ALEGENT HEALTH-IMMANUEL MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ALEGENT HEALTH-IMMANUEL MEDICAL CENTER (EIN 47-0376615)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201131339349302803
Schema version: 2009v1.4
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 G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T11:13:04-05:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470376615	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER	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	6901 NORTH 72ND STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	681221799	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Scott M Wooten	Name
Title	SENIOR VP/CFO	Title
Phone	4023434315	Phone
Date Signed	2011-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Heidi Kriete	Name
Phone	4023481450	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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 M WOOTEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	281227679	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.ALEGENT.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1904	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	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	2113	TotalNbrEmployees
Total Nbr Volunteers	402	TotalNbrVolunteers
Total Gross UBI	279117	TotalGrossUBI
Net Unrelated Business Txbl Income	103315	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1988967	ContributionsGrantsPriorYear
Contributions Grants Current Year	696247	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	270208224	ProgramServiceRevenuePriorYear
Program Service Revenue CY	243544887	ProgramServiceRevenueCY
Investment Income Prior Year	-6005991	InvestmentIncomePriorYear
Investment Income Current Year	12933425	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6211478	OtherRevenuePriorYear
Other Revenue Current Year	22688240	OtherRevenueCurrentYear
Total Revenue Prior Year	272402678	TotalRevenuePriorYear
Total Revenue Current Year	279862799	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	20718573	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	17167842	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	130571897	SalariesEtcPriorYear
Salaries Etc Current Year	123464854	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	75327	TotalFundrsngExpCurrentYear
Other Expense Prior Year	105002022	OtherExpensePriorYear
Other Expenses Current Year	129299651	OtherExpensesCurrentYear
Total Expenses Prior Year	256292492	TotalExpensesPriorYear
Total Expenses Current Year	269932347	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16110186	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9930452	RevenuesLessExpensesCY
Total Assets BOY	434719975	TotalAssetsBOY
Total Assets EOY	511697918	TotalAssetsEOY
Total Liabilities BOY	66898198	TotalLiabilitiesBOY
Total Liabilities EOY	122419898	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	367821777	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	389278020	NetAssetsOrFundBalancesEOY
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	23387994	Expense
Grants	1826503	Grants
Revenue	68387658	Revenue
Description	Alegent Health Immanuel Medical Center Mental Health physicians are unique in their care-giving approach to emotional and behavioral problems of children, adolescents, adults and seniors. Physicians provide the most appropriate care at the level of service that each patient needs. Outpatient and inpatient behavioral service programs are provided. Recently, Immanuel Medical Center built a Residential Treatment Center. This new state of the art facility features 20 private rooms for boys and girls between the ages of six and eighteen years of age.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	16257017	Expense
Grants	1269604	Grants
Revenue	36600421	Revenue
Description	Alegent Health-Immanuel Medical Center Rehabilitation Center provides comprehensive inpatient and outpatient programs for individuals of all ages. The Rehabilitation Center is the region's most comprehensive center for physical medicine and rehabilitation, offering patients some of the most advanced rehabilitative technology. Immanuel Rehabilitation Center has received the highest level of accreditation awarded by the Joint Commission and by the Commission on Accreditation of Rehabilitation Facilities (CARF). At every level of care, a team of licensed and certified rehabilitation professionals are available. Each one of the rehabilitation programs are designed to maximize independence and quality of life.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	5006337	Expense
Grants	390974	Grants
Revenue	11770466	Revenue
Description	Alegent Health-Immanuel Medical Center Cancer Support Team is comprised of a group of healthcare professionals who work together in a variety of ways to help the patient and family cope with cancer. Each one of the physicians are equipped to diagnose and aggressively treat cancer and get patients back to there life as soon as possible. Individual team members include Cancer Support Service Specialists, Medical Social Workers, Cancer Rehabilitation Specialists, Pastoral Services, Dietitians, Oncology Nurse Navigators, Hospice & Home Care Services, Inpatient Nursing Services, Radiation Oncology, and Volunteer Services.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	176719240	Expense
Grants	13680761	Grants
Revenue	124414902	Revenue
Description	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER PROVIDES ADDITIONAL SERVICES INCLUDING BUT NOT LIMITED TO: WEIGHT MANAGEMENT, A 24 HOUR EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY, DIAGNOSTIC SERVICES AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF ALL SERVICES PROVIDED AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	176719240	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	13680761	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	124414902	TotalOfOtherProgramServiceRev
Total Program Service Expense	221370588	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
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	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	156	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2113	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	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	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 M 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 W DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
LESLIE R ANDERSEN
CHAIR	6.00	X	X	0	0	0
SR LILLIAN MURPHY RSM
DIRECTOR	4.00	X		0	0	0
ANTHONY HATCHER DO
SECRETARY/TREASURER	6.00	X	X	0	498263	35568
JOHN HEWITT
VICE CHAIR	6.00	X	X	0	0	0
