CRETE AREA MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CRETE AREA MEDICAL CENTER (EIN 47-0841285)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-10
IRS object ID: 202143149349304509
Schema version: 2020v4.0
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	2021-11-10T13:03:02-06:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470841285	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CRETE AREA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CRET	BusinessNameControlTxt
Phone	4024811111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2910 BETTEN DRIVE	AddressLine1Txt
City	CRETE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	683330220	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Stephanie Boldt	PersonNm
Person Title	President/CEO	PersonTitleTxt
Signature	2021-11-10	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Stephanie	PersonFirstNm
Person Last	Boldt	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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Stephanie Boldt	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2910 BETTEN DRIVE	AddressLine1Txt
City	CRETE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	683330220	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$31,301,853	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BRYANHEALTH.ORG/CAMC	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	CRETE AREA MEDICAL CENTER IS COMMITTED TO ADVANCING THE HEALTH OF THE COMMUNITIES AND REGION WE SERVE, THROUGH COLLABORATION, PREVENTION, INNOVATION, AND EXCEPTIONAL CARE. During 2020, Crete Area Medical Center has provided Charity Care to 385 patients at a cost of $511,000.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	184	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$79,798	PYContributionsGrantsAmt
CY Contributions Grants	$3,668,182	CYContributionsGrantsAmt
PY Program Service Revenue	$25,910,742	PYProgramServiceRevenueAmt
CY Program Service Revenue	$26,940,099	CYProgramServiceRevenueAmt
PY Investment Income	$325,794	PYInvestmentIncomeAmt
CY Investment Income	$332,667	CYInvestmentIncomeAmt
PY Other Revenue	$163,082	PYOtherRevenueAmt
CY Other Revenue	$349,698	CYOtherRevenueAmt
PY Total Revenue	$26,479,416	PYTotalRevenueAmt
CY Total Revenue	$31,290,646	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$13,104,903	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$13,513,783	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,413,255	PYOtherExpensesAmt
CY Other Expenses	$11,041,757	CYOtherExpensesAmt
PY Total Expenses	$23,518,158	PYTotalExpensesAmt
CY Total Expenses	$24,555,540	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,961,258	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,735,106	CYRevenuesLessExpensesAmt
Total Assets BOY	$30,332,337	TotalAssetsBOYAmt
Total Assets EOY	$40,884,763	TotalAssetsEOYAmt
Total Liabilities BOY	$1,955,260	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,734,723	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$28,377,077	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$35,150,040	NetAssetsOrFundBalancesEOYAmt
Mission	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 THE COMMUNITIES WE SERVE WILL CHOOSE CRETE AREA MEDICAL CENTER AS THEIR FIRST CHOICE FOR HEALTH. CAMC IS COMMITTED TO THE FOLLOWING FUNDAMENTAL BELIEFS: INTEGRITY - OUR FOUNDATION; SERVICE - OUR STANDARD; EXCELLENCE - OUR DISTINCTION; COLLABORATION - OUR INVESTMENT; AND LEADERSHIP - OUR FUTURE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$23,024,072	ExpenseAmt
Revenue	$26,940,099	RevenueAmt
Desc	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 24-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, 2020, CAMC PROVIDED INPATIENT ACUTE, SWING BED AND NURSERY SERVICES TO 277 PATIENTS. CAMC PERFORMED 559 SURGICAL PROCEDURES, AND PROVIDED PRIMARY CARE PHYSICIAN SERVICES WITH 25,185 VISITS. In 2020, CAMC also provided charity care to 385 patients and served 1,488 medicaid patients.	Desc
Total Program Service Expenses	$23,024,072	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	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	184	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	8	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	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	false	InvestmentInJointVentureInd
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	Julie Lacy	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4028267948	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2910 BETTEN DRIVE	AddressLine1Txt
City	CRETE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68333	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 REESE
Secretary & Treasurer	1.0	59.0	Yes (X)	Yes (X)	$0	$414,676	$48,187
MIKE PAVELKA
Vice Chairperson	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
REBEKAH MUSSMAN
PRESIDENT/CEO (until 5/8/2020)	60.0	0	Yes (X)	Yes (X)	$126,202	$0	$32,209
STEPHANIE BOLDT
PRESIDENT/CEO (Effective 6/29/20)	60.0	0	Yes (X)	Yes (X)	$92,370	$0	$22,152
TOM KOZISEK
CHAIRPERSON	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
LINDA STONES
Trustee	1.0	50.0	Yes (X)		$0	$193,684	$13,870
Lupe Avelar
Trustee	1.0	0	Yes (X)		$0	$0	$0
ROBERT RAVENSCROFT
Trustee	1.0	59.0	Yes (X)		$0	$512,001	$49,026
RUSSELL EBKE MD
TRUSTEE - PHYSICIAN	50.0	0	Yes (X)		$333,554	$0	$43,182
JULIE LACY
Chief Financial Officer	50.0	0		Yes (X)	$116,131	$0	$17,190
AMY VERTIN MD
PHYSICIAN	50.0	0			$292,320	$0	$36,782	Yes (X)
JASON HESSER MD
PHYSICIAN	50.0	0			$359,262	$0	$15,000	Yes (X)
KATE HESSER MD
PHYSICIAN	50.0	0			$364,692	$0	$36,718	Yes (X)
MITCHELL EBKE
CERTIFIED REGISTERED NURSE ANESTHETIST	50.0	0			$328,571	$0	$47,791	Yes (X)
TODD ALLEY MD
CERTIFIED REGISTERED NURSE ANESTHETIST	50.0	0			$215,920	$0	$33,423	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,229,022	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,120,361	TotReportableCompRltdOrgAmt
