STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTH PLATTE NEBRASKA HOSPITAL CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
NORTH PLATTE NEBRASKA HOSPITAL CORPORATION (EIN 47-0662290)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-09
IRS object ID
202133139349303873
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-09T13:47:19-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470662290EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH PLATTE NEBRASKA HOSPITAL CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone3085688000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTA STREETAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELVIN MCNEAPersonNm
Person TitleCEOPersonTitleTxt
Phone3085688000PhoneNum
Signature2021-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMELVINPersonFirstNm
Person LastMCNEAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEYPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTHOMAS LEGELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTA STREETAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$320,979,201GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GPHEALTH.ORGWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation1971FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionPROVIDE ACUTE, PREVENTIVE AND OTHER HEALTHCARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1334TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$231,361TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,120,845PYContributionsGrantsAmt
CY Contributions Grants$14,923,312CYContributionsGrantsAmt
PY Program Service Revenue$224,528,539PYProgramServiceRevenueAmt
CY Program Service Revenue$225,847,847CYProgramServiceRevenueAmt
PY Investment Income$6,328,821PYInvestmentIncomeAmt
CY Investment Income$5,390,513CYInvestmentIncomeAmt
PY Other Revenue$65,740PYOtherRevenueAmt
CY Other Revenue-$742,067CYOtherRevenueAmt
PY Total Revenue$239,043,945PYTotalRevenueAmt
CY Total Revenue$245,419,605CYTotalRevenueAmt
PY Grants And Similar Paid$139,770PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$580,683CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$104,377,060PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$107,180,083CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$290,203CYTotalFundraisingExpenseAmt
PY Other Expenses$108,818,535PYOtherExpensesAmt
CY Other Expenses$105,399,369CYOtherExpensesAmt
PY Total Expenses$213,335,365PYTotalExpensesAmt
CY Total Expenses$213,160,135CYTotalExpensesAmt
PY Revenues Less Expenses$25,708,580PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,259,470CYRevenuesLessExpensesAmt
Total Assets BOY$413,695,081TotalAssetsBOYAmt
Total Assets EOY$454,878,032TotalAssetsEOYAmt
Total Liabilities BOY$128,844,076TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,673,479TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$284,851,005NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$310,204,553NetAssetsOrFundBalancesEOYAmt
MissionTO INSPIRE HEALTH AND HEALING BY PUTTING PATIENTS FIRST -- ALWAYS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$180,735,094ExpenseAmt
Grant$580,683GrantAmt
Revenue$197,185,262RevenueAmt
DescGREAT 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

FieldValueIRS element (for citing)
Expense$15,857,692ExpenseAmt
Revenue$24,867,230RevenueAmt
DescGREAT 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

FieldValueIRS element (for citing)
Expense$1,686,355ExpenseAmt
Revenue$2,398,397RevenueAmt
DescGREAT 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
FieldValueIRS element (for citing)
Total Program Service Expenses$198,279,141TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
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 Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document119IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1334EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS LEGEL CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3085687193PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTAAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerInd
MICHAEL SIMONSON MD
CHIEF OF STAFF/DIRECTOR40.000.00Yes (X)$1,138,905$0$50,059
RICHARD J MARKIEWICZ MD
PHYSICIAN (GPH)40.000.00$1,062,402$0$48,959Yes (X)
WAYNE L WARREN
PHYSICIAN (GPH)40.000.00$1,002,946$0$34,268Yes (X)
PUSHKAR M KANADE
PHYSICIAN (GPH)40.000.00$971,330$0$13,417Yes (X)
JOHN HANNAH MD
PHYSICIAN (GPH)40.000.00$933,989$0$49,690Yes (X)
ANIL KUMAR MD
PHYSICIAN (GPH)40.000.00$890,605$0$48,959Yes (X)
JIM SMITH MD
DIRECTOR39.001.00Yes (X)$468,412$0$52,216
MELVIN MCNEA
CEO39.001.00$448,727$0$41,875Yes (X)
MONICA J LYNCH
INTERIM CFO 02-05/202039.001.00$154,309$0$34,765Yes (X)
THOMAS LEGEL
CFO39.001.00$142,539$0$39,792Yes (X)
NEWTON MACK MD
CHAIR1.001.00Yes (X)$0$0$0Yes (X)
DARREL SMITH
VICE CHAIR1.001.00Yes (X)$0$0$0Yes (X)
JAY ENGEL
SECRETARY/TREASURER1.001.00Yes (X)$0$0$0Yes (X)
TRACI DUGAN
DIRECTOR1.000.00Yes (X)$0$0$0
KRISTEN BURWICK
DIRECTOR1.000.00Yes (X)$0$0$0
MIKE JACOBSON
DIRECTOR1.000.00Yes (X)$0$0$0
LADD LAKE MD
VICE CHIEF OF STAFF/DIRECTOR1.000.00Yes (X)$0$0$0
DWIGHT LIVINGSTON
DIRECTOR1.000.00Yes (X)$0$0$0
MARK OETTINGER
DIRECTOR1.000.00Yes (X)$0$0$0
DAN O'NEILL
DIRECTOR1.000.00Yes (X)$0$0$0
LINDSAY PEDERSON
DIRECTOR1.000.00Yes (X)$0$0$0
LANCE POLK
DIRECTOR1.001.00Yes (X)$0$0$0
JODY TOMANEK
DIRECTOR1.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,214,164TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$414,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K157IndivRcvdGreaterThan100KCnt
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
SAMPSON CONSTRUCTION
440 REGENCY PKWY DR 131OMAHANE68114GENERAL CONTRACTOR$2,327,520
HEALTH CAROUSEL LLC
3805 EDWARDS RD 700CINCINNATIOH45209STAFFING SERVICES$2,194,468
AVANT HEALTHCARE PROFESSIONALS
1211 SEMORAN BLVDCASSELBERRYFL32707STAFFING SERVICES$1,850,958
ARETE NURSE PROFESSIONALS LLC
2655 NORTHWINDS PKWYALPHARETTAGA30009STAFFING SERVICES$1,467,433
SNELL SERVICES INC
2220 W FRONT STNORTH PLATTENE69101ELECTRICAL CONTRACTOR$1,344,672
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Government Grants$13,411,205GovernmentGrantsAmt
All Other Contributions$1,512,107AllOtherContributionsAmt
Total Contributions$14,923,312TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE624100$116,311,563$116,311,563
MEDICARE/MEDICAID PAYMENTS624100$107,433,001$107,433,001
PATHOLOGY REVENUE624100$1,223,046$1,223,046
OTHER OPERATING REVENUE624100$869,437$902,952-$33,515
MANAGEMENT FEES624100$10,800$10,800
FieldValueIRS element (for citing)
Total Program Service Revenue$225,847,847TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,277,587TotalRevenueColumnAmt
Unrelated Business Revenue$69,591UnrelatedBusinessRevenueAmt
Exclusion$2,207,996ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$124,302RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$124,302RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,302TotalRevenueColumnAmt
Exclusion$124,302ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$78,253,350SecuritiesAmt
Other$419,172OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$75,357,487SecuritiesAmt
Other$202,109OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,895,863SecuritiesAmt
Other$217,063OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,112,926TotalRevenueColumnAmt
Unrelated Business Revenue$117,570UnrelatedBusinessRevenueAmt
Exclusion$2,995,356ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NORTH PLATTE SURGICAL CENTER621400$825,398$825,398
CAFETERIA REVENUE722210$486,389$486,389
MID-NEBRASKA MEDICAL VENTURES621110$214,527$214,527

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,392,683TotalRevenueColumnAmt
Related Or Exempt Func Income-$2,470,398RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$77,715UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total-$866,369OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$245,419,605TotalRevenueColumnAmt
Related Or Exempt Func Income$224,450,889RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$231,361UnrelatedBusinessRevenueAmt
Exclusion$5,814,043ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$580,683TotalAmt
Program Services$580,683ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,571,599TotalAmt
Program Services$1,709,592ProgramServicesAmt
Management And General$862,007ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$195,122TotalAmt
Program Services$195,122ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$84,760,320TotalAmt
Program Services$78,537,704ProgramServicesAmt
Management And General$6,075,105ManagementAndGeneralAmt
Fundraising$147,511FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,501,932TotalAmt
Program Services$2,355,844ProgramServicesAmt
Management And General$141,711ManagementAndGeneralAmt
Fundraising$4,377FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,024,361TotalAmt
Program Services$11,415,512ProgramServicesAmt
Management And General$586,092ManagementAndGeneralAmt
Fundraising$22,757FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,126,749TotalAmt
Program Services$4,664,199ProgramServicesAmt
Management And General$452,008ManagementAndGeneralAmt
Fundraising$10,542FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$287,888TotalAmt
Management And General$287,888ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$493,738TotalAmt
Management And General$493,738ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$135,360TotalAmt
Management And General$135,360ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$357,162TotalAmt
Management And General$357,162ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,190,437TotalAmt
Program Services$26,289,705ProgramServicesAmt
Management And General$2,876,594ManagementAndGeneralAmt
Fundraising$24,138FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$283,444TotalAmt
Program Services$13,480ProgramServicesAmt
Management And General$266,894ManagementAndGeneralAmt
Fundraising$3,070FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,189,457TotalAmt
Program Services$3,723,067ProgramServicesAmt
Management And General$417,622ManagementAndGeneralAmt
Fundraising$48,768FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,585,324TotalAmt
Program Services$4,267,194ProgramServicesAmt
Management And General$307,937ManagementAndGeneralAmt
Fundraising$10,193FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,984,894TotalAmt
Program Services$3,837,047ProgramServicesAmt
Management And General$144,577ManagementAndGeneralAmt
Fundraising$3,270FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$133,346TotalAmt
Program Services$130,156ProgramServicesAmt
Management And General$2,908ManagementAndGeneralAmt
Fundraising$282FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,034,563TotalAmt
Program Services$2,822,333ProgramServicesAmt
Management And General$209,695ManagementAndGeneralAmt
Fundraising$2,535FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,349,381TotalAmt
Program Services$14,637,323ProgramServicesAmt
Management And General$703,227ManagementAndGeneralAmt
Fundraising$8,831FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$765,963TotalAmt
Program Services$732,169ProgramServicesAmt
Management And General$33,390ManagementAndGeneralAmt
Fundraising$404FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$40,379,286$40,374,946$4,340
FOOD$641,635$641,635
BAD DEBTS$547,413$547,413
DUES & SUBSCRIPTIONS$458,262$254,978$202,764$520

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$581,816TotalAmt
Program Services$549,039ProgramServicesAmt
Management And General$29,772ManagementAndGeneralAmt
Fundraising$3,005FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$213,160,135TotalAmt
Program Services$198,279,141ProgramServicesAmt
Management And General$14,590,791ManagementAndGeneralAmt
Fundraising$290,203FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$128,900BOYAmt
EOY$120,371EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$155,865,313BOYAmt
EOY$205,910,918EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,380,765BOYAmt
EOY$24,653,076EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$956,480BOYAmt
EOY$903,261EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,096,164BOYAmt
EOY$7,282,540EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,464,767BOYAmt
EOY$4,062,601EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$309,909,730LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$185,221,950LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$128,057,999BOYAmt
EOY$124,687,780EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$65,063,383BOYAmt
EOY$53,565,080EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,089,260BOYAmt
EOY$3,702,060EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,592,050BOYAmt
EOY$29,990,345EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$413,695,081BOYAmt
EOY$454,878,032EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,906,660BOYAmt
EOY$19,547,480EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,619,042BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$93,539,784EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,318,374BOYAmt
EOY$31,586,215EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,844,076BOYAmt
EOY$144,673,479EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$282,443,020BOYAmt
EOY$308,630,541EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,407,985BOYAmt
EOY$1,574,012EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$284,851,005BOYAmt
EOY$310,204,553EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$413,695,081BOYAmt
EOY$454,878,032EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,259,470ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,978,044NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,927,878OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,075OtherActivitiesAmt
Total Lobbying Expenditures$13,075TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE $13,075 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,629,844OtherCostOrOtherBasisAmt
Book Value$1,629,844BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,920,138OtherCostOrOtherBasisAmt
Depreciation$69,852,404DepreciationAmt
Book Value$88,067,734BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,039,354OtherCostOrOtherBasisAmt
Depreciation$1,924,167DepreciationAmt
Book Value$1,115,187BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,841,162OtherCostOrOtherBasisAmt
Depreciation$109,023,542DepreciationAmt
Book Value$31,817,620BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,479,232OtherCostOrOtherBasisAmt
Depreciation$4,421,837DepreciationAmt
Book Value$2,057,395BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$124,687,780TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLE$1,418,594
DUE FROM AFFILIATES$76,484
DEFERRED COMPENSATION$6,851,270
RECEIVABLE ON INSURANCE CLAIM$515,000
INTEREST IN GREAT PLAINS FOUNDATION$1,645,965
LAND HELD FOR FUTURE EXPANSION AND INVESTMENT$1,382,413
PATIENT CUSTOMER CONTRACTS$8,686,527
OPERATING LEASES$8,905,371
RECRUITMENT ADVANCES$508,721
FieldValueIRS element (for citing)
Total Book Value Other Assets$29,990,345TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS$1,496,517
DEFERRED COMPENSATION$6,851,270
OPERATING LEASES LIABILITY$8,947,442
MEDICARE ADVANCE PAYMENTS$14,290,986
FieldValueIRS element (for citing)
Total Liability$31,586,215TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationGP 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 $39,000 AND $55,000 IN 2020 AND 2019, RESPECTIVELY. THE INCOME TAX EXPENSE IS INCLUDED AS OTHER EXPENSE OF THE CONSOLIDATED STATEMENTS OF OPERATIONS IN 2020 AND 2019. 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 2020 AND 2019 DUE TO OPERATING LOSSES INCURRED DURING THE YEAR. MNMV IS A LIMITED LIABILITY COMPANY OF WHICH GP HEALTH OWNS A 60% INTEREST. 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, 2020 AND 2019, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED.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
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served2036PersonsServedCnt
Total Community Benefit Expns$5,387,959TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,387,959NetCommunityBenefitExpnsAmt
Total Expense0.02530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served3842PersonsServedCnt
Total Community Benefit Expns$20,967,763TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,430,768DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,536,995NetCommunityBenefitExpnsAmt
Total Expense0.04020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served5878PersonsServedCnt
Total Community Benefit Expns$26,355,722TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,430,768DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,924,954NetCommunityBenefitExpnsAmt
Total Expense0.06550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served10902PersonsServedCnt
Total Community Benefit Expns$1,826,172TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,826,172NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served275PersonsServedCnt
Total Community Benefit Expns$401,080TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$401,080NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served2128PersonsServedCnt
Total Community Benefit Expns$1,172,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$714,039DirectOffsettingRevenueAmt
Net Community Benefit Expns$458,625NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$277,721TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,280DirectOffsettingRevenueAmt
Net Community Benefit Expns$256,441NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$462,630TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$462,630NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served13305PersonsServedCnt
Total Community Benefit Expns$4,140,267TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$735,319DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,404,948NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served19183PersonsServedCnt
Total Community Benefit Expns$30,495,989TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,166,087DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,329,902NetCommunityBenefitExpnsAmt
Total Expense0.08160TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served20500PersonsServedCnt
Total Community Benefit Expns$1,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,503NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served10850PersonsServedCnt
Total Community Benefit Expns$28,167TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,167NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served650PersonsServedCnt
Total Community Benefit Expns$1,195TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,195NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served32000PersonsServedCnt
Total Community Benefit Expns$30,865TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,865NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$547,413BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$75,420,841ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$107,541,272CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$32,120,431MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PHYSICIAN HOSPITAL CONTRACTING ORGANIZATION
NEGOTIATES HEALTHCARE CONTRACTS FOR PHYSICIANS AND THE HOSPITAL0.500000.000000.50000
2 NORTH PLATTE SURGERY CENTER LLC
PROVIDES OUTPATIENT SURGERY SERVICES0.500000.000000.50000
3 MID-NE MEDICAL VENTURES
LEASES OF PHYSICIAN'S OFFICE BUILDING0.600000.050000.35000
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 HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTAAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GPHEALTH.ORGWebsiteAddressTxt
State License510001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTHBusinessNameLine1Txt
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
OtherYes (X)OtherInd
CHNA Conducted19CHNAConductedYr
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.GPHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACTOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.GPHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLGPHEALTH.ORG/PATIENTS-VISITORS/PRICE-ESTIMATES-BILLING-AND-FINANCIAL-ASSISTFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLGPHEALTH.ORG/PATIENTS-VISITORS/PRICE-ESTIMATES-BILLING-AND-FINANCIAL-ASSISTFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLGPHEALTH.ORG/PATIENTS-VISITORS/PRICE-ESTIMATES-BILLING-AND-FINANCIAL-ASSISTFAPSummaryOnWebsiteURLTxt
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
Other PublicityYes (X)OtherPublicityInd
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
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GREAT PLAINS HEALTHPART 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 HEALTHPART 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 HEALTHPART 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 HEALTHPART 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 HEALTHPART 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 HEALTHPART 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - NORTH PLATTE SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 WEST FRANCIS STREETAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
FacilityOUTPATIENT SURGERIESFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 547,413.
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, 2020 AND 2019, 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 AND $8,300,000 FOR THE YEAR ENDED DECEMBER 31, 2020 AND 2019, RESPECTIVELY. 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, RENT INDEPENDENT LIVING APARTMENTS TO THE ELDERLY 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

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
NEBRASKALAND DAYS INC
PO BOX 706NORTH PLATTENE69103470521025501(C)(4)$20,000SPONSOR OF EVENTS
PLATTE RIVER FITNESS SERIES
1300 MCDONALD ROADNORTH PLATTENE69101476006297GOVERNMENTAL$17,500SPONSOR OF EVENTS
CREATIVITY UNLIMITED ARTS COUNCIL
PO BOX 266NORTH PLATTENE69103202209105501(C)(3)$10,000FOR RENOVATION TO THE PRAIRIE ARTS CENTER
MID-NEBRASKA COMMUNITY FOUNDATION INC
121 N DEWEY ST 112NORTH PLATTENE69103470604965501(C)(3)$15,000COMMUNITY BUILD PARK
NORTH PLATTE CHAMBER OF COMMERCE
502 S DEWYNORTH PLATTENE69101237355570GOVERNMENTAL$100,000SHOT IN THE ARM HOUSING INCENTIVE PROGRAM PHASE 3
CITY OF NORTH PLATTE
211 WEST 3RD STREETNORTH PLATTENE69101476006297GOVERNMENTALTO PROVIDE THE CITY A CEMENT PARKING LOT.$220,134FAIR MARKET VALUEPARKING LOT
UNITED WAY OF NORTH PLATTE
PO BOX 172NORTH PLATTENE68103470525576501(C)(3)$5,000SUPPORT OF THE MID-PLAINS UNITED WAY CAMPAIGN TO SUPPORT LOCAL COMMUNITY SUPPORT ORGANIZATIONS.
MID-PLAINS COMMUNITY COLLEGE
601 W STATE FARM ROADNORTH PLATTENE69101470519583GOVERNMENTAL$100,000HEALTH & SCIENCE CENTER EXPANSION PROJECT
SUTHERLAND PUBLIC SCHOOL
401 WALNUT STREETSUTHERLANDNE69165476004084GOVERNMENTAL$5,000SCOREBOARD
UNIVERSITY OF NEBRASKA FOUNDATION
1010 LINCOLN MALL STE 300LINCOLNNE68508470379839501(C)(3)$5,000KEARNEY HEALTH OPPORTUNITIES PROGRAM
NORTH PLATTE KIDS ACADEMY
1210 SOUTH ASHNORTH PLATTENE69101470527598501(C)(3)$22,000SAFETY ITEMS AND ANNUAL DONATION
ROCKY MOUNTAIN PERFORMANCE EXCELLENCE
PO BOX 4263GREENWOOD VILLAGECO80155841543649501(C)(3)$10,000SUSTAINABLE EXCELLENCE COMMUNITIES OF PRACTICE 2020
WHITETAIL SCREEN PRINT
507 N JEFFERS STREETNORTH PLATTENE69101454837293$5,6003 PLY FACE MASKS GIVEN TO SCHOOLS AND PSA
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGREAT 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

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
MICHAEL SIMONSON MD
CHIEF OF STAFF/DIRECTOR$1,018,403$0$119,013$0$1,489$0$11,400$0$38,659$0$1,188,964$0$0$0
RICHARD J MARKIEWICZ MD
PHYSICIAN (GPH)$1,002,196$0$56,694$0$3,512$0$11,400$0$37,559$0$1,111,361$0$0$0
WAYNE L WARREN
PHYSICIAN (GPH)$988,239$0$500$0$14,207$0$11,400$0$22,868$0$1,037,214$0$0$0
PUSHKAR M KANADE
PHYSICIAN (GPH)$927,360$0$34,347$0$9,623$0$11,400$0$2,017$0$984,747$0$0$0
JOHN HANNAH MD
PHYSICIAN (GPH)$804,486$0$128,786$0$717$0$11,400$0$38,290$0$983,679$0$0$0
ANIL KUMAR MD
PHYSICIAN (GPH)$834,515$0$54,287$0$1,803$0$11,400$0$37,559$0$939,564$0$0$0
JIM SMITH MD
DIRECTOR$457,818$0$9,304$0$1,290$0$11,400$0$40,816$0$520,628$0$0$0
MELVIN MCNEA
CEO$444,425$0$500$0$3,802$0$11,400$0$30,475$0$490,602$0$0$0
MONICA J LYNCH
INTERIM CFO 02-05/2020$152,591$0$500$0$1,218$0$4,247$0$30,518$0$189,074$0$0$0
THOMAS LEGEL
CFO$141,397$0$0$0$1,142$0$5,890$0$33,902$0$182,331$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationPHYSICIANS 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 JOHN HANNAH, MD WAYNE WARREN, MD PUSHKAR KANADE, MD ANIL KUMAR, MD JIM SMITH, MDExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MICHELLE L MCNEA
SPOUSE OF MELVIN MCNEA, OFFICER.$47,222EMPLOYMENT WITH THE HOSPITAL0
TRISHA A JORGENSEN
STEP-DAUGHTER OF DWIGHT LIVINGSTON, DIRECTOR.$45,553EMPLOYMENT WITH THE HOSPITAL0
KRISTIN LAKE
SPOUSE OF DR. LADD LAKE, DIRECTOR$102,347EMPLOYMENT WITH THE HOSPITAL0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BCOPIES 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 12CGPH 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 15THE 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 19GREAT 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 11GOTHER FEES: PROGRAM SERVICE EXPENSES 533,634. MANAGEMENT AND GENERAL EXPENSES 1,576,904. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,110,538. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 6,835,892. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,835,892. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 10,100,803. MANAGEMENT AND GENERAL EXPENSES 790,208. FUNDRAISING EXPENSES 20,828. TOTAL EXPENSES 10,911,839. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,393,400. MANAGEMENT AND GENERAL EXPENSES 62,886. FUNDRAISING EXPENSES 303. TOTAL EXPENSES 8,456,589. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 425,976. MANAGEMENT AND GENERAL EXPENSES 446,596. FUNDRAISING EXPENSES 3,007. TOTAL EXPENSES 875,579.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION -833,973. TRANSFER FROM LIQUIDATION OF REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE -1,093,905.
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 Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1REGENCY RETIREMENT RESIDENCE OF NORTH PLATTEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 WEST PHILIPAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
EIN470792670EIN
Primary ActivitiesRETIREMENT APARTMENTSPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH PLATTE NEBRASKA HOSPITAL CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
NORTH PLATTE SURGERY CENTER LLC
621 W FRANCIS STE 270NORTH PLATTENE69101800016588AMBULATORY SURGERY CENTERNEGREAT PLAINS HEALTHRELATED$235,313$2,793,2000Yes (1)0.50000
MID-NEBRASKA MEDICAL VENTURES LLC
601 W LEOTA STREETNORTH PLATTENE69101811815353REAL ESTATENEGREAT PLAINS HEALTHRELATED$295,206$1,341,6040Yes (1)0.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
GREAT PLAINS HOMECARE EQUIPMENT INC
PO BOX 1596NORTH PLATTENE69101470786518SELLING OF HOME MEDICAL EQUIPMENTNEGREAT PLAINS HEALTHC$2,082,022$712,3621.00000Yes (1)
GREAT PLAINS PHO INC
PO BOX 1167NORTH PLATTENE69103470786942DEVELOPMENT OF A NETWORK OF HEALTH CARE PROVIDERSNEGREAT PLAINS HEALTHC$248,873$9,2711.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE
S$1,093,905FMV = CASH TRANSFERRED
GREAT PLAINS PHO INC
B$231,000FMV = CASH TRANSFERRED
GREAT PLAINS PHO INC
O$397,524COST
GREAT PLAINS HOMECARE EQUIPMENT INC
O$510,459COST