4A (Expenses $ 648371606 including grants of $ 207033) (Revenue $ 818486450)
BRYAN MEDICAL CENTER IS A NATIONALLY RECOGNIZED NON-PROFIT, ACUTE CARE HOSPITAL, PROVIDING EXEMPLARY COMPREHENSIVE PATIENT CARE SERVICES, MEDICAL EDUCATION, AND COMMUNITY SERVICES TO RESIDENTS OF THE LINCOLN COMMUNITY, STATE OF NEBRASKA, AND OTHER STATES IN THE REGION. BRYAN MEDICAL CENTER IS PART OF BRYAN HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE ORGANIZATIONS IN THE REGION. BRYAN MEDICAL CENTER IS THE LARGEST HOSPITAL IN LINCOLN, LICENSED FOR 640 BEDS AT TWO SEPARATE LOCATIONS. PREMIER SERVICES INCLUDE CARDIOLOGY, ORTHOPEDICS, TRAUMA, NEUROSCIENCE, MENTAL HEALTH, WOMEN AND CHILDREN'S HEALTH AND ONCOLOGY. BRYAN MEDICAL CENTER IS THE COMMUNITY'S ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES AND HAS HELPED THOUSANDS OF INDIVIDUALS OVER THE YEARS THROUGH THE BRYAN INDEPENDENCE CENTER RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM. DURING 2021, BRYAN MEDICAL CENTER ADMITTED 28,672 INPATIENTS, DELIVERED 3,267 BABIES, AND HAD 87,350 EMERGENCY ROOM VISITS. BRYAN MEDICAL CENTER IS COMMITTED TO PROVIDING HEALTH CARE SERVICES FOR THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. DURING 2021, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR OVER 7,773 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT, AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. UNREIMBURSED COST FOR CHARITY CARE TOTALED $13.0 MILLION. BRYAN MEDICAL CENTER ALSO INCURRED $45.3 MILLION IN UNREIMBURSED MEDICARE COSTS, AND $35.7 MILLION IN MEDICAID COSTS AND SUPPORT OF OTHER PUBLIC PROGRAMS. BRYAN MEDICAL CENTER SERVED 20,476 MEDICAID PATIENTS IN 2021. BRYAN MEDICAL CENTER PROVIDED $1.6 MILLION IN THE SUPPORT OF HEALTH PROFESSIONALS' EDUCATION, THROUGH RESIDENCY PROGRAMS AND IN SUPPORT OF THE BRYAN COLLEGE OF HEALTH SCIENCES. DURING FALL 2021, THERE WERE 752 STUDENTS ENROLLED IN GRADUATE AND UNDERGRADUATE DEGREE PROGRAMS THROUGH BRYAN'S SCHOOL OF NURSING, HEALTH PROFESSIONS AND NURSE ANESTHESIA PROGRAMS. COMMUNITY EDUCATION, SUPPORT PROGRAMS, AND SERVICES SUBSIDIZED BY THE MEDICAL CENTER TOTALED $1.7 MILLION. DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS TOTALED MORE THAN $614,000. BRYAN MEDICAL CENTER'S QUANTIFIABLE COMMUNITY BENEFIT FOR 2021 TOTALED MORE THAN $132.9 MILLION.

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 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. In conducting the community health needs assessment, a collaboration effort between Bryan Medical Center, the Lincoln-Lancaster County Health Department, and CHI St. Elizabeth, gathering input representing the broad interests of the community. Prioritized significant health needs were identified by subject matter experts at Bryan Health, based on findings from the collaborative assessment. The Lincoln Community Health Survey provides information and insight critical to Bryan Medical Center's community health needs assessment. This survey was planned, conducted, and analyzed as a joint effort between the Lincoln-Lancaster County Health Department, Bryan Health and CHI Health. DURING THE FISCAL YEAR ENDED DECEMBER 31, 2021, Bryan Medical Center, CHI St. Elizabeth and the Lincoln-Lancaster County Health Department distributed surveys to one in every seven households throughout the area. In addition to surveying one in seven households throughout Lancaster County, oversampling was performed with Lincoln's Cultural Centers Coalition, the Lincoln Homeless Coalition, and also the Nebraska Commission for the Blind Supported and the Federation for the Blind. The Lincoln Community Health Survey consisted of five questions: four open-ended write-in questions, and one multiple choice question. The Lincoln Community Health Survey was mailed with a paper survey and business reply envelope enclosed. They survey invited people to complete the survey either online or by hand. The back of the paper survey offered instructions for language help in seven languages, including Spanish, Arabic, Kurdish, Vietnamese and Russian. In addition, instructions for completing the survey online were also included via pictures with minimal words. The bottom of the survey also offers a chance for further participation in the needs assessment. The Lincoln Community Health Survey mailer was approved for distribution on September 22, 2020. 13,946 surveys were mailed to households. Of that distribution, 1,752 responses were received - a 12.6% response rate. Along with overall results, responses were weighted within their census tract. The top three health concerns in the city of Lincoln and Lancaster County are Behavioral Health Care (Mental Health) Alcohol, Drug, and Tobacco Use; Heart Disease; and Cancer.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. SEE SCHEDULE H, PART V, SECTION B, LINE 5

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - BRYAN MEDICAL CENTER EAST CAMPUS AND BRYAN MEDICAL CENTER WEST CAMPUS. THE HOSPITAL'S CHNA WAS A COLLABORATIVE EFFORT between the Lincoln-Lancaster County Health Department, Bryan Health, and CHI Health (referenced in Sch. H, Part V, Sec. B, Line 5)

