Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $111,783

• 2a · Program service revenue: HOSPITAL SUPPORT SERVICES

  total $1,957,181 · related or exempt $1,957,181

• 2b · Program service revenue: EMPLOYEE LEASE REVENUE

  total $2,619,464 · related or exempt $2,619,464

• 2f · All other program service revenue

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

• 3 · Investment income

  total $2,656,910 · excluded $2,656,910

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7c · Gain or loss

  securities $0 · other assets $0

• 11a · Other revenue: ELECTRONIC PAYMENT REBATES

  total $60,779 · excluded $60,779

• 11b · Other revenue: JOINT VENTURE LOSS

  total -$745,770 · related or exempt -$745,770

• 11c · Other revenue: CONSULTING FEE

  total $12,000 · excluded $12,000

• 11d · All other revenue

  total $170,014 · related or exempt $0 · unrelated business $0 · excluded $170,014

• 11e · Other revenue, total

  -$502,977

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $7,814,192 · management and general $7,814,192

• 7 · Other salaries and wages

  total $15,028,275 · management and general $15,028,275

• 8 · Pension plan contributions

  total $2,176,840 · management and general $2,176,840

• 9 · Other employee benefits

  total $17,289,872 · management and general $17,289,872

• 10 · Payroll taxes

  total $1,254,196 · management and general $1,254,196

• 11b · Fees: legal

  total $450,172 · management and general $450,172

• 11c · Fees: accounting

  total $236,868 · management and general $236,868

• 11d · Fees: lobbying

  total $49,500 · management and general $49,500

• 11f · Fees: investment management

  total $2,086,618 · management and general $2,086,618

• 11g · Fees: other

  total $3,008,309 · program services $0 · management and general $3,008,309 · fundraising $0

• 12 · Advertising and promotion

  total $644,155 · management and general $644,155

• 13 · Office expenses

  total $832,114 · management and general $832,114

• 14 · Information technology

  total $2,817,244 · management and general $2,817,244

• 16 · Occupancy

  total $122,300 · management and general $122,300

• 17 · Travel

  total $238,280 · management and general $238,280

• 19 · Conferences, conventions and meetings

  total $379,320 · management and general $379,320

• 22 · Depreciation, depletion and amortization

  total $70,415 · management and general $70,415

• 23 · Insurance

  total $1,449,461 · management and general $1,449,461

• 24a · Other expenses: RECRUITMENT & RELOCATION

  total $1,031,321 · management and general $1,031,321

• 24b · Other expenses: TAXES, PROPERTY & SALES TAX

  total $283,006 · management and general $283,006

• 24c · Other expenses: ALL OTHER EXPENSES

  total $236,321 · management and general $236,321

• 24e · All other expenses

  total -$3,721,858 · program services $0 · management and general -$3,721,858 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $66,906,641 · end of year $61,204,075

• 2 · Savings and temporary cash investments

  beginning of year $34,478,687 · end of year $40,730,823

• 4 · Accounts receivable

  beginning of year $26,920,897 · end of year $7,389,413

• 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

• 7 · Other notes and loans receivable

  beginning of year $888,756 · end of year $31,337,940

• 9 · Prepaid expenses and deferred charges

  beginning of year $632,574 · end of year $1,587,458

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

  $2,293,924

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

  $2,006,031

• 10c · Land, buildings and equipment, net

  beginning of year $339,593 · end of year $287,893

• 12 · Investments: other securities

  beginning of year $0 · end of year $5,223,129

• 13 · Investments: program-related

  beginning of year $0

• 15 · Other assets

  beginning of year $869,374 · end of year $490,707

• 17 · Accounts payable and accrued expenses

  beginning of year $8,949,583 · end of year $9,151,208

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  end of year $2,870,388

• 25 · Other liabilities

  beginning of year $6,168,703 · end of year $5,921,953

• 27 · Net assets without donor restrictions

  beginning of year $115,918,236 · end of year $130,307,889

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Travel for companions

FOURTEEN OF THE SIXTEEN MEMBERS OF THE BOARD OF TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYAN HEALTH ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYAN HEALTH. REIMBURSEMENT FOR COMPANIONS OF VOLUNTEER TRUSTEES AND OFFICERS IS LIMITED BY THE BOARD OF TRUSTEES' TRAVEL POLICY TO AIR TRAVEL AT COACH LEVEL OR THE EXTENDED COACH/EXTENDED LEG ROOM LEVEL. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES AND OFFICERS.

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

THE ORGANIZATION PROVIDES SOCIAL CLUB MEMBERSHIPS FOR SELECT EMPLOYEES IF THERE IS A BUSINESS NEED FOR THE MEMBERSHIP. THE CLUB MEMBERSHIP IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ORGANIZATION REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. TWO OFFICERS AND ONE KEY EMPLOYEE LISTED IN FORM 990, PART VII, SECTION A, RECEIVED THIS BENEFIT DURING THE TAX YEAR.

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 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, 2023. 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 4a Severance or change-of-control payment

LARRY SPEICHER, CEO OF GRAND ISLAND REGIONAL MEDICAL CENTER, RECEIVED SEVERANCE PAYMENT OF $155,324 IN 2023.

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 PAYMENTS DURING 2023: MICHAEL DEWERFF - $209,899, RUSSELL GRONEWOLD - $316,077, ROBERT RAVENSCROFT - $98,328, MARIA ISQUIERDO - $126,888, PATRICK GANYO - $54,009, JOHN WOODRICH - $264,413, DAVID REECE - $57,320, LISA VAIL - $122,742; ERIC MOOSS - $87,943.

Schedule J, Part I, Line 7 Non-fixed payments

BRYAN HEALTH OFFERS A MARKET COMPETITIVE INCENTIVE COMPENSATION PROGRAM FOR MEMBERS OF MANAGEMENT. INCENTIVE COMPENSATION IS BASED ON ACHIEVING OBJECTIVE ORGANIZATIONAL AND INDIVIDUAL GOALS. THE WEIGHTS ASSIGNED TO EACH GOAL MAY CHANGE ON AN ANNUAL BASIS. THE GOALS ARE SET AND REVIEWED FOR LEVEL OF ACCOMPLISHMENT BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES.

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 EXECUTIVES OF BRYAN HEALTH AND BRYAN MEDICAL CENTER, AND NOT FOR SERVICES PERFORMED AS BOARD MEMBERS.

Related partnerships

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

• BRYAN HEART MARY LANNING CARDIOLOGY LLC

  Related · CARDIOLOGY · NE · 50% owned · share of income -$600,121 · share of assets $400,752 · general or managing partner

  Directly controlled by NA

• GRAND ISLAND HOSPITAL HOLDING LLC

  N/A · HOLDING COMPANY · NE

  Directly controlled by NA

• BRYAN TELEMEDICINE LLC

  N/A · HEALTHCARE · NE

  Directly controlled by NA

• 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 LLC

  N/A · HEALTHCARE · NE

  Directly controlled by NA

• SEWARD URGENT CARE PARTNERSHIP LLC

  N/A · HEALTHCARE · 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 · 100% owned · share of income $4,219,085 · share of assets $40,590,958 · controlled entity

  Directly controlled by BRYAN HEALTH

• INTEGRATED CARDIOLOGY GROUP LLC

  C Corporation · CARDIOLOGY · NE · 100% owned · share of income $31,794,825 · share of assets $11,746,879 · controlled entity

  Directly controlled by BRYAN HEALTH

• BRYAN HEALTH CONNECT

  C Corporation · PHYSICIAN HOSPITAL ORGANIZATION · NE · 100% owned · share of income $12,717,180 · share of assets $7,887,006 · controlled entity

  Directly controlled by BRYAN HEALTH