Grand Island Regional Medical Center Inc

“Persons listed in part vii, section a, may have a business relationship with each other by virtue of their employment by a bryan health entity.”

“The executive committee shall consist of the chairperson and vice-chairperson of the board, one trustee who is an appointee of bryan, one trustee who is an appointee of mary lanning and at least one other elected trustee or appointed trustee who is elected to the executive committee by the board at the board's annual meeting each year. In addition, the chief executive officer of bryan, if not already appointed to the committee as a voting trustee, and the president/chief executive officer of the corporation, shall be ex officio nonvoting members of the executive committee. The executive committee shall meet on the call of the chairperson of the board, the corporation president/chief executive officer or the chief executive officer of bryan. A majority of the voting members of the executive committee shall constitute a quorum. The vote of a majority of the voting members of the executive committee present and voting shall control at an executive committee meeting. The executive committee shall have and may exercise all of the authority and power of the board when the board is not in session, subject, however, to the same limitations on the board. The designation and appointment of an executive committee and the delegation thereto of authority shall not operate to relieve the board, or any individual trustee, of any responsibility imposed upon them by law.”

“There shall be one class of membership in the corporation, class a. The sole class a member of the organization is bryan health, a nebraska nonprofit corporation.”

“BRYAN HEALTH MAY APPOINT SIX COMMUNITY TRUSTEES, ONE OF WHICH SHALL BE RECOMMENDED BY MARY LANNING HOSPITAL ASSOCIATION SUBJECT TO BRYAN HEALTH'S APPROVAL. APPOINTED TRUSTEES MAY BE REMOVED FROM OFFICE (i) FOR BEHAVIOR CONTRARY TO THE ARTICLES, BYLAWS OR THE ACT BY TWO-THIRDS (2/3) VOTE OF THE ENTIRE BOARD AT ANY MEETING OF WHICH NOTICE WAS DULY GIVEN AND THE SUBJECT OF REMOVAL WAS STATED IN THE NOTICE AND APPROVAL BY BRYAN HEALTH.”

“Certain actions, following recommendation by the board, must be approved by bryan health to become effective. Specifically, bryan health must: (1) approve changes in any annual or long-term capital or operational expense budget exceeding $250,000 in any single transaction or a total of $1,000,000 in any corporation fiscal year; (2) approve the corporation engaging in or entering into any transaction or transactions providing for the transfer, sale or other disposition of the capital assets of the corporation in any single transaction in excess of $250,000 or a total of $1,000,000 in any corporation fiscal year; (3) approve the corporation organizing or acquiring any interest in any corporation, shared service arrangement, association, limited liability company, partnership, trust, joint venture or other entity, directly or indirectly, where the capital expenditure or operating expenses incurred by the corporation in connection with such organization or acquisition will exceed $500,000 in any single transaction or a total of $1,000,000 in any corporation fiscal year; (4) approve the corporation incurring any indebtedness or incurring or becoming subject to a mortgage or lien of any kind or nature on assets of the corporation, where the borrowing or indebtedness in any single transaction exceeds $250,000 or a total of $1,000,000 in any corporation fiscal year; (5) approve the corporation entering into any transaction that is limited, governed or prohibited by the terms of any debt instruments, including guarantees, under which bryan health is the obligated borrower and whose purpose was or is to finance the construction or equipping of any hospital and/or clinic facilities by the corporation; (6) approve an action to merge, consolidate or combine with another entity, or to dissolve the corporation or enter into a plan of dissolution, or to sell or otherwise dispose of all or substantially all of the assets of the corporation; and (7) approve any lease, contract or other arrangement with third parties for land, improvements, including the hospital facility, personal property and equipment and other tangible or intangible rights or property determined by the class a member to be essential to operation of the hospital.”

“This 990 was prepared by bryan health's tax division during the return preparation process. The tax division works diligently with other departments including human resources, finance, legal and advancement to gather information to complete form 990 and attached schedules in an accurate and thorough manner. This 990 was reviewed by the chief executive officer, chief financial officer, and other key officers of bryan health. This 990 was also reviewed by an independent accounting firm. Bryan health's board of trustees has delegated the review of the form 990 to the board's audit committee. Each member of the audit committee has the opportunity to review the complete copy of this 990 prior to filing the form with the internal revenue service.”

“Grand island regional medical center has adopted a written conflict of interest policy that is monitored and enforced by the governance committee of the board of trustees of grand island regional medical center. Board members, officers and key employees are required to annually complete a conflict of interest and disclosure questionnaire to identify any family and business relationships and transactions, or other transactions that may pose a potential conflict. The questionnaire requires each covered person to sign a statement certifying that he/she: (1) has reported information that is correct and complete to the best of their knowledge; (2) has read the conflict of interest policy and understands the policy, and (3) agrees to comply with all requirements of the policy. Covered persons are also required to disclose real or potential conflicts at the time such conflicts arise. Persons who have not returned questionnaires are contacted additional times in an effort to receive complete and accurate responses from all persons. Failure to complete the questionnaire can result in disciplinary actions. The questionnaires are reviewed in detail by the governance committee of grand island regional medical center. Conflicts are closely monitored by members of the governance committee. The conflict of interest policy has restrictions for any board member with a conflict of interest.”

“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 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 minutes which are timely reviewed and approved by the committee.”

“See form 990, part vi, section b, line 15a.”

“The organization's governing documents, conflict of interest policy and financial statements are generally not made available to the public. Federal tax laws do not require that governing documents, conflict of interest policies and financial statements be made available for public inspection.”

“- Total Revenue: 36626, Related or Exempt Function Revenue: 36626, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“- Total Revenue: 120525, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 120525;”

“PURCHASE SERVICES - Total Expense: 6601737, Program Service Expense: 4759192, Management and General Expenses: 1842545, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 5114640, Program Service Expense: 3687144, Management and General Expenses: 1427496, Fundraising Expenses: ; MISCELLANEOUS FEES - Total Expense: 229304, Program Service Expense: 165305, Management and General Expenses: 63999, Fundraising Expenses: ; RECRUITING - Total Expense: 21582, Program Service Expense: 15558, Management and General Expenses: 6024, Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 1103407, Program Service Expense: 795446, Management and General Expenses: 307961, Fundraising Expenses: ;”