4A (Expenses $ 51199449 including grants of $ 0) (Revenue $ 40723592)
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 2021, Grand Island Regional Medical Center provided healthcare services to the general public and operated routine service beds, ICU beds totaling over 8,355 patient days, 17,379 outpatient visits including emergency room visits of 7,616. The Hospital delivered it's first baby in January 2021 along with opening of the Neonatal Intensive Care Unit. The Hospital provided Charity Care to 100 patients in the amount of $102,341.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - . In June 2021, 35 partners participated in a focused discussion to identify forces that impact health in communities within the community as part of the 2021 community health assessment. Participants represented public health, government officials, public schools, social service agencies and providers of specialized services such as early childhood development, substance abuse, housing, etc. A complete list of community partners is including on pages 8 and 9 of the 2021 Community Health Needs Assessment.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - Merrick Medical Center. 501(c)(3) Hospital

Schedule H, Part V, Section B, Line 6a Facility A, 2
Facility A, 2 - Memorial Community Health. Includes three family medicine clinics, a critical access hospital, outpatient specialty and diagnostic services, independent and assisted living facilities and a nursing home in Aurora, Nebraska

Schedule H, Part V, Section B, Line 6a Facility A, 3
Facility A, 3 - CHI St. Francis. 501(c)(3) Hospital in Grand Island, NE

