BRYAN MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BRYAN MEDICAL CENTER (EIN 47-0376552)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202533189349312163
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T14:46:18+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470376552	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID GRIFFITHS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4024811111	PhoneNum
Signature	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2025-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,028,232,279	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 2024, BRYAN MEDICAL CENTER PROVIDED CHARITY CARE TO 7,785 PATIENTS AT A COST OF $12.6 MILLION.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	5700	TotalEmployeeCnt
Total Volunteers	892	TotalVolunteersCnt
Total Gross UBI	$487,755	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$132,593	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,780,619	PYContributionsGrantsAmt
CY Contributions Grants	$13,344,490	CYContributionsGrantsAmt
PY Program Service Revenue	$867,816,468	PYProgramServiceRevenueAmt
CY Program Service Revenue	$913,874,275	CYProgramServiceRevenueAmt
PY Investment Income	$16,002,690	PYInvestmentIncomeAmt
CY Investment Income	$25,625,890	CYInvestmentIncomeAmt
PY Other Revenue	$14,418,883	PYOtherRevenueAmt
CY Other Revenue	$17,685,599	CYOtherRevenueAmt
PY Total Revenue	$917,018,660	PYTotalRevenueAmt
CY Total Revenue	$970,530,254	CYTotalRevenueAmt
PY Grants And Similar Paid	$211,326	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$565,423	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$388,687,764	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$397,213,705	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$396,435,824	PYOtherExpensesAmt
CY Other Expenses	$426,356,050	CYOtherExpensesAmt
PY Total Expenses	$785,334,914	PYTotalExpensesAmt
CY Total Expenses	$824,135,178	CYTotalExpensesAmt
PY Revenues Less Expenses	$131,683,746	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$146,395,076	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,246,236,003	TotalAssetsBOYAmt
Total Assets EOY	$1,284,940,166	TotalAssetsEOYAmt
Total Liabilities BOY	$391,414,084	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$360,975,973	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$854,821,919	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$923,964,193	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	$756,954,604	ExpenseAmt
Grant	$565,423	GrantAmt
Revenue	$926,749,373	RevenueAmt
Desc	BRYAN MEDICAL CENTER IS A NATIONALLY RECOGNIZED NON-PROFIT, ACUTE CARE HOSPITAL, PROVIDING EXEMPLARY COMPREHENSIVE PATIENT CARE SERVICES, MEDICAL EDUCATION, AND COMMUNITY SERVICES TO RESIDENTS OF THE LINCOLN COMMUNITY, STATE OF NEBRASKA, AND OTHER STATES IN THE REGION. BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN MEDICAL CENTER IS THE LARGEST HOSPITAL IN LINCOLN, LICENSED FOR 664 BEDS AT TWO SEPARATE LOCATIONS. PREMIER SERVICES INCLUDE CARDIOLOGY, ORTHOPEDICS, TRAUMA, NEUROSCIENCE, MENTAL HEALTH, WOMEN AND CHILDREN'S HEALTH AND ONCOLOGY. BRYAN MEDICAL CENTER IS THE COMMUNITY'S ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES AND HAS HELPED THOUSANDS OF INDIVIDUALS OVER THE YEARS THROUGH THE BRYAN INDEPENDENCE CENTER RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM. DURING 2024, BRYAN MEDICAL CENTER ADMITTED 31,561 INPATIENTS, DELIVERED 3,032 BABIES, AND HAD 102,625 EMERGENCY ROOM VISITS. BRYAN MEDICAL CENTER IS COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. DURING 2024, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR OVER 7,785 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. UNREIMBURSED COST FOR CHARITY CARE TOTALED $12.6 MILLION. BRYAN MEDICAL CENTER ALSO INCURRED $60.7 MILLION IN UNREIMBURSED MEDICARE COSTS, AND $33.8 MILLION IN MEDICAID COSTS AND SUPPORT OF OTHER PUBLIC PROGRAMS. BRYAN MEDICAL CENTER SERVED 23,728 MEDICAID PATIENTS IN 2024. BRYAN MEDICAL CENTER PROVIDED $4.5 MILLION IN THE SUPPORT OF HEALTH PROFESSIONALS' EDUCATION, THROUGH RESIDENCY PROGRAMS AND IN SUPPORT OF THE BRYAN COLLEGE OF HEALTH SCIENCES. DURING FALL 2024, THERE WERE 773 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 $3.4 MILLION. DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS TOTALED MORE THAN $954,000. BRYAN MEDICAL CENTER'S QUANTIFIABLE COMMUNITY BENEFIT FOR 2024 TOTALED MORE THAN $116 MILLION.	Desc
Total Program Service Expenses	$756,954,604	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1301	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5700	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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NE	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4024811111	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CONNIE EDMOND
TREASURER/DIRECTOR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
ERIC MOOSS
CEO BRYAN MEDICAL CENTER/EX-OFFICIO MEMBER	50.0	0.0	Yes (X)	Yes (X)	$846,670	$0	$51,814
ERIN C PEMBERTON JD
SECRETARY/DIRECTOR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JACK HUCK
VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
KEN GROSS MD
CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
AINA SILENIEKS MD
EX-OFFICIO MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ALISSA CLOUGH MD
EX-OFFICIO MEMBER	1.0	0	Yes (X)		$10,000	$0	$0
ELIZABETH W LAU MD
EX-OFFICIO MEMBER	1.0	0	Yes (X)		$0	$0	$0
GAYLE PAGE
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JANET C CHUNG
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
KRYSTAL SIEBRANDT
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
LISA VAIL RN
EX-OFFICIO MEMBER	1.0	50.0	Yes (X)		$0	$593,462	$44,593
LORENZO BALL
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
MAX L RODENBURG
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
MICHAELLA KUMKE
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
PABLO CERVANTES
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
ROBERT A OAKES MD
EX-OFFICIO MEMBER	1.0	50.0	Yes (X)		$0	$1,528,833	$44,417
RUSSELL GRONEWOLD
EX-OFFICIO MEMBER	1.0	53.0	Yes (X)		$0	$1,727,304	$50,173
SHANNON HARNER
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
WILLIAM M JOHNSON MD
EX-OFFICIO MEMBER	1.0	0	Yes (X)		$7,511	$0	$0
DAVID GRIFFITHS
CFO - BRYAN MEDICAL CENTER	50.0	0		Yes (X)	$499,433	$0	$47,886
JOHN TRAPP MD
CHIEF MEDICAL OFFICER	50.0	0		Yes (X)	$856,317	$0	$44,053
TRAVIS GREGG
COO - BRYAN MEDICAL CENTER	50.0	0		Yes (X)	$402,290	$0	$64,233
TROY HOTTOVY
CHIEF INFORMATION SECURITY OFFICER	50.0	0		Yes (X)	$316,169	$0	$55,039
KELSI ANDERSON
PRESIDENT - BCHS	50.0	0			$230,377	$0	$41,554	Yes (X)
MELISSA BARTELS RN
CNO - BRYAN MEDICAL CENTER	50.0	0			$237,140	$0	$45,699	Yes (X)
JULIE SMITH
PERIOPERATIVE & ANESTHESIA SERVICES DIR	45.0	0			$263,106	$0	$27,975		Yes (X)
KENT HOXMEIER
Anesthesia & Perfusion Mgr	50.0	0			$281,116	$0	$45,509		Yes (X)
RICHARD LLOYD
DIRECTOR OF WORKFORCE PARTNERSHIPS	50.0	1.0			$506,079	$0	$46,054		Yes (X)
SHARON HADENFELDT
DEAN OF NURSE ANESTHESIA	50.0	0			$311,443	$0	$25,705		Yes (X)
SHARON HARMS
Radiology & Gi Director	45.0	0			$277,824	$0	$42,127		Yes (X)
ADRIENNE OLSON RN
CHIEF NURSING OFFICER	0.0	0			$141,625	$0	$5			Yes (X)
DAVID REESE
BRYAN HEALTH VP & PHYSICIAN PTNR & FACILITY DIR RESIGNED 7/1/2024	0.0	51.0			$0	$385,847	$39,657			Yes (X)
JOHN WOODRICH
BRYAN HEALTH EXEC VP & COO	0.0	52.0			$0	$1,259,719	$43,212			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,187,100	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,495,165	TotReportableCompRltdOrgAmt
Total Other Compensation	$759,705	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	625	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
INPATIENT PHYSICIAN ASSOCIATES LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	MEDICAL SERVICES	$15,633,529
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREET	OMAHA	NE	68154	TEMPORARY LABOR	$13,302,116	SUITE 420
ASSOCIATED ANESTHESIOLOGISTS
2900 S 70TH STREET 250	LINCOLN	NE	68506	ANETHESIOLOGY SERVICES	$7,264,068
ALLIED UNIVERSAL SECURITY SRVC
161 WASHINGTON STREET	CONSHOHOCKEN	PA	19428	SECURITY SERVICES	$2,596,308	SUITE 600
DIALYSIS CENTER OF LINCOLN
7910 O STREET	LINCOLN	NE	68510	DIALYSIS FEES	$2,417,548

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Related Organizations	$638,872	RelatedOrganizationsAmt
Government Grants	$12,499,380	GovernmentGrantsAmt
All Other Contributions	$206,238	AllOtherContributionsAmt
Noncash Contributions	$265,706	NoncashContributionsAmt
Total Contributions	$13,344,490	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$879,159,484	$879,159,484
BRYAN COLLEGE OF HEALTH SCIENCES REVENUE	611600	$12,199,352	$12,181,400	$17,952
PHARMACY	456110	$11,928,398	$11,928,398
PROGRAM RENTAL REVENUE	531190	$4,713,358	$4,713,358
SPECIALTY CARE REVENUE	622110	$4,489,441	$4,489,441

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,384,242	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,384,242	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$913,874,275	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,610,982	TotalRevenueColumnAmt
Exclusion	$17,610,982	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	$65,532,283	SecuritiesAmt
Other	$184,650	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$56,753,359	SecuritiesAmt
Other	$948,666	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,778,924	SecuritiesAmt
Other	-$764,016	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,014,908	TotalRevenueColumnAmt
Exclusion	$8,014,908	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LAB REFERRED TESTING	900099	$4,755,119	$4,309,180	$445,939
CAFETERIA	722514	$4,322,746			$4,322,746
EMPLOYEE LEASED REVENUE	900099	$1,860,571	$1,860,571

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,747,163	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,723,299	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$23,864	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,685,599	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$970,530,254	TotalRevenueColumnAmt
Related Or Exempt Func Income	$926,749,373	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$487,755	UnrelatedBusinessRevenueAmt
Exclusion	$29,948,636	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	$565,423	TotalAmt
Program Services	$565,423	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,756,184	TotalAmt
Management And General	$3,756,184	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$141,630	TotalAmt
Management And General	$141,630	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$312,832,322	TotalAmt
Program Services	$304,463,006	ProgramServicesAmt
Management And General	$8,369,316	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,396,016	TotalAmt
Program Services	$14,027,715	ProgramServicesAmt
Management And General	$2,368,301	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,033,200	TotalAmt
Program Services	$35,091,865	ProgramServicesAmt
Management And General	$5,941,335	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,054,353	TotalAmt
Program Services	$19,596,200	ProgramServicesAmt
Management And General	$3,458,153	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$273,926	TotalAmt
Program Services	$178,052	ProgramServicesAmt
Management And General	$95,874	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$53,546	TotalAmt
Program Services	$34,805	ProgramServicesAmt
Management And General	$18,741	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$220,525	TotalAmt
Management And General	$220,525	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$119,300,616	TotalAmt
Program Services	$108,764,611	ProgramServicesAmt
Management And General	$10,536,005	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$599,644	TotalAmt
Program Services	$521,690	ProgramServicesAmt
Management And General	$77,954	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,726,518	TotalAmt
Program Services	$25,575,808	ProgramServicesAmt
Management And General	$2,150,710	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,406,313	TotalAmt
Program Services	$24,117,555	ProgramServicesAmt
Management And General	$3,288,758	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,917,583	TotalAmt
Program Services	$7,681,969	ProgramServicesAmt
Management And General	$2,235,614	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$731,963	TotalAmt
Program Services	$644,128	ProgramServicesAmt
Management And General	$87,835	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$376,285	TotalAmt
Program Services	$331,131	ProgramServicesAmt
Management And General	$45,154	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,737,443	TotalAmt
Program Services	$50,968	ProgramServicesAmt
Management And General	$11,686,475	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$51,336,605	TotalAmt
Program Services	$43,704,544	ProgramServicesAmt
Management And General	$7,632,061	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,015,758	TotalAmt
Program Services	$1,015,758	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$185,934,822	$179,594,654	$6,340,168
NET PERIODIC PENSION COSTS	$1,640,992	$1,640,992
RECRUITMENT EXPENSE	$1,099,445	$934,528	$164,917
CORPORATE COST ALLOCATIONS	-$13,997,679	-$12,342,950	-$1,654,729

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$981,745	TotalAmt
Program Services	$762,152	ProgramServicesAmt
Management And General	$219,593	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$824,135,178	TotalAmt
Program Services	$756,954,604	ProgramServicesAmt
Management And General	$67,180,574	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$29,082,093	BOYAmt
EOY	$51,191,862	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$71,538,509	BOYAmt
EOY	$92,088,163	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$165,208,267	BOYAmt
EOY	$155,517,991	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$89,084	BOYAmt
EOY	$853,256	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,689,084	BOYAmt
EOY	$21,028,072	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,000,787	BOYAmt
EOY	$21,621,249	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,223,247,063	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$824,258,640	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$440,617,153	BOYAmt
EOY	$398,988,423	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$367,187,121	BOYAmt
EOY	$398,911,590	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$65,266,000	BOYAmt
EOY	$74,157,692	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$49,904,581	BOYAmt
EOY	$54,545,901	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,976	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,604,348	BOYAmt
EOY	$16,035,967	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,246,236,003	BOYAmt
EOY	$1,284,940,166	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$84,798,488	BOYAmt
EOY	$64,190,780	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,337,694	BOYAmt
EOY	$98,368,063	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,322,902	BOYAmt
EOY	$22,462,130	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$391,414,084	BOYAmt
EOY	$360,975,973	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	$823,479,063	BOYAmt
EOY	$887,845,214	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,342,856	BOYAmt
EOY	$36,118,979	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$854,821,919	BOYAmt
EOY	$923,964,193	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,246,236,003	BOYAmt
EOY	$1,284,940,166	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$146,395,076	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,317,855	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$97,570,657	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
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	$39,832	OtherActivitiesAmt
Total Lobbying Expenditures	$39,832	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	BRYAN MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE AHA OF $73,948 AND THE NHA OF $124,187 AND OF THIS AMOUNT THE AHA REPORTED THAT 32% OR $23,663 AND THE NHA REPORTED THAT 13.02% OR $16,169 OF THE TOTAL DUES PAID WERE FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$205,000	RevenuesIncludedAmt
Assets Included	$196,458	AssetsIncludedAmt

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	$538,970	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$323,300	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,170	OtherExpendituresAmt
End Year Balance	$213,500	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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	$28,327,583	OtherCostOrOtherBasisAmt
Book Value	$28,327,583	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,474,929	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$618,700,204	OtherCostOrOtherBasisAmt
Depreciation	$364,905,681	DepreciationAmt
Book Value	$255,269,452	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,275,204	OtherCostOrOtherBasisAmt
Depreciation	$1,253,157	DepreciationAmt
Book Value	$3,022,047	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$551,294,229	OtherCostOrOtherBasisAmt
Depreciation	$451,535,719	DepreciationAmt
Book Value	$99,758,510	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,174,914	OtherCostOrOtherBasisAmt
Depreciation	$6,564,083	DepreciationAmt
Book Value	$12,610,831	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$398,988,423	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
LIMITED PARTNERSHIPS - HEDGE FUND OF FUNDS	$74,157,692	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$74,157,692	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Federal Income Taxes
RIGHT-OF-USE LIABILITY	$7,199,541
SELF INSURANCE LIABILITY	$7,024,973
OTHER LIABILITIES	$11,439,030
ACCRUED PENSION BENEFIT OBLIGATION	$240,208
COLLEGE GRANTS	$1,324,081
THIRD PARTY PAYOR SETTLEMENTS	-$6,320,056
DUE TO RELATED PARTIES	$1,554,353

Field	Value	IRS element (for citing)
Total Liability	$22,462,130	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 1b COLLECTIONS OF ART - DESCRIPTION OF COLLECTIONS	BRYAN MEDICAL CENTER RECEIVED A SCULPTURE THAT WAS DONATED BY THE BRYAN FOUNDATION IN 2024. THE SCUPLTURE IS DISPLAYED AT THE APRIL SAMPSONS CANCER CENTER. THE ASSET IS REPORTED ON THE BALANCE SHEET WITH A NET COST OF $196,458.
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 HISTORICAL HOUSE BUILT IN 1902-1903 IN LINCOLN, NEBRASKA. IN 1922, THE HOUSE AND SURROUNDING LAND WAS DONATED TO THE NEBRASKA METHODIST CONFERENCE, WHICH THEN FORMED A SEPARATE NON-PROFIT ORGANIZATION FOR THE PURPOSES OF ESTABLISHING BRYAN MEMORIAL HOSPITAL AND AFFILATED SCHOOL OF NURSING. FAIRVIEW WAS DECLARED A NATIONAL HISTORIC LANDMARK IN 1963. THE HOUSE IS NOW USED FOR BRYAN MEETINGS AND FUNCTIONS. IN ADDITION, APPROXIMATELY 500 VISITORS TOUR THE HOME ANNUALLY. THIS ASSET IS FULLY DEPRECIATED AND REPORTED ON THE BALANCE SHEET AT A NET AMOUNT OF ZERO.
Schedule D, Part V, Line 4 Intended uses of endowment funds	BRYAN MEDICAL CENTER'S ("MEDICAL CENTER") ENDOWMENT FUNDS ARE ESTABLISHED TO PROVIDE FOR LOANS FOR THE STUDENTS WHO ATTEND THE BRYAN COLLEGE OF HEALTH SCIENCES. BRYAN COLLEGE OF HEALTH SCIENCES PROVIDES HEALTHCARE PROFESSIONAL EDUCATION WITH PROGRAMS LEADING TO GRADUATE AND UNDERGRADUATE ACADEMIC DEGREES. BRYAN COLLEGE OF HEALTH SCIENCES IS PART OF THE MEDICAL CENTER AND ITS OPERATIONS ARE INCLUDED IN THE MEDICAL CENTER'S FORM 990.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	UNDER ACCOUNTING STANDARDS CODIFICATION (ASC), SUBTOPIC 740-10, INCOME TAXES, THE SYSTEM MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS "MORE-LIKELY-THAN-NOT" THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST 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, 2024, AND 2023. TAX RETURNS FILED BY THE SYSTEM ARE SUBJECT TO EXAMINATION BY THE IRS UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THE SYSTEM RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE SYSTEM DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES ON DECEMBER 31, 2024, AND 2023.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$74,157,692	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$74,157,692	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$74,157,692	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	7785	PersonsServedCnt
