GREAT PLAINS OF CHEYENNE CO INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: GREAT PLAINS OF CHEYENNE CO INC (EIN 48-1226831)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202433209349303588
Schema version: 2023v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T08:13:39+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1551 N Waterfront Pkwy Ste 300	AddressLine1Txt
City	Wichita	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	672066601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481226831	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF CHEYENNE COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GREA	BusinessNameControlTxt
Phone	3166851523	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 NORTH ROCK ROAD STE 160	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67206	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JASON BARB	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3166851523	PhoneNum
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	3162652811	PhoneNum
Preparation	2024-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JASON BARB	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 NORTH ROCK ROAD STE 160	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67206	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$19,827,954	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHEYENNECOUNTYHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	TO OPERATE AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC IN ST. FRANCIS, KANSAS AND SURROUNDING RURAL COMMUNITIES IN CHEYENNE COUNTY, KANSAS.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	108	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,420,671	PYContributionsGrantsAmt
CY Contributions Grants	$1,032,167	CYContributionsGrantsAmt
PY Program Service Revenue	$11,995,706	PYProgramServiceRevenueAmt
CY Program Service Revenue	$18,284,398	CYProgramServiceRevenueAmt
PY Investment Income	$45,893	PYInvestmentIncomeAmt
CY Investment Income	$66,644	CYInvestmentIncomeAmt
PY Other Revenue	$4,187,257	PYOtherRevenueAmt
CY Other Revenue	$444,745	CYOtherRevenueAmt
PY Total Revenue	$17,649,527	PYTotalRevenueAmt
CY Total Revenue	$19,827,954	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$8,448,082	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,868,350	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,162,066	PYOtherExpensesAmt
CY Other Expenses	$11,259,518	CYOtherExpensesAmt
PY Total Expenses	$17,610,148	PYTotalExpensesAmt
CY Total Expenses	$20,127,868	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,379	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$299,914	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,958,360	TotalAssetsBOYAmt
Total Assets EOY	$8,629,067	TotalAssetsEOYAmt
Total Liabilities BOY	$2,106,659	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,077,280	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,851,701	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,551,787	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$18,459,894	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$18,284,398	RevenueAmt
Desc	CHEYENNE COUNTY HOSPITAL (CCH) IS A CRITICAL ACCESS, LEVEL IV TRAUMA, 16 BED HOSPITAL PROVIDING EMERGENCY, ACUTE AND SWING BED CARE TO CHEYENNE COUNTY AND SURROUNDING AREAS; IT EMPLOYS TWO FULL TIME PHYSICIANS, THREE NURSE PRACTITIONERS (APRN'S), ONE PHYSICIAN ASSISTANT (PA-C), 18 REGISTERED NURSES (RN/PRN), A CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA), AND OTHER ALLIED HEALTH PROFESSIONALS. CHEYENNE COUNTY HOSPITAL'S AIM IS TO PROVIDE SAFE, HIGH QUALITY, TEAM BASED HEALTHCARE TO CHEYENNE COUNTY, KANSAS AND SURROUNDING AREAS. CCH IS A CRITICAL ACCESS HOSPITAL SERVING A FRONTIER AREA POPULATION (POPULATION DENSITY OF 2.70) AND HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA SINCE 2005. WE PROVIDE A VARIETY OF CARE INCLUDING PRIMARY CARE IN TWO RURAL HEALTH CLINICS, INPATIENT CARE (INCLUDING ACUTE CARE), OBSERVATION, SWING BED, INTERMEDIATE SWING BED SERVICES AND OBSTETRICS. IN ADDITION, WE PROVIDE A VARIETY OF OUTPATIENT AND DIAGNOSTIC PROCEDURES AND HAVE GENERAL SURGERY PERFORMED ONSITE. WE PROVIDE 24/7 COVERAGE OF AN EMERGENCY ROOM THAT IS STAFFED WITH OUR OWN PROVIDERS. CHEYENNE COUNTY HOSPITAL'S MOST EXPENSIVE ENTITIES IN 2023 INCLUDED OUR PHARMACY WITH $3,964,067 TOTAL EXPENSES. OF THIS, $3,208,391 WAS 340B EXPENSES. OUR NURSING DEPARTMENT WITH $2,170,688 IN EXPENSES, WHICH INCLUDES $712K FOR CONTRACT NURSES. THE RURAL HEALTH CLINIC WITH $1688,422 IN EXPENSES WHICH INCLUDES $39KK FOR CONTRACT PROVIDERS TO COVER THE RHC. OUR SUCCESS BY WAY OF THESE CAPACITIES IS REFLECTED IN THE NUMBER OF PATIENTS SERVED, AS HIGHLIGHTED BELOW, AND THE INNOVATIVE WAYS WITH WHICH WE CONTINUE TO FIND NEW WAYS TO MEET THE EVOLVING NEEDS OF OUR PATIENTS. PHARMACY PHARMACY WAS THE LARGEST EXPENSE FOR 2023 WITH $3,208,391 TOTAL EXPENSES. OF THIS, $3,208,391 WAS 340B EXPENSES. NURSING: THE SECOND LARGEST EXPENSE BY DEPARTMENT FOR 2023 WAS NURSING. NOT ONLY IN SERVICE TO THE MORE THAN 199 ACUTE INPATIENTS, 64 SWING BED ADMISSIONS, AND 40 OBSTETRIC ADMISSIONS IN 2023, NURSING WAS INSTRUMENTAL IN OVERSEEING KEY FACILITY SERVICES SUCH AS HOSPITAL PHARMACY (WHICH INCLUDED THE COST SAVING 340B PROGRAM), INFECTION CONTROL, CASE MANAGEMENT, UTILIZATION REVIEW, EDUCATION AND OTHER OUTPATIENT SERVICES. NURSING WAS A KEY VOICE ON THE COUNTY'S RURAL HEALTHCARE TASK FORCE WHOSE MAJOR ACHIEVEMENT WAS LEVERAGING FEDERAL AND PRIVATE GRANT DOLLARS TO ESTABLISH A PROGRAM BY WHICH ROUTINE AND AFFORDABLE IN-HOME VISITS CAN BE EXTENDED TO CHEYENNE COUNTY'S MOST VULNERABLE CHRONICALLY ILL PATIENTS. ADDITIONALLY, THE NURSING DEPARTMENT STAFFED CCH'S 24-HOUR EMERGENCY ROOM, PROVIDING COMPASSIONATE CARE TO THE MORE THAN 985 PATIENTS PRESENTING TO THE ER IN 2023 REGARDLESS OF THEIR ABILITY TO PAY. IN SUM, AS THE PRIMARY FRONT LINE STAFF FOR THE FACILITY, THE NURSING DEPARTMENT WAS ESSENTIAL TO CCH'S ABILITY TO EXTEND QUALITY CARE TO APPROXIMATELY 2,700 RESIDENTS