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        <Explanation>BRYANLGH MEDICAL CENTER IS A MEMBER OF THE NEBRASKA HOSPITAL ASSN (NHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE NHA OF $108,239; OF THIS AMOUNT THE NHA REPORTED THAT 7.68% OR $8,313 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. SCHEDULE C, PART II-B, LINE G ON VARIOUS OCCASIONS THROUGHOUT THE YEAR, THE CEO MET WITH STATE AND LOCAL LEGISLATORS TO DISCUSS ISSUES RELATED TO HEALTHCARE. WHILE SOME RELATED TO HEALTHCARE REFORM, OTHER ISSUES DISCUSSED INCLUDED MEETING THE NEEDS OF INDIGENT/UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS THE ONGOING NEED FOR HEALTH SERVICES INCLUDING MENTAL HEALTH SERVICES FOR THE COMMUNITY.</Explanation>
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        <OtherCostOrOtherBasis>9573616</OtherCostOrOtherBasis>
        <BookValue>9573616</BookValue>
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      <Buildings>
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        <OtherCostOrOtherBasis>397897406</OtherCostOrOtherBasis>
        <Depreciation>139897093</Depreciation>
        <BookValue>258000313</BookValue>
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        <OtherCostOrOtherBasis>321677</OtherCostOrOtherBasis>
        <Depreciation>210507</Depreciation>
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        <OtherCostOrOtherBasis>225314991</OtherCostOrOtherBasis>
        <Depreciation>157762867</Depreciation>
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        <OtherCostOrOtherBasis>11525458</OtherCostOrOtherBasis>
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        <Description>DEFERRED FINANCING COSTS, NET</Description>
        <BookValue>1367031</BookValue>
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      <OtherAssets>
        <Description>RECS FROM CRETE AREA MEDICAL</Description>
        <BookValue>14783826</BookValue>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <TotalBookValueOtherAssets>43211790</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>SELF INSURANCE LIABILITY</Description>
        <Amount>725000</Amount>
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      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITY</Description>
        <Amount>10700931</Amount>
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      <OtherLiabilities>
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        <Amount>4608795</Amount>
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      <OtherLiabilities>
        <Description>CRETE AREA MEDICAL 2008C BOND</Description>
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      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>44890</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ORIGINAL ISSUE PREMIUM</Description>
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      <OtherLiabilities>
        <Description>ACCRUED PENSION BENEFIT OBLIGA</Description>
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      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>10331501</Amount>
      </OtherLiabilities>
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        <Identifier>INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>BRYANLGH MEDICAL CENTER'S ("MEDICAL CENTER") ENDOWMENT FUNDS ARE ESTABLISHED TO PROVIDE FOR LOANS FOR THE STUDENTS WHO ATTEND THE BRYANLGH COLLEGE OF HEALTH SCIENCES. BRYANLGH COLLEGE OF HEALTH SCIENCES PROVIDES HEALTHCARE PROFESSIONAL EDUCATION WITH PROGRAMS LEADING TO GRADUATE AND UNDERGRADUATE ACADEMIC DEGREES. BRYANLGH COLLEGE OF HEALTH SCIENCES IS PART OF THE MEDICAL CENTER AND ITS OPERATIONS ARE INCLUDED THE MEDICAL CENTER'S FORM 990. FOOTNOTE FROM THE ORG FIN STMTS THAT REPORTS LIABILITY UNDER FIN 48 SCHEDULE D, PART X, LINE 2 THE CONSOLIDATED FINANCIAL STATEMENTS OF BRYANLGH HEALTH SYSTEM AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 AS THEY WERE DEEMED IMMATERIAL FOR DISCLOSURE.</Explanation>
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      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
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      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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        <NetCommunityBenefitExpense>3122367</NetCommunityBenefitExpense>
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        <NetCommunityBuildingExpense>143154</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>143154</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
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      <BadDebtExpenseAmount>5682994</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>134348804</AmountReimbursedByMedicare>
