2012-04-12T12:59:10-05:00 2011-05-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-06-01 470841285 CRETE AREA MEDICAL CENTER CRET 4024813190 2910 BETTEN DRIVE CRETE NE 683330220 RUSSELL GRONEWOLD 2012-04-06 3142901000 2010 2016-02-24 21:20:13Z Russell Gronewold 1600 SOUTH 48TH STREET LINCOLN NE 68506 18855999 false X WWW.CRETEAREAMEDICALCENTER.COM X 2001 NE CRETE AREA MEDICAL CENTER IS COMMITTED TO MAKING A DIFFERENCE IN OUR COMMUNITY AND THE LIVES OF THE INDIVIDUALS WE SERVE THROUGH COMPASSIONATE AND EXCEPTIONAL CARE. 9 5 191 125 -131 243317 108080 20202752 18401907 108858 117467 203506 166839 20758433 18794293 0 0 0 0 8874926 8651627 0 0 0 9155358 9232802 18030284 17884429 2728149 909864 26433282 27119835 16813197 16543284 9620085 10576551 X The formal mission statement adopted by the Crete Area Medical Center (CAMC) BOARD STATES "CAMC IS COMMITTED TO MAKING A DIFFERENCE IN OUR COMMUNITY AND THE LIVES OF THE INDIVIDUALS WE SERVE THROUGH COMPASSIONATE AND EXCEPTIONAL CARE." CAMC'S VISION IS TO BE A RESPECTED COMMUNITY LEADER AND HEALTH CARE PROVIDER, WHERE PATIENTS SEEK EXCEPTIONAL CARE, PHYSICIANS PREFER TO PRACTICE, AND TEAM MEMBERS DESIRE TO WORK. THE FOCUS OF CAMC IS ON THE PATIENT EXPERIENCE AND MEANINGFUL WORK. CAMC IS COMMITTED TO THE FOLLOWING FUNDAMENTAL BELIEFS: INTEGRITY - OUR FOUNDATION; RESPECT - OUR COMPASSION; SERVICE - OUR STANDARD; EXCELLENCE - OUR DISTINCTION; COLLABORATION - OUR INVESTMENT; AND LEADERSHIP - OUR FUTURE. false false 15922261 0 18401907 CAMC, located in Crete, Nebraska, is a Nebraska nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and has received determination that it is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code in order to provide health care services. CAMC was incorporated in April 2001 and operates a 24-licensed bed critical access hospital and two physician clinics serving patients and residents principally from Saline and Lancaster counties. During the fiscal year ending May 31, 2011, CAMC provided inpatient acute, swing bed and nursery services to 483 patients. CAMC performed 781 surgical procedures and provided primary care physician services with 20,741 visits. CAMC's Physician Clinic is recognized as a Level 3 Patient-Centered Medical Home by the National Committee for Quality Assurance ("NCQA"). 15922261 true true false true false false false false false true false false false true true true true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 40 0 true 191 true false false false false false false false false false false X 9 5 true false false false true true true true true false false true true true true true true true true true true NE X BRYCE BETKE 4028267945 2910 BETTEN DRIVE CRETE NE 68333 X COLLYN FLORENDO 1.0 X 0 0 0 GARY LOTHROP DVM 1.0 X 0 0 0 CAROL FRIESEN 70.0 X X 197325 0 11269 SHIRLEY SIEDHOFF 1.0 X X 0 0 0 KATHLEEN CAMPBELL 1.0 X X 0 268341 17836 WAYNE DRUMMOND 1.0 X 0 0 0 RUSSELL EBKE MD 50.0 X 257819 0 33092 TAD EICKMAN 1.0 X 0 0 0 JACK HUCK 1.0 X 0 0 0 BRYCE BETKE 50.0 X 128665 0 21445 ROBERT TUMA MD 50.0 X 156412 0 22796 KATE HESSER MD 50.0 X 179186 0 22792 JASON HESSER MD 50.0 X 164303 0 6162 AMY VERTIN MD 50.0 X 132444 0 8294 TAMMY SCHROEDER 50.0 X 131088 0 7330 JENNIFER LESOING-LUCS 0.0 X 0 505435 20921 1347242 773776 171937 9 true true false ALLEY TODD 2525 SOUTH 79TH STREET LINCOLN NE 68506 ANESTHESIA SERVICES 313830 BRESTER CONSTRUCTION INC 5940 SOUTH 57TH STREET LINCOLN NE 68516 CONSTRUCTION SERVICE 298424 SAMPSON CONSTRUCTION INC 6402 JUDSON LINCOLN NE 68502 CONSTRUCTION SERVICE 186206 HEALTHLAND 625 SOUTH LAKESHORE DRIVE GLENWOOD MN 56334 MAINTENANCE CONTRACT 156832 NEBRASKA LABLINC 5440 SOUTH STREET SUITE 100 LINCOLN NE 68506 LAB SERVICES 139124 8 96073 12007 0 108080 Net Patient Care Revenue 900099 18256051 18256051 Athletic Training Outreach 624100 123000 123000 Patient Wellness 900099 13740 13740 Health Information Services 621300 8041 8041 EDUCATION INCOME 611600 1075 1075 18401907 128173 128173 0 0 49070 51000 -1930 -1930 -1930 0 10706 -10706 -10706 -10706 0 0 0 CAFETERIA SALES 900099 