Total Other Compensation	$395,530	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FOCUSONE SOLUTIONS LLC
13609 California St	Omaha	NE	68154	Temporary Labor	$467,496
BWBR
380 St Peter Street Ste 600	Saint Paul	MN	55102	GENERAL CONSTRUCTION	$283,355
FRIESEN LANDSCAPING LLC
3301 W DENTON ROAD	LINCOLN	NE	68523	GENERAL CONSTRUCTION	$260,968
DOCS WHO CARE PA
800 W FRONTIER LANE	OLATHE	KS	66061	TEMPORARY LABOR	$192,588
CloudWave
Dept CH 19800	Palatine	IL	60055	Hosting Software	$134,436

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$266,466	RelatedOrganizationsAmt
Government Grants	$3,396,466	GovernmentGrantsAmt
All Other Contributions	$5,250	AllOtherContributionsAmt
Total Contributions	$3,668,182	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT CARE REVENUE	622110	$23,494,842	$23,494,842
PHARMACY	446110	$3,253,137	$3,253,137
Contracted ER Provider Services	621990	$187,200	$187,200
Health Information Services	621300	$4,920	$4,920

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	$26,940,099	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,311	TotalRevenueColumnAmt
Exclusion	$333,311	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$20,676	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,563	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,113	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,113	TotalRevenueColumnAmt
Exclusion	$12,113	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,644	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$644	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$644	TotalRevenueColumnAmt
Exclusion	-$644	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722210	$50,691	$50,691
PURCHASED DISCOUNTS	900099	$21,971	$21,971	$0
GIFT SHOP REVENUE	900099	$884	$884

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$264,039	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$264,039	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$337,585	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,290,646	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,940,099	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$682,365	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$786,224	TotalAmt
Program Services	$494,492	ProgramServicesAmt
Management And General	$291,732	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,869,568	TotalAmt
Program Services	$9,531,522	ProgramServicesAmt
Management And General	$338,046	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$474,003	TotalAmt
Program Services	$465,802	ProgramServicesAmt
Management And General	$8,201	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,681,765	TotalAmt
Program Services	$1,614,387	ProgramServicesAmt
Management And General	$67,378	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$702,223	TotalAmt
Program Services	$667,112	ProgramServicesAmt
Management And General	$35,111	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,555	TotalAmt
Management And General	$1,555	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$83,804	TotalAmt
Management And General	$83,804	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,305,989	TotalAmt
Program Services	$2,216,251	ProgramServicesAmt
Management And General	$89,738	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$46,697	TotalAmt
Program Services	$3,299	ProgramServicesAmt
Management And General	$43,398	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,565,795	TotalAmt
Program Services	$1,532,635	ProgramServicesAmt
Management And General	$33,160	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$166,201	TotalAmt
Program Services	$166,201	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$345,796	TotalAmt
Program Services	$290,039	ProgramServicesAmt
Management And General	$55,757	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$11,647	TotalAmt
Program Services	$10,777	ProgramServicesAmt
Management And General	$870	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,261,286	TotalAmt
Program Services	$1,119,034	ProgramServicesAmt
Management And General	$142,252	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$106,717	TotalAmt
Program Services	$60,906	ProgramServicesAmt
Management And General	$45,811	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Corporate Cost Allocation	$1,695,002	$1,494,152	$200,850
Drugs	$1,648,415	$1,648,415
Medical Supplies	$792,598	$792,598
Temporary Labor	$608,545	$608,545

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$401,710	TotalAmt
Program Services	$307,905	ProgramServicesAmt
Management And General	$93,805	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,555,540	TotalAmt
Program Services	$23,024,072	ProgramServicesAmt
Management And General	$1,531,468	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,557,012	BOYAmt
EOY	$11,857,526	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,441,175	BOYAmt
EOY	$2,838,265	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$167,087	BOYAmt
EOY	$158,401	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$52,953	BOYAmt
EOY	$114,920	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$33,139,031	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$24,461,866	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$7,955,447	BOYAmt
EOY	$8,677,165	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$14,480,546	BOYAmt
EOY	$14,807,629	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$678,117	BOYAmt
EOY	$2,430,857	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,332,337	BOYAmt
EOY	$40,884,763	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,661,509	BOYAmt
EOY	$5,734,723	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$293,751	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,955,260	BOYAmt
EOY	$5,734,723	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	$28,377,077	BOYAmt
EOY	$35,150,040	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,377,077	BOYAmt
EOY	$35,150,040	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,332,337	BOYAmt
EOY	$40,884,763	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$6,735,106	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$37,857	NetUnrlzdGainsLossesInvstAmt
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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,942	OtherActivitiesAmt
Total Lobbying Expenditures	$1,942	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	1) g ) On various occasions throughout the year, the CEO met with 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) CAMC 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,247	OtherCostOrOtherBasisAmt
Book Value	$61,247	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,930,885	OtherCostOrOtherBasisAmt
Depreciation	$9,999,853	DepreciationAmt
Book Value	$4,931,032	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,347	OtherCostOrOtherBasisAmt
Depreciation	$7,753	DepreciationAmt
Book Value	$2,594	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,335,779	OtherCostOrOtherBasisAmt
Depreciation	$13,408,834	DepreciationAmt
Book Value	$2,926,945	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,800,773	OtherCostOrOtherBasisAmt
Depreciation	$1,045,426	DepreciationAmt
Book Value	$755,347	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$8,677,165	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Related Party	$0
Other Current Assets	$2,430,857

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,430,857	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Estimated third-party payor Settlement	Desc

Field	Value	IRS element (for citing)
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$31,337,066	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$37,857	NetUnrealizedGainsInvstAmt
Other Revenue	$8,563	OtherRevenueAmt
Revenue Not Reported	$46,420	RevenueNotReportedAmt
Revenue Subtotal	$31,290,646	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$31,290,646	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$24,564,103	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$8,563	OtherExpensesIncludedAmt
Expenses Not Reported	$8,563	ExpensesNotReportedAmt
Expenses Subtotal	$24,555,540	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$24,555,540	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	CAMC 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. CAMC accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in FASB Accounting Standards Codification (ASC) Topic 740, Income Taxes. CAMC recognizes the effect of income tax provisions only if those positions are more likely than not of being sustained. At December 31, 2020 and 2019, CAMC had no uncertain tax positions accrued.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	RENTAL EXPENSE - 8563
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSE - 8563

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$511,731	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$511,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0208	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,756,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,756,767	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$3,268,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,756,767	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$511,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0208	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,845	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$210,695	NetCommunityBenefitExpnsAmt
Total Expense	0.0086	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	$241,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,845	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$210,695	NetCommunityBenefitExpnsAmt
Total Expense	0.0086	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,510,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,787,612	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$722,426	NetCommunityBenefitExpnsAmt
Total Expense	0.0294	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	$166,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,197,839	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,183,327	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$14,512	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	CRETE AREA MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2910 BETTEN DRIVE	AddressLine1Txt
City	CRETE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68333	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.bryanhealth.org	WebsiteAddressTxt
State License	670001NE	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CRETE AREA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	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	19	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	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. Throughout 2018, representatives from CAMC participated in the Public Health Solutions' (PHS) Regional Steering Committee for the Partners for a Healthy Community. PHS is a District Health Department responsible for promoting and protecting the health of the residents of Gage, Jefferson, Fillmore, Thayer and Saline Counties in Nebraska. This Committee's purpose was to complete a comprehensive community health assessment and develop a community health improvement plan for low income households and minority populations in the five counties they serve, which includes Saline County. The three largest communities in Saline County are Crete, Wilber and Friend. The committee used a seven step process utilizing committee feedback, external data sources, as well as a public survey. In order to zero in on the needs of Saline County, CAMC hosted community rounding sessions in Crete, Wilber, and Friend. The rounding sessions were held with various stakeholders in Saline County.
