NORTH PLATTE NEBRASKA HOSPITAL CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: NORTH PLATTE NEBRASKA HOSPITAL CORPORATION (EIN 47-0662290)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-09
IRS object ID: 202243139349305154
Schema version: 2021v4.2
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 I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-09T15:42:37-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT ST STE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470662290	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH PLATTE NEBRASKA HOSPITAL CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	3085688000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 WEST LEOTA STREET	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69103	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SUMMER OWEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3085688000	PhoneNum
Signature	2022-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	SUMMER	PersonFirstNm
Person Last	OWEN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY R COOLEY CPA	PreparerPersonNm
PTIN	P01523804	PTIN
Phone	4023302660	PhoneNum
Preparation	2022-11-08	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	IVAN MITCHELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 WEST LEOTA STREET	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$319,609,640	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GPHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Assoc	Yes (X)	TypeOfOrganizationAssocInd
Formation	1971	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	PROVIDE ACUTE, PREVENTIVE AND OTHER HEALTHCARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1468	TotalEmployeeCnt
Total Volunteers	135	TotalVolunteersCnt
Total Gross UBI	$84,280	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,923,312	PYContributionsGrantsAmt
CY Contributions Grants	$5,089,669	CYContributionsGrantsAmt
PY Program Service Revenue	$225,847,847	PYProgramServiceRevenueAmt
CY Program Service Revenue	$264,687,777	CYProgramServiceRevenueAmt
PY Investment Income	$5,390,513	PYInvestmentIncomeAmt
CY Investment Income	$9,116,230	CYInvestmentIncomeAmt
PY Other Revenue	-$742,067	PYOtherRevenueAmt
CY Other Revenue	$1,706,252	CYOtherRevenueAmt
PY Total Revenue	$245,419,605	PYTotalRevenueAmt
CY Total Revenue	$280,599,928	CYTotalRevenueAmt
PY Grants And Similar Paid	$580,683	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,184,299	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$107,180,083	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$124,293,098	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$280,498	CYTotalFundraisingExpenseAmt
PY Other Expenses	$105,399,369	PYOtherExpensesAmt
CY Other Expenses	$115,089,101	CYOtherExpensesAmt
PY Total Expenses	$213,160,135	PYTotalExpensesAmt
CY Total Expenses	$240,566,498	CYTotalExpensesAmt
PY Revenues Less Expenses	$32,259,470	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,033,430	CYRevenuesLessExpensesAmt
Total Assets BOY	$454,878,032	TotalAssetsBOYAmt
Total Assets EOY	$507,153,714	TotalAssetsEOYAmt
Total Liabilities BOY	$144,673,479	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$133,622,736	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$310,204,553	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$373,530,978	NetAssetsOrFundBalancesEOYAmt
Mission	TO INSPIRE HEALTH AND HEALING BY PUTTING PATIENTS FIRST -- ALWAYS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$204,390,445	ExpenseAmt
Grant	$1,184,299	GrantAmt
Revenue	$235,881,252	RevenueAmt
Desc	GREAT PLAINS HEALTH IS A NOT-FOR-PROFIT HEALTH SYSTEM COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. OUR MEDICAL STAFF, BOARD AND LEADERSHIP BELIEVE WE OFFER SPECIALTIES THAT PROVIDE HIGH QUALITY AND LOW COST CARE TO OUR PATIENTS. SPECIALTIES THAT ARE NEW AND HAVE GROWN IN THE PAST THREE YEARS ARE ONCOLOGY, CARDIOLOGY, ORTHOPEDICS, HYPERBARIC AND WOUND CARE, AND THE DIABETIC PROGRAM TO MEET THE HEALTH CHALLENGES OF OUR COMMUNITIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,452,445	ExpenseAmt
Revenue	$27,318,869	RevenueAmt
Desc	GREAT PLAINS HEALTH OPERATES A 116-BED INPATIENT HOSPITAL. THE INPATIENT CARE PROVIDED IN THOSE UNITS ARE THE FOLLOWING: MEDICAL, SURGICAL, INTENSIVE CARE, CORONARY CARE, OBSTETRICS, LABOR & DELIVERY, NICU, AND BEHAVIOR HEALTH SERVICES. GREAT PLAINS HEALTH PATIENTS COME FROM PRIMARY AND SECONDARY MARKETS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,776,041	ExpenseAmt
Revenue	$2,462,219	RevenueAmt
Desc	GREAT PLAINS HEALTH IS DEDICATED TO MEETING THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITIES WE SERVE. TO HELP MEET THOSE NEEDS, WE OPERATE A DEDICATED BEHAVIORAL HEALTH UNIT/FLOOR AT THE HOSPITAL. THE UNIT ACCEPTS A WIDE VARIETY OF BEHAVIORAL DIAGNOSIS AND ISSUES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$222,618,931	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	168	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1468	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUMMER OWEN CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3085687193	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 WEST LEOTA	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69103	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL SIMONSON MD
CHIEF OF STAFF/DIRECTOR	40.00	Yes (X)	$1,152,167	$0	$50,226
JIM SMITH MD
PHYSICIAN (GPH)/DIRECTOR	40.00	Yes (X)	$474,368	$0	$54,125
NEWTON MACK MD
CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
DARREL SMITH
VICE CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
JODY TOMANEK
SECRETARY/TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
LADD LAKE MD
VICE CHIEF OF STAFF/DIRECTOR	1.00	Yes (X)	$0	$0	$0
JOE BOB ATKINS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
KRISTEN BURWICK
DIRECTOR	1.00	Yes (X)	$0	$0	$0
VIKKI CARLSON
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MICHAEL CUNNING
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MATTHEW HAWKS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MIKE JACOBSON
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DAN O'NEILL
DIRECTOR	1.00	Yes (X)	$0	$0	$0
LINDSAY PEDERSON
DIRECTOR	1.00	Yes (X)	$0	$0	$0
LANCE POLK
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PETE VOLZ
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JAY ENGEL
SECRETARY/TREASURER THRU 3/2021	1.00	Yes (X)	$0	$0	$0	Yes (X)
TRACI DUGAN
DIRECTOR THRU 7/2021	1.00	Yes (X)	$0	$0	$0
MELVIN MCNEA
CEO	39.00		$509,474	$0	$41,148	Yes (X)
THOMAS LEGEL
CFO	39.00		$170,213	$0	$37,961	Yes (X)
WAYNE L WARREN MD
PHYSICIAN (GPH)	40.00		$2,015,908	$0	$51,218		Yes (X)
RICHARD J MARKIEWICZ MD
PHYSICIAN (GPH)	40.00		$1,764,462	$0	$49,226		Yes (X)
PUSHKAR M KANADE MD
PHYSICIAN (GPH)	40.00		$1,319,536	$0	$13,617		Yes (X)
NATHAN A JACOBSON MD
PHYSICIAN (GPH)	40.00		$1,103,758	$0	$50,225		Yes (X)
ANIL KUMAR MD
PHYSICIAN (GPH)	40.00		$991,887	$0	$49,226		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,501,773	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$396,972	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	190	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SAMPSON CONSTRUCTION
440 REGENCY PKWY DR 131	OMAHA	NE	68114	GENERAL CONTRACTOR	$2,310,121
HEALTH CAROUSEL LLC
3805 EDWARDS RD 700	CINCINNATI	OH	45209	STAFFING SERVICES	$2,092,341
CONVERGEONE INC
10900 NESBITT AVENUE SOUTH	BLOOMINGTON	MN	55437	INFORMATION TECHNOLOGY SERVICES	$1,703,107
CLARK ENERSEN PARTNERS
6464 CENTER ST SUITE 140	OMAHA	NE	68106	GENERAL CONTRACTOR	$1,338,264
BRYAN TELEMEDICINE
1600 S 48TH ST	LINCOLN	NE	68506	INFORMATION TECHNOLOGY SERVICES	$996,331

