STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FARMERS UNION HOSPITAL ASSOCIATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
FARMERS UNION HOSPITAL ASSOCIATION (EIN 73-0579295)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202531339349303598
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-13T13:02:39-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN730579295EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Farmers Union Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFARMBusinessNameControlTxt
Phone5802252511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2339AddressLine1Txt
CityElk CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73648ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMonica ScottPersonNm
Person TitleCFOPersonTitleTxt
Phone5802252511PhoneNum
Signature2025-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2025-05-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Great Plains Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMonica ScottPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2339AddressLine1Txt
CityElk CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73648ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$59,212,646GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.gprmc-ok.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo provide comprehensive, cost-effective, high quality healthcare to our communities.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee567TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$19,800TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$485,118PYContributionsGrantsAmt
CY Contributions Grants$123,509CYContributionsGrantsAmt
PY Program Service Revenue$51,314,975PYProgramServiceRevenueAmt
CY Program Service Revenue$54,697,655CYProgramServiceRevenueAmt
PY Investment Income$500,135PYInvestmentIncomeAmt
CY Investment Income$829,456CYInvestmentIncomeAmt
PY Other Revenue$584,979PYOtherRevenueAmt
CY Other Revenue$487,787CYOtherRevenueAmt
PY Total Revenue$52,885,207PYTotalRevenueAmt
CY Total Revenue$56,138,407CYTotalRevenueAmt
PY Grants And Similar Paid$27,859PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$17,911CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,777,683PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,436,751CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,627,148PYOtherExpensesAmt
CY Other Expenses$34,635,141CYOtherExpensesAmt
PY Total Expenses$59,432,690PYTotalExpensesAmt
CY Total Expenses$63,089,803CYTotalExpensesAmt
PY Revenues Less Expenses-$6,547,483PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,951,396CYRevenuesLessExpensesAmt
Total Assets BOY$63,686,130TotalAssetsBOYAmt
Total Assets EOY$62,498,665TotalAssetsEOYAmt
Total Liabilities BOY$37,258,427TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,478,949TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,427,703NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,019,716NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGreat Plains Regional Medical Center will distinguish itself as the leader in Western Oklahoma and the Eastern Texas Panhandle for comprehensive, cost effective, high quality healthcare. We will meet the healthcare needs of patients in our service area while achieving cost effective quality outcomes. We will maintain and enhance collaborative relationships with physicians to better serve the healthcare needs of our service area. We will maintain and continually enhance health promotion, patient education and disease prevention for patients in our service area.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$48,549,455ExpenseAmt
Grant$17,911GrantAmt
Revenue$54,677,855RevenueAmt
DescFarmers Union Hospital Association, DBA Great Plains Regional Medical Center in Elk City, Oklahoma (hereinafter referred to as GPRMC) is a 62-bed hospital that provides quality health care regardless of race, religion, creed, sex, national origin, handicap, age, or ability to pay. Reimbursement for services rendered is critical to the operation and stability of GPRMC, it is recognized that not all individuals possess the ability to purchase essential medical services. In keeping with the Hospital's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by government programs at below cost, and health care activities and programs to support the community will be considered whether the need and/or individual's inability to pay exists. Continued on Schedule O.GPRMC served over 1,619 Inpatients that include, Medical, Intensive Care, Inpatient Rehabilitation, Newborns, Swing Bed and Senior Care. These services produced more than 8,742 Inpatient days. During the year we treated 12,666 patients in the Emergency Department. Our Surgical teams performed 2,433 surgeries. GPRMC provides care to persons covered by governmental and other programs as part of its mission to the community. These programs may not pay full charges to the extent reimbursement is below full charges. GPRMC recognized these amounts as contractual adjustments in meeting its mission to the entire community. Also, in recognizing its mission to the community, GPRMC provides services for those unable to pay. Additionally, GPRMC has provided services to others who are either unwilling or unable to qualify for charity care guidelines but who are still unable to pay. Community benefit is also provided by GPRMC by providing reduced price services, free programs offered throughout the year which GPRMC believes will serve a bona fide community health need. See Schedule H for more information regarding these activities.The Hospital provides health care services to patients who meet certain criteria under its charity policy without charge or amounts less than established rates. GPRMC does not pursue collection amounts determined to qualify as charity care, they are not recorded as revenue. The amount of charges foregone for services provided under the Hospital's charity care policy were approximately $27,000 in 2024. Total direct and indirect cost related to these foregone charges were $9,000, based on an average ratio of cost to gross charges.Desc
