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Nonprofiteer
← GRAND ISLAND REGIONAL MEDICAL CENTER

Form 990 for tax year 2022

Filed by GRAND ISLAND REGIONAL MEDICAL CENTER.

Totals

Total revenue
$54,330,898
Total expenses
$75,007,534
Contributions and grants received
$932,873
Grants paid
$0
Program service revenue
$52,952,828
Investment income
$3,274
Other revenue
$441,923
Total assets, end of year
$104,091,864
Total liabilities, end of year
$159,021,495
Net assets or fund balances, end of year
-$54,929,631
Program services expenses (Part IX)
$64,255,969
Management and general expenses
$10,751,565
Fundraising expenses
$0
Program service expenses (Part III)
$64,255,969

Program services were 85.7% 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.

  • 1e · Government grants (contributions)

    $932,873

  • 2a · Program service revenue: Net Patient Revenue

    total $52,931,998 · related or exempt $52,931,998

  • 2b · Program service revenue: Speciality Care Revenue

    total $20,830 · related or exempt $20,830

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,971 · excluded $1,971

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    other assets $1,303

  • 7c · Gain or loss

    securities $0 · other assets $1,303

  • 7d · Net gain or loss

    total $1,303 · excluded $1,303

  • 11a · Other revenue: Cafeteria

    total $153,339 · excluded $153,339

  • 11b · Other revenue: Other Income

    total $287,111 · excluded $287,111

  • 11c · Other revenue: Vending Machines

    total $1,473 · excluded $1,473

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $441,923

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $24,355,197 · program services $20,622,644 · management and general $3,732,553

  • 8 · Pension plan contributions

    total $629,764 · program services $537,189 · management and general $92,575

  • 9 · Other employee benefits

    total $4,133,856 · program services $3,526,179 · management and general $607,677

  • 10 · Payroll taxes

    total $1,421,576 · program services $1,212,604 · management and general $208,972

  • 11b · Fees: legal

    total $53,525 · management and general $53,525

  • 11c · Fees: accounting

    total $80,354 · program services $68,542 · management and general $11,812

  • 11g · Fees: other

    total $14,216,609 · program services $12,126,768 · management and general $2,089,841 · fundraising $0

  • 12 · Advertising and promotion

    total $312,836 · program services $312,836

  • 13 · Office expenses

    total $133,538 · program services $113,107 · management and general $20,431

  • 16 · Occupancy

    total $6,416,729 · program services $5,473,470 · management and general $943,259

  • 17 · Travel

    total $146,754 · program services $125,181 · management and general $21,573

  • 19 · Conferences, conventions and meetings

    total $55,111 · management and general $55,111

  • 20 · Interest

    total $1,703,853 · program services $1,453,387 · management and general $250,466

  • 22 · Depreciation, depletion and amortization

    total $5,191,206 · program services $4,428,099 · management and general $763,107

  • 23 · Insurance

    total $251,574 · program services $214,593 · management and general $36,981

  • 24a · Other expenses: Medical Supplies

    total $8,225,467 · program services $7,226,895 · management and general $998,572

  • 24b · Other expenses: Dues and Subscriptions

    total $2,024,801 · program services $1,727,155 · management and general $297,646

  • 24c · Other expenses: Drugs

    total $1,791,143 · program services $1,791,143

  • 24d · Other expenses: Property Taxes

    total $1,363,783 · program services $1,163,307 · management and general $200,476

  • 24e · All other expenses

    total $2,499,858 · program services $2,132,870 · management and general $366,988 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,245,774 · end of year $10,751,159

  • 4 · Accounts receivable

    beginning of year $7,262,742 · end of year $8,309,358

  • 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 $2,288,191 · end of year $1,818,315

  • 9 · Prepaid expenses and deferred charges

    beginning of year $527,700 · end of year $395,299

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

    $6,991,311

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

    $2,469,784

  • 10c · Land, buildings and equipment, net

    beginning of year $2,018,196 · end of year $4,521,527

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $83,444,955 · end of year $78,296,206

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,577,194 · end of year $10,232,420

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $62,515,860 · end of year $78,356,217

  • 25 · Other liabilities

    beginning of year $70,947,499 · end of year $70,432,858

  • 27 · Net assets without donor restrictions

    beginning of year -$34,252,995 · end of year -$54,929,631

Mission and programs · 2022

Mission

Grand Island Regional Medical Center ("GIRMC") is dedicated to improving health through the empowerment of the community and our healthcare team.

  • Grand Island Regional Medical Center became Medicare certified on August 1, 2020 allowing the Hospital to begin accepting patients. The Emergency Department began seeing patients as of November 2, 2020, and the first surgical case was performed in the summer of 2020. Grand Island Regional Medical Center IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION, and is COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. In 2022, Grand Island Regional Medical Center provided healthcare services to the general public and operated routine service beds, ICU beds totaling over 7,604 patient days, 12,945 outpatient visits including emergency room visits of 9,810 and 461 deliveries. The Hospital provided Charity Care to 182 patients in the amount of $530,631.

    Expenses $64,255,969 · Revenue $52,952,828

As filed on the 2022 return.

Listed in Part VII

  • Eric Barber

    Vice Chairperson

    Total calculated
    $0
    Hours/week
    1

  • RUSSELL GRONEWOLD

    Chairperson

    Total calculated
    $1,664,487
    From this org
    $0
    From related orgs
    $1,621,974
    Other
    $42,513
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $935,450 related
    Bonus
    $0 + $332,673 related
    Other
    $0 + $353,852 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $22,688 related
    Filer's total
    $0 + $1,664,487 related

  • Ryan Crouch DO

    Secretary-Treasurer

    Total calculated
    $317,662
    From this org
    $0
    From related orgs
    $300,566
    Other
    $17,096
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,966 related
    Bonus
    $0 + $12,128 related
    Other
    $0 + $22,472 related
    Deferred
    $0 + $16,388 related
    Nontaxable benefits
    $0 + $708 related
    Filer's total
    $0 + $317,662 related

  • Brant Luebbe MD

    Director

    Total calculated
    $777,858
    From this org
    $0
    From related orgs
    $727,197
    Other
    $50,661
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $541,376 related
    Bonus
    $0 + $162,592 related
    Other
    $0 + $23,229 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $33,886 related
    Filer's total
    $0 + $777,858 related

  • Cindy Johnson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jennifer Brown MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • JOHN WOODRICH

    Director

    Total calculated
    $1,265,063
    From this org
    $0
    From related orgs
    $1,225,502
    Other
    $39,561
    Hours/week
    2 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $650,966 related
    Bonus
    $0 + $227,633 related
    Other
    $0 + $346,903 related
    Deferred
    $0 + $19,209 related
    Nontaxable benefits
    $0 + $20,352 related
    Filer's total
    $0 + $1,265,063 related

  • Luke Biggs

    Director

    Total calculated
    $0
    Hours/week
    1

  • Molly Johnson MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • Teresa Grabowski

    Director (Effective 1/1/2022)

    Total calculated
    $0
    Hours/week
    1

  • Tom Werner MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • Larry Speicher

    President/CEO Grand Island Regional Medical Center

    Total calculated
    $362,396
    From this org
    $0
    From related orgs
    $315,627
    Other
    $46,769
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $280,588 related
    Bonus
    $0 + $9,319 related
    Other
    $0 + $25,720 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $29,994 related
    Filer's total
    $0 + $362,396 related

  • SHANE STAVA

    Chief Financial Officer (until Sept 2022)

    Total calculated
    $187,524
    From this org
    $162,179
    From related orgs
    $0
    Other
    $25,345
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,914
    Bonus
    $0
    Other
    $265
    Deferred
    $7,682
    Nontaxable benefits
    $17,663
    Filer's total
    $187,524

  • Cory Ohlson

    Medical Director

    Total calculated
    $731,905
    From this org
    $683,438
    From related orgs
    $0
    Other
    $48,467
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $641,599
    Bonus
    $20,570
    Other
    $21,269
    Deferred
    $21,317
    Nontaxable benefits
    $27,150
    Filer's total
    $731,905

  • David Running

    Physician

    Total calculated
    $521,186
    From this org
    $520,008
    From related orgs
    $0
    Other
    $1,178
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $500,163
    Bonus
    $16,920
    Other
    $2,925
    Deferred
    $0
    Nontaxable benefits
    $1,178
    Filer's total
    $521,186

  • Jeff Burwell

    Physician

    Total calculated
    $470,581
    From this org
    $452,385
    From related orgs
    $0
    Other
    $18,196
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $451,415
    Bonus
    $0
    Other
    $970
    Deferred
    $942
    Nontaxable benefits
    $17,254
    Filer's total
    $470,581

  • Terry Rounsborg

    Physician

    Total calculated
    $485,521
    From this org
    $453,130
    From related orgs
    $0
    Other
    $32,391
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $432,029
    Bonus
    $16,890
    Other
    $4,211
    Deferred
    $12,539
    Nontaxable benefits
    $19,852
    Filer's total
    $485,521

  • Trina Stoneham

    Physician

    Total calculated
    $512,264
    From this org
    $484,390
    From related orgs
    $0
    Other
    $27,874
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $445,352
    Bonus
    $17,910
    Other
    $21,128
    Deferred
    $15,995
    Nontaxable benefits
    $11,879
    Filer's total
    $512,264

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

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
  • 7 · Other non-fixed payments
  • 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 May 6, 2022. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES WHICH ARE TIMELY REVIEWED AND APPROVED BY THE COMMITTEE. Grand Island Regional Medical Center's CEO is compensated by the parent company, Bryan Health.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
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 2022: RUSSELL GRONEWOLD - $280,133 and JOHN WOODRICH - $248,092.
Schedule J, Part II COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES
IN KEEPING WITH BRYAN HEALTH'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF TRUSTEES IS COMPENSATED FOR THEIR SERVICE AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349301316

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