GREAT PLAINS OF ELLINWOOD INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: GREAT PLAINS OF ELLINWOOD INC (EIN 48-1226976)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-15
IRS object ID: 202532279349302418
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-15T10:53:43+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481226976	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Great Plains of Ellinwood Inc	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JASON BARB	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3166851523	PhoneNum
Signature	2025-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kevin Ensminger	PreparerPersonNm
PTIN	P01310558	PTIN
Phone	3162652811	PhoneNum
Preparation	2025-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KILE MAGNER	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$12,422,083	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.ellinwooddistricthospital.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	TO OPERATE AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC IN ELLINWOOD, KANSAS AND THE SURROUNDING RURAL COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	132	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,036,766	PYContributionsGrantsAmt
CY Contributions Grants	$2,705,509	CYContributionsGrantsAmt
PY Program Service Revenue	$9,068,215	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,601,730	CYProgramServiceRevenueAmt
PY Investment Income	$30,836	PYInvestmentIncomeAmt
CY Investment Income	-$368,688	CYInvestmentIncomeAmt
PY Other Revenue	$73,484	PYOtherRevenueAmt
CY Other Revenue	$86,691	CYOtherRevenueAmt
PY Total Revenue	$11,209,301	PYTotalRevenueAmt
CY Total Revenue	$12,025,242	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,006,749	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,366,917	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,619,998	PYOtherExpensesAmt
CY Other Expenses	$5,873,808	CYOtherExpensesAmt
PY Total Expenses	$10,626,747	PYTotalExpensesAmt
CY Total Expenses	$13,240,725	CYTotalExpensesAmt
PY Revenues Less Expenses	$582,554	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,215,483	CYRevenuesLessExpensesAmt
Total Assets BOY	$17,291,831	TotalAssetsBOYAmt
Total Assets EOY	$32,242,435	TotalAssetsEOYAmt
Total Liabilities BOY	$13,925,755	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$30,091,842	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,366,076	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,150,593	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$10,951,916	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$9,601,730	RevenueAmt
Desc	Ellinwood District Hospital's (EDH) primary program is the delivery of healthcare and related services to patients from our district and the surrounding area. Services include inpatient acute, skilled swing-bed, and intermediate swing-bed care services along with outpatient services. During 2024, EDH completed several projects to increase the quality of service or safety to our patients and residents. 1) We moved into our New Hospital that was on our 2021 Community Health Needs Assessment for an Improved Hospital Facility. The process entailed applying for a USDA Grant to make sure we didn't increase district taxes. During the process of design, the new facility we also had to decide what equipment we would be able to replace and what equipment could move to the new facility with us. 2) In 2024 EDH restructured our ER schedule again, due to increase use of ER in our new facility. We had to add another ER RN position. This added an additional position to our Nursing schedule, but in doing so we believe we can better serve our community. This position also covers our outpatient treatments performed by nursing. This makes sure the ER patients and outpatients get the full attention they need while in our facility.	Desc
Total Program Service Expenses	$10,951,916	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	35	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	132	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3166851523	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CURT COLSON
PRESIDENT/CEO/DIRECTOR	0.2	41.2	Yes (X)	Yes (X)	$0	$217,358	$54,774
JOHN TERRILL
Chairman/DIRECTOR	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
ROGER JOHN
Secretary/DIRECTOR	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
STEVE CARLSON
TREASURER/DIRECTOR	0.2	1.2	Yes (X)	Yes (X)	$0	$0	$0
Allen VANDRIEL
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
ARTHUR HENDRICKSON
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
DR BARBARA BROWN APPLEGATE
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
JASON BARB
CFO	0.2	41.2		Yes (X)	$0	$191,413	$50,658
KILE MAGNER
ADMINISTRATOR	40.0	0.0		Yes (X)	$133,262	$0	$41,992
CHARLIE JOSLIN
PHYSICIAN	40.0	0.0			$224,726	$0	$54,112	Yes (X)
CHRISTOPHER BROWN
PHYSICIAN	40.0	0.0			$301,768	$0	$54,319	Yes (X)
TROY MOORE
DEPT HEAD PT	40.0	0.0			$138,670	$0	$40,220	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$798,426	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$408,771	TotReportableCompRltdOrgAmt
Total Other Compensation	$296,075	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
HEALTH FACILITIES GROUP LLC
330 N MEAD ST	WICHITA	KS	67202	ARCHITECTURE SERVICES	$690,256
GPHA