MARTIN MANCUSO MD
DIRECTOR	4.00	X		0	16000	0
SUSAN PEACH RN
DIRECTOR	4.00	X		0	0	0
Rick Vierk
DireCTOR	4.00	X		0	23500	0
MICHAEL DEFREECE
DIRECTOR	4.00	X		0	0	0
PAUL EDGETT III
DIRECTOR	4.00	X		0	0	0
ERIC GURLEY
DIRECTOR	4.00	X		0	276770	18834
KEITH SCHMODE
DIRECTOR	4.00	X		0	5000	0
GUILLERMO HUERTA MD
DIRECTOR	4.00	X		0	0	0
WAYNE A SENSOR
CHIEF EXECUTIVE OFFICER	15.00		X	453281	1303553	23329
RICHARD HACHTEN II
PRESIDENT & CEO	15.00		X	422333	1214557	734490
FRED HOSLER MD
SVP/CMO	15.00		X	241098	693354	369747
MARTIN HICKEY MD
SVP/CEO CLINICS	15.00		X	210570	605560	45701
KENNETH LAWONN
SVP INFORMATION TECH	15.00		X	166880	479917	38536
SCOTT WOOTEN
SVP/CFO	15.00		X	196559	565268	20275
MARK KESTNER MD
SVP-CMO	15.00		X	135626	390035	158309
JOAN NEUHAUS
SVP-COO	15.00		X	119803	344531	185399
MARGARET BREEN
SVP HUMAN RESOURCES	15.00		X	121855	350431	17268
AMY PROTEXTER
SVP MARKETING & COMM	15.00		X	105687	303934	28487
PATRICIA NADLE
SVP CNO	15.00		X	34112	98100	252625
PAUL EBMEIER
COO-AHC	15.00			85577	246106	22704	X
SHEREE KEELY
VP-Behavioral Health Svc	15.00			56567	162676	21999	X
Elizabeth LLEWELLYN
VP-Mission Integration	15.00			69043	198557	21048	X
PATRICIA MASEK
VP-MEDICAL AFFAIRS	15.00			56367	162103	43278	X
FRANK EMSICK
VP-CONSTRUCTION	15.00			68910	198172	24435	X
ANN SCHUMACHER
COO-IMC	15.00			112315	323000	34147	X
JAYNE MCCORMICK MD
MEDICAL DIRECTOR	60.00			0	232062	16991	X
Arun Sharma MD
Physician	60.00			409976	0	44114		X
Michael L Egger MD
Physician	60.00			284448	0	41134		X
Thomas A Franco MD
Physician	60.00			414263	0	38725		X
Michael L Coy MD
Physician	60.00			331629	0	28426		X
Hudson H T Hsieh MD
Physician	60.00			296043	0	36519		X
THEODORE SCHWAB
FORMER SVP/CIO	0.00			96122	276430	19719			X
DUANE DAVID
FORMER SVP CLINICS	0.00			54030	155379	0			X
JARROD JOHNSON
FORMER VP-ORTHOPEDIC SVC	0.00			56729	163140	5703			X
JOHN MAY
FORMER VP-CARDIOVASCULAR	0.00			67867	195172	3737			X
Ann Jones
FORMER VP-ONCOLOGY SVC	0.00			67476	194053	4177			X
MICHAEL ANDERSON MD
FORMER VP-Behavioral HS	0.00			39693	114149	4835			X
Pete Festersen
FORMER VP-Public Affairs	0.00			47436	136417	1088			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4822295	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9926189	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2341347	TotalOtherCompensation
Number Individuals GT100 K	61	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
Cassling DIAGNOSTIC IMAGING INC
13808 F Street	OMAHA	NE	68137	DIAGNOSTIC IMAGING SERVICES	1804080
MORRISON MANAGEMENT SPECIALISTS
5801 Peachtree Dunwoody Road	ATLANTA	GA	30342	FOOD SERVICE	330286
NORTHWEST ANESTHESIA PC
6901 N 72nd Street	OMAHA	NE	68122	Anesthesia Services	306944
SENTRY DATA SYSTEMS INC
600 Fairway Drive Suite 201	DEERFIELD	FL	33441	PHARMACY MANAGEMENT TECHOLOGY	284635
HORIZON HEALTH CORPORATION
2941 Lake Vista Drive	LEWISVILLE	TX	75067	BEHAVIORAL HEALTH SERVICES	270579

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Membership Dues	66800	MembershipDues
Fundraising Events	10800	FundraisingEvents
Related Organizations	585314	RelatedOrganizations
All Other Contributions	33333	AllOtherContributions
Total Contributions	696247	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REVENU	621500	235391030	235391030
REIMBURSABLE-AFFILIATE	621990	5286591	5286591
HOSPITAL PHARMACY	446110	1710966		$1,710,966
FOOD & NUTRITION	722320	660474		$609,597	50877
JOINT HEALTH VENTURES	900099	406981	406981

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	88845	TotalRevenueColumn
Related Or Exempt Function Income	88845	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	243544887	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	67413	TotalRevenueColumn
Exclusion	$67,413	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1141583	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	710454	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	431129	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	431129	TotalRevenueColumn
Exclusion	$431,129	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	12867549	Securities
Other	361672	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	363209	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	12867549	Securities
Other	-1537	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	12866012	TotalRevenueColumn
Exclusion	$12,866,012	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	178520	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	10800	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	83486	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	95034	TotalRevenueColumn
Exclusion	$95,034	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	410061	GrossSalesOfInventory
Cost Of Goods Sold	207731	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	202330	TotalRevenueColumn
Exclusion	$202,330	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
JOA Settlements	812300	16837000	$16,837,000
REIMBURSED SERVICES	621990	2391122	$2,391,122
MISCELLANEOUS OPERATIN	561499	1855686	$1,627,446	228240

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	875939	TotalRevenueColumn
Exclusion	$875,939	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	21959747	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	279862799	TotalRevenueColumn
Related Or Exempt Function Income	241173447	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	279117	UnrelatedBusinessRevenue
Exclusion	$37,713,988	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	23475	Total
Program Services	23475	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	17144367	Total
Program Services	17144367	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3157875	Total
Program Services	2684194	ProgramServices
Management And General	473681	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	94257145	Total
Program Services	76568615	ProgramServices
Management And General	17618780	ManagementAndGeneral
Fundraising	69750	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3797734	Total
Program Services	3343977	ProgramServices
Management And General	453757	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16897055	Total
Program Services	10670571	ProgramServices
Management And General	6225095	ManagementAndGeneral
Fundraising	1389	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5355045	Total
Program Services	5083482	ProgramServices
Management And General	267375	ManagementAndGeneral
Fundraising	4188	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	19807	Total
Program Services	1214	ProgramServices
Management And General	18593	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	18276	Total
Program Services	18276	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12115508	Total