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,782,294	GovernmentGrantsAmt
All Other Contributions	$307,375	AllOtherContributionsAmt
Total Contributions	$5,089,669	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	624100	$152,308,052	$152,308,052
MEDICARE/MEDICAID PAYMENTS	624100	$110,890,845	$110,890,845
OTHER OPERATING REVENUE	624100	$1,271,407	$1,271,407
PATHOLOGY REVENUE	624100	$206,673	$206,673
MANAGEMENT FEES	624100	$10,800	$10,800

Field	Value	IRS element (for citing)
Total Program Service Revenue	$264,687,777	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,989,814	TotalRevenueColumnAmt
Exclusion	$3,989,814	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$72,091	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	$72,091	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,091	TotalRevenueColumnAmt
Exclusion	$72,091	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$43,683,644	SecuritiesAmt
Other	$452,484	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$38,432,672	SecuritiesAmt
Other	$577,040	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,250,972	SecuritiesAmt
Other	-$124,556	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,126,416	TotalRevenueColumnAmt
Exclusion	$5,126,416	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NORTH PLATTE SURGICAL CENTER	621400	$1,010,541	$1,010,541
CAFETERIA REVENUE	722210	$575,318		$575,318
MID-NEBRASKA MEDICAL VENTURES	621110	$263,941	$263,941

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$215,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$299,919	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$84,280	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,634,161	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$280,599,928	TotalRevenueColumnAmt
Related Or Exempt Func Income	$265,662,340	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$84,280	UnrelatedBusinessRevenueAmt
Exclusion	$9,763,639	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,184,299	TotalAmt
Program Services	$1,184,299	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,489,682	TotalAmt
Program Services	$1,730,886	ProgramServicesAmt
Management And General	$758,796	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$174,287	TotalAmt
Program Services	$174,287	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$99,745,422	TotalAmt
Program Services	$92,599,684	ProgramServicesAmt
Management And General	$6,984,249	ManagementAndGeneralAmt
Fundraising	$161,489	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,823,988	TotalAmt
Program Services	$2,650,680	ProgramServicesAmt
Management And General	$168,698	ManagementAndGeneralAmt
Fundraising	$4,610	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,291,882	TotalAmt
Program Services	$12,546,868	ProgramServicesAmt
Management And General	$721,489	ManagementAndGeneralAmt
Fundraising	$23,525	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,767,837	TotalAmt
Program Services	$5,253,800	ProgramServicesAmt
Management And General	$502,473	ManagementAndGeneralAmt
Fundraising	$11,564	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$264,670	TotalAmt
Management And General	$264,670	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$554,415	TotalAmt
Management And General	$554,415	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$118,663	TotalAmt
Management And General	$118,663	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$473,167	TotalAmt
Management And General	$473,167	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,922,074	TotalAmt
Program Services	$26,666,531	ProgramServicesAmt
Management And General	$4,241,312	ManagementAndGeneralAmt
Fundraising	$14,231	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$463,734	TotalAmt
Program Services	$30,283	ProgramServicesAmt
Management And General	$431,188	ManagementAndGeneralAmt
Fundraising	$2,263	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,458,833	TotalAmt
Program Services	$3,679,653	ProgramServicesAmt
Management And General	$743,178	ManagementAndGeneralAmt
Fundraising	$36,002	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,673,166	TotalAmt
Program Services	$4,387,197	ProgramServicesAmt
Management And General	$279,667	ManagementAndGeneralAmt
Fundraising	$6,302	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,969,425	TotalAmt
Program Services	$3,810,516	ProgramServicesAmt
Management And General	$156,404	ManagementAndGeneralAmt
Fundraising	$2,505	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$163,354	TotalAmt
Program Services	$156,521	ProgramServicesAmt
Management And General	$6,825	ManagementAndGeneralAmt
Fundraising	$8	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,734,464	TotalAmt
Program Services	$2,536,479	ProgramServicesAmt
Management And General	$195,728	ManagementAndGeneralAmt
Fundraising	$2,257	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,932,575	TotalAmt
Program Services	$15,123,920	ProgramServicesAmt
Management And General	$798,185	ManagementAndGeneralAmt
Fundraising	$10,470	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,020,579	TotalAmt
Program Services	$969,245	ProgramServicesAmt
Management And General	$50,749	ManagementAndGeneralAmt
Fundraising	$585	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$47,049,139	$47,026,567	$22,436	$136
FOOD	$795,634	$795,634
DUES & SUBSCRIPTIONS	$486,960	$312,338	$170,426	$4,196
EDUCATION & TRAINING	$440,108	$423,689	$16,069	$350

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$568,141	TotalAmt
Program Services	$559,854	ProgramServicesAmt
Management And General	$8,282	ManagementAndGeneralAmt
Fundraising	$5	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$240,566,498	TotalAmt
Program Services	$222,618,931	ProgramServicesAmt
Management And General	$17,667,069	ManagementAndGeneralAmt
Fundraising	$280,498	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$120,371	BOYAmt
EOY	$217,353	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$205,910,918	BOYAmt
EOY	$309,015,022	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,653,076	BOYAmt
EOY	$23,850,525	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$903,261	BOYAmt
EOY	$1,186,354	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,282,540	BOYAmt
EOY	$8,234,571	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,062,601	BOYAmt
EOY	$4,496,559	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$293,980,845	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$169,982,104	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$124,687,780	BOYAmt
EOY	$123,998,741	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$53,565,080	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,702,060	BOYAmt
EOY	$4,027,740	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$2,064,937	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,990,345	BOYAmt
EOY	$30,061,912	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$454,878,032	BOYAmt
EOY	$507,153,714	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,547,480	BOYAmt
EOY	$24,995,546	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$93,539,784	BOYAmt
EOY	$89,684,928	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,586,215	BOYAmt
EOY	$18,942,262	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$144,673,479	BOYAmt
EOY	$133,622,736	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	$308,630,541	BOYAmt
EOY	$371,682,443	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,574,012	BOYAmt
EOY	$1,848,535	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$310,204,553	BOYAmt
EOY	$373,530,978	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$454,878,032	BOYAmt