250 N ROCK RD STE 160	WICHITA	KS	67206	MANAGEMENT AND SERV	$517,003
AYA HEALTHCARE INC
5930 CORNERSTONE CT	SAN DIEGO	CA	92121	NURSING AND LAB CONTRACT SERVICES	$166,066	SUITE 300
QS HEALTHCARE LLC
1701 WILLIAMS ST	GREAT BEND	KS	67530	PROFESSIONAL SERVICES	$126,933

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,819,254	GovernmentGrantsAmt
All Other Contributions	$886,255	AllOtherContributionsAmt
Total Contributions	$2,705,509	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$9,080,983	$9,080,983
340B REVENUE	621300	$520,747	$520,747

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,601,730	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,953	TotalRevenueColumnAmt
Exclusion	$27,953	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,880	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,880	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,880	TotalRevenueColumnAmt
Exclusion	$1,880	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$396,841	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$396,641	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$396,641	TotalRevenueColumnAmt
Exclusion	-$396,641	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
VENDOR REBATES	900099	$37,194	$37,194
EMPLOYEE/GUEST MEALS	722514	$12,634	$12,634

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$34,983	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$84,811	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,025,242	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,601,730	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$281,997	ExclusionAmt

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

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$155,580	TotalAmt
Management And General	$155,580	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,757,524	TotalAmt
Program Services	$5,218,650	ProgramServicesAmt
Management And General	$538,874	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$365,621	TotalAmt
Program Services	$323,189	ProgramServicesAmt
Management And General	$42,432	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$713,097	TotalAmt
Program Services	$591,382	ProgramServicesAmt
Management And General	$121,715	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$375,095	TotalAmt
Program Services	$328,042	ProgramServicesAmt
Management And General	$47,053	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$136,560	TotalAmt
Management And General	$136,560	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,250	TotalAmt
Management And General	$2,250	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,894,680	TotalAmt
Program Services	$1,434,308	ProgramServicesAmt
Management And General	$460,372	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,704	TotalAmt
Management And General	$17,704	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,052,930	TotalAmt
Program Services	$692,702	ProgramServicesAmt
Management And General	$360,228	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,368	TotalAmt
Program Services	$9,718	ProgramServicesAmt
Management And General	$7,650	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$136,354	TotalAmt
Program Services	$124,686	ProgramServicesAmt
Management And General	$11,668	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,298	TotalAmt
Program Services	$9,464	ProgramServicesAmt
Management And General	$2,834	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$62,734	TotalAmt
Program Services	$62,113	ProgramServicesAmt
Management And General	$621	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$219,196	TotalAmt
Program Services	$22,778	ProgramServicesAmt
Management And General	$196,418	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$754,459	TotalAmt
Program Services	$673,263	ProgramServicesAmt
Management And General	$81,196	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$55,247	TotalAmt
Program Services	$4,333	ProgramServicesAmt
Management And General	$50,914	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$748,716	$748,716
BAD DEBT EXPENSE	$328,593	$328,593
EQUIPMENT RENTAL & REPAIRS	$331,909	$323,435	$8,474
DUES & SUBSCRIPTIONS	$33,625	$17,460	$16,165

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,185	TotalAmt
Program Services	$39,084	ProgramServicesAmt
Management And General	$30,101	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,240,725	TotalAmt
Program Services	$10,951,916	ProgramServicesAmt
Management And General	$2,288,809	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$217,496	BOYAmt
EOY	$357,235	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$983,384	BOYAmt
EOY	$1,421,042	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$161,387	BOYAmt
EOY	$168,976	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$41,668	BOYAmt
EOY	$240,294	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$31,860,820	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,992,884	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,509,834	BOYAmt
EOY	$29,867,936	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$378,062	BOYAmt
EOY	$186,952	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,291,831	BOYAmt
EOY	$32,242,435	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,055,518	BOYAmt
EOY	$6,248,141	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,558,783	BOYAmt