OF CHEYENNE COUNTY. RURAL HEALTH CLINIC: OUR RURAL HEALTH CLINIC (RHC) IS DESIGNATED AS A SAFETY NET CLINIC BY THE STATE OF KANSAS. THE CLINIC SERVED 10,756 PATIENT VISITS IN 2023, FOCUSING ON ACTIVITIES CONCERNED WITH PREVENTION AND TREATMENT OF COMMON MEDICAL PROBLEMS IN AN OUTPATIENT SETTING. CARE IS DELIVERED BY PRIMARY CARE PRACTITIONERS TO INDIVIDUALS WHO PRESENT FOR SERVICE REGARDLESS OF THEIR ABILITY TO PAY. EXPENSE IS OFTEN A BARRIER TO CARE IN OUR COMMUNITY AND FOR THAT REASON THE RURAL HEALTH CLINIC REMAINS RESPONSIVE TO A POPULATION OFTEN WITH FIXED INCOMES. IN 2023, THE RHC WAS AWARDED A PRIMARY CARE CLINIC GRANT OF $101,539. THIS CRITICAL FUNDING ASSISTED THE CLINIC IN PROVIDING ACCESS TO QUALITY, COMMUNITY-BASED HEALTHCARE, REDUCING HEALTH DISPARITIES FOR OUR COUNTY'S UNDERSERVED POPULATIONS, AND PROVIDING ACCESS TO PRESCRIPTION DRUGS FOR PATIENTS THAT COULD NOT OTHERWISE AFFORD MEDICATION. AS EVIDENCE OF OUR COMMITMENT TO PROVIDE QUALITY HEALTHCARE TO OUR PATIENT BASE, IN JUNE OF 2015 THE CCH RURAL HEALTH CLINIC ACHIEVED A LEVEL III CERTIFICATION AS A PATIENT CENTERED MEDICAL HOME (PCMH) FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. UNQUESTIONABLY, THIS NATIONAL ACCREDITATION SPEAKS TO THE COMMITMENT OF OUR PROVIDERS AND STAFF TO DELIVER OUTSTANDING MEDICAL ATTENTION TO OUR PATIENTS AND THE SIGNIFICANT PROCESS IMPROVEMENTS INDUCED BY THE ENDEAVOR IS EVIDENCE OF THE CLINIC'S COMMITMENT TO OVERCOMING TRADITIONAL RURAL HEALTHCARE BARRIERS.	Desc
Total Program Service Expenses	$18,459,894	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	62	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	108	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JASON BARB	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3166851523	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 NORTH ROCK ROAD STE 160	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67206	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES WESTIN
CHAIRMAN/DIRECTOR (LEFT 05/23)	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
CURT COLSON
PRESIDENT/DIRECTOR	0.2	41.2	Yes (X)	Yes (X)	$0	$217,359	$54,774
JOHN TERRILL
CHARIMAN/DIRECTOR	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
ROGER JOHN
SECRETARY/DIRECTOR	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
STEVE CARLSON
TREASURER/DIRECTOR	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
ARTHUR HENDRICKSON
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
DR BARBARA BROWN APPLEGATE
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
HEIDI TICE
CFO	40.0	0.0		Yes (X)	$125,520	$0	$44,801
JASON BARB
CFO	0.2	41.2		Yes (X)	$0	$191,413	$50,658
JEREMY CLINGENPEEL
CEO	40.0	0.0		Yes (X)	$169,270	$0	$42,822
BENJAMIN BOSEN
PHYSICIAN	40.0	0.0			$471,887	$0	$67,126	Yes (X)
CELESTE HAYS
DEPT HD DISCHARGE PLANNER & RN	40.0	0.0			$152,917	$0	$19,300	Yes (X)
HEATHER LICKE
PHYSICIAN	40.0	0.0			$483,855	$0	$56,152	Yes (X)
JEFFREY PARSONS
NURSE PRACTIONER	40.0	0.0			$321,696	$0	$55,809	Yes (X)
JESSE CAHOJ
ARNP	40.0	0.0			$126,939	$0	$42,212	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,852,084	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$408,772	TotReportableCompRltdOrgAmt
Total Other Compensation	$433,654	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	14	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GPHA
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	MGMT, CBO, COMP SUPP	$836,263
PSYCHIATRIC MEDICAL CARE LLC
PO BOX 734606	DALLAS	TX	753734606	SENIOR LIFE PROVIDER	$480,077
MID KANSAS CRNA
404 W WEBSTER	ST FRANCIS	KS	67756	CONTRACTED CRNA	$318,284
The Center for Wound Care
PO box 19000-308	Avon	CO	81620	Wound Care mgmt services	$268,636
Prime Time Healthcare
15380 Weir Street M	Omaha	NE	68137	CONTRACTED NURSING	$198,414

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Government Grants	$848,579	GovernmentGrantsAmt
All Other Contributions	$183,588	AllOtherContributionsAmt
Total Contributions	$1,032,167	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621300	$13,360,358	$13,360,358
340B REVENUE	621300	$4,924,040	$4,924,040

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$18,284,398	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,500	TotalRevenueColumnAmt
Exclusion	$65,500	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,112	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,112	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,112	TotalRevenueColumnAmt
Exclusion	$1,112	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,144	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,144	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,144	TotalRevenueColumnAmt
Exclusion	$1,144	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE/GUEST MEALS	722513	$29,599	$29,599
HEALTH FAIR	900099	$120,847	$120,847

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,187	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$293,187	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$443,633	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,827,954	TotalRevenueColumnAmt
Related Or Exempt Func Income	$18,284,398	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$511,389	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$382,414	TotalAmt
Management And General	$382,414	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,492,680	TotalAmt
Program Services	$6,362,759	ProgramServicesAmt
Management And General	$129,921	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$506,056	TotalAmt
Program Services	$496,749	ProgramServicesAmt
Management And General	$9,307	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,127,705	TotalAmt
Program Services	$1,106,925	ProgramServicesAmt
Management And General	$20,780	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$359,495	TotalAmt
Program Services	$329,605	ProgramServicesAmt
Management And General	$29,890	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$100,514	TotalAmt
Management And General	$100,514	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$29,106	TotalAmt
Management And General	$29,106	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$62,983	TotalAmt
Management And General	$62,983	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,129	TotalAmt
Management And General	$2,129	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,873,384	TotalAmt
Program Services	$4,373,073	ProgramServicesAmt
Management And General	$500,311	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,919	TotalAmt
Program Services	$173	ProgramServicesAmt
Management And General	$32,746	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$504,392	TotalAmt
Program Services	$494,561	ProgramServicesAmt
Management And General	$9,831	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,181	TotalAmt
Program Services	$1,224	ProgramServicesAmt
Management And General	$1,957	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$368,205	TotalAmt
Program Services	$179,591	ProgramServicesAmt
Management And General	$188,614	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,546	TotalAmt
Program Services	$4,065	ProgramServicesAmt
Management And General	$481	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$35,350	TotalAmt
Program Services	$24,734	ProgramServicesAmt
Management And General	$10,616	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,616	TotalAmt
Management And General	$12,616	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$398,574	TotalAmt
Program Services	$397,429	ProgramServicesAmt
Management And General	$1,145	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$45,609	TotalAmt
Management And General	$45,609	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$4,174,683	$4,174,535	$148
EQUIPMENT RENTAL & MAINTENAN	$525,200	$483,420	$41,780
DUES & SUBSCRIPTIONS	$44,518	$11,166	$33,352
RECRUITING	$11,412	$1,239	$10,173

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,197	TotalAmt
Program Services	$18,646	ProgramServicesAmt
Management And General	$11,551	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,127,868	TotalAmt
Program Services	$18,459,894	ProgramServicesAmt
Management And General	$1,667,974	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,086,754	BOYAmt
EOY	$1,437,606	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,999,681	BOYAmt
EOY	$2,071,702	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,424,273	BOYAmt
EOY	$2,683,284	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,765	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$182,070	BOYAmt
EOY	$192,858	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$44,447	BOYAmt
EOY	$92,891	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,134,575	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,268,372	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,774,371	BOYAmt
EOY	$1,866,203	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,165	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$437,599	BOYAmt
EOY	$277,758	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,958,360	BOYAmt
EOY	$8,629,067	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,578,060	BOYAmt
EOY	$2,768,280	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$528,599	BOYAmt
EOY	$309,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,106,659	BOYAmt
EOY	$3,077,280	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,765,092	BOYAmt
EOY	$5,430,226	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$86,609	BOYAmt
EOY	$121,561	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,851,701	BOYAmt
EOY	$5,551,787	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,958,360	BOYAmt
EOY	$8,629,067	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$299,914	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$2,129	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$2,129	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,040	OtherCostOrOtherBasisAmt
Book Value	$9,040	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,514,423	OtherCostOrOtherBasisAmt
Depreciation	$2,800,178	DepreciationAmt
Book Value	$714,245	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,400,765	OtherCostOrOtherBasisAmt
Depreciation	$3,301,246	DepreciationAmt
Book Value	$1,099,519	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,347	OtherCostOrOtherBasisAmt
Depreciation	$166,948	DepreciationAmt
Book Value	$43,399	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,866,203	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$19,827,954	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$19,827,954	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$19,827,954	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$20,127,868	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$20,127,868	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$20,127,868	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2	FormAndLineReferenceDesc
Explanation	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,197	NetCommunityBenefitExpnsAmt
Total Expense	0.0079	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$987,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$672,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$315,024	NetCommunityBenefitExpnsAmt
Total Expense	0.0157	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,147,052	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$672,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$474,221	NetCommunityBenefitExpnsAmt
Total Expense	0.0236	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$565,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$252,178	NetCommunityBenefitExpnsAmt
Total Expense	0.0125	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$565,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$252,178	NetCommunityBenefitExpnsAmt
Total Expense	0.0125	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,712,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$985,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$726,399	NetCommunityBenefitExpnsAmt
Total Expense	0.0361	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$290,561	BadDebtExpenseAmt
Reimbursed By Medicare	$7,191,326	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,191,326	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$0	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF CHEYENNE COUNTY INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 W First Street	AddressLine1Txt
City	St Francis	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67756	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.cheyennecountyhospital.com	WebsiteAddressTxt
State License	H012001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF CHEYENNE COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.cheyennecountyhospital.com/about_us/2023_community_health_needs_assessment.aspx	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.cheyennecountyhospital.com/about_us/2023_community_health_needs_assessment.aspx	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.cheyennecountyhospital.com/patients_visitors/financial_assistance.aspx	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.cheyennecountyhospital.com/patients_visitors/financial_assistance.aspx	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.cheyennecountyhospital.com/patients_visitors/financial_assistance.aspx	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GREAT PLAINS OF CHEYENNE COUNTY, INC. A PRIORITY OF THE PROGRAM IS TO SOLICIT INPUT FROM A BROAD CROSS SECTION OF THE COMMUNITY, NOT SIMPLY MEMBERS OF THE LOCAL HEALTHCARE SECTOR. THE MEETING PARTICIPANTS INCLUDED COMMUNITY RESIDENTS AND GOVERNMENTAL AND BUSINESS LEADERS WITHIN THE COMMUNITY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GREAT PLAINS OF CHEYENNE COUNTY, INC. THE ASSESSMENT PROCESS WAS INITIATED BY BOTH CHEYENNE COUNTY HOSPITAL AND CHEYENNE COUNTY HEALTH DEPARTMENT WITH THE CONSULTANT CAROL SLOPER.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - GREAT PLAINS OF CHEYENNE COUNTY, INC. THE CHNA RESULTS WERE SHARED AT A TOWN HALL MEETING.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GREAT PLAINS OF CHEYENNE COUNTY, INC. A NUMBER OF PRIORITIES WERE DETERMINED THROUGH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADDRESSED BY CHEYENNE COUNTY HOSPITAL. 1) MENTAL HEALTH SERVICES (LOCAL AVAILABILITY, COST, SUBSTANCE RECOVERY SERVICES) ONE OF THE TOP PRIORITIES IDENTIFIED IN THE 2020 AS WELL AS THE 2023 CHNA WAS ACCESS AND LOCAL AVAILABILITY TO BEHAVIORAL AND MENTAL HEALTH SERVICES. IN EFFORTS TO MEET THIS NEED, CHEYENNE COUNTY HOSPITAL (CCH) OBTAINED THE NECESSARY FUNDING FOR HIGH PLAINS MENTAL HEALTH TO PROVIDE ON SITE SERVICES AT CCH FOR THE 2021 CALENDAR YEAR. DUE TO COVID RESTRICTIONS, HIGH PLAINS MENTAL HEALTH PROVIDED REMOTE SERVICES VIA THE ZOOM PLATFORM THROUGH THE MONTHS OF JANUARY AND FEBRUARY 2021. AFTERWARDS, HIGH PLAINS WAS ABLE TO RETAIN AN ONSITE THERAPIST UNTIL DECEMBER 2022 AT WHICH POINT THE THERAPIST RELOCATED OUT OF STATE. SINCE THAT POINT, HIGH PLAINS HAS ONCE AGAIN REVERTED TO REMOTE SERVICES AND WILL CONTINUE THAT PLATFORM UNTIL ANOTHER LOCAL THERAPIST IS HIRED. CCH WILL ALSO CONTINUE TO SUPPORT AND PROVIDE THE ON-SITE SERVICES OF SENIOR LIFE SOLUTIONS WHICH IS IN THE LOWER LEVEL OF CHEYENNE COUNTY CLINIC. 2) SUBSTANCE ABUSE AS SUBSTANCE ABUSE CONTINUES TO RISE, CCH BELIEVES THAT EDUCATION IS ONE OF THE MOST IMPORTANT AND EFFECTIVE STRATEGIES TO COMBAT AGAINST IT AND IF WE CAN PARTNER WITH LOCAL PROGRAMS TO EDUCATE OUR CHILDREN AT A YOUNG AGE, WE CAN GET AHEAD AND REACH OUR KIDS BEFORE SUBSTANCE ABUSE HAS A CHANCE TO CATCH UP TO THEM. WE WANT TO COME TO THEM FROM MANY DIFFERENT ANGLES INCLUDING, TEACHERS, OFFICERS, PARENTS, YOUTH GROUPS, AND THE LOCAL MINISTERIAL ALLIANCE JUST TO NAME A FEW. WE WILL ALSO ACTIVELY ENGAGE IN THE "PRESCRIPTION TAKEBACK PROGRAM" HTTPS://WWW.DEADIVERSION.USDOJ.GOV/DRUG_DISPOSAL/TAKEBACK/ IN OUR COMMUNITY TO ASSIST IN REMOVAL OF OUTDATED OR UNUSED PRESCRIPTIONS TO PREVENT DRUGS GETTING INTO THE WRONG HANDS. 3) RETAINING / RECRUITING JOBS IN CHEYENNE COUNTY (ATTRACT YOUTH, ECONOMIC DEVELOPMENT) CCH HAS HELD JOB FAIRS, PROVIDED JOB SHADOWING OPPORTUNITIES FOR STUDENTS FROM LOCAL SCHOOLS, AND OFFERED STUDENT SCHOLARSHIPS FOR GRADUATING SENIORS WHO ARE PURSUING A CAREER IN THE MEDICAL FIELD. ADDITIONALLY, CCH HAS RECENTLY ENGAGED CHEYENNE COUNTY SCHOOLS TO CONSIDER CHARTERING A NEW HOSA CHAPTER TO HELP LOCAL STUDENTS INTERESTED IN MEDICAL CAREERS. CCH HAS ALSO PARTNERED WITH NEX-GENERATION TO PROVIDE HIGH SCHOOL AND COLLEGE STUDENTS WITH INTERNSHIP OPPORTUNITIES AT THE HOSPITAL, HEALTH DEPARTMENT, AND CLINIC. THROUGH THIS INTERNSHIP PROGRAM, STUDENTS WILL GAIN VALUABLE INSIGHT INTO LOCAL CAREER OPPORTUNITIES IN THE HEALTHCARE FIELD AND POTENTIALLY ENCOURAGE THEM TO RETURN HOME FOLLOWING COLLEGE TO PURSUE THAT CAREER. 4) LOCAL ACCESS TO HEALTH CARE SPECIALISTS THE 2020 AND 2023 CHNA ALSO IDENTIFIED THE NEED FOR LOCAL ACCESS TO HEALTH CARE SPECIALISTS. CCH HAS ALREADY MOVED TOWARD INCREASED LOCAL ACCESS TO SPECIALTY SERVICES AND OPPORTUNITIES. CURRENTLY CCH OFFERS OBSTETRIC SERVICES WITH BOTH DR. HEATHER LICKE, MD AND DR. BENJAMIN BOSEN, DO PROVIDING THOSE SERVICES LOCALLY. CCH ALSO OFFERS AN ON-SITE CARDIOLOGY CLINIC WITH CARDIOLOGIST DR. SEAN DENNEY, MD INCLUDING ON-SITE STRESS TESTS AND CARDIAC REHAB. DR. MATTHEW UYEMURA PROVIDES ON-SIGHT OPHTHALMOLOGY SERVICES, INCLUDING CATARACT SURGERIES ON A MONTHLY BASIS. LAPAROSCOPIC, COLORECTAL, AND GENERAL SURGERY IS OFFERED TWICE A MONTH WITH DR. CHARLES FRANKUM, MD. WE'RE EXCITED TO ANNOUNCE THAT WITH THE RECENT ADDITION OF A NEW HYPERBARIC OXYGEN CHAMBER, HBO, WE WILL NOW HAVE PODIATRY SPECIALIST PARICHART VALKAYEE, MD VISITING ONCE A MONTH.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHEYENNE COUNTY CLINIC - ST FRANCIS
221 W 1ST STREET	ST FRANCIS	KS	67756	OUTPATIENT CLINIC
CHEYENNE COUNTY CLINIC - BIRD CITY
233 W 4TH STREET	BIRD CITY	KS	67731	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ALL CHARITY CARE CHARGES AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPT FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.
Schedule H, Part V, Section B, Line 16a FAP website	- GREAT PLAINS OF CHEYENNE COUNTY, INC: Line 16a URL: https://www.cheyennecountyhospital.com/patients_visitors/financial_assistance.aspx;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GREAT PLAINS OF CHEYENNE COUNTY, INC: Line 16b URL: https://www.cheyennecountyhospital.com/patients_visitors/financial_assistance.aspx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GREAT PLAINS OF CHEYENNE COUNTY, INC: Line 16c URL: https://www.cheyennecountyhospital.com/patients_visitors/financial_assistance.aspx;
Schedule H, Part VI, Line 2 Needs assessment	CHEYENNE COUNTY WILL CONTINUE TO OFFER COMMUNITY HEALTH FAIRS TO EXPOSE RESIDENTS TO HEALTH CARE RESOURCES AND CAREERS. IN ADDITION, THE HOSPITAL PARTNERS WITH THE SCHOOLS IN THE COUNTY AND NEARBY COLLEGES TO SPREAD AWARENESS ON JOBS THAT ARE AVAILABLE IN HEALTHCARE ON THE LOCAL LEVEL. CHEYENNE COUNTY IS DETERMINED TO GROW OUR OWN PROVIDERS AND HEALTH CARE WORKERS BY SPENDING TIME ON OPEN HOUSES, JOB SHADOWING, AND FOSTERING OUR RELATIONSHIPS WITH THE SCHOOLS AND CLOSE BY LOCAL HOSPITALS. CHEYENNE COUNTY HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO IDENTIFY THE MOST URGENT NEEDS OF OUR COUNTY. HOSPITAL LEADERSHIP THEN CREATES A COMMUNITY HEALTH IMPROVEMENT PLAN AND IMPLEMENTATION STRATEGY WHICH IS ADOPTED BY THE HOSPITAL BOARD OF DIRECTORS. THE HOSPITAL LEADERS WILL USE CRITERIA SUCH AS URGENCY, SEVERITY, FEASIBILITY, DISPARITIES, OR COMMUNITY ESTABLISHED PRIORITIES TO DETERMINE THE NEEDS IN THAT WILL FORMALLY BE ADDRESS. THE MENTAL HEALTH NEEDS FOR ALL AGE GROUPS IN THE COUNTRY HAVE MADE THEIR MARK ON WHAT WE NEED TO LOOK AT AND ACCOMPLISH IN THE NEXT FEW YEARS. CHEYENNE COUNTY HOSPITAL HAS SUCCESSFULLY INITIATED AN OUTPATIENT GERIATRIC PSYCH PROGRAM THAT ADDRESSES PERSONAL LOSS, CHANGES THAT ALL PEOPLE OF LATER YEARS GO THROUGH, DEPRESSION, AND OTHER AGE CHANGE ILLNESSES. WE ARE TAKING ON THE ROLE OF SPEARHEAD AS WE ARE WORKING ON THE LOCAL LEVEL WITH THE COUNTY GOVERNMENT, LAW ENFORCEMENT, SCHOOLS, CLERGY TO ESTABLISH A LONG-LASTING TASK FORCE THAT WILL ADDRESS THE ONGOING CONCERNS OF MENTAL HEALTH ISSUES OF TODAY AND INTO THE FAR-REACHING FUTURE. WE TAKE GREAT CARE TO LOOK AT EDUCATING ALL STAFF ON THE DELIVERY OF MENTAL HEALTH SERVICES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHEYENNE COUNTY HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM INCLUDES BOTH A CHARITY CARE PROGRAM AND A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. A CHEYENNE COUNTY HOSPITAL FINANCIAL COUNSELOR CONSULTS WITH PRIVATE PAY PATIENTS TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. CCH HAS POSTED INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGHOUT ITS FACILITIES AND ON THEIR WEBSITE. IF DISCOVERED DURING THE ACCOUNTS RECEIVABLE COLLECTION PROCESS THAT A PATIENT IS HAVING TROUBLE PAYING BILLS, BOTH THE HOSPITAL, CLINIC AND THE CENTRALIZED BILLING OFFICE WILL INFORM THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE. AS PART OF THE FINANCIAL ASSISTANCE PROGRAM ALL APPLICANTS MUST APPLY FOR ASSISTANCE WITH THE MIDLAND GROUP. THE MIDLAND GROUP FOCUSES ON HELPING PATIENTS FIND ASSISTANCE THROUGH MEDICAID OR ANY OTHER FUNDING AVAILABLE TO HELP MEET PATIENT NEEDS. IF AFTER THE INITIAL INTERVIEW THERE IS CONSENSUS THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE FINANCIAL COUNSELOR PROVIDES TO THE PATIENT THE NECESSARY FORMS IN ADDITION TO SOLICITING SUPPORTING DOCUMENTATION FOR THE REQUEST (PATIENT BANK STATEMENTS, TAX RETURNS, ETC.). COMPUTATIONS BASED ON CURRENT FEDERAL POVERTY LEVEL GUIDELINES ARE COMPLETED TO SEE IF QUALIFICATIONS ARE APPROPRIATE AND THE PERCENTAGE OF CHARGES TO BE WRITTEN OFF IS DETERMINED BASED ON FAMILY SIZE AND HOUSEHOLD INCOME. ADDITIONALLY, WITH THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT HEALTH INSURANCE INFORMATION IS MADE AVAILABLE FOR PATIENTS AND THEIR FAMILIES REGARDING THE INSURANCE MARKETPLACE AS WELL AS INSTRUCTION ON HOW TO CONTACT A NAVIGATOR FOR ASSISTANCE. ALL INSTANCES OF CHARITY CARE ARE APPROVED BY THE ADMINISTRATOR OR DESIGNATED REPRESENTATIVE OF THE HOSPITAL. THE SLIDING FEE SCALE IS LIMITED TO THE CLINIC WHERE THE CARE WAS OBTAINED. THE CLINIC ALSO HAS A PRESCRIPTION ASSISTANCE PROGRAM WHICH LEVERAGES INDIGENT DRUG PROGRAMS OFFERED BY PHARMACEUTICAL COMPANIES. ADDITIONALLY, THE HOSPITAL HAS POSTED ITS' CHARGE MASTER ON ITS WEBSITE (WWW.CHEYENNECOUNTYHOSPITAL.COM) TO ENSURE HEALTH CONSUMERS HAVE A REASONABLE EXPECTATION OF CHARGES.
Schedule H, Part VI, Line 4 Community information	CHEYENNE COUNTY HOSPITAL SERVES PATIENTS CHIEFLY FROM THE GEOGRAPHICAL BOUNDARIES OF CHEYENNE COUNTY, KANSAS; THIS INCLUDES THE PRIMARY POPULATION CENTERS OF ST. FRANCIS AND BIRD CITY. ADDITIONALLY, PATIENTS FROM SURROUNDING COMMUNITIES INCLUDING MCDONALD, ATWOOD, GOODLAND, KANSAS, AS WELL AS BURLINGTON, IDALIA, AND WRAY, COLORADO, AND HAIGLER AND BENKELMAN, NEBRASKA PATRON OUR FACILITY. CHEYENNE COUNTY IS THE REMOTE NORTHWESTERN MOST COUNTY OF KANSAS AND IS BORDERED BY DUNDY COUNTY, NEBRASKA TO THE NORTH; YUMA AND KIT CARSON COUNTIES IN COLORADO TO THE WEST; SHERMAN COUNTY, KANSAS TO THE SOUTH; AND RAWLINS COUNTY, KANSAS TO THE EAST. WE ARE EQUIDISTANT BETWEEN DENVER, COLORADO AND HAYS, KANSAS; EACH BEING 180 MILES AWAY. CHEYENNE COUNTY HOSPITAL (CCH) IS THE LAST HOSPITAL WESTBOUND ON US HIGHWAY 36 UNTIL REACHING THE DENVER METRO AREA. CHEYENNE COUNTY HAS A POPULATION ESTIMATE OF APPROXIMATELY 2,700 RESIDENTS AS OF JULY 1, 2019, LOWER THAN THE KANSAS RURAL NORM OF 9,240. THE PERCENT CHANGE IN POPULATION IN CHEYENNE COUNTY FROM APRIL 1, 2010 TO JULY 1, 2019 IS -2.5%, HIGHER THAN THE KANSAS RURAL NORM OF -2.0%. THE PERCENT OF PERSONS 65 YEARS AND OVER IN CHEYENNE COUNTY IS 27.3%, HIGHER THAN THE KANSAS RURAL NORM OF 20.9%. THE PERCENT OF WHITE ALONE PERSONS IN CHEYENNE COUNTY IS 97.0%, HIGHER THAN THE KANSAS RURAL NORM OF 94.6%. THE PERCENT OF HISPANIC OR LATINO PERSONS IN CHEYENNE COUNTY IS 7.1%, HIGHER THAN THE KANSAS RURAL NORM OF 4.6%. THE PERCENT OF LANGUAGES OTHER THAN ENGLISH SPOKEN AT HOME BY PERSONS AGE 5 YEARS+ IS 8.3%, HIGHER THAN THE KANSAS RURAL NORM OF 3.9%. THE PERCENT OF PERSONS AGE 1 YEAR+ LIVING IN THE SAME HOUSE AS ONE YEAR AGO IN CHEYENNE COUNTY IS 92.1%, HIGHER THAN THE KANSAS RURAL NORM OF 87.0%. THE TOTAL VETERANS IN CHEYENNE COUNTY IS 218, LOWER THAN THE KANSAS RURAL NORM OF 697. THE POPULATION PER SQUARE MILE IN CHEYENNE COUNTY IS 2.7, LOWER THAN THE KANSAS RURAL NORM OF 11.8. THE PERCENT OF CHILD IN SINGLE-PARENT HOUSEHOLDS IN CHEYENNE COUNTY IS 22.0%, LOWER THAN THE KANSAS RURAL NORM OF 25.2%. THE PERCENT OF LIMITED ACCESS TO HEALTHY FOODS IN CHEYENNE COUNTY IS 37.0%, HIGHER THAN THE KANSAS RURAL NORM OF 14.1%.
Schedule H, Part VI, Line 5 Promotion of community health	THE HOSPITAL PROVIDES FOR AND PROMOTES THE HEALTH OF THE CITIZENS OF CHEYENNE COUNTY BY OFFERING THE FOLLOWING SERVICES: DIABETES EDUCATION/COUNSELING, SMOKING PREVENTION/CESSATION AND CONTROL, COVID-19 SCREENING AND IMMUNIZATIONS, HEALTH EDUCATION FOR STUDENTS, PRENATAL CLASSES AND NUMEROUS OTHER TAILORED PROGRAMS. HEALTH FAIRS ARE OFFERED BOTH IN THE FALL AND SPRING EACH YEAR THROUGH THE COUNTY HEALTH DEPARTMENT. OUR PROFESSIONAL STAFF, INCLUDING TWO PHYSICIANS, THREE NURSE PRACTITIONERS, ONE PHYSICIAN ASSISTANT, RN'S, LPN'S AND PHYSICAL AND RESPIRATORY THERAPY STAFF, PROVIDE COMMUNITY EDUCATION ON A VARIETY OF HEALTH ISSUES IN A VARIETY OF VENUES. DURING THE FLU SEASON WE OFFER NUMEROUS IMMUNIZATION CLINICS TO PROVIDE MUCH NEEDED FLU VACCINATIONS TO OUR POPULACE. PRIOR TO THE START OF THE SCHOOL YEAR, WE ALSO OFFER FREE ANNUAL SPORTS PHYSICALS TO AREA ATHLETES. WE PROMOTE CANCER AWARENESS BY SUPPORTING THE ANNUAL RELAY FOR LIFE ACTIVITIES IN CHEYENNE COUNTY. IN CONJUNCTION WITH THE COMMUNITY AMBULANCE SERVICE THE HOSPITAL SPONSORS CPR AND NRP TRAINING FOR PROFESSIONALS IN CHEYENNE COUNTY. THE CCH PHYSICAL THERAPIST CONDUCTS IN-HOME SAFETY ASSESSMENTS FOR COUNTY RESIDENTS TO PREVENT TRIPS AND FALLS AS WELL AS ASSESSMENTS TO DECIDE IF PATIENTS CAN RETURN TO THEIR HOMES. THE HOSPITAL MAINTAINS BIOHAZARD EQUIPMENT THAT CAN BE USED IN THE EVENT OF TOXIC SPILLS OR BIOHAZARD EMERGENCIES IN THE COUNTY TO INCLUDE ISOLATION ROOMS AND SHOWERS. EQUIPMENT FOR AIRBORNE PATHOGENS IS ALSO AVAILABLE. THE HOSPITAL ANNUALLY PARTICIPATES IN EMERGENCY PREPAREDNESS TRAININGS WITH LOCAL POLICE AND FIREFIGHTING UNITS WITHIN THE COUNTY AND REGION. THE DECONTAMINATION TEAM, WHICH IS COMPRISED OF HOSPITAL HEALTHCARE PROFESSIONALS, PRACTICES VARIOUS DRILLS AND REHEARSALS TO ENSURE PREPAREDNESS. CHEYENNE COUNTY STARTED AN OUTPATIENT GERIATRIC PSYCH SERVICE IN THE LATTER PART OF 2017. THE SERVICE IS CALLED SENIOR LIFE SOLUTIONS WHICH IS AN INTENSIVE OUTPATIENT PSYCHIATRIC PROGRAM DESIGNED TO MEET THE NEEDS OF ADULTS OVER THE AGE OF 65 IN OUR COMMUNITY. CCH ALSO PARTNERS WITH HIGH PLAINS MENTAL HEALTH TO PROVIDE MENTAL HEALTH COUNSELING SERVICES TO PATIENTS OF ALL AGES AT THE HOSPITAL CAMPUS. THE PROGRAM ADDRESSES ISSUES SUCH AS DEPRESSION AND ANXIETY THAT CAN OFTEN BE RELATED TO AGING. THE PATIENT IS OFFERED SERVICES BY AN INTERDISCIPLINARY TEAM OF CARING, EXPERIENCED, BEHAVIORAL HEALTH PROFESSIONALS, WHICH INCLUDES A PSYCHIATRIST, LICENSED THERAPIST, AND A REGISTERED NURSE. CHEYENNE COUNTY HOSPITAL ALSO PARTICIPATES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL MAKES ITS FITNESS EQUIPMENT AVAILABLE TO CHEYENNE COUNTY CITIZENS FOR A MINIMAL MONTHLY COST. THE HOSPITAL IS VERY ACTIVE IN COMMUNITY EDUCATION ON THE BENEFITS OF IMMUNIZATIONS FOR THE PREVENTION OF INFLUENZA, PNEUMONIA, AND COVID-19. WE WORK THROUGH THE CHEYENNE COUNTY HEALTH DEPARTMENT, NURSING HOME, RURAL HEALTH CLINICS AND THE LOCAL PHARMACY TO IMPROVE IMMUNIZATION RATES. CCH ADDITIONALLY PARTNERS CLOSELY WITH THE COUNTY EMS IN THE DELIVERY OF EMERGENCY SERVICES; APPROXIMATELY 50% OF AMBULATORY SERVICES/TRANSFERS HAVE A CHEYENNE COUNTY HOSPITAL EMPLOYEE ON BOARD. ADDITIONALLY, WITH THE ASSISTANCE OF FEDERAL AND PRIVATE GRANTS, CCH HELPED LAUNCH A REVOLUTIONARY PROGRAM WHEREBY PATIENTS WITH TWO OR MORE CHRONIC CONDITIONS AND/OR QUALIFYING CARDIAC PROBLEMS RECEIVE PERIODIC ASSESSMENTS IN THEIR HOME BY A LOCAL HEALTHCARE PROFESSIONAL. CCH ADDITIONALLY SERVES AS A RURAL ROTATION SITE FOR MEDICAL STUDENTS AND RESIDENTS FROM VARIOUS KANSAS EDUCATIONAL PROGRAMS AND HAS FUNCTIONED AS A DIDACTIC AND CLINICAL PRACTICE SITE FOR VOCATIONAL INSTITUTIONS THROUGHOUT THE AREA. FURTHERMORE, CCH CONTINUES TO PROVIDE AN ANNUAL SCHOLARSHIP PROGRAM FOR GRADUATING CHEYENNE COUNTY STUDENTS INTENDING TO PURSUE A VOCATION IN HEALTHCARE. THE HOSPITAL PARTICIPATES IN ALL GOVERNMENT HEALTHCARE PROGRAMS/PLANS WHICH INCLUDE THE FOLLOWING: MEDICARE, KANCARE (UNITED, SUNFLOWER AND AMERIGROUP) AND TRICARE. THE HOSPITAL HAS RECEIVED DESIGNATION FROM THE MEDICARE PROGRAM AS A CRITICAL ACCESS HOSPITAL AND IS THE ONLY HOSPITAL IN CHEYENNE COUNTY. SUPPORTED BY OUR OWN MEDICAL STAFF, THE HOSPITAL PROVIDES 24-HOUR EMERGENCY ROOM CARE AND IS A DESIGNATED LEVEL IV TRAUMA CENTER. ADDITIONALLY, MULTIPLE SPECIALTY PHYSICIANS PROVIDE OUTPATIENT CARE IN OUR FACILITY WHICH GREATLY MITIGATES THE NEED FOR PERSONS IN OUR COMMUNITY TO TRAVEL LONG DISTANCES FOR THEIR UNIQUE MEDICAL NEEDS. TO COMPLIMENT THESE OUTPATIENT SERVICES, AS MENTIONED, CCH DEVELOPED A GROWING TELEMEDICINE PROGRAM IN 2016 WHICH HAS FURTHER ENABLED LOCAL ACCESS TO EXPANDED SCOPES OF PRACTICE. EDUCATION PROMOTED BY THE HOSPITAL THROUGHOUT THE COUNTY ALSO PROVIDES RESIDENTS WITH VITAL INFORMATION ON HOW TO MINIMIZE THEIR AFFLICTIONS AND MAXIMIZE THEIR QUALITY OF LIFE THROUGH PROACTIVE PREVENTATIVE CARE.
Schedule H, Part VI, Line 6 Affiliated health care system	THE ORGANIZATION IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT 501(C) (3) ORGANIZATION, WHICH PROVIDES MANAGEMENT SERVICES AND OPERATIONAL, FINANCIAL, AND ACCOUNTING SUPPORT TO THE HOSPITAL. GPHA IS AN AFFILIATION OF CRITICAL ACCESS HOSPITALS IN KANSAS AND NEBRASKA THAT PROVIDES NETWORKING OPPORTUNITIES WITH OTHER RURAL HOSPITALS, COMMUNITIES, AND LEADERS. ALTHOUGH GPHA DOES NOT PROVIDE SERVICES DIRECTLY TO PATIENTS, IT DOES PROVIDE ACCESS TO HEALTHCARE PROFESSIONALS THAT MAY OTHERWISE BE COST PROHIBITIVE. GPHA PROVIDES EDUCATION AND ASSISTANCE IN AREAS SUCH AS CORPORATE COMPLIANCE, HIPAA, MEDICARE REIMBURSEMENT, MEANINGFUL USE, HOSPITAL FINANCE AND MANY OTHER AREAS. ADDITIONAL EDUCATION/TRAINING OPPORTUNITIES ARE EXTENDED THROUGH GPHA TO BOARD MEMBERS, BUSINESS OFFICE MANAGERS, BILLERS, MEDICAL RECORDS PERSONNEL, DIRECTORS OF NURSING, ADMINISTRATORS, ETC. GPHA SERVES AS A VITAL LINK TO ALLOWING CRITICAL ACCESS HOSPITALS THE ABILITY TO OFFER HIGH QUALITY MEDICINE IN FRONTIER POPULATION AREAS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CURT COLSON
PRESIDENT/DIRECTOR	$0	$213,766	$0	$0	$0	$3,593	$0	$21,263	$0	$33,511	$0	$272,133	$0	$0
JASON BARB
CFO	$0	$190,136	$0	$0	$0	$1,277	$0	$18,538	$0	$32,120	$0	$242,071	$0	$0
HEIDI TICE
CFO	$125,179	$0	$0	$0	$341	$0	$13,033	$0	$31,768	$0	$170,321	$0	$0	$0
JEREMY CLINGENPEEL
CEO	$168,940	$0	$0	$0	$330	$0	$25,827	$0	$16,995	$0	$212,092	$0	$0	$0
BENJAMIN BOSEN
PHYSICIAN	$471,338	$0	$0	$0	$549	$0	$32,200	$0	$34,926	$0	$539,013	$0	$0	$0
HEATHER LICKE
PHYSICIAN	$483,145	$0	$0	$0	$710	$0	$32,200	$0	$23,952	$0	$540,007	$0	$0	$0
JEFFREY PARSONS
NURSE PRACTIONER	$321,489	$0	$0	$0	$207	$0	$26,246	$0	$29,563	$0	$377,505	$0	$0	$0
CELESTE HAYS
DEPT HD DISCHARGE PLANNER & RN	$152,807	$0	$0	$0	$110	$0	$14,753	$0	$4,547	$0	$172,217	$0	$0	$0
JESSE CAHOJ
ARNP	$126,861	$0	$0	$0	$78	$0	$29,268	$0	$12,944	$0	$169,151	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 3 FORM 990, PART VII	FormAndLineReferenceDesc
Explanation	ANNUAL COMPENSATION REVIEWS ARE COMPLETED BY THE CEO AND CHIEF FINANCIAL OFFICER USING RECOMMENDATIONS PROVIDED BY DEPARTMENT MANAGERS AND CURRENT MARKET CONDITIONS. ALL EXECUTIVE EMPLOYEE SALARIES, INCLUDING THE PRESIDENT/CEO, ARE APPROVED BY THE GPHA BOARD OF DIRECTORS. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAS COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. THE CEO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS	JASON BARB AND CURT COLSON HAVE A BUSINESS RELATIONSHIP. THEY ARE ALL EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE.
Form 990, Part VI, Line 15a & 15b - PROCESS FOR DETERMINING COMPENSATION	THE CEO AND CFO ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GPHA'S BOARD USES COMPARABILITY DATA IN SETTING THEIR SALARIES, AND DOCUMENTATION IS RETAINED OF THE BOARD'S DELIBERATIONS AND DECISIONS.
Form 990, Part VI, Line 6 Classes of members or stockholders	GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF CHEYENNE COUNTY, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE 990 WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANEOUS REVENUE - Total Revenue: 293187, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 293187;
Form 990, Part IX, Line 11g Other Fees	CONTRACTED MEDICAL STAFF - Total Expense: 3882704, Program Service Expense: 3882704, Management and General Expenses: , Fundraising Expenses: ; BILLING/COLLECTIONS - Total Expense: 345959, Program Service Expense: , Management and General Expenses: 345959, Fundraising Expenses: ; LAB SERVICES - Total Expense: 259860, Program Service Expense: 259860, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 175552, Program Service Expense: 175552, Management and General Expenses: , Fundraising Expenses: ; ADMINISTRATION/HUMAN RESOURCES - Total Expense: 177957, Program Service Expense: 23605, Management and General Expenses: 154352, Fundraising Expenses: ; PLANT OPERATIONS - Total Expense: 20510, Program Service Expense: 20510, Management and General Expenses: , Fundraising Expenses: ; DIETARY SERVICES - Total Expense: 10842, Program Service Expense: 10842, Management and General Expenses: , Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
GREAT PLAINS HEALTH CARE FOUNDATION INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	480955870	SUPPORT	KS	501(c)(3)	10	GPHA INC	Yes (true)
GREAT PLAINS OF SABETHA COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481236156	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF ELLINWOOD INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226976	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS HEALTH ALLIANCE
250 N ROCK ROAD STE 160	WICHITA	KS	67037	480617739	MANAGEMENT	KS	501(c)(3)	3		false	N/A
GREAT PLAINS OF OTTAWA COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226856	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF REPUBLIC COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67037	481226977	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF SMITH COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226820	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GPHA EMPLOYEE BENEFITS TRUST
250 N ROCK ROAD STE 160	WICHITA	KS	67037	476918582	HEALTH PLAN	KS	501(c)(9)		GPHA INC	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GPHA Employee Benefit Plan	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$735,575	InvolvedAmt
Method Of Amount Determination	ACTUAL	MethodOfAmountDeterminationTxt