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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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        <ProgramServicesAmt>302264</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>34200</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1112441</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>126368</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3215</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>90518</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>13033</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>223630</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>86645</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ManagementAndGeneralAmt>40500</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ManagementAndGeneralAmt>4077</ManagementAndGeneralAmt>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>BLUE CROSS BLUE SHIELD OF NEBRASKA FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1919 AKSARBEN DRIVE</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68180</ZIPCd>
        </USAddress>
        <RecipientEIN>934975232</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECIPIENT ORGANIZATIONS ARE REQUIRED TO PROVIDE DOCUMENTATION AS REQUESTED TO SUPPORT UTILIZATION OF FUNDS FOR THEIR STATED PURPOSE IN GRANT AGREEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>DR JAIME L BLAND</PersonNm>
        <TitleTxt>CEO &amp; DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>321384</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>91437</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6900</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13154</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>1096</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>433971</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORRAINE EGGER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>264900</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>20000</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DAY TO DAY MANAGEMENT FUNCTIONS ARE PROVIDED BY CYNCHEALTH ADVISORS, INC. UNDER AN OPERATIONS/MANAGEMENT AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NEHII HAS TWO CLASSES OF MEMBERS, CLASS A AND CLASS B</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS VOTES ON MEMBERSHIP ON THE BOARD AND FOR OFFICERS AT ITS DISCRETION BASED UP CORPORATE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NEHII PROVIDES A COPY OF THE COMPLETED 990 WITH ALL SCHEDULES TO THE FINANCE/EXECUTIVE COMMITTEE FOR THEIR REVIEW, DISCUSSION AND APPROVAL AFTER ALL QUESTIONS/COMMENTS HAVE BEEN ADDRESSED. THE FORM 990 IS THEN SUBMITTED TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY NEHII'S OUTSIDE LEGAL COUNSEL PROVIDES TO THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES OF NEHII A DETAILED QUESTIONNAIRE WHICH MUST BE COMPLETED AND ATTESTED TO BY THE ABOVE MENTIONED INDIVDUALS. THE QUESTIONAIRE IS DESIGNED TO OBTAIN RESPONSES TO HELP IDENTIFY CONFLICTS AND POTENTIAL CONFLICTS OF INTEREST. OUTSIDE COUNSEL INSURES THAT ALL QUESTIONAIRES ARE OBTAINED AND THEN REVIEWED TO DETERMINE ANY POSSIBLE CONFLICTS OF INTEREST AND TO DETERMINE COMPLIANCE WITH NEHII'S POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO LEADS THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS THROUGH THE REVIEW OF THE CEO'S PERFORMANCE AGAINST THE CEO'S CONTRACT DISCUSSING PERFORMANCE AND COMPARING TO THE GOALS THAT WERE SET IN HER CONTRACT. IN ADDITION GOALS FOR THE NEXT YEAR'S CEO CONTRACT ARE DETERMINED AND DOCUMENTED. THE EXECUTIVE COMMITTEE CONSISTS OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE PRESIDENT AND CFO THEN MEET WITH THE CEO TO DISCUSS HER PRIOR YEAR PERFORMANCE AND GOALS ARE ESTABLISHED FOR THE FUTURE BASED ON THE EXECUTIVE COMMITTEE'S DIRECTIVES. ANY BONUS EARNED AS WELL AS THE FUTURE COMPENSATION IS ALSO DISCUSSED. THE FINANCE COMMITTEE SETS THE NEHII EMPLOYEE PAY LEVELS THROUGH THE BUDGET PROCESS, SET BASED UPON THE MARKET PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC BASED UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO CHANGES FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CYNCHEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 27842</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68127</ZIPCd>
        </USAddress>
        <EIN>843003491</EIN>
        <PrimaryActivitiesTxt>PROVIDE ONGOING SUPPORT TO NEHII, INC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NEHII INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEBRASKA HEALTHCARE COLLABORATIVE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>84-2984253 PO BOX 27842</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68127</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>PROVIDE ONGOING SUPPORT TO NEHII, INC.</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>IOWA HEALTH INFORMATION NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 27842</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68127</ZIPCd>
        </USAddress>
        <EIN>815182414</EIN>
        <PrimaryActivitiesTxt>ENABLE THE SECURE EXCHANGE OF PATIENT &amp; OTHER HEALTHCARE RELATED INFORMATION</PrimaryActivitiesTxt>
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          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68127</ZIPCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NEHII INC</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>12787232</ShareOfEOYAssetsAmt>
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      <TransactionsRelatedOrgGrp>
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        </OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>AMTS PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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</Return>