2026-02-02T06:50:48-06:00 2025-04-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-05-01 851276014 BRODSTONE MEMORIAL HOSPITAL FOUNDATION BROD 4028793281 520 EAST 10TH STREET SUPERIOR NE 689781225 TREG VYZOUREK CEO 4028793281 2026-01-30 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2026-01-30 2024 2025-03-06 01:10:19Z TREG VYZOUREK 520 EAST 10TH STREET SUPERIOR NE 689781225 514774 0 X WWW.BRODSTONEHEALTHCARE.ORG/ABOUT/FOUNDATION X 1927 NE TO SUPPORT BRODSTONE MEMORIAL HOSPITAL 5 4 0 10 0 0 267118 284845 0 0 14494 20135 34635 134532 316247 439512 92496 271026 0 0 0 0 0 0 0 9693 12430 102189 283456 214058 156056 769172 911699 14142 0 755030 911699 X THE FOUNDATION IS ESTABLISHED TO ENCOURAGE INDIVIDUALS AND OTHER ENTITIES TO MAKE CHARITABLE GIFTS OR BEQUEST TO THE BRODSTONE MEMORIAL HOSPITAL. THESE GIFTS AND BEQUESTS WILL BE USED AS DIRECTED BY THE DONOR TO SECURE THE FUTURE OF THE HOSPITAL AND TO IMPROVE AND PROMOTE THE QUALITY OF HEALTH CARE AND MEDICAL SERVICES TO THE RESIDENTS OF NUCKOLLS COUNTY AND THE SURROUNDING AREA. 0 0 271026 271026 20794 TO SUPPORT BRODSTONE MEMORIAL HOSPITAL BY MANAGING AND DISTRIBUTING FUNDS SOLICITED FROM THE PUBLIC TO FURTHER THE OBJECTIVE AND PURPOSE OF THE HOSPITAL. 271026 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 5 4 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 1 0 X CRYSTAL WYATT 4028793281 520 EAST 10TH STREET SUPERIOR NE 68978 TREG VYZOUREK CEO/DIRECTOR 0.20 39.80 X X 0 399916 50593 TRENT SIEBECKER PRESIDENT 0.50 0.00 X X 0 0 0 ASHLEY CLARK TREASURER 0.50 0.00 X X 0 0 0 PIPER HODGE SECRETARY 0.50 2.00 X X 0 0 0 ROYCE SCHOTT DIRECTOR 0.20 2.00 X 0 0 0 CRYSTAL WYATT CFO 0.20 39.80 X 0 128180 43958 HEATHER ERICKSON FOUNDATION DIRECTOR 32.00 8.00 X 0 98963 9839 0 627059 104390 0 0 1 0 0 135294 65848 83703 284845 20135 20135 20560 135294 59698 -39138 -39138 13500 8350 5150 5150 154940 7214 147726 147726 AUXILIARY REVENUE 459420 20794 20794 20794 439512 20794 0 133873 260676 260676 10350 10350 626 626 3639 3639 8165 8165 283456 271026 12430 0 532639 849160 236533 62539 769172 911699 14142 0 14142 0 X 523498 849160 231532 62539 755030 911699 769172 911699 156056 613 0 X X 0 1 X 1 0 X X X 1 BRODSTONE MEMORIAL HOSPITAL 470388012 3 1 260676 10350 1 260676 10350 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 12G, COLUMN VI: OTHER SUPPORT INCLUDES SCHOLARSHIPS PROVIDED TO INDIVIDUALS PURSUING HEALTHCARE WHICH SUPPORTS THE MISSION OF BRODSTONE MEMORIAL HOSPITAL, THE SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1524476 200295 101109 13350 38721 1571591 1452743 227635 100989 26333 28580 1524476 1545375 30724 93698 29658 1452743 1733236 -95776 56892 35193 1545375 1443862 364430 55867 19189 1733236 0.00000 1.00000 0.00000 1 0 0 X PART V, LINE 4: INTEREST EARNINGS MAY BE USED FOR OPERATIONS, HOWEVER THE PRINCIPAL IS TO BE MAINTAINED AS A PERMANENT ENDOWMENT. PART X, LINE 2: THE HOSPITAL AND FOUNDATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. THE HOSPITAL AND FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT APRIL 30, 2025 AND 2024, THE HOSPITAL AND FOUNDATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GALA BY BRODSTONE 147841 128481 19360 8350 14647 4976 27521 GOLF TOURNAMENT 8013 6813 1200 1575 210 225 2194 155854 135294 20560 9925 210 14872 4976 29715 59698 -39138 1 BRODSTONE MEMORIAL HOSPITAL PO BOX 187 SUPERIOR NE 689781225 470388012 501(C)(3) 260676 0 PROGRAM SUPPORT 1 0 SCHOLARSHIPS 8 10350 PART I, LINE 2: GRANTS ARE MADE TO BRODSTONE MEMORIAL HOSPITAL, THE SUPPORTED ORGANIZATION. THE SCHOLARSHIP COMMITTEE IS MADE UP OF THE BOARD PRESIDENT AND TWO FOUNDATION BOARD DIRECTORS. SCHOLARSHIP AWARDEES ARE EVALUATED ON VALUE TO THE COMMUNITY & BRODSTONE HEALTHCARE, ACADEMIC STANDINGS, SOCIAL & PERSONAL DEVELOPMENT, HEALTHCARE EXPERIENCE AND FINANCIAL NEED. AWARDEES ARE REQUIRED TO SUBMIT THEIR STUDENT ID NUMBER IN ORDER TO HAVE THE FUNDS SENT TO THEIR DIRECT SCHOOL ACCOUNT TO VERIFY THEIR ENROLLMENT. 0 0 0 0 0 0 0 0 0 TREG VYZOUREK CEO/DIRECTOR 0 399916 0 0 0 0 0 13800 0 36793 0 450509 0 0 CRYSTAL WYATT CFO 0 125103 0 3077 0 0 0 5442 0 38516 0 172138 0 0 PART I, LINE 3 BRODSTONE MEMORIAL HOSPITAL FOUNDATION DOES NOT PAY COMPENSATION TO TREG VYZOUREK, WHO SERVES AS TOP MANAGEMENT OFFICIAL OF THE FOUNDATION. BRODSTONE MEMORIAL HOSPITAL, A RELATED ENTITY, PAYS THE COMPENSATION. THE HOSPITAL USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: - FORM 990 OF OTHER ORGANIZATION - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 7A BRODSTONE MEMORIAL HOSPITAL, THE SUPPORTED ORGANIZATION, HAS THE POWER TO APPOINT THREE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. BEFORE IT IS FILED, IT IS GIVEN A DETAILED REVIEW BY MANAGEMENT AND THEN A GENERAL REVIEW BY THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING. A FINAL COPY OF THE FORM 990 WILL BE ELECTRONICALLY FILED AFTER APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST WOULD REFRAIN FROM DISCUSSION AND VOTING ON THOSE MATTERS. ADDITIONALLY, ALL BOARD MEMBERS ARE WELL ACQUAINTED WITH EACH OTHER SO IF THERE WAS A CONFLICT OF INTEREST AND THE BOARD MEMBER DID NOT DISCLOSE, THE OTHER BOARD MEMBERS WOULD BRING IT TO THE BOARD'S ATTENTION. FORM 990, PART VI, SECTION B, LINE 15 ALL EMPLOYEES ARE PAID BY BRODSTONE MEMORIAL HOSPITAL, A RELATED ENTITY. THE HUMAN RESOURCE DIRECTOR PREPARES A SALARY SURVEY ANNUALLY FOR ALL JOBS DESCRIPTIONS WITH HOSPITALS OF SIMILAR SIZE AND REVENUES. THE BOARD OF DIRECTORS REVIEWS THE SURVEY AND PRIOR SALARY INCREASES FOR THE CEO BEFORE GRANTING PAY INCREASES. THE HUMAN RESOURCE DIRECTOR AND CFO MAKE RECOMMENDATIONS TO THE CEO FOR OTHER EMPLOYEES. THE CEO REVIEWS THE SURVEY, PRIOR SALARY INCREASES, AND RECOMMENDATIONS BEFORE APPROVING PAY INCREASES FOR EMPLOYEES. THE PAY INCREASES ARE APPROVED BY THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, BUT FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF BRODSTONE MEMORIAL HOSPITAL, A RELATED ORGANIZATION, ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BRODSTONE MEMORIAL HOSPITAL 520 EAST 10TH STREET SUPERIOR NE 689781225 470388012 HOSPITAL NE 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0