BRYAN MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BRYAN MEDICAL CENTER (EIN 47-0376552)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202243189349315149
- Schema version
- 2021v4.2
- 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 I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T16:02:51-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9600 Brownsboro Road Suite 400 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402413902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470376552 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRYAN MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRYA | BusinessNameControlTxt |
| Phone | 4024811111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 685061299 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Dewerff | PersonNm |
| Person Title | VP Finance & CFO | PersonTitleTxt |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | DEWERFF | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Scifres | PreparerPersonNm |
| PTIN | P01316095 | PTIN |
| Phone | 5023263996 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Dewerff | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 685061299 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $865,555,899 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRYANHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1926 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION AND COMPASSION. During 2021, Bryan Medical Center provided charity care to 7,773 patients at a cost of $13.0 million. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 5187 | TotalEmployeeCnt |
| Total Volunteers | 1100 | TotalVolunteersCnt |
| Total Gross UBI | $1,159,232 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $128,433 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $30,012,982 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,604,822 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $705,165,763 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $819,066,526 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,993,100 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,784,873 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,510,475 | PYOtherRevenueAmt |
| CY Other Revenue | $8,222,817 | CYOtherRevenueAmt |
| PY Total Revenue | $755,682,320 | PYTotalRevenueAmt |
| CY Total Revenue | $861,679,038 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $241,484 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $207,033 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $304,453,217 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $348,854,929 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $336,678,669 | PYOtherExpensesAmt |
| CY Other Expenses | $359,024,753 | CYOtherExpensesAmt |
| PY Total Expenses | $641,373,370 | PYTotalExpensesAmt |
| CY Total Expenses | $708,086,715 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $114,308,950 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $153,592,323 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,210,267,342 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,105,625,709 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $315,933,120 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $259,359,108 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $894,334,222 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $846,266,601 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION AND COMPASSION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $648,371,606 | ExpenseAmt |
| Grant | $207,033 | GrantAmt |
| Revenue | $818,486,450 | RevenueAmt |
| Desc | BRYAN MEDICAL CENTER IS A NATIONALLY RECOGNIZED NON-PROFIT, ACUTE CARE HOSPITAL, PROVIDING EXEMPLARY COMPREHENSIVE PATIENT CARE SERVICES, MEDICAL EDUCATION, AND COMMUNITY SERVICES TO RESIDENTS OF THE LINCOLN COMMUNITY, STATE OF NEBRASKA, AND OTHER STATES IN THE REGION. BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN MEDICAL CENTER IS THE LARGEST HOSPITAL IN LINCOLN, LICENSED FOR 640 BEDS AT TWO SEPARATE LOCATIONS. PREMIER SERVICES INCLUDE CARDIOLOGY, ORTHOPEDICS, TRAUMA, NEUROSCIENCE, MENTAL HEALTH, WOMEN AND CHILDREN'S HEALTH AND ONCOLOGY. BRYAN MEDICAL CENTER IS THE COMMUNITY'S ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES AND HAS HELPED THOUSANDS OF INDIVIDUALS OVER THE YEARS THROUGH THE BRYAN INDEPENDENCE CENTER RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM. DURING 2021, BRYAN MEDICAL CENTER ADMITTED 28,672 INPATIENTS, DELIVERED 3,267 BABIES, AND HAD 87,350 EMERGENCY ROOM VISITS. BRYAN MEDICAL CENTER IS COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. DURING 2021, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR OVER 7,773 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT, AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. UNREIMBURSED COST FOR CHARITY CARE TOTALED $13.0 MILLION. BRYAN MEDICAL CENTER ALSO INCURRED $45.3 MILLION IN UNREIMBURSED MEDICARE COSTS, AND $35.7 MILLION IN MEDICAID COSTS AND SUPPORT OF OTHER PUBLIC PROGRAMS. BRYAN MEDICAL CENTER SERVED 20,476 MEDICAID PATIENTS IN 2021. BRYAN MEDICAL CENTER PROVIDED $1.6 MILLION IN THE SUPPORT OF HEALTH PROFESSIONALS' EDUCATION, THROUGH RESIDENCY PROGRAMS AND IN SUPPORT OF THE BRYAN COLLEGE OF HEALTH SCIENCES. DURING FALL 2021, THERE WERE 752 STUDENTS ENROLLED IN GRADUATE AND UNDERGRADUATE DEGREE PROGRAMS THROUGH BRYAN'S SCHOOL OF NURSING, HEALTH PROFESSIONS AND NURSE ANESTHESIA PROGRAMS. COMMUNITY EDUCATION, SUPPORT PROGRAMS, AND SERVICES SUBSIDIZED BY THE MEDICAL CENTER TOTALED $1.7 MILLION. DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS TOTALED MORE THAN $614,000. BRYAN MEDICAL CENTER'S QUANTIFIABLE COMMUNITY BENEFIT FOR 2021 TOTALED MORE THAN $132.9 MILLION. | Desc |
| Total Program Service Expenses | $648,371,606 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1327 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 5187 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NE | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Dewerff | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4024811111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 685061299 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ERIN PEMBERTON | |||||||||
| SECRETARY | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JACK HUCK | |||||||||
| TREASURER | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN WOODRICH | |||||||||
| PRESIDENT/CEO Bryan Medical Center | 58.0 | 4.0 | Yes (X) | Yes (X) | $1,513,944 | $0 | $47,634 | ||
| RUSSELL GRONEWOLD | |||||||||
| President/CEO Bryan Health | 28.0 | 33.0 | Yes (X) | Yes (X) | $0 | $1,347,075 | $43,499 | ||
| SCOTT YOUNG | |||||||||
| CHAIRPERSON | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHANNON HARNER | |||||||||
| Vice Chairperson | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRENDA FRANKLIN RN | |||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| DARLA EISENHAUER-SPIRES MD | |||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID KECK PHD | |||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Gayle Page | |||||||||
| Trustee | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JANET CHUNG | |||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH GROSS MD | |||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $20,000 | $0 | $0 | |||
| LARRY DLUGOSH PHD | |||||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| LISA VAIL | |||||||||
| VP-PATIENT CARE SERVICES/CNO, TRUSTEE | 60.0 | 0 | Yes (X) | $669,727 | $0 | $37,918 | |||
| Max L Rodenburg | |||||||||
| Trustee | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| NICHOLAS CUSICK | |||||||||
| Trustee | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| PABLO CERVANTES | |||||||||
| TRUSTEE | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM LESTER | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| William M Johnson MD | |||||||||
| Trustee | 1.0 | 0 | Yes (X) | $12,500 | $0 | $0 | |||
| DAVID REESE | |||||||||
| VP - CLINICAL & SUPPORT SERVICES | 59.0 | 1.0 | $561,459 | $0 | $52,284 | Yes (X) | |||
| RICHARD LLOYD | |||||||||
| President - College of Health Sciences | 60.0 | 0 | $569,031 | $0 | $39,583 | Yes (X) | |||
| JEROME WOHLEB | |||||||||
| PHARMACY DIRECTOR | 50.0 | 0 | $260,966 | $0 | $41,447 | Yes (X) | |||
| JOHN MD TRAPP | |||||||||
| CHIEF MEDICAL OFFICER | 50.0 | 0 | $542,273 | $0 | $32,310 | Yes (X) | |||
| SHARON HADENFELDT | |||||||||
| DEAN OF NURSE ANESTHESIA, BRYAN COLLEGE OF HEALTH SCIENCES | 50.0 | 0 | $245,736 | $0 | $29,064 | Yes (X) | |||
| TROY HOTTOVY | |||||||||
| INFORMATION TECHNOLOGY DIRECTOR | 50.0 | 0 | $233,229 | $0 | $39,050 | Yes (X) | |||
| WARREN ENGLER | |||||||||
| BEHAVIOR HEALTH SERVICES DIRECTOR | 50.0 | 0 | $211,988 | $0 | $35,682 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,840,853 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,347,075 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $398,471 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 412 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| FOCUSONE SOLUTIONS LLC | ||||||
| PO BOX 3037 | OMAHA | NE | 68103 | Temporary Labor | $13,684,907 | |
| INPATIENT PHYSICIAN ASSOCIATES | ||||||
| 2300 SOUTH 16TH STREET | LINCOLN | NE | 68502 | MEDICAL SERVICES | $12,393,498 | |
| Associated Anesthesiology PC | ||||||
| 2900 South 70th Street | Lincoln | NE | 68506 | Anesthesiology Services | $3,691,946 | Suite 450 |
| Pathology Medical Services | ||||||
| PO Box 82653 | Lincoln | NE | 68501 | Pathology Services | $2,887,480 | |
| ALLIED UNIVERSAL | ||||||
| 161 WASHINGTON STREET SUITE 600 | CONSHOHOCKEN | PA | 19428 | SECURITY SERVICES | $2,153,695 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 69 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,922,759 | RelatedOrganizationsAmt |
| Government Grants | $10,682,063 | GovernmentGrantsAmt |
| Noncash Contributions | $600 | NoncashContributionsAmt |
| Total Contributions | $16,604,822 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $790,536,806 | $790,536,806 | |
| BRYAN COLLEGE OF HEALTH SCIENCES REV | 611600 | $13,977,417 | $13,957,952 | $19,465 |
| Pharmacy | 446110 | $5,939,167 | $5,939,167 | |
| PROGRAM RENTAL REVENUE | 531190 | $4,943,781 | $4,383,170 | $560,611 |
| Specialty Care Revenue | 622110 | $3,667,430 | $3,667,430 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,925 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,925 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $819,066,526 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,220,892 | TotalRevenueColumnAmt |