Total Community Benefit Expns	$12,637,249	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,637,249	NetCommunityBenefitExpnsAmt
Total Expense	0.01533	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	23728	PersonsServedCnt
Total Community Benefit Expns	$108,007,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,188,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,819,003	NetCommunityBenefitExpnsAmt
Total Expense	0.04104	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	31513	PersonsServedCnt
Total Community Benefit Expns	$120,644,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,188,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,456,252	NetCommunityBenefitExpnsAmt
Total Expense	0.05637	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,168,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,168,259	NetCommunityBenefitExpnsAmt
Total Expense	0.00384	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,591,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,099,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,492,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00545	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$956,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$678,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$278,112	NetCommunityBenefitExpnsAmt
Total Expense	0.00034	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$954,735	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$954,735	NetCommunityBenefitExpnsAmt
Total Expense	0.00116	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,670,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,777,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,893,949	NetCommunityBenefitExpnsAmt
Total Expense	0.01079	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	31513	PersonsServedCnt
Total Community Benefit Expns	$144,315,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,965,635	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,350,201	NetCommunityBenefitExpnsAmt
Total Expense	0.06716	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,880	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,990	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	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	$310,659,736	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$371,344,876	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$60,685,140	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	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	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 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 HEALTH 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 (CHNA). THIS SURVEY WAS PLANNED, CONDUCTED AND ANALYZED AS A JOINT EFFORT BETWEEN THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, BRYAN HEALTH AND CHI HEALTH. WHEN PLANNING THE DISTRIBUTION OF THE LINCOLN COMMUNITY HEALTH SURVEY, THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT MAPPED ALL HOUSEHOLDS IN LANCASTER COUNTY. THE SURVEY WAS DISTRIBUTED TO ONE IN EVERY SEVEN HOUSEHOLDS THROUGHOUT THE AREA. ROUGHLY 14,000 ADDRESSES WERE SAMPLED AND ANY ADDRESSES SAMPLED IN THE 2020 CHNA SURVEY WERE NOT INCLUDED IN THE SAMPLE. IN ADDITION TO SURVEYING ONE IN SEVEN HOUSEHOLDS THROUGHOUT LANCASTER COUNTY, OVERSAMPLING WAS PERFORMED WITH LINCOLN'S CULTURAL CENTERS COALITION, THE LINCOLN HOMELESS COALITION, AGING PARTNERS, OUTNEBRASKA, THE NEBRASKA COMMISSION FOR THE BLIND SUPPORTED AND THE FEDERATION FOR THE BLIND AS WELL AS THE REFUGEE POPULATION. WHEN A PARCEL HAD MULTIPLE BUILDINGS OR APARTMENTS WITHIN IT, ONE IN SEVEN UNITS WERE SAMPLED WITHIN THE PARCEL. UNIT IDENTIFIERS COULD NOT BE OBTAINED FOR EVERY MULTI-UNIT PARCEL, SO A GENERIC NUMBER WAS ASSIGNED. A LOW RESPONSE RATE WAS OBTAINED FROM APARTMENT DWELLERS, AND IT IS NOT CLEAR WHETHER THIS WAS TRUE, NATURAL RESPONSE OR IF IT WAS PARTIALLY OR FULLY TIED TO THIS AMBIGUITY IN UNIT IDENTIFICATION. A LIST WAS OBTAINED FROM LINCOLN ELECTRIC SYSTEM TO ATTEMPT TO OVERSAMPLE IN THESE DWELLINGS THOUGH RESPONSE REMAINED LOW. THIS RESULTED IN AN ADDITIONAL 2,781 APARTMENT ADDRESSES BEING ADDED TO THE SURVEY DISTRIBUTION. THE LINCOLN COMMUNITY HEALTH SURVEY CONSISTED OF FIVE QUESTIONS: FOUR OPEN-ENDED WRITE-IN QUESTIONS AND ONE MULTPLE CHOICE QUESTION. THE FOUR OPEN-ENDED QUESTIONS WERE: 1.) WHAT WAS THE LAST MAJOR HEALTH ISSUE YOU OR YOUR FAMILY EXPERIENCED? 2.) WHAT WORRIES YOU MOST ABOUT YOUR HEALTH OR THE HEALTH OF YOUR FAMILY? 3.) WHAT'S SOMETHING YOU DO TO BE HEALTHY? 4.) WHAT WOULD MAKE YOUR NEIGHBORHOOD A HEALTHIER PLACE FOR YOU OR YOUR FAMILY? THE ONE MULTIPLE CHOICE QUESTION WAS: IN YOUR EXPERIENCE, WHAT ARE THE TOP THREE HEALTH CONCERNS? THE LINCOLN COMMUNITY HEALTH SURVEY WAS MAILED WITH A PAPER SURVEY AND BUSINESS REPLY ENVELOPE ENCLOSED. THE SURVEY INVITED PEOPLE TO COMPLETE THE SURVEY EITHER ONLINE OR BY HAND. EACH SURVEY HAS A UNIQUE IDENTIFIER CODE, TIED TO THE ADDRESS TO WHICH IT WAS DELIVERED. THIS WAS USED TO GEOCODE ANSWERS TO SPECIFIC AREAS WITHIN LINCOLN AND LANCASTER COUNTY. THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT TOOK SPECIFIC STEPS TO ENSURE THAT THIS DATA COULD NOT BE TIED BACK TO INDIVIDUAL RECIPIENTS AND NOTED ON THE SURVEY THAT THEY DO NOT WANT ANY PERSONAL INFORMATION TIED TO THE RECIPIENTS. THE BACK OF THE PAPER SURVEY OFFERED INSTRUCTIONS FOR LANGUAGE HELP IN ELEVEN 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 LINCOLN COMMUNITY HEALTH SURVEY MAILERS FIRST DISTRIBUTION WENT OUT ON OCTOBER 27, 2023. THE SECOND DISTRIBUTION WENT OUT ON NOVEMBER 10, 2023. IN TOTAL, 16,930 SURVEYS WERE MAILED TO HOUSEHOLDS. FOR THE FIRST DISTRIBUTIONS, 1,302 RESPONSES WERE RECEIVED - A 7.7% RESPONSE RATE. ALONG WITH OVERALL RESULTS, REPONSES WERE WEIGHTED WITHIN THEIR CENSUS TRACT. FOR CENSUS TRACTS WITH LESS THAN A 5% RESPONSE RATE, 2,781 HOUSEHOLDS WERE IDENTIFIED TO BE SAMPLED. THIS THIRD DISBURSEMENT WAS MAILED ON MAY 7TH 2024. BRYAN HEALTH USED THE ANSWERS TO THE MULTIPLE CHOICE QUESTION TO IDENTIFY EMERGING PRIORITIES WITHIN THE RESPONSES. THE QUESTION STATED: "THE FOLLOWING ARE THE HEALTH CONCERNS IN THE CITY OF LINCOLN AND LANCASTER COUNTY. IN YOUR EXPERIENCE, WHAT ARE THE TOP 3 HEALTH CONCERNS?" HEART DISEASE WAS THE THIRD MOST-SELECTED TOP HEALTH CONCERN FOR LINCOLN AND LANCASTER COUNTY, BEING CHOSEN BY 32.9% OF RESPONDENTS. CONCERNS RELATING TO BEHAVORIAL HEALTH (MENTAL HEALTH AND ALCOHOL, DRUG, AND TOBACCO USE) WERE THE TOP TWO CONCERNS REPORTED IN THE SURVEY. MENTAL HEALTH WAS THE DOMINANT SELECTION WITH 64.2% OF RESPONDENTS SELECTING IT AS ONE OF THE TOP THREE HEALTH CONCERNS FOR LINCOLN AND LANCASTER COUNTY. ALCOHOL, DRUG, AND TOBACCO USE CLAIMED SECOND PLACE WITH 36.4% OF RESPONDENTS SELECTING IT AS ONE OF THE TOP THREE CONCERNS. 27.8% OF RESPONDENTS CITED CANCER AS ONE OF THE TOP THREE HEALTH CONCERNS IN THE COMMUNITY. WITH BRYAN HEALTH INVESTMENT IN CANCER CARE AND DEVELOPMENT OF THE BRYAN SOUTH CAMPUS THIS REMAINS A PRIORITY TO THE COMMUNITY AND THE HEALTH SYSTEM. FOR EACH OF THE WRITE-IN ANSWERS, THEY WERE CATEGORIZED INTO AGREED-UPON GROUPS AND SUB-GROUPS BY TEAM MEMBERS FROM THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, BRYAN HEALTH, AND CHI HEALTH. THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT HAS SEVERAL PLANNED STAGES OF FURTHER DEVELOPMENT OF THE LINCOLN COMMUNITY HEALTH SURVEY. THE HEALTH DEPARTMENT'S EPIDEMIOLOGIST TEAM IS WORKING TO MAP SURVEY RESULTS TO THEIR RESPECTIVE CENSUS TRACTS ACROSS LANCASTER COUNTY. THIS INFORMATION WILL ALLOW THE COMMUNITY TO IDENTIFY WHICH SPECIFIC NEIGHBORHOODS ARE CARRYING THE BURDEN OF A GIVEN HEALTH NEED. NOT ONLY WILL THE COMMUNITY BE ABLE TO FOCUS ITS EFFORTS ON A SPECIFIC LOCATION, IT WILL ALSO BE ABLE TO MORE PRECISELY MEASURE THE IMPACT MADE BY THOSE EFFORTS. ONCE THE TEAM COMPLETED ANALYSIS OF THE QUANTITATIVE AND QUALITATIVE DATA GATHERED THROUGH THE LINCOLN COMMUNITY HEALTH SURVEY, IT HOSTED A SUMMIT WHERE IT PRESENTED ITS FINDINGS TO THE COMMUNITY. MEMBERS OF THE COMMUNITY WERE 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 REFLECTED THE COLLABORATIVE EFFORT FROM THE HEALTH DEPARTMENT, BRYAN HEALTH, AND CHI HEALTH AND WAS HELD ON SEPTEMBER 5, 2024. AS PART OF A MULTI FACETED APPROACH TO ADVANCING COMMUNITY HEALTH AND EQUITY, BRYAN MEDICAL CENTER HAS COLLABORATED WITH LOCAL STAKEHOLDERS TO ADDRESS FOOD INSECURITY AMONG SENIORS AND DEVELOP SUSTAINABILITY WITHIN THE LOCAL MEALS ON WHEELS PROGRAM, IN PARALLEL, THE LAUNCH OF CULTUREVISION ACROSS THE HEALTH SYSTEM EMPOWERED BOTH CLINICAL AND NON-CLINICAL STAFF WITH IMMEDIATE ACCESS TO CULTURAL INSIGHTS, ENABLING MORE PERSONALIZED AND RESPECTFUL CARE FOR PATIENTS AND COMMUNITY MEMBERS. BRYAN MEDICAL CENTER ALSO PARTNERED WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF ECONOMIC ASSISNACE STATE REFUGEE HEALTH COORDINATOR TO RESPOND TO THE GROWING NEEDS OF IMMIGRANT AND REFUGEE POPULATIONS DURING 2024, ENSURING TIMELY AND APPROPRIATE HEALTH SCREENINGS. THROUGH THE NEBRASKA PERINATAL QUALITY INITIATIVE RESPECTFUL CARE PROJECT, BRYAN MEDICAL CENTER ENGAGED COMMUNITY-BASED ORGANIZATIONS, PATIENTS, AND STAFF TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES AND ACCESS TO CARE. ADDITIONALLY, 68 COMMUNITY NON-PROFITS WERE SUPPORTED THROUGH COMMUNITY BENEFIT FUNDING, WITH MOST INITIATIVES INVOLVING DIRECT ENGAGEMENT FROM MEDICAL CENTER SERVICE LINES TO PROVIDE EDUCATION, SCREENINGS, AND SUPPORT TO THE ORGANIZATIONS' CONSTITUENTS.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. SEE SCHEDULE H, PART V, SECTION B, LINE 5
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. THE HOSPITAL'S CHNA WAS A COLLABORATIVE EFFORT BETWEEN THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, BRYAN HEALTH, AND CHI HEALTH (REFERENCED IN SCHEDULE H, PART V, SECTION B, LINE 5).
