ALEGENT HEALTH-IMMANUEL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ALEGENT HEALTH-IMMANUEL MEDICAL CENTER (EIN 47-0376615)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2013-06-26
IRS object ID: 201341779349300734
Schema version: 2010v3.4
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	2013-06-26T14:31:57-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO CENTRAL PARK PLAZA SUITE 1501	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	681021626	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	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	2013-06-26	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LORRAINE A EGGER	Name
Phone	4023481450	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	X	AmendedReturn
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	297603514	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ALEGENT.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	11	NbrIndependentVotingMembers
Total Nbr Employees	1957	TotalNbrEmployees
Total Nbr Volunteers	411	TotalNbrVolunteers
Total Gross UBI	196055	TotalGrossUBI
Net Unrelated Business Txbl Income	35036	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	696247	ContributionsGrantsPriorYear
Contributions Grants Current Year	521944	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	243544887	ProgramServiceRevenuePriorYear
Program Service Revenue CY	217799831	ProgramServiceRevenueCY
Investment Income Prior Year	12933425	InvestmentIncomePriorYear
Investment Income Current Year	42502007	InvestmentIncomeCurrentYear
Other Revenue Prior Year	22688240	OtherRevenuePriorYear
Other Revenue Current Year	27955969	OtherRevenueCurrentYear
Total Revenue Prior Year	279862799	TotalRevenuePriorYear
Total Revenue Current Year	288779751	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	17167842	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	21450502	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	123464854	SalariesEtcPriorYear
Salaries Etc Current Year	115924692	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	70618	TotalFundrsngExpCurrentYear
Other Expense Prior Year	129299651	OtherExpensePriorYear
Other Expenses Current Year	111456033	OtherExpensesCurrentYear
Total Expenses Prior Year	269932347	TotalExpensesPriorYear
Total Expenses Current Year	248831227	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9930452	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	39948524	RevenuesLessExpensesCY
Total Assets BOY	511697918	TotalAssetsBOY
Total Assets EOY	593611626	TotalAssetsEOY
Total Liabilities BOY	122419898	TotalLiabilitiesBOY
Total Liabilities EOY	146737325	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	389278020	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	446874301	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	22792428	Expense
Grants	7112957	Grants
Revenue	71419281	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 A 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

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	16261968	Expense
Grants	3838749	Grants
Revenue	38543846	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

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	6014957	Expense
Grants	1577562	Grants
Revenue	15839875	Revenue
Description	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER CANCER SUPPORT 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 THEIR LIFE AS SOON AS POSSIBLE. INDIVIDUAL TEAM MEMBERS INCLUDE CANCER SUPPORT SERVICE SPECIALISTS, MEDICAL SOCIAL WORKERS, CANCER REHABILITATION SPECIALISTS, PASTORAL SERVICES, DIETITIANS, ONCOLOGY NURSE NAVIGATORS, HOSPICE & HOME CARE SERVICES, INPATIENT NURSING SERVICES, RADIATION ONCOLOGY, AND VOLUNTEER SERVICES.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	161746114	Expense
Grants	8921234	Grants
Revenue	89684625	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	161746114	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	8921234	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	89684625	TotalOfOtherProgramServiceRev
Total Program Service Expense	206815467	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	81	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1957	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	11	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 (41 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	430677	31545	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
RICHARD HACHTEN II
PRESIDENT & CEO	14.00		374384	1233327	278627	X
MARTIN HICKEY MD
SVP/CEO CLINICS	14.00		168661	555623	205555	X
KENNETH LAWONN
SVP/STRATEGY AND TECHNOLOGY	14.00		103281	340240	134712	X
SCOTT WOOTEN
SVP/CFO	14.00		125929	414850	136617	X
JOAN NEUHAUS
SVP/COO	14.00		109208	359763	324164	X
JANE CARMODY
SVP/CNO	14.00		60191	198287	376202	X
RICK MILLER MD
SVP/CQO	14.00		25157	82877	368614	X
LARRY BROWN MD
AHC-INTERIM CEO CLINICS	1.00		0	380851	51034	X
RICHARD ROLSTON MD
AHC-PRESIDENT & CEO	14.00		0	0	0	X
PAUL EBMEIER
COO-AHC	14.00		78442	258410	52953		X
SHEREE KEELY
VP-BEHAVIORAL HEALTH SVC	14.00		41766	137589	39094		X
ELIZABETH LLEWELLYN
VP-MISSION INTEGRATION	14.00		50649	166857	43049		X
PATRICIA MASEK
VP-MEDICAL AFFAIRS	14.00		43144	142133	65673		X
FRANK EMSICK
VP-CONSTRUCTION	14.00		48796	160754	47892		X
ANN SCHUMACHER
COO-IMC	60.00		75665	249260	75876		X
NANCY WALLACE
VP-HUMAN RESOURCES	14.00		52699	173603	357417		X
ARUN SHARMA MD
PHYSICIAN	60.00		454051	0	28167			X
MICHAEL EGGER MD
PHYSICIAN	60.00		310593	0	37967			X
THOMAS FRANCO MD
PHYSICIAN	60.00		434690	0	37009			X
MICHAEL COY MD
PHYSICIAN	60.00		325023	0	24545			X
HUDSON HSIEH MD
PHYSICIAN	60.00		308535	0	33281			X
WAYNE SENSOR
FORMER CEO			525920	1732539	13511				X
THEODORE SCHWAB
FORMER SVP/CIO			54074	178136	1258				X
FRED HOSLER MD
FORMER SVP/CMO			187787	618625	7239				X
MARK KESTNER MD
FORMER SVP/CMO			128958	424831	7402				X
MARGARET BREEN
FORMER SVP/HR			63826	210264	5445				X
AMY PROTEXTER
FORMER SVP/MARKETING & COMM			58058	191259	9793				X
PATRICIA NADLE
FORMER SVP/CNO			57654	189932	4772				X
MICHAEL ANDERSON
FORMER VP-BEHAVIORAL HS			37349	123038	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4304490	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9034725	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2799413	TotalOtherCompensation
Number Individuals GT100 K	71	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	1378053
NORTHWEST ANESTHESIA PC
6901 N 72ND STREET	OMAHA	NE	68122	ANESTHESIA SERVICES	725107
GRAHAM CONSTRUCTION INC
13210 CENTENNIAL RD 1	OMAHA	NE	68138	CONSTRUCTION SERVICES	640002
BAXTER-KENWORTHY ELECTRIC INC
4600 S 76TH CIRCLE	OMAHA	NE	68127	ENGINEERING SERVICES	532937
DOUBLE D EXCAVATING INC
8615 VERNON AVE	OMAHA	NE	68134	CONSTRUCTION SERVICES	335081

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	28	NumberOfContractorsGT100K
Membership Dues	58500	MembershipDues
Fundraising Events	57002	FundraisingEvents
Related Organizations	364167	RelatedOrganizations
All Other Contributions	42275	AllOtherContributions
Noncash Contributions	42275	NoncashContributions
Total Contributions	521944	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REVENU	621500	209792089	209792089
REIMBURSABLE-AFFILIATE	621990	5586624	5586624
HOSPITAL PHARMACY	446110	1627122		$1,627,122
FOOD & NUTRITION	722320	678068		$644,775	33293
HEALTH EDUCATION	611710	108914	108914

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7014	TotalRevenueColumn
Exclusion	$7,014	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	217799831	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-284207	TotalRevenueColumn
Exclusion	-$284,207	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2225750	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	512324	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1713426	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1713426	TotalRevenueColumn