Total Program Service Expenses$48,549,455TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document309IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee567EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Monica ScottBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5808215500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 W 3rd StreetAddressLine1Txt
CityElk CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73544ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kyle Zybach
Chair1.001.00Yes (X)Yes (X)$0$0$0
Joe Allen
Vice Chair1.001.00Yes (X)Yes (X)$0$0$0
Jeff Jackson
Secretary1.001.00Yes (X)Yes (X)$0$0$0
Edward Albert
Member1.001.00Yes (X)$0$0$0
J Coffey MD
Member1.001.00Yes (X)$0$0$0
Danny Sprowls
Member1.001.00Yes (X)$0$0$0
Erick DeRocher DO
Member/Chief of Staff10.001.00Yes (X)$11,700$0$0
Paul Kumpf
Member1.001.00Yes (X)$0$0$0
Daniel Garbarino
Member1.001.00Yes (X)$0$0$0
Tyson Fisher MD
Member/Vice Chief of Staff40.001.00Yes (X)$636,789$0$41,541
Corey Lively
CEO40.001.00Yes (X)$357,051$0$21,061
Monica R Scott
CFO40.001.00Yes (X)$156,423$0$17,256
Misty Carter
Chief Human Resources40.000.00$153,742$0$22,800Yes (X)
Steven Riley Winham MD
Surgery40.000.00$1,116,786$0$41,252Yes (X)
Donald Lesslie III DO FACS FSSO
General & Bariatric Surgery40.000.00$504,845$0$26,689Yes (X)
Millard L Henry III MD
Urology40.000.00$487,685$0$23,327Yes (X)
Edward Zdobylak MD
Neurology40.000.00$337,593$0$14,693Yes (X)
Stacy Brown PA-C
Orthopedic Surgery40.000.00$249,950$0$30,020Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,012,564TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$238,639TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Premier Physician Staffing
20 E 5th St Suite 620TulsaOK74103Physician ER coverage$3,021,754
Prime Physician Staffing PLLC
20 E 5th St Suite 620TulsaOK74103Hospitalist physician coverage$1,364,625
Qualivis LLC
PO Box 123847DallasTX75312Contract Labor Staffing$986,695
Lifepoint Rehabilitation
PO Box 502096St LouisMO63150Rehab Management$802,383
Horizon Health
PO Box 840839DallasTX75284Senior Care Management$627,875
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Government Grants$120,133GovernmentGrantsAmt
All Other Contributions$3,376AllOtherContributionsAmt
Total Contributions$123,509TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net patient service621990$52,528,748$52,528,748
Pharmacy456110$1,519,592$1,519,592
Cafeteria722514$447,779$427,979$19,800
Daycare center624410$109,805$109,805
Plains Diag Imaging900099$58,167$58,167

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,564TotalRevenueColumnAmt
Related Or Exempt Func Income$33,564RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$54,697,655TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$770,858TotalRevenueColumnAmt
Exclusion$770,858ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,459TotalRevenueColumnAmt
Exclusion$35,459ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$452,328RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$452,328RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$452,328TotalRevenueColumnAmt
Exclusion$452,328ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,132,837SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,074,239SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$58,598SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,598TotalRevenueColumnAmt
Exclusion$58,598ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,138,407TotalRevenueColumnAmt
Related Or Exempt Func Income$54,677,855RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,800UnrelatedBusinessRevenueAmt
Exclusion$1,317,243ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,625TotalAmt
Program Services$6,625ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$11,286TotalAmt
Program Services$11,286ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,448,835TotalAmt
Program Services$687,716ProgramServicesAmt
Management And General$761,119ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$144,723TotalAmt
Program Services$144,723ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,513,185TotalAmt
Program Services$15,342,822ProgramServicesAmt
Management And General$4,170,363ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,834TotalAmt
Program Services$48,607ProgramServicesAmt
Management And General$13,227ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,911,624TotalAmt
Program Services$4,546,841ProgramServicesAmt
Management And General$1,364,783ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,356,550TotalAmt
Program Services$1,041,715ProgramServicesAmt
Management And General$314,835ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,426TotalAmt
