Nebraska Hospital Network

2. Nebraska Hospital Network Chadron Comm Niobrara Hosp Chadron Gordon Mem Cherry Co Lynch Gordon Valentine Creighton Area Sioux City Creighton Iowa Brown Co Hosp Rock Co Hosp Plainview Area Ainsworth Bassett Plainview West Hosp Providence Osmond Gen Atkinson Wayne St. Athony's Pender Comm Osmond O'Neil Pender Box Butte Gen Alliance Antelope Mem Neligh Faith Regional Norfolk St. Francis Oakland Mem Regional West Medical Center Boone Co West Point Oakland Scottsbluff Tilden Mem Albion Morrill Co Tilden Bridgeport Columbus Comm Alegent Health Columbus Genoa Comm Schuyler Genoa Garden Co Butler Co Valley Co Anne Jeffery Oshkosh David City Ord Memorial Comm Osceola Callaway District Saunders Co Kimball Co Blair Calloway Wahoo Jennie Melham Kimball Memorial Health Howard Co Broken Bow Sidney St. Paul GPRMC Litzenberg Mem Co Ogallala Comm North Platte Nebraska Health System Central City Ogallala Fremont Area Omaha Fremont Gothenburg Mem Henderson Hlth Ctr Cozad Comm Gothenburg Good Sam Health Ctr Henderson Alegent Health Cozad Kearney Perkins Co Immanual Memorial Hosp Seward Mem Grant Tri County Omaha Aurora Seward Lexington Bryan/LGH Lincoln York General St. Francis Ctr St. Elizabeth York Phleps Mem Grand Island Lincoln Kearney Co Filmore Co Crete Area Chase Co Holdrege Comm Mem Minden Geneva Crete Imperial Syracuse Beatrice Comm St. Mary's Beatrice Nebraska City Warren Memorial Friend Johnson Co Tri-Valley Mary Lanning Mem Tecumseh Cambridge Comm Hosp Nemaha Co Hastings McCook Auburn Jefferson Comm Pawnee Co Fairbury Dundy Co Harlan Co Franklin Co Webster Co Pawnee City Nuckolls Co Comm Medical Ctr Benkelman Alma Franklin Red Cloud Superior Falls City Thayer Co Hebron 2002 Rev 6 Regional Hub Hospitals 10/23/02 Critical Access Hospitals Rural Hospitals

3. USF Telehealth Urban (Monthly) Cost – Based On: DS-1 Service (T-1) (1.544 Mbs) Point-To-Point Omaha Lincoln X (Rural Hospital Termination To Telephone Co. “Accord Switch” In Hub Hospital Exchange Pricing Based on Discount For aFIVE Year Contract Based on Intrastate Tariff CMT – Channel Mileage Termination Telephone Switch CMT CMF – Channel Mileage Facility CMT Rural Telephone Switch ----------At each end-------- $ 200.00 Rural Price $ 85.20 $ 105.10 Urban Price $105.10 $ 94.90 Federal USF None CT USF Pays Hospital pays first fifteen miles at the Providing Telephone Company’s Monthly rate per mile…AND the CT and CMT monthly amount at the urban rate. (USF pays the balance) CT Rural Hospital Regional Hospital CT – Channel Termination Total Hospital Cost ----------At each end-------- $150.00 Rural Price $109.98 $99.77 Urban Price $ 99.77 $50.23 Federal USF $ 10.21 Switch At Qwest Exchange CMF $165.00 CMT$190.30 CT$199.54 $554.84 / Mo. Hospital Transport Cost 15 Miles @ $11.00/mi. = $165.00

4. Summary of Payment Data - Hospital Network Monthly Amounts Connecting Critical Access (59) and Rural Hospitals (7) to "Accord Switch" in SEVEN HUB Exchanges Total Cost $134,045 Federal USF $63,293 47% Scenario for State USF Supplement so remaining is $200 $57,552 43% Hospital Cost down to $200 per month $13,200 10% Annual State USF would be $690,624 Connecting Regional HUB Hospitals to the "Accord Switches" Total Cost $46,891 Federal USF $12,340 26% Scenario for State USF - 50% Supplement so remaining under $2,500 $16,954 37% HUB Hospital Cost at $2,422 per month $16,954 37% Annual State USF would be $203,448 Connecting Two Regional Hospitals not at Switch HUB Sites / Exchanges Total Cost $5,312 Federal USF $828 Scenario for State USF Supplement so remaining under $2,500 None Regional Hospital Cost is $2,241 per month $4,482 Annual Federal USF would be $918,132 Annual State USF would be $894,074

5. Summary of Payment Data - Page 2 Connecting all Regional HUB Hospitals for a State Wide Network Monthly Amounts Total per HUB Hospital (Seven of the nine Regional) is $4,506 Federal USF Payments would be ……………....………. 1,671 * Eligible Hub Hospitals Pay ………………...…………….$2,835 * Scottsbluff * North Platte No proposed use of State USF ? * Kearney * Grand Island * Norfolk NOTE: Lincoln Switch connected with Omaha Switch $4,506 shared cost of $2,253 each

6. GOOD SAMARITAN TELEMEDICINE NETWORK Bassett Ord Broken Bow Callaway Gothenburg Cozad Kearney Benkelman Cambridge Norton, KS Phillipsburg, KS (6)

7. GREAT PLAINS REGIONAL MEDICAL CENTERNORTH PLATTE, NEBRASKA TELERADIOLOGY FRAME RELAY NETWORK Valentine FRAME RELAY CLOUD Ord Broken Bow North Platte Ogallala Gothenburg Grant Lexington Imperial Cambridge McCook Benkelman Oberlin, KS (7)

8. AHEC Telehealth Network Bloomfield JPEG Switch NOTE: The AHEC network is designed with an Accord Bridge located at the Central Community College. H.323 transport, with data rates up to 768 Kbps AHEC (Area Health Education Centers) Faith Regional Medical Center JPEG Switches and MPEG Switch connect all High Schools and Others Norfolk JPEG Switch Genoa Community Hospital - Genoa Howard Community Health Center St. Paul Columbus ATM Switch Fremont JPEG Switch Litzenberg Memorial County Hospital Central City Central Community College Grand Island UNMC Columbus Community Hospital Columbus St. Francis Medical Center Grand Island CCC Memorial Hospital Aurora Grand Island JPEG Switch ISDN Lincoln JPEG Switch Henderson Health Care Services Henderson Mary Lanning Memorial Hospital Hastings Hastings JPEG Switch THE WORLD DS-3 Distance Learning Network Broadstone Memorial Nuckolls County Hospital Superior T-1 (USF eligible – Approx $470 – 612/Month) DS-3 for AHEC (USF eligible – partial distance)