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← CRETE AREA MEDICAL CENTER

Form 990 for tax year 2024

Filed by CRETE AREA MEDICAL CENTER.

Totals

Total revenue
$36,990,955
Total expenses
$31,087,720
Contributions and grants received
$132,802
Grants paid
$0
Program service revenue
$34,178,648
Investment income
$1,409,381
Other revenue
$1,270,124
Total assets, end of year
$58,939,774
Total liabilities, end of year
$3,471,678
Net assets or fund balances, end of year
$55,468,096
Program services expenses (Part IX)
$28,998,417
Management and general expenses
$2,089,303
Fundraising expenses
$0
Program service expenses (Part III)
$28,998,417

Program services were 93.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $129,802

  • 1f · All other contributions, gifts and grants

    $3,000

  • 2a · Program service revenue: NET PATIENT CARE REVENUE

    total $31,390,646 · related or exempt $31,390,646

  • 2b · Program service revenue: PHARMACY

    total $2,572,775 · related or exempt $2,572,775

  • 2c · Program service revenue: CONTRACTED ER PROVIDER SERVICES

    total $214,651 · related or exempt $214,651

  • 2d · Program service revenue: HEALTH INFORMATION SERVICES

    total $576 · related or exempt $576

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,409,381 · excluded $1,409,381

  • 6a · Gross rents

    real property $38,366

  • 6b · Less rental expenses

    real property $10,462

  • 6c · Rental income or loss

    real property $27,904 · personal property $0

  • 6d · Net rental income or loss

    total $27,904 · excluded $27,904

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: CAFETERIA SALES

    total $83,335 · excluded $83,335

  • 11b · Other revenue: PURCHASE DISCOUNTS

    total $31,771 · excluded $31,771

  • 11d · All other revenue

    total $1,127,114 · related or exempt $1,127,114 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $1,242,220

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,090,226 · program services $346,193 · management and general $744,033

  • 6 · Compensation of disqualified persons

    total $440,985 · program services $436,575 · management and general $4,410

  • 7 · Other salaries and wages

    total $13,203,951 · program services $13,119,201 · management and general $84,750

  • 8 · Pension plan contributions

    total $710,940 · program services $688,513 · management and general $22,427

  • 9 · Other employee benefits

    total $2,431,148 · program services $1,938,135 · management and general $493,013

  • 10 · Payroll taxes

    total $1,015,501 · program services $915,982 · management and general $99,519

  • 11c · Fees: accounting

    total $31,425 · management and general $31,425

  • 11g · Fees: other

    total $2,096,365 · program services $2,042,279 · management and general $54,086 · fundraising $0

  • 12 · Advertising and promotion

    total $61,809 · program services $57,482 · management and general $4,327

  • 13 · Office expenses

    total $1,600,349 · program services $1,504,328 · management and general $96,021

  • 14 · Information technology

    total $16,057 · program services $16,057

  • 16 · Occupancy

    total $368,299 · program services $342,518 · management and general $25,781

  • 17 · Travel

    total $13,240 · program services $12,313 · management and general $927

  • 20 · Interest

    total $83,195 · program services $74,195 · management and general $9,000

  • 22 · Depreciation, depletion and amortization

    total $2,092,529 · program services $1,842,513 · management and general $250,016

  • 23 · Insurance

    total $197,342 · program services $185,501 · management and general $11,841

  • 24a · Other expenses: DRUGS

    total $2,193,363 · program services $2,193,363

  • 24b · Other expenses: CORPORATE COST ALLOCATIONS

    total $2,042,283 · program services $1,919,746 · management and general $122,537

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $812,221 · program services $812,221

  • 24e · All other expenses

    total $586,492 · program services $551,302 · management and general $35,190 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $12,207,723 · end of year $12,146,874

  • 4 · Accounts receivable

    beginning of year $4,582,865 · end of year $3,893,948

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $141,193 · end of year $144,164

  • 9 · Prepaid expenses and deferred charges

    beginning of year $217,179 · end of year $187,772

  • 10a · Land, buildings and equipment: cost or other basis

    $44,417,694

  • 10b · Land, buildings and equipment: accumulated depreciation

    $31,159,625

  • 10c · Land, buildings and equipment, net

    beginning of year $14,496,196 · end of year $13,258,069

  • 11 · Investments: publicly traded securities

    beginning of year $20,437,972 · end of year $26,585,903

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $2,646,296 · end of year $2,723,044