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. BRYAN HEALTH HAS WORKED DILIGENTLY TO IMPLEMENT AND CONTINUE STRATEGIES THAT WILL ALLOW THE ORGANIZATION TO MEET THE NEEDS OF THE LINCOLN COMMUNITY AS WELL AS THE SURROUNDING LANCASTER COUNTY AREA. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN, AND 2021 BRYAN HEALTH STRATEGIC PLAN, BRYAN HEALTH CONTINUES TO PARTNER THROUGHOUT THE CITY AND COUNTY TO IMPROVE FOUR MAJOR AREAS OUTLINED IN THE CHNA: 1) Behavioral Health 2) Cardiovascular Disease 3) Cancer Care 4) COVID-19 Pandemic Through the results of the Lincoln Community Health Survey as well as through other primary research and data available, Bryan has identified 4 significant health needs within Lincoln and Lancaster County that required prioritized focus over the next few years. This strategy of precisely-focused need priorities is a departure from Bryan's previous Community Health Needs Assessments, whose board and encompassing need priorities created a more or less comprehensive landscape of health needs within Lancaster County. By tightening focus to a few specific needs, Bryan hopes to make tangible and strategic impacts on some of our community's most pressing needs. These significant health needs were selected based on a combination of factors, including responses from the Lincoln Community Health Survey, analysis of community data sources such as Lancaster County's vital statistics, Bryan Health's own internal hospitalization data and other forms of research. 1.Behavioral Health Options representing behavioral health were the two most-selected answers in the Lincoln Community Health Survey. Mental health was the most selected option, and Alcohol, Drug and Tobacco Use was the second-most selected. Attempted suicides in Lincoln, Nebraska have risen to a twenty-year high, both among the 10-24 year old age group and among all ages in general. Reports of aggravated domestic assault in Lancaster County gave risen over the past three years. Between January and May 2021, the Lincoln Police Department responded to 1,698 mental health calls for service. These calls included more than 170 attempted suicides. More than 100 of the calls for service required emergency protective care. The Lincoln Police Department reported 133 non-fatal overdoses in 2020, a 76 percent increase over the 5-year average. While Lancaster County represents roughly 16 percent of Nebraska's population, it contributed 35 percent of the state's 2019 heroin overdoses. On August 19, 2021, the Lincoln-Lancaster County Health Department issued a health alert regarding a spike in accidental drug overdoses caused by illegal drugs being mixed with fentanyl. The Lincoln Police Department reported responding to 50 overdose cases within a period of 30 days. Upon investigation, at least 26 in the prior three weeks had been caused by this combination. Nebraska voters approved Medicaid expansion in 2018, enrollment in Medicaid expansion did not begin until August 2020, with coverage starting in October. The state sought a waiver to implement a program different from what is allowed under federal law. The waiver would not have affected eligibility for physical and mental health care, as well as prescription drugs, but it did include a tiered benefit structure that required beneficiaries to meet work and healthy behavior requirements to access additional benefits, such as vision, dental, and over-the counter medications. This wavier was approved in October 2020. The state requested to withdraw its approved waiver on August 17, 2021, and CMS approved the withdrawal on September 2. The state announced that it plans to offer all expansion adults full benefits starting October 1, 2021. BRYAN HEALTH CONTINUES TO SUPPORT CHANGE AND INNOVATION IN PILOT PROGRAMS SUCH AS DRUG COURT, AS WELL AS WORKING WITH LAW ENFORCEMENT AND THE CRISIS CENTER TO SUPPORT ENHANCED PRE-CRISIS CARE. OVERALL BRYAN HEALTH HAS MADE PROGRESS IN SUPPORTING BEHAVIORAL HEALTH IN THE COMMUNITY WITH ITS INDEPENDENCE CENTER FACILITY FOR SUBSTANCE ABUSE TREATMENT. THIS STATE OF THE ART FACILITY PROVIDES A CARING ENVIRONMENT FOR TREATMENT AND HEALING FOR INDIVIDUALS IN LANCASTER COUNTY AND BEYOND WHO ARE SEEKING INPATIENT OR OUTPATIENT TREATMENT FOR SUBSTANCE ABUSE. THE INDEPENDENCE CENTER ALSO CONTINUES TO PROVIDE INTERVENTION NURSES services at Bryan Health and other local medical facilities to assess substance abuse. We continue working with DHHS to provide Intervention Nurse Telehealth Consults to five rural Nebraska communities for Opioid use assessment and reduction. We also continue to collaborate with the School Community Intervention Program (SCIP) to provide free contracted substance use evaluations to Lincoln Public School youth. The independence Center supports a position titled Community Outreach Liaison. This individual helps clients and their families navigate the provider community and connects them with the services needed. This position also assists those who are returning from residential services back into the home, school, and community. Outreach liaison is to educate the community about substance use and independence center services. FURTHERMORE, BRYAN HEALTH SUPPORTS EFFORTS IN THE COMMUNITY TO PROVIDE AN INTEGRATED BEHAVIORAL HEALTH SAFETY NET AND EXPAND ACCESS TO BEHAVIORAL HEALTH PROVIDERS WHO SERVE POOR, UNINSURED, AND MEDICAID ELIGIBLE POPULATIONS. Bryan Heartland Psychiatry significantly increased their number of providers to meet community needs for behavioral health services. THESE EFFORTS INCLUDE PROVIDING A SEGREGATED MENTAL HEALTH EMERGENCY DEPARTMENT STAFFED WITH SPECIALLY TRAINED BEHAVIORAL HEALTH NURSES, and SOCIAL WORKERS. In order to further leverage these specially trained staff to assist with the lack of mental health providers and services in the vast underserved areas of the state, Bryan Health offers behavioral health