GRAND ISLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GRAND ISLAND REGIONAL MEDICAL CENTER (EIN 35-2621082)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-11
IRS object ID: 202523159349302747
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 H
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-11T12:44:38+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 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	352621082	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grand Island Regional Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAN	BusinessNameControlTxt
Phone	4024818966	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 Prairieview St	AddressLine1Txt
City	Grand Island	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW WATERMAN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4024818966	PhoneNum
Signature	2025-11-11	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	2025-11-11	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	ANDREW WATERMAN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 Prairieview St	AddressLine1Txt
City	Grand Island	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$87,287,628	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GIREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2017	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC") IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTHCARE TEAM.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	497	TotalEmployeeCnt
Total Volunteers	11	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,732,990	PYContributionsGrantsAmt
CY Contributions Grants	$1,903,178	CYContributionsGrantsAmt
PY Program Service Revenue	$64,280,647	PYProgramServiceRevenueAmt
CY Program Service Revenue	$85,005,187	CYProgramServiceRevenueAmt
PY Investment Income	-$42,220	PYInvestmentIncomeAmt
CY Investment Income	-$437,556	CYInvestmentIncomeAmt
PY Other Revenue	$839,080	PYOtherRevenueAmt
CY Other Revenue	$341,857	CYOtherRevenueAmt
PY Total Revenue	$67,810,497	PYTotalRevenueAmt
CY Total Revenue	$86,812,666	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,572,958	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,688,827	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,351,048	PYOtherExpensesAmt
CY Other Expenses	$54,628,421	CYOtherExpensesAmt
PY Total Expenses	$82,924,006	PYTotalExpensesAmt
CY Total Expenses	$89,317,248	CYTotalExpensesAmt
PY Revenues Less Expenses	-$15,113,509	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,504,582	CYRevenuesLessExpensesAmt
Total Assets BOY	$62,612,794	TotalAssetsBOYAmt
Total Assets EOY	$60,435,125	TotalAssetsEOYAmt
Total Liabilities BOY	$132,655,934	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$132,982,847	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$70,043,140	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$72,547,722	NetAssetsOrFundBalancesEOYAmt
Mission	GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC") IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTHCARE TEAM.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$71,732,286	ExpenseAmt
Revenue	$85,005,187	RevenueAmt
Desc	GRAND ISLAND REGIONAL MEDICAL CENTER BECAME MEDICARE CERTIFIED ON AUGUST 1, 2020 ALLOWING THE HOSPITAL TO BEGIN ACCEPTING PATIENTS. THE EMERGENCY DEPARTMENT BEGAN SEEING PATIENTS AS OF NOVEMBER 2, 2020, AND THE FIRST SURGICAL CASE WAS PERFORMED IN THE SUMMER OF 2020. GRAND ISLAND REGIONAL MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION AND IS COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. IN 2024, GRAND ISLAND REGIONAL MEDICAL CENTER PROVIDED HEALTHCARE SERVICES TO THE GENERAL PUBLIC AND OPERATED ROUTINE SERVICE BEDS, ICU BEDS TOTALING OVER 9,793 PATIENT DAYS, 14,942 OUTPATIENT VISITS INCLUDING EMERGENCY ROOM VISITS OF 11,314 AND 451 DELIVERIES. THE HOSPITAL PROVIDED CHARITY CARE TO 1,113 PATIENTS IN THE AMOUNT OF $2,643,425.	Desc
Total Program Service Expenses	$71,732,286	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	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	62	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	497	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	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	TRACY SCHMITT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3086755000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 PRAIREVIEW ST	AddressLine1Txt
City	GRAND ISLAND	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68845	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CINDY JOHNSON
VICE CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
LUKE BIGGS
SECRETARY/TREASURER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
RYAN CROUCH DO
CHAIR	1.0	50.0	Yes (X)	Yes (X)	$0	$449,460	$17,958
ERIC BARBER
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
GREG SEXTRO MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JOHN WOODRICH
DIRECTOR	1.0	51.0	Yes (X)		$0	$1,259,719	$43,212
KRISTA STOEKER MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
MOLLY JOHNSON MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
RUSSELL GRONEWOLD
DIRECTOR	1.0	53.0	Yes (X)		$0	$1,727,304	$50,173
TERESA GRABOWSKI
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
TOM WERNER MD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
ANDREW WATERMAN
CEO - GRAND ISLAND REGIONAL MEDICAL CENTER	50.0	1.0		Yes (X)	$343,621	$0	$13,644
DERICK LORENTZ
CFO - TRANSFERRED BRYAN HOSPITAL KEARNEY 10/24/2024	40.0	10.0		Yes (X)	$208,807	$53,415	$53,963
TRACY SCHMITT
CFO - EFFECTIVE 10/24/2024	50.0	0		Yes (X)	$157,610	$0	$22,018
CORY OHLSON MD
PHYSICIAN	50.0	0			$771,022	$0	$54,828	Yes (X)
DAVID RUNNING MD
PHYSICIAN	50.0	0			$565,621	$0	$32,492	Yes (X)
JEFF BURWELL MD
