ALEGENT HEALTH-IMMANUEL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ALEGENT HEALTH-IMMANUEL MEDICAL CENTER (EIN 47-0376615)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201341349349300489
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T08:12:06-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	470757164	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT CREIGHTON HEALTH	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12809 W DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470376615	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALEG	NameControl
Phone	4023434323	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6901 NORTH 72ND STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	681221799	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT M WOOTEN	Name
Title	SENIOR VP/CFO	Title
Phone	4023434315	Phone
Date Signed	2013-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ANGELA LEA	Name
PTIN	P01051055	PTIN
Phone	4023434413	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SCOTT M WOOTEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	286589031	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ALEGENTCREIGHTON.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1904	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1905	TotalNbrEmployees
Total Nbr Volunteers	398	TotalNbrVolunteers
Total Gross UBI	177124	TotalGrossUBI
Net Unrelated Business Txbl Income	50154	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	521944	ContributionsGrantsPriorYear
Contributions Grants Current Year	158696	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	217799831	ProgramServiceRevenuePriorYear
Program Service Revenue CY	219578766	ProgramServiceRevenueCY
Investment Income Prior Year	42502007	InvestmentIncomePriorYear
Investment Income Current Year	24782403	InvestmentIncomeCurrentYear
Other Revenue Prior Year	27955969	OtherRevenuePriorYear
Other Revenue Current Year	40419729	OtherRevenueCurrentYear
Total Revenue Prior Year	288779751	TotalRevenuePriorYear
Total Revenue Current Year	284939594	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	21450502	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	21877790	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	115924692	SalariesEtcPriorYear
Salaries Etc Current Year	115576440	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	111456033	OtherExpensePriorYear
Other Expenses Current Year	107233926	OtherExpensesCurrentYear
Total Expenses Prior Year	248831227	TotalExpensesPriorYear
Total Expenses Current Year	244688156	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	39948524	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	40251438	RevenuesLessExpensesCY
Total Assets BOY	593611626	TotalAssetsBOY
Total Assets EOY	617826265	TotalAssetsEOY
Total Liabilities BOY	146737325	TotalLiabilitiesBOY
Total Liabilities EOY	151030035	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	446874301	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	466796230	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	FAITHFUL TO THE HEALING MINISTRY OF JESUS CHRIST, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON. OUR COMMITMENT TO HEALING CALLS US TO:CREATE CARING AND COMPASSIONATE ENVIRONMENTS RESPECT THE DIGNITY OF EVERY PERSON CARE FOR THE RESOURCES ENTRUSTED TO US AS RESPONSIBLE STEWARDS COLLABORATE WITH OTHERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES ATTEND ESPECIALLY TO THE NEEDS OF THOSE WHO ARE POOR AND DISADVANTAGED ACT WITH INTEGRITY IN ALL ENDEAVORS TO ACHIEVE THIS MISSION, WE PLEDGE TO BE CREATIVE, VISIONARY LEADERS COMMITTED TO HOLISTIC HEALTHCARE IN THE REGION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	13654830	Expense
Grants	7688825	Grants
Revenue	88554155	Revenue
Description	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER CANCER SUPPORT AND DIAGNOSTIC TEAM IS COMPRISED OF A GROUP OF HEALTHCARE PROFESSIONALS WHO WORK TOGETHER IN A VARIETY OF WAYS TO HELP THE PATIENT AND FAMILY COPE WITH CANCER. EACH ONE OF THE PHYSICIANS ARE EQUIPPED TO DIAGNOSE AND AGGRESSIVELY TREAT CANCER AND GET PATIENTS BACK TO THERE LIFE AS SOON AS POSSIBLE. INDIVIDUAL TEAM MEMBERS INCLUDE CANCER SUPPORT SERVICE SPECIALISTS, MEDICAL SOCIAL WORKERS, CANCER REHABILITATION SPECIALIST, PASTORAL SERVICES, DIETITIANS, ONCOLOGY NURSE NAVIGATORS, HOSPICE & HOME CARE SERVICES, INPATIENT NURSING SERVICES, RADIATION ONCOLOGY, AND VOLUNTEER SERVICES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	22915388	Expense
Grants	4918127	Grants
Revenue	56649531	Revenue
Description	ALEGENT HEALTH IMMANUEL MEDICAL CENTER MENTAL HEALTH PHYSICIANS ARE UNIQUE IN THEIR CARE-GIVING APPROACH TO EMOTIONAL AND BEHAVIORAL PROBLEMS OF CHILDREN, ADOLESCENTS, ADULTS AND SENIORS. PHYSICIANS PROVIDE THE MOST APPROPRIATE CARE AT THE LEVEL OF SERVICE THAT EACH PATIENT NEEDS. OUTPATIENT AND INPATIENT BEHAVIORAL SERVICE PROGRAMS ARE PROVIDED. RECENTLY, IMMANUEL MEDICAL CENTER BUILT THE RESIDENTIAL TREATMENT CENTER. THIS NEW STATE OF THE ART FACILITY FEATURES 20 PRIVATE ROOMS FOR BOYS AND GIRLS BETWEEN THE AGES OF SIX AND EIGHTEEN YEARS OF AGE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	17961901	Expense
Grants	4802175	Grants
Revenue	55313730	Revenue
Description	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER REHABILITATION CENTER PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAMS FOR INDIVIDUALS OF ALL AGES. THE REHABILITATION CENTER IS THE REGION'S MOST COMPREHENSIVE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION, OFFERING PATIENTS SOME OF THE MOST ADVANCED REHABILITATIVE TECHNOLOGY. IMMANUEL REHABILITATION CENTER HAS RECEIVED THE HIGHEST LEVEL OF ACCREDITATION AWARDED BY THE JOINT COMMISSION AND BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). AT EVERY LEVEL OF CARE, A TEAM OF LICENSED AND CERTIFIED REHABILITATION PROFESSIONALS ARE AVAILABLE. EACH ONE OF THE REHABILITATION PROGRAMS ARE DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	168883574	Expense
Grants	4468663	Grants
Revenue	51454675	Revenue
Description	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER PROVIDES ADDITIONAL SERVICES INCLUDING BUT NOT LIMITED TO: WEIGHT MANAGEMENT, A 24 HOUR EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY, DIAGNOSTIC SERVICES AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	168883574	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	4468663	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	51454675	TotalOfOtherProgramServiceRev
Total Program Service Expense	223415693	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	74	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1905	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT M WOOTEN SENIOR VPCFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4023434323	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	12809 W DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
LESLIE ANDERSEN
DIRECTOR	4.00	X	0	0	0
SR LILLIAN MURPHY RSM
DIRECTOR	4.00	X	0	0	0
ANTHONY HATCHER DO
SECRETARY/TREASURER	6.00	X	0	441770	19914	X
JOHN HEWITT
CHAIR	6.00	X	0	0	0	X
MARTIN MANCUSO MD
DIRECTOR	4.00	X	0	18500	0
ANTOINETTE HARDY-WALLER RN
DIRECTOR	4.00	X	0	17500	0
RICHARD VIERK
DIRECTOR	4.00	X	0	26500	0
MICHAEL DEFREECE
VICE CHAIR	6.00	X	0	0	0	X
PAUL EDGETT III
DIRECTOR	4.00	X	0	0	0
ERIC GURLEY
DIRECTOR	4.00	X	0	0	0
H KEITH SCHMODE
DIRECTOR	4.00	X	0	18500	0
GUILLERMO HUERTA MD
DIRECTOR	4.00	X	0	0	0
SR PHYLLIS HUGHES
DIRECTOR	4.00	X	0	0	0
RICHARD HACHTEN II
PRESIDENT & CEO	14.00		410160	1316001	297951	X
SCOTT WOOTEN
SVP/CFO	14.00		168211	539707	134300	X
JOAN NEUHAUS
SVP/COO	14.00		152163	488218	179065	X
KENNETH LAWONN
SVP/STRATEGY AND TECHNOLOG	14.00		134243	430723	115906	X
RICK MILLER MD
SVP/CQO	14.00		96768	310479	86623	X
RICHARD ROLSTON MD
ACC-PRESIDENT & CEO	14.00		111683	358338	1280141	X
JANE CARMODY
SVP/CNO	14.00		80430	258061	52886		X
PAUL EBMEIER
COO-ACC	14.00		0	393678	80834		X
SHEREE KEELY
VP-BEHAVIORAL HEALTH SVC	14.00		50914	163360	44935		X
ELIZABETH LLEWELLYN
VP-MISSION INTEGRATION	14.00		61848	198440	49772		X
PATRICIA MASEK
VP-MEDICAL AFFAIRS	14.00		55023	176545	66079		X
ANN SCHUMACHER
COO-IMC	60.00		96914	310951	86976		X
NANCY WALLACE
VP-HUMAN RESOURCES	14.00		79059	253664	66131		X
MYLES GART
CHIEF QUALITY OFFICER	14.00		48818	156633	10275		X
ARUN SHARMA MD
PHYSICIAN	60.00		430709	0	38878			X
MICHAEL COY MD
PHYSICIAN	60.00		373235	0	24915			X
THOMAS FRANCO MD
PHYSICIAN	60.00		345926	0	2105			X
ANTHONY HALAT MD
PHYSICIAN	60.00		331325	0	35390			X
MICHAEL EGGER MD
PHYSICIAN	60.00		329084	0	41328			X
FRED HOSLER MD
FORMER SVP/CMO	0.00		128385	411924	889				X
MARK KESTNER MD
FORMER SVP/CMO	0.00		31265	100313	1669				X
LARRY BROWN MD
ACC-INTERIM CEO CLINICS	1.00		0	650762	42928				X
FRANK EMSICK
FACILITIES OPERATIONS EXEC	14.00		96334	177005	15597				X
MARTIN HICKEY MD
SVP/CEO CLINICS	0.00		124948	400899	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3737445	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7618471	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2775487	TotalOtherCompensation
Number Individuals GT100 K	74	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CASSLING DIAGNOSTIC IMAGING INC
13808 F STREET	OMAHA	NE	68137	DIAGNOSTIC IMAGING SERVICES	915065
NORTHWEST ANESTHESIA PC
6901 N 72ND STREET	OMAHA	NE	68122	ANESTHESIA SERVICES	467149
AMERITEX SERVICES
1321 SOUTH 20TH STREET	OMAHA	NE	68108	LAUNDRY SERVICES	383612
GROUNDSCAPES INC
6118 OHERN STREET	OMAHA	NE	68117	LANDSCAPING	279160
DIALYSIS CLINIC INC
3316 DODGE STREET	OMAHA	NE	68164	DIALYSIS	270740

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Membership Dues	56600	MembershipDues
Fundraising Events	45043	FundraisingEvents
Related Organizations	9323	RelatedOrganizations
All Other Contributions	47730	AllOtherContributions
Noncash Contributions	48156	NoncashContributions
Total Contributions	158696	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
NET PATIENT SVC REV	621500	209159075	209159075
REIMBURSABLE-AFFILIATE	621990	5457136	2488326	$2,968,810
MEANINGFUL USE	900099	2565710	2565710
HOSPITAL PHARMACY	446110	1667205		$1,667,205
FOOD & NUTRITION	722320	621859		$621,859

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	107781	TotalRevenueColumn
Related Or Exempt Function Income	107781	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	219578766	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13634054	TotalRevenueColumn
Exclusion	$13,634,054	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2696345	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1191916	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1504429	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1504429	TotalRevenueColumn
Exclusion	$1,504,429	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	10954755	Securities
Other	267509	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	73915	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	10954755	Securities
Other	193594	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	11148349	TotalRevenueColumn
Exclusion	$11,148,349	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	95302	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	45043	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	81115	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	14187	TotalRevenueColumn
Exclusion	$14,187	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	10000	GrossIncomeGaming
Gaming Direct Expenses	7670	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	2330	TotalRevenueColumn
Exclusion	$2,330	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	371151	GrossSalesOfInventory
Cost Of Goods Sold	294821	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	76330	TotalRevenueColumn
Exclusion	$76,330	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
JOA SETTLEMENTS	812300	32737000	32737000
REIMBURSED SERVICES	621990	2852551	2852551
MISC. OPERATING REV	561499	2235103	2061648	173455

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	997799	TotalRevenueColumn
Unrelated Business Revenue	3669	UnrelatedBusinessRevenue
Exclusion	$994,130	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	38822453	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	284939594	TotalRevenueColumn
Related Or Exempt Function Income	251972091	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	177124	UnrelatedBusinessRevenue
Exclusion	$32,631,683	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	16278	Total
Program Services	16278	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	21861512	Total
Program Services	21861512	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2313152	Total
Program Services	1156576	ProgramServices
Management And General	1156576	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	89297372	Total
Program Services	80367635	ProgramServices
Management And General	8929737	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4021732	Total
Program Services	3619558	ProgramServices
Management And General	402174	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14815983	Total
Program Services	13334385	ProgramServices
Management And General	1481598	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5128201	Total
Program Services	4615381	ProgramServices
Management And General	512820	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	480127	Total
Management And General	480127	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11800	Total
Management And General	11800	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	18646	Total
Program Services	18646	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1029650	Total
Management And General	1029650	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4902632	Total
Program Services	4881179	ProgramServices
Management And General	21453	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8740	Total
Program Services	7866	ProgramServices
Management And General	874	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	27354668	Total
Program Services	24619201	ProgramServices
Management And General	2735467	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6582288	Total
Program Services	5924059	ProgramServices
Management And General	658229	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	122980	Total
Program Services	110682	ProgramServices
Management And General	12298	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	71294	Total
Program Services	64165	ProgramServices
