2025-11-14T14:45:13+00:00 2024-12-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2024-01-01 470841285 Crete Area Medical Center CRET 4024811111 2910 Betten Drive Crete NE 683330220 JULIE LACY PRESIDENT/CEO 4024811111 2025-11-14 true Michael Engle P00482834 8162216300 2025-11-14 2024 2025-03-06 01:10:19Z JULIE LACY 2910 Betten Drive Crete NE 683330220 37001417 false X WWW.BRYANHEALTH.ORG/CAMC X 2001 NE CRETE AREA MEDICAL CENTER IS COMMITTED TO ADVANCING THE HEALTH OF THE COMMUNITIES AND REGION WE SERVE. DURING 2024, CRETE AREA MEDICAL CENTER HAS PROVIDED CHARITY CARE TO 898 PATIENTS AT A COST OF $968,188. 7 4 215 59 0 440074 132802 33877826 34178648 714982 1409381 897432 1270124 35930314 36990955 0 0 0 18447105 18892751 0 0 12799780 12194969 31246885 31087720 4683429 5903235 54729424 58939774 5253539 3471678 49475885 55468096 CRETE AREA MEDICAL CENTER'S (CAMC) MISSION IS TO ADVANCE THE HEALTH OF THE COMMUNITIES AND REGION WE SERVE, THROUGH COLLABORATION, PREVENTION, INNOVATION, AND EXCEPTIONAL CARE. CAMC'S VISION IS TO ELEVATE QUALITY OF LIFE THROUGH BETTER HEALTH. CAMC IS COMMITTED TO THE FOLLOWING FUNDAMENTAL BELIEFS: INTEGITY - OUR FOUNDATION; SERVICE - OUR STANDARD; EXCELLENCE - OUR DISTINCTION; COLLABORATION - OUR INVESTMENT; AND LEADERSHIP - OUR FUTURE. false false 28998417 35305762 CRETE AREA MEDICAL CENTER ("CAMC") IS A PART OF BRYAN HEALTH. CAMC, LOCATED IN CRETE, NEBRASKA, IS A NEBRASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED DETERMINATION THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE IN ORDER TO PROVIDE HEALTH CARE SERVICES. CAMC WAS INCORPORATED IN APRIL 2001 AND OPERATES A 15-LICENSED BED CRITICAL ACCESS HOSPITAL AND THREE PHYSICIAN CLINICS SERVING PATIENTS AND RESIDENTS PRINCIPALLY FROM SALINE AND LANCASTER COUNTIES. DURING THE YEAR ENDING DECEMBER 31, 2024, CAMC PROVIDED INPATIENT ACUTE, SWING BED AND NURSERY SERVICES TO 312 PATIENTS. CAMC PERFORMED 712 SURGICAL PROCEDURES AND PROVIDED PRIMARY CARE PHYSICIAN SERVICES WITH 27,176 VISITS. IN 2024, CAMC ALSO PROVIDED CHARITY CARE TO 898 PATIENTS AND SERVICED 1,857 MEDICAID PATIENTS. 28998417 true true false true false false false false false false true false false false 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 true false false false false false false true true true false false true 38 0 true 215 true false false false false false false false false false false false false X 7 4 true false false false true true true true true false false false true true true true true true true true false false NE X JULIE LACY 4028267948 2910 BETTEN DRIVE CRETE NE 68333 DAVID REESE CHAIR (RESIGNED 7/1/2024) 1.0 50.0 X X 0 385847 39657 ERIC POST DVM TREASURER 1.0 0 X X 0 0 0 JUSTIN KOZISEK VICE CHAIR 1.0 0 X X 0 0 0 LUPE AVELAR SECRETARY 1.0 0 X X 0 0 0 STEPHANIE BOLDT EX-OFFICIO MEMBER/CEO CRETE AREA MEDICAL CENTER 40.0 10.0 X X 299411 28105 50628 DAVE NEWMYER DIRECTOR 1.0 0 X 0 0 0 JASON HESSER MD EX-OFFICIO MEMBER/CHIEF OF STAFF CRETE AREA MEDICAL CENTER 50.0 0 X 466603 0 17902 MARIA ISQUIERDO DIRECTOR 1.0 50.0 X 0 595464 44594 JULIE LACY CFO CRETE AREA MEDICAL CENTER 50.0 2.0 X 229544 0 29984 AMY VERTIN MD PHYSICIAN 50.0 0 X 326456 0 47411 KATE HESSER MD PHYSICIAN 50.0 0 X 392038 0 48947 MITCHELL EBKE CRNA CERTIFIED REGISTERED NURSE ANESTHETIST 50.0 0 X 307964 0 55540 RUSSELL EBKE MD PHYSICIAN 50.0 0 X 352487 0 62777 RYAN BUSE MD PHYSICIAN 50.0 0 X 283015 0 37983 2657518 1009416 435423 34 false true false LANGUAGE LINE SOLUTIONS ONE LOWER RAGSDALE DR BLDG TWO MONTEREY CA 93940 LANGUAGE TRANSLATION 124521 1 129802 3000 132802 NET PATIENT CARE REVENUE 622110 31390646 31390646 PHARMACY 446110 2572775 2572775 CONTRACTED ER PROVIDER SERVICES 621990 214651 214651 HEALTH INFORMATION SERVICES 621300 576 576 0 0 0 0 34178648 1409381 1409381 38366 10462 27904 0 27904 27904 0 0 CAFETERIA SALES 722310 83335 83335 PURCHASE DISCOUNTS 900099 31771 31771 1127114 1127114 0 0 1242220 36990955 35305762 0 1552391 1090226 346193 744033 440985 436575 4410 13203951 13119201 84750 710940 688513 22427 2431148 1938135 493013 1015501 915982 99519 31425 31425 2096365 2042279 54086 0 61809 57482 4327 1600349 1504328 96021 16057 16057 368299 342518 25781 13240 12313 927 83195 74195 9000 2092529 1842513 250016 197342 185501 11841 DRUGS 2193363 2193363 CORPORATE COST ALLOCATIONS 2042283 1919746 122537 MEDICAL SUPPLIES 812221 812221 586492 551302 35190 0 31087720 28998417 2089303 0 12207723 12146874 4582865 3893948 0 0 0 0 141193 144164 217179 187772 44417694 31159625 14496196 13258069 20437972 26585903 0 0 2646296 2723044 54729424 58939774 3937079 2467282 0 0 1316460 1004396 5253539 3471678 X 49475885 55468096 49475885 55468096 54729424 58939774 5903235 88976 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 2454 2454 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 1) G) ON VARIOUS OCCASIONS THROUGHOUT THE YEAR, THE CEO MET WITH SOME STATE AND LOCAL LEGISLATORS TO DISCUSS ISSUES RELATED TO HEALTHCARE. WHILE SOME RELATED TO HEALTHCARE REFORM, OTHER ISSUES DISCUSSED INCLUDED MEETING THE NEEDS OF INDIGENT/UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS THE ONGOING NEED FOR HEALTH SERVICES FOR THE COMMUNITY. 1) I) CRETE AREA MEDICAL CENTER PAID ANNUAL DUES TO THE NEBRASKA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES WERE DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. THE RELATED AMOUNT HAS BEEN REPORTED IN PART II-B, LINE 1I. 61247 61247 22486382 12726592 9759790 10347 10347 0 18973711 16712459 2261252 608873 2277134 1710227 1175780 13258069 Federal Income Taxes RIGHT OF USE LIABILITY 1004396 1004396 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CRETE AREA 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. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE CRETE AREA MEDICAL CENTER TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. CRETE AREA MEDICAL CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. CRETE AREA MEDICAL CENTER RECOGNIZIES THE EFFECT OF INCOME TAX PROVISIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2024, AND 2023, CRETE AREA MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED. true true X true X true X 898 968188 968188 0.03114 1857 3996597 3475704 520893 0.01676 0 0.0 0 2755 4964785 3475704 1489081 0.04790 337097 57985 279112 0.00898 0 0.0 59782 0 59782 0.00192 0 0.0 3169 0 3169 0.00010 0 0 400048 57985 342063 0.01100 0 2755 5364833 3533689 1831144 0.05890 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 5757883 8092583 -2334700 X true true 1 1 CRETE AREA MEDICAL CENTER 2910 BETTEN DRIVE CRETE NE 68333 WWW.BRYANHEALTH.ORG 670001NE X X X CRETE AREA 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/about-bryan-health/community-health-needs-assessment/ Needs Assessment | X true 25 true https://www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/ Needs Assessment | false true X 200.0 400.0 X X X X X X true true X X X X true X www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ X www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ X www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE IDENTIFIED AND PRIORITIZED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CRETE AREA MEDICAL CENTER. SEVERAL ASPECTS OF THE HEALTH ASSESSMENT REPRESENT A COLLABORATIVE EFFORT BETWEEN CRETE AREA MEDICAL CENTER, PUBLIC HEALTH SOLUTIONS HEALTH DEPARTMENT, AND BLUE VALLEY COMMUNITY ACTION GATHERING INPUTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. PRIORITIZING THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED BY SUBJECT MATTER EXPERTS AT CRETE AREA MEDICAL CENTER. PUBLIC HEALTH SOLUTIONS (PHS) IS A DISTRICT HEALTH DEPARTMENT RESPONSIBLE FOR PROMOTING AND PROTECTING THE HEALTH OF THE RESIDENTS OF THE COUNTIES IT SERVICES. BLUE VALLEY COMMUNITY ACTION FOCUSES ON SERVICES THAT CAN HELP FAMILIES AND INDIVIDUALS EMERGE FROM POVERTY OR A CRISIS OR PREVENT THEM FROM EXPERIENCING THESE CONDITIONS. THE COUNTIES THAT ARE SERVED INCLUDE BUTLER, FILLMORE, GAGE, JEFFERSON, POLK, SALINE, SEWARD, THAYER AND YORK COUNTIES. FOR THE PURPOSE OF THIS COMMUNITY ASSESSMENT REPORT, THE COMMUNITY SERVED INCLUDES THE CITIES OF CRETE, WILBER AND FRIEND AS WELL AS SALINE COUNTY, NEBRASKA. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - CRETE AREA MEDICAL CENTER. HOSPITAL FACILITIES THAT PARTICIPATED INCLUDE CRETE AREA MEDICAL CENTER AND BRYAN MEDICAL CENTER. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - PUBLIC HEALTH SOLUTIONS. PUBLIC HEALTH SOLUTIONS (PHS) IS A DISTRICT HEALTH DEPARTMENT RESPONSIBLE FOR PROMOTING AND PROTECTING THE HEALTH OF THE RESIDENTS OF FILLMORE, GAGE, JEFFERSON, SALINE AND THAYER COUNTIES. PHS WORKS TO MONITOR HEALTH STATUS TO IDENTIFY COMMUNITY HEALTH PROBLEMS; DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY; INFORM, EDUCATE, AND EMPOWER PEOPLE ABOUT HEALTH ISSUES; MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS; LINK PEOPLE TO NEEDED MEDICAL AND MENTAL HEALTH SERVICES AND ASSURE THE PROVISION OF HEALTH CARE WHEN NOT OTHERWISE AVAILABLE. PHS WORKS WITH OTHER COMMUNITY AGENCIES, ORGANIZATIONS, HEALTHCARE PROVIDERS AND CITIZENS TO DETERMINE PRIORITIES AND ASSURES THAT PRIORITIES AND STRATEGIES ARE IMPLEMENTED WITHIN THE COMMUNITY. Schedule H, Part V, Section B, Line 6b Facility , 2 Facility , 2 - BLUE VALLEY COMMUNITY ACTION. BLUE VALLEY COMMUNITY ACTION PARTNERSHIP (BVCA) IS A PRIVATE NONPROFIT ORGANIZATION THAT FOCUSES ON SERVICES THAT CAN HELP FAMILIES AND INDIVIDUALS EMERGE FROM POVERTY OR A CRISIS, OR PREVENT THEM FROM EXPERIENCING THESE CONDITIONS, IT WORKS TO IDENTIFY GAPS IN SERVICES NEEDED AND THEN CREATES SOLUTIONS TO MEET THOSE NEEDS. IT OPERATES MORE THAN 30 PROGRAMS THAT SUPPORT THE DIVERSE COMMUNITIES AND FAMILIES THROUGHOUT ITS SERVICE AREA. BVCA SERVICES THE COUNTIES OF BUTLER, FILLMORE, GAGE, JEFFERSON, POLK, SALINE, SEWARD, THAYER, AND YORK IN NEBRASKA. BVCA WORKS DILIGENTLY TO DEVELOP COMMUNITY PROGRAMS AND ACTIVITIES TO ELIMINATE THE CAUSES OF POVERTY AND IMPROVE THE CONDITION OF POVERTY WITHIN THE SERVICE AREA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CRETE AREA MEDICAL CENTER. IN 2024, CAMC PARTNERED WITH PUBLIC HEALTH SOLUTIONS (PHS) AND BLUE VALLEY COMMUNITY ACTION (BVCA) TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT. PARTNERS FOR INSIGHTFUL EVALUTION WERE CONTRACTED TO COLLECT THE DATA FROM A 9-COUNTY REGION. THIS INCLUDED THE ONLINE COMMUNITY HEALTH SERVICES, INTERVIEWS WITH COMMUNITY PARTNERS AND CONDUCTING TWO FOCUS GROUPS, ONE IN ENGLISH AND ONE IN SPANISH. THE ONLINE SURVEY WAS GIVEN TO INDIVIDUALS WHO LIVED, WORKED, OR PROVIDED SERVICE IN AT LEAST ONE OF THE NINE COUNTIES THAT ARE INCLUDED IN THE BVCA AND PHS SERVICE AREA. THE SURVEY WAS AVAILABLE FROM FEBRUARY 19TH TO APRIL 3RD, 2023. THE LINK TO THE SURVEY WAS AVAILABLE ON THE BVCA AND PHS WEBSITES, AREA COLLEGES AND UNIVERISITIES, AND OTHER COMMUNITY ORGANIZATIONS. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. THE COMMUNITY HEALTH ASSESSMENT SURVEY INCLUDED 75 QUESTIONS. THE SURVEY WAS BROKEN INTO THE FOLLOWING SECTIONS: SURVEY ELIGIBILITY, COUNTIES, SOCIAL SERVICES - DISABILITY, FOOD INSECURITY, HOUSING STABILITY & UTILITIES, INTERNET ACCESS, MENTAL HEALTH, GENERAL HEALTH, HEALTHCARE ACCESS, DENTAL CARE ACCESS, EYE CARE ACCESS, MENTAL HEALTH CARE ACCESS, BARRIERS TO HEALTH CARE ACCESS, EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY, SOCIAL CONNECTEDNESS, HOME AND PERSONAL SAFETY, CHILDCARE NEEDS, COMMUNITY AMENITIES AND PHYSICAL ACTIVITY OPPORTUNITIES, COMMUNITY PERCEPTIONS OF HEALTH, COMMUNITY PERCEPTIONS OF SOCIAL AND ECONOMIC PROBLEMS, AND COMMUNITY PERCEPTIONSOF SAFETY AND DEMOGRAPHICS. 1,241 SURVEYS WERE COMPLETED AND 610 RESPONSES WERE VERIFIED. THERE WERE TWO FOCUS GROUPS THAT WERE CONDUCTED ALONGSIDE 13 COMMUNITY PARTNER INTERVIEWS. THE FIRST FOCUS GROUP WAS CONDUCTED IN SPANISH ON APRIL 10, 2023, INCLUDED 12 PARTICIPANTS. THE SECOND FOCUS GROUP WAS CONDUCTED IN ENGLISH ON APRIL 11, 2023, INCLUDED 7 PARTICIPANTS. THROUGH THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AS WELL AS THROUGH OTHER PRIMARY RESEARCH AND DATA AVAILABLE, CRETE AREA MEDICAL CENTER HAS IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS WITHIN CRETE AND SALINE COUNTY THAT REQUIRE PRIORITIZED FOCUS OVER THE NEXT FEW YEARS. THESE SELECTIONS DO IMPLY THAT OTHER HEALTH NEEDS ARE NOT WORTHY OF ATTENTION, OR THAT EFFORTS IN OTHER AREAS SHOULD BE DIVERTED TO THESE. THE OTHER AREAS OF NEED MIGHT BE REPORTED AS LOWER PRIORITY BECAUSE OF CAMC'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. THE SIGNFICIANT HEALTH NEEDS WERE SELECTED BASED ON A COMBINATION OF FACTORS, INCLUDING RESPONSES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY PARTNERS FOR INSIGHT EVALUATION, ANALYSIS OF COMMUNITY DATA SOURCES SUCH AS SALINE COUNTY'S VITAL STATISTICS, CAMC'S OWN INTERNAL HOSPITALIZATION DATA AND OTHER FORMS OF RESEARCH. THE THREE KEY AREAS PRIORITIZED OVER THE NEXT THREE YEARS ARE: 1.) BEHAVIORAL HEALTH 2.) ACCESS TO CARE 3.) CHRONIC HEALTH CONDITIONS. THE FOLLOWING IMPLEMENTATION STRATEGIES REPRSENT CRETE AREA MEDICAL CENTER'S COMMITMENT TO IMPROVING THE HEALTH OF SALINE COUNTY OVER THE NEXT THREE YEARS. 1.) BEHAVIORAL HEALTH - THE IDENTIFICATION OF BEHAVIORAL HEALTH AS A STRONG AND GROWING NEED WITHIN SALINE COUNTY IS BORNE OUT BY STATISTICAL DATA FROM SEVERAL SECTORS. WHILE THERE HAS BEEN AN INCREASE IN BEHAVIORAL HEALTH SERVICES ARE PROVIDED, THE NEED CONTINUES. WITHIN THE PUBLIC HEALTH SOLUTIONS SERVICE AREA THERE IS A HIGHER SUICIDE RATE THAN THE REST OF THE STATE OF NEBRASKA WITH A RATE OF 16.1 PER 100,000 compared TO THE STATE'S 14.4 PER 100,000 INDIVIDUALS. OF THE SURVEY RESPONDENTS, 64% REPORTED FEELING NERVOUS, ANXIOUS OR DEPRESSED WITHIN THE LAST MONTH. 41% OF RESPONDENTS SAID THAT THEYWERE "VERY WORRIED "EXTREMELY WORRIED" ABOUT THE HIGH LEVEL OF MENTAL HEALTH ISSUES IN THE COMMUNITY. THE NUMBER OF PATIENTS RECEIVING COUNSELING SERVICES IN 2023 AT CRETE AREA MEDICAL CENTER WAS 36 COMPARED TO 35 IN 2022. 2.) ACCESS TO CARE - ACCESS FOR COMMUNITY MEMBERS TO RECEIVE CARE CONTINUES TO BE A HIGH FOCUS AREA FOR CRETE AREA MEDICAL CENTER. IN RURAL COMMUNITIES, RESOURCES CAN BE LIMITED. ADDITIONALLY, IN SALINE COUNTY TRANSPORTATION TO HEALTHCARE SERVICES HAS BEEN IDENTIFIED AS A BARRIER AS IS HEALTHCARE COVERAGE. THE 4.2% UNEMPLOYMENT RATE AND 14% POVERTY LAVEL CAN BE FACTORS IN LIMITED ACCESS TO NEEDED SERVICES. 11.7% OF PATIENTS IN THE PHS SERVICE AREA LACKED HEALTH INSURANCE AT THE TIME OF THE SURVEY BEING CONDUCTED. OF THE 12% OF REPSONDENTS THAT REPORTED NOT HAVING SEEN A HEALTHCARE PROVIDER IN THE LAST YEAR, 40% CITED HEALTH INSURANCE AS THEIR BARRIER AND 28% CITED COST OF CARE. 3.) CHRONIC HEALTH CONDITIONS - THE TWO CHRONIC HEALTH CONDITIONS THAT CONTINUE TO RISE IN SALINE COUNTY ARE HYPERTENSION AND DIABETES. THE INCIDENCES OF HYPERTENSION AND DIABETES CONTINUE TO INCREASE WHILE CANCER REAMINS RELATIVELY CONSISTEN OVER THE LAST 5 YEARS. THE COMMUNITY OF CRETE AND SALINE COUNTY, NEBRASKA, HAS A RANGE OF PERSONAL HEALTHCARE PROVIDERS, MENTAL HEALTH PROVIDERS, PHYSICIAN CLINICS, OTHER HEALTH FACILITIES AND MEDICAL AND DENTAL PROVIDERS THAT ADDRESS THE NEEDS OF THE LOCAL POPULATION, AS WELL AS RESIDENTS THROUGHOUT THE STATE AND REGION. CRETE AREA MEDICAL CENTER IS COMMITTING TO FOCUS IMPLEMENTATION STRATEGIES ON THE FOLLOWING NEEDS AS AFORMENTIONED IN THE NEXT THREE YEARS. THE SIGNIFICANT HEALTH NEEDS IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH THE EVALUATED AND ADJUSTED OBJECTIVES AND GOALS, WILL BE THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. THESE NEEDS, OBJECTIVES, AND GOALS WILL BE ASSESSED AND REFLECTED IN THE IMPLEMENTATION STRATEGY REPORTS, WHICH WILL IDENTIFY RESOURCES CURRENTLY COMMITTED TO THE PRIORITY OF THE COMMUNITY 'S HEALTH NEEDS, AS WELL AS ADDITIONAL RESOURCES NEEDED TO SECURE IMPROVED OUTCOMES AT THE HOSPITAL AND IN THE COMMUNITY. 3 WILBER MEDICAL CLINIC 203 W 4TH STREET WILBER NE 68465 RURAL HEALTH CLINIC CRETE MEDICAL CLINIC 2910 BETTEN DRIVE CRETE NE 68333 RURAL HEALTH CLINIC FRIEND MEDICAL CLINIC 1210 2ND STREET FRIEND NE 68359 RURAL HEALTH CLINIC Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT CRETE AREA MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS INCLUDED IN THE BRYAN HEALTH CONSOLIDATED REPORT TO THE COMMUNITY. Schedule H, Part I, Line 3c CRITERIA USED FOR DETERMINING ELIGILITY FOR FREE OR DISCOUNTED CARE TO BE ELIGIBLE FOR FULL OR DISCOUNTED FINANCIAL ASSISTANCE, ONLY THE PATIENTS WHO WILL BE CONSIDERED ARE UNINSURED OR UNDERINSURED; ARE INELIGILBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM; HAVE EXCEEDED THE LENGTH OF STAY FOR MEDICAID OR OTHER INDIGENT CARE PROGRAMS; ARE UNABLE TO PAY FOR THEIR CARE BASED UPON A DETERMINATION OF FINANCIAL NEED. PATIENTS ARE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE FOR DEDUCTIBLES, CO-INSURANCE AND CO-PAYMENT RESPONSIBILITIES WHEN NOT INCONSISTENT WITH THE FAP OR APPLICABLE LAWS. THE GRANTING OF FINANCIAL ASSISTANCE SHALL BE BASED ON AN INDIVIDUAL DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. WHEN A PATIENT'S CIRCUMSTANCES DO NOT SATISFY THE PARTICULAR REQUIREMENTS FOR FINANCIAL ASSISTANCE, A PATIENT WITH UNUSUAL MITIGATING FACTORS MAY STILL BE ABLE TO OBTAIN FINANCIAL ASSISTANCE. APPLYING FOR FINANCIAL ASSISTANCE MAY BE INITIATED BY A PATIENT REQUESTING ASSISTANCE; THE ENTITY CAN ALSO INITIATE A FINANCIAL ASSISTANCE APPLICATION ON BEHALF OF A PATIENT; A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY A PATIENT'S FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE SUBJECT TO APPLICABLE PRIVACY LAWS. THE PATIENT IS REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION FORM AND SUPPLY ALL PERSONAL FINANCIAL AND OTHER INFORMATION REQUESTED ON THE APPLICATION AND THE COVER LETTER IN ORDER TO MAKE A DETERMINATION OF FINANCIAL NEED. THE CFO OF BRYAN HEALTH WILL DETERMINE THE APPROPRIATE DISCOUNTS THAT ARE AVAILABLE TO ELIGIBLE PATIENTS ON AN ANNUAL BASIS AND WILL ENSURE COMPLIANCE WITH IRS REGULATIONS. CRETE AREA MEDICAL CENTER PROVIDES CHARITY CARE FINANCIAL ASSISTANCE DISCOUNTS FOR ELIGIBLE PATIENTS BASED ON FEDERAL POVERTY LEVEL GUIDELINES (FPL) IN EFFECT AT THE TIME OF THE ELIGIBILITY DETERMINATION. PATIENTS WHO QUALIFY FOR CHARITY CARE FINANCIAL DISCOUNTS, WHOSE ANNUAL FAMILY INCOME AND ASSETS ARE AT OR BELOW 200% OF THE FPL, ARE ELIGILBLE TO RECEIVE A 100% DISCOUNT OFF OF THEIR ACCOUNT BALANCE FOR ELIGIBLE SERVICES RECEIVED BY THE PATIENT AFTER PAYMENT BY ANY THIRD PARTIES. PATIENTS WHOSE FAMILY INCOME AND ASSETS ARE AT OR ABOVE 201% BUT NOT MORE THAN 400% OF THE FPL ARE ELIGIBLE FOR DISCOUNTS ON A SLIDING FEE SCALE BASED ON THE FPL IN EFFECT AT THE TIME OF THE ELIGIBLITY TERMINATION AFTER PAYMENT BY THIRD PARTIES. UNINSURED PATIENT DISCOUNTS MAY APPLY TO ELIGIBLE PATIENTS. THE UNISURED (SELF-PAY) PATIENT DISCOUNT IS A PERCENTAGE OFF OF GROSS CHARGES FOR SERVICES AT BRYAN HEALTH FACILITIES. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED PATIENT DISCOUNT. THE UNINSURED PATIENT DISCOUNT DOES NOT LIMIT A PATIENT'S ABILITY TO OBTAIN FURTHER DISCOUNTS BASED ON THEIR FINANCIAL NEED THROUGH THE CHARITY CARE FINANCIAL ASSISTANCE DISCOUNT. THE UNINSURED PATIENT DISCOUNT SHALL BE AUTOMATICALLY APPLIED TO PATIENTS WHO ARE CLASSIFIED AS "SELF-PAY". Schedule H, Part I, Line 6a Community benefit report prepared by related organization BRYAN HEALTH Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance CRETE AREA MEDICAL CENTER'S UNCOMPENSATED CARE COST-TO CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. FOR LINE 7E, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, BRYAN HEALTH SYSTEM 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE AMOUNT OF CRETE AREA MEDICAL CENTER'S ("CAMC") BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CAMC'S CHARITY CARE POLICY IS ESTIMATED TO BE ZERO BASED ON THE FOLLOWING: (1) CRETE AREA MEDICAL CENTER HAS ESTABLISHED POLICIES THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENT'S ABILITY TO PAY; AND ONCE ELIGIBILITY IS VERIFIED, THE MEDICAL CENTER WILL WRITE ACCOUNTS OFF TO CHARITY CARE AND NO LONGER PURSUE DEBT COLLECTION PROCEDURES; (2) CRETE AREA MEDICAL CENTER HAS COUNSELORS AVAILABLE TO WORK WITH ANY PATIENT BOTH PRE AND POST DISCHARGE TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE; (3) CRETE AREA MEDICAL CENTER PROVIDES PRESUMPTIVE FINANCIAL ASSISTANCE WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO THE LACK OF SUPPORTING DOCUMENTATION. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. CRETE AREA 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 CRETE AREA MEDICAL CENTER USES TO COVER THIS SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANICAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIAIRES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS THE COST TO CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION'S DEBT COLLECTION POLICY PROHIBITS ANY COLLECTION EFFORTS FOR THE PORTION OF THE PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part V, Section B, Line 16a FAP website - CRETE AREA MEDICAL CENTER: Line 16a URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/; Schedule H, Part V, Section B, Line 16b FAP Application website - CRETE AREA MEDICAL CENTER: Line 16b URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CRETE AREA MEDICAL CENTER: Line 16c URL: www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/; Schedule H, Part VI, Line 2 Needs assessment CRETE AREA MEDICAL CENTER ("CAMC") IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF COMMUNITY. DURING THE YEAR ENDED DECEMBER 31, 2024, CAMC PARTNERED WITH PUBLIC HEALTH SOLUTIONS (PHS) AND BLUE VALLEY COMMUNITY ACTION (BVCA) TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. A SURVEY WAS PLANNED, CONDUCTED AND ANALYSED AS A JOINT EFFORT AMONG PHS, BVCA AND CAMC HOSPITAL REPRESENTATIVES THAT PROVIDED INFORMATION AND INSIGHT CRITICAL TO THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SIGNIFICANT HEALTH NEEDS WERE SELECTED BASED ON A COMBINATION OF FACTORS, INCLUDING RESPONSES FROM THE COMMUNITY NEEDS ASSESSMENT CONDUCTED BY PARTNERS FOR INSIGHT EVALUATION, ANALYSIS OF COMMUNITY DATA SOURCES SUCH AS SALINE COUNTY'S VITAL STATISTICS, CAMC'S OWN INTERNAL HOSPITALIZATION DATA AND OTHER FORMS OF RESEARCH. THE SELECTIONS THAT WERE SELECTED DO NOT IMPLY THAT OTHER HEALTH NEEDS ARE NOT WORTHY OF ATTENTION, OR THAT EFFORTS IN OTHER AREAS SHOULD BE DIVERTED TO THESE. THE OTHER AREAS OF NEED MIGHT BE REPORTED AS A LOWER PRIORITY BECAUSE OF CAMC'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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CRETE AREA MEDICAL CENTER ("CAMC") OFFERS A FINANCAL ASSISTANCE PROGRAM TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM IS PROVIDED TO EACH NEW EMPLOYEE ORIENTATION AND THEN YEARLY SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO THE PATIENTS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO PATIENTS DURING ADMISSION IN THEIR INFORMATION PACKET. PATIENTS MAY CONTACT THE HOSPITAL AT ANY TIME TO REQUEST A FINANCIAL ASSISTANCE APPLICATION. HOSPITAL PATIENT ACCOUNT COLLECTORS WILL ALSO INFORM ALL PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAM IF THEY ARE UNABLE TO PAY THEIR BILL AND MAY QUALIFY FOR FINANCIAL ASSISTANCE SUCH AS FEDERAL, STATE, OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. IN ADDITION, INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED ON THE WEBSITE, IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, AND ON EACH BILLING STATEMENT. Schedule H, Part VI, Line 4 Community information CRETE AREA MEDICAL CENTER ("CAMC") IS LOCATED IN CRETE, NEBRASKA. CRETE IS SERVED BY THE CRETE AREA MEDICAL CENTER AND CRETE MEDICAL CLINIC AS WELL AS SALINE MEDICAL SPECIALTIES. CRETE AREA MEDICAL CENTER ALSO OPERATES THE WILBER MEDICAL CLINIC IN WILBER AND THE FRIEND MEDICAL CLINIC IN FRIEND. FRIEND IS ALSO SERVED BY THE FRIEND COMMUNITY HEALTHCARE SYSTEM. CRETE HAS AN ESTIMATED POPULATION OF 7,124 PEOPLE AND INCLUDES DIVERSE ETHNIC BACKGROUNDS IN 2023. SALINE COUNTY'S NONWHITE POPULATION GREW BY 45.7% FROM 2010 TO 2020. SALINE COUNTY HAS A HIGHER DIVERSITY INDEX THAN THE STATE OF NEBRASKA AS A WHOLE. THE 2023 INCOME LEVELS IN SALINE COUNTY ARE APPROXIMATELY $59,178 PER HOUSEHOLD, WITH AN ESTIMATED 14% OF THE COMMUNITY LIVING AT OR BELOW POVERTY LEVELS AND 40% OF THE POPULATION DO NOT HAVE HEALTH INSURANCE. CRETE HAS THREE PRIMARY EMPLOYERS: BUNGE MILLING, SMITHFIELD FOODS, AND NESTLE/PURINA. IN ADDITION, CRETE IS HOME TO DOANE UNIVERSITY, A PRIVATE, LIBERAL ARTS COLLEGE. CAMC SERVES PEOPLE IN CRETE AND THE SURROUNDING COMMUNITIES IN SALINE AND LANCASTER COUNTIES. OUR PRIMARY SERVICE AREA IS A 30-MILE RADIUS OF CRETE. Schedule H, Part VI, Line 5 Promotion of community health CRETE AREA MEDICAL CENTER ("CAMC") IS A NEBRASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CAMC OPERATES A 15-LICENSED BED CRITICAL ACCESS HOSPITAL AND THREE PHYSICIAN CLINICS. CAMC HAS AN OPEN MEDICAL STAFF. THE MAJORITY OF THE HOSPITAL BOARD OF TRUSTEES THAT ARE NOT EMPLOYEES OF BRYAN HEALTH OR CAMC RESIDE IN CRETE & WILBER. THE BOARD OF TRUSTEES OF BRYAN HEALTH, THE SOLE CORPORATE MEMBER OF CAMC, MUST APPROVE CAMC'S TRUSTEES. THE MAJORITY OF BRYAN'S HEALTH'S BOARD OF TRUSTEES ARE INDEPENDENT. CAMC IS COMMITTED TO SERVING OUR PATIENTS AND OUR COMMUNITY BY INVESTING FUNDS IN FACILITIES, TECHNOLOGY, PHYSICIANS, AND STAFF TO DELIVER PREMIUM HEALTHCARE IN OUR FACILITIES. CAMC PARTICIPATES IN LOCAL ORGANIZATIONAL EVENTS AND PROVIDES UNCOMPENSATED AND CHARITY CARE TO OUR PATIENTS. CAMC SUPPORTS EDUCATIONAL OPPORTUNITIES FOR STAFF, HIGH SCHOOL STUDENTS, LOCAL EMS VOLUNTEERS, AND COMMUNITY MEMBERS. PUBLIC ASSISTANCE WITH TRANSLATION SERVICES, AND HEALTHY LIFESTYLE PROGRAMS ARE ALSO OFFERED AT CAMC. Schedule H, Part VI, Line 6 Affiliated health care system CRETE AREA MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT, LOCALLY GOVERNED 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 THE SYSTEM 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, FOUR URGENT CARE CENTERS, A CANCER CENTER, A PHILANTHROPIC FOUNDATION, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, ONCOLOGY, IMAGING AND MENTAL HEALTH. Schedule H, Part VI, Line 7 State filing of community benefit report NE false true false false false false false