EOY	$507,153,714	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$40,033,430	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,018,472	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$274,523	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$13,668	OtherActivitiesAmt
Total Lobbying Expenditures	$13,668	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE $13,668 REPRESENTS THE PORTION OF THE DUES PAID TO THE NEBRASKA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION THAT ARE USED FOR LOBBYING BY THOSE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,804,845	OtherCostOrOtherBasisAmt
Book Value	$1,804,845	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,162,784	OtherCostOrOtherBasisAmt
Depreciation	$77,268,872	DepreciationAmt
Book Value	$82,893,912	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,053,130	OtherCostOrOtherBasisAmt
Depreciation	$2,151,827	DepreciationAmt
Book Value	$901,303	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,622,727	OtherCostOrOtherBasisAmt
Depreciation	$85,838,036	DepreciationAmt
Book Value	$28,784,691	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,337,359	OtherCostOrOtherBasisAmt
Depreciation	$4,723,369	DepreciationAmt
Book Value	$9,613,990	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$123,998,741	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
MISCELLANEOUS RECEIVABLE	$847,306
DUE FROM AFFILIATES	$76,933
DEFERRED COMPENSATION	$8,513,607
RECEIVABLE ON INSURANCE CLAIM	$55,000
INTEREST IN GREAT PLAINS FOUNDATION	$1,945,521
LAND HELD FOR FUTURE EXPANSION AND INVESTMENT	$1,320,184
PATIENT CUSTOMER CONTRACTS	$8,686,527
OPERATING LEASES	$8,124,200
RECRUITMENT ADVANCES	$492,634

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$30,061,912	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS	$2,237,262
DEFERRED COMPENSATION	$8,513,607
OPERATING LEASES LIABILITY	$8,191,393

Field	Value	IRS element (for citing)
Total Liability	$18,942,262	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	GP HEALTH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GP HEALTH HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. GPHEI IS A FOR-PROFIT CORPORATION THAT RECOGNIZED FEDERAL AND STATE INCOME TAX EXPENSE OF APPROXIMATELY $69,000 AND $39,000 IN 2021 AND 2020, RESPECTIVELY. THE INCOME TAX EXPENSE IS INCLUDED AS OTHER EXPENSE OF THE CONSOLIDATED STATEMENTS OF OPERATIONS IN 2021 AND 2020. GPHIN IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. GPHIN DID NOT RECOGNIZE ANY FEDERAL AND STATE INCOME TAX EXPENSE IN 2021 AND 2020 DUE TO OPERATING LOSSES INCURRED DURING THE YEAR. MNMV IS A LIMITED LIABILITY COMPANY OF WHICH GP HEALTH OWNS A 60% INTEREST. MNMV IS TAXED UNDER THE PARTNERSHIP PROVISIONS OF THE INTERNAL REVENUE CODE. INCOME OF MNMV IS REPORTED AND RESPECTIVE INCOME TAXES ARE PAID DIRECTLY BY THE MEMBERS. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2021 AND 2020, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	2119	PersonsServedCnt
Total Community Benefit Expns	$3,370,353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,370,353	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	5032	PersonsServedCnt
Total Community Benefit Expns	$28,779,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,390,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,389,122	NetCommunityBenefitExpnsAmt
Total Expense	0.04330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	7151	PersonsServedCnt
Total Community Benefit Expns	$32,149,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,390,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,759,475	NetCommunityBenefitExpnsAmt
Total Expense	0.05730	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	16814	PersonsServedCnt
Total Community Benefit Expns	$2,057,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,032,695	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	84	PersonsServedCnt
Total Community Benefit Expns	$458,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$458,953	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	2120	PersonsServedCnt
Total Community Benefit Expns	$1,000,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$529,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$471,224	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$505,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$497,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$891,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$891,837	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	19018	PersonsServedCnt
Total Community Benefit Expns	$4,914,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$561,913	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,352,272	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	26169	PersonsServedCnt
Total Community Benefit Expns	$37,063,939	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,952,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,111,747	NetCommunityBenefitExpnsAmt
Total Expense	0.07550	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	20000	PersonsServedCnt
Total Community Benefit Expns	$409	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$409	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	13720	PersonsServedCnt
Total Community Benefit Expns	$36,477	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,477	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	2500	PersonsServedCnt
Total Community Benefit Expns	$2,545	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	36220	PersonsServedCnt
Total Community Benefit Expns	$39,431	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$356,572	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$83,938,948	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$115,840,505	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$31,901,557	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
2 NORTH PLATTE SURGERY CENTER LLC
PROVIDES OUTPATIENT SURGERY SERVICES	0.50000	0.00000	0.50000
3 MID-NE MEDICAL VENTURES
LEASES OF PHYSICIAN'S OFFICE BUILDING	0.60000	0.05000	0.35000

Field	Value	IRS element (for citing)
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 HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 WEST LEOTA	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GPHEALTH.ORG	WebsiteAddressTxt
State License	510001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
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 HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GPHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GPHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	GPHEALTH.ORG/PATIENTS-VISITORS/PRICE-ESTIMATES-BILLING-AND-FINANCIAL-ASSIST	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	GPHEALTH.ORG/PATIENTS-VISITORS/PRICE-ESTIMATES-BILLING-AND-FINANCIAL-ASSIST	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	GPHEALTH.ORG/PATIENTS-VISITORS/PRICE-ESTIMATES-BILLING-AND-FINANCIAL-ASSIST	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 3J: THE GREAT PLAINS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JUNE TO OCTOBER 2019.GREAT PLAINS HEALTH EXECUTIVES, REPRESENTATIVES FROM PARTNERING AGENCIES AND THE COMMUNITY ANALYZED THE MOST UP-TO-DATE HEALTH DATA AVAILABLE, INCLUDING RELEVANT DEMOGRAPHICS AND COMMUNITY STAKEHOLDER INPUT. THE PROCESS LED TO THE IDENTIFICATION OF FIVE PRIORITY AREAS:1. INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTHCARE.2. INCREASE PREVENTION EDUCATION TO REDUCE THE PREVALENCE OF CHRONIC DISEASES, PREVENTABLE CONDITIONS, READMISSIONS AND HIGH MORTALITY RATES.3. INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING.4. IMPROVE ACCESS TO MEDICAL AND DENTAL CARE.5. RECRUIT AND RETAIN QUALITY HEALTHCARE PROFESSIONALS.