Management And General	7129	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5570523	Total
Program Services	5570523	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18926066	Total
Program Services	17033459	ProgramServices
Management And General	1892607	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	831422	Total
Program Services	831422	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	18746862	16872176	1874686
BAD DEBTS	14303346	14303346
MANAGEMENT ALLOCATIONS	7362712	7362712
TAXES AND LICENSES	437445	393700	43745

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	472725	Total
Program Services	451232	ProgramServices
Management And General	21493	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	244688156	Total
Program Services	223415693	ProgramServices
Management And General	21272463	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	735745	BOY
EOY	329410	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	50158053	BOY
EOY	67162725	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	21437399	BOY
EOY	23282864	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3227004	BOY
EOY	2521225	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	230776	BOY
EOY	314776	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	315669075	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	179731371	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	140596969	BOY
EOY	135937704	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	317547773	BOY
EOY	348529930	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	59638068	BOY
EOY	39747631	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	39839	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	593611626	BOY
EOY	617826265	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5794560	BOY
EOY	6209395	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	666106	BOY
EOY	547360	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	132888865	BOY
EOY	128603611	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7387794	BOY
EOY	15669669	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	146737325	BOY
EOY	151030035	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	442337788	BOY
EOY	461744717	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2745513	BOY
EOY	3260513	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1791000	BOY
EOY	1791000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	446874301	BOY
EOY	466796230	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	593611626	BOY
EOY	617826265	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	40251438	ReconcilationRevenueExpenses
Reconcilation Other Changes	-20329509	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	0	PoliticalExpenditures
Volunteer Hours	0	VolunteerHours
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	18464	FilingOrganizationsTotals
Affiliated Group Totals	193039	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	18464	FilingOrganizationsTotals
Affiliated Group Totals	193039	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	223397229	FilingOrganizationsTotals
Affiliated Group Totals	410490746	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	223415693	FilingOrganizationsTotals
Affiliated Group Totals	410683785	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	176941	CurrentYearMinus3
Current Year Minus2	262701	CurrentYearMinus2
Current Year Minus1	106741	CurrentYearMinus1
Current Year	193039	CurrentYear
Total	739422	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3218021	BeginningOfYearBalance
Contributions	176396	Contributions
Investment Earnings Or Losses	143624	InvestmentEarningsOrLosses
Grants Or Scholarships	4500	GrantsOrScholarships
Other Expenditures	47114	OtherExpenditures
End Of Year Balance	3486427	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2938870	BeginningOfYearBalance
Contributions	5001	Contributions
Investment Earnings Or Losses	464742	InvestmentEarningsOrLosses
Grants Or Scholarships	6642	GrantsOrScholarships
Other Expenditures	183950	OtherExpenditures
End Of Year Balance	3218021	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2665977	BeginningOfYearBalance
Contributions	126695	Contributions
Investment Earnings Or Losses	298938	InvestmentEarningsOrLosses
Grants Or Scholarships	9996	GrantsOrScholarships
Other Expenditures	142744	OtherExpenditures
End Of Year Balance	2938870	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2688014	BeginningOfYearBalance
Contributions	800115	Contributions
Investment Earnings Or Losses	-448721	InvestmentEarningsOrLosses
Grants Or Scholarships	3875	GrantsOrScholarships
Other Expenditures	369556	OtherExpenditures
End Of Year Balance	2665977	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.35000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.65000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1800312	OtherCostOrOtherBasis
Book Value	1800312	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	148140748	OtherCostOrOtherBasis
Depreciation	73139638	Depreciation
Book Value	75001110	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	479327	OtherCostOrOtherBasis
Depreciation	376975	Depreciation
Book Value	102352	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	153740373	OtherCostOrOtherBasis
Depreciation	101602264	Depreciation
Book Value	52138109	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11508315	OtherCostOrOtherBasis
Depreciation	4612494	Depreciation
Book Value	6895821	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	135937704	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN MCH HEALTH SYSTEM	7772073	C
INVESTMENT IN ALEGENT HEALTH	27850000	C
INVESTMENT IN PRAIRIE HEALTH VENTURES, LLC	4118544	C
AMHS HERITAGE, LLC	7014	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	39747631	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
3RD PARTY PAYER SETTLEMENTS	$6,924,122
INTERCOMPANY LIABILITY	$8,745,547

Field	Value	IRS element (for citing)
Total Of Amounts	15669669	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUNDS ARE INTENDED TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
		PART X, LINE 2 - ALL AFFILIATED ENTITIES HAVE BEEN RECOGNIZED AS NOT-FOR-PROFIT CORPORATIONS BY THE INTERNAL REVENUE SERVICE (IRS) AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A)OF THE CODE. IMMANUEL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. SUCH TAX POSITIONS, WHICH ARE MORE THAN 50% LIKELY OF BEING REALIZED, ARE MEASURED AT THEIR HIGHEST VALUE. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. DURING 2012 AND 2011, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	A NIGHT TO CELEBRATE	NameOfEvent1
Gross Receipts Event1	140345	GrossReceiptsEvent1
Charitable Contributions Event1	45043	CharitableContributionsEvent1
Gross Revenue Event1	95302	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	40486	NonCashPrizesEvent1
Rent Facility Costs Event1	6000	RentFacilityCostsEvent1
Food And Beverage Event1	27116	FoodAndBeverageEvent1
Entertainment Event1	1600	EntertainmentEvent1
Other Direct Expenses Event1	5913	OtherDirectExpensesEvent1
Gross Receipts Total	140345	GrossReceiptsTotal
Charitable Contributions Total	45043	CharitableContributionsTotal
Gross Revenue Total Events	95302	GrossRevenueTotalEvents
Non Cash Prizes Total Events	40486	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	6000	RentFacilityCostsTotalEvents
Food And Beverage Total Events	27116	FoodAndBeverageTotalEvents
Entertainment Total Events	1600	EntertainmentTotalEvents
Other Direct Expenses Total Events	5913	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	81115	DirectExpenseSummaryEvents
Net Income Summary	14187	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	0	FPGReferenceFreeCare
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	7009	PersonsServed
Total Community Benefit Expense	10182628	TotalCommunityBenefitExpense
Direct Offsetting Revenue	618796	DirectOffsettingRevenue
Net Community Benefit Expense	9563832	NetCommunityBenefitExpense
Percent Of Total Expense	0.04150	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	2486	PersonsServed
Total Community Benefit Expense	43499251	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25904604	DirectOffsettingRevenue
Net Community Benefit Expense	17594647	NetCommunityBenefitExpense
Percent Of Total Expense	0.07640	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	1675593	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1462498	DirectOffsettingRevenue
Net Community Benefit Expense	213095	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	9495	PersonsServed
Total Community Benefit Expense	55357472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27985898	DirectOffsettingRevenue
Net Community Benefit Expense	27371574	NetCommunityBenefitExpense
Percent Of Total Expense	0.11880	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	9888	PersonsServed
Total Community Benefit Expense	551577	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26843	DirectOffsettingRevenue
Net Community Benefit Expense	524734	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1365	PersonsServed
Total Community Benefit Expense	940604	TotalCommunityBenefitExpense
Direct Offsetting Revenue	167106	DirectOffsettingRevenue
Net Community Benefit Expense	773498	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	153426	TotalCommunityBenefitExpense
Direct Offsetting Revenue	118256	DirectOffsettingRevenue
Net Community Benefit Expense	35170	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	31757	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	31757	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	8293	PersonsServed
Total Community Benefit Expense	178421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	178421	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	19546	PersonsServed
Total Community Benefit Expense	1855785	TotalCommunityBenefitExpense
Direct Offsetting Revenue	312205	DirectOffsettingRevenue
Net Community Benefit Expense	1543580	NetCommunityBenefitExpense
Percent Of Total Expense	0.00680	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	29041	PersonsServed
Total Community Benefit Expense	57213257	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28298103	DirectOffsettingRevenue
Net Community Benefit Expense	28915154	NetCommunityBenefitExpense
Percent Of Total Expense	0.12560	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	7440	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7440	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	58	PersonsServed
Total Community Building Expense	7715	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7715	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	25588	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	25588	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	201	PersonsServed
Total Community Building Expense	4917	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4917	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Total

Field	Value	IRS element (for citing)
Persons Served	259	PersonsServed
Total Community Building Expense	45660	TotalCommunityBuildingExpense
Net Community Building Expense	45660	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$4,695,788	BadDebtExpenseAmount
Amount Attributable To	1514139	AmountAttributableTo
Amount Reimbursed By Medicare	40155166	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	47965661	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7810495	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH IMMANUEL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	6901 NORTH 72ND STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68122	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH IMMANUEL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	0	UsesFPGFree
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Uninsured Discount	X	UninsuredDiscount
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	1	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	AH IMMANUEL FONTENELLE HOME	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	6809 NORTH 68TH PLAZA	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68152	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	SKILLED NURSING FACILITY	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: PART 1, LINE 3C: ALEGENT HEALTH-IMMANUEL MEDICAL CENTER OMAHA, NE IS PART OF THE ALEGENT CREIGHTON HEALTH SYSTEM. THE AMOUNT OF FINANCIAL ASSISTANCE WRITE-OFF FOR ENTITIES OF THE ALEGENT CREIGHTON HEALTH SYSTEM ARE BASED ON A FINANCIAL ASSISTANCE SLIDING FEE SCHEDULE UTILIZING A DERIVATIVE OF THE CURRENT US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW INCOME GUIDELINES, WHICH ARE UPDATED YEARLY.ALL EFFORTS ARE MADE TO ESTABLISH WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SERVICE IF POSSIBLE, OTHERWISE AS SOON AS POSSIBLE FOLLOWING SERVICE. ALEGENT CREIGHTON HEALTH REPRESENTATIVES HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH ALEGENT CREIGHTON HEALTHS FINANCIAL ASSISTANCE POLICY. THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONAL FINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATION INCLUDES EMPLOYMENT VERIFICATION AND OBTAINING DOCUMENTATION OF THE APPLICANT'S FINANCIAL CONDITION SUCH AS FEDERAL TAX RETURN, PAY STUB, NET WORTH AND/OR LIQUID ASSETS AND REASONABLE HOUSEHOLD OR BUSINESS EXPENSES. FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN CIRCUMSTANCES INVOLVING A CATASTROPHIC OCCURRENCE RESULTING IN MEDICAL BILLS GROSSLY EXCEEDING THE PATIENT'S ABILITY TO PAY, AND IN THESE SITUATIONS, THE PATIENT'S RESPONSIBILITY WILL BE LIMITED TO 20% OF THE FAMILY'S GROSS ANNUAL INCOME.PART I, LINE 6A: THE ALEGENT CREIGHTON HEALTH SYSTEM PRODUCES AN ANNUAL PUBLIC COMMUNITY BENEFIT REPORT THAT IS MAILED TO A CORE CONSTITUENCY AND PLACED IN KEY PLACES THROUGHOUT THE ORGANIZATION. IT IS ALSO AVAILABLE ON THE COMPANY'S INTRANET SITE, AND ON ITS PUBLIC WEBSITE AT HTTP://WWW.ALEGENTCREIGHTON.COM/COMMUNITY-BENEFIT.
PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WERE WORKSHEETS 1-8 PROVIDED WITH THE SCHEDULE H INSTRUCTIONS. THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE TOTAL COMMUNITY BENEFIT EXPENSE FOR CHARITY CARE, MEDICAID AND OTHER MEANS TESTED.
PART I, L7 COL(F): BAD DEBT OF $14,303,346 INCLUDED IN FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25, COLUMN (A) IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. THE DENOMINATOR USED TO CALCULATE THE COST TO CHARGE RATIO WAS $230,384,810.