EOY	$23,630,763	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$188,462	BOYAmt
EOY	$176,624	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$122,992	BOYAmt
EOY	$36,314	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,925,755	BOYAmt
EOY	$30,091,842	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	$3,366,076	BOYAmt
EOY	$2,150,593	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,366,076	BOYAmt
EOY	$2,150,593	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,291,831	BOYAmt
EOY	$32,242,435	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,215,483	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	false	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	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$2,250	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$2,250	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$237,750	OtherCostOrOtherBasisAmt
Book Value	$237,750	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,275,157	OtherCostOrOtherBasisAmt
Depreciation	$443,966	DepreciationAmt
Book Value	$19,831,191	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,438,566	OtherCostOrOtherBasisAmt
Depreciation	$1,500,997	DepreciationAmt
Book Value	$7,937,569	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,909,347	OtherCostOrOtherBasisAmt
Depreciation	$47,921	DepreciationAmt
Book Value	$1,861,426	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,867,936	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	FINANCE LEASE LIABILITIES	Desc
Amt	$36,314	Amt

Field	Value	IRS element (for citing)
Total Liability	$36,314	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,767	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,767	NetCommunityBenefitExpnsAmt
Total Expense	0.0050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$747,154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$306,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$440,847	NetCommunityBenefitExpnsAmt
Total Expense	0.0341	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$811,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$306,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$505,614	NetCommunityBenefitExpnsAmt
Total Expense	0.0392	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,258	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,258	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$21,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,258	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$833,179	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$306,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$526,872	NetCommunityBenefitExpnsAmt
Total Expense	0.0408	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$328,593	BadDebtExpenseAmt
Reimbursed By Medicare	$5,717,538	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,717,538	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$0	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELLINWOOD DISTRICT HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	605 N MAIN	AddressLine1Txt
City	ELLINWOOD	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67526	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ELLINWOODDISTRICTHOSPITAL.ORG	WebsiteAddressTxt
State License	H005001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.ellinwooddistricthospital.org/about	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.ellinwooddistricthospital.org/about	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ellinwooddistricthospital.org/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ellinwooddistricthospital.org/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ellinwooddistricthospital.org/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - ELLINWOOD DISTRICT HOSPITAL. THE ASSESSMENT PROCESS WAS INITIATED BY ELLINWOOD DISTRICT HOSPITAL AND COMPLETED IN COLLABORATION WITH BARTON COUNTY HEALTH DEPARTMENT. ALL OF THE EDUCATIONAL, GOVERNMENTAL, CIVIC AND HEALTH RELATED ORGANIZATIONS WITHIN THE COMMUNITY WERE INVITED TO PARTICIPATE. TO ENSURE INPUT FROM PERSONS WITH A BROAD KNOWLEDGE OF THE COMMUNITY, NOTICES OF ALL MEETINGS WERE ANNOUNCED BY MAILED LETTERS, EMAILS, AND ADVERTISEMENTS. REPRESENTATIVES AND INDIVIDUALS FROM THE COMMUNITY AND HEALTH ORGANIZATIONS ATTENDED THE TOWN HALL, FROM ELLINWOOD AND SURROUNDING AREAS INCLUDING HOISINGTON, GREAT BEND, CLAFLIN, AND BEAMER.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - ELLINWOOD DISTRICT HOSPITAL. BARTON COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - ELLINWOOD DISTRICT HOSPITAL. The hospital provides and promotes the health of the citizens of the Ellinwood district by constantly looking for opportunities to educate area residents about healthy activities and habits and offering opportunities for education about health care topics. Some of the activities to further the health of the area include: 1. Mental Health (Diagnosis, Placement, Aftercare, Access to Providers) a. Collaborate with community elementary, middle, and high schools to educate students on mental health (de-stigmatize mental health conditions, bullying, suicide prevention and social media bullying). b. Continue Depression Screening initiatives at hospital (ER) and DOH. Provide intervention guidelines / handouts / adequate education c. Continue and enhance and promote 24-hour 988 crisis