2022-11-14T12:35:17-06:00 2021-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2021-01-01 820906268 Merrick Medical Center MERR 3089463015 2802 28th Street Central City NE 68826 Patrick Avila President/CEO 2022-11-14 false Patrick Avila 999009999 Kim Scifres P01316095 5023263996 2021 2022-09-23 18:48:47Z X Patrick Avila 2802 28th Street Central City NE 68826 24267997 false X www.bryanhealth.com X 2017 NE Merrick Medical Center is committed to promoting and providing personalized, compassionate, quality health services. During 2021, MMC provided charity care to 407 patients at a cost of $196,077. 6 2 135 2 0 0 1739460 3084060 17202978 20396149 71175 748121 143035 39667 19156648 24267997 0 0 9187792 11067604 0 0 6321396 7067438 15509188 18135042 3647460 6132955 20454202 38783392 7005865 17102100 13448337 21681292 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. false false 16384722 20435816 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 20-LICENSED BED CRITICAL ACCESS HOSPITAL AND two 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 numerous health Care services, fitness and wellness programs, telehealth technology and community partnerships. During 2021, MMC provided inpatient acute and swing bed services to 191 patients. Also, MMC performed 260 surgical procedures and provided primary care physician services with 12,801 visits. In 2021, MMC provided charity care to 407 patients and served 716 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. 16384722 true true false true false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 31 0 true 135 true false false false false false false false false false false false false X 6 2 false false false false true true true true true false false true true true true true true true true false NE X Patrick Avila 3089465976 2802 28th Street Central City NE 68826 PATRICK AVILA PRESIDENT/CEO 60.0 0.5 X X 239562 0 34948 PATRICK GANYO Bryan Health Vice President Rural Division, Secretary/Treasurer 1.0 51.0 X X 0 364626 44328 Raymond Hugget Chairperson 1.0 0 X X 0 0 0 JOHN WOODRICH Trustee 1.0 61.0 X 0 1513944 47634 Ken Foster Secretary/Treasurer (Partial Year) 1.0 49.0 X 0 57756 19002 Shannon Hannappel TRUSTEE 1.0 0 X 0 0 0 Traci Dieckmann MD RURAL PHYSICIAN, Family Practice - Trustee 50.0 0.5 X 370619 0 41356 Allyn Komorowski Pharmacy Manager 50.0 0 X 148871 0 24339 Blake Cover MD Physician 50.0 0 X 360110 0 43157 Brian Buhlke DO RURAL PHYSICIAN 50.0 0 X 386258 0 46125 Joan Swanson Revenue Cycle Director 50.0 0 X 133811 0 31584 Nathan Krug MD RURAL PHYSICIAN 50.0 0 X 174422 0 25617 1813653 1936326 358090 21 false true false Focusone Solutions LLC 13609 California Street Omaha NE 68154 Temporary Labor 1067795 Kahler Slaten Inc 111 West Wisconsin Ave Milwaukee WI 532032501 Construction Administration 419261 CSM Group Inc 600 E Michigan Ave Suite A Kalamazoo MI 49007 Construction Administration 190500 Ebke Anesthesia Services LLC 17620 Prairie Vista Dr Roca NE 68430 Anesthesiology Services 164733 4 2508268 566792 9000 3084060 Net Patient Care Revenue 622110 18496486 18496486 Pharmacy 446110 1838289 1838289 Leased Employees 621110 57673 57673 Health Information Services 621300 3701 3701 0 0 0 0 20396149 738171 738171 0 0 9950 0 9950 9950 9950 Miscellaneous Income 900099 37812 37812 Community Wellness Income 900099 1855 1855 0 0 0 0 39667 24267997 20435816 0 748121 X 686485 686485 8346101 8221517 124584 336805 316597 20208 1190889 1122042 68847 507324 476885 30439 85022 85022 56087 56087 2240833 2104978 135855 0 61379 61379 268766 225763 43003 2264 1517 747 16573 13984 2589 614806 522829 91977 61865 52276 9589 Drugs 1544697 1544697 Corporate Cost Allocation 905316 556617 348699 Supplies 816844 802141 14703 Equipment Rental 16289 15849 440 376697 350943 25754 0 18135042 16384722 1750320 0 10942126 12078050 1885242 3299368 0 0 0 0 241713 396964 37856 94322 25229760 2315072 6570411 22914688 0 0 776854 0 20454202 38783392 7005865 16581326 0 0 0 520774 7005865 17102100 X 13448337 21681292 13448337 21681292 20454202 38783392 X 6132955 2100000 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2354 2354 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY MERRICK MEDICAL CENTER IS A MEMBER OF THE 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 $7,348; OF THIS AMOUNT THE NHA REPORTED THAT 10.79% OR $793 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 $5,896; OF THIS AMOUNT THE AHA REPORTED THAT 26.47% OR $1,561 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. 0 0 0 0 379557 39946 414887 4616 0 400683 -15066 6060 379557 373694 28925 1936 400683 1.0 0.0 0.0 false false 626000 626000 19590963 188537 19402426 5003406 2122309 2881097 9391 4226 5165 22914688 Third-Party Payor Settlements 520774 520774 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION'S ENDOWMENT FUNDS ARE In the possession of Merrick Medical Center Foundation and are ESTABLISHED AND MAINTAINED TO PROVIDE THE CHARITABLE DISTRIBUTION OF FUNDS TO MERRICK MEDICAL CENTER FOR CAPITAL AND PROGRAMMATIC SUPPORT. AT THE DIRECTION OF PAUL CLARK, PRESIDENT AND CEO, THE MERRICK MEDICAL CENTER PAID OUT THE BALANCE OF THE ENDOWMENT FUND AT THE END OF 2019 AND CLOSED THE ACCOUNT. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MMC 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. MMC accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in FASB Accounting Standards Codification (ASC) Topic 740, Income Taxes. MMC recognizes the effect of income tax provisions only if those positions are more likely than not of being sustained. At December 31, 2021 and 2020, MMC had no uncertain tax positions accrued. true true X true X true X true true true false true true 196077 0 196077 0.0108 1048000 1048000 0 0.0 0 0 0 0.0 0 0 1244077 1048000 196077 0.0108 7452 0 7452 0.0004 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 7452 0 7452 0.0004 0 0 1251529 1048000 203529 0.0112 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 7634000 7558000 76000 X true true 1 1 Merrick Medical Center 2802 28th Street Central City NE 68826 https://www.bryanhealth.com/locations/hospitals/merrick-medical-center/ H000131 X X X Merrick Medical Center 1 false false true X X X X X X X X X 21 true false true true X https://www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/ X true 21 true https://www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/ false true X 200.0 400.0 X X X X X X true true X X X X true X See statement X See statement X See statement X X X X X X true X false X X X X true X false false 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 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 impact and trends. The NALHD partnered with representatives from CDHD with knowledge and expertise relevant to the needs of the medically underserved and low income populations. 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 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. Additional, 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 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 counselor 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 IS with more than 88 million US adults diagnosed 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.) Physical 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 CHI plan. Each hospital will share their success and challenges for others to replicate. The tri-county wide hospital planning will begin on January of 2022. Once the focus has been identified, the hospitals will bring it to the community stakeholders to vet and create actionable tactics that complement our strategic plan, community, and county residents. 2 Central City Medical Clinic 2510 18th Ave Central City NE 68826 Rural Health Clinic Fullerton Medical Clinic 901 Broadway St Fullerton NE 68638 Rural Health Clinic Schedule H, Part I, Line 6a Community Benefit Report Merrick Medical Center's Community Benefit Report was included in the Bryan Health Consolidated Report to the Community. Schedule H, Part V, Section B, Line 16a FAP was widely available on website https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/financial-assistance/ Schedule H, Part V, Section B, Line 16b FAP application form available on website https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/financial-assistance/ Schedule H, Part V, Section B, Line 16c Plain language summary of the FAP was available on website https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/financial-assistance/ Schedule H, Part I, Line 7e Community Health improvement services & community benefit operations During the 2021 tax year, Merrick Medical Center was not able to have health fairs due to the challenges of the COVID-19 pandemic, supply chain issues, and the lack of healthcare workers. 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 UNCOMPENSATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. 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 3 Bad Debt Expense Methodology THE AMOUNT OF Merrick Medical Center's (MMC) BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MMC's CHARITY CARE POLICY IS ESTIMATED TO BE ZERO BASED ON THE FOLLOWING: (1) MMC HAS ESTABLISHED POLICIES THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENTS ABILITY TO PAY; AND ONCE ELIGIBILITY IS VERIFIED, THE MEDICAL CENTER WILL WRITE ACCOUNTS OFF TO CHARITY CARE AND NO LONGER PURSUE DEBT COLLECTION PROCEDURES; (2) MMC HAS COUNSELORS AVAILABLE TO WORK WITH ANY PATIENT BOTH PRE AND POST DISCHARGE TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE; (3) MMC PROVIDES PRESUMPTIVE FINANCIAL ASSISTANCE WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO THE LACK OF SUPPORTING DOCUMENTATION. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 10-11 OF THE MERRICK MEDICAL CENTER AUDIT REPORT. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MERRICK MEDICAL CENTER (MMC) PROVIDES CARE TO MEDICARE PATIENTS AND THE SURPLUS WAS USED FOR ADDITIONAL PATIENT CARE AND HOSPITAL OPERATIONS DURING COVID. Specifically, this surplus helped Merrick Medical Center during the pandemic to provide testing, education, and vaccination clinics for the community at no additional charge to patients. 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: See statement; Schedule H, Part V, Section B, Line 16b FAP Application website - Merrick Medical Center: Line 16b URL: See statement; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Merrick Medical Center: Line 16c URL: See statement; 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 COMMUNITY HEALTH NEEDS ASSESSMENT FOR Merrick COUNTY. THE HEALTH NEEDS IDENTIFIED 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 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 ELIGIBILITY 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 census 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 $55,649 per household, with an estimated 12% of the community living at or below poverty levels. In Merrick County 10.7% of the population is on Medicaid and an estimated 10.1% 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 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 WHILE THE PROVERTY 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 Nebraska Nonprofit Corporation as described in section 501(c)(3) of the internal revenue code. MMC OPERATES A 20-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's 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 COMMUNITY 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 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 false true false false false false false false false PATRICK AVILA PRESIDENT/CEO 232718 0 4192 0 2652 0 8104 0 26844 0 274510 0 0 0 PATRICK GANYO Bryan Health Vice President Rural Division, Secretary/Treasurer 0 253245 0 74499 0 36883 0 12685 0 31644 0 408955 0 0 JOHN WOODRICH Trustee 0 617169 0 581575 0 315200 0 18850 0 28784 0 1561578 0 0 Traci Dieckmann MD RURAL PHYSICIAN, Family Practice - Trustee 261509 0 96008 0 13102 0 15950 0 25406 0 411975 0 0 0 Brian Buhlke DO RURAL PHYSICIAN 239737 0 120782 0 25739 0 18069 0 28056 0 432383 0 0 0 Allyn Komorowski Pharmacy Manager 145947 0 2000 0 924 0 8342 0 15997 0 173210 0 0 0 Nathan Krug MD RURAL PHYSICIAN 120779 0 45577 0 8066 0 8683 0 16934 0 200039 0 0 0 Blake Cover MD Physician 239462 0 94929 0 25719 0 15001 0 28156 0 403267 0 0 0 Joan Swanson Revenue Cycle Director 127609 0 5250 0 952 0 7439 0 24145 0 165395 0 0 0 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 ON May 7, 2021. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan IN ORDER TO ATTRACT AND RETAIN TALENTED, EXPERIENCED EXECUTIVES, BRYAN HEALTH OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN and received a payment DURING 2021: John Woodrich - $235,474. 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 EMPLOYED PHYSICIANS AND EXECUTIVES; AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. 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 A 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 BRYAN HEALTH'S RURAL DIVISION FINANCIAL OFFICER. IN ADDITION, THIS 990 WAS REVIEWED BY THE CEO AND CFO OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS DISTRIBUTED 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 RELATIONSHIPS 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 THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE; (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST; SUCH AS, PROHIBITING THEM FROM VOTING WITH REGARD TO CERTAIN TRANSACTIONS IN WHICH THEY HAVE AN 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 COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON May 7, 2021. 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 THE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. Form 990, Part VII, Section A, 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 ORGANIZATION'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 IX, Line 11g Other Fees Patient Care Sevices - Total Expense: 2226691, Program Service Expense: 2104978, Management and General Expenses: 121713, Fundraising Expenses: ; Collection Fees - Total Expense: 14142, Program Service Expense: , Management and General Expenses: 14142, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer from Bryan Health - 2100000; BRYAN HEALTH 1600 SOUTH 48TH STREET LINCOLN NE 68506 363414823 HEALTHCARE NE 501(c)(3) Type III-FI NA false BRYAN PHYSICIAN NETWORK 1600 SOUTH 48TH STREET LINCOLN NE 68506 201357375 HEALTHCARE NE 501(c)(3) 10 BRYAN HEALTH false BRYAN MEDICAL CENTER 1600 SOUTH 48TH STREET LINCOLN NE 68506 470376552 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH false BRYAN FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 237005720 FUNDRAISING NE 501(c)(3) 7 BRYAN HEALTH false CRETE AREA MEDICAL CENTER 2910 BETTEN DRIVE CRETE NE 683330220 470841285 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH false MERRICK MEDICAL CENTER FOUNDATION 2802 28th Street CENTRAL CITY NE 688269501 470710738 FUNDRAISING NE 501(c)(3) 7 MERRICK MEDICAL CENTER true Grand Island Regional Medical Center 3533 Prairieview St Grand Island NE 68803 352621082 Healthcare NE 501(c)(3) 3 Bryan Health false Bryan Hospital Kearney DBA Kearney Regional Medical Center 804 22nd Ave Kearney NE 68845 873486516 Healthcare NE 501(c)(3) 3 Bryan Health false BRYAN ENTERPRISES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470701037 MEDICAL SERVICES NE BRYAN HEALTH C Corporation 0 false INTEGRATED CARDIOLOGY GROUP LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470844961 CARDIOLOGY NE BRYAN HEALTH C Corporation 0 false BRYAN HEALTH CONNECT 1600 SOUTH 48TH STREET LINCOLN NE 68506 364771145 PHYSICIAN HOSPITAL ORGANIZATION NE BRYAN HEALTH C Corporation 0 false false false true false false false false false false false false false true false true true true true false