| Exclusion | $6,220,892 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,355,428 | SecuritiesAmt |
| Other | $85,414 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,876,861 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,478,567 | SecuritiesAmt |
| Other | $85,414 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,563,981 | TotalRevenueColumnAmt |
| Exclusion | $11,563,981 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $3,014,406 | $3,014,406 | |
| CHILD CARE | 624410 | $1,898,390 | $1,898,390 | |
| LAB REFERRED TESTING | 900099 | $290,860 | $290,860 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,019,161 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $288,296 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,730,865 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,222,817 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $861,679,038 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $818,486,450 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,159,232 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,428,534 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,033 | TotalAmt |
| Program Services | $207,033 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,524,080 | TotalAmt |
| Management And General | $3,524,080 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,002,328 | TotalAmt |
| Program Services | $263,614,578 | ProgramServicesAmt |
| Management And General | $7,387,750 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,228,340 | TotalAmt |
| Program Services | $13,859,556 | ProgramServicesAmt |
| Management And General | $2,368,784 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,217,644 | TotalAmt |
| Program Services | $33,426,457 | ProgramServicesAmt |
| Management And General | $5,791,187 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,882,537 | TotalAmt |
| Program Services | $16,050,156 | ProgramServicesAmt |
| Management And General | $2,832,381 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,352 | TotalAmt |
| Program Services | $304,942 | ProgramServicesAmt |
| Management And General | $24,410 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,500 | TotalAmt |
| Program Services | $6,035 | ProgramServicesAmt |
| Management And General | $465 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,800 | TotalAmt |
| Management And General | $4,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,162,402 | TotalAmt |
| Program Services | $76,105,433 | ProgramServicesAmt |
| Management And General | $6,056,969 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,011 | TotalAmt |
| Program Services | $154,515 | ProgramServicesAmt |
| Management And General | $609,496 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,523,986 | TotalAmt |
| Program Services | $16,057,773 | ProgramServicesAmt |
| Management And General | $3,466,213 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,142,795 | TotalAmt |
| Program Services | $8,765,538 | ProgramServicesAmt |
| Management And General | $7,377,257 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,361,423 | TotalAmt |
| Program Services | $6,213,656 | ProgramServicesAmt |
| Management And General | $2,147,767 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,439 | TotalAmt |
| Program Services | $150,762 | ProgramServicesAmt |
| Management And General | $34,677 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,519 | TotalAmt |
| Program Services | $219,685 | ProgramServicesAmt |
| Management And General | $10,834 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,397,773 | TotalAmt |
| Management And General | $2,397,773 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,810,122 | TotalAmt |
| Program Services | $43,665,360 | ProgramServicesAmt |
| Management And General | $10,144,762 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,741 | TotalAmt |
| Program Services | $638,741 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $168,126,168 | $163,719,465 | $4,406,703 |
| CORPORATE COST ALLOCATION | $1,894,574 | $1,610,388 | $284,186 |
| Net periodic pension costs | -$902,645 | -$902,645 | |
| Recruitment Expense | $877,216 | $704,572 | $172,644 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,471,577 | TotalAmt |
| Program Services | $3,799,606 | ProgramServicesAmt |
| Management And General | $671,971 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,086,715 | TotalAmt |
| Program Services | $648,371,606 | ProgramServicesAmt |
| Management And General | $59,715,109 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,498,895 | BOYAmt |
| EOY | $59,821,384 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,479,441 | BOYAmt |
| EOY | $97,709,897 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,778,550 | BOYAmt |
| EOY | $16,753,296 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,168,825 | BOYAmt |
| EOY | $14,396,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,088,517,842 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $681,435,351 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422,321,811 | BOYAmt |
| EOY | $407,082,491 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,743,894 | BOYAmt |
| EOY | $369,427,818 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,794,000 | BOYAmt |
| EOY | $70,045,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,356,012 | BOYAmt |
| EOY | $54,432,262 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,812,119 | BOYAmt |
| EOY | $1,224,405 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,313,795 | BOYAmt |
| EOY | $14,732,241 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,267,342 | BOYAmt |
| EOY | $1,105,625,709 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,317,303 | BOYAmt |
| EOY | $125,879,929 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,877,500 | BOYAmt |
| EOY | $62,170,000 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,960,000 | BOYAmt |
| EOY | $28,215,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,778,317 | BOYAmt |
| EOY | $43,094,179 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,933,120 | BOYAmt |
| EOY | $259,359,108 | 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 | $860,266,898 | BOYAmt |
| EOY | $808,850,497 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,067,324 | BOYAmt |
| EOY | $37,416,104 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $894,334,222 | BOYAmt |
| EOY | $846,266,601 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,267,342 | BOYAmt |
| EOY | $1,105,625,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $153,592,323 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,429,162 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$226,089,106 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $32,809 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,809 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | BRYAN MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR THE MEMBERSHIP DUES TO THE AHA OF $69,703 AND THE NHA OF $133,077 AND ; OF THIS AMOUNT THE AHA REPORTED THAT 26.47% OR $18,450 AND THE NHA REPORTED THAT 10.79% OR $14,359 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. On various occasions throughout the year, the CEO met with state and local legislators to discuss issues related to healthcare. While some related to healthcare reform, other issues discussed included meeting the needs of the indigent/uninsured and underinsured patients, as well as the ongoing need for health services including mental health services for the community. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Collection Used Preservation | Yes (X) | CollectionUsedPreservationInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $592,994 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$20,240 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $572,754 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $590,272 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,882 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $160 | AdministrativeExpensesAmt |
| End Year Balance | $592,994 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $587,826 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,288 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,842 | AdministrativeExpensesAmt |
| End Year Balance | $590,272 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $580,758 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $10,745 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $3,677 | AdministrativeExpensesAmt |
| End Year Balance | $587,826 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $694,914 | BeginningYearBalanceAmt |
| Contributions | $726 | ContributionsAmt |
| Investment Earnings Or Losses | -$23,058 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1 | OtherExpendituresAmt |
| Administrative Expenses | $91,823 | AdministrativeExpensesAmt |
| End Year Balance | $580,758 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,471,382 | OtherCostOrOtherBasisAmt |
| Book Value | $19,471,382 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $557,667,079 | OtherCostOrOtherBasisAmt |
| Depreciation | $315,356,473 | DepreciationAmt |
| Book Value | $242,310,606 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,036,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $925,661 | DepreciationAmt |
| Book Value | $110,944 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $487,635,519 | OtherCostOrOtherBasisAmt |
| Depreciation | $360,103,721 | DepreciationAmt |
| Book Value | $127,531,798 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,707,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,049,496 | DepreciationAmt |
| Book Value | $17,657,761 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $407,082,491 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Limited Partnerships - Hedge Fund of Funds | Desc |
| Book Value | $70,045,000 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $70,045,000 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST RATE SWAP LIABILITY | $6,433,191 |
| RIGHT-OF-USE LIABILITY | $4,906,767 |
| SELF INSURANCE LIABILITY | $6,053,118 |
| OTHER LIABILITIES | $15,034,191 |
| CURRENT PORTION INTEREST RATE SWAPS | $1,980,459 |
| ORIGINAL ISSUE PREMIUM | |
| ACCRUED PENSION BENEFIT OBLIGATION | $9,265,471 |
| College Grants | $923,575 |