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 5: DURING THE RESEARCH AND COLLABORATION OF CHNA DEVELOPMENT, GREAT PLAINS HEALTH CONDUCTED ONE-ON-ONE PHONE INTERVIEWS WITH INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AND THOSE WITH AN EXPERTISE RELEVANT TO THE HEALTH OF THE COMMUNITY, INCLUDING STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT EQUIVALENT DEPARTMENT OR AGENCY; MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS AND COMMUNITY LEADERS. DURING THESE INTERVIEWS, THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS WERE DISCUSSED.
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 11: GREAT PLAINS HEALTH LEADERSHIP PRIORITIZED AND DECIDED TO ADDRESS ALL OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN.THE FINAL LIST OF PRIORITIZED NEEDS IS LISTED BELOW IN DESCENDING ORDER:1. INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE.2. INCREASE PREVENTION AND EDUCATION TO REDUCE THE PREVALENCE OF CHRONIC DISEASES, PREVENTABLE CONDITIONS, READMISSIONS AND HIGH MORTALITY RATES.3. INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING.4. IMPROVE ACCESS TO MEDICAL AND DENTAL CARE.5. RECRUIT AND RETAIN QUALITY HEALTHCARE PROFESSIONALS.THE GREAT PLAINS HEALTH LEADERSHIP TEAM DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THESE PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HEALTH SYSTEM'S OVERALL STRATEGIC PLAN, AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES AND THE ANTICIPATED IMPACT AND EVALUATION.PRIORITY ONE: INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE. IMPLEMENTATION ACTIVITIES INCLUDE PARTICIPATING IN COMMUNITY DISCUSSION ABOUT THE EXPANSION OF A DETOX SERVICE IN THE COMMUNITY, IMPLEMENTING TELE-PSYCHIATRY IN MAJOR NURSING HOMES IN PSA, EXPLORE TELEHEALTH IN SCHOOLS, PARTICIPATING IN SUICIDE PREVENTION ACTIVITIES AND RESOURCES, COLLABORATING WITH SCHOOLS AND CONTINUING TO AUGMENT DEPRESSION SCREENING SERVICES.PRIORITY TWO: INCREASE PREVENTION EDUCATION TO REDUCE CHRONIC DISEASES, PREVENTABLE CONDITIONS, READMISSIONS AND HIGH MORTALITY RATES. IMPLEMENTATION ACTIVITIES INCLUDE OFFERING COMMUNITY HEALTH INFORMATION AND CLASSES, OFFERING HEALTH SCREENINGS, PARTICIPATING IN LOCAL SPEAKERS BUREAU TO PROVIDE HEALTH EDUCATION, PROVIDING SPORTS MEDICINE SERVICES AT NO COST TO MORE THAN 15 SCHOOLS, UTILIZE SOCIAL MEDIA TO EDUCATE THE PUBLIC ON CHRONIC DISEASE MANAGEMENT AND TOOLS, CONTINUE TO GROW THE CARE COORDINATION PROGRAM WHICH IS SPECIFICALLY FOCUSED ON IMPROVING OUTCOMES AND REDUCING READMISSIONS FOR HIGH RISK PATIENTS.PRIORITY THREE: INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING. IMPLEMENTATION ACTIVITIES INCLUDE PARTICIPATING IN LOCAL HOUSING TASK FORCES, ASSISTING WITH DOWN PAYMENT ASSISTANCE FOR REGISTERED NURSES EMPLOYED AT GPH AND ASSISTING FAMILIES OR FRIENDS OF PATIENTS WHO ARE SUBJECT TO HOSPITAL STAYS.PRIORITY FOUR: IMPROVE ACCESS TO MEDICAL AND DENTAL CARE. IMPLEMENTATION ACTIVITIES INCLUDE EXPANDING IN-BOUND AND OUT-BOUND TELEHEALTH SERVICES, IMPLEMENT A TELE-VISIT PROGRAM FOR QUALIFYING PATIENTS, ORGANIZE A TASK FORCE TO IDENTIFY BARRIERS TO PROVIDING INDIGENT DENTAL CARE AND THEN WORK TO OVERCOME THOSE BARRIERS, CONTINUE TO OFFER FINANCIAL SUPPORT THROUGH THE GREAT PLAINS MEDICATION ASSISTANCE PROGRAM TO HELP THOSE WHO CANNOT AFFORD THEIR LONG-TERM MEDICATIONS, CONTINUE TO OFFER A GENEROUS FINANCIAL ASSISTANCE PROGRAM FOR THOSE UNABLE TO PAY FOR EMERGENCY MEDICAL AND NON-ELECTIVE SERVICES WHO MEET REQUIRED ELIGIBILITY GUIDELINES.PRIORITY FIVE: RECRUIT AND RETAIN QUALITY HEALTHCARE PROFESSIONALS. IMPLEMENTATION ACTIVITIES INCLUDE PRIORITIZING PHYSICIAN RECRUITMENT IDENTIFIED IN MEDICAL STAFF NEEDS ASSESSMENT, PARTICIPATING IN PHYSICIAN RETENTION STRATEGIES OUTLINED IN THE ORGANIZATION STRATEGIC PLAN, LEADERSHIP WILL PARTICIPATE IN LOCAL TASK FORCES, BOARDS AND COMMITTEES WHOSE GOAL IS TO IMPROVE THE QUALITY OF LIFE IN THE PSA, CONTINUE NURSE RESIDENCY PROGRAM AND PRECEPTOR PROGRAMS, ENHANCE COMMUNICATION AMONG PROVIDERS AND PATIENTS THROUGH THE CLINICAL INTEGRATION PROGRAM, ENGAGE WITH LOCAL COMMUNITY COLLEGE STUDENTS AND HIGH SCHOOL CAREER ACADEMY CLASSES, CONTINUE PROMOTING SERVICES, OFFERINGS AND SPECIALTIES THROUGH SOCIAL MEDIA, LOCAL NEWSPAPERS, RADIO ADS, DIRECT MAIL AND BILLBOARDS.THERE ARE NOT ANY SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED.
