CRETE AREA MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CRETE AREA MEDICAL CENTER (EIN 47-0841285)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-09
IRS object ID: 201803139349302550
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-09T13:01:38-06:00	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	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	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	P00520729	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	68506	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$25,495,565	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 2017, Crete Area Medical Center has provided Charity Care to 657 patients at a cost of $411,000.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	196	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$81,338	PYContributionsGrantsAmt
CY Contributions Grants	$502,280	CYContributionsGrantsAmt
PY Program Service Revenue	$22,130,040	PYProgramServiceRevenueAmt
CY Program Service Revenue	$24,583,840	CYProgramServiceRevenueAmt
PY Investment Income	$72,303	PYInvestmentIncomeAmt
CY Investment Income	$142,996	CYInvestmentIncomeAmt
PY Other Revenue	$245,411	PYOtherRevenueAmt
CY Other Revenue	$245,509	CYOtherRevenueAmt
PY Total Revenue	$22,529,092	PYTotalRevenueAmt
CY Total Revenue	$25,474,625	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,198	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,172	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,520,475	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,267,291	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,772,456	PYOtherExpensesAmt
CY Other Expenses	$10,713,769	CYOtherExpensesAmt
PY Total Expenses	$21,305,129	PYTotalExpensesAmt
CY Total Expenses	$22,988,232	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,223,963	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,486,393	CYRevenuesLessExpensesAmt
Total Assets BOY	$34,404,427	TotalAssetsBOYAmt
Total Assets EOY	$24,693,018	TotalAssetsEOYAmt
Total Liabilities BOY	$14,639,663	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,169,674	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,764,764	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,523,344	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	$20,832,514	ExpenseAmt
Grant	$7,172	GrantAmt
Revenue	$24,583,840	RevenueAmt
Desc	CRETE AREA MEDICAL CENTER ("CAMC") IS AN AFFILIATE 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, 2017, CAMC PROVIDED INPATIENT ACUTE, SWING BED AND NURSERY SERVICES TO 341 PATIENTS. CAMC PERFORMED 782 SURGICAL PROCEDURES AND PROVIDED PRIMARY CARE PHYSICIAN SERVICES WITH 26,597 VISITS. In 2017, CAMC also provided charity care to 657 patients and served 615 medicaid patients.	Desc
Total Program Service Expenses	$20,832,514	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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	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	Yes (true)	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	Yes (true)	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	45	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	196	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	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	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NE	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kurt Kadlec	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 (16 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
REBEKAH MUSSMAN
PRESIDENT/CEO	60.0	0	Yes (X)	Yes (X)	$163,420	$0	$37,479
TAD EICKMAN
Chairperson	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
TOM KOZISEK
VICE CHAIRPERSON	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MIKE PAVELKA
Secretary & TREASURER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT RAVENSCROFT
Trustee	1.0	59.0	Yes (X)		$0	$458,635	$42,130
DAVID REESE
Trustee	1.0	59.0	Yes (X)		$0	$373,492	$45,574
LINDA STONES
Trustee	1.0	49.0	Yes (X)		$0	$173,760	$14,323
TROY MILLER MD
TRUSTEE - PHYSICIAN	50.0	0	Yes (X)		$276,059	$0	$40,872
KURTIS KADLEC
Chief Financial Officer (Effective 6/19/2017)	50.0	0		Yes (X)	$51,553	$0	$12,826
Doug Kucera
Chief Financial Officer (Resignation 5/10/2017)	50.0	0		Yes (X)	$54,559	$0	$5,108
RUSSELL GRONEWOLD
System VP FINANCE & CFO	1.0	59.0		Yes (X)	$0	$759,176	$39,724
RUSSELL EBKE MD
PHYSICIAN	50.0	0			$212,693	$0	$41,365	Yes (X)
MITCHELL EBKE
CERTIFIED REGISTERED NURSE ANESTHETIST	50.0	0			$300,562	$0	$40,747	Yes (X)
KATE HESSER MD
PHYSICIAN	50.0	0			$245,464	$0	$39,858	Yes (X)