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - Grand Island Regional Medical Center. Grand Island Regional Medical Center is dedicated to improving health through the empowerment of the community and our health care team. Grand Island Regional Medical Center has the opportunity to work with neighbors, leaders, and partner organizations to improve community health. The Community Health Needs Assessment (CHNA) was completed with community partners and residents in order to ensure to identify the top health needs impacting the community, leverage resources to improve these health needs, and complete impactful improvement in the community through evidence-based strategies. The health assessment and priority community health needs identified constitute a collaborative effort between Grand Island Regional Medical Center, Merrick Medical Center, Memorial Community Health, CHI St. Francis, Central District Health Department and the Nebraska Association of Local Health Directors (NALHD), gathering extensive input from individuals representing a broad interest of Grand Island, Central City, Merrick County, Hall County, and Hamilton County. The goals of this CHNA are to: 1.) Identify areas of high need that impact the health and quality of life of residents in the community. 2.) Ensure that resources are leveraged to improve the health of the most vulnerable members of the community and to reduce existing health disparities. 3.) Set priorities and goals to improve these high need areas using evidence as a guide for decision making. 4.) Ensure compliance with section 501(r) of the Internal Revenue Code for non-for-profit hospitals under the requirements of the Affordable Care Act. The CHNA gathered data from secondary sources such as Behavioral Risk Surveillance Survey (BRFSS), County Health Rankings, American Community Survey/US Census Bureau, Center for Disease Control, and Nebraska Department of Education to assess the health status of the Central District Health Department (CDHD) region to identify emerging issues and trends. The CDHD wanted to learn more about the impact of COVID-19 on the communities in the area, CDHD launched a 5-question survey. The survey was developed by the Nebraska Association of Local Health Directors (NALHD) as an open-ended survey design intended to allow respondents to tell LHDs their experience related to their health and the health of their community to identify emerging issues in the community. The NALHD made the survey accessible to all LHDs across Nebraska to identify statewide impacts and trends. This survey assisted CDHD by highlighting community themes and strengths that may not be identified solely with the use of secondary data sources. The survey assessed experiences of community members related to major health issues for them or their family, what it means to be healthy, top health concerns, and ways to be healthy in their community and was made available in English, Spanish, Somali, and Arabic by print and online. The survey was distributed through CDHD and their partners, including Multicultural Coalition, area hospitals, and others. Additionally. CDHD posted the survey link on the CHDH website and Facebook page and provided a kiosk station for clients attending vaccination clinics to fill out the survey online when waiting for appointments. In June 2021, 35 partners participated in a focused discussion to identify forces that impact health in communities within the CDHD area as part of the community health assessment. September 2, 2021 the CDHD held a second meeting to discuss the findings from the five-question survey. 33 participants attended this meeting from Merrick, Hall, and Hamilton Counties. The top three health concerns from the survey revealed 1.) Cancer; 2.) Diabetes and 3.) Getting enough exercise. There were also three additional areas of concern specific to Hall county; the teen birth rate, the uninsured rate, and the ratio of primary care physicians to the population. Therefore, the priority focus areas for Grand Island Regional Medical Center are 1.) Cancer; 2.) Culture of Health; 3.) Access to Care; 4.) Preventing Teen Pregnancy 1.) Cancer Cancer is the leading cause of death in the CDHD district and across the state. In the CDHD region, female breast cancer was the leading type of cancer diagnosed. Prostate cancer followed as a close second for the CDHD district. Cancer mortality rates are on the decline in the CDHD district, state, and nation. Despite this trend, cancer remained one of the top two leading causes of death in the CDHD district through 2017. Native Americans, African Americans, and Whites across Nebraska had cancer mortality rates in excess of the state target of 145.2/100,000 population. Lung (and bronchus) cancer was the leading type of cancer that resulted in death in the CDHD district. Tobacco smoking remains the leading cause of lung cancer, responsible for about 80% of lung cancer deaths. Other causes include exposure to secondhand smoke and radon. 2.) Culture of Health Diabetes is a chronic disease that impacts how a body gets energy from food. Diabetes is the 7th leading cause of death in the US with more than 88 million US adults diagnosed with diabetes. Often, diabetes and heart disease are co-occuring. A person with diabetes is 2 times more likely to heart disease or stroke, the leading cause of death. Generally, diabetes rates in CDHD region are similar to the state rate. Diabetes data broken down among race/ethnicity is not available by county, but is available at the state level. There are dramatic gaps between racial/ethnic populations when looking at the state diabetes rates. Notable, African American/Black (15%), American Indian/Alaskan Native (16%), and Hispanic (14%) populations experience almost 2 times the rates of diabetes compared to non-Hispanic, Whites. As affirmation to the above prevalence and factors contributing to diabetes, respondents to the CDHD Community Survey identified diabetes as one of the top three health concerns. According to the Nebraska BRFSS, healthy eating and active living was not a routine behavior for many adults in the CDHD district. Nearly 40% of adults in this area reported consuming fruits less than 1 time per day and about 1 in 4 adults consumed vegetables less than 1 time per day. Despite the majority of adults (85%) in the CDHD region indicated that they had access to safe places to walk in their neighborhoods, roughly 1 in 3 adults reported no leisure-time physical activity in the past 30 days. As affirmation to the above indicators related to nutrition, non-White, Hispanic respondents to the CDHD Community Survey identified challenges getting healthy and affordable food as one of top three health concerns. Nearly 505 of people in the CDHD region did not meet the aerobic physical activity recommendations (at least 150 minutes of moderate intensity physical activity per week). Safe community environments, such as walking paths, sidewalks, and walking/biking trails to move throughout the area, encourage residents to engage in healthy eating and active living, which is key to preventing chronic disease. As affirmation to the above indicators related to physical activity, respondents to the CDHD Community Survey identified getting enough exercise as one the top three health concerns. 3.) Access to Care Accessing health care is complicated by multiple factors, such as the ability to travel to care locations, location and number of healthcare providers, types and costs of services offered, and insurance coverage. Cost of healthcare services can be a barrier to care for CDHD residents. Surpassing the state rate, 1.5 in 10 adults aged 18-64 needed to see a doctor but could not due to cost within the past year, and 1 in 5 adults aged 18-64 had no health coverage. Hispanics had the highest uninsured rates of any ethnic group across the state. According to the Nebraska BRFSS, 1 in 5 adults aged 18-64 in the CDHD district did not have health care coverage. The County Health Rankings reported that more adults under the age of 65 (15%) and under age 19 (6%) in Hall County were uninsured than the state average of 11% and 5% respectively. Health professional shortages are also a contributing factor of not accessing health care. 3 of 4 adults in the CDHD district had a personal doctor or healthcare provider. Some areas within CDHD were designated as Medically Underserved Areas (MUA). Notably, all of Hall County and parts of Merrick County were designated as MUA for primary care. Physician Assistants and Nurse Practitioners were utilized in many primary care clinics in the CDHD area.

