ALEGENT CREIGHTON HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ALEGENT CREIGHTON HEALTH (EIN 47-0757164)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201231359349304033
Schema version: 2010v3.4
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T14:00:48-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470757164	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT M WOOTEN	Name
Title	SENIOR VP/CFO	Title
Phone	4023434323	Phone
Date Signed	2012-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	266531808	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ALEGENT.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	11193	TotalNbrEmployees
Total Nbr Volunteers	610	TotalNbrVolunteers
Total Gross UBI	2091247	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2662462	ContributionsGrantsPriorYear
Contributions Grants Current Year	2507063	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	241206547	ProgramServiceRevenuePriorYear
Program Service Revenue CY	235318678	ProgramServiceRevenueCY
Investment Income Prior Year	92338	InvestmentIncomePriorYear
Investment Income Current Year	119015	InvestmentIncomeCurrentYear
Other Revenue Prior Year	41122919	OtherRevenuePriorYear
Other Revenue Current Year	25003856	OtherRevenueCurrentYear
Total Revenue Prior Year	285084266	TotalRevenuePriorYear
Total Revenue Current Year	262948612	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	16241095	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	16156543	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	107465681	SalariesEtcPriorYear
Salaries Etc Current Year	95804955	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	228250	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	228250	TotalFundrsngExpCurrentYear
Other Expense Prior Year	137484602	OtherExpensePriorYear
Other Expenses Current Year	124049289	OtherExpensesCurrentYear
Total Expenses Prior Year	261191378	TotalExpensesPriorYear
Total Expenses Current Year	236239037	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	23892888	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	26709575	RevenuesLessExpensesCY
Total Assets BOY	501799634	TotalAssetsBOY
Total Assets EOY	552745187	TotalAssetsEOY
Total Liabilities BOY	373360570	TotalLiabilitiesBOY
Total Liabilities EOY	311117547	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	128439064	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	241627640	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	FAITHFUL TO THE HEALING MINISTRY OF JESUS CHRIST, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON. OUR COMMITMENT TO HEALING CALLS US TO:CREATE CARING AND COMPASSIONATE ENVIRONMENTS RESPECT THE DIGNITY OF EVERY PERSON CARE FOR THE RESOURCES ENTRUSTED TO US AS RESPONSIBLE STEWARDS COLLABORATE WITH OTHERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES ATTEND ESPECIALLY TO THE NEEDS OF THOSE WHO ARE POOR AND DISADVANTAGED ACT WITH INTEGRITY IN ALL ENDEAVORS TO ACHIEVE THIS MISSION, WE PLEDGE TO BE CREATIVE, VISIONARY LEADERS COMMITTED TO HOLISTIC HEALTHCARE IN THE REGION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	21053934	Expense
Grants	8227930	Grants
Revenue	127281525	Revenue
Description	ALEGENT HEALTH LAKESIDE HOSPITAL AND ALEGENT HEALTH MIDLANDS HOSPITAL STAFF ARE FOCUSED ON RESTORING PATIENTS' HEALTH BY USING PERSONALIZED CARE AND STATE-OF-THE-ART TECHNOLOGY. THE DIAGNOSTIC CENTER AT BOTH HOSPITALS IS EQUIPPED WITH THE LATEST DIGITAL IMAGING TECHNOLOGY. HEALTHCARE PROVIDERS HAVE MEDICAL INFORMATION AT THEIR FINGER TIPS, SO DIAGNOSIS IS QUICKER AND TREATMENT CAN BE STARTED SOONER. EACH DIAGNOSTIC CENTER OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES INCLUDING BUT NOT LIMITED TO THE FOLLOWING: MRI, CT SCANNING, PET/CT SCAN, ULTRASOUND, MAMMOGRAMS, NUCLEAR MEDICINE, CLINICAL LABORATORY, X-RAY IMAGING, PULMONARY SERVICES, OUTPATIENT LABORATORY TESTING, ANGIOGRAPHY AND RADIOGRAPHY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	10827078	Expense
Grants	3933407	Grants
Revenue	60847629	Revenue
Description	ALEGENT HEALTH MIDLANDS COMMUNITY HOSPITAL AND ALEGENT HEALTH LAKESIDE HOSPITAL OFFER A WIDE RANGE OF COMPREHENSIVE CARDIOVASCULAR SERVICES IN THE REGION, USING A TEAM APPROACH TO ADDRESS THE TOTAL NEEDS OF THE CARDIOVASCULAR PATIENT. CARDIAC SERVICES INCLUDE BUT ARE NOT LIMITED TO: HI-TECH DIAGNOSIS AND INTERVENTION, CARDIAC CATHETERIZATION LAB, ECHOCARDIOGRAPHY, VASCULAR ULTRASOUND, HEART SCANS AND HEART CHECKS, ANGIOPLASTY AND DRUG-ELUTING STENTS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	6628754	Expense
Grants	2762999	Grants
Revenue	42742064	Revenue
Description	THE ALEGENT HEALTH EMERGENCY DEPARTMENTS PROVIDE EXPERT TREATMENT FOR ADULTS AND CHILDREN. WHETHER IT'S A LIFE-THREATENING MEDICAL CONDITION OR HIGH FEVER, EXPERIENCED STAFF IS TRAINED AND READY TO HANDLE A WIDE RANGE OF EMERGENCY SITUATIONS. ALEGENT HEALTH IS CONSTANTLY WORKING TO FIND NEW AND BETTER WAYS TO MAKE SURE EACH PATIENT RECEIVES THE BEST, MOST EFFICIENT EMERGENCY CARE POSSIBLE. THE EMERGENCY DEPARTMENT CONSISTENTLY SCORES IN THE HIGHEST PERCENTILE FOR QUALITY OF CARE, NURSE AND DOCTOR UNDERSTANDING AND CARING, AS WELL AS THE LEAST AMOUNT OF TIME PATIENTS SPEND WAITING FOR EMERGENCY CARE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	150223242	Expense
Grants	1232207	Grants
Revenue	24401932	Revenue
Description	ALEGENT HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICAL SERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENT MEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18 MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITY ORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHY COMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENT HEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, ALEGENT HEALTH ALSO PROVIDES THE FOLLOWING SERVICES: MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY, PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	150223242	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1232207	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	24401932	TotalOfOtherProgramServiceRev
Total Program Service Expense	188733008	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	873	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	11193	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ERIC GURLEY
DIRECTOR	4.00	X	0	0	0
JOHN HEWITT
CHAIR	6.00	X	0	0	0	X
H KEITH SCHMODE
DIRECTOR	4.00	X	18500	0	0
LESLIE ANDERSEN
DIRECTOR	4.00	X	0	0	0
MARTIN MANCUSO MD
DIRECTOR	4.00	X	18500	0	0
MICHAEL DEFREECE
VICE CHAIR	6.00	X	0	0	0	X
PAUL EDGETT III
DIRECTOR	4.00	X	0	0	0
SR LILLIAN MURPHY RSM
DIRECTOR	4.00	X	0	0	0
RICHARD VIERK
DIRECTOR	4.00	X	26500	0	0
ANTHONY HATCHER DO
SECRETARY/TREASURER	6.00	X	26500	404177	31545	X
GUILLERMO HUERTA MD
DIRECTOR	4.00	X	0	0	0
ANTOINETTE HARDY-WALLER RN
DIRECTOR	4.00	X	17500	0	0
RICHARD HACHTEN II
PRESIDENT & CEO	12.00		215290	834189	278627	X
MARTIN HICKEY MD
SVP/CEO CLINICS	12.00		148580	575704	205555	X
JOAN NEUHAUS
SVP/COO	12.00		96205	372766	324164	X
KENNETH LAWONN
SVP/STRATEGY AND TECHNOLOGY	12.00		90984	352537	134712	X
SCOTT WOOTEN
SVP/CFO	12.00		110935	429844	136618	X
LARRY BROWN MD
AHC-INTERIM CEO	30.00		190426	190425	51034	X
RICK MILLER MD
SVP/CHEIF QUALITY OFFICER	12.00		22162	85872	388614	X
RICHARD ROLSTON MD
AHC-PRESIDENT & CEO	12.00		0	0	0	X
SHEREE KEELY
VP-BEHAVIORAL HEALTH SVC	12.00		36794	142561	39094		X
ELIZABETH LLEWELLYN
VP-MISSION INTEGRATION	12.00		44618	172888	43049		X
PATRICIA MASEK
VP-MEDICAL AFFAIRS	12.00		38007	147270	65673		X
FRANK EMSICK
VP-CONSTRUCTION	12.00		42987	166563	47892		X
PAUL EBMEIER
COO-AHC	12.00		69101	267751	52953		X
CINDY ALLOWAY
COO-LAKESIDE HOSPITAL	12.00		67157	260219	100296		X
KEVIN NOKELS
COO-MIDLANDS HOSPITAL	12.00		62070	240503	74473		X
JAYNE MCCORMICK MD
MEDICAL DIRECTOR	60.00		293885	0	5594		X
JANE CARMODY
SVP/CNO	12.00		53025	205453	376202		X
NANCY WALLACE
VP-HUMAN RESOURCES	12.00		46423	179879	357417		X
KRISHAN ARIYARATHNA MD
PHYSICIAN	60.00		344274	0	35551			X
MARIE KNEDLER
COO-MERCY HOSPITAL	12.00		75782	293632	153276			X
STEPHEN BUDD MD
PHYSICIAN	60.00		286845	0	27167			X
ANN SCHUMACHER
COO-IMC	12.00		66656	258269	75876			X
DARREN SPLONSKOWSKI MD
PHYSICIAN	60.00		292552	0	33571			X
AMY PROTEXTER
FORMER SVP/MARKETING & COMM			51145	198172	9793				X
MARK KESTNER MD
FORMER SVP/CMO			113604	440185	7402				X
FRED HOSLER MD
FORMER SVP/CMO			165427	640985	7239				X
PATRICIA NADLE
FORMER SVP/CNO			50790	196796	4772				X
MARGARET BREEN
FORMER SVP/HUMAN RESOURCES			56226	217864	5445				X
THEODORE SCHWAB
FORMER SVP/CIO			47635	184575	1258				X
WAYNE SENSOR
FORMER CEO			463299	1795160	13511				X
ANN JONES
FORMER VP-ONCOLOGY SVC			0	0	0				X
DAVID TEW
FORMER COO-BMMC			36928	143087	1338				X
MICHAEL ANDERSON
FORMER VP-BEHAVIORAL HS			32902	127485	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3820214	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9524811	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3089711	TotalOtherCompensation
Number Individuals GT100 K	120	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PULMONARY MEDICINE SPECIALISTS PC
7710 MERCY RD 428	OMAHA	NE	68124	PULMONARY SERVICES	2386412
CASSLING DIAGNOSTIC IMAGINGINC
13808 F STREET	OMAHA	NE	68137	DIAGNOSTIC IMAGING SERVICES	1735151
PRN FUNDING LLC
PO BOX 643455	CINCINNATI	OH	45264	CLINICAL AND TRANSLATIONAL CONSULTING	1262411
SIEMENS MEDICAL SOLUTIONS USA INC
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	IT SOLUTIONS & CONSULTING	1235467
HRS ERASE INC
200 NE MULBERRY STE 200	LEES SUMMIT	MO	64086	ACCOUNT RECONCILIATION	1024022

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	71	NumberOfContractorsGT100K
Membership Dues	674832	MembershipDues
Related Organizations	311288	RelatedOrganizations
Government Grants	221467	GovernmentGrants
All Other Contributions	1299476	AllOtherContributions
Total Contributions	2507063	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SVC REV	561300	219438286	219182627	255659
MANAGEMENT SVCS-AFFIL.	900003	12367019	12367019
PHARMACY SALES	446110	2800046		1146627	$1,653,419
FOOD & NUTRITION	722320	647834			$647,834
HEALTH EDUC PROGRAMS	611710	59037	59037

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6456	TotalRevenueColumn
Related Or Exempt Function Income	6456	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	235318678	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	133496	TotalRevenueColumn
Exclusion	$133,496	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2424152	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2596781	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-172629	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-172629	TotalRevenueColumn
Exclusion	-$172,629	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	971934	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	986415	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-14481	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-14481	TotalRevenueColumn
Exclusion	-$14,481	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SYSTEM REVENUE ALLOCAT	812900	13751129	13113835	637294
OPERATING JOINT VENTUR	900003	5388629	5388629
REIMBURSED SERVICES	900099	5155547	5155547

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	881180	TotalRevenueColumn
Unrelated Business Revenue	51667	UnrelatedBusinessRevenue
Exclusion	$829,513	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	25176485	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	262948612	TotalRevenueColumn
Related Or Exempt Function Income	255273150	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2091247	UnrelatedBusinessRevenue
Exclusion	$3,077,152	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	467386	Total
Program Services	467386	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	15689157	Total
Program Services	15689157	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1714633	Total
Program Services	1371706	ProgramServices
Management And General	342927	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	74882550	Total
Program Services	59906040	ProgramServices
Management And General	14976510	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6659332	Total
Program Services	5327466	ProgramServices
Management And General	1331866	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3948764	Total
Program Services	3159011	ProgramServices
Management And General	789753	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8599676	Total
Program Services	6879741	ProgramServices
Management And General	1719935	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	346222	Total
Management And General	346222	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	397625	Total
Management And General	397625	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	89467	Total
Program Services	89467	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	228250	Total
Fundraising	228250	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4507436	Total
Program Services	126453	ProgramServices
Management And General	4380983	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3617194	Total
Program Services	2893755	ProgramServices
Management And General	723439	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40794113	Total
Program Services	32635290	ProgramServices
Management And General	8158823	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8491030	Total
Program Services	6792824	ProgramServices
Management And General	1698206	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	937929	Total
Program Services	750343	ProgramServices
Management And General	187586	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	368028	Total
Program Services	294422	ProgramServices
Management And General	73606	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6107826	Total
Program Services	4886261	ProgramServices
Management And General	1221565	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22520349	Total
Program Services	18016279	ProgramServices
Management And General	4504070	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	721562	Total
Program Services	577250	ProgramServices
Management And General	144312	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
TAXES & LICENSES	14449649	11559719	2889930
BAD DEBT	11479544	9933386	1546158
PURCHASED SERVICES	5993455	4794764	1198691
MISCELLANEOUS	2187781	1750225	437556
MEMBERSHIP & DUES	625861	500689	125172

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	414218	Total
Program Services	331374	ProgramServices
Management And General	82844	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	236239037	Total
Program Services	188733008	ProgramServices
Management And General	47277779	ManagementAndGeneral
Fundraising	228250	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5295211	BOY
EOY	18949874	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10084778	BOY
EOY	6246523	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22402931	BOY
EOY	18907596	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	6912	BOY
EOY	2756912	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4999891	BOY
EOY	4712812	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6580955	BOY
EOY	7699787	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	578853028	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	276130207	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	318789490	BOY
EOY	302722821	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	11181790	BOY
EOY	20505330	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2567488	BOY
EOY	2588137	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	119890188	BOY
EOY	167655395	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	501799634	BOY
EOY	552745187	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	142411048	BOY
EOY	135214222	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	346516	BOY
EOY	367755	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	142815506	BOY
EOY	139864545	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	87787500	BOY
EOY	35671025	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	373360570	BOY
EOY	311117547	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	128439064	BOY
EOY	241627640	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	128439064	BOY
EOY	241627640	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	501799634	BOY
EOY	552745187	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	26709575	ReconcilationRevenueExpenses
Reconcilation Other Changes	86479001	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	0	PoliticalExpenditures
Volunteer Hours	0	VolunteerHours
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	89467	FilingOrganizationsTotals
Affiliated Group Totals	106741	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	89467	FilingOrganizationsTotals
Affiliated Group Totals	106741	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	236149570	FilingOrganizationsTotals
Affiliated Group Totals	484963523	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	236239037	FilingOrganizationsTotals
Affiliated Group Totals	485070264	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

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

Grassroots Nontaxable GrassrootsNontaxableAmount

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

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

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

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	136554	CurrentYearMinus3
Current Year Minus2	176941	CurrentYearMinus2
Current Year Minus1	262701	CurrentYearMinus1
Current Year	106741	CurrentYear
Total	682937	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1921624	BeginningOfYearBalance
Contributions	733104	Contributions
Investment Earnings Or Losses	16251	InvestmentEarningsOrLosses
Other Expenditures	397306	OtherExpenditures
End Of Year Balance	2273673	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1552292	BeginningOfYearBalance
Contributions	639081	Contributions
Investment Earnings Or Losses	8441	InvestmentEarningsOrLosses
Other Expenditures	278190	OtherExpenditures
End Of Year Balance	1921624	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2368143	BeginningOfYearBalance
Contributions	-340443	Contributions
Investment Earnings Or Losses	-4285	InvestmentEarningsOrLosses
Other Expenditures	471123	OtherExpenditures
End Of Year Balance	1552292	EndOfYearBalance

Field	Value	IRS element (for citing)
Term Endowment EOY Balance	1.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14870095	OtherCostOrOtherBasis
Book Value	14870095	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	205920501	OtherCostOrOtherBasis
Depreciation	52529016	Depreciation
Book Value	153391485	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7148432	OtherCostOrOtherBasis
Depreciation	3605300	Depreciation
Book Value	3543132	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	332257602	OtherCostOrOtherBasis
Depreciation	215195701	Depreciation
Book Value	117061901	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18656398	OtherCostOrOtherBasis
Depreciation	4800190	Depreciation
Book Value	13856208	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	302722821	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
LAND HELD FOR EXPANSION	4424266
INTERCOMPANY RECEIVABLES	160640604
CASH SURRENDER VALUE OF LIFE INSURANCE	2590525

Field	Value	IRS element (for citing)
Total Book Value Other Assets	167655395	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
THIRD PARTY PAYOR RESERVE	$1,561,487
DEFERRED COMPENSATION/RETIREMENT PROGRAMS	$3,029,706
MINIMUM PENSION LIABILITY	$31,079,832

Field	Value	IRS element (for citing)
Total Of Amounts	35671025	TotalOfAmounts
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	$0	OtherAmount

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUNDS ARE HELD BY ALEGENT HEALTH FOUNDATION TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT HEALTH.
		PART X, LINE 2 - THE ENTITIES REPORTED IN THE CONSOLIDATED AUDIT RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. SUCH TAX POSITIONS, WHICH ARE MORE THAN 50% LIKELY OF BEING REALIZED, ARE MEASURED AT THEIR HIGHEST VALUE. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. DURING 2011 AND 2010, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	Region
Number Of Offices	1	NumberOfOffices
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConducted
Specific Services Provided	AH HAS ONE DESIGNATED EMPLOYEE WHO IS THE LIASON FOR THE HOSPITAL LOCATED IN TANZANIA. THE EMPLOYEE ASSISTS WITH THE PROGRAMS, SERVICES AND ACTIVITIES FOR THE HOUSES FOR HEALTH AND SCHOOL OF NURSING DEPARTMENTS.	SpecificServicesProvided
Total Expenditures	205738	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	1	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Subtotal Amount Spent	205738	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	205738	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	PAUL J STRAWHECKER INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4913 DODGE STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68132	ZIPCode

Field	Value	IRS element (for citing)
Activity	CONSULTING SERVICES	Activity
Fundraiser Control Of Funds	0	FundraiserControlOfFunds
Gross Receipts	213399	GrossReceipts
Amount Retained By Contractor	228250	AmountRetainedByContractor
Net To Organization	0	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	213399	TotalGrossReceipts
Total Retained By Contractors	228250	TotalRetainedByContractors

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	6454	PersonsServed
Total Community Benefit Expense	5639271	TotalCommunityBenefitExpense
Net Community Benefit Expense	5639271	NetCommunityBenefitExpense
Percent Of Total Expense	0.02510	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	594	PersonsServed
Total Community Benefit Expense	9916989	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9007693	DirectOffsettingRevenue
Net Community Benefit Expense	909296	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	7048	PersonsServed
Total Community Benefit Expense	15556260	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9007693	DirectOffsettingRevenue
Net Community Benefit Expense	6548567	NetCommunityBenefitExpense
Percent Of Total Expense	0.02910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	10668	PersonsServed
Total Community Benefit Expense	349791	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34764	DirectOffsettingRevenue
Net Community Benefit Expense	315027	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	334	PersonsServed
Total Community Benefit Expense	104615	TotalCommunityBenefitExpense
Net Community Benefit Expense	104615	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	275888	TotalCommunityBenefitExpense
Direct Offsetting Revenue	114440	DirectOffsettingRevenue
Net Community Benefit Expense	161448	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	775	PersonsServed
Total Community Benefit Expense	177238	TotalCommunityBenefitExpense
Direct Offsetting Revenue	76	DirectOffsettingRevenue
Net Community Benefit Expense	177162	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	11777	PersonsServed
Total Community Benefit Expense	907532	TotalCommunityBenefitExpense
Direct Offsetting Revenue	149280	DirectOffsettingRevenue
Net Community Benefit Expense	758252	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	18825	PersonsServed
Total Community Benefit Expense	16463792	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9156973	DirectOffsettingRevenue
Net Community Benefit Expense	7306819	NetCommunityBenefitExpense
Percent Of Total Expense	0.03250	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	2805	PersonsServed
Total Community Building Expense	27841	TotalCommunityBuildingExpense
Direct Offsetting Revenue	250	DirectOffsettingRevenue
Net Community Building Expense	27591	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	6	PersonsServed
Total Community Building Expense	240965	TotalCommunityBuildingExpense
Net Community Building Expense	240965	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	5050	TotalCommunityBuildingExpense
Net Community Building Expense	5050	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	2811	PersonsServed
Total Community Building Expense	273856	TotalCommunityBuildingExpense
Direct Offsetting Revenue	250	DirectOffsettingRevenue
Net Community Building Expense	273606	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,371,542	BadDebtExpenseAmount
Amount Attributable To	790853	AmountAttributableTo
Amount Reimbursed By Medicare	30250452	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	47984267	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17733815	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 LAKESIDE AMBULATORY SURGERY CENTER LLC
AMBULATORY SURGICAL CENTER	0.52000	0.48000
2 LAKESIDE ENDOSCOPY CENTER LLC
AMBULATORY SURGICAL CENTER	0.51000	0.49000
3 AH-NORTHWEST IMAGING CENTER LLC
DIAGNOSTIC TESTING	0.51000	0.49000
4 NEBRASKA SPINE LLC
SPINE HOSPITAL	0.51000	0.49000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
ALEGENT HEALTH MIDLANDS HOSPITAL
1	11111 S 84TH STREET	PAPILLION	NE	68046	X	X	X
ALEGENT HEALTH LAKESIDE HOSPITAL
2	16901 LAKESIDE HILLS COURT	OMAHA	NE	68130	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Uninsured DiscountUninsuredDiscount	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
ALEGENT HEALTH MIDLANDS HOSPITAL
1	1	0	0	1	X	X	X	X	1	1	X	X	X	X	X	X	X	1	X	X	1	X	X	X	X	X	X	1	X	0	0
ALEGENT HEALTH LAKESIDE HOSPITAL
2	1	0	0	1	X	X	X	X	1	1	X	X	X	X	X	X	X	1	X	X	1	X	X	X	X	X	X	1	X	1	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

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

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE LIGHTHOUSE HEALTHCARE RESIDENCE	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	17600 ARBOR STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68130	ZIPCode

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: MIDLANDS HOSPITAL IN SARPY COUNTY, NE AND LAKESIDE HOSPITAL IN DOUGLAS COUNTY, NE SERVE THE OMAHA METROPOLITAN STATISTICAL AREA (MSA)AND ARE PART OF THE ALEGENT HEALTH SYSTEM. THE AMOUNT OF FINANCIAL ASSISTANCE WRITE-OFF FOR ENTITIES OF THE ALEGENT HEALTH SYSTEM ARE BASED ON A FINANCIAL ASSISTANCE SLIDING FEE SCHEDULE UTILIZING A DERIVATIVE OF THE CURRENT US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW INCOME GUIDELINES, WHICH ARE UPDATED YEARLY.ALL EFFORTS ARE MADE TO ESTABLISH WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SERVICE IF POSSIBLE, OTHERWISE AS SOON AS POSSIBLE FOLLOWING SERVICE. REPRESENTATIVES OF THE ALEGENT HEALTH SYSTEM HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH THE ALEGENT HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY. THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONAL FINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATION INCLUDES EMPLOYMENT VERIFICATION AND OBTAINING DOCUMENTATION OF THE APPLICANT'S FINANCIAL CONDITION SUCH AS FEDERAL TAX RETURN, PAY STUB, NET WORTH AND/OR LIQUID ASSETS AND REASONABLE HOUSEHOLD OR BUSINESS EXPENSES. FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN CIRCUMSTANCES INVOLVING A CATASTROPHIC OCCURRENCE RESULTING IN MEDICAL BILLS GROSSLY EXCEEDING THE PATIENT'S ABILITY TO PAY, AND IN THESE SITUATIONS, THE PATIENT'S RESPONSIBILITY WILL BE LIMITED TO 20% OF THE FAMILY'S GROSS ANNUAL INCOME.PART I, LINE 6A: ALEGENT HEALTH PRODUCES A PUBLIC COMMUNITY BENEFIT REPORT THAT IS MAILED TO A CORE CONSTITUENCY AND PLACED IN KEY PLACES THROUGHOUT THE ORGANIZATION. IT IS ALSO AVAILABLE ON THE COMPANY'S INTRANET SITE, AND ON ITS PUBLIC WEBSITE AT WWW.ALEGENT.COM.
PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WERE WORKSHEETS 1 - 8 PROVIDED WITH THE SCHEDULE H INSTRUCTIONS. THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE TOTAL COMMUNITY BENEFIT EXPENSE FOR CHARITY CARE AND MEDICAID.
PART I, L7 COL(F): BAD DEBT OF $11,479,544 INCLUDED IN THE FUNCTIONAL EXPENSE TOTAL FROM FORM 990, PART IX, LINE 25 IS NOT INCLUDED IN THE TOTAL OPERATING EXPENSE USED TO CALCULATE THE TABLE 7 PERCENTAGES. THE DENOMINATOR USED TO CALCULATE THE COST TO CHARGE RATIO IS $224,759,493.
PART II: AS A RESULT OF COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2006 WHICH POINTED TO CHILDHOOD OBESITY AS A SERIOUS HEALTH NEEDS ISSUE ACROSS ALL OMAHA MSA COUNTIES SERVED, THE ALEGENT HEALTH SYSTEM PARTNERED WITH THE COMMUNITY TO MAKE A MULTI-YEAR COMMITMENT TO IMPACT CHILDHOOD OBESITY THROUGH COMMUNITY BASED BEST PRACTICE INTERVENTIONS. THIS INITIATIVE HAS HAD A PRIMARY FOCUS OF IMPACT IN DOUGLAS COUNTY, BUT THE FUNDING TO UNDERWRITE HAS COME FROM THE FISCAL PERFORMANCE OF ALL ALEGENT HEALTH HOSPITALS. THE COMMUNITY COALITION KNOWN AS LIVE WELL OMAHA KIDS (LWOK) IS STAFFED AND FUNDED BY ALEGENT HEALTH. AN EXECUTIVE COMMITTEE CONSISTING OF COMMUNITY LEADERS AND POLICY MAKERS HAVE DIRECTED AN ECOLOGICAL APPROACH TO IMPROVE PROGRAMS, POLICIES AND BUILD THE ENVIRONMENT TO PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING AND BUILD THE CAPACITY FOR HEALTHY CHOICES AT THE INDIVIDUAL AND ORGANIZATIONAL LEVEL. MORE THAN 200 VOLUNTEERS HAVE PARTICIPATED IN THE PLANNING AND IMPLEMENTATION OF LWOK INITIATIVES. A PORTION OF THIS INVESTMENT IN LWOK IS ALLOCATED TO MIDLANDS AND LAKESIDE HOSPITALS. THE ALEGENT HEALTH SYSTEM ALSO PROVIDES LEADERSHIP AND FUNDING TO: LIVE WELL OMAHA-A COMMUNITY COALITION ADDRESSING COMMUNITY HEALTH ISSUES THAT PRODUCES A COMMUNITY HEALTH REPORT CARD; LIVE WELL POTTAWATTAMIE COUNTY AND YMCA FOR A HEALTHY LIVING NEEDS ASSESSMENTS, THE DOMESTIC VIOLENCE COORDINATING COUNCIL AND YWCA OMAHA TO COMBAT INTIMATE PARTNER VIOLENCE, TOBACCO AND DRUG FREE COALITIONS TO ADDRESS SUBSTANCE ABUSE IN SARPY COUNTY, LOCAL CHAMBER OF COMMERCE FOR ECONOMIC DEVELOPMENT, AND LOCAL HEALTH DEPARTMENTS.
PART III, LINE 4: THE AUDITED FOOTNOTES FOR ENTITIES OF THE ALEGENT HEALTH SYSTEM DO NOT CONTAIN FOOTNOTES RELATED TO BAD DEBT EXPENSE. BAD DEBT EXPENSE IS IDENTIFIED ON THE CONSOLIDATED STATEMENT OF OPERATIONS WHICH IS CONSISTENT WITH THE REPORTING PRACTICE OF OTHER HEALTH CARE ORGANIZATIONS.BAD DEBT EXPENSE (AT COST) FOR ENTITIES OF ALEGENT HEALTH ARE DETERMINED BY USING THE COST TO CHARGE RATIO FROM MEDICARE COST REPORTS PER ENTITY AND MULTIPLYING THE RATIO BY THE ACTUAL BAD DEBT CHARGES PER ENTITY.TO DETERMINE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, REPRESENTATIVES OF THE ALEGENT HEALTH SYSTEM DETERMINE IF AN ACCOUNT NEEDS TO BE MOVED FROM BAD DEBT TO CHARITY WHEN A PATIENT EITHER COMES FORWARD AND COMPLETES A CHARITY APPLICATION, WHICH IS APPROVED OR IF IT IS DETERMINED THAT THE PATIENT HAS NO OTHER RESOURCES TO PAY THE ACCOUNT BALANCE.
PART III, LINE 8: ALEGENT HEALTH DOES NOT CONSIDER MEDICARE SHORTFALLS TO BE COMMUNITY BENEFIT, PER THE RECOMMENDATION OF THE CATHOLIC HEALTH ASSOCIATION. THE MEDICARE CHARGES REPORTED ON LINE 5 AND 6 ARE FROM THE MEDICARE COST REPORTS WHICH USE A COST TO CHARGE RATIO.
PART III, LINE 9B: ALEGENT HEALTH'S SELF PAY BILLING AND BAD DEBT POLICY HAS A CLEARLY DELINEATED PROCESS FOR COLLECTION AGENCIES TO FOLLOW, INCLUDING EXPLICIT INSTRUCTIONS THAT ENSURE THE CHARITY CARE PATIENTS WHO HAVE BEEN IDENTIFIED DO NOT GO TO COLLECTIONS.
PART V, SECTION B, LINE 11H: SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.	ALEGENT HEALTH MIDLANDS HOSPITAL
PART V, SECTION B, LINE 11H: SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.	ALEGENT HEALTH LAKESIDE HOSPITAL
PART V, SECTION B, LINE 13G: INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE AT WWW.ALEGENT.COM AND THROUGH BROCHURES PROVIDED AT THE MAIN PATIENT REGISTRATION AREAS. LETTERS AND BILLING STATEMENTS SENT OUT TO PATIENTS INCLUDE A STATEMENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND HOW TO OBTAIN ADDITIONAL INFORMATION. COUNSELORS OF THE ALEGENT HEALTH SYSTEM ALSO DISSEMINATE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY.	ALEGENT HEALTH MIDLANDS HOSPITAL
PART V, SECTION B, LINE 13G: INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE AT WWW.ALEGENT.COM AND THROUGH BROCHURES PROVIDED AT THE MAIN PATIENT REGISTRATION AREAS. LETTERS AND BILLING STATEMENTS SENT OUT TO PATIENTS INCLUDE A STATEMENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND HOW TO OBTAIN ADDITIONAL INFORMATION. COUNSELORS OF THE ALEGENT HEALTH SYSTEM ALSO DISSEMINATE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY.	ALEGENT HEALTH LAKESIDE HOSPITAL
PART V, SECTION B, LINE 20: DURING FISCAL YEAR ENDING JUNE 30, 2011, ONE PATIENT WAS CHARGED MORE THAN THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES AT ALEGENT HEALTH LAKESIDE HOSPITAL. THE PATIENT WAS IDENTIFIED PRIOR TO FISCAL YEAR END, AND EXCESS AMOUNT PAID OVER THE AVERAGE OF THE THREE LOWEST NEGOTIATED RATES WAS REFUNDED TO THE PATIENT.	ALEGENT HEALTH LAKESIDE HOSPITAL
PART VI, LINE 2: THE ALEGENT HEALTH SYSTEM APPROACHES COMMUNITY NEEDS ASSESSMENT AS A CORPORATE ACTIVITY THAT DEVELOPS AND INTEGRATES COUNTY BASED HEALTH PROFILES FOR EACH OF THE COUNTIES WITHIN WHICH THE LICENSED HOSPITALS ARE LOCATED. THE PROCESS TO DEVELOP THE ASSESSMENTS IS COLLABORATIVE IN NATURE AND INVOLVES HEALTH DEPARTMENTS, EXISTING HEALTH COALITIONS, COMMUNITY MEMBERS AND HOSPITAL LEADERSHIP, AND IS SUPPORTED BY THE ALEGENT HEALTH PLANNING AND COMMUNITY BENEFIT DEPARTMENT STAFF. THE ALEGENT HEALTH PLANNING DEPARTMENT CONDUCTS MARKET ASSESSMENTS THAT IDENTIFY THE OMAHA MSA'S POPULATION AND DEMOGRAPHIC CHARACTERISTICS. ADDITIONALLY, IN COOPERATION WITH LOCAL HEALTH DEPARTMENTS AND COALITIONS, THE ALEGENT HEALTH COMMUNITY BENEFIT/HEALTHIER COMMUNITY DEPARTMENT CONDUCTS AN ANNUAL REVIEW OF THE DOCUMENTED COMMUNITY HEALTH NEEDS AND PLANS OF EACH OF THE COMMUNITIES IT SERVES. THIS ASSESSMENT PROCESS INVOLVES SUMMARIZING EXISTING DATA AND RESEARCH FROM LOCAL HEALTH DEPARTMENT REPORTS AND LOCAL COALITION REPORTS INTO A COMPREHENSIVE SUMMARY GRID INCORPORATING A MULTITUDE OF FACTORS INCLUDING- DEMOGRAPHICS, HEALTH STATUS METRICS, BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, DOCUMENTED HEALTH ISSUES, QUALITATIVE INFORMATION FROM QUALITATIVE AND COMMUNITY BASED PROCESSES AND IDENTIFICATION OF ALEGENT HEALTH'S PARTICIPATION AND SPECIFIC STRATEGIC ACTION PLANS. THE PROFILES ARE INTEGRATED INTO THE GOVERNANCE AND PLANNING FOR ALEGENT HEALTH ON TWO LEVELS- I. REPORTING TO THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH HEALTH PLANNING OVERSIGHTII. INTO THE ANNUAL STRATEGIC PLANNING PROCESSES OF ALEGENT HEALTH. THIS COALITION INCLUDES THE DIRECTOR OF THE SARPY/CASS HEALTH DEPARTMENT, IN WHICH MIDLANDS HOSPITAL IS LOCATED. IN ADDITION MIDLAND'S HOSPITAL LEADERSHIP IS ACTIVELY ENGAGED WITH SARPY COUNTY SCHOOLS' LEADERSHIP IN THE ONGOING COUNTY BASED CONVERSATIONS TO IMPACT SCHOOL HEALTH EDUCATION AND PRACTICES. PARTICULAR TO DOUGLAS COUNTY, WITHIN WHICH LAKESIDE HOSPITAL RESIDES, NEEDS ASSESSMENT AND REPORTING OF THOSE NEEDS IS LED BY LIVE WELL OMAHA (LWO), A MEMBERSHIP BASED COALITION. LWO HAS BEEN IN EXISTENCE FOR 14 YEARS AND ALEGENT HEALTH WAS A FOUNDING MEMBER AND IS THE LARGEST FINANCIAL CONTRIBUTOR. THE ALEGENT HEALTH SYSTEM CONTINUES TO PROVIDE LEADERSHIP AND FUNDING FOR LWO COALITION WHICH INCLUDES HEALTHCARE PROVIDERS, PUBLIC HEALTH, SERVICE PROVIDERS, INSURERS, BUSINESSES AND ACADEMIA WHO PARTICIPATE IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT CONSISTING OF PRIMARY AND SECONDARY DATA AND KEY INFORMANT INTERVIEWS. THE ASSESSMENT IS SHARED WITH THE PUBLIC THROUGH A REPORT CARD, AT AN ANNUAL COMMUNITY SUMMIT AND ON A COMMUNITY WEBSITE. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS USED BY THE COMMUNITY TO ASSESS HEALTH NEEDS AND IDENTIFY PARTNERSHIP OPPORTUNITIES FOR INTERVENTION.
PART VI, LINE 3: THERE ARE SEVERAL FINANCIAL ASSISTANCE ACCESS POINTS THROUGHOUT A PATIENT'S CARE CYCLE. SIGNS ARE POSTED IN CLINICS AND HOSPITALS, AND THERE IS INFORMATION ON FINANCIAL ASSISTANCE POSTED AT REGISTRATION POINTS THROUGHOUT THE CLINICS AND HOSPITALS. BILLS CONTAIN FINANCIAL ASSISTANCE VERBIAGE. INFORMATION ON ALEGENT HEALTH'S FINANCIAL ASSISTANCE POLICY IS ALSO LOCATED ON WWW.ALEGENT.COM.REPRESENTATIVES OF THE ALEGENT HEALTH SYSTEM HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH THE ALEGENT HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4: ALEGENT HEALTH SYSTEM, WHICH INCLUDES LAKESIDE HOSPITAL AND MIDLANDS HOSPITAL, SERVES THE EIGHT-COUNTY GREATER OMAHA MSA, WITH AN ESTIMATED POPULATION OF 865,350, RANKING 60TH OUT OF 366 MSAS IN TOTAL POPULATION. THE MSA CONSISTS OF 3 IOWA AND 5 NEBRASKA COUNTIES ON BOTH SIDES OF THE MISSOURI RIVER. MORE THAN 1.2 MILLION PEOPLE LIVE WITHIN A 60-MILE RADIUS OF OMAHA. CHARACTERIZED BY STEADY GROWTH, THE MSA GREW BY 12.8 PERCENT BETWEEN 2000 AND 2010; THE 2015 PROJECTED POPULATION IS MORE THAN 900,000, A 5.5 PERCENT INCREASE. MORE THAN 36 PERCENT OF THE POPULATION IS 24 YEARS OF AGE OR YOUNGER WITH A MEDIAN AGE OF 34.9 YEARS COMPARED TO A U.S. MEDIAN AGE OF 37.1. 50.5% OF THE POPULATION IS FEMALE. RACIAL MINORITIES COMPRISE ABOUT 18 PERCENT OF GREATER OMAHA'S POPULATION, INCLUDING AN AFRICAN-AMERICAN POPULACE OF 7.9 PERCENT AND APPROXIMATELY 9.0 PERCENT HISPANIC. IN 2010 GREATER OMAHA HAD OVER 360,000 HOUSING UNITS. THE MEDIAN HOUSEHOLD INCOME IS $56,271 WHICH SURPASSES THE NATIONAL AVERAGE OF $51,517, WITH A PER CAPITA INCOME OF $27,876. GREATER OMAHA IS A WELL-EDUCATED COMMUNITY. MORE THAN 91 PERCENT OF ADULTS, AGE 25 AND OLDER, ARE HIGH SCHOOL GRADUATES AND 32.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER.
PART VI, LINE 6: THE PRIMARY CARE PHYSICIAN CLINICS THAT ARE PART OF THE PARENT ALEGENT HEALTH SYSTEM PARTICIPATE IN MEDICAL STUDENT PRECEPTORSHIPS THAT ADVANCE THE HEALTHCARE PROVIDER EDUCATION PROCESS. THE AFFILIATED NOT-FOR-PROFIT CORPORATION HAS THE SAME FINANCIAL ASSISTANCE POLICY THAT MAKES ACCESS FOR THE POOR AS BARRIER FREE AS POSSIBLE. ALEGENT HEALTH HAS OPEN MEDICAL STAFFS AND ARE ONE OF 3 HEALTH SYSTEMS THAT FUND THE OPERATIONS OF A COALITION THAT EXISTS TO PROVIDE ACCESS FOR THE PATIENTS OF 3 AREA FQCHCS TO SPECIALTY PHYSICIAN SERVICES AND HOSPITAL BASED DIAGNOSTICS AND TREATMENT. ALEGENT HEALTH IS THE SOLE COMPREHENSIVE ACUTE MENTAL HEALTH PROVIDER IN THE OMAHA MSA AREA AND IS A JOINT VENTURE PARTNER IN A NOT-FOR-PROFIT HOSPICE INPATIENT HOSPITAL AND PROVIDES THE MANAGEMENT SUPPORT CONTRACT. ALEGENT HEALTH BUDGETS FOR AN EMERGENCY FUND AS A SUBSET OF OTHER COMMUNITY DONATIONS TO RESPOND TO CRISIS OR UNPLANNED FUNDING NEEDS OF A VITAL COMMUNITY SERVICE, WHICH WAS FIRST USED IN FY2010 WITH THE ECONOMIC DOWNTURN. ALEGENT HEALTH HAS A CURRENT COMMITMENT TO SET ASIDE UP TO 6% OF ITS EBIDA, IN A GIVEN FISCAL YEAR FOR COLLABORATIVE INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED, WHICH IS THE CATALYST FUND. A PORTION OF THIS EXPENSE IS ALLOCATED TO ALEGENT HEALTH - MIDLANDS HOSPITAL AND ALEGENT HEALTH - LAKESIDE HOSPITAL. EMERGENCY DEPARTMENT - ALEGENT HEALTH HOSPITALS HAVE FULL-TIME EMERGENCY DEPARTMENTS THAT ARE OPEN TO THE PUBLIC AND PROVIDE MEDICAL SCREENING EXAMINATIONS AND STABILIZING TREATMENT WITHIN THE CAPABILITIES AND CAPACITY OF THE HOSPITALS REGARDLESS OF BUT NOT LIMITED TO THE PATIENT'S RACE, COLOR, SEX, AGE, AND/OR ABILITY TO PAY. THE HOSPITALS ARE IN COMPLIANCE WITH THE FEDERAL EMTALA REGULATIONS.MEDICAL STAFF - THE HOSPITALS MAINTAIN AN OPEN MEDICAL STAFF. ALL QUALIFIED MDS, DOS, OTHER HEALTHCARE PRACTITIONERS, AND MID-LEVEL PRACTITIONERS ARE ELIGIBLE TO APPLY FOR PRIVILEGES AT THE HOSPITALS. ALEGENT HEALTH'S POLICY ON PHYSICIAN CREDENTIALING IS THAT NO INDIVIDUAL IS TO BE DENIED MEDICAL STAFF APPOINTMENT BASED ON SEX, RACE, CREED, COLOR OR NATIONAL ORIGIN. THE STANDARDS A PHYSICIAN MUST MEET FOR APPOINTMENT RELATE TO (1) EDUCATIONAL QUALIFICATIONS AND LICENSING; (2) PROFESSIONAL COMPETENCE, (3) CHARACTER, (4) ETHICAL STANDING, AND (5) ABILITY TO RELATE TO AND WORK WITH OTHERS. APPLICATIONS ARE REVIEWED AT SEVERAL LEVELS WITHIN THE ORGANIZATION.BOARD OF DIRECTORS - ALEGENT HEALTH IS GOVERNED BY A BOARD OF DIRECTORS PRIMARILY COMPRISED OF VOLUNTEER MEMBERS OF OUR LOCAL COMMUNITY WHO ARE LEADERS IN THE FIELDS OF BUSINESS, HEALTHCARE, ACCOUNTING AND MEDICINE AND UNDERSTAND THEIR ROLE IN PROVIDING STRONG CORPORATE GOVERNANCE.
PART VI, LINE 7: THE SENIOR LEADERSHIP OF THE INDIVIDUAL HOSPITALS IS ENGAGED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS THAT IS CONDUCTED FROM THE CORPORATE OFFICES OF THE ALEGENT HEALTH SYSTEM (SEE PART VI-2/COMMUNITY NEEDS ASSESSMENT). THE HOSPITALS ARE INVOLVED IN SHARED BUDGET DECISION MAKING TO MEET THE PRIORITIZED COMMUNITY HEALTH NEEDS IN COLLABORATION WITH COMMUNITY PARTNERS. THE CORPORATE FUNCTION IS FUNDED FROM THE OPERATIONS OF THE INDIVIDUAL HOSPITALS TO LEVERAGE EXPERTISE AND TIME THAT IS FOCUSED ON PROMOTING HEALTH VERSUS ADDRESSING ACUTE CARE NEEDS. THE INDIVIDUAL HOSPITALS BECOME MORE INVOLVED IN SPECIFIC STRATEGIC RESPONSES THROUGH THE SERVICES THEY PROVIDE AND THEIR PARTICIPATION IN THE COALITIONS ACROSS THE ALEGENT HEALTH SERVICE AREA.
THE ALEGENT HEALTH SYSTEM FILES REPORTS WITH THE NEBRASKA HOSPITAL ASSOCIATION (NEBRASKA) AND IOWA HOSPITAL ASSOCIATION (IOWA).		PART VI, LINE 7:

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN CANCER SOCIETY
9850 NICHOLAS STREET	OMAHA	NE	68114	237040934	501(C)(3)	13000	GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION
12838 AUGUSTA AVENUE	OMAHA	NE	68144	131623888	501(C)(3)	11000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
10100 J STREET	OMAHA	NE	68127	135613797	501(C)(3)	15000	GENERAL SUPPORT
AMERICAN LUNG ASSOCIATION
14 WALL STREET NO 8C	NEW YORK	NY	10005	131632524	501(C)(3)	5925	GENERAL SUPPORT
AMERICAN RED CROSS
2025 E STREET NW	WASHINGTON	DC	20006	530196605	501(C)(3)	11750	GENERAL SUPPORT
CATHOLIC CHARITIES OF ARCHDIOCESE OF OMAHA
3300 N 60TH STREET	OMAHA	NE	68104	470376612	501(C)(3)	19500	GENERAL SUPPORT
CITY OF CORNING
601 6TH STREET	CORNING	IA	50841	426004418	501(C)(3)	9000	GENERAL SUPPORT
FRIENDS OF NAIVASHA HOSPITAL
25002 MASON STREET	WATERLOO	NE	68069	030564411	501(C)(3)	15000	GENERAL SUPPORT
GREATER OMAHA CHAMBER FOUNDATION
1301 HARNEY STREET	OMAHA	NE	68102	470258610	501(C)(3)	50000	GENERAL SUPPORT
LUTHERAN FAMILY SERVICES OF NE INC
124 S 24TH ST STE 230	OMAHA	NE	68102	237267972	501(C)(3)	68000	GENERAL SUPPORT
OMAHA SYMPHONY ASSOCIATION
1605 HOWARD	OMAHA	NE	68102	476039304	501(C)(3)	5900	GENERAL SUPPORT
ONEWORLD COMMUNITY HEALTH CENTERS INC
4920 SOUTH 30TH STREET STE 103	OMAHA	NE	68107	470548990	501(C)(3)	92631	GENERAL SUPPORT
ST PETER CLAVER CRISTO RAY HIGH SCHOOL
5301 SOUTH 36TH STREET	OMAHA	NE	68107	300348098	501(C)(3)	10000	GENERAL SUPPORT
VOICES FOR CHILDREN IN NEBRASKA
7521 MAIN STREET NO 103	OMAHA	NE	68127	363528940	501(C)(3)	10000	GENERAL SUPPORT
WELLNESS COUNCIL OF MIDLANDS
12565 WEST CENTER ROAD	OMAHA	NE	68144	470642708	501(C)(3)	11100	GENERAL SUPPORT
NEBRASKA SYNOD ELCA
4980 S 118TH STREET STE D	OMAHA	NE	68137	363514308	501(C)(3)	20000	GENERAL SUPPORT
PAPILLION RECREATION DEPARTMENT
1100 W LINCOLN ROAD	PAPILLION	NE	68046	476006318	501(C)(3)	10000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	17	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	CHARITY CARE	TypeOfGrant
Number Of Recipients	6454	NumberOfRecipients
Amount Of Non Cash Assistance	15689157	AmountOfNonCashAssistance
Method Of Valuation	BOOK	MethodOfValuation
Description Of Non Cash Assistance	REDUCE OR WRITE OFF OF PATIENT SERVICES.	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES OR SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS. ALEGENT HEALTH ONLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS WITH THE SAME MISSION AND PURPOSE AS THE ALEGENT HEALTH SYSTEM. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION.
OTHER INFORMATION:	PART IV:	SCHEDULE I, PART III: ALEGENT HEALTH RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY HATCHER DO
26500	377050	0	0	0	27127	0	14700	0	18657	26500	437534	0	0
RICHARD HACHTEN II
136384	528449	52622	203895	26284	101845	54347	210582	3084	11950	272721	1056721	0	0
MARTIN HICKEY MD
72363	280383	28653	111023	47564	184298	37864	146715	4625	17921	191069	740340	25121	97339
JOAN NEUHAUS
65683	254501	19956	77324	10566	40941	66499	257665	1000	3875	163704	634306	0	0
KENNETH LAWONN
58313	225942	21730	84199	10941	42396	24724	95797	3238	12546	118946	460880	0	0
SCOTT WOOTEN
69629	269791	26072	101023	15234	59030	24606	95340	3792	14691	139333	539875	0	0
LARRY BROWN MD
171323	171323	4379	4379	14724	14723	13866	13866	12625	12624	216917	216915	0	0
RICK MILLER MD
21340	82689	0	0	822	3183	78601	304559	1268	4914	102031	395345	0	0
SHEREE KEELY
25119	97328	6071	23521	5604	21712	5994	23227	2310	8949	45098	174737	0	0
ELIZABETH LLEWELLYN
29707	115108	7577	29359	7334	28421	7432	28798	1587	6149	53637	207835	0	0
PATRICIA MASEK
27331	105902	6399	24793	4277	16575	10662	41314	2955	11450	51624	200034	0	0
FRANK EMSICK
30973	120012	7532	29185	4482	17366	5884	22798	4160	16119	53031	205480	0	0
PAUL EBMEIER
51555	199767	11456	44387	6090	23597	6791	26311	4454	17256	80346	311318	0	0
CINDY ALLOWAY
47265	183140	10035	38885	9857	38194	17354	67244	4217	16340	88728	343803	0	0
KEVIN NOKELS
39752	154029	10429	40408	11889	46066	10497	40674	5042	19538	77609	300715	0	0
JAYNE MCCORMICK MD
267118	0	0	0	26767	0	5594	0	1349	0	300828	0	0	0
JANE CARMODY
12708	49238	39575	153339	742	2876	76815	297637	403	1563	130243	504653	0	0
NANCY WALLACE
35030	135731	5760	22319	5633	21829	71055	275322	2699	10459	120177	465660	0	0
KRISHAN ARIYARATHNA MD
317479	0	0	0	26795	0	12250	0	24280	0	380804	0	0	0
MARIE KNEDLER
57253	221842	12394	48024	6135	23766	27658	107170	4102	15895	107542	416697	0	0
STEPHEN BUDD MD
271379	0	0	0	15466	0	7350	0	21818	0	316013	0	0	0
ANN SCHUMACHER
49860	193192	9339	36183	7457	28894	11129	43123	4979	19293	82764	320685	0	0
DARREN SPLONSKOWSKI MD
277801	0	0	0	14751	0	12848	0	21702	0	327102	0	0	0
AMY PROTEXTER
0	0	0	0	51145	198172	408	1579	1601	6205	53154	205956	51145	198172
MARK KESTNER MD
1041	4035	0	0	112563	436150	165	640	1366	5293	115135	446118	111109	430515
FRED HOSLER MD
521	2018	0	0	164906	638967	0	0	1502	5821	166929	646806	162947	631373
PATRICIA NADLE
12299	47655	10250	39714	28241	109427	0	0	1121	4344	51911	201140	26156	101348
MARGARET BREEN
0	0	0	0	56226	217864	140	539	978	3788	57344	222191	56227	217864
THEODORE SCHWAB
0	0	0	0	47635	184575	258	1000	0	0	47893	185575	47636	184575
WAYNE SENSOR
347	1345	0	0	462952	1793815	0	0	2909	11274	466208	1806434	462358	1791511
DAVID TEW
0	0	0	0	36928	143087	274	1064	0	0	37202	144151	36928	143087
MICHAEL ANDERSON
0	0	0	0	32902	127485	0	0	0	0	32902	127485	32902	127485

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	AS PART OF THE EXECUTIVE COMPENSATION ARRANGEMENT, EXECUTIVES ARE PROVIDED WITH A SET SUM, APPROXIMATELY 30 - 40% OF THEIR BASE SALARY, WHICH CAN BE USED TO ELECT VARIOUS BENEFITS. SOME OF THE BENEFITS AVAILABLE FOR ELECTION INCLUDE HEALTH CLUB DUES, AUTOMOBILE ALLOWANCE, FINANCIAL PLANNING FEES AND LEGAL FEES. PAYMENT FOR THESE BENEFITS ARE EITHER MADE DIRECTLY BY ALEGENT HEALTH OR REIMBURSED TO THE EXECUTIVE AFTER THE APPROPRIATE SUBSTANTIATION FOR THE EXPENSE IS PROVIDED. THE AMOUNT PAID FOR THESE BENEFITS ARE INCLUDED IN THE EXECUTIVE'S WAGES AS TAXABLE INCOME.
PART I, LINES 4A-B	THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS EXECUTIVES OF ALEGENT HEALTH DURING THE 2010 CALENDAR YEAR AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE AS COMPENSATION ON SCHEDULE J: THEODORE SCHWAB - $232,210 WAYNE SENSOR - $2,253,869 PATRICIA NADLE - $127,504 FRED HOSLER, MD - $794,319 MARGARET BREEN - $274,090 AMY PROTEXTER - $249,317 MARK KESTNER, MD - $541,623 MARTIN HICKEY, MD - $122,460 DAVID TEW - $180,015 MICHAEL ANDERSON - $160,387. SCHEDULE J, PART I, LINE 4B: THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT HEALTH (A RELATED ORGANIZATION) DURING THE 2010 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: RICHARD HACHTEN II - $116,268 SCOTT WOOTEN - $48,613 JANE CARMODY - $3,877 NANCY WALLACE - $13,759 RICK MILLER, MD - $9,841 LARRY BROWN, MD - $12,411 KENNETH LAWONN - $39,892 JOAN NEUHAUS - $41,947 MARIE KNEDLER - $22,238 SHEREE KEELY - $10,915 ELIZABETH LLEWELLYN - $12,916 PATRICIA MASEK - $10,956 FRANK EMSICK - $11,534 PAUL EBMEIER - $20,451 ANN SCHUMACHER - $19,981 CINDY ALLOWAY - $19,449 KEVIN NOKELS - $17,965 MARTIN HICKEY, MD - $50,630.
PART I, LINE 5	PHYSICIANS EMPLOYED BY ALEGENT HEALTH ARE ELIGIBLE FOR QUARTERLY PRODUCTIVITY BONUSES BASED ON INDIVIDUAL QUALITY MANAGEMENT, WHICH INCLUDE CORE MEASURES, REVENUE, PHYSICIAN REFFERAL AND ATTENDANCE AT MEETINGS. THE CORE MEASURES USED TO DETERMINE THE PHYSICIAN BONUSES ARE NATIONALLY ACCEPTED MEASURES OF PHYSICIAN PRODUCTIVITY.
PART I, LINE 6	COMPENSATION FOR MEMBERS OF MANAGEMENT OF ALEGENT HEALTH AND RELATED ENTITIES IS DETERMINED AT A SYSTEM LEVEL. MEMBERS OF ALEGENT HEALTH MANAGEMENT ARE ELIGIBLE FOR AN ANNUAL INCENTIVE BONUS. INCENTIVE AWARDS ARE BASED ON FOUR INDIVIDUAL PERFORMANCE MEASURES WHICH ARE LINKED TO FOUR SYSTEM PERFORMANCE GOALS. FOR EACH MANAGER, 75% OF THE INCENTIVE AWARD WILL BE DETERMINED BY SYSTEM PERFORMANCE GOALS AND 25% DETERMINED BY INDIVIDUAL PERFORMANCE MEASURES. ONE OF THE FOUR SYSTEM PERFORMANCE GOALS IS DEPENDENT ON THE FINANCIAL RESULTS OF THE ENTIRE ALEGENT HEALTH SYSTEM FOR THE FISCAL YEAR.
PART III	SCHEDULE J, PART I, LINE 3: ALEGENT HEALTH GOVERNANCE OF EXECUTIVE COMPENSATION: ACTING AS PRUDENT STEWARDS OF ITS FINANCIAL RESOURCES, THE ALEGENT HEALTH BOARD COMPENSATION COMMITTEE RECOMMENDS AND THE BOARD EXECUTIVE COMMITTEE APPROVES EXECUTIVE COMPENSATION PHILOSOPHY, POLICY AND GUIDELINES. IT DOES SO WITH THE OBJECTIVE OF ATTRACTING AND RETAINING TOP EXECUTIVE TALENT TO ENSURE ALEGENT HEALTH IS ABLE TO FULFILL ITS FAITH-BASED MISSION AND ACHIEVE ITS VISION OF BECOMING WORLD-CLASS. THE ALEGENT HEALTH COMPENSATION COMMITTEE FOLLOWS A THOROUGH AND INTENTIONAL PROCESS THAT INCLUDES CONSULTATION WITH INDEPENDENT, EXPERT COUNSEL AND CAREFULLY COMPARES COMPENSATION LEVELS TO MARKET-BASED COMPENSATION OF SIMILAR SIZED, NON-PROFIT AND FOR-PROFIT HEALTH SYSTEMS AND ALSO UTILIZES A BLEND OF NON-PROFIT AND GENERAL INDUSTRY DATA FOR EXECUTIVE ROLES WHERE THE RECRUITING MARKET IS ARGUABLY BROADER THAN THE NON-PROFIT SECTOR. TOTAL COMPENSATION INCLUDES BASE COMPENSATION, AND ALSO INCLUDES PERFORMANCE-BASED INCENTIVE COMPENSATION FOR ACHIEVING BOARD-SET GOALS FOR CLINICAL QUALITY, PATIENT SAFETY AND SATISFACTION, PHYSICIAN PERCEPTION, STRATEGIC AND FACILITY PLANNING AND FINANCIAL PERFORMANCE. IT MAY ALSO INCLUDE OTHER CASH PAYMENTS SUCH AS ONE-TIME RELOCATION COSTS, AND/OR CASH PAYMENTS FOR DEFERRED COMPENSATION. SCHEDULE J, PART II: THE ALEGENT HEALTH EXECUTIVES HAVE A PROVISION IN THEIR COMPENSATION AGREEMENT THAT PROVIDES FOR POTENTIAL SEVERANCE PAYMENTS IN THE EVENT OF TERMINATION WITHOUT CAUSE OR CHANGE OF CONTROL. THE AMOUNT OF SEVERANCE AN EXECUTIVE MAY OR MAY NOT RECEIVE IF TERMINATED ACCORDING TO THE COMPENSATION AGREEMENT IS INCLUDED AS DEFERRED COMPENSATION IN COLUMN C.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	GUILLERMO HUERTA MD - BOARD MEMBER	NamePerson

Field	Value	IRS element (for citing)
Relationship	PULMONARY MEDICINE SPECIALIST PC - PRESIDENT	Relationship
Amount Of Transaction	2386412	AmountOfTransaction
Description Of Transaction	HEALTHCARE SERVICES	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	PAUL EDGETT III AND ANTOINETTE HARDY-WALLER - BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	ALEGENT HEALTH HAS TWO CORPORATE MEMBERS, IMMANUEL HEALTH SYSTEMS (IHS) AND CATHOLIC HEALTH INITIATIVES (CHI).
FORM 990, PART VI, SECTION A, LINE 7A	CHI AND IHS SHALL APPOINT SIX OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS, PROVIDED THAT EACH CORPORATE MEMBER SHALL RATIFY THE OTHER CORPORATE MEMBER'S APPOINTMENTS, WITH THE EXCEPTION OF THE REPRESENTATIVE OF THE CORPORATE MEMBER WHICH APPOINTMENT WILL NOT REQUIRE RATIFICATION BY THE OTHER CORPORATE MEMBER. IF A CORPORATE MEMBER DOES NOT RATIFY THE APPOINTMENT OF ONE OR MORE OF THE DIRECTORS APPOINTED BY THE OTHER CORPORATE MEMBER, THEN THE PROCESS WILL BE REPEATED UNTIL ALL OF THE DIRECTOR POSITIONS ARE FILLED.
FORM 990, PART VI, SECTION A, LINE 7B	THE BUSINESS AND AFFAIRS OF ALEGENT HEALTH SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE BOARD OF DIRECTORS EXCEPT THAT THE FOLLOWING ACTIONS SHALL BE EFFECTIVE ONLY IF APPROVED BY THE BOARD OF DIRECTORS AND BY BOTH CORPORATE MEMBERS: (I) ADOPTION OR AMENDMENT OF THE UNIFIED PHILOSOPHY AND MISSION OF THE CORPORATION; (II) SALE, LEASE, TRANSFER, ENCUMBRANCE OR DISPOSITION OF THE TANGIBLE PROPERTY OR INVESTMENTS HAVING A FAIR MARKET VALUE IN ANY INDIVIDUAL TRANSACTION IN EXCESS OF $3 MILLION OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; PROVIDED THAT TRANSFERS OF INVESTMENTS BETWEEN THE CORPORATION AND ANOTHER PARTICIPANT SHALL NOT REQUIRE THE APPROVAL OF CHI AND IHS; PROVIDED FURTHER THAT APPROVAL OF THE CORPORATE MEMBERS SHALL NOT BE REQUIRED FOR ANY TRANSFER OF ASSETS TO CHI BY THE CORPORATION PURSUANT TO THE TERMS OF THE ALEGENT FINANCING AGREEMENT(AFA); (III) INCURRENCE, ASSUMPTION OR GUARANTY IN ANY INDIVIDUAL TRANSACTION OF LONG-TERM INDEBTEDNESS, INCLUDING CAPITAL LEASES, OUTSTANDING FOR MORE THAN 365 DAYS, IN EXCESS OF $2 MILLION OR 2% OF THE TOTAL LONG TERM INDEBTEDNESS OF ALL PARTICIPANTS, OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; AND (IV) MERGER, DISSOLUTION, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, EXCEPT FOR A MERGER IN WHICH (I) THE CORPORATION IS THE SURVIVING ENTITY, AND (II) THE TOTAL BOOK VALUE OF THE ASSETS OF THE MERGING ENTITY DOES NOT EXCEED 2% OF THE TOTAL BOOK VALUE OF THE ASSETS OF ALL THE PARTICIPANTS, OR SUCH GREATER VALUE AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS. B. THE ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED, RESTATED OR REPEALED, OR NEW ARTICLES OF INCORPORATION OR BYLAWS ADOPTED ONLY UPON THE APPROVAL OF THE BOARD OF DIRECTORS OF THE CORPORATION AND CHI AND IHS. C. THE ACTIONS THAT CAN BE TAKEN WITHOUT THE APPROVAL OF THE CORPORATE MEMBERS INCLUDE, WITHOUT LIMITATION: (I) TERMINATION OF THE AFA IN ACCORDANCE WITH ITS TERMS. (II) FORMATION OF THE UNIFIED ALEGENT HEALTH SYSTEM (III) PREPAYMENT OF THE FULL AMOUNTS OUTSTANDING ON NOTES TO CHI UNDER THE AFA, FOR PURPOSES OF EXERCISING THE RIGHTS OF TERMINATION OF THE AFA, OR FORMATION OF THE UNIFIED ALEGENT HEALTH SYSTEM CREDIT, AND THE TAKING OF ALL ACTIONS NECESSARY OR APPROPRIATE TO OBTAIN FUNDING OR OTHERWISE MAKE ARRANGEMENTS TO PREPAY SUCH NOTES, INCLUDING WITHOUT LIMITATION INCURRENCE OF INDEBTEDNESS NECESSARY OR APPROPRIATE TO PREPAY NOTES OUTSTANDING.
FORM 990, PART VI, SECTION B, LINE 11	FOLLOWING THE PREPARATION OF THE FORM 990 BY INTERNAL TAX STAFF, THE RETURN IS REVIEWED BY THE TAX DIRECTOR, EXTERNAL TAX ADVISOR AND THE CHIEF FINANCIAL OFFICER. THE FINAL TAX RETURN IS POSTED ON THE ELECTRONIC DIRECTOR'S PORTAL TO BE REVIEWED AND PRESENTED AT THE FINANCE AND AUDIT COMMITTEE OF THE BOARD. THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR ARE PRESENT AT THE FINANCE AND AUDIT COMMITTEE MEETING TO ANSWER QUESTIONS. ADDITIONALLY, THE BOARD OF DIRECTORS ARE REFERRED TO THE ALEGENT HEALTH TAX DIRECTOR IF THEY HAVE QUESTIONS AND THE BOARD IS NOTIFIED THAT THE FINAL FORM 990, WILL BE FILED ON MAY 15, 2012.
	WRITTEN CONFLICT OF INTEREST POLICY - ANNUAL COMPLETION OF THE DISCLOSURE STATEMENT IS REQUIRED BY THE BOARD OF DIRECTORS. STATED DISCLOSURES ARE INVESTIGATED BY THE ALEGENT HEALTH COMPLIANCE OFFICER AND REPORTED TO THE CONFLICTS OF INTEREST COMMITTEE. THE CONFLICTS OF INTEREST COMMITTEE REVIEWS THE INVESTIGATION AND MAKES RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE MAKES THE FINAL DETERMINATION OF WHETHER OR NOT THERE IS A DISQUALIFYING EVENT AND COMMUNICATES IT TO THE BOARD OF DIRECTORS. AT ANY TIME A BOARD MEMBER OR KEY EMPLOYEE MAY DECLARE A CONFLICT OF INTEREST AND RECUSE HIS/HERSELF FROM THE DISCUSSION. THE INDIVIDUAL IS ALSO REQUIRED TO DISCLOSE ANY KNOWN OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE DURING THE CALENDAR YEAR.	FORM 990, PART VI, SECTION B, LINE 12C
	THE GOVERNING BOARD OF ALEGENT HEALTH ENGAGED THE SERVICES OF AN INDEPENDENT CONSULTING FIRM THAT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT THAT IS QUALIFIED TO AND REGULARLY PERFORMS EXECUTIVE AND OFFICER COMPENSATION STUDIES. THE CONSULTING FIRM CONDUCTED A REVIEW AND ANALYSIS OF THE TOTAL COMPENSATION PAID TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, BASED ON COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND DETERMINED THAT THE COMPENSATION WAS REASONABLE. THE CONSULTING FIRM ISSUED AN OPINION LETTER AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PAID TO EMPLOYEES IDENTIFIED AS DISQUALIFIED PERSONS. THE OPINION LETTER SETTING FORTH THE FINDINGS WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS WERE MAINTAINED. THIS PROCESS WAS USED FOR THE FOLLOWING EMPLOYEES: PRESIDENT AND CHIEF EXECUTIVE OFFICER SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER CHIEF EXECUTIVE OFFICER ALEGENT HEALTH CLINIC SENIOR VICE PRESIDENT ALEGENT HEALTH SYSTEM CHIEF OPERATIONS OFFICER SENIOR VICE PRESIDENT STRATEGY AND TECHNOLOGY (F/K/A CIO) VICE PRESIDENT OPERATIONS (BERGAN MERCY & MERCY) VICE PRESIDENT OPERATIONS (IMMANUEL) VICE PRESIDENT OPERATIONS (LAKESIDE) VICE PRESIDENT OPERATIONS (MIDLANDS) MEDICAL DIRECTORS	FORM 990, PART VI, SECTION B, LINE 15
	THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE AT WWW.ALEGENT.COM. ALEGENT HEALTH DOES NOT MAKE THE FINANCIAL STATEMENTS OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER, THE ARTICLES OF INCORPORATION ARE AVAILABLE AT WWW.SOS.STATE.NE.US.	FORM 990, PART VI, SECTION C, LINE 19
	EXECUTIVES OF THE ALEGENT HEALTH SYSTEM HOURS WORKED ARE SPLIT OUT BETWEEN THE FILING ORGANIZATION AND AFFILIATE ORGANIZATIONS OF THE SYSTEM. THE FOLLOWING EMPLOYEES ARE EXECUTIVES OF THE ALEGENT HEALTH SYSTEM: RICHARD HACHTEN II, SCOTT WOOTEN, KENNETH LAWONN, JOAN NEUHAUS, RICHARD ROLSTON, MD, RICK MILLER, MD, MARTIN HICKEY, MD, JANE CARMODY, MARIE KNEDLER, SHEREE KEELY, ELIZABETH LLEWELLYN, PATRICIA MASEK, FRANK EMSICK, PAUL EBMEIER, NANCY WALLACE, CINDY ALLOWAY, KEVIN NOKELS AND ANN SCHUMACHER. THEREFORE, THEIR AVERAGE NUMBER OF HOURS WORKED PER WEEK FOR THE AFFILIATE ORGANIZATIONS ARE 48. LARRY BROWN, MD IS ALSO AN EXECUTIVE OF THE ALEGENT HEALTH SYSTEM AND AVERAGE HOURS PER WEEK FOR THE AFFILIATE ORGANIZATION IS 30. ANTHONY HATCHER, MD IS AN EMPLOYED PHYSICIAN OF THE ALEGENT HEALTH SYSTEM AND HIS HOURS ARE SPLIT BETWEEN THE FILING ORGANIZATION AND AFFILIATE ORGANIZATIONS OF THE SYSTEM. AVERAGE HOURS PER WEEK FOR AFFILIATE ORGANIZATIONS ARE 54.	PART VII, SECTION A:
CHANGES IN NET ASSETS OR FUND BALANCES:	PRIOR PERIOD ADJUSTMENTS TO BEGINNING NET ASSETS -3,795,000. TEMP RESTRICTED CHANGE IN UNREALIZED GAIN/LOSS 10,742. UNRESTRICTED TRANSFERS TO/FROM OTHER ALEGENT AFFILIATES 78,457,701. UNRESTRICTED OTHER 139,440. PENSION MEASUREMENT DATE TRANSITION ADJUSTMENT 11,666,118. TOTAL TO FORM 990, PART XI, LINE 5: 86,479,001.	FORM 990, PART XI, LINE 5:
	ALEGENT HEALTH IS A COMMON PAY AGENT FOR RELATED ENTITIES WITHIN THE ALEGENT HEALTH SYSTEM. THE NUMBER OF EMPLOYEES ON FORM 990, PART I, LINE 5 AND PART V, LINE 2A REPRESENT EMPLOYEES OF ALEGENT HEALTH AND EMPLOYEES OF RELATED ENTITIES. THE PAYROLL EXPENSES OF THE RELATED ENTITIES ARE ALLOCATED BY ALEGENT HEALTH TO EACH ENTITY.	FORM 990, PART I, LINE 5 AND PART V, LINE 2A:
	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT HEALTH SYSTEM ARE MADE BY ALEGENT HEALTH. ALEGENT HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS.	FORM 990, PART V, LINE 1A:
	ALEGENT HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, ALEGENT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSE IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNER'S RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S LENGTH, WITH PRICES SET AT FAIR MARKET VALUE.	FORM 990, PART VI, SECTION B, LINE 16:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	203437352	EIN
Primary Activities	EXPRESS CARE CLINIC	PrimaryActivities
Legal Domicile State	NE	LegalDomicileState
Total Income	1661513	TotalIncome
EOY Assets	139021	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
6901 N 72ND STREET	OMAHA	NE	68122	470376615	LICENSED HOSPITAL	NE	501(C)(3)	L3	ALEGENT HEALTH	1
ALEGENT HEALTH CLINIC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470765154	CLINICAL SERVICES	NE	501(C)(3)	L3	ALEGENT HEALTH	1
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROAD	OMAHA	NE	68154	470648586	SUPPORT OF ALEGENT HEALTH AND AFFILIATES EXEMPT ACTIVITIES	NE	501(C)(3)	L7	ALEGENT HEALTH	1
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
7500 MERCY ROAD	OMAHA	NE	68124	470484764	LICENSED HOSPITAL	NE	501(C)(3)	L3	ALEGENT HEALTH	1
ALEGENT HEALTH MERCY HOSPITAL CORNING IOWA
603 ROSARY DRIVE	CORNING	IA	50841	420782518	LICENSED HOSPITAL	IA	501(C)(3)	L3	ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM	1
MERCY HEALTH CARE FOUNDATION
603 ROSARY DRIVE	CORNING	IA	50841	421461064	SUPPORT OF ALEGENT HEALTH MERCY HOSPITAL, CORNING, IA EXEMPT ACTIVITIES	IA	501(C)(3)	L11 I	ALEGENT HEALTH MERCY HOSPITAL CORNING IOWA	1
AH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	420776568	LICENSED HOSPITAL	IA	501(C)(3)	L3	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER	1
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICES FOUNDATION
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	421294399	SUPPORT OF ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY,IA	IA	501(C)(3)	L11 I	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MO VALLEY IOWA	1
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STREET	SCHUYLER	NE	68661	470399853	LICENSED HOSPITAL	NE	501(C)(3)	L3	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER	1
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREET	SCHUYLER	NE	68661	363630014	SUPPORT OF ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER EXEMPT PURPOSE.	NE	501(C)(3)	L11 I	ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER	1
MERCY HOSPITAL FOUNDATION
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	421178204	SUPPORT OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM EXEMPT ACTIVITIES	IA	501(C)(3)	L11 I	ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM	1

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
AVANTAS LLC
11128 JOHN GALD BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	N/A	N/A	0	0	0.00000
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLZ STE 206	OMAHA	NE	68130	204267902	AMBULATORY SURGICAL CENTER	NE	N/A	RELATED	0	0	0.53770	3061775	3004251
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SERVICES	NE	N/A	RELATED	0	0	0.50960	984655	869217
OMAHA AMBULATORY INVESTMENT COMPANY LLC
12809 WEST DODGE ROAD	OMAHA	NE	68154	061786989	PARENT HOLDING COMPANY ASC	NE	N/A	RELATED	0	0	0.92900	-882433	7287681
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68154	061786985	DIAGNOSTIC TESTING FACILITY	NE	N/A	RELATED	0	1	0.51000	-50527	571931
PRAIRIE HEALTH VENTURES LLC
421 S 9TH STREET STE 102	LINCOLN	NE	68508	204962103	PROFESSIONAL TECH SERVICES	NE	N/A	N/A	0	0	0.00000
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBULATORY SURGICAL CENTER	NE		N/A	0	0	0.00000			OMAHA AMBULATORY INVESTMENT COMPANY LLC
NEBRASKA SPINE LLC
6901 NORTH 72ND STREET STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	N/A	RELATED	0	0	0.51000	-2698673	16214318

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	470802396	EIN
Primary Activity	MANAGED CARE SERVICES	PrimaryActivity
Legal Domicile State	NE	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	2551508	ShareOfTotalIncome
Share Of EOY Assets	2403170	ShareOfEOYAssets
Percentage Ownership	0.80000	PercentageOwnership

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ALEGENT HEALTH FOUNDATION
C	311288	BOOK VALUE
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
P	32728749	BOOK VALUE
ALEGENT HEALTH CLINIC
P	4688038	BOOK VALUE
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
P	15503987	BOOK VALUE
ALEGENT HEALTH CLINIC
I	2060594	BOOK VALUE
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
I	96359	BOOK VALUE
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
I	236807	BOOK VALUE
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
Q	384886	BOOK VALUE
ALEGENT HEALTH CLINIC
Q	119258	BOOK VALUE

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule

Business Name BusinessName

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	470376615	EIN
Total Grassroots Lobbying	0	TotalGrassrootsLobbying
Total Direct Lobbying	17274	TotalDirectLobbying
Total Lobbying Expenditures	17274	TotalLobbyingExpenditures
Other Exempt Purpose Expenditures	248813953	OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures	248831227	TotalExemptPurposeExpenditures
Lobbying Nontaxable	$1,000,000	LobbyingNontaxableAmount
Grassroots Nontaxable	$250,000	GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Nontx	0	TotLobbyingGrassrootMinusNontx
Tot Lobby Expend Mns Lobbying Nontx	0	TotLobbyExpendMnsLobbyingNontx
Share Of Excess Lobbying Expendtrs	0	ShareOfExcessLobbyingExpendtrs