Management And General$33,426ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,776,064TotalAmt
Program Services$10,490,943ProgramServicesAmt
Management And General$3,285,121ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$124,317TotalAmt
Program Services$51ProgramServicesAmt
Management And General$124,266ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,777,804TotalAmt
Program Services$1,051,525ProgramServicesAmt
Management And General$726,279ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$468,981TotalAmt
Program Services$237,533ProgramServicesAmt
Management And General$231,448ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,063,313TotalAmt
Program Services$304,694ProgramServicesAmt
Management And General$758,619ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$99,765TotalAmt
Program Services$80,211ProgramServicesAmt
Management And General$19,554ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$37,838TotalAmt
Program Services$25,167ProgramServicesAmt
Management And General$12,671ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,386,148TotalAmt
Program Services$1,290,730ProgramServicesAmt
Management And General$95,418ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,447,805TotalAmt
Program Services$3,201,786ProgramServicesAmt
Management And General$246,019ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$800,488TotalAmt
Program Services$185,943ProgramServicesAmt
Management And General$614,545ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$9,546,706$9,520,445$26,261
Food$745,335$4,012$741,323
Repairs and maintenance$629,957$204,165$425,792
Dues and Subscriptions$298,570$57,251$241,319

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$398,624TotalAmt
Program Services$64,664ProgramServicesAmt
Management And General$333,960ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,089,803TotalAmt
Program Services$48,549,455ProgramServicesAmt
Management And General$14,540,348ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,765BOYAmt
EOY$2,765EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$392,811BOYAmt
EOY$375,424EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,196,961BOYAmt
EOY$9,363,914EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,819,543BOYAmt
EOY$1,913,802EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$643,822BOYAmt
EOY$603,582EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$96,377,659LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$71,283,876LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,579,022BOYAmt
EOY$25,093,783EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,688,225BOYAmt
EOY$19,980,978EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,045,318BOYAmt
EOY$3,446,664EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,132,737BOYAmt
EOY$1,191,097EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$84,000BOYAmt
EOY$84,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$100,926BOYAmt
EOY$442,656EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$63,686,130BOYAmt
EOY$62,498,665EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,944,042BOYAmt
EOY$12,746,888EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,314,385BOYAmt
EOY$27,732,061EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,258,427BOYAmt
EOY$40,478,949EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,427,703BOYAmt
EOY$22,019,716EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,427,703BOYAmt
EOY$22,019,716EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,686,130BOYAmt
EOY$62,498,665EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,951,396ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,543,407NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$2PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,003,365InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$861,828OtherCostOrOtherBasisAmt
Book Value$1,865,193BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,808,185OtherCostOrOtherBasisAmt
Depreciation$41,394,582DepreciationAmt
Book Value$19,413,603BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,083OtherCostOrOtherBasisAmt
Depreciation$30,340DepreciationAmt
Book Value$76,743BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,889,702OtherCostOrOtherBasisAmt
Depreciation$28,323,699DepreciationAmt
Book Value$3,566,003BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,707,496OtherCostOrOtherBasisAmt
Depreciation$1,535,255DepreciationAmt
Book Value$172,241BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,093,783TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in captive insurance$2,376,145F
Investment in LifeCare Health Services, LLC$906,689F
Investment in UMCSC$163,830F
FieldValueIRS element (for citing)
Total Book Value Securities$3,446,664TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Payable to related party$25,594,289
Estimated third-party payor settlements$1,091,328
Operating Lease Liabilities$419,224
Finance Lease Liabilities$627,220
FieldValueIRS element (for citing)
Total Liability$27,732,061TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,907,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,372,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,535,533NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,907,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,372,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,535,533NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,916,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,372,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,544,533NetCommunityBenefitExpnsAmt
Total Expense0.02440TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,919,930BadDebtExpenseAmt
Bad Debt Expense Attributable$1,373,424BadDebtExpenseAttributableAmt
Reimbursed By Medicare$13,363,893ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,381,181CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,017,288MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 Plains Diagnostic Imaging LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesRadiology servicesPrimaryActivitiesTxt
Org Profit Or Ownership0.76700OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.23300PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Great Plains Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 W 3rd StreetAddressLine1Txt
CityElk CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73644ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.gprmc-ok.comWebsiteAddressTxt
State License2210StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other2 Provider Based Rural Health ClinicsOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Great Plains Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.gprmc-ok.com/about/chnaOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttps://osururalhealth.blogspot.com/p/chna.htmlOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.gprmc-ok.com/about/chnaStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://gprmc-ok.com/patient/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://gprmc-ok.com/patient/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://gprmc-ok.com/patient/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Great Plains Regional Medical CenterPart V, Section B, Line 5: Due to the unprecedented Covid-19 pandemic, Great Plains Regional Medical Center was not able to host three community meetings as they have in the past to seek feedback from key stakeholders. In an effort to promote social distancing and following recommendations outlined the CDC's website, the hospital hosted one single community meeting to gather community feedback. The meeting was held on March 23, 2022. All stakeholders received primary and secondary data prior to the meeting.Community members invited to the community meeting included representatives from Great Plains Regional Medical Center, City of Elk City, Elk City Fire Department, Elk City Chamber of Commerce, Area Agency on Aging, Hospital Foundation, Elk City Public Schools and Vocational Technology Schools. Community members received a phone invitation and/or an email invitation from the hospital. Specific representatives included: board members, foundation members, Elk City and Western Oklahoma Wellness Initiatives coordinator, AirEvac, City of Elk City Farmers Union Hospital Association officials, Beckham County Health Department, and GPRMC department directors. The director of Western Oklahoma Family Care Center was invited because of the low-income population served. Therefore, a significant effort was placed on including representatives from the public health sector and those who serve the underserved, low-income or racially diverse populations to gain their perspective of needs in the community.
Great Plains Regional Medical CenterPart V, Section B, Line 11: The community health needs assessment (CHNA) was completed in fiscal year 2022. The following needs were identified and the actions taken in fiscal year 2024 to address those needs.Mental Health including services for youth and adolescents Drug, alcohol, and tobacco abuse Lack of OBGYN care Limited outdoor youth activities Mental Health including services for youth and adolescentsIn recognition of Mental Health Awareness Month, GPRMC placed flyers and banners throughout the hospital to bring awareness and open dialog to this issue. GPRMC's Community Education Manager along with our Social Worker, continue their commitment to Western Oklahoma Alzheimer's Collaborative. This non-profit organization is based in Elk City, Oklahoma, and its mission is to raise awareness and funds for Alzheimer's and provide community support and resources for education and coping strategies to families and friends. GPRMC partnered with WOAC to organize "A Night in Nashville," a concert fundraiser as well as managed a booth at the Suicide Awareness Walk in Elk City. In a show of solidarity, the hospital approved casual Fridays, allowing staff to wear jeans when dressed in green to support mental health awareness. GPRMC proudly partnered with WOAC to present scholarships at Canute High School. Drug, alcohol, and tobacco abuseInformational materials were placed in public areas for free support along with information on tools and medications that can help people quit tobacco. Events were organized such as "Healthy Living for Your Brain and Body" to engage the community on the importance of abuse of substances. . Lack of OB/GYN careGreat Plains Regional Medical Center employees a Certified Nurse Midwife and recently secured recruitment efforts for a Full-Time OBGYN in Elk City. Limited outdoor youth activitiesKids, Incorporated of Elk City, in partnership with the City of Elk City, provides amateur sports programs for children and families in the region. Special Events in 2024, Oklahoma City Thunder hosted a youth basketball camp in Elk City for kids aged 6-14, focusing on basketball fundamentals and sportsmanship.
Great Plains Regional Medical CenterPart V, Section B, Line 13h: Great Plains Regional Medical Center (GPRMC) provides 100% financial assistance for non-elective services under the presumptive guidelines if the patient/responsible party meets any of the below listed criteria:a. Is uninsured and has an estimated family income of less than 200% FPL, and a Health Care Credit score of less than 620 as determined by externally available data sources such as credit agenciesb. Is homeless or received care from a homeless clinicc. Is deceased with no known estate or living spouse

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Great Plains Regional Medical Center (GPRMC) provides 100% financial assistance for non-elective services under the presumptive guidelines if the patient/responsible party meets any of the below listed criteria:a. Is uninsured and has an estimated family income of less than 200% FPL, and a Health Care Credit score of less than 620 as determined by externally available data sources such as credit agenciesb. Is Homeless or received care from a homeless clinicc. Is deceased with no known estate or living spouse
Part I, Line 7:Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report.
Part III, Line 2:The amount reported on line 2 represents implicit price concessions. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients.
Part III, Line 3:An estimated 23.2% of implicit price concession in 2024 are attributable to patients potentially eligible for financial assistance. This is based on the percentage of individuals in the county under the federal poverty level.
Part III, Line 4:The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 13 and 14.
Part III, Line 8:Great Plains Regional Medical Center provides services to Medicare patients understanding there will be write-offs and knowing the Organization will not recover the costs of the services provided. Providing these services is essential to the community and therefore increases access to healthcare services, which is a community benefit. Both the total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.
Part III, Line 9b:GPRMC patients who qualify for charity care and who are cooperating in good faith to resolve their discounted hospital bills, are offered extended payment plans. During this time GPRMC will not send unpaid bills to outside collection agencies, and will cease all collection efforts. Great Plains Regional Medical Center will not impose extraordinary collections actions such as wage garnishments; liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether that patient is eligible for charity care under the financial assistance policy. Patients have 120-days from their first statement to apply for charity care with no extraordinary collection actions.Patients are pre-screened for charitable services before receiving tests and a determination is made as to the financial ability to pay. If patients are pre-qualified for services, the collection process is ceased.
Part VI, Line 2:GPRMC utilizes public health data from CDC, state and local health departments. We also review Hospital & Clinic Records for disease prevalence and ER visit trends. GPRMC relies on direct input from residents about their health concerns and reviews follow-up surveys submitted from GPRMC patients. Census data and other factors affecting health, such as income and housing are reviewed as well. Input from Medical Staff meetings, board meetings, as well as feedback from local health providers, nonprofits, and government agencies is also considered.
Part VI, Line 3:Registration staff are trained to ask about financial concerns and provide information on assistance programs. The GPRMC Website clearly displays charity care details under "Billing & Financial Assistance."Language is present on Billing Statements and Notices to inform patients who receive bills. Assistance is discussed with patients as part of the intake process. Patients are screened at registration to determine need for financial assistance and then are given copies of the financial assistance policy. Upon request, we try to assist patients with paperwork for medical assistance such as Medicare, Medicaid, disability or financial assistance.In addition, information is posted in emergency rooms, the admitting and registration departments and the hospital business offices. A request for charity may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws.
Part VI, Line 4:Great Plains Regional Medical Center is a 62-bed acute care facility located in Beckham County. The hospital provides 24-hour emergency department, acute inpatient services, hospitalist services, laboratory, diagnostic radiology (CT, ultrasound, MRI, nuclear medicine, echocardiograms, mammography, and cardiac catheterization), intensive care, and a cancer treatment center (prostate, breast, and head and neck cancers).The primary medical service area of Great Plains Regional Medical Center includes the zip code areas of Elk City, Sayre, Erick, Hammon, Cheyenne, Cordell, Canute, Mangum, Sentinel and Clinton. The primary medical service area experienced a population decrease of 1.0 percent from the 2010 Census to the latest available, 2016-2020, American Community Survey. The secondary medical services area is comprised of the zip code areas of Burns Flat, Carter, Weatherford, Sweetwater, Reydon, Arnett, Lone Wolf, Durham, Butler, Leedey, Foss, Dill City, Hobart, Granite, Hollis, and Altus. The secondary medical service area experienced a population decrease of 4 percent from 2010 to the 2016-2020 American Community Survey.The 2023 annual unemployment rate for Beckham County was 2.3%. In 2024, Oklahoma's unemployment rate experienced slight fluctuations landing on the average of 3.4%. All of these rates are non-seasonally adjusted. The most recent monthly estimates show Beckham County to be lower than 2020. The share of individuals captured below the poverty threshold for income and household size is calculated by the U.S. Census Bureau.As of the latest available data, approximately 23.2% of individuals in Beckham County, Oklahoma, live below the poverty line. This rate is higher than both the state average of 15.3% and the national average of 12.4%. Specifically, about 32% of children under 18 and 11% of seniors aged 65 and over in the county experience poverty. These figures underscore significant economic challenges faced by residents across all age groups in Beckham County.
Part VI, Line 5:The GPRMC Board of Directors is comprised of citizens from the community, from business owners to retired individuals. This broadly based group provides us with a broad perspective on the needs of the community. GPRMC extends medical privileges to local and area physicians. Physicians must apply for privileges and be approved by the medical staff and Board of Directors. Surplus funds are reinvested into facility and equipment upgrades and free programs throughout the year.In 2024, Elk City, Oklahoma, hosted several health-related events aimed at promoting community wellness such as the Kids Fishing Derby & Family Day. This event provided a fun-filled day of fishing and family activities, encouraging outdoor recreation and healthy lifestyles among children and families. The Community Health Fair offered free screenings, tests, and health-related services to the public. In addtion, GPRMC also provides valuable health resources to the community such as blood drives held several times per year.Great Plains Regional Medical Center Foundation held "Evening at the Derby" event which successfully raised funds toward enhancing cancer treatments. GPRMC, in collaboration with Southwestern Oklahoma State University (SWOSU), introduced a Surgical Technology program in Western Oklahoma. Set to commence in Fall 2025, the program will be based at the GPRMC Education Center in Elk City. This two-year curriculum includes classroom instruction and hands-on clinical experience in GPRMC's operating rooms, aiming to prepare students for careers as surgical technologists.In 2024 GPRMC implemented TeamBirth, an initiative designed to enhance the labor and delivery experience for expectant mothers. This program focuses on improving communication and teamwork among healthcare providers and patients, ensuring that mothers are actively involved in decision-making during childbirth.Additionally, in-kind services are provided to Western Oklahoma State College. This is vital to prospective students pursuing nursing degrees that would not have been able to drive the long distance to the College.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHigh school health care scholarshipsGrantTypeTxt
Recipient4RecipientCnt
Cash Grant$11,286CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital provides scholarships for high school seniors who will pursue health related fields and nursing scholarships. Students complete an application and essay. Administration reviews the applications and chooses the recipients.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Steven Riley Winham MD
Surgery$861,073$0$254,836$0$877$0$1,650$0$39,602$0$1,158,038$0$0$0
Tyson Fisher MD
Member/Vice Chief of Staff$566,564$0$69,595$0$630$0$1,650$0$40,521$0$678,960$0$0$0
Donald Lesslie III DO FACS FSSO
General & Bariatric Surgery$503,677$0$0$0$1,168$0$1,650$0$25,039$0$531,534$0$0$0
Millard L Henry III MD
Urology$487,349$0$0$0$336$0$1,650$0$21,677$0$511,012$0$0$0
Corey Lively
CEO$356,501$0$0$0$550$0$0$0$22,441$0$379,492$0$0$0
Edward Zdobylak MD
Neurology$336,904$0$0$0$689$0$1,650$0$13,043$0$352,286$0$0$0
Stacy Brown PA-C
Orthopedic Surgery$134,769$0$113,450$0$1,731$0$144$0$30,128$0$280,222$0$0$0
Misty Carter
Chief Human Resources$153,446$0$0$0$296$0$787$0$23,099$0$177,628$0$0$0
Monica R Scott
CFO$155,857$0$0$0$566$0$798$0$17,559$0$174,780$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJacob JacksonPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily relation to Jeff Jackson, Board MemberRelationshipDescriptionTxt
Transaction$144,723TransactionAmt
TransactionCompensation as employeeTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1aThe Executive Committee is composed of the officers of the Board; President, Vice President, Secretary and Treasurer. The Hospital's Board President serves as the Chair of the Executive Committee. Other members may be added if advisable. The Executive Committee directly represents the Board and possesses the power to act for the Board within limits set for it by the Board, on matters needing immediate attention, prior to regular board meetings, and such other powers as delegated to it by the Board. The Executive Committee reports to the Board of Directors at the next regular or at the next special meeting called for that purpose.
