GREAT PLAINS OF SABETHA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: GREAT PLAINS OF SABETHA INC (EIN 48-1236156)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-10-27
IRS object ID: 202023019349300722
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-10-27T14:31:32-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD 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	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481236156	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% DAVE DELLASEGA	InCareOfNm
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	DAVE DELLASEGA	PersonNm
Person Title	CEO AND PRESIDENT	PersonTitleTxt
Phone	3166851523	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SHAWNELL LINOT	PreparerPersonNm
PTIN	P01663908	PTIN
Phone	3162652811	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	48010220203015000034	FederalOriginalSubmissionId
Federal Original Submission Id	2020-10-27	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	066B6432F8DC24BA6735E6E2B8FCFDB371380179	AtSubmissionCreationDeviceId
At Submission Filing Device Id	BA21A7A7DF03597CAA95FF5B57CCAA395E7C7A92	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVE DELLASEGA	PrincipalOfficerNm

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	$13,540,895	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SABETHAHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC IN SABETHA, KANSAS AND SURROUNDING RURAL COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	161	TotalEmployeeCnt
Total Volunteers	73	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$517,141	PYContributionsGrantsAmt
CY Contributions Grants	$478,097	CYContributionsGrantsAmt
PY Program Service Revenue	$12,621,943	PYProgramServiceRevenueAmt
CY Program Service Revenue	$12,677,224	CYProgramServiceRevenueAmt
PY Investment Income	$31,124	PYInvestmentIncomeAmt
CY Investment Income	$41,967	CYInvestmentIncomeAmt
PY Other Revenue	$136,886	PYOtherRevenueAmt
CY Other Revenue	$339,368	CYOtherRevenueAmt
PY Total Revenue	$13,307,094	PYTotalRevenueAmt
CY Total Revenue	$13,536,656	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	$7,505,644	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,889,131	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,438,989	PYOtherExpensesAmt
CY Other Expenses	$5,573,656	CYOtherExpensesAmt
PY Total Expenses	$12,944,633	PYTotalExpensesAmt
CY Total Expenses	$13,462,787	CYTotalExpensesAmt
PY Revenues Less Expenses	$362,461	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$73,869	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,512,326	TotalAssetsBOYAmt
Total Assets EOY	$7,062,735	TotalAssetsEOYAmt
Total Liabilities BOY	$1,461,268	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,929,873	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,051,058	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,132,862	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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 CIRCUMSTANCES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$11,535,951	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,677,224	RevenueAmt
Desc	One of the largest programs Sabetha Community Hospital provides to community is the Cardiac Rehab Phase III program. Community members are able to come to