JASON HESSER MD
PHYSICIAN	50.0	0			$263,404	$0	$16,193	Yes (X)
AMY VERTIN MD
PHYSICIAN	50.0	0			$275,716	$0	$39,020	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,843,430	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,765,064	TotReportableCompRltdOrgAmt
Total Other Compensation	$415,219	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BRESTER CONSTRUCTION INC
1200 Infinity Court	LINCOLN	NE	68512	Construction	$308,496
CloudWave
Dept CH 19800	Palatine	IL	60055	Hosting Software	$230,584
Medical Information Technology Inc
PO Box 74569	Chicago	IL	60696	Medical Information	$147,688
Early Out Services Inc
5807 N 102 St	Omaha	NE	68134	Collection Agency	$109,149

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$502,280	RelatedOrganizationsAmt
Total Contributions	$502,280	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT CARE REVENUE	621990	$22,237,547	$22,237,547
PHARMACY	446110	$2,228,052	$2,228,052
Health Information Services	621300	$8,057	$8,057
ATHLETIC TRAINING OUTREACH	624100	$110,184	$110,184

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	$24,583,840	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$138,794	TotalRevenueColumnAmt
Exclusion	$138,794	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$43,246	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,796	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$31,450	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,450	TotalRevenueColumnAmt
Exclusion	$31,450	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$13,346	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$9,144	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$4,202	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,202	TotalRevenueColumnAmt
Exclusion	$4,202	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$66,109	$66,109
PURCHASED DISCOUNTS	900099	$29,176	$29,176
Gift Shop Revenue	900099	$551	$551

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$118,223	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$118,223	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$214,059	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,474,625	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,583,840	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$388,505	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$7,172	TotalAmt
Program Services	$7,172	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$641,876	TotalAmt
Program Services	$316,930	ProgramServicesAmt
Management And General	$324,946	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,141,851	TotalAmt
Program Services	$8,604,206	ProgramServicesAmt
Management And General	$537,645	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$377,656	TotalAmt
Program Services	$355,446	ProgramServicesAmt
Management And General	$22,210	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,470,931	TotalAmt
Program Services	$1,384,423	ProgramServicesAmt
Management And General	$86,508	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$634,977	TotalAmt
Program Services	$597,633	ProgramServicesAmt
Management And General	$37,344	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$23,157	TotalAmt
Management And General	$23,157	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$80,873	TotalAmt
Management And General	$80,873	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,951,488	TotalAmt
Program Services	$1,836,718	ProgramServicesAmt
Management And General	$114,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$99,878	TotalAmt
Management And General	$99,878	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,266,781	TotalAmt
Program Services	$2,133,468	ProgramServicesAmt
Management And General	$133,313	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$253,512	TotalAmt
Program Services	$238,603	ProgramServicesAmt
Management And General	$14,909	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$342,046	TotalAmt
Program Services	$321,930	ProgramServicesAmt
Management And General	$20,116	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,592	TotalAmt
Program Services	$3,020	ProgramServicesAmt
Management And General	$572	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$50,790	TotalAmt
Program Services	$50,790	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,628,824	TotalAmt
Program Services	$1,533,031	ProgramServicesAmt
Management And General	$95,793	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$117,761	TotalAmt
Program Services	$110,835	ProgramServicesAmt
Management And General	$6,926	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Drugs	$1,416,896	$1,416,896
Medical Supplies	$576,159	$576,159
Corporate Cost Allocation	$535,954		$535,954
Provision for patient Bad Debt	$1,012,316	$1,012,316

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$353,742	TotalAmt
Program Services	$332,938	ProgramServicesAmt
Management And General	$20,804	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,988,232	TotalAmt
Program Services	$20,832,514	ProgramServicesAmt
Management And General	$2,155,718	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,784,542	BOYAmt
EOY	$5,156,136	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,351,089	BOYAmt
EOY	$2,599,145	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$224,148	BOYAmt
EOY	$215,121	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$105,068	BOYAmt
EOY	$77,703	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$30,045,441	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,161,509	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,548,681	BOYAmt
EOY	$8,883,932	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$16,800,758	BOYAmt
EOY	$7,498,484	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	$4,378	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$585,763	BOYAmt
EOY	$262,497	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,404,427	BOYAmt
EOY	$24,693,018	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,686,173	BOYAmt
EOY	$2,169,674	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,953,490	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,639,663	BOYAmt
EOY	$2,169,674	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,764,764	BOYAmt
EOY	$22,523,344	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,764,764	BOYAmt
EOY	$22,523,344	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$34,404,427	BOYAmt
EOY	$24,693,018	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,486,393	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$59,910	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$212,277	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

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	$1,184	OtherActivitiesAmt
Total Lobbying Expenditures	$1,184	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

1) g ) On various occasions throughout the year, the CEO met with 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. 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.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

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	$14,483,372	OtherCostOrOtherBasisAmt
Depreciation	$8,295,216	DepreciationAmt
Book Value	$6,188,156	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,347	OtherCostOrOtherBasisAmt
Depreciation	$2,840	DepreciationAmt
Book Value	$7,507	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,260,594	OtherCostOrOtherBasisAmt
Depreciation	$11,943,203	DepreciationAmt
Book Value	$2,317,391	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,229,881	OtherCostOrOtherBasisAmt
Depreciation	$920,250	DepreciationAmt
Book Value	$309,631	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$8,883,932	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SWAP AGREEMENT	$0
LONG TERM DEBT INTERCOMPANY LOAN	$0

Field	Value	IRS element (for citing)
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$25,758,609	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$59,911	NetUnrealizedGainsInvstAmt
Other Revenue	$224,073	OtherRevenueAmt
Revenue Not Reported	$283,984	RevenueNotReportedAmt
Revenue Subtotal	$25,474,625	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$25,474,625	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$23,000,028	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$11,796	OtherExpensesIncludedAmt
Expenses Not Reported	$11,796	ExpensesNotReportedAmt
Expenses Subtotal	$22,988,232	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$22,988,232	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, 2017 and 2016, CAMC had no uncertain tax positions accrued.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Change in Value of Swap Agreement - 76816 Office Building Rental Expense - 11796 Transfers From Related Entities - 135461
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Office Building Rental Expense - 11796

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	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$410,552	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$410,552	NetCommunityBenefitExpnsAmt