evaluations via telehealth to ten emergency department sites across the state. By providing this service we assist with providing a quality evaluation and plan recommendations that reduce preventable inpatient admissions and assignment to other higher levels of care. IN A SPECIAL PROJECT, BRYAN HEALTH'S MENTAL HEALTH EMERGENCY DEPARTMENT HAS PARTNERED WITH CenterPoint to provide immediate linkage to substance use outpatient services for patients not being admitted to medical center higher levels of care. This initiative is intended to improve local and state performance regarding substance use follow up after hospital visit. Bryan Health utilizes peer specialists. These peers use principles of recovery, Wellness Recovery Action Planning, Whole Health Action Management and other evidence-based practices in their work. They hold weekly community wellness groups at no cost to the participants; provide inpatient wellness/recovery groups; pain management consults; staff COVID wellness support groups; cancer support groups and respond to individual requests from providers. Bryan has made it a priority to serve as a training site for counselors, social workers, nurses, physician assistants, and primary care physicians through the Lincoln medical education program. Southeast Community COLLEGE, DOANE University, Union College, BRYAN COLLEGE OF HEALTH SCIENCES, UNIVERSITY OF NEBRASKA AND OTHER EDUCATIONAL INSTITUTIONS. These efforts have significant value in developing our future workforce Online screening for depression, anxiety, post-traumatic stress disorder, alcohol abuse and adolescent depression are made available at no cost to the public on the the Bryan Health Website. If the endorsed items suggest there is a clinical problem present, at completion of the survey, a recommendation is provided for the individual to seek professional help. There has been a steady annual increase in number of screening accessed. BRYAN HEALTH WORKS WITH OTHER LINCOLN PROVIDERS AND GROUPS ACROSS THE STATE TO ADDRESS GAPS AND SPECIAL NEEDS IN THE POPULATION AS WELL AS THOSE WHO ARE UNDERSERVED. THESE INCLUDE CenterPoint and The Bridge Behavioral Health to improve coordination of care for clients requiring specialized substance use services; Youth Crisis Response Coalition to prevent youth from entering the juvenile justice system and creating a 24 hour respite service for youth in crisis but not requiring hospital or legal lodging. We are proud to continue to work with Lincoln Police Department's Mobile Crisis Service, CenterPointe's crisis services, Mental Health Association's respite services, and Region 5's Targeted Adult Service Coordination (TASC) services. These and other pre-crisis services have proven valuable in helping individuals to prevent the need for higher levels of care.

Schedule H, Part V, Section B, Line 11 Facility A, 2
"Facility A, 2 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. We are proud to Co-sponsor and host Mental Illness awareness week to provide community education with additional offerings throughout the year on topics such as social media impact on adolescents; stigma; chronic pain, holistic self-care, etc. We have additionally supported our community through multiple media supporting stress reduction, burnout prevention and recovery, wellness, family and general support topics as we worked through the ravages of COVID on our community and providers. BRYAN MEDICAL CENTER MENTAL HEALTH HAS BEEN A LEADER IN SUICIDE PREVENTION FOR OUR COMMUNITY AND STATE. ONE OF THE MANAGERS FOR BRYAN MENTAL HEALTH helped to start the Nebraska State Suicide Prevention Coalition in 1999 and continues to SERVE on the Executive Committee. The director recently help the coalition achieve 501(c)3 status. The latest project is the development of a phone app that appeals to the 15-24 y/o age group, which includes a journaling app, immediate access to suicide crisis text and telephone line service through Boys Town National Hotline. Served on the leadership group of the Lincoln suicide prevention coalition (Hopelink). In addition, this Bryan Behavioral health director provided leadership in developing the first local outreach to suicide survivors (loss) team in Lincoln, Nebraska and has continued to assist in the development of an additional ten loss teams in other Nebraska counties. Developing and implementing the loss team was a collaborative effort in working with law enforcement and police chaplains as well as other community and county agencies. A loss team is a group of three people who are on call (two people who have lost someone to suicide and a clinician) and they respond to families who have lost someone to suicide and provide resources. Connecting suicide survivors to other suicide survivors and resources is considered suicide postvention which is also prevention. In response to the growing presence and awareness of opioid misuse and abuse in the community and across the nation, Bryan Health created the Pain Management and Opioid Stewardship Program in summer 2018. Local pain management specialist Kelly Zach, MD leads a 24-member steering team to run the program. The team includes representation from medical staff, hospital administration, pharmacy, nursing, behavioral health, substance abuse, physical therapy and organizational quality. This ongoing program will evaluate and utilize evidence-based best practices to achieve safe and appropriate pain management, while reducing the risk of opioid addiction, overdose and deaths. This team has worked through numerous phase one goals and entered phase two. Phase two goals move interventions out into the community at large. There have been independent outpatient provider education, education to Nebraska Medical Association members; partnering with the Lincoln-Lancaster County Health Department Committee; Lincoln Police Department; and several others. 