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 Gage, Jefferson, Fillmore, Thayer and Saline Counties in Nebraska. PHS works to identify health threats and actions needed to promote wellness. PHS works with other community agencies, organizations, healthcare providers and citizens to determine priorities and strategies for addressing health problems. PHS assures that priorities and strategies are implemented within the community.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Crete Area Medical Center. In 2018, CAMC participated in the Public Health Solutions Regional Steering Committee for the Partners for a Healthy Community. This Committee's purpose was to complete a comprehensive community health assessment and develop a community health improvement plan for the five counties they serve, which includes Saline County. The committee used a seven step process utilizing committee feedback, external data sources, as well as a public survey. In order to zero in on the needs of Saline County, CAMC hosted community rounding sessions in Crete, Wilber, and Friend. The rounding sessions were held with various stakeholders in Saline County. From this two-fold process, the following three key areas were identified: 1) Reduce the incidence of metabolic syndrome 2) Increase awareness of behavioral health along with increasing access to behavioral health services 3)Increase walkability of the City of Crete. Crete Area Medical Center utilizes health status information in development of its strategic plan. The planning process begins with review of the Mission and Vision of CAMC and then an environmental assessment is conducted to identify community needs and how the services and resources of CAMC can best be utilized to help address those needs. The Community Health Needs Assessment, which was developed for Saline County, has been a valuable resource in the hospital's planning process. Information from the Community Health Needs Assessment has been shared with all team members of CAMC, including the medical providers. In addition, a CAMC Board planning retreat was conducted and community health needs were reviewed in detail. As a result of these planning efforts, the following action plans have been prepared. CAMC leadership, staff and Board have a history of working with the community to address community health needs. The hospital will continue to address community needs by providing care to those in need regardless of their ability to pay, in keeping with the charitable mission of CAMC. The following implementation strategies represent Crete Area Medical Center's commitment to improving the health of Saline County over the next three years. 1) Metabolic syndrome: CAMC will participate in the Public Health Solutions Metabolic Syndrome cohort. The cohort's goal is to increase awareness of metabolic syndrome and the risks associated, develop standard processes and protocols in the diagnosis and treatment of metabolic syndrome, and collaborate to provide resources to reduce the number of patients diagnosed with metabolic syndrome. In addition, CAMC will develop a nutritional wellness model and program aimed at reversing metabolic syndrome conditions. CAMC will engage nutritional experts for an overall cafeteria assessment to assess what type of food we are serving our patients, team members, and community and recommend healthier, tastier options to support the goal of reducing metabolic syndrome conditions. We anticipate providing education to both our internal team members as well as our community to explain the connection between healthy eating and overall wellness. By offering healthier options that also taste good our goal is to be a healthy eating source for our community, which in turn could lead to a reduction in patients experiencing metabolic syndrome conditions. 2) Behavioral Health CAMC will participate in the Public Health Solutions Behavioral Health cohort. The cohort's goal is to increase awareness and access to behavioral health services. CAMC will also collaborate with internal and external resources to provide behavioral health education for Staff in community schools. The aim is to utilize resources to assist staff in identifying behavioral health needs of students and any appropriate referral resources available to them. By collaborating with the community schools to provide behavioral health education we intend to grow the relationships and trust between key stakeholders in the community schools, which in turn could lead to other partnerships regarding the health of the communities' youth. 