hotline. Promote and enhance The Center Hotline: 620-792-2544 or 800-275-7544 d. Expand Primary Care and ER staff training; share quality mental health service delivery. Create updated brochures on mental health service options. Continue ER tele psych service delivery.. e. Continue to build and expand Tele Psych through the Center for Counseling & Consultation (Pad) service offerings that are approved by area providers. Explore reimbursement options. f. Develop a Suicide Prevention Public service announcements, literature, resources to contact (Availability). Providers identifying and promoting services, education, etc. g. Enhance and expand Mobile Crisis Services. Promote services. h. Continue to develop MH referral relationships with key community partners for collective impact. i. Continue to support "Youth Group "Zero Reasons Why" j. Continue Outpatient community-based programs. Promote existing mental health services, facilities, and providers. Educate community on placement process and options thru hospital physicians, clinics, and E.R. k. Continue to build and promote community activities, tools, and resources for Mental Health. l. Engage a well known Guest Speaker to come to community to share on de-stigmatize mental health treatment. (Secure a speaker and continue it) 2. Childcare (Safe & Affordable) a. Continue to conduct Child Care Support education i.e., teen babysitting classes etc. Continue to provide support for licensure i.e., CPR classes. b. Expand free or low-cost activities and educational programs at local libraries and community centers to provide additional care and enrichment opportunities. c. Explore the development of part-time, drop-in, and extended-hour childcare options to accommodate parents with non-traditional work schedules. d. Continue to work with local schools and community organizations to increase the availability of preschool programs that combine care with early education, particularly in areas with high demand. e. Continue to evaluate access to child care needs and confirm number of child care providers needed. f. Continue to encourage unlicensed or informal childcare providers to become licensed by offering support and resources, ensuring they meet state standards and can serve more families. g. Continue EMS Child fittings for car seats. 3. Senior Care a. Continue and enhance "End of Life" Suite of services at Ellinwood District Hospital. b. Organize regular social events, such as book clubs, gardening clubs, or arts and crafts sessions, to keep seniors engaged and reduce feelings of isolation. c. Explore a volunteer program where younger community members or other seniors regularly check in on those who live alone. d. Create support groups for family members who are caregivers, providing them with resources, training, and emotional support. e. Explore Tele-Health program for home bound patients. Explore Tele-Health opportunities for home health. f. Continue offering senior transportation services while looking into expansion of services for Healthcare and Mental Health outside of PSA. g. Develop a "Adopt a Senior" Program in Ellinwood. Continue senior center activities for senior checks, yoga classes, and lab fairs. h. Continue and enhance meal delivery services that cater to seniors' dietary needs. i. Continue to partner with local pharmacies to deliver medications to seniors who may have difficulty picking them up themselves. j. Explore a feasibility study to document need of SR services and staffing/development. k. Explore a county wide Healthy Seniors Club. Establish programs, housing and services to allow older adults to "age in place". Coordinate with senior center. l. Re-Launch training for seniors on how to use smartphones, tablets, and computers to stay connected with family, access telehealth services, and remain informed. Partner with Rec and Senior Center. 4. Social Emotional Learning (Expand School Program) a. Work with local schools to incorporate Social Emotional Learning into the standard curriculum through lessons that focus on emotional literacy, empathy, conflict resolution, and decision-making skills. b. Expand workshops that teach parents and caregivers how to foster social-emotional skills at home, including effective communication, empathy, and emotional regulation. c. Continue to encourage and require community service hours for students. Continue partnership with Ellinwood Ministerial Alliance. d. Continue "Second Step" program through School District. e. Continue collaboration with St. John's Child Development Center and the School District. f. Grow programs where older students or young adults mentor younger children, fostering relationships built on trust, empathy, and support. Create peer support groups for different age ranges, where participants can share experiences, discuss emotions, and learn coping strategies in a safe, supportive environment. (STEM Buddies) g. Continue to provide mindfulness and yoga classes that help community members of all ages learn stress management, emotional regulation, and self-awareness. h. Continue to conduct regular assessments and surveys to evaluate the effectiveness of SEL programs and initiatives, gathering feedback from participants, educators, and community members. Use data from assessments to adjust strategies and programs, ensuring they continue to meet the evolving needs of the community. i. Explore community art projects like murals or collaborative installations that focus on themes of kindness, empathy, and community. 5. Access to Specialists (URL, ENDO, ENT) a. Conduct community education programs to inform residents about available specialist services, how to access them, and the benefits of early specialist intervention. b. Continue to offer attractive incentive packages, including competitive salaries, signing bonuses, relocation assistance, and student loan repayment options, to recruit specialists to the community. c. Develop a streamlined referral system that facilitates quick and efficient referrals from primary care providers to specialists, reducing wait times. d. Explore demand / adjust clinic hours to meet market need. Conduct further research on the desire/need for afterhours care. e. Retain existing Barton Co providers. Conduct a physician manpower assessment to identify number of providers needed per specialty for PH primary service area draw. f. Conduct additional research (PSA focus group) to further determine ideas to recruit qualified providers to EDH. g. Explore grants from government programs, non-profits, and private foundations to fund specialist services or telemedicine infrastructure. h. Partner with local non-profits, community organizations, and other healthcare providers to maximize the use of existing resources and expand specialist services. i. Provide ongoing professional development and training opportunities to keep specialists engaged and up-to-date with the latest medical advancements. 6. Substance Abuse (Drug & Alcohol) a. Continue to offer Guidance Counselors and group sessions at schools (on prevention and community education). b. Continue discarding "Old prescriptions-off program at local police departments with focus on prescribed opioids. c. Continue and expand to offer / create meaningful community youth activities to keep youth engaged and active. Research prevalent issues leading to drug abuse by adolescents. d. Continue clinic education on pain management. Consider and explore the development of an opioid treatment program. e. Build Recovery support system partners. Create programs to help addicts and their families. Continue to provide counseling and support for drug abusers and their families. Support local substance abuse counseling. Educate public on signs of drug abuse and how to approach those needing guidance. f. Conduct a Community Inventory Survey and maintain the directory to document scope of substance abuse services and hours of service. Publish via count/city website
Schedule H, Part V, Section B, Line 11 Facility 1, 2	Facility 1, 2 - ELLINWOOD DISTRICT HOSPITAL. g. Continue local advertisement / social media campaign to combat drug and alcohol abuse and educate on the ramifications. 7. Suicide Prevention a. Continue to educate all medical staff including EMS and Police officers regarding suicide prevalence in the area and how to address them. Provide continuing education courses to staff, lunch and learn presentations, etc. to keep them current in terms of treating mental health issues. b. Continue to educate Community to build awareness of mental health. Suicide prevention services. Update & distribute overview brochures detailing mental health services and crisis information. c. Start a "It's OK" screening program. Encourage & increase suicide/depression screenings through primary care physicians, Health Dept, schools, and clinics. Provide appropriate depression intervention / referrals / education during Annual Physicals. d. Establish a community inventory of services to document the availability of mental health resources, including hours of service. e. Continue to investigate grant writing to suicide prevention and depression. Use grant funding to support mental health care and mental health prevention. f. Partner (with Health Dept.) to offer mental health service "first aid" training for law enforcement, schools, and other first responders in the community. g. Explore hosting Suicide Prevention Public service announcements, literature, resources to contact (Availability). Providers identifying and promoting services, education, etc. h. Develop a flowsheet with key individuals on what steps look like after it is determined a member of the community needs help. Share and educate all local partners and entities the flow sheet and resources available. 8. Transportation (All) a. Continue to educate community on transportation offerings for healthcare and city offerings. b. Explore transportation services specifically for seniors and people with disabilities. This can include accessible vans, specialized shuttles, or partnerships with agencies that provide transport for these populations. c. Educate provider schedulers the importance to consolidate appointments with different providers on same day in order to minimize travel needed. d. Explore and apply for additional grants for transportation opportunities in order to meet needs. e. Explore Hospital Transportation for patients. f. Explore research to document demand. Expand current transportation resources and report progress / options. g. Explore expanding to community rides or separate initiative for community outside of just healthcare visits.