| Third Party Payor Settlements | -$1,502,593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,094,179 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part III, Line 4 Collections of art - description of collections | BRYAN MEDICAL CENTER IS THE OWNER OF THE WILLIAM JENNINGS BRYAN HOUSE, ALSO KNOWN AS FAIRVIEW. FAIRVIEW IS A HISTORIC HOUSE BUILT IN 1902-1903 IN LINCOLN, NEBRASKA, IN 1922, THE HOUSE AND SURROUNDING LAND WAS DONATED TO THE NEBRASKA METHODIST CONFERENCE, WHICH THEN FORMED A SEPARATE NONPROFIT ORGANIZATION FOR PURPOSES OF ESTABLISHING BRYAN MEMORIAL HOSPITAL AND AFFILIATED SCHOOL OF NURSING. FAIRVIEW WAS DECLARED A NATIONAL HISTORIC LANDMARK IN 1963. THE HOUSE IS NOW USED FOR BRYAN MEETINGS AND FUNCTIONS. IN ADDITION, APPROXIMATELY 500 VISITORS TOUR THE HOME ANNUALLY. THIS ASSET IS FULLY DEPRECIATED, AND REPORTED ON THE BALANCE SHEET AT A NET AMOUNT OF ZERO. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | BRYAN MEDICAL CENTER'S ("MEDICAL CENTER") ENDOWMENT FUNDS ARE ESTABLISHED TO PROVIDE FOR LOANS FOR THE STUDENTS WHO ATTEND THE BRYAN COLLEGE OF HEALTH SCIENCES. BRYAN COLLEGE OF HEALTH SCIENCES PROVIDES HEALTHCARE PROFESSIONAL EDUCATION WITH PROGRAMS LEADING TO GRADUATE AND UNDERGRADUATE ACADEMIC DEGREES. BRYAN COLLEGE OF HEALTH SCIENCES IS PART OF THE MEDICAL CENTER AND ITS OPERATIONS ARE INCLUDED IN THE MEDICAL CENTER'S FORM 990. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | Under Accounting Standards Codification(ASC), Subtopic 740-10, Income Taxes, the System must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest 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, 2021 and 2020. 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, 2021 and 2020. Tax returns filed by the System and its subsidiaries are no longer subject to examination for the years ended December 31, 2017 and prior. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,025,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,025,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0184 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,192,116 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,457,326 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,734,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0505 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $112,218,060 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,457,326 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,760,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0689 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,731,710 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,731,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0024 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,626,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,018,188 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,607,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0023 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $734,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $613,171 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $121,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $614,850 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $614,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $20,707,181 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,631,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,075,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0058 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $132,925,241 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,088,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,836,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0746 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,880 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $267,435,178 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $312,770,329 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$45,335,151 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Doctors Outpatient Surgery Center | |||
| Outpatient Surgery Center | 0.51 | 0.0 | 0.49 |
| Lincoln Digestive Health Center LLC | |||
| Ambulatory Surgery Center | 0.51 | 0.0 | 0.49 |
| Head and Neck Surgical Partners LLC | |||
| Ambulatory Surgery Center | 0.51 | 0.0 | 0.49 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Research FacilityResearchFacilityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bryan Medical Center East | ||||||||||||
| 1 | 1600 South 48th St | Lincoln | NE | 68506 | www.bryanhealth.com | 500001 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| BRYAN MEDICAL CENTER WEST | ||||||||||||
| 2 | 2300 SOUTH 16TH ST | LINCOLN | NE | 68502 | www.bryanhealth.com | 500003 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://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 | https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility A, 1 | Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. In conducting the community health needs assessment, a collaboration effort between Bryan Medical Center, the Lincoln-Lancaster County Health Department, and CHI St. Elizabeth, gathering input representing the broad interests of the community. Prioritized significant health needs were identified by subject matter experts at Bryan Health, based on findings from the collaborative assessment. The Lincoln Community Health Survey provides information and insight critical to Bryan Medical Center's community health needs assessment. This survey was planned, conducted, and analyzed as a joint effort between the Lincoln-Lancaster County Health Department, Bryan Health and CHI Health. DURING THE FISCAL YEAR ENDED DECEMBER 31, 2021, Bryan Medical Center, CHI St. Elizabeth and the Lincoln-Lancaster County Health Department distributed surveys to one in every seven households throughout the area. In addition to surveying one in seven households throughout Lancaster County, oversampling was performed with Lincoln's Cultural Centers Coalition, the Lincoln Homeless Coalition, and also the Nebraska Commission for the Blind Supported and the Federation for the Blind. The Lincoln Community Health Survey consisted of five questions: four open-ended write-in questions, and one multiple choice question. The Lincoln Community Health Survey was mailed with a paper survey and business reply envelope enclosed. They survey invited people to complete the survey either online or by hand. The back of the paper survey offered instructions for language help in seven languages, including Spanish, Arabic, Kurdish, Vietnamese and Russian. In addition, instructions for completing the survey online were also included via pictures with minimal words. The bottom of the survey also offers a chance for further participation in the needs assessment. The Lincoln Community Health Survey mailer was approved for distribution on September 22, 2020. 13,946 surveys were mailed to households. Of that distribution, 1,752 responses were received - a 12.6% response rate. Along with overall results, responses were weighted within their census tract. The top three health concerns in the city of Lincoln and Lancaster County are Behavioral Health Care (Mental Health) Alcohol, Drug, and Tobacco Use; Heart Disease; and Cancer. |
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. SEE SCHEDULE H, PART V, SECTION B, LINE 5 |
| Schedule H, Part V, Section B, Line 6b Facility A, 1 | Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. THE HOSPITAL'S CHNA WAS A COLLABORATIVE EFFORT between the Lincoln-Lancaster County Health Department, Bryan Health, and CHI Health (referenced in Sch. H, Part V, Sec. B, Line 5) |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. BRYAN HEALTH HAS WORKED DILIGENTLY TO IMPLEMENT AND CONTINUE STRATEGIES THAT WILL ALLOW THE ORGANIZATION TO MEET THE NEEDS OF THE LINCOLN COMMUNITY AS WELL AS THE SURROUNDING LANCASTER COUNTY AREA. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN, AND 2021 BRYAN HEALTH STRATEGIC PLAN, BRYAN HEALTH CONTINUES TO PARTNER THROUGHOUT THE CITY AND COUNTY TO IMPROVE FOUR MAJOR AREAS OUTLINED IN THE CHNA: 1) Behavioral Health 2) Cardiovascular Disease 3) Cancer Care 4) COVID-19 Pandemic Through the results of the Lincoln Community Health Survey as well as through other primary research and data available, Bryan has identified 4 significant health needs within Lincoln and Lancaster County that required prioritized focus over the next few years. This strategy of precisely-focused need priorities is a departure from Bryan's previous Community Health Needs Assessments, whose board and encompassing need priorities created a more or less comprehensive landscape of health needs within Lancaster County. By tightening focus to a few specific needs, Bryan hopes to make tangible and strategic impacts on some of our community's most pressing needs. These significant health needs were selected based on a combination of factors, including responses from the Lincoln Community Health Survey, analysis of community data sources such as Lancaster County's vital statistics, Bryan Health's own internal hospitalization data and other forms of research. 1.Behavioral Health Options representing behavioral health were the two most-selected answers in the Lincoln Community Health Survey. Mental health was the most selected option, and Alcohol, Drug and Tobacco Use was the second-most selected. Attempted suicides in Lincoln, Nebraska have risen to a twenty-year high, both among the 10-24 year old age group and among all ages in general. Reports of aggravated domestic assault in Lancaster County gave risen over the past three years. Between January and May 2021, the Lincoln Police Department responded to 1,698 mental health calls for service. These calls included more than 170 attempted suicides. More than 100 of the calls for service required emergency protective care. The Lincoln Police Department reported 133 non-fatal overdoses in 2020, a 76 percent increase over the 5-year average. While Lancaster County represents roughly 16 percent of Nebraska's population, it contributed 35 percent of the state's 2019 heroin overdoses. On August 19, 2021, the Lincoln-Lancaster County Health Department issued a health alert regarding a spike in accidental drug overdoses caused by illegal drugs being mixed with fentanyl. The Lincoln Police Department reported responding to 50 overdose cases within a period of 30 days. Upon investigation, at least 26 in the prior three weeks had been caused by this combination. Nebraska voters approved Medicaid expansion in 2018, enrollment in Medicaid expansion did not begin until August 2020, with coverage starting in October. The state sought a waiver to implement a program different from what is allowed under federal law. The waiver would not have affected eligibility for physical and mental health care, as well as prescription