On August 18, 2010, the NRC issued a Notice of Violation to Bryan LGH Medical Center dba Bryan LGH Heart Institute (Bryan Heart), for a Severity Level III violation involving the failure to file NRC Form 241 "Report of Proposed Activities in Non-Agreement States," at least three days prior to engaging in licensed activities within NRC jurisdiction, as required by 10 CFR 150.20. Specifically, as of December 16, 2009, Bryan Heart, a holder of Nebraska State license, provided mobile nuclear medicine services at a temporary job site in the State of Missouri, a non-Agreement State, without filing a reciprocity submittal for calendar year 2009 with the NRC.