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	ELLINWOOD RURAL HEALTH CLINIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 N MAIN	AddressLine1Txt
City	ELLINWOOD	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67526	ZIPCd

Field	Value	IRS element (for citing)
Facility	MEDICAL CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	328593
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7 OF SCHEDULE H, IS A COST TO CHARGE RATIO.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS COST TO CHARGE RATIO.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ALL CHARITY CARE CHARGES AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPT FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.
Schedule H, Part V, Section B, Line 16a FAP website	1 - ELLINWOOD DISTRICT HOSPITAL: Line 16a URL: https://www.ellinwooddistricthospital.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - ELLINWOOD DISTRICT HOSPITAL: Line 16b URL: https://www.ellinwooddistricthospital.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - ELLINWOOD DISTRICT HOSPITAL: Line 16c URL: https://www.ellinwooddistricthospital.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	In 2024, the hospital has continued to work to address the health needs identified by the 2021 Community Health Needs Assessment of our service area. The top item was a new or updated facility and we moved into our new facility July 2024. Another community need was to recruit new providers and in 2024 we hired a New MD and had 2 nurses in the last stages of their APRN program.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The Financial Assistance Program employs a sliding scale discount that takes into consideration a patient's household income and qualifying assets. The Financial Counselor consults with private pay patients to see if they qualify for the Hospital's financial assistance policy. We also have posted online and in both the hospital and clinic lobbies that financial assistance is available and to apply with the Financial Counselor at the Hospital. If discovered during the accounts receivable collection process that a patient is having trouble paying bills, both the hospital and the centralized billing office will inform the patient that financial assistance is available. As part of the financial assistance program all applicants must apply for Medicaid. If after the initial interview there is a consensus that the patient may qualify for financial assistance, the financial counselor gives patient forms to complete and asks to see bank statements, tax returns, etc. Computations based on current Federal Poverty Level Guidelines are completed to see if qualification is appropriate and the percentage of charges to be written off is determined, based on family size and household income. All instances of financial assistance are approved by upper management of the Hospital.
Schedule H, Part VI, Line 4 Community information	The Ellinwood Hospital District consists of all of Lakin township (including the City of Ellinwood) and all of Comanche township (with the exception of the two tiers of sections along the western edge described as Sections 5,6,7,8,17,18,19,20,29,30,31, and 32, in West 20-12. This area is known as the Ellinwood Trade Area. The hospital is located in Ellinwood, Kansas which has a population of 2,063 as of the 2019 5-year estimates of the American Community Survey, by the U.S. Census Bureau, and serves the eastern part of Barton County. Total population of Barton County is 26,453 as of the same census. The median age of an Ellinwood resident is 39.9 years. Total households in Ellinwood are 834 plus the rural households from the district. The racial makeup of the community is 90% white, 7% Hispanic, and the remaining 3% are other races or multiple races. The median income per household in Ellinwood was $47,500, as compared to the state of Kansas which is $59,597. 40% of Ellinwood citizens are 50 or older. The percentage of people at the poverty level or below in Ellinwood is 12%, the same as compared to the state poverty rate of 12%. Poverty level of those under 18 is 11% and for those over the age of 65 it is 10%. The patient population also includes patients from Russell, Rice, and Stafford Counties. The patient mix is heavily weighted toward Medicare and Medicaid beneficiaries, especially acute, ER, and swing bed care. Citation: U.S. Census Bureau (2019). American Community Survey 5-year estimates. Retrieved from Census Reporter Profile page for Ellinwood, KS <https://censusreporter.org/profiles/16000US2020425-ellinwood-ks/>