drugs, but it did include a tiered benefit structure that required beneficiaries to meet work and healthy behavior requirements to access additional benefits, such as vision, dental, and over-the counter medications. This wavier was approved in October 2020. The state requested to withdraw its approved waiver on August 17, 2021, and CMS approved the withdrawal on September 2. The state announced that it plans to offer all expansion adults full benefits starting October 1, 2021. BRYAN HEALTH CONTINUES TO SUPPORT CHANGE AND INNOVATION IN PILOT PROGRAMS SUCH AS DRUG COURT, AS WELL AS WORKING WITH LAW ENFORCEMENT AND THE CRISIS CENTER TO SUPPORT ENHANCED PRE-CRISIS CARE. OVERALL BRYAN HEALTH HAS MADE PROGRESS IN SUPPORTING BEHAVIORAL HEALTH IN THE COMMUNITY WITH ITS INDEPENDENCE CENTER FACILITY FOR SUBSTANCE ABUSE TREATMENT. THIS STATE OF THE ART FACILITY PROVIDES A CARING ENVIRONMENT FOR TREATMENT AND HEALING FOR INDIVIDUALS IN LANCASTER COUNTY AND BEYOND WHO ARE SEEKING INPATIENT OR OUTPATIENT TREATMENT FOR SUBSTANCE ABUSE. THE INDEPENDENCE CENTER ALSO CONTINUES TO PROVIDE INTERVENTION NURSES services at Bryan Health and other local medical facilities to assess substance abuse. We continue working with DHHS to provide Intervention Nurse Telehealth Consults to five rural Nebraska communities for Opioid use assessment and reduction. We also continue to collaborate with the School Community Intervention Program (SCIP) to provide free contracted substance use evaluations to Lincoln Public School youth. The independence Center supports a position titled Community Outreach Liaison. This individual helps clients and their families navigate the provider community and connects them with the services needed. This position also assists those who are returning from residential services back into the home, school, and community. Outreach liaison is to educate the community about substance use and independence center services. FURTHERMORE, BRYAN HEALTH SUPPORTS EFFORTS IN THE COMMUNITY TO PROVIDE AN INTEGRATED BEHAVIORAL HEALTH SAFETY NET AND EXPAND ACCESS TO BEHAVIORAL HEALTH PROVIDERS WHO SERVE POOR, UNINSURED, AND MEDICAID ELIGIBLE POPULATIONS. Bryan Heartland Psychiatry significantly increased their number of providers to meet community needs for behavioral health services. THESE EFFORTS INCLUDE PROVIDING A SEGREGATED MENTAL HEALTH EMERGENCY DEPARTMENT STAFFED WITH SPECIALLY TRAINED BEHAVIORAL HEALTH NURSES, and SOCIAL WORKERS. In order to further leverage these specially trained staff to assist with the lack of mental health providers and services in the vast underserved areas of the state, Bryan Health offers behavioral health evaluations via telehealth to ten emergency department sites across the state. By providing this service we assist with providing a quality evaluation and plan recommendations that reduce preventable inpatient admissions and assignment to other higher levels of care. IN A SPECIAL PROJECT, BRYAN HEALTH'S MENTAL HEALTH EMERGENCY DEPARTMENT HAS PARTNERED WITH CenterPoint to provide immediate linkage to substance use outpatient services for patients not being admitted to medical center higher levels of care. This initiative is intended to improve local and state performance regarding substance use follow up after hospital visit. Bryan Health utilizes peer specialists. These peers use principles of recovery, Wellness Recovery Action Planning, Whole Health Action Management and other evidence-based practices in their work. They hold weekly community wellness groups at no cost to the participants; provide inpatient wellness/recovery groups; pain management consults; staff COVID wellness support groups; cancer support groups and respond to individual requests from providers. Bryan has made it a priority to serve as a training site for counselors, social workers, nurses, physician assistants, and primary care physicians through the Lincoln medical education program. Southeast Community COLLEGE, DOANE University, Union College, BRYAN COLLEGE OF HEALTH SCIENCES, UNIVERSITY OF NEBRASKA AND OTHER EDUCATIONAL INSTITUTIONS. These efforts have significant value in developing our future workforce Online screening for depression, anxiety, post-traumatic stress disorder, alcohol abuse and adolescent depression are made available at no cost to the public on the the Bryan Health Website. If the endorsed items suggest there is a clinical problem present, at completion of the survey, a recommendation is provided for the individual to seek professional help. There has been a steady annual increase in number of screening accessed. BRYAN HEALTH WORKS WITH OTHER LINCOLN PROVIDERS AND GROUPS ACROSS THE STATE TO ADDRESS GAPS AND SPECIAL NEEDS IN THE POPULATION AS WELL AS THOSE WHO ARE UNDERSERVED. THESE INCLUDE CenterPoint and The Bridge Behavioral Health to improve coordination of care for clients requiring specialized substance use services; Youth Crisis Response Coalition to prevent youth from entering the juvenile justice system and creating a 24 hour respite service for youth in crisis but not requiring hospital or legal lodging. We are proud to continue to work with Lincoln Police Department's Mobile Crisis Service, CenterPointe's crisis services, Mental Health Association's respite services, and Region 5's Targeted Adult Service Coordination (TASC) services. These and other pre-crisis services have proven valuable in helping individuals to prevent the need for higher levels of care. |
| Schedule H, Part V, Section B, Line 11 Facility A, 2 | Facility A, 2 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. We are proud to Co-sponsor and host Mental Illness awareness week to provide community education with additional offerings throughout the year on topics such as social media impact on adolescents; stigma; chronic pain, holistic self-care, etc. We have additionally supported our community through multiple media supporting stress reduction, burnout prevention and recovery, wellness, family and general support topics as we worked through the ravages of COVID on our community and providers. BRYAN MEDICAL CENTER MENTAL HEALTH HAS BEEN A LEADER IN SUICIDE PREVENTION FOR OUR COMMUNITY AND STATE. ONE OF THE MANAGERS FOR BRYAN MENTAL HEALTH helped to start the Nebraska State Suicide Prevention Coalition in 1999 and continues to SERVE on the Executive Committee. The director recently help the coalition achieve 501(c)3 status. The latest project is the development of a phone app that appeals to the 15-24 y/o age group, which includes a journaling app, immediate access to suicide crisis text and telephone line service through Boys Town National Hotline. Served on the leadership group of the Lincoln suicide prevention coalition (Hopelink). In addition, this Bryan Behavioral health director provided leadership in developing the first local outreach to suicide survivors (loss) team in Lincoln, Nebraska and has continued to assist in the development of an additional ten loss teams in other Nebraska counties. Developing and implementing the loss team was a collaborative effort in working with law enforcement and police chaplains as well as other community and county agencies. A loss team is a group of three people who are on call (two people who have lost someone to suicide and a clinician) and they respond to families who have lost someone to suicide and provide resources. Connecting suicide survivors to other suicide survivors and resources is considered suicide postvention which is also prevention. In response to the growing presence and awareness of opioid misuse and abuse in the community and across the nation, Bryan Health created the Pain Management and Opioid Stewardship Program in summer 2018. Local pain management specialist Kelly Zach, MD leads a 24-member steering team to run the program. The team includes representation from medical staff, hospital administration, pharmacy, nursing, behavioral health, substance abuse, physical therapy and organizational quality. This ongoing program will evaluate and utilize evidence-based best practices to achieve safe and appropriate pain management, while reducing the risk of opioid addiction, overdose and deaths. This team has worked through numerous phase one goals and entered phase two. Phase two goals move interventions out into the community at large. There have been independent outpatient provider education, education to Nebraska Medical Association members; partnering with the Lincoln-Lancaster County Health Department Committee; Lincoln Police Department; and several others. 2. Cardiovascular Disease The prevalence of cardiovascular disease within Lincoln and Lancaster County gives credence to the community's concern for heart disease within the survey. Heart disease has been one of the two leading causes of death in Lancaster County at least as far back as 2005. It trails just behind cancer as the leading cause of death, and both are far ahead of all other causes of death in the county. In 2020, the Wall Street Journal analyzed the CDC's mortality data among people ages 45-64 during the years between 2010 and 2016. The analysis studied increases in cardiovascular-related deaths in that age group across the national's cities with populations greater than 100,000. The analysis cited Lincoln, Nebraska as having a 25.1% increase in that time period; ranking fourth nationally. While cardiovascular disease is a major and growing health concern for Lincoln and Lancaster County, it must be noted that Lincoln's care for cardiovascular patients is excellent. Lincoln Fire and Rescue recently reported that Lincoln's survival rate for non-traumatic cardiac arrest cases is 16.9%, compared to the 9% national average. Hypertension is the largest contributor to cardiovascular disease, and Bryan has made the control of hypertension an organizational goal among all Bryan sites and providers. As a result, the percentage of patients with controlled hypertension has increased almost 10%. BRYAN HEALTH THROUGH BRYAN LIFEPOINTE REACHES OUT AND PROVIDES EXTENSIVE EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY THAT PROMOTES EXERCISE, AND TEACHES WELLNESS STRATEGIES AND DISEASE MANAGEMENT. BRYAN LIFEPOINTE CONTINUES TO OFFER PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC AND PULMONARY REHAB, AND AQUATIC THERAPY. THE WEIGHT MANAGEMENT PROGRAM LIFETRACKS, AS WELL AS THE PHYSICIAN REFERRED, LIFEFIT, CONTINUE TO SEE MORE CLIENTS AND ARE GENERATING INTEREST IN THE COMMUNITY. BRYAN LIFEPOINTE ALSO PLAYS AN INTEGRAL PART IN THE CONTINUUM OF CARE FOR BRYAN BARIATRIC ADVANTAGE SURGERY PATIENTS. In addition, Bryan LifePointe offers a variety of health programming and seminars, and women's and men's health symposiums to the public, encouraging and supporting individuals toward a healthy and sustainable lifestyle. 