2. Cardiovascular Disease The prevalence of cardiovascular disease within Lincoln and Lancaster County gives credence to the community's concern for heart disease within the survey. Heart disease has been one of the two leading causes of death in Lancaster County at least as far back as 2005. It trails just behind cancer as the leading cause of death, and both are far ahead of all other causes of death in the county. In 2020, the Wall Street Journal analyzed the CDC's mortality data among people ages 45-64 during the years between 2010 and 2016. The analysis studied increases in cardiovascular-related deaths in that age group across the national's cities with populations greater than 100,000. The analysis cited Lincoln, Nebraska as having a 25.1% increase in that time period; ranking fourth nationally. While cardiovascular disease is a major and growing health concern for Lincoln and Lancaster County, it must be noted that Lincoln's care for cardiovascular patients is excellent. Lincoln Fire and Rescue recently reported that Lincoln's survival rate for non-traumatic cardiac arrest cases is 16.9%, compared to the 9% national average. Hypertension is the largest contributor to cardiovascular disease, and Bryan has made the control of hypertension an organizational goal among all Bryan sites and providers. As a result, the percentage of patients with controlled hypertension has increased almost 10%. BRYAN HEALTH THROUGH BRYAN LIFEPOINTE REACHES OUT AND PROVIDES EXTENSIVE EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY THAT PROMOTES EXERCISE, AND TEACHES WELLNESS STRATEGIES AND DISEASE MANAGEMENT. BRYAN LIFEPOINTE CONTINUES TO OFFER PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC AND PULMONARY REHAB, AND AQUATIC THERAPY. THE WEIGHT MANAGEMENT PROGRAM LIFETRACKS, AS WELL AS THE PHYSICIAN REFERRED, LIFEFIT, CONTINUE TO SEE MORE CLIENTS AND ARE GENERATING INTEREST IN THE COMMUNITY. BRYAN LIFEPOINTE ALSO PLAYS AN INTEGRAL PART IN THE CONTINUUM OF CARE FOR BRYAN BARIATRIC ADVANTAGE SURGERY PATIENTS. In addition, Bryan LifePointe offers a variety of health programming and seminars, and women's and men's health symposiums to the public, encouraging and supporting individuals toward a healthy and sustainable lifestyle. 3. Cancer Care Cancer has held as Lancaster County's most prominent cause of death for more than a decade. The only other cause of death for the area is heart, which has yet to eclipse it. While the Cancer option appears not to be often selected in the survey, it must be noted that the ""Cancer"" option was only displayed on the online version, not on the paper version. This mistake was identified after the paper survey was distributed. Evidence still speaks to cancer being a strong concern to the Lincoln and Lancaster County community. As far back as 2005, lung cancer has been the definitive leader among causes of death by cancer in Lancaster County. However, the percentage of cancer deaths caused by lung cancer has been decreasing during this time, and is likely to continue. Bryan leaders met on four occasions with focus groups comprising individuals from the region who have lived or are living with cancer. Qualitative findings revealed cancer patients rely upon their physician, experience and their own research when they decide where it receive care. This group articulated a deep understanding of the protocol-driven nature of cancer care. They were universally complimentary of the skill and experience of their physicians and quality of the care and outcomes experienced in Lincoln and elsewhere. However, it was clear that they desired and strongly recommended that Bryan facilitate a better option than currently exists. They advised us to do all we can to remedy the disjointed care, and enhance the convenience and personalized care that was lacking when they left Lincoln for second opinions or additional care. Bryan Health conducted specific research into the impact of cancer in the area while it was planning the April Sampson Cancer Center. Additional cancer care navigators have been hired and deployed to assist new cancer patients through their journey. TO SUPPORT THE PREVENTION AND TREATMENT OF CANCER IN THE COMMUNITY, BRYAN HEALTH CONTINUES TO SPONSOR CANCER CONFERENCES WEEKLY, WITH SPECIAL THORACIC CONFERENCES HELD TWICE MONTHLY. LIFESPRING CANCER RECOVERY PROGRAM STILL PROVIDES SUPPORT AND EXPERTISE FOR CANCER PATIENTS AND SURVIVORS WITHIN LINCOLN AND THE SURROUNDING AREA. BRYAN MEDICAL CENTER ALSO PARTICIPATES WITH THE NEBRASKA CANCER RESEARCH CENTER (NCRC) AND THE CANCER ALLIANCE OF NEBRASKA TO OFFER CLINICAL TRIAL OPPORTUNITIES LOCALLY TO CANCER PATIENTS. Education on cancer prevention and screening, as well as other cancer-related topics, are presented to service groups and organizations as part of Bryan Medical Center's community outreach. Bryan also hosts educational classes on smoking cessation, radon prevention, the links between obesity and cancer, and caring for a loved one with cancer. Bryan also raises community awareness surrounding lung cancer every November with its Shine a Light on Lung Cancer event."