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,937,079 · end of year $2,467,282

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,316,460 · end of year $1,004,396

  • 27 · Net assets without donor restrictions

    beginning of year $49,475,885 · end of year $55,468,096

Mission and programs · 2024

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 TO ELEVATE QUALITY OF LIFE THROUGH BETTER HEALTH. CAMC IS COMMITTED TO THE FOLLOWING FUNDAMENTAL BELIEFS: INTEGITY - OUR FOUNDATION; SERVICE - OUR STANDARD; EXCELLENCE - OUR DISTINCTION; COLLABORATION - OUR INVESTMENT; AND LEADERSHIP - OUR FUTURE.

Activities or mission (Part I)

CRETE AREA MEDICAL CENTER IS COMMITTED TO ADVANCING THE HEALTH OF THE COMMUNITIES AND REGION WE SERVE. DURING 2024, CRETE AREA MEDICAL CENTER HAS PROVIDED CHARITY CARE TO 898 PATIENTS AT A COST OF $968,188.

  • CRETE AREA MEDICAL CENTER ("CAMC") IS A PART OF BRYAN HEALTH. CAMC, LOCATED IN CRETE, NEBRASKA, IS A NEBRASKA NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED DETERMINATION THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE IN ORDER TO PROVIDE HEALTH CARE SERVICES. CAMC WAS INCORPORATED IN APRIL 2001 AND OPERATES A 15-LICENSED BED CRITICAL ACCESS HOSPITAL AND THREE PHYSICIAN CLINICS SERVING PATIENTS AND RESIDENTS PRINCIPALLY FROM SALINE AND LANCASTER COUNTIES. DURING THE YEAR ENDING DECEMBER 31, 2024, CAMC PROVIDED INPATIENT ACUTE, SWING BED AND NURSERY SERVICES TO 312 PATIENTS. CAMC PERFORMED 712 SURGICAL PROCEDURES AND PROVIDED PRIMARY CARE PHYSICIAN SERVICES WITH 27,176 VISITS. IN 2024, CAMC ALSO PROVIDED CHARITY CARE TO 898 PATIENTS AND SERVICED 1,857 MEDICAID PATIENTS.

    Expenses $28,998,417 · Revenue $35,305,762

As filed on the 2024 return.

Listed in Part VII

  • David Reese

    CHAIR (RESIGNED 7/1/2024)

    Total calculated
    $425,504
    From this org
    $0
    From related orgs
    $385,847
    Other
    $39,657
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,588 related
    Bonus
    $0 + $75,003 related
    Other
    $0 + $135,256 related
    Deferred
    $0 + $21,350 related
    Nontaxable benefits
    $0 + $18,307 related
    Filer's total
    $0 + $425,504 related
  • Eric Post DVM

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Justin Kozisek

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Lupe Avelar

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Stephanie Boldt

    EX-OFFICIO MEMBER/CEO CRETE AREA MEDICAL CENTER

    Total calculated
    $378,144
    From this org
    $299,411
    From related orgs
    $28,105
    Other
    $50,628
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $240,275 + $27,920 related
    Bonus
    $56,610
    Other
    $2,526 + $185 related
    Deferred
    $15,077 + $1,391 related
    Nontaxable benefits
    $31,705 + $2,455 related
    Filer's total
    $346,193 + $31,951 related
  • Dave Newmyer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jason Hesser MD

    EX-OFFICIO MEMBER/CHIEF OF STAFF CRETE AREA MEDICAL CENTER

    Total calculated
    $484,505
    From this org
    $466,603
    From related orgs
    $0
    Other
    $17,902
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $192,528
    Bonus
    $249,385
    Other
    $24,690
    Deferred
    $16,100
    Nontaxable benefits
    $1,802
    Filer's total
    $484,505
  • Maria Isquierdo

    DIRECTOR

    Total calculated
    $640,058
    From this org
    $0
    From related orgs
    $595,464
    Other
    $44,594
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $367,585 related
    Bonus
    $0 + $91,036 related
    Other
    $0 + $136,843 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $27,344 related
    Filer's total
    $0 + $640,058 related
  • Julie Lacy