Exclusion	$1,713,426	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	23876137	Securities
Other	26876708	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	7966631	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	23876137	Securities
Other	18910077	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	42786214	TotalRevenueColumn
Exclusion	$42,786,214	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	43987	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	57002	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	75127	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-31140	TotalRevenueColumn
Exclusion	-$31,140	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	11450	GrossIncomeGaming
Gaming Direct Expenses	6300	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	5150	TotalRevenueColumn
Exclusion	$5,150	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	373324	GrossSalesOfInventory
Cost Of Goods Sold	263381	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	109943	TotalRevenueColumn
Exclusion	$109,943	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
JOA SETTLEMENTS	812300	19785000	$19,785,000
REIMBURSED SERVICES	621990	2810432	$2,810,432
MISCELLANEOUS OPERATIN	561499	2584340	$2,421,578	162762

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	978818	TotalRevenueColumn
Exclusion	$978,818	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	26158590	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	288779751	TotalRevenueColumn
Related Or Exempt Function Income	215487627	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	196055	UnrelatedBusinessRevenue
Exclusion	$72,574,125	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9384	Total
Program Services	9384	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	21441118	Total
Program Services	21441118	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1832560	Total
Program Services	1557676	ProgramServices
Management And General	274884	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	90137059	Total
Program Services	73707806	ProgramServices
Management And General	16362552	ManagementAndGeneral
Fundraising	66701	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3779637	Total
Program Services	3593288	ProgramServices
Management And General	186349	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15123483	Total
Program Services	9948109	ProgramServices
Management And General	5175374	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5051953	Total
Program Services	4763995	ProgramServices
Management And General	284041	ManagementAndGeneral
Fundraising	3917	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4076	Total
Program Services	285	ProgramServices
Management And General	3791	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	17274	Total
Program Services	17274	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3858651	Total
Program Services	2275781	ProgramServices
Management And General	1582870	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	29431	Total
Program Services	29431	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	30753569	Total
Program Services	30375610	ProgramServices
Management And General	377959	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7829395	Total
Program Services	7829395	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	137429	Total
Program Services	69474	ProgramServices
Management And General	67955	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	38283	Total
Program Services	38283	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	5460429	Total
Program Services	5460429	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20113625	Total
Program Services	14911923	ProgramServices
Management And General	5201702	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	616541	Total
Program Services	616541	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	17382840	10739530	6643310
BAD DEBTS	9871449	9871449
EQUITY NET LOSS	8277518	8277518
MANAGEMENT ALLOCATIONS	5790803	6448	5784355
MISCELLANEOUS	867463	867463

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	407257	Total
Program Services	407257	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	248831227	Total
Program Services	206815467	ProgramServices
Management And General	41945142	ManagementAndGeneral
Fundraising	70618	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	414057	BOY
EOY	735745	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	20155527	BOY
EOY	50158053	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25509809	BOY
EOY	21437399	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4008795	BOY
EOY	3227004	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	312071795	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	171474826	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	145013597	BOY
EOY	140596969	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	280079981	BOY
EOY	317547773	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	20583830	BOY
EOY	59638068	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	15701546	BOY
EOY	39839	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	511697918	BOY
EOY	593611626	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8555178	BOY
EOY	5794560	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	7539	BOY
EOY	666106	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	111165217	BOY
EOY	132888865	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2691964	BOY
EOY	7387794	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	122419898	BOY
EOY	146737325	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	385378337	BOY
EOY	442337788	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2109683	BOY
EOY	2745513	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1790000	BOY
EOY	1791000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	389278020	BOY
EOY	446874301	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	511697918	BOY
EOY	593611626	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	39948524	ReconcilationRevenueExpenses
Reconcilation Other Changes	17647757	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
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	17274	FilingOrganizationsTotals
Affiliated Group Totals	106741	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	17274	FilingOrganizationsTotals
Affiliated Group Totals	106741	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	248813953	FilingOrganizationsTotals
Affiliated Group Totals	484963523	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	248831227	FilingOrganizationsTotals
Affiliated Group Totals	485070264	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	136554	CurrentYearMinus3
Current Year Minus2	176941	CurrentYearMinus2
Current Year Minus1	262701	CurrentYearMinus1
Current Year	106741	CurrentYear
Total	682937	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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.39000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.61000	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	145719602	OtherCostOrOtherBasis
Depreciation	67849819	Depreciation
Book Value	77869783	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	479327	OtherCostOrOtherBasis
Depreciation	338930	Depreciation
Book Value	140397	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	153273987	OtherCostOrOtherBasis
Depreciation	98961366	Depreciation
Book Value	54312621	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10798567	OtherCostOrOtherBasis
Depreciation	4324711	Depreciation
Book Value	6473856	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	140596969	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN MCH HEALTH SYSTEM	6876791	C
INVESTMENT IN ALEGENT HEALTH	50159388	C
INVESTMENT IN PRAIRIE HEALTH VENTURES, LLC	2594875	C
AMHS HERITAGE, LLC	7014	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	59638068	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
3RD PARTY PAYER SETTLEMENTS	$4,062,939
INTERCOMPANY LIABILITY	$3,324,855

Field	Value	IRS element (for citing)
Total Of Amounts	7387794	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 - ENTITIES OF THE ALEGENT HEALTH SYSTEM RECOGNIZE 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 2011 AND 2010, 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	IMMANUEL REHAB INPATIENT 2011	NameOfEvent1
Gross Receipts Event1	100989	GrossReceiptsEvent1
Charitable Contributions Event1	57002	CharitableContributionsEvent1
Gross Revenue Event1	43987	GrossRevenueEvent1
Non Cash Prizes Event1	36425	NonCashPrizesEvent1
Rent Facility Costs Event1	13244	RentFacilityCostsEvent1
Food And Beverage Event1	10500	FoodAndBeverageEvent1
Entertainment Event1	1600	EntertainmentEvent1
Other Direct Expenses Event1	13358	OtherDirectExpensesEvent1
Gross Receipts Total	100989	GrossReceiptsTotal
Charitable Contributions Total	57002	CharitableContributionsTotal
Gross Revenue Total Events	43987	GrossRevenueTotalEvents
Non Cash Prizes Total Events	36425	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	13244	RentFacilityCostsTotalEvents
Food And Beverage Total Events	10500	FoodAndBeverageTotalEvents
Entertainment Total Events	1600	EntertainmentTotalEvents
Other Direct Expenses Total Events	13358	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	75127	DirectExpenseSummaryEvents
Net Income Summary	-31140	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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	7728	PersonsServed
Total Community Benefit Expense	9293093	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2105841	DirectOffsettingRevenue
Net Community Benefit Expense	7187252	NetCommunityBenefitExpense
Percent Of Total Expense	0.03010	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	2286	PersonsServed
Total Community Benefit Expense	45181226	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32005558	DirectOffsettingRevenue
Net Community Benefit Expense	13175668	NetCommunityBenefitExpense
Percent Of Total Expense	0.05510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	10014	PersonsServed
Total Community Benefit Expense	54474319	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34111399	DirectOffsettingRevenue
Net Community Benefit Expense	20362920	NetCommunityBenefitExpense
Percent Of Total Expense	0.08520	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	14205	PersonsServed
Total Community Benefit Expense	245950	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18166	DirectOffsettingRevenue
Net Community Benefit Expense	227784	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	72	PersonsServed
Total Community Benefit Expense	499273	TotalCommunityBenefitExpense
Direct Offsetting Revenue	89680	DirectOffsettingRevenue
Net Community Benefit Expense	409593	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	302804	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125604	DirectOffsettingRevenue
Net Community Benefit Expense	177200	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	301	PersonsServed
Total Community Benefit Expense	224026	TotalCommunityBenefitExpense
Direct Offsetting Revenue	83	DirectOffsettingRevenue
Net Community Benefit Expense	223943	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	14578	PersonsServed
Total Community Benefit Expense	1272053	TotalCommunityBenefitExpense
Direct Offsetting Revenue	233533	DirectOffsettingRevenue
Net Community Benefit Expense	1038520	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	24592	PersonsServed
Total Community Benefit Expense	55746372	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34344932	DirectOffsettingRevenue
Net Community Benefit Expense	21401440	NetCommunityBenefitExpense
Percent Of Total Expense	0.08950	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	14	PersonsServed
Total Community Building Expense	3024	TotalCommunityBuildingExpense
Net Community Building Expense	3024	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	7	PersonsServed
Total Community Building Expense	260218	TotalCommunityBuildingExpense
Net Community Building Expense	260218	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	5542	TotalCommunityBuildingExpense
Net Community Building Expense	5542	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	21	PersonsServed
Total Community Building Expense	268784	TotalCommunityBuildingExpense
Net Community Building Expense	268784	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,978,216	BadDebtExpenseAmount
Amount Attributable To	1320429	AmountAttributableTo
Amount Reimbursed By Medicare	44603698	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	49170122	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4566424	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
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	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 (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: ALEGENT HEALTH-IMMANUEL MEDICAL CENTER IS PART OF THE ALEGENT HEALTH SYSTEM. THE AMOUNT OF FINANCIAL ASSISTANCE WRITE-OFF FOR ENTITIES OF THE ALEGENT HEALTH SYSTEM IS BASED ON A FINANCIAL ASSISTANCE SLIDING FEE SCHEDULE UTILIZING A DERIVATIVE OF THE CURRENT US DEPT 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. REPRESENTATIVES OF THE ALEGENT HEALTH SYSTEM 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 HEALTH'S FINANCIAL ASSISTANCE POLICY.THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONALFINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATIONINCLUDES 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 HEALTH SYSTEM PRODUCES A 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 WWW.ALEGENT.COM.
PART I, LINE 7: THE COSTING METHOLOGY 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 AND MEDICAID.
PART I, L7 COL(F): BAD DEBT OF $9,871,449 INCLUDED IN THE FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25 IS NOT INCLUDED IN THE TOTAL OPERATING EXPENSE USED TO CALCULATE THE TABLE 7 PERCENTAGES. THE DENOMINATOR USED TO CALCULATE THE COST TO CHARGE RATIO WAS $238,959,778.
PART II: AS A RESULT OF THE 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 HEALTH SYSTEM PARTNERED WITH THE COMMUNITY AND MADE 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 HEALTH HOSPITALS. THE COMMUNITY COALITION KNOWN AS LIVE WELL OMAHA KIDS (LWOK) IS STAFFED AND FUNDED BY ALEGENT HEALTH. AN EXECUTIVE COMMITTEE, WHICH CONSISTS OF COMMUNITY LEADERS AND POLICY MAKERS, HAS IMPLEMENTED AN ECOLOGICAL APPROACH THAT IMPROVES PROGRAMS, POLICIES AND PROMOTES PHYSICAL ACTIVITY AND HEALTHY EATING HABITS AT THE INDIVIDUAL AND ORGANIZATIONAL LEVELS. MORE THAN 200 VOLUNTEERS HAVE PARTICIPATED IN THE PLANNING AND IMPLEMENTATION OF LWOK INITIATIVES. A PORTION OF THIS INVESTMENT IN LWOK IS ALLOCATED TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
PART III, LINE 4: THE AUDITED FOOTNOTES FOR ENTITIES OF THE ALEGENT 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 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 ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S 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 HEALTH SYSTEM DOES NOT CONSIDER MEDICARE SHORTFALLS TO BE COMMUNITY BENEFIT, PER THE RECOMMENDATION OF THE CATHOLIC HEALTH ASSOCIATION. THE MEDICARE CHARGES REPORTED ON LINE 5 AND 6 ARE FROM MEDICARE COST REPORTS WHICH USED A COST TO CHARGE RATIO.
PART III, LINE 9B: THE ALEGENT HEALTH'S SELF PAY BILLING AND BAD DEBT POLICY HAS A CLEARLY DELINEATED PROCESS FOR COLLECTION AGENCIES TO FOLLOW, INCLUDING EXPLICIT INSTRUCTIONS THAT ENSURE THE CHARITY CARE PATIENTS WHO HAVE BEEN IDENTIFIED DO NOT GO TO COLLECTIONS.