PART II: ALEGENT CREIGHTON HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE COMMUNITY BUILDING SUCH AS: -LIVE WELL OMAHA KIDS- AS A RESULT OF COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2006 WHICH POINTED TO CHILDHOOD OBESITY AS A SERIOUS HEALTH NEEDS ISSUE ACROSS ALL OMAHA MSA COUNTIES SERVED, THE ALEGENT CREIGHTON HEALTH SYSTEM PARTNERED WITH THE COMMUNITY TO MAKE A MULTI-YEAR COMMITMENT TO IMPACT CHILDHOOD OBESITY THROUGH COMMUNITY BASED BEST PRACTICE INTERVENTIONS. THIS INITIATIVE HAS HAD A PRIMARY FOCUS OF IMPACT IN DOUGLAS COUNTY, BUT THE FUNDING TO UNDERWRITE HAS COME FROM THE FISCAL PERFORMANCE OF ALL ALEGENT CREIGHTON HEALTH HOSPITALS. THE COMMUNITY COALITION KNOWN AS LIVE WELL OMAHA KIDS (LWOK) IS STAFFED AND FUNDED BY ALEGENT CREIGHTON HEALTH. AN EXECUTIVE COMMITTEE CONSISTING OF COMMUNITY LEADERS AND POLICY MAKERS HAVE DIRECTED AN ECOLOGICAL APPROACH TO IMPROVE PROGRAMS, POLICIES AND BUILT THE ENVIRONMENT TO PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING AND BUILD CAPACITY FOR HEALTHY CHOICES AT THE INDIVIDUAL AND ORGANIZATIONAL LEVEL. MORE THAN 200 VOLUNTEERS AND 90 ORGANIZATIONS HAVE PARTICIPATED IN THE PLANNING AND IMPLEMENTATION OF LWOK INITIATIVES. A PORTION OF THIS INVESTMENT IN LWOK IS ALLOCATED TO THE IMMANUEL MEDICAL CENTER ON A NET SERVICE REVENUE BASIS. -COMMUNITY AND ECONOMIC DEVELOPMENT INCLUDING SUPPORT OF LOCAL CHAMBERS OF COMMERCE -STRATEGIC PLANNING AND CONSULTING SERVICES FOR COMMUNITY -SPONSORSHIP OF COMMUNITY NOT FOR PROFITS AND FUNDRAISING EVENTS -SUPPORT OF INTERNATIONAL HEALTH MINISTRIES IN TANZANIA AND DOMINICAN REPUBLIC -SUPPORT OF THE FEDERALLY QUALIFIED HEALTHCARE CENTERS -PARISH NURSING PROGRAM -COMMUNITY HEALTH FAIRS, SUPPORT GROUPS AND COMMUNITY EDUCATION -SCHOOL BASED HEALTHCARE SERVICES -LEADERSHIP IN AND FUNDING OF HEALTH COALITIONS INCLUDING- -LIVE WELL OMAHA-A COALITION FOUNDED BY ALEGENT CREIGHTON HEALTH AND THE COUNTY HEALTH DEPARTMENT THAT SERVES AS CONVENER OF BUSINESS, HEALTHCARE AND COMMUNITY LEADERS TO REVIEW HEALTH TRENDS AND CATALYZE COMMUNITY ACTION TO ADDRESS HEALTH ISSUES. ALEGENT CREIGHTON HEALTH SERVES ON THE BOARD OF DIRECTORS, IS A MEMBER AT THE HIGHEST LEVEL AND LEASES STAFF TO LIVE WELL OMAHA. -LIVE WELL POTTAWATTAMIE COUNTY -AN EMERGING COALITION TO ADDRESS OBESITY IN POTTAWATTAMIE COUNTY. ALEGENT CREIGHTON HEALTH PROVIDES STRATEGIC PLANNING, GRANT WRITING AND STAFF SUPPORT. -OMAHA BY DESIGN-A COALITION THAT SUPPORT HEALTHY AND SUSTAINABLE CO0MMUNITY DEVELOPMENT AND LAND USE -VIOLENCE PREVENTION-A PARTNERSHIP WITH CATHOLIC HEALTH INITIATIVES, WOMENS CENTER FOR ADVANCEMENT, UNIVERSITY OF NEBRASKA-OMAHA AND CREIGHTON UNIVERSITY TO IMPLEMENT A CAMPUS BASED VIOLENCE PREVENTION PLAN KNOWN AS "GREEN DOT." ALEGENT CREIGHTON HEALTH ALSO SUPPORTS ECPR TRAINING TO PROVIDE COMMUNITY CAPACITY AND SKILLS TO ADDRESS THE TRAUMA ASSOCIATED WITH VIOLENCE. -METRO AREA CONTINUUM OF CARE FOR THE HOMELESS- BOARD SERVICE AND FINANCIAL SUPPORT TO THIS COALITION ADDRESSING HOMELESSNESS IN THE SERVICE AREA. -HOPE MEDICAL COALITION-BOARD SERVICE AND ANNUAL OPERATING SUBSIDY. ALEGENT CREIGHTON HEALTH'S HOSPITALS AND PHYSICIANS PROVIDE SPECIALTY CARE TO PATIENTS UNABLE TO AFFORD MEDICAL SERVICES. -PARTICIPATION IN AND FUNDING OF MATERNAL HEALTH, BREASTFEEDING, SUBSTANCE ABUSE, CANCER, DIABETES AND OTHER COMMUNITY HEALTH COALITIONS -MENTAL HEALTH COALITIONS INCLUDING NATIONAL ALLIANCE ON MENTAL ILLNESS, NEBRASKA, NEBRASKA ASSOCIATION OF BEHAVIORAL HEALTH CARE ORGANIZATIONS, AND THE JUVENILE JUSTICE PROVIDER FORUM BEHAVIORAL HEALTH COMMITTEE.
PART III, LINE 4: : THE AUDITED FOOTNOTES FOR ENTITIES OF THE ALEGENT CREIGHTON HEALTH SYSTEM DO NOT CONTAIN FOOTNOTES RELATED TO BAD DEBT EXPENSE. BAD DEBT EXPENSE IS IDENTIFIED ON THE CONSOLIDATED STATEMENT OF OPERATIONS WHICH IS CONSISTENT WITH THE REPORTING PRACTICE OF OTHER HEALTH CARE ORGANIZATIONS.BAD DEBT EXPENSE (AT COST) FOR ENTITIES OF ALEGENT CREIGHTON HEALTH IS DETERMINED BY USING THE COST TO CHARGE RATIO FROM MEDICARE COST REPORTS PER ENTITY AND MULTIPLYING THE RATIO BY THE ACTUAL BAD DEBT CHARGES PER ENTITY.TO DETERMINE THE AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY, REPRESENTATIVES OF THE ALEGENT HEALTH SYSTEM DETERMINE IF AN ACCOUNT NEEDS TO BE MOVED FROM BAD DEBT TO CHARITY WHEN A PATIENT EITHER COMES FORWARD AND COMPLETES A CHARITY APPLICATION, WHICH IS APPROVED OR IF IT IS DETERMINED THAT THE PATIENT HAS NO OTHER RESOURCES TO PAY THE ACCOUNT BALANCE.
PART III, LINE 8: THE ALEGENT CREIGHTON HEALTH SYSTEM DOES NOT CONSIDER MEDICARE SHORTFALLS TO BE COMMUNITY BENEFIT PER THE RECOMMENDATION OF THE CATHOLIC HEALTH ASSOCIATION. THE MEDICARE CHARGES REPORTED ON LINES 5 AND 6 ARE FROM MEDICARE COST REPORTS WHICH USED A COST TO CHARGE RATIO.
PART III, LINE 9B: THE ALEGENT CREIGHTON HEALTH SYSTEMS SELF PAY BILLING AND BAD DEBT POLICY HAS A CLEARLY DELINEATED PROCESS AND GUIDELINES FOR COLLECTIONS AGENCIES TO FOLLOW, INCLUDING EXPLICIT INSTRUCTIONS TO ADHERE TO THE SAME FINANCIAL ASSISTANCE GUIDELINES AS ALEGENT CREIGHTON HEALTH.
PART V, SECTION B, LINE 9: THE ELIGIBILITY FOR PROVIDING FREE CARE IS BASED ON A FINANCIAL ASSISTANCE SLIDING FEE SCHEDULE UTILIZING A DERIVATIVE OF THE CURRENT US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW INCOME GUIDELINES, WHICH ARE UPDATED YEARLY. ALL EFFORTS ARE MADE TO ESTABLISH WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SERVICE IF POSSIBLE, OTHERWISE AS SOON AS POSSIBLE FOLLOWING SERVICE. ALEGENT CREIGHTON HEALTH REPRESENTATIVES HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH ALEGENT CREIGHTON HEALTH'S FINANCIAL ASSISTANCE POLICY. THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONAL FINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATION INCLUDES EMPLOYMENT VERIFICATION AND OBTAINING DOCUMENTATION OF THE APPLICANT'S FINANCIAL CONDITION SUCH AS FEDERAL TAX RETURN, PAY STUB, NET WORTH AND/OR LIQUID ASSETS AND REASONABLE HOUSEHOLD OR BUSINESS EXPENSES. FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN CIRCUMSTANCES INVOLVING A CATASTROPHIC OCCURRENCE RESULTING IN MEDICAL BILLS GROSSLY EXCEEDING THE PATIENT'S ABILITY TO PAY, AND IN THESE SITUATIONS, THE PATIENT'S RESPONSIBILITY WILL BE LIMITED TO 20% OF THE FAMILY'S GROSS ANNUAL INCOME.	ALEGENT HEALTH IMMANUEL MEDICAL CENTER
PART V, SECTION B, LINE 10: THE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE IS BASED ON A FINANCIAL ASSISTANCE SLIDING FEE SCHEDULE UTILIZING A DERIVATIVE OF THE CURRENT US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW INCOME GUIDELINES, WHICH ARE UPDATED YEARLY. ALL EFFORTS ARE MADE TO ESTABLISH WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SERVICE IF POSSIBLE, OTHERWISE AS SOON AS POSSIBLE FOLLOWING SERVICE. ALEGENT CREIGHTON HEALTH REPRESENTATIVES HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH ALEGENT CREIGHTON HEALTH'S FINANCIAL ASSISTANCE POLICY. THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONAL FINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATION INCLUDES EMPLOYMENT VERIFICATION AND OBTAINING DOCUMENTATION OF THE APPLICANT'S FINANCIAL CONDITION SUCH AS FEDERAL TAX RETURN, PAY STUB, NET WORTH AND/OR LIQUID ASSETS AND REASONABLE HOUSEHOLD OR BUSINESS EXPENSES. FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN CIRCUMSTANCES INVOLVING A CATASTROPHIC OCCURRENCE RESULTING IN MEDICAL BILLS GROSSLY EXCEEDING THE PATIENT'S ABILITY TO PAY, AND IN THESE SITUATIONS, THE PATIENT'S RESPONSIBILITY WILL BE LIMITED TO 20% OF THE FAMILY'S GROSS ANNUAL INCOME.	ALEGENT HEALTH IMMANUEL MEDICAL CENTER
PART V, SECTION B, LINE 11H: SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.	ALEGENT HEALTH IMMANUEL MEDICAL CENTER
PART V, SECTION B, LINE 13G: INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE AT WWW.ALEGENTCREIGHTON.COM AND THROUGH BROCHURES PROVIDED AT THE MAIN PATIENT REGISTRATION AREAS. LETTERS AND BILLING STATEMENTS SENT OUT TO PATIENTS INCLUDE A STATEMENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND HOW TO OBTAIN ADDITIONAL INFORMATION. COUNSELORS OF THE ALEGENT HEALTH SYSTEM ALSO DISSEMINATE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY TO PATIENTS.	ALEGENT HEALTH IMMANUEL MEDICAL CENTER
PART V, SECTION B, LINE 20: DURING FISCAL YEAR ENDING JUNE 30, 2012, ONE PATIENT WAS IDENTIFIED AS BEING CHARGED MORE THAN THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. AFTER FURTHER RESEARCH, THE PATIENT QUALIFIED FOR 100% FINANCIAL ASSISTANCE AND CHARGES WERE WRITTEN OFF TO CHARITY CARE. THEREFORE THE PATIENT NEVER PERSONALLY INCURRED THE EXPENSE.	ALEGENT HEALTH IMMANUEL MEDICAL CENTER
PART VI, LINE 2: THE PROCESS TO DEVELOP ASSESSMENTS OF THE COMMUNITY HEALTH NEEDS (CHNA) IS COLLABORATIVE IN NATURE AND INVOLVES HEALTH DEPARTMENTS, EXISTING HEALTH COALITIONS, COMMUNITY MEMBERS AND HOSPITAL LEADERSHIP, AND IS SUPPORTED BY THE ALEGENT CREIGHTON HEALTH'S COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DEPARTMENT STAFF. EACH ALEGENT CREIGHTON HEALTH HOSPITAL PARTICIPATES IN THE CHNA PROCESS FOR THE COUNTY IN WHICH THE FACILITY IS LOCATED AT LEAST EVERY 3 YEARS IN PARTNERSHIP WITH THE LOCAL HEALTH DEPARTMENTS. THE ASSESSMENT VARIES IN EACH COMMUNITY BUT INCLUDES REVIEW OF PRIMARY DATA (SUCH AS SURVEYS, KEY INFORMANT INTERVIEWS, FOCUS GROUPS) AND SECONDARY DATA (SUCH AS COUNTY HEALTH RANKINGS, BRFRSS, YRBS, CENSUS DATA ETC). LEADERSHIP FROM ALEGENT CREIGHTON HEALTH PARTICIPATE IN MULTIPLE INTERNAL AND EXTERNAL VENUES TO GARNER COMMUNITY INPUT, PRIORITIZE COMMUNITY HEALTH NEEDS AND DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS. THE CHNA REPORT FOR EACH COMMUNITY IS MADE AVAILABLE TO THE PUBLIC BY POSTING THE REPORT ON THE ALEGENT CREIGHTON HEALTH EXTERNAL WEBSITE AND BY MAKING IT AVAILABLE IN COMMUNITY VENUES. THE CHNAS ARE INTEGRATED INTO THE GOVERNANCE AND PLANNING FOR ALEGENT CREIGHTON HEALTH ON TWO LEVELS- -REPORTING INTO THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH HEALTH PLANNING OVERSIGHT -INTO THE ANNUAL STRATEGIC PLANNING AND BUDGETING PROCESSES OF ALEGENT CREIGHTON HEALTH. PARTICULAR TO COUNTIES IN WHICH IMMANUEL MEDICAL CENTER RESIDES, ALEGENT CREIGHTON HEALTH PARTNERS WITH LOCAL HEALTH DEPARTMENTS, LIVE WELL OMAHA AND COMPETING HEALTH SYSTEMS TO RETAIN PROFESSIONAL RESEARCH CONSULTANTS TO CONDUCT A CHNA FOR THE OMAHA/COUNCIL BLUFFS METROPOLITAN SERVICE AREA. THE CHNA COVERS FOUR COUNTIES SERVED BY THE ALEGENT CREIGHTON HEALTH OMAHA AND COUNCIL BLUFFS HOSPITALS. THE CHNA REPORTS DATA AT THE COUNTY LEVEL AND FOR DOUGLAS COUNTY, BY FOUR QUADRANTS WITHIN THE COUNTY. ALEGENT CREIGHTON HEALTH LEADERS SERVE ON THE CHNA STEERING COMMITTEE AND PARTICIPATE IN KEY INFORMANT INTERVIEWS CONDUCTED AT HOSPITAL LOCATIONS. THE CHNA IS SHARED IN MULTIPLE VENUES WITH THE PUBLIC, INCLUDING AT THE LIVE WELL OMAHA SUMMIT. ALEGENT CREIGHTON HEALTH IS ONE OF THE FOUNDERS OF LIVE WELL OMAHA, A 35 MEMBER HEALTHY COMMUNITY COLLABORATION, AND CONTINUES TO BE A KEY FINANCIAL SUPPORTER AND MEMBER OF THE BOARD OF THE DIRECTORS. IN ADDITION, ALEGENT CREIGHTON HEALTH HAS JOINED WITH LOCAL HEALTH SYSTEMS AND HEALTH DEPARTMENTS TO FUND THE WEB BASED COMMUNITY HEALTH DASHBOARD. (HTTP://WWW.DOUGLASCOHEALTH.ORG/)IMMANUEL'S LEADERSHIP HAS DEVELOPED STRONG RELATIONSHIPS WITH KEY NORTH OMAHA LEADERS AND HAS CREATED FORUMS WITH CONSTITUENTS TO SHARE THE CHNA AND DIALOGUE ABOUT HEALTH NEEDS AND OPPORTUNITIES. NORTH OMAHA LEADERS REPRESENTING EMPOWERMENT NETWORK, ABIDE MINISTRY, BOYS AND GIRLS CLUB, CENTER FOR HOLISTIC DEVELOPMENT, CREIGHTON UNIVERSITY MEDICAL CENTER, EASTERN NEBRASKA COMMUNITY ACTION PARTNERSHIP, FINANCIAL HOPE COLLABORATIVE, GIRLS, INC., HOPE CENTER FOR KIDS, IMPACT ONE, TABERNACLE OF FAITH CHURCH AND THE URBAN LEAGUE OF NEBRASKA HAVE PARTICIPATED IN THIS DIALOGUE HOSTED BY IMMANUEL. BEST PRACTICES TO ADDRESS THE CHALLENGES OF VIOLENCE, UNEMPLOYMENT, POVERTY, SINGLE PARENT FAMILIES AND OTHER ISSUES HAVE BEEN RESEARCHED AND EXPLORED.
PART VI, LINE 3: THERE ARE SEVERAL FINANCIAL ASSISTANCE ACCESS POINTS THROUGHOUT A PATIENT'S CARE CYCLE. BILLS CONTAIN FINANCIAL ASSISTANCE VERBIAGE; SIGNS ARE POSTED IN CLINICS AND HOSPITALS, AND THERE IS INFORMATION ON FINANCIAL ASSISTANCE POSTED AT REGISTRATION POINTS THROUGHOUT CLINICS AND HOSPITALS. INFORMATION ON THE ALEGENT CREIGHTON HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICIES ARE LOCATED SEVERAL PLACES ON THE SYSTEM'S WEBSITE-WWW.ALEGENTCREIGHTON.COM.ALL EFFORTS ARE MADE TO ESTABLISH WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SERVICE IF POSSIBLE, OTHERWISE AS SOON AS POSSIBLE FOLLOWING SERVICE. ALEGENT CREIGHTON HEALTH REPRESENTATIVES HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH ALEGENT CREIGHTON HEALTH'S FINANCIAL ASSISTANCE POLICY. THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONAL FINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATION INCLUDES EMPLOYMENT VERIFICATION AND OBTAINING DOCUMENTATION OF THE APPLICANT'S FINANCIAL CONDITION SUCH AS FEDERAL TAX RETURN, PAY STUB, NET WORTH AND/OR LIQUID ASSETS AND REASONABLE HOUSEHOLD OR BUSINESS EXPENSES. FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN CIRCUMSTANCES INVOLVING A CATASTROPHIC OCCURRENCE RESULTING IN MEDICAL BILLS GROSSLY EXCEEDING THE PATIENT'S ABILITY TO PAY, AND IN THESE SITUATIONS, THE PATIENT'S RESPONSIBILITY WILL BE LIMITED TO 20% OF THE FAMILY'S GROSS ANNUAL INCOME.
PART VI, LINE 4: ALEGENT CREIGHTON HEALTH SYSTEM SERVES THE EIGHT-COUNTY GREATER OMAHA METROPOLITAN STATISTICAL AREA (MSA), WITH AN ESTIMATED POPULATION OF OVER 881,496, RANKING 60TH OUT OF 381 MSAS IN TOTAL POPULATION. THE MSA CONSISTS OF 3 IOWA AND 5 NEBRASKA COUNTIES ON BOTH SIDES OF THE MISSOURI RIVER AND COVERS 4,363 SQUARE MILES. NEARLY 1.3 MILLION PEOPLE LIVE WITHIN A 60-MILE RADIUS OF OMAHA. CHARACTERIZED BY STEADY GROWTH, THE MSA GREW BY 14.9 PERCENT BETWEEN 2000 AND 2011; THE 2016 PROJECTED POPULATION IS MORE THAN 946,000, A 7.3 PERCENT INCREASE. APPROXIMATELY 36 PERCENT OF THE POPULATION IS 25 YEARS OF AGE OR YOUNGER WITH A MEDIAN AGE OF 34.8 YEARS COMPARED TO A U.S. MEDIAN AGE OF 36.9. 50.8% OF THE POPULATION IS FEMALE. RACIAL MINORITIES COMPRISE ABOUT 17.4 PERCENT OF GREATER OMAHA'S POPULATION, INCLUDING AN AFRICAN-AMERICAN POPULACE OF 7.8 PERCENT AND APPROXIMATELY 9.6 PERCENT HISPANIC. IN 2010 GREATER OMAHA HAD OVER 360,000 HOUSING UNITS. THE MEDIAN HOUSEHOLD INCOME IS $57,901 WHICH SURPASSES THE NATIONAL AVERAGE OF $53,658, WITH A PER CAPITA INCOME OF $27,915. GREATER OMAHA IS A WELL-EDUCATED COMMUNITY. MORE THAN 91 PERCENT OF ADULTS, AGE 25 AND OLDER, ARE HIGH SCHOOL GRADUATES AND 35.9 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 28.6 PERCENT NATIONALLY. OMAHA IS HOME TO MANY MAJOR COMPANIES AND LARGE EMPLOYERS, INCLUDING SIX FORTUNE 500 COMPANIES, MAKING IT FOURTH IN THE NATION FOR NUMBER OF SUCH COMPANIES PER CAPITA.
PART VI, LINE 5: ALEGENT CREIGHTON HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT AND HOSPITAL SPECIFIC COMMUNITY BENEFIT INVESTMENTS TO ADDRESS COMMUNITY HEALTH NEEDS OF THE PARTICULAR SERVICE AREA. EXAMPLES OF HOW ALEGENT CREIGHTON HEALTH FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY INCLUDE: -FINANCIAL ASSISTANCE AND UNPAID COSTS OF MEDICAID -COMMUNITY HEALTH IMPROVEMENT SERVICES- -COMMUNITY EDUCATION, CLASSES AND PROGRAMS (CHILDBIRTH, DIABETES, ONCOLOGY, PHYSICAL ACTIVITY, HEALTHY EATING AND COOKING, HEALTH CAREERS, CANCER, SPORTS MEDICINE ETC) -SUPPORT GROUPS (CANCER, BEREAVEMENT, YOUTH ETC) -COMMUNITY HEALTH FAIRS AND SCREENINGS -IMMUNIZATION CLINICS -PARISH NURSING PROGRAM AND FAITH COMMUNITY OUTREACH -SCHOOL BASED HEALTHCARE SERVICES -HEALTH PROFESSIONAL EDUCATION- -CLINICAL PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS -SCHOLARSHIPS AND MENTORSHIPS -AFFILIATION WITH AND SUPPORT OF CREIGHTON UNIVERSITY SCHOOL OF MEDICINE -PHYSICIAN RESIDENCY AND FELLOWSHIP PROGRAMS TRAINING MORE THAN 200 RESIDENTS AND FELLOWS ANNUALLY -RESEARCH-PARTICIPATION IN THE MISSOURI VALLEY CANCER CONSORTIUM -FINANCIAL AND IN-KIND CONTRIBUTIONS -SUPPORT OF THE FEDERALLY QUALIFIED HEALTHCARE CENTERS AND HOPE MEDICAL COALITION WHICH PROVIDES ACCESS TO MEDICAL SERVICES SPECIFICALLY FOR THE UNDERSERVED -CORPORATE SPONSORSHIPS -TANZANIA AND DOMINICAN REPUBLIC HEALTH MINISTRIES -STAFF SERVICE ON HEALTH RELATED BOARD AND COALITIONS -SUBSIDIZED HEALTHCARE SERVICE INCLUDING BEHAVIORAL HEALTH, NICU, HOME HEALTH AND HOSPICE -COMMUNITY BUILDING ACTIVITIES- -COMMUNITY AND ECONOMIC DEVELOPMENT INCLUDING SUPPORT OF LOCAL CHAMBERS OF COMMERCE -STRATEGIC PLANNING AND CONSULTING SERVICES FOR COMMUNITY -HEALTH COALITIONS -LIVE WELL OMAHA-A COALITION FOUNDED BY ALEGENT CREIGHTON HEALTH AND THE COUNTY HEALTH DEPARTMENT THAT SERVES AS CONVENER OF BUSINESS, HEALTHCARE AND COMMUNITY LEADERS TO REVIEW HEALTH TRENDS AND CATALYZE COMMUNITY ACTION TO ADDRESS HEALTH ISSUES. ALEGENT CREIGHTON HEALTH SERVES ON THE BOARD OF DIRECTORS, IS A MEMBER AT THE HIGHEST LEVEL AND LEASES STAFF TO LIVE WELL OMAHA. -LIVE WELL OMAHA KIDS-A COALITION FUNDED AND STAFFED FOR SEVEN YEARS BY ALEGENT CREIGHTON HEALTH TO ADDRESS CHILDHOOD OBESITY -LIVE WELL POTTAWATTAMIE-AN EMERGING COALITION TO ADDRESS OBESITY IN POTTAWATTAMIE COUNTY. ALEGENT CREIGHTON HEALTH PROVIDES STRATEGIC PLANNING, GRANT WRITING AND STAFF SUPPORT. -VIOLENCE PREVENTION-A PARTNERSHIP WITH CATHOLIC HEALTH INITIATIVES, WOMENS CENTER FOR ADVANCEMENT, UNIVERSITY OF NEBRASKA-OMAHA AND CREIGHTON UNIVERSITY TO IMPLEMENT A CAMPUS BASED VIOLENCE PREVENTION PLAN KNOWN AS "GREEN DOT" -METRO AREA CONTINUUM OF CARE FOR THE HOMELESS- BOARD SERVICE AND FINANCIAL SUPPORT TO THIS COALITION ADDRESSING HOMELESSNESS IN THE SERVICE AREA. -HOPE MEDICAL COALITION-BOARD SERVICE AND ANNUAL OPERATING SUBSIDY. ACH HOSPITALS AND PHYSICIANS PROVIDE SPECIALTY CARE TO PATIENTS UNABLE TO AFFORD MEDICAL SERVICES. -PARTICIPATION IN AND FUNDING OF MATERNAL HEALTH, BREASTFEEDING, SUBSTANCE ABUSE, CANCER, DIABETES AND OTHER COMMUNITY HEALTH COALITIONS -MENTAL HEALTH COALITIONS INCLUDING NATIONAL ALLIANCE ON MENTAL ILLNESS NEBRASKA, NEBRASKA ASSOCIATION OF BEHAVIORAL HEALTH CARE ORGANIZATIONS AND THE JUVENILE JUSTICE PROVIDER FORUM BEHAVIORAL HEALTH COMMITTEE. -THE PRIMARY CARE PHYSICIAN CLINICS THAT ARE PART OF THE PARENT CORPORATION PROVIDE ACCESS TO CARE THROUGH THE SYSTEM'S FINANCIAL ASSISTANCE POLICY AND PARTICIPATE IN MEDICAL STUDENT PRECEPTORSHIPS THAT ADVANCE THE HEALTHCARE PROVIDER EDUCATION PROCESS. -ALEGENT CREIGHTON HEALTH HAS OPEN MEDICAL STAFFS -ALEGENT CREIGHTON HEALTH IS ONE OF THREE HEALTH SYSTEMS THAT FUND THE OPERATIONS OF A COALITION THAT EXISTS TO PROVIDE ACCESS FOR THE PATIENTS OF THREE AREA FEDERALLY QUALIFIED HEALTHCARES TO SPECIALTY PHYSICIAN SERVICES AND HOSPITAL BASED DIAGNOSTICS AND TREATMENT -ALEGENT CREIGHTON HEALTH IS THE SOLE COMPREHENSIVE MENTAL HEALTH PROVIDER IN THE OMAHA MSA AREA -ALEGENT CREIGHTON HEALTH IS A JOINT VENTURE PARTNER IN A NOT-FOR-PROFIT HOSPICE INPATIENT HOSPITAL AND PROVIDES THE MANAGEMENT SUPPORT CONTRACT. -ALEGENT CREIGHTON HEALTH BUDGETS FOR AN EMERGENCY FUND AS A SUBSET OF OTHER COMMUNITY DONATIONS TO RESPOND TO CRISIS OR UNPLANNED FUNDING NEEDS OF A VITAL COMMUNITY SERVICE, WHICH HAS FIRST USED IN FY2011 WITH THE ECONOMIC DOWNTURN.BOARD OF DIRECTORS - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS PRIMARILY COMPRISED OF VOLUNTEER MEMBERS OF OUR LOCAL COMMUNITY WHO ARE LEADERS IN THE FIELDS OF BUSINESS, HEALTHCARE, ACCOUNTING AND MEDICINE AND UNDERSTAND THEIR ROLE IN PROVIDING STRONG CORPORATE GOVERNANCE. EMERGENCY DEPARTMENT - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER HOSPITALS HAVE FULL-TIME EMERGENCY DEPARTMENTS THAT ARE OPEN TO THE PUBLIC AND PROVIDE MEDICAL SCREENING EXAMINATIONS AND STABILIZING TREATMENT WITHIN THE CAPABILITIES AND CAPACITY OF THE HOSPITALS REGARDLESS OF BUT NOT LIMITED TO THE PATIENT'S RACE, COLOR, SEX, AGE, AND/OR ABILITY TO PAY. THE HOSPITALS ARE IN COMPLIANCE WITH THE FEDERAL EMTALA REGULATIONS.IN ADDITION, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER, TOGETHER WITH UNRELATED HOSPITALS IN THE AREA, WORKS CLOSELY WITH LOCAL FIRE AND RESCUE DEPARTMENTS TO ENSURE THAT AMBULANCES TAKE PATIENTS TO THE APPROPRIATE HOSPITAL. THIS IS GENERALLY THE HOSPITAL THAT IS CLOSEST GEOGRAPHICALLY WITH EXCEPTIONS BASED ON PATIENT PREFERENCE, PATIENT'S PHYSICIAN PREFERENCE, AND CAPACITY OR THE AVAILABILITY OF SPECIALIZED FACILITIES OR PROGRAMS RELATED TO THE PATIENT'S CONDITION. FINALLY, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAINTAINS DETAILED PROCEDURES REGARDING WHEN AND UNDER WHAT CIRCUMSTANCES A PATIENT CAN BE TRANSFERRED. UNDER THIS POLICY, NO PATIENT WILL BE TRANSFERRED BASED ON RACE, CREED, RELIGION OR ABILITY TO PAY.MEDICAL STAFF - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF. ALL QUALIFIED MDS, DOS, OTHER HEALTHCARE PRACTITIONERS, AND MID-LEVEL PRACTITIONERS ARE ELIGIBLE TO APPLY FOR PRIVILEGES AT THE HOSPITALS. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER'S POLICY ON PHYSICIAN CREDENTIALING IS THAT NO INDIVIDUAL IS TO BE DENIED MEDICAL STAFF APPOINTMENT BASED ON SEX, RACE, CREED, COLOR OR NATIONAL ORIGIN. THE STANDARDS A PHYSICIAN MUST MEET FOR APPOINTMENT RELATE TO (1) EDUCATIONAL QUALIFICATIONS AND LICENSING; (2) PROFESSIONAL COMPETENCE, (3) CHARACTER, (4) ETHICAL STANDING, AND (5) ABILITY TO RELATE TO AND WORK WITH OTHERS. APPLICATIONS ARE REVIEWED AT SEVERAL LEVELS WITHIN THE ORGANIZATION. PHYSICIANS WHO HAVE BEEN GRANTED STAFF PRIVILEGES AUTOMATICALLY BECOME MEMBERS OF THE MEDICAL STAFF AT THE HOSPITAL(S) FOR WHICH PRIVILEGES HAVE BEEN GRANTED.
PART VI, LINE 6: THE SENIOR LEADERSHIP OF THE INDIVIDUAL HOSPITALS ARE ENGAGED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS THAT IS CONDUCTED FROM THE CORPORATE OFFICES OF THE ALEGENT CREIGHTON HEALTH SYSTEM (SEE PART VI-2/COMMUNITY NEEDS ASSESSMENT). THE HOSPITALS ARE INVOLVED IN SHARED BUDGET DECISION MAKING TO MEET THE PRIORITIZED COMMUNITY HEALTH NEEDS IN COLLABORATION WITH COMMUNITY PARTNERS. THE CORPORATE FUNCTION IS FUNDED FROM THE OPERATIONS OF THE INDIVIDUAL HOSPITALS TO LEVERAGE EXPERTISE AND TIME THAT IS FOCUSED ON PROMOTING HEALTH. THE INDIVIDUAL HOSPITALS BECOME MORE INVOLVED IN SPECIFIC STRATEGIC RESPONSES THROUGH THE SERVICES THEY PROVIDE AND THEIR PARTICIPATION IN THE COALITIONS ACROSS THE ALEGENT HEALTH SERVICE AREA.
IA,NE	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RONCALLI CATHOLIC HIGH SCHOOL	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6401 SORENSEN PARKWAY	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68152	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	470486481	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	5500	AmountOfCashGrant
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
FINANCIAL ASSISTANCE/CHARITY CARE	6766	21856262	BOOK	REDUCTION OR WRITE OFF OF PATIENT SERVICES
SCHOLARSHIPS	12	5250	BOOK	SCHOLARSHIP PAYMENT TO QUALIFYING INSTITUTION

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES OR SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS.
		SISTER INGEBORG BLOMBERG SCHOLARSHIP: SCHOLARSHIPS ARE PROVIDED BY THE IMMANUEL MEDICAL CENTER AUXILIARY TO PROVIDE CONTINUING EDUCATION FOR ALGENT HEALTH-IMMANUEL MEDICAL CENTER EMPLOYEES FOR THEIR PERSONAL GROWTH AND/OR PROFESSIONAL DEVELOPMENT. ALL PERMANENT, FULL-TIME AND PART-TIME EMPLOYEES IN GOOD STANDING WHO HAVE SIX MONTHS OR MORE OF SERVICE WITH ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAY APPLY FOR THE SCHOLARSHIPS. PAYMENT FOR TUITION, LAB FEES, BOOKS AND REGISTRATION EXPENSES WILL BE MADE DIRECTLY TO THE INSTITUTION UPON RECEIPT OF A STATEMENT OF COSTS FROM THE INSTITUTION. THE AWARDING OF THE SISTER INGEBORG BLOMBERG SCHOLARSHIP SHALL BE SUBJECT TO THE FOLLOWING CRITERIA: 1. APPLICATION IS MADE PRIOR TO MAKING A COMMITMENT TO THE SCHOOL 2. THE SCHOOL AND COURSE ARE OF RECOGNIZED STANDING 3. THE EMPLOYEE CONTINUES TO MAINTAIN HIS/HER REGULARLY SCHEDULED WORKING HOURS 4. THE EMPLOYEE SHALL SIGN AN AUTHORIZATION ALLOWING THE AUXILIARY TO RECEIVE WRITTEN CERTIFICATION OF PERFORMANCE FROM THE INSTITUTION 5. IT IS EVIDENT THAT THE COURSE, OR COURSES ARE MUTUALLY BENEFICIAL TO THE EMPLOYEE AND TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTEER 6. THE EMPLOYEE IS EXPECTED TO REMAIN EMPLOYED AT ALEGENT HEALTH-IMMANUAL MEDICAL CENTEER FOR AT LEASTONE YEAR AFTER RECEIVING THE SISTER INGEBORG BLOMBERG SCHOLARSHIP. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER OCCASSIONALLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION. SCHEDULE I, PART III - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY HATCHER DO
0	414921	0	0	0	26849	0	0	0	21332	0	463102	0	0
RICHARD HACHTEN II
163874	525787	102438	328674	143848	461540	67090	215260	4059	13024	481309	1544285	109979	352868
SCOTT WOOTEN
86618	277917	50957	163496	30636	98294	27326	87675	5205	16702	200742	644084	11551	37062
JOAN NEUHAUS
81599	261811	43917	140909	26647	85498	42548	136519	1334	4280	196045	629017	9967	31980
KENNETH LAWONN
69300	222350	41219	132253	23724	76120	26855	86163	1016	3261	162114	520147	9479	30413
RICK MILLER MD
56335	180750	30122	96646	10311	33083	14247	45713	7320	23487	118335	379679	2338	7503
RICHARD ROLSTON MD
84045	269659	21042	67515	6596	21164	301393	967023	5110	16396	418186	1341757	0	0
JANE CARMODY
59771	191777	12158	39010	8501	27274	9712	31161	3158	10131	93300	299353	921	2956
PAUL EBMEIER
0	258789	0	93516	0	41373	0	59855	0	22797	0	476330	0	20451
SHEREE KEELY
29813	95659	11835	37972	9266	29729	8003	25679	3003	9636	61920	198675	2594	8322
ELIZABETH LLEWELLYN
35984	115454	14415	46252	11449	36734	9552	30647	2478	7952	73878	237039	3069	9847
PATRICIA MASEK
34338	110178	12762	40947	7923	25420	119	38484	3869	12413	59011	227442	2603	8353
ANN SCHUMACHER
57433	184278	22311	71584	17170	55089	15271	48997	5991	19222	118176	379170	4748	15233
NANCY WALLACE
43265	138821	18754	60171	17040	54672	13056	41889	3041	9757	95156	305310	3269	10490
MYLES GART
44254	141988	0	0	4564	14645	2437	7818	38	123	51293	164574	0	0
ARUN SHARMA MD
393870	0	0	0	36839	0	14700	0	26891	0	472300	0	0	0
MICHAEL COY MD
340330	0	0	0	32905	0	17150	0	10940	0	401325	0	0	0
THOMAS FRANCO MD
26003	0	65761	0	254162	0	0	0	2180	0	348106	0	0	0
ANTHONY HALAT MD
291488	0	14533	0	25304	0	12250	0	25663	0	369238	0	0	0
MICHAEL EGGER MD
304282	0	0	0	24802	0	17150	0	27459	0	373693	0	0	0
FRED HOSLER MD
0	0	0	0	128385	411924	0	0	211	828	128596	412752	128265	411541
MARK KESTNER MD
0	0	0	0	31265	100313	397	1272	0	0	31662	101585	31265	100313
LARRY BROWN MD
0	344187	0	236382	0	70193	0	17304	0	27312	0	695378	0	12411
FRANK EMSICK
80555	126375	10555	33867	5224	16763	2842	9120	1118	3589	100294	189714	0	0
MARTIN HICKEY MD
0	0	0	0	124948	400899	0	0	0	0	124948	400899	124948	400899

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	AS PART OF THE EXECUTIVE COMPENSATION ARRANGEMENT, EXECUTIVES ARE PROVIDED WITH A SET SUM, APPROXIMATELY 30 - 40% OF THEIR BASE SALARY, WHICH CAN BE USED TO ELECT VARIOUS BENEFITS. SOME OF THE BENEFITS AVAILABLE FOR ELECTION INCLUDE HEALTH CLUB DUES, AUTOMOBILE ALLOWANCE, HOUSING ALLOWANCE, FINANCIAL PLANNING FEES AND LEGAL FEES. PAYMENT FOR THESE BENEFITS ARE EITHER MADE DIRECTLY BY ALEGENT CREIGHTON HEALTH OR REIMBURSED TO THE EXECUTIVE AFTER THE APPROPRIATE SUBSTANTIATION FOR THE EXPENSE IS PROVIDED. THE AMOUNT PAID FOR THESE BENEFITS IS INCLUDED IN THE EXECUTIVE'S WAGES AS TAXABLE INCOME.