3. Cancer Care Cancer has held as Lancaster County's most prominent cause of death for more than a decade. The only other cause of death for the area is heart, which has yet to eclipse it. While the Cancer option appears not to be often selected in the survey, it must be noted that the "Cancer" option was only displayed on the online version, not on the paper version. This mistake was identified after the paper survey was distributed. Evidence still speaks to cancer being a strong concern to the Lincoln and Lancaster County community. As far back as 2005, lung cancer has been the definitive leader among causes of death by cancer in Lancaster County. However, the percentage of cancer deaths caused by lung cancer has been decreasing during this time, and is likely to continue. Bryan leaders met on four occasions with focus groups comprising individuals from the region who have lived or are living with cancer. Qualitative findings revealed cancer patients rely upon their physician, experience and their own research when they decide where it receive care. This group articulated a deep understanding of the protocol-driven nature of cancer care. They were universally complimentary of the skill and experience of their physicians and quality of the care and outcomes experienced in Lincoln and elsewhere. However, it was clear that they desired and strongly recommended that Bryan facilitate a better option than currently exists. They advised us to do all we can to remedy the disjointed care, and enhance the convenience and personalized care that was lacking when they left Lincoln for second opinions or additional care. Bryan Health conducted specific research into the impact of cancer in the area while it was planning the April Sampson Cancer Center. Additional cancer care navigators have been hired and deployed to assist new cancer patients through their journey. TO SUPPORT THE PREVENTION AND TREATMENT OF CANCER IN THE COMMUNITY, BRYAN HEALTH CONTINUES TO SPONSOR CANCER CONFERENCES WEEKLY, WITH SPECIAL THORACIC CONFERENCES HELD TWICE MONTHLY. LIFESPRING CANCER RECOVERY PROGRAM STILL PROVIDES SUPPORT AND EXPERTISE FOR CANCER PATIENTS AND SURVIVORS WITHIN LINCOLN AND THE SURROUNDING AREA. BRYAN MEDICAL CENTER ALSO PARTICIPATES WITH THE NEBRASKA CANCER RESEARCH CENTER (NCRC) AND THE CANCER ALLIANCE OF NEBRASKA TO OFFER CLINICAL TRIAL OPPORTUNITIES LOCALLY TO CANCER PATIENTS. Education on cancer prevention and screening, as well as other cancer-related topics, are presented to service groups and organizations as part of Bryan Medical Center's community outreach. Bryan also hosts educational classes on smoking cessation, radon prevention, the links between obesity and cancer, and caring for a loved one with cancer. Bryan also raises community awareness surrounding lung cancer every November with its Shine a Light on Lung Cancer event. |
| Schedule H, Part V, Section B, Line 11 Facility A, 3 | Facility A, 3 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. 4. Effects of the COVID-19 Pandemic Residents of Lancaster County first started testing positive for COVID-19 in early 2020, the COVID-19 pandemic has had seismic effects on our community and across the world. Within Lincoln, businesses have been closed and reopened, remote learning has been employed in schools, mask mandates have been implemented, limitations on gathering sizes have been enforced, vaccination requirements among private businesses have been imposed and elective surgical procedures have been suspended or delayed multiple times. At the time the Community Health Needs Assessment was being composed, Lancaster County is several weeks into the Delta variant wave of the COVID-19 pandemic. The strength of the Delta Variant wave illustrates the possibility of the COVID-19 pandemic as being an acute need all throughout the CHNA period, as the threat of possible future variants looms. The Lincoln Community Health Survey was distributed in late September, 2020. The dominant response-category for question 2 ("What worries you most about your or your family's health") was "infectious Disease", garnering 29.1% of responses. Of those responses, a full 99% specifically listed COVID-19 as their primary health worry. In attempt to maintain capacity during periods of COVID-19 surge over the past year and half, Bryan has employed strategies to stop, reduce, suspend or delay elective surgeries multiple times. Nationally, as of September 2020: 36% of adults reported delaying or forgoing health care due to worry about exposure to COVID-19, or because a provider limited services during the pandemic. 76% of adults who delayed or forewent care had one or more chronic health disease and cancer. 32% of the adults reporting delayed or forgone care reported that doing so worsened their health conditions. DURING 2021, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR 7,773 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT, AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. THERE ARE MANY REASONS BEHIND LACK OF ACCESS TO HEALTH CARE SERVICES; THE SHORTAGE OF HEALTHCARE PROFESSIONALS IS JUST ONE OF THESE REASONS. BRYAN HEALTH IS A HUGE SUPPORTER OF EDUCATION FOR HEALTH CARE PROFESSIONALS - INCLUDING ONGOING FINANCIAL SUPPORT FOR: 1) THE BRYAN COLLEGE OF HEALTH SCIENCES, WITH MORE THAN 750 STUDENTS ENROLLED IN GRADUATE AND UNDERGRADUATE DEGREE PROGRAMS THROUGH BRYAN'S SCHOOL OF NURSING, HEALTH PROFESSION AND NURSE ANESTHESIA PROGRAMS, AND 2) THE LINCOLN MEDICAL EDUCATION PARTNERSHIP RESIDENCY PROGRAM FOR FUTURE PRIMARY CARE PROVIDERS. IN ADDITION, BRYAN ALSO SERVES AS A CLINICAL TRAINING SITE FOR A LONG LIST OF HEALTH CARE DISCIPLINES; INCLUDING RADIOLOGY, LAB, PHYSICAL THERAPY, PHARMACY, EMTS AND PARAMEDICS, ETC. THIS COMMITMENT TO EDUCATION OF THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS ULTIMATELY IMPROVES ACCESS TO HEALTHCARE IN OUR REGION. MADONNA IS THE DESIGNATED ORGANIZATION IN THE LINCOLN COMMUNITY THAT PROVIDES HANDICAP-ACCESSIBLE BUS TRANSPORTATION FOR COMMUNITY MEMBERS TO/FROM DOCTORS' APPOINTMENTS, THERAPY AND OTHER OUTPATIENT APPOINTMENTS. BRYAN PROVIDES AN ANNUAL CONTRIBUTION OF $25,000 FOR THESE SERVICES SO THAT FINANCIALLY CHALLENGED MEMBERS OF OUR COMMUNITY WILL HAVE ACCESS TO MEDICAL CARE. MANY PRIVATE PRACTICE PHYSICIANS IN LINCOLN HAVE ELECTED NOT TO SERVE MEDICAID AND/OR MEDICARE PATIENTS IN THEIR OUTPATIENT CLINICS FOR FINANCIAL REASONS. BRYAN PHYSICIAN NETWORK PHYSICIANS ACCEPT MEDICAID/MEDICARE PATIENTS INTO THEIR PRACTICE BY POLICY; THEREFORE, AS BRYAN PHYSICIAN NETWORK CONTINUES TO EXPAND WITHIN THE COMMUNITY, SO DOES ACCESS TO PHYSICIAN CARE FOR AREA MEDICAID/MEDICARE PATIENTS. BRYAN PHYSICIAN NETWORK ESTABLISHED BRYAN NORTHPOINTE FAMILY MEDICINE WHICH INCLUDES A TEAM OF FIVE FAMILY PRACTICE PHYSICIANS, TWENTY PHYSICIAN ASSISTANTS, SEVEN INTERNAL MEDICINE PHYSICIANS, ONE ENDCORINOLOGY PHYSICIAN, TWO PSYCHIARTY PHYSICIANS, TWO TRAUMA SURGEONS, AND TWO FAMILY PRACTICE PHYSICIANS. FOURTH QUARTER 2020, BRYAN MEDICAL CENTER ESTABLISHED A FREE STANDING IMAGING CENTER AT THE PINE LAKE CAMPUS CALLED THE BRYAN IMAGING AND DIAGNOSTIC. THE BRYAN IMAGING AND DIAGNOSTIC PROVIDES A LOWER COST OPTION FOR OUR PATIENTS. OPENED IN MARCH OF 2020, THE BRYAN TRAUMA OUTPATIENT SERVICES DEPARTMENT PROVIDES A CLINIC HOME FOR BRYAN PHYSICIAN NETWORK'S TRAUMA AND ORTHOPEDIC TRAUMA SERVICE. THE HOSPITAL BASED PRACTICE EMPLOYS THREE GENERAL/TRAUMA SURGEONS AND THREE OTHOPEDIC TRAUMA SURGEONS. A MAJORITY OF THE CLINIC VISITS ARE FOR ORTHOPEDIC INJURIES AND FOLLOW-UP CARE BUT ALSO INCLUDE GENERAL SURGERY AND TRAUMA SURGERY VISITS. IN ADDITION TO PERIOPERATIVE OUTPATIENT CARE, SERVICES INCLUDE CASTING, X-RAY, AND PTSD SCREENING FOR PATIENTS. Doctors Outpatient Surgery Center (DOSC) and Lincoln Digestive Health Center (LDHC) are joint ventures between Bryan Medical Center and area physician groups that began seeing patients in 2018. DOSC will provide a lower cost outpatient alternative to the community where general and specialty surgeries will be performed, including orthopedics, gynecology, podiatry, plastics and dental. LDHC will increase the capacity of lower cost gastrointestinal screenings (colonoscopies) and gastrointestinal services to the community. Over the last four years Bryan Medical Center has increased the number of staffed beds by 90 on both campuses to meet the community's demand. |
| Schedule H, Part V, Section B, Line 13 Facility A, 1 | Facility A, 1 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. Eligibility for financial assistance - Eligibility for full or discounted financial assistance will only be considered for those patients who: 1) are uninsured or, underinsured; 2) ineligible for any government health care benefit program; 3) are unable to pay for their care, based upon a determination of financial need in accordance with the policy; 4) cooperate with Bryan's policies and procedures; 5) supply all required information to process the application; and 5) reimburse Bryan for any monies paid directly to the patient by insurance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BRYAN MEDICAL CENTER COUNSELING CENTER | ||||
| 2221 SOUTH 17TH ST SUITE 310 | LINCOLN | NE | 68502 | COUNSELING SERVICES |
| BRYAN MEDICAL CENTER PEDIATRIC REHABILITATION SERV | ||||
| 1500 S 48TH ST SUITE 709 | LINCOLN | NE | 68502 | PEDIATRIC REHABILITATION SERVICES |
| BRYAN MEDICAL CENTER | ||||
| 1600 S 48TH ST SUITE 600 ROOM 1 | LINCOLN | NE | 68506 | CARDIAC OUTPATIENT SERVICES |
| BRYAN MEDICAL CENTER OUTPATIENT SERVICES | ||||
| 1500 SOUTH 48TH STREET 1ST FLOOR | LINCOLN | NE | 68506 | LAB & RADIOLOGY SERVICES |
| BRYAN MEDICAL CENTER LABORATORY | ||||
| 2221 SOUTH 17TH STREET SUITE 100 | LINCOLN | NE | 68502 | LABORATORY SERVICES |
| BRYAN MEDICAL CENTER OUTPATIENT RADIOLOGY | ||||
| 3901 PINE LAKE ROAD SUITE 110 | LINCOLN | NE | 68516 | OUTPATIENT RADIOLOGY SERVICES |
| BRYAN MEDICAL CENTER MRI Services | ||||
| 2222 S 16TH ST TOWER B SUITE 100 | LINCOLN | NE | 68502 | MRI SERVICES |
| BRYAN MEDICAL CENTER COUNSELING CENTER | ||||
| 2221 SOUTH 17TH ST SUITE 201 | LINCOLN | NE | 68502 | COUNSELING SERVICES |
| BRYAN MEDICAL CENTER THERAPY SERVICES | ||||
| 7501 S 27TH STREET | LINCOLN | NE | 68512 | THERAPY SERVICES |
| BRYAN MEDICAL CENTER CARDIAC-VASCULAR OUTPATIENTS | ||||
| 1600 SOUTH 48TH STREET SUITE 301 | LINCOLN | NE | 68506 | VASCULAR OUTPATIENT SERVICES |