Form 990, Part VI, Section A, line 6Members are individuals who have voting shares in Great Plains Regional Medical Center. Membership is obtained through transfers of existing memberships. Transfers normally result either through voluntary surrender of a membership from a current member who is no longer interested in retaining their membership or through the death of a member who has no immediate family interested in retaining the membership. Each individual is allowed only one membership and there is only one vote allowed per membership.
Form 990, Part VI, Section A, line 7aGoverning Board members are appointed through nomination and a majority vote election by the membership at annual meetings.
Form 990, Part VI, Section A, line 7bAny amendments to the Governing Board Bylaws and Rules & Regulations have to be approved by a majority vote of the membership. Per the Organization's Bylaws, the members are the supreme authority of the Association in all its affairs.
Form 990, Part VI, Section B, line 11bThe Form 990 is presented and reviewed at the governing Board's monthly meeting. The 990 is also posted on the governing Board's website prior to the meeting.
Form 990, Part VI, Section B, line 12cAll members of the governing board, officers and key employees receive a copy of the Conflict of Interest Policy on an annual basis. The individuals are required to review the policy and complete and sign the questionnaire attesting to their understanding of the policy and that their answers are true and accurate. The board as a whole reviews the conflict of interest statements. Any potential conflicts are discussed and depending on the conflict the board decides the appropriate action to take.
Form 990, Part VI, Section B, line 15aWhen determining the CEO's compensation, Human Resources conducts a comparative analysis of compensation by position using state, multi-state, regional and national compensation data. Data is selected from hospitals with similar bed size, revenue and other similar area comparatives. Human Resources then submits a report to the Executive Committee. This is completed on an annual basis. The Executive Committee reviews the data, confirms the data with an independent auditor and recommends appropriate CEO compensation to the Board of Directors. The CFO and Key employees' compensation is reviewed annually by Human Resources and approved by the CEO.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11gConsulting: Program service expenses 6,463,463. Management and general expenses 1,836,465. Fundraising expenses 0. Total expenses 8,299,928. Service contracts: Program service expenses 564,047. Management and general expenses 672,066. Fundraising expenses 0. Total expenses 1,236,113. Contract labor: Program service expenses 3,463,433. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,463,433. Purchased services: Program service expenses 0. Management and general expenses 776,590. Fundraising expenses 0. Total expenses 776,590.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GPRMC Holdings IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2339AddressLine1Txt
CityElk CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73648ZIPCd
FieldValueIRS element (for citing)
EIN824447018EIN
Primary ActivitiesOwn property and lease to hospital to operate charitablyPrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12b, IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Great Plains Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Plains Diagnostic Imaging LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11705 W 2nd StAddressLine1Txt
CityElk CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73644ZIPCd
FieldValueIRS element (for citing)
EIN261530951EIN
Primary ActivitiesRadiology services and equipment rentalPrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Great Plains Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$58,168ShareOfTotalIncomeAmt
Share Of EOY Assets$1,047,115ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.76700OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Plains Diagnostic Imaging LLC
K$685,200General ledger
GPRMC Holdings Inc
R$1,306,052General ledger