING CAUSE OF LUNG CANCER, RESPONSIBLE FOR ABOUT 80% OF LUNG CANCER DEATHS. OTHER CAUSES INCLUDE EXPOSURE TO SECONDHAND SMOKE AND RADON. 2.) CULTURE OF HEALTH DIABETES IS A CHRONIC DISEASE THAT IMPACTS HOW A BODY GETS ENERGY FROM FOOD. DIABETES IS THE 7TH LEADING CAUSE OF DEATH IN THE US WITH MORE THAN 88 MILLION US ADULTS DIAGNOSED WITH DIABETES. OFTEN, DIABETES AND HEART DISEASE ARE CO-OCCURING. A PERSON WITH DIABETES IS 2 TIMES MORE LIKELY TO HEART DISEASE OR STROKE, THE LEADING CAUSE OF DEATH. GENERALLY, DIABETES RATES IN CDHD REGION ARE SIMILAR TO THE STATE RATE. DIABETES DATA BROKEN DOWN AMONG RACE/ETHNICITY IS NOT AVAILABLE BY COUNTY BUT IS AVAILABLE AT THE STATE LEVEL. THERE ARE DRAMATIC GAPS BETWEEN RACIAL/ETHNIC POPULATIONS WHEN LOOKING AT THE STATE DIABETES RATES. NOTABLE, AFRICAN AMERICAN/BLACK (15%), AMERICAN INDIAN/ALASKAN NATIVE (16%), AND HISPANIC (14%) POPULATIONS EXPERIENCE ALMOST 2 TIMES THE RATES OF DIABETES COMPARED TO NON-HISPANIC, WHITES. AS AFFIRMATION TO THE ABOVE PREVALENCE AND FACTORS CONTRIBUTING TO DIABETES, RESPONDENTS TO THE CDHD COMMUNITY SURVEY IDENTIFIED DIABETES AS ONE OF THE TOP THREE HEALTH CONCERNS. ACCORDING TO THE NEBRASKA BRFSS, HEALTHY EATING AND ACTIVE LIVING WAS NOT A ROUTINE BEHAVIOR FOR MANY ADULTS IN THE CDHD DISTRICT. NEARLY 40% OF ADULTS IN THIS AREA REPORTED CONSUMING FRUITS LESS THAN 1 TIME PER DAY AND ABOUT 1 IN 4 ADULTS CONSUMED VEGETABLES LESS THAN 1 TIME PER DAY. DESPITE THE MAJORITY OF ADULTS (85%) IN THE CDHD REGION INDICATED THAT THEY HAD ACCESS TO SAFE PLACES TO WALK IN THEIR NEIGHBORHOODS, ROUGHLY 1 IN 3 ADULTS REPORTED NO LEISURE-TIME PHYSICAL ACTIVITY IN THE PAST 30 DAYS. AS AFFIRMATION TO THE ABOVE INDICATORS RELATED TO NUTRITION, NON-WHITE, HISPANIC RESPONDENTS TO THE CDHD COMMUNITY SURVEY IDENTIFIED CHALLENGES GETTING HEALTHY AND AFFORDABLE FOOD AS ONE OF TOP THREE HEALTH CONCERNS. NEARLY 505 PEOPLE IN THE CDHD REGION DID NOT MEET THE AEROBIC PHYSICAL ACTIVITY RECOMMENDATIONS (AT LEAST 150 MINUTES OF MODERATE INTENSITY PHYSICAL ACTIVITY PER WEEK). SAFE COMMUNITY ENVIRONMENTS, SUCH AS WALKING PATHS, SIDEWALKS, AND WALKING/BIKING TRAILS TO MOVE THROUGHOUT THE AREA, ENCOURAGE RESIDENTS TO ENGAGE IN HEALTHY EATING AND ACTIVE LIVING, WHICH IS KEY TO PREVENTING CHRONIC DISEASE. AS AFFIRMATION TO THE ABOVE INDICATORS RELATED TO PHYSICAL ACTIVITY, RESPONDENTS TO THE CDHD COMMUNITY SURVEY IDENTIFIED GETTING ENOUGH EXERCISE AS ONE THE TOP THREE HEALTH CONCERNS. 3.) ACCESS TO CARE ACCESSING HEALTH CARE IS COMPLICATED BY MULTIPLE FACTORS, SUCH AS THE ABILITY TO TRAVEL TO CARE LOCATIONS, LOCATION AND NUMBER OF HEALTHCARE PROVIDERS, TYPES AND COSTS OF SERVICES OFFERED, AND INSURANCE COVERAGE. COST OF HEALTHCARE SERVICES CAN BE A BARRIER TO CARE FOR CDHD RESIDENTS. SURPASSING THE STATE RATE, 1.5 IN 10 ADULTS AGED 18-64 NEEDED TO SEE A DOCTOR BUT COULD NOT DUE TO COST WITHIN THE PAST YEAR, AND 1 IN 5 ADULTS AGED 18-64 HAD NO HEALTH COVERAGE. HISPANICS HAD THE HIGHEST UNINSURED RATES OF ANY ETHNIC GROUP ACROSS THE STATE. ACCORDING TO THE NEBRASKA BRFSS, 1 IN 5 ADULTS AGED 18-64 IN THE CDHD DISTRICT DID NOT HAVE HEALTH CARE COVERAGE. THE COUNTY HEALTH RANKINGS REPORTED THAT MORE ADULTS UNDER THE AGE OF 65 (15%) AND UNDER AGE 19 (6%) IN HALL COUNTY WERE UNINSURED THAN THE STATE AVERAGE OF 11% AND 5% RESPECTIVELY. HEALTH PROFESSIONAL SHORTAGES ARE ALSO A CONTRIBUTING FACTOR OF NOT ACCESSING HEALTH CARE. 3 OF 4 ADULTS IN THE CDHD DISTRICT HAD A PERSONAL DOCTOR OR HEALTHCARE PROVIDER. SOME AREAS WITHIN CDHD WERE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA). NOTABLY, ALL OF HALL COUNTY AND PARTS OF MERRICK COUNTY WERE DESIGNATED AS MUA FOR PRIMARY CARE. PHYSICIAN ASSISTANTS AND NURSE PRACTITONERS WERE UTILIZED IN MANY PRIMARY CARE CLINICS IN THE CDHD AREA.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - GRAND ISLAND REGIONAL MEDICAL CENTER. 4.) PREVENTING TEEN PREGNANCY THE UNITED STATES TEEN BIRTH RATE (BIRTHS PER 1,000 FEMALES AGED 15 TO 19 YEARS) HAS BEEN DECLINING SINCE 1991 . TEEN BIRTH RATES CONTINUE TO DECLINE FROM 17.4/1,000 FEMALES IN 2018 TO 16.7/1,000 FEMALES IN 2019. THE OVERALL BIRTH RATE 15.7/1,000 AND TEEN BIRTH RATE 38/1,000 IN HALL COUNTY IS HIGHER THAN OTHER COUNTIES IN THE COHO DISTRICT OF 13.7/1,000 AND STATE RATE OF 13.9/1,000. TEEN PREGNANCY AND CHILDBEARING ARE ASSOCIATED WITH INCREASE SOCIAL AND ECONOMIC COST THROUGH IMMEDIATE AND LONG-TERM EFFECTS ON TEEN PARENTS AND THEIR CHILDREN. PREGNANCY AND BIRTHS ARE SIGNIFICANT CONTRIBUTORS TO HIGH SCHOOL DROPOUT RATES AMONG GIRLS. ABOUT 50% OF TEEN MOTHERS RECEIVE A HIGH SCHOOL DIPLOMA BY AGE 22, WHEREAS 90% OF WOMEN WHO DO NOT GIVE BIRTH DURING ADOLESCENCE GRADUATE FROM HIGH SCHOOL. THE CHILDREN OF TEENAGE MOTHERS ARE MORE LIKELY TO HAVE LOWER SCHOOL ACHIEVEMENT AND TO DROP OUT OF HIGH SCHOOL, HAVE MORE HEALTH PROBLEMS, BE INCARCERATED AT SOME TIME DURING ADOLESCENCE, GIVE BIRTH AS A TEENAGER, AND FACE UNEMPLOYMENT AS A YOUNG ADULT.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PRAIRIE CENTER INTERNAL MEDICINE & NEPHROLOGY
3563 PRAIRIEVIEW ST	GRAND ISLAND	NE	68803	OFFICES OF PHYSICIANS
SURGERY GROUP OF GRAND ISLAND
820 N ALPHA ST	GRAND ISLAND	NE	68803	OFFICES OF PHYISICANS

Supplemental Information Detail SupplementalInformationDetail (15 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 7 Costing Methodology used to calculate financial assistance	GRAND ISLAND REGIONAL MEDICAL CENTER WAS FORMED ON DECEMBER 5, 2017, AS A NEBRASKA NOT-FOR-PROFIT CORPORATION FOR THE PURPOSE OF OPERATING A HOSPITAL AND RELATED HEALTHCARE FACILITIES IN GRAND ISLAND, NEBRASKA. THE HOSPITAL BECAME MEDICARE CERTIFIED ON AUGUST 1, 2020, ALLOWING THE HOSPITAL TO BEGIN ACCEPTING PATIENTS. SERVICES PROVIDED DURING FISCAL YEAR ENDING DECEMBER 31, 2023, WERE VERY LIMITED. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFOMRATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE MEDICARE COST REPORT WAS USED TO CALCULATE A COST TO CHARGE RATIO. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREMIBURSED MEDICAID AMOUNTS. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMNITY BENEFIT PROGRAMS, HEALTH EDUCATION ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHT THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, GRAND ISLAND REGIONAL MEDICAL CENTER L 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 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 PAGE 13-15 OF THE GRAND ISLAND REGIONAL MEDICAL CENTER 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. GRAND ISLAND REGIONAL 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 GRAND ISLAND REGIONAL MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANICAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE GRAND ISLAND REGIONAL MEDICAL CENTER'S 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 GRAND ISLAND'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 GRAND ISLAND 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 A COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO GRAND ISLAND FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Schedule H, Part V, Section B, Line 16a FAP website	- GRAND ISLAND REGIONAL MEDICAL CENTER: Line 16a URL: WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GRAND ISLAND REGIONAL MEDICAL CENTER: Line 16b URL: WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GRAND ISLAND REGIONAL MEDICAL CENTER: Line 16c URL: WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	GRAND ISLAND REGIONAL MEDICAL CENTER (GIRMC) IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. GRAND ISLAND REGIONAL MEDICAL CENTER SURVEY INPATIENT, AMBULATORY SURGERY, AND EMERGENCY DEPARTMENT PATIENT POPULATIONS, ASKING KEY DEMOGRAPHIC QUESTIONS THAT ALLOW GRAND ISLAND REGIONAL MEDICAL CENTER TO ACCESS THE HEALTH CARE NEEDS OF SPECIFIC AT RISK POPULATIONS. GIRMC PARTNERS WITH THE CENTRAL DISTRICT HEALTH DEPARTMENT TO DEVELOP AND IMPLEMENT ACTION PLANS THAT TARGET THE HEALTH CARE NEEDS OF THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	IN KEEPING WITH GRAND ISLAND REGIONAL MEDICAL CENTER'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, GRAND ISLAND 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 AND THEN ANNUALLY SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. GRAND ISLAND 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 GRAND ISLAND WILL AUTOMATICALLY RECEIVE A CONSULTATION WITH A FINANCIAL COUNSELOR. THE COUNSELORS 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 GRAND ISLAND'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 TIME 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	THE POPULATION OF GRAND ISLAND, NEBRASKA WAS 51,147 PEOPLE AS OF THE CENSUS OF 2020. THE RACIAL MAKEUP OF THE CITY WAS 63.0% NON-HISPANIC/WHITE, 15% NON-HISPANIC/OTHER RACES. HISPANIC OR LATINO PEOPLE OF ANY RACE WERE 22% OF THE POPULATION. HALL COUNTY HAS A 68% EMPLOYMENT RATE AND AN UNEMPLOYMENT RATE OF 2%. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY WAS $57,104. THE COUNTY'S POVERTY LEVEL OF 11.8% IS HIGHER THAN THE NEBRASKA AVERAGE OF 9.9%. OTHER HOSPITALS SERVING IN THE COMMUNITY ARE MEMORIAL COMMUNITY HEALTH AND CHI ST. FRANCIS. HALL COUNTY HAS 1,889 EMPLOYERS IN THE COUNTY. EDUCATION SERVICES, HEALTH CARE, AND SOCIAL SERVICES EMPLOY THE MOST PEOPLE (20.5%) FOLLOWED BY MANUFACTURING (19.4%) AND RETAIL (12.3%).
