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      <ContractorCompensation>
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        <DescriptionOfServices>EXECUTIVE SEARCH SER</DescriptionOfServices>
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      <NumberOfContractorsGT100K>12</NumberOfContractorsGT100K>
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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      <ForeignGrants>
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      <BenefitsToMembers>
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        <ProgramServices>602200</ProgramServices>
        <ManagementAndGeneral>134910</ManagementAndGeneral>
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      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>298210</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>522681</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>30200</ManagementAndGeneral>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>170427</ManagementAndGeneral>
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      <Advertising>
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        <ManagementAndGeneral>259487</ManagementAndGeneral>
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        <ProgramServices>288311</ProgramServices>
        <ManagementAndGeneral>64590</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>1528414</ProgramServices>
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      <Royalties>
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      <Occupancy>
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      <Travel>
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        <ProgramServices>100445</ProgramServices>
        <ManagementAndGeneral>22503</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>43451</ProgramServices>
        <ManagementAndGeneral>9735</ManagementAndGeneral>
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      <Interest>
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      <OtherExpenses>
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      <OtherExpenses>
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      <OtherExpenses>
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      <OtherExpenses>
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      <Form990ScheduleJPartIII>
        <Identifier>QUESTIONS REGARDING COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>TRAVEL OF COMPANIONS: ELEVEN OUT OF THE SIXTEEN MEMBERS OF THE BOARD OF THE TRUSTEES ARE INDEPENDENT COMMUNITY MEMBERS WHO ARE VOLUNTEER BOARD MEMBERS, AND DO NOT RECEIVE ANY COMPENSATION FOR THEIR TIME AND DUTIES AS MEMBERS OF THE BOARD OF TRUSTEES. RESPONSIBILITIES OF TRUSTEES ARE COMPLEX, AND EFFECTIVE GOVERNANCE DEPENDS UPON HAVING BOARD MEMBERS THAT ARE WELL EDUCATED ABOUT ALL ASPECTS OF HEALTH CARE AND HEALTH CARE GOVERNANCE. BRYANLGH HEALTH SYSTEM ENCOURAGES ONGOING EDUCATION OF ITS TRUSTEES BY PROVIDING REIMBURSEMENT FOR REASONABLE TRAVEL EXPENSES THAT FURTHER THE MISSION OF BRYANLGH HEALTH SYSTEM. REIMBURSEMENT FOR COMPANIONS IS LIMITED BY THE BOARD OF TRUSTEES' TRAVEL POLICY TO AIR TRAVEL AT THE COACH LEVEL. ALL TRAVEL OF COMPANIONS IS APPROVED IN ADVANCE BY THE CHIEF EXECUTIVE OFFICER, AND SUBSTANTIATION OF ALL TRAVEL RELATED EXPENSES IS REQUIRED BEFORE PAYMENT. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: THE ORGANIZATION PROVIDES SOCIAL CLUB MEMBERSHIPS FOR SELECT EMPLOYEES IF THERE IS A BUSINESS NEED FOR THE MEMBERSHIP. THE PERSONAL USE PORTION OF CLUB MEMBERSHIPS IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ORGANIZATION REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES. ONE PERSON LISTED IN FORM 990, PART VII, SECTION A, RECEIVED THIS BENEFIT DURING THE TAX YEAR. CEO/EXECUTIVE COMPENSATION SCHEDULE J, PART I, LINE 3 BRYANLGH HEALTH SYSTEM USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF SENIOR MANAGERS: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY AND STUDIES APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE COMPENSATION AND BENEFIT AMOUNTS OF SENIOR MANAGERS ARE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM. THE COMPENSATION COMMITTEE MET IN APRIL, 2010 TO REVIEW AND CONSIDER MARKET DATA AND RESULTING COMPENSATION ADJUSTMENTS FOR SENIOR MANAGER POSITIONS FOR THE FOLLOWING FISCAL YEAR; AND MET AGAIN IN AUGUST, 2010 TO REVIEW COMPENSATION PHILOSOPHY AND THE RESULTS OF THE VARIABLE PORTION OF THE COMPENSATION PLAN FROM THE PRIOR YEAR. THIS COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT EXTERNAL TRUSTEES AND USES COMPARABLE BENCHMARKING DATA AND STUDIES PROVIDED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS ALL SENIOR MANAGEMENT POSITIONS TO CONFIRM THAT ALL COMPENSATION AND BENEFITS ARE REASONABLE WHEN COMPARED TO CURRENT BENCHMARKING DATA. DOCUMENTATION IS KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE LISTING THE DATE AND TERMS OF THE COMPENSATION REVIEWED AND APPROVED. ALL OTHER NON-SENIOR MANAGEMENT POSITIONS ARE REVIEWED BY HUMAN RESOURCES FOR APPROPRIATE COMPENSATION. EMPLOYED PHYSICIAN POSITIONS ARE REVIEWED AND COMPARED TO MGMA STANDARDS FOR THE SPECIFIC SPECIALTY UNDER REVIEW. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A CRAIG AMES, FORMER PRESIDENT AND CHIEF OPERATING OFFICER OF BRYANLGH MEDICAL CENTER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $147,600 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2009. JENNIFER LESOING-LUCS WILL RECEIVE SEVERANCE PAYMENTS FROM BRYANLGH HEALTH SYSTEM TOTALING $310,028 DURING CALENDAR YEARS 2010 AND 2011. THE AMOUNT OF $310,028 HAS BEEN INCLUDED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART 1, LINE 4B THE FOLLOWING PEOPLE LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN, OR RECEIVED A PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: Craig Ames: $76,928 Kenneth Foster: $30,590 Jennifer Lesoing-Lucs: $102,839 Kimberly Russel: $154,000 George Snider: $87,572 COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES &amp; KEY EMPLOYEES SCHEDULE J, PART II COMPENSATION AMOUNTS REPORTED ON SCHEDULE J, PART II ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2009. RUSSELL GRONEWOLD WAS APPOINTED TO THE POSITION OF VICE PRESIDENT- FINANCE &amp; CFO, EFFECTIVE JANUARY 19, 2010; THEREFORE, HE HAD NO COMPENSATION FOR CALENDAR YEAR 2009.</Explanation>
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          <NamePerson>UNION BANK TRUST</NamePerson>
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        <Relationship>ROSS WILCOX IS DIRECTOR</Relationship>
        <AmountOfTransaction>1085644</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR BANKING SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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          <NamePerson>US BANK</NamePerson>
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        <Relationship>STEVE ERWIN IS OFFICER</Relationship>
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      <GeneralExplanation>
        <Identifier>FILING OF FORM 990-T</Identifier>
        <ReturnReference>FORM 990, PART V, QUESTIONS 3A &amp; 3B</ReturnReference>
        <Explanation>THE ORGANIZATION'S EMPLOYEE RETIREMENT PLAN HAD NET UNRELATED BUSINESS INCOME OF $3,129 FROM AN INVESTMENT. THE EMPLOYEE RETIREMENT PLAN IS NOT HELD ON THE ORGANIZATION'S BOOKS; HOWEVER, THE EMPLOYEE RETIREMENT PLAN USES THE SAME EMPLOYEE IDENTIFICATION AS THE ORGANIZATION. THEREFORE, A 990-T WAS FILED FOR THE EMPLOYEE RETIREMENT PLAN FOR THE 2009 TAX YEAR. DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, QUESTION 2 The following business relationships were reported during the fiscal year between the organization's trustees, officers or key employees. STEVE ERWIN AND GENE BRAKE STEVE ERWIN AND MARC LEBARON STEVE ERWIN AND MICHAEL MINNICK STEVE ERWIN AND KIMBERLY RUSSEL STEVE ERWIN AND JOHN WOODRICH STEVE ERWIN AND JENNIFER LESOING-LUCS MARC LEBARON AND MICHAEL MINNICK DESCRIBE THE PROCESS USED BY MGMT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THIS 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 WAS ALSO REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, PRIOR TO THE SUBMISSION OF THE FORM TO THE INTERNAL REVENUE SERVICE. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST FORM 990, PART VI, QUESTION 12C BRYANLGH HEALTH SYSTEM HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT IS MONITORED AND ENFORCED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES. BOARD MEMBERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE QUESTIONNAIRE TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST. THE GOVERNANCE COMMITTEE OF BRYANLGH HEALTH SYSTEM REVIEWS ALL IDENTIFIED CONFLICTS RELATIVE TO THE MEMBER'S ABILITY TO VOTE ON CERTAIN TYPES OF TRANSACTIONS AND/OR WHETHER ANY IDENTIFIED CONTRACTS/TRANSACTIONS WILL REQUIRE FURTHER REVIEW/ALTERATION. OFFICES/POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A &amp; 15B THE COMPENSATION AND BENEFIT AMOUNTS OF SENIOR MANAGERS ARE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM. THE COMPENSATION COMMITTEE MET IN APRIL, 2010 TO REVIEW AND CONSIDER MARKET DATA AND RESULTING COMPENSATION ADJUSTMENTS FOR SENIOR MANAGER POSITIONS FOR THE FOLLOWING FISCAL YEAR; AND MET AGAIN IN AUGUST, 2010 TO REVIEW COMPENSATION PHILOSOPHY AND THE RESULTS OF THE VARIABLE PORTION OF THE COMPENSATION PLAN FROM THE PRIOR YEAR. THIS COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT EXTERNAL TRUSTEES AND USES COMPARABLE BENCHMARKING DATA AND STUDIES PROVIDED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS ALL SENIOR MANAGEMENT POSITIONS TO CONFIRM THAT ALL COMPENSATION AND BENEFITS ARE REASONABLE WHEN COMPARED TO CURRENT BENCHMARKING DATA. DOCUMENTATION IS KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE LISTING THE DATE AND TERMS OF THE COMPENSATION REVIEWED AND APPROVED. ALL OTHER NON-SENIOR MANAGEMENT POSITIONS ARE REVIEWED BY HUMAN RESOURCES FOR APPROPRIATE COMPENSATION. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B KIMBERLY RUSSEL, RUSSELL GRONEWOLD, AND JENNIFER LESOING-LUCS EACH SPEND APPROXIMATELY 30 HOURS PER WEEK DEVOTED TO BRYANLGH HEALTH SYSTEM, AND AN ADDITIONAL 30 HOURS PER WEEK DEVOTED TO THE RELATED ORGANIZATIONS WITHIN BRYANLGH HEALTH SYSTEM. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES &amp; KEY EMPLOYEES FORM 990, PART VII, SECTION A COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A, COLUMNS (D),(E) AND (F) ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2009.</Explanation>
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          <City>LINCOLN</City>
          <State>NE</State>
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          <City>LINCOLN</City>
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          <City>LINCOLN</City>
          <State>NE</State>
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      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
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        <AmountInvolved>1271028</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRYANLGH PHYSICIAN NETWORK INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3300000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>INTEGRATED CARDIOLOGY GROUP LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>5284900</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRYANLGH ENTERPRISES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1019824</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CRETE AREA MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>649318</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>