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - Grand Island Regional Medical Center. 4.) Preventing Teen Pregnancy The United States teen birth rate (births per 1,000 females aged 15 to 19 years) has been declining since 1991. Teen birth rates continue to decline from 17.4/1,000 females in 2018 to 16.7/1,000 females in 2019. The overall birth rate 15.7/1,000 and teen birth rate 38/1,000 in Hall County is higher than other counties in the CDHD district of 13.7/1,000 and state rate of 13.9/1,000. Teen pregnancy and childbearing are associated with increase social and economic cost through immediate and long-term effects on teen parents and their children. Pregnancy and births are significant contributors to high school dropout rates among girls. About 50% of teen mothers receive a high school diploma by age 22, whereas 90% of women who do not give birth during adolescence graduate from high school. The children of teenage mothers are more likely to have lower school achievement and to drop out of high school, have more health problems, be incarcerated at some time during adolescence, give birth as a teenager, and face unemployment as a young adult.

Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE
https://www.bryanhealth.com/locations/hospitals/girmc/for-patients/billing-insurance-financial-assistance/

Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE
https://www.bryanhealth.com/locations/hospitals/girmc/for-patients/billing-insurance-financial-assistance/

Schedule H, Part V, Section B, Line 16c Plain Language FAP Summary Website
https://www.bryanhealth.com/locations/hospitals/girmc/for-patients/billing-insurance-financial-assistance/

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
Bryan Health

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
Grand Island Regional Medical Center was formed on December 5, 2017 as a Nebraska not-for-profit corporation for the purpose of operating a hospital and related healthcare facilities in Grand Island, Nebraska. The hospital became medicare certified on August 1, 2020 allowing the hospital to begin accepting patients. Services provided during fiscal year ending December 31, 2021 were very limited THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFOMRATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE Medicare cost report WAS USED TO CALCULATE A COST TO CHARGE RATIO. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREMIBURSED MEDICAID AMOUNTS. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMNITY BENEFIT PROGRAMS, HEALTH EDUCATION ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHT THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, Grand Island Regional Medical Center l HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE ON IRS FORM 990, PART IX. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER OLLECTION INDICATORS.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE AMOUNT OF THE Hospital's BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE Hospital's CHARITY CARE POLICY IS ESTIMATED TO BE ZERO BASED ON THE FOLLOWING: (1) Grand Island Regional Medical Center HAS ESTABLISHED POLICIES THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENT'S ABILITY TO PAY; AND ONCE ELIGIBILITY IS VERIFIED, THE Hospital WILL WRITE ACCOUNTS OFF TO CHARITY CARE AND NO LONGER PURSUE DEBT COLLECTION PROCEDURES; (2) Grand Island Regional Medical Center HAS COUNSELORS AVAILABLE TO WORK WITH ANY PATIENT BOTH PRE AND POST DISCHARGE TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE; (3) Grand Island Regional Medical Center PROVIDES PRESUMPTIVE FINANCIAL ASSISTANCE WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO THE LACK OF SUPPORTING DOCUMENTATION. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 11 OF THE Grand Island Regional Medical Center AUDIT REPORT.

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. GRAND ISLAND REGIONAL 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 GRAND ISLAND REGIONAL MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANICAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE GRAND ISLAND REGIONAL 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
IT IS Grand Island's POLICY TO OFFER PATIENTS A PAYMENT PLAN AND/OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN THAT A PATIENT IS IN NEED OF ASSISTANCE TO HELP PAY FOR THEIR HOSPITAL BILL. IF Grand Island IS AWARE THAT A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THIS ACCOUNT WILL NEVER BE REFERRED TO A COLLECTION AGENCY. IF AN ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY, AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO Grand Island FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.

Schedule H, Part V, Section B, Line 16a FAP website
A - Grand Island Regional Medical Center: Line 16a URL: See statement;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Grand Island Regional Medical Center: Line 16b URL: See statement;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Grand Island Regional Medical Center: Line 16c URL: See Statement;

Schedule H, Part VI, Line 2 Needs assessment
Grand Island Regional Medical Center (GIRMC) IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. Grand Island Regional Medical Center survey inpatient, ambulatory surgery, and emergency department patient populations, asking key demographic questions that allow Grand Island Regional Medical Center to access the health care needs of specific at risk populations. GIRMC partners with the Central District Health Department to develop and implement action plans that target the health care needs of the community.