PART I, LINES 4A-B	THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS EXECUTIVES OF ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) DURING THE 2011 CALENDAR YEAR AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE AS COMPENSATION ON SCHEDULE J: RICHARD HACHTEN - $346,579 MARTIN HICKEY, MD - $475,218 FRED HOSLER, MD - $539,806 MARK KESTNER, MD - $131,578 SEVERANCE PAID TO RICHARD HACHTEN IN CALENDAR YEAR 2011 RELATES TO A CORRECTION MADE TO REPORT ADDITIONAL SEVERANCE OWED TO HIM FROM A PREVIOUS SEPARATION OF SERVICE. THE ADDITIONAL SEVERANCE WAS REPORTED ON A CORRECTED W-2C AND APPLICABLE TAXES WERE SUBMITTED TO THE IRS. SCHEDULE J, LINE 4B - THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) DURING THE 2011 CALENDAR YEAR. THE FOLLOWING AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: RICHARD HACHTEN II - $141,223 SCOTT WOOTEN - $58,678 JANE CARMODY - $19,974 NANCY WALLACE - $19,182 RICK MILLER, MD - $36,480 RICHARD ROLSTON, MD - 40,680 KENNETH LAWONN - $47,270 JOAN NEUHAUS - $53,374 SHEREE KEELY - $12,358 ELIZABETH LLEWELLYN - $14,770 PATRICIA MASEK - $12,614 PAUL STRAWHECKER - $4,772 PAUL EBMEIER - $22,752 ANN SCHUMACHER - $23,746 SCHEDULE J, LINE 4B - THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) DURING THE 2011 CALENDAR YEAR. THE FOLLOWING AMOUNTS FROM THE PLAN WERE PAID OUT AND INCLUDED IN TAXABLE WAGES. THE AMOUNTS WERE INCLUDED IN COLUMN B(III) OF THE SCHEDULE J: RICHARD HACHTEN II - $116,268 SCOTT WOOTEN - $48,613 JANE CARMODY - $3,877 NANCY WALLACE - $13,759 RICK MILLER, MD - $9,841 KENNETH LAWONN - $39,892 JOAN NEUHAUS - $41,947 SHEREE KEELY - $10,915 ELIZABETH LLEWELLYN - $12,916 PATRICIA MASEK - $10,956 PAUL EBMEIER - $20,451 ANN SCHUMACHER - $19,981
PART I, LINE 5	PHYSICIANS EMPLOYED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER ARE ELIGIBLE FOR QUARTERLY PRODUCTIVITY BONUSES BASED ON INDIVIDUAL QUALITY MANAGEMENT, WHICH INCLUDES CORE MEASURES, REVENUE, PHYSICIAN REFFERAL AND ATTENDANCE AT MEETINGS. THE CORE MEASURES USED TO DETERMINE THE PHYSICIAN BONUSES ARE NATIONALLY ACCEPTED MEASURES OF PHYSICIAN PRODUCTIVITY.
PART I, LINE 6	COMPENSATION FOR MEMBERS OF MANAGEMENT OF ALEGENT CREIGHTON HEALTH AND RELATED ENTITIES IS DETERMINED AT A SYSTEM LEVEL. MEMBERS OF ALEGENT CREIGHTON HEALTH MANAGEMENT ARE ELIGIBLE FOR AN ANNUAL INCENTIVE BONUS. INCENTIVE AWARDS ARE BASED ON FOUR INDIVIDUAL PERFORMANCE MEASURES WHICH ARE LINKED TO FOUR SYSTEM PERFORMANCE GOALS. FOR EACH MANAGER, 75% OF THE INCENTIVE AWARD WILL BE DETERMINED BY SYSTEM PERFORMANCE GOALS AND 25% DETERMINED BY INDIVIDUAL PERFORMANCE MEASURES. ONE OF THE FOUR SYSTEM PERFORMANCE GOALS IS DEPENDENT ON THE FINANCIAL RESULTS OF THE ENTIRE ALEGENT CREIGHTON HEALTH SYSTEM FOR THE FISCAL YEAR.
PART III	SCHEDULE J, PART I, LINE 3: ALEGENT CREIGHTON HEALTH GOVERNANCE OF EXECUTIVE COMPENSATION: ACTING AS PRUDENT STEWARDS OF ITS FINANCIAL RESOURCES, THE ALEGENT CREIGHTON HEALTH BOARD COMPENSATION COMMITTEE RECOMMENDS AND THE BOARD EXECUTIVE COMMITTEE APPROVES EXECUTIVE COMPENSATION PHILOSOPHY, POLICY AND GUIDELINES. IT DOES SO WITH THE OBJECTIVE OF ATTRACTING AND RETAINING TOP EXECUTIVE TALENT TO ENSURE ALEGENT CREIGHTON HEALTH IS ABLE TO FULFILL ITS FAITH-BASED MISSION AND ACHIEVE ITS VISION OF BECOMING WORLD-CLASS. THE ALEGENT CREIGHTON HEALTH COMPENSATION COMMITTEE FOLLOWS A THOROUGH AND INTENTIONAL PROCESS THAT INCLUDES CONSULTATION WITH INDEPENDENT, EXPERT COUNSEL AND CAREFULLY COMPARES COMPENSATION LEVELS TO MARKET-BASED COMPENSATION OF SIMILAR SIZED, NON-PROFIT AND FOR-PROFIT HEALTH SYSTEMS AND ALSO UTILIZES A BLEND OF NON-PROFIT AND GENERAL INDUSTRY DATA FOR EXECUTIVE ROLES WHERE THE RECRUITING MARKET IS ARGUABLY BROADER THEN THE NON-PROFIT SECTOR. TOTAL COMPENSATION INCLUDES BASE COMPENSATION, AND ALSO INCLUDES PERFORMANCE-BASED INCENTIVE COMPENSATION FOR ACHIEVING BOARD-SET GOALS FOR CLINICAL QUALITY, PATIENT SAFETY AND SATISFACTION, PHYSICIAN PERCEPTION, STRATEGIC AND FACILITY PLANNING AND FINANCIAL PERFORMANCE. IT MAY ALSO INCLUDE OTHER CASH PAYMENTS SUCH AS ONE-TIME RELOCATION COSTS. SCHEDULE J, PART II: THE ALEGENT CREIGHTON HEALTH EXECUTIVES HAVE A PROVISION IN THEIR COMPENSATION AGREEMENT THAT PROVIDES FOR POTENTIAL SEVERANCE PAYMENTS IN THE EVENT OF TERMINATION WITHOUT CAUSE OR CHANGE OF CONTROL. THE AMOUNT OF SEVERANCE AN EXECUTIVE MAY OR MAY NOT RECEIVE IF TERMINATED ACCORDING TO THE COMPENSATION AGREEMENT IS INCLUDED AS DEFERRED COMPENSATION IN COLUMN C.	SUPPLEMENTAL INFORMATION

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (127 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	DIAMOND	1	6000	SELLING PRICE
X	WINE TASTING/ 6 COURSE DINNER	1	3000	SELLING PRICE
X	PERSONICS LIVE	1	3000	SELLING PRICE
X	WINE TASTING AND SIX COURSE DINNER	1	3000	SELLING PRICE
X	HOMER, ALASKA FISHING TRIP	1	2440	SELLING PRICE
X	MADONNA IN VEGAS	1	1850	SELLING PRICE
X	DINNER PARTY FOR EIGHT	1	1600	SELLING PRICE
X	CELINE DION IN VEGAS	1	1530	SELLING PRICE
X	LAKE OKOBOJI TRIP	1	1500	SELLING PRICE
X	GOODRICH DIAMONDS	1	1500	SELLING PRICE
X	DIAMOND NECKLACE	1	1475	SELLING PRICE
X	WINE TASTING FOR SIX	1	1000	SELLING PRICE
X	APPETIZER AND WINE TASTING CLASS FOR 6 TO 8	1	1000	SELLING PRICE
X	.25 CT DIAMOND NECKLACE	1	950	SELLING PRICE
X	U.S. FIGURE SKATING CHAMP.	1	827	SELLING PRICE
X	RUFF WATERS GIFT CERTIFICATE/ TREE AND PLANTING	1	650	SELLING PRICE
X	IPAD WITH PORTFOLIO	1	570	SELLING PRICE
X	YMCA ROCKY MOUNTAIN GETAWAY	1	500	SELLING PRICE
X	GOLF OUTING WITH TOMMIE FRAZIER	1	500	SELLING PRICE
X	GOLF OUTING WITH TOMMIE FRAZIER	1	500	SELLING PRICE
X	WINE BASKET FOR A YEAR	1	485	SELLING PRICE
X	PARKING FOR A YEAR	1	480	SELLING PRICE
X	WELLNESS CENTER MEMBERSHIP	1	420	SELLING PRICE
X	MIRANDA LAMBERT IN CONCERT	1	400	SELLING PRICE
X	LINDY FREED JEWELRY	1	400	SELLING PRICE
X	TOMMYGLASS ART BY DR. TOM RUMA	1	400	SELLING PRICE
X	YOGA GIFT BASKET	1	375	SELLING PRICE
X	PINK PRINCESS TRICYCLE WITH HELMET AND TUTU	1	320	SELLING PRICE
X	SIGNED UNO HOCKEY STICK AND HELMET	1	300	SELLING PRICE
X	SPARTINA GOLF BAG AND WRISTLET	1	300	SELLING PRICE
X	CURBSIDE PARKING FOR ONE YEAR	1	300	SELLING PRICE
X	HUSKER RED NEON WALLCLOCK, TRAY AND GIFTWARE	1	275	SELLING PRICE
X	HUSKER TAILGATING REFRIGERATOR	1	275	SELLING PRICE
X	LEGEND OF PASTOR FOGELSTROM'S WATCH	1	250	SELLING PRICE
X	CAMCORDER	1	250	SELLING PRICE
X	VIRGINIA CAVALIER BASEBALL PKG	1	250	SELLING PRICE
X	TWO COLLEGE WORLD SERIES TICKETS	1	250	SELLING PRICE
X	IPOD TOUCH/$50 ITUNES	1	250	SELLING PRICE
X	WINE AND CUPCAKE BASKET	1	230	SELLING PRICE
X	DIAMOND EARRINGS	1	220	SELLING PRICE
X	ONE FRESH ARRANGEMENT FOR A HOLIDAY PARTY	1	200	SELLING PRICE
X	SIGNED FOOTBALL BY TOMMIE FRAZIER WITH CASE	1	200	SELLING PRICE
X	MOTORCYCLE RIDE IN THE LOESS HILLS	1	200	SELLING PRICE
X	PACIFIC SPRINGS GOLF OUTING FOR FOUR	1	200	SELLING PRICE
X	SNORE & ROAR HOTEL AND ZOO PACKAGE	1	200	SELLING PRICE
X	SHORELINE GOLF OUTING FOR FOUR	1	200	SELLING PRICE
X	COCO KEY / RAMADA SPLASH AND STAY PACKAGE	1	190	SELLING PRICE
X	STORM CHASERS PACKAGE	1	175	SELLING PRICE
X	LIED LODGE ONE NIGHT STAY AND BREAKFAST	1	175	SELLING PRICE
X	SPARTINA BAG AND ACCESSORIES	1	175	SELLING PRICE
X	WINE AND DINE FOR FOUR AT TUSSEY'S #1	1	170	SELLING PRICE
X	WINE AND DINE FOR FOUR AT TUSSEY'S #2	1	170	SELLING PRICE
X	FRAMED EINSTEIN QUOTE	1	170	SELLING PRICE
X	WEIGHT MANAGEMENT BASKET	1	165	SELLING PRICE
X	DENVER BRONCOS PRE-SEASON TICKETS	1	160	SELLING PRICE
X	DVD PLAYER	1	150	SELLING PRICE
X	GARDEN ART	1	150	SELLING PRICE
X	COLORADO FRAMED ART	1	150	SELLING PRICE
X	LANDSCAPE DESIGN CONSULTATION	1	150	SELLING PRICE
X	PORSCHE GT-2 CLUB COUPE RACING	1	150	SELLING PRICE
X	SPACEFORM CLOCK	1	145	SELLING PRICE
X	PLAYHOUSE TICKETS AND DINNER	1	130	SELLING PRICE
X	M & M GUY / BLUE	1	125	SELLING PRICE
X	M & M GUY / GREEN	1	125	SELLING PRICE
X	ADVENTURES IN ART	1	125	SELLING PRICE
X	RUSSELL SPEEDER'S CAR WASH GIFT CARDS	1	115	SELLING PRICE
X	THREE PORCELAIN CORAL MOTIF TRAYS	1	115	SELLING PRICE
X	WINE BASKET	1	105	SELLING PRICE
X	SALSA AND CHIPS BASKET	1	100	SELLING PRICE
X	LOT 2 RESTAURANT AND WINE BAR	1	100	SELLING PRICE
X	COOLER WITH SNACKS	1	100	SELLING PRICE
X	CUSTOM DESIGNED FAMILY TREE WITH FRAME	1	100	SELLING PRICE
X	TUDY'S GARDEN SERVICE AND CONSULTATION	1	100	SELLING PRICE
X	ENTERTAIN AT HOME PACKAGE	1	100	SELLING PRICE
X	SIMON PEARCE GLASS BOWL	1	100	SELLING PRICE
X	WII FIT	1	100	SELLING PRICE
X	NEBRASKA BREWS AND COOLER	1	100	SELLING PRICE
X	CABELA'S GIFT CERTIFICATE	1	100	SELLING PRICE
X	DANCE BIRTHDAY PARTY	1	100	SELLING PRICE
X	BREAKFAST AT TIFFANY'S BASKET	1	100	SELLING PRICE
X	SNACK BASKET	1	98	SELLING PRICE
X	SWEDISH "PURPLE MUM" PLAQUE	1	90	SELLING PRICE
X	VERA BRADLEY CHAIN HANDBAG	1	90	SELLING PRICE
X	VERA BRADLEY TOTE AND BEACH TOWEL	1	90	SELLING PRICE
X	CHRISTMAS PLATTER	1	90	SELLING PRICE
X	KINDLE	1	80	SELLING PRICE
X	WENNINGHOFF FARMS BASKET	1	80	SELLING PRICE
X	PEGGY KARR ALEGENT HEALING PLATE	1	80	SELLING PRICE
X	BISCOTTI BASKET WITH LESSON	1	75	SELLING PRICE
X	JAMMIN' FOR A YEAR	1	75	SELLING PRICE
X	FRAMED INLAID WOODEN HORSE	1	75	SELLING PRICE
X	OWEN'S LAWN MOWING SERVICES	1	75	SELLING PRICE
X	CHRISTMAS COOKIE BAKING BASKET	1	75	SELLING PRICE
X	FRAMED INLAID WOOD DEER	1	75	SELLING PRICE
X	CHILDREN'S SANTA PARTY	1	75	SELLING PRICE
X	PASHMINA SCARF	1	75	SELLING PRICE
X	PHOTOGRAPH ON CANVAS	1	65	SELLING PRICE
X	BEATRIZ BALL NOVA PEARL BOWL W/ SERVERS	1	65	SELLING PRICE
X	KING'S POINTE WATERPARK PASSES	1	65	SELLING PRICE
X	MIKASA CHAMPAGNE FLUTES (4)	1	60	SELLING PRICE
X	MIKASA CHAMPAGNE FLUTES (4)	1	60	SELLING PRICE
X	WINE CORK WREATH	1	60	SELLING PRICE
X	FAIRY GARDEN STAKES, BOOK, ORNAMENT	1	60	SELLING PRICE
X	HAND KNIT WRAP / ADULT	1	60	SELLING PRICE
X	M'S PUB GIFT CERTIFICATE	1	50	SELLING PRICE
X	CRAVE RESTAURANT GIFT CERTIFICATE	1	50	SELLING PRICE
X	BEE A HONEY GIFT BASKET	1	50	SELLING PRICE
X	CUSTOMIZABLE METAL SIGN	1	50	SELLING PRICE
X	DOG GROOMING SERVICES	1	50	SELLING PRICE
X	BETTY BOOP PURSE AND ACCESSORIES	1	50	SELLING PRICE
X	BUNDTLET BUNDLE ONE DOZEN	1	45	SELLING PRICE
X	BISCOTTI AND COFFEE GIFT BASKET	1	45	SELLING PRICE
X	REESE'S ACCESSORY SET	1	45	SELLING PRICE
X	HISTORY OF IMMANUEL MEDICAL CENTER CHAIR	1	40	SELLING PRICE
X	DISCOVERY FLIGHTS 1/2 HR. FLIGHT	1	40	SELLING PRICE
X	GUND PLUSH BEAR	1	36	SELLING PRICE
X	HANDCRAFTED METAL FLOWER	1	35	SELLING PRICE
X	NOTHING BUNDT CAKES GIFT CERTIFICATE	1	30	SELLING PRICE
X	PLUM MELOMEL WINE WITH $10 GIFT CERTIFICATE	1	30	SELLING PRICE
X	HEALING GROUNDS BASKET	1	30	SELLING PRICE
X	PICTURE OF HUSKERS VS. OHIO AT MEMORIAL STADIUM	1	30	SELLING PRICE
X	11 WORTH CAFE #1	1	25	SELLING PRICE
X	MANGIA ITALIANA GIFT CERTIFICATE #2	1	25	SELLING PRICE
X	11 WORTH CAFE #2	1	25	SELLING PRICE
X	SGT. PEFFER'S GIFT CERTIFICATE	1	25	SELLING PRICE
X	MANGIA ITALIANA GIFT CERTIFICATE #1	1	25	SELLING PRICE
X	CANTINA LAREDO GIFT CERTIFICATE	1	25	SELLING PRICE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	PAUL EDGETT III AND SR. PHYLLIS HUGHES - BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION SHALL BE IMMANUEL HEALTH SYSTEMS (IHS). IMMANUEL HEALTH SYSTEMS SHALL NOT HAVE ANY VOTING RIGHTS AS A MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE ALEGENT CREIGHTON HEALTH BOARD OF DIRECTORS, AND THE CORPORATION HEREBY DELEGATES TO THE ALEGENT CREIGHTON HEALTH BOARD OF DIRECTORS, TO THE EXTENT PERMITTED BY LAW, COMPLETE GOVERNANCE AUTHORITY OVER IT, SUBJECT ONLY TO THE APPROVAL POWERS OF THE ALEGENT CREIGHTON HEALTH CORPORATE MEMBERS SET FORTH IN THE ARTICLES OF INCORPORATION AND BYLAWS. DIRECTORS SHALL BE APPOINTED BY THE ALEGENT CREIGHTON HEALTH BOARD IMMEDIATELY FOLLOWING THE APPOINTMENT AND RATIFICATION BY ALEGENT CREIGHTON HEALTH CORPORATE MEMBERS OF THE ALEGENT CREIGHTON HEALTH DIRECTORS PURSUANT TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ALEGENT CREIGHTON HEALTH. THE ALEGENT CREIGHTON HEALTH BOARD SHALL APPOINT DIRECTORS SUCH THAT, AT ALL TIMES, ALL OF THE PERSONS SERVING AS ALEGENT CREIGHTON HEALTH DIRECTORS ALSO SHALL BE SERVING AS DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS SHALL BE EFFECTIVE ONLY IF APPROVED BY THE ALEGENT CREIGHTON HEALTH BOARD AND BY BOTH IMMANUEL HEALTH SYSTEMS (IHS) AND CATHOLIC HEALTH INITIATIVES (CHI) IN THEIR CAPACITIES AS ALEGENT CORPORATE MEMBERS: A. ADOPTION OR AMENDMENT OF THE UNIFIED PHILOSOPHY AND MISSION OF THE CORPORATION; B. SALE, LEASE, TRANSFER, ENCUMBRANCE OR DISPOSITION OF THE TANGIBLE PROPERTY OR INVESTMENTS OF THE CORPORATION HAVING A FAIR MARKET VALUE IN ANY INDIVIDUAL TRANSACTION IN EXCESS OF $3 MILLION OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS, PROVIDED THAT TRANSFERS OF INVESTMENTS BETWEEN THE CORPORATION AND ANOTHER PARTICIPANT SHALL NOT REQUIRE THE APPROVAL OF CHI AND IHS; AND PROVIDED FURTHER THAT APPROVAL OF CHI AND IHS SHALL NOT BE REQUIRED FOR ANY TRANSFER OF ASSETS TO CHI BY THE CORPORATION PURSUANT TO THE TERMS OF THE ALEGENT FINANCING AGREEMENT(AFA); C. INCURRENCE, ASSUMPTION OR GUARANTY BY THE CORPORATION IN ANY INDIVIDUAL TRANSACTION OF LONG-TERM INDEBTEDNESS, INCLUDING CAPITAL LEASES, OUTSTANDING FOR MORE THAN 365 DAYS, IN EXCESS OF THE GREATER OF $2 MILLION OR 2% OF THE TOTAL LONG-TERM INDEBTEDNESS OF ALL THE PARTICIPANTS, OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; D. MERGER, DISSOLUTION, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION EXCEPT FOR A MERGER IN WHICH (I) THE CORPORATION IS THE SURVIVING ENTITY, AND (II) THE TOTAL BOOK VALUE OF THE ASSETS OF THE MERGING ENTITY DOES NOT EXCEED 2% OF THE TOTAL BOOK VALUE OF THE ASSETS OF ALL THE PARTICIPANTS, OR SUCH GREATER VALUE AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; AND E. NOTWITHSTANDING ANY OTHER PROVISIONS IN THE BYLAWS TO THE CONTRARY. THE ACTIONS THAT CAN BE TAKEN WITHOUT THE APPROVAL OF IHS AND CHI INCLUDE, WITHOUT LIMITATION: (I) TERMINATION OF THE AFA IN ACCORDANCE WITH ITS TERMS. (II) FORMATION OF THE UNIFIED ALEGENT CREIGHTON HEALTH SYSTEM (AS THAT TERM IS DEFINED IN THE AFA) (III) PREPAYMENT BY THE CORPORATION OF THE FULL AMOUNTS OUTSTANDING ON ITS NOTES TO CHI UNDER THE AFA, FOR PURPOSES OF EXERCISING THE RIGHTS OF TERMINATION OF THE AFA, OR FORMATION OF THE UNIFIED ALEGENT HELATH SYSTEM CREDIT, AND THE TAKING OF ALL ACTIONS NECESSARY OR APPROPRIATE TO OBTAIN FUNDING OR OTHERWISE MAKE ARRANGEMENTS TO PREPAY SUCH NOTES INCLUDING WITHOUT LIMITATION INCURRENCE OF INDEBTEDNESS NECESSARY OR APPROPRIATE TO PREPAY THE NOTES OUTSTANDING.