| BRYAN MEDICAL CENTER | ||||
| 2222 S 16TH ST TOWER B SUITE 110 | LINCOLN | NE | 68502 | RADIOLOGY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Bryan Health |
| Schedule H, Part I, Line 7g Subsidized Health Services | N/A - THERE ARE NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC ON LINE 7G. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | BRYAN MEDICAL CENTER'S UNCOMPENSATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. DIRECT AND INDIRECT COSTS WERE DEDUCTED FROM PAYMENTS TO CALCULATE THE AMOUNTS ON 7B. FOR LINES 7E, 7F, AND 7I, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY. |
| Schedule H, Part II Community Building Activities | THE COSTS REPORTED IN PART II COMMUNITY BUILDING ACTIVITIES ARE FOR THE UPKEEP OF A COMMUNITY PARK AND GARDEN. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | FOR FINANCIAL STATEMENT PURPOSES, BRYAN MEDICAL CENTER HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE ON IRS FORM 990, PART IX. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE AMOUNT OF THE MEDICAL CENTER'S BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY IS ESTIMATED TO BE ZERO BASED ON THE FOLLOWING: (1) BRYAN MEDICAL CENTER HAS ESTABLISHED POLICIES THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENT'S ABILITY TO PAY; AND ONCE ELIGIBILITY IS VERIFIED, THE MEDICAL CENTER WILL WRITE ACCOUNTS OFF TO CHARITY CARE AND NO LONGER PURSUE DEBT COLLECTION PROCEDURES; (2) BRYAN MEDICAL CENTER HAS COUNSELORS AVAILABLE TO WORK WITH ANY PATIENT BOTH PRE AND POST DISCHARGE TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE; (3) BRYAN MEDICAL CENTER PROVIDES PRESUMPTIVE FINANCIAL ASSISTANCE WHEN A PATIENT MAY 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 9-10 OF THE BRYAN HEALTH CONSOLIDATED AUDIT REPORT. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. BRYAN MEDICAL CENTER PROVIDES CARE TO MEDICARE PATIENTS, AND MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO THESE PATIENTS CAUSING A SHORTFALL, OR LOSS TO THE ORGANIZATION. THE FUNDS BRYAN MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | IT IS BRYAN'S POLICY TO OFFER PATIENTS A PAYMENT PLAN AND/OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN THAT A PATIENT IS IN NEED OF ASSISTANCE TO HELP PAY FOR THEIR HOSPITAL BILL. IF BRYAN IS AWARE THAT A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THIS ACCOUNT WILL NEVER BE REFERRED TO A COLLECTION AGENCY. IF AN ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO BRYAN FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - Bryan Medical Center East: Line 16a URL: https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - Bryan Medical Center East: Line 16b URL: https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - Bryan Medical Center East: Line 16c URL: https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/; |
| Schedule H, Part VI, Line 2 Needs assessment | AS A HEALTHCARE LEADER IN NEBRASKA, BRYAN MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. The community of Lincoln and Lancaster County, Nebraska has a wide range of personal health care providers, physician clinics, other health facilities and medical and dental providers that address the needs of the local population, as well as residents throughout the state and region. Some of the resources that Bryan has are: 1.) Acute Care Services, which include cardiology, orthopedics, trauma, neuroscience, mental health, obstetrics, neonatal intensive care, rehabilitation and oncology. Bryan is the community's only provider of inpatient mental health services and substance use treatment. 2.) Primary Care Services, Bryan provides urgent care clinics throughout Lincoln that provide primary care services outside physicians' normal working hours. There are currently six urgent care clinics throughout Lincoln, and more within the outlying towns and communities of Lancaster County. 3.) Behavorial Health Services. Bryan Medical Center is the only acute care hospital in the Lincoln Lancaster County area to provide behavioral health services and is one of only a few acute care hospitals in the nation to support a dedicated mental health emergency department. The Lincoln-Lancaster County Health Department has several planned stages of further development and enrichment of the Lincoln Community Health Survey. These subsequent stages have been delayed due to the effects of the COVID-19 pandemic, but work on all of them continues. The Health Department partnered with University of Nebraska Medical Center to develop programming for a series of community conversations with survey respondents who indicated they would be willing to participate in further discussions about health in their area. These community conversations will be hosted by a Technology of Participation Certified facilitator from the Health Department, and will gather roughly six to twelve members of the community. Five geographically-based sessions are scheduled - one for each quadrant of the area, and a fifth for the central area. Additional conversations are scheduled for oversampled populations, including Lincoln's Cultural Coalition, the Lincoln Homeless Coalition, and organizations representing Lancaster County's blind community. Once the team has completed analysis of the quantitative and qualitative data gathered through the Lincoln Community Survey and its resulting community conversations, it will host a summit where it will present its findings to the community. Members of the of the community will be invited to attend, including representatives from community organizations, the police and fire departments, the public school districts, local businesses, local healthcare practices, and the community at large. The summit will reflect the collaborative effort from the Health Department, Bryan Health, and CHI Health. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | IN KEEPING WITH BRYAN MEDICAL CENTER'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, BRYAN OFFERS A FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM IS PROVIDED AT EACH NEW EMPLOYEE ORIENTATION SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. BRYAN HAS TRAINED FINANCIAL COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENTS FINANCIAL NEED. UNINSURED PATIENTS WHO ARE ADMITTED TO BRYAN WILL AUTOMATICALLY RECEIVE A CONSULTATION WITH A FINANCIAL COUNSELOR. THE COUNSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. WHEN APPLICABLE, THE FINANCIAL COUNSELORS PROVIDE ASSISTANCE FOR QUALIFYING FOR THE FINANCIAL ASSISTANCE POLICY OR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY; INCLUDING THE PHONE NUMBER TO CONTACT A BILLING CUSTOMER SERVICE REPRESENTATIVE, IS PROVIDED: 1) ON BRYAN'S WEBSITE, 2) IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, 3) IN BILLING OFFICES, 4) IN ALL INPATIENT ADMISSION PACKETS; AND 5) ON EACH BILLING STATEMENT. THE ORGANIZATION'S PROCEDURE IS TO MAIL THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM TO PATIENTS FREE OF CHARGE UPON REQUEST. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT FROM PRE-ADMISSION TO THE FINAL PAYMENT OF THE BILL, AS WE RECOGNIZE THAT A PATIENTS ABILITY TO PAY OVER AN EXTENDED PERIOD OF TIME MAY BE SUBSTANTIALLY ALTERED DUE TO ILLNESS OR FINANCIAL HARDSHIP, RESULTING IN A NEED FOR FINANCIAL ASSISTANCE. ANNUALLY, ALL HOSPITAL EMPLOYEES ARE REQUIRED TO RECEIVE TRAINING REGARDING THE FINANCIAL ASSISTANCE POLICY INCLUDING HOW TO ANSWER QUESTIONS FROM A PATIENT REGARDING WHERE THE PATIENT CAN RECEIVE ADDITIONAL INFORMATION REGARDING THE POLICY. |
| Schedule H, Part VI, Line 4 Community information | BRYAN MEDICAL CENTER PROVIDES A NETWORK OF COMPREHENSIVE HEALTH CARE SERVICES TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. BRYAN IS LOCATED IN THE CAPITAL CITY OF LINCOLN, NEBRASKA, THE STATE'S SECOND LARGEST METROPOLITAN AREA. WHILE BRYAN SERVES A REGIONAL GEOGRAPHIC AREA EXTENDING BEYOND THE COUNTY, LANCASTER COUNTY RESIDENTS ACCOUNT FOR NEARLY 67 PERCENT OF INPATIENTS AND 83 PERCENT OF OUTPATIENTS. THE MEDIAN HOUSEHOLD INCOME IN LANCASTER COUNTY WAS ESTIMATED AT $64,980, AND 13.0% OF THE POPULATION HAD INCOMES BELOW THE POVERTY LEVEL. THE PERCENT OF UNINSURED ADULTS AGED 19 TO 64 in Lancaster County HAS BEEN ESTIMATED AT A RATE OF 7.4% IN 2021. CANCER REMAINED THE LEADING CAUSE OF DEATH FOR LANCASTER COUNTY IN 2020, FOLLOWED BY HEART DISEASE, COVID-19, CHRONIC LUNG DISEASE, ACCIDENTAL DEATHS, CEREBROVASCULAR DISEASE, AND ALZHEIMER'S DISEASE. BRYAN AND CHI HEALTH-ST. ELIZABETH ARE THE PRIMARY HOSPITALS SERVING LANCASTER COUNTY. THE CENSUS BUREAU REPORTS THAT THE COUNTY'S POPULATION GREW FROM 250,291 IN 2000 TO AN ESTIMATED 324,514 IN 2021. POPULATION IS PROJECTED TO BE NEARLY 440,000 BY 2050, WITH GROWTH EXPECTED AMONG ALL MAJOR AGE GROUPS. THE 60 AND OVER AGE GROUP IS PROJECTED TO HAVE THE HIGHEST RATE OF GROWTH, INCREASING FROM AN ESTIMATED 64,291 IN 2019 TO AN ESTIMATED 85,000 IN 2050. BECAUSE OF LINCOLN'S SIZE, RELATIVELY STABLE ECONOMY, AND EDUCATIONAL OPPORTUNITIES, THE U.S. STATE DEPARTMENT DESIGNATED LINCOLN AS "REFUGEE FRIENDLY" IN THE 1970S. SINCE THE 70S, WAVES OF IMMIGRANTS FROM ACROSS THE WORLD HAVE RESETTLED IN LINCOLN. LINCOLN PUBLIC SCHOOLS CURRENTLY SERVES APPROXIMATELY 2.500 ENGLISH LEARNERS, REPRESENTING 152 DIFFERENT COUNTRIES AND OVER 60 DIFFERENT LANGUAGES. THE MINORITY POPULATION IN LANCASTER COUNTY IS ESTIMATED TO BE 20.4% IN 2020. PERSONS OF HISPANIC ORIGIN (MAY BE OF ANY RACE) ARE ESTIMATED TO BE 8.0% IN 2020, WHILE PERSONS REPORTING AS ASIAN ALONE ARE ESTIMATED TO BE 4.4% OF THE POPULATION, AND PERSONS REPORTING TO BE BLACK OR AFRICAN AMERICAN ALONE ARE ESTIMATED TO BE 4.3%. PROJECTED GROWTH IN MINORITY POPULATIONS CHALLENGES US TO ACCOMMODATE DIVERSE LANGUAGE AND CULTURAL NEEDS. WITH THE SERVICE AREA RAPIDLY EXPANDING AND THE OVER 65 AGE GROUP EXPECTED TO INCREASE, BRYAN RECOGNIZES THE IMMENSE NEEDS OF OUR SERVICE AREA ARE EXPANDING AND CHANGING. |