Schedule H, Part V, Section B, Line 11 Facility A, 3
"Facility A, 3 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. 4. Effects of the COVID-19 Pandemic Residents of Lancaster County first started testing positive for COVID-19 in early 2020, the COVID-19 pandemic has had seismic effects on our community and across the world. Within Lincoln, businesses have been closed and reopened, remote learning has been employed in schools, mask mandates have been implemented, limitations on gathering sizes have been enforced, vaccination requirements among private businesses have been imposed and elective surgical procedures have been suspended or delayed multiple times. At the time the Community Health Needs Assessment was being composed, Lancaster County is several weeks into the Delta variant wave of the COVID-19 pandemic. The strength of the Delta Variant wave illustrates the possibility of the COVID-19 pandemic as being an acute need all throughout the CHNA period, as the threat of possible future variants looms. The Lincoln Community Health Survey was distributed in late September, 2020. The dominant response-category for question 2 (""What worries you most about your or your family's health"") was ""infectious Disease"", garnering 29.1% of responses. Of those responses, a full 99% specifically listed COVID-19 as their primary health worry. In attempt to maintain capacity during periods of COVID-19 surge over the past year and half, Bryan has employed strategies to stop, reduce, suspend or delay elective surgeries multiple times. Nationally, as of September 2020: 36% of adults reported delaying or forgoing health care due to worry about exposure to COVID-19, or because a provider limited services during the pandemic. 76% of adults who delayed or forewent care had one or more chronic health disease and cancer. 32% of the adults reporting delayed or forgone care reported that doing so worsened their health conditions. DURING 2021, BRYAN MEDICAL CENTER PROVIDED LIFE-SAVING PROCEDURES AND MEDICATIONS FOR 7,773 INDIVIDUALS WHO WERE NOT ELIGIBLE FOR ANY GOVERNMENT OR STATE SUPPORT, AND DID NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR HEALTH CARE SERVICES. THERE ARE MANY REASONS BEHIND LACK OF ACCESS TO HEALTH CARE SERVICES; THE SHORTAGE OF HEALTHCARE PROFESSIONALS IS JUST ONE OF THESE REASONS. BRYAN HEALTH IS A HUGE SUPPORTER OF EDUCATION FOR HEALTH CARE PROFESSIONALS - INCLUDING ONGOING FINANCIAL SUPPORT FOR: 1) THE BRYAN COLLEGE OF HEALTH SCIENCES, WITH MORE THAN 750 STUDENTS ENROLLED IN GRADUATE AND UNDERGRADUATE DEGREE PROGRAMS THROUGH BRYAN'S SCHOOL OF NURSING, HEALTH PROFESSION AND NURSE ANESTHESIA PROGRAMS, AND 2) THE LINCOLN MEDICAL EDUCATION PARTNERSHIP RESIDENCY PROGRAM FOR FUTURE PRIMARY CARE PROVIDERS. IN ADDITION, BRYAN ALSO SERVES AS A CLINICAL TRAINING SITE FOR A LONG LIST OF HEALTH CARE DISCIPLINES; INCLUDING RADIOLOGY, LAB, PHYSICAL THERAPY, PHARMACY, EMTS AND PARAMEDICS, ETC. THIS COMMITMENT TO EDUCATION OF THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS ULTIMATELY IMPROVES ACCESS TO HEALTHCARE IN OUR REGION. MADONNA IS THE DESIGNATED ORGANIZATION IN THE LINCOLN COMMUNITY THAT PROVIDES HANDICAP-ACCESSIBLE BUS TRANSPORTATION FOR COMMUNITY MEMBERS TO/FROM DOCTORS' APPOINTMENTS, THERAPY AND OTHER OUTPATIENT APPOINTMENTS. BRYAN PROVIDES AN ANNUAL CONTRIBUTION OF $25,000 FOR THESE SERVICES SO THAT FINANCIALLY CHALLENGED MEMBERS OF OUR COMMUNITY WILL HAVE ACCESS TO MEDICAL CARE. MANY PRIVATE PRACTICE PHYSICIANS IN LINCOLN HAVE ELECTED NOT TO SERVE MEDICAID AND/OR MEDICARE PATIENTS IN THEIR OUTPATIENT CLINICS FOR FINANCIAL REASONS. BRYAN PHYSICIAN NETWORK PHYSICIANS ACCEPT MEDICAID/MEDICARE PATIENTS INTO THEIR PRACTICE BY POLICY; THEREFORE, AS BRYAN PHYSICIAN NETWORK CONTINUES TO EXPAND WITHIN THE COMMUNITY, SO DOES ACCESS TO PHYSICIAN CARE FOR AREA MEDICAID/MEDICARE PATIENTS. BRYAN PHYSICIAN NETWORK ESTABLISHED BRYAN NORTHPOINTE FAMILY MEDICINE WHICH INCLUDES A TEAM OF FIVE FAMILY PRACTICE PHYSICIANS, TWENTY PHYSICIAN ASSISTANTS, SEVEN INTERNAL MEDICINE PHYSICIANS, ONE ENDCORINOLOGY PHYSICIAN, TWO PSYCHIARTY PHYSICIANS, TWO TRAUMA SURGEONS, AND