Schedule H, Part VI, Line 5 Promotion of community health	The hospital provides and promotes the health of the citizens of the Ellinwood district by constantly looking for opportunities to educate area residents about healthy activities and habits and offering opportunities for education about health care topics. Some of the activities to further the health of the area include: 1. Educational classes are offered throughout the year, including classes to clubs and organizations in the community. Educational presentations are also made at local schools. (Two classes held in 2024) 2. We offer support to other healthcare related organizations, such as the local food bank, United Way, and Relay for Life, to raise awareness about health-related issues, such as cancer, and to ensure that their missions can be carried out, impacting the health and wellness of us all. 3. In conjunction with the community ambulance service, the hospital sponsors ACLS, PALS and CPR for professionals in Barton County. 4. TNCC classes for nurses are sponsored by the hospital for area health care professionals. 5. The hospital and its staff took the lead for the county medical organizations in emergency preparedness, especially concerning the new requirements faced by all other provider types. We host and participate in disaster/bioterrorism drills with other area health care facilities on a regular basis to encourage preparedness and awareness within our communities. 6. We support medical education in all forms, but especially by giving support to our local community colleges: top management serves on advisory boards for nursing program and medical assistant/coding programs at Barton Community College (BCC). The hospital is a practice site for phlebotomists/MLT, medical assistant program and nursing program from BCC. We are also a practice site for the physical therapy assistant program at Hutchinson Community College. We also have a job shadowing program with our local high school. This allows students to shadow a professional in the medical field they might be interesting in pursuing in college. 7. EDH continues to dedicate itself and any surplus funds to improving the healthcare available to area residents and patients by updating equipment and ensuring that the hospital's technology is current and able to meet the patients' needs.
Schedule H, Part VI, Line 6 Affiliated health care system	Ellinwood District Hospital and Clinic are affiliated with Great Plains Health Alliance, Inc. (GPHA), a non-profit 501(c)3 organization which provides management services and operational, finance, and accounting support. GPHA does not provide services directly to patients, but does provide access to professionals that may not be affordable to the normal critical access hospital. GPHA provides education and assistance in areas such as HIPAA, Medicare reimbursement, meaningful use requirements for computer systems, etc. GPHA is an affiliation of Critical Access Hospitals in Kansas and Nebraska that provides networking opportunities with other rural hospitals, communities, and leaders. GPHA provides policies and guidance to its Critical Access facilities regarding financial assistance, conflicts of interest, corporate compliance, and many other areas. GPHA also provides educational sessions for Board Members, Business Office Mangers, Billers, Medical Records personnel, Directors of Nursing, and Administrators. GPHA is a vital link in allowing CAH hospitals to operate at a high quality within the cash constraints imposed by the Critical Access program.
Schedule H, Part VI, Line 7 State filing of community benefit report	KS

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CURT COLSON
PRESIDENT/CEO/DIRECTOR	$0	$213,765	$0	$0	$0	$3,593	$0	$21,263	$0	$33,511	$0	$272,132	$0	$0
KILE MAGNER
ADMINISTRATOR	$133,075	$0	$0	$0	$187	$0	$13,821	$0	$28,171	$0	$175,254	$0	$0	$0
JASON BARB
CFO	$0	$190,135	$0	$0	$0	$1,278	$0	$18,538	$0	$32,120	$0	$242,071	$0	$0
CHRISTOPHER BROWN
PHYSICIAN	$301,361	$0	$0	$0	$407	$0	$25,425	$0	$28,894	$0	$356,087	$0	$0	$0
CHARLIE JOSLIN
PHYSICIAN	$222,977	$0	$0	$0	$1,749	$0	$23,186	$0	$30,926	$0	$278,838	$0	$0	$0
TROY MOORE
DEPT HEAD PT	$138,670	$0	$0	$0	$0	$0	$14,043	$0	$26,177	$0	$178,890	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ELLINWOOD HOSPITAL DISTRICT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	480931413	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2023-01-24	BondIssuedDt
Issue Price	$26,000,000	IssuePriceAmt
Purpose	NEW HOSPITAL CONSTRUCTION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$24,084,960	TotalProceedsAmt
Capitalized Interest	$482,551	CapitalizedInterestAmt
Issuance Costs From Proceeds	$435,360	IssuanceCostsFromProceedsAmt
Capital Expenditures	$23,166,926	CapitalExpendituresAmt
Unspent	$129	UnspentAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	FormAndLineReferenceDesc
Explanation	The Series 2023 Bonds were issued to construct, equip and furnish an approximately 46,195 square feet new hospital facility to replace the existing hospital building.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS	THE AUDIT FOR THE CURRENT FISCAL YEAR (SEPTEMBER 30, 2024) IS STILL IN THE PROCESS OF BEING FINALIZED BUT NOT COMPLETED. THE FY 2023 AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS FILING WHILE THE CURRENT FISCAL YEAR AUDIT IS BEING CONDUCTED.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	JASON BARB AND CURT COLSON HAVE A BUSINESS RELATIONSHIP. THEY ARE BOTH EMPLOYED BY, AND ALSO AN OFFICER OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE.
Form 990, Part VI, Line 15a & 15B	THE CEO AND CFO ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GPHA'S BOARD USES COMPARABILITY DATA IN SETTING THEIR SALARIES, AND DOCUMENTATION IS RETAINED OF THE BOARD'S DELIBERATIONS AND DECISIONS.
Form 990, Part VI, Line 6 Classes of members or stockholders	GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF ELLINWOOD, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GREAT PLAINS HEALTH ALLIANCE, INC (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF EXECUTIVE OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE 990 WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANEOUS REVENUE - Total Revenue: 34983, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 34983;
Form 990, Part IX, Line 11g Other Fees	CONTRACTED MEDICAL STAFF - Total Expense: 595416, Program Service Expense: 595416, Management and General Expenses: , Fundraising Expenses: ; BILLING/COLLECTIONS - Total Expense: 321924, Program Service Expense: , Management and General Expenses: 321924, Fundraising Expenses: ; LAB SERVICES - Total Expense: 115822, Program Service Expense: 115822, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE/HOUSEKEEPING - Total Expense: 133737, Program Service Expense: 133737, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 587486, Program Service Expense: 587486, Management and General Expenses: , Fundraising Expenses: ; ADMINISTRATION/HUMAN RESOURCES - Total Expense: 138448, Program Service Expense: , Management and General Expenses: 138448, Fundraising Expenses: ; DIETARY SERVICES - Total Expense: 1847, Program Service Expense: 1847, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XII, Line 3b Reason organization did not undergo required audit	THE FY 2024 FINANCIALS STATEMENTS ARE UNDERGOING AUDIT AT THE DATE OF THIS FILING.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GREAT PLAINS HEALTH ALLIANCE
250 N ROCK ROAD STE 160	WICHITA	KS	67206	480617739	MANAGEMENT	KS	501(c)(3)	3	N/A	false
GREAT PLAINS HEALTH CARE FOUNDATION INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	480955870	SUPPORT	KS	501(c)(3)	10		Yes (true)	GPHA INC
GREAT PLAINS OF SABETHA COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481236156	HOSPITAL	KS	501(c)(3)	3		Yes (true)	GPHA INC
GREAT PLAINS OF SMITH COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226830	HOSPITAL	KS	501(c)(3)	3		Yes (true)	GPHA INC
GREAT PLAINS OF REPUBLIC COUNTY IN
250 N ROCK ROAD STE 160	WICHITA	KS	67037	481226977	HOSPITAL	KS	501(c)(3)	3		Yes (true)	GPHA INC
GREAT PLAINS OF CHEYENNE COUNTY
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226831	HOSPITAL	KS	501(c)(3)	3		Yes (true)	GPHA INC
GREAT PLAINS OF OTTAWA COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226856	HOSPITAL	KS	501(c)(3)	3		Yes (true)	GPHA INC
GREAT PLAINS EMPLOYEE BENEFITS TRUST
250 N ROCK ROAD STE 160	WICHITA	KS	67206	476918582	HEALTH PLAN	KS	501(c)(9)			Yes (true)	GPHA INC

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$654,203	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt