MERRICK MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MERRICK MEDICAL CENTER (EIN 82-0906268)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202433209349308038
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 K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T10:53:17+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	820906268	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	MERR	BusinessNameControlTxt
Phone	3089463015	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2802 28th Street	AddressLine1Txt
City	Central City	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68826	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JODI MOHR	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	3089463015	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	JODI MOHR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2802 28th Street	AddressLine1Txt
City	Central City	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68826	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$26,832,709	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BRYANHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2017	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	MERRICK MEDICAL CENTER IS COMMITTED TO PROMOTING AND PROVIDING PERSONALIZED, COMPASSIONATE, QUALITY HEALTH SERVICES. DURING 2023, MERRICK MEDICAL CENTER PROVIDED CHARITY CARE TO 383 PATIENTS AT A COST OF $322,000.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	149	TotalEmployeeCnt
Total Volunteers	2	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$155,648	PYContributionsGrantsAmt
CY Contributions Grants	$972,551	CYContributionsGrantsAmt
PY Program Service Revenue	$22,875,942	PYProgramServiceRevenueAmt
CY Program Service Revenue	$25,456,801	CYProgramServiceRevenueAmt
PY Investment Income	$44,763	PYInvestmentIncomeAmt
CY Investment Income	$211,556	CYInvestmentIncomeAmt
PY Other Revenue	$146,600	PYOtherRevenueAmt
CY Other Revenue	$188,919	CYOtherRevenueAmt
PY Total Revenue	$23,222,953	PYTotalRevenueAmt
CY Total Revenue	$26,829,827	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,535,100	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,760,661	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,463,817	PYOtherExpensesAmt
CY Other Expenses	$11,892,233	CYOtherExpensesAmt
PY Total Expenses	$24,998,917	PYTotalExpensesAmt
CY Total Expenses	$24,652,894	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,775,964	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,176,933	CYRevenuesLessExpensesAmt
Total Assets BOY	$41,367,083	TotalAssetsBOYAmt
Total Assets EOY	$42,493,337	TotalAssetsEOYAmt
Total Liabilities BOY	$21,461,755	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$20,411,076	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,905,328	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,082,261	NetAssetsOrFundBalancesEOYAmt
Mission	MERRICK MEDICAL CENTER IS COMMITTED TO PROMOTING AND PROVIDING PERSONALIZED, COMPASSIONATE, QUALITY HEALTH SERVICES. MERRICK MEDICAL CENTER'S VISION IS TO BE THE LEADER IN PATIENT-CENTERED CARE, PROVIDING EXCEPTIONAL SERVICE, QUALITY OUTCOMES AND MAKING A MEASURABLE IMPROVEMENT IN THE HEALTH AND LIVES OF OTHERS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$22,531,028	ExpenseAmt
Revenue	$25,533,901	RevenueAmt
Desc	MERRICK MEDICAL CENTER (MMC), IS A HOSPITAL ORGANIZATION LOCATED IN CENTRAL CITY, NEBRASKA, AND IS PART OF THE BRYAN HEALTH SYSTEM. MMC WAS INCORPORATED ON MARCH 15, 2017, WITH HOSPITAL OPERATIONS COMMENCING ON JULY 1, 2017. MMC OPERATES A 6 LICENSED BED CRITICAL ACCESS HOSPITAL AND 2 PHYSICIAN CLINICS. MMC IS COMMITTED TO SERVING PATIENTS AND THE COMMUNITY BY INVESTING FUNDS IN FACILITIES, TECHNOLOGY, PHYSICIANS, AND STAFF TO DELIVER PREMIUM HEALTHCARE TO CENTRAL CITY AND THE SURROUNDING COMMUNITIES. MMC SUPPORTS NUMBEROUS HEALTH CARE SERVICES, FITNESS AND WELLNESS PROGRAMS, TELEHEALTH TECHNOLOGY AND COMMUNITY PARTNERSHIPS. DURING 2023, MMC PROVIDED INPATIENT ACUTE AND SWING BED SERVICES TO 190 PATIENTS. ALSO, MMC PERFORMED 309 SURGICAL PROCEDURES AND PROVIDED PRIMARY CARE PHYSICIAN SERVICES WITH 12,869 VISITS. IN 2023, MMC PROVIDED CHARITY CARE TO 383 PATIENTS AND SERVED 832 MEDICAID PATIENTS. MMC IS A NEBRASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.	Desc
Total Program Service Expenses	$22,531,028	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	false	ReportOtherAssetsInd
Report Other Liabilities	false	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	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	32	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	149	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
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
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	7	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	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	3089465976	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2802 28TH STREET	AddressLine1Txt
City	CENTRAL CITY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68826	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 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
JULIE LACY
INTERIM PRESIDENT & CEO (EFFECTIVE 9/1/2023)	1.0	50.0	Yes (X)	Yes (X)	$0	$162,202	$23,351
NATHAN PERRY
PRESIDENT (EFFECTIVE 11/9/2023)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
PATRICK AVILA
PRESIDENT/CEO MERRICK MEDICAL CENTER (VACATED 9/1/2023)	50.0	0.5	Yes (X)	Yes (X)	$244,628	$0	$34,779
PATRICK GANYO
SECRETARY/TREASURER	1.0	51.0	Yes (X)	Yes (X)	$0	$409,224	$51,372
SHANNON HANNAPPEL
VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN BUHLKE DO
PHYSICIAN	50.0	0.5	Yes (X)		$402,439	$0	$50,579
JOHN WOODRICH
DIRECTOR	1.0	53.0	Yes (X)		$0	$1,146,873	$41,681
RICHARD LLOYD
Director	1.0	50.0	Yes (X)		$0	$449,072	$43,773
BLAKE COVER MD
PHYSICIAN	50.0	0			$451,636	$0	$47,435	Yes (X)
BRANDON MCLAUGHLIN PA-C
PHYSICIAN ASSISTANT	50.0	0			$179,640	$0	$44,420	Yes (X)
RICHARD POPPE MD
PHYSICIAN	50.0	0			$362,751	$0	$43,549	Yes (X)
RYAN STAGEMEYER RN
REGISTERED NURSE	50.0	0			$267,075	$0	$44,708	Yes (X)
TRACI DIECKMANN DO
PHYSICIAN	50.0	0			$412,253	$0	$46,178	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,320,422	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,167,371	TotReportableCompRltdOrgAmt
Total Other Compensation	$471,825	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREET	SUITE 420	OMAHA	NE	68154	TEMPORARY LABOR	$999,510
SAMPSON CONSTRUCTION CO
5825 SOUTH 14TH STREET		LINCOLN	NE	68512	CONSTRUCTION ADMINISTRATION	$199,046
RURALMED MANAGEMENT RESOURCES
511 WEST AVENUE		HOLDREGE	NE	68949	CONSULTING SERVICES	$104,084

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Related Organizations	$960,508	RelatedOrganizationsAmt
Government Grants	$12,043	GovernmentGrantsAmt
Noncash Contributions	$7,423	NoncashContributionsAmt
Total Contributions	$972,551	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT CARE REVENUE	622110	$22,052,035	$22,052,035
PHARMACY	446110	$2,959,603	$2,959,603
VALUE BASED INCOME	622110	$417,374	$417,374
LEASED EMPLOYEES	622110	$26,963	$26,963
HEALTH INFORMATION SERVICES	621300	$826	$826

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	$25,456,801	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,948	TotalRevenueColumnAmt
Exclusion	$189,948	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	$24,490	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,882	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$21,608	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,608	TotalRevenueColumnAmt
Exclusion	$21,608	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722310	$111,819	$111,819
COMMUNITY WELLNESS INCOME	900099	$720		$720

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,380	TotalRevenueColumnAmt
Related Or Exempt Func Income	$76,380	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$188,919	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,829,827	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,533,901	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$323,375	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	$732,425	TotalAmt
Management And General	$732,425	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,647,970	TotalAmt
Program Services	$9,445,621	ProgramServicesAmt
Management And General	$202,349	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$384,411	TotalAmt
Program Services	$349,430	ProgramServicesAmt
Management And General	$34,981	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,371,132	TotalAmt
Program Services	$1,242,653	ProgramServicesAmt
Management And General	$128,479	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$624,723	TotalAmt
Program Services	$567,873	ProgramServicesAmt
Management And General	$56,850	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,811	TotalAmt
Management And General	$9,811	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$93,865	TotalAmt
Management And General	$93,865	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,684,728	TotalAmt
Program Services	$3,600,382	ProgramServicesAmt
Management And General	$84,346	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$58,573	TotalAmt
Management And General	$58,573	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$338,329	TotalAmt
Program Services	$270,663	ProgramServicesAmt
Management And General	$67,666	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$42,945	TotalAmt
Program Services	$40,719	ProgramServicesAmt
Management And General	$2,226	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$482,698	TotalAmt
Program Services	$433,603	ProgramServicesAmt
Management And General	$49,095	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,673,986	TotalAmt
Program Services	$2,543,314	ProgramServicesAmt
Management And General	$130,672	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$68,254	TotalAmt
Program Services	$61,613	ProgramServicesAmt
Management And General	$6,641	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$1,924,735	$1,924,735
CORPORATE COST ALLOCATIONS	$1,023,828	$644,365	$379,463
SUPPLIES	$717,734	$704,815	$12,919
EQUIPMENT RENTAL	$16,142	$13,809	$2,333

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$756,605	TotalAmt
Program Services	$687,433	ProgramServicesAmt
Management And General	$69,172	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,652,894	TotalAmt
Program Services	$22,531,028	ProgramServicesAmt
Management And General	$2,121,866	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$705	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,194,003	BOYAmt
EOY	$11,438,394	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,220,075	BOYAmt
EOY	$2,343,062	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$131,618	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$387,009	BOYAmt
EOY	$357,954	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$117,786	BOYAmt
EOY	$150,380	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$32,955,623	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,869,414	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,399,668	BOYAmt
EOY	$27,086,209	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	$2,048,542	BOYAmt
EOY	$985,015	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,367,083	BOYAmt
EOY	$42,493,337	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,565,471	BOYAmt
EOY	$2,271,681	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,896,284	BOYAmt
EOY	$18,139,395	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,461,755	BOYAmt
EOY	$20,411,076	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	$19,905,328	BOYAmt
EOY	$22,082,261	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,905,328	BOYAmt
EOY	$22,082,261	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,367,083	BOYAmt
EOY	$42,493,337	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,176,933	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	$2,991	OtherActivitiesAmt
Total Lobbying Expenditures	$2,991	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	MERRICK 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 OF $8,010. OF THIS AMOUNT THE NHA REPORTED THAT 13.08% OR 1,048 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR THE MEMBERSHIP DUES TO THE AHA OF $6,073. OF THIS AMOUNT THE AHA REPORTED THAT 32% OR $1,943 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$626,000	OtherCostOrOtherBasisAmt
Book Value	$626,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,209,468	OtherCostOrOtherBasisAmt
Depreciation	$2,395,682	DepreciationAmt
Book Value	$20,813,786	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,378,382	OtherCostOrOtherBasisAmt
Depreciation	$3,204,642	DepreciationAmt
Book Value	$4,173,740	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,741,773	OtherCostOrOtherBasisAmt
Depreciation	$269,090	DepreciationAmt
Book Value	$1,472,683	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$27,086,209	TotalBookValueLandBuildingsAmt
Total Liability	$0	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	UNDER ACCOUNTING STANDARDS CODIFICATION (ASC), SUBTOPIC 740-10, INCOME TAXES, THE SYSTEM MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS "MORE-LIKELY-THAN-NOT" THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURE. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AT DECEMBER 31, 2023 AND 2022. THE SYSTEM DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. TAX RETURNS FILED BY THE SYSTEM ARE SUBJECT TO EXAMINATION BY THE IRS UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THE SYSTEM RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE SYSTEM DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2023 AND 2022.	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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$322,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$322,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0131	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,028,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,698,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$329,981	NetCommunityBenefitExpnsAmt
Total Expense	0.0134	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	$2,350,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,698,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$651,981	NetCommunityBenefitExpnsAmt
Total Expense	0.0264	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,386	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,386	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$129,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$129,386	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,479,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,698,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$781,367	NetCommunityBenefitExpnsAmt
Total Expense	0.0317	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	$11,520,991	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,397,098	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,123,893	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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	MERRICK MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2802 28TH STREET	AddressLine1Txt
City	CENTRAL CITY	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68826	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.bryanhealth.com/locations/hospitals/merrick-medical-center/	WebsiteAddressTxt
State License	H000131	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERRICK 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	HTTP://WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 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 - MERRICK MEDICAL CENTER. MERRICK MEDICAL CENTER PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS COMPLETED IN 2021 AND LED BY THE CENTRAL DISTRICT HEALTH DEPARTMENT. WE USED THAT REPORT AS A BASIS FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT. IN EFFORTS TO LEARN MORE ABOUT THE IMPACT OF COVID-19 ON COMMUNITIES IN THE CENTRAL DISTRICT HEALTH DEPARTMENT (CDHD) LAUNCHED A 5-QUESTION SURVEY. THE SURVEY WAS DEVELOPED BY THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NALHD) AS AN OPEN-ENDED SURVEY DESIGNED INTENDED TO ALLOW RESPONDENTS TO TELL NALHDS 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 NALHDS ACROSS NEBRASKA TO IDENTIFY STATEWIDE IMPACT AND TRENDS. THE NALHD PARTNERED WITH REPRESENTIVITES FROM CDHD WITH KNOWLEDGE AND EXPERTISE RELEVANT TO THE NEEDS OF THE MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS. THIS SURVEY HAS ASSISTED CDHD BY HIGHLIGHTING COMMUNITY THEMES ANS STRENGTHS THAT MAY NOT BE IDENTIFIED SOLELY WITH THE USE OF SECONDARY DATA SOURCES. THE SURVEY ASSESSED EXPERIENCES OF COMMUNITY MEMBERS RELATED 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 AVAILABLE IN ENGLISH, SPANISH, SOMALI, AND ARABIC BY PRINT AND ONLINE. PARTICIPANTS OF THE SURVEY WERE RESIDENTS OF MERRICK COUNTY, HAMILTON COUNTY, AND HALL COUNTY. THE SURVEY WAS ALSO DISTRIBUTED TO CDHD PARTNERS, INCLUDING MULTICULTURAL COALITION, AREA HOSPITALS, AND OTHERS. ADDITIONALLY, A RESOURCE INVENTORY SURVEY WAS LAUNCHED TO PARTNERS OF CDHC IN AUGUST 2021 AS A WAY TO PROVIDE INSIGHT INTO AVAILABLE MEDICAL RESOURCES, RESOURCES THAT HELP PEOPLE PREVENT AND MANAGE PERSONAL HEALTH RISKS, AND RESOURCES THAT HELP PEOPLE THRIVE. JUNE 15, 2021, 35 PARTNERS PARTICIPATED IN A FOCUSED DISCUSSION TO IDENTIFY FORCES THAT IMPACT HEALTH IN COMMUNITIES WITHIN THE CDHD AREA AS PART OF THIS COMMUNITY HEALTH ASSESSMENT. THE PARTICIPANTS IN THE FOCUSED DISCUSSION REVEALED THE FOLLOWING THROUGH THE SURVEYS OF THE TOP 3 HEALTH CONCERNS FROM THE OVERALL RESPONDENTS: 1.) CANCER 2.) DIABETES AND 3.) GETTING ENOUGH EXERCISE.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - CENTRAL DISTRICT HEALTH DEPARTMENT. THE CENTRAL DISTRICT HEALTH DEPARTMENT SERVES A THREE COUNTY AREA INCLUDING MERRICK COUNTY. AS A HEALTH DEPARTMENT, IT OFFERS THE FOLLOWING SERVICES: BREASTFEEDING PEER COUNCELOR PROGRAMS, IMMUNIZATION CLINICS, PUBLIC HEALTH MESSAGING, REFUGEE SERVICES, HEALTH SERVICES AND SCREENINGS, WOMEN, INFANTS & CHILDREN (WIC), IN ADDITION TO ENVIRONMENTAL HEALTH SERVICES, EMERGENCY PREPAREDNESS AND VARIOUS OTHER HEALTH PROJECTS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MERRICK MEDICAL CENTER. ON SEPTEMBER 2, 2021, THE CDHD HELD A MEETING TO DISCUSS THE FINDINGS FROM THE FIVE QUESTIONS SURVEY. 33 PARTICIPANTS ATTENDED THIS MEETING FROM MERRICK, HALL, AND HAMILTON COUNTIES. THE SURVEY REVEALED THE FOLLOWING TOP 3 HEALTH CONCERNS: 1.) CANCER, 2.) DIABETES, 3.) GETTING ENOUGH EXERCISE. 1.) CANCER CANCER IS THE LEADING CAUSE OF DEATH IN THE CDHD DISTRICT AND ACROSS THE STATE OF NEBRASKA. 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. NOTABLY, MERRICK COUNTY RESIDENTS EXPERIENCE MORE CANCER THAN THEIR COUNTERPARTS IN HALL OR HAMILTON COUNTIES AND THE STATE. 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 AND OTHER CAUSES INCLUDE EXPOSURE TO SECONDHAND SMOKE AND RADON. 2.) DIABETES DIABETES IS A CHRONIC DISEASE THAT IMPACTS HOW A BODY GETS ENERGY FROM FOOD. DIABETES IS THE 7TH LEADING CAUSE OF DEATH IN THE U.S. WITH MORE THAN 88 MILLION U.S. ADULTS DIAGONOSED WITH DIABETES. OVERWEIGHT/OBESITY AND AGE ARE FACTORS THAT IMPACT THE RISK OF DIABETES. GENERALLY, DIABETES RATES IN THE CDHD REGION ARE SIMILAR TO THE STATE RATE, EXCEPT FOR MERRICK COUNTY WHICH EXPERIENCED A SLIGHTLY HIGHER DIABETES RATE THAN THE OTHER COUNTIES WITHIN CDHD DUE TO A HIGHER PROPORTION OF AN AGING POPULATION IN THIS COUNTY. 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 PREVALENCE AND FACTORS CONTRIBUTING TO DIABETES, RESPONDENTS TO THE CDHD COMMUNITY SURVEY IDENTIFIED DIABETES AS ONE OF THE TOP THREE HEALTH CONCERNS. 3.) PHYSICIAL ACTIVITY AND NUTRITION ACCORDING TO THE NEBRASKA BRFSS, HEALTHY EATING AND ACTIVE LIVING WAS NOT A ROUTINE BEHAVIOR FOR MANY ADULTS IN THE CDHD DISTRICT. 40% OF THE 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. 85% OF ADULTS IN THE CDHD REGION INDICATED THAT THEY HAVE ACCESS TO SAFE PLACES TO WALK IN THEIR NEIGHBORHOODS. 1 IN 3 ADULTS REPORTED NO-LEISURE TIME PHYSICAL ACTIVITY IN THE PAST 30 DAYS. NON-WHITE, HISPANIC RESPONDENTS TO THE CDHD SURVEY IDENTIFIED CHALLENGES GETTING HEALTHY AND AFFORDABLE FOOD AS ONE OF THE TOP THREE HEALTH CONCERNS. THE CDHD DISTRICT EXPERIENCED SHORTAGES IN PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROFESSIONALS, AND FURTHER REDUCING ACCESS TO NEEDED HEALTH SERVICES. MERRICK MEDICAL CENTER WILL HAVE A SHARED RESPONSIBILITY TO THEIR COMMUNITY AND OTHER HOSPITALS WITHIN THE CDHD TO CREATE A CHIP PLAN. EACH HOSPITAL WILL SHARE THEIR SUCCESS AND CHALLENGES FOR OTHERS TO REPLICATE. THE TRI-COUNTY WIDE HOSPITAL PLANNING BEGAN IN JANAURY 2022. THE FOCUSES HAVE BEEN IDENTIFIED WHICH INCLUDES FOUR GOALS. 1.) DESCRIBE THE ACTIONS MMC INTENDS TO TAKE TO ADDRESS THE HEALTH NEED AND THE ANTICIPATED IMPACT OF THESE ACTIONS, 2.) IDENTIFY THE RESOURCES MMC PLANS TO COMMIT TO ADDRESS THE HEALTH NEED, 3.) DESCRIBE ANY PLANNED COLLABORATION WITH OTHER FACILITIES OR ORGANIZATIONS IN ADDRESSING THE HEALTH NEED, 4.) ENSURE COMPLIANCE WITH 501(R) OF THE INTERNAL REVENUE CODE FOR NOT-FOR-PROFIT HOSPITALS UNDER THE REQUIREMENTS OF THE AFFORDABLE CARE ACT.

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
CENTRAL CITY MEDICAL CLINIC
2510 18TH AVENUE	CENTRAL CITY	NE	68826	RURAL HEALTH CLINIC
FULLERTON MEDICAL CLINIC
901 BROADWAY STREET	FULLERTON	NE	68638	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7e COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS	MERRICK MEDICAL CENTER HAS A DIABETES SUPPORT GROUP THAT MEETS THE 4TH THURSDAY OF EACH MONTH. THIS GROUP IS LED BY TWO REGISTERED NURSES AND A DIETITIAN, WHO ALSO ARE CERTIFIED IN LIFESTYLE COACHING. MERRICK MEDICAL CENTER OFFERS TAI CHI CLASSES TO THE COMMUNITY. FOUR CERTIFIED TAI CHI INSTRUCTORS OFFER CLASSES AT VARIOUS TIMES THROUGHOUT THE YEAR AND EACH SESSION LASTS ABOUT 12 WEEKS. MERRICK MEDICAL CENTER OFFERS SEVERAL UNIQUE WORKPLACE PROGRAMS THAT PROMOTE FAR-REACHING WELLNESS CONNECTIONS; BY CONTINUING AND EXPANDING WELLNESS PROGRAMS, THE ONGOING GOAL IS TO PROVIDE MERRICK COUNTY RESIDENTS WITH ACCESS TO HEALTH AND LIFE SERVICES WHERE THEY LIVE, WORK AND PLAY.
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	MERRICK MEDICAL CENTER'S UNCOMPESATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. FOR LINE 7E, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, BRYAN HEALTH SYSTEM 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. BAD DEBT EXPENSE IS DETERMINED ON BALANCES AFTER DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED TO PATIENT ACCOUNTS. THE REMAINING BALANCE DUE FROM THE PATIENT IS EVALUATED TO DETERMINE IF THE ACCOUNT IS WRITTEN OFF BASED ON THE EXISTING COLLECTION POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 12-14 OF THE MERRICK MEDICAL CENTER AUDIT REPORT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ENTIRE MEDICARE SURPLUS AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. MERRICK MEDICAL CENTER PROVIDES CARE TO MEDICARE PATIENTS AND THE SURPLUS WAS USED FOR ADDITIONAL PATIENT CARE AND HOSPITAL OPERATIONS THROUGHOUT 2023. SPECIFICALLY, THIS SURPLUS HELPED MERRICK MEDICAL CENTER TO PROVIDE EDUCATION AND COMMUNITY HEALTH IMPROVEMENT SERVICES AND PROGRAMS AT NO ADDITIONAL CHARGE TO PATIENTS. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MERRICK MEDICAL CENTER'S MEDICARE COST REPORT IS THE COST TO CHARGE RATIO OF COST ALLOCATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION'S DEBT COLLECTION POLICY PROHIBITS ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	- MERRICK MEDICAL CENTER: Line 16a URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MERRICK MEDICAL CENTER: Line 16b URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MERRICK MEDICAL CENTER: Line 16c URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part VI, Line 2 Needs assessment	MERRICK MEDICAL CENTER ("MMC") IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. DURING YEAR ENDED DECEMBER 31, 2021, MMC PARTNERED WITH CENTRAL DISTRICT HEALTH DEPARTMENT TO COMPLETE A COMMUNTIY HEALTH NEEDS ASSESSMENT FOR MERRICK COUNTY. THE HEALTH NEEDS IDENTIFED FROM THE ASSESSMENT WERE PRIORITIZED BY A REPRESENTATIVE GROUP OF STAKEHOLDERS FROM THROUGHOUT THE COUNTY AND UTILIZED TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT FOR MERRICK COUNTY. MMC'S COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY WAS DEVELOPED TO ENSURE THAT OUR STRENGTHS AND AVAILABLE RESOURCES ARE ALIGNED WITH THE HEALTH NEEDS OF OUR COMMUNITY. MMC ALSO REVIEWS INFORMATION ON THE APPROPRIATE NUMBER OF PHYSICIANS FOR OUR SERVICE AREA AND WILL ACTIVELY RECRUIT PHYSICIANS OR OTHER PROVIDERS AS NEEDED TO THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MERRICK MEDICAL CENTER ("MMC") OFFERS A FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING THE 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 THE PATIENTS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO PATIENTS DURING ADMISSION IN THEIR INFORMATION PACKET. PATIENTS MAY CONTACT THE HOSPITAL AT ANY TIME TO REQUEST A FINANCIAL ASSISTANCE APPLICATION. HOSPITAL PATIENT ACCOUNT COLLECTORS WILL ALSO INFORM PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAM IF THEY ARE UNABLE TO PAY THEIR BILL AND MAY QUALIFY FOR FINANCIAL ASSISTANCE SUCH AS FEDERAL, STATE, OR LOCAL PROGRAMS, OR ELIGIBILTY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. IN ADDITION, INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED ON THE WEBSITE, IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, AND ON EACH BILLING STATEMENT.
Schedule H, Part VI, Line 4 Community information	THE FOLLOWING COMMUNITIES ARE LOCATED IN MERRICK COUNTY: CENTRAL CITY, CLARKS, CHAPMAN, PALMER, SILVER CREEK, ARCHER, AND WORMS. FOR THE PURPOSES OF THIS REPORT, FULLERTON IS ALSO INCLUDED IN OUR SERVICE AREA, WHICH IS NORTHEAST OF CENTRAL CITY. 2020 CENCSUS POPULATION ESTIMATES FOR MERRICK COUNTY ARE 7,668, WHICH IS A 2.4% DECREASE FROM THE 2010 CENSUS. 22% OF THE POPULATION IS UNDER THE AGE OF 18, WHILE APPROXIMATELY 21% IS OVER THE AGE OF 65. THE COMMUNITY IS ALMOST A 50/50 SPLIT OF MALE TO FEMALE. MERRICK COUNTY IS 95% WHITE. THE CENSUS FURTHER ESTIMATES THAT INCOME LEVELS IN MERRICK COUNTY ARE APPROXIMATELY $57,873 PER HOUSEHOLD, WITH AN ESTIMATED 10.2% OF THE COMMUNITY LIVING AT OR BELOW THE POVERTY LEVELS IN 2023. IN MERRICK COUNTY 10.7% OF THE POPULATION IS ON MEDICAID AND AN ESTIMATED 7.3% OF THE POPULATION UNDER THE AGE OF 65 YEARS OLD ARE WITHOUT HEALTH INSURANCE. 2020 CENSUS POPULATION ESTIMATES FOR FULLERTON ARE 1,220, WHICH IS A 6.66% DECREASE IN POPULATION FROM THE 2010 CENSUS. THE POPULATION UNDER THE AGE OF 18 IS HIGHER THAN MERRICK COUNTY, COMING IN AT JUST UNDER 29%. THE POPULATION OVER THE AGE OF 65 IS HIGHER THAN MERRICK COUNTY AT 26%. THERE ARE ALSO AN ESTIMATED 53% FEMALES TO 47% MALES LIVING IN FULLERTON. FULLERTON IS ALSO PREDOMINANTLY WHITE AT 97.7%. HOUSEHOLD INCOME IS ESTIMATED AT JUST UNDER $55,000 WHICH THE POVERTY LEVELS ARE HIGHER AT 12.39%. MERRICK COUNTY AS WELL AS RESIDENTS IN FULLERTON ARE SERVED BY MERRICK MEDICAL CENTER, CENTRAL CITY MEDICAL CLINIC AND FULLERTON MEDICAL CLINIC. BOONE COUNTY HEALTH SYSTEM ALSO SERVES THE RESIDENTS OF FULLERTON WITH A CLINIC LOCATED IN THEIR COMMUNITY AS WELL AS A HOSPITAL APPROXIMATELY 25 MILES NORTH IN ALBION. GENOA MEDICAL FACILITIES IS THE SOLE HOSPITAL LOCATED IN NANCE COUNTY AND ALSO PROVIDES CARE FOR ITS RESIDENTS. MERRICK COUNTY IS SERVED BY THE CENTRAL DISTRICT HEALTH DEPARTMENT, WHICH HAS A THREE COUNTY SERVICE AREA INCLUDING HALL AND HAMILTON COUNTIES. NANCE COUNTY IS SERVED BY THE EAST CENTRAL DISTRICT HEALTH DEPARTMENT. THERE ARE THREE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN MERRICK, HALL, AND HAMILTON COUNTIES. THE SERVICE AREAS ARE CLARKSVILLE SERVICE AREA AND LOUP SERVICE AREA IN MERRICK COUNTY AND LOW INCOME AND MFW POPULATION IN HALL COUNTY NEBRASKA. THEY ARE PARTIALLY RURAL AND NON-RURAL POPULATIONS. THE TWO LARGEST EMPLOYERS IN CENTRAL CITY ARE MERRICK MEDICAL CENTER AND CENTRAL CITY PUBLIC SCHOOLS. CENSUS DATA INDICATES THAT THERE ARE 236 TOTAL EMPLOYER ESTABLISHMENTS IN MERRICK COUNTY.
Schedule H, Part VI, Line 5 Promotion of community health	MERRICK MEDICAL CENTER ("MMC") IS A NERBASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MMC OPERATES A 6-LICENSED BED CRITICAL ACCESS HOSPITAL AND TWO PHYSICIAN CLINICS. MMC HAS AN OPEN MEDICAL STAFF. THE MAJORITY OF THE HOSPITAL BOARD OF TRUSTEES THAT ARE NOT EMPLOYEES OF BRYAN HEALTH OR MMC RESIDE IN MERRICK COUNTY. THE BOARD OF TRUSTEES OF BRYAN HEALTH, THE SOLE CORPORATE MEMBER OF MMC, MUST APPROVE MMC'S TRUSTEES. THE MAJORITY OF BRYAN HEALTH'S BOARD OF TRUSTEES ARE INDEPENDENT. MMC IS COMMITTED TO SERVING PATIENTS AND THE COMMUNITY BY INVESTING FUNDS IN FACILITIES, TECHNOLOGY, PHYSICIANS, AND STAFF TO DELIVER PREMIUM HEALTHCARE IN ALL FACILITIES. MMC PROVIDES UNCOMPENSATED AND CHARITY CARE TO ALL ELIGIBLE PATIENTS. MMC SUPPORTS NUMEROUS HEALTH CARE SERVICES, FITNESS AND WELLNESS PROGRAMS, TELEHEALTH TECHNOLOGY AND COMMUNITY PARTNERSHIPS.
Schedule H, Part VI, Line 6 Affiliated health care system	MERRICK MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT, LOCALLY GOVERNED 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 COMMIUNITY BENEFITS PROVIDED BY THE SYSTEM 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 ORGANZIATION AND 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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	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
PATRICK GANYO
SECRETARY/TREASURER	$0	$272,416	$0	$44,527	$0	$92,282	$0	$17,791	$0	$33,581	$0	$460,596	$0	$0
JULIE LACY
INTERIM PRESIDENT & CEO (EFFECTIVE 9/1/2023)	$0	$133,338	$0	$24,506	$0	$4,358	$0	$10,668	$0	$12,683	$0	$185,553	$0	$0
PATRICK AVILA
PRESIDENT/CEO MERRICK MEDICAL CENTER (VACATED 9/1/2023)	$166,554	$0	$45,282	$0	$32,792	$0	$12,077	$0	$22,702	$0	$279,407	$0	$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
RICHARD LLOYD
Director	$0	$272,771	$0	$80,755	$0	$95,546	$0	$18,150	$0	$25,623	$0	$492,845	$0	$0
BRIAN BUHLKE DO
PHYSICIAN	$242,702	$0	$130,587	$0	$29,150	$0	$19,501	$0	$31,078	$0	$453,018	$0	$0	$0
BRANDON MCLAUGHLIN PA-C
PHYSICIAN ASSISTANT	$167,816	$0	$11,499	$0	$325	$0	$12,356	$0	$32,064	$0	$224,060	$0	$0	$0
RICHARD POPPE MD
PHYSICIAN	$232,048	$0	$109,423	$0	$21,280	$0	$10,685	$0	$32,864	$0	$406,300	$0	$0	$0
BLAKE COVER MD
PHYSICIAN	$240,650	$0	$196,300	$0	$14,686	$0	$16,357	$0	$31,078	$0	$499,071	$0	$0	$0
RYAN STAGEMEYER RN
REGISTERED NURSE	$256,136	$0	$10,100	$0	$839	$0	$8,183	$0	$36,525	$0	$311,783	$0	$0	$0
TRACI DIECKMANN DO
PHYSICIAN	$249,739	$0	$155,621	$0	$6,893	$0	$18,150	$0	$28,028	$0	$458,431	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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 ORGANIZATION'S 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. REGONIZING THAT ITS LEADERS 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 SENIOR LEADERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP 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 CONDICTS 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 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 ON THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	IN ORDER TO ATTRACT AND RETAIN TALENTED, EXPERIENCED EXECUTIVES, BRYAN HEALTH OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. THE FOLLOWING PEOPLE LISTED IN THE FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFED RETIREMENT PLAN AND RECEIVED A PAYMENT DURING 2023: JOHN WOODRICH - $264,413, RICHARD LLOYD - $82,589, AND PATRICK GANYO - $54,009.
Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EXECUTIVES OF BRYAN HEALTH AND BRYAN MEDICAL CENTER, AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CENTRAL CITY NERBASKA
A	476006132	000000000	2020-12-02	$9,500,000	CONSTRUCTION OF CAH	false	false	false
THE COUNTY OF MERRICK NEBRASKA
B	476006488	000000000	2020-12-02	$9,975,000	CONSTRUCTION OF CAH	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$592,362	$0	$9,500,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	2022	false	false	false	Yes (true)
B	$625,452	$0	$9,975,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	2022	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. IN ADDITION, THE CHIEF EXECUTIVE OFFICER OF THE SYSTEM AND CORPORATION PRESIDENT/CHIEF EXECUTIVE OFFICER SHALL BE EX OFFICIO VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWER OF THE BOARD. AS DELEGATED THEREBY, WHEN THE BOARD IS NOT IN SESSION. 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 IT OR HIM/HER BY LAW.
Form 990, Part VI, Line 6 Classes of members or stockholders	AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE MEMBER OF MERRICK MEDICAL CENTER IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: 1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; 2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND 3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRYAN HEALTH, AS SOLE CORPORATE MEMBER OF MERRICK MEDICAL CENTER, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME. WITH OR WITHOUT CAUSE BY TWO-THIRDS (2/3) VOTE OF THE VOTING TRUSTEES OF BRYAN HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	BRYAN HEALTH IS THE SOLE CORPORATE MEMBER OF MERRICK MEDICAL CENTER ("MMC"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF MMC MAY MANAGE THE AFFAIRS OF THE CORPORATION. HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF BRYAN HEALTH: (1) ADOPT ANY LONG-TERM CAPITAL OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR, $1,000,000 IN ANY CORPORATION FISCAL YEAR; (3) ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; (4) AMEND THE BYLAWS OR ARTICLES OF INCORPORATION; (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000, OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF 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 BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WHEN IT EXCEEDS $500,000 IN A SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (7) APPROVE ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (8) ELECT OR APPOINT TRUSTEES OF THE CORPORATION; (9) APPOINT OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (10) PURCHASE INSURANCE COVERAGE FOR THE CORPORATION AND ITS OPERATIONS; (11) SELECT THE AUDITOR TO PERFORM THE ANNUAL AUDIT OF THE RECORDS OF THE CORPORATION; (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH BRYAN HEALTH'S GOALS AND OBJECTIVES.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THIS 990 WAS PREPARED BY BRYAN HEALTH'S TAX DIVISION. DURING THE RETURN PREPARATION PROCESS, THE TAX DIVISION WORKS DILIGENTLY WITH MERRICK MEDICAL CENTER'S DIRECTOR OF FINANCE, DIRECTOR OF PROFESSIONAL SERVICES AND OTHER DEPARTMENTS, INCLUDING HUMAN RESOURCES, FINANCE, LEGAL, AND DEVELOPMENT, TO GATHER INFORMATION TO COMPLETE FORM 990 AND ATTACHED SCHEDULES IN AN ACCURATE AND THOROUGH MANNER. THIS 990 WAS REVIEWED BY MERRICK MEDICAL CENTER'S CEO AND BY THE CEO AND CFO OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS AVAILABLE ON BOARD ADVANCTAGE FOR REVIEW TO EACH MEMBER OF MERRICK MEDICAL CENTER'S BOARD OF TRUSTEES, AND TO BRYAN HEALTH'S AUDIT COMMITTEE PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	MERRICK MEDICAL CENTER ("MMC") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE MMC BOARD OF TRUSTEES. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY FAMILY AND BUSINESS RELATIONS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT. THE QUESTIONNAIRES REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THT 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 REQUIRMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS, THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE PROCESS FOR REVIEWING AND EVALUATING COMPENSATION FOR THIS ORGANIZATION'S CEO AND FOR ALL RURAL HOSPITAL CEOS EMPLOYED BY BRYAN HEALTH, IS OVERSEEN BY BRYAN HEALTH'S HUMAN RESOURCES DEPARTMENT. THE PROCESS INCLUDES AN ANNUAL ASSESSMENT OF CEO COMPENSATION INCLUDING BENCHMARKING SALARIES TO SEVERAL NATIONAL SALARY SURVEYS TO DETERMINE THAT THE COMPENSATION IS CONSISTENT WITH THE ORGANIZATION'S CHARITABLE MISSION AND REASONABLE COMPARED WITH FAIR MARKET VALUE IN THE INDUSTRY. BRYAN HEALTH TARGETS BASE SALARY FOR RURAL HOSPITAL CEOS AT THE 50TH PERCENTILE OF THE MARKET. THE LAST ASSESSMENT WAS COMPLETED IN APRIL 2018. ONE BOARD MEMBER OF THIS ORGANIZATION IS A MEMBER OF THE BRYAN HEALTH SENIOR MANAGEMENT TEAM. 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 COMPESATION 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 REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVYES, 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 THE TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2023. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. EMPLOYED PHYSICIAN COMPENSATION IS UNDER THE PURVIEW OF THE BRYAN HEALTH COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE HAS ESTABLISHED A POLICY REGARDING PHYSICIAN COMPENSATION WHICH ASSURES THAT PHYSICIAN COMPENSATION MEETS FAIR MARKET VALUE AND ALL OTHER LEGAL REQUIREMENTS. PHYSICIAN COMPENSATION IS BENCHMARKED AGAINST SEVERAL INDEPENDENT PHYSICIAN SPECIALTY - SPECIFIC SALARY SURVEYS AND IS REGULARLY REVIEWED BY THE COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE FORM 990, PART VI, SECTION B, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NERBASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION.
Form 990, Part VII, Section A, Line 1a, Column (D) COMPENSATION OF MEMBERS	IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A ARE FOR SERVICES PERFORMED AS PHYSICIANS AND EXECUTIVES OF MERRICK MEDICAL CENTER AND BRYAN HEALTH AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANEOUS INCOME - Total Revenue: 76380, Related or Exempt Function Revenue: 76380, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PATIENT CARE SERVICES - Total Expense: 3659750, Program Service Expense: 3578906, Management and General Expenses: 80844, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 17278, Program Service Expense: 16086, Management and General Expenses: 1192, Fundraising Expenses: ; CONSULTING - Total Expense: 7700, Program Service Expense: 5390, Management and General Expenses: 2310, 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
BRYAN PHYSICIAN NETWORK
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	201357375	HEALTHCARE	NE	501(c)(3)	10	BRYAN HEALTH	Yes (true)
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	470376552	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)
CRETE AREA MEDICAL CENTER
2910 BETTEN DRIVE	CRETE	NE	683330220	470841285	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
MERRICK MEDICAL CENTER FOUNDATION
2802 28TH STREET	CENTRAL CITY	NE	688269501	470710738	FUNDRAISING	NE	501(c)(3)	7	MERRICK MEDICAL CENTER	Yes (true)
GRAND ISLAND REGIONAL MEDICAL CENTER
3533 PRAIRIEVIEW STREET	GRAND ISLAND	NE	68803	352621082	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER
804 22ND AVENUE	KEARNEY	NE	68845	873486516	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN HOSPITAL KEARNEY FOUNDATION
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	923387978	FUNDRAISING	NE	501(c)(3)	Type II	BRYAN FOUNDATION	Yes (true)
GRAND ISLAND REGIONAL MEDICAL CENTER FOUNDATION
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	931718948	FUNDRAISING	NE	501(c)(3)	Type II	BRYAN FOUNDATION	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 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
DOCTOR'S OUTPATIENT SURGERY CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	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
GRAND ISLAND HOSPITAL HOLDINGS LLC
3533 PRAIRIEVIEW STREET	GRAND ISLAND	NE	68803	475381241	LEASE PROPERTY, HOLDING COMPANY	NE	NA	N/A
SEWARD URGENT CARE PARTNERSHIP LLC
2222 SOUTH 16TH STREET	LINCOLN	NE	68502	923319265	HEALTHCARE	NE	NA	N/A	SUITE 400A
BRYAN HEART MARY LANNING CARDIOLOGY LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	464822260	CARDIOLOGY SERVICES	NE	NA	N/A	SUITE 600

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MERRICK MEDICAL CENTER FOUNDATION
C	$960,508	FMV
BRYAN MEDICAL CENTER
O	$171,196	FMV
GRAND ISLAND REGIONAL MEDICAL CENTER
O	$110,156	FMV
BRYAN MEDICAL CENTER
D	$769,747	FMV
BRYAN MEDICAL CENTER
P	$668,491	FMV