BRYAN HOSPITAL KEARNEY: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: BRYAN HOSPITAL KEARNEY (EIN 87-3486516)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202333199349312178
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T12:28:27+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402413902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	873486516	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bryan Hospital Kearney	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	804 22nd Ave	AddressLine1Txt
City	Kearney	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68845	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JON PEPPMULLER	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	WILLIAM	PersonFirstNm
Person Last	CALHOUN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KIM SCIFRES	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	Yes (X)	InitialReturnInd

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	804 22nd Ave	AddressLine1Txt
City	Kearney	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68845	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$147,248,810	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BRYANHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2021	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	KEARNEY REGIONAL MEDICAL CENTER IS DEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS BY DELIVERING EXPERT MEDICAL CARE THAT IS PHYSICIAN GUIDED AND PEOPLE CENTERED. IN 2022, KRMC PROVIDED CHARITY CARE TO 857 INDIVIDUALS IN THE AMOUNT OF $7.1 MILLION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	935	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$5,000	CYContributionsGrantsAmt
CY Program Service Revenue	$146,777,757	CYProgramServiceRevenueAmt
CY Investment Income	$9,256	CYInvestmentIncomeAmt
CY Other Revenue	$456,797	CYOtherRevenueAmt
PY Total Revenue	$0	PYTotalRevenueAmt
CY Total Revenue	$147,248,810	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$75,766,984	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
CY Other Expenses	$84,281,110	CYOtherExpensesAmt
CY Total Expenses	$160,048,094	CYTotalExpensesAmt
PY Revenues Less Expenses	$0	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,799,284	CYRevenuesLessExpensesAmt
Total Assets BOY	$176,007,177	TotalAssetsBOYAmt
Total Assets EOY	$366,567,769	TotalAssetsEOYAmt
Total Liabilities BOY	$6,007,177	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$209,367,053	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$170,000,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$157,200,716	NetAssetsOrFundBalancesEOYAmt
Mission	KEARNEY REGIONAL MEDICAL CENTER IS DEDICATED TO IMPROVING THE HEALTH OF PATIENTS BY DELIVERING EXPERT MEDICAL CARE THAT IS PHYSICIAN GUIDED AND PEOPLE CENTERED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$153,551,911	ExpenseAmt
Revenue	$146,777,757	RevenueAmt
Desc	KEARNEY REGIONAL MEDICAL CENTER (KRMC), IS A HOSPITAL ORGANIZATION LOCATED IN KEARNEY, NEBRASKA, AND IS PART OF THE BRYAN HEALTH SYSTEM. KRMC WAS INCORPORATED ON OCTOBER 26, 2021 WITH THE HOPSITAL OPERATIONS COMMENCING ON JANUARY 1, 2022. KRMC OPERATES A 93 - LICENSED BED HOSPITAL AND A MEDICAL CLINIC THAT PROVIDES ROUTINE CARE AND EXAMS, TO SPECIALIST CARE AND SURGERY. IN 2022, KEARNEY REGIONAL MEDICAL CENTER PROVIDED HEALTHCARE SERVICES TO THE GENERAL PUBLIC AND OPERATED ROUTINE SERVICE BEDS, Totaling 13,047 PATIENT DAYS, EMERENCY ROOM VISITS OF 9,334 AND 704 DELIVERIES. THE HOSPITAL PROVIDED CHARITY CARE TO 857 PATIENTS IN THE AMOUNT OF $7,084,419.	Desc
Total Program Service Expenses	$153,551,911	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	935	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NE	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3084553600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	804 22nd Ave	AddressLine1Txt
City	Kearney	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68845	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
David Benavides
Secretary (Effective 1/1/2022)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Jeff Hinrichs
Chair (Effective 1/1/2022)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Joey Cochran
Treasurer (Effective 1/1/2022)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Scott Smith
Vice Chair (Effective 1/1/2022)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
William Calhoun
President/CEO Bryan Hospital Kearney	50.0	0	Yes (X)	Yes (X)	$531,038	$0	$11,306
ANNETTE MILLER MD
Director (Effective 1/1/2022)	1.0	0	Yes (X)		$0	$0	$0
Brenda Benjamin
Director (Effective 1/1/2022)	1.0	0	Yes (X)		$0	$0	$0
JOHN WOODRICH
President/CEO Bryan Medical Center	2.0	62.0	Yes (X)		$0	$1,225,502	$39,561
Kari Nickman
Director (Effective 1/1/2022)	1.0	0	Yes (X)		$0	$0	$0
Merlin Wehling
Director (Effective 1/1/2022)	1.0	0	Yes (X)		$0	$0	$0
Mike Morgan
Director (Effective 1/1/2022)	1.0	0	Yes (X)		$0	$0	$0
Sean Denney
Director (Effective 1/1/2022)	1.0	0	Yes (X)		$0	$0	$0
Adrienne Olson
Registered Nurse	50.0	0			$234,547	$0	$7,764	Yes (X)
Anthony Blake
Registered Nurse	50.0	0			$181,820	$0	$4,417	Yes (X)
Daniel Van Ranken
Director of Clinical Services	50.0	0			$189,683	$0	$1,897	Yes (X)
Thomas McLeod
Administrator of Clinic and Provider	50.0	0			$213,075	$0	$4,730	Yes (X)
Travis Gregg
Controller	50.0	0			$215,496	$0	$4,754	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,565,659	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,225,502	TotReportableCompRltdOrgAmt
Total Other Compensation	$74,429	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	70	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Regional Pathology Services
981180 Nebraska Medical Center	Omaha	NE	681981180	Pathology Services	$1,497,061
Family Physical Therapy & Sports Center PA
804 22nd Ave	Kearney	NE	68845	Contracted Services	$1,122,865
CHG Companies Inc
7259 S Bingham Junction Blvd	Midvale	UT	84047	Temporary Labor	$938,579
Rutts Heating and Air
1938 Yolande Ave	Lincoln	NE	68521	Construction Electrical Services	$269,003
Jackson Physician Search
2655 Northwinds Parkway	Alpharetta	GA	30009	Recruiting services	$264,569

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,000	RelatedOrganizationsAmt
Total Contributions	$5,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$145,908,584	$145,908,584
OTHER OPERATING INCOME	622110	$856,845	$856,845
PURCHASE DISCOUNTS	622110	$8,603	$8,603
BIRTHING CLASSES	622110	$3,725	$3,725

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$146,777,757	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,456	TotalRevenueColumnAmt
Exclusion	$6,456	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$42,485	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$42,485	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,485	TotalRevenueColumnAmt
Exclusion	$42,485	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,800	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$2,800	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,800	TotalRevenueColumnAmt
Exclusion	$2,800	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFE REVENUE	722310	$369,860	$369,860
GIFT SHOP REVENUE	900099	$44,452	$44,452

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$414,312	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,248,810	TotalRevenueColumnAmt
Related Or Exempt Func Income	$146,777,757	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$466,053	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$537,034	TotalAmt
Program Services	$417,812	ProgramServicesAmt
Management And General	$119,222	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$61,341,044	TotalAmt
Program Services	$60,218,302	ProgramServicesAmt
Management And General	$1,122,742	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,474,076	TotalAmt
Program Services	$10,243,646	ProgramServicesAmt
Management And General	$230,430	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,414,830	TotalAmt
Program Services	$3,332,874	ProgramServicesAmt
Management And General	$81,956	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$103,191	TotalAmt
Management And General	$103,191	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,151	TotalAmt
Management And General	$2,151	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,170,535	TotalAmt
Program Services	$29,935,698	ProgramServicesAmt
Management And General	$234,837	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$175,672	TotalAmt
Program Services	$140,538	ProgramServicesAmt
Management And General	$35,134	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,011,577	TotalAmt
Program Services	$938,743	ProgramServicesAmt
Management And General	$72,834	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,159,846	TotalAmt
Program Services	$1,727,877	ProgramServicesAmt
Management And General	$431,969	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,478,611	TotalAmt
Program Services	$1,970,010	ProgramServicesAmt
Management And General	$508,601	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$148,010	TotalAmt
Program Services	$115,448	ProgramServicesAmt
Management And General	$32,562	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$183,186	TotalAmt
Program Services	$146,549	ProgramServicesAmt
Management And General	$36,637	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,903,648	TotalAmt
Program Services	$2,903,648	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,488,050	TotalAmt
Program Services	$12,449,470	ProgramServicesAmt
Management And General	$1,038,580	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$175,390	TotalAmt
Program Services	$140,312	ProgramServicesAmt
Management And General	$35,078	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$21,142,811	$19,620,529	$1,522,282
Drugs	$5,821,764	$5,821,764
Repairs	$1,082,251	$865,801	$216,450
Property Taxes	$752,086	$601,669	$150,417

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,482,331	TotalAmt
Program Services	$1,961,221	ProgramServicesAmt
Management And General	$521,110	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$160,048,094	TotalAmt
Program Services	$153,551,911	ProgramServicesAmt
Management And General	$6,496,183	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,037,226	BOYAmt
EOY	$3,545,448	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$26,212,769	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,754,019	BOYAmt
EOY	$4,797,177	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,168,972	BOYAmt
EOY	$1,440,093	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$22,941,473	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,723,431	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,032,584	BOYAmt
EOY	$19,218,042	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$139,512,376	BOYAmt
EOY	$138,393,080	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$502,000	BOYAmt
EOY	$172,961,160	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$176,007,177	BOYAmt
EOY	$366,567,769	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,007,177	BOYAmt
EOY	$32,596,895	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$176,770,158	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,007,177	BOYAmt
EOY	$209,367,053	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$170,000,000	BOYAmt
EOY	$157,200,716	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$170,000,000	BOYAmt
EOY	$157,200,716	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$176,007,177	BOYAmt
EOY	$366,567,769	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$12,799,284	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$9,922	OtherActivitiesAmt
Total Lobbying Expenditures	$9,922	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	Bryan Hospital Kearney IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION (NHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR THE MEMBERSHIP DUES TO THE NHA and AHA IN THE AMOUNT OF $49,051 and $18,110; OF THIS AMOUNT THE NHA REPORTED THAT 10.79% OR $5,293 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES and of the amount AHA reported that 25.56% or $4,629 of the total dues paid were used for lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$794,500	OtherCostOrOtherBasisAmt
Book Value	$794,500	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,513,759	OtherCostOrOtherBasisAmt
Depreciation	$60,046	DepreciationAmt
Book Value	$1,453,713	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,178,454	OtherCostOrOtherBasisAmt
Depreciation	$168,656	DepreciationAmt
Book Value	$7,009,798	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,797,373	OtherCostOrOtherBasisAmt
Depreciation	$3,494,729	DepreciationAmt
Book Value	$5,302,644	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,657,387	OtherCostOrOtherBasisAmt
Book Value	$4,657,387	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$19,218,042	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Right of Use Assets	$172,456,760
Non Compete Agreement	$502,000
Other Long Term Assets	$2,400

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$172,961,160	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Long Term Debt	$171,901,291
Right of Use	$4,868,867

Field	Value	IRS element (for citing)
Total Liability	$176,770,158	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	Bryan Hospital Kearney is exempt from federal income taxes under Section 501(c)(3) of the Code. Several of the organizations realized certain income which the Internal Revenue Service (IRS) considers to be unrelated business income subject to income tax. Under Accounting Standards Codification (ASC), Subtopic 740-10, Income Taxes, the System must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes and accounting in interim periods and requires increased disclosure. There were no uncertain tax benefits identified at December 31, 2022. The System does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. Tax returns filed by the System are subject to examination by the IRS up to three years from the extended due date of each return. The System recognizes interest and/or penalties related to income tax matters in income tax expense. The System did not have any amounts accrued for interest and penalties at December 31, 2022 . Tax returns filed by the System and its subsidiaries are no longer subject to examination for the years ended December 31, 2018 and prior.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,084,419	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,084,419	NetCommunityBenefitExpnsAmt
Total Expense	0.0443	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,548,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,656,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,892,950	NetCommunityBenefitExpnsAmt
Total Expense	0.0181	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,633,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,656,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,977,369	NetCommunityBenefitExpnsAmt
Total Expense	0.0623	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

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

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,633,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,656,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,977,369	NetCommunityBenefitExpnsAmt
Total Expense	0.0623	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$40,397,476	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,529,406	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,131,930	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bryan Hospital Kearney dba Kearney Regional Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	804 22nd Avenue	AddressLine1Txt
City	Kearney	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68845	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.bryanhealth.com/locations/hospitals/krmc/	WebsiteAddressTxt
State License	H00141	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Bryan Hospital Kearney dba Kearney Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	Yes (true)	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (true)	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.bryanhealth.com/about-bryan-health/community-health-needs-assessment/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Statement	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Stmt	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Stmt	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 2	Bryan Hospital Kearney was formed on October 26, 2021 as a Nebraska not-for-profit corporation for the purpose of operating a hospital and related healthcare facilities in Kearney, Nebraska. Bryan Medical Center purchased Kearney Regional Medical Center on 1/1/2022 and renamed the hospital Bryan Hospital Kearney dba Kearney Regional Medical Center. Kearney Regional Medical Center was a for-profit hospital. Bryan Hospital Kearney received their determination letter from the Internal Revenue Service with an exemption date of October 28, 2021. Bryan Hospital Kearney started to treat patients on January 1, 2022.
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 - Bryan Hospital Kearney dba Kearney Regional Medical Center. Bryan Hospital Kearney dba Kearney Regional Medical Center (KRMC) has prepared the CHNA, fulfilling the requirements established by the Patient Protection and Affordable Care Act. Several aspects of this health assessment represent a collaborative effort between Kearney Regional Medical Center, Two Rivers Health Department and CHI Good Samaritan, gathering input representing the broad interests of the community. The community served includes the city of Kearney and Buffalo County, Nebraska. Buffalo County is one of seven counties served by Two Rivers Public Health Department. The three largest cities in Buffalo County are Kearney (2020 population 33,790), Gibbon (1,833) and Ravenna (1,441). Beginning in 2019, Two Rivers Public Health Department (TRPHD) embarked on a process to complete a robust community health assessment by asking community partners to participate in a Mobilizing for Action through Planning and Partnerships (MAPP) process in tandem with a community health needs assessment. The MAPP process utilized a six-phase framework to gain a holistic view of the entire community's health. KRMC was a participant in this six-step process. To fully understand the challenges and opportunities in the health district, TRPHD conducted a discussion referred to as SWOT analysis because it includes dialogue that is related to strengths, weaknesses, opportunities, and threats. According to Two Rivers Health Department's county health data report, Buffalo County is the "4th youngest county in Nebraska with a median age of 33.8 years. An estimated 23.5% of the population in Buffalo County is under 18 years, 61.7% are 18-64 years, and 14.8% are 65 years and older. " Buffalo County reports people one race alone being 89.8% White, 9.5% Hispanic, Black/African American 0.8%, American Indian/Alaska Native 0.3%, Asian 1.4% and some other race 4.2%. In Buffalo County 12.1% of people are in poverty and an estimated 10.5% of child under 18 are below the poverty level compared with 10.4% of people 65 years and over. An estimated 13.2% of people 18 to 64 are below the poverty level.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Bryan Hospital Kearney dba Kearney Regional Medical Center. The hospital facility that participated include CHI Good Samaritan.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Two Rivers Health Department. Two Rivers Health Department serves a seven county area including Buffalo County. Two Rivers Health Department facilitates collaboratives, partnerships, and unique approaches to educate, empower, and engage community partners, health providers, political decision makers, community leadership, and the public. Two Rivers Health Department promotes healthy lifestyles, provide preventative education, assure environmental quality, and create more health and safe communities for all who live within the district.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Bryan Hospital Kearney dba Kearney Regional Medical Center. The 2022 CHNA was the initial CHNA prepared for Bryan Hospital Kearney dba Kearney Regional Medical Center and that an Implementation Strategy Plan was developed for 2023-2025. The significant health needs that were selected based on input from Bryan Hospital Kearney's Physician Leadership Committee are 1.) Cardiovascular Disease, 2.) Access to Specialty Care, and 3.) Nursing Shortage. 1.) Cardiovascular Disease According to Two Rivers Health Department, Heart Disease is the leading cause of death in Buffalo County. Annually, 79/100,000 people in Buffalo County die from cardiovascular disease. Of the top ten chronic conditions treated at Bryan Hospital Kearney dba Kearney Regional Medical Center/Platte Valley Medical Clinic from January 1, 2017 to June 30, 2022, four were related to cardiovascular conditions: Hypertension 81,898 visits, Ischemic heart disease 40,035 visits, Heart failure 28,537 visits, Atrial fibrillation 15,343 visits. Bryan Hospital Kearney and Platte Valley Medical Clinic provide a full range of services for the prevention, diagnosis, and treatment of cardiac-related diseases. The following programs and services have been added, or are in the process of being added, to help address cardiovascular disease: Heart Failure Program, Outreach to Critical Access Hospitals, Stroke Program, Transcatheter Aortic Valve Replacement (TAVR) surgery, Cardic Rehab & Pritikin Program, and Watchman Procedure. 2.) Access to Care According to the TRHD 2020 Community Health Needs Assessment, Two Rivers Health Department identified at least five counties with a reported shortage of care professionals in the following areas: Family Practice, Psychiatry and Mental Health, General Internal Medicine, General Surgery, and Primary Care. Hospitals are a core service provider in any community. They are the source of patients for services such as pharmacy and outpatient therapies. When access to care is impacted by a lack of providers it has a ripple effect in the community. The Nebraska Rural Health Association wrote that "When a hospital closes, you see that the community struggles. Pharmacies close, grocery stores close, companies choose not to locate to a place where their employees won't have access to a hospital." Increasing access to care through recruitment of providers is meaningful to more than just patients but to every corner of the community, all the way down to healthy food access at the local grocery store. In 2021, an economic impact study was completed for KRMC to demonstrate the importance of having access to care in Kearney and the surrounding areas. The study further supports the findings of the Nebraska Rural Health Association, showing that access to care and increasing access to cares supports the entire community and their health both directly and indirectly. Bryan Hospital Kearney and Platte Valley Medical Clinic, the provider group that provides services at KRMC, are working on the following strategies to help address provider growth and expanded access to care: Recruitment/Retention of Primary Care Providers, Growth of Gemeral Surgery & Vascular Services, Master Facility Plan, Transportation Services, Virtual Visits, and Telemedicine. 3.) Nursing Shortages According to the Nebraska Center for Nursing, Nebraska will experience a workforce shortage of 5,435 nurses by 2025. In December of 2022 there were 36 open nursing positions at Bryan Hospital Kearney. Each of these roles is critical to providing high quality, safe patient care and insuring access to all who seek care. In 73 of Nebraska's 93 counties there is less than the national average ratio of patients to nurses. 66 Nebraska counties are considered medically underserved from a nursing perspective. The lack of nurses in Buffalo County impacts not only the physical and mental health of the community but also the economic health. This ties in with Bryan Hospital Kearney's priority for increasing access to care because hospitals are economic drivers in their communities. They allow cities to attract and retain talent and employ their non-healthcare family members. Nursing shortages impact patient outcomes in a variety of ways. Studies show that nursing shortages lead to lower patient satisfaction, decrease in the quality of care provided, increase in medical errors in new graduates who may not have senior staff to mentor them, and an increase in patient mortality. Bryan Hospital Kearney is working on the following strategies to help address nursing shortages: Nurse Residency Program, Workforce Incentive Programs, and Recruitment of LPNs. The significant health needs put forth in the CHNA along with their evaluated and adjusted objectives and goals will be the basis of Bryan Hospital Kearney 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 in the community. In 2019, Two Rivers Health Department identified 3 goals to work on: Access to Care, Safe Environment, and Mental Health and Suicide Prevention. While these goals are a priority, the three priorities that are identified above align with the current Bryan Hospital Kearney's service lines and initiatives.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP Available Website	https://www.bryanhealth.com/locations/hospitals/girmc/for-patients/billing-insurance-financial-assistance/
Schedule H, Part V, Section B, Line 16b FAP Application Form Website	https://www.bryanhealth.com/locations/hospitals/girmc/for-patients/billing-insurance-financial-assistance/
Schedule H, Part V, Section B, Line 16c Plain Language FAP Summary Website	https://www.bryanhealth.com/locations/hospitals/girmc/for-patients/billing-insurance-financial-assistance/
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Bryan Health
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Bryan Hospital Kearney was formed on October 28, 2021 as Nebraska not-for-profit corporation for the purpose of operating a hospital and related health care facilities in Kearney, Nebraska. Services started January 1, 2022 under Bryan Hospital Kearney. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFOMRATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE Medicare cost report WAS USED TO CALCULATE A COST TO CHARGE RATIO. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREMIBURSED MEDICAID AMOUNTS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, Bryan Hosptial Kearney 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. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 9-11 OF THE BRYAN HEALTH CONSOLIDATED AUDIT REPORT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. Bryan Hospital Kearney PROVIDES CARE TO MEDICARE PATIENTS, AND MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO THESE PATIENTS CAUSING A SHORTFALL, OR LOSS TO THE ORGANIZATION. THE FUNDS Bryan Hospital Kearney 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 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 BRYAN'S POLICY TO OFFER PATIENTS A PAYMENT PLAN AND/OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN THAT A PATIENT IS IN NEED OF ASSISTANCE TO HELP PAY FOR THEIR HOSPITAL BILL. IF BRYAN IS AWARE THAT A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THIS ACCOUNT WILL NEVER BE REFERRED TO A COLLECTION AGENCY. IF AN ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO BRYAN FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Schedule H, Part V, Section B, Line 16a FAP website	- Bryan Hospital Kearney dba Kearney Regional Medical Center: Line 16a URL: See Statement;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Bryan Hospital Kearney dba Kearney Regional Medical Center: Line 16b URL: See Stmt;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Bryan Hospital Kearney dba Kearney Regional Medical Center: Line 16c URL: See Stmt;
Schedule H, Part VI, Line 2 Needs assessment	Bryan Hospital Kearney dba Kearney Regional Medical Center (KRMC) IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. KRMC survey inpatient, ambulatory surgery, and emergency department patient populations, asking key demographic questions that allow Bryan Hospital Kearney to access the health care needs of specific at risk populations. KRMC partners with the Two Rivers 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 Bryan Hospital Kearney's MISSION TO TREAT ALL PATIENTS WITH COMPASSION, Bryan Hospital Kearney 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. Bryan Hospital Kearney HAS TRAINED FINANCIAL COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENTS FINANCIAL NEED. UNINSURED PATIENTS WHO ARE ADMITTED TO Bryan Hospital Kearney 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 Bryan Hospital Kearney'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 PATIENTS ABILITY TO PAY OVER AN EXTENDED PERIOD OF TIME MAY BE SUBSTANTIALLY ALTERED DUE TO ILLNESS OR FINANCIAL HARDSHIP, RESULTING IN A NEED FOR FINANCIAL ASSISTANCE. ANNUALLY, ALL HOSPITAL EMPLOYEES ARE REQUIRED TO RECEIVE TRAINING REGARDING THE FINANCIAL ASSISTANCE POLICY INCLUDING HOW TO ANSWER QUESTIONS FROM A PATIENT REGARDING WHERE THE PATIENT CAN RECEIVE ADDITIONAL INFORMATION REGARDING THE POLICY.
Schedule H, Part VI, Line 4 Community information	Bryan Hospital Kearney dba as Kearney Regional Medical Center is located in Buffalo County, Nebraska, within which is located the city Kearney. Buffalo County (2020 population 50,084) includes the city of Kearney (2020 population 33,790). CHI Good Samaritan Hospital is also located in Kearney. Of Nebraska's 93 counties, Buffalo County is the 5th most populous one in the state. The counties with higher populations are Douglas, Lancaster, Sarpy, and Hall. The three largest cities in Buffalo County are Kearney (2020 population 33,790), Gibbon (1,833) and Ravenna (1,441). Buffalo County has experience steady and consistent growth from 1960 to 2020 (26,236 and 50,084, respectively). From 2010 to 2020, Buffalo County's population grew from 46,102 to 50,084, an increase of 8.6%. The population estimates show Buffalo County continued to increase to 50,339 in 2021. According to TRHD county health data report, Buffalo County is the "4th youngest county in Nebraska with a median age of 33.8 years. Buffalo County is also home to the 3rd highest number of assisted living/long term care facilities in Nebraska, after Dougals and Lancaster counties." In years 2017-2021 23.5% of the population in Buffalo County was under 18 years, 61.7% were 18-64 years, and 14.8% were 65 years and older. According to TRHD "between 2000 and 2010, the population increased 2.3 % in the TRHD district, with some age groups experiencing a population decrease (5-14, 15-24, and 25-44). Between 2010 and 2018 TRHD district experienced a population increase of 2.6%, with significant growth in the 65 years of age and older population. The net growth among 65 years of age and older is estimated at 2,603 individuals between 2010 and 2018." This trend is expected to continue over the coming years as aging individuals in the community increase and younger working age individuals decrease. According to the U.S. Census Bureau's 2017-2021 5 year narrative profile for Buffalo County "people reporting 1 race alone, 89.8% were White, .8% were Black or African American, .3% were American Indian and Alaska Native, 1.4% were Asian, and 4.2% were some other race. An estimated 3.4% reported two or more races. An estimated 9.5% of the people in Buffalo County, NE were Hispanic or Latino. An estimated 85.7% of the people in Buffalo County, NE were White alone, non-Hispanic. People of Hispanic origin may be of any race. The total Hispanic population in the TRHD area increased 1.6 times since 2000, growing from 8,607 individuals to 13,844 by 2018. From the 2017-2021 narrative profile, Buffalo County had "12.1% of people were in poverty. An estimated 10.5% of children under 18 were below the poverty level, compared with 10.4% of people 65 years old and over. An estimated 13.2% of people 18 to 64 years were below the poverty level. In 2017-2021, 7.5% of households received SNAP (Supplemental Nutrition Assistance Program). An estimated 56.1% of households that received SNAP had children under 18, and 25.1% of households that received SNAP had one or more people 60 years and over. An estimated 33.8% of all households receiving SNAP were families with a female householder and no spouse present. An estimated 27.2% of households receiving SNAP had 2 or more workers in the past 12 months. Kearney/Buffalo County has a stable and diverse economy featuring a variety of industries including manufacturing, education hospitality, and healthcare. Kearney has one of the lowest unemployment rates in the nation. According to Nebraska Department of Labor, Kearney's unemployment rate in 2021 was 1.1%. The median household income in Buffalo County in 2020 was $63,513, slightly below the State of Nebraska's average of $66,644. In 2017-2021, the percent of person 25 years and older in TRHD area who had obtained a high school degree or equivalency was slightly higher at 92.3% than that of Nebraska at 91.7%. Also, a 34.5% of persons 25 years and older had obtained a Bachelor's degree or higher in Buffalo County, compared to 32.9% in Nebraska. The three colleges/universities in the city of Kearney are: University of Nebraska-Kearney, University of Nebraska-Medical Center's Kearney Campus, and Central Community College - Kearney. The city of Ravenna in Buffalo County, Nebraska is identified by Health Resources & Services as a medically underserved area and medically underserved population designation. The index of medical underservice score for the city of Ravenna is 47.3. The date of the designation is 5/31/1994.
Schedule H, Part VI, Line 5 Promotion of community health	Bryan Hospital Kearney dba Kearney 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. In 2022, KRMC board consisted of 12 board members, 11 of who reside within a 25 mile radius of the facility. The majority of the board members are independent board members who are neither employees nor independent contractors of the organization. At this point, the hospital has not accumulated surplus funds to provide improvements in patient, medical education and research.
Schedule H, Part VI, Line 6 Affiliated health care system	Bryan Hospital Kearney dba Kearney 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 Four ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, AN URGENT CARE CENTER, A HEALTH AND WELLNESS FACILITY, 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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William Calhoun
President/CEO Bryan Hospital Kearney	$437,699	$0	$90,000	$0	$3,339	$0	$5,310	$0	$5,996	$0	$542,344	$0	$0	$0
JOHN WOODRICH
President/CEO Bryan Medical Center	$0	$650,966	$0	$227,633	$0	$346,903	$0	$19,209	$0	$20,352	$0	$1,265,063	$0	$0
Adrienne Olson
Registered Nurse	$185,936	$0	$46,177	$0	$2,434	$0	$2,345	$0	$5,419	$0	$242,311	$0	$0	$0
Travis Gregg
Controller	$192,302	$0	$20,760	$0	$2,434	$0	$2,155	$0	$2,599	$0	$220,250	$0	$0	$0
Thomas McLeod
Administrator of Clinic and Provider	$190,848	$0	$19,843	$0	$2,384	$0	$2,131	$0	$2,599	$0	$217,805	$0	$0	$0
Daniel Van Ranken
Director of Clinical Services	$188,480	$0	$0	$0	$1,203	$0	$1,897	$0	$0	$0	$191,580	$0	$0	$0
Anthony Blake
Registered Nurse	$173,536	$0	$7,800	$0	$484	$0	$1,818	$0	$2,599	$0	$186,237	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM 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 May 6, 2022. 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 DURING 2022: JOHN WOODRICH $248,092.
Schedule J, Part I, Line 7 Non-fixed payments	BRYAN HEALTH OFFERS A MARKET COMPETITIVE INCENTIVE COMPENSATION PROGRAM FOR MEMBERS OF MANAGEMENT. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. The goals are set and reviewed for level of accomplishment by the Compensation Committee of the Board of Trustees.
Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES	IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall consist of the Chairperson, Vice-Chairperson, Secretary and Treasurer of the Board, the Chief of Staff, the President/Chief Executive Officer of The System and the President/Chief Operating Officer of the Corporation. The Executive Committee shall have and may exercise all of the authority and powers of the Board when the Board is not in session, except that the Executive Committee shall not have the power to: (a) elect, appoint or remove any member of the Executive Committee or any trustee or officers of the Corporation; (b) amend, alter or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by the Executive Committee. The designation and appointment of an Executive Committee and the delegation thereto of authority shall not operate to relieve the Board, or any individual trustee, of any 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 CORPORATE MEMBER OF THE ORGANIZATION IS BRYAN HEALTH. BRYAN HEALTH HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: (1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; (2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND (3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRYAN HEALTH AS SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF ALL THE VOTING TRUSTEES OF BRYAN HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	BRYAN HEALTH IS THE SOLE MEMBER OF BRYAN HOSPITAL KEARNEY DBA KEARNEY REGIONAL MEDICAL CENTER ("KRMC"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF THE KRMC MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM: (a) ADOPT ANY LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (b) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $5,000,000 IN ANY SINGLE TRANSACTION OR $10,000,000 IN ANY CORPORATION FISCAL YEAR; (c) Adopt substantive changes to existing long-term or master institutional plans of the corporation; (d) Amend the Articles of Incorporation or Bylaws of the corporation; (e) ENGAGE IN OR ENTER INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION OF $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (f) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY INTEREST IN, AS ALLOWED BY THE CODE, OF ANY CORPORATION, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP; TRUST, SHARED SERVICE ARRANGEMENT; JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURES OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY SINGLE TRANSACTION EXCEEDS $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (g) INCUR ANY INDEBTEDNESS OR INCUR A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $5,000,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (h) Elect or appoint trustees of the corporation; (i) APPOINT or terminate the PRESIDENT/CHIEF EXECUTIVE OFFICER of the corporation; (j) Purchase insurance coverage for the corporation and its operations; (k) Select the auditor to perform the annual audit of the books and records of the corporations; or (l) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE SYSTEM'S tax-exempt purpose or its GOALS AND OBJECTIVES related to improving the health of the communities it serves by providing evidence-based medical care backed by the highest medical ethics and displaying prudent stewardship of resources.
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 RECEIVED A 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	KEARNEY 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 BRYAN HEALTH. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT. THE QUESTIONNAIRE REQUIRES EACH COVERED PERSON TO SIGN A STATEMENT CERTIFYING THAT HE/SHE: (1) HAS REPORTED INFORMATION THAT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE; (2) HAS READ THE CONFLICT OF INTEREST POLICY AND UNDERSTANDS THE POLICY, AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY. COVERED PERSONS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME SUCH CONFLICTS ARISE. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. FAILURE TO COMPLETE THE QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE QUESTIONNAIRES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH. CONFLICTS ARE CLOSELY MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF one of THE LARGEST PRIVATE EMPLOYERs IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON May 6, 2022. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE FORM 990, PART VI, SECTION B, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION.
Form 990, Part IX, Line 11g Other Fees	Service Contracts - Total Expense: 1882322, Program Service Expense: 1863499, Management and General Expenses: 18823, Fundraising Expenses: ; Recruiting - Total Expense: 160690, Program Service Expense: 159083, Management and General Expenses: 1607, Fundraising Expenses: ; Professional Fees - Total Expense: 3937834, Program Service Expense: 3797957, Management and General Expenses: 139877, Fundraising Expenses: ; Contract Labor - Total Expense: 7453030, Program Service Expense: 7378500, Management and General Expenses: 74530, Fundraising Expenses: ; Physician Services - Total Expense: 16736659, Program Service Expense: 16736659, Management and General Expenses: , Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Bryan Health
1600 South 48th Street	Lincoln	NE	68506	363414823	Healthcare	NE	501(c)(3)	Type III-FI	Bryan Health	false
Crete Area Medical Center
2910 Betten Drive	Crete	NE	68333	470841285	HealthCare	NE	501(c)(3)	3	Bryan Health	false
Bryan Foundation
1600 South 48th Street	Lincoln	NE	68506	237005720	Fundraising	NE	501(c)(3)	7	Bryan Health	false
Bryan Physician Network
1600 South 48th Street	Lincoln	NE	68506	201357375	HealthCare	NE	501(c)(3)	10	Bryan Health	false
Merrick Medical Center
2802 28th St	Central City	NE	68826	820906268	HealthCare	NE	501(c)(3)	3	Bryan Health	false
Merrick Medical Center Foundation
1715 26th St	Central City	NE	688269501	470710738	Fundraising	NE	501(c)(3)	7	Merrick Medical Center	false
Bryan Medical Center
1600 South 48th Street	Lincoln	NE	685061299	470376552	Healthcare	NE	501(c)(3)	3	Bryan Health	false
Grand Island Regional Medical Center
3533 Prairieview St	Grand Island	NE	68803	352621082	Healthcare	NE	501(c)(3)	3	Bryan Health	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Bryan Enterprises
1600 South 48th Street	Lincoln	NE	68506	470701037	Medical Services	NE	Bryan Health	C Corporation	0	false
Integrated Cardiology Group LLC
1600 South 48th Street	Lincoln	NE	68506	470844961	Cardiology	NE	Bryan Health	C Corporation	0	false
Bryan Health Connect
1600 South 48th Street	Lincoln	NE	68506	364771145	Physician Hospital Organization	NE	Bryan Health	C Corporation	0	false

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