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        <ManagementAndGeneral>76039</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>256012</ProgramServices>
        <ManagementAndGeneral>45178</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>2233</Total>
        <ManagementAndGeneral>2233</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>28750</Total>
        <ManagementAndGeneral>28750</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      <FeesForServicesOther>
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        <ProgramServices>134693</ProgramServices>
        <ManagementAndGeneral>28996</ManagementAndGeneral>
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        <ManagementAndGeneral>55122</ManagementAndGeneral>
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        <ProgramServices>371559</ProgramServices>
        <ManagementAndGeneral>12286</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>96681</Total>
        <ProgramServices>82179</ProgramServices>
        <ManagementAndGeneral>14502</ManagementAndGeneral>
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      <Royalties>
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      </Royalties>
      <Occupancy>
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        <ProgramServices>545665</ProgramServices>
        <ManagementAndGeneral>28719</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>9873</ProgramServices>
        <ManagementAndGeneral>1744</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>3322</ProgramServices>
        <ManagementAndGeneral>586</ManagementAndGeneral>
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        <ManagementAndGeneral>107390</ManagementAndGeneral>
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        <ManagementAndGeneral>13646</ManagementAndGeneral>
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        <ProgramServices>155505</ProgramServices>
        <ManagementAndGeneral>25582</ManagementAndGeneral>
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        <ProgramServices>804799</ProgramServices>
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      <OtherExpenses>
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        <ManagementAndGeneral>13486</ManagementAndGeneral>
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      <OtherExpenses>
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        <ProgramServices>16106</ProgramServices>
        <ManagementAndGeneral>811</ManagementAndGeneral>
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      <OtherExpenses>
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        <ManagementAndGeneral>14995</ManagementAndGeneral>
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        <EOY>163686</EOY>
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      <AuditCommittee>true</AuditCommittee>
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        <CurrentTaxYearMinus1Year>6907398</CurrentTaxYearMinus1Year>
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      <HeldWorksOfArtAmts />
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>CEO/EXECUTIVE DIRECTOR COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>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. EMPLOYED PHYSICIAN POSITIONS ARE REVIEWED AND COMPARED TO MGMA STANDARDS FOR THE SPECIFIC SPECIALTY UNDER REVIEW. SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT SCHEDULE J, PART I, LINE 4A JENNIFER LESOING-LUCS, FORMER VP-FINANCE AND CFO OF BRYANLGH HEALTH SYSTEM, RECEIVED SEVERANCE PAYMENTS FROM BRYANLGH HEALTH SYSTEM, 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: CAROLYN CODY, MD: $38,478 JENNIFER LESOING-LUCS: $111,348 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. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, 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 PHYSICIAN NETWORK'S BOARD, 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 PHYSICIANS AND EXECUTIVES OF BRYANLGH PHYSICIAN NETWORK, BRYANLGH HEALTH SYSTEM AND BRYANLGH MEDICAL CENTER; AND NOT FOR SERVICES PERFORMED AS MEMBERS OF PHYSICIAN NETWORK'S BOARD. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE BASED ON THE CALENDAR YEAR ENDING DECEMBER 31, 2010.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BOARD</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, QUESTION 1B</ReturnReference>
        <Explanation>BRYANLGH PHYSICIAN NETWORK'S BY-LAWS REQUIRE THAT AT LEAST THREE OF THE MEMBERS OF THE BOARD OF TRUSTEES SHALL BE EMPLOYED PHYSICIANS OF THE CORPORATION. ADDITIONALLY, BRYANLGH HEALTH SYSTEM HAS DETERMINED THAT TWO OF PHYSICIAN NETWORK'S BOARD MEMBERS SHALL BE VICE PRESIDENTS EMPLOYED BY BRYANLGH MEDICAL CENTER, AND ONE BOARD MEMBER SHALL BE A VICE PRESIDENT EMPLOYED BY BRYANLGH HEALTH SYSTEM. BRYANLGH HEALTH SYSTEM HAS DETERMINED THAT THESE NON-INDEPENDENT BOARD MEMBERS PROVIDE VALUABLE MEDICAL AND FINANCIAL LEADERSHIP TO THE CORPORATION. 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 BRYANLGH PHYSICIAN NETWORK, INC. 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 BRYANLGH PHYSICIAN NETWORK, INC. ("PHYSICIAN NETWORK"), HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A MAJORITY VOTE OF ALL OF THE VOTING MEMBERS OF THE BOARD OF HEALTH SYSTEM. ELECTION OF PHYSICIAN NETWORK'S BOARD OF TRUSTEES SHALL AT ALL TIMES BE SUBJECT TO THE APPROVAL OF THE HEALTH SYSTEM. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") IS THE SOLE MEMBER OF BRYANLGH PHYSICIAN NETWORK ("PHYSICIAN NETWORK"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF TRUSTEES OF PHYSICIAN NETWORK MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD OF TRUSTEES MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM (1) ADOPT ANY LONG-TERM CAPITAL OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR $500,000 IN ANY ONE CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR TO STRATEGIC PLANS; (4) AMEND THE BYLAWS OR ARTICLES OF INCORPORATION (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY ONE CORPORATION FISCAL YEAR IN EXCESS OF $500,000; (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY CORPORATION, ASSOCIATION, PARTNERSHIP, TRUST, SHARED SERVICE ARRANGEMENT, JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURE OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY ONE CORPORATION FISCAL YEAR EXCEEDS $500,000; (7) APPROVE ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS IN ANY ONE CORPORATION FISCAL YEAR EXCEEDS $500,000; (8) ELECT OR APPOINT TRUSTEES OR THE PRESIDENT OF THE CORPORATION; OR (9) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE HEALTH SYSTEM'S GOALS AND OBJECTIVES. DESCRIBE THE PROCESS USED BY MANAGEMENT &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 OF BRYANLGH HEALTH SYSTEM. EACH MEMBER OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM 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 PHYSICIAN NETWORK 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 ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST. FAILURE TO COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE CAN RESULT IN DISCIPLINARY ACTIONS. THE CONFLICT OF INTEREST AND DISCLOSURE STATEMENTS ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM. CONFLICTS ARE MONITORED BY MEMBERS OF THE GOVERNANCE COMMITTEE. THE CONFLICT OF INTEREST POLICY HAS RESTRICTIONS FOR ANY BOARD MEMBER WITH A CONFLICT OF INTEREST; SUCH AS, PROHIBITING THEM FROM PARTICIPATING IN DELIBERATIONS AND VOTING WITH REGARD TO CERTAIN TRANSACTIONS IN WHICH THEY HAVE AN INTEREST. 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. EMPLOYED PHYSICIAN POSITIONS ARE REVIEWED AND COMPARED TO MGMA STANDARDS FOR THE SPECIFIC SPECIALTY UNDER REVIEW. AVAIL OF GOV DOCS, CONFLICT OF INTEREST 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, 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 PHYSICIAN NETWORK'S BOARD, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A ARE FOR SERVICES PERFORMED AS PHYSICIANS AND EXECUTIVES OF BRYANLGH PHYSICIAN NETWORK, BRYANLGH HEALTH SYSTEM AND BRYANLGH MEDICAL CENTER AND NOT FOR SERVICES PERFORMED AS MEMBERS OF PHYSICIAN NETWORK'S BOARD. COMPENSATION AMOUNTS REPORTED IN PART VII, SECTION A ARE BASED ON THE CALENDAR YEAR ENDING DECEMBER 31, 2010. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, QUESTION 5 DESCRIPTION AMOUNT TRANSFERS FROM RELATED ENTITY $2,150,000 TRANSFER OF CORPORATE COST ALLOCATION $ 107,390 DEFERRED TAX BENEFIT $ (3,654) ----------- TOTAL $2,353,736 OVERSIGHT OF CONSOLIDATED AUDIT FORM 990, PART XII, QUESTION 2C BRYANLGH PHYSICIAN NETWORK'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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CAROLYN CODY, MD TITLE:VICE CHAIRPERSON HOURS:24</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:SHIRLEY TRAVIS TITLE:PRESIDENT HOURS:36</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:RUSSELL GRONEWOLD TITLE:TRUSTEE, EFFECTIVE 1/19/2010 HOURS:61</Explanation>
      </GeneralExplanation>
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          <City>LINCOLN</City>
          <State>NE</State>
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          <City>LINCOLN</City>
          <State>NE</State>
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          <City>LINCOLN</City>
          <State>NE</State>
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          <City>LINCOLN</City>
          <State>NE</State>
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          <City>LINCOLN</City>
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