83901 83901 GIFT SHOP REVENUE 453220 18526 18526 PHARMACY SALES 446110 4426 4426 61916 -131 62047 168769 18794293 18401907 -131 284437 0 0 0 0 686309 404922 281387 0 6439272 5893866 545406 245849 225026 20823 789036 722205 66831 491161 449560 41601 0 24502 24502 42609 42609 717 717 0 0 1763804 1614410 149394 117122 117122 2847492 2799255 48237 134512 123119 11393 0 269295 264733 4562 77072 41237 35835 0 0 32964 32964 508959 508959 1605786 1578584 27202 143450 141020 2430 BAD DEBTS 871387 871387 DUES & SUBSCRIPTIONS 57552 36855 20697 All other expenses 735579 723118 12461 17884429 15922261 1962168 0 1841494 2700790 2466425 2087386 226016 197976 176899 116248 23917464 10688326 13785559 13229138 7624934 7755378 62381 67276 249574 965643 26433282 27119835 1983011 1824106 14830186 14719178 16813197 16543284 X 9620085 10576551 9620085 10576551 26433282 27119835 X 909864 46602 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 717 true false false 717 false SUPPLEMENTAL INFORMATION - LOBBYING SCHEDULE C, PART IV CRETE AREA MEDICAL CENTER IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION (NHA). DURING THE CURRENT YEAR THE REPORTING ORGANIZATION MADE PAYMENTS FOR MEMBERSHIP DUES TO THE NHA IN THE AMOUNT OF $9,338. THE NHA REPORTED THAT 7.68% OF DUES PAID, OR $717, WAS 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 FOR THE COMMUNITY. 61247 61247 16134630 5604104 10530526 105470 87256 18214 6472284 4450318 2021966 1143833 546648 597185 13229138 0 SWAP AGREEMENT 1764178 LONG TERM DEBT INTERCOMPANY LOAN 12955000 14719178 18794293 17884429 909864 46602 46602 956466 18900593 44594 44594 18855999 -61706 -61706 18794293 17944127 59698 59698 17884429 17884429 FIN 48 FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS FORM 990, SCHEDULE D, PART X "CAMC ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. CAMC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT MAY 31, 2011 AND 2010, CAMC HAD NO UNCERTAIN TAX POSITIONS ACCRUED." RECONCILIATION OF CHANGE IN NET ASSETS FORM 990 SCHEDULE D, PART XI, LINE 8 CHANGE IN VALUE OF SWAP AGREEMENT $(48,992) DEFERRED TAX BENEFIT $ 1,697 TRANSFERS FROM RELATED ENTITY, NET $ 42,897 OFFICE BUILDING RENT EXPENSES $ 51,000 --------- TOTAL $ 46,602 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS SCHEDULE D, PART XII, LINE 2D, OTHER TRANSFERS FROM RELATED PARTY, NET $42,897 DEFERRED TAX BENEFIT $ 1,697 ------- TOTAL $44,594 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS SCHEDULE D, PART XII, LINE 4B, OTHER LOSS ON EQUIPMENT ($10,706) OFFICE BUILDING RENT EXPENSES ($51,000) --------- TOTAL ($61,706) Reconciliation of Exp Per Audited Financial Stmts with Expenses Per Return Schedule D, Part XIII, Line 2D, Other CHANGE IN VALUE OF SWAP AGREEMENT $48,992 LOSS ON EQUIPMENT $10,706 ------- TOTAL $59,698 true true X true X true X true true true false true true 285631 0 285631 0.01680 285631 0 285631 0.01680 189337 25321 164016 0.00960 189337 25321 164016 0.00960 474968 25321 449647 0.02640 true 636548 127310 5682192 5621433 60759 X true false NA 1 1 CRETE AREA MEDICAL CENTER

2910 BETTEN DRIVE CRETE NE 68333

X X X CRETE AREA MEDICAL CENTER 1 2 CRETE MEDICAL CLINIC

2910 BETTEN DRIVE CRETE NE 68333

RURAL HEALTH CLINIC WILBER MEDICAL CLINIC

203 W 4TH STREET WILBER NE 68465

RURAL HEALTH CLINIC SUPPLEMENTAL INFORMATION PART I, LINE 6A: CRETE AREA MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS MAILED ANNUALLY TO HOUSEHOLDS IN CRETE AND THE SURROUNDING AREA. THIS REPORT DESCRIBES THE PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT ARE SERVED BY CRETE AREA MEDICAL CENTER. CRETE AREA MEDICAL CENTER'S COMMUNITY BENEFIT INFORMATION IS ALSO CONTAINED IN A CONSOLIDATED REPORT PREPARED ANNUALLY BY BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THE BRYANLGH HEALTH SYSTEM COMMUNITY BENEFIT REPORT IS MAILED ANNUALLY TO VARIOUS HOUSEHOLDS IN EASTERN NEBRASKA AND THE SURROUNDING AREA. THE CONSOLIDATED REPORT IS ALSO AVAILABLE ONLINE AT WWW.BRYANLGH.COM/COMMUNITYBENEFIT. PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE INCLUDED IN TOTAL EXPENSES ON FORM 990 WAS $871,387. THIS BAD DEBT EXPENSE WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSE OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES IN COLUMN (F) ($17,884,429 - $871,387 = $17,013,042). PART I, LINE 7: THE COST OF CRETE AREA MEDICAL CENTER'S CHARITY CARE EXPENSE ON LINE 7A WAS DETERMINED BY APPLYING A RATIO OF PATIENT CARE COST TO CHARGES TO THE CHARITY CARE DEDUCTIONS REPORTED IN THE FINANCIAL STATEMENTS. THE TOTAL EXPENSES DIRECTLY ATTRIBUTABLE TO THE COMMUNITY BENEFIT ACTIVITIES WERE REPORTED ON LINE 7E. PART III, LINE 4: The cost of Crete Area Medical Center's bad debt expense was determined by applying a ratio of patient care cost to charges to the bad debt expense reported in the financial statements. Discounts and payments reduce bad debt expense. Only the remaining uncollectible balance is written-off as bad debt expense. About 1 of 5 financial assistance (charity care) applications is denied because the patient would not provide the supporting information required per the policy and procedure. The following is the footnote from Crete Area Medical Center's audited financial statements regarding bad debt expense: "The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients and others. An allowance for doubtful accounts has been established for the uncollectable portion of these receivables and is adjusted throughout the year based on a percentage of each funding source's receivable account balance. Individual accounts with balances over ninety days are reviewed periodically for funding source denial, rebills to different funding sources, submissions to a collection agency or write-off as bad debt." PART III, LINE 8: THE MEDICARE ALLOWABLE COST ON LINE 6 IS FROM THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL IS NOT REPORTED AS A COMMUNITY BENEFIT. NEEDS ASSESSMENT: Crete Area Medical Center ("CAMC") conducted a study to examine community awareness and perceptions in June 2008. This information was used to build a three-year plan to effectively develop and execute CAMC's strategic plans. The study highlighted opportunities for improvement and needs within our primary service area. CAMC annually uses information provided by the Nebraska Hospital Association to determine what services patients in our service area are using and where they are getting access. If services are identified that CAMC can provide for patients closer to home we will evaluate the need and options. CAMC also reviews information on the appropriate number of physicians for our service area and will actively recruit physicians or other providers as needed to the community. CAMC partnered with Public Health Solutions to complete a community needs assessment in 2010. The results of this survey will be used to determine needs and opportunities to serve our patient population. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Charity care information is provided to patients during admission in their information packet. Patients may contact the hospital at anytime to request a charity care application. Hospital patient account collectors will also inform patients about our charity care program if they are unable to pay their bill and may qualify for charity care based on information provided. In addition, information regarding the charity care policy is provided on the website, in all hospital registration areas, including the emergency department, and on each billing statement. COMMUNITY INFORMATION: Crete Area Medical Center ("CAMC") is located in Crete, Nebraska. Crete has a population of 6,960 people and includes diverse ethnic backgrounds. Crete has a large Hispanic population (35.7%). Crete has three primary industrial employers: Farmland Industries, Nestle/Purina, and Bunge Mills. They employ almost 3,000 people. CAMC serves people in Crete and the surrounding communities in SalINE and Lancaster counties. Our primary service area is a 30-mile radius of Crete. OTHER INFORMATION: Crete Area Medical Center ("CAMC") is a Nebraska nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code. CAMC operates a 24-licensed bed critical access hospital and two physician clinics. CAMC has an open medical staff. The hospital Board of Directors includes members from the community. CAMC is committed to serving our patients and our community by investing funds in facilities, technology, physicians, and staff to deliver premium healthcare in our facilities. CAMC participates in local organizational events and provides uncompensated and charity care to our patients. CAMC supports educational opportunities for staff, high school students, local EMS volunteers, and community members. Public assistance with translation services, and healthy lifestyle programs are also offered at CAMC. AFFILIATED HEALTH CARE SYSTEM ROLES: Crete Area 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. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI NONE true true false false false false false false false CAROL FRIESEN 162762 0 16427 0 18136 0 9269 0 2554 0 209148 0 0 0 KATHLEEN CAMPBELL 0 192534 0 25231 0 50576 0 10936 0 7411 0 286688 0 0 RUSSELL EBKE MD 203226 0 54593 0 0 0 12503 0 22144 0 292466 0 0 0 BRYCE BETKE 126264 0 2401 0 0 0 6613 0 15328 0 150606 0 0 0 ROBERT TUMA MD 156412 0 0 0 0 0 9445 0 13563 0 179420 0 0 0 KATE HESSER MD 154683 0 24503 0 0 0 3203 0 19732 0 202121 0 0 0 JASON HESSER MD 151367 0 12936 0 0 0 3162 0 3175 0 170640 0 0 0 JENNIFER LESOING-LUCS 0 22938 0 0 0 482497 0 1752 0 20281 0 527468 0 280252 COMPENSATION OF ORG'S CEO/EXECUTIVE DIRECTOR SCHEDULE J, PART I, LINE 3 The Health System Board of Trustees believes compensation for the senior management team must reflect the complexities of leading and managing a multi-hospital health system that provides services throughout much of the state. The Health System board recognizes that leaders of the Health System are responsible for the quality of care, patient services and overall financial health of the largest private employer in Lincoln/Lancaster County. The Health System board has established a compensation plan that matches this level of responsibility. This Plan, known as the Senior Management Compensation Philosophy is reviewed at least annually by the Health System Board of Trustees and the Compensation Committee. This Compensation Philosophy targets base salary for senior managers at the 50th percentile of the market. The Compensation Committee is appointed by the Health System Board of Trustees and is made up of independent community leaders who all serve voluntarily, and who must adhere to a stringent conflict of interest policy. Executive compensation is determined and reviewed pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation Section 53.4958-6. The Compensation Committee conducts a comprehensive annual review of all compensation and benefits provided by the organization to the senior management team. This review is conducted by the Committee by utilizing national salary surveys, conducted by independent external firms. Compensation for senior managers is compared to compensation of senior managers at like institutions across the U.S. to determine that the value of compensation and benefits provided are reasonable and at fair market value. The Compensation Committee also works directly with an external independent compensation consultant to review the reasonableness of total compensation provided to the senior management team, and to assure that the total compensation paid conforms to the overall Compensation Philosophy. The compensation consultant provides written opinions to the Compensation Committee that assesses the reasonableness of the total executive compensation paid to senior managers. All decisions of the Compensation Committee are contemporaneously documented in the Compensation Committee minutes which are timely reviewed and approved by the Committee. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A JENNIFER LESOING-LUCS, FORMER VP-FINANCE AND CFO OF BRYANLGH HEALTH SYSTEM, RECEIVED SEVERANCE PAYMENTS FROM BRYANLGH HEALTH SYSTEM, TOTALING $280,252 DURING CALENDAR YEAR 2010. MS. LESOING-LUCS RECEIVED SEVERANCE PAYMENTS TOTALING $30,693 DURING CALENDAR YEAR 2011. THIS COMPENSATION HAS BEEN INCLUDED AS REQUIRED ON SCHEDULE J, PART II SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, 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: CAROL FRIESEN: $ 8,362 KATHLEEN CAMPBELL $ 42,974 JENNIFER LESOING-LUCS: $111,348 COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES SCHEDULE J, PART II IN KEEPING WITH BRYANLGH HEALTH SYSTEM'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON CRETE AREA MEDICAL CENTER'S BOARD, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS REPORTED IN SCHEDULE J, PART II ARE BASED ON THE ON THE CALENDAR YEAR ENDING DECEMBER 31, 2010. 2010. DENISE LOTHROP SEE PART V 16386 COMPENSATION false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, COLUMN (B) (1) DENISE LOTHROP'S SPOUSE, GARY LOTHROP, IS A MEMBER OF CRETE AREA MEDICAL CENTER'S BOARD Description of Family or Business Relationships Form 990, Part VI, Question 2 THE FOLLOWING FAMILY AND BUSINESS RELATIONSHIPS WERE REPORTED DURING THE FISCAL YEAR BETWEEN THE ORGANIZATION'S TRUSTEES, OFFICERS OR KEY EMPLOYEES: Collyn Florendo and Carol Friesen Collyn Florendo and Russel Ebke, M.D. Collyn Florendo and Bryce Betke 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 CRETE AREA MEDICAL CENTER 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 CRETE AREA MEDICAL CENTER ("CAMC"), 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 CRETE AREA MEDICAL CENTER ("CAMC"). PURSUANT TO THE GOVERNING DOCUMENTS, THE BOARD OF CAMC 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 OPERATIONAL BUDGET; (2) ADOPT ANY CHANGES IN ANY ANNUAL OR LONG-TERM CAPITAL BUDGET OR OPERATIONAL EXPENSE BUDGET EXCEEDING $250,000 IN ANY SINGLE TRANSACTION OR $1,000,000 IN ANY CORPORATION FISCAL YEAR; (3) ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; (4) AMEND THE BYLAWS OR ARTICLES OF INCORPORATION (5) APPROVE THE TRANSFER, SALE OR OTHER DISPOSITION OF CAPITAL ASSETS IN ANY SINGLE TRANSACTION IN EXCESS OF $250,000, OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (6) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF ANY CORPORATION, SHARED SERVICE ARRANGEMENT, ASSOCIATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY, DIRECTLY OR INDIRECTLY, WHERE THE CAPITAL EXPENDITURE OR OPERATING EXPENSES BY THE CORPORATION IN CONNECTION WITH SUCH ORGANIZATION OR ACQUISITION WHEN IT EXCEEDS $500,000 IN A SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (7) APPROVE ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ANY KIND OR NATURE ON ASSETS OF THE CORPORATION WHERE THE BORROWING OR INDEBTEDNESS EXCEEDS $250,000 IN ANY SINGLE TRANSACTION OR A TOTAL OF $1,000,000 IN ANY CORPORATION FISCAL YEAR; (8) ELECT OR APPOINT TRUSTEES OF THE CORPORATION; (9) APPOINT OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 10) PURCHASE INSURANCE COVERAGE FOR THE CORPORATION AND ITS OPERATIONS; 11) SELECT THE AUDITOR TO PERFORM THE ANNUAL AUDIT OF THE RECORDS OF THE CORPORATION; AND 12) TAKE ANY OTHER ACTIONS WHICH MAY BE INCONSISTENT WITH THE HEALTH SYSTEM'S GOALS AND OBJECTIVES. DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THIS FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS ALSO REVIEWED BY CRETE AREA MEDICAL CENTER'S CEO AND CFO; AND BRYANLGH HEALTH SYSTEM'S CEO AND CFO. THE 990 WAS DISTRIBUTED FOR REVIEW TO EACH MEMBER OF CRETE AREA MEDICAL CENTER'S BOARD OF DIRECTORS, AND TO BRYANLGH HEALTH SYSTEM'S FINANCE COMMITTEE 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 CRETE AREA MEDICAL CENTER ("CAMC") HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE CAMC BOARD OF DIRECTORS. BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST. THE BOARD REVIEWS ALL IDENTIFIED CONFLICTS RELATIVE TO THE MEMBER'S ABILITY TO VOTE ON CERTAIN TYPES OF TRANSACTIONS AND/OR WHETHER ANY IDENTIFIED CONTRACTS/TRANSACTIONS WILL REQUIRE FURTHER REVIEW/ALTERATION. PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION FORM 990, PART VI, QUESTION 15 The Health System Board of Trustees believes compensation for the senior management team must reflect the complexities of leading and managing a multi-hospital health system that provides services throughout much of the state. The Health System board recognizes that leaders of the Health System are responsible for the quality of care, patient services and overall financial health of the largest private employer in Lincoln/Lancaster County. The Health System board has established a compensation plan that matches this level of responsibility. This Plan, known as the Senior Management Compensation Philosophy is reviewed at least annually by the Health System Board of Trustees and the Compensation Committee. This Compensation Philosophy targets base salary for senior managers at the 50th percentile of the market. The Compensation Committee is appointed by the Health System Board of Trustees and is made up of independent community leaders who all serve voluntarily, and who must adhere to a stringent conflict of interest policy. Executive compensation is determined and reviewed pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation Section 53.4958-6. The Compensation Committee conducts a comprehensive annual review of all compensation and benefits provided by the organization to the senior management team. This review is conducted by the Committee by utilizing national salary surveys, conducted by independent external firms. Compensation for senior managers is compared to compensation of senior managers at like institutions across the U.S. to determine that the value of compensation and benefits provided are reasonable and at fair market value. The Compensation Committee also works directly with an external independent compensation consultant to review the reasonableness of total compensation provided to the senior management team, and to assure that the total compensation paid conforms to the overall Compensation Philosophy. The compensation consultant provides written opinions to the Compensation Committee that assesses the reasonableness of the total executive compensation paid to senior managers. All decisions of the Compensation Committee are contemporaneously documented in the Compensation Committee minutes which are timely reviewed and approved by the Committee. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES FORM 990, PART VII, SECTION A IN KEEPING WITH BRYANLGH HEALTH SYSTEM'S BELIEFS AND STANDARDS OF BEHAVIOR REGARDING STEWARDSHIP, NO BOARD MEMBER SERVING ON CRETE AREA MEDICAL CENTER'S BOARD, OR ANY AFFILIATED BOARD, IS COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS REPORTED IN COLUMNS (E) AND (F) ARE BASED ON THE CALENDAR YEAR ENDING DECEMBER 31, 2010. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, QUESTION 5 DESCRIPTION AMOUNT CHANGE IN VALUE OF SWAP AGREEMENT $(48,992) DEFERRED TAX BENEFIT $ 1,697 TRANSFERS FROM RELATED ENTITY, NET $ 42,897 OFFICE BUILDING RENT EXPENSES $ 51,000 --------- TOTAL $ 46,602 RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT FORM 990, PART XI, QUESTION 2C THE AUDIT COMMITTEE OF BRYANLGH HEALTH SYSTEM'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE ORGANIZATION'S AUDIT. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN CAMPBELL TITLE:TREASURER HOURS:60 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JENNIFER LESOING-LUCS TITLE:DIRECTOR, RESIGNED 1/22/2010 HOURS: BRYANLGH HEALTH SYSTEM 1600 SOUTH 48TH STREET LINCOLN NE 68506 363414823 HEALTHCARE NE 501(c)(3) 11C NA BRYANLGH MEDICAL CENTER 1600 SOUTH 48TH STREET LINCOLN NE 68506 470376552 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 NETWORK INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 201357375 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 SUITE 600 LINCOLN NE 68506 470844961 CARDIOLOGY NE NA C 0 0 0.00000 false false false false true false false false false false false true false true true false true false BRYANLGH MEDICAL CENTER E 13115000 BRYANLGH MEDICAL CENTER L 215819 BRYANLGH MEDICAL CENTER N 60234 BRYANLGH MEDICAL CENTER O 238020 BRYANLGH MEDICAL CENTER Q 601264