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← MERRICK MEDICAL CENTER

Form 990 for tax year 2022

Filed by MERRICK MEDICAL CENTER.

Totals

Total revenue
$23,222,953
Total expenses
$24,998,917
Contributions and grants received
$155,648
Grants paid
$0
Program service revenue
$22,875,942
Investment income
$44,763
Other revenue
$146,600
Total assets, end of year
$41,367,083
Total liabilities, end of year
$21,461,755
Net assets or fund balances, end of year
$19,905,328
Program services expenses (Part IX)
$22,381,797
Management and general expenses
$2,617,120
Fundraising expenses
$0
Program service expenses (Part III)
$22,381,797

Program services were 89.5% 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)

    $155,648

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: Net Patient Care Revenue

    total $21,347,330 · related or exempt $21,347,330

  • 2b · Program service revenue: Pharmacy

    total $1,487,944 · related or exempt $1,487,944

  • 2c · Program service revenue: Leased Employees

    total $39,605 · related or exempt $39,605

  • 2d · Program service revenue: Health Information Services

    total $1,063 · related or exempt $1,063

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $44,763 · excluded $44,763

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Miscellaneous Income

    total $101,493 · related or exempt $101,493

  • 11b · Other revenue: Cafeteria Income

    total $43,207 · excluded $43,207

  • 11c · Other revenue: Community Wellness Income

    total $1,900 · related or exempt $1,900

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $146,600

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $833,275 · management and general $833,275

  • 7 · Other salaries and wages

    total $8,402,170 · program services $8,351,575 · management and general $50,595

  • 8 · Pension plan contributions

    total $396,133 · program services $360,481 · management and general $35,652

  • 9 · Other employee benefits

    total $1,292,760 · program services $1,176,412 · management and general $116,348

  • 10 · Payroll taxes

    total $610,762 · program services $555,793 · management and general $54,969

  • 11b · Fees: legal

    total $128,885 · management and general $128,885

  • 11c · Fees: accounting

    total $60,605 · program services $60,605

  • 11g · Fees: other

    total $4,883,057 · program services $4,649,849 · management and general $233,208 · fundraising $0

  • 12 · Advertising and promotion

    total $62,130 · management and general $62,130

  • 16 · Occupancy

    total $372,511 · program services $298,009 · management and general $74,502

  • 17 · Travel

    total $21,401 · program services $19,176 · management and general $2,225

  • 20 · Interest

    total $283,026 · program services $254,240 · management and general $28,786

  • 22 · Depreciation, depletion and amortization

    total $1,768,136 · program services $1,671,490 · management and general $96,646

  • 23 · Insurance

    total $51,120 · program services $44,479 · management and general $6,641

  • 24a · Other expenses: Drugs

    total $1,997,566 · program services $1,997,566

  • 24b · Other expenses: Minor Equipment

    total $1,100,624 · program services $954,241 · management and general $146,383

  • 24c · Other expenses: Supplies

    total $1,007,330 · program services $850,691 · management and general $156,639

  • 24d · Other expenses: Corporate Cost Allocation

    total $1,006,444 · program services $518,464 · management and general $487,980

  • 24e · All other expenses

    total $720,982 · program services $618,726 · management and general $102,256 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $12,078,050 · end of year $6,194,003

  • 4 · Accounts receivable

    beginning of year $3,299,368 · end of year $3,220,075

  • 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 $396,964 · end of year $387,009

  • 9 · Prepaid expenses and deferred charges

    beginning of year $94,322 · end of year $117,786

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

    $32,606,746

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

    $3,207,078

  • 10c · Land, buildings and equipment, net

    beginning of year $22,914,688 · end of year $29,399,668

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $2,048,542

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,581,326 · end of year $21,461,755

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $520,774 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $21,681,292 · end of year $19,905,328

Mission and programs · 2022

Mission

Merrick Medical Center is committed to promoting and providing personalized, compassionate, quality health services. Merrick Medical Center's vision is to be the leader in patient-centered care, providing exceptional service, quality outcomes and making a measurable improvement in the health and lives of others.

Activities or mission (Part I)

Merrick Medical Center is committed to promoting and providing personalized, compassionate, quality health services. During 2022, MMC provided charity care to 333 patients at a cost of $325,900.

  • Merrick Medical Center (MMC), is a HOSPITAL ORGANIZATION located in Central City, Nebraska, AND IS PART OF THE BRYAN HEALTH SYSTEM. MMC was incorporated on March 15, 2017, WITH HOSPITAL OPERATIONS COMMENCING ON JULY 1, 2017. MMC OPERATES A 6 - LICENSED BED CRITICAL ACCESS HOSPITAL AND two PHYSICIAN CLINICS. MMC IS COMMITTED TO SERVING PATIENTS AND the COMMUNITY BY INVESTING FUNDS IN FACILITIES, TECHNOLOGY, PHYSICIANS, AND STAFF TO DELIVER PREMIUM HEALTHCARE TO CENTRAL CITY AND THE SURROUNDING COMMUNITIES. MMC SUPPORTS numerous health Care services, fitness and wellness programs, telehealth technology and community partnerships. During 2022, MMC provided inpatient acute and swing bed services to 181 patients. Also, MMC performed 292 surgical procedures and provided primary care physician services with 12,299 visits. In 2022, MMC provided charity care to 333 patients and served 784 medicaid patients. MMC is a Nebraska nonprofit corporation as described in Section 501(c)(3) of the Code and has received a determination letter that it is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code.

    Expenses $22,381,797 · Revenue $22,979,335

As filed on the 2022 return.

Listed in Part VII

  • John Woodrich

    Vice Chair

    Total calculated
    $1,265,063
    From this org
    $0
    From related orgs
    $1,225,502
    Other
    $39,561
    Hours/week
    1 + 63 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
  • Patrick Avila

    PRESIDENT/CEO

    Total calculated
    $323,132
    From this org
    $281,136
    From related orgs
    $0
    Other
    $41,996
    Hours/week
    60 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $232,477
    Bonus
    $45,602
    Other
    $3,057
    Deferred
    $13,368
    Nontaxable benefits
    $28,628
    Filer's total
    $323,132
  • Patrick Ganyo

    Bryan Health Vice President Rural Division, Secretary/Treasurer

    Total calculated
    $487,485
    From this org
    $0
    From related orgs
    $439,873
    Other
    $47,612
    Hours/week
    1 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,353 related
    Bonus
    $0 + $84,099 related
    Other
    $0 + $89,422 related
    Deferred
    $0 + $17,187 related
    Nontaxable benefits
    $0 + $30,425 related
    Filer's total
    $0 + $487,486 related
  • Raymond Hugget

    Chairperson

    Total calculated
    $0
    Hours/week
    1
  • Shannon Hannappel

    Secretary

    Total calculated
    $0
    Hours/week
    1
  • Brian Buhlke DO

    RURAL PHYSICIAN - Trustee (Effective 01/01/2022)

    Total calculated
    $510,143
    From this org
    $461,279
    From related orgs
    $0
    Other
    $48,864
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $254,852
    Bonus
    $179,523
    Other
    $26,904
    Deferred
    $19,091
    Nontaxable benefits
    $29,773
    Filer's total
    $510,143
  • Blake Cover MD

    Physician

    Total calculated
    $639,415
    From this org
    $593,514
    From related orgs
    $0
    Other
    $45,901
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $245,645
    Bonus
    $230,917
    Other
    $116,952
    Deferred
    $16,028
    Nontaxable benefits
    $29,873
    Filer's total
    $639,415
  • Brandon McLaughlin

    PRACTICE PROVIDER

    Total calculated
    $218,747
    From this org
    $175,430
    From related orgs
    $0
    Other
    $43,317
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $172,136
    Bonus
    $2,500
    Other
    $794
    Deferred
    $12,075
    Nontaxable benefits
    $31,242
    Filer's total
    $218,747
  • Jacey Schwarz

    Registered Nurse

    Total calculated
    $176,023
    From this org
    $166,797
    From related orgs
    $0
    Other
    $9,226
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $16,747
    Bonus
    $0
    Other
    $150,050
    Deferred
    $0
    Nontaxable benefits
    $9,226
    Filer's total
    $176,023
  • Richard Poppe

    Physician

    Total calculated
    $221,178
    From this org
    $202,833
    From related orgs
    $0
    Other
    $18,345
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $92,132
    Bonus
    $92,680
    Other
    $18,021
    Deferred
    $3,366
    Nontaxable benefits
    $14,979
    Filer's total
    $221,178
  • Traci Dieckmann MD

    RURAL PHYSICIAN, Family Practice

    Total calculated
    $468,868
    From this org
    $424,970
    From related orgs
    $0
    Other
    $43,898
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $269,214
    Bonus
    $149,108
    Other
    $6,648
    Deferred
    $16,775
    Nontaxable benefits
    $27,123
    Filer's total
    $468,868

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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.
Schedule J, Part I, Line 4a Severance or change-of-control payment
DURING THE YEAR, JACEY SCHWARZ RECEIVED $149,853 IN SEVERANCE PAYMENTS IN 2022 FROM MERRICK MEDICAL CENTER.
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 2022: John Woodrich - $248,092, Patrick Ganyo - $50,821.
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.

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 corporations and trusts

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

  • BRYAN ENTERPRISES INC

    C Corporation · MEDICAL SERVICES · NE · 0% owned

    Directly controlled by BRYAN HEALTH

  • INTEGRATED CARDIOLOGY GROUP LLC

    C Corporation · CARDIOLOGY · NE · 0% owned

    Directly controlled by BRYAN HEALTH

  • BRYAN HEALTH CONNECT

    C Corporation · PHYSICIAN HOSPITAL ORGANIZATION · NE · 0% owned

    Directly controlled by BRYAN HEALTH

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202323189349301317

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