| Schedule H, Part VI, Line 5 Promotion of community health | BRYAN MEDICAL CENTER HAS PROVIDED HIGH QUALITY, COMPREHENSIVE MEDICAL SERVICES TO BENEFIT THE COMMUNITY FOR OVER 92 YEARS, AND IS COMMITTED TO IDENTIFYING AND ADDRESSING NEEDS IN THE COMMUNITY IN ORDER TO PROMOTE THE PHYSICAL, EDUCATIONAL AND ECONOMIC HEALTH OF OUR COMMUNITY IN THE FUTURE. FUNDAMENTAL TO OUR COMMUNITY COMMITMENT IS THE LEADERSHIP OF OUR LOCAL GOVERNING BOARD. The majority of BRYAN'S GOVERNING BOARD CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS, AND COMMUNITY LEADERS who are independent, and ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, AND UNDERSTAND THE NEEDS OF THE COMMUNITY. THESE VOLUNTEERS DEDICATE THEIR TIME, WISDOM, INSIGHTS, AND EXPERTISE TO SET POLICY AND STRATEGIC DIRECTION TO ENSURE THAT BRYAN'S VISION, MISSION AND STRATEGIC PLANS ARE ALIGNED WITH ITS CHARITABLE PURPOSE. THE MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT BOARD MEMBERS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIREMENTS. AS OF DECEMBER 31, 2021, BRYAN HAD AN ORGANIZED MEDICAL STAFF OF OVER 780 PHYSICIANS. AS A NON-PROFIT MEDICAL CENTER, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY; INCLUDING BUT NOT LIMITED TO: 1) PROVIDING A COMPLETE DIAGNOSTIC AND INTERVENTIONAL CARDIAC PROGRAM; 2) PROVIDING A COMPREHENSIVE LEVEL II TRAUMA CENTER FOR SOUTHEAST NEBRASKA WHICH PROVIDES 24-HOUR COVERAGE OF EMERGENCY SERVICES; 3) PROVIDING A HOSPITAL-BASED RESIDENTIAL TREATMENT SUBSTANCE ABUSE FACILITY IN LINCOLN, WHICH SERVES PATIENTS THAT STRUGGLE WITH ADDICTION TO DRUGS AND ALCOHOL FROM SOUTHEAST NEBRASKA AND MANY OTHER STATES ; 4) PROVIDING HOSPITAL-BASED MENTAL HEALTH CARE TO LINCOLN AND SURROUNDING COMMUNITIES; AND 5) PROVIDING A STATE-OF-THE-ART WOMEN AND CHILDREN'S TOWER WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT. 6) Major renovation and expansion aimed at modernizing the Medical Center's operation and recovery rooms on the East Campus will be completed in June of 2022. BRYAN IS COMMITTED TO TEACHING AND TRAINING THE HEALTH CARE PROFESSIONALS OF TOMORROW. OUR COLLEGE OF HEALTH SCIENCES OFFERS GRADUATE AND UNDERGRADUATE DEGREES THROUGH ITS SCHOOL OF NURSING, SCHOOL OF HEALTH PROFESSIONALS, AND SCHOOL OF NURSE ANESTHESIA PROGRAMS. MANY OF THE GRADUATES STAY IN LINCOLN OR THE SURROUNDING AREA, THEREBY PROVIDING A CONTINUOUS SUPPLY OF MEDICAL PROFESSIONALS FOR THE COMMUNITY. IN ADDITION, THE MEDICAL CENTER ASSURES CONTINUING QUALITY HEALTH IN OUR COMMUNITY THROUGH RESIDENCY PROGRAMS, WORKSHOPS AND SEMINARS, AND CLINICAL EDUCATION PROGRAMS. |
| Schedule H, Part VI, Line 6 Affiliated health care system | BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN HEALTH EXISTS TO: PROMOTE AND PROVIDE ACCESS TO QUALITY HEALTH CARE; PROVIDE MEDICAL EDUCATION, AND COMMUNITY SERVICE. THE COMMUNITY BENEFITS PROVIDED BY BRYAN HEALTH INCLUDE: 1) PROVIDING FREE OR DISCOUNTED HEALTH CARE TO THE UNINSURED AND UNDERINSURED, 2) PROVIDING GOVERNMENTAL SPONSORED PROGRAMS SUCH AS MEDICARE AND MEDICAID; 3) HEALTH PROFESSIONALS' EDUCATION 4) COMMUNITY HEALTH IMPROVEMENT SERVICES AND 5) CASH AND IN-KIND CONTRIBUTIONS TO OTHER NON-PROFIT ORGANIZATIONS. BRYAN HEALTH PROVIDES A FULL SPECTRUM OF PREVENTION, WELLNESS, ACUTE CARE AND REHABILITATION SERVICES TO URBAN, SUBURBAN AND RURAL COMMUNITIES IN NEBRASKA, KANSAS, IOWA, AND MISSOURI. BRYAN HEALTH CONSISTS OF Five ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, AN URGENT CARE CENTER, A HEALTH AND WELLNESS FACILITY, A PHILANTHROPIC FOUNDATION, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, ONCOLOGY, IMAGING AND MENTAL HEALTH. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | NE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MOURNING HOPE GRIEF CENTER | |||||||
| 1311 S FOLSOM STREET | LINCOLN | NE | 68522 | 470782915 | 501(C)3 | $46,500 | GENERAL OPERATIONS |
| MADONNA FOUNDATION | |||||||
| 5401 SOUTH STREET | LINCOLN | NE | 685062134 | 237159940 | 501(C)3 | $25,000 | GENERAL OPERATIONS |
| CLINIC WITH A HEART | |||||||
| 1701 SOUTH 17TH STREET 4G | LINCOLN | NE | 68502 | 202850139 | 501(C)3 | $24,000 | GENERAL OPERATIONS |
| MALONE COMMUNITY CENTER | |||||||
| 2032 U STREET | LINCOLN | NE | 68506 | 470376577 | 501(C)3 | $15,600 | GENERAL OPERATIONS |
| HEARTLAND CANCER FOUNDATION | |||||||
| PO BOX 5203 | LINCOLN | NE | 68505 | 205952202 | 501(C)3 | $8,500 | GENERAL OPERATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | The Contributions Committee of Bryan Health oversees the grant allocation and management for this organization. Each potential recipient is required to apply for a grant. The Contributions Committee reviews and discusses all submitted requests in detail. The committee evaluates requests on these criteria: Does the project or agency address needs identified in the Community Health Needs Assessment, is the requesting agency local, is the request related to health in the communities we serve, & does the request help kids. Grants are awarded based on need and eligibility. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSSELL GRONEWOLD | ||||||||||||||
| President/CEO Bryan Health | $0 | $832,219 | $0 | $238,412 | $0 | $276,445 | $0 | $18,850 | $0 | $24,649 | $0 | $1,390,574 | $0 | $0 |
| JOHN WOODRICH | ||||||||||||||
| PRESIDENT/CEO Bryan Medical Center | $617,169 | $0 | $581,575 | $0 | $315,200 | $0 | $18,850 | $0 | $28,784 | $0 | $1,561,578 | $0 | $0 | $0 |
| LISA VAIL | ||||||||||||||
| VP-PATIENT CARE SERVICES/CNO, TRUSTEE | $303,022 | $0 | $211,281 | $0 | $155,424 | $0 | $15,600 | $0 | $22,318 | $0 | $707,645 | $0 | $0 | $0 |
| RICHARD LLOYD | ||||||||||||||
| President - College of Health Sciences | $252,162 | $0 | $228,172 | $0 | $88,697 | $0 | $15,950 | $0 | $23,633 | $0 | $608,614 | $0 | $0 | $0 |
| DAVID REESE | ||||||||||||||
| VP - CLINICAL & SUPPORT SERVICES | $302,057 | $0 | $194,617 | $0 | $64,785 | $0 | $26,620 | $0 | $25,664 | $0 | $613,743 | $0 | $0 | $0 |
| WARREN ENGLER | ||||||||||||||
| BEHAVIOR HEALTH SERVICES DIRECTOR | $181,714 | $0 | $24,439 | $0 | $5,835 | $0 | $14,024 | $0 | $21,658 | $0 | $247,670 | $0 | $0 | $0 |
| SHARON HADENFELDT | ||||||||||||||
| DEAN OF NURSE ANESTHESIA, BRYAN COLLEGE OF HEALTH SCIENCES | $231,501 | $0 | $7,000 | $0 | $7,235 | $0 | $25,374 | $0 | $3,690 | $0 | $274,800 | $0 | $0 | $0 |
| TROY HOTTOVY | ||||||||||||||
| INFORMATION TECHNOLOGY DIRECTOR | $199,728 | $0 | $30,074 | $0 | $3,427 | $0 | $12,994 | $0 | $26,056 | $0 | $272,279 | $0 | $0 | $0 |
| JEROME WOHLEB | ||||||||||||||
| PHARMACY DIRECTOR | $219,774 | $0 | $33,969 | $0 | $7,223 | $0 | $16,356 | $0 | $25,091 | $0 | $302,413 | $0 | $0 | $0 |
| JOHN MD TRAPP | ||||||||||||||
| CHIEF MEDICAL OFFICER | $521,318 | $0 | $0 | $0 | $20,955 | $0 | $7,250 | $0 | $25,060 | $0 | $574,583 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Travel for companions | The Majority OF THE MEMBERS OF THE BOARD OF THE TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYAN MEDICAL CENTER ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYAN MEDICAL CENTER. REIMBURSEMENT FOR COMPANIONS OF VOLUNTEER TRUSTEES IS LIMITED BY THE BOARD OF TRUSTEES' TRAVEL POLICY TO AIR TRAVEL AT THE COACH LEVEL or the extended coach/extended leg room level. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER OF BRYAN HEALTH, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES. |
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | THE ORGANIZATION PROVIDES SOCIAL CLUB MEMBERSHIPS FOR SELECT EMPLOYEES IF THERE IS A BUSINESS NEED FOR THE MEMBERSHIP. THE CLUB MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ORGANIZATION REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. ONE OFFICER LISTED IN FORM 990, PART VII, SECTION A, RECEIVED THIS BENEFIT DURING THE TAX YEAR. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF one of THE LARGEST PRIVATE EMPLOYERs IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON 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 DURING 2021: RUSSELL GRONEWOLD $233,900, Rich Lloyd $78,367, DAVID REESE $53,956, JOHN WOODRICH $235,474, and LISA VAIL $114,261. |
| Schedule J, Part I, Line 7 Non-fixed payments | BRYAN HEALTH OFFERS A MARKET COMPETITIVE INCENTIVE COMPENSATION PROGRAM FOR MEMBERS OF MANAGEMENT. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. The goals are set and reviewed for level of accomplishment by the Compensation Committee of the Board of Trustees. |
| Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES | IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EXECUTIVES OF BRYAN HEALTH AND BRYAN MEDICAL CENTER; AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY NO 1 OF LANCASTER COUNTY NE | ||||||||
| A | 470721900 | 513886SR3 | 2008-05-27 | $115,216,759 | SERIES 2008 A & B BONDS REFUNDED PRIOR ISSUES - (12/20/2002), (02/08/2007) | false | false | false |
| HOSPITAL AUTHORITY NO 1 OF SALINE COUNTY NE | ||||||||
| B | 470843167 | 79517TAW6 | 2008-05-27 | $13,480,000 | SERIES 2008C BONDS REFUNDED PRIOR ISSUE - (2/8/2007) | false | false | false |
| HOSPITAL AUTHORITY NO 1 OF LANCASTER COUNTY NE | ||||||||
| C | 470490189 | 000000000 | 2016-10-04 | $32,430,000 | SERIES 2016 BONDS REFUNDED PRIOR ISSUES - (12/21/2006),(09/18/1997), (10/31/1997) | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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 | $63,945,000 | $0 | $115,220,438 | $0 | $0 | $0 | $981,595 | $859,107 | $0 | $0 | $113,379,736 | $0 | 2008 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $5,040,000 | $0 | $13,480,597 | $0 | $0 | $0 | $88,670 | $141,505 | $0 | $0 | $13,250,422 | $0 | 2003 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $29,615,000 | $0 | $32,430,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $32,430,000 | $0 | 2001 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|
| A | 0.0 |
| B | 0.0 |
| C | 0.0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIPER JAFFRAY FINANCIAL PRODUCTS INC | ||||||||||||
| A | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 23.0 | false | false | false | false | Yes (true) |
| PIPER JAFFRAY FINANCIAL PRODUCTS INC | ||||||||||||
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 23.0 | false | false | false | false | Yes (true) |
| (no name) | ||||||||||||
| C | false | Yes (true) | Yes (true) | false | false | false | false | false | Yes (true) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column (c) LINE A, COLUMN (C) CUSIP NUMBERS | The bond from HOSPITAL AUTHORITY NO. 1 OF LANCASTER COUNTY, NE has 3 separate CUSIP numbers: A: 513886SR3; B-1: 513886SS1; B-2: 513886ST9 |
| Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE - BOND A | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
| Schedule K, Part III PRIVATE BUSINESS USE | PART III HAS NOT BEEN COMPLETED GIVEN THAT ALL BONDS LISTED IN ROWS A THROUGH C OF PART I, WERE ISSUED SOLELY TO REFUND BONDS ISSUED PRIOR TO 2003. |
| Schedule K, Part IV, Line 2c Bond A | Issuer Name: Hospital Authority No. 1 of Lancaster County, NE: No rebate due. As described in the escrow verification report, the bond proceeds were held in a yield restricted escrow that was invested below the yield on the refunding bonds. As no rebatable arbitrage was earned on the escrow and the debt service fund was operated on a bona fide basis, no further rebate analysis is necessary. |