Total Expense	0.0187	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,379,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,379,936	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	$1,790,488	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,379,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$410,552	NetCommunityBenefitExpnsAmt
Total Expense	0.0187	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$197,817	NetCommunityBenefitExpnsAmt
Total Expense	0.0090	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	$209,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$197,817	NetCommunityBenefitExpnsAmt
Total Expense	0.0090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,000,244	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,391,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$608,369	NetCommunityBenefitExpnsAmt
Total Expense	0.0277	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	$1,012,316	BadDebtExpenseAmt
Bad Debt Expense Attributable	$128,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,194,381	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,253,648	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$59,267	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	15	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	www.bryanhealth.com/locations/hospitals/crete-area-medical-center/camc-community-health-needs-assess	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.bryanhealth.com/locations/hospitals/crete-area-medical-center/camc-community-health-needs-assess	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. Invitations were sent to persons believed to represent the broad interests of the community, including health care providers, dentists, the county board of health, colleges, schools, police, fire and rescue, city and county officials, area business leaders, pharmacists, and religious organizations. Those in attendance provided input during focus group discussions which was utilized to prioritize health issues.
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. CAMC COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN EVALUATION FOLLOWING THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2015, CRETE AREA MEDICAL CENTER (CAMC) WORKED WITH ITS COMMUNITY PARTNERS TO OUTLINE GOALS FOR ADDRESSING EACH COMMUNITY PRIORITY AS WELL AS IMPLEMENTATION ACTIONS THAT WOULD WORK TOWARD ACHIEVING EACH OF THESE GOALS WITHIN THE CRETE COMMUNITY AND SALINE COUNTY. THE FOLLOWING EVALUATION OF THE IMPLEMENTATION PLAN SHOWS THAT TREMENDOUS PROGRESS HAS BEEN MADE BY CAMC AND OTHER COMMUNITY PARTNERS TO ADDRESS THE FOUR KEY PRIORITIES ESTABLISHED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT. 1) LIFESTYLE/HEALTH & WELLNESS: GOAL A: MOTIVATE INDIVIDUALS TO TAKE AN ACTIVE INTEREST IN A LIFESTYLE THAT PROMOTES GOOD HEALTH AND WELLNESS. CAMC HAS TAKEN SEVERAL STEPS TO CONVENE LOCAL AGENCIES AND PROVIDERS TO COLLABORATE ON A PLAN TO PROVIDE INCREASED EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS. CAMC HOSTS A COMMUNITY PICNIC WHICH INCLUDES VARIOUS HEALTH EDUCATION OPPORTUNITIES INCLUDING FIRST AID AND SUN PROTECTION AMONG OTHERS. CAMC HOSTS A BI-ANNUAL HEALTH FAIR AND PROVIDES PREVENTATIVE SCREENINGS AT REDUCED RATES FOR COMMUNITY MEMBERS. LAB SCREENINGS AND FLU SHOTS WERE PROVIDED FOR THE COMMUNITIES OF CRETE, FRIEND AND WILBER AT A REDUCED RATE; BLOOD PRESSURE SCREENINGS AND CANCER RELATED HEALTH EDUCATION ARE PROVIDED TO THE COMMUNITY; FLU SHOTS WERE PROVIDED TO BUSINESS AT THEIR PLACE OF EMPLOYMENT FOR A REDUCED RATE; ALSO ATTENDANCE AT THE SALINE COUNTY FARM SHOW PROVIDED FREE HEALTH SCREENINGS AND HEALTH EDUCATION RELATED TO CANCER. GOAL B: DEVELOP COMPREHENSIVE COMMUNITY HEALTH INITIATIVES. CAMC HAS BUILT ON CRETE MASTER PLANNING EFFORTS TO INCORPORATE EXERCISE AND WELLNESS BY EXPANDING THE WALKING TRAIL AT CAMC IN SEPTEMBER 2013 AND ASSISTING WITH FUTURE PLANS TO EXPAND THE TRAIL TO CONNECT CAMC TO WALMART. MULTIPLE ACCESS POINTS HAVE ALSO BEEN IDENTIFIED FOR HEALTH EDUCATION, EXERCISE, AND WELLNESS ACTIVITIES INCLUDING THE CARDIAC RISK ASSESSMENT TOOL AVAILABLE ON THE CAMC WEBSITE. CAMC HAS ALSO WORKED WITH ELEMENTARY AND MIDDLE SCHOOLS TO TARGET FITNESS, NUTRITION, AND OBESITY THROUGH EVENTS AND ACTIVITIES SUCH AS YOUTH DAY, KIDS CLUB, AND A WALKING TRAIL EVENT. ADDITIONALLY, THROUGH EXPLORING DEVELOPMENT OF MEDICAL WELLNESS PROGRAMS IN THE COUNTY, CAMC HAS BEEN ABLE TO PROVIDE A DIABETIC EDUCATION PROGRAM AS WELL AS AN ACTIVE LIFESTYLE PROGRAM THAT ALLOWS MEMBERS TO USE CAMC EXERCISE EQUIPMENT. 2) BEHAVIORAL HEALTH: GOAL A: REDUCE BEHAVIORAL HEALTH DISORDERS THROUGH EARLY INTERVENTION AND TREATMENT. CAMC IS PROVIDING GREATER ACCESS TO BEHAVIORAL HEALTH EDUCATION MATERIALS THROUGHOUT THE COUNTY BY PARTNERING WITH BRYAN HEALTH TO SUPPLY BEHAVIORAL AND MENTAL HEALTH BROCHURES THAT INCLUDE BEHAVIORAL HEALTH COUNSELING SERVICES AVAILABLE TO THE COMMUNITY AND THE CONTACT INFORMATION TO REQUEST COUNSELING SERVICES. THESE BROCHURES ARE MADE READILY AVAILABLE FOR WILBER SCHOOLS, WILBER POLICE DEPARTMENT AND THE SALINE COUNTY SHERIFF'S OFFICE. CAMC HAS ALSO BEEN DILIGENT IN PROVIDING TRAINING TO KEY INDIVIDUALS IN THE EARLY IDENTIFICATION OF BEHAVIORAL HEALTH ISSUES. CAMC CONTINUES TO PARTICIPATE IN THE YOUTH SUICIDE PREVENTION COALITION. A FIVE YEAR SUICIDE PREVENTION PLAN IS NOW IN PLACE FOR ALL LOCAL SCHOOLS AND THE ORGANIZATION IS PARTICIPATING IN A COUNTY-WIDE INITIATIVE AIMED AT IDENTIFYING THE NEEDS OF CHILDREN AGE 1-8 ENTITLED "ROOTED IN RELATIONSHIPS." INCREASED ACCESS TO ONLINE SCREENING TOOLS IS NOW PROVIDED THROUGH A BEHAVIORAL HEALTH SCREENING TOOL AVAILABLE ON THE BRYAN HEALTH WEBSITE. IN ADDITION TO INCREASED ACCESS TO SCREENING, CAMC HAS ALSO IMPROVED ACCESS TO TREATMENT FACILITIES BY PROVIDING CHILD AND ADULT PSYCHOLOGY SERVICES AT THE CRETE CLINIC AND CHILD PSYCHOLOGY SERVICES AT THE WILBER CLINIC AS WELL AS PROVIDING PSYCHIATRY SERVICES THROUGH TELEMEDICINE AND ON-SITE. 3) PREVENTION/CHRONIC DISEASE: GOAL A: EXCEED STATE AVERAGE BY 5% IN CANCER SCREENING AREAS. TO AID IN RAISING PUBLIC AWARENESS AND PROMOTING SCREENING PROGRAMS, CAMC MAILS REMINDER LETTERS TO THEIR PATIENTS. IN ADDRESSING CHANGES IN CRITERIA TO THE EVERY WOMAN MATTERS PROGRAM, CAMC PARTNERED WITH THE LOCAL HEALTH DEPARTMENT, PUBLIC HEALTH SOLUTIONS, TO PROVIDE MAMMOGRAMS AND BREAST EXAMS TO PATIENTS WHO DID NOT QUALIFY FOR THE EVERY WOMAN MATTERS PROGRAM. EXAMS WERE PAID FOR BY PUBLIC HEALTH SOLUTIONS (PHS). CAMC ALSO WORKS TO PROMOTE THE POSITIVE ASPECTS OF SCREENING TO REDUCE FEAR OF SCREENINGS SUCH AS COLONOSCOPY BY PROVIDING EDUCATION FOR LOCAL EMPLOYERS AND AT COMMUNITY EVENTS. GOAL B: ENHANCE THE AVAILABILITY OF RESOURCES TO HELP MANAGE CHRONIC DISEASE PROACTIVELY TO REDUCE MORBIDITY AND MORTALITY IN SALINE COUNTY. CAMC CONTINUES TO WORK WITH AREA PROVIDERS TO SUPPORT ACCESS TO TESTS, TREATMENT, AND MEDICATION FOR THE UNINSURED AND UNDERINSURED. THE ORGANIZATION HAS FINANCIAL ASSISTANCE AVAILABLE FOR QUALIFYING PATIENTS AND NOW OBESITY CARE CAN BE PART OF MEDICAL HOME CARE PLANS. AS MENTIONED PREVIOUSLY, DIABETES EDUCATION CLASSES ARE ALSO OFFERED AT CAMC. TO DEVELOP SMOKING CESSATION PROGRAMS WHICH RECOGNIZE ETHNIC DIVERSITY AND ATTITUDES TOWARD SMOKING, CAMC RESPIRATORY THERAPISTS RECEIVED SPECIAL TRAINING IN ORDER TO PROVIDE SMOKING CESSATION EDUCATION. 4) ACCESS TO CARE/EMERGENCY SERVICES: GOAL A: MAINTAIN ACCESS TO EMERGENCY MEDICAL SERVICES THROUGHOUT SALINE COUNTY. CLASSES ARE AVAILABLE THROUGH SOUTHEAST COMMUNITY COLLEGE FOR AMBULANCE CREWS, AND SINCE 2013 CAMC HAS PROVIDED ADVANCED LIFE SUPPORT INTERCEPT SERVICES FOR RURAL VOLUNTEER RESCUE SQUADS IN SURROUNDING COMMUNITIES. Crete Area Medical Center maintains a helicopter base space and has a service agreement with Air Methods. Air Methods provides emergency air medical transportation services to Crete and the surrounding communities. The agreement is for helipad space at CAMC as well as living quarters for their flight crew. This agreement serves as a great benefit to the community as it ensures prompt transport for the most critical patients the hospital serves.

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 (16 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 7 Bad Debt Expense excluded from financial assistance calculation	1012316
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	CAMC records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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, NET" 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 SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. CRETE AREA MEDICAL CENTER PROVIDES CARE TO MEDICARE PATIENTS, AND MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO THESE PATIENTS CAUSING A SHORTFALL, OR LOSS TO THE ORGANIZATION. THE FUNDS CRETE AREA MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN CRETE AREA MEDICAL CENTER'S MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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, 2015, 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.
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 ANYTIME TO REQUEST A FINANCIAL ASSISTANCE APPLICATION. HOSPITAL PATIENT ACCOUNT COLLECTORS WILL ALSO INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IF THEY ARE UNABLE TO PAY THEIR BILL AND MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON INFORMATION PROVIDED. 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 HAS AN Estimated POPULATION OF 7,160 PEOPLE AND INCLUDES DIVERSE ETHNIC BACKGROUNDS. THE CITY OF CRETE HAS THE FASTEST-GROWING HISPANIC POPULATION IN NEBRASKA. THE 2017 AMERICAN COMMUNITY SURVEY ESTIMATES INDICATE THAT PERSONS OF HISPANIC ORIGIN MAKE UP 25.7% OF THE POPULATION IN SALINE COUNTY, VERSUS 11.0% FOR NEBRASKA. CRETE HAS THREE PRIMARY EMPLOYERS: BUNGE MILLING, SMITHFIELD-FARMLAND, AND NESTLE/PURINA. IN ADDITION, CRETE IS HOME TO DOANE COLLEGE, 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 HOSPITAL BOARD OF TRUSTEES INCLUDES MEMBERS FROM THE COMMUNITY. 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, MISSOURI AND SOUTH DAKOTA. BRYAN HEALTH CONSISTS OF FOUR ACUTE-CARE HOSPITALS, NUMEROUS OUTPATIENT CLINICS, A PHYSICIAN NETWORK, A COLLEGE, AN URGENT CARE CENTER, A HEALTH AND WELLNESS FACILITY, A PHILANTHROPIC FOUNDATION, A PHYSICIAN HOSPITAL ORGANIZATION, AN ACCOUNTABLE CARE ORGANIZATION, AND OTHER HEALTHCARE PROVIDERS. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, ONCOLOGY, IMAGING AND MENTAL HEALTH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	2	RecipientCnt
Cash Grant	$7,172	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE CRETE AREA HEALTH CARE FOUNDATION AWARDS THE SCHOLARSHIPS AND CRETE AREA MEDICAL CENTER DISTRIBUTES THE FUNDS. EACH POTENTIAL RECIPIENT IS REQUIRED TO APPLY FOR A SCHOLARSHIP. THE FOUNDATION REVIEWS AND DISCUSSES ALL SUBMITTED REQUESTS IN DETAIL SCHOLARSHIPS ARE AWARDED BASED ON ELIGIBILITY.	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	Yes (true)	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
REBEKAH MUSSMAN
PRESIDENT/CEO	$146,774	$0	$12,579	$0	$4,067	$0	$9,543	$0	$27,936	$0	$200,899	$0	$0	$0
ROBERT RAVENSCROFT
Trustee	$0	$305,089	$0	$53,065	$0	$100,481	$0	$14,850	$0	$27,280	$0	$500,765	$0	$0
DAVID REESE
Trustee	$0	$266,897	$0	$49,135	$0	$57,460	$0	$22,628	$0	$22,946	$0	$419,066	$0	$0
LINDA STONES
Trustee	$0	$135,724	$0	$17,351	$0	$20,686	$0	$9,393	$0	$4,930	$0	$188,083	$0	$0
TROY MILLER MD
TRUSTEE - PHYSICIAN	$121,232	$0	$143,988	$0	$10,839	$0	$14,591	$0	$26,281	$0	$316,931	$0	$0	$0
RUSSELL GRONEWOLD
System VP FINANCE & CFO	$0	$506,483	$0	$76,567	$0	$176,125	$0	$14,850	$0	$24,875	$0	$798,900	$0	$0
RUSSELL EBKE MD
PHYSICIAN	$200,280	$0	$0	$0	$12,413	$0	$13,938	$0	$27,427	$0	$254,058	$0	$0	$0
MITCHELL EBKE
CERTIFIED REGISTERED NURSE ANESTHETIST	$299,981	$0	$0	$0	$581	$0	$14,850	$0	$25,897	$0	$341,309	$0	$0	$0
KATE HESSER MD
PHYSICIAN	$143,443	$0	$74,142	$0	$27,879	$0	$11,978	$0	$27,880	$0	$285,322	$0	$0	$0
JASON HESSER MD
PHYSICIAN	$151,161	$0	$92,329	$0	$19,914	$0	$12,531	$0	$3,662	$0	$279,597	$0	$0	$0
AMY VERTIN MD
PHYSICIAN	$266,033	$0	$0	$0	$9,683	$0	$14,044	$0	$24,976	$0	$314,736	$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	THE PROCESS FOR REVIEWING AND EVALUATING COMPENSATION FOR THIS ORGANIZATION'S CEO AND FOR ALL RURAL HOSPITAL CEOS EMPLOYED BY BRYAN HEALTH, IS OVERSEEN BY BRYAN HEALTH'S HUMAN RESOURCES DEPARTMENT. THE PROCESS INCLUDES AN ANNUAL ASSESSMENT OF CEO COMPENSATION INCLUDING BENCHMARKING SALARIES TO SEVERAL NATIONAL SALARY SURVEYS TO DETERMINE THAT THE COMPENSATION IS CONSISTENT WITH THE ORGANIZATION'S CHARITABLE MISSION AND REASONABLE COMPARED WITH FAIR MARKET VALUE IN THE INDUSTRY. BRYAN HEALTH TARGETS BASE SALARY FOR RURAL HOSPITAL CEOS AT THE 50TH PERCENTILE OF THE MARKET. THE LAST ASSESSMENT WAS COMPLETED IN APRIL 2017. TWO BOARD MEMBERS OF THIS ORGANIZATION ARE MEMBERS OF THE BRYAN HEALTH SENIOR MANAGEMENT TEAM. BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF 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. 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 AND IS REGULARLY REVIEWED BY THE COMPENSATION 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, OR RECEIVED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2017: RUSSELL GRONEWOLD $151,750, ROBERT RAVENSCROFT $81,475 AND DAVID REESE $47,551.
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kate Hesser MD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family member of a former board member from 2014	RelationshipDescriptionTxt
Transaction	$245,464	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 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 4 Significant changes to organizational documents	Effective January 1, 2017, the By-Laws were changed that the board shall consist of up to eight members instead of ten. Up to three voting members shall be nominated by the Board for approval by the System. Up to three voting members shall be appointed by the System without the necessity of approval by the board. There is no change to the two members that are ex offico voting trustees. Effective May 10, 2017, the Articles of Incorporation were amended to remove an activity listed under the purpose for which the corporation was organized. The deleted activity was to establish, equip, operate and maintain a facility to provide such nursing home, assisted living and other long term care.
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. THE 990 WAS DISTRIBUTED FOR REVIEW TO EACH MEMBER OF CRETE AREA MEDICAL CENTER'S BOARD OF TRUSTEES, 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	THE PROCESS FOR REVIEWING AND EVALUATING COMPENSATION FOR THIS ORGANIZATION'S CEO AND FOR ALL RURAL HOSPITAL CEOS EMPLOYED BY BRYAN HEALTH, IS OVERSEEN BY BRYAN HEALTH'S HUMAN RESOURCES DEPARTMENT. THE PROCESS INCLUDES AN ANNUAL ASSESSMENT OF CEO COMPENSATION INCLUDING BENCHMARKING SALARIES TO SEVERAL NATIONAL SALARY SURVEYS TO DETERMINE THAT THE COMPENSATION IS CONSISTENT WITH THE ORGANIZATION'S CHARITABLE MISSION AND REASONABLE COMPARED WITH FAIR MARKET VALUE IN THE INDUSTRY. BRYAN HEALTH TARGETS BASE SALARY FOR RURAL HOSPITAL CEOS AT THE 50TH PERCENTILE OF THE MARKET. THE LAST ASSESSMENT WAS COMPLETED IN APRIL 2017. TWO BOARD MEMBERS OF THIS ORGANIZATION ARE MEMBERS OF THE BRYAN HEALTH SENIOR MANAGEMENT TEAM. BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF 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. 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 AND IS REGULARLY REVIEWED BY THE COMPENSATION 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: 118223, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 118223;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in Value of Swap Agreement - 76816; Transfers from Related Parties - 135461;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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		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

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	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
Bryan Health Connect ACO LLC
1600 S 48th St	Lincoln	NE	68506	821666184	Accountable Care Organization	NE	Bryan Health Connect	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