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      <Form990ScheduleJPartII>
        <NamePerson>KAY RICHTER</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>STEVEN ZUBER</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>RAYMOND STOUPA</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>SANDRA CARSON</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>DAVID HOLCOMB</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN LONG</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>913143</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>913143</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>SOCIAL CLUB EXPENSES ARE REIMBURSED FOR THE BUSINESS PORTION ONLY. INTERNAL POLICY REQUIRES SUBSTANTIATION OF ALL BUSINESS USE EXPENSES.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2010 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: STEVEN BAILEY, MD $7,930 ACCRUAL KRISTEN ENGDAHL-HOFFMAN, MD $20,704 ACCRUAL JOHN LOHRBERG, MD $6,310 ACCRUAL JOHN FRASER $101,634 ACCRUAL LINDA BURT $66,959 ACCRUAL TOM EISERMAN $4,163 ACCRUAL TODD GRAGES $42,364 ACCRUAL HOLLY HUERTER-MORGAN $12,541 ACCRUAL CYNTHIA PEACOCK $21,623 ACCRUAL; $54,413 PLAN DISTRIBUTION STEVEN BAUMERT $21,905 ACCRUAL KEN KLAASMEYER $13,658 ACCRUAL AND $7,509 PLAN DISTRIBUTION JERRY ELLWANGER $11,368 ACCRUAL ROGER HERTZ $21,419 ACCRUAL STEVEN ZUBER $3,760 ACCRUAL RUTH FREED, $195,540 PLAN DISTRIBUTION SANDRA CARSON, $183,269 PLAN DISTRIBUTION DAVID HOLCOMB, $181,362 PLAN DISTRIBUTION STEPHEN LONG, $913,143 PLAN DISTRIBUTION RAYMOND STOUPA, $302,269 PLAN DISTRIBUTION</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>NON-FIXED PAYMENTS: BONUSES ARE PAID TO PHYSICIANS BASED ON SUBGROUPS WHICH IDENTIFY AND PAY BONUSES BASED ON THE BOTTOMLINE RESULTS AS COMPARED TO PRESET TARGETS FOR THESE SUBGROUPS. INFORMATION REGARDING THIS TYPE OF PAYMENT IS SHOWN IN PART II, SCHEDULE J, COLUMN (B)(II) FOR STEVEN BAILEY MD, KRISTEN HOFFMAN MD AND JOHN LOHRBERG MD.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>A COPY OF THE FORM 990 WAS PROVIDED TO MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT COMMITTEE REPORTED TO BOARD OF DIRECTORS ON THEIR REVIEW OF THE FORM 990. ADDITIONALLY, A COPY OF THE FORM WAS MADE AVAILABLE TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW THROUGH A SECURE INTERNET PORTAL. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE, RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING THE ORGANIZATION'S FINANCE, HUMAN RESOURCES AND COMPLIANCE DEPARTMENTS, IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR NEBRASKA METHODIST HEALTH SYSTEM AND THE CHIEF EXECUTIVE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICT OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE OF ALL CONFLICTS OF INTEREST, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. SHOULD A CONFLICT BE IDENTIFIED, THE OFFICER, DIRECTOR, OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. A POTENTIAL CONFLICT OF INTEREST, ONCE IDENTIFIED, MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS FOR WHOM NO CONFLICT EXISTS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HEALTH SYSTEM AND/OR ITS AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>METHODIST HEALTH SYSTEM RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED, AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF THE NEBRASKA METHODIST HEALTH SYSTEM, A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>THE FORM 1023 WAS FILED PRIOR TO 7/15/87 AND NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS LETTER 947 WILL BE PROVIDED UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE AMENDED ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING COMMUNITY BENEFITS IT PROVIDES AS PART OF THE ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.BESTCARE.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, COLUMN B</ReturnReference>
        <Explanation>DIRECTORS STEVEN BAILEY MD, KRISTEN HOFFMAN MD, AND JOHN LOHRBERG MD ARE FULLTIME EMPLOYEES OF PHYSICIANS CLINIC INC., AN AFFILIATED ENTITY OF THE NEBRASKA METHODIST HEALTH SYSTEM. DIRECTOR DAN LYDIATT MD IS A FULLTIME EMPLOYEE OF NEBRASKA METHODIST HOSPITAL. THESE INDIVIDUALS DO NOT RECEIVE COMPENSATION FOR SERVICES ON THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>MINIMUM PENSION LIABILITY ADJUSTMENT -6,816,753. TRANSFERS FROM AFFILIATES 9,480,518. TOTAL TO FORM 990, PART XI, LINE 5: 2,663,765.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>TAX EXEMPT BOND LIABILITIES</Identifier>
        <ReturnReference>FORM 990, PART X, LINE 20</ReturnReference>
        <Explanation>BOND LIABILITIES SHOWN ON THE NEBRASKA METHODIST HEALTH SYSTEM BOOKS AND RECORDS WERE INCLUDED AS PART OF THE REFUNDING PORTION OF THE HOSPITAL AUTHORITY NO. 3 OF DOUGLAS COUNTY NEBRASKA BOND ISSUE DATED 5/20/2008. THIS BOND ISSUE IS REPORTED ON SCHEDULE K OF THE NEBRASKA METHODIST HOSPITAL FORM 990.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NEBRASKA METHODIST HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8303 DODGE STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470376604</EIN>
        <PrimaryActivities>LICENSED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>L3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NEBRASKA METHODIST HEALTH SYSTEM</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>NEBRASKA METHODIST HOSPITAL FOUNDATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>8601 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470595345</EIN>
        <PrimaryActivities>SUPPORT OF NEBRASKA METHODIST HOSPITAL</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>L7</PublicCharityStatus>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>NEBRASKA METHODIST COLLEGE OF NURSING &amp; ALLIED HEALTH</BusinessNameLine1>
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          <AddressLine1>8511 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470724387</EIN>
        <PrimaryActivities>NURSING AND HEALTH EDUCATION FACILITY</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JENNIE EDMUNDSON MEMORIAL HOSPITAL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>933 E PIERCE STREET</AddressLine1>
          <City>COUNCIL BLUFFS</City>
          <State>IA</State>
          <ZIPCode>51503</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>LICENSED HOSPITAL</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>L3</PublicCharityStatus>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
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          <AddressLine1>933 E PIERCE STREET</AddressLine1>
          <City>COUNCIL BLUFFS</City>
          <State>IA</State>
          <ZIPCode>51503</ZIPCode>
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        <EIN>421439454</EIN>
        <PrimaryActivities>SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>L11: I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JENNIE EDMUNDSON MEMORIAL HOSPITAL</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PHYSICIANS CLINIC INC</BusinessNameLine1>
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          <AddressLine1>8511 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470687317</EIN>
        <PrimaryActivities>CLINICAL HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>L9</PublicCharityStatus>
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        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>8511 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>363699672</EIN>
        <PrimaryActivities>INSURANCE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>L11: III-FI</PublicCharityStatus>
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        <ControlledOrg>1</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>REAL ESTATE HOLDINGS</BusinessNameLine1>
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          <AddressLine1>8511 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470649790</EIN>
        <PrimaryActivities>PROPERTY MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
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          <BusinessNameLine1>NEBRASKA METHODIST HEALTH SYSTEM</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>SHARED SERVICE SYSTEMS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>8511 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470695345</EIN>
        <PrimaryActivity>MEDICAL SUPPLY DISTRIBUTION &amp; LAUNDRY</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>255770</ShareOfTotalIncome>
        <ShareOfEOYAssets>14207282</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>METHODIST HEALTH PARTNERS</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>8511 W DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EIN>470797563</EIN>
        <PrimaryActivity>MANAGED CARE CONTRACTING</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-342204</ShareOfTotalIncome>
        <ShareOfEOYAssets>26866</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTHCARE PARTNERS OF WESTERN IOWA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>933 E PIERCE</AddressLine1>
          <City>COUNCIL BLUFFS</City>
          <State>IA</State>
          <ZIPCode>51503</ZIPCode>
        </AddressUS>
        <EIN>421411452</EIN>
        <PrimaryActivity>MANAGED CARE CONTRACTING</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>JENNIE EDMUNDSON MEMORIAL HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
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