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ObjectId: 201823139349302232 - Submission: 2018-11-09
TIN: 36-3414823
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for the latest information.
OMB No. 1545-0047
20
17
Open to Public Inspection
Name of the organization
BRYAN HEALTH
Employer identification number
36-3414823
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
BRYAN MEDICAL CENTER
1600 SOUTH 48TH STREET
LINCOLN
,
NE
68506
47-0376552
HEALTHCARE
NE
501(c)(3)
3
BRYAN HEALTH
Yes
(2)
CRETE AREA MEDICAL CENTER
2910 BETTEN DRIVE
CRETE
,
NE
68333
47-0841285
HEALTHCARE
NE
501(c)(3)
3
BRYAN HEALTH
Yes
(3)
BRYAN FOUNDATION
1600 SOUTH 48TH STREET
LINCOLN
,
NE
68506
23-7005720
FUNDRAISING
NE
501(c)(3)
7
BRYAN HEALTH
Yes
(4)
BRYAN PHYSICIAN NETWORK
1600 SOUTH 48TH STREET
LINCOLN
,
NE
68506
20-1357375
HEALTHCARE
NE
501(c)(3)
10
BRYAN HEALTH
Yes
(5)
MERRICK MEDICAL CENTER
1715 26th St
Central City
,
NE
688269501
82-0906268
HEALTHCARE
NE
501(c)(3)
3
BRYAN HEALTH
Yes
(6)
Merrick Medical Center Foundation
1715 26th St
Central City
,
NE
68826
47-0710738
Fundraising
NE
501(c)(3)
7
Merrick Medical Center
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
BRYAN ENTERPRISES INC
1600 SOUTH 48TH STREET
LINCOLN
,
NE
68506
47-0701037
MEDICAL SERVICES
NE
BRYAN HEALTH
C Corporation
2,629,287
25,543,860
100 %
Yes
(2)
INTEGRATED CARDIOLOGY GROUP LLC
1600 SOUTH 48TH STREET
LINCOLN
,
NE
68506
47-0844961
CARDIOLOGY
NE
BRYAN HEALTH
C Corporation
20,042,974
4,771,861
100 %
Yes
(3)
BRYAN HEALTH CONNECT
1600 SOUTH 48TH STREET
LINCOLN
,
NE
68506
36-4771145
PHYSICIAN HOSPITAL ORGANIZATION
NE
BRYAN HEALTH
C Corporation
412,079
215,642
100 %
Yes
(4)
Bryan Health Connect ACO LLC
1600 South 48th Street
Lincoln
,
NE
68506
82-1666184
Accountable Care Organization
NE
Bryan Health Connect
C Corporation
0 %
No
Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
BRYAN FOUNDATION
L
324,468
FMV
(2)
BRYAN MEDICAL CENTER
L
32,868,260
FMV
(3)
CRETE AREA MEDICAL CENTER
L
535,954
FMV
(4)
BRYAN PHYSICIAN NETWORK
L
210,827
FMV
(5)
Bryan Enterprises
L
964,888
FMV
(6)
Bryan Heart
L
161,621
FMV
(7)
Bryan Health Connect
O
488,602
FMV
(8)
BRYAN PHYSICIAN NETWORK
O
312,094
FMV
(9)
BRYAN MEDICAL CENTER
P
7,597,231
FMV
(10)
CRETE AREA MEDICAL CENTER
Q
1,812,952
FMV
(11)
BRYAN MEDICAL CENTER
Q
4,590,856
FMV
(12)
BRYAN PHYSICIAN NETWORK
Q
2,058,692
FMV
(13)
Bryan Enterprises
Q
307,217
FMV
(14)
Bryan Heart
Q
2,322,533
FMV
(15)
BRYAN PHYSICIAN NETWORK
R
3,903,748
FMV
(16)
Bryan Health Connect
R
500,000
FMV
(17)
Bryan Heart
R
11,900,000
FMV
(18)
BRYAN MEDICAL CENTER
S
37,000,000
FMV
(19)
CRETE AREA MEDICAL CENTER
S
400,493
FMV
(20)
BRYAN FOUNDATION
C
114,792
FMV
(21)
Merrick Medical Center
L
353,555
FMV
(22)
Merrick Medical Center
Q
593,668
FMV
Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2017
Additional Data
Software ID:
17005876
Software Version:
2017v2.2