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      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
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        <LicensedHospital>X</LicensedHospital>
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        <Name>
          <BusinessNameLine1>BRYANLGH MEDICAL CENTER WEST</BusinessNameLine1>
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        <Address>
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          <City>LINCOLN</City>
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        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
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          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
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          <Address>
            <AddressLine1>1500 SOUTH 48TH ST SUITE 400</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68506</ZIPCode>
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          <FacilityType>CATH LAB SERVICES</FacilityType>
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        <OtherFacilities>
          <Name>
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          <Address>
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            <City>LINCOLN</City>
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        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
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          <Address>
            <AddressLine1>2222 SOUTH 16TH ST TOWER B SUITE</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68502</ZIPCode>
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          <FacilityType>RADIOLOGY SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2221 SOUTH 17TH ST SUITE 100</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68502</ZIPCode>
          </Address>
          <FacilityType>LABORATORY SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1600 SOUTH 48TH ST SUITE 600 RM</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68506</ZIPCode>
          </Address>
          <FacilityType>CARDIAC OUTPATIENT SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3901 PINE LAKE ROAD SUITE 110</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68516</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT RADIOLOGY SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1500 SOUTH 48TH ST SUITE 614 RM</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68506</ZIPCode>
          </Address>
          <FacilityType>VASCULAR OUTPATIENT SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1640 LAKE ST</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68502</ZIPCode>
          </Address>
          <FacilityType>COUNSELING SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2222 SOUTH 16TH ST TOWER B SUITE</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68502</ZIPCode>
          </Address>
          <FacilityType>MRI SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7501 S 27TH ST</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68512</ZIPCode>
          </Address>
          <FacilityType>THERAPY SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3901 PINE LAKE ROAD SUITE 111</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68516</ZIPCode>
          </Address>
          <FacilityType>LINEAR ACCELERATOR &amp; CT SCANNER SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7441 O ST SUITE 105</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68510</ZIPCode>
          </Address>
          <FacilityType>MAMMOGRAPHY SERVICES CENTER CLOSED EFF. 2/1/2011</FacilityType>
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      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI</ReturnReference>
        <Explanation>PART 1, LINE 3C: IN RECENT YEARS, BRYANLGH MEDICAL CENTER AND THE AFFILIATES OF BRYANLGH HEALTH SYSTEM HAVE FOCUSED ON IDENTIFYING AND ADOPTING MANY OF OUR INDUSTRY'S GOVERNANCE BEST PRACTICES IN ORDER TO PROVIDE THE BEST CARE FOR THE COMMUNITIES WE SERVE. DURING FISCAL YEAR 2011, BRYANLGH MEDICAL CENTER AND AFFILIATES TOOK ANOTHER IMPORTANT STEP IN THIS DIRECTION BY BRINGING GREATER AND MORE THOUGHTFUL CONSISTENCY TO PATIENT CHARITY AND PAYMENT COLLECTION PRACTICES BY DEVELOPING A SYSTEM WIDE FINANCIAL ASSISTANCE POLICY. THIS SYSTEM WIDE POLICY WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM ON DECEMBER 16, 2010. MEMBERS OF THE FINANCE COMMITTEE ARE COMPOSED OF VOLUNTEER BOARD MEMBERS WHO ALL RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA, AND UNDERSTAND THE NEEDS OF THE COMMUNITY. OUR NEW POLICY IS DESIGNED TO PROVIDE FAIR DISCOUNTS AND CATASTROPHIC PROTECTION TO LOW INCOME UNINSURED PATIENTS AND ENSURES CONSISTENT AND FAIR COLLECTION PRACTICES THROUGHOUT THE HEALTH SYSTEM. THE GUIDELINES OF THE POLICY PROVIDE FOR FULL CHARITY CARE TO LOW INCOME UNINSURED PATIENTS EARNING LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). THIS POLICY ALSO PROVIDES DISCOUNTED CARE FOR OUR LOW INCOME UNINSURED PATIENTS EARNING BETWEEN 200% AND 400% OF THE FPG. THESE DISCOUNTS ARE APPLIED BY USING A SLIDING SCALE FEE SCHEDULE TO CALCULATE THE PERCENTAGE OF THE BALANCE DUE. UNDER THE CATASTROPHIC SECTION OF THE POLICY, A PATIENT'S BILL WILL NEVER EXCEED 30% OF THEIR ANNUAL INCOME. PART I, LINE 6A: BRYANLGH MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED ANNUALLY BY BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THIS BRYANLGH HEALTH SYSTEM COMMUNITY BENEFIT REPORT DESCRIBES THE PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT ARE SERVED BY BRYANLGH MEDICAL CENTER AND ITS AFFILIATES. THE REPORT IS MAILED TO VARIOUS HOUSEHOLDS IN EASTERN NEBRASKA AND THE SURROUNDING AREA. THE REPORT IS ALSO AVAILABLE ONLINE AT WWW.BRYANLGH.COM/COMMUNITYBENEFIT. PART I, LINE 7G: THE SUBSIDIZED COSTS REPORTED ON LINE 7G DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LINE 7 COLUMN (F) BAD DEBT EXPENSE INCLUDED IN TOTAL EXPENSES ON FORM 990, PART IX, LINE 25(A) IS $15,192,413. THIS BAD DEBT EXPENSE WAS SUBTRACTED FROM EXPENSES FOR PURPOSES OF CALCULATING THE PERCENTAGE LISTED IN COLUMN (F) ($435,995,058 - 15,192,413 = $420,802,645). PART I, LINE 7 THE MEDICAL CENTER'S UNCOMPENSATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. DIRECT AND INDIRECT COSTS WERE DEDUCTED FROM PAYMENTS TO CALCULATE THE AMOUNTS ON 7B AND 7C. FOR LINES 7E, 7F, 7G AND 7I, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY. PART II, COMMUNITY BUILDING ACTIVITIES: The Medical Center is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including disease prevention, health improvement, education and access to care. Many of our employees serve on community collaboration boards and health advocacy programs to further the health of the communities we serve. And, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. PART III, LINE 4: THE COST OF BAD DEBT EXPENSE WAS DETERMINED BY TAKING THE MEDICAL CENTER'S BAD DEBT COST-TO-CHARGE RATIO TIMES THE BAD DEBT EXPENSE THAT WAS STATED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED MAY 31, 2011. The amount of the Medical Center's bad debt expense at cost attributable to patients eligible under the Medical Center's charity care policy is estimated to be zero based on the following: (1) BryanLGH Medical Center has established policies that define charity care and provide guidelines for assessing a patient's ability to pay; and once eligibility is verified, the Medical Center will write accounts off to charity care and no longer pursue debt collection procedures; (2) BryanLGH Medical Center has counselors who work individually with each patient both pre and post discharge to assess financial need and recommend appropriate assistance; (3) BryanLGH Medical Center provides presumptive financial assistance when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to the lack of supporting documentation. Once determined, due to the inherent nature of presumptive circumstances, the only discount that can be granted is a 100% write-off of the account balance. THE FOLLOWING IS THE FOOTNOTE FROM BRYANLGH HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE: "ADDITIONS TO THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS (BAD DEBTS EXPENSE). ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE, AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. INFORMATION USED IN MANAGEMENT'S ASSESSMENT INCLUDES ITS REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFS THAT REPRESENT A MAJORITY OF THE SYSTEM'S REVENUES AND ACCOUNTS RECEIVABLE. MANAGEMENT EVALUATES THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE BY EVALUATING ITS PAYOR COMPOSITION AND AGING AND BY UTILIZING ITS REVIEW OF THE RESULTS OF HISTORICAL COLLECTIONS AND WRITE-OFF EXPERIENCE, ADJUSTED FOR CHANGES IN TRENDS AND CONDITIONS, TO DETERMINE THE ALLOWANCE FOR THE CURRENT REPORTING DATE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES." PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION. THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. HOSPITALS RELIEVE THE GOVERNMENT OF A FINANCIAL BURDEN WHEN THEY PROVIDE CARE TO PUBLICLY INSURED PATIENTS. PART III, LINE 9B: N/A PART V, SECTION B: N/A PART VI, LINE 2, NEEDS ASSESSMENT: BryanLGH Medical Center is committed to improving the health of our community by continually working with community partners to assess the health needs of the community. The Medical Center has participated over the past fifteen years in community needs assessments in cooperation with other health care providers and the Lincoln-Lancaster County Health Department through a collaborative group called Health Partners Initiative. The group has held community forums and conducted community needs assessments over the years and has participated in the development of Healthy People 2010 Plan for Lincoln-Lancaster County. In addition, the Medical Center is actively participating in the MAPP Steering Committee (Mobilizing for Action through Planning and Partnership). MAPP is an 18-month community-driven strategic planning process to identify health needs and develop a Community Health Improvement Plan. The process is scheduled to be completed in 2012. The Medical Center will utilize this data to update service line and overall strategic plans for the organization to meet the health needs of the community. In addition to participation in community health status needs assessments, BryanLGH conducts an annual perception survey both locally, in Lincoln-Lancaster County and regionally across the state. The survey assesses perception of the quality and availability of health care providers in the region. In addition, as part of the annual strategic planning process, the Medical Center assesses market share and utilization trends as well as changes in population demographics. PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AT BRYANLGH MEDICAL CENTER WE ARE COMMITTED TO TREATING ALL PATIENTS WITH COMPASSION. THIS IS AN IMPORTANT PART OF OUR MISSION. BRYANLGH MEDICAL CENTER HAS FINANCIAL ASSISTANCE PROCEDURES THAT REFLECT OUR COMMITMENT TO PROVIDE ASSISTANCE TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING OUR CHARITY CARE POLICY IS PROVIDED AT EACH NEW EMPLOYEE ORIENTATION SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. BRYANLGH MEDICAL CENTER HAS TRAINED COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENT'S FINANCIAL NEED. THE COUNSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIO</Explanation>
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        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>990 SCHEDULE H, PART VI</ReturnReference>
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          <ZIPCode>68503</ZIPCode>
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        <ReturnReference>Description of Organization's Procedures for Monitoring the Use of Grants:</ReturnReference>
        <Explanation>THE ORGANIZATION RECEIVING THE GRANT IS REQUIRED TO SUBMIT INVOICES FOR THE COST OF THE EQUIPMENT/PROJECT, BEFORE BRYANLGH MEDICAL CENTER RELEASES ANY FUNDS TO THE ORGANIZATION. THE ORGANIZATION IS ALSO REQUIRED TO SUBMIT NEWSPAPER CLIPPINGS/NEWSLETTERS TO PROVE THAT THE FUNDS WERE USED FOR THEIR INTENDED PURPOSE.</Explanation>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID BINGHAM MD</NamePerson>
        <BaseCompensationFilingOrg>504512</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>269281</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>17295</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13475</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17354</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>821917</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STUART MYERS MD</NamePerson>
        <BaseCompensationFilingOrg>479461</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>145229</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>17295</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13475</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21028</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>676488</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES MEYER</NamePerson>
        <BaseCompensationFilingOrg>134850</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>15830</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>30090</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16377</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17295</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>214442</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM CORKLE</NamePerson>
        <BaseCompensationFilingOrg>115658</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>33151</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>13311</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7462</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>182082</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RUSSELL GRONEWOLD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>279814</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>9936</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19174</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>308924</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES CUDDEFORD</NamePerson>