true false STEPHANIE BOLDT EX-OFFICIO MEMBER/CEO CRETE AREA MEDICAL CENTER 240275 27920 56610 0 2526 185 15077 1391 31705 2455 346193 31951 0 0 DAVID REESE CHAIR (RESIGNED 7/1/2024) 0 175588 0 75003 0 135256 0 21350 0 18307 0 425504 0 0 JASON HESSER MD EX-OFFICIO MEMBER/CHIEF OF STAFF CRETE AREA MEDICAL CENTER 192528 0 249385 0 24690 0 16100 0 1802 0 484505 0 0 0 MARIA ISQUIERDO DIRECTOR 0 367585 0 91036 0 136843 0 17250 0 27344 0 640058 0 0 JULIE LACY CFO CRETE AREA MEDICAL CENTER 169524 0 22968 0 37052 0 16068 0 13916 0 259528 0 0 0 MITCHELL EBKE CRNA CERTIFIED REGISTERED NURSE ANESTHETIST 302889 0 4000 0 1075 0 15540 0 40000 0 363504 0 0 0 RUSSELL EBKE MD PHYSICIAN 201444 0 142180 0 8863 0 24150 0 38627 0 415264 0 0 0 KATE HESSER MD PHYSICIAN 185483 0 174896 0 31659 0 16100 0 32847 0 440985 0 0 0 RYAN BUSE MD PHYSICIAN 150701 0 105258 0 27056 0 13923 0 24060 0 320998 0 0 0 AMY VERTIN MD PHYSICIAN 318337 0 0 0 8119 0 15644 0 31767 0 373867 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 ON MARCH 21, 2024. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan IN ORDER TO ATTRACT AND RETAIN TALENTED, EXPERIENCED EXECUTIVES, BRYAN HEALTH OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED A PAYMENT DURING 2024: MARIA ISQUIERDO-$118,283, DAVID REESE - $52,184. Schedule J, Part I, Line 7 Non-fixed payments CRETE AREA MEDICAL CENTER OFFERS AN INCENTIVE COMPENSATION PROGRAM FOR ALL LEADERS. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL, DEPARTMENTAL, AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EMPLOYED PHYSICIANS AND EXECUTIVES; AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. Schedule J, Part II, Column (B)(ii) COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES A TOTAL OF $18,968 BONUSES ACCRUED IN 2023 AND PAID IN 2024 ARE REPORTED ON THE 2024 SCHEDULE J COLUMN (BII) AND A TOTAL OF $17,893 BONUSES ACCRUED IN 2024 WILL BE PAID IN 2025 WHICH WILL BE REPORTED ON THE 2025 SCHEDULE J COLUMN (BII) KATE HESSER MD FAMILY RELATIONSHIP WITH JASON HESSER, MD 440985 COMPENSATION false Form 990, Part VI, Line 2 DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS MANY OF THE PERSONS LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF THEIR EMPLOYMENT BY A BRYAN HEALTH ENTITY. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON AND VICE-CHAIRPERSON OF THE BOARD. IN ADDITION, THE CHIEF EXECUTIVE OFFICER SHALL BE EX OFFICIO VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWER OF THE BOARD, AS DELEGATED THEREBY, WHEN THE BOARD IS NOT IN SESSION. THE DESIGNATION AND APPOINTMENT OF AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD, OR ANY INDIVIDUAL TRUSTEE, OF ANY RESPONSIBILITY IMPOSED UPON IT OR HIM/HER BY LAW. Form 990, Part VI, Line 6 Classes of members or stockholders AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE MEMBER OF CRETE AREA MEDICAL CENTER IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: 1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY 2) ELECT MEMBERS OF THE GOVERNING BODY AND 3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body BRYAN HEALTH, AS SOLE CORPORATE MEMBER OF CRETE AREA MEDICAL CENTER, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A TWO-THIRDS (2/3) VOTE OF THE VOTING TRUSTEES OF BRYAN HEALTH. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders BRYAN HEALTH IS THE SOLE CORPORATE MEMBER OF CRETE AREA MEDICAL CENTER("CAMC"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF CAMC MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF BRYAN HEALTH: (1) ADOPT ANY LONG-TERM CAPITAL OPERATIONAL BUDGET (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR $1,000,000 IN ANY CORPORATION FISCAL YEAR (3) ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION (4) AMEND BYLAWS OR ARTICLES OF INCORPORATION (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000, OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUITION OF 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 BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WHEN IT EXCEEDS $500,000 IN A SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR (7) INCUR ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR (8) ELECT OR APPOINT TRUSTEES OF THE CORPORATION (9) APPOINT OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION (10) PURCHASE INSURANCE COVERAGE FOR THE CORPORATION AND ITS OPERATIONS (11) SELECT THE AUDITOR TO PERFORM THE ANNUAL AUDIT OF THE RECORDS OF THE CORPORATION, AND (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH BRYAN HEALTH'S GOALS AND OBJECTIONS. 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 CRETE AREA MEDICAL CENTER'S CFO AND OTHER DEPARTMENTS, INCLUDING HUMAN RESOURCES, FINANCE, LEGAL, AND DEVELOPMENT, TO GATHER INFORMATION TO COMPLETE FORM 990 AND ATTACHED SCHEDULES IN AN ACCURATE AND THOROUGH MANNER. THIS 990 WAS REVIEWED BY THE CEO AND CFO OF CRETE AREA MEDICAL CENTER. IN ADDITION, THIS 990 WAS REVIEWED BY THE CEO AND CFO OF BRYAN HEALTH. THIS 990 WAS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND BRYAN HEALTH'S AUDIT COMMITTEE PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 12c Conflict of interest policy CRETE AREA MEDICAL CENTER ("CAMC") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE CAMC BOARD OF TRUSTEES. 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 QUESTIONNAIRES REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT-OF-INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, INCLUDING THIS ORGANIZATIONS CEO AND ALL RURAL HOSPITAL CEOS EMPLOYED 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 STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVES COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2024. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATIONS' ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. Form 990, Part VII, Section A, Line 1a, Column (D) COMPENSATION OF MEMBERS IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A ARE FOR SERVICES PERFORMED AS PHYSICIANS AND EXECUTIVES OF CRETE AREA MEDICAL CENTER AND BRYAN HEALTH AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 1127114, Related or Exempt Function Revenue: 1127114, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; BRYAN HEALTH 1600 S 48TH STREET LINCOLN NE 68506 363414823 HEALTHCARE NE 501(c)(3) Type III-FI NA false BRYAN PHYSICIAN NETWORK 1600 S 48TH STREET LINCOLN NE 68506 201357375 HEALTHCARE NE 501(c)(3) 10 BRYAN HEALTH true BRYAN MEDICAL CENTER 1600 S 48TH STREET LINCOLN NE 68506 470376552 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN FOUNDATION 1600 S 48TH STREET LINCOLN NE 68506 237005720 FUNDRAISING NE 501(c)(3) 7 BRYAN HEALTH true CRETE AREA HEALTH CARE FOUNDATION 2910 BETTEN DRIVE CRETE NE 68333 470846080 FUNDRAISING NE 501(c)(3) Type III-FI NA false MERRICK MEDICAL CENTER 2802 28TH STREET CENTRAL CITY NE 68826 820906268 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true MERRICK MEDICAL CENTER FOUNDATION 2802 28TH STREET CENTRAL CITY NE 68826 470710738 FUNDRAISING NE 501(c)(3) Type I MERRICK MEDICAL CENTER true GRAND ISLAND REGIONAL MEDICAL CENTER 3533 PRAIRIEVIEW ST GRAND ISLAND NE 68803 352621082 HEALTHCARE NE 501(c)(3) 3 BRYAN HEALTH true BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER 804 22ND AVENUE KEARNEY NE 688452206 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 DOCTOR'S OUTPATIENT SURGERY CENTER LLC 5055 A STREET LINCOLN NE 68510 364835603 HEALTHCARE NE NA N/A HEAD AND NECK SURGICAL PARTNERS 1600 SOUTH 48TH STREET LINCOLN NE 68506 911824787 HEALTHCARE NE NA N/A GRAND ISLAND HOSPITAL HOLDINGS LLC 3533 PRAIRIEVIEW STREET GRAND ISLAND NE 68803 475381241 LEASING PROPERTY, HOLDING COMPANY NE NA N/A SEWARD URGENT CARE PARTNERSHIP LLC 2222 SOUTH 16TH STREET SUITE 400A LINCOLN NE 68502 923319265 HEALTHCARE NE NA N/A BRYAN HEART MARY LANNING CARDIOLOGY LLC 1600 SOUTH 48TH STREET SUITE 600 LINCOLN NE 68506 464822260 CARDIOLOGY SERVICES NE NA N/A BRYAN TELEMEDICINE LLC 2222 S 16TH ST STE 401A LINCOLN NE 68502 383932523 HEALTHCARE NE NA N/A KPT-G LLC C/O MDM 300 N MEAD STE 210 WICHITA KS 67202 363414823 HEALTHCARE NE NA N/A KHL-RO LLC 4101 TIGER LILY RD STE 100 LINCOLN NE 68516 873486516 RENTAL REAL ESTATE NE NA N/A BRYAN ENTERPRISES INC 1600 S 48TH STREET LINCOLN NE 68506 470701037 MEDICAL SERVICES NE NA C Corporation true INTEGRATED CARDIOLOGY GROUP LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470844961 CARDIOLOGY NE NA C Corporation true BRYAN HEALTH CONNECT 1600 S 48TH STREET LINCOLN NE 68506 364771145 PHYSICIAN HOSPITAL ORGANIZATION NE NA C Corporation true false false true false false false false false false false false true true false true true true true false BRYAN MEDICAL CENTER O 76016 FMV BRYAN MEDICAL CENTER M 435917 FMV BRYAN TELEMEDICINE LLC M 198329 FMV BRYAN HEALTH CONNECT L 476554 FMV