Program Services	8005507	ProgramServices
Management And General	4110001	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	19488	Total
Program Services	19488	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	44632306	Total
Program Services	44053528	ProgramServices
Management And General	578778	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5798380	Total
Program Services	5798380	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	159711	Total
Program Services	92321	ProgramServices
Management And General	67390	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	69436	Total
Program Services	69436	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	3449418	Total
Program Services	3449418	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17744845	Total
Program Services	12977771	ProgramServices
Management And General	4767074	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	488481	Total
Program Services	488481	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	13079344	5271769	7807575
BAD DEBTS	12152430	12152430
EQUITY NET LOSS	9303365	9303365
MANAGEMENT ALLOCATIONS	6483664	385331	6098333
MISCELLANEOUS	3416974	3416974

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	348218	Total
Program Services	348218	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	269932347	Total
Program Services	221370588	ProgramServices
Management And General	48486432	ManagementAndGeneral
Fundraising	75327	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	925120	BOY
EOY	414057	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	32007913	BOY
EOY	20155527	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	24160833	BOY
EOY	25509809	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3797460	BOY
EOY	4008795	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	119776	BOY
EOY	230776	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	307408035	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	162394438	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	114180470	BOY
EOY	145013597	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	197237127	BOY
EOY	280079981	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1921074	BOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	33661805	BOY
EOY	20583830	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	26708397	BOY
EOY	15701546	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	434719975	BOY
EOY	511697918	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9717791	BOY
EOY	8555178	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	7539	BOY
EOY	7539	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	56878805	BOY
EOY	111165217	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	294063	BOY
EOY	2691964	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	66898198	BOY
EOY	122419898	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	364379654	BOY
EOY	385378337	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1652123	BOY
EOY	2109683	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1790000	BOY
EOY	1790000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	367821777	BOY
EOY	389278020	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	434719975	BOY
EOY	511697918	EOY

Field	Value	IRS element (for citing)
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	18276	FilingOrganizationsTotals
Affiliated Group Totals	262701	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	18276	FilingOrganizationsTotals
Affiliated Group Totals	262701	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	269914071	FilingOrganizationsTotals
Affiliated Group Totals	530861023	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	269932347	FilingOrganizationsTotals
Affiliated Group Totals	531123724	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	124534	CurrentYearMinus3
Current Year Minus2	136554	CurrentYearMinus2
Current Year Minus1	176941	CurrentYearMinus1
Current Year	262701	CurrentYear
Total	700730	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	2665977	BeginningOfYearBalance
Contributions	126695	Contributions
Investment Earnings Or Losses	298938	InvestmentEarningsOrLosses
Grants Or Scholarships	9996	GrantsOrScholarships
Other Expenditures	142744	OtherExpenditures
End Of Year Balance	2938870	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2688014	BeginningOfYearBalance
Contributions	800115	Contributions
Investment Earnings Or Losses	-448721	InvestmentEarningsOrLosses
Grants Or Scholarships	3875	GrantsOrScholarships
Other Expenditures	369556	OtherExpenditures
End Of Year Balance	2665977	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.46000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.54000	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	1726657	OtherCostOrOtherBasis
Book Value	1726657	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	131376349	OtherCostOrOtherBasis
Depreciation	66526361	Depreciation
Book Value	64849988	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	479327	OtherCostOrOtherBasis
Depreciation	288113	Depreciation
Book Value	191214	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	145717562	OtherCostOrOtherBasis
Depreciation	95579964	Depreciation
Book Value	50137598	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28108140	OtherCostOrOtherBasis
Book Value	28108140	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	145013597	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
3RD PARTY PAYER SETTLEMENTS	$2,690,297
Other Liabilities	$1,667

Field	Value	IRS element (for citing)
Total Of Amounts	2691964	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	ENDOWMENT FUNDS ARE INTENDED TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
		PART X - THE ENTITIES REPORTED IN THE CONSOLIDATED AUDIT HAVE ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, INCLUDED IN FASB ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, ENTITIES OF ALEGENT HEALTH RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. DURING 2010 AND 2009, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Immanuel Women's Imaging Center	NameOfEvent1
Gross Receipts Event1	189320	GrossReceiptsEvent1
Charitable Contributions Event1	10800	CharitableContributionsEvent1
Gross Revenue Event1	178520	GrossRevenueEvent1
Rent Facility Costs Event1	2500	RentFacilityCostsEvent1
Food And Beverage Event1	11700	FoodAndBeverageEvent1
Other Direct Expenses Event1	69286	OtherDirectExpensesEvent1
Gross Receipts Total	189320	GrossReceiptsTotal
Charitable Contributions Total	10800	CharitableContributionsTotal
Gross Revenue Total Events	178520	GrossRevenueTotalEvents
Rent Facility Costs Total Events	2500	RentFacilityCostsTotalEvents
Food And Beverage Total Events	11700	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	69286	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	83486	DirectExpenseSummaryEvents
Net Income Summary	95034	NetIncomeSummary

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	7567	PersonsServed
Total Community Benefit Expense	9280503	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12722	DirectOffsettingRevenue
Net Community Benefit Expense	9267781	NetCommunityBenefitExpense
Percent Of Total Expense	0.03600	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	2348	PersonsServed
Total Community Benefit Expense	43450355	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28031946	DirectOffsettingRevenue
Net Community Benefit Expense	15418409	NetCommunityBenefitExpense
Percent Of Total Expense	0.05980	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	9915	PersonsServed
Total Community Benefit Expense	52730858	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28044668	DirectOffsettingRevenue
Net Community Benefit Expense	24686190	NetCommunityBenefitExpense
Percent Of Total Expense	0.09580	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	12965	PersonsServed
Total Community Benefit Expense	245982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28338	DirectOffsettingRevenue
Net Community Benefit Expense	217644	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	281	PersonsServed
Total Community Benefit Expense	474925	TotalCommunityBenefitExpense
Direct Offsetting Revenue	182159	DirectOffsettingRevenue
Net Community Benefit Expense	292766	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9651066	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9187569	DirectOffsettingRevenue
Net Community Benefit Expense	463497	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	511237	TotalCommunityBenefitExpense
Direct Offsetting Revenue	108468	DirectOffsettingRevenue
Net Community Benefit Expense	402769	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	40	PersonsServed
Total Community Benefit Expense	259826	TotalCommunityBenefitExpense
Net Community Benefit Expense	259826	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	13286	PersonsServed
Total Community Benefit Expense	11143036	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9506534	DirectOffsettingRevenue
Net Community Benefit Expense	1636502	NetCommunityBenefitExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	23201	PersonsServed
Total Community Benefit Expense	63873894	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37551202	DirectOffsettingRevenue
Net Community Benefit Expense	26322692	NetCommunityBenefitExpense
Percent Of Total Expense	0.10210	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	2	PersonsServed
Total Community Building Expense	92361	TotalCommunityBuildingExpense
Direct Offsetting Revenue	8784	DirectOffsettingRevenue
Net Community Building Expense	83577	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	14	PersonsServed
Total Community Building Expense	163167	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1853	DirectOffsettingRevenue
Net Community Building Expense	161314	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	4	PersonsServed
Total Community Building Expense	330	TotalCommunityBuildingExpense
Net Community Building Expense	330	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	20	PersonsServed
Total Community Building Expense	255858	TotalCommunityBuildingExpense
Direct Offsetting Revenue	10637	DirectOffsettingRevenue
Net Community Building Expense	245221	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,671,785	BadDebtExpenseAmount
Amount Attributable To	1646584	AmountAttributableTo
Amount Reimbursed By Medicare	49332174	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	64952195	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-15620021	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 V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 North 72nd Street	OMAHA	NE	68122	X	X	X
AH IMMANUEL FONTENELLE HOME
6809 NORTH 68TH PLAZA	OMAHA	NE	68152				SKILLED NURSING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c: Alegent Health-Immanuel Medical Center is part of the Alegent Health System. The amount of financial assistance write-off for entities of the Alegent Health System IS based on a financial assistance sliding fee schedule utilizing a derivative of the current US Dept 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 ALEGENT HEALTH'S FINANCIAL ASSISTANCE POLICY.THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONALFINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATIONINCLUDES 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: The Alegent Health System 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.	IncomeBasedCriteria
Costing Method Used	Part I, Line 7: THE COSTING METHOLOGY 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, MEDICAID AND OTHER MEANS TESTED.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: Alegent Health Immanuel Medical Center provides subsidized health to the broader community via behavioral health services.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: Bad debt of $12,152,430 included in THE functional expense total part IX, line 25 is not included in the total operating expense used to calculate the table 7 percentages.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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 is 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.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The Alegent Health System 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 Medicare cost reports which used a cost to charge ratio.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: THE 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: 1 SKILLED NURSING FACILITY.	DebtCollectionPolicy
Needs Assessment	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 WHERE ONE OF 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 METROPOLITAN STATISTICAL AREA'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 PLANNINGFOR ALEGENT HEALTH ON TWO LEVELS:I. REPORTING TO THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITHHEALTH PLANNING OVERSIGHTII. INTO THE ANNUAL STRATEGIC PLANNING PROCESSES OF ALEGENT HEALTH.PARTICULAR TO DOUGLAS COUNTY, WHICH IMMMANUEL MEDICAL CENTER RESIDES,NEEDS ASSESSMENT AND REPORTING OF THOSE NEEDS IS LED BY LIVE WELL OMAHA, AMEMBERSHIP BASED COALITION. LIVE WELL OMAHA HAS BEEN IN EXISTENCE FOR 14YEARS AND ALEGENT HEALTH WAS A FOUNDING MEMBER AND IS THE LARGESTFINANCIAL CONTRIBUTOR.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: There are several financial assistance access points throughout a PATIENT'S care cycle. Bills contain financial assistance verbiage; signs are posted in clinics and hospital, and there is information on financial assistance posted at registration points throughout clinics and hospitals. Information on THE Alegent Health SYSTEM'S financial assistance policies are located several places on www.alegent.com.	PatientEducationAssistance
Community Information	Part VI, Line 4: THE ALEGENT HEALTH SYSTEM SERVES THE OMAHA METROPOLITAN STATISTICAL AREA, WITH AN ESTIMATED POPULATION OF 842,976, RANKING 60TH OUT OF 366 MSAS IN THE TOTAL POPULATION. ON AVERAGE, THE POPULATION IS OLDER THAN THE U.S. WITH A CURRENT MEDIAN AGE OF 34.9 YEARS THAT IS PROJECTED TO INCREASE TO 35.5 BY 2014. 50.6% OF THE POPULATION IS FEMALE. THE OMAHA MSA RACIAL AND ETHNIC MAKEUP IS APPROXIMATELY 83.9% WHITE, 7.7% BLACK AND 7.6% HISPANIC OR LATINO.THE 2009 ESTIMATES SHOW THAT THERE ARE APPROXIMATELY 326,989 HOUSEHOLDS, WHICH IS PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS. THE AVERAGEHOUSEHOLD INCOME IS $68,637, WITH A PER CAPITA INCOME OF $26,840 (VSNATIONAL OF $26,410).	CommunityInformation
Community Building Activities	Part VI, Line 5: AS A RESULT OF THE 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 AND MADE 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, which consists of community leaders and policy makers, have implemented an ecological approach that improves programs, policies and promotes physical activity and healthy eating habits at the individual and organizational levels. MORE THAN 200 VOLUNTEERS HAVE PARTICIPATED IN THE PLANNING AND IMPLEMENTATION OF LWOK INITIATIVES. A PORTION OF THIS INVESTMENT IN LWOK IS ALLOCATED TO THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.	CommunityBuildingActivities
Other Information	Part VI, Line 6: THE PRIMARY CARE PHYSICIAN CLINICS THAT ARE PART OF THE ALEGENT HEALTH SYSTEM PARTICIPATE IN MEDICAL STUDENT PRECEPTORSHIPS THAT ADVANCE THE HEALTHCARE PROVIDER EDUCATION PROCESS. THE ALEGENT HEALTH SYSTEM HAS OPEN MEDICAL STAFFS AND IS ONE OF 3 HEALTH SYSTEMS THAT FUND THE OPERATIONS OF A COALITION THAT EXISTS TO PROVIDE ACCESS FOR THE PATIENTS OF 3 AREA Federally Qualified Community Health CenterS TO SPECIALTY PHYSICIAN SERVICES AND HOSPITAL BASED DIAGNOSTICS AND TREATMENT. THE ALEGENT HEALTH SYSTEM IS THE SOLE COMPREHENSIVE ACUTE MENTAL HEALTH PROVIDER IN THE OMAHA MSA AREA. THE ALEGENT HEALTH SYSTEM IS A JOINT VENTURE PARTNER IN A NOT-FOR-PROFIT HOSPICE INPATIENT HOSPITAL AND PROVIDES THE MANAGEMENT SUPPORT CONTRACT. THE ALEGENT HEALTH SYSTEM 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. THE ALEGENT HEALTH SYSTEM 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.BOARD OF DIRECTORS - THE ALEGENT HEALTH SYSTEM 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. The Board of Directors consists of twelve voting members and two non-voting members. EMERGENCY DEPARTMENT - ALEGENT HEALTH IMMANUEL MEDICAL CENTER hospital has a full-time emergency department that is open to the public and provides medical screening examinations and stabilizing treatment within the capabilities and capacity of the hospital regardless of but not limited to the PATIENT'S race, color, sex, age, and/or ability to pay. The hospital is in compliance with the federal EMTALA regulations.In addition, ALEGENT HEALTH IMMANUEL MEDICAL CENTER, together with unrelated hospitals in the area, work closely with local fire and rescue departments to ensure that ambulances take patients to the appropriate hospital. This is generally the hospital that is closet geographically with exceptions based on patient preference, PATIENT'S physician preference, and capacity or the availability of specialized facilities or programs related to the PATIENT'S condition. Finally, ALEGENT HEALTH IMMANUEL MEDICAL CENTER maintains detailed procedures regarding when and under what circumstances a patient can be transferred. Under this policy, no patient will be transferred based on race, creed, religion or ability to pay.MEDICAL STAFF - The hospital maintains an open medical staff. All qualified MDs, DOs, other healthcare practitioners, and mid-level practitioners are eligible to apply for privileges at the hospital. ALEGENT HEALTH IMMANUEL MEDICAL CENTER'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. Physicians who have been granted staff privileges automatically become members of the Medical staff at the hospital.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: THE SENIOR LEADERSHIP OF THE INDIVIDUAL HOSPITALS ARE 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. 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.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RONCALLI CATHOLIC HIGH SCHOOL	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6401 SORENSEN PKWY	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68152	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	470486481	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	10000	AmountOfCashGrant
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SCHOLARSHIPS	18	5550
CHARITY CARE	7567		17138817	BOOK	REDUCE OR WRITE OFF OF PATIENT SERVICES

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. THESE FUNDS ARE DIRECTLY USEd TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE. SISTER INGEBORG BLOMBERG SCHOLARSHIP: SCHOLARSHIPs are PROVIDED BY THE IMMANUEL MEDICAL CENTER AUXILIARY TO PROVIDE CONTINUING EDUCATION FOR ALEGENT HEALTH-IMMANUEL MEDICAL CENTER EMPLOYEES FOR THEIR PERSONAL GROWTH AND/OR PROFESSIONAL DEVELOPMENT. ALL PERMANENT, FULL-TIME AND PART-TIME EMPLOYEES IN GOOD STANDING WHO HAVE SIX MONTHS OR MORE OF SERVICE WITH ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAY APPLY FOR THE SCHOLARSHIPS. PAYMENT FOR TUITION, LAB FEES, BOOKS AND REGISTRATION EXPENSES WILL BE MADE DIRECTLY TO THE INSTITUTION UPON RECEIPT OF A STATEMENT OF COSTS FROM THE INSTITUTION. THE AWARDING OF THE SISTER INGEBORG BLOMBERG SCHOLARSHIP SHALL BE SUBJECT TO THE FOLLOWING CRITERIA: 1. APPLICATION IS MADE PRIOR TO MAKING A COMMITMENT TO THE SCHOOL 2. THE SCHOOL AND COURSE ARE OF RECOGNIZED STANDING 3. THE EMPLOYEE CONTINUES TO MAINTAIN HIS/HER REGULARLY SCHEDULED WORKING HOURS 4. THE EMPLOYEE SHALL SIGN AN AUTHORIZATION ALLOWING THE AUXILIARY TO RECEIVE WRITTEN CERTIFICATION OF PERFORMANCE FROM THE INSTITUTION 5. IT IS EVIDENT THAT THE COURSE, OR COURSES, ARE MUTUALLY BENEFICIAL TO THE EMPLOYEE AND TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 6. THE EMPLOYEE IS EXPECTED TO REMAIN EMPLOYED AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER FOR AT LEAST ONE YEAR AFTER RECEIVING THE SISTER INGEBORG BLOMBERG SCHOLARSHIP.
Other Information:	Part IV:	SCHEDULE I, PART I, LINE 2: ALEGENT HEALTH-IMMANUEL MEDICAL CENTER occassionally DISTRIBUTES FUNDS TO OTHER 501(c)(3) ORGANIZATIONS. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION. SCHEDULE I, PART III - Alegent Health-IMMANUEL MEDICAL CENTER 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
0	361253	0	57454	0	79556	0	19380	0	16188	0	533831	0	0
ERIC GURLEY
0	254034	0	0	0	22736	0	0	0	18834	0	295604	0	0
WAYNE A SENSOR
138774	399090	84962	244334	229545	660129	4368	12562	1651	4748	459300	1320863	212951	612407
RICHARD HACHTEN II
74364	213860	4169	11991	343800	988706	188910	543269	596	1715	611839	1759541	333856	960111
FRED HOSLER MD
95888	275758	46342	133270	98868	284326	93617	269226	1781	5123	336496	967703	85129	244816
MARTIN HICKEY MD
100075	287797	36760	105716	73735	212047	9577	27544	2214	6366	222361	639470	28079	80751
KENNETH LAWONN
73719	212003	34870	100279	58291	167635	8334	23966	1609	4627	176823	508510	53665	154332
SCOTT WOOTEN
96918	278718	43959	126418	55682	160132	3420	9835	1811	5209	201790	580312	49717	142978
MARK KESTNER MD
57945	166640	26434	76019	51247	147376	38383	110384	2462	7080	176471	507499	37680	108362
JOAN NEUHAUS
75655	217569	23142	66554	21006	60408	46866	134777	969	2787	167638	482095	20077	57737
MARGARET BREEN
48581	139710	33079	95129	40195	115592	3793	10908	662	1905	126310	363244	34384	98882
AMY PROTEXTER
36892	106092	31648	91015	37147	106827	5271	15158	2079	5979	113037	325071	28989	83368
PATRICIA NADLE
33133	95284	0	0	979	2816	64150	184483	1030	2962	99292	285545	0	0
PAUL EBMEIER
70190	201857	13022	37449	2365	6800	4368	12562	1490	4284	91435	262952	0	0
SHEREE KEELY
37932	109085	12106	34815	6529	18776	4476	12873	1200	3450	62243	178999	6453	18556
Elizabeth LLEWELLYN
37421	107617	14175	40766	17447	50174	5170	14867	261	750	74474	214174	12816	36856
PATRICIA MASEK
35629	102462	11422	32849	9316	26792	10162	29224	1004	2888	67533	194215	5744	16520
FRANK EMSICK
43201	124236	13991	40236	11718	33700	4394	12636	1911	5494	75215	216302	11429	32867
ANN SCHUMACHER
70211	201917	22716	65326	19388	55757	5953	17118	2858	8218	121126	348336	19007	54661
JAYNE MCCORMICK MD
0	175075	0	0	0	56987	0	16672	0	319	0	249053	0	0
Arun Sharma MD
397597	0	0	0	12379	0	19380	0	24734	0	454090	0	0	0
Michael L Egger MD
260504	0	0	0	23944	0	19380	0	21754	0	325582	0	0	0
Thomas A Franco MD
358507	0	31602	0	24154	0	21830	0	16895	0	452988	0	0	0
Michael L Coy MD
300344	0	0	0	31285	0	19380	0	9046	0	360055	0	0	0
Hudson H T Hsieh MD
267409	0	0	0	28634	0	16930	0	19589	0	332562	0	0	0
THEODORE SCHWAB
0	0	0	0	96122	276430	949	2729	4140	11901	101211	291060	95998	276073
DUANE DAVID
0	0	0	0	54030	155379	0	0	0	0	54030	155379	53908	155029
JARROD JOHNSON
2356	6775	7491	21542	46882	134823	585	1681	887	2550	58201	167371	44895	129109
JOHN MAY
2557	7353	8514	24485	56796	163334	684	1968	281	804	68832	197944	54262	156049
Ann Jones
2082	5992	8620	24790	56774	163271	0	0	1078	3099	68554	197152	55448	159460
MICHAEL ANDERSON MD
2374	6826	8042	23127	29277	84196	1067	3070	180	518	40940	117737	27840	80063
Pete Festersen
2663	7657	6291	18093	38482	110667	0	0	281	807	47717	137224	37863	108886

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 is included in the EXECUTIVE'S wages as taxable income.
Part I, Line 4a	The following reportable individuals received severance payments from Alegent Health (a related organization) during the 2009 calendar year and these severance payments were included in the INDIVIDUAL'S W-2 income and reportable as compensation on Schedule J: DUANE DAVID - $208,937 THEODORE SCHWAB - $371,912 WAYNE SENSOR - $124,126 RICHARD HACHTEN II - $363,816 FRED HOSLER, MD - $87,750 MARGARET BREEN - $53,962 AMY PROTEXTER - $49,415 ANN JONES - $187,565 MICHAEL ANDERSON - $29,164 JARROD JOHNSON - $162,988 MARK KESTNER, MD - $63,691 JOHN MAY - $185,254 PETE FESTERSEN - $136,893. SCHEDULE J, LINE 4B - ALEGENT HEALTH HAS A MARKET BASED NONQUALIFIED RETIREMENT PLAN APPROVED BY THE BOARD OF DIRECTORS THAT EXECUTIVES PARTICIPATE IN OF WHICH ANNUAL CONTRIBUTIONS ARE MADE. DURING 2009, THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TERMINATED AND PARTICIPANTS RECEIVED A TOTAL PAYOUT OF THEIR BALANCE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS FROM ALEGENT HEALTH DURING THE 2009 CALENDAR YEAR AND THE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE AS COMPENSATION ON SCHEDULE J: RICHARD HACHTEN II - $930,151 FRED HOSLER, MD - $242,195 KENNETH LAWONN - $207,997 MARGARET BREEN - $79,304 MARTIN HICKEY - 108,830 JARROD JOHNSON - $11,015 ANN JONES - $27,343 SHEREE KEELY - $25,009 MARK KESTNER, MD - $82,351 ELIZABETH LLEWELLYN - $49,672 PATRICIA MASEK - $22,264 FRANK EMSICK - $44,295 JOHN MAY - $25,057 JOAN NEUHAUS - $77,813 AMY PROTEXTER - $62,943 SCOTT WOOTEN - $192,696 ANN SCHUMACHER - $73,668 THEODORE SCHWAB - $159 WAYNE SENSOR - $701,232 MICHAEL ANDERSON - $78,739 PETE FESTERSEN - $9,856.
Part I, Line 5	PHYSICIANS EMPLOYED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER ARE ELIGIBLE FOR QUARTERLY PRODUCTIVITY BONUSES BASED ON INDIVIDUAL QUALITY MANAGEMENT, WHICH INCLUDE CORE MEASURES, 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. 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 NOT-FOR PROFIT AND GENERAL INDUSTRY DATA FOR EXECUTIVE ROLES WHERE THE RECRUITING MARKET IS ARGUABLY BROADER THEN THE NOT-FOR-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. 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 O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 6	THE SOLE MEMBER OF THE CORPORATION SHALL BE IMMANUEL HEALTH SYSTEMS (IHS). IMMANUEL HEALTH SYSTEMS SHALL NOT HAVE ANY VOTING RIGHTS AS A MEMBER OF THE CORPORATION.
Form 990, Part VI, Section A, line 7a	THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE ALEGENT BOARD OF DIRECTORS, AND THE CORPORATION HEREBY DELEGATES TO THE ALEGENT BOARD OF DIRECTORS, TO THE EXTENT PERMITTED BY LAW, COMPLETE GOVERNANCE AUTHORITY OVER IT, SUBJECT ONLY TO THE APPROVAL POWERS OF THE ALEGENT CORPORATE MEMBERS SET FORTH IN THE ARTICLES OF INCORPORATION AND BYLAWS. DIRECTORS SHALL BE APPOINTED BY THE ALEGENT BOARD IMMEDIATELY FOLLOWING THE APPOINTMENT AND RATIFICATION BY ALEGENT CORPORATE MEMBERS OF THE ALEGENT DIRECTORS PURSUANT TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ALEGENT. THE ALEGENT BOARD SHALL APPOINT DIRECTORS SUCH THAT, AT ALL TIMES, ALL OF THE PERSONS SERVING AS ALEGENT DIRECTORS ALSO SHALL BE SERVING AS DIRECTORS OF THE CORPORATION.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING ACTIONS SHALL BE EFFECTIVE ONLY IF APPROVED BY THE ALEGENT BOARD AND BY BOTH IMMANUEL HEALTH SYSTEMS (IHS) AND CATHOLIC HEALTH INITIATIVES (CHI) IN THEIR CAPACITIES AS ALEGENT CORPORATE MEMBERS: A. ADOPTION OR AMENDMENT OF THE UNIFIED PHILOSOPHY AND MISSION OF THE CORPORATION; B. SALE, LEASE, TRANSFER, ENCUMBRANCE OR DISPOSITION OF THE TANGIBLE PROPERTY OR INVESTMENTS OF THE CORPORATION 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; AND PROVIDED FURTHER THAT APPROVAL OF CHI AND IHS SHALL NOT BE REQUIRED FOR ANY TRANSFER OF ASSETS TO CHI BY THE CORPORATION PURSUANT TO THE TERMS OF THE ALEGENT FINANCING AGREEMENT(AFA); C. INCURRENCE, ASSUMPTION OR GUARANTY BY THE CORPORATION IN ANY INDIVIDUAL TRANSACTION OF LONG-TERM INDEBTEDNESS, INCLUDING CAPTIAL LEASES, OUTSTANDING FOR MORE THAN 365 DAYS, IN EXCESS OF THE GREATER OF $2 MILLION OR 2% OF THE TOTAL LONG-TERM INDEBTEDNESS OF ALL THE PARTICIPANTS, OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; D. 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; AND E. NOTWITHSTANDING ANY OTHER PROVISIONS IN THE BYLAWS TO THE CONTRARY. THE ACTIONS THAT CAN BE TAKEN WITHOUT THE APPROVAL OF IHS AND CHI INCLUDE, WITHOUT LIMITATION: (I) TERMINATION OF THE AFA IN ACCORDANCE WITH ITS TERMS. (II) FORMATION OF THE UNIFIED ALEGENT HEALTH SYSTEM (AS THAT TERM IS DEFINED IN THE AFA) (III) PREPAYMENT BY THE CORPORATION OF THE FULL AMOUNTS OUTSTANDING ON ITS NOTES TO CHI UNDER THE AFA, FOR PURPOSES OF EXERCISING THE RIGHTS OF TERMINATION OF THE AFA, OR FORMATION OF THE UNIFIED ALEGENT HELATH 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 THE NOTES OUTSTANDING.
Form 990, Part VI, Section B, line 11	Tax returns for entities of the Alegent Health system are prepared by THE SYSTEM tax department. Following the preparation of ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 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 notified that the final Form 990, including all required schedules is available on the electronic portal for review and will be filed on May 16, 2011.
Form 990, Part VI, Section B, line 12c	Written Conflict of Interest Policy - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER has adopted the conflict of interest policy and conflict investigation process of Alegent Health, the parent corporation of the Alegent Health System. 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 15	The governing board 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 positions: PRESIDENT AND CHIEF EXECUTIVE OFFICER EXECUTIVE VICE PRESIDENT SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER CHIEF EXECUTIVE OFFICER ALEGENT HEALTH CLINIC SENIOR VICE PRESIDENT CHIEF OPERATIONS OFFICER SENIOR VICE PRESIDENT CHIEF MEDICAL OFFICER MEDICAL DIRECTORS (IMMANUEL) VICE PRESIDENT OPERATIONS SENIOR VICE PRESIDENT GENERAL COUNSEL SENIOR VICE PRESIDENT CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT HUMAN RESOURCES SENIOR VICE PRESIDENT MARKETING
Form 990, Part VI, Section C, line 19	The conflict of interest policy is made available to the public on the website at www.alegent.com. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 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 I, LINE 5 AND PART V, LINE 2A:	THE EMPLOYEES LISTED IN PART I, LINE 5 AND PART V, LINE 2A ARE EMPLOYED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. HOWEVER, THROUGH A COMMON PAY AGENT AGREEMENT, THE EMPLOYEES ARE PAID BY ALEGENT HEALTH AND PAYROLL EXPENSES ARE ALLOCATED TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
FORM 990, PART V, LINE 1A:	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT HEALTH SYSTEM ARE MADE BY ALEGENT HEALTH, THEREFORE NO FORM 1099S ARE ISSUED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENER. ALEGENT HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. HOWEVER, PER THE INSTRUCTIONS, THOSE 1099S ISSUED BY ALEGENT HEALTH ON BEHALF OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER ARE REPORTED.
FORM 990, PART VI, SECTION B, LINE 16:	ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 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 PURPOSES 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ALEGENT HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	470757164	LICENSED HOSPITAL/ADMINISTRATIVE SUPPORT	NE	501(C)(3)	L3	N/A
ALEGENT HEALTH CLINIC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470765154	CLINICAL SERVICES	NE	501(C)(3)	L3		ALEGENT HEALTH
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
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
7500 MERCY ROAD	OMAHA	NE	68124	470484764	LICENSED HOSPITAL	NE	501(C)(3)	L3		ALEGENT HEALTH
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
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
AH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	420776568	LICENSED HOSPITAL	IA	501(C)(3)	L3	N/A
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
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STREET	SCHUYLER	NE	68661	470399853	LICENSED HOSPITAL	NE	501(C)(3)	L3	N/A
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
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
IMMANUEL HEALTH SYSTEMS
6757 NEWPORT AVE STE 200	OMAHA	NE	68152	470733774	SUPPORT OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER	NE	501(C)(3)	L11 III	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (7 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	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Code VCodeVAmount
AVANTAS LLC
11128 JOHN GALD BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	N/A	N/A	0	0
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLZ STE 206	OMAHA	NE	68130	204267902	AMBULATORY SURGICAL CENTER	NE	N/A	N/A	0	0
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SERVICES	NE	N/A	N/A	0	0
OMAHA AMBULATORY INVESTMENT COMPANY LLC
12809 WEST DODGE ROAD	OMAHA	NE	68154	061786989	PARENT HOLDING COMPANY ASC	NE	N/A	N/A	0	0
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68154	061786985	DIAGNOSTIC TESTING FACILITY	NE	N/A	N/A	0	0
PRAIRIE HEALTH VENTURES LLC
421 S 9TH STREET STE 102	LINCOLN	NE	68508	204962103	PROFESSIONAL TECH SERVICES	NE	N/A	RELATED	0	1	2055487	2537375	$103,716
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBULATORY SURGICAL CENTER	NE	N/A	N/A	0	0

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

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	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType
Amount Involved	122920	AmountInvolved

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH	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	470757164	EIN
Electing Org	X	ElectingOrg
Total Grassroots Lobbying	0	TotalGrassrootsLobbying
Total Direct Lobbying	244425	TotalDirectLobbying
Total Lobbying Expenditures	244425	TotalLobbyingExpenditures
Other Exempt Purpose Expenditures	260946952	OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures	261191377	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