TWO FAMILY PRACTICE PHYSICIANS. FOURTH QUARTER 2020, BRYAN MEDICAL CENTER ESTABLISHED A FREE STANDING IMAGING CENTER AT THE PINE LAKE CAMPUS CALLED THE BRYAN IMAGING AND DIAGNOSTIC. THE BRYAN IMAGING AND DIAGNOSTIC PROVIDES A LOWER COST OPTION FOR OUR PATIENTS. OPENED IN MARCH OF 2020, THE BRYAN TRAUMA OUTPATIENT SERVICES DEPARTMENT PROVIDES A CLINIC HOME FOR BRYAN PHYSICIAN NETWORK'S TRAUMA AND ORTHOPEDIC TRAUMA SERVICE. THE HOSPITAL BASED PRACTICE EMPLOYS THREE GENERAL/TRAUMA SURGEONS AND THREE OTHOPEDIC TRAUMA SURGEONS. A MAJORITY OF THE CLINIC VISITS ARE FOR ORTHOPEDIC INJURIES AND FOLLOW-UP CARE BUT ALSO INCLUDE GENERAL SURGERY AND TRAUMA SURGERY VISITS. IN ADDITION TO PERIOPERATIVE OUTPATIENT CARE, SERVICES INCLUDE CASTING, X-RAY, AND PTSD SCREENING FOR PATIENTS. Doctors Outpatient Surgery Center (DOSC) and Lincoln Digestive Health Center (LDHC) are joint ventures between Bryan Medical Center and area physician groups that began seeing patients in 2018. DOSC will provide a lower cost outpatient alternative to the community where general and specialty surgeries will be performed, including orthopedics, gynecology, podiatry, plastics and dental. LDHC will increase the capacity of lower cost gastrointestinal screenings (colonoscopies) and gastrointestinal services to the community. Over the last four years Bryan Medical Center has increased the number of staffed beds by 90 on both campuses to meet the community's demand."

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - Bryan Medical Center East Campus and Bryan Medical Center West Campus. Eligibility for financial assistance - Eligibility for full or discounted financial assistance will only be considered for those patients who: 1) are uninsured or, underinsured; 2) ineligible for any government health care benefit program; 3) are unable to pay for their care, based upon a determination of financial need in accordance with the policy; 4) cooperate with Bryan's policies and procedures; 5) supply all required information to process the application; and 5) reimburse Bryan for any monies paid directly to the patient by insurance.

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

Schedule H, Part I, Line 7g Subsidized Health Services
N/A - THERE ARE NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC ON LINE 7G.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
BRYAN MEDICAL CENTER'S UNCOMPENSATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. DIRECT AND INDIRECT COSTS WERE DEDUCTED FROM PAYMENTS TO CALCULATE THE AMOUNTS ON 7B. FOR LINES 7E, 7F, AND 7I, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY.

Schedule H, Part II Community Building Activities
THE COSTS REPORTED IN PART II COMMUNITY BUILDING ACTIVITIES ARE FOR THE UPKEEP OF A COMMUNITY PARK AND GARDEN.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, BRYAN MEDICAL CENTER 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 COLLECTION INDICATORS.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE AMOUNT OF THE MEDICAL CENTER'S BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY IS ESTIMATED TO BE ZERO BASED ON THE FOLLOWING: (1) BRYAN 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 MEDICAL CENTER WILL WRITE ACCOUNTS OFF TO CHARITY CARE AND NO LONGER PURSUE DEBT COLLECTION PROCEDURES; (2) BRYAN MEDICAL CENTER HAS COUNSELORS AVAILABLE TO WORK WITH ANY PATIENT BOTH PRE AND POST DISCHARGE TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE; (3) BRYAN 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 PAGES 9-10 OF THE BRYAN HEALTH CONSOLIDATED 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. BRYAN 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 BRYAN MEDICAL CENTER USES TO COVER THIS SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING THE GOVERNMENT OF THE FINANCIAL BURDEN OF PAYING THE FULL COSTS OF CARE FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE 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 BRYAN'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 BRYAN 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 BRYAN FOR A CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.