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 13B: IF A PATIENT'S COMBINED OUTSTANDING MEDICAL BILLS, AFTER INSURANCE PAYS, EXCEEDS 7.5% OF THEIR ANNUAL GROSS INCOME, THEY WILL RECEIVE AN ADDITIONAL 25% DISCOUNT ON TOP OF THE FINANCIAL ASSISTANCE DISCOUNT WITH THE COMBINED DISCOUNT NOT TO EXCEED 100% OF THE OUTSTANDING BALANCE. OUTSTANDING MEDICAL BILLS ARE NOT RESTRICTED TO JUST GREAT PLAINS HEALTH SERVICES BUT CAN BE ANY MEDICAL SERVICES. CURRENT STATEMENTS MUST BE PROVIDED SHOWING THE OUTSTANDING BALANCES CLAIMED.
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 16J: THE WRITTEN FINANCIAL ASSISTANCE POLICY IS ON GPH'S WEBSITE, AS WELL AS PRINTED ON THE BACK SIDE OF EACH PAGE OF THE PATIENT BILLING STATEMENT. POSTERS REGARDING AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT PATIENT POINTS OF ENTRY THROUGHOUT THE HOSPITAL FACILITY.
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 20E: GPH WORKS WITH PATIENTS THROUGH PHONE AND IN-PERSON INTERVIEWS TO DETERMINE THE PATIENT'S FINANCIAL SITUATION AND TO DETERMINE IF THE INDIVIDUAL QUALIFIES FOR ASSISTANCE, SUCH AS MEDICAID.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - NORTH PLATTE SURGERY CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	621 WEST FRANCIS STREET	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69101	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT SURGERIES	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	GREAT PLAINS HEALTH (GPH) MAY MAKE A DETERMINATION OF ELIGIBILTY AT ANY STAGE OF THE PROCESS, INCLUDING PAST ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. EACH PATIENT REQUESTING FINANCIAL ASSISTANCE WILL BE ASKED TO COMPLETE A FINANCIAL QUESTIONNAIRE AND TO PROVIDE COPIES OF DOCUMENTATION INCLUDING THEIR MOST RECENT FEDERAL INCOME TAX FORM, COPIES OF RECENT PAY STUBS, BANK STATEMENTS AND OTHER APPROPRIATE INDICATORS OF INCOME. A REFERRAL FOR FINANCIAL ASSITANCE MAY BE RECOMMENDED BY THE PATIENT, FAMILY MEMBER, PHYSICIAN OR HOSPITAL DEPARTMENTS AND PROVIDED BASED ON INFORMATION FROM OTHER SOURCES. FULL FINANCIAL ASSISTANCE WILL GENERALLY BE PROVIDED WHEN GROSS HOUSEHOLD INCOME IS EQUAL TO OR LESS THAN 150% OF THE FEDERAL POVERTY GUIDELINES. A SLIDING FEE SCALE DISCOUNT WILL BE APPLIED FOR HOUSEHOLD INCOME UP TO 250% OF THE FEDERAL POVERTY GUIDELINES. THE INCOME LEVELS WILL BE UPDATED ANNUALLY BASED UPON THE MOST CURRENT FEDERAL POVERTY GUIDELINES.
PART I, LINE 6A:	GPH'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF OF GPH.
PART I, LINE 7:	GPH UTILIZED AN OVERALL COST TO CHARGE RATIO (TOTAL EXPENSES - BAD DEBT) / GROSS PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGE.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G INCLUDE TRAINING FOR EMS, OUTREACH, LIFE SUPPORT OUTSIDE, AND ER, TRAUMA, AND LIFE SUPPORT FOR HOSPITAL EDUCATION.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 356,572.
PART II, COMMUNITY BUILDING ACTIVITIES:	GPH HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSORING HEALTH FAIR, SPORTS CLINICS AND SUPPORT GROUPS, PHYSICIANS SERVING ON COMMUNITY BOARDS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.
PART III, LINE 2:	GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE ORGANIZATION PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE ORGANIZATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF CHANGE. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, NO SIGNIFICANT ADJUSTMENTS TO REVENUE WERE RECOGNIZED DUE TO CHANGES IN ESTIMATES OF IMPLICIT PRICE CONCESSIONS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.
PART III, LINE 3:	IN ACCORDANCE WITH ITS MISSION OBJECTIVES, THE ORGANIZATION PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES TO PAY FOR THE SERVICES THEY RECEIVE. IT IS THE POLICY OF THE ORGANIZATION NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE PATIENT FINANCIAL ASSISTANCE. ACCORDINGLY, THE ORGANIZATION DOES NOT REPORT THESE AMOUNTS IN PATIENT SERVICE REVENUE. THE ESTIMATED COST INCURRED BY THE ORGANIZATION TO PROVIDE THESE SERVICES TO PATIENTS WHO ARE UNABLE TO PAY WAS APPROXIMATELY $4,600,000 FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. THE ESTIMATED COST OF THESE SERVICES WAS DETERMINED USING A RATIO OF COSTS TO STANDARD CHARGES AND APPLYING THAT RATIO TO THE STANDARD CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE FOR THE PERIOD. STANDARD CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS INCLUDES ONLY THE RELATED CHARGES FOR THOSE PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY AND QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE/CHARITY CARE POLICY AND THAT DO NOT OTHERWISE QUALIFY FOR REIMBURSEMENT FROM A GOVERNMENTAL PROGRAM.