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.ALEGENT.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 VI, LINE 2: THE ALEGENT HEALTH SYSTEM APPROACHES COMMUNITY NEEDS ASSESSMENT AS A CORPORATE ACTIVITY THAT DEVELOPS AND INTEGRATES COUNTY BASED HEALTH PROFILES FOR EACH OF THE COUNTIES WHERE THE LICENSED HOSPITALS ARE LOCATED. THE PROCESS TO DEVELOP THE ASSESSMENTS IS COLLABORATIVE IN NATURE AND INVOLVES HEALTH DEPARTMENTS, EXISTING HEALTH COALITIONS, COMMUNITY MEMBERS AND HOSPITAL LEADERSHIP, AND IS SUPPORTED BY THE ALEGENT HEALTH PLANNING AND COMMUNITY BENEFIT DEPARTMENT STAFF. THE ALEGENT HEALTH PLANNING DEPARTMENT CONDUCTS MARKET ASSESSMENTS THAT IDENTIFY THE OMAHA METROPOLITAN STATISTICAL AREA'S POPULATION AND DEMOGRAPHIC CHARACTERISTICS. ADDITIONALLY, IN COOPERATION WITH LOCAL HEALTH DEPARTMENTS AND COALITIONS, THE ALEGENT HEALTH COMMUNITY BENEFIT/HEALTHIER COMMUNITY DEPARTMENT CONDUCTS AN ANNUAL REVIEW OF THE DOCUMENTED COMMUNITY HEALTH NEEDS AND PLANS OF EACH OF THE COMMUNITIES IT SERVES. THIS ASSESSMENT PROCESS INVOLVES SUMMARIZING EXISTING DATA AND RESEARCH FROM LOCAL HEALTH DEPARTMENT REPORTS AND LOCAL COALITION REPORTS INTO A COMPREHENSIVE SUMMARY GRID INCORPORATING A MULTITUDE OF FACTORS INCLUDING-DEMOGRAPHICS, HEALTH STATUS METRICS, BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, DOCUMENTED HEALTH ISSUES, QUALITATIVE INFORMATION FROM QUALITATIVE AND COMMUNITY BASED PROCESSES AND IDENTIFICATION OF ALEGENT HEALTH'S PARTICIPATION AND SPECIFIC STRATEGIC ACTION PLANS. THE PROFILES ARE INTEGRATED INTO THE GOVERNANCE AND PLANNINGFOR ALEGENT HEALTH ON TWO LEVELS:I. REPORTING TO THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITHHEALTH PLANNING OVERSIGHTII. INTO THE ANNUAL STRATEGIC PLANNING PROCESSES OF ALEGENT HEALTH.PARTICULAR TO DOUGLAS COUNTY, WITHIN WHICH THE IMMANUEL MEDICAL CENTER RESIDES, NEEDS ASSESSMENT AND REPORTING OF THOSE NEEDS IS LED BY LIVE WELL OMAHA (LWO), A MEMBERSHIP BASED COALITION. LWO HAS BEEN IN EXISTENCE FOR 14 YEARS AND ALEGENT HEALTH WAS A FOUNDING MEMBER AND IS THE LARGEST FINANCIAL CONTRIBUTOR. THE ALEGENT HEALTH SYSTEM CONTINUES TO PROVIDE LEADERSHIP AND FUNDING FOR LWO COALITION WHICH INCLUDES HEALTHCARE PROVIDERS, PUBLIC HEALTH SERVICE PROVIDERS, INSURERS, BUSINESSES AND ACADEMIA WHO PARTICIPATE IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT CONSISTING OF PRIMARY AND SECONDARY DATA AND KEY INFORMANT INTERVIEWS. THE ASSESSMENT IS SHARED WITH THE PUBLIC THROUGH A REPORT CARD, AT AN ANNUAL COMMUNITY SUMMIT AND ON A COMMUNITY WEBSITE. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS USED BY THE COMMUNITY TO ASSESS HEALTH NEEDS AND IDENTIFY PARTNERSHIP OPPORTUNITIES FOR INTERVENTION.
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 THE CLINICS AND HOSPITALS. INFORMATION ON THE ALEGENT HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY IS LOCATED AT SEVERAL PLACES ON WWW.ALEGENT.COM.REPRESENTATIVES OF THE ALEGENT HEALTH SYSTEM HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTSARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH THE ALEGENT HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4: THE ALEGENT HEALTH SYSTEM, WHICH INCLUDES IMMANUEL MEDICAL CENTER, SERVES THE EIGHT-COUNTY GREATER OMAHA METROPOLITAN STATISTICAL AREA (MSA), WITH AN ESTIMATED POPULATION OF 865,350, RANKING 60TH OUT OF 366 MSAS IN TOTAL POPULATION. THE MSA CONSISTS OF 3 IOWA AND 5 NEBRASKA COUNTIES ON BOTH SIDES OF THE MISSOURI RIVER. MORE THAN 1.2 MILLION PEOPLE LIVE WITHIN A 60-MILE RADIUS OF OMAHA. CHARACTERIZED BY STEADY GROWTH, THE MSA GREW BY 12.8 PERCENT BETWEEN 2000 AND 2010; THE 2015 PROJECTED POPULATION IS MORE THAN 900,000, A 5.5 PERCENT INCREASE. MORE THAN 36 PERCENT OF THE POPULATION IS 24 YEARS OF AGE OR YOUNGER WITH A MEDIAN AGE OF 34.9 YEARS COMPARED TO A U.S. MEDIAN AGE OF 37.1. 50.5% OF THE POPULATION IS FEMALE. RACIAL MINORITIES COMPRISE ABOUT 18 PERCENT OF GREATER OMAHA'S POPULATION, INCLUDING AN AFRICAN-AMERICAN POPULACE OF 7.9 PERCENT AND APPROXIMATELY 9.0 PERCENT HISPANIC. IN 2010 GREATER OMAHA HAD OVER 360,000 HOUSING UNITS. THE MEDIAN HOUSEHOLD INCOME WAS $56,271 WHICH SURPASSES THE NATIONAL AVERAGE OF $51,517, WITH A PER CAPITA INCOME OF $27,876. GREATER OMAHA IS A WELL-EDUCATED COMMUNITY. MORE THAN 91 PERCENT OF ADULTS, AGE 25 AND OLDER, ARE HIGH SCHOOL GRADUATES AND 32.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER.
PART VI, LINE 6: THE PRIMARY CARE PHYSICIAN CLINICS THAT ARE PART OF THE ALEGENT HEALTH SYSTEM PARTICIPATE IN MEDICAL STUDENT PRECEPTORSHIPS THAT ADVANCE THE HEALTHCARE PROVIDER EDUCATION PROCESS. THE ALEGENT HEALTH SYSTEM HAS OPEN MEDICAL STAFFS AND IS ONE OF 3 HEALTH SYSTEMS THAT FUND THE OPERATIONS OF A COALITION THAT EXISTS TO PROVIDE ACCESS FOR THE PATIENTS OF 3 AREA FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS TO SPECIALTY PHYSICIAN SERVICES AND HOSPITAL BASED DIAGNOSTICS AND TREATMENT. THE ALEGENT HEALTH SYSTEM IS THE SOLE COMPREHENSIVE ACUTE MENTAL HEALTH PROVIDER IN THE OMAHA MSA AREA. THE ALEGENT HEALTH SYSTEM IS A JOINT VENTURE PARTNER IN A NOT-FOR-PROFIT HOSPICE INPATIENT HOSPITAL AND PROVIDES THE MANAGEMENT SUPPORT CONTRACT. THE ALEGENT HEALTH SYSTEM 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 WAS FIRST USED IN FY2010 WITH THE ECONOMIC DOWNTURN. THE ALEGENT HEALTH SYSTEM HAS A CURRENT COMMITMENT TO SET ASIDE UP TO 6% OF ITS EBIDA IN A GIVEN FISCAL YEAR FOR COLLABORATIVE INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED, WHICH IS THE CATALYST FUND.BOARD OF DIRECTORS - THE ALEGENT HEALTH SYSTEM 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 HOSPITAL HAS A FULL-TIME EMERGENCY DEPARTMENT THAT IS OPEN TO THE PUBLIC AND PROVIDES MEDICAL SCREENING EXAMINATIONS AND STABILIZING TREATMENT WITHIN THE CAPABILITIES AND CAPACITY OF THE HOSPITAL REGARDLESS OF BUT NOT LIMITED TO THE PATIENT'S RACE, COLOR, SEX, AGE, AND/OR ABILITY TO PAY. THE HOSPITAL IS IN COMPLIANCE WITH THE FEDERAL EMTALA REGULATIONS.IN ADDITION, ALEGENT HEALTH IMMANUEL MEDICAL CENTER, TOGETHER WITH UNRELATED HOSPITALS IN THE AREA, WORK CLOSELY WITH LOCAL FIRE AND RESCUE DEPARTMENTS TO ENSURE THAT AMBULANCES TAKE PATIENTS TO THE APPROPRIATE HOSPITAL. THIS IS GENERALLY THE HOSPITAL THAT IS CLOSET 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 - THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. ALL QUALIFIED MDS, DOS, OTHER HEALTHCARE PRACTITIONERS, AND MID-LEVEL PRACTITIONERS ARE ELIGIBLE TO APPLY FOR PRIVILEGES AT THE HOSPITAL. 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.
PART VI, LINE 7: 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 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.
THE ALEGENT HEALTH SYSTEM FILES REPORTS WITH THE NEBRASKA HOSPITAL ASSOCIATION (NEBRASKA) AND IOWA HOSPITAL ASSOCIATION (IOWA).		PART VI, LINE 7:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

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	Amount Of Cash GrantAmountOfCashGrant
CHARITY CARE	7728	21426618	BOOK	REDUCE OR WRITE OFF OF PATIENT SERVICES
HOSPITALITY HOUSE SUBSIDIES	37				12000

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 ALEGENT 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 CENTER 6. THE EMPLOYEE IS EXPECTED TO REMAIN EMPLOYED AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER FOR AT LEAST ONE YEAR AFTER RECEIVING THE SISTER INGEBORG BLOMBERG SCHOLARSHIP.
OTHER INFORMATION:	PART IV:	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. HOSPITALITY HOUSE SUBSIDIES ARE ESTABLISHED FOR THE DISBURSEMENT OF ALEGENT HEALTH IMMANUEL AUXILIARY MONIES FOR PATIENT ASSISTANCE THAT IS COMPLIANT WITH ALEGENT HEALTH POLICIES AND PROCEDURES, INTERNAL REVENUE SERVICES (IRS) REGULATIONS AND OTHER APPLICABLE FEDERAL, STATE, AND LOCAL LAWS AND REGULATIONS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
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 (29 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	403550	0	0	0	27127	0	14700	0	18657	0	464034	0	0
RICHARD HACHTEN II
154819	510015	59734	196782	159831	526530	61693	203236	3501	11533	439578	1448096	129993	428238
MARTIN HICKEY MD
82142	270603	32526	107151	53993	177869	42983	141597	5250	17296	216894	714516	28517	93943
KENNETH LAWONN
66193	218061	24667	81262	12421	40917	28065	92455	3676	12108	135022	444803	0	0
SCOTT WOOTEN
79039	260380	29596	97499	17294	56971	27931	92015	4304	14179	158164	521044	0	0
JOAN NEUHAUS
74561	245623	22653	74627	11994	39513	75487	248677	1135	3740	185830	612180	0	0
JANE CARMODY
14425	47521	44923	147990	843	2776	87198	287255	458	1508	147847	487050	0	0
RICK MILLER MD
24225	79805	0	0	932	3072	89226	293935	1440	4743	115823	381555	0	0
LARRY BROWN MD
0	342647	0	8758	0	29446	0	27733	0	25249	0	433833	0	0
PAUL EBMEIER
58525	192798	13004	42839	6913	22773	7708	25394	5055	16654	91205	300458	0	0
SHEREE KEELY
28514	93933	6891	22701	6361	20955	6805	22417	2622	8637	51193	168643	0	0
ELIZABETH LLEWELLYN
33722	111093	8601	28334	8326	27430	8437	27793	1801	5934	60887	200584	0	0
PATRICIA MASEK
31025	102208	7263	23928	4856	15997	12104	39873	3355	11051	58603	193057	0	0
FRANK EMSICK
35158	115826	8550	28167	5088	16761	6679	22003	4722	15557	60197	198314	0	0
ANN SCHUMACHER
56599	186453	10601	34921	8465	27886	12634	41619	5652	18620	93951	309499	0	0
NANCY WALLACE
39765	130996	6539	21540	6395	21067	80660	265718	3064	10095	136423	449416	0	0
ARUN SHARMA MD
421384	0	0	0	32667	0	7350	0	23757	0	485158	0	0	0
MICHAEL EGGER MD
284536	0	0	0	26057	0	17150	0	24232	0	351975	0	0	0
THOMAS FRANCO MD
264681	0	152485	0	17524	0	17158	0	22004	0	473852	0	0	0
MICHAEL COY MD
293738	0	0	0	31285	0	17150	0	10514	0	352687	0	0	0
HUDSON HSIEH MD
289844	0	0	0	18691	0	14700	0	22148	0	345383	0	0	0
WAYNE SENSOR
394	1298	0	0	525526	1731241	0	0	3303	10880	529223	1743419	524852	1729017
THEODORE SCHWAB
0	0	0	0	54074	178136	293	965	454	1494	54821	180595	54074	178136
FRED HOSLER MD
591	1947	0	0	187196	616678	0	0	1705	5618	189492	624243	184971	609349
MARK KESTNER MD
1181	3895	0	0	127777	420936	188	617	1551	5108	130697	430556	126126	415497
MARGARET BREEN
0	0	0	0	63826	210264	158	521	1110	3656	65094	214441	63827	210264
AMY PROTEXTER
0	0	0	0	58058	191259	462	1524	1818	5989	60338	198772	58058	191259
PATRICIA NADLE
13961	45993	11635	38329	32058	105610	0	0	1273	4192	58927	194124	29691	97813
MICHAEL ANDERSON
0	0	0	0	37349	123038	0	0	0	0	37349	123038	37349	123038

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, FINANCIAL PLANNING FEES AND LEGAL FEES. PAYMENT FOR THESE BENEFITS ARE EITHER MADE DIRECTLY BY ALEGENT 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 HEALTH (A RELATED ORGANIZATION) DURING THE 2010 CALENDAR YEAR AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE AS COMPENSATION ON SCHEDULE J: MARTIN HICKEY, MD - $122,460 THEODORE SCHWAB - $232,210 WAYNE SENSOR - $2,253,869 FRED HOSLER, MD - $794,319 MARGARET BREEN - $274,090 AMY PROTEXTER - $249,317 MICHAEL ANDERSON - $160,387 MARK KESTNER, MD - $541,623 PATRICIA NADLE - $127,504 RICHARD HACHTEN II - $558, 231 SCHEDULE J, LINE 4B - THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT HEALTH (A RELATED ORGANIZATION) DURING THE 2010 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C 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 LARRY BROWN, MD - $12,411 KENNETH LAWONN - $39,892 JOAN NEUHAUS - $41,947 SHEREE KEELY - $10,915 ELIZABETH LLEWELLYN - $12,916 PATRICIA MASEK - $10,956 FRANK EMSICK - $11,534 PAUL EBMEIER - $20,451 ANN SCHUMACHER - $19,981 MARTIN HICKEY, MD - $50,630.
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 HEALTH AND RELATED ENTITIES IS DETERMINED AT A SYSTEM LEVEL. MEMBERS OF ALEGENT 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 HEALTH SYSTEM FOR THE FISCAL YEAR.
PART III	SCHEDULE J, PART I, LINE 3: ALEGENT HEALTH GOVERNANCE OF EXECUTIVE COMPENSATION: ACTING AS PRUDENT STEWARDS OF ITS FINANCIAL RESOURCES, THE ALEGENT 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 HEALTH IS ABLE TO FULFILL ITS FAITH-BASED MISSION AND ACHIEVE ITS VISION OF BECOMING WORLD-CLASS. THE ALEGENT 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 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 (136 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	HUSKER HELICOPTER	1	1250	SELLING PRICE
X	NEBRASKA HUSKERS SKYBOX TICKETS	1	1000	SELLING PRICE
X	DISMAL RIVER GOLF CLUB PACKAGE	1	1600	SELLING PRICE
X	VALET PARKING FOR ONE YEAR	1	300	SELLING PRICE
X	CHAMPIONS RUN GOLF/TOMMIE FRAZIER	1	650	SELLING PRICE
X	CHAMPIONS RUN GOLF WITH MATT DAVISON AND DR. PAUL	1	400	SELLING PRICE
X	THE PERSONICS	1	3000	SELLING PRICE
X	LAKE OF THE OZARKS, OSAGE BEACH VACATION	1	2500	SELLING PRICE
X	JOSH GROBAN CONCERT	1	400	SELLING PRICE
X	GOODRICH DIAMONDS	1	1500	SELLING PRICE
X	TICKETS FOR TWO TO THE KEITH URBAN CONCERT	1	345	SELLING PRICE
X	HOTEL, DINNER AT SPENCER'S WITH A WINE AND CHOC	1	350	SELLING PRICE
X	DINNER PARTY FOR EIGHT	1	1500	SELLING PRICE
X	ROCKY MOUNTAIN GETAWAY YMCA OF THE ROCKIES	1	500	SELLING PRICE
X	LINDY FREED JEWELRY	1	700	SELLING PRICE
X	WINE TASTING AND CHEESE FOR SIX	1	800	SELLING PRICE
X	GOLF/FRAZIER/WOOTEN	1	100	SELLING PRICE
X	GOLF/FRAZIER/WOOTEN	1	100	SELLING PRICE
X	VALET PARKING FOR ONE YEAR	1	300	SELLING PRICE
X	THE LEGEND OF PASTOR FOGELSTROM'S WATCH	1	250	SELLING PRICE
X	U2 CONCERT AND AIRFARE	1	1060	SELLING PRICE
X	LAWN MOWING SERVICES	1	50	SELLING PRICE
X	FUSED GLASS, DRAPED BOWL	1	70	SELLING PRICE
X	FRAMED PICTURE OF WEST HIGHLAND TERRIOR	1	145	SELLING PRICE
X	LANDSCAPE DESIGN CONSULTATION	1	150	SELLING PRICE
X	BEE A HONEY GIFT BASKET	1	50	SELLING PRICE
X	HIGHLANDER PICNIC BASKET	1	170	SELLING PRICE
X	STRING OF PURLS YARN AND KNITTING GIFT CERTIFICATE	1	40	SELLING PRICE
X	FRAMED PHOTOGRAPH OF ALASKA MOUNTAINS	1	80	SELLING PRICE
X	HANDCRAFTED ILLUMINATED GERMAN NATIVITY	1	220	SELLING PRICE
X	SIMON PEARCE GLASS THETFORD BOWL	1	95	SELLING PRICE
X	DEE-SIGN AND NORTHWEST FLORAL GIFT CERTIFICATE	1	50	SELLING PRICE
X	FLORAL ARRANGEMENT FROM NORTHWEST FLORIST AND GIFT	1	130	SELLING PRICE
X	"BON APPETIT" GLASS CLOCHE WITH MARBLE BASE	1	180	SELLING PRICE
X	2 PLAQUES OF A 3D GERBER DAISY	1	80	SELLING PRICE
X	MULHALL'S GIFT CERTIFICATE	1	200	SELLING PRICE
X	HAND-CRAFTED CUSTOMIZABLE METAL SIGN	1	50	SELLING PRICE
X	GARDENING BUCKET WITH METAL FLOWER	1	80	SELLING PRICE
X	LEWIS ART GALLERY GIFT CERTIFICATE	1	200	SELLING PRICE
X	ALL SEASONS FLORAL	1	20	SELLING PRICE
X	THE MAIDS OF NORTHWEST OMAHA	1	204	SELLING PRICE
X	MULHALL'S GARDEN BASKET AND GIFT CERTFICATE	1	650	SELLING PRICE
X	BEATRIZ BALL METALWARE BOWL WITH SALAD SERVERS	1	180	SELLING PRICE
X	TUDY'S GARDEN SERVICE AND CONSULTATION	1	100	SELLING PRICE
X	TOMMYGLASS ART BY DR. TOM RUMA #1	1	300	SELLING PRICE
X	WENNINGHOFF FARMS SPRING BASKET AND GIFT CERTIFI	1	90	SELLING PRICE
X	TREE	1	750	SELLING PRICE
X	GARDEN ART	1	150	SELLING PRICE
X	RUSSELL SPEEDER'S CAR WASH	1	145	SELLING PRICE
X	PAMPERED CHEF COLLECTION	1	96	SELLING PRICE
X	PEGGY KARR HEALING PLATE	1	80	SELLING PRICE
X	M & M GREEN GUY	1	125	SELLING PRICE
X	M & M BLUE GUY	1	125	SELLING PRICE
X	FRAMED PHOTOGRAPH	1	250	SELLING PRICE
X	SALSA AND CHIPS BASKET	1	75	SELLING PRICE
X	UNION PACIFIC RAILROAD TOOLS	1	30	SELLING PRICE
X	TOMMYGLASS ART BY DR. TOM RUMA #2	1	300	SELLING PRICE
X	PEAR COLLECTION	1	72	SELLING PRICE
X	HANDMADE QUILT	1	50	SELLING PRICE
X	HOWARD BUFFET BOOKS	1	515	SELLING PRICE
X	WINE PICNIC PACKAGE	1	95	SELLING PRICE
X	M'S PUB GIFT CERTIFICATE	1	50	SELLING PRICE
X	LIED LODGE AND CONFERENC CENTER AT ARBOR DAY FARM	1	175	SELLING PRICE
X	SGT. PEFFER'S GIFT CERTIFICATE	1	25	SELLING PRICE
X	RUNNER'S GRANOLA GIFT BASKET	1	50	SELLING PRICE
X	DINNER AT DARIO'S BRASSERIE / DUNDEE THEATER	1	60	SELLING PRICE
X	FINICKY FRANK'S GIFT CERTIFICATE	1	25	SELLING PRICE
X	WINE AND DINE FOR FOUR AT TUSSEY'S	1	140	SELLING PRICE
X	TOO FAR NORTH WINE AND WINE TASTING FOR ONE	1	35	SELLING PRICE
X	WINESTYLES - WINE TASTING FOR TWELVE	1	200	SELLING PRICE
X	7 M GRILL GIFT CERTIFICATE	1	50	SELLING PRICE
X	EDIBLE ARRANGEMENTS GIFT CERTIFICATE	1	45	SELLING PRICE
X	OMAHA COMMUNITY PLAYHOUSE AND JOHNNY'S ITALIAN	1	180	SELLING PRICE
X	NOTHING BUNDT CAKES GIFT CERTIFICATE	1	40	SELLING PRICE
X	SEASONAL DELIGHTS BASKET FOR SPRING AND FALL	1	75	SELLING PRICE
X	HEALING GROUNDS GIFT BASKET	1	30	SELLING PRICE
X	BOTTLE OF PAUL HOBBS CABERNET SAUVIGNON	1	300	SELLING PRICE
X	PASHMINA SCARF	1	72	SELLING PRICE
X	VERA BRADLEY GRAY TOTE AND MATCHING WALLET	1	145	SELLING PRICE
X	PRINCESS HAT AND MITTEN KIT	1	70	SELLING PRICE
X	YOGA BASKET	1	250	SELLING PRICE
X	NECKLACE, BRACELET AND EARRINGS BY VIVA BEADS	1	54	SELLING PRICE
X	GOLF VEST	1	135	SELLING PRICE
X	VERA BRADLEY SIDE BY SIDE PURSE AND CARD KEEPER	1	81	SELLING PRICE
X	NITESWEATZ PAJAMAS	1	120	SELLING PRICE
X	AMAZON KINDLE WITH GIFT CARD	1	165	SELLING PRICE
X	SONY INTERNET TV BLUE RAY DISC PLAYER	1	400	SELLING PRICE
X	SCHLITTERBAHN KC WATERPARK IN KANSAS CITY	1	190	SELLING PRICE
X	PAMPER YOUR PET - DOG GROOMING BY PUCCI'S	1	43	SELLING PRICE
X	BALLET BIRTHDAY PARTY AND TUTU WITH HEADBAND	1	100	SELLING PRICE
X	PRIVATE SANTA PARTY	1	75	SELLING PRICE
X	HAND KNIT BABY SWEATER AND HAT	1	90	SELLING PRICE
X	REMOTE CONTROL HELICOPTER - TIGER	1	55	SELLING PRICE
X	REMOTE CONTROL HELICOPTER - TACTICAL	1	55	SELLING PRICE
X	POOL MEMBERSHIP TO MAPLE VILLAGE COUNTRY CLUB	1	475	SELLING PRICE
X	LINDSAY ERNST PHOTOGRAPHY SESSION AND 1 - 11X14	1	175	SELLING PRICE
X	THOMAS THE TRAIN PEDAL ENGINE	1	390	SELLING PRICE
X	EXTRA LARGE ELMO	1	150	SELLING PRICE
X	OLD FASHIONED GAME ASSORTMENT	1	90	SELLING PRICE
X	LORALEE AMANDAS PHOTOGRAPHY SESSION	1	175	SELLING PRICE
X	PUMP IT UP BOUNCE PARTY	1	264	SELLING PRICE
X	GIRLS' NIGHT OUT IN BENSON	1	105	SELLING PRICE
X	GIRL-THEMED BASKET	1	50	SELLING PRICE
X	DOG TREATS BASKET	1	15	SELLING PRICE
X	I-PAD	1	500	SELLING PRICE
X	MOTORCYCLE RIDE THROUGH THE LOESS HILLS	1	200	SELLING PRICE
X	DINNER FOR TWO AT ANTHONY'S AND A SCENIC AIRPLANE	1	250	SELLING PRICE
X	HENRY DOORLY ZOO GUIDED TOUR	1	50	SELLING PRICE
X	PACIFIC SPRINGS GOLF OUTING FOR FOUR WITH CART	1	180	SELLING PRICE
X	PORSCHE GT-2 CLUB COUPE RACING	1	150	SELLING PRICE
X	CWS TICKETS AND ROSENBLATT BOOK	1	95	SELLING PRICE
X	UNO MAV HOCKEY TICKETS	1	136	SELLING PRICE
X	KIM'S LOTTI BISCOTTI	1	75	SELLING PRICE
X	GOLF PACKAGE FOR 4 AT PACIFIC SPRINGS WITH COOLER	1	200	SELLING PRICE
X	DEER CREEK GOLF OUTING FOR FOUR WITH CART	1	320	SELLING PRICE
X	KANSAS CITY ROYALS BASEBALL TICKETS	1	64	SELLING PRICE
X	DISCOVERY FLIGHT AND SASM	1	64	SELLING PRICE
X	SIGNED FOOTBALL	1	175	SELLING PRICE
X	CABELA'S GIFT CERTIFICATE	1	100	SELLING PRICE
X	GOLF OUTING FOR FOUR AT SHADOW RIDGE COUNTRY CLUB	1	500	SELLING PRICE
X	FOUR TICKETS FOR A NEBRASKA CORNHUSKER FOOTBALL	1	1000	SELLING PRICE
X	DENVER BRONCO'S TICKETS	1	150	SELLING PRICE
X	MEMBERSHIP TO IMMANUEL/LAKESIDE WELLNESS CENTER	1	420	SELLING PRICE
X	MATRIX HAIR CARE PRODUCTS BASKET	1	65	SELLING PRICE
X	SALON AURA- COLOR, CUT & STYLE GIFT CERTIFICATE	1	90	SELLING PRICE
X	SALON AURA- PEDICURE/MANICURE GIFT CERTIFICATE	1	58	SELLING PRICE
X	SALON AURA GIFT CERTIFICATE - FACIAL & BROW WAX	1	55	SELLING PRICE
X	DESSERT OF THE MONTH FOR ONE YEAR	1	120	SELLING PRICE
X	T'EEZ SALON	1	120	SELLING PRICE
X	CLAUDE'S BEAUTORIUM - SALON SERVICES & GIFT BASKET	1	150	SELLING PRICE
X	MARY KAY BASKET	1	288	SELLING PRICE
X	MAKIN WAVES HAIR AND TANNING SALON	1	90	SELLING PRICE
X	CRABTREE & EVELYN	1	94	SELLING PRICE
X	WEIGHT MANAGEMENT BASKET	1	150	SELLING PRICE
X	DIAMOND	1	6000	SELLING PRICE
X	APPLE IPOD TOUCH	1	300	SELLING PRICE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
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 (14 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	PAUL EDGETT III AND ANTOINETTE HARDY-WALLER - 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 BOARD OF DIRECTORS, AND THE CORPORATION HEREBY DELEGATES TO THE ALEGENT BOARD OF DIRECTORS, TO THE EXTENT PERMITTED BY LAW, COMPLETE GOVERNANCE AUTHORITY OVER IT, SUBJECT ONLY TO THE APPROVAL POWERS OF THE ALEGENT CORPORATE MEMBERS SET FORTH IN THE ARTICLES OF INCORPORATION AND BYLAWS. DIRECTORS SHALL BE APPOINTED BY THE ALEGENT BOARD IMMEDIATELY FOLLOWING THE APPOINTMENT AND RATIFICATION BY ALEGENT CORPORATE MEMBERS OF THE ALEGENT DIRECTORS PURSUANT TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ALEGENT. THE ALEGENT BOARD SHALL APPOINT DIRECTORS SUCH THAT, AT ALL TIMES, ALL OF THE PERSONS SERVING AS ALEGENT 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 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 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 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, EXTERNAL TAX ADVISOR 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 AND THE BOARD IS NOTIFIED THAT THE FINAL FORM 990, WILL BE FILED ON MAY 15, 2012.
