BRYAN PHYSICIAN NETWORK: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BRYAN PHYSICIAN NETWORK (EIN 20-1357375)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-09
- IRS object ID
- 201843139349302409
- Schema version
- 2017v2.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-09T13:02:40-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 402411122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201357375 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRYAN PHYSICIAN NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRYA | BusinessNameControlTxt |
| Phone | 4024811111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 685061299 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUSSELL GRONEWOLD | PersonNm |
| Person Title | VP - FINANCE & CFO | PersonTitleTxt |
| Signature | 2018-11-09 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rachel Spurlock | PreparerPersonNm |
| PTIN | P00520709 | PTIN |
| Phone | 5023263996 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUSSELL GRONEWOLD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 685061299 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,769,534 | 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 | 2004 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | BRYAN PHYSICIAN NETWORK'S MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS IN OUR REGION THROUGH COLLABORATION WITH PHYSICIANS, ALLIED HEALTH PROFESSIONALS AND BRYAN MEDICAL CENTER. During 2017, Bryan Physician Network provided charity care to 321 patients at a cost of $371,000. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 221 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $63,005 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $26,324 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,703,859 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,615,194 | CYProgramServiceRevenueAmt |
| PY Investment Income | $551 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,899 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,472 | PYOtherRevenueAmt |
| CY Other Revenue | $143,674 | CYOtherRevenueAmt |
| PY Total Revenue | $22,785,882 | PYTotalRevenueAmt |
| CY Total Revenue | $30,754,969 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,838,465 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,833,762 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,393,386 | PYOtherExpensesAmt |
| CY Other Expenses | $6,721,932 | CYOtherExpensesAmt |
| PY Total Expenses | $25,231,851 | PYTotalExpensesAmt |
| CY Total Expenses | $33,555,694 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,445,969 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,800,725 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,656,640 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,234,104 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,180,723 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,513,535 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,475,917 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,720,569 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BRYAN PHYSICIAN NETWORK'S MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS IN OUR REGION THROUGH COLLABORATION WITH PHYSICIANS, ALLIED HEALTH PROFESSIONALS AND BRYAN MEDICAL CENTER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $28,955,290 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $30,681,706 | RevenueAmt |
| Desc | BRYAN PHYSICIAN NETWORK ("PHYSICIAN NETWORK") PROVIDES QUALITY MEDICAL HEALTH CARE SERVICES TO NEBRASKA RESIDENTS AND IS AN ESSENTIAL COMPONENT IN FULFILLING THE COMMITMENT OF ITS PARENT ORGANIZATION, BRYAN HEALTH, TO ADVANCE THE HEALTH OF INDIVIDUALS IN OUR REGION THROUGH COLLABORATION WITH PHYSICIANS AND COMMUNITIES. DURING 2017, PHYSICIAN NETWORK EMPLOYED 40 PHYSICIANS, 1 PHYSICIAN ASSISTANT, AND 11 NURSE PRACTITIONERS, PROVIDING PRIMARY AND SPECIALTY HEALTH CARE SERVICES AT 9 LOCATIONS THROUGHOUT THE COMMUNITY. PHYSICIAN NETWORK HAS SPECIALTY SERVICES TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY THAT INCLUDE AREAS SUCH AS HIGH RISK PREGNANCY, NEONATAL ICU, PSYCHIATRY, TRAUMA, NEUROLOGY, BREAST & GENERAL SURGERY, INTERNAL MEDICINE AND FAMILY MEDICINE. PHYSICIAN NETWORK HAD MORE THAN 154,452 PATIENT ENCOUNTERS DURING 2017 AND PROVIDED HEALTH CARE TO MORE THAN 11,839 NEW PATIENTS. PHYSICIAN NETWORK IS COMMITTED TO OFFERING ACCESS TO QUALITY HEALTH CARE, INCLUDING PROVIDING CHARITY OR DISCOUNTED HEALTH CARE TO THE UNINSURED AND UNDERINSURED POPULATION AND PERSONS COVERED BY GOVERNMENT SPONSORED HEALTHCARE PROGRAMS. In 2017, Bryan Physician Network provided charity care to 321 patients and served 5,746 medicaid patients. In order to meet the growing health care needs of the community, Bryan Physician Network welcomed 2 trauma surgeons, 2 new psychiatrists and 1 new neurologist during the 2017 tax year. In July 2018, Bryan Physician Network established Bryan NorthPointe Family Medicine which includes a team of three family practice physicians and four physician assistants. | Desc |
| Total Program Service Expenses | $28,955,290 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 | false | OperateHospitalInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 221 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | 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 | 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 | RUSSELL GRONEWOLD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4024811111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 SOUTH 48TH STREET | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 685061299 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 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 |
|---|---|---|---|---|---|---|---|---|
| ALBERT OWUSU-ANSAH MD | ||||||||
| CHAIRPERSON, NEONATOLOGIST | 49.0 | 1.0 | Yes (X) | Yes (X) | $615,851 | $0 | $39,844 | |
| GARY MILIUS MD | ||||||||
| Vice ChairPERSON/ BRYAN WOMEN'S CARE PHYSICIAN | 50.0 | 0 | Yes (X) | Yes (X) | $635,575 | $0 | $36,929 | |
| ERIC MOOSS | ||||||||
| President | 60.0 | 0.0 | Yes (X) | Yes (X) | $0 | $305,075 | $39,811 | |
| RUSSELL GRONEWOLD | ||||||||
| VP FINANCE & CFO | 1.0 | 59.0 | Yes (X) | Yes (X) | $0 | $759,176 | $39,724 | |
| ANDREW BOHART MD | ||||||||
| TRUSTEE/ Internal Medicine Physician | 50.0 | 0 | Yes (X) | $380,173 | $0 | $36,626 | ||
| DAVID DYKE MD | ||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $1,247 | $0 | ||
| AMANDA FITZGERALD MD | ||||||||
| TRUSTEE, FAMILY PRACTICE PHYSICIAN | 50.0 | 0 | Yes (X) | $127,917 | $0 | $27,920 | ||
| BEN PANKONIN | ||||||||
| TRUSTEE | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SEAN KENNEY MD | ||||||||
| MATERNAL FETAL MEDICINE PHYSICIAN | 50.0 | 0 | $926,166 | $0 | $37,990 | Yes (X) | ||
| STANLEY OKOSUN MD | ||||||||
| TRAUMA MEDICAL DIRECTOR | 50.0 | 0 | $1,241,715 | $0 | $26,489 | Yes (X) | ||
| ALYSSA RUTAN MD | ||||||||
| BRYAN WOMEN'S CARE PHYSICIAN | 50.0 | 0 | $632,102 | $0 | $15,662 | Yes (X) | ||
| MOHAMMAD SHOIAB MD | ||||||||
| Psychiatrist | 50.0 | 0 | $853,038 | $0 | $42,380 | Yes (X) | ||
| ZAKARIA SIDDIQUI MD | ||||||||
| Psychiatrist | 50.0 | 0 | $929,433 | $0 | $39,830 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,341,970 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,065,497 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $383,207 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 46 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Allscripts | ||||||
| 24630 Network Place | Chicago | IL | 60673 | Computer Services | $248,690 | |
| Weatherby Locums Inc | ||||||
| PO BOX 972633 | DALLAS | TX | 753972633 | Temporary Labor | $224,587 | |
| TrustHCS | ||||||
| 2042 South Brentwood Blvd | Springfield | MO | 65804 | Temporary Labor | $156,226 | Suite A |
| Perfection Cleaning | ||||||
| 3900 Old Cheney Rd | Lincoln | NE | 68516 | Cleaning Services | $137,388 | 201-334 |
| ProScribe LLC | ||||||
| 16414 San Pedro Ave Ste 525 | San Antonio | TX | 78232 | Scribe Services | $125,269 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $25,071,837 | $25,071,837 |
| Physician Services Revenue | 621110 | $3,439,283 | $3,439,283 |
| TRAUMA CALL INCOME | 621110 | $1,318,631 | $1,318,631 |
| Medical Directors Income | 621110 | $381,063 | $381,063 |
| CONTRACT SERVICES INCOME | 621110 | $225,863 | $225,863 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,517 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $178,517 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,615,194 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $753 | TotalRevenueColumnAmt |
| Exclusion | $753 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,926 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,926 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,926 | TotalRevenueColumnAmt |
| Exclusion | $8,926 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,652 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$4,652 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,652 | TotalRevenueColumnAmt |
| Exclusion | -$4,652 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $2,505 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,913 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$408 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$408 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| BILLING SERVICE REVENUE | 561499 | $68,236 | $63,005 | $5,231 | |
| MISCELLANEOUS REVENUE | 900099 | $66,920 | $66,920 |
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 | $135,156 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,754,969 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,681,706 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $63,005 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,258 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,245,720 | TotalAmt |
| Program Services | $1,805,792 | ProgramServicesAmt |
| Management And General | $439,928 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,206,227 | TotalAmt |
| Program Services | $18,025,293 | ProgramServicesAmt |
| Management And General | $3,180,934 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,108 | TotalAmt |
| Program Services | $499,892 | ProgramServicesAmt |
| Management And General | $88,216 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,774,051 | TotalAmt |
| Program Services | $1,507,943 | ProgramServicesAmt |
| Management And General | $266,108 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,656 | TotalAmt |
| Program Services | $866,708 | ProgramServicesAmt |
| Management And General | $152,948 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,555 | TotalAmt |
| Management And General | $5,555 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,550 | TotalAmt |
| Management And General | $7,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,111 | TotalAmt |
| Program Services | $658,525 | ProgramServicesAmt |
| Management And General | $68,586 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,272 | TotalAmt |
| Management And General | $38,272 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,323 | TotalAmt |
| Program Services | $395,525 | ProgramServicesAmt |
| Management And General | $69,798 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,655 | TotalAmt |
| Program Services | $228,357 | ProgramServicesAmt |
| Management And General | $40,298 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $951,164 | TotalAmt |
| Program Services | $903,606 | ProgramServicesAmt |
| Management And General | $47,558 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,743 | TotalAmt |
| Program Services | $49,082 | ProgramServicesAmt |
| Management And General | $8,661 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,441 | TotalAmt |
| Program Services | $17,375 | ProgramServicesAmt |
| Management And General | $3,066 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,331 | TotalAmt |
| Program Services | $175,114 | ProgramServicesAmt |
| Management And General | $9,217 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,196 | TotalAmt |
| Program Services | $162,337 | ProgramServicesAmt |
| Management And General | $859 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,009,865 | $1,009,865 | |
| DRUGS | $706,189 | $706,189 | |
| Unrelated Business Income Tax | $3,522 | $3,522 | |
| Provision For Bad Debt | $1,417,410 | $1,417,410 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $695,605 | TotalAmt |
| Program Services | $526,277 | ProgramServicesAmt |
| Management And General | $169,328 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,555,694 | TotalAmt |
| Program Services | $28,955,290 | ProgramServicesAmt |
| Management And General | $4,600,404 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,163 | BOYAmt |
| EOY | $945,393 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $404,138 | BOYAmt |
| EOY | $104,891 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360,601 | BOYAmt |
| EOY | $3,486,434 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | 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 | $12,855 | BOYAmt |
| EOY | $10,577 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,775 | BOYAmt |
| EOY | $4,428 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,607 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,300,272 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,617,891 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,384 | BOYAmt |
| EOY | $1,682,381 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,656,640 | BOYAmt |
| EOY | $6,234,104 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,180,723 | BOYAmt |
| EOY | $3,513,535 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,180,723 | BOYAmt |
| EOY | $3,513,535 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,475,917 | BOYAmt |
| EOY | $2,720,569 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,475,917 | BOYAmt |
| EOY | $2,720,569 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,656,640 | BOYAmt |
| EOY | $6,234,104 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,800,725 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,045,377 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,688,090 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,503,107 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,108,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,704,873 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,617,699 | CurrentTaxYearAmt |
| Total | $89,621,964 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,753 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,231 | CurrentTaxYearAmt |
| Total | $116,364 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,752,843 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,534,163 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,120,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,707,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,622,930 | CurrentTaxYearAmt |
| Total | $89,738,328 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $127,397 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $127,397 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $89,610,931 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $551 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,679 | CurrentTaxYearAmt |
| Total | $16,717 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $53,533 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,747 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,787 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,324 | CurrentTaxYearAmt |
| Total | $153,099 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,709 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $53,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,231 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,338 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,003 | CurrentTaxYearAmt |
| Total | $169,816 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,135 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,937 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,920 | CurrentTaxYearAmt |
| Total | $145,118 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,798,418 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,605,833 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,173,595 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,748,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,726,853 | CurrentTaxYearAmt |
| Total | $90,053,262 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9951 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9870 | PublicSupportPY509Pct |
| Investment Income CY | 0.0019 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0023 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 28866.0, COLUMN B - 18135.0, COLUMN C - 15937.0, COLUMN D - 15260.0, COLUMN E - 66920.0, COLUMN F - 145118.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $841,375 | OtherCostOrOtherBasisAmt |
| Book Value | $841,375 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $128,612 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,102 | DepreciationAmt |
| Book Value | $102,510 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,081,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,591,789 | DepreciationAmt |
| Book Value | $489,570 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $248,926 | OtherCostOrOtherBasisAmt |
| Book Value | $248,926 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,682,381 | TotalBookValueLandBuildingsAmt |
| Total Liability | $0 | 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 | 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, 2017 and 2016. 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, 2017 and 2016. Tax returns filed by the System and its subsidiaries are no longer subject to examination for the years ended December 31, 2013 and prior. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALBERT OWUSU-ANSAH MD | ||||||||||||||
| CHAIRPERSON, NEONATOLOGIST | $538,498 | $0 | $75,235 | $0 | $2,118 | $0 | $14,786 | $0 | $25,058 | $0 | $655,695 | $0 | $0 | $0 |
| GARY MILIUS MD | ||||||||||||||
| Vice ChairPERSON/ BRYAN WOMEN'S CARE PHYSICIAN | $591,534 | $0 | $0 | $0 | $44,041 | $0 | $17,550 | $0 | $19,379 | $0 | $672,504 | $0 | $0 | $0 |
| ERIC MOOSS | ||||||||||||||
| President | $0 | $231,425 | $0 | $40,486 | $0 | $33,163 | $0 | $14,850 | $0 | $24,962 | $0 | $344,886 | $0 | $0 |
| RUSSELL GRONEWOLD | ||||||||||||||
| VP FINANCE & CFO | $0 | $506,483 | $0 | $76,567 | $0 | $176,125 | $0 | $14,850 | $0 | $24,875 | $0 | $798,900 | $0 | $0 |
| ANDREW BOHART MD | ||||||||||||||
| TRUSTEE/ Internal Medicine Physician | $376,625 | $0 | $0 | $0 | $3,548 | $0 | $14,139 | $0 | $22,487 | $0 | $416,799 | $0 | $0 | $0 |
| AMANDA FITZGERALD MD | ||||||||||||||
| TRUSTEE, FAMILY PRACTICE PHYSICIAN | $126,416 | $0 | $0 | $0 | $1,501 | $0 | $7,463 | $0 | $20,457 | $0 | $155,837 | $0 | $0 | $0 |
| SEAN KENNEY MD | ||||||||||||||
| MATERNAL FETAL MEDICINE PHYSICIAN | $840,389 | $0 | $15,000 | $0 | $70,777 | $0 | $14,850 | $0 | $23,140 | $0 | $964,157 | $0 | $0 | $0 |
| STANLEY OKOSUN MD | ||||||||||||||
| TRAUMA MEDICAL DIRECTOR | $817,161 | $0 | $371,295 | $0 | $53,260 | $0 | $6,750 | $0 | $19,739 | $0 | $1,268,205 | $0 | $0 | $0 |
| ALYSSA RUTAN MD | ||||||||||||||
| BRYAN WOMEN'S CARE PHYSICIAN | $624,616 | $0 | $0 | $0 | $7,486 | $0 | $14,850 | $0 | $812 | $0 | $647,764 | $0 | $0 | $0 |
| MOHAMMAD SHOIAB MD | ||||||||||||||
| Psychiatrist | $347,284 | $0 | $482,007 | $0 | $23,747 | $0 | $14,850 | $0 | $27,530 | $0 | $895,418 | $0 | $0 | $0 |
| ZAKARIA SIDDIQUI MD | ||||||||||||||
| Psychiatrist | $371,291 | $0 | $537,603 | $0 | $20,539 | $0 | $14,850 | $0 | $24,980 | $0 | $969,263 | $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 PHYSICIANS AND EXECUTIVES OF BRYAN PHYSICIAN NETWORK AND BRYAN HEALTH; AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE BASED ON THE TWELVE MONTHS ENDED DECEMBER 31, 2017. |
| Schedule J, Part I, Line 5a compensation contingent on the revenues of the organization | In the case of one physician employment agreement, a bonus of 40% of actual professional collections is paid to the physician for cosmetic outpatient procedures which are personally performed by the physician. These amounts were paid and reported in column B(ii) as bonus and incentive compensation and were less than 10% of the physician's total compensation. Although this compensation is contingent on revenues it's not contingent on revenues of the entire organization so we have checked this answer 'no'. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE FILING ORGANIZATION DOES NOT ESTABLISH THE SALARY OF THE PRESIDENT AND CFO AS THEY ARE EMPLOYEES OF RELATED ORGANIZATIONS AND COVERED BY THE PROCEDURES DESCRIBED BELOW: BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, WHICH INCLUDES THIS ORGANIZATION'S PRESIDENT AND CFO, 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 THE LARGEST PRIVATE EMPLOYER 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 April 25, 2017. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. EMPLOYED PHYSICIAN COMPENSATION IS UNDER THE PURVIEW OF THE BRYAN HEALTH COMPENSATION COMMITTEE AND IS REGULARLY REVIEWED BY THE COMMITTEE. THE COMPENSATION COMMITTEE HAS ESTABLISHED A POLICY REGARDING PHYSICIAN COMPENSATION WHICH ASSURES THAT PHYSICIAN COMPENSATION MEETS FAIR MARKET VALUE AND ALL OTHER LEGAL REQUIREMENTS. PHYSICIAN COMPENSATION IS BENCHMARKED AGAINST SEVERAL INDEPENDENT PHYSICIAN SPECIALTY-SPECIFIC SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION, AMERICAN MEDICAL GROUP ASSOCIATION AND SULLIVAN COTTER. ADDITIONALLY, ANY PHYSICIAN'S COMPENSATION ABOVE THE 90TH PERCENTILE NATIONAL BENCHMARK IS REVIEWED EXTERNALLY EVERY TWO YEARS BY AN INDEPENDENT FAIR MARKET VALUE COMPENSATION CONSULTANT. |
| 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 2017: RUSSELL GRONEWOLD $151,750 & ERIC MOOSS $24,661. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 1b NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BOARD | BRYAN PHYSICIAN NETWORK'S BY-LAWS REQUIRE THAT AT LEAST THREE OF THE MEMBERS OF THE BOARD OF TRUSTEES SHALL BE EMPLOYED PHYSICIANS OF THE CORPORATION. ADDITIONALLY, BRYAN HEALTH HAS DETERMINED THAT two OF PHYSICIAN NETWORK'S BOARD MEMBERS SHALL BE SENIOR MANAGER's EMPLOYED BY BRYAN HEALTH. BRYAN HEALTH HAS DETERMINED THAT THESE NON-INDEPENDENT BOARD MEMBERS PROVIDE VALUABLE MEDICAL AND FINANCIAL LEADERSHIP TO THE CORPORATION. |
| Form 990, Part VI, Line 2 BUSINESS/ FAMILY 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 and the President of the Corporation. At all times, the Chairperson and/or Vice-Chairperson shall be an Employed Physician of the Corporation. The Executive Committee shall have and may exercise all of the authority and power of the Board when the Board is not in session, except that the Executive Committee shall not have the power: (a) to amend, alter or repeal the Articles of Incorporation or Bylaws of the Corporation; (b) to elect, appoint or remove any member of the Executive Committee or any trustee or officer of the Corporation; (c) to adopt a plan of merger or adopt a plan of consolidation with another corporation; (d) to authorize the sale, lease, exchange or mortgage of all or substantially all of the property and assets of the Corporation; (e) to authorize the voluntary dissolution of the Corporation or revoke proceedings therefor; (f) to adopt a plan for the distribution of the assets of the Corporation; or (g) to 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 BRYAN PHYSICIAN NETWORK 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 BRYAN PHYSICIAN NETWORK ("PHYSICIAN NETWORK"), HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A MAJORITY VOTE OF ALL OF THE VOTING MEMBERS OF THE BOARD OF BRYAN HEALTH. ELECTION OF PHYSICIAN NETWORK'S BOARD OF TRUSTEES SHALL AT ALL TIMES BE SUBJECT TO THE APPROVAL OF BRYAN HEALTH. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | BRYAN HEALTH IS THE SOLE CORPORATE MEMBER OF BRYAN PHYSICIAN NETWORK ("PHYSICIAN NETWORK"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF TRUSTEES OF PHYSICIAN NETWORK MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD OF TRUSTEES MAY NOT, WITHOUT THE PRIOR APPROVAL OF BRYAN HEALTH: (1) ADOPT ANY LONG-TERM CAPITAL OR 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 $500,000 IN ANY ONE CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR TO STRATEGIC PLANS; (4) AMEND THE BYLAWS OR ARTICLES OF INCORPORATION; (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY ONE CORPORATION FISCAL YEAR IN EXCESS OF $500,000; (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY CORPORATION, ASSOCIATION, PARTNERSHIP, TRUST, SHARED SERVICE ARRANGEMENT, 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 IN ANY ONE CORPORATION FISCAL YEAR EXCEEDS $500,000; (7) APPROVE ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS IN ANY ONE CORPORATION FISCAL YEAR EXCEEDS $500,000; (8) ELECT OR APPOINT TRUSTEES OR THE PRESIDENT OF THE CORPORATION; OR (9) 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 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 PRESIDENT OF BRYAN PHYSICIAN NETWORK, AND KEY OFFICERS OF BRYAN HEALTH; INCLUDING, THE CHIEF EXECUTIVE OFFICER, AND CHIEF FINANCIAL OFFICER. 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 | BRYAN PHYSICIAN NETWORK HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF BRYAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. 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; 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, WHICH INCLUDES THIS ORGANIZATION'S PRESIDENT AND CFO, 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 THE LARGEST PRIVATE EMPLOYER 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 April 25, 2017. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. EMPLOYED PHYSICIAN COMPENSATION IS UNDER THE PURVIEW OF THE BRYAN HEALTH COMPENSATION COMMITTEE AND IS REGULARLY REVIEWED BY THE COMMITTEE. THE COMPENSATION COMMITTEE HAS ESTABLISHED A POLICY REGARDING PHYSICIAN COMPENSATION WHICH ASSURES THAT PHYSICIAN COMPENSATION MEETS FAIR MARKET VALUE AND ALL OTHER LEGAL REQUIREMENTS. PHYSICIAN COMPENSATION IS BENCHMARKED AGAINST SEVERAL INDEPENDENT PHYSICIAN SPECIALTY-SPECIFIC SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION, AMERICAN MEDICAL GROUP ASSOCIATION AND SULLIVAN COTTER. ADDITIONALLY, ANY PHYSICIAN'S COMPENSATION ABOVE THE 90TH PERCENTILE NATIONAL BENCHMARK IS REVIEWED EXTERNALLY EVERY TWO YEARS BY AN INDEPENDENT FAIR MARKET VALUE COMPENSATION CONSULTANT. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | SEE 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 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 BRYAN PHYSICIAN NETWORK'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 BRYAN PHYSICIAN NETWORK AND BRYAN HEALTH AND NOT FOR SERVICES PERFORMED AS MEMBERS OF BRYAN PHYSICIAN NETWORK'S BOARD. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Management Services - Total Revenue: 128197, Related or Exempt Function Revenue: 128197, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EMR Incentive - Total Revenue: 50320, Related or Exempt Function Revenue: 50320, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfer from Related Entity - 3903748; Transfer of Corporate Cost Allocation - 141629; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN HEALTH | ||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 363414823 | HEALTHCARE | NE | 501(c)(3) | Type III-FI | NA | false |
| CRETE AREA MEDICAL CENTER | ||||||||||
| 2910 BETTEN DRIVE | CRETE | NE | 68333 | 470841285 | HEALTHCARE | NE | 501(c)(3) | 3 | BRYAN HEALTH | 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 |
| Merrick Medical Center | ||||||||||
| 1715 26th St | Central City | NE | 688269501 | 820906268 | Healthcare | NE | 501(c)(3) | 3 | Bryan Health | false |
| Merrick Medical Center Foundation | ||||||||||
| 1715 26th St | Central City | NE | 68826 | 470710738 | Fundraising | NE | 501(c)(3) | 7 | Merrick Medical Center | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN ENTERPRISES INC | ||||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470701037 | MEDICAL SERVICES | NE | BRYAN HEALTH | C Corporation | $0 | $0 | 0 | false |
| INTEGRATED CARDIOLOGY GROUP LLC dba Bryan Heart | ||||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 470844961 | CARDIOLOGY | NE | BRYAN HEALTH | C Corporation | $0 | $0 | 0 | false |
| BRYAN HEALTH CONNECT | ||||||||||||
| 1600 SOUTH 48TH STREET | LINCOLN | NE | 68506 | 364771145 | PHYSICIAN HOSPITAL ORGANIZATION | NE | BRYAN HEALTH | C Corporation | $0 | $0 | 0 | false |
| Bryan Health Connect ACO LLC | ||||||||||||
| 1600 South 48th Street | Lincoln | NE | 68506 | 821666184 | Accountable Care Organization | NE | Bryan Health Connect | C Corporation | $0 | $0 | 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 | false | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |