ALEGENT CREIGHTON HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ALEGENT CREIGHTON HEALTH (EIN 47-0757164)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201121339349302217
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T11:13:04-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO CENTRAL PARK PLAZA SUITE 1501AddressLine1
CityOMAHACity
StateNEState
ZIP Code681021626ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470757164EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEGNameControl
Phone4023434323Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT M WOOTENName
TitleSENIOR VP/CFOTitle
Phone4023434323Phone
Date Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHeidi KrieteName
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOTT WOOTENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode
FieldValueIRS element (for citing)
Gross Receipts288746579GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ALEGENT.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees10632TotalNbrEmployees
Total Nbr Volunteers596TotalNbrVolunteers
Total Gross UBI1484261TotalGrossUBI
Net Unrelated Business Txbl Income-199152NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1766353ContributionsGrantsPriorYear
Contributions Grants Current Year2662462ContributionsGrantsCurrentYear
Program Service Revenue Prior Year230137296ProgramServiceRevenuePriorYear
Program Service Revenue CY241206547ProgramServiceRevenueCY
Investment Income Prior Year471446InvestmentIncomePriorYear
Investment Income Current Year92338InvestmentIncomeCurrentYear
Other Revenue Prior Year40536658OtherRevenuePriorYear
Other Revenue Current Year41122919OtherRevenueCurrentYear
Total Revenue Prior Year272911753TotalRevenuePriorYear
Total Revenue Current Year285084266TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9790879GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY16241095GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year106992057SalariesEtcPriorYear
Salaries Etc Current Year107465681SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year130067400OtherExpensePriorYear
Other Expenses Current Year137484602OtherExpensesCurrentYear
Total Expenses Prior Year246850336TotalExpensesPriorYear
Total Expenses Current Year261191378TotalExpensesCurrentYear
Revenues Less Expenses Prior Year26061417RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23892888RevenuesLessExpensesCY
Total Assets BOY434550454TotalAssetsBOY
Total Assets EOY501799634TotalAssetsEOY
Total Liabilities BOY316951850TotalLiabilitiesBOY
Total Liabilities EOY373360570TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY117598604NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY128439064NetAssetsOrFundBalancesEOY
Mission DescriptionFaithful 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21607065Expense
Grants1731454Grants
Revenue128802063Revenue
DescriptionAlegent Health Lakeside Hospital and Alegent Health Midlands Hospital staff are focused on restoring PATIENTS' health by using personalized care and state-of-the-art technology. The Diagnostic Center at both hospitals is equipped with the latest digital imaging technology. Healthcare providers have medical information at their finger tips, so diagnosis is quicker and treatment can be started sooner. Each Diagnostic Center offers a full range of diagnostic imaging services including but not limited to the following: MRI, CT scanning, PET/CT scan, Ultrasound, Mammograms, Nuclear medicine, Clinical laboratory, X-ray imaging, Pulmonary services, Outpatient Laboratory Testing, Angiography and Radiography.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10342417Expense
Grants828776Grants
Revenue56949551Revenue
DescriptionAlegent Health Midlands Community Hospital and Alegent Health Lakeside Hospital offer a wide range of comprehensive cardiovascular services in the region, using a team approach to address the total needs of the cardiovascular patient. Cardiac services include but are not limited to: Hi-Tech Diagnosis and Intervention, cardiac catheterization lab, echocardiography, vascular ultrasound, heart scans and heart checks, angioplasty and drug-eluting stents.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7381781Expense
Grants591529Grants
Revenue48159349Revenue
DescriptionThe Alegent Health Emergency Departments provide expert treatment for adults and children. Whether it's a life-threatening medical condition or high fever, experienced staff is trained and ready to handle a wide range of emergency situations. Alegent Health is constantly working to find new and better ways to make sure each patient receives the best, most efficient emergency care possible. The Emergency Department consistently scores in the highest percentile for quality of care, nurse and doctor understanding and caring, as well as the least amount of time patients spend waiting for emergency care.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense164657327Expense
Grants13089336Grants
Revenue38149531Revenue
DescriptionALEGENT HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICALSERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENTMEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITYORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHYCOMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENTHEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. INADDITION, ALEGENT HEALTH ALSO PROVIDES THE FOLLOWING SERVICES:MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY,PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp164657327TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt13089336TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev38149531TotalOfOtherProgramServiceRev
Total Program Service Expense203988590TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096890NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees10632NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SCOTT WOOTEN SENIOR VPCFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4023434323TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOmahaCity
StateNEState
ZIP Code68154ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ERIC GURLEY
DIRECTOR4.00X000
JOHN HEWITT
Vice-Chair6.00X000X
KEITH SCHMODE
DIRECTOR4.00X500000
LESLIE R ANDERSEN
Chair6.00X000X
MARTIN MANCUSO MD
DIRECTOR4.00X1600000
Michael DeFreece
Director4.00X000
Paul Edgett III
Director4.00X000
SR LILLIAN MURPHY RSM
DIRECTOR4.00X000
RICHARD VIERK
DIRECTOR4.00X2350000
ANTHONY HATCHER DO
Secretary/Treasurer6.00X2000047826335568X
SUSAN PEACH RN
DIRECTOR4.00X000
GUILLERMO HUERTA MD
DIRECTOR4.00X000
RICHARD HACHTEN II
PRESIDENT & CEO12.003290301307860734490X
AMY PROTEXTER
SVP MARKETING & COMM12.008233832728328487X
MARTIN HICKEY MD
SVP/CEO CLINICS12.0016405065208045701X
MARK KESTNER MD
SVP-CMO12.00105663419998158309X
JOAN NEUHAUS
SVP-COO12.0093336370998185399X
FRED HOSLER MD
SVP/CMO12.00187834746618369747X
KENNETH LAWONN
SVP INFORMATION TECH12.0013001351678438536X
MARGARET BREEN
SVP-Human Resources12.009493437735217268X
SCOTT WOOTEN
SVP/CFO12.0015313460869320275X
WAYNE A SENSOR
CHIEF EXECUTIVE OFFICER12.00353142140369223329X
SHEREE KEELY
VP-Behavioral Health Svc12.004407017517321999X
Elizabeth LLEWELLYN
VP-Mission Integration12.005379021381021048X
PATRICIA MASEK
VP-MEDICAL AFFAIRS12.004391517455543277X
FRANK EMSICK
VP-CONSTRUCTION12.005368521339724436X
SHANE SEYMOUR
CHIEF DEVELOPMENT OFFICE12.006816027092718732X
PAUL EBMEIER
COO-AHC12.006667226501122704X
CINDY ALLOWAY
COO-LAKESIDE HOSPITAL12.008492733757357045X
KEVIN NOKELS
COO-MIDLANDS HOSPITAL12.008091132161332136X
PATRICIA NADLE
SVP-CNO12.0026576105636252626X
JAYNE MCCORMICK MD
MEDICAL DIRECTOR60.00232062016991X
MICHAEL WESTCOTT MD
PHYSICIAN12.005661722504432506X
Marie Knedler
COO-Mercy HOSPITAL12.00134770535690156737X
ANTONIO SAQUETON MD
PhYSICIAN12.008046831985132756X
Ann Schumacher
COO-IMC12.008750234781334147X
Darren Splonskowski MD
PhYSICIAN60.00267600033877X
DUANE DAVID
FORMER SVP CLINICS0.00420931673160X
THEODORE SCHWAB
FORMER SVP/CIO0.007488629766619719X
JARROD JOHNSON
FORMER VP-ORTHOPEDIC SVC0.00441961756735703X
JOHN MAY
FORMER VP-CARDIOVASCULAR0.00528742101653737X
PETE FESTERSEN
Former VP-Public Affairs0.00369551468981088X
Ann Jones
FORMER VP-ONCOLOGY SVC0.00525702089594177X
DAVID TEW
FORMER COO-BMMC0.00126164501484141864X
MICHAEL ANDERSON MD
FORMER VP-Behavioral HS0.00309241229184835X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3573785TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12441157TotalReportableCompFrmRltdOrgs
Total Other Compensation2386623TotalOtherCompensation
Number Individuals GT100 K136NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Pulmonary Medicine Specialists PC
7710 Mercy Rd 428omahaNE68124PULMONARY SERVICES2594158
GALLUP INC
901 F STREET NWWASHINGTONDC20004PERFORMANCE MGMT CONSULTING1861933
CASSLING DIAGNOSTIC IMAGINGINC
13808 F STREETOMAHANE68137DIAGNOSTIC IMAGING SERVICES1821828
PRN FUNDING LLC
3659 GREEN ROAD STE 318CLEVELANDOH44122Healthcare Factory1605314
HRS Erase Inc
9300 Underwood Ave 160OMAHANE68114ACCOUNT RECONCILIATION843134
FieldValueIRS element (for citing)
Number Of Contractors GT100 K80NumberOfContractorsGT100K
Related Organizations402766RelatedOrganizations
Government Grants190773GovernmentGrants
All Other Contributions2068923AllOtherContributions
Total Contributions2662462TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT SVC REV561300224096220223844419251801
MANAGEMENT SVCS-AFFIL.9000031207594012075940
PHARMACY SALES4461103057549926870$2,130,679
COMMUNITY BENEFIT REIM90009912155941215594
FOOD & NUTRITION72232072284415485$707,359

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column38400TotalRevenueColumn
Related Or Exempt Function Income38400RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue241206547TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column130492TotalRevenueColumn
Unrelated Business Revenue-80242UnrelatedBusinessRevenue
Exclusion$210,734ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2410377Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2620845Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-210468Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-210468TotalRevenueColumn
Exclusion-$210,468ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1003314Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1041468Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-38154Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-38154TotalRevenueColumn
Exclusion-$38,154ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REIMBURSED SERVICES9000993469238534692385
OTHER INCOME8129004299300364596$3,934,704
OPERATING JOINT VENTUR9000031695230$1,695,230

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column646472TotalRevenueColumn
Related Or Exempt Function Income193756RelatedOrExemptFunctionIncome
Unrelated Business Revenue5751UnrelatedBusinessRevenue
Exclusion$446,965ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue41333387TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column285084266TotalRevenueColumn
Related Or Exempt Function Income272060494RelatedOrExemptFunctionIncome
Unrelated Business Revenue1484261UnrelatedBusinessRevenue
Exclusion$8,877,049ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total862830Total
Program Services862830ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total15378265Total
Program Services15378265ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2441558Total
Program Services1953246ProgramServices
Management And General488312ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total84881273Total
Program Services67905018ProgramServices
Management And General16976255ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6456431Total
Program Services5165145ProgramServices
Management And General1291286ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4867620Total
Program Services3894096ProgramServices
Management And General973524ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8818799Total
Program Services7055039ProgramServices
Management And General1763760ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total651228Total
Management And General651228ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total413175Total
Management And General413175ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total244425Total
Program Services244425ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18303885Total
Program Services773563ProgramServices
Management And General17530322ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5031664Total
Program Services4025331ProgramServices
Management And General1006333ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total43437550Total
Program Services34750040ProgramServices
Management And General8687510ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5809143Total
Program Services4647314ProgramServices
Management And General1161829ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1247169Total
Program Services997735ProgramServices
Management And General249434ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total285894Total
Program Services228715ProgramServices
Management And General57179ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3114069Total
Program Services2491255ProgramServices
Management And General622814ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20676774Total
Program Services20623188ProgramServices
Management And General53586ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total120605Total
Program Services96484ProgramServices
Management And General24121ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Taxes & Licenses13090471104723772618094
BAD DEBT1248077312480773
PURCHASED SERVICES739375659150051478751
miscellaneous45577173646173911544
Membership & Dues273457169881103576

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total352847Total
Program Services212692ProgramServices
Management And General140155ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total261191378Total
Program Services203988590ProgramServices
Management And General57202788ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2068157BOY
EOY5295211EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12232646BOY
EOY10084778EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23585713BOY
EOY22402931EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY9132BOY
EOY6912EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3884507BOY
EOY4999891EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3276752BOY
EOY6580955EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis558845000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec240055510LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY295814860BOY
EOY318789490EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9310454BOY
EOY11181790EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY2567488EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY84368233BOY
EOY119890188EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY434550454BOY
EOY501799634EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY203226607BOY
EOY142411048EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY267334BOY
EOY346516EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY60330158BOY
EOY142815506EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53127751BOY
EOY87787500EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY316951850BOY
EOY373360570EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY117598604BOY
EOY128439064EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY117598604BOY
EOY128439064EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY434550454BOY
EOY501799634EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures0PoliticalExpenditures
Volunteer Hours0VolunteerHours
Amt Of4955 Tax0AmtOf4955Tax
Amt Of4955 Tax On Managers0AmtOf4955TaxOnManagers
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals244425FilingOrganizationsTotals
Affiliated Group Totals262701AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals244425FilingOrganizationsTotals
Affiliated Group Totals262701AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals260946952FilingOrganizationsTotals
Affiliated Group Totals530861023AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals261191377FilingOrganizationsTotals
Affiliated Group Totals531123724AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3124534CurrentYearMinus3
Current Year Minus2136554CurrentYearMinus2
Current Year Minus1176941CurrentYearMinus1
Current Year262701CurrentYear
Total700730Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1552292BeginningOfYearBalance
Contributions639081Contributions
Investment Earnings Or Losses8441InvestmentEarningsOrLosses
Other Expenditures278190OtherExpenditures
End Of Year Balance1921624EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2368143BeginningOfYearBalance
Contributions-340443Contributions
Investment Earnings Or Losses-4285InvestmentEarningsOrLosses
Other Expenditures471123OtherExpenditures
End Of Year Balance1552292EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12559945OtherCostOrOtherBasis
Book Value12559945BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis207269323OtherCostOrOtherBasis
Depreciation49029955Depreciation
Book Value158239368BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6865806OtherCostOrOtherBasis
Depreciation2912806Depreciation
Book Value3953000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis312001434OtherCostOrOtherBasis
Depreciation188112749Depreciation
Book Value123888685BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20148492OtherCostOrOtherBasis
Book Value20148492BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings318789490TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
LAND HELD FOR EXPANSION6475402
INTERCOMPANY RECEIVABLES111120641
CASH SURRENDER VALUE OF LIFE INSURANCE2294145
FieldValueIRS element (for citing)
Total Book Value Other Assets119890188TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY PAYOR RESERVE$131,959
DEFERRED COMPENSATION/RETIREMENT PROGRAMS$4,249,801
MINIMUM PENSION LIABILITY$42,745,950
INTERCOMPANY LIABILITIES$40,659,790
FieldValueIRS element (for citing)
Total Of Amounts87787500TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:ENDOWMENT FUNDS ARE held by Alegent Health Foundation to help with the Organizational operations of Alegent Health.
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 H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care0FPGReferenceFreeCare
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served6865PersonsServed
Total Community Benefit Expense4868961TotalCommunityBenefitExpense
Net Community Benefit Expense4868961NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served6865PersonsServed
Total Community Benefit Expense4868961TotalCommunityBenefitExpense
Net Community Benefit Expense4868961NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served21405PersonsServed
Total Community Benefit Expense1068868TotalCommunityBenefitExpense
Direct Offsetting Revenue158039DirectOffsettingRevenue
Net Community Benefit Expense910829NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served553PersonsServed
Total Community Benefit Expense5638TotalCommunityBenefitExpense
Net Community Benefit Expense5638NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served60PersonsServed
Total Community Benefit Expense352593TotalCommunityBenefitExpense
Direct Offsetting Revenue287688DirectOffsettingRevenue
Net Community Benefit Expense64905NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2788563TotalCommunityBenefitExpense
Direct Offsetting Revenue591642DirectOffsettingRevenue
Net Community Benefit Expense2196921NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served1669PersonsServed
Total Community Benefit Expense1151324TotalCommunityBenefitExpense
Net Community Benefit Expense1151324NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served23687PersonsServed
Total Community Benefit Expense5366986TotalCommunityBenefitExpense
Direct Offsetting Revenue1037369DirectOffsettingRevenue
Net Community Benefit Expense4329617NetCommunityBenefitExpense
Percent Of Total Expense0.01740PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served30552PersonsServed
Total Community Benefit Expense10235947TotalCommunityBenefitExpense
Direct Offsetting Revenue1037369DirectOffsettingRevenue
Net Community Benefit Expense9198578NetCommunityBenefitExpense
Percent Of Total Expense0.03700PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served4PersonsServed
Total Community Building Expense503435TotalCommunityBuildingExpense
Direct Offsetting Revenue47911DirectOffsettingRevenue
Net Community Building Expense455524NetCommunityBuildingExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Persons Served113PersonsServed
Total Community Building Expense890496TotalCommunityBuildingExpense
Direct Offsetting Revenue10109DirectOffsettingRevenue
Net Community Building Expense880387NetCommunityBuildingExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served19PersonsServed
Total Community Building Expense1746TotalCommunityBuildingExpense
Net Community Building Expense1746NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served136PersonsServed
Total Community Building Expense1395677TotalCommunityBuildingExpense
Direct Offsetting Revenue58020DirectOffsettingRevenue
Net Community Building Expense1337657NetCommunityBuildingExpense
Percent Of Total Expense0.00530PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,599,518BadDebtExpenseAmount
Amount Attributable To955302AmountAttributableTo
Amount Reimbursed By Medicare30797941AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare45255342CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14457401MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
Lakeside Ambulatory Surgery Center LLC
Ambulatory Surgical Center0.510000.49000
Lakeside Endoscopy Center LLC
Ambulatory Surgical Center0.510000.49000
AH-NORTHWEST IMAGING CENTER LLC
DIAGNOSTIC TESTING0.510000.49000

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
ALEGENT HEALTH MIDLANDS HOSPITAL
11111 S 84TH STREETPAPILLIONNE68046XXX
ALEGENT HEALTH LAKESIDE HOSPITAL
16901 LAKESIDE HILLS COURTOMAHANE68130XXX
THE LIGHTHOUSE HEALTHCARE RESIDENCE
17600 ARBOR STREETOMAHANE68130SKILLED NURSING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: Midlands Hospital in Sarpy County, NE and Lakeside Hospital in Douglas County, NE serve the OMAHA METROPOLITAN STATISTICAL AREA and are part of the Alegent Health system. The amount of financial assistance write-off for entities of the Alegent Health system are based on a financial assistance sliding fee schedule utilizing a derivative of the current US Department 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 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 THE Alegent Health SYSTEM'S Financial Assistance Policy. The application process requires that the patient complete a personal financial application and provide verification documents. Verification includes 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: Alegent Health 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 UsedPart I, Line 7: THE COSTING METHODOLOGY 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 ExplnPart I, Line 7g: Alegent Health provides subsidized health to the broader community via an inpatient behavioral residential treatment center.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: Bad debt of $12,480,773 included in THE functional expense total FROM FORM 990, part IX, line 25 is not included in the total operating expense used to calculate the table 7 percentages.PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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 ARE 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 BenefitPart III, Line 8: Alegent Health 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 the Medicare cost reports which use a cost to charge ratio.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: 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 AND 8 OUTPATIENT QUICKCARE CLINICS.DebtCollectionPolicy
Needs AssessmentPart 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 within which one of our licensed hospitals is 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 MSA'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 planning for Alegent Health on two levels- I. Reporting to the committee of the Board of Directors charged with health planning oversightII. Into the annual strategic planning processes of Alegent Health. Particular to Douglas County, within which Lakeside Hospital and Lighthouse serve, needs assessment and reporting of those needs is led by Live Well Omaha (LWO), a membership based coalition. LWO has been in existence for 14 years and Alegent Health was a founding member and is the largest financial contributor. This coalition includes the director of the Sarpy/Cass Health Department, in which Midlands Hospital is located. In addition MIDLAND'S Hospital leadership is actively engaged with Sarpy county SCHOOLS' leadership in the ongoing county based conversations to impact school health education and practices.NeedsAssessment
Patient Education AssistancePart VI, Line 3: There are several financial assistance access points throughout a PATIENT'S care cycle. Signs are posted in clinics and hospitals, and there is information on financial assistance posted at registration points throughout clinics and hospitals. Bills contain financial assistance verbiagE. Information on Alegent HEALTH'S financial assistance policies are located several places on www.alegent.com.PatientEducationAssistance
Community InformationPart VI, Line 4: Alegent Health system serves the Omaha MSA, with an estimated population of 842,976, ranking 60th out of 366 MSAs in 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'S racial and ethnic makeup is approximately 83.9% white, 7.7% black and 7.6% Hispanic or Latino. 2009 Estimates show that there are approximately 326,989 households, which is projected to increase over the next five years. The average household income is $68,637, with a per capita income of $26,840 (vs national of $26,410).CommunityInformation
Community Building ActivitiesPart VI, Line 5: As a result of 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 to make 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 consisting of community leaders and policy makers have directed an ecological approach to improve programs, policies and builD THE environment to promote physical activity and healthy eating and build THE capacity for healthy choices at the individual and organizational level. More than 200 volunteers have participated in the planning and Implementation of LWOK initiatives. A portion of this investment in LWOK is allocated to Midlands and Lakeside hospitals. THE Alegent Health SYSTEM also provides leadership and funding to: Live Well Omaha-a community coalition addressing community health issues that produces a community health report card; Live Well Pottawattamie County and YMCA for a healthy living needs assessments, the Domestic Violence Coordinating Council and YWCA Omaha to combat intimate partner violence, Tobacco and Drug Free Coalitions to address substance abuse in Sarpy County, local Chamber of Commerce for economic development, and local health departments.CommunityBuildingActivities
Other InformationPart VI, Line 6: The primary care physician clinics that are part of the parent ALEGENT HEALTH SYSTEM participate in medical student preceptorships that advance the healthcare provider education process. The affiliated not-for-profit corporation has the same financial policy that makes access for the poor as barrier free as possible. Alegent Health has Open Medical staffS AND ARE one of 3 health systems that fund the operations of a coalition that exists to provide access for the patients of 3 area FQCHCs to specialty physician services and hospital based diagnostics and treatment. Alegent Health IS the sole comprehensive acute mental health provider in the Omaha MSA area AND IS A joint venture partner in a not-for-profit Hospice inpatient hospital and provides the management support contract. Alegent Health 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. Alegent Health has a current commitment to set aside up to 6% of its EARNINGS in a given fiscal year for collaborative initiatives to improve the health of the communities served, which is the Catalyst Fund. A portion of this expense is allocated to Alegent Health - MIDLANDS Hospital and Alegent Health - LAKESIDE HOSPITAL. EMERGENCY DEPARTMENT - ALEGENT HEALTH hospitals have full-time emergency departments that are open to the public and provide medical screening examinations and stabilizing treatment within the capabilities and capacitY of the hospitals regardless of but not limited to the PATIENT'S race, color, sex, age, and/or ability to pay. The hospitals are in compliance with the federal EMTALA regulations.MEDICAL STAFF - The hospitals maintain an open medical staff. All qualified MDs, DOs, other healthcare practitioners, and mid-level practitioners are eligible to apply for privileges at the hospitals. ALEGENT HEALTH'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.BOARD OF DIRECTORS - ALEGENT HEALTH 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.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: The senior leadership of the individual hospitals is 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 versus addressing acute care needs. 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Cancer Society
9850 Nicholas StreetOMAHANE68114237040934501(c)(3)19500GENERAL SUPPORT
American Diabetes Association
12838 Augusta AvenueOmahaNE68144131623888501(c)(3)5500GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
10100 J StreetOMAHANE68127135613797501(c)(3)58000GENERAL SUPPORT
Catholic Charities
3300 N 60th StreetOmahaNE68104470376612501(c)(3)70000GENERAL SUPPORT
Charles Drew Health Center
2915 Grant StreetOmahaNE68111470666715501(c)(3)100000GENERAL SUPPORT
GREATER OMAHA CHAMBER FOUNDATION
1301 HARNEY STREETOMAHANE68102470258610501(c)(3)110000GENERAL SUPPORT
Iowa Legal Aid
1111 9TH St Ste 230Des MoinesIA50314421079227501(c)(3)25000GENERAL SUPPORT
Iowa Western Comm College
2700 College RoadCouncil BluffsIA51502421224333501(c)(3)10000GENERAL SUPPORT
JUNIOR ACHIEVEMENT OF MIDLANDS
11248 Davenport St Ste 100OMAHANE68154470468426501(c)(3)6820GENERAL SUPPORT
MARCH OF DIMES
11840 NICHOLAS STREET SUITE 220OMAHANE68154131846366501(c)(3)10000GENERAL SUPPORT
MEMORIAL Community Hospital Foundation
810 N 22nd StBLAIRNE68008113660156501(c)(3)50000GENERAL SUPPORT
MISSOURI VALLEY CANCER CONSORTIUM CCOP
6818 Grover Street 200OmahaNE68131470773531501(c)(3)110652gENERAL SUPPORT
Omaha Community Foundation
302 S 36th Street Ste 100OmahaNE68131470645958501(c)(3)20200GENERAL SUPPORT
Omaha Development Foundation
1301 Harney StreetOmahaNE68102470629134501(c)(3)10000GENERAL SUPPORT
Omaha Symphony Association
1605 HowardOmahaNE68102476039304501(c)(3)11000GENERAL SUPPORT
ONEWORLD COMMUNITY HEALTH CENTERS INC
4920 South 30th Street STE 103OMAHANE68107470548990501(c)(3)118038GENERAL SUPPORT
St Peter Claver Cristo Ray High School
5301 South 36th StreetOmahaNE68107300348098501(c)(3)22500GENERAL SUPPORT
SUSAN G KOMEN FOUNDATION
5005 LBJ FreewayDallasTX75244751835298501(c)(3)10000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants18TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITY CARETypeOfGrant
Number Of Recipients6865NumberOfRecipients
Amount Of Non Cash Assistance15378265AmountOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistanceREDUCE OR WRITE OFF OF PATIENT SERVICES.DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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. SCHEDULE I, PART I, LINE 2: ALEGENT HEALTH ONLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS WITH THE SAME MISSION and PURPOSE AS THE ALEGENT HEALTH SYSTEM. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION.
Other Information:Part IV:SCHEDULE I, PART III: ALEGENT HEALTH 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY HATCHER DO
200003412530574540795560193800161882000051383100
RICHARD HACHTEN II
579352302893248129122678471064659147175585004464184747666918947112601001033867
AMY PROTEXTER
2874111424224657980072894011503441061632216206439880643500442258589773
MARTIN HICKEY MD
779663099052863911383857445228337746329660172368551732366885952187686954
MARK KESTNER MD
45144179441205948185939925158698299041188631918762413748554648529356116686
JOAN NEUHAUS
58941234283180307166616365650493651214513175530011306035191301564162172
FRED HOSLER MD
7470429694236104143508770263061687293528990813885516262157104204266322263623
KENNETH LAWONN
5743322828927166107982454141805136493258071254498213776054757341809166187
MARGARET BREEN
37848150443257711024373131512447229551174651620519840539114926788106478
SCOTT WOOTEN
7550530012934248136130433811724342664105911411560915720962489338734153962
WAYNE A SENSOR
10811742974866192263104178833710840340313527128651133578311422332165905659453
SHEREE KEELY
29552117465943237490508620218348713862935371548492192750502719982
Elizabeth LLEWELLYN
291541158841104443898135925402840281600920380858021230627998539687
PATRICIA MASEK
27758110332889935372725828851791631469782311052613209134447517789
FRANK EMSICK
3365513378110900433279130362893424136071488591758597232921890435391
SHANE SEYMOUR
39092155386116884645717380690842398953013675437719252858941456357887
PAUL EBMEIER
54685217363101454032518427323340313527116146137123628315100
CINDY ALLOWAY
496111971991606363847192537652796313828218357297963933831521749569542
KEVIN NOKELS
411211634521540061213243909694843881744220728234873713472892069582261
JAYNE MCCORMICK MD
1750750005698701667203190249053000
MICHAEL WESTCOTT MD
43321172194672226721657426129488119399165365736315125101600
Marie Knedler
5382921396116519656606442225606930543121406962382616627566092263655253022
ANTONIO SAQUETON MD
75802301304004666185473429136293156125428705334602200
Ann Schumacher
547002174281769770345151056004046381843322268850943663750961480858860
Darren Splonskowski MD
252244000153560175060163710301477000
DUANE DAVID
00004209316731600004209316731641998166939
THEODORE SCHWAB
00007488629766674029403224128157885031342174790297281
JARROD JOHNSON
1836729658362319736524145180456181069127464534318022934976139027
JOHN MAY
199379196633263654424817588153321202188665362521315142275168036
PETE FESTERSEN
2074824649011948329980119169002198693717414776729498117251
Ann Jones
16236452671626694442311758130084033375341021229643199171710
DAVID TEW
2354793593190327565083585332241271991081151317523315468061483230678121943
MICHAEL ANDERSON MD
1850735062652490422809906648323306140557318961267812169086214

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aAs 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 are included in the EXECUTIVE'S wages as taxable income.
Part I, Line 4aTHE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM ALEGENT HEALTH 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 JARROD JOHNSON - $162,988 MARK KESTNER, MD - $63,691 JOHN MAY - $185,254 MICHAEL ANDERSON - $29,164 PETE FESTERSEN - $136,893 SHANE SEYMOUR - $16,704. Schedule J, Part I, 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 DAVID TEW - $152,621 MARTIN HICKEY, MD - 108,830 MARIE KNEDLER - $316,677 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 SHANE SEYMOUR - $55,747 WAYNE SENSOR - $701,232 THEODORE SCHWAB - $159 ANN SCHUMACHER - $73,668 KEVIN NOKELS - $102,956 PETE FESTERSEN - $9,856 MICHAEL ANDERSON - $78,739 CINDY ALLOWAY - $87,037.
Part I, Line 5PHYSICIANS EMPLOYED BY ALEGENT HEALTH 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 6COMPENSATION 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 IIISCHEDULE 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 THAN 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, AND/OR CASH PAYMENTS FOR DEFERRED COMPENSATION. 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)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6ALEGENT HEALTH has TWO CORPORATE MEMBERS, IMMANUEL HEALTH SYSTEMS (IHS) AND CATHOLIC HEALTH INITIATIVES (CHI).
Form 990, Part VI, Section A, line 7aCHI AND IHS SHALL APPOINT SIX OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS, PROVIDED THAT EACH CORPORATE MEMBER SHALL RATIFY THE OTHER CORPORATE MEMBER'S APPOINTMENTS, WITH THE EXECEPTION OF THE REPRESENTATIVE OF THE CORPORATE MEMBER WHICH APPOINTMENT WILL NOT REQUIRE RATIFICATION BY THE OTHER CORPORATE MEMBER. IF A CORPORATE MEMBER DOES NOT RATIFY THE APPOINTMENT OF ONE OR MORE OF THE DIRECTORS APPOINTED BY THE OTHER CORPORATE MEMBER, THEN THE PROCESS WILL BE REPEATED UNTIL ALL OF THE DIRECTOR POSITIONS ARE FILLED.
Form 990, Part VI, Section A, line 7bTHE BUSINESS AND AFFAIRS OF ALEGENT HEALTH SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE BOARD OF DIRECTORS EXCEPT THAT THE FOLLOWING ACTIONS SHALL BE EFFECTIVE ONLY IF APPROVED BY THE BOARD OF DIRECTORS AND BY BOTH CORPORATE MEMBERS: (I) ADOPTION OR AMENDMENT OF THE UNIFIED PHILOSOPHY AND MISSION OF THE CORPORATION; (II) SALE, LEASE, TRANSFER, ENCUMBRANCE OR DISPOSITION OF THE TANGIBLE PROPERTY OR INVESTMENTS 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; PROVIDED FURTHER THAT APPROVAL OF THE CORPORATE MEMBERS SHALL NOT BE REQUIRED FOR ANY TRANSFER OF ASSETS TO CHI BY THE CORPORATION PURSUANT TO THE TERMS OF THE ALEGENT FINANCING AGREEMENT(AFA); (III) INCURRENCE, ASSUMPTION OR GUARANTY IN ANY INDIVIDUAL TRANSACTION OF LONG-TERM INDEBTEDNESS, INCLUDING CAPITAL LEASES, OUTSTANDING FOR MORE THAN 365 DAYS, IN EXCESS OF $2 MILLION OR 2% OF THE TOTAL LONG TERM INDEBTEDNESS OF ALL PARTICIPANTS, OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; AND (IV) 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. B. THE ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED, RESTATED OR REPEALED, OR NEW ARTICLES OF INCORPORATION OR BYLAWS ADOPTED ONLY UPON THE APPROVAL OF THE BOARD OF DIRECTORS OF THE CORPORATION AND CHI AND IHS. C. THE ACTIONS THAT CAN BE TAKEN WITHOUT THE APPROVAL OF THE CORPORATE MEMBERS INCLUDE, WITHOUT LIMITATION: (I) TERMINATION OF THE AFA IN ACCORDANCE WITH ITS TERMS. (II) FORMATION OF THE UNIFIED ALEGENT HEALTH SYSTEM (III) PREPAYMENT OF THE FULL AMOUNTS OUTSTANDING ON NOTES TO CHI UNDER THE AFA, FOR PURPOSES OF EXERCISING THE RIGHTS OF TERMINATION OF THE AFA, OR FORMATION OF THE UNIFIED ALEGENT HEALTH 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 NOTES OUTSTANDING.
Form 990, Part VI, Section B, line 11Following the preparation of the 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 12cWritten Conflict of Interest Policy - 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 15The governing board of Alegent Health 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 Vice President Operations (Bergan Mercy) Vice President Operations (Immanuel) Vice President Operations (Mercy) Vice President Operations (Lakeside) Vice President Operations (Midlands) Senior Vice President Chief Information Officer Senior Vice President Human Resources Senior Vice President Marketing
Form 990, Part VI, Section C, line 19The conflict of interest policy is made available to the public on the website at www.alegent.com. Alegent Health 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:ALEGENT HEALTH IS A COMMON PAY AGENT FOR RELATED ENTITIES WITHIN THE ALEGENT HEALTH SYSTEM. THE NUMBER OF EMPLOYEES ON FORM 990, PART I, LINE 5 AND PART V, LINE 2A REPRESENT EMPLOYEES OF ALEGENT HEALTH AND EMPLOYEES OF RELATED ENTITIES. THE PAYROLL EXPENSES OF THE RELATED ENTITIES ARE ALLOCATED BY ALEGENT HEALTH TO EACH ENTITY.
FORM 990, PART V, LINE 1A:PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT HEALTH SYSTEM ARE MADE BY ALEGENT HEALTH. ALEGENT HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS.
FORM 990, PART VI, SECTION B, LINE 16:ALEGENT HEALTH 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 I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH QUICKCARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode
FieldValueIRS element (for citing)
EIN203437352EIN
Primary ActivitiesEXPRESS CARE CLINICPrimaryActivities
Legal Domicile StateNELegalDomicileState
Total Income1367647TotalIncome
EOY Assets117641EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
6901 N 72ND STREETOMAHANE68122470376615LICENSED HOSPITALNE501(C)(3)L3N/A
ALEGENT HEALTH CLINIC
12809 WEST DODGE ROADOMAHANE68154470765154CLINICAL SERVICESNE501(C)(3)L3N/A
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROADOMAHANE68154470648586SUPPORT OF ALEGENT HEALTH AND AFFILIATES EXEMPT ACTIVITIESNE501(C)(3)L7N/A
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
7500 MERCY ROADOMAHANE68124470484764LICENSED HOSPITALNE501(C)(3)L3N/A
ALEGENT HEALTH MERCY HOSPITAL CORNING IOWA
603 ROSARY DRIVECORNINGIA50841420782518LICENSED HOSPITALIA501(C)(3)L3ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
MERCY HEALTH CARE FOUNDATION
603 ROSARY DRIVECORNINGIA50841421461064SUPPORT OF ALEGENT HEALTH MERCY HOSPITAL, CORNING, IA EXEMPT ACTIVITIESIA501(C)(3)L11 IALEGENT HEALTH MERCY HOSPITAL CORNING IOWA
AH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA
631 N 8TH STREETMISSOURI VALLEYIA51555420776568LICENSED HOSPITALIA501(C)(3)L3ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICES FOUNDATION
631 N 8TH STREETMISSOURI VALLEYIA51555421294399SUPPORT OF ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY,IAIA501(C)(3)L11 IALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MO VALLEY IOWA
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STREETSCHUYLERNE68661470399853LICENSED HOSPITALNE501(C)(3)L3ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREETSCHUYLERNE68661363630014SUPPORT OF ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER EXEMPT PURPOSE.NE501(C)(3)L11 IALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
MERCY HOSPITAL FOUNDATION
800 MERCY DRIVECOUNCIL BLUFFSIA51503421178204SUPPORT OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM EXEMPT ACTIVITIESIA501(C)(3)L11 IALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
AVANTAS LLC
11128 JOHN GALD BLVD STE 400OMAHANE68137392045003STAFFING OF NURSESNEN/AN/A00
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLZ STE 206OMAHANE68130204267902AMBULATORY SURGICAL CENTERNEN/ARELATED0021768843944744
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SERVICESNEN/ARELATED00688971788722
OMAHA AMBULATORY INVESTMENT COMPANY LLC
12809 WEST DODGE ROADOMAHANE68154061786989PARENT HOLDING COMPANY ASCNEN/ARELATED00-10234264316739
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREETOMAHANE68154061786985DIAGNOSTIC TESTING FACILITYNEN/ARELATED01-112941622500
PRAIRIE HEALTH VENTURES LLC
421 S 9TH STREET STE 102LINCOLNNE68508204962103PROFESSIONAL TECH SERVICESNEN/AN/A00
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100OMAHANE68124208671994AMBULATORY SURGICAL CENTERNEN/A00OMAHA AMBULATORY INVESTMENT COMPANY LLC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Alegent Health-Creighton St Joseph Mgd Care Svcs INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode
FieldValueIRS element (for citing)
EIN470802396EIN
Primary ActivityMANAGED CARE SERVICESPrimaryActivity
Legal Domicile StateNELegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income3190453ShareOfTotalIncome
Share Of EOY Assets2308548ShareOfEOYAssets
Percentage Ownership0.80000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ALEGENT HEALTH FOUNDATION
C402766
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
P31815513
ALEGENT HEALTH CLINIC
P4378418
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
P17262153
ALEGENT HEALTH CLINIC
I2153570
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
I94287
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
I191892
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
Q969349

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH IMMANUEL MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16901 NORTH 72ND STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68122ZIPCode
FieldValueIRS element (for citing)
EIN470376615EIN
Total Grassroots Lobbying0TotalGrassrootsLobbying
Total Direct Lobbying18276TotalDirectLobbying
Total Lobbying Expenditures18276TotalLobbyingExpenditures
Other Exempt Purpose Expenditures269914071OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures269932347TotalExemptPurposeExpenditures
Lobbying Nontaxable$1,000,000LobbyingNontaxableAmount
Grassroots Nontaxable$250,000GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Nontx0TotLobbyingGrassrootMinusNontx
Tot Lobby Expend Mns Lobbying Nontx0TotLobbyExpendMnsLobbyingNontx
Share Of Excess Lobbying Expendtrs0ShareOfExcessLobbyingExpendtrs

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