| Schedule K, Part IV, Line 2c Bond B | Issuer Name: Hospital authority No. 1 of Lancaster County, NE: No rebate due. Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary. |
| Schedule K, Part IV, Line 2c Note regarding the 6/1/2011 rebate computations | Since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary. |
| Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE - BOND B | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
| Schedule K, Part IV, Line 2c COLUMN A | Issuer name: HOSPITAL AUTHORITY NO. 1 OF LANCASTER COUNTY, NE The calculation for computing no rebate due was performed on 06/01/2011 |
| Schedule K, Part IV, Line 2c COLUMN B | Issuer name: HOSPITAL AUTHORITY NO. 1 OF SALINE COUNTY, NE The calculation for computing no rebate due was performed on 06/01/2011 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 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, Vice-Chairperson, Secretary and Treasurer of the Board, the Chief of Staff, the President/Chief Executive Officer of The System and the President/Chief Operating Officer of the Corporation. The Executive Committee shall have and may exercise all of the authority and powers of the Board when the Board is not in session, except that the Executive Committee shall not have the power (a) to elect, appoint or remove any member of the Executive Committee or any trustee or officers of the Corporation; (b) to amend, alter or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by the Executive Committee. The designation and appointment of an Executive Committee and the delegation thereto of authority shall not operate to relieve the Board, or any individual trustee, of any responsibility imposed upon it or him/her by law. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | PERSONS LISTED IN PART VII, SECTION A, MAY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT BY A BRYAN HEALTH ENTITY. - , Darla Eisenhauer and Kenneth Gross - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: (1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; (2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND (3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | BRYAN HEALTH AS SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF ALL THE VOTING TRUSTEES OF BRYAN HEALTH. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | BRYAN HEALTH IS THE SOLE MEMBER OF BRYAN MEDICAL CENTER ("MEDICAL CENTER"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF THE MEDICAL CENTER MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM: (1) ADOPT ANY LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $5,000,000 IN ANY SINGLE TRANSACTION OR $10,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR STRATEGIC PLAN; (4) APPROVE ANY INDEBTEDNESS OR INCUR A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $5,000,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (5) ENGAGE IN OR ENTER INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION OF $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (6) APPROVE THE ELECTION OF MEMBERS OF THE BOARD; (7) APPROVE THE APPOINTMENT OF THE SYSTEM PRESIDENT/CHIEF EXECUTIVE OFFICER; (8) APPROVE PARTICIPATION IN OTHER HEALTH CARE SYSTEMS BY AFFILIATION OR MERGER; (9) APPROVE ITS LIQUIDATION OR DISSOLUTION; (10) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY INTEREST IN, AS ALLOWED BY THE CODE, OF ANY CORPORATION, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP; TRUST, SHARED SERVICE ARRANGEMENT; JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURES OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY SINGLE TRANSACTION EXCEEDS $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (11) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; OR (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE SYSTEM'S GOALS AND OBJECTIVES. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THIS 990 WAS PREPARED BY BRYAN HEALTH'S TAX DIVISION. DURING THE RETURN PREPARATION PROCESS, THE TAX DIVISION WORKS DILIGENTLY WITH OTHER DEPARTMENTS INCLUDING HUMAN RESOURCES, FINANCE, LEGAL, AND ADVANCEMENT TO GATHER INFORMATION TO COMPLETE FORM 990 AND ATTACHED SCHEDULES IN AN ACCURATE AND THOROUGH MANNER. THIS 990 WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND OTHER KEY OFFICERS OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. BRYAN HEALTH'S BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD'S AUDIT COMMITTEE. EACH MEMBER OF THE AUDIT COMMITTEE RECEIVED A COMPLETE COPY OF THIS 990, PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BRYAN MEDICAL CENTER HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES OF BRYAN HEALTH. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT. THE QUESTIONNAIRE REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE; (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST; 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 | 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. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | SEE FORM 990, PART VI, SECTION B, LINE 15A. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. |
| Form 990, Part VII, Section A COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES | IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON BRYAN MEDICAL CENTER'S BOARD IS COMPENSATED FOR THEIR SERVICES AS BOARD MEMBERS. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | PURCHASE REBATES - Total Revenue: 1925, Related or Exempt Function Revenue: 1925, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Non-Operating Income - Total Revenue: 3019161, Related or Exempt Function Revenue: , Unrelated Business Revenue: 288296, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2730865; |
| Form 990, Part IX, Line 11g Other Fees | Consulting - Total Expense: 3140216, Program Service Expense: 2872181, Management and General Expenses: 268035, Fundraising Expenses: ; Lease Commissions - Total Expense: 38054, Program Service Expense: , Management and General Expenses: 38054, Fundraising Expenses: ; Medical Director Fees - Total Expense: 2284932, Program Service Expense: 2244270, Management and General Expenses: 40662, Fundraising Expenses: ; Test Services - Total Expense: 2354004, Program Service Expense: 2354004, Management and General Expenses: , Fundraising Expenses: ; Laboratory Services - Total Expense: 6400015, Program Service Expense: 6400015, Management and General Expenses: , Fundraising Expenses: ; Physician Fees - Total Expense: 27413853, Program Service Expense: 26911775, Management and General Expenses: 502078, Fundraising Expenses: ; Collections Services - Total Expense: 2285124, Program Service Expense: 2285124, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 6284358, Program Service Expense: 6284358, Management and General Expenses: , Fundraising Expenses: ; Anesthesiology Fees - Total Expense: 3648750, Program Service Expense: 3648750, Management and General Expenses: , Fundraising Expenses: ; Miscellaneous Fees - Total Expense: 3488496, Program Service Expense: 2539053, Management and General Expenses: 949443, Fundraising Expenses: ; Laundry Service - Total Expense: 2374754, Program Service Expense: 2374543, Management and General Expenses: 211, Fundraising Expenses: ; Security - Total Expense: 3229233, Program Service Expense: 2810285, Management and General Expenses: 418948, Fundraising Expenses: ; Service Agreements - Total Expense: 13053001, Program Service Expense: 9552092, Management and General Expenses: 3500909, Fundraising Expenses: ; Ambulance Service - Total Expense: 485716, Program Service Expense: 485716, Management and General Expenses: , Fundraising Expenses: ; Miscellaneous Outside Service - Total Expense: 5348850, Program Service Expense: 5060178, Management and General Expenses: 288672, Fundraising Expenses: ; Janitorial Services - Total Expense: 333046, Program Service Expense: 283089, Management and General Expenses: 49957, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Deferred Tax - -167605; Pension Liability - 7725967; Transfer to related entity - -XXX-XX-XXXX; Change in Temporarily Restricted Interest in Bryan Foundation - 2941189; Change in Permanently Restricted Interest in Bryan Foundation - 430497; Other - -22900; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN HEALTH | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 363414823 | HEALTHCARE | NE | 501(c)(3) | Type III-FI | BRYAN HEALTH | false |
| CRETE AREA MEDICAL CENTER | ||||||||||
| 2910 BETTEN DRIVE | CRETE | NE | 68333 | 470841285 | HEALTHCARE | NE | 501(c)(3) | 3 | BRYAN HEALTH | false |
| BRYAN FOUNDATION | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 237005720 | FUNDRAISING | NE | 501(c)(3) | 7 | BRYAN HEALTH | false |
| BRYAN PHYSICIAN NETWORK | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 201357375 | HEALTHCARE | NE | 501(c)(3) | 10 | BRYAN HEALTH | false |
| Merrick Medical Center | ||||||||||
| 1715 26th St | Central City | NE | 688269501 | 820906268 | Healthcare | NE | 501(c)(3) | 3 | Bryan Health | false |
| Merrick Medical Center Foundation | ||||||||||
| 1715 26th St | Central City | NE | 688269501 | 470710738 | Fundraising | NE | 501(c)(3) | 7 | Merrick Medical Center | false |
| 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 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lincoln Digestive Health Center LLC | ||||||||||||||
| 1600 S 48th Street | Lincoln | NE | 68506 | 371833798 | Health Care | NE | Bryan Medical Center | Related | $196,638 | $495,209 | false | $0 | false | 0.51 |
| Doctor's Outpatient Surgery Center LLC | ||||||||||||||
| 1600 S 48th Street | Lincoln | NE | 68506 | 364835603 | Healthcare | NE | Bryan Medical Center | Related | $138,480 | $4,119,577 | false | $0 | false | 0.51 |
| Head and Neck Surgical Partners LLC | ||||||||||||||
| 1600 South 48th Street | Lincoln | NE | 68506 | 911824787 | Healthcare | NE | Bryan Medical Center | Related | $684,483 | $102,219 | false | $0 | false | 0.51 |
| Grand Island Hospital Holdings LLC | ||||||||||||||
| 3533 Prairieview St | Grand Island | NE | 68803 | 475381241 | Lease property, Holding Company | NE | Bryan Enterprises Inc | N/A | 0.00 | |||||
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 | BRYAN HEALTH | C Corporation | false |
| INTEGRATED CARDIOLOGY GROUP LLC | |||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470844961 | CARDIOLOGY | NE | BRYAN HEALTH | C Corporation | false |
| BRYAN HEALTH CONNECT | |||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 364771145 | PHYSICIAN HOSPITAL ORGANIZATION | NE | BRYAN HEALTH | C Corporation | false |
| 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |