2011-04-15T08:03:31-04:00 2010-05-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2009-06-01 470376552 BryanLGH Medical Center BRYA 4024813190 1600 SOUTH 48TH STREET LINCOLN NE 685061299 Russ Gronewold 2011-04-14 3142901000 2009 2016-02-24 21:20:13Z RUSSELL GRONEWOLD 1600 SOUTH 48TH STREET LINCOLN NE 68506 483282120 false X www.bryanlgh.org X 1926 NE TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION AND COMPASSION. 16 9 3927 550 2631028 -319560 835837 800117 435394018 450431844 -23187054 3801433 6796922 7847868 419839723 462881262 210801 274457 0 0 196977324 206340017 0 0 0 220716613 226477666 417904738 433092140 1934985 29789122 687031566 703189931 303524632 295722942 383506934 407466989 TO PROVIDE EXCELLENT CARE AND PROMOTE HEALTH WITH A FOCUS ON QUALITY, COLLABORATION AND COMPASSION. false false 393735107 274457 443238195 BryanLGH Medical Center provides the community, state and region with comprehensive patient-centered, safety-focused quality care. It promotes wellness, provides healthcare services for those in need regardless of their ability to pay, and is sensitive to those who are culturally diverse or have disabilities. In fiscal year 2010, BryanLGH provided life-saving procedures and medications to thousands of individuals who simply could not pay for these services and whom no other public support was available. Unreimbursed charges for charity care totaled $20.1 million. BryanLGH also incurred $37.8 million in unreimbursed Medicare costs, $13.4 million in Medicaid costs and $34,806 to support other public programs. BryanLGH Medical Center's Commitment to Health Professionals' education, through residency programs and the College of Health Sciences, totaled $3.6 million. Community education, and support programs and services subsidized by the Medical Center, totaled more than $880,000. Donations to charitable organizations and community building activities totaled more than $516,000. BryanLGH Medical Center's quantifiable community benefit for fiscal year 2010 totals more than $76 million. The Medical Center is a 664-bed, not for profit, locally owned, healthcare organization serving patients from throughout Nebraska, as well as part of Kansas, Iowa, South Dakota and other states in the region. Premier services include cardiology, neuroscience, orthopedics, vascular, trauma and emergency centers, intensive care, women's and children's health, imaging and mental health. The Medical Center is the community's only provider of inpatient mental health services and has helped thousands of citizens through the BryanLGH Independence Center residential substance abuse treatment program. The Medical Center also emphasizes education by providing graduate and undergraduate degrees through the BryanLGH College of Health Sciences which offers graduate and undergraduate degrees through its School of Nursing, School of Health Professions, and School of Nurse Anesthesia Programs. The Medical Center is one of only 74 hospitals in the United States to have received both the 2010 Distinguished Hospital Award for Clinical Excellence, and the Patient Safety Excellent Award from HealthGrades. During 2010, the Medical Center also received the Gold Seal of Approval from the Joint Commission on Accreditation of Healthcare Organizations, which sets the highest standards for quality and safety in the delivery of health care. 393735107 true true false true false false false false true true false true false false false false false false false false true true false true true false false false false false false false true false true false false false false false true true false false true 811 0 true 3927 true true true false false false false false false false false 16 9 true false false false true true true true true false false false true true true true true true true true false NE X RUSSELL GRONEWOLD 4024813190 1600 SOUTH 48TH STREET LINCOLN NE 685061299 Steve Erwin 2.0 X 0 0 0 Gene Stohs MD 2.0 X 10000 0 0 JOHN WOODRICH 60.0 X X 17700 0 0 CRAIG AMES 60.0 X X 482231 0 19437 KIMBERLY RUSSEL 30.0 X X 0 943915 32314 Byron Boslau 2.0 X X 0 0 0 Kathy Campbell 2.0 X X 0 0 0 Ron Harris 2.0 X 0 0 0 C Rex Bevins 2.0 X 0 0 0 Martin Massengale 2.0 X 0 0 0 John Dittman 2.0 X 0 0 0 Nicholas Cusick 2.0 X 0 0 0 Richard Evnen 2.0 X 0 0 0 Gene Brake 2.0 X 0 1025 0 Kevin Mota MD 2.0 X 40000 0 0 Edward Mlinek MD 2.0 X 0 0 0 Russell Gronewold 30.0 X 0 0 0 Jennifer Lesoing-Lucs 30.0 X 0 487107 354342 Kathleen M Campbell 60.0 X 219739 0 13045 Edward Raines MD 80.0 X 850566 0 34642 David Hughes MD 80.0 X 707952 0 32277 Lawrence Elliott 60.0 X 299310 0 224579 Shirley Travis 60.0 X 253757 0 29007 Carolyn Cody MD 24.0 X 228434 0 19738 Charles Meyer 50.0 X 174214 0 31495 David Reese 60.0 X 162086 0 29418 David Bingham MD 50.0 X 655408 0 26890 Stuart Myers MD 50.0 X 496706 0 29989 STEVEN FRAGER 50.0 X 151531 0 31717 WILLIAM CORKLE 50.0 X 157822 0 19369 DONALD GOBLE 50.0 X 152509 0 12513 5059965 1432047 940772 73 false true false Inpatient Physician Associates 2300 S 16TH ST LINCOLN NE 68502 Medical Services 2403475 Heartland Surgical Services 2300 South 16th Street LINCOLN NE 68502 Medical Services 1678534 Associated Anesthesiologist 6911 Van Dorn Suite 2 LINCOLN NE 68506 Anesthesiology Servi 1474077 Lincoln Medical Education Partner 4600 Valley Road LINCOLN NE 68510 Medical Training 1231201 Dialysis Center of Lincoln 7910 O Street LINCOLN NE 68510 Lab Services 1090655 37 72762 343303 384052 800117 NET PATIENT REVENUE 621990 438895506 438895506 PROGRAM RENTAL REVENUE 531190 3521578 3521578 BRYANLGH COLLEGE OF HEALTH SCIENCES REVENUE 611600 4744810 4744810 PHARMACY 446110 2448839 866519 1582320 INCOME FROM PARTNERSHIP - DIALYSIS CENTER 621990 793111 793111 28000 28000 450431844 3776477 3776477 0 0 380084 401117 -21033 -21033 -21033 19699906 324791 19435843 563898 264063 -239107 24956 24956 0 0 0 CAFETERIA 722210 2793467 62548 2730919 CHILD CARE 624410 1370147 10373 1359774 PURCHASE DIS/REBATES 900099 1302434 1302434 2402853 1712621 690232 7868901 462881262 443238195 2631028 16211922 274457 274457 0 0 0 5530502 3222038 2308464 0 142658930 137651872 5007058 14559056 14048061 510995 32813285 31661601 1151684 10778244 10399948 378296 221334 221334 30772 30772 30927 30927 7859 7859 0 1232660 1232660 36128796 34872878 1255918 1191493 1191493 89985723 86827395 3158328 5390378 5201186 189192 0 6325226 6103223 222003 349952 327169 22783 0 157887 140262 17625 7367363 7108783 258580 19601142 19601142 34418536 33210511 1208025 1824567 1760528 64039 BAD DEBT 18413946 17767651 646295 RECRUITMENT EXPENSES 929526 900507 29019 MISCELLANEOUS FEES 2869579 2257037 612542 433092140 393735107 39357033 0 52463251 63551440 48754901 49467404 7905525 7923325 2379063 2791463 647272322 280587297 375932819 366685025 139123515 139120415 30140000 32199530 30332492 41451329 687031566 703189931 36928868 31677255 197110000 179030000 69485764 85015687 303524632 295722942 X 376114465 399027285 2967666 3884054 4424803 4555650 383506934 407466989 687031566 703189931 X false true false X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7859 true 0 false false 7859 false SUPPLEMENTAL INFORMATION - LOBBYING SCHEDULE C, PART II-B, LINE F BRYANLGH MEDICAL CENTER IS A MEMBER OF THE NEBRASKA HOSPITAL ASSN (NHA). DURING THE CURRENT YEAR, THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE NHA OF $104,783; OF THIS AMOUNT THE NHA REPORTED THAT 7.50% OR $7,859 OF THE TOTAL DUES PAID WERE USED FOR LOBBYING ACTIVITIES. SCHEDULE C, PART II-B, LINE G ON VARIOUS OCCASIONS THROUGHOUT THE YEAR, THE CEO MET WITH STATE AND LOCAL LEGISLATORS TO DISCUSS ISSUES RELATED TO HEALTHCARE. WHILE SOME RELATED TO HEALTHCARE REFORM, OTHER ISSUES DISCUSSED INCLUDED MEETING THE NEEDS OF INDIGENT/UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS THE ONGOING NEED FOR HEALTH SERVICES INCLUDING MENTAL HEALTH SERVICES FOR THE COMMUNITY. 1190240 761 13872 10557 1194316 1184822 647 19961 15190 1190240 0.00000 0.00000 1.00000 false false 0 11527077 11527077 400444862 127058141 273386721 321677 194081 127596 222964687 151051318 71913369 12014018 2283756 9730262 366685025 DEFERRED FINANCING COSTS, NET 1471175 RECS FROM CRETE AREA MEDICAL 14910037 HOSPITALIST SVCS CONTRACT REC 4465575 FAS 109 DEFERRED TAX ASSET 873399 OTHER ACCOUNTS RECEIVABLE 568263 INTEREST IN AFFILIATES 19162880 41451329 0 SELF INSURANCE LIABILITY 725000 INTEREST RATE SWAP LIABILITY 10398270 HOSPITALIST SVCS CTRT PAYABLE 4465575 CRETE AREA MEDICAL 2008C BOND LIAB 1715186 CAPITAL LEASE OBLIGATIONS 183426 ORIGINAL ISSUE PREMIUM 1769186 ACCRUED PENSION BENEFIT OBLIGATION 55397188 OTHER LIABILITIES 10361856 85015687 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 BRYANLGH MEDICAL CENTER'S ("MEDICAL CENTER") ENDOWMENT FUNDS ARE ESTABLISHED TO PROVIDE FOR LOANS FOR THE STUDENTS WHO ATTEND THE BRYANLGH COLLEGE OF HEALTH SCIENCES. BRYANLGH COLLEGE OF HEALTH SCIENCES PROVIDES HEALTHCARE PROFESSIONAL EDUCATION WITH PROGRAMS LEADING TO GRADUATE AND UNDERGRADUATE ACADEMIC DEGREES. BRYANLGH COLLEGE OF HEALTH SCIENCES IS PART OF THE MEDICAL CENTER AND ITS OPERATIONS ARE INCLUDED THE MEDICAL CENTER'S FORM 990. FOOTNOTE FROM THE ORG FIN STMTS THAT REPORTS LIABILITY UNDER FIN 48 SCHEDULE D, PART X, LINE 2 THERE WAS NO FIN 48 DISCLOSURE OF FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF SFAS NO. 109 (FIN 48) IN THE MAY 31, 2010 AUDITED FINANCIAL STATEMENTS AS IT WAS NOT MATERIAL. true true X true X true X true true true false true true 5291 7358504 0 7358504 0.01770 32452 13357324 0 13357324 0.03220 1234 34806 0 34806 0.00010 38977 20750634 0 20750634 0.05000 886586 66999 819587 0.00200 10739970 7147514 3592456 0.00870 273394 208716 64678 0.00020 0 438283 0 438283 0.00110 12338233 7423229 4915004 0.01200 38977 33088867 7423229 25665638 0.06200 77555 0 77555 0.00020 77555 0 77555 0.00020 false 6780915 0 129819202 167665400 -37846198 X true false NONE BRYANLGH MEDICAL CENTER EAST

1600 SOUTH 48TH ST LINCOLN NE 68506

X X X X BRYANLGH MEDICAL CENTER WEST

2300 SOUTH 16TH STREET LINCOLN NE 68502

X X X X BRYANLGH MEDICAL CENTER

3901 PINE LAKE ROAD SUITE 111 LINCOLN NE 68516

LINEAR ACCELERATOR & CT SCANNER SERVICES BRYANLGH MEDICAL CENTER

1500 SOUTH 48TH STREET SUITE 400 LINCOLN NE 68506

CATH LAB SERVICES BRYANLGH MEDICAL CENTER

1500 SOUTH 48TH ST SUITE 614 ROO LINCOLN NE 68506

VASCULAR OUTPATIENT SERVICES BRYANLGH MEDICAL CENTER

1600 SOUTH 48TH STREET SUITE 600 LINCOLN NE 68506

CARDIAC OUTPATIENT SERVICES BRYANLGH MEDICAL CENTER

2222 SOUTH 16TH ST TOWER B SUITE LINCOLN NE 68502

MRI SERVICES BRYANLGH MEDICAL CENTER

2222 SOUTH 16TH ST TOWER B SUITE LINCOLN NE 68502

RADIOLOGY SERVICES BRYANLGH MEDICAL CENTER

2221 SOUTH 17TH ST SUITE 100 LINCOLN NE 68502

LABORATORY SERVICES BRYANLGH MEDICAL CENTER

1640 LAKE STREET LINCOLN NE 68502

COUNSELING SERVICES BRYANLGH MEDICAL CENTER

7501 S 27TH STREET LINCOLN NE 68512

THERAPY SERVICES BRYANLGH MEDICAL CENTER

1500 SOUTH 48TH ST 1ST FLOOR LINCOLN NE 68506

LAB & RADIOLOGY SERVICES BRYANLGH MEDICAL CENTER

7441 O STREET SUITE 105 LINCOLN NE 68510

MAMMOGRAPHY SERVICES BRYANLGH MEDICAL CENTER

3901 PINE LAKE ROAD SUITE 110 LINCOLN NE 68516

OUTPATIENT RADIOLOGY SERVICES THE MEDICAL CENTER USES FEDERAL POVERTY GUIDELINES BETWEEN 200% AND 400%. THERE IS A SLIDING SCALE FEE SCHEDULE USED FOR THE PERCENTAGE OF THE BALANCE DUE. BRYANLGH MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED ANNUALLY BY BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THIS BRYANLGH HEALTH SYSTEM COMMUNITY BENEFIT REPORT DESCRIBES THE PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT ARE SERVED BY BRYANLGH MEDICAL CENTER AND ITS AFFILIATES. THE REPORT IS MAILED TO VARIOUS HOUSEHOLDS IN EASTERN NEBRASKA AND THE SURROUNDING AREA. THE REPORT IS ALSO AVAILABLE ONLINE AT WWW.BRYANLGH.COM/COMMUNITYBENEFIT. THE MEDICAL CENTER'S UNCOMPENSATED CARE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 7A. DIRECT AND INDIRECT COSTS WERE DEDUCTED FROM PAYMENTS TO CALCULATE THE AMOUNTS ON 7B AND 7C. FOR LINES 7E, 7F, 7G AND 7I, ANY OFFSETTING REVENUE WAS DEDUCTED FROM EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITY. THE SUBSIDIZED COSTS REPORTED ON LINE 7G DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. BAD DEBT EXPENSE INCLUDED IN TOTAL EXPENSES ON FORM 990, PART IX, LINE 25(A) WAS $18,413,946. THIS BAD DEBT EXPENSE WAS SUBTRACTED FROM EXPENSES FOR PURPOSES OF CALCULATING THE PERCENTAGE LISTED IN COLUMN (F) ($433,099,504 - 18,413,946 = $414,685,558). THE COST OF BAD DEBT EXPENSE WAS DETERMINED BY TAKING THE MEDICAL CENTER'S BAD DEBT COST-TO-CHARGE RATIO TIMES THE BAD DEBT EXPENSE THAT WAS STATED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED MAY 31, 2010. The amount of the Medical Center's bad debt expense at cost attributable to patients eligible under the Medical Center's charity care policy is estimated to be zero based on the following: (1) BryanLGH Medical Center has established policies that define charity care and provide guidelines for assessing a patient's ability to pay; and once eligibility is verified, the Medical Center will write accounts off to charity care and no longer pursue debt collection procedures; (2) BryanLGH Medical Center has counselors who work individually with each patient both pre and post discharge to assess financial need and recommend appropriate assistance; (3) BryanLGH Medical Center provides presumptive financial assistance when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to the lack of supporting documentation. Once determined, due to the inherent nature of presumptive circumstances, the only discount that can be granted is a 100% write-off of the account balance. THE FOLLOWING IS THE FOOTNOTE FROM BRYANLGH HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE: "ADDITIONS TO THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS (BAD DEBTS EXPENSE). ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE, AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. INFORMATION USED IN MANAGEMENT'S ASSESSMENT INCLUDES ITS REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFS THAT REPRESENT A MAJORITY OF THE SYSTEM'S REVENUES AND ACCOUNTS RECEIVABLE. MANAGEMENT EVALUATES THE COLLECTABILITY OF ACCOUNTS RECEIVABLE BY EVALUATING ITS PAYOR COMPOSITION AND AGING AND BY UTILIZING ITS REVIEW OF THE RESULTS OF HISTORICAL COLLECTIONS AND WRITE-OFF EXPERIENCE, ADJUSTED FOR CHANGES IN TRENDS AND CONDITIONS, TO DETERMINE THE ALLOWANCE FOR THE CURRENT REPORTING DATE. AFTER SATISFACTION OF AMOUNT DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES." THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT IS THE STEP-DOWN METHOD OF COST ALLOCATION. THE ENTIRE MEDICARE SHORTFALL AS REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. HOSPITALS RELIEVE THE GOVERNMENT OF A FINANCIAL BURDEN WHEN THEY PROVIDE CARE TO PUBLICLY INSURED PATIENTS. N/A N/A BryanLGH Medical Center has participated over the past fifteen years in community needs assessments in cooperation with other health care providers and the Lincoln-Lancaster County Health Department through a collaborative group called Health Partners Initiative. The group has held community forums and conducted community needs assessments over the years and has participated in the development of Healthy People 2010 Plan for Lincoln-Lancaster County. In addition, over the past year, BryanLGH has participated in the Mayor's Health Care Safety Net Task Force, resulting in a series of recommendations regarding initiatives to enhance the health of people living in Lincoln and Lancaster County, Nebraska. In addition to participation in community health status needs assessments, BryanLGH conducts an annual perception survey both locally, in Lincoln-Lancaster County and regionally across the state. The survey assesses perception of the quality and availability of health care providers in the region. In addition, as part of the annual strategic planning process, the Medical Center assesses market share and utilization trends as well as changes in population demographics. The Medical Center utilizes the data collected through its own efforts, as well as the needs assessments conducted through the Lincoln-Lancaster County Health Department to assess unmet needs in the area. In addition, vital statistics data as well as adult behavioral risk factor data collected at both the state and local level is utilized to identify at-risk and under-served populations as well as assess the efficacy of services provided by the Medical Center. This information is utilized to update service line and overall strategic plans for the organization. AT BRYANLGH MEDICAL CENTER WE ARE COMMITTED TO TREATING ALL PATIENTS WITH COMPASSION. THIS IS AN IMPORTANT PART OF OUR MISSION. BRYANLGH MEDICAL CENTER HAS FINANCIAL ASSISTANCE PROCEDURES THAT REFLECT OUR COMMITMENT TO PROVIDE ASSISTANCE TO PATIENTS WHO CANNOT AFFORD TO PAY FOR PART OR ALL OF THE CARE THEY RECEIVE. EDUCATION REGARDING OUR CHARITY CARE POLICY IS PROVIDED AT EACH NEW EMPLOYEE ORIENTATION SO THAT EACH EMPLOYEE WILL HAVE A CLEAR UNDERSTANDING OF THE FINANCIAL ASSISTANCE THAT IS AVAILABLE TO OUR PATIENTS. BRYANLGH MEDICAL CENTER HAS TRAINED COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS PRE-REGISTRATION AND POST-DISCHARGE; OR AT ANY OTHER TIME THE STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENT'S FINANCIAL NEED. THE COUNSELORS RECOMMEND APPROPRIATE ASSISTANCE SUCH AS FEDERAL, STATE OR LOCAL PROGRAMS, OR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. IN ADDITION, INFORMATION REGARDING BRYANLGH MEDICAL CENTER'S CHARITY CARE POLICY IS PROVIDED ON EACH BILLING STATEMENT. PATIENTS MAY APPLY FOR CHARITY CARE AT ANY POINT FROM PRE-ADMISSION TO THE FINAL PAYMENT OF THE BILL, AS WE RECOGNIZE THAT A PATIENT'S ABILITY TO PAY OVER AN EXTENDED PERIOD OF TIME MAY BE SUBSTANTIALLY ALTERED DUE TO ILLNESS OR FINANCIAL HARDSHIP, RESULTING IN A NEED FOR CHARITY CARE. BryanLGH Medical Center is a nonprofit regional medical center offering a comprehensive range of medical services to residents of Lancaster County, greater Nebraska, KANSAS, IOWA, MISSOURI AND SOUTH DAKOTA. The Medical Center includes two acute care campuses that are located in Lincoln, Nebraska, the State's second largest metropolitan area. With the service area rapidly expanding and the over 65 population expected to grow by over 6% in the next five years, the health care needs of our service area are expanding and changing. Projected growth in the Hispanic and Asian populations challenges us to accommodate diverse language and cultural needs. The Medical Center is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including disease prevention, health improvement, education and access to care. Many of our employees serve on community collaboration boards and health advocacy programs to further the health of the communities we serve. And, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. BOARD OF TRUSTEES: The Board of Trustees is made up of medical professionals, business professionals, and community leaders all of whom reside in the hospital's primary service area. These volunteers give countless hours of service to the hospital in their oversight role. They are involved in the community needs assessment process, in fundraising, and in general stewardship. MEDICAL STAFF: Medical staff privileges are offered to qualified physicians. Appointments are made in accordance with the Medical Staff Bylaws and the credentialing policy. SERVICES: BryanLGH is a leading referral hospital in the region, providing a complete diagnostic and interventional cardiac program, trauma services, mental health services, a neurosciences institute, substance abuse treatment program, obstetrics care, neonatal intensive care and an air ambulance service. The hospital utilizes surplus funds to maintain access to patient services and to expand access points of care to patients throughout the community including but not limited to, the following: 1) educational programs that provide classes and information on tobacco cessation, healthy aging, childbirth, infant care, pregnancy and more; 2) free blood pressure and diabetes screening, free or low-cost screening for breast, prostate, skin and colorectal cancers; 3) expansion of the emergency department to accommodate increase in emergency department patients; 4) funding to People's Health which provides access to medical care and preventative health education to a historically underserved and low-income segment of the community. BRYANLGH MEDICAL CENTER is a member of BryanLGH Health System, one of the largest nonprofit health care organizations in THE REGION. BryanLGH Health System includes two medical centers as well as numerous outpatient services and clinics THAT SERVE URBAN, SUBURBAN AND RURAL COMMUNITIES IN NEBRASKA, KANSAS, IOWA, MISSOURI AND SOUTH DAKOTA. PREMIER SERVICES INCLUDE CARDIOLOGY, NEUROSCIENCE, ORTHOPEDICS, VASCULAR, TRAUMA AND EMERGENCY CENTERS, INTENSIVE CARE, WOMEN'S AND CHILDREN'S HEALTH, IMAGING, AND MENTAL HEALTH. NE true AMERICAN CANCER SOCIETY 5733 S 34TH ST STE 500 LINCOLN NE 68516 741185665 501(C)(3) 14500 N/A N/A CHARITABLE AMERICAN RED CROSS 220 OAKCREEK DR LINCOLN NE 68528 530196605 501(C)(3) 12000 N/A N/A CHARITABLE CHILD ADVOCACY CENTER 3200 SUMMER ST LINCOLN NE 68502 470793765 501(C)(3) 75000 N/A N/A CHARITABLE LINCOLN PARKS & REC FOUNDATION 2740 A ST LINCOLN NE 68510 363853746 501(C)(3) 10000 N/A N/A CHARITABLE MADONNA FOUNDATION 5401 SOUTH ST LINCOLN NE 68506 237159940 501(C)(3) 10000 N/A N/A CHARITABLE MARCH OF DIMES 4700 VALLEY RD 100 LINCOLN NE 68510 131846366 501(C)(3) 11000 N/A N/A CHARITABLE UNITED WAY 206 S 13TH ST 100 LINCOLN NE 68508 470376624 501(C)(3) 31300 N/A N/A CHARITABLE YMCA OF LINCOLN 570 FALLBROOK BLVD 210 LINCOLN NE 68521 470376578 501(C)(3) 15000 N/A N/A CHARITABLE AMERICAN HEART ASSOCIATION 1540 SOUTH 70TH STREET 100 LINCOLN NE 68506 135613797 501(C)(3) 6000 N/A N/A CHARITABLE 9 0 Form 990, Schedule I, PART 1, LINE 2 Description of Organization's Procedures for Monitoring the Use of Grants THE ORGANIZATION RECEIVING THE GRANT IS REQUIRED TO SUBMIT INVOICES FOR THE COST OF THE EQUIPMENT/PROJECT, BEFORE BRYANLGH MEDICAL CENTER RELEASES ANY FUNDS TO THE ORGANIZATION. THE ORGANIZATION IS ALSO REQUIRED TO SUBMIT NEWSPAPER CLIPPINGS/NEWSLETTERS TO PROVE THAT THE FUNDS WERE USED FOR THEIR INTENDED PURPOSE. X true true true true false true false false false false false CRAIG AMES 122539 0 64121 0 295571 0 0 0 19437 0 501668 0 0 0 KIMBERLY RUSSEL 0 585463 0 162905 0 195547 0 7350 0 24964 0 976229 0 0 Kathleen M Campbell 181161 0 29079 0 9499 0 6429 0 6616 0 232784 0 0 0 Jennifer Lesoing-Lucs 0 278326 0 49280 0 159501 0 323503 0 30839 0 841449 0 0 Edward Raines MD 845208 0 3750 0 1608 0 7350 0 27292 0 885208 0 0 0 David Hughes MD 695094 0 11250 0 1608 0 7350 0 24927 0 740229 0 0 0 Lawrence Elliott 173650 0 29251 0 96409 0 199302 0 25277 0 523889 0 0 0 Shirley Travis 150527 0 28038 0 75192 0 13475 0 15532 0 282764 0 0 0 Carolyn Cody MD 140293 0 26616 0 61525 0 5766 0 13972 0 248172 0 0 0 Charles Meyer 129163 0 16309 0 28742 0 9841 0 21654 0 205709 0 0 0 David Reese 129776 0 19713 0 12596 0 6191 0 23227 0 191504 0 0 0 David Bingham MD 503843 0 133687 0 17878 0 7350 0 19540 0 682298 0 0 0 Stuart Myers MD 475661 0 0 0 21045 0 7350 0 22639 0 526695 0 0 0 STEVEN FRAGER 123689 0 13492 0 14350 0 8717 0 23000 0 183248 0 0 0 WILLIAM CORKLE 131062 0 12098 0 14662 0 8736 0 10633 0 177191 0 0 0 DONALD GOBLE 131674 0 12416 0 8419 0 8405 0 4108 0 165022 0 0 0 QUESTIONS REGARDING COMPENSATION SCHEDULE J, PART I, LINE 1A TRAVEL OF COMPANIONS: SEVERAL OF THE MEMBERS OF THE BOARD OF THE TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYANLGH MEDICAL CENTER ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYANLGH MEDICAL CENTER. REIMBURSEMENT FOR COMPANIONS IS LIMITED BY THE BOARD OF TRUSTEE'S TRAVEL POLICY TO AIR TRAVEL AT THE COACH LEVEL. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER OF BRYANLGH HEALTH SYSTEM, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES. COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTOR SCHEDULE J, PART I, LINE 3 THE ORGANIZATION RELIED ON BRYANLGH HEALTH SYSTEM, ITS SOLE MEMBER, TO ESTABLISH COMPENSATION OF ITS SENIOR MANAGERS. BRYANLGH HEALTH SYSTEM USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY AND STUDIES APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE COMPENSATION AND BENEFIT AMOUNTS OF SENIOR MANAGERS ARE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM. THE COMPENSATION COMMITTEE MET IN APRIL, 2010 TO REVIEW AND CONSIDER MARKET DATA AND RESULTING COMPENSATION ADJUSTMENTS FOR SENIOR MANAGER POSITIONS FOR THE FOLLOWING FISCAL YEAR; AND MET AGAIN IN AUGUST, 2010 TO REVIEW COMPENSATION PHILOSOPHY AND THE RESULTS OF THE VARIABLE PORTION OF THE COMPENSATION PLAN FROM THE PRIOR YEAR. THIS COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT EXTERNAL TRUSTEES AND USES COMPARABLE BENCHMARKING DATA AND STUDIES PROVIDED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS ALL SENIOR MANAGEMENT POSITIONS TO CONFIRM THAT ALL COMPENSATION AND BENEFITS ARE REASONABLE WHEN COMPARED TO CURRENT BENCHMARKING DATA. DOCUMENTATION IS KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE LISTING THE DATE AND TERMS OF THE COMPENSATION REVIEWED AND APPROVED. ALL OTHER NON-SENIOR MANAGEMENT POSITIONS ARE REVIEWED BY HUMAN RESOURCES FOR APPROPRIATE COMPENSATION. EMPLOYED PHYSICIAN POSITIONS ARE REVIEWED AND COMPARED TO MGMA STANDARDS FOR THE SPECIFIC SPECIALTY UNDER REVIEW. SEVERANCE PAYMENTS CRAIG AMES, FORMER PRESIDENT AND CHIEF OPERATING OFFICER OF BRYANLGH MEDICAL CENTER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $147,600 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2009. JENNIFER LESOING-LUCS, FORMER VP-FINANCE AND CFO OF BRYANLGH HEALTH SYSTEM, WILL RECEIVE SEVERANCE PAYMENTS TOTALING $310,028 DURING CALENDAR YEARS 2010 AND 2011. THE AMOUNT OF $310,028 HAS BEEN INCLUDED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. LAWRENCE ELLIOTT, FORMER VP-DIAGNOSTIC & TREATMENT SERVICES OF BRYANLGH MEDICAL CENTER, WILL RECEIVE SEVERANCE PAYMENTS, TOTALING $185,827 DURING CALENDAR YEARS 2010 AND 2011. THE AMOUNT OF $185,827 HAS BEEN INCLUDED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART 1, LINE 4B THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN, OR RECEIVED A PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: Craig Ames: $76,928 Carolyn Cody, MD: 35,147 Lawrence Elliott: $79,778 Jennifer Lesoing-Lucs: $102,839 David Reese: $6,508 Kimberly Russel: $154,000 Shirley Travis: $31,749 COMPENSATION CONTINGENT ON REVENUES OR NET EARNINGS SCHEDULE J, PART 1, LINE 5A IN THE CASE OF CERTAIN PHYSICIAN EMPLOYEE AGREEMENTS, COMPENSATION IS PAID ON A PERCENTAGE OF PROFESSIONAL COLLECTIONS PERFORMED ABOVE A PREDETERMINED THRESHOLD. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES SCHEDULE J, PART II COMPENSATION AMOUNTS REPORTED ON SCHEDULE J, PART II ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2009. HOSPITAL AUTHORITY NO 1 OF LANCASTER COUNTY NE 470721900 513886SR3 2008-05-27 115216759 REFUNDED SERIES 2007A & 2002 BONDS false false HOSPITAL AUTHORITY NO 1 OF SALINE COUNTY NE 470843167 79517TAW6 2008-05-27 13480000 REFUNDED SERIES 2007B BONDS false false HOSPITAL AUTHORITY NO 1 OF LANCASTER COUNTY NE 470490169 513886RR4 2006-12-21 61381548 REFUNDED SER 1997A & 1997B BONDS false false 115216759 0 0 0 1840702 0 0 2008 true false true true 13480000 0 0 0 230175 0 0 2008 true false true true 61381548 0 0 0 555587 0 0 2006 false true true true false true true PIPER JAFFRAY 23. false NA false false false true true PIPER JAFFRAY 23. false false false false false false false false false US BANK BOARD MEMBER IS OFFICER 18327992 PAYMENT FOR BANKING SERVICES false NEBRASKA EMERGENCY MEDICINE BOARD MEMBER IS OFFICER 1008001 PAYMENT FOR EMERGENCY PHYS false ED ASSOCIATES LLC BOARD MEMBER IS OFFICER 339040 