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. BRYAN HEALTH HAS WORKED DILIGENTLY TO IMPLEMENT AND CONTINUE STRATEGIES THAT WILL ALLOW THE ORGANIZATION TO MEET THE NEEDS OF THE LINCOLN COMMUNITY AS WELL AS THE LANCASTER COUNTY AREA. THROUGH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE RESULTS OF THE LINCOLN COMMUNITY HEALTH SURVEY AS WELL AS THROUGH OTHER PRIMARY RESEARCH AND DATA AVAILABLE, BRYAN MEDICAL CENTER HAS IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS WITHIN LINCOLN AND LANCASTER COUNTY REQUIRE PRIORITIZED FOCUS OVER THE NEXT FEW YEARS: 1. BEHAVIORAL HEALTH 2. CARDIOVASCULAR DISEASE 3. CANCER CARE THESE SIGNFICANT 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. THESE SELECTIONS DO NOT IMPLY THAT OTHER HEALTH NEEDS ARE NOT WORTHY OF ATTENTION, OR THAT EFFORTS IN OTHER AREAS SHOULD BE DIVERTED TO THESE. IN FACT, OTHER AREAS OF NEED MIGHT BE REPORTED AS LOWER PRIORITY BECAUSE OF BRYAN'S AND THE COMMUNITY'S CURRENT EFFORTS TO ALLEVIATE THEM. THE SELECTED NEED PRIORITIES APPEAR TO BE THE MOST PRESSING AT THE TIME OF ASSESSMENT DUE TO A COMBINATION OF PREVALENCE, SEVERITY, COMMUNITY INTEREST AND THE CURRENT LEVEL AT WHICH THE NEED IS BEING APPROPRIATELY ENGAGED. 1.) BEHAVIORAL HEALTH OPTIONS REPRESENTING BEHAVIORAL HEALTH WERE THE TWO MOST-SELECTED ANSWERS FOR THE MULTIPLE CHOICE QUESTION IN THE LINCOLN COMMUNITY HEALTH SURVEY, WHICH ASKED RESP0NDENTS TO LIST THEIR TOP THREE HEALTH CONCERNS FOR LINCOLN & LANCASTER COUNTY. MENTAL HEALTH WAS THE MOST SELECTED OPTION, AND ALCOHOL, DRUG & TOBACCO USE WAS THE SECOND-MOST SELECTED. THE IDENTIFICATION OF BEHAVIORAL HEALTH AS A STRONG AND GROWING NEED WITHIN LANCASTER COUNTY IS BORNE OUT BY STATISTICAL DATA FROM SEVERAL SECTORS. SUICIDES IN LINCOLN, NEBRASKA REMAIN BETWEEN 13 AND 15 PER 100,000 FOR BOTH MALES AND FEMALES. THE AGE ADJUSTED RATE FOR LANCASTER COUNTY IS 12.9% COMPARED TO 12.3% FOR NEBRASKA. FOR STUDENTS IN GRADES 9 - 12 19.6% REPORTED SERIOUSLY CONSIDERING SUICIDE IN THE LAST 12 MONTHS. THAT IS NEARLY 1 IN 5 HIGH SCHOOL AGE YOUTH COMTEMPLATING SUICIDE IN THE LAST 12 MONTHS. BETWEEN JANUARY AND AUGUST OF 2024, THE LINCOLN POLICE DEPARTMENT RESPONDED TO 2,794 MENTAL HEALTH CALLS FOR SERVICE. THESE CALLS HAVE SIGNIFICANTLY INCREASED SINCE 2021 WHEN THERE WERE 1,698 CALLS FOR MENTAL HEALTH. THESE REPRESENT A 64.5% INCREASE IN MENTAL HEALTH CALLS FOR SERVICE IN LINCOLN LANCASTER COUNTY. THE OVERDOSE PREVENTION COALITION, LED BY THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT, PROVIDES RESOURCES AND SUPPORT TO AID IN PREVENTION, INTERVENTION, TREATMENT AND RECOVERY FROM SUBSTANCE USE DISORDER. 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 OVERDOSES CASES WITHIN A PERIOD OF 30 DAYS. UPON INVESTIGATION, AT LEAST 26 IN THE PRIOR 3 WEEKS HAD BEEN CAUSED BY THIS COMBINATION. WHILE OPIOID OVERDOSES WERE ON THE RISE FROM 2012 TO 2020, WE HAVE SEEN A CONSISTENT DECREASE IN OVERDOSE OVER THE LAST 4 YEARS. OPIOID AND FENTANYL RELATED OVERDOSES CONTINUE TO BE A CHALLENGE IN THE COMMUNITY AND NATIONWIDE. AT THE STATE LEVEL 206 PEOPLE HAVE DIED OF DRUG OVERDOSES IN 2022 AND 253 PEOPLE IN 2021. ACCESS TO NARCAN, ALSO KNOWN AS NALOXONE IS PROVEN TO PREVENT DRUG OVERDOSE DEATHS. THE STATE OF NEBRASKA PASSED A LAW IN 2015 THAT ALLOWS FOR EXPANDED ACCESS TO THE LIFE-SAVING DRUG. IT ALLOWS FOR THE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF PUBLIC HEALTH TO ISSUE A STANDING ORDER FOR PHARMACIES TO PROVIDE NARCAN TO ANYONE WHO SEEKS IT AT PARTICIPATING PHARMACIES. ON SEPTEMBER 26, 2024, CENTERPOINTE BEGAN OFFERING NARCAN FOR FREE VIA A VENDING MACHINE LOCATED ON THEIR CAMPUS. THIS AIM IS TO REMOVE ALL BARRIERS TO ACCESSING THE OVERDOSE TREATMENT AND PREVENT MORE OVERDOSE DEATH IN THE COMMUNITY. THIS IS NEBRASKA'S FIRST HARM REDUCTION VENDING MACHINE AND ALSO INCLUDES RESOURCES SUCH AS FIRST AID KITS AND DRUG DESTRUCTION BAGS. BRYAN MEDICAL CENTER'S WEST CAMPUS IS HOME TO THE AREA'S ONLY 24/7 MENTAL HEALTH EMERGENCY DEPARTMENT. THE BRYAN MENTAL HEALTH EMERGENCY DEPARTMENT PROVIDES EMERGENCY MENTAL HEALTH CARE/CRISIS ASSESSMENTS 24 HOURS A DAY, 7 DAYS A WEEK. BRYAN MEDICAL CENTER PARTICIPATES IN AND PROVIDES LEADERSHIP TO THE NEBRASKA STATE SUICIDE PREVENTION COALITION. BRYAN MEDICAL CENTER BEHAVIORAL HEALTH INCLUDES A VARIETY OF SERVICES TO IMPROVE AN INDIVIDUAL'S MENTAL AND PHYSICAL HEALTH. AT BRYAN, THERE ARE PROGRAMS FOR PEOPLE OF ALL AGES - FROM YOUTH TO ADULT AND GERIATRIC CARE. THE SERVICES INCLUDE: MENTAL HEALTH - COUSELING AS WELL AS EMERGENCY CARE AND INPATIENT OR OUTPATIENT TREATMENT; YOUTH MENTAL HEALTH; MEDICATION MANAGEMENT - WORK WITH INDIVIDUALS TO FIND THE RIGHT BALANCE BETWEEN MEDICATION, THERAPY AND LIFESTYLE; SUBTANCE USE (ALCOHOL/DRUG USE) - EVALUATION AND VARIOUS LEVELS OF TREATMENT. BRYAN MEDICAL CENTER WEST CAMPUS OFFERS BOTH INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES. BRYAN WILL CONTINUE ITS COMMITMENT TO PROVIDE CARE TO PATIENTS NEEDING INPATIENT AND OUTPATIENT BEHAVIORIAL HEALTH SERVICES. THE BRYAN INDEPENDENCE CENTER OFFERS DRUG AND ALCOHOL TREATMENT. THE CENTER HAS BEEN TREATING PATIENTS FOR OVER 50 YEARS. THE BRYAN INDEPENDENCE CENTER HAS FULL-TIME INTERVENTION NURSES WHO GO TO ALL LINCOLN HOSPITALS TO PROVIDE SUBSTANCE USE EVALUATIONS BY PHYSICIAN ORDERS. 2.) CARDIOVASCULAR DISEASE HEART DISEASE HAS BEEN ONE OF THE TWO LEADING CAUSES OF DEATH IN LANCASTER COUNTY AS FAR BACK AS 2005. IT SURPASSED CANCER IN 2021 AS THE LEADING CAUSE OF DEATH, AND BOTH ARE FAR AHEAD OF ALL OTHER CAUSES OF DEATH IN THE COUNTY. THE OTHER CAUSES OF DEATH ARE CHRONIC LUNG DISEASE, ALZHEIMER'S DISEASE, AND CEREBROVASCULAR DISEASE. ALTHOUGH CARDIOVASCULAR DISEASE HAS BECOME THE LEADING CAUSE OF DEATH IN LANCASTER COUNTY, THE RATE OF CARDIOVASCULAR-RELATED DEATHS HAS DECREASED AMONG SOME AGE GROUPS. ACCORDING TO CDC'S UNDERLYING CAUSE OF DEATH DATA, THE CARDIOVASCULAR-RELATED DEATHS IN LANCASTER COUNTY DECREASED BY 14.42% AMONG PEOPLE AGES 45-64. 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 PRE-HOSPITAL SURVIVAL RATE FOR NON-TRAUMATIC CARDIAC ARREST IS 50% COMPARED TO 33% NATIONAL AVERAGE. THE RATE AT WHICH CIVILIAN BYSTANDERS PERFORM CPR UNTIL THE ARRIVAL OF PARAMEDICS IN LINCOLN IS 70.9% COMPARED TO 41.2% NATIONWIDE. BRYAN MEDICAL CENTER OFFERS VARIOUS HEART AND VASCULAR SCREENINGS THAT PROVIDES INSIGHT TO THOSE WHO MAY HAVE GONE UNDIAGNOSED AND/OR UNINTENTIONALLY BEEN LEFT UNTREATED. THE SCREENINGS ARE SIMPLE, AFFORDABLE AND A TRUSTED WAY TO MEASURE IF A PERSON IS AT RISK FOR HEART DISEASE, STROKE AND OTHER VASCULAR ISSUES. BRYAN MEDICAL CENTER HAS PARTNERED WITH BRYAN HEART PHYSICIANS THAT ALLOWS FOR REINVESTMENT INTO CARDIOVASCULAR SERVICES. THIS ENHANCES THE ABILITY TO OFFER LEADING-EDGE THERAPIES THAT EFFICIENTLY AND EFFECTIVELY TREAT MORE PATIENTS, REDUCE COMPLICATIONS AND IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS AND THEIR FAMILIES. 3.) CANCER CARE CANCER HAS HELD AS LANCASTER COUNTY'S MOST PROMINENT CAUSE OF DEATH SINCE 1999. THERE ARE APPROXIMATELY 1,429 NEW CASES OF CANCER IN LANCASTER COUNTY EACH YEAR. IN 2023, THE TOP 7 CAUSES OF DEATH WERE VARIOUS FORMS OF CANCER: LUNG, COLON, PANCREATIC, BREAST, PROSTATE, LEUKEMIA, ESOPHAGEL AND OTHERS. THE MOST PREVALENT TYPES OF CANCER IN LINCOLN-LANCASTER COUNTY ARE BREAST, PROSTATE, LUNG & BRONCHUS, AND COLORECTAL. ALL OF THESE CANCER STATES HAVE PREVENTATIVE SCREENINGS ASSOCIATED WITH THEM. DURING THE PANDEMIC MANY PATIENTS FORWENT ANNUAL WELL VISITS AND PREVENTITIVE SCREENINGS. ENSURING COMMUNITY ACCESS INCREASES EARLY DETECTION AND IMPROVES MORBIDITY AND MORTALITY. 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 DECREASED TO A LOW OF 20.7% IN 2019 AND IS SLIGHTLY UP IN 2023 TO 22.2%.
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. IN APRIL 2024 THE APRIL SAMPSON CANCER CENTER (ASCC) OPENED. ASCC IS A COMPREHENSIVE COMMUNITY CANCER CENTER, PROVIDING ALL THE SERVICES A CANCER PATIENT MAY NEED UNDER ONE ROOF. THIS INCLUDES RADIOLOGY, INFUSION, RADIATION, MENTAL HEALTH SERVICES, GENETIC COUNSELING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPA AND A MULTIDISCIPLINARY CLINIC. THE MULTIDISCIPLINARY CLINIC ALLOWS PATIENTS' SURGEON, RADIATION ONCOLOGIST, AND MEDICAL ONCOLOGIST TO ALL MEET AT ONE TIME TO DEVELOP A PLAN OF CARE FOR THE PATIENT. THE PATIENT HAS ONE APPOINTMENT WITH ALL OF THE PROVIDERS AT ONCE TO DEVELOP A PLAN OF CARE, RATHER THAN SEEING MULTIPLE PROVIDERS AT MULTIPLE APPOINTMENTS OVER THE SPAN OF DAYS OR WEEKS. THE ASCC IS LOCATED ON BRYAN MEDICAL CENTER'S NEW SOUTH CAMPUS, MAKING IT EASILY ACCESSIBLE FOR PATIENTS COMING FROM OUT OF TOWN AS WELL AS IN TOWN AS LINCOLN CONTINUES TO GROW FURTHER SOUTH. BRYAN MEDICAL CENTER IS IN PARTNERSHIP WITH CANCER PARTNERS OF NEBRASKA TO PROVIDE SERVICES AS ASCC. IN ADDITION TO THE SERVICES MENTIONED ABOVE, WIG FITTING AND MAINTENANCE SERVICES AS WELL AS MEDICAL PROTHESIS ARE AVAILABLE ON SITE. THESE SERVICES ROUND OUT THE COMPREHENSIVE APPROACH TO CARE THAT WILL IMPROVE HEALTH OUTCOMES FOR YEARS TO COME. AS PART OF THE CANCER PROGRAM, A GENETICS CLINIC HAS BEEN LAUNCHED AS WELL AS A CANCER HIGH-RISK AND PREVENTION CLINIC. THE GENETICS CLINIC OFFERS GENETIC TESTING AND COUNSELING TO ANY PERSON WITH FAMILY MEMBER DIAGNOSED WITH CANCER. THE HIGH-RISK CLINIC OFFERS SUPPORT, PREVENTION AND SCREENING, AND ADVICE AND REFERRALS NECESSARY FOR THOSE WHO ARE AT A HIGHER RISK FOR CANCER. PROVIDERS CAN REFER PATIENTS TO THESE CLINICS, BUT A REFERRAL IS NOT REQUIRED FOR PATIENTS TO ACCESS THESE SERVICES. THE SERVICES HAVE BEEN AVAILABLE SINCE 2023 AND NOW ARE LOCATED AT THE ASCC.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET SUITE 600 RO	OM 1	LINCOLN	NE	68506	CARDIAC OUTPATIENT SERVICES
BRYAN MEDICAL CENTER MRI SERVICES
2222 SOUTH 16TH STREET TOWER B SUIT	E 10	LINCOLN	NE	68502	MRI SERVICES
BRYAN MEDICAL CENTER OUTPATIENT RADIOLOGY
3901 PINE LAKE ROAD SUITE 110		LINCOLN	NE	68516	OUTPATIENT RADIOLOGY SERVICES
BRYAN MEDICAL CENTER LABORATORY
2221 SOUTH 17TH STREET SUITE 100		LINCOLN	NE	68502	LABORATORY SERVICES
BRYAN MEDICAL CENTER COUNSELING CENTER
2221 SOUTH 17TH STREET SUITE 201		LINCOLN	NE	68502	COUNSELING SERVICES
BRYAN MEDICAL CENTER OUTPATIENT SERVICES
1500 SOUTH 48TH STREET 1ST FLOOR		LINCOLN	NE	68506	LAB & RADIOLOGY SERVICES
BRYAN MEDICAL CENTER CARDIAC-VASCULAR OUTPATIENTS
1600 SOUTH 48TH STREET SUITE 301		LINCOLN	NE	68506	VASCULAR OUTPATIENT SERVICES
BRYAN MEDICAL CENTER
2222 SOUTH 16TH STREET TOWER B SUIT	E 110	LINCOLN	NE	68502	RADIOLOGY SERVICES
BRYAN MEDICAL CENTER COUNSELING CENTER
2221 SOUTH 17TH STREET SUITE 310		LINCOLN	NE	68502	COUNSELING SERVICES
BRYAN MEDICAL CENTER PEDIATRIC REHABILITATION SERV
1500 SOUTH 48TH STREET SUITE 709		LINCOLN	NE	68502	PEDIATRIC REHABILITATION SERVICES
BRYAN MEDICAL CENTER - APRIL SAMPSON CANCER CENTER
4101 TIGER LILY ROAD		LINCOLN	NE	68516	CANCER CARE SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c THE CRITERIA USED FOR DETERMINING ELIGIBILTY FOR FREE OR DISCOUNTED CARE	TO BE ELIGIBLE FOR FULL OR DISCOUNTED FINANCIAL ASSISTANCE, ONLY THE PATIENTS WHO WILL BE CONSIDERED ARE UNINSURED OR UNDERINSURED; ARE INELIGILBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM; HAVE EXCEEDED THE LENGTH OF STAY FOR MEDICAID OR OTHER INDIGENT CARE PROGRAMS; ARE UNABLE TO PAY FOR THEIR CARE BASED UPON A DETERMINATION OF FINANCIAL NEED. PATIENTS ARE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE FOR DEDUCTIBLES, CO-INSURANCE AND CO-PAYMENT RESPONSIBILITIES WHEN NOT INCONSISTENT WITH THE FAP OR APPLICABLE LAWS. THE GRANTING OF FINANCIAL ASSISTANCE SHALL BE BASED ON AN INDIVIDUAL DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. WHEN A PATIENT'S CIRCUMSTANCES DO NOT SATISFY THE PARTICULAR REQUIREMENTS FOR FINANCIAL ASSISTANCE, A PATIENT WITH UNUSUAL MITIGATING FACTORS MAY STILL BE ABLE TO OBTAIN FINANCIAL ASSISTANCE. APPLYING FOR FINANCIAL ASSISTANCE MAY BE INITIATED BY A PATIENT REQUESTING ASSISTANCE; THE ENTITY CAN ALSO INITIATE A FINANCIAL ASSISTANCE APPLICATION ON BEHALF OF A PATIENT; A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY A PATIENT'S FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE SUBJECT TO APPLICABLE PRIVACY LAWS. THE PATIENT IS REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION FORM AND SUPPLY ALL PERSONAL FINANCIAL AND OTHER INFORMATION REQUESTED ON THE APPLICATION AND THE COVER LETTER IN ORDER TO MAKE A DETERMINATION OF FINANCIAL NEED. THE CFO OF BRYAN HEALTH WILL DETERMINE THE APPROPRIATE DISCOUNTS THAT ARE AVAILABLE TO ELIGIBLE PATIENTS ON AN ANNUAL BASIS AND WILL ENSURE COMPLIANCE WITH IRS REGULATIONS. BRYAN MEDICAL CENTER PROVIDES CHARITY CARE FINANCIAL ASSISTANCE DISCOUNTS FOR ELIGIBLE PATIENTS BASED ON FEDERAL POVERTY LEVEL GUIDELINES (FPL) IN EFFECT AT THE TIME OF THE ELIGIBILITY DETERMINATION. PATIENTS WHO QUALIFY FOR CHARITY CARE FINANCIAL DISCOUNTS, WHOSE ANNUAL FAMILY INCOME AND ASSETS ARE AT OR BELOW 200% OF THE FPL, ARE ELIGILBLE TO RECEIVE A 100% DISCOUNT OFF OF THEIR ACCOUNT BALANCE FOR ELIGIBLE SERVICES RECEIVED BY THE PATIENT AFTER PAYMENT BY ANY THIRD PARTIES. PATIENTS WHOSE FAMILY INCOME AND ASSETS ARE AT OR ABOVE 201% BUT NOT MORE THAN 400% OF THE FPL ARE ELIGIBLE FOR DISCOUNTS ON A SLIDING FEE SCALE BASED ON THE FPL IN EFFECT AT THE TIME OF THE ELIGIBLITY TERMINATION AFTER PAYMENT BY THIRD PARTIES. UNINSURED PATIENT DISCOUNTS MAY APPLY TO ELIGIBLE PATIENTS. THE UNISURED (SELF-PAY) PATIENT DISCOUNT IS A PERCENTAGE OFF OF GROSS CHARGES FOR SERVICES AT BRYAN HEALTH FACILITIES. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED PATIENT DISCOUNT. THE UNINSURED PATIENT DISCOUNT DOES NOT LIMIT A PATIENT'S ABILITY TO OBTAIN FURTHER DISCOUNTS BASED ON THEIR FINANCIAL NEED THROUGH THE CHARITY CARE FINANCIAL ASSISTANCE DISCOUNT. THE UNINSURED PATIENT DISCOUNT SHALL BE AUTOMATICALLY APPLIED TO PATIENTS WHO ARE CLASSIFIED AS "SELF-PAY".
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	BRYAN HEALTH
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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.
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 18-20 OF THE BRYAN HEALTH CONSOLIDATED AUDIT REPORT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. BRYAN MEDICAL CENTER PROVIDES CARE TO MEDICARE PATIENTS, AND MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO THESE PATIENTS CAUSING A SHORTFALL, OR LOSS TO THE ORGANIZATION. THE FUNDS BRYAN MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS BRYAN'S POLICY TO OFFER PATIENTS A PAYMENT PLAN AND/OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN THAT A PATIENT IS IN NEED OF ASSISTANCE TO HELP PAY FOR THEIR HOSPITAL BILL. IF BRYAN IS AWARE THAT A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THIS ACCOUNT WILL NEVER BE REFERRED TO A COLLECTION AGENCY. IF AN ACCOUNT HAS BEEN SENT TO COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO BRYAN FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Schedule H, Part V, Section B, Line 16a FAP website	A - BRYAN MEDICAL CENTER EAST: Line 16a URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - BRYAN MEDICAL CENTER EAST: Line 16b URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - BRYAN MEDICAL CENTER EAST: Line 16c URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;
Schedule H, Part VI, Line 2 Needs assessment	AS A HEALTH CARE 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, OBSTETICS, NEONATAL INTENSIVE CARE, REHABILITATION AND ONCOLOGY. BRYAN IS THE COMMUNITY'S ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES AND SUBSTANCE USE TREATMENT. 2.) PRIMARY CARE SERVICES, BRYAN PROVIDES URGENT CARE CLINICS THROUGH OUT LINCOLN THAT PROVIDE PRIMARY CARE SERVICES OUTSIDE PHYSICIANS' NORMAL WORKING HOURS. THERE ARE CURRENTLY 5 URGENT CARE CLINICS THROUGHOUT LINCOLN AND MORE WITHIN THE OUTLYING TOWNS AND COMMUNITIES OF LANCASTER COUNTY. 3.) BEHAVIORIAL HEALTH SERVICE, BRYAN MEDICAL CENTER IS THE ONLY ACUTE CARE HOSPITAL IN THE LINCOLN LANCASTER COUNTY ATEA TO PROVIDE BEHAVORIAL 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 HEALTH DEPARTMENT ROUTINELY ASSESS THE HEALTH STATUS IN THE COMMUNITY. THEY DO SO TO ANALYZE TRENDS, INFORM AND EDUCUATE THEMSELVES AND THEIR PARTNERS, TARGET SERVICES AND EVALUATE THE PROGRESS OF THEIR MANY PROGRAMS. IN ADDITION TO THIS ONGOING ASSESSMENT, EVERY THREE YEARS THE LINCOLN LANCASTER HEALTH DEPARTMENT ENGAGE A MORE IN-DEPTH COMMUNITY HEALTH ASSESSMENT IN COLLABORATION WITH THE AREA HOSPITALS AND THE BROADER PUBLIC HEALTH INFRASTRUCTURE. BRYAN HEALTH AND CHI HEALTH ST. ELIZABETH ARE KEY PARTNERS IN A NEW APPROACH THAT WILL ALLOW EVEN MORE FOCUSED EFFORTS TO ADDRESS HEALTH OUTCOMES OF CONCERN AND TO ACHIEVE HEALTH EQUITY. THE LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT COLLABORATED WITH NUMEROUS PARTNERS TO ENGAGE A VARIETY OF COMMUNITY MEMBERS TO BETTER UNDERSTAND THEIR HEALTH CONCERNS AND PRIORITIES OF LANCASTER COUNTY RESIDENTS. THE EFFORTS INCLUDED: 1.) COMMUNITY WIDE SURVEY; 2.) TARGETED SURVEYS; 3.) FOCUS GROUPS. INITIAL FEEDBACK INCLUDED FEEDBACK FROM 14 RACIAL AND ETHNIC MINORITY GROUPS SERVED BY CULTURAL CENTERS OF LINCOLN THEN EXPANDED TO INCLUDE ADDITIONAL COMMUNITY GROUPS THAT INCLUDED REFUGEES, THE AGING COMMUNITY, BLIND, AND UNHOUSED RESIDENTS. EACH OF THESE GROUPS FACED CHALLENGES IN ACHIEVING EQUITABLE HEALTH AND WELLNESS. EVERY COMMUNITY WAS ASKED THE SAME QUESTIONS IN THE SURVEY, TRANSLATED INTO NINE DIFFERENT LANGUAGES, AND DISTRIBUTED THROUGH PARTNERING ORGANIZATIONS. ADDITIONALLY THE REPORT INCLUDES FINDINGS FROM TWO ROUNDS OF COMMUNITY CONVERSATIONS. THE OVERALL THEMES FROM THESE COMMUNITY CONVERSATIONS WERE FOCUSED ON MENTAL HEALTH.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	IN KEEPING WITH BRYAN MEDICAL CENTER'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, BRYAN OFFERS A FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM IS PROVIDED AT EACH NEW EMPLOYEE ORIENTATION SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. BRYAN HAS TRAINED FINANCIAL COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENTS FINANCIAL NEED. UNINSURED PATIENTS WHO ARE ADMITTED TO BRYAN WILL AUTOMATICALLY RECEIVE A CONSULTATION WITH A FINANCIAL COUNSELOR. THE COUSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. WHEN APPLICABLE, THE FINANCIAL COUNSELORS PROVIDE ASSISTANCE FOR QUALIFYING FOR THE FINANCIAL ASSISTANCE POLICY OR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY; INCLUDING THE PHONE NUMBER TO CONTACT A BILLING CUSTOMER SERVICE REPRESENTATIVE, IS PROVIDED: 1) ON BRYAN'S WEBSITE, 2) IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, 3) IN BILLING OFFICES, 4) IN ALL INPATIENT ADMISSION PACKETS; AND 5) ON EACH BILLING STATEMENT. THE ORGANIZATION'S PROCEDURE IS TO MAIL THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM TO PATIENTS FREE OF CHARGE UPON REQUEST. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT FROM PRE-ADMISSION TO THE FINAL PAYMENT OF THE BILL, AS WE RECOGNIZE THAT A PATIENT'S ABILITY TO PAY OVER AN EXTENDED PERIOD OF 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 MEDICAL CENTER IS LOCATED IN THE CAPITAL CITY OF NEBRASKA, LINCOLN, NEBRASKA, WHICH IS THE STATE'S SECOND LARGEST METROPOLITAN AREA. WHILE BRYAN MEDICAL CENTER SERVES A REGIONAL GEOGRAPHIC AREA EXTENDING BEYOND THE COUNTY, LANCASTER COUNTY, RESIDENTS ACCOUNT NEARLY 68 PERCENT OF THE INPATIENTS AND 84 PERCENT OF THE OUTPATIENTS. THE MEDIAN HOUSEHOLD INCOME FOR 2023 IN LANCASTER COUNTY, NEBRASKA WAS ESTIMATED AT $72,625 AND 11.7% OF THE POPULATION HAD INCOMES BELOW THE POVERTY LEVEL. DURING THE 2023-2024 SCHOOL YEAR, 50.9% OF LINCOLN PUBLIC SCHOOL STUDENTS PARTICIPATED IN THE FREE OR REDUCED-PRICE LUNCH PROGRAM. THIS PERCENTAGE HAS REMAINED STEADY OVER THE PAST FIVE SCHOOL YEARS. LINCOLN PUBLIC SCHOOL FAMILIES ARE ELIGIBLE FOR FREE OR REDUCED LUNCH IF THEY RECEIVE SNAP, TANF, OR FDPIR BENEFITS, OR IF THEIR INCOME IS WITHIN A SPECIFIC PERCENT OF THE FEDERAL POVERTY LEVEL. BEGINNING IN 2022-2023, ALL STUDENTS AT COMMUNITY ELIGIBLE PROVISION SCHOOLS ARE ELIGIBLE FOR FREE LUNCHES. LINCOLN/LANCASTER COUNTY HAS A STABLE AND DIVERSE ECONOMY, WITH STRONG COMMERCIAL DEVELOPMENT AND AMONG THE LOWEST UNEMPLOYMENT RATES IN THE NATION. IN 2023, LANCASTER COUNTY'S UNEMPLOYMENT RATE WAS 3% ABOVE THE STATE UNEMPLOYMENT RATE OF 2.6% AND BELOW THE NATIONAL RATE OF 4.3%. AFTER REACHING 2,500 DEATHS IN 2020, LANCASTER COUNTY'S DEATHS HAVE BEEN RELATIVELY CONSISTENT WITH AN AVERAGE OF 2,572 DEATHS A YEAR OVER THE LAST FOUR YEARS. CANCER AND HEART DISEASE WERE THE LEADING CAUSES OF DEATH IN 2024, WITH CANCER BEING THE TOP CAUSE OF DEATH IN 2023. BRYAN MEDICAL CENTER AND CHI HEALTH ST. ELIZABETH ARE THE PRIMARY HOSPITALS SERVING LANCASTER COUNTY. LANCASTER COUNTY WITH THE POPULATION OF 332,169 (2023) INCLUDES THE CITY OF LINCOLN WITH THE POPULATION OF 298,733 AND THE CITY OF WAVERLY WITH THE POPULATION OF 4,560. LANCASTER COUNTY'S POPULATION GREW FROM 322,608 IN 2020 TO 332,169 IN 2023, A 3% INCREASE IN THREE YEARS. LANCASTER COUNTY 'S NONWHITE POPULATION GREW FROM 6% IN 1990 TO 22% IN 2020 AND IS PROJECTED TO GROW TO 35% BY 2050. THIS GROWTH IS LED BY INDIVIDUALS UNDER 20 YEARS OF AGE. LANCASTER COUNTY'S POPULATION WILL GROW AMONG ALL AGE GROUPS OVER THE NEXT SEVERAL DECADES, WITH STEADY GROWTH FROM POPULATIONS YOUNGER THAN 40. POPULATIONS OVER 60 YEARS OLD WILL GROW AS BABY BOOMERS AND MILLENNIALS AGE INTO THESE AGE GROUPS. LINCOLN, NEBRASKA, HAS A HISTORY OF WELCOMING IMMIGRANTS AND REFUGEES OVER THE PAST SEVERAL DECADES. THIS HISTORY INCLUDES WAVES OF REFUGEE RESETTLEMENT FROM VIETNAM, IRAQ, THE EX-YUGOSLAVIAN COUNTRIES, SUDAN, AND MYANMAR. LINCOLN IS CURRENTLY HOME TO THE LARGEST YAZIDI POPULATION IN THE UNITED STATES. THE 2022 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY FOR THE LINCOLN METROPOLITAN AREA REPORTS THAT 12.9% OF RESPONDENTS AGES 18 AND UP CLAIMED TO BE CURRENT SMOKERS. LANCASTER COUNTY'S 2023 YOUTH RISK BEHAVIORAL SURVEILLANCE SYSTEM (YRBSS) REPORTS THAT .5% OF RESPONDENTS IN GRADES 9 THROUGH 12 SMOKE CIGARETTES IN THE PAST 30 DAYS. HOWEVER, 18% USED AN ELECTRONIC VAPOR PRODUCT IN THE PAST 30 DAYS. ACCORDING TO THE LANCASTER COUNTY'S 2022 BRFSS SURVEY, 18.9% OF RESPONDENTS AGES 18 AND UP REPORTED BINGE DRINKING. LIKEWISE, LANCASTER COUNTY'S 2023 YRBSS STATES 11.3% OF STUDENTS RESPONDENTS BETWEEN 9 AND 12 GRADES DRANK ALCOHOL IN THE PAST 30 DAYS.
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 98 YEARS, AND IS COMMITTED TO IDENTIFYING AND ADDRESSING NEEDS IN THE COMMUNITY IN THE FUTURE. FUNDAMENTAL TO OUR COMMUNITY COMMITMENT IS THE LEADERSHIP OF OUR LOCAL GOVERNING BOARD. THE MAJORITY OF BRYAN'S GOVERNING BOARD CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS, AND COMMUNITY LEADERS WHO ARE INDEPENDENT, AND ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, AND UNDERSTAND THE NEEDS OF THE COMMUNITY. THESE VOLUNTEERS DEDICATE THEIR TIME, WISDOM, INSIGHTS, AND EXPERTISE TO SET POLICY AND STRATEGIC DIRECTION TO ENSURE THAT BRYAN'S VISION, MISSION AND STRATEGIC PLANS ARE ALIGNED WITH ITS CHARITABLE PURPOSE. THE MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT BOARD MEMBERS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIREMENTS. AS OF DECEMBER 31, 2024, BRYAN HAD AN ORGANIZED MEDICAL STAFF OF OVER 850 PHYSICIANS. AS A NON-PROFIT MEDICAL CENTER, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY; INCLUDING BUT NOT LIMITED TO: 1) PROVIDING A COMPLETE DIAGNOSTIC AND INTERVENTIONAL CARDIAC PROGRAM; 2) PROVIDING A COMPREHENSIVE LEVEL II TRAUMA CENTER FOR SOUTHEAST NEBRASKA WHICH PROVIDES 24-HOUR COVERAGE OF EMERGENCY SERVICES; 3) PROVIDING A HOSPITAL-BASED RESIDENTAL TREATMENT SUBSTANCE ABUSE FACILITY IN LINCOLN, WHICH SERVES PATIENTS THAT STRUGGLE WITH ADDICTION TO DRUGS AND ALCOHOL FROM SOUTHEAST NEBRASKA AND MANY OTHER STATES; 4) PROVIDING HOSPITAL-BASED MENTAL HEALTH CARE TO LINCOLN AND SURROUNDING COMMUNITIES; 5) PROVIDING A STATE-OF-THE-ART WOMENS AND CHILDREN'S TOWER WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT; 6) MAJOR RENOVATION AND EXPANSION AIMED AT MODERNIZING THE MEDICAL CENTER'S OPERATION AND RECOVERY ROOMS ON THE EAST CAMPUS WHICH WAS COMPLETED IN JUNE OF 2022; AND 7) OPENED THE APRIL SAMPSON CANCER CENTER IN APRIL OF 2024 ON THE NEW BRYAN MEDICAL CENTER SOUTH CAMPUS AND BOOSTS A ONE-STOP-SHOP FOR PATIENTS TO SEE ONCOLOGISTS, RADIOLOGISTS, AND SURGEONS IN ONE FACILITY WITHOUT TRAVELING TO OTHER OFFICES. BRYAN IS COMMITTED TO TEACHING AND TRAINING THE HEALTH CARE PROFESSIONALS OF TOMORROW. OUR COLLEGE OF HEALTH SCIENCES OFFERS GRADUATE AND UNDERGRADUATE DEGREES THROUGH ITS SCHOOL OF NURSING, SCHOOL OF HEALTH PROFESSIONALS, AND SCHOOL OF NURSE ANESTHESIA PROGRAMS. MANY OF THE GRADUATES STAY IN LINCOLN OR THE SURROUNDING AREA, THEREBY PROVIDING A CONTINUOUS SUPPLY OF MEDICAL PROFESSIONALS FOR THE COMMUNITY. IN ADDITION, THE MEDICAL CENTER ASSURES CONTINUING QUALITY HEALTH IN OUR COMMUNITY THROUGH RESIDENCY PROGRAMS, WORKSHOPS AND SEMINARS, AND CLINICAL EDUCATION PROGRAMS.
Schedule H, Part VI, Line 6 Affiliated health care system	BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN HEALTH EXISTS TO: PROMOTE AND PROVIDE ACCESS TO QUALITY HEALTH CARE; PROVIDE MEDICAL EDUCATION, AND COMMUNITY SERVICE. THE COMMUNITY BENEFITS PROVIDED BY BRYAN HEALTH INCLUDE: 1) PROVIDING FREE OR DISCOUNTED HEALTH CARE TO THE UNINSURED AND UNDERINSURED, 2) PROVIDING GOVERNMENTAL SPONSORED PROGRAMS SUCH AS MEDICARE AND MEDICAID; 3) HEALTH PROFESSIONALS' EDUCATION 4) COMMUNITY HEALTH IMPROVEMENT SERVICES AND 5) CASH AND IN-KIND CONTRIBUTIONS TO OTHER NON-PROFIT ORGANIZATIONS. BRYAN HEALTH PROVIDES A FULL SPECTRUM OF PREVENTION, WELLNESS, ACUTE CARE AND REHABILITATION SERVICES TO URBAN, SUBURBAN AND RURAL COMMUNITIES IN NEBRASKA, KANSAS, IOWA, AND MISSOURI. BRYAN HEALTH CONSISTS OF FIVE ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, FIVE URGENT CARE CENTERS, THREE PHILANTHROPIC FOUNDATIONS, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREIMER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH. ONCOLOGY, IMAGING AND MENTAL HEALTH.
Schedule H, Part VI, Line 7 State filing of community benefit report	NE

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CLINIC WITH A HEART
1701 S 17TH STREET 4G	LINCOLN	NE	68502	202850139	501(C)(3)	$27,200	GENERAL OPERATIONS
MADONNA FOUNDATION
5401 SOUTH STREET	LINCOLN	NE	68506	237159940	501(C)(3)	$25,000	GENERAL OPERATIONS
MALONE COMMUNITY CENTER
2032 U STREET	LINCOLN	NE	68506	470376577	501(C)(3)	$13,050	GENERAL OPERATIONS
CIVIC NEBRASKA
530 S 13TH STREET	LINCOLN	NE	68508	272204391	501(C)(3)	$10,000	GENERAL OPERATIONS
NEBRASKA HOSPITAL ASSOCIATION
3255 SALT CREEK CIRCLE 100	LINCOLN	NE	68504	470384546	501(C)(6)	$10,000	GENERAL OPERATIONS
PROJECT PINK'D
11405 DAVENPORT STREET	OMAHA	NE	68154	455212995	501(C)(3)	$9,000	GENERAL OPERATIONS
HEARTLAND CANCER FOUNDATION
PO BOX 5203	LINCOLN	NE	68505	205952202	501(C)(3)	$8,600	GENERAL OPERATIONS
LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT
3131 O STREET	LINCOLN	NE	68508	470491233	LINCOLN LANCASTER	$6,200	GENERAL OPERATIONS
BRYAN FOUNDATION
1600 S 48TH STREET	LINCOLN	NE	68506	237005720	501(C)(3)	$346,567	GENERAL OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
ERIC MOOSS
CEO BRYAN MEDICAL CENTER/EX-OFFICIO MEMBER	$534,262	$0	$152,939	$0	$159,469	$0	$16,520	$0	$35,294	$0	$898,484	$0	$0	$0
RUSSELL GRONEWOLD
EX-OFFICIO MEMBER	$0	$1,052,649	$0	$328,847	$0	$345,808	$0	$24,150	$0	$26,023	$0	$1,777,477	$0	$0
ROBERT A OAKES MD
EX-OFFICIO MEMBER	$0	$893,733	$0	$591,006	$0	$44,094	$0	$17,250	$0	$27,167	$0	$1,573,250	$0	$0
LISA VAIL RN
EX-OFFICIO MEMBER	$0	$348,034	$0	$86,221	$0	$159,207	$0	$17,250	$0	$27,343	$0	$638,055	$0	$0
JOHN WOODRICH
BRYAN HEALTH EXEC VP & COO	$0	$727,342	$0	$209,946	$0	$322,431	$0	$21,350	$0	$21,862	$0	$1,302,931	$0	$0
ADRIENNE OLSON RN
CHIEF NURSING OFFICER	$0	$0	$0	$0	$141,625	$0	$0	$0	$5	$0	$141,630	$0	$0	$0
TROY HOTTOVY
CHIEF INFORMATION SECURITY OFFICER	$226,604	$0	$37,002	$0	$52,563	$0	$16,301	$0	$38,738	$0	$371,208	$0	$0	$0
JOHN TRAPP MD
CHIEF MEDICAL OFFICER	$568,416	$0	$146,732	$0	$141,169	$0	$17,250	$0	$26,803	$0	$900,370	$0	$0	$0
DAVID GRIFFITHS
CFO - BRYAN MEDICAL CENTER	$342,128	$0	$75,616	$0	$81,689	$0	$15,658	$0	$32,228	$0	$547,319	$0	$0	$0
TRAVIS GREGG
COO - BRYAN MEDICAL CENTER	$312,407	$0	$67,106	$0	$22,777	$0	$16,482	$0	$47,751	$0	$466,523	$0	$0	$0
DAVID REESE
BRYAN HEALTH VP & PHYSICIAN PTNR & FACILITY DIR RESIGNED 7/1/2024	$0	$175,588	$0	$75,003	$0	$135,256	$0	$21,350	$0	$18,307	$0	$425,504	$0	$0
KELSI ANDERSON
PRESIDENT - BCHS	$190,168	$0	$26,689	$0	$13,520	$0	$11,550	$0	$30,004	$0	$271,931	$0	$0	$0
MELISSA BARTELS RN
CNO - BRYAN MEDICAL CENTER	$180,763	$0	$24,901	$0	$31,476	$0	$13,417	$0	$32,282	$0	$282,839	$0	$0	$0
SHARON HADENFELDT
DEAN OF NURSE ANESTHESIA	$268,042	$0	$9,225	$0	$34,176	$0	$21,551	$0	$4,154	$0	$337,148	$0	$0	$0
RICHARD LLOYD
DIRECTOR OF WORKFORCE PARTNERSHIPS	$276,229	$0	$90,144	$0	$139,706	$0	$16,945	$0	$29,109	$0	$552,133	$0	$0	$0
KENT HOXMEIER
Anesthesia & Perfusion Mgr	$252,625	$0	$16,672	$0	$11,819	$0	$14,376	$0	$31,133	$0	$326,625	$0	$0	$0
SHARON HARMS
Radiology & Gi Director	$189,593	$0	$35,143	$0	$53,088	$0	$18,454	$0	$23,673	$0	$319,951	$0	$0	$0
JULIE SMITH
PERIOPERATIVE & ANESTHESIA SERVICES DIR	$190,049	$0	$31,870	$0	$41,187	$0	$4,343	$0	$23,632	$0	$291,081	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	THE MAJORITY OF THE MEMBERS OF THE BOARD OF THE TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYAN MEDICAL CENTER ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYAN MEDICAL CENTER. REIMBURSEMENT FOR COMPANIONS OF VOLUNTEER TRUSTEES IS LIMITED BY THE BOARD OF TRUSTEES' TRAVEL POLICY TO AIR TRAVEL AT THE COACH LEVEL OR THE EXTENDED COACH/EXTENDED LEG ROOM LEVEL. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER OF BRYAN HEALTH, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	THE ORGANIZATION PROVIDES SOCIAL CLUB MEMBERSHIPS FOR SELECT EMPLOYEES IF THERE IS A BUSINESS NEED FOR THE MEMBERSHIP. THE CLUB MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ORGANIZATION REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. ONE OFFICER LISTED IN FORM 990, PART VII, SECTION A, RECEIVED THIS BENEFIT DURING THE TAX YEAR.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI -HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2024. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment	ADRIENNE OLSON, CNO OF BRYAN MEDICAL CENTER, RECEIVED $141,625 IN SEVERANCE DURING 2024.
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 2024: RUSSELL GRONEWOLD $284,573, JOHN WOODRICH $234,417, DAVID REESE $52,184, RICHARD LLOYD $75,701, ERIC MOOSS $111,714, JOHN TRAPP $92,364, AND LISA VAIL $122,742.
Schedule J, Part I, Line 7 Non-fixed payments	BRYAN HEALTH OFFERS A MARKET COMPETITIVE INCENTIVE COMPENSATION PROGRAM FOR MEMBERS OF MANAGEMENT. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. THE GOALS ARE SET AND REVIEWED FOR LEVEL OF ACCOMPLISHMENT BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES.
Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EXECUTIVES OF BRYAN HEALTH AND BRYAN MEDICAL CENTER, AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS.
Schedule J, Part II, Column (B)(ii) COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	A TOTAL OF $509,366 BONUSES ACCRUED IN 2023 AND PAID IN 2024 ARE REPORTED ON THE 2024 SCHEDULE J COLUMN (BII) AND A TOTAL OF $426,049 ACCRUED BONUSES ACCRUED IN 2024 WILL BE PAID IN 2025 WHICH WILL BE REPORTED ON THE 2025 SCHEDULE J COLUMN (BII).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$99,547,582	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$411,439	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$35,000,000	CapitalExpendituresAmt
Other Spent Proceeds	$59,302,600	OtherSpentProceedsAmt
Unspent	$4,833,543	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$205,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	VARIOUS IN-KIND NON-PPE	1	$24,538	Cost
Yes (X)	CONCRETE, WOOD, PLASTIC AND COMPOSITES	1	$36,168	Cost

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - VARIOUS IN-KIND NON-PPE - THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. Art - Works of art - THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. Other - CONCRETE, WOOD, PLASTIC AND COMPOSITES - THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	MANY OF THE PERSONS LISTED IN PART VII, SECTION A, HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT BY A BRYAN HEALTH ENTITY.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY AND TREASURER OF THE BOARD, THE CHIEF OF STAFF, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SYSTEM AND THE PRESIDENT/CHIEF OPERATING OFFICER OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, EXCEPT THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER (A) TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY TRUSTEE OR OFFICERS OF THE CORPORATION; (B) TO AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY THE EXECUTIVE COMMITTEE. THE DESIGNATION AND APPOINTMENT OF AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD, OR ANY INDIVIDUAL TRUSTEE, OF ANY RESPONSIBLITY IMPOSED UPON IT OR HIM/HER BY LAW.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	ELIZABETH LAU MD AND KEN GROSS MD - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: (1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; (2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND (3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRYAN HEALTH AS SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF ALL THE VOTING TRUSTEES OF BRYAN HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	BRYAN HEALTH IS THE SOLE MEMBER OF BRYAN MEDICAL CENTER ("MEDICAL CENTER"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF THE MEDICAL CENTER MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM: (1) ADOPT ANY LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $5,000,000 IN ANY SINGLE TRANSACTION OR $10,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR STRATEGIC PLAN; (4) APPROVE ANY INDEBTEDNESS OR INCUR A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $5,000,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (5) ENGAGE IN OR ENTER INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION OF $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (6) APPROVE THE ELECTION OF MEMBERS OF THE BOARD; (7) APPROVE THE APPOINTMENT OF THE SYSTEM PRESIDENT/CHIEF EXECUTIVE OFFICER; (8) APPROVE PARTICIPATION IN OTHER HEALTH CARE SYSTEMS BY AFFILIATION OR MERGER; (9) APPROVE ITS LIQUIDATION OR DISSOLUTION; (10) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY INTEREST IN, AS ALLOWED BY THE CODE, OF ANY CORPORATION, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP; TRUST, SHARED SERVICE ARRANGEMENT; JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURES OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY SINGLE TRANSACTION EXCEEDS $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (11) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; OR (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE SYSTEM'S GOALS AND OBJECTIVES.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THIS 990 WAS PREPARED BY BRYAN HEALTH'S TAX DIVISION. DURING THE RETURN PREPARATION PROCESS, THE TAX DIVISION WORKS DILIGENTLY WITH OTHER DEPARTMENTS INCLUDING HUMAN RESOURCES, FINANCE, LEGAL, AND ADVANCEMENT TO GATHER INFORMATION TO COMPLETE FORM 990 AND ATTACHED SCHEDULES IN AN ACCURATE AND THOROUGH MANNER. THIS 990 WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND OTHER KEY OFFICERS OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. BRYAN HEALTH'S BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD'S AUDIT COMMITTEE. EACH MEMBER OF THE AUDIT COMMITTEE HAS THE OPPORTUNITY TO REVIEW A COPY OF THIS 990, PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	BRYAN MEDICAL CENTER HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES OF BRYAN HEALTH. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT. THE QUESTIONNAIRE REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE; (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT-OF-INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2024. 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	- Total Revenue: 1370778, Related or Exempt Function Revenue: 1370778, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: 13464, Related or Exempt Function Revenue: 13464, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 708549, Related or Exempt Function Revenue: 684685, Unrelated Business Revenue: 23864, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: 6038614, Related or Exempt Function Revenue: 6038614, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	CONSULTING - Total Expense: 5675581, Program Service Expense: 4025471, Management and General Expenses: 1650110, Fundraising Expenses: ; LEASE COMMISSIONS - Total Expense: 70702, Program Service Expense: 68515, Management and General Expenses: 2187, Fundraising Expenses: ; MEDICAL DIRECTOR FEES - Total Expense: 2765881, Program Service Expense: 2680339, Management and General Expenses: 85542, Fundraising Expenses: ; TEST SERVICES - Total Expense: 2813418, Program Service Expense: 2813418, Management and General Expenses: , Fundraising Expenses: ; LABORATORY FEES - Total Expense: 4895163, Program Service Expense: 4895163, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 34007483, Program Service Expense: 34007483, Management and General Expenses: , Fundraising Expenses: ; COLLECTION FEES - Total Expense: 2065214, Program Service Expense: 1724624, Management and General Expenses: 340590, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 7453383, Program Service Expense: 6428685, Management and General Expenses: 1024698, Fundraising Expenses: ; ANESTHESIOLOGY FEES - Total Expense: 6861368, Program Service Expense: 6861368, Management and General Expenses: , Fundraising Expenses: ; MISCELLANEOUS FEES - Total Expense: 5201978, Program Service Expense: 2679846, Management and General Expenses: 2522132, Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 2180686, Program Service Expense: 2180492, Management and General Expenses: 194, Fundraising Expenses: ; SECURITY - Total Expense: 4675602, Program Service Expense: 3688362, Management and General Expenses: 987240, Fundraising Expenses: ; SERVICE AGREEMENTS - Total Expense: 16878122, Program Service Expense: 14137973, Management and General Expenses: 2740149, Fundraising Expenses: ; AMBULANCE SERVICE - Total Expense: 757053, Program Service Expense: 757053, Management and General Expenses: , Fundraising Expenses: ; TEMPORARY LABOR - Total Expense: 14950662, Program Service Expense: 14950662, Management and General Expenses: , Fundraising Expenses: ; MISCELLANEOUS OUTSIDE SERVICE - Total Expense: 7647472, Program Service Expense: 6529864, Management and General Expenses: 1117608, Fundraising Expenses: ; JANITORIAL SERVICES - Total Expense: 400848, Program Service Expense: 335293, Management and General Expenses: 65555, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION LIABILITY - 3653221; TRANSFER TO RELATED ENTITY - -106000000; CHANGE IN TEMPORARILY RESTRICTED INTEREST IN BRYAN FOUNDATION - 4408536; CHANGE IN PERMANENTLY RESTRICTED INTEREST IN BRYAN FOUNDATION - 693058; OTHER - CHANGE IN STUDENT LOAN FUND - -325472; Total - -97570657;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line2USAddress/AddressLine2Txt
LINCOLN DIGESTIVE HEALTH CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	371833798	HEALTHCARE	NE	BRYAN MEDICAL CENTER	Related	false	false	0.51
DOCTOR'S OUTPATIENT SURGERY CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	364835603	HEALTHCARE	NE	BRYAN MEDICAL CENTER	Related	false	false	0.51
HEAD AND NECK SURGICAL PARTNERS LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	911824787	HEALTHCARE	NE	BRYAN MEDICAL CENTER	Related	false	false	0.51
GRAND ISLAND HOSPITAL HOLDINGS LLC
3533 PRAIRIEVIEW STREET	GRAND ISLAND	NE	68803	475381241	LEASE PROPERTY, HOLDING COMPANY	NE	NA	N/A
SEWARD URGENT CARE PARTNERSHIP LLC
2222 SOUTH 16TH STREET	LINCOLN	NE	68502	923319265	HEALTHCARE	NE	NA	N/A				SUITE 400A
BRYAN TELEMEDICINE LLC
2222 S 16TH ST STE 401A	LINCOLN	NE	68502	383932523	HEALTHCARE	NE	NA	N/A
BRYAN HEART MARY LANNING CARDIOLOGY LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	464822260	CARDIOLOGY SERVICES	NE	NA	N/A				SUITE 600
KPT&G LLC
C/O MDM 300 N MEAD STE 210	WICHITA	KS	67202	364886336	RENTAL REAL ESTATE	NE	NA	N/A
KHL-RO LLC
4101 TIGER LILY RD STE 100	LINCOLN	NE	68516	883562359	HEALTHCARE	NE	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRYAN FOUNDATION
C	$638,872	FMV
DOCTORS OUTPATIENT SURGERY CENTER
C	$909,207	FMV
LINCOLN DIGESTIVE HEALTH CENTER LLC
C	$1,632,000	FMV
DOCTOR'S OUTPATIENT SURGERY CENTER
A	$613,251	FMV
HEAD & NECK SURGICAL PARTNERS LLC
A	$392,520	FMV
INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART
A	$675,042	FMV
BRYAN PHYSICIAN NETWORK
A	$1,071,045	FMV
HEAD & NECK SURGICAL PARTNERS LLC
C	$1,218,900	FMV
BRYAN FOUNDATION
B	$346,567	FMV
BRYAN PHYSICIAN NETWORK
M	$1,068,491	FMV
BRYAN PHYSICIAN NETWORK
O	$2,556,479	FMV
BRYAN ENTERPRISES INC
A	$716,062	FMV
INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART
M	$1,861,201	FMV
INTEGRATED CARDILOGY GROUP LLC DBA BRYAN HEART
O	$166,628	FMV
BRYAN TELEMEDICINE LLC
M	$843,342	FMV
BRYAN TELEMEDICINE LLC
O	$54,456	FMV
BRYAN HEALTH CONNECT
E	$141,796	FMV
CRETE AREA MEDICAL CENTER
M	$196,768	FMV
GRAND ISLAND REGIONAL MEDICAL CENTER
M	$55,333	FMV
BRYAN HOSPITAL KEARNEY
O	$116,528	FMV
BRYAN HOSPITAL KEARNEY
P	$54,000	FMV
BRYAN PHYSICIAN NETWORK
S	$63,361	FMV
BRYAN PHYSICIAN NETWORK
R	$893,323	FMV