Schedule H, Part V, Section B, Line 16a FAP website
A - Bryan Medical Center East: Line 16a URL: https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Bryan Medical Center East: Line 16b URL: https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Bryan Medical Center East: Line 16c URL: https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/;

Schedule H, Part VI, Line 7 State filing of community benefit report
NE

Schedule H, Part VI, Line 2 Needs assessment
AS A HEALTHCARE LEADER IN NEBRASKA, BRYAN MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY CONTINUALLY WORKING WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. The community of Lincoln and Lancaster County, Nebraska has a wide range of personal health care providers, physician clinics, other health facilities and medical and dental providers that address the needs of the local population, as well as residents throughout the state and region. Some of the resources that Bryan has are: 1.) Acute Care Services, which include cardiology, orthopedics, trauma, neuroscience, mental health, obstetrics, neonatal intensive care, rehabilitation and oncology. Bryan is the community's only provider of inpatient mental health services and substance use treatment. 2.) Primary Care Services, Bryan provides urgent care clinics throughout Lincoln that provide primary care services outside physicians' normal working hours. There are currently six urgent care clinics throughout Lincoln, and more within the outlying towns and communities of Lancaster County. 3.) Behavorial Health Services. Bryan Medical Center is the only acute care hospital in the Lincoln Lancaster County area to provide behavioral health services and is one of only a few acute care hospitals in the nation to support a dedicated mental health emergency department. The Lincoln-Lancaster County Health Department has several planned stages of further development and enrichment of the Lincoln Community Health Survey. These subsequent stages have been delayed due to the effects of the COVID-19 pandemic, but work on all of them continues. The Health Department partnered with University of Nebraska Medical Center to develop programming for a series of community conversations with survey respondents who indicated they would be willing to participate in further discussions about health in their area. These community conversations will be hosted by a Technology of Participation Certified facilitator from the Health Department, and will gather roughly six to twelve members of the community. Five geographically-based sessions are scheduled - one for each quadrant of the area, and a fifth for the central area. Additional conversations are scheduled for oversampled populations, including Lincoln's Cultural Coalition, the Lincoln Homeless Coalition, and organizations representing Lancaster County's blind community. Once the team has completed analysis of the quantitative and qualitative data gathered through the Lincoln Community Survey and its resulting community conversations, it will host a summit where it will present its findings to the community. Members of the of the community will be invited to attend, including representatives from community organizations, the police and fire departments, the public school districts, local businesses, local healthcare practices, and the community at large. The summit will reflect the collaborative effort from the Health Department, Bryan Health, and CHI Health.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
IN KEEPING WITH BRYAN MEDICAL CENTER'S MISSION TO TREAT ALL PATIENTS WITH COMPASSION, BRYAN 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. BRYAN 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 BRYAN 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 BRYAN'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 4 Community information
"BRYAN MEDICAL CENTER PROVIDES A NETWORK OF COMPREHENSIVE HEALTH CARE SERVICES TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. BRYAN IS LOCATED IN THE CAPITAL CITY OF LINCOLN, NEBRASKA, THE STATE'S SECOND LARGEST METROPOLITAN AREA. WHILE BRYAN SERVES A REGIONAL GEOGRAPHIC AREA EXTENDING BEYOND THE COUNTY, LANCASTER COUNTY RESIDENTS ACCOUNT FOR NEARLY 67 PERCENT OF INPATIENTS AND 83 PERCENT OF OUTPATIENTS. THE MEDIAN HOUSEHOLD INCOME IN LANCASTER COUNTY WAS ESTIMATED AT $64,980, AND 13.0% OF THE POPULATION HAD INCOMES BELOW THE POVERTY LEVEL. THE PERCENT OF UNINSURED ADULTS AGED 19 TO 64 in Lancaster County HAS BEEN ESTIMATED AT A RATE OF 7.4% IN 2021. CANCER REMAINED THE LEADING CAUSE OF DEATH FOR LANCASTER COUNTY IN 2020, FOLLOWED BY HEART DISEASE, COVID-19, CHRONIC LUNG DISEASE, ACCIDENTAL DEATHS, CEREBROVASCULAR DISEASE, AND ALZHEIMER'S DISEASE. BRYAN AND CHI HEALTH-ST. ELIZABETH ARE THE PRIMARY HOSPITALS SERVING LANCASTER COUNTY. THE CENSUS BUREAU REPORTS THAT THE COUNTY'S POPULATION GREW FROM 250,291 IN 2000 TO AN ESTIMATED 324,514 IN 2021. POPULATION IS PROJECTED TO BE NEARLY 440,000 BY 2050, WITH GROWTH EXPECTED AMONG ALL MAJOR AGE GROUPS. THE 60 AND OVER AGE GROUP IS PROJECTED TO HAVE THE HIGHEST RATE OF GROWTH, INCREASING FROM AN ESTIMATED 64,291 IN 2019 TO AN ESTIMATED 85,000 IN 2050. BECAUSE OF LINCOLN'S SIZE, RELATIVELY STABLE ECONOMY, AND EDUCATIONAL OPPORTUNITIES, THE U.S. STATE DEPARTMENT DESIGNATED LINCOLN AS ""REFUGEE FRIENDLY"" IN THE 1970S. SINCE THE 70S, WAVES OF IMMIGRANTS FROM ACROSS THE WORLD HAVE RESETTLED IN LINCOLN. LINCOLN PUBLIC SCHOOLS CURRENTLY SERVES APPROXIMATELY 2.500 ENGLISH LEARNERS, REPRESENTING 152 DIFFERENT COUNTRIES AND OVER 60 DIFFERENT LANGUAGES. THE MINORITY POPULATION IN LANCASTER COUNTY IS ESTIMATED TO BE 20.4% IN 2020. PERSONS OF HISPANIC ORIGIN (MAY BE OF ANY RACE) ARE ESTIMATED TO BE 8.0% IN 2020, WHILE PERSONS REPORTING AS ASIAN ALONE ARE ESTIMATED TO BE 4.4% OF THE POPULATION, AND PERSONS REPORTING TO BE BLACK OR AFRICAN AMERICAN ALONE ARE ESTIMATED TO BE 4.3%. PROJECTED GROWTH IN MINORITY POPULATIONS CHALLENGES US TO ACCOMMODATE DIVERSE LANGUAGE AND CULTURAL NEEDS. WITH THE SERVICE AREA RAPIDLY EXPANDING AND THE OVER 65 AGE GROUP EXPECTED TO INCREASE, BRYAN RECOGNIZES THE IMMENSE NEEDS OF OUR SERVICE AREA ARE EXPANDING AND CHANGING."

Schedule H, Part VI, Line 5 Promotion of community health
BRYAN MEDICAL CENTER HAS PROVIDED HIGH QUALITY, COMPREHENSIVE MEDICAL SERVICES TO BENEFIT THE COMMUNITY FOR OVER 92 YEARS, 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. FUNDAMENTAL TO OUR COMMUNITY COMMITMENT IS THE LEADERSHIP OF OUR LOCAL GOVERNING BOARD. The majority of BRYAN'S GOVERNING BOARD CONSISTS OF MEDICAL PROFESSIONALS, BUSINESS PROFESSIONALS, AND COMMUNITY LEADERS who are independent, and ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, AND UNDERSTAND THE NEEDS OF THE COMMUNITY. THESE VOLUNTEERS DEDICATE THEIR TIME, WISDOM, INSIGHTS, AND EXPERTISE TO SET POLICY AND STRATEGIC DIRECTION TO ENSURE THAT BRYAN'S VISION, MISSION AND STRATEGIC PLANS ARE ALIGNED WITH ITS CHARITABLE PURPOSE. THE MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT BOARD MEMBERS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE MEDICAL STAFF OF THE ORGANIZATION IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGES REQUIREMENTS. AS OF DECEMBER 31, 2021, BRYAN HAD AN ORGANIZED MEDICAL STAFF OF OVER 780 PHYSICIANS. AS A NON-PROFIT MEDICAL CENTER, SURPLUS FUNDS ARE CONTINUOUSLY UTILIZED TO MAINTAIN ACCESS TO LIMITED PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY; INCLUDING BUT NOT LIMITED TO: 1) PROVIDING A COMPLETE DIAGNOSTIC AND INTERVENTIONAL CARDIAC PROGRAM; 2) PROVIDING A COMPREHENSIVE LEVEL II TRAUMA CENTER FOR SOUTHEAST NEBRASKA WHICH PROVIDES 24-HOUR COVERAGE OF EMERGENCY SERVICES; 3) PROVIDING A HOSPITAL-BASED RESIDENTIAL TREATMENT SUBSTANCE ABUSE FACILITY IN LINCOLN, WHICH SERVES PATIENTS THAT STRUGGLE WITH ADDICTION TO DRUGS AND ALCOHOL FROM SOUTHEAST NEBRASKA AND MANY OTHER STATES ; 4) PROVIDING HOSPITAL-BASED MENTAL HEALTH CARE TO LINCOLN AND SURROUNDING COMMUNITIES; AND 5) PROVIDING A STATE-OF-THE-ART WOMEN AND CHILDREN'S TOWER WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT. 6) Major renovation and expansion aimed at modernizing the Medical Center's operation and recovery rooms on the East Campus will be completed in June of 2022. BRYAN IS COMMITTED TO TEACHING AND TRAINING THE HEALTH CARE PROFESSIONALS OF TOMORROW. OUR COLLEGE OF HEALTH SCIENCES OFFERS GRADUATE AND UNDERGRADUATE DEGREES THROUGH ITS SCHOOL OF NURSING, SCHOOL OF HEALTH PROFESSIONALS, AND SCHOOL OF NURSE ANESTHESIA PROGRAMS. MANY OF THE GRADUATES STAY IN LINCOLN OR THE SURROUNDING AREA, THEREBY PROVIDING A CONTINUOUS SUPPLY OF MEDICAL PROFESSIONALS FOR THE COMMUNITY. IN ADDITION, THE MEDICAL CENTER ASSURES CONTINUING QUALITY HEALTH IN OUR COMMUNITY THROUGH RESIDENCY PROGRAMS, WORKSHOPS AND SEMINARS, AND CLINICAL EDUCATION PROGRAMS.

Schedule H, Part VI, Line 6 Affiliated health care system
BRYAN 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 Five 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.