    CFO CRETE AREA MEDICAL CENTER

    Total calculated
    $259,528
    From this org
    $229,544
    From related orgs
    $0
    Other
    $29,984
    Hours/week
    50 + 2 related

    Schedule J breakdown matched by us

    Base
    $169,524
    Bonus
    $22,968
    Other
    $37,052
    Deferred
    $16,068
    Nontaxable benefits
    $13,916
    Filer's total
    $259,528
  • Amy Vertin MD

    PHYSICIAN

    Total calculated
    $373,867
    From this org
    $326,456
    From related orgs
    $0
    Other
    $47,411
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $318,337
    Bonus
    $0
    Other
    $8,119
    Deferred
    $15,644
    Nontaxable benefits
    $31,767
    Filer's total
    $373,867
  • Kate Hesser MD

    PHYSICIAN

    Total calculated
    $440,985
    From this org
    $392,038
    From related orgs
    $0
    Other
    $48,947
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $185,483
    Bonus
    $174,896
    Other
    $31,659
    Deferred
    $16,100
    Nontaxable benefits
    $32,847
    Filer's total
    $440,985
  • Mitchell Ebke Crna

    CERTIFIED REGISTERED NURSE ANESTHETIST

    Total calculated
    $363,504
    From this org
    $307,964
    From related orgs
    $0
    Other
    $55,540
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $302,889
    Bonus
    $4,000
    Other
    $1,075
    Deferred
    $15,540
    Nontaxable benefits
    $40,000
    Filer's total
    $363,504
  • Russell Ebke MD

    PHYSICIAN

    Total calculated
    $415,264
    From this org
    $352,487
    From related orgs
    $0
    Other
    $62,777
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $201,444
    Bonus
    $142,180
    Other
    $8,863
    Deferred
    $24,150
    Nontaxable benefits
    $38,627
    Filer's total
    $415,264
  • Ryan Buse MD

    PHYSICIAN

    Total calculated
    $320,998
    From this org
    $283,015
    From related orgs
    $0
    Other
    $37,983
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $150,701
    Bonus
    $105,258
    Other
    $27,056
    Deferred
    $13,923
    Nontaxable benefits
    $24,060
    Filer's total
    $320,998