PHYSICIAN	50.0	0			$522,508	$0	$40,963	Yes (X)
NATHAN WALTERS MD
PHYSICIAN	50.0	0			$483,327	$0	$26,690	Yes (X)
TERRY ROUNSBORG MD
PHYSICIAN	50.0	0			$512,540	$0	$36,421	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,565,056	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,489,898	TotReportableCompRltdOrgAmt
Total Other Compensation	$392,362	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	46	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FOCUSONE SOLUTIONS INC
13609 CALIFORNIA ST SUITE 420	OMAHA	NE	68154	TEMPORARY LABOR	$5,150,118
IPA GI LLC
3533 Prairieview St	Grand Island	NE	68801	Physician Services	$1,266,870
LIVE WELL PHYSICAL THERAPY
929 S LOCUST ST	GRAND ISLAND	NE	68801	PROFESSIONAL PHYSICIAL THERAPY SERVICES	$1,163,693
ASSOCIATED ANESTHESIOLOGIST PC
2900 S 70TH ST 250	LINCOLN	NE	68506	ANESTHESIA SERVICES	$525,004
MEDICAL INFORMATION TECHNOLOGY
PO BOX 74569	CHICAGO	IL	60696	ELECTRONIC MEDICAL RECORDS SOFTWARE PROVIDER	$430,952

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,000	RelatedOrganizationsAmt
Government Grants	$1,489,431	GovernmentGrantsAmt
All Other Contributions	$403,747	AllOtherContributionsAmt
Noncash Contributions	$403,747	NoncashContributionsAmt
Total Contributions	$1,903,178	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$84,463,125	$84,463,125
EMPLOYEE LEASED REVENUE	622110	$416,438	$416,438
PROGRAM RENTAL INCOME	531190	$72,052	$72,052
PHARMACY	456110	$16,946	$16,946

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,626	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$85,005,187	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,241	TotalRevenueColumnAmt
Exclusion	$8,241	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$29,165	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$474,962	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$445,797	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$445,797	TotalRevenueColumnAmt
Exclusion	-$445,797	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$216,495	$216,495
VENDING SALES	722310	$4,837	$4,837

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,525	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$120,525	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$341,857	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,812,666	TotalRevenueColumnAmt
Related Or Exempt Func Income	$85,005,187	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$95,699	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$790,182	TotalAmt
Management And General	$790,182	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,749,452	TotalAmt
Program Services	$24,008,820	ProgramServicesAmt
Management And General	$2,740,632	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,143,096	TotalAmt
Program Services	$824,058	ProgramServicesAmt
Management And General	$319,038	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,103,614	TotalAmt
Program Services	$704,900	ProgramServicesAmt
Management And General	$3,398,714	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,902,483	TotalAmt
Program Services	$1,630,428	ProgramServicesAmt
Management And General	$272,055	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$88,314	TotalAmt
Management And General	$88,314	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$230	TotalAmt
Management And General	$230	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,070,670	TotalAmt
Program Services	$9,422,645	ProgramServicesAmt
Management And General	$3,648,025	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$98,668	TotalAmt
Management And General	$98,668	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$216,385	TotalAmt
Program Services	$185,442	ProgramServicesAmt
Management And General	$30,943	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$226,126	TotalAmt
Program Services	$163,014	ProgramServicesAmt
Management And General	$63,112	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,006,748	TotalAmt
Program Services	$5,767,914	ProgramServicesAmt
Management And General	$2,238,834	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$84,514	TotalAmt
Program Services	$65,490	ProgramServicesAmt
Management And General	$19,024	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$65,282	TotalAmt
Management And General	$65,282	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,788,436	TotalAmt
Program Services	$3,371,708	ProgramServicesAmt
Management And General	$416,728	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,696,500	TotalAmt
Program Services	$4,314,542	ProgramServicesAmt
Management And General	$381,958	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$325,894	TotalAmt
Program Services	$252,535	ProgramServicesAmt
Management And General	$73,359	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$13,950,377	$12,555,339	$1,395,038
CORPORATE COST ALLOCATION	$2,723,935	$2,179,148	$544,787
DRUGS	$2,166,481	$2,166,481
DUES AND SUBSCRIPTIONS	$924,353	$734,768	$189,585

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,195,508	TotalAmt
Program Services	$3,385,054	ProgramServicesAmt
Management And General	$810,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$89,317,248	TotalAmt
Program Services	$71,732,286	ProgramServicesAmt
Management And General	$17,584,962	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,066,096	BOYAmt
EOY	$4,552,164	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$33,500	BOYAmt
EOY	$33,500	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,469,017	BOYAmt
EOY	$11,455,875	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)
EOY	$112,424	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,205,612	BOYAmt
EOY	$1,924,131	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$364,831	BOYAmt
