Bryan Health

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1985

Legal Domicile

Phone

4024811111

Tax Period

2024-01-01 to 2024-12-31

Bryan Health, founded in 1985, is a community nonprofit in the Health Care sector that reported $5.6M in total revenue in fiscal year 2024. Revenue decreased 18% compared to the prior year. Expenses of $63.0M exceeded revenue, resulting in a 1018% operating deficit.

Mission

BRYAN HEALTH'S MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS IN OUR REGION THROUGH COLLABORATION WITH PHYSICIANS AND COMMUNITIES.

Program Service Accomplishments

Program 1

Expenses: $181,651 Revenue: $3,111,704

BRYAN HEALTH IS A NATIONALLY ACCLAIMED HEALTH SYSTEM CONSISTING OF SIX ACUTE-CARE, FULL-SERVICE HOSPITALS; A PHYSICIAN NETWORK OF PRIMARY, SPECIALTY AND URGENT CARE PRACTICES; A CARDIOLOGY AND...

BRYAN HEALTH IS A NATIONALLY ACCLAIMED HEALTH SYSTEM CONSISTING OF SIX ACUTE-CARE, FULL-SERVICE HOSPITALS; A PHYSICIAN NETWORK OF PRIMARY, SPECIALTY AND URGENT CARE PRACTICES; A CARDIOLOGY AND CARDIAC/THORACIC/VASCULAR SURGERY PRACTICE; A MEDICAL COLLEGE; A HEALTH, WELLNESS AND REHABILITATION FACILITY; THREE FOUNDATIONS; A PHYSICAL-HOSPITAL ORGANIZATION; AND AN ACCOUNTABLE CARE ORGANIZATION. THE SYSTEM, BASED IN LINCOLN, NEBRASKA, IS A NON-PROFIT, TAX-EXEMPT SUPPORTING ORGANIZATION WHICH ALSO PROVIDES STRATEGIC PLANNING, HUMAN RESOURCES, FINANCIAL MANAGEMENT, AND OTHER SERVICES TO THE AFFILIATES OF THE BRYAN HEALTH SYSTEM TO ADVANCE THE HEALTH OF INDIVIDUALS IN OUR REGION. BRYAN HEALTH FURTHER ADVANCES RURAL HEALTH CARE BY PROVIDING MANAGEMENT OVERSIGHT AND OTHER SERVICES TO RURAL HOSPITALS, INCLUDING PHYSICIAN AND EXECUTIVE RECRUITMENT, EDUCATION, CONSULTING, MOBILE SERVICES AND TELEMEDICINE CARE. DURING 2024, BRYAN HEALTH SYSTEM PROVIDED CHARITY CARE TO 12,600 PATIENTS AND SERVED 45,018 MEDICAID PATIENTS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $158,538

Program Service Revenue $3,920,727

Investment Income $2,150,368

Other Revenue $-599,062

TOTAL REVENUE $5,630,571

Expense Breakdown

Grants Paid $0

Salaries & Benefits $53,295,367

Fundraising Expenses $0

Program Expenses $181,651

Other Expenses $9,656,664

TOTAL EXPENSES $62,952,031

Year-over-Year Comparison

	2024	2023	Change
Revenue	$5,630,571	$6,842,361	-0.2%
Expenses	$62,952,031	$53,776,921	+0.2%
Net Income	$-57,321,460	$-46,934,560	+0.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

226

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$4,134,688

Total Directors

$3,080,408

Key Employees

$4,567,988

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
AINA SILENIEKS MD	CHAIR	1.0	Officer Director	$0	$0	$0
CHRIS ROTH	VICE CHAIR	1.0	Officer Director	$0	$0	$0
JASMINE KINGSLEY	SECRETARY	1.0	Officer Director	$0	$0	$0
JOHN WOODRICH	EXEC VP & COO/EX-OFFICIO MEMBER	50.0	Officer Director	$1,259,719	$43,212	$1,302,931
KATHY FARRELL	TREASURER	1.0	Officer Director	$0	$0	$0
RUSSELL GRONEWOLD	PRESIDENT/CEO/EX-OFFICIO MEMBER	50.0	Officer Director	$1,727,304	$50,173	$1,777,477
BEAU REID	DIRECTOR	1.0	Director	$0	$0	$0
BOB CALDWELL	DIRECTOR	1.0	Director	$0	$0	$0
CLAY SMITH	DIRECTOR	1.0	Director	$0	$0	$0
GAIL PERRY	DIRECTOR	1.0	Director	$0	$0	$0
GREG DYNEK	EX-OFFICIO/DIRECTOR	1.0	Director	$0	$0	$0
H RUSSELL SEMM MD	DIRECTOR	1.0	Director	$0	$0	$0
JOHN DECKER	DIRECTOR	1.0	Director	$0	$0	$0
KEN GROSS MD	EX-OFFICIO/DIRECTOR	1.0	Director	$0	$0	$0
STEPHANIE DINGER	DIRECTOR	1.0	Director	$0	$0	$0
TOM HEACOCK	DIRECTOR	1.0	Director	$0	$0	$0
TONY GOINS	DIRECTOR	1.0	Director	$0	$0	$0
MICHAEL DEWERFF	VP & CHIEF FINANCIAL OFFICER	51.0	Officer	$1,018,593	$35,687	$1,054,280
BENJAMIN SPARKS	BRYAN HEALTH CONNECT PRESIDENT - EFFECTIVE 11/10/2024	50.0	Key Emp	$406,981	$60,138	$467,119
BRIDGETT OJEDA	VP & CHIEF INFORMATION OFFICER	50.0	Key Emp	$493,941	$54,894	$548,835
DANIEL HISER	CHIEF LEGAL & COMPLIANCE OFFICER	50.0	Key Emp	$410,331	$46,561	$456,892
DAVID REESE	VP & PHYSICIAN PTNR & FACILITITES DIRECTOR, RESIGNED 7/1/2024	50.0	Key Emp	$385,847	$39,657	$425,504
JOHN FINDLEY MD	BRYAN HEALTH CONNECT PRESIDENT, RESIGNED 6/21/2024	50.0	Key Emp	$291,928	$33,777	$325,705
LISA VAIL RN	VP & CHIEF NURSING OFFICER	50.0	Key Emp	$593,462	$44,593	$638,055
MARIA ISQUIERDO	VP & CHIEF HUMAN RESOURCES OFFICER	50.0	Key Emp	$595,464	$44,594	$640,058
ROBERT RAVENSCROFT JR	VP & CHIEF MARKETING & DEVELOPMENT OFFICER	50.0	Key Emp	$628,423	$59,253	$687,676
STEPHANIE BOLDT	CEO CRETE AREA MEDICAL CENTER/VP & PHYSICIAN PARTNERSHIP & FACILITIES DIRECTOR	10.0	Key Emp	$28,105	$50,628	$378,144
CHASE MANSTEDT	RURAL CHIEF FINANCIAL & OPERATIONS OFFICER SAUNDERS MEDICAL CENTER	50.0	Highest	$278,494	$11,509	$290,003
JON PEPPMULLER	CONTROLLER	50.0	Highest	$335,608	$43,094	$378,702
JULIE REZAC	RURAL PRESIDENT/CEO SAUNDERS MEDICAL CENTER	50.0	Highest	$315,456	$55,535	$370,991
PAT GANYO	VP OF RURAL SERVICES	51.0	Highest	$446,004	$47,424	$493,428
TIMOTHY MEIER	REVENUE CYCLE DIRECTOR	50.0	Highest	$389,305	$46,667	$435,972
ERIC MOOSS	CEO BRYAN MEDICAL CENTER	0.0		$0	$51,814	$898,484

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$5,630,571	$62,952,031	$160,072,355	$-57,321,460
2023	$6,842,361	$53,776,921	$148,251,438	$-46,934,560
2022	$5,429,409	$38,599,514	$131,036,522	$-33,170,105
2021	$3,704,003	$31,661,023	$105,749,279	$-27,957,020
2020	$4,344,492	$26,197,377	$93,223,552	$-21,852,885
2019	$5,453,393	$28,784,548	$90,624,501	$-23,331,155
2018	$3,782,298	$27,385,710	$16,104,119	$-23,603,412