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          <NamePerson>SWANSON RUSSELL ASSOCIATES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1222 P STREET</AddressLine1>
            <City>LINCOLN</City>
            <State>NE</State>
            <ZIPCode>68508</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ADVERTISING</DescriptionOfServices>
        <Compensation>617145</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>HEWLETT PACKARD</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8000 FOOTHILLS BLVD</AddressLine1>
            <City>ROSEVILLE</City>
            <State>CA</State>
            <ZIPCode>95747</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE SUPPORT</DescriptionOfServices>
        <Compensation>530921</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>LAWSON SOFTWARE AMERICAS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
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            <City>ST PAUL</City>
            <State>MN</State>
            <ZIPCode>55102</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE SUPPORT</DescriptionOfServices>
        <Compensation>373305</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>STUDOR GROUP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
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            <City>GULF BREEZE</City>
            <State>FL</State>
            <ZIPCode>32561</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ERNST YOUNG</NamePerson>
        </NameOfContractor>
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            <ZIPCode>60693</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>AUDIT &amp; TAX</DescriptionOfServices>
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      <NumberOfContractorsGT100K>9</NumberOfContractorsGT100K>
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      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>21594</TotalContributions>
      <ProgramServiceRevenue>
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      </RoyaltiesRevenue>
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      <OtherRevenueMisc>
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      <OtherRevenueMisc>
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        <ExclusionAmount>743255</ExclusionAmount>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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      </ForeignGrants>
      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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      </PayrollTaxes>
      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>212816</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>189807</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ManagementAndGeneral>49317</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>738047</ProgramServices>
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      </FeesForServicesOther>
      <Advertising>
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        <ManagementAndGeneral>693600</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
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        <ProgramServices>358848</ProgramServices>
        <ManagementAndGeneral>98749</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
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        <ProgramServices>1552276</ProgramServices>
        <ManagementAndGeneral>427163</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
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        <ProgramServices>82635</ProgramServices>
        <ManagementAndGeneral>22740</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>43390</Total>
        <ProgramServices>34026</ProgramServices>
        <ManagementAndGeneral>9364</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>9</ProgramServices>
        <ManagementAndGeneral>2</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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      </PaymentsToAffiliates>
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        <ProgramServices>1069898</ProgramServices>
        <ManagementAndGeneral>294420</ManagementAndGeneral>
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      <Insurance>
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        <ManagementAndGeneral>37411</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>CORPORATE COST ALLOCATION</Description>
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        <ManagementAndGeneral>-22315831</ManagementAndGeneral>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>SEPARATION EXPENSES</Description>
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        <ProgramServices>122605</ProgramServices>
        <ManagementAndGeneral>33739</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEMBERSHIP DUES</Description>
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        <ProgramServices>1442</ProgramServices>
        <ManagementAndGeneral>136949</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TAXES</Description>
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        <ProgramServices>150966</ProgramServices>
        <ManagementAndGeneral>41544</ManagementAndGeneral>
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      <AllOtherExpenses>
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      <TotalFunctionalExpenses>
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      <CashNonInterestBearing>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>2407060</EOY>
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      <TotalLiabNetAssetsFundBalances>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>51599</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1282973</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
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      <SupportedOrgInformation>
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        <OrganizedInUS>true</OrganizedInUS>
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      <SupportedOrgInformation>
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        <OrganizedInUS>true</OrganizedInUS>
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      <SupportedOrgInformation>
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        <OrganizedInUS>true</OrganizedInUS>
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      <SumOfAmounts>0</SumOfAmounts>
      <GeneralExplanation>BRYANLGH HEALTH SYSTEM PROVIDES ADMINISTRATIVE SERVICES TO BRYANLGH MEDICAL CENTER, CRETE AREA MEDICAL CENTER, BRYANLGH FOUNDATION, AND BRYANLGH PHYSICIAN NETWORK, INC. IN THE FORM OF STRATEGIC PLANNING, FINANCIAL MANAGEMENT, INFORMATION TECHNOLOGY, HUMAN RESOURCES AND OTHER SERVICES.</GeneralExplanation>
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      <TotalDirectLobbying />
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      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
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        <Explanation>BRYANLGH HEALTH SYSTEM PAID THE DUES FOR BRYANLGH MEDICAL CENTER AND CRETE AREA MEDICAL CENTER TO BE MEMBERS OF THE AMERICAN HOSPITAL ASSOCIATION (AHA). DURING THE CURRENT YEAR THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE AHA IN THE AMOUNT OF $59,416. THE AHA REPORTED THAT 23.76% OF DUES PAID, OR $14,117, WAS USED FOR LOBBYING ACTIVITIES. IN ADDITION, $35,200 WAS PAID TO CUTSHALL &amp; NOWKA. THE FIRM WAS RETAINED TO ASSIST THE HEALTH SYSTEM IN REVIEWING AND INTERPRETING VARIOUS PROPOSED HEALTHCARE RELATED BILLS BEFORE THE NEBRASKA STATE LEGISLATURE. 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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        <ReturnReference>FORM 990, SCHEDULE D, PART X</ReturnReference>
        <Explanation>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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        <NamePerson>KENNETH FOSTER</NamePerson>
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        <NamePerson>ROBERT RAVENSCROFT</NamePerson>
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        <NamePerson>GEORGE CARR</NamePerson>
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        <NamePerson>MATT REIMER</NamePerson>
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        <NamePerson>DOUGLAS MCDANIEL</NamePerson>
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        <NamePerson>RON ANDERSON</NamePerson>
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        <NamePerson>JEFFREY BURG</NamePerson>
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        <NamePerson>JOSEPH LOUDON</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>QUESTIONS REGARDING COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>TRAVEL OF COMPANIONS: ELEVEN OUT OF THE FIFTEEN 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 HEALTH SYSTEM ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYANLGH HEALTH SYSTEM. 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, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES. HOUSING ALLOWANCE: BRYANLGH HEALTH SYSTEM MAY OFFER A TEMPORARY HOUSING ALLOWANCE, AS PART OF AN EMPLOYMENT AGREEMENT, FOR CERTAIN MANAGEMENT POSITIONS AND PHYSICIANS WHO ARE NEWLY-HIRED EMPLOYEES. THE AMOUNT AND DURATION WILL BE STATED IN THE AGREEMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: THE ORGANIZATION PROVIDES SOCIAL CLUB MEMBERSHIPS FOR SELECT EMPLOYEES IF THERE IS A BUSINESS NEED FOR THE MEMBERSHIP. THE PERSONAL USE PORTION OF CLUB MEMBERSHIPS IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ORGANIZATION REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. TWO PEOPLE LISTED IN FORM 990, PART VII, SECTION A, RECEIVED THIS BENEFIT DURING THE TAX YEAR. 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. 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: Kenneth Foster: $30,868 Jennifer Lesoing-Lucs: $111,348 Kimberly Russel: $216,065 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 SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE FOR SERVICES PERFORMED AS EXECUTIVES OF BRYANLGH HEALTH SYSTEM, OR BRYANLGH MEDICAL CENTER; AND NOT FOR SERVICES PERFORMED AS MEMBERS OF HEALTH SYSTEM'S BOARD. COMPENSATION AMOUNTS REPORTED ON SCHEDULE J, PART II ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2010.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>UNION BANK TRUST</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>1209605</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR BANKING SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NamePerson>US BANK</NamePerson>
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        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>819617</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR BANKING SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <Identifier>RELATIONSHIPS BETWEEN INTERESTED PERSON AND THE ORGANIZATION</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, COLUMN (B)</ReturnReference>
        <Explanation>(1) BOARD MEMBER ROSS WILCOX IS ALSO A DIRECTOR OF UNION BANK &amp; TRUST (2) BOARD MEMBER STEVE ERWIN IS ALSO AN OFFICER OF US BANK</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 2</ReturnReference>
        <Explanation>The following business relationships were reported during the fiscal year between the organization's trustees, officers or key employees. STEVE ERWIN AND KENNETH FOSTER STEVE ERWIN AND JACK HUCK STEVE ERWIN AND MARC LEBARON STEVE ERWIN AND JENNIFER LESOING-LUCS STEVE ERWIN AND MICHAEL MINNICK STEVE ERWIN AND KIMBERLY RUSSEL STEVE ERWIN AND JOHN WOODRICH MICHAEL MINNICK AND JANET LABENZ ROSS WILCOX AND JACK HUCK ROSS WILCOX AND JANET LABENZ ROSS WILCOX AND KIMBERLY RUSSEL ROSS WILCOX AND JOHN WOODRICH DESCRIBE THE PROCESS USED BY MGMT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THIS 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS ALSO REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. EACH MEMBER OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES RECEIVED A COMPLETE COPY OF THE 990, 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 HEALTH SYSTEM HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES. 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. PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION 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. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. 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 THE BOARD OF TRUSTEES, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED ARE FOR SERVICES PERFORMED AS EXECUTIVES OF BRYANLGH HEALTH SYSTEM, OR BRYANLGH MEDICAL CENTER; AND NOT FOR SERVICES PERFORMED AS MEMBERS OF HEALTH SYSTEM'S BOARD. 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, QUESTION 5 DESCRIPTION AMOUNT CONTRIBUTION (TO) FROM RELATED ENTITY, NET $ 31,712,621 INVESTMENTS IN SUBSIDIARIES $ (8,775,000) CHANGE IN PENSION FUND LIABILITY PER FAS 158 $ 469,790 TRANSFERS (TO) FROM RELATED ENTITY (CORP CALL FOR FUNDS) $ 466,062 TRANSFERS (TO) FROM RELATED ENTITY (CORPORATE OVERHEAD) $(22,590,501) ROUNDING $ 1 ------------ TOTAL $ 1,282,973</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KIMBERLY RUSSEL TITLE:PRESIDENT &amp; CEO HOURS:36</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN WOODRICH TITLE:TRUSTEE HOURS:70</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:RUSSELL GRONEWOLD TITLE:VP &amp; CFO, EFF. 1/19/2010 HOURS:32</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBERT RAVENSCROFT TITLE:VP ADVANCEMENT/CDO HOURS:25</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>BRYANLGH PHYSICIAN ASSOCIATES LLC</BusinessNameLine1>
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          <AddressLine1>1600 SOUTH 48TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68506</ZIPCode>
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        <PrimaryActivities>INACTIVE</PrimaryActivities>
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          <AddressLine1>1600 SOUTH 48TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68506</ZIPCode>
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        <EIN>470376552</EIN>
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          <AddressLine1>2910 BETTEN DRIVE</AddressLine1>
          <City>CRETE</City>
          <State>NE</State>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BRYANLGH PHYSICIAN NETWORK INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 SOUTH 48TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68506</ZIPCode>
        </AddressUS>
        <EIN>201357375</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BRYANLGH ENTERPRISES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1600 SOUTH 48TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68506</ZIPCode>
        </AddressUS>
        <EIN>470701037</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>3282045</ShareOfTotalIncome>
        <ShareOfEOYAssets>19634290</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>INTEGRATED CARDIOLOGY GROUP LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1600 SOUTH 48TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68506</ZIPCode>
        </AddressUS>
        <EIN>470844961</EIN>
        <PrimaryActivity>CARDIOLOGY</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>16133851</ShareOfTotalIncome>
        <ShareOfEOYAssets>4363900</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CRETE AREA MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>61893</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRYANLGH MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1514796</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRYANLGH PHYSICIAN NETWORK INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2150000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>INTEGRATED CARDIOLOGY GROUP LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>8775000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRYANLGH ENTERPRISES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>13672775</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>