	WRITTEN CONFLICT OF INTEREST POLICY - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER HAS ADOPTED THE CONFLICT OF INTEREST POLICY AND CONFLICT INVESTIGATION PROCESS OF ALEGENT HEALTH, THE PARENT CORPORATION OF THE ALEGENT HEALTH SYSTEM. ANNUAL COMPLETION OF THE DISCLOSURE STATEMENT IS REQUIRED BY THE BOARD OF DIRECTORS. STATED DISCLOSURES ARE INVESTIGATED BY THE ALEGENT 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 12C
	THE GOVERNING BOARD 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 HEALTH CLINIC SENIOR VICE PRESIDENT ALEGENT HEALTH SYSTEM CHIEF OPERATIONS OFFICER SENIOR VICE PRESIDENT STRATEGY AND TECHNOLOGY (F/K/A CIO) 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 B, LINE 15
	THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE AT WWW.ALEGENT.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.	FORM 990, PART VI, SECTION C, LINE 19
	EXECUTIVES OF THE ALEGENT HEALTH SYSTEM HOURS WORKED ARE SPLIT OUT BETWEEN THE FILING ORGANIZATION AND AFFILIATE ORGANIZATIONS OF THE SYSTEM. THE FOLLOWING EMPLOYEES ARE EXECUTIVES OF THE ALEGENT HEALTH 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, MARTIN HICKEY, MD, PAUL EBMEIER AND NANCY WALLACE. THEREFORE, THEIR AVERAGE NUMBER OF HOURS WORKED PER WEEK FOR THE AFFILIATE ORGANIZATIONS ARE 46. LARRY BROWN, MD IS ALSO AN EXECUTIVE OF THE ALEGENT HEALTH SYSTEM, HOWEVER HIS HOURS ARE SPLIT BETWEEN TWO AFFILIATED ORGANIZATIONS. AVERAGE HOURS PER WEEK FOR AFFILIATE ORGANIZATIONS IS 60. ANTHONY HATCHER, MD IS AN EMPLOYED PHYSICIAN OF THE ALEGENT 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.	PART VII, SECTION A:
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 28,162,311. JOA CAPITAL EXPENDITURES -17,406,000. TRANSFERS TO OTHER ALEGENT AFFILIATES -39,359,000. CHANGE IN UNRESTRICTED ASSETS OF ALEGENT 45,395,000. OTHER MISCELLANEOUS CHANGES 218,616. CHANGE IN TEMP. RESTRICTED ASSETS OF ALEGENT 454,000. TRANSFERS FROM OTHER AFFILIATED ENTITIES 181,830. CHANGE IN PERM. RESTRICTED ASSETS OF ALEGENT 1,000. TOTAL TO FORM 990, PART XI, LINE 5: 17,647,757.	FORM 990, PART XI, LINE 5:
	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 HEALTH AND PAYROLL EXPENSES ARE ALLOCATED TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.	FORM 990, PART I, LINE 5 AND PART V, LINE 2A:
	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT HEALTH SYSTEM ARE MADE BY ALEGENT HEALTH, THEREFORE NO FORM 1099S ARE ISSUED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. ALEGENT 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 HEALTH ON BEHALF OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER ARE REPORTED TO THE IRS.	FORM 990, PART V, LINE 1C:
	ALEGENT HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, ALEGENT 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.	FORM 990, PART VI, SECTION B, LINE 16:
REASON FOR AMENDED FORM 990	THE AMENDMENT OF THE JUNE 30, 2011 FORM 990 IS DUE TO A CORRECTION OF SEVERANCE PAYMENTS TO MR. RICHARD HACHTEN II. ON APRIL 17, 2009, MR. HACHTEN WAS SEPARATED FROM EMPLOYMENT AS THE PRESIDENT FOR "GOOD REASON," AS DESCRIBED IN HIS EMPLOYMENT AGREEMENT WITH ALEGENT HEALTH. ON OCTOBER 19, 2009, MR. HACHTEN WAS REHIRED BY ALEGENT HEALTH AS THE CEO/PRESIDENT. AT THE TIME OF HIS SEPARATION, MR. HACHTEN WAS ENTITLED TO RECEIVE SEVERANCE PAY AND RETIREMENT BENEFITS. MR. HACHTEN'S 2010 TAXABLE INCOME SHOULD HAVE INCLUDED ADDITIONAL SEVERANCE PAY ACCORDING TO HIS EMPLOYMENT AGREEMENT WITH ALEGENT HEALTH, THEREFORE, HE WAS ISSUED AMENDED W-2C'S TO CORRECTLY REPORT TAXABLE INCOME. THE FORM 990 WAS AMENDED TO REFLECT THE COMPENSATION REPORTED ON THE FORM W-2C FOR MR. HACHTEN. THE AMENDMENT AFFECTS PAGES 7, 8, 55 AND 58 OF THIS FORM 990. PART VI, SECTION B, LINE 11: THE AMENDED FORM 990 HAS BEEN PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS THROUGH AN ELECTRONIC PORTAL FOR REVIEW PRIOR TO FILING. THE TAX DIRECTOR AND CHIEF FINANCIAL OFFICER WERE PRESENT AT THE COMMITTEE AND BOARD OF DIRECTOR'S MEETING TO ANSWER QUESTIONS ABOUT THE AMENDMENT.	PART VII, SCHEDULE A, SCHEDULE J, PART I, LINE 4A AND SCHEDULE J, PART II

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 HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	470757164	LICENSED HOSPITAL/ADMINISTRATIVE SUPPORT	NE	501(C)(3)	L3	N/A	0
ALEGENT HEALTH CLINIC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470765154	CLINICAL SERVICES	NE	501(C)(3)	L3		0	ALEGENT 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 HEALTH
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
7500 MERCY ROAD	OMAHA	NE	68124	470484764	LICENSED HOSPITAL	NE	501(C)(3)	L3		0	ALEGENT 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	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Code VCodeVAmount
AVANTAS LLC
11128 JOHN GALD BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	N/A	N/A	0	0	0.00000
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLZ STE 206	OMAHA	NE	68130	204267902	AMBULATORY SURGICAL CENTER	NE	N/A	N/A	0	0	0.00000
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SERVICES	NE	N/A	N/A	0	0	0.00000
OMAHA AMBULATORY INVESTMENT COMPANY LLC
12809 WEST DODGE ROAD	OMAHA	NE	68154	061786989	PARENT HOLDING COMPANY ASC	NE	N/A	N/A	0	0	0.00000
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68154	061786985	DIAGNOSTIC TESTING FACILITY	NE	N/A	N/A	0	0	0.00000
PRAIRIE HEALTH VENTURES LLC
421 S 9TH STREET STE 102	LINCOLN	NE	68508	204962103	PROFESSIONAL TECH SERVICES	NE	N/A	RELATED	0	1	0.68870	2044924	3033356	$4,804
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBULATORY SURGICAL CENTER	NE	N/A	N/A	0	0	0.00000
NEBRASKA SPINE LLC
6901 NORTH 72ND STREET STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	N/A	N/A	0	0	0.00000

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 NA	N/A	DirectControllingEntityNA
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	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT 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	89467	TotalDirectLobbying
Total Lobbying Expenditures	89467	TotalLobbyingExpenditures
Other Exempt Purpose Expenditures	236149570	OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures	236239037	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