3) Physical Activity Opportunities CAMC will collaborate with Crete community partners on expanding the walkability of the City of Crete. CAMC will engage multiple stakeholders, including the surrounding businesses, City of Crete leadership, and economic groups to facilitate a discussion and plan to increase the walkability. Increasing the walkability of the City will not only improve access to physical activity opportunities but also increase the safety of the current pedestrian traffic.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WILBER MEDICAL CLINIC
203 W 4TH STREET	WILBER	NE	68465	RURAL HEALTH CLINIC
Friend Medical Clinic
1210 2nd St	Friend	NE	68359	Rural Health Clinic
CRETE MEDICAL CLINIC
2910 BETTEN DRIVE	CRETE	NE	68333	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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	CAMC estimates that ABOUT 1 OF 5 FINANCIAL ASSISTANCE (CHARITY CARE) APPLICATIONS IS DENIED BECAUSE THE PATIENT WOULD NOT PROVIDE THE SUPPORTING INFORMATION REQUIRED PER THE POLICY AND PROCEDURE. WITHOUT SUPPORTING DOCUMENTATION, FINANCIAL ASSISTANCE IS DIFFICULT TO PROCESS. FINANCIAL INFORMATION IS NECESSARY TO DETERMINE THE PATIENT'S ABILITY OR INABILITY TO PAY BASED ON ESTABLISHED GUIDELINES IN THE FINANCIAL ASSISTANCE POLICY. No portion of bad debt has been included as community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SEE CAMC'S AUDITED FINANCIAL REPORT, PAGE 7, SECTION E, "PATIENT RECEIVABLES" FOR THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ENTIRE MEDICARE SURPLUS AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. By treating patients eligible for medicare, Crete Area Medical Center alleviates the government's burden of directly providing medical services to medicare beneficiaries. IRS Rev. Rul. 69-545 states that "By using its surplus funds to improve the quality of patient care, expand its facilities, and advance its medical training, education, and research programs, the hospital is operating in furtherance of its exempt purpose." During the 2020 Covid-19 public health crisis, Crete Area Medical Center used its medicare surplus funds to provide: 1) Digital Covid-19 Educational programs, 2) Employee retention programs, 3) Employee wellness programs, 4) local drive-through Covid-19 testing, 5) A mobile unit for Covid-19 testing, and 6) vaccinations to hospital employees, and city and county employees. The above examples illustrate that Crete Area Medical Center is operated to promote the health of the community rather than any private interest, and Crete Area Medical Center's medicare surplus should be treated as a community benefit. The costing methodology used to determine the medicare allowable costs reported in Crete Area Medical Center's cost report is the step-down method of cost allocation.
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 THE COMMUNITY. DURING YEAR ENDED December 31, 2020, CAMC PARTNERED WITH PUBLIC HEALTH SOLUTIONS, LOCATED IN CRETE, TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. THE HEALTH NEEDS IDENTIFIED FROM THE ASSESSMENT WERE PRIORITIZED BY A REPRESENTATIVE GROUP OF STAKEHOLDERS FROM THROUGHOUT THE COUNTY AND UTILIZED TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. CAMC'S COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY WAS DEVELOPED TO ENSURE THAT OUR STRENGTHS AND AVAILABLE RESOURCES ARE ALIGNED WITH THE HEALTH NEEDS OF OUR COMMUNITY. CAMC ALSO REVIEWS INFORMATION ON THE APPROPRIATE NUMBER OF PHYSICIANS FOR OUR SERVICE AREA AND WILL ACTIVELY RECRUIT PHYSICIANS OR OTHER PROVIDERS AS NEEDED TO THE COMMUNITY. The Chief Executive Officer of the hospital meets with various community leaders throughout the year to discuss community needs. Also, many of the senior team members and board members live in the community and actively participate in local organizations.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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 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 7,007 PEOPLE AND INCLUDES DIVERSE ETHNIC BACKGROUNDS. THE 2018 AMERICAN COMMUNITY SURVEY ESTIMATES INDICATE THAT HISPANIC OR LATINO PERSONS COMPRISE 42.2% OF THE POPULATION IN CRETE, VERSUS 11.4% IN NEBRASKA OVERALL. 2018 CENSUS ESTIMATES THAT INCOME LEVELS IN Crete ARE APPROXIMATELY $44,469 PER HOUSEHOLD, WITH AN ESTIMATED 22.4% OF THE COMMUNITY LIVING AT OR BELOW POVERTY LEVELS and 18.6% of the population under the age 65 years 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 24-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 FOUR ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, three URGENT CARE CENTERs, A HEALTH AND WELLNESS FACILITY, A PHILANTHROPIC FOUNDATION, A PHYSICIAN HOSPITAL ORGANIZATION, ANACCOUNTABLE 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 (10 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
DAVID REESE
Secretary & Treasurer	$0	$293,355	$0	$61,623	$0	$59,698	$0	$24,054	$0	$24,133	$0	$462,863	$0	$0
REBEKAH MUSSMAN
PRESIDENT/CEO (until 5/8/2020)	$68,367	$0	$24,050	$0	$33,785	$0	$11,074	$0	$21,135	$0	$158,411	$0	$0	$0
ROBERT RAVENSCROFT
Trustee	$0	$331,511	$0	$69,465	$0	$111,025	$0	$18,525	$0	$30,501	$0	$561,027	$0	$0
RUSSELL EBKE MD
TRUSTEE - PHYSICIAN	$228,142	$0	$87,218	$0	$18,194	$0	$18,200	$0	$24,982	$0	$376,736	$0	$0	$0
LINDA STONES
Trustee	$0	$145,460	$0	$25,588	$0	$22,636	$0	$9,931	$0	$3,939	$0	$207,554	$0	$0
KATE HESSER MD
PHYSICIAN	$208,456	$0	$129,648	$0	$26,588	$0	$13,231	$0	$23,487	$0	$401,410	$0	$0	$0
MITCHELL EBKE
CERTIFIED REGISTERED NURSE ANESTHETIST	$327,859	$0	$0	$0	$712	$0	$15,400	$0	$32,391	$0	$376,362	$0	$0	$0
JASON HESSER MD
PHYSICIAN	$210,519	$0	$122,503	$0	$26,240	$0	$13,174	$0	$1,826	$0	$374,262	$0	$0	$0
AMY VERTIN MD
PHYSICIAN	$286,226	$0	$0	$0	$6,094	$0	$14,356	$0	$22,426	$0	$329,102	$0	$0	$0
TODD ALLEY MD
CERTIFIED REGISTERED NURSE ANESTHETIST	$215,005	$0	$0	$0	$915	$0	$11,839	$0	$21,584	$0	$249,343	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 May 6, 2020. 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 2020: ROBERT RAVENSCROFT - $83,872, DAVID REESE - $49,734
Schedule J, Part I, Line 7 Non-fixed payments	CRETE AREA MEDICAL CENTER OFFERS AN INCENTIVE COMPENSATION PROGRAM FOR ALL EMPLOYEES. 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 of The System and Corporation President/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 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 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 THE 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 ACQUISITION 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 OBJECTIVES.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THIS 990 WAS PREPARED BY BRYAN HEALTH'S TAX DIVISION. DURING THE RETURN PREPARATION PROCESS, THE TAX DIVISION WORKS DILIGENTLY WITH 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 TO 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; SUCH AS, PROHIBITING THEM FROM PARTICIPATING IN DELIBERATIONS AND VOTING WITH REGARD TO CERTAIN TRANSACTIONS IN WHICH THEY HAVE AN 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 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, 2020. 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 ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS ARE AVAILABLE TO THE PUBLIC ON THE NEBRASKA SECRETARY OF STATE'S WEBSITE AT WWW.SOS.NE.GOV. ALSO, THIS ORGANIZATION IS INCLUDED WITHIN THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYAN HEALTH THAT ARE MADE AVAILABLE TO THE PUBLIC BY THE POSTING OF THESE DOCUMENTS THROUGH THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT EMMA.MSRB.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FEDERAL TAX LAWS DO NOT REQUIRE THAT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION.
Form 990, Part VII, Section A, 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 11d Other Miscellaneous Revenue	Other - Total Revenue: 264039, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 264039;

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	NA	false
BRYAN PHYSICIAN NETWORK
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	201357375	HEALTHCARE	NE	501(c)(3)	9	BRYAN HEALTH	false
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET	LINCOLN	NE	68506	470376552	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
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
1715 26TH STREET	Central City	NE	688269501	820906268	Healthcare	NE	501(c)(3)	3	Bryan Health	false
Merrick Medical Center Foundation
1715 26th Street	Central City	NE	68826	470710738	Fundraising	NE	501(c)(3)	7	Merrick Medical Center	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 INC
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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	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