PAYMENT FOR MED DIRECTOR FEES false LINCOLN POULTRY BOARD MEMBER IS OFFICER 244655 PAYMENT FOR FOOD SERV PRODUCTS false PRAIRIE SURGICAL ASSOCIATES PC BOARD MEMBER IS OFFICER 97763 PAYMENT FOR PHYSICIAN SERVICES false Description of Relationships Form 990, Part VI, Question 2 The following business and family relationships were reported during the fiscal year between the organization's trustees, officers or key employees. Business Relationships: STEVE ERWIN AND BYRON BOSLAU STEVE ERWIN AND GENE BRAKE STEVE ERWIN AND JOHN DITTMAN STEVE ERWIN AND RICHARD EVNEN STEVE ERWIN AND RON HARRIS STEVE ERWIN AND MARTIN MASSENGALE STEVE ERWIN AND KIMBERLY RUSSEL STEVE ERWIN AND JOHN WOODRICH STEVE ERWIN AND JENNIFER LESOING-LUCS RICHARD EVNEN AND KATHY CAMPBELL FAMILY RELATIONSHIP: GENE BRAKE AND DAVID REESE DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 AS STATED IN THE CORPORATION'S ORGANIZING DOCUMENTS, THE SOLE MEMBER OF THE ORGANIZATION IS BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM"). HEALTH SYSTEM HAS THE RIGHTS UNDER THE ORGANIZING DOCUMENTS TO: (1) APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY; (2) ELECT THE MEMBERS OF THE GOVERNING BODY; AND (3) RECEIVE ANY REMAINING ASSETS AFTER DISSOLUTION OF THE ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") AS SOLE MEMBER OF THE ORGANIZATION, HAS THE RIGHT UNDER THE ORGANIZING DOCUMENTS TO REMOVE ANY TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE BY A TWO-THIRDS (2/3) VOTE OF THE VOTING TRUSTEES OF HEALTH SYSTEM. DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B BRYANLGH HEALTH SYSTEM ("HEALTH SYSTEM") IS THE SOLE MEMBER OF BRYANLGH MEDICAL CENTER ("MEDICAL CENTER"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF THE MEDICAL CENTER MAY MANAGE THE AFFAIRS OF THE CORPORATION; HOWEVER, THE BOARD MAY NOT, WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM (1) ADOPT ANY LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $5,000,000 IN ANY SINGLE TRANSACTION OR $10,000,000 IN ANY CORPORATION FISCAL YEAR; (3) APPROVE OR IMPLEMENT AMENDMENTS TO ITS MISSION STATEMENT OR STRATEGIC PLAN; (4) APPROVE ANY INDEBTEDNESS OR INCUR A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $5,000,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (5) ENGAGE IN OR ENTER INTO ANY TRANSACTION OR TRANSACTIONS PROVIDING FOR THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION OF $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (6) APPROVE THE ELECTION OF MEMBERS OF THE BOARD; (7) APPROVE THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER; (8) APPROVE PARTICIPATION IN OTHER HEALTH CARE SYSTEMS BY AFFILIATION OR MERGER; (9) APPROVE ITS LIQUIDATION OR DISSOLUTION; (10) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY INTEREST IN, AS ALLOWED BY THE CODE, OF ANY CORPORATION, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP; TRUST, SHARED SERVICE ARRANGEMENT; JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURES OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION IN ANY SINGLE TRANSACTION EXCEEDS $5,000,000 OR A TOTAL OF $10,000,000 IN ANY CORPORATION FISCAL YEAR; (11) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE SYSTEM'S GOALS AND OBJECTIVES. DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A Form 990 is reviewed by an independent accounting firm. The Form 990 is also reviewed by the Chief Financial Officer, Chief Executive Officer and the Finance Committee of BryanLGH Health System prior to the submission of the form to the Internal Revenue Service. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST FORM 990, PART VI, QUESTION 12C BRYANLGH MEDICAL CENTER ("MEDICAL CENTER") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION. BOARD MEMBERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST. THE GOVERNANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM REVIEWS ALL IDENTIFIED CONFLICTS RELATIVE TO THE MEMBER'S ABILITY TO VOTE ON CERTAIN TYPES OF TRANSACTIONS AND/OR WHETHER ANY IDENTIFIED CONTRACTS/TRANSACTIONS WILL REQUIRE FURTHER REVIEW/ALTERATION. OFFICES/POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B THE COMPENSATION AND BENEFIT AMOUNTS OF SENIOR MANAGERS ARE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THE COMPENSATION COMMITTEE MET IN APRIL, 2010 TO REVIEW AND CONSIDER MARKET DATA AND RESULTING COMPENSATION ADJUSTMENTS FOR SENIOR MANAGER POSITIONS FOR THE FOLLOWING FISCAL YEAR; AND MET AGAIN IN AUGUST, 2010 TO REVIEW COMPENSATION PHILOSOPHY AND THE RESULTS OF THE VARIABLE PORTION OF THE COMPENSATION PLAN FROM THE PRIOR YEAR. THIS COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT EXTERNAL TRUSTEES AND USES COMPARABLE BENCHMARKING DATA AND STUDIES PROVIDED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS ALL SENIOR MANAGEMENT POSITIONS TO CONFIRM THAT ALL COMPENSATION AND BENEFITS ARE REASONABLE WHEN COMPARED TO CURRENT BENCHMARKING DATA. DOCUMENTATION IS KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE LISTING THE DATE AND TERMS OF THE COMPENSATION REVIEWED AND APPROVED. ALL OTHER NON-SENIOR MANAGEMENT POSITIONS ARE REVIEWED BY HUMAN RESOURCES FOR APPROPRIATE COMPENSATION. EMPLOYED PHYSICIAN POSITIONS ARE REVIEWED AND COMPARED TO MGMA STANDARDS FOR THE SPECIFIC SPECIALTY UNDER REVIEW. JOINT VENTURE POLICY FORM 990, PART VI, QUESTION 16B ON NOVEMBER 1, 2010, BRYANLGH HEALTH SYSTEM AND ITS AFFILIATES ADOPTED A WRITTEN JOINT VENTURE POLICY TO PROTECT THE TAX-EXEMPT STATUS OF THE HEALTH SYSTEM AND AFFILIATES. THE FOLLOWING PROVISIONS ARE REQUIRED TO BE INCLUDED IN THE TERMS OF ANY CHARITABLE JOINT VENTURE: (1) THE ORGANIZATIONAL DOCUMENTS WILL INCLUDE A BINDING STATEMENT THAT ENSURES THE FURTHERANCE OF ITS CHARITABLE PURPOSES; (2) THE JOINT VENTURE WILL HAVE A WRITTEN CHARITY CARE POLICY; (3) THE HEALTH SYSTEM AND THE AFFILIATES WILL HAVE EFFECTIVE CONTROL AS EVIDENCED BY MAJORITY VOTING CONTROL, OR ADEQUATE RESERVE POWERS TO ASSURE THAT KEY DECISIONS AFFECTING ACCOMPLISHMENT OF CHARITABLE PURPOSES ARE PRESENT. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B KIMBERLY RUSSEL, RUSSELL GRONEWOLD, AND JENNIFER LESOING-LUCS EACH SPEND APPROXIMATELY 30 HOURS PER WEEK DEVOTED TO BRYANLGH HEALTH SYSTEM, AND AN ADDITIONAL 30 HOURS PER WEEK DEVOTED TO THE RELATED ORGANIZATIONS WITHIN BRYANLGH HEALTH SYSTEM. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES FORM 990, PART VII, SECTION A COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A, COLUMNS (D),(E) AND (F) ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2009. OVERSIGHT OF CONSOLIDATED AUDIT FORM 990, PART XI, QUESTION 2C BRYANLGH MEDICAL CENTER'S FINANCIAL STATEMENTS WERE AUDITED AS PART OF A CONSOLIDATED FINANCIAL STATEMENT FOR BRYANLGH HEALTH SYSTEM, THE ORGANIZATION'S SOLE MEMBER. THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS, AND THE SELECTION OF THE INDEPENDENT ACCOUNTING FIRM THAT PERFORMS THE AUDIT. TAX EXEMPT BONDS SCHEDULE K, PART I, LINE A THE REFUNDED SERIES 2007A BONDS WERE ISSUED ON FEBRUARY 8, 2007. THE REFUNDED SERIES 2002 BONDS WERE ISSUED ON DECEMBER 20, 2002. SCHEDULE K, PART I, LINE B THE REFUNDED SERIES 2007B BONDS WERE ISSUED ON FEBRUARY 8, 2007. SCHEDULE K, PART I, LINE C THE REFUNDED SERIES 1997A BONDS WERE ISSUED ON SEPTEMBER 18, 1997. THE REFUNDED SERIES 1997B BONDS WERE ISSUED ON OCTOBER 31, 1997. SCHEDULE K, PART III PART III HAS NOT BEEN COMPLETED GIVEN THAT ALL REFUNDED BONDS WERE ISSUED SOLELY TO REFUND BONDS ISSUED PRIOR TO 2003. BRYANLGH HEALTH SYSTEM 1600 SOUTH 48TH STREET LINCOLN NE 68506 363414823 HEALTHCARE NE 501(c)(3) 11C NA CRETE AREA MEDICAL CENTER 2910 BETTEN DRIVE CRETE NE 68333 470841285 HEALTHCARE NE 501(c)(3) 3 NA BRYANLGH FOUNDATION 1600 SOUTH 48TH STREET LINCOLN NE 68506 237005720 CHARITABLE NE 501(c)(3) 7 NA BRYANLGH PHYSICIAN NEWORK INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 201357375 HEALTHCARE NE 501(c)(3) 9 NA BRYANLGH HEALTH SERVICES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470712000 HEALTHCARE NE 501(c)(3) 9 NA BRYANLGH ENTERPRISES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470701037 MEDICAL SERVICES NE NA C 0 0 0.00000 INTEGRATED CARDIOLOGY GROUP LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470844961 CARDIOLOGY NE NA C 0 0 0.00000 LIFEPOINTE INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 364588998 HEALTH & WELLNESS NE NA C 0 0 0.00000 true false true true false false false true false false true false true true true true true true BRYANLGH ENTERPRISES INC A 353838 BRYANLGH PHYSICIAN NETWORK INC A 166156 CRETE AREA MEDICAL CENTER A 728236 INTEGRATED CARDIOLOGY GROUP INC A 252074 BRYANLGH FOUNDATION C 271836 CRETE AREA MEDICAL CENTER D 13225000 CRETE AREA MEDICAL CENTER H 389928 BRYANLGH PHYSICIAN NETWORK INC H 110240 CRETE AREA MEDICAL CENTER K 302448 BRYANLGH PHYSICIAN NETWORK INC O 644275 CRETE AREA MEDICAL CENTER P 298027 BRYANLGH PHYSICIAN NETWORK INC P 117222 BRYANLGH ENTERPRISES INC p 325577 INTEGRATED CARDIOLOGY GROUP LLC P 54683 BRYANLGH FOUNDATION Q 66725 BRYANLGH HEALTH SERVICES INC R 9551108