PART III, LINE 4:	THE COSTING METHODOLOGY USED IN DETERMINING THE BAD DEBT EXPENSES INCLUDES CALCULATING ON A MONTHLY BASIS THE TOTAL ESTIMATED AMOUNTS BASED ON HISTORICAL WRITE OFFS.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. FOOTNOTES TITLED "PATIENT RECEIVABLES," "PATIENT SERVICE REVENUE, AND "FINANCIAL ASSISTANCE/CHARITY CARE" CAN BE FOUND ON PAGES 9, 11, 12, AND 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE SHORTFALL IS BASED ON THE INFORMATION FROM THE COST REPORT. THESE COSTS ARE MEDICARE REIMBURSABLE COSTS, NOT ALL COSTS. THESE MEDICARE REIMBURSABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT TO THE EXTENT THAT MEDICARE REVENUES DO NOT COVER THE COSTS. WE DO NOT USE ANY NEGOTIATION TOOL WITH MEDICARE FOR OUR RATES; THE RATES THAT WE ARE PAID ARE MANDATED. HENCE, THIS DOES NOT GIVE US THE ABILITY AS A PROVIDER TO RECEIVE SUFFICIENT REVENUES TO COVER THE MEDICARE COSTS. AS A FACILITY WE ARE WORKING TOWARD COSTS SAVINGS.
PART III, LINE 9B:	IF THE COLLECTION AGENCY LEARNS INFORMATION THAT INDICATES THAT THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE GPH CHARITY CARE POLICY, THEN THE COLLECTION AGENCY SHALL PROMPTLY NOTIFY THE PATIENT FINANCIAL SERVICES DIRECTOR AND CEASE ANY FURTHER COLLECTION ACTIVITY UNTIL GPH DETERMINES THE PATIENT ELIGIBILITY.
PART VI, LINE 2:	GPH USES STRATEGIC PLANNING PROCESSES, MARKET STUDIES, OPEN FORUMS WITH PHYSICIANS, COMMUNITY FOCUS GROUPS, CUSTOMER SERVICE SURVEYS AND COMMUNITY SURVEYS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES GPH SERVES. PATIENT CARE AND SUPPORT SERVICES PROVIDED BY GPH ARE BASED ON GPH'S MISSION, VISION, VALUES AND STANDARDS OF BEHAVIOR. PATIENT CARE AND ANCILLARY SERVICES ARE ORGANIZED IN RESPONSE TO PATIENT NEEDS AS IDENTIFIED THROUGH THE STRATEGIC PLANNING PROCESS. THE GPH STRATEGIC PLAN FOCUSES ON ACHIEVING A CONTINUUM OF CARE TO MEET THE NEEDS OF THE COMMUNITY SERVED. THE STRATEGIC PLANNING PROCESS IS COMPLETED APPROXIMATELY EVERY THREE TO FIVE YEARS.
PART VI, LINE 3:	FOR PATIENTS THAT GPH DETERMINES ARE FINANCIALLY INDIGENT, THE PATIENT/GUARANTOR WILL BE NOTIFIED AND ASSISTED BY THE GPH PATIENT FINANCIAL SERVICES IN APPLYING FOR FINANCIAL ASSISTANCE. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE ACCOUNT WILL BE REVIEWED FOR A CHARITY ALLOWANCE ACCORDING TO THE HOSPITAL'S CHARITY POLICY (ADMINISTRATIVE POLICY 8210-0008). CASE MANAGERS ARE AVAILABLE AT GPH TO ASSIST PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL AND SOCIAL STRESS THAT ACCOMPANY ILLNESS AND HOSPITALIZATION. CASE MANAGERS HAVE A WORKING KNOWLEDGE OF SOCIAL WORK THEORIES AND ARE ABLE TO ASSIST PATIENTS WITH CONTACTING COMMUNITY AGENCIES THAT CAN ASSIST THEM IN RECOVERY AND FINANCIAL NEEDS. AN OUTSIDE AGENCY IS USED TO PROVIDE ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR MEDICAID. ONE-ON-ONE FINANCIAL COUNSELING IS AVAILABLE TO EVERY PATIENT, UPON REQUEST.
PART VI, LINE 4:	GREAT PLAINS HEALTH IS THE ONLY HOSPITAL IN LINCOLN COUNTY AND IS A REGIONAL REFERRAL HOSPITAL FOR NINETEEN OTHER COUNTIES IN NEBRASKA. GPH SERVES A MARKET OF OVER 134,000 RESIDENTS. OVER NINETY-THREE PERCENT OF GPH'S INPATIENT ADMISSIONS COME FROM WITHIN THIS MARKET. SEVENTY-TWO PERCENT OF THE PATIENTS COME FROM LINCOLN COUNTY. THE PRIMARY SERVICE AREA IS DEFINED AS LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING NINETEEN COUNTIES: ARTHUR, FRONTIER, HOOKER, PERKINS, CHASE, GRANT, GOSPER, KEITH, RED WILLOW, FURNAS, DUNDY, CHERRY, CUSTER, HAYES, LOGAN, THOMAS, DAWSON, HITCHCOCK, AND MCPHERSON. THE TOTAL POPULATION OF THE SECONDARY SERVICE AREA IS ABOUT 99,000.THE POPULATION IN THE SERVICE AREA IS EXPECTED TO CONTINUE THE SHIFT TOWARDS AN AGING POPULATION THAT WOULD INCREASE SERVICE UTILIZATION. HOSPITALS IN THE SECONDARY SERVICE AREA ARE: CHASE COUNTY COMMUNITY HOSPITAL (CHASE COUNTY), CHERRY COUNTY HOSPITAL (CHERRY COUNTY), CALLAWAY DISTRICT HOSPITAL (CUSTER COUNTY), JENNIE M. MELHAM MEMORIAL HOSPITAL (CUSTER COUNTY), COZAD COMMUNITY HOSPITAL (DAWSON COUNTY), GOTHENBURG MEMORIAL HOSPITAL (DAWSON COUNTY), TRI COUNTY HOSPITAL (DAWSON COUNTY), DUNDY COUNTY HOSPITAL (DUNDY COUNTY), TRI VALLEY HEALTH SYSTEM (FURNAS COUNTY), OGALLALA COMMUNITY HOSPITAL (KEITH COUNTY), PERKINS COUNTY HEALTH SERVICES (PERKINS COUNTY), AND COMMUNITY HOSPITAL (RED WILLOW COUNTY).MARKET OVERVIEWPRIMARY SERVICE AREA- CONSISTS OF LINCOLN COUNTY- ACCOUNTS FOR NEARLY 64.8% GPH'S INPATIENT CASES- THE 2019 POPULATION WAS 36,338SECONDARY SERVICE AREA- CONSISTS OF NINETEEN COUNTIES EXTENDING NORTH TO SOUTH DAKOTA, SOUTH TO KANSAS AND WEST TO COLORADO - ACCOUNTS FOR 29.0% OF GPH'S INPATIENT CASES - POPULATION 101,938 IN 2019 - LARGEST EMPLOYER IS UNION PACIFIC
PART VI, LINE 5:	GPH HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSORING HEALTH FAIR, SPORTS CLINICS AND SUPPORT GROUPS, PHYSICIANS SERVING ON COMMUNITY BOARDS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.