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
BRYAN HEALTH'S BOARD OF TRUSTEES BELIEVES COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, INCLUDING THIS ORGANIZATIONS CEO AND CEOS OF ALL RURAL HOSPITALS OWNED BY BRYAN HEALTH, MUST REFLECT THE COMPLEXITIES OF LEADING AND MANAGING A MULTI-HOSPITAL HEALTH SYSTEM THAT PROVIDES SERVICES THROUGHOUT MUCH OF THE STATE. RECOGNIZING THAT ITS LEADERS ARE RESPONSIBLE FOR THE QUALITY OF CARE, PATIENT SERVICES AND OVERALL FINANCIAL HEALTH OF ONE OF THE LARGEST PRIVATE EMPLOYERS IN LINCOLN/LANCASTER COUNTY, BRYAN HEALTH'S BOARD HAS ESTABLISHED A COMPENSATION PLAN THAT MATCHES THIS LEVEL OF RESPONSIBILITY. THIS PLAN, KNOWN AS THE SENIOR MANAGEMENT COMPENSATION PHILOSOPHY IS REVIEWED AT LEAST ANNUALLY BY BRYAN HEALTH'S COMPENSATION COMMITTEE. THIS COMPENSATION PHILOSOPHY TARGETS BASE SALARY FOR SENIOR MANAGERS AT THE 50TH PERCENTILE OF THE MARKET. THE COMPENSATION COMMITTEE IS APPOINTED BY BRYAN HEALTH'S BOARD OF TRUSTEES AND IS MADE UP OF INDEPENDENT COMMUNITY LEADERS WHO ALL SERVE VOLUNTARILY, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY. EXECUTIVE COMPENSATION IS DETERMINED AND REVIEWED PURSUANT TO GUIDELINES OUTLINED IN THE INTERMEDIATE SANCTION RULES UNDER IRC SECTION 4958 INCLUDING TAKING STEPS TO MEET THE REBUTTABLE PRESUMPTION STANDARD OF REASONABLENESS UNDER TREASURY REGULATION SECTION 53.4958-6. THE COMPENSATION COMMITTEE CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION PROVIDED BY THE ORGANIZATION TO THE SENIOR MANAGEMENT TEAM. THIS REVIEW IS CONDUCTED BY THE COMMITTEE BY UTILIZING NATIONAL SALARY SURVEYS, CONDUCTED BY INDEPENDENT EXTERNAL FIRMS. COMPENSATION FOR SENIOR MANAGERS IS COMPARED TO COMPENSATION OF SENIOR MANAGERS AT LIKE INSTITUTIONS ACROSS THE U.S. TO DETERMINE THAT THE VALUE OF COMPENSATION PROVIDED IS REASONABLE AND AT FAIR MARKET VALUE. THE COMPENSATION COMMITTEE ALSO WORKS DIRECTLY WITH AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED TO THE SENIOR MANAGEMENT TEAM, AND TO ASSURE THAT THE TOTAL COMPENSATION PAID CONFORMS TO THE OVERALL COMPENSATION PHILOSOPHY. THE COMPENSATION CONSULTANT PROVIDES WRITTEN OPINIONS TO THE COMPENSATION COMMITTEE THAT ASSESSES THE REASONABLENESS OF THE TOTAL EXECUTIVE COMPENSATION PAID TO SENIOR MANAGERS. THE ANNUAL COMPENSATION REVIEW PROCEDURE WAS COMPLETED BY THE COMPENSATION COMMITTEE ON MARCH 21, 2024. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
IN ORDER TO ATTRACT AND RETAIN TALENTED, EXPERIENCED EXECUTIVES, BRYAN HEALTH OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED A PAYMENT DURING 2024: MARIA ISQUIERDO-$118,283, DAVID REESE - $52,184.
Schedule J, Part I, Line 7 Non-fixed payments
CRETE AREA MEDICAL CENTER OFFERS AN INCENTIVE COMPENSATION PROGRAM FOR ALL LEADERS. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL, DEPARTMENTAL, AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS.
Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES
IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THIS ORGANIZATION'S BOARD IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EMPLOYED PHYSICIANS AND EXECUTIVES; AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS.
Schedule J, Part II, Column (B)(ii) COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES
A TOTAL OF $18,968 BONUSES ACCRUED IN 2023 AND PAID IN 2024 ARE REPORTED ON THE 2024 SCHEDULE J COLUMN (BII) AND A TOTAL OF $17,893 BONUSES ACCRUED IN 2024 WILL BE PAID IN 2025 WHICH WILL BE REPORTED ON THE 2025 SCHEDULE J COLUMN (BII)

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • LINCOLN DIGESTIVE HEALTH CENTER LLC

    N/A · HEALTHCARE · NE

    Directly controlled by NA

  • DOCTOR'S OUTPATIENT SURGERY CENTER LLC

    N/A · HEALTHCARE · NE

    Directly controlled by NA

  • HEAD AND NECK SURGICAL PARTNERS

    N/A · HEALTHCARE · NE

    Directly controlled by NA

  • GRAND ISLAND HOSPITAL HOLDINGS LLC

    N/A · LEASING PROPERTY, HOLDING COMPANY · NE

    Directly controlled by NA

  • SEWARD URGENT CARE PARTNERSHIP LLC

    N/A · HEALTHCARE · NE

    Directly controlled by NA

  • BRYAN HEART MARY LANNING CARDIOLOGY LLC

    N/A · CARDIOLOGY SERVICES · NE

    Directly controlled by NA

  • BRYAN TELEMEDICINE LLC

    N/A · HEALTHCARE · NE

    Directly controlled by NA

  • KPT-G LLC

    N/A · HEALTHCARE · NE

    Directly controlled by NA

  • KHL-RO LLC

    N/A · RENTAL REAL ESTATE · NE

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BRYAN ENTERPRISES INC

    C Corporation · MEDICAL SERVICES · NE · controlled entity

    Directly controlled by NA

  • INTEGRATED CARDIOLOGY GROUP LLC

    C Corporation · CARDIOLOGY · NE · controlled entity

    Directly controlled by NA

  • BRYAN HEALTH CONNECT

    C Corporation · PHYSICIAN HOSPITAL ORGANIZATION · NE · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
14 November 2025
IRS schema version
2024v5.1
Source object
202523189349311197

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