Schedule H, Part VI, Line 5 Promotion of community health	GRAND ISLAND REGIONAL MEDICAL CENTER PROVIDES HIGH QUALITY, COMPREHENSIVE MEDICAL SERVICES TO BENEFIT THE COMMUNITY, AND IS COMMITTED TO IDENTIFYING AND ADDRESSING NEEDS IN THE COMMUNITY IN ORDER TO PROMOTE THE PHYSICAL, EDUCATIONAL AND ECONOMIC HEALTH OF OUR COMMUNITY IN THE FUTURE. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIREMENTS. AS A NON-PROFIT HOSPITAL, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY. IN 2023, GIRMC BOARD CONSISTED OF 11 BOARD MEMBERS, 9 OF WHO RESIDE WITHIN A 25 MILE RADIUS OF THE FACILITY. AS OF DECEMBER 31, 2023, 196 PROVIDERS HAD BEEN CREDENTIALLED BY THE MEDICAL EXECUTIVE COMMITTEE AND THE BOARD TO PROVIDE SERVICES AT THE HOSPITAL IN WIDE RANGE OF SPECIALTIES. MEDICAL STAFF PRIVILEGES ARE GRANTED TO ALL INDIVIDUALS WHO HAVE APPLIED AND MEET THE CRITERIA SET FORTH IN THE MEDICAL STAFF BYLAWS. AT THIS POINT, THE HOSPITAL HAS NOT ACCUMULATED SURPLUS FUNDS TO PROVIDE IMPROVEMENTS IN PATIENT, MEDICAL EDUCATIION AND RESEARCH.
Schedule H, Part VI, Line 6 Affiliated health care system	GRAND ISLAND REGIONAL 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 FOUR ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, AN URGENT CARE CENTER, A HEALTH AND WELLNESS FACILITY, A PHILANTHROPIC FOUNDATION, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREMIER 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
LARRY SPEICHER
President/CEO Grand Island Regional Medical Center (VACATED 9/15/2023)	$233,551	$42,795	$40,384	$4,000	$172,019	$4,208	$14,683	$2,749	$19,015	$4,754	$479,652	$58,506	$0	$0
RUSSELL GRONEWOLD
CHAIRPERSON	$0	$1,001,357	$0	$162,356	$0	$394,383	$0	$21,450	$0	$23,373	$0	$1,602,919	$0	$0
RYAN CROUCH DO
SECRETARY-TREASURER	$0	$277,886	$0	$71,646	$0	$24,947	$0	$18,150	$0	$708	$0	$393,337	$0	$0
BRANT LUEBBE MD
PHYSICIAN	$0	$618,855	$0	$287,597	$0	$25,208	$0	$18,150	$0	$33,409	$0	$983,219	$0	$0
JOHN WOODRICH
DIRECTOR	$0	$701,235	$0	$109,951	$0	$335,688	$0	$20,772	$0	$20,909	$0	$1,188,555	$0	$0
ANDREW WATERMAN
President/CEO Grand Island Regional Medical Center (Start 9/16/2023)	$181,531	$30,266	$4,009	$4,000	$3,907	$733	$2,352	$869	$1,906	$289	$193,705	$36,157	$0	$0
TRINA STONEHAM MD
PHYSICIAN	$507,865	$0	$9,564	$0	$712	$0	$8,250	$0	$6,784	$0	$533,175	$0	$0	$0
CORY OHLSON MD
PHYSICIAN	$694,810	$0	$16,634	$0	$24,347	$0	$8,250	$0	$32,212	$0	$776,253	$0	$0	$0
DAVID RUNNING
PHYSICIAN	$522,605	$0	$7,271	$0	$3,830	$0	$8,250	$0	$8,463	$0	$550,419	$0	$0	$0
JEFF BURWELL
PHYSICIAN	$450,972	$0	$7,884	$0	$26,436	$0	$8,250	$0	$21,060	$0	$514,602	$0	$0	$0
TERRY ROUNSBORG
PHYSICIAN	$508,023	$0	$14,910	$0	$7,084	$0	$6,525	$0	$21,060	$0	$557,602	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, INCLUDING THIS ORGANIZATIONS CEO AND CEOS OF ALL RURAL HOSPITALS OWNED BY BRYAN HEALTH, 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 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 4a Severance or change-of-control payment	LARRY SPEICHER, CEO OF GRAND ISLAND REGIONAL MEDICAL CENTER, RECEIVED $155,324 IN SEVERANCE DURING 2023.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED A PAYMENT DURING 2023: RUSSELL GRONEWOLD - $316,077 AND JOHN WOODRICH - $264,413.
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 THE BOARD OF TRUSTEES IS COMPENSATED FOR THEIR SERVICE AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	PERSONS LISTED IN PART VII, SECTION A, MAY 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 AND VICE-CHAIRPERSON OF THE BOARD, ONE TRUSTEE WHO IS AN APPOINTEE OF BRYAN, ONE TRUSTEE WHO IS AN APPOINTEE OF MARY LANNING AND AT LEAST ONE OTHER ELECTED TRUSTEE OR APPOINTED TRUSTEE WHO IS ELECTED TO THE EXECUTIVE COMMITTEE BY THE BOARD AT THE BOARD'S ANNUAL MEETING EACH YEAR. IN ADDITION, THE CHIEF EXECUTIVE OFFICER OF BRYAN, IF NOT ALREADY APPOINTED TO THE COMMITTEE AS A VOTING TRUSTEE, AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION, SHALL BE EX OFFICIO NONVOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MEET ON THE CALL OF THE CHAIRPERSON OF THE BOARD, THE CORPORATION PRESIDENT/CHIEF EXECUTIVE OFFICER OR THE CHIEF EXECUTIVE OFFICER OF BRYAN. A MAJORITY OF THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM. THE VOTE OF A MAJORITY OF THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE PRESENT AND VOTING SHALL CONTROL AT AN EXECUTIVE COMMITTEE MEETING. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWER OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, SUBJECT, HOWEVER, TO THE SAME LIMITATIONS ON THE BOARD. 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 RESPONSIBILITY IMPOSED UPON THEM BY LAW.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	CINDY JOHNSON AND LARRY SPEICHER - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	AS OF DECEMBER 31, 2022, BRYAN HEALTH WAS THE SOLE CLASS A MEMBER (90% MEMBER) AND MARY LANNING HEALTHCARE WAS THE SOLE CLASS B MEMBER (10% MEMBER) OF GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC"). DURING 2023, MARY LANNING HEALTHCARE RELINQUISHED ITS CLASS B MEMBERSHIP INTEREST IN GIRMC RESULTING IN BRYAN HEALTH BEING THE SOLE CORPORATE MEMBER. THE GOVERNING DOCUMENTS WERE AMENDED TO REFLECT THESE CHANGES.
Form 990, Part VI, Line 6 Classes of members or stockholders	THERE SHALL BE ONE CLASS OF MEMBERSHIP IN THE CORPORATION, CLASS A. THE SOLE CLASS A MEMBER OF THE ORGANIZATION IS BRYAN HEALTH, A NEBRASKA NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRYAN HEALTH MAY APPOINT SIX COMMUNITY TRUSTEES, ONE OF WHICH SHALL BE RECOMMENDED BY MARY LANNING HOSPITAL ASSOCIATION SUBJECT TO BRYAN HEALTH'S APPROVAL. APPOINTED TRUSTEES MAY BE REMOVED FROM OFFICE (i) FOR BEHAVIOR CONTRARY TO THE ARTICLES, BYLAWS OR THE ACT BY TWO-THIRDS (2/3) VOTE OF THE ENTIRE BOARD AT ANY MEETING OF WHICH NOTICE WAS DULY GIVEN AND THE SUBJECT OF REMOVAL WAS STATED IN THE NOTICE AND APPROVAL BY BRYAN HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN ACTIONS, FOLLOWING RECOMMENDATION BY THE BOARD, MUST BE APPROVED BY BRYAN HEALTH TO BECOME EFFECTIVE. SPECIFICALLY, BRYAN HEALTH MUST: (1) APPROVE CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (2) APPROVE THE CORPORATION ENGAGING IN OR ENTERING INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF THE CAPITAL ASSETS OF THE CORPORATION IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000 OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE THE CORPORATION ORGANIZING OR ACQUIRING ANY INTEREST IN ANY CORPORATION, SHARED SERVICE ARRANGEMENT, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURE OR OPERATING EXPENSES INCURRED BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WILL EXCEED $500,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (4) APPROVE THE CORPORATION INCURRING ANY INDEBTEDNESS OR INCURRING OR BECOMING SUBJECT TO A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION, WHERE THE BORROWING OR INDEBTEDNESS IN ANY SINGLE TRANSACTION EXCEEDS $250,000 OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (5) APPROVE THE CORPORATION ENTERING INTO ANY TRANSACTION THAT IS LIMITED, GOVERNED OR PROHIBITED BY THE TERMS OF ANY DEBT INSTRUMENTS, INCLUDING GUARANTEES, UNDER WHICH BRYAN HEALTH IS THE OBLIGATED BORROWER AND WHOSE PURPOSE WAS OR IS TO FINANCE THE CONSTRUCTION OR EQUIPPING OF ANY HOSPITAL AND/OR CLINIC FACILITIES BY THE CORPORATION; (6) APPROVE AN ACTION TO MERGE, CONSOLIDATE OR COMBINE WITH ANOTHER ENTITY, OR TO DISSOLVE THE CORPORATION OR ENTER INTO A PLAN OF DISSOLUTION, OR TO SELL OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND (7) APPROVE ANY LEASE, CONTRACT OR OTHER ARRANGEMENT WITH THIRD PARTIES FOR LAND, IMPROVEMENTS, INCLUDING THE HOSPITAL FACILITY, PERSONAL PROPERTY AND EQUIPMENT AND OTHER TANGIBLE OR INTANGIBLE RIGHTS OR PROPERTY DETERMINED BY THE CLASS A MEMBER TO BE ESSENTIAL TO OPERATION OF THE HOSPITAL.
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 THE COMPLETE COPY OF THE THIS 990 PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	GRAND ISLAND REGIONAL 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 GRAND ISLAND REGIONAL MEDICAL CENTER. 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 GRAND ISLAND REGIONAL MEDICAL CENTER. 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 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 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 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 IX, Line 11g Other Fees	PURCHASE SERVICES - Total Expense: 6924349, Program Service Expense: 5625410, Management and General Expenses: 1298939, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 4385346, Program Service Expense: 3562699, Management and General Expenses: 822647, Fundraising Expenses: ; MISCELLANEOUS FEES - Total Expense: 870380, Program Service Expense: 707105, Management and General Expenses: 163275, Fundraising Expenses: ; RECRUITING - Total Expense: 8983, Program Service Expense: 7298, Management and General Expenses: 1685, Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 1206358, Program Service Expense: 980058, Management and General Expenses: 226300, Fundraising Expenses: ;

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	CENTRAL 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)
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET	LINCOLN	NE	685061299	470376552	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER
804 22ND AVE	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	Address Line2USAddress/AddressLine2Txt
LINCOLN DIGESTIVE HEALTH CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	371833798	HEALTHCARE	NE	NA	N/A
DOCTORS OUTPATIENT SURGERY CENTER
5055 A STREET	LINCOLN	NE	68510	364835603	HEALTHCARE	NE	NA	N/A
HEAD AND NECK SURGICAL PARTNERS LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	911824787	HEALTHCARE	NE	NA	N/A
SEWARD URGENT CARE PARTNERSHIP LLC
2222 SOUTH 16TH STREET	LINCOLN	NE	68502	923319265	HEALTHCARE	NE	NA	N/A	SUITE 400A
GRAND ISLAND HOSPITAL HOLDINGS INC
3533 PRAIRIEVIEW STREET	GRAND ISLAND	NE	68803	470701037	HOLDING COMPANY	NE	NA	N/A
BRYAN HEART MARY LANNING CARDIOLOGY
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	464822260	CARDIOLOGY SERVICES	NE	NA	N/A	SUITE 600
BRYAN TELEMEDICINE LLC
2222 S 16TH STREET STE 401A	LINCOLN	NE	68502	383932523	HEALTHCARE	NE	NA	N/A

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 DBA BRYAN HEART
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	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	false	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRYAN MEDICAL CENTER
D	$1,312,744	FMV
GRAND ISLAND HOSPITAL HOLDINGS INC
D	$830,181	FMV
GRAND ISLAND HOSPITAL HOLDINGS INC
K	$7,780,356	FMV