2025-11-11T12:44:38+00:00 2024-12-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2024-01-01 352621082 Grand Island Regional Medical Center Inc GRAN 4024818966 3533 Prairieview St Grand Island NE 68803 ANDREW WATERMAN CEO 4024818966 2025-11-11 true Michael Engle P00482834 8162216300 2025-11-11 2024 2025-03-06 01:10:19Z ANDREW WATERMAN 3533 Prairieview St Grand Island NE 68803 87287628 false X WWW.GIREGIONAL.ORG X 2017 NE GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC") IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTHCARE TEAM. 11 8 497 11 0 2732990 1903178 64280647 85005187 -42220 -437556 839080 341857 67810497 86812666 0 0 0 32572958 34688827 0 0 50351048 54628421 82924006 89317248 -15113509 -2504582 62612794 60435125 132655934 132982847 -70043140 -72547722 GRAND ISLAND REGIONAL MEDICAL CENTER ("GIRMC") IS DEDICATED TO IMPROVING HEALTH THROUGH THE EMPOWERMENT OF THE COMMUNITY AND OUR HEALTHCARE TEAM. false false 71732286 85005187 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. 71732286 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false true false false false false true true true false false true 62 0 true 497 true false false false false false false false false false false false false X 11 8 true false false false true true true true true false false false true true true true true true true true false false NE X TRACY SCHMITT 3086755000 3533 PRAIREVIEW ST GRAND ISLAND NE 68845 CINDY JOHNSON VICE CHAIR 1.0 1.0 X X 0 0 0 LUKE BIGGS SECRETARY/TREASURER 1.0 0 X X 0 0 0 RYAN CROUCH DO CHAIR 1.0 50.0 X X 0 449460 17958 ERIC BARBER DIRECTOR 1.0 0 X 0 0 0 GREG SEXTRO MD DIRECTOR 1.0 0 X 0 0 0 JOHN WOODRICH DIRECTOR 1.0 51.0 X 0 1259719 43212 KRISTA STOEKER MD DIRECTOR 1.0 0 X 0 0 0 MOLLY JOHNSON MD DIRECTOR 1.0 0 X 0 0 0 RUSSELL GRONEWOLD DIRECTOR 1.0 53.0 X 0 1727304 50173 TERESA GRABOWSKI DIRECTOR 1.0 0 X 0 0 0 TOM WERNER MD DIRECTOR 1.0 0 X 0 0 0 ANDREW WATERMAN CEO - GRAND ISLAND REGIONAL MEDICAL CENTER 50.0 1.0 X 343621 0 13644 DERICK LORENTZ CFO - TRANSFERRED BRYAN HOSPITAL KEARNEY 10/24/2024 40.0 10.0 X 208807 53415 53963 TRACY SCHMITT CFO - EFFECTIVE 10/24/2024 50.0 0 X 157610 0 22018 CORY OHLSON MD PHYSICIAN 50.0 0 X 771022 0 54828 DAVID RUNNING MD PHYSICIAN 50.0 0 X 565621 0 32492 JEFF BURWELL MD PHYSICIAN 50.0 0 X 522508 0 40963 NATHAN WALTERS MD PHYSICIAN 50.0 0 X 483327 0 26690 TERRY ROUNSBORG MD PHYSICIAN 50.0 0 X 512540 0 36421 3565056 3489898 392362 46 false true false FOCUSONE SOLUTIONS INC 13609 CALIFORNIA ST SUITE 420 OMAHA NE 68154 TEMPORARY LABOR 5150118 IPA GI LLC 3533 Prairieview St Grand Island NE 68801 Physician Services 1266870 LIVE WELL PHYSICAL THERAPY 929 S LOCUST ST GRAND ISLAND NE 68801 PROFESSIONAL PHYSICIAL THERAPY SERVICES 1163693 ASSOCIATED ANESTHESIOLOGIST PC 2900 S 70TH ST 250 LINCOLN NE 68506 ANESTHESIA SERVICES 525004 MEDICAL INFORMATION TECHNOLOGY PO BOX 74569 CHICAGO IL 60696 ELECTRONIC MEDICAL RECORDS SOFTWARE PROVIDER 430952 6 10000 1489431 403747 403747 1903178 NET PATIENT REVENUE 622110 84463125 84463125 EMPLOYEE LEASED REVENUE 622110 416438 416438 PROGRAM RENTAL INCOME 531190 72052 72052 PHARMACY 456110 16946 16946 36626 36626 0 0 85005187 8241 8241 0 0 29165 474962 0 -445797 -445797 -445797 0 CAFETERIA 722514 216495 216495 VENDING SALES 722310 4837 4837 120525 0 0 120525 341857 86812666 85005187 0 -95699 X 790182 790182 26749452 24008820 2740632 1143096 824058 319038 4103614 704900 3398714 1902483 1630428 272055 88314 88314 230 230 13070670 9422645 3648025 0 98668 98668 216385 185442 30943 226126 163014 63112 8006748 5767914 2238834 84514 65490 19024 65282 65282 3788436 3371708 416728 4696500 4314542 381958 325894 252535 73359 MEDICAL SUPPLIES 13950377 12555339 1395038 CORPORATE COST ALLOCATION 2723935 2179148 544787 DRUGS 2166481 2166481 DUES AND SUBSCRIPTIONS 924353 734768 189585 4195508 3385054 810454 0 89317248 71732286 17584962 0 2066096 4552164 33500 33500 11469017 11455875 0 0 0 0 112424 2205612 1924131 364831 412300 6897909 3533291 2625015 3364618 0 0 43848723 38580113 62612794 60435125 16813181 8322509 0 0 50206285 39916512 65636468 84743826 132655934 132982847 X -70043140 -72547722 -70043140 -72547722 62612794 60435125 -2504582 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3033 3033 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 711909 57708 654201 6054238 3474318 2579920 131762 1265 130497 3364618 RIGHT OF USE ASSET 36778671 SECURITY DEPOSITS 21419 INTERCOMPANY DUE TO/FROM 514524 CLOUD COMPUTING ARRANGEMENTS 1265499 38580113 Federal Income Taxes RIGHT OF USE LIABILITY 35386594 ESTIMATED THIRD PARTY SETTLEMENT 252663 NOTE PAYABLE GIHH 19871540 NOTE PAYABLE BRYAN HEALTH 29233029 84743826 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true X true X true X 1113 2643425 2643425 0.02960 2862 9947752 5915078 4032674 0.04515 0 0.0 0 3975 12591177 5915078 6676099 0.07475 0 0.0 0 0.0 1848709 1295671 553038 0.00619 0 0.0 0 0.0 0 0 1848709 1295671 553038 0.00619 0 3975 14439886 7210749 7229137 0.08094 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 18660065 25929206 -7269141 X true true 1 1 GRAND ISLAND REGIONAL MEDICAL CENTER 3533 PRAIRIEVIEW ST GRAND ISLAND NE 68801 WWW.GIREGIONAL.ORG H000136 X X X GRAND ISLAND REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 24 true true true true X https://www.bryanhealth.com/locations/hospitals/girmc/ X true 25 true https://www.bryanhealth.com/locations/hospitals/girmc/about-us/chna/ false true X 200.0 400.0 X X X X X X true true X X X X true X WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/ X WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/ X WWW.BRYANHEALTH.COM/LOCATIONS/HOSPITALS/GIRMC/FOR-PATIENTS/BILLING-INSURANCE-FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - 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. 2 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 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 false true false false false false false false false RYAN CROUCH DO CHAIR 0 267544 0 155368 0 26548 0 17250 0 708 0 467418 0 0 RUSSELL GRONEWOLD DIRECTOR 0 1052649 0 328847 0 345808 0 24150 0 26023 0 1777477 0 0 JOHN WOODRICH DIRECTOR 0 727342 0 209946 0 322431 0 21350 0 21862 0 1302931 0 0 ANDREW WATERMAN CEO - GRAND ISLAND REGIONAL MEDICAL CENTER 284946 0 38185 0 20490 0 11315 0 2329 0 357265 0 0 0 DERICK LORENTZ CFO - TRANSFERRED BRYAN HOSPITAL KEARNEY 10/24/2024 183020 52677 13666 0 12121 738 10373 2600 34109 6881 253289 62896 0 0 TRACY SCHMITT CFO - EFFECTIVE 10/24/2024 130832 0 16702 0 10076 0 8024 0 13994 0 179628 0 0 0 NATHAN WALTERS MD PHYSICIAN 464753 0 16525 0 2049 0 17250 0 9440 0 510017 0 0 0 CORY OHLSON MD PHYSICIAN 731844 0 14298 0 24880 0 17250 0 37578 0 825850 0 0 0 DAVID RUNNING MD PHYSICIAN 543654 0 14586 0 7381 0 17250 0 15242 0 598113 0 0 0 JEFF BURWELL MD PHYSICIAN 479863 0 15549 0 27096 0 17250 0 23713 0 563471 0 0 0 TERRY ROUNSBORG MD PHYSICIAN 489646 0 15558 0 7336 0 12708 0 23713 0 548961 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, INCLUDING THIS ORGANIZATIONS CEO AND CEOS OF ALL RURAL HOSPITALS OWNED BY BRYAN HEALTH, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE 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). X Equipment 1 403747 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Equipment - THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. 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: ; BRYAN HEALTH 1600 SOUTH 48TH STREET LINCOLN NE 68506 363414823 HEALTHCARE NE 501(c)(3) Type III-FI NA false CRETE AREA MEDICAL CENTER 2910 BETTEN DRIVE CRETE NE 68333 470841285 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 237005720 FUNDRAISING NE 501(c)(3) 7 BRYAN HEALTH true BRYAN PHYSICIAN NETWORK 1600 SOUTH 48TH STREET LINCOLN NE 68506 201357375 HEALTHCARE NE 501(c)(3) 10 BRYAN HEALTH true MERRICK MEDICAL CENTER 2802 28TH STREET CENTRAL CITY NE 688269501 820906268 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true MERRICK MEDICAL CENTER FOUNDATION 2802 28TH STREET CENTRAL CITY NE 68826 470710738 FUNDRAISING NE 501(c)(3) Type I MERRICK MEDICAL CENTER true BRYAN MEDICAL CENTER 1600 SOUTH 48TH STREET LINCOLN NE 685061299 470376552 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER 804 22ND AVE KEARNEY NE 68845 873486516 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN HOSPITAL KEARNEY FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 923387978 FUNDRAISING NE 501(c)(3) Type II BRYAN FOUNDATION true GRAND ISLAND REGIONAL MEDICAL CENTER FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 931718948 FUNDRAISING NE 501(c)(3) Type II BRYAN FOUNDATION true LINCOLN DIGESTIVE HEALTH CENTER LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 371833798 HEALTHCARE NE 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 SUITE 400A LINCOLN NE 68502 923319265 HEALTHCARE NE NA N/A 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 SUITE 600 LINCOLN NE 68506 464822260 CARDIOLOGY SERVICES NE NA N/A 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 BRYAN ENTERPRISES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470701037 MEDICAL SERVICES NE NA C Corporation true INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART 1600 SOUTH 48TH STREET LINCOLN NE 68506 470844961 CARDIOLOGY NE NA C Corporation true BRYAN HEALTH CONNECT 1600 SOUTH 48TH STREET LINCOLN NE 68506 364771145 PHYSICIAN HOSPITAL ORGANIZATION NE NA C Corporation true true false false true true false false false false false true true true true true true true true true BRYAN MEDICAL CENTER D 506255 FMV GRAND ISLAND HOSPITAL HOLDINGS INC E 3211683 FMV BRYAN MEDICAL CENTER O 446132 FMV BRYAN PHYSICIAN NETWORK O 80329 FMV INTEGRATED CARDIOLOGY GROUP LLC DBA BRYAN HEART A 72052 FMV BRYAN MEDICAL CENTER S 806489 FMV GRAND ISLAND HOSPITAL HOLDINGS LLC K 5527794 FMV