PART VI, LINE 6:	GREAT PLAINS HEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM, BUT ASSISTS IN IDENTIFYING AND RECRUITING TOP PHYSICIANS IN NEEDED SPECIALTIES. GPH PROVIDES EDUCATION TO THE COMMUNITY ON VARIOUS HEALTH PROGRAMS FOR EMPLOYEES, EMPLOYERS AND THE COMMUNITY GPH SERVES. MANY MEMBERS OF THE STAFF HOLD SPEAKING ENGAGEMENTS TO PROVIDE MEDICAL INFORMATION TO THE COMMUNITY. THE MEDICATION ASSISTANCE PROGRAM ASSISTS PATIENTS TO FIND OTHER MEANS TO AFFORD THEIR PRESCRIPTIONS.THE HEALTH CENTER OPERATES ACUTE AND PSYCHIATRIC CARE BEDS, A HOME HEALTH AGENCY, AND PROVIDES VARIOUS OUTPATIENT AND EMERGENCY MEDICAL TREATMENT SERVICES. THE AFFILIATES LEASE AND SELL HOME MEDICAL EQUIPMENT TO THE PUBLIC, RENT OFFICE SPACE TO PHYSICIAN PRACTICES AND PROVIDE PHYSICIAN PROFESSIONAL MEDICAL SERVICES AND OTHER PROGRAMS TO PATIENTS.
PART VI, LINE 7:	GPH DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
NEBRASKALAND DAYS INC
PO BOX 706	NORTH PLATTE	NE	69103	470521025	501(C)(4)	$6,150	$0	SPONSOR OF EVENTS
PLATTE RIVER FITNESS SERIES
1300 MCDONALD ROAD	NORTH PLATTE	NE	69101	476006297	GOVERNMENTAL	$17,500	$0	SPONSOR OF EVENTS
CREATIVITY UNLIMITED ARTS COUNCIL
PO BOX 266	NORTH PLATTE	NE	69103	202209105	501(C)(3)	$10,000	$0	FOR RENOVATION TO THE PRAIRIE ARTS CENTER
MID-NEBRASKA COMMUNITY FOUNDATION INC
121 N DEWEY ST 112	NORTH PLATTE	NE	69103	470604965	501(C)(3)	$15,000	$0	COMMUNITY BUILD PARK
NORTH PLATTE CHAMBER OF COMMERCE
502 S DEWY	NORTH PLATTE	NE	69101	237355570	GOVERNMENTAL	$200,000	$0	SHOT IN THE ARM HOUSING INCENTIVE PROGRAM PHASE 3
MID-PLAINS COMMUNITY COLLEGE
601 W STATE FARM ROAD	NORTH PLATTE	NE	69101	470519583	GOVERNMENTAL	$400,000	$0	HEALTH & SCIENCE CENTER EXPANSION PROJECT
CITY OF NORTH PLATTE
211 WEST THIRD STREET	NORTH PLATTE	NE	69101		GOVERNMENTAL	$0	$518,867	CREATION OF WILLIAM STREET	FAIR MARKET VALUE	LAND

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GREAT PLAINS HEALTH PROVIDES SPONSORSHIP DOLLARS TO CHARITABLE EVENTS IN THE LOCAL AREA. THE ORGANIZATION GIVES TO CHARITABLE ORGANIZATIONS IN THE AREA WHICH BENEFIT THE LOCAL COMMUNITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	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
WAYNE L WARREN MD
PHYSICIAN (GPH)	$1,988,251	$0	$3,382	$0	$24,275	$0	$11,600	$0	$39,618	$0	$2,067,126	$0	$0	$0
RICHARD J MARKIEWICZ MD
PHYSICIAN (GPH)	$1,757,617	$0	$4,013	$0	$2,832	$0	$11,600	$0	$37,626	$0	$1,813,688	$0	$0	$0
PUSHKAR M KANADE MD
PHYSICIAN (GPH)	$1,234,368	$0	$80,928	$0	$4,240	$0	$11,600	$0	$2,017	$0	$1,333,153	$0	$0	$0
MICHAEL SIMONSON MD
CHIEF OF STAFF/DIRECTOR	$1,036,454	$0	$115,413	$0	$300	$0	$11,600	$0	$38,626	$0	$1,202,393	$0	$0	$0
NATHAN A JACOBSON MD
PHYSICIAN (GPH)	$590,744	$0	$512,744	$0	$270	$0	$11,600	$0	$38,625	$0	$1,153,983	$0	$0	$0
ANIL KUMAR MD
PHYSICIAN (GPH)	$986,622	$0	$3,095	$0	$2,170	$0	$11,600	$0	$37,626	$0	$1,041,113	$0	$0	$0
MELVIN MCNEA
CEO	$477,164	$0	$28,500	$0	$3,810	$0	$11,600	$0	$29,548	$0	$550,622	$0	$0	$0
JIM SMITH MD
PHYSICIAN (GPH)/DIRECTOR	$462,513	$0	$9,875	$0	$1,980	$0	$11,600	$0	$42,525	$0	$528,493	$0	$0	$0
THOMAS LEGEL
CFO	$153,114	$0	$15,500	$0	$1,599	$0	$0	$0	$37,961	$0	$208,174	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	PHYSICIANS ARE ELIGIBLE FOR NON-FIXED QUALITY COMPENSATION BONUSES. QUALITY INDICATORS FOR QUALITY COMPENSATION SHALL BE OBJECTIVE, IDENTIFIABLE STANDARDS THAT ARE ESTABLISHED BY GPH, THE PHYSICIAN AND EXECUTIVE DIRECTOR IN WRITING ON AN ANNUAL BASIS PRIOR TO THE BEGINNING OF A NEW CONTRACT YEAR. SAID QUALITY METRICS SHALL NOT RELATE IN ANY MANNER TO THE VOLUME OR VALUE OF REFERRALS OR OTHER BUSINESS GENERATED BY PHYSICIAN FOR HOSPITAL OR AFFILIATES THEREOF OR BASED UPON REDUCING OR REFUSING CARE PROVIDED TO BENEFICIARIES OF FEDERAL PROGRAMS. THE FOLLOWING PHYSICIANS RECEIVED BONUSES DURING THE YEAR: MICHAEL SIMONSON, MD RICHARD MARKIEWICZ, MD WAYNE WARREN, MD PUSHKAR KANADE, MD ANIL KUMAR, MD JIM SMITH, MD NATHAN JACOBSON, MD	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MICHELLE L MCNEA
SPOUSE OF MELVIN MCNEA, OFFICER.	$45,311	EMPLOYMENT WITH THE HOSPITAL	0
KRISTIN LAKE
SPOUSE OF DR. LADD LAKE, DIRECTOR	$116,126	EMPLOYMENT WITH THE HOSPITAL	0
JOSEPH RUYBAL
SON-IN-LAW OF PETE VOLZ, DIRECTOR	$12,850	EMPLOYMENT WITH HOSPITAL	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	COPIES OF THE FORM 990 ARE AVAILABLE TO THE BOARD ON A PORTAL. THE BOARD IS NOTIFIED WHEN IT IS AVAILABLE FOR VIEWING.
FORM 990, PART VI, SECTION B, LINE 12C	GPH PROVIDES A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH OFFICER AND DIRECTOR. THE CONFLICT OF INTEREST QUESTIONNAIRE IS COMPLETED AND RETURNED ANNUALLY. ANY QUESTIONABLE SITUATION IS DISCLOSED ON THE QUESTIONNAIRE. FURTHERMORE, ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR ARE TO BE REPORTED TO ADMINISTRATION. THE CONFLICTS REVIEW COMMITTEE REVIEWS ANY TRANSACTIONS THAT MAY BE CONSIDERED TO HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE GREAT PLAINS HEALTH BOARD OF DIRECTORS STRIVES TO COMPENSATE OFFICERS AT LEVELS THAT ARE COMPETITIVE IN THE MARKETPLACE, COST EFFECTIVE AND, AS MUCH AS POSSIBLE, INTERNALLY EQUITABLE. THE EXECUTIVE COMMITTEE FOR THE BOARD OF DIRECTORS MEETS NO LESS THAN ANNUALLY TO REVIEW COMPENSATION PACKAGES FOR GPH'S PRESIDENT AND OFFICERS. COMPENSATION DATA IS GATHERED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT BY SURVEYING COMPARABLE POSITIONS AT PEER INSTITUTIONS, ENSURING THAT COMPENSATION PACKAGES ARE MEETING FAIR MARKET VALUE. A COMPLETE ANALYSIS OF DATA IS REQUESTED FROM THE CONSULTANT AT LEAST EVERY FOUR YEARS. THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT IS ULTIMATELY ACCOUNTABLE TO THE EXECUTIVE COMMITTEE AND THE BOARD. THE EXECUTIVE COMMITTEE ANNUALLY RECOMMENDS TO THE BOARD THE SELECTION/RETENTION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT; REVIEWS COMPENSATION RECOMMENDATIONS; AND DETERMINES THOSE OFFICERS FOR WHOM WRITTEN EMPLOYMENT CONTRACTS WILL BE REQUIRED. THE BOARD OF DIRECTORS HAS THE AUTHORITY TO ANNUALLY AUTHORIZE MANAGEMENT TO PROCEED WITH IMPLEMENTATION OF PROPOSED COMPENSATION OF OFFICERS.
FORM 990, PART VI, SECTION C, LINE 19	GREAT PLAINS HEALTH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. UPON WRITTEN REQUEST TO THE CFO, GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC FOR REVIEW AT THE HOSPITAL'S ADMINSTRATIVE OFFICE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 356,666. MANAGEMENT AND GENERAL EXPENSES 1,785,852. FUNDRAISING EXPENSES 2. TOTAL EXPENSES 2,142,520. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,498,068. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,498,068. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 10,964,236. MANAGEMENT AND GENERAL EXPENSES 2,028,639. FUNDRAISING EXPENSES 10,224. TOTAL EXPENSES 13,003,099. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,305,166. MANAGEMENT AND GENERAL EXPENSES 1,683. FUNDRAISING EXPENSES 8. TOTAL EXPENSES 7,306,857. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 542,395. MANAGEMENT AND GENERAL EXPENSES 425,138. FUNDRAISING EXPENSES 3,997. TOTAL EXPENSES 971,530.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION 274,523.
FORM 990, PART XII, LINE 2C:	THE BOARD OF DIRECTORS OF GREAT PLAINS HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
NORTH PLATTE SURGERY CENTER LLC
621 W FRANCIS STE 270	NORTH PLATTE	NE	69101	800016588	AMBULATORY SURGERY CENTER	NE	GREAT PLAINS HEALTH	RELATED	$366,578	$2,176,152	0	Yes (1)	0.50000
MID-NEBRASKA MEDICAL VENTURES LLC
601 W LEOTA STREET	NORTH PLATTE	NE	69101	811815353	REAL ESTATE	NE	GREAT PLAINS HEALTH	RELATED	$344,621	$1,506,225	0	Yes (1)	0.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GREAT PLAINS HOMECARE EQUIPMENT INC
PO BOX 1596	NORTH PLATTE	NE	69101	470786518	SELLING OF HOME MEDICAL EQUIPMENT	NE	GREAT PLAINS HEALTH	C	$2,276,173	$909,513	1.00000	Yes (1)
GREAT PLAINS PHO INC
PO BOX 1167	NORTH PLATTE	NE	69103	470786942	DEVELOPMENT OF A NETWORK OF HEALTH CARE PROVIDERS	NE	GREAT PLAINS HEALTH	C	$266,842	$686,261	1.00000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREAT PLAINS PHO INC
B	$469,000	FMV = CASH TRANSFERRED
GREAT PLAINS PHO INC
O	$549,362	COST
GREAT PLAINS HOMECARE EQUIPMENT INC
O	$557,748	COST