        <BaseCompensationFilingOrg>156711</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4038</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14518</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7385</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>182652</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JENNIFER LESOING-LUCS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>22938</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>482497</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>1752</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>20281</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>527468</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>280252</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>QUESTIONS REGARDING COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>TRAVEL OF COMPANIONS: SEVERAL OF THE MEMBERS OF THE BOARD OF THE TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYANLGH MEDICAL CENTER ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYANLGH MEDICAL CENTER. REIMBURSEMENT FOR COMPANIONS IS LIMITED BY THE BOARD OF TRUSTEES' TRAVEL POLICY TO AIR TRAVEL AT THE COACH LEVEL. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER OF BRYANLGH HEALTH SYSTEM, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES. CEO/EXECUTIVE COMPENSATION SCHEDULE J, PART I, LINE 3 The Health System Board of Trustees believes compensation for the senior management team must reflect the complexities of leading and managing a multi-hospital health system that provides services throughout much of the state. The Health System board recognizes that leaders of the Health System are responsible for the quality of care, patient services and overall financial health of the largest private employer in Lincoln/Lancaster County. The Health System board has established a compensation plan that matches this level of responsibility. This Plan, known as the Senior Management Compensation Philosophy is reviewed at least annually by the Health System Board of Trustees and the Compensation Committee. This Compensation Philosophy targets base salary for senior managers at the 50th percentile of the market. The Compensation Committee is appointed by the Health System Board of Trustees and is made up of independent community leaders who all serve voluntarily, and who must adhere to a stringent conflict of interest policy. Executive compensation is determined and reviewed pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation Section 53.4958-6. The Compensation Committee conducts a comprehensive annual review of all compensation and benefits provided by the organization to the senior management team. This review is conducted by the Committee by utilizing national salary surveys, conducted by independent external firms. Compensation for senior managers is compared to compensation of senior managers at like institutions across the U.S. to determine that the value of compensation and benefits provided are reasonable and at fair market value. The Compensation Committee also works directly with an external independent compensation consultant to review the reasonableness of total compensation provided to the senior management team, and to assure that the total compensation paid conforms to the overall Compensation Philosophy. The compensation consultant provides written opinions to the Compensation Committee that assesses the reasonableness of the total executive compensation paid to senior managers. All decisions of the Compensation Committee are contemporaneously documented in the Compensation Committee minutes which are timely reviewed and approved by the Committee. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A JENNIFER LESOING-LUCS, FORMER VP-FINANCE AND CFO OF BRYANLGH HEALTH SYSTEM, RECEIVED SEVERANCE PAYMENTS TOTALING $280,252 DURING CALENDAR YEAR 2010. MS. LESOING-LUCS RECEIVED SEVERANCE PAYMENTS TOTALING $30,693 DURING CALENDAR YEAR 2011. THIS COMPENSATION HAS BEEN INCLUDED AS REQUIRED ON SCHEDULE J, PART II. LAWRENCE ELLIOTT, FORMER VP-DIAGNOSTIC &amp; TREATMENT SERVICES, OF BRYANLGH MEDICAL CENTER, RECEIVED SEVERANCE PAYMENTS, TOTALING $101,166 DURING CALENDAR YEAR 2011. THIS COMPENSATION HAS BEEN INCLUDED AS REQUIRED ON SCHEDULE J, PART II. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART 1, LINE 4B THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN, OR RECEIVED A PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KATHLEEN CAMPBELL: $42,974 CAROLYN CODY, MD: $38,478 LAWRENCE ELLIOTT: $83,094 Jennifer Lesoing-Lucs: $111,348 DAVID REESE: $7,971 KIMBERLY RUSSEL: $216,065 SHIRLEY TRAVIS: $31,950 COMPENSATION CONTINGENT ON REVENUES OR NET EARNINGS SCHEDULE J, PART 1, LINE 5A IN THE CASE OF CERTAIN PHYSICIAN EMPLOYEE AGREEMENTS, COMPENSATION IS PAID ON A PERCENTAGE OF PROFESSIONAL COLLECTIONS PERFORMED ABOVE A PREDETERMINED THRESHOLD. FOUR PHYSICIANS RECEIVED CONTINGENT COMPENSATION PAYMENTS DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2010. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES &amp; KEY EMPLOYEES SCHEDULE J, PART II IN KEEPING WITH BRYANLGH HEALTH SYSTEM'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF TRUSTEES, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICE AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION. COMPENSATION AMOUNTS REPORTED ON SCHEDULE J, PART II ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2010.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTHORITY NO 1 OF LANCASTER COUNTY NE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>470721900</IssuerEIN>
        <CUSIPNumber>513886SR3</CUSIPNumber>
        <DateIssued>2008-05-27</DateIssued>
        <IssuePrice>115216759</IssuePrice>
        <DescriptionOfPurpose>REFUNDED SERIES 2007A &amp; 2002 B</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTHORITY NO 1 OF SALINE COUNTY NE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>470843167</IssuerEIN>
        <CUSIPNumber>79517TAW6</CUSIPNumber>
        <DateIssued>2008-05-27</DateIssued>
        <IssuePrice>13480000</IssuePrice>
        <DescriptionOfPurpose>REFUNDED SERIES 2007B BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTHORITY NO 1 OF LANCASTER COUNTY NE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>470490169</IssuerEIN>
        <CUSIPNumber>513886RR4</CUSIPNumber>
        <DateIssued>2006-12-21</DateIssued>
        <IssuePrice>61381548</IssuePrice>
        <DescriptionOfPurpose>REFUNDED SER 1997A &amp; 1997B BON</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>115216759</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>981595</IssuanceCostsFromProceeds>
        <CreditEnhancement>859107</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>13480000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>88670</IssuanceCostsFromProceeds>
        <CreditEnhancement>141505</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>61381548</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>555587</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>PIPER JAFFRAY</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>22.</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>PIPER JAFFRAY</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>22.</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>TAX EXEMPT BONDS</Identifier>
        <ReturnReference>SCHEDULE K, PART 1, LINE A</ReturnReference>
        <Explanation>THE REFUNDED SERIES 2007A BONDS WERE ISSUED ON FEBRUARY 8, 2007. THE REFUNDED SERIES 2002 BONDS WERE ISSUED ON DECEMBER 20, 2002. SCHEDULE K, PART I, LINE B THE REFUNDED SERIES 2007B BONDS WERE ISSUED ON FEBRUARY 8, 2007. SCHEDULE K, PART I, LINE C THE REFUNDED SERIES 1997A BONDS WERE ISSUED ON SEPTEMBER 18, 1997. THE REFUNDED SERIES 1997B BONDS WERE ISSUED ON OCTOBER 31, 1997. SCHEDULE K, PART III PART III HAS NOT BEEN COMPLETED GIVEN THAT ALL REFUNDED BONDS WERE ISSUED SOLELY TO REFUND BONDS ISSUED PRIOR TO 2003.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>US BANK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>22015769</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR BANKING SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>NEBRASKA EMERGENCY MEDICINE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>1096592</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR EMERGENCY PHYS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ED ASSOCIATES LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>339040</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR MED DIRECTOR FEES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LINCOLN POULTRY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>107541</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR FOOD SERV PRODUCTS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PRAIRIE SURGICAL ASSOCIATES PC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>110795</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR PHYSICIAN SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>RELATIONSHIPS BETWEEN INTERESTED PERSON AND THE ORGANIZATION</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, COLUMN (B)</ReturnReference>
        <Explanation>(1) BOARD MEMBER STEVE ERWIN IS ALSO AN OFFICER OF US BANK (2) &amp; (3) BOARD MEMBER EDWARD MLINEK, M.D. IS ALSO AN OFFICER OF NEBRASKA EMERGENCY MEDICINE AND E.D. ASSOCIATES, LLC (4) BOARD MEMBER RICHARD EVNEN WAS ALSO AN OFFICER OF LINCOLN POULTRY UNTIL JULY, 2010. (5) KEVIN MOTA, M.D. IS ALSO AN OFFICER OF PRAIRIE SURGICAL ASSOCIATES, PC</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Description of Relationships</Identifier>
        <ReturnReference>Form 990, Part VI, Question 2</ReturnReference>
        <Explanation>The following business and family relationships were reported during the fiscal year between the organization's trustees, officers or key employees. Business Relationships: STEVE ERWIN AND BYRON BOSLAU STEVE ERWIN AND RICHARD EVNEN STEVE ERWIN AND RON HARRIS STEVE ERWIN AND JENNIFER LESOING-LUCS STEVE ERWIN AND MARTIN MASSENGALE STEVE ERWIN AND KIMBERLY RUSSEL STEVE ERWIN AND JOHN WOODRICH FAMILY RELATIONSHIP: GENE BRAKE AND DAVID REESE DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE MEMBER OF THE ORGANIZATION IS BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM"). HEALTH SYSTEM HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: (1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; (2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND (3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") AS SOLE MEMBER OF THE ORGANIZATION, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A TWO-THIRDS (2/3) VOTE OF THE VOTING TRUSTEES OF HEALTH SYSTEM. DESCR CLASSES OF PERSONS, DECISIONS REQ APPR &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") IS THE SOLE MEMBER OF BRYANLGH MEDICAL CENTER ("MEDICAL CENTER"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF THE MEDICAL CENTER MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM (1) ADOPT ANY LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $5,000,000 IN ANY SINGLE TRANSACTION OR $10,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR STRATEGIC PLAN; (4) APPROVE ANY INDEBTEDNESS OR INCUR A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $5,000,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (5) ENGAGE IN OR ENTER INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION OF $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (6) APPROVE THE ELECTION OF MEMBERS OF THE BOARD; (7) APPROVE THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER; (8) APPROVE PARTICIPATION IN OTHER HEALTH CARE SYSTEMS BY AFFILIATION OR MERGER; (9) APPROVE ITS LIQUIDATION OR DISSOLUTION; (10) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY INTEREST IN, AS ALLOWED BY THE CODE, OF ANY CORPORATION, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP; TRUST, SHARED SERVICE ARRANGEMENT; JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURES OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY SINGLE TRANSACTION EXCEEDS $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (11) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE SYSTEM'S GOALS AND OBJECTIVES. DESCRIBE THE PROCESS USED BY MGMT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THIS FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS ALSO REVIEWED BY BRYANLGH HEALTH SYSTEM'S CEO AND CFO. THE 990 WAS DISTRIBUTED TO EACH MEMBER OF BRYANLGH HEALTH SYSTEM'S FINANCE COMMITTEE PRIOR TO THE SUBMISSION OF THE FORM TO THE INTERNAL REVENUE SERVICE. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST FORM 990, PART VI, QUESTION 12C BRYANLGH MEDICAL CENTER ("MEDICAL CENTER") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION. BOARD MEMBERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST. THE GOVERNANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM REVIEWS ALL IDENTIFIED CONFLICTS RELATIVE TO THE MEMBER'S ABILITY TO VOTE ON CERTAIN TYPES OF TRANSACTIONS AND/OR WHETHER ANY IDENTIFIED CONTRACTS/TRANSACTIONS WILL REQUIRE FURTHER REVIEW/ALTERATION. OFFICES/POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15 The Health System Board of Trustees believes compensation for the senior management team must reflect the complexities of leading and managing a multi-hospital health system that provides services throughout much of the state. The Health System board recognizes that leaders of the Health System are responsible for the quality of care, patient services and overall financial health of the largest private employer in Lincoln/Lancaster County. The Health System board has established a compensation plan that matches this level of responsibility. This Plan, known as the Senior Management Compensation Philosophy is reviewed at least annually by the Health System Board of Trustees and the Compensation Committee. This Compensation Philosophy targets base salary for senior managers at the 50th percentile of the market. The Compensation Committee is appointed by the Health System Board of Trustees and is made up of independent community leaders who all serve voluntarily, and who must adhere to a stringent conflict of interest policy. Executive compensation is determined and reviewed pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation Section 53.4958-6. The Compensation Committee conducts a comprehensive annual review of all compensation and benefits provided by the organization to the senior management team. This review is conducted by the Committee by utilizing national salary surveys, conducted by independent external firms. Compensation for senior managers is compared to compensation of senior managers at like institutions across the U.S. to determine that the value of compensation and benefits provided are reasonable and at fair market value. The Compensation Committee also works directly with an external independent compensation consultant to review the reasonableness of total compensation provided to the senior management team, and to assure that the total compensation paid conforms to the overall Compensation Philosophy. The compensation consultant provides written opinions to the Compensation Committee that assesses the reasonableness of the total executive compensation paid to senior managers. All decisions of the Compensation Committee are contemporaneously documented in the Compensation Committee minutes which are timely reviewed and approved by the Committee. JOINT VENTURE POLICY FORM 990, PART VI, QUESTION 16B ON NOVEMBER 1, 2010, BRYANLGH HEALTH SYSTEM AND ITS AFFILIATES ADOPTED A WRITTEN JOINT VENTURE POLICY TO PROTECT THE TAX-EXEMPT STATUS OF THE HEALTH SYSTEM AND AFFILIATES.</Explanation>
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        <Explanation>AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. AS A CONDITION RELATED TO BOND DISCLOSURE REQUIREMENTS, THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW ON THE MUNICIPAL SECURITIES RULEMAKING BOARD WEBSITE AT THE FOLLOWING ADDRESS: HTTP://EMMA.MSRB.ORG. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES &amp; KEY EMPLOYEES FORM 990, PART VII, SECTION A IN KEEPING WITH BRYANLGH HEALTH SYSTEM'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON BRYANLGH MEDICAL CENTER'S BOARD, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS BOARD MEMBERS. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PROVIDED AS MEDICAL PROFESSIONALS OR EXECUTIVES OF THE ORGANIZATION, OR A RELATED ORGANIZATION. COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A, COLUMNS (D),(E) AND (F) ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2010. OVERSIGHT OF CONSOLIDATED AUDIT FORM 990, PART XI, QUESTION 2C BRYANLGH MEDICAL CENTER'S FINANCIAL STATEMENTS WERE AUDITED AS PART OF A CONSOLIDATED FINANCIAL STATEMENT FOR BRYANLGH HEALTH SYSTEM, THE ORGANIZATION'S SOLE MEMBER. THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS, AND THE SELECTION OF THE INDEPENDENT ACCOUNTING FIRM THAT PERFORMS THE AUDIT. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, QUESTION 5 DESCRIPTION AMOUNT UNREALIZED GAINS ON INVESTMENT, NET $ 2,719,044 PENSION LIABILITY ADJUSTMENT $ 6,833,124 CORPORATE COST ALLOCATION TRANSFERS $ 21,652,906 CHANGE IN TEMP RESTRICTED INTEREST-BRYANLGH FOUNDATION $ 1,592,203 OTHER CHANGES IN TEMP RESTRICTED NET ASSETS, NET $ 9,518 CHANGE IN PERM RESTRICTED INTEREST-BRYANLGH FOUNDATION $ 182,125 TRANSFER (TO) FROM RELATED ENTITY $(47,985,386) DEBT FINANCED RESIDENTIAL RENTAL PROPERTY $ 23,892 RENT FROM RELATED ENTITY $ 16,944 DEFERRED TAX BENEFIT $ (65,005) MEDICAL STAFF SERVICES NET ASSETS $ 13,927 ROUNDING $ (9) ------------- TOTAL $(15,006,717)</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN WOODRICH TITLE:CHIEF OPERATING OFFICER HOURS:1</Explanation>
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        <Explanation>NAME:KIMBERLY RUSSEL TITLE:PRESIDENT &amp; CEO HOURS:36</Explanation>
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        <Explanation>NAME:CAROLYN CODY, M.D. TITLE:TRUSTEE HOURS:2</Explanation>
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        <Explanation>NAME:RUSSELL GRONEWOLD TITLE:VP-FIN &amp; CFO, EFF. 1/19/10 HOURS:32</Explanation>
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        <Explanation>NAME:KATHLEEN CAMPBELL TITLE:VP-PATIENT CARE SERVICES, CNO HOURS:1</Explanation>
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        <Explanation>NAME:SHIRLEY TRAVIS TITLE:VP-CLINICAL SERVICES HOURS:24</Explanation>
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