EOY	$412,300	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,897,909	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,533,291	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,625,015	BOYAmt
EOY	$3,364,618	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,848,723	BOYAmt
EOY	$38,580,113	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,612,794	BOYAmt
EOY	$60,435,125	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,813,181	BOYAmt
EOY	$8,322,509	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	$50,206,285	BOYAmt
EOY	$39,916,512	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,636,468	BOYAmt
EOY	$84,743,826	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,655,934	BOYAmt
EOY	$132,982,847	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	-$70,043,140	BOYAmt
EOY	-$72,547,722	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$70,043,140	BOYAmt
EOY	-$72,547,722	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,612,794	BOYAmt
EOY	$60,435,125	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$2,504,582	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,033	OtherActivitiesAmt
Total Lobbying Expenditures	$3,033	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	GRAND ISLAND REGIONAL MEDICAL CENTER IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION (NHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR THE MEMBERSHIP DUES TO THE NHA AND AHA IN THE AMOUNT OF $18,997 AND $1,751. OF THIS AMOUNT THE NHA REPORTED THAT 13.02% OR $2,473 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. AHA REPORTED THAT 32% OR $560 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$711,909	OtherCostOrOtherBasisAmt
Depreciation	$57,708	DepreciationAmt
Book Value	$654,201	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,054,238	OtherCostOrOtherBasisAmt
Depreciation	$3,474,318	DepreciationAmt
Book Value	$2,579,920	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,762	OtherCostOrOtherBasisAmt
Depreciation	$1,265	DepreciationAmt
Book Value	$130,497	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,364,618	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSET	$36,778,671
SECURITY DEPOSITS	$21,419
INTERCOMPANY DUE TO/FROM	$514,524
CLOUD COMPUTING ARRANGEMENTS	$1,265,499

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$38,580,113	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Federal Income Taxes
RIGHT OF USE LIABILITY	$35,386,594
ESTIMATED THIRD PARTY SETTLEMENT	$252,663
NOTE PAYABLE GIHH	$19,871,540
NOTE PAYABLE BRYAN HEALTH	$29,233,029

Field	Value	IRS element (for citing)
Total Liability	$84,743,826	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

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER IS A NOT-FOR-PROFIT AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THEY ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. GIHH IS NOT A TAXPAYING ENTITY FOR INCOME TAX PURPOSES AND, THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN RECOGNIZED. THE INCOME, DEDUCTIONS, LOSSES, AND CREDITS OF GIHH ARE REPORTED BY ITS MEMBERS, ON A PRORATE BASIS, ON THEIR RESPECTIVE TAX FILINGS. FASB ASC TOPIC 740, INCOME TAXES, PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED MEDICAL CENTER'S TAX POSITIONS AND CONCLUDED THAT MEDICAL CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.	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	1113	PersonsServedCnt
Total Community Benefit Expns	$2,643,425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,643,425	NetCommunityBenefitExpnsAmt
Total Expense	0.02960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	2862	PersonsServedCnt
Total Community Benefit Expns	$9,947,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,915,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,032,674	NetCommunityBenefitExpnsAmt
Total Expense	0.04515	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	3975	PersonsServedCnt
Total Community Benefit Expns	$12,591,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,915,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,676,099	NetCommunityBenefitExpnsAmt
Total Expense	0.07475	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,848,709	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,295,671	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$553,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00619	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,848,709	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,295,671	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$553,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00619	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3975	PersonsServedCnt
Total Community Benefit Expns	$14,439,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,210,749	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,229,137	NetCommunityBenefitExpnsAmt
Total Expense	0.08094	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,660,065	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$25,929,206	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,269,141	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ISLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3533 PRAIRIEVIEW ST	AddressLine1Txt
City	GRAND ISLAND	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GIREGIONAL.ORG	WebsiteAddressTxt
State License	H000136	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ISLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	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	https://www.bryanhealth.com/locations/hospitals/girmc/	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	https://www.bryanhealth.com/locations/hospitals/girmc/about-us/chna/	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/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/	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 , 1	Facility , 1 - GRAND ISLAND REGIONAL MEDICAL CENTER. GRAND ISLAND REGIONAL MEDICAL CENTER (GIRMC) IS DEDICATED TO ADVANCING THE HEALTH OF INDIVIDUALS IN OUR REGION THROUGH COLLABORATION WITH PHYSICIANS AND COMMUNITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA REPORT CONSTITUTES A COLLABORATIVE EFFORT BETWEEN GIRMC AND THE COMMUNITY PARTNERS AND RESIDENTS, GATHERING INPUT FROM INDIVIDUALS REPRESENTING A BROAD INTEREST OF GRAND ISLAND AND ITS SURROUNDING AREA. THE COMMUNITY HEALTH ASSESSMENT (CHA) IS AN AGGREGATION OF BOTH PRIMARY AND SECONDARY DATA SOURCES THAT INCLUDES COMMUNITY SURVEYS, UNIVERSITIES AND RESEARCH CENTERS, AND NONPROFIT AND/OR GOVERNMENTAL ORGANIZATIONS. THE COLLECTED INFORMATION IS USED TO IDENTIFY NEW AND ONGOING ISSUES, CHANGES AND/OR TRENDS THAT HAVE ACCUMULATED IN THE THREE YEARS FOLLOWING THE PREVIOUS CHA. THE CENTRAL DISTRICT HEALTH DEPARTMENT (CDHD) AND ASSOCIATED COMMUNITY PARTNER ORGANIZATIONS CAN CONTINUE COMMUNITY HEALTH IMPROVEMENT PLAN PRIORITIES. TO CAPTURE DATA THAT IS REPRESENTATIVE OF THE CENTRAL DISTRICT REGION, CDHD PARTNERED WITH THE MULTICULTURAL COALITION, CITY OF GRAND ISLAND, GRAND ISLAND CHAMBER OF COMMERCE, CENTRAL NEBRASKA COUNCIL OF ALCOHOLISM AND ADDICTIONS (CNCAA) AND IDEA BANK (ADVERISING AGENCY) TO EXPAND THE DISTRIBUTION OF THE SURVEY. DISTRIBUTION METHODS INCLUDED: RADIO PROMOTION, FLYERS AND BUSINESS CARDS WITH QR CODES THAT WERE DISTRIBUTED TO ADDITIONAL PARTNERS, DISTRIBUTION AT COMMUNITY EVENTS SUCH AS CONCERTS AND STREET FESTIVALS. WHILE THIS METHOD RESULTED IN 556 RESPONSES, RESPONDENTS WERE PREDOMINATELY OF SPECIFIC DEMOGRAPHICS THAT DID NOT NECESSARILY REPRESENT THE INDIVIDUALS CDHD REGULARLY SERVES. IN THE SPRING OF 2024, CDHD STAFF ASSISTED IN COLLECTING ADDITIONAL SURVEY RESPONSES FROM COMMUNITY MEMBERS WHO SPEAK SPANISH, ARABIC, AND SOMALI, AS WELL AS COMMUNITY MEMBERS WITH LOW LITERACY LEVELS WHO MAY HAVE NOT PARTICIPATED IN THE ONLINE SURVEY. THE ADDITIONAL 58 SURVEY RESPONSES WERE OBTAINED TO BOLSTER THE SURVEY RESPONSES FROM ALL SEGMENTS OF THE CENTRAL DISTRICT COMMUNITY. DURING THE SUMMER OF 2023 THE CENTRAL DISTRICT HEALTH DEPARTMENT LAUNCHED A COMMUNITY SURVEY WHICH INCLUDED THE FOLLOWING TOPICS: 1.) IDENTIFYING TRUSTED SOURCES FOR OBTAINING HEALTH INFORMATION; 2.) OVERALL HEALTH, MENTAL HEALTH STATUSES, KNOWLEDGE ON OPIOID CRISIS AND PREFERRED METHODS OF RECEIVING MENTAL OR BEHAVIORAL HEALTH SUPPORT; 3.) PREFERRED METHODS OF OBTAINING AND LEARNING ABOUT HEALTH INFORMATION; AND 4.) COMMUNITY PULSE SURVEY CREATED BY THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NAHLD) THAT CONSISTS OF THE FOLLOWING QUESTIONS - WHAT WAS THE LAST MAJOR HEALTH ISSUE YOU OR YOUR FAMILY EXPERIENCE? WHAT WORRIES YOU MOST ABOUT YOUR HEALTH OR THE HEALTH OF YOUR FAMILY? WHAT ARE YOUR TOP THREE HEALTH CONCERNS? WHAT IS SOMETHING YOU DO TO BE HEALTHY? WHAT WOULD MAKE YOUR NEIGHBORHOOD A HEALTHIER PLACE FOR YOU OR YOUR FAMILY? THE SECONDARY DATA SOURCES ALSO USED IN GATHING INFORMATION FOR THE CHA INCLUDED THE AMERICAN LUNG ASSOCIATION, ATTOM DATA SOLUTIONS (REAL ESTATE DATA COMPANY), NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, CAMPAIGN FOR TOBACCO-FREE KIDS, NATIONAL CANCER INSTITUTE, NEBRASKA DEPARTMENT OF EDUCATION, THE NATIONAL ALLIANCE FOR PUBLIC SAFETY GIS (NAPSG) FOUNDATION, U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), AND U.S. CANCER STATISTICS WORKING GROUP: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION AND NATIONAL CANCER INSTITUTE.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MERRICK MEDICAL CENTER. 501 (C)(3) HOSPITAL IN CENTRAL CITY, NE
Schedule H, Part V, Section B, Line 6a Facility , 2	Facility , 2 - CHI ST. FRANCIS. 501(C)(3) HOSPITAL IN GRAND ISLAND, NE
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - CENTRAL DISTRICT HEALTH DEPARTMENT. THE CENTRAL DISTRICT HEALTH DEPARTMENT'S MISSION IS 1.) TO PROTECT AND IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY, 2.) TO BE YOUR PARTNER FOR A HEALTHY LIFE THROUGH COMMUNICATION, PROMOTING HEALTH BY PROVIDING EDUCATION AND RESOURCES TO PREVENT CHRONIC AND INFECTION DISEASES, AND 3.) RESPECT THE VALUES OF INDIVIDUALS BY BEING OPEN, HONEST AND POLITE AND WORKING WITH THE COMMUNITY TO ACHIEVE THE BEST POSSIBLE OUTCOME. CENTRAL DISTRICT HEALTH DEPARTMENT PROVIDES SERVICES TO HALL, HAMILTON, AND MERRICK COUNTIES IN NEBRASKA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GRAND ISLAND REGIONAL MEDICAL CENTER. THROUGH THE RESULTS OF THE COMMUNITY HEALTH SURVEY AS WELL AS THROUGH OTHER PRIMARY RESEARCH AND AVAILABLE DATA, GRAND ISLAND REGIONAL MEDICAL CENTER HAS IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS WITHIN HALL, HAMILTON, AND MERRICK COUNTIES THAT REQUIRE PRIORITIZED FOCUS OVER THE NEXT FEW YEARS: 1.) CARDIOVASCULAR DISEASE; 2.) CANCER CARE; 3.) ACCIDENTS. THESE SIGNIFICANT HEALTH NEEDS WERE SELECTED BASED ON A COMBINATION OF FACTORS, INCLUDING RESPONSES FROM THE CENTRAL DISTRICT COMMUNITY HEALTH SURVEY, ANALYSIS OF COMMUNITY DATA SOURCES SUCH AS HALL COUNTY'S VITAL STATISTICS, GRAND ISLAND REGIONAL MEDICAL CENTER'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 LOWER PRIORITY BECAUSE OF GRAND ISLAND REGIONAL MEDICAL CENTER'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.) CARDIOVASCULAR DISEASE - HEART DISEASE IS THE SECOND MOST COMMON CAUSE OF DEATH FOR HALL, HAMILTON, AND MERRICK COUNTIES. FROM 2018-2020, THE RATE OF DEATH RESULTING FROM CARDIOVASCULAR DISEASE WAS HIGHER IN THESE THREE COUNTIES THAN IN NEBRASKA AS A WHOLE - HALL COUNTY WITH 199, HAMILTON COUNTY WITH 197.1, AND MERRICK COUNTY WITH 199.3 DEATHS WHILE NEBRASKA'S NUMBER OF DEATHS PER 100,000 WAS 195.9 DURING THAT SAME TIME PERIOD. NEARLY 25% OF THE CARDIOVASCULAR DEATHS WERE CONSIDERED AVOIDABLE AND COULD HAVE BEEN PREVENTED THROUGH BEHAVIOR MODIFICATION AND MANAGEMENT OF RISK FACTORS. THERE ARE SEVERAL RISK FACTORS WHICH INCREASE A PERSON'S LIKELIHOOD OF DEVELOPING CARDIOVASCULAR DISEASE. THESE RISK FACTORS INCLUDE DIABETES, SMOKING, PHYSICAL INACTIVITY, OBESITY, HIGH CHOLESTEROL, AND HIGH BLOOD PRESSURE. MODIFYING THESE BEHAVIORS AND ADHERING TO TREATMENT FOR HIGH BLOOD PRESSURE AND CHOLESTEROL ARE CRITICAL FOR PREVENTING AND CONTROLING CARDIOVASCULAR DISEASE. IN 2024, THE AMERICAN HEART ASSOCIATION PUBLISHED A STUDY PROJECTING TRENDS IN THE PREVALENCE OF CARDIOVASCULAR RISK FACTORS AND THE EFFECT THEY WILL HAVE ON CARDIOVASCULAR DISEASE AND MORTALITY IN 2050. THIS STUDY CONSIDERED TWO MAJOR DEMOGRAPHIC SHIFTS TAKING PLACE IN THE UNITED STATES, THE AGING POPULATION AND ITS RACIAL AND ETHNIC DIVERSIFICATION. BY THE MID-2030'S, AMERICANS OVER 65 WILL OUTNUMBER CHILDREN FOR THE FIRST TIME IN US HISTORY. OVER THIS SAME TIME FRAME, THE NON-HISPANIC WHITE POPULATION IS EXPECTED TO SHRINK, WHILE ASIAN, HISPANIC, BLACK, AMERICAN INDIAN, ALASKAN NATIVE, AND MULTIRACIAL POPULATIONS ARE EXPECTED TO GROW SIGNIFICANTLY. THEY CONCLUDED THAT WITHOUT CLINICAL AND PUBLIC HEALTH INTERVENTION, THE PREVALENCE OF MANY CARDIOVASCULAR RISK FACTORS AND CARDIOVASCULAR DISEASES WILL INCREASE OVER THE NEXT 30 YEARS, WITH THE LARGEST PROJECTED GROWTHS IN THE HISPANIC AND ELDERLY POPULATIONS. 2.) CANCER CARE - CANCER IS THE MOST COMMON CAUSE OF DEATH FOR HALL, HAMILTON, AND MERRICK COUNTIES AND THE SECOND MOST COMMON IN THE STATE OF NEBRASKA. THE MORTALITY RATE FOR THESE THREE COUNTIES IS NEARLY THE SAME AS THE RATE FOR THE ENTIRE STATE, THE CANCER INCIDENCE RATE AND THE PERCENTAGE OF THE POPULATION REPORTING THEY HAD NEVER BEEN TOLD THEY HAD CANCER WAS LOWER. THIS INDICATES A POTENTIAL DELAY IN DIAGNOSIS AND TREATMENT IN THE COMMUNITY. THE CANCER INCIDENCE RATE IS THE AGE-ADJUSTED NUMBER OF NEWLY DIAGNOSED CASES IN THE POPULATION OVER A YEAR, PER 100,000 PEOPLE. THE MOST COMMON TYPES OF CANCER IN HALL, HAMILTON, AND MERRICK COUNTIES FROM 2016-2020 WERE BREAST, COLON AND RECTUM, LUNG AND BRONCHUS, MELANOMA OF THE SKIN, PROSTATE AND UTERINE. RESPONDENTS OF THE 2024 CENTRAL DISTRICT HEALTH DEPARTMENT COMMUNITY HEALTH ASSESSMENT SURVEY LISTED CANCER AS ONE OF THE TOP THREE HEALTH CONCERNS FOR THEIR COMMUNITY. CANCER WAS ALSO ONE OF THE MOST COMMON RESPONSES FOR QUESTIONS RELATING TO THE LAST MAJOR HEALTH ISSUE EXPERIENCED BY THEMSELVES OR THEIR FAMILY, AND WHAT WORRIES THEM MOST ABOUT THE HEALTH OF THEMSELVES OF THEIR FAMILY. CANCER RISK CAN BE INCREASED DUE TO FAMILY HISTORY, MEDICAL FACTORS OR LIFESTYLE. LOWERING THE INCIDENCE OF CANCER REQUIRES THE PREVALENCE OF BEHAVIORAL AND ENVIROMENTAL FACTORS THAT INCREASE CANCER RISK, AS WELL AS INCREASING CANCER RELATED SCREENINGS AND CHECK-UPS. 75.6% OF WOMEN AGED 50-74, RESIDING IN HALL, HAMILTON, AND MERRICK COUNTIES REPORTED BEING UP TO DATE ON BREAST CANCER SCREENINGS IN 2020. 73.4% OF WOMEN AGED 21-65, RESIDING IN HALL, HAMILTON, AND MERRICK COUNTIES REPORTING BEING UP TO DATE ON CERVICAL CANCER SCREENINGS IN 2020. 71.6% OF MEN AND WOMEN AGED 50-75 RESIDING IN HALL, HAMILTON, AND MERRICK COUNTIES REPORTED BEING UP TO DATE ON COLON CANCER SCREENINGS IN 2020. PATIENTS WHO ARE UNDERINSURED OR NOT INSURED, LACK RELIABLE TRANSPORTATION, OR DO NOT HAVE AN ESTABLISHED PRIMARY CARE PROVIDER ARE LESS LIKELY TO COMPLETE RECOMMENDED CANCER SCREENINGS. BARRIERS TO HEALTHY LIVING, SUCH AS AFFORDABLE FRESH FRUIT AND VEGETABLES AND LACK OF ACCESSIBLE RECREATIONAL AREAS FOR PHYSICAL ACTIVITY WERE ALSO REPORTED AS CONCERNS IN THE COMMUNITY. 3.) ACCIDENTS - ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN THE UNITED STATES. HOWEVER, THEY ARE THE NUMBER ONE CAUSE OF DEATH IN CHILDREN, ADOLESCENTS AND ADULTS YOUNGER THAN 45. "ACCIDENT" IS A BROAD TERM THAT INCLUDES, BUT IS NOT LIMITED TO, MOTOR VEHICLE CRASHES, FALLS, PHYSICAL ASSAULT, GUN VIOLENCE, DRUG OVERDOSES, POISONING, HOMICIDES AND SUICIDES. ACCORDING TO THE NATIONAL SAFETY COUNCIL, THE RATE OF ACCIDENTAL DEATHS IN NEBRASKA HAD INCREASED OVER THE PAST TEN YEARS FROM A RATE OF 44/100,000 IN 2002 TO 50.3/100,000 IN 2022. THE TOP THREE ACCIDENTS LEADING TO INJURY AND DEATH ARE POISONING (INCLUDING DRUG OVERDOSE), FALLS AND MOTOR VEHICLE ACCIDENTS. NEBRASKA REPORTED THAT AT LEAST 50% OF OVERDOSE FATALITIES IN 2021 INVOLVED AN OPIOID. PRECRIPTION OPIOIDS SUCH AS OXYCODONE, HYDROCODONE, MORPHINE, AND FENTANYL HAVE PAIN-REDUCING BENFITES BUT ALSO MAY LEAD TO MISUSE, ADDICTION, OVERDOSE, AND DEATH. 3.6% OF 2020 SURVEY RESPONDENTS AGED 18 AND OLDER FROM HALL, HAMILTON, AND MERRICK COUNTIES, REPORTED OPIOID MISUSE IN THE PAST YEAR. THIS WAS HIGHER THAN THE STATE-WIDE RATE OF 2.9%. INDIVIDUALS WITH CERTAIN HEALTHCARE CONDITIONS OR CHARACTERISTICS ARE AT A HIGHER RISK OF MISUSE, SUCH AS MENTAL HEALTH DISORDERS AND A HISTORY OF ALCOHOL OR SUBSTANCE ABUSE. FALLS ARE THE LEADING CAUSE OF INJURY FOR ADULTS AGED 65 AND OLDER. THE CENTER FOR DISEASE CONTROL REPORTED 225 FALL RELATED DEATHS IN 2020, RESULTING IN AN AGE-ADJUSTED RATE OF 70/100,000. 26% OF 2020 SURVEY RESPONDENTS FROM HALL, HAMILTON AND MERRICK COUNTIES, AGED 45 AND ABOVE REPORTED FALLING IN THE PAST YEAR. 10% REPORTED BEING INJURED DUE TO A FALL. ACCORDING TO THE NEBRASKA DEPARTMENT OF TRANSPORTATION, MOTOR VEHICLE ACCIDENTS FATALITIES IN NEBRASKA DECREASED BY 3% FROM 2022 TO 2023 AND BY 7% FROM 2018 TO 2023. WHILE THERE WAS AN OVERALL DECREASE IN MOTOR VEHICLE FATALITIES, THE NUMBER OF ALL-TERRAIN VEHICLE (ATV) ACCIDENTS, INJURIES AND FATALITIES INCREASED DRAMATICALLY IN 2020 DUE TO THE LACK OF HELMET USE IN ATV ACCIDENTS. OF THE 63 ACCIDENTS REPORTED IN 2020, ONLY SIX HAD A HELMET IN USE. HELMETS WERE NOT IN USE FOR ANY OF THE 8 FATAL ACCIDENTS. THE SIGNIFICANT HEALTH NEEDS ADDRESSED IN THIS ASSESSMENT WILL BE THE BASIS OF GRAND ISLAND REGIONAL MEDICAL CENTER'S OBJECTIVES AND GOALS IN THEIR COMMUNITY HEALTH IMPROVEMENT PLAN. THE NEEDS, OBJECTIVES, AND GOALS WILL BE ASSESSED AND REFLECTED IN THE IMPLEMENTATION STRATEGY REPORTS, WHICH WILL IDENTIFY RESOURCES CURRENTLY COMMITTED TO THE PRIORITY COMMUNITY HEALTH NEEDS, AS WELL AS ADDITIONAL RESOURCES NEEDED TO SECURE IMPROVED OUTCOMES AT THE HOSPITAL AND THE COMMUNITY.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PRAIRIE CENTER INTERNAL MEDICINE & NEPHROLOGY
3563 PRAIRIEVIEW ST	GRAND ISLAND	NE	68803	OFFICES OF PHYSICIANS
SURGERY GROUP OF GRAND ISLAND
820 N ALPHA ST	GRAND ISLAND	NE	68803	OFFICES OF PHYISICANS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	BRYAN HEALTH
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE MEDICARE COST REPORT WAS USED TO CALCULATE A COST TO CHARGE METHOD RATIO. THAT RATIO WAS THEN USED IN CONJUCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION IS STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGH THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, GRAND ISLAND REGIONAL 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 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 PAGE 13-15 OF THE GRAND ISLAND REGIONAL MEDICAL CENTER 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. GRAND ISLAND REGIONAL 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 GRAND ISLAND REGIONAL MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE GRAND ISLAND REGIONAL MEDICAL CENTER'S MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS GRAND ISLAND'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 GRAND ISLAND IS AWARE THAT A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THIS ACCOUNT WILL NEVER BE REFERRED TO A COLLECTION AGENCY. IF AN ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO GRAND ISLAND FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Schedule H, Part V, Section B, Line 16a FAP website	- GRAND ISLAND REGIONAL MEDICAL CENTER: Line 16a URL: WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GRAND ISLAND REGIONAL MEDICAL CENTER: Line 16b URL: WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GRAND ISLAND REGIONAL MEDICAL CENTER: Line 16c URL: WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	GRAND ISLAND REGIONAL MEDICAL CENTER (GIRMC) IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. GRAND ISLAND REGIONAL MEDICAL CENTER SURVEY INPATIENT, AMBULATORY SURGERY, AND EMERGENCY DEPARTMENT PATIENT POPULATIONS, ASKING KEY DEMOGRAPHIC QUESTIONS THAT ALLOW GRAND ISLAND REGIONAL MEDICAL CENTER TO ACCESS THE HEALTH CARE NEEDS OF SPECIFIC AT RISK POPULATIONS. GIRMC PARTNERS WITH THE CENTRAL DISTRICT HEALTH DEPARTMENT TO DEVELOP AND IMPLEMENT ACTION PLANS THAT TARGET THE HEALTH CARE NEEDS OF THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	IN KEEPING WITH GRAND ISLAND REGIONAL MEDICAL CENTER'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, GRAND ISLAND 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 AND THEN ANNUALLY SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. GRAND ISLAND 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 GRAND ISLAND WILL AUTOMATICALLY RECEIVE A CONSULTATION WITH A FINANCIAL COUNSELOR. THE COUNSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. WHEN APPLICABLE, THE FINANCIAL COUNSELORS PROVIDE ASSISTANCE FOR QUALIFYING FOR THE FINANCIAL ASSISTANCE POLICY OR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY; INCLUDING THE PHONE NUMBER TO CONTACT A BILLING CUSTOMER SERVICE REPRESENTATIVE, IS PROVIDED: 1) ON GRAND ISLAND'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	THE COMMUNITY SERVED BY GRAND ISLAND REGIONAL MEDICAL CENTER (GIRMC) ENCOMPASSES HALL COUNTY, HAMILTON COUNTY, AND MERRICK COUNTY, NEBRASKA. 70% OF PATIENT ENCOUNTERS AT GIRMC ARE FROM RESIDENTS OF THESE THREE COUNTIES. THE TOTAL POPULATION FROM 2018-2022 IN HALL COUNTY 62,575, IN HAMILTON COUNTY 9,400, AND MERRICK COUNTY 7,675. THE PROJECT POPULATION FOR 2030 IN HALL COUNTY 66,348, HAMILTON COUNTY 8,791, AND MERRICK COUNTY 7,023. HALL COUNTY HAS SIGNIFICANTLY MORE DIVERSE POPULATION THAN HAMILTON AND MERRICK COUNTIES. BETWEEN THE YEARS 2018-2022 HALL COUNTY REPORTED 72.5% WHITE, 3.4% BLACK OR AFRICAN AMERICAN, 0.9% AMERICAN INDIAN OR ALASKA NATIVE, 1.1% ASIAN, 0.3% NATIVE HAWAIIAN OR PACIFIC ISLANDER, AND 14.3% OTHER. HAMILTON COUNTY REPORTED 94.2% WHITE, 0.2% BLACK OR AFRICAN AMERICAN, 0.4% AMERICAN INDIAN OR ALASKA NATIVE, 0.4% ASIAN, AND 0.6% OTHER. MERRICK COUNTY REPORTED 92.9% WHITE, 0.1% BLACK OR AFRICAN AMERICAN, 0.3% AMERICAN INDIAN OR ALASKA NATIVE, 1.1% ASIAN, AND 1.7% OTHER. THE UNEMPLOYMENT RATES DURING 2018-2022 FOR HALL COUNTY 2.9%, HAMILTON COUNTY 3.6%, MERRICK COUNTY 0.5% WHILE THE STATE OF NEBRASKA 3.1%. THE MEDIAN HOUSEHOLD INCOME DURING 2018-2022 FOR HALL COUNTY $63,553, HAMILTON COUNTY $73,254, MERRICK COUNTY $57,873, AND THE STATE OF NEBRASKA $71,722. THE TOTAL NUMBER OF PEOPLE IN POVERTY DURING THAT SAME TIME FRAME FOR HALL COUNTY 12.8% WITH INDIVIDUALS AGE 17 AND YOUNGER 18.8% IN POVERTY. HAMILTON COUNTY REPORTED 5.5% TOTAL PEOPLE IN POVERTY AND MERRICK COUNTY 10.2% TOTAL PEOPLE IN POVERTY. HALL COUNTY HAS A TOTAL OF 1,847 EMPLOYERS WITH MANUFACTURING, RETAIL TRADE, AND HEALTH CARE & SOCIAL SERVICES EMPLOYING THE MOST INDIVIDUALS.
Schedule H, Part VI, Line 5 Promotion of community health	GRAND ISLAND REGIONAL MEDICAL CENTER PROVIDES HIGH QUALITY, COMPREHENSIVE MEDICAL SERVICES TO BENEFIT THE COMMUNITY, AND IS COMMITTED TO IDENTIFYING AND ADDRESSING NEEDS IN THE COMMUNITY IN ORDER TO PROMOTE THE PHYSICAL, EDUCATIONAL AND ECONOMIC HEALTH OF OUR COMMUNITY IN THE FUTURE. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIREMENTS. AS A NON-PROFIT HOSPITAL, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY. GRAND ISLAND REGIONAL MEDICAL CENTERS OFFERS BIRTHING CLASSES, BREASTFEEDING CLASSES, AND OFFERS ON-DEMAND LAB TESTING WITHOUT A DOCTOR'S ORDER. IN 2024, GIRMC BOARD CONSISTED OF 11 BOARD MEMBERS, 9 OF WHOM RESIDE WITHIN A 25 MILE RADIUS OF THE FACILITY. AS OF DECEMBER 31, 2024, 25 PROVIDERS HAD BEEN CREDENTIALED BY THE MEDICAL EXECUTIVE COMMITTEE AND THE BOARD TO PROVIDE SERVICES AT THE HOSPITAL IN WIDE RANGE OF SPECIALTIES. MEDICAL STAFF PRIVILEGES ARE GRANTED TO ALL INDIVIDUALS WHO HAVE APPLIED AND MEET THE CRITERIA SET FORTH IN THE MEDICAL STAFF BYLAWS.
Schedule H, Part VI, Line 6 Affiliated health care system	GRAND ISLAND REGIONAL 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, URGENT CARE CENTERS, PHILANTHROPIC FOUNDATIONS, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, ONCOLOGY, IMAGING AND MENTAL HEALTH.
Schedule H, Part VI, Line 7 State filing of community benefit report	NE

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RYAN CROUCH DO
CHAIR	$0	$267,544	$0	$155,368	$0	$26,548	$0	$17,250	$0	$708	$0	$467,418	$0	$0
RUSSELL GRONEWOLD
DIRECTOR	$0	$1,052,649	$0	$328,847	$0	$345,808	$0	$24,150	$0	$26,023	$0	$1,777,477	$0	$0
JOHN WOODRICH
DIRECTOR	$0	$727,342	$0	$209,946	$0	$322,431	$0	$21,350	$0	$21,862	$0	$1,302,931	$0	$0
ANDREW WATERMAN
CEO - GRAND ISLAND REGIONAL MEDICAL CENTER	$284,946	$0	$38,185	$0	$20,490	$0	$11,315	$0	$2,329	$0	$357,265	$0	$0	$0
DERICK LORENTZ
CFO - TRANSFERRED BRYAN HOSPITAL KEARNEY 10/24/2024	$183,020	$52,677	$13,666	$0	$12,121	$738	$10,373	$2,600	$34,109	$6,881	$253,289	$62,896	$0	$0
TRACY SCHMITT
CFO - EFFECTIVE 10/24/2024	$130,832	$0	$16,702	$0	$10,076	$0	$8,024	$0	$13,994	$0	$179,628	$0	$0	$0
NATHAN WALTERS MD
PHYSICIAN	$464,753	$0	$16,525	$0	$2,049	$0	$17,250	$0	$9,440	$0	$510,017	$0	$0	$0
CORY OHLSON MD
PHYSICIAN	$731,844	$0	$14,298	$0	$24,880	$0	$17,250	$0	$37,578	$0	$825,850	$0	$0	$0
DAVID RUNNING MD
PHYSICIAN	$543,654	$0	$14,586	$0	$7,381	$0	$17,250	$0	$15,242	$0	$598,113	$0	$0	$0
JEFF BURWELL MD
PHYSICIAN	$479,863	$0	$15,549	$0	$27,096	$0	$17,250	$0	$23,713	$0	$563,471	$0	$0	$0
TERRY ROUNSBORG MD
PHYSICIAN	$489,646	$0	$15,558	$0	$7,336	$0	$12,708	$0	$23,713	$0	$548,961	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, INCLUDING THIS ORGANIZATIONS CEO AND CEOS OF ALL RURAL HOSPITALS OWNED BY BRYAN HEALTH, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE 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 4b Supplemental nonqualified retirement plan	THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED A PAYMENT DURING 2024: RUSSELL GRONEWOLD - $284,573 AND JOHN WOODRICH - $234,417.
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 THE BOARD OF TRUSTEES IS COMPENSATED FOR THEIR SERVICE AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION.
Schedule J, Part II, Column (B)(ii) COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	A TOTAL OF $46,884 BONUSES ACCRUED IN 2023 AND PAID IN 2024 ARE REPORTED ON THE 2024 SCHEDULE J COLUMN (BII) AND A TOTAL OF $51,785 BONUSES ACCRUED IN 2024 WILL BE PAID IN 2025 WHICH WILL BE REPORTED THE 2025 SCHEDULE J COLUMN (BII).

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Equipment	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$403,747	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

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 - Equipment - THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	PERSONS LISTED IN PART VII, SECTION A, MAY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT BY A BRYAN HEALTH ENTITY.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON AND VICE-CHAIRPERSON OF THE BOARD, ONE TRUSTEE WHO IS AN APPOINTEE OF BRYAN, ONE TRUSTEE WHO IS AN APPOINTEE OF MARY LANNING AND AT LEAST ONE OTHER ELECTED TRUSTEE OR APPOINTED TRUSTEE WHO IS ELECTED TO THE EXECUTIVE COMMITTEE BY THE BOARD AT THE BOARD'S ANNUAL MEETING EACH YEAR. IN ADDITION, THE CHIEF EXECUTIVE OFFICER OF BRYAN, IF NOT ALREADY APPOINTED TO THE COMMITTEE AS A VOTING TRUSTEE, AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION, SHALL BE EX OFFICIO NONVOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MEET ON THE CALL OF THE CHAIRPERSON OF THE BOARD, THE CORPORATION PRESIDENT/CHIEF EXECUTIVE OFFICER OR THE CHIEF EXECUTIVE OFFICER OF BRYAN. A MAJORITY OF THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM. THE VOTE OF A MAJORITY OF THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE PRESENT AND VOTING SHALL CONTROL AT AN EXECUTIVE COMMITTEE MEETING. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWER OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, SUBJECT, HOWEVER, TO THE SAME LIMITATIONS ON THE BOARD. THE DESIGNATION AND APPOINTMENT OF AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD, OR ANY INDIVIDUAL TRUSTEE, OF ANY RESPONSIBILITY IMPOSED UPON THEM BY LAW.
Form 990, Part VI, Line 6 Classes of members or stockholders	THERE SHALL BE ONE CLASS OF MEMBERSHIP IN THE CORPORATION, CLASS A. THE SOLE CLASS A MEMBER OF THE ORGANIZATION IS BRYAN HEALTH, A NEBRASKA NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRYAN HEALTH MAY APPOINT SIX COMMUNITY TRUSTEES, ONE OF WHICH SHALL BE RECOMMENDED BY MARY LANNING HOSPITAL ASSOCIATION SUBJECT TO BRYAN HEALTH'S APPROVAL. APPOINTED TRUSTEES MAY BE REMOVED FROM OFFICE (i) FOR BEHAVIOR CONTRARY TO THE ARTICLES, BYLAWS OR THE ACT BY TWO-THIRDS (2/3) VOTE OF THE ENTIRE BOARD AT ANY MEETING OF WHICH NOTICE WAS DULY GIVEN AND THE SUBJECT OF REMOVAL WAS STATED IN THE NOTICE AND APPROVAL BY BRYAN HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN ACTIONS, FOLLOWING RECOMMENDATION BY THE BOARD, MUST BE APPROVED BY BRYAN HEALTH TO BECOME EFFECTIVE. SPECIFICALLY, BRYAN HEALTH MUST: (1) APPROVE CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (2) APPROVE THE CORPORATION ENGAGING IN OR ENTERING INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF THE CAPITAL ASSETS OF THE CORPORATION IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000 OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE THE CORPORATION ORGANIZING OR ACQUIRING ANY INTEREST IN ANY CORPORATION, SHARED SERVICE ARRANGEMENT, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURE OR OPERATING EXPENSES INCURRED BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WILL EXCEED $500,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (4) APPROVE THE CORPORATION INCURRING ANY INDEBTEDNESS OR INCURRING OR BECOMING SUBJECT TO A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION, WHERE THE BORROWING OR INDEBTEDNESS IN ANY SINGLE TRANSACTION EXCEEDS $250,000 OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (5) APPROVE THE CORPORATION ENTERING INTO ANY TRANSACTION THAT IS LIMITED, GOVERNED OR PROHIBITED BY THE TERMS OF ANY DEBT INSTRUMENTS, INCLUDING GUARANTEES, UNDER WHICH BRYAN HEALTH IS THE OBLIGATED BORROWER AND WHOSE PURPOSE WAS OR IS TO FINANCE THE CONSTRUCTION OR EQUIPPING OF ANY HOSPITAL AND/OR CLINIC FACILITIES BY THE CORPORATION; (6) APPROVE AN ACTION TO MERGE, CONSOLIDATE OR COMBINE WITH ANOTHER ENTITY, OR TO DISSOLVE THE CORPORATION OR ENTER INTO A PLAN OF DISSOLUTION, OR TO SELL OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND (7) APPROVE ANY LEASE, CONTRACT OR OTHER ARRANGEMENT WITH THIRD PARTIES FOR LAND, IMPROVEMENTS, INCLUDING THE HOSPITAL FACILITY, PERSONAL PROPERTY AND EQUIPMENT AND OTHER TANGIBLE OR INTANGIBLE RIGHTS OR PROPERTY DETERMINED BY THE CLASS A MEMBER TO BE ESSENTIAL TO OPERATION OF THE HOSPITAL.
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 THE COMPLETE COPY OF THIS 990 PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c Conflict of interest policy	GRAND ISLAND REGIONAL 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 GRAND ISLAND REGIONAL MEDICAL CENTER. 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 GRAND ISLAND REGIONAL MEDICAL CENTER. 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 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 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 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 VIII, Line 2f Other Program Service Revenue	- Total Revenue: 36626, Related or Exempt Function Revenue: 36626, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 120525, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 120525;
Form 990, Part IX, Line 11g Other Fees	PURCHASE SERVICES - Total Expense: 6601737, Program Service Expense: 4759192, Management and General Expenses: 1842545, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 5114640, Program Service Expense: 3687144, Management and General Expenses: 1427496, Fundraising Expenses: ; MISCELLANEOUS FEES - Total Expense: 229304, Program Service Expense: 165305, Management and General Expenses: 63999, Fundraising Expenses: ; RECRUITING - Total Expense: 21582, Program Service Expense: 15558, Management and General Expenses: 6024, Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 1103407, Program Service Expense: 795446, Management and General Expenses: 307961, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BRYAN HEALTH
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	363414823	HEALTHCARE	NE	501(c)(3)	Type III-FI	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	CENTRAL 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)
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET	LINCOLN	NE	685061299	470376552	HEALTHCARE	NE	501(c)(3)	3	BRYAN HEALTH	Yes (true)
BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER
804 22ND AVE	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	Address Line2USAddress/AddressLine2Txt
LINCOLN DIGESTIVE HEALTH CENTER LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	371833798	HEALTHCARE	NE	NA	N/A
DOCTORS OUTPATIENT SURGERY CENTER
5055 A STREET	LINCOLN	NE	68510	364835603	HEALTHCARE	NE	NA	N/A
HEAD AND NECK SURGICAL PARTNERS LLC
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	911824787	HEALTHCARE	NE	NA	N/A
SEWARD URGENT CARE PARTNERSHIP LLC
2222 SOUTH 16TH STREET	LINCOLN	NE	68502	923319265	HEALTHCARE	NE	NA	N/A	SUITE 400A
GRAND ISLAND HOSPITAL HOLDINGS INC
3533 PRAIRIEVIEW STREET	GRAND ISLAND	NE	68803	470701037	HOLDING COMPANY	NE	NA	N/A
BRYAN HEART MARY LANNING CARDIOLOGY
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	464822260	CARDIOLOGY SERVICES	NE	NA	N/A	SUITE 600
BRYAN TELEMEDICINE LLC
2222 S 16TH STREET STE 401A	LINCOLN	NE	68502	383932523	HEALTHCARE	NE	NA	N/A
KHL-RO LLC
4101 TIGER LILY RD STE 100	LINCOLN	NE	68516	873486516	HEALTHCARE	NE	NA	N/A
KPT&G LLC
C/O MDM 300 N MEAD STE 210	WICHITA	KS	67202	363414823	RENTAL REAL ESTATE	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 DBA BRYAN HEART
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	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	false	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 (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRYAN MEDICAL CENTER
D	$506,255	FMV
GRAND ISLAND HOSPITAL HOLDINGS INC
E	$3,211,683	FMV
BRYAN MEDICAL CENTER
O	$446,132	FMV
BRYAN PHYSICIAN NETWORK
O	$80,329	FMV
INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART
A	$72,052	FMV
BRYAN MEDICAL CENTER
S	$806,489	FMV
GRAND ISLAND HOSPITAL HOLDINGS LLC
K	$5,527,794	FMV