Schedule H, Part VI, Line 4 Community information
The population of Grand Island, Nebraska was 51,147 people as of the census of 2020. The racial makeup of the city was 63.0% Non-Hispanic/White, 15% non-Hispanic/other races. Hispanic or Latino people of any race were 22% of the population. Hall County has a 68% employment rate and an unemployment rate of 2%. The median income for a household in the city was $57,104. The county's poverty level of 11.8% is higher than the Nebraska average of 9.9%. Other hospitals serving in the community are Memorial Community Health and CHI St. Francis. Hall County has 1,889 employers in the county. Education services, health care, and social services employ the most people (20.5%) followed by manufacturing (19.4%) and retail (12.3%).

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
IN KEEPING WITH Grand Island Regional Medical Center'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, Grand Island OFFERS A FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM IS PROVIDED AT EACH NEW EMPLOYEE ORIENTATION SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. Grand Island HAS TRAINED FINANCIAL COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENTS FINANCIAL NEED. UNINSURED PATIENTS WHO ARE ADMITTED TO Grand Island WILL AUTOMATICALLY RECEIVE A CONSULTATION WITH A FINANCIAL COUNSELOR. THE COUNSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. WHEN APPLICABLE, THE FINANCIAL COUNSELORS PROVIDE ASSISTANCE FOR QUALIFYING FOR THE FINANCIAL ASSISTANCE POLICY OR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY; INCLUDING THE PHONE NUMBER TO CONTACT A BILLING CUSTOMER SERVICE REPRESENTATIVE, IS PROVIDED: 1) ON Grand Island'S WEBSITE, 2) IN ALL HOSPITAL REGISTRATION AREAS, INCLUDING THE EMERGENCY DEPARTMENT, 3) IN BILLING OFFICES, 4) IN ALL INPATIENT ADMISSION PACKETS; AND 5) ON EACH BILLING STATEMENT. THE ORGANIZATION'S PROCEDURE IS TO MAIL THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM TO PATIENTS FREE OF CHARGE UPON REQUEST. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT FROM PRE-ADMISSION TO THE FINAL PAYMENT OF THE BILL, AS WE RECOGNIZE THAT A PATIENTS ABILITY TO PAY OVER AN EXTENDED PERIOD OF TIME MAY BE SUBSTANTIALLY ALTERED DUE TO ILLNESS OR FINANCIAL HARDSHIP, RESULTING IN A NEED FOR FINANCIAL ASSISTANCE. ANNUALLY, ALL HOSPITAL EMPLOYEES ARE REQUIRED TO RECEIVE TRAINING REGARDING THE FINANCIAL ASSISTANCE POLICY INCLUDING HOW TO ANSWER QUESTIONS FROM A PATIENT REGARDING WHERE THE PATIENT CAN RECEIVE ADDITIONAL INFORMATION REGARDING THE POLICY.

Schedule H, Part VI, Line 5 Promotion of community health
Grand Island Regional Medical Center PROVIDES HIGH QUALITY, COMPREHENSIVE MEDICAL SERVICES TO BENEFIT THE COMMUNITY, AND IS COMMITTED TO IDENTIFYING AND ADDRESSING NEEDS IN THE COMMUNITY IN ORDER TO PROMOTE THE PHYSICAL, EDUCATIONAL AND ECONOMIC HEALTH OF OUR COMMUNITY IN THE FUTURE. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIREMENTS. AS A NON-PROFIT hospital, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY. In 2021, GIRMC board consisted of 11 board members, 9 of who reside within a 25 mile radius of the facility. In 2021, the board was expanded to include 3 non-employee, non-independent contractors from the at-large community. As of December 31, 2021, 196 providers had been credentialled by the Medical Executive Committee and the Board to provide services at the hospital in wide range of specialties. Medical staff privileges are granted to all individuals who have applied and meet the criteria set forth in the Medical Staff Bylaws. At this point, the hospital has not accumulated surplus funds to provide improvements in patient, medical education and research.

Schedule H, Part VI, Line 6 Affiliated health care system
Grand Island Regional Medical Center IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT 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 BRYAN HEALTH 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, AND MISSOURI. 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 H, Part VI, Line 7 State filing of community benefit report
NE