FORM 990, PART VI, SECTION B, LINE 11	TAX RETURNS FOR ENTITIES OF THE ALEGENT CREIGHTON HEALTH SYSTEM ARE PREPARED BY THE SYSTEM TAX DEPARTMENT. FOLLOWING THE PREPARATION OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER FORM 990 BY INTERNAL TAX STAFF, THE RETURN IS REVIEWED BY THE TAX DIRECTOR AND THE CHIEF FINANCIAL OFFICER. THE FINAL TAX RETURN IS POSTED ON THE ELECTRONIC DIRECTOR'S PORTAL TO BE REVIEWED BY THE BOARD OF DIRECTORS AND PRESENTED AT THE FINANCE AND AUDIT COMMITTEE OF THE BOARD. THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR ARE PRESENT AT THE FINANCE AND AUDIT COMMITTEE MEETING TO ANSWER ANY QUESTIONS THE COMMITTEE MAY HAVE. ADDITIONALLY, THE BOARD OF DIRECTORS ARE REFERRED TO THE ALEGENT HEALTH TAX DIRECTOR IF THEY HAVE QUESTIONS. FINALLY, THE BOARD IS NOTIFIED OF THE DATE THE FINAL FORM 990 WILL BE ELECTRONICALLY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	WRITTEN CONFLICT OF INTEREST POLICY - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER HAS ADOPTED THE CONFLICT OF INTEREST POLICY AND CONFLICT INVESTIGATION PROCESS OF ALEGENT CREIGHTON HEALTH, THE PARENT CORPORATION OF THE ALEGENT CREIGHTON HEALTH SYSTEM. ANNUAL COMPLETION OF THE DISCLOSURE STATEMENT IS REQUIRED BY THE BOARD OF DIRECTORS. STATED DISCLOSURES ARE INVESTIGATED BY THE ALEGENT CREIGHTON HEALTH COMPLIANCE OFFICER AND REPORTED TO THE CONFLICTS OF INTEREST COMMITTEE. THE CONFLICTS OF INTEREST COMMITTEE REVIEWS THE INVESTIGATION AND MAKES RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE MAKES THE FINAL DETERMINATION OF WHETHER OR NOT THERE IS A DISQUALIFYING EVENT AND COMMUNICATES IT TO THE BOARD OF DIRECTORS. AT ANY TIME A BOARD MEMBER OR KEY EMPLOYEE MAY DECLARE A CONFLICT OF INTEREST AND RECUSE HIS/HERSELF FROM THE DISCUSSION. THE INDIVIDUAL IS ALSO REQUIRED TO DISCLOSE ANY KNOWN OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE DURING THE CALENDAR YEAR.
FORM 990, PART VI, SECTION B, LINE 15	THE GOVERNING BOARD OF ALEGENT CREIGHTON HEALTH ENGAGED THE SERVICES OF AN INDEPENDENT CONSULTING FIRM THAT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT THAT IS QUALIFIED TO AND REGULARLY PERFORMS EXECUTIVE AND OFFICER COMPENSATION STUDIES. THE CONSULTING FIRM CONDUCTED A REVIEW AND ANALYSIS OF THE TOTAL COMPENSATION PAID TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, BASED ON COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND DETERMINED THAT THE COMPENSATION WAS REASONABLE. THE CONSULTING FIRM ISSUED AN OPINION LETTER AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PAID TO EMPLOYEES IDENTIFIED AS DISQUALIFIED PERSONS. THE OPINION LETTER SETTING FORTH THE FINDINGS WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS WERE MAINTAINED. THIS PROCESS WAS USED FOR THE FOLLOWING EMPLOYEES: PRESIDENT AND CHIEF EXECUTIVE OFFICER SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER CHIEF EXECUTIVE OFFICER ALEGENT CREIGHTON CLINIC SENIOR VICE PRESIDENT AND CHIEF OPERATIONS OFFICER SENIOR VICE PRESIDENT STRATEGY AND TECHNOLOGY VICE PRESIDENT OPERATIONS (BERGAN MERCY & MERCY) VICE PRESIDENT OPERATIONS (IMMANUEL) VICE PRESIDENT OPERATIONS (LAKESIDE) VICE PRESIDENT OPERATIONS (MIDLANDS) MEDICAL DIRECTORS
FORM 990, PART VI, SECTION C, LINE 19	THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE AT WWW.ALEGENTCREIGHTON.COM. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER DOES NOT MAKE THE FINANCIAL STATEMENTS OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER, THE ARTICLES OF INCORPORATION ARE AVAILABLE AT WWW.SOS.STATE.NE.US.
PART VII, SECTION :	HOURS WORKED BY EXECUTIVES AND SOME OF THE EMPLOYEES OF THE ALEGENT CREIGHTON HEALTH SYSTEM ARE SPLIT BETWEEN THE FILING ORGANIZATION AND AFFILIATE ORGANIZATIONS OF THE SYSTEM. THE FOLLOWING EXECUTIVES AND EMPLOYEES SPEND AN AVERAGE OF 46 HOURS WORKING FOR AFFILIATE ORGANIZATIONS WITHIN THE SYSTEM: RICHARD HACHTEN II, SCOTT WOOTEN, KENNETH LAWONN, JOAN NEUHAUS, RICHARD ROLSTON, MD, RICK MILLER, MD, JANE CARMODY, SHEREE KEELY, ELIZABETH LLEWELLYN, PATRICIA MASEK, FRANK EMSICK, PAUL EBMEIER, PAUL STRAWHECKER, NANCY WALLACE, FRANK EMSICK AND MYLES GART. LARRY BROWN, MD IS A FORMER EXECUTIVE OF THE ALEGENT CREIGHTON HEALTH SYSTEM. IN HIS CURRENT POSITION AS MEDICAL DIRECTOR OF SERVICE EXCELLENCE, COMMUNITY AND MISSION, HE WORKS 59 HOURS FOR AN AFFILITE ORGANIZATION. ANTHONY HATCHER, MD IS AN EMPLOYED PHYSICIAN OF THE ALEGENT CREIGHTON HEALTH SYSTEM AND HIS HOURS ARE SPLIT BETWEEN THE FILING ORGANIZATION AND AFFILIATE ORGANIZATIONS OF THE SYSTEM. AVERAGE HOURS PER WEEK FOR AFFILIATE ORGANIZATIONS ARE 54. A BOARD OF DIRECTOR LISTED IN PART VII IS COMPENSATED FOR HIS SERVICES PROVIDED TO A SUPPORTING ORGANIZATION OF THE FILING ORGANIZATION. REASONABLE EFFORTS TO OBTAIN THE BOARD OF DIRECTOR'S COMPENSATION FROM THE SUPPORTING ORGANIZATION WAS CONDUCTED PRIOR TO THE FILING OF THIS TAX RETURN. HOWEVER, WE WERE UNABLE TO OBTAIN THE INFORMATION FROM THE SUPPORTING ORGANIZATION.	HOURS WORKED BY RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -11,066,779. JOA CAPITAL EXPENDITURES -330,000. TRANSFERS FROM AFFILIATES 18,678,500. EQUITY IN OTHER CHANGES IN NET ASSETS OF ALEGENT HEALTH -27,563,721. OTHER CHANGES -47,509. TOTAL TO FORM 990, PART XI, LINE 5: -20,329,509.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART I, LINE 5 AND PART V, LINE 2A	THE EMPLOYEES LISTED IN PART I, LINE 5 AND PART V, LINE 2A ARE EMPLOYED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. HOWEVER, THROUGH A COMMON PAY AGENT AGREEMENT, THE EMPLOYEES ARE PAID BY ALEGENT CREIGHTON HEALTH AND PAYROLL EXPENSES ARE ALLOCATED TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
FORM 990, PART V, LINE 1C:	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT CREIGHTON HEALTH SYSTEM ARE MADE BY ALEGENT CREIGHTON HEALTH, THEREFORE NO FORM 1099S ARE ISSUED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. ALEGENT CREIGHTON HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY ALEGENT CREIGHTON HEALTH ON BEHALF OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER ARE REPORTED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 16:	THE ALEGENT CREIGHTON HEALTH SYSTEM HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, ALEGENT CREIGHTON HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSE IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNER'S RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S LENGTH, WITH PRICES SET AT FAIR MARKET VALUE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	470757164	LICENSED HOSPITAL/ADMINISTRATIVE SUPPORT	NE	501(C)(3)	L3	N/A	0
ALEGENT CREIGHTON CLINIC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470765154	CLINICAL SERVICES	NE	501(C)(3)	L3		0	ALEGENT CREIGHTON HEALTH
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROAD	OMAHA	NE	68154	470648586	SUPPORT OF ALEGENT HEALTH AND AFFILIATES EXEMPT ACTIVITIES	NE	501(C)(3)	L7		0	ALEGENT CREIGHTON HEALTH
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
7500 MERCY ROAD	OMAHA	NE	68124	470484764	LICENSED HOSPITAL	NE	501(C)(3)	L3		0	ALEGENT CREIGHTON HEALTH
ALEGENT HEALTH MERCY HOSPITAL CORNING IOWA
603 ROSARY DRIVE	CORNING	IA	50841	420782518	LICENSED HOSPITAL	IA	501(C)(3)	L3		0	ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
MERCY HEALTH CARE FOUNDATION
603 ROSARY DRIVE	CORNING	IA	50841	421461064	SUPPORT OF ALEGENT HEALTH MERCY HOSPITAL, CORNING, IA EXEMPT ACTIVITIES	IA	501(C)(3)	L11 I		0	ALEGENT HEALTH MERCY HOSPITAL CORNING IOWA
AH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	420776568	LICENSED HOSPITAL	IA	501(C)(3)	L3		1	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICES FOUNDATION
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	421294399	SUPPORT OF ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IA	IA	501(C)(3)	L11 I		0	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MO VALLEY IOWA
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STREET	SCHUYLER	NE	68661	470399853	LICENSED HOSPITAL	NE	501(C)(3)	L3		1	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREET	SCHUYLER	NE	68661	363630014	SUPPORT OF ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER EXEMPT PURPOSE.	NE	501(C)(3)	L11 I		0	ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
MERCY HOSPITAL FOUNDATION
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	421178204	SUPPORT OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM EXEMPT ACTIVITIES	IA	501(C)(3)	L11 I		0	ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
IMMANUEL HEALTH SYSTEMS
6757 NEWPORT AVE STE 200	OMAHA	NE	68152	470733774	SUPPORT OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER	NE	501(C)(3)	L11 III	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
AVANTAS LLC
11128 JOHN GALD BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM	N/A	0	0
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLZ STE 206	OMAHA	NE	68130	204267902	AMBULATORY SURGICAL CENTER	NE	ALEGENT CREIGHTON HEALTH	N/A	0	0
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SERVICES	NE	ALEGENT CREIGHTON HEALTH	N/A	0	0
OMAHA AMBULATORY INVESTMENT COMPANY LLC
12809 WEST DODGE ROAD	OMAHA	NE	68154	061786989	PARENT HOLDING COMPANY ASC	NE	ALEGENT CREIGHTON HEALTH	N/A	0	0
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68154	061786985	DIAGNOSTIC TESTING FACILITY	NE	ALEGENT CREIGHTON HEALTH	N/A	0	0
PRAIRIE HEALTH VENTURES LLC
421 S 9TH STREET STE 102	LINCOLN	NE	68508	204962103	PROFESSIONAL TECH SERVICES	NE	ALEGENT HEALTH - IMMANUEL MEDICAL CENTER	RELATED	0	1	1648935	4585042	0.63480
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBULATORY SURGICAL CENTER	NE	OMAHA AMBULATORY INVESTMENT COMPANY LLC	N/A	0	0
NEBRASKA SPINE LLC
6901 NORTH 72ND STREET STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ALEGENT CREIGHTON HEALTH	N/A	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH-CREIGHTON ST JOSEPH MGD CARE SVCS INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
EIN	470802396	EIN
Primary Activity	MANAGED CARE SERVICES	PrimaryActivity
Legal Domicile State	NE	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT CREIGHTON HEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT CREIGHTON HEALTH	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
EIN	470757164	EIN
Electing Org	X	ElectingOrg
Total Grassroots Lobbying	0	TotalGrassrootsLobbying
Total Direct Lobbying	174575	TotalDirectLobbying
Total Lobbying Expenditures	174575	TotalLobbyingExpenditures
Other Exempt Purpose Expenditures	187093517	OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures	187268092	TotalExemptPurposeExpenditures
Lobbying Nontaxable	$1,000,000	LobbyingNontaxableAmount
Grassroots Nontaxable	$250,000	GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Nontx	0	TotLobbyingGrassrootMinusNontx
Tot Lobby Expend Mns Lobbying Nontx	0	TotLobbyExpendMnsLobbyingNontx
Share Of Excess Lobbying Expendtrs	0	ShareOfExcessLobbyingExpendtrs