2011-04-15T08:03:31-04:00 2010-05-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2009-06-01 470841285 CRETE AREA MEDICAL CENTER CRET 4024813190 2910 BETTEN DRIVE CRETE NE 683330220 Russ Gronewold 2011-04-14 3142901000 2009 2016-02-24 21:20:13Z Russell Gronewold 1600 SOUTH 48TH STREET LINCOLN NE 68506 20773131 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. 10 4 196 125 971 195328 243317 18285663 20202752 102848 108858 185903 203506 18769742 20758433 0 0 0 0 8004822 8874926 0 0 0 7994735 9155358 15999557 18030284 2770185 2728149 24871987 26433282 18502186 16813197 6369801 9620085 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 16511065 0 20163789 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 25-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, 2010, CAMC provided inpatient acute, swing bed and nursery services to 623 patients. CAMC performed 707 surgical procedures and provided primary care physician services with 21,106 visits. CAMC offers a specialized pediatric program and professionals to compliment our family practice medicine. 16511065 true true false true false false false false false true true true false false false false false false false false true false false true false false false false false false true false false false false false false true true false false true 54 0 true 196 true true true false false false false false false false false 10 4 true false false false true true true true true false false true true true true true true true true true false NE X BRYCE BETKE 4028267945 2910 BETTEN DRIVE CRETE NE 68333 COLLYN FLORENDO 1.0 X 0 0 0 WILLIS LUEDKE 1.0 X 0 0 0 CAROL FRIESEN 50.0 X X 180543 0 12863 SHIRLEY SIEDHOFF 1.0 X X 0 0 0 GARY LOTHROP DVM 1.0 X X 0 0 0 KENNETH FOSTER 1.0 X 0 291486 19392 ROBERT TUMA MD 50.0 X 193370 0 24631 JENNIFER LESOING-LUCS 1.0 X X 0 487107 354342 JACK HUCK 1.0 X 0 0 0 KATHLEEN CAMPBELL 1.0 X 0 219738 13046 BRYCE BETKE 50.0 X 125817 0 20141 MARJORIE HEIER MD 50.0 X 322536 0 37664 RUSSELL EBKE MD 50.0 X 242382 0 34010 TAMMY SCHROEDER 50.0 X 131701 0 8170 KURT SCHMECKPEPER 50.0 X 126978 0 6629 RHONDA ERWAY 50.0 X 110844 0 9727 1434171 998331 540615 9 false true false Sampson Construction Inc 6402 Judson LINCOLN NE 68502 Construction Service 1445599 Alley Todd 2525 South 79th Street LINCOLN NE 68506 Anesthesia Services 293665 Healthland 625 South Lakeshore Drive GLENWOOD MN 56334 Maintenance Contract 211022 Nebraska LabLinc 5440 South Street Suite 100 LINCOLN NE 68506 Lab Services 198743 Complete Children's Health 8201 Northwoods Drive LINCOLN NE 68505 Medical Services 150831 10 230163 8854 4300 243317 Net Patient Care Revenue 900099 20132672 20132672 Patient Wellness 900099 31117 31117 Program Rental Revenue 900099 37992 37992 Healthcare Mgmt & Education Services 621300 920 920 Breast Biopsy Services 621500 51 51 20202752 93981 93981 0 0 29575 14698 14877 14877 0 0 0 Cafeteria Sales 900099 95836 95836 All other revenue 900099 107670 107670 203506 20758433 20163789 971 335479 0 0 0 0 575674 339648 236026 15067 15067 6782407 6295068 487339 256003 237649 18354 746106 692615 53491 499669 463846 35823 0 43208 43208 40212 40212 584 584 0 0 1707032 1584648 122384 86959 86959 3105415 3060887 44528 100480 93276 7204 0 255336 251675 3661 79158 72510 6648 0 0 34475 34475 294675 294675 1440281 1419629 20652 242055 238584 3471 Bad Debts 863875 863875 Dues & subscriptions 60215 57705 2510 All other expenses 801398 789908 11490 18030284 16511065 1519219 0 3492532 1841494 2257944 2466425 167620 226016 158929 176899 23034312 9248753 11916240 13785559 6292375 7624934 63438 62381 522909 249574 24871987 26433282 3738322 1983011 14763864 14830186 18502186 16813197 X 6369801 9620085 6369801 9620085 24871987 26433282 X false true false X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 584 false false false 584 false SUPPLEMENTAL INFORMATION 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 $7,782. THE NHA REPORTED THAT 7.50% OF DUES PAID, OR $584, WAS USED FOR LOBBYING ACTIVITIES. 61247 61247 15679295 4802024 10877271 105470 86428 19042 6029582 3885105 2144477 1158718 475196 683522 13785559 0 SWAP AGREEMENT 1715186 LONG TERM DEBT INTERCOMPANY LOAN 13115000 14830186 20758433 18030284 2728149 522135 522135 3250284 21456890 698457 698457 20758433 20758433 18206606 176322 176322 18030284 18030284 FIN 48 FOOTNOTES 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, 2010, CAMC HAD NO UNCERTAIN TAX POSITIONS ACCRUED." RECONCILIATION OF CHANGE IN NET ASSETS FORM 990 SCHEDULE D, PART XI, LINE 8 TRANSFER FROM RELATED PARTY $ 698,457 CHANGE IN VALUE OF SWAP AGREEMENT $(176,322) TOTAL $ 522,135 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS SCHEDULE D, PART XII, LINE 2D, OTHER TRANSFERS FROM RELATED PARTY $698,457 RECONCILIATION OF EXP PER AUDITED FINANCIAL STMTS WITH EXPENESE PER RETURN SCHEDULE D, PART XIII, LINE 2D, OTHER CHANGE IN VALUE OF SWAP AGREEMENT $176,322 true true true X false true true true false true true 291795 0 291795 0.01700 291795 0 291795 0.01700 202800 14648 188152 0.01100 202800 14648 188152 0.01100 494595 14648 479947 0.02800 true 608600 121700 5529979 5470238 59741 X true false CRETE AREA MEDICAL CENTER

2910 BETTEN DRIVE CRETE NE 68333

X X X 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 FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE TO LOW INCOME INDIVIDUALS. CRETE AREA MEDICAL CENTER DOES NOT PROVIDE FOR DISCOUNTED CARE, OR USE A SLIDING FEE SCALE. CRETE AREA MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED ANNUALLY BY BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THIS BRYANLGH HEALTH SYSTEM COMMUNITY BENEFIT REPORT DESCRIBES THE PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT ARE SERVED BY CRETE AREA MEDICAL CENTER AND ITS AFFILIATES. THE REPORT IS MAILED TO VARIOUS HOUSEHOLDS IN EASTERN NEBRASKA AND THE SURROUNDING AREA. THE REPORT IS ALSO AVAILABLE ONLINE AT WWW.BRYANLGH.COM/COMMUNITYBENEFIT. THE 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. N/A BAD DEBT EXPENSE INCLUDED IN TOTAL EXPENSES ON FORM 990 WAS $863,875. THIS BAD DEBT EXPENSE WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSE OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES IN COLUMN (F) ($18,030,284 - $863,875 = $17,166,409). 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." THE MEDICARE ALLOWABLE COST ON LINE 6 IS FROM THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL IS NOT REPORTED AS A COMMUNITY BENEFIT. N/A N/A 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. 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, the financial assistance policy is mentioned on all billing statements. Crete Area Medical Center ("CAMC") is located in Crete, Nebraska. Crete has a population of 6,000 people and includes diverse ethnic backgrounds. Crete has a large Hispanic population (40%). 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. N/A 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 25-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 transportation, translation services, and healthy lifestyle programs are also offered at CAMC. 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. NE X true true true true false false false false false false false CAROL FRIESEN 132314 0 25000 0 23229 0 8524 0 4339 0 193406 0 0 0 KENNETH FOSTER 0 179013 0 32843 0 79630 0 13475 0 5917 0 310878 0 0 ROBERT TUMA MD 175764 0 4000 0 13606 0 10959 0 13672 0 218001 0 0 0 JENNIFER LESOING-LUCS 0 278326 0 49280 0 159501 0 323503 0 30839 0 841449 0 0 KATHLEEN CAMPBELL 0 181161 0 29079 0 9499 0 6429 0 6616 0 232783 0 0 MARJORIE HEIER MD 104567 0 184969 0 33000 0 17531 0 20133 0 360200 0 0 0 RUSSELL EBKE MD 170033 0 55849 0 16500 0 12319 0 21691 0 276392 0 0 0 HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE SCHEDULE J, PART I, LINE 1A THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE FOR TWO PHYSICIANS DURING THEIR RELOCATION TO CRETE, NEBRASKA, AS REQUIRED BY THEIR EMPLOYMENT AGREEMENTS. THE HOUSING ALLOWANCE WAS INCLUDED AS TAXABLE INCOME ON EACH PHYSICIAN'S W-2. COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTOR SCHEDULE J, PART I, LINE 3 THE ORGANIZATION RELIED ON BRYANLGH HEALTH SYSTEM, ITS SOLE MEMBER, TO ESTABLISH COMPENSATION OF ITS SENIOR MANAGERS. BRYANLGH HEALTH SYSTEM USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY AND STUDIES APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE COMPENSATION AND BENEFIT AMOUNTS OF SENIOR MANAGERS ARE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM. THE COMPENSATION COMMITTEE MET IN APRIL, 2010 TO REVIEW AND CONSIDER MARKET DATA AND RESULTING COMPENSATION ADJUSTMENTS FOR SENIOR MANAGER POSITIONS FOR THE FOLLOWING FISCAL YEAR; AND MET AGAIN IN AUGUST, 2010 TO REVIEW COMPENSATION PHILOSOPHY AND THE RESULTS OF THE VARIABLE PORTION OF THE COMPENSATION PLAN FROM THE PRIOR YEAR. THIS COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT EXTERNAL TRUSTEES AND USES COMPARABLE BENCHMARKING DATA AND STUDIES PROVIDED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS ALL SENIOR MANAGEMENT POSITIONS TO CONFIRM THAT ALL COMPENSATION AND BENEFITS ARE REASONABLE WHEN COMPARED TO CURRENT BENCHMARKING DATA. DOCUMENTATION IS KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE LISTING THE DATE AND TERMS OF THE COMPENSATION REVIEWED AND APPROVED. ALL OTHER NON-SENIOR MANAGEMENT POSITIONS ARE REVIEWED BY HUMAN RESOURCES FOR APPROPRIATE COMPENSATION. EMPLOYED PHYSICIAN POSITIONS ARE REVIEWED AND COMPARED TO MGMA STANDARDS FOR THE SPECIFIC SPECIALTY UNDER REVIEW. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A JENNIFER LESOING-LUCS, FORMER VP-FINANCE AND CFO OF BRYANLGH HEALTH SYSTEM, WILL RECEIVE SEVERANCE PAYMENTS TOTALING $310,028 DURING CALENDAR YEARS 2010 AND 2011. THE AMOUNT OF $310,028 HAS BEEN INCLUDED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. MARJORIE HEIER, MD, FORMER PHYSICIAN OF CRETE AREA MEDICAL CENTER, RECEIVED A SEVERANCE IN THE AMOUNT OF $10,768 IN APRIL 2010. THE AMOUNT OF $10,768 HAS BEEN INCLUDED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. 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: KENNETH FOSTER: $30,590 CAROL FRIESEN: $7,408 JENNIFER LESOING-LUCS: $102,839 COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES SCHEDULE J, PART II COMPENSATION AMOUNTS REPORTED ON SCHEDULE J, PART II ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2009. DENISE LOTHROP SPOUSE IS BOARD MEMBER 15067 COMPENSATION false 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: Collyn Florendo and Carol Friesen Collyn Florendo and Robert Tuma, MD Collyn Florendo and Bryce Betke Gary Lothrop and Collyn Florendo 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 11A THIS FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. 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. OFFICES/POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B THE COMPENSATION AND BENEFIT AMOUNTS OF SENIOR MANAGERS ARE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BRYANLGH HEALTH SYSTEM, THE SOLE MEMBER OF THE ORGANIZATION. THE COMPENSATION COMMITTEE MET IN APRIL, 2010 TO REVIEW AND CONSIDER MARKET DATA AND RESULTING COMPENSATION ADJUSTMENTS FOR SENIOR MANAGER POSITIONS FOR THE FOLLOWING FISCAL YEAR; AND MET AGAIN IN AUGUST, 2010 TO REVIEW COMPENSATION PHILOSOPHY AND THE RESULTS OF THE VARIABLE PORTION OF THE COMPENSATION PLAN FROM THE PRIOR YEAR. THIS COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT EXTERNAL TRUSTEES AND USES COMPARABLE BENCHMARKING DATA AND STUDIES PROVIDED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS ALL SENIOR MANAGEMENTS 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 BENCHMARKING DATA FOR THE SPECIFIC SPECIALTY UNDER REVIEW. JOINT VENTURE POLICY 990, PART VI, SECTION B, LINE 16B ON NOVEMBER 1, 2010, BRYANLGH HEALTH SYSTEM AND ITS AFFILIATES ADOPTED A WRITTEN JOINT VENTURE POLICY TO ASSURE APPROPRIATE PROVISIONS BE INCLUDED IN THE TERMS OF ANY JOINT VENTURE TO PROTECT THE TAX-EXEMPT STATUS OF THE HEALTH SYSTEM AND AFFILIATE. THE FOLLOWING PROVISIONS ARE REQUIRED TO BE INCLUDED: (1) THE ORGANIZATIONAL DOCUMENTS WILL INCLUDE A BINDING STATEMENT THAT ENSURES THE FURTHERANCE OF ITS CHARITABLE PURPOSES; (2) THE JOINT VENTURE WILL HAVE A WRITTEN CHARITY CARE POLICY; (3) THE HEALTH SYSTEM AND THE AFFILIATES WILL HAVE EFFECTIVE CONTROL AS EVIDENCED BY MAJORITY VOTING CONTROL, OR ADEQUATE RESERVE POWERS TO ASSURE THAT KEY DECISIONS AFFECTING ACCOMPLISHMENT OF CHARITABLE PURPOSES ARE PRESENT. AVAIL OF GOV DOCS, CONFLICT OF INT POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC DISCLOSURE. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES & KEY EMPLOYEES FORM 990, PART VII, SECTION A COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A, COLUMNS (D),(E) AND (F) ARE BASED ON THE CALENDAR YEAR ENDED DECEMBER 31, 2009. 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. 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 NEWORK INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 201357375 HEALTHCARE NE 501(c)(3) 9 NA BRYANLGH HEALTH SERVICES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470712000 HEALTHCARE NE 501(c)(3) 9 NA BRYANLGH ENTERPRISES INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470701037 MEDICAL SERVICES NE NA C 0 0 0.00000 INTEGRATED CARDIOLOGY GROUP LLC 1600 SOUTH 48TH STREET LINCOLN NE 68506 470844961 CARDIOLOGY NE NA C 0 0 0.00000 LIFEPOINTE INC 1600 SOUTH 48TH STREET LINCOLN NE 68506 364588998 HEALTH & WELLNESS NE NA C 0 0 0.00000 false false false false true false false true false false false true false true true false true false BRYANLGH MEDICAL CENTER E 13225000 BRYANLGH HEALTH SERVICES INC H 259390 BRYANLGH MEDICAL CENTER H 389928 BRYANLGH MEDICAL CENTER L 302448 BRYANLGH MEDICAL CENTER O 298027 BRYANLGH MEDICAL CENTER Q 728236