2025-11-14T14:46:18+00:00 2024-12-31 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2024-01-01 470376552 Bryan Medical Center BRYA 4024811111 1600 SOUTH 48th Street Lincoln NE 685061299 DAVID GRIFFITHS CFO 4024811111 2025-11-14 true Michael Engle P00482834 8162216300 2025-11-14 2024 2025-03-06 01:10:19Z DAVID GRIFFITHS 1600 SOUTH 48th Street Lincoln NE 685061299 1028232279 false X WWW.BRYANHEALTH.COM X 1926 NE 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. 20 15 5700 892 487755 132593 18780619 13344490 867816468 913874275 16002690 25625890 14418883 17685599 917018660 970530254 211326 565423 0 388687764 397213705 0 0 396435824 426356050 785334914 824135178 131683746 146395076 1246236003 1284940166 391414084 360975973 854821919 923964193 TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION, AND COMPASSION. false false 756954604 565423 926749373 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. 756954604 true true false true false false false true false true true true false false true true false true false false true false false false false false true true true false true true false false false false false false false false false false true true false false false true true true false false true 1301 0 true 5700 true true true false false false false false false false false false false false X 20 15 true false false false true true true true true false false false true true true true true true true true true true NE X DAVID GRIFFITHS 4024811111 1600 SOUTH 48TH STREET LINCOLN NE 685061299 CONNIE EDMOND TREASURER/DIRECTOR 1.0 0 X X 0 0 0 ERIC MOOSS CEO BRYAN MEDICAL CENTER/EX-OFFICIO MEMBER 50.0 0.0 X X 846670 0 51814 ERIN C PEMBERTON JD SECRETARY/DIRECTOR 1.0 0 X X 0 0 0 JACK HUCK VICE CHAIR 1.0 0 X X 0 0 0 KEN GROSS MD CHAIR 1.0 1.0 X X 0 0 0 AINA SILENIEKS MD EX-OFFICIO MEMBER 1.0 1.0 X 0 0 0 ALISSA CLOUGH MD EX-OFFICIO MEMBER 1.0 0 X 10000 0 0 ELIZABETH W LAU MD EX-OFFICIO MEMBER 1.0 0 X 0 0 0 GAYLE PAGE DIRECTOR 1.0 0 X 0 0 0 JANET C CHUNG DIRECTOR 1.0 0 X 0 0 0 KRYSTAL SIEBRANDT DIRECTOR 1.0 0 X 0 0 0 LISA VAIL RN EX-OFFICIO MEMBER 1.0 50.0 X 0 593462 44593 LORENZO BALL DIRECTOR 1.0 0 X 0 0 0 MAX L RODENBURG DIRECTOR 1.0 0 X 0 0 0 MICHAELLA KUMKE DIRECTOR 1.0 0 X 0 0 0 PABLO CERVANTES DIRECTOR 1.0 0 X 0 0 0 ROBERT A OAKES MD EX-OFFICIO MEMBER 1.0 50.0 X 0 1528833 44417 RUSSELL GRONEWOLD EX-OFFICIO MEMBER 1.0 53.0 X 0 1727304 50173 SHANNON HARNER DIRECTOR 1.0 0 X 0 0 0 WILLIAM M JOHNSON MD EX-OFFICIO MEMBER 1.0 0 X 7511 0 0 DAVID GRIFFITHS CFO - BRYAN MEDICAL CENTER 50.0 0 X 499433 0 47886 JOHN TRAPP MD CHIEF MEDICAL OFFICER 50.0 0 X 856317 0 44053 TRAVIS GREGG COO - BRYAN MEDICAL CENTER 50.0 0 X 402290 0 64233 TROY HOTTOVY CHIEF INFORMATION SECURITY OFFICER 50.0 0 X 316169 0 55039 KELSI ANDERSON PRESIDENT - BCHS 50.0 0 X 230377 0 41554 MELISSA BARTELS RN CNO - BRYAN MEDICAL CENTER 50.0 0 X 237140 0 45699 JULIE SMITH PERIOPERATIVE & ANESTHESIA SERVICES DIR 45.0 0 X 263106 0 27975 KENT HOXMEIER Anesthesia & Perfusion Mgr 50.0 0 X 281116 0 45509 RICHARD LLOYD DIRECTOR OF WORKFORCE PARTNERSHIPS 50.0 1.0 X 506079 0 46054 SHARON HADENFELDT DEAN OF NURSE ANESTHESIA 50.0 0 X 311443 0 25705 SHARON HARMS Radiology & Gi Director 45.0 0 X 277824 0 42127 ADRIENNE OLSON RN CHIEF NURSING OFFICER 0.0 0 X 141625 0 5 DAVID REESE BRYAN HEALTH VP & PHYSICIAN PTNR & FACILITY DIR RESIGNED 7/1/2024 0.0 51.0 X 0 385847 39657 JOHN WOODRICH BRYAN HEALTH EXEC VP & COO 0.0 52.0 X 0 1259719 43212 5187100 5495165 759705 625 true true false INPATIENT PHYSICIAN ASSOCIATES LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 MEDICAL SERVICES 15633529 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET SUITE 420 OMAHA NE 68154 TEMPORARY LABOR 13302116 ASSOCIATED ANESTHESIOLOGISTS 2900 S 70TH STREET 250 LINCOLN NE 68506 ANETHESIOLOGY SERVICES 7264068 ALLIED UNIVERSAL SECURITY SRVC 161 WASHINGTON STREET SUITE 600 CONSHOHOCKEN PA 19428 SECURITY SERVICES 2596308 DIALYSIS CENTER OF LINCOLN 7910 O STREET LINCOLN NE 68510 DIALYSIS FEES 2417548 80 638872 12499380 206238 265706 13344490 NET PATIENT REVENUE 622110 879159484 879159484 BRYAN COLLEGE OF HEALTH SCIENCES REVENUE 611600 12199352 12181400 17952 PHARMACY 456110 11928398 11928398 PROGRAM RENTAL REVENUE 531190 4713358 4713358 SPECIALTY CARE REVENUE 622110 4489441 4489441 1384242 1384242 0 0 913874275 17610982 17610982 0 0 65532283 184650 56753359 948666 8778924 -764016 8014908 8014908 LAB REFERRED TESTING 900099 4755119 4309180 445939 CAFETERIA 722514 4322746 4322746 EMPLOYEE LEASED REVENUE 900099 1860571 1860571 6747163 6723299 23864 0 17685599 970530254 926749373 487755 29948636 X 565423 565423 3756184 3756184 141630 141630 312832322 304463006 8369316 16396016 14027715 2368301 41033200 35091865 5941335 23054353 19596200 3458153 273926 178052 95874 53546 34805 18741 220525 220525 119300616 108764611 10536005 0 599644 521690 77954 27726518 25575808 2150710 27406313 24117555 3288758 9917583 7681969 2235614 731963 644128 87835 376285 331131 45154 11737443 50968 11686475 51336605 43704544 7632061 1015758 1015758 MEDICAL SUPPLIES 185934822 179594654 6340168 NET PERIODIC PENSION COSTS 1640992 1640992 RECRUITMENT EXPENSE 1099445 934528 164917 CORPORATE COST ALLOCATIONS -13997679 -12342950 -1654729 981745 762152 219593 0 824135178 756954604 67180574 0 29082093 51191862 71538509 92088163 165208267 155517991 0 0 0 0 89084 853256 19689084 21028072 20000787 21621249 1223247063 824258640 440617153 398988423 367187121 398911590 65266000 74157692 49904581 54545901 48976 0 17604348 16035967 1246236003 1284940166 84798488 64190780 98337694 98368063 0 0 175955000 175955000 32322902 22462130 391414084 360975973 X 823479063 887845214 31342856 36118979 854821919 923964193 1246236003 1284940166 X 146395076 20317855 -97570657 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true false true 39832 39832 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 205000 196458 X X false 538970 -323300 2170 213500 539796 1301 2127 538970 572754 -27039 5919 539796 592994 -20240 0 572754 590272 2882 160 592994 0.0 0.0 1.0 false false 28327583 28327583 1474929 618700204 364905681 255269452 4275204 1253157 3022047 551294229 451535719 99758510 19174914 6564083 12610831 398988423 Closely-held equity interests Financial derivatives LIMITED PARTNERSHIPS - HEDGE FUND OF FUNDS 74157692 C 74157692 Federal Income Taxes RIGHT-OF-USE LIABILITY 7199541 SELF INSURANCE LIABILITY 7024973 OTHER LIABILITIES 11439030 ACCRUED PENSION BENEFIT OBLIGATION 240208 COLLEGE GRANTS 1324081 THIRD PARTY PAYOR SETTLEMENTS -6320056 DUE TO RELATED PARTIES 1554353 22462130 X 0 0 0 0 0 0 0 0 0 0 0 0 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. Central America and the Caribbean Investments 74157692 0 0 0 0 0 0 74157692 0 74157692 false false true false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X 7785 12637249 12637249 0.01533 23728 108007598 74188595 33819003 0.04104 0 0.0 0 31513 120644847 74188595 46456252 0.05637 3168259 3168259 0.00384 18591843 14099000 4492843 0.00545 956152 678040 278112 0.00034 0 0.0 954735 954735 0.00116 0 0 23670989 14777040 8893949 0.01079 0 31513 144315836 88965635 55350201 0.06716 1110 1110 0.00000 2880 2880 0.00000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 3990 0 3990 0.00000 true 0 0 310659736 371344876 -60685140 X true true 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 2 1 BRYAN MEDICAL CENTER EAST 1600 SOUTH 48TH STREET LINCOLN NE 68506 WWW.BRYANHEALTH.COM 500001 X X X X X A 2 BRYAN MEDICAL CENTER WEST 2300 SOUTH 16TH STREET LINCOLN NE 68502 WWW.BRYANHEALTH.COM 500003 X X X X X A A 2 false false true X X X X X X X X X 24 true true true true X WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 25 true WWW.BRYANHEALTH.COM/ABOUT-BRYAN-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ false true X 200.0 400.0 X X X X X X true true X X X X true X www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ X www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ X www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility 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. 11 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 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 true CLINIC WITH A HEART 1701 S 17TH STREET 4G LINCOLN NE 68502 202850139 501(C)(3) 27200 GENERAL OPERATIONS MADONNA FOUNDATION 5401 SOUTH STREET LINCOLN NE 68506 237159940 501(C)(3) 25000 GENERAL OPERATIONS MALONE COMMUNITY CENTER 2032 U STREET LINCOLN NE 68506 470376577 501(C)(3) 13050 GENERAL OPERATIONS CIVIC NEBRASKA 530 S 13TH STREET LINCOLN NE 68508 272204391 501(C)(3) 10000 GENERAL OPERATIONS NEBRASKA HOSPITAL ASSOCIATION 3255 SALT CREEK CIRCLE 100 LINCOLN NE 68504 470384546 501(C)(6) 10000 GENERAL OPERATIONS PROJECT PINK'D 11405 DAVENPORT STREET OMAHA NE 68154 455212995 501(C)(3) 9000 GENERAL OPERATIONS HEARTLAND CANCER FOUNDATION PO BOX 5203 LINCOLN NE 68505 205952202 501(C)(3) 8600 GENERAL OPERATIONS LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT 3131 O STREET LINCOLN NE 68508 470491233 LINCOLN LANCASTER 6200 GENERAL OPERATIONS BRYAN FOUNDATION 1600 S 48TH STREET LINCOLN NE 68506 237005720 501(C)(3) 346567 GENERAL OPERATIONS 8 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X X true true X X true true false false false false false true false ERIC MOOSS CEO BRYAN MEDICAL CENTER/EX-OFFICIO MEMBER 534262 0 152939 0 159469 0 16520 0 35294 0 898484 0 0 0 RUSSELL GRONEWOLD EX-OFFICIO MEMBER 0 1052649 0 328847 0 345808 0 24150 0 26023 0 1777477 0 0 ROBERT A OAKES MD EX-OFFICIO MEMBER 0 893733 0 591006 0 44094 0 17250 0 27167 0 1573250 0 0 LISA VAIL RN EX-OFFICIO MEMBER 0 348034 0 86221 0 159207 0 17250 0 27343 0 638055 0 0 JOHN WOODRICH BRYAN HEALTH EXEC VP & COO 0 727342 0 209946 0 322431 0 21350 0 21862 0 1302931 0 0 ADRIENNE OLSON RN CHIEF NURSING OFFICER 0 0 0 0 141625 0 0 0 5 0 141630 0 0 0 TROY HOTTOVY CHIEF INFORMATION SECURITY OFFICER 226604 0 37002 0 52563 0 16301 0 38738 0 371208 0 0 0 JOHN TRAPP MD CHIEF MEDICAL OFFICER 568416 0 146732 0 141169 0 17250 0 26803 0 900370 0 0 0 DAVID GRIFFITHS CFO - BRYAN MEDICAL CENTER 342128 0 75616 0 81689 0 15658 0 32228 0 547319 0 0 0 TRAVIS GREGG COO - BRYAN MEDICAL CENTER 312407 0 67106 0 22777 0 16482 0 47751 0 466523 0 0 0 DAVID REESE BRYAN HEALTH VP & PHYSICIAN PTNR & FACILITY DIR RESIGNED 7/1/2024 0 175588 0 75003 0 135256 0 21350 0 18307 0 425504 0 0 KELSI ANDERSON PRESIDENT - BCHS 190168 0 26689 0 13520 0 11550 0 30004 0 271931 0 0 0 MELISSA BARTELS RN CNO - BRYAN MEDICAL CENTER 180763 0 24901 0 31476 0 13417 0 32282 0 282839 0 0 0 SHARON HADENFELDT DEAN OF NURSE ANESTHESIA 268042 0 9225 0 34176 0 21551 0 4154 0 337148 0 0 0 RICHARD LLOYD DIRECTOR OF WORKFORCE PARTNERSHIPS 276229 0 90144 0 139706 0 16945 0 29109 0 552133 0 0 0 KENT HOXMEIER Anesthesia & Perfusion Mgr 252625 0 16672 0 11819 0 14376 0 31133 0 326625 0 0 0 SHARON HARMS Radiology & Gi Director 189593 0 35143 0 53088 0 18454 0 23673 0 319951 0 0 0 JULIE SMITH PERIOPERATIVE & ANESTHESIA SERVICES DIR 190049 0 31870 0 41187 0 4343 0 23632 0 291081 0 0 0 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). A THE COUNTY OF LANCASTER NEBRASKA 476006482 000000000 2022-09-01 99045000 SEE PART VI false false false A 0 0 99547582 0 0 0 411439 0 0 35000000 59302600 4833543 true false false true A false false true true false false 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true 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. 1 205000 Market value X VARIOUS IN-KIND NON-PPE 1 24538 Cost X CONCRETE, WOOD, PLASTIC AND COMPOSITES 1 36168 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions 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. 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; 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 true BRYAN FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 237005720 FUNDRAISING NE 501(c)(3) 7 BRYAN HEALTH true BRYAN PHYSICIAN NETWORK 1600 SOUTH 48TH STREET LINCOLN NE 68506 201357375 HEALTHCARE NE 501(c)(3) 10 BRYAN HEALTH true MERRICK MEDICAL CENTER 2802 28TH STREET CENTAL CITY NE 688269501 820906268 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true MERRICK MEDICAL CENTER FOUNDATION 2802 28TH STREET CENTRAL CITY NE 68826 470710738 FUNDRAISING NE 501(c)(3) Type I MERRICK MEDICAL CENTER true GRAND ISLAND REGIONAL MEDICAL CENTER 3533 PRAIRIEVIEW ST GRAND ISLAND NE 68803 352621082 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER 804 22ND AVENUE KEARNEY NE 68845 873486516 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN HOSPITAL KEARNEY FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 923387978 FUNDRAISING NE 501(c)(3) Type II BRYAN FOUNDATION true GRAND ISLAND REGIONAL MEDICAL CENTER FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 931718948 FUNDRAISING NE 501(c)(3) Type II BRYAN FOUNDATION true 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 SUITE 400A LINCOLN NE 68502 923319265 HEALTHCARE NE NA N/A 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 SUITE 600 LINCOLN NE 68506 464822260 CARDIOLOGY SERVICES NE NA N/A 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 BRYAN ENTERPRISES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470701037 MEDICAL SERVICES NE NA C Corporation true INTEGRATED CARDIOLOGY GROUP LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470844961 CARDIOLOGY NE NA C Corporation true BRYAN HEALTH CONNECT 1600 SOUTH 48TH STREET LINCOLN NE 68506 364771145 PHYSICIAN HOSPITAL ORGANIZATION NE NA C Corporation true true true true true true false false false false true true true true true true true true true true BRYAN FOUNDATION C 638872 FMV DOCTORS OUTPATIENT SURGERY CENTER C 909207 FMV LINCOLN DIGESTIVE HEALTH CENTER LLC C 1632000 FMV DOCTOR'S OUTPATIENT SURGERY CENTER A 613251 FMV HEAD & NECK SURGICAL PARTNERS LLC A 392520 FMV INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART A 675042 FMV BRYAN PHYSICIAN NETWORK A 1071045 FMV HEAD & NECK SURGICAL PARTNERS LLC C 1218900 FMV BRYAN FOUNDATION B 346567 FMV BRYAN PHYSICIAN NETWORK M 1068491 FMV BRYAN PHYSICIAN NETWORK O 2556479 FMV BRYAN ENTERPRISES INC A 716062 FMV INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART M 1861201 FMV INTEGRATED CARDILOGY GROUP LLC DBA BRYAN HEART O 166628 FMV BRYAN TELEMEDICINE LLC M 843342 FMV BRYAN TELEMEDICINE LLC O 54456 FMV BRYAN HEALTH CONNECT E 141796 FMV CRETE AREA MEDICAL CENTER M 196768 FMV GRAND ISLAND REGIONAL MEDICAL CENTER M 55333 FMV BRYAN HOSPITAL KEARNEY O 116528 FMV BRYAN HOSPITAL KEARNEY P 54000 FMV BRYAN PHYSICIAN NETWORK S 63361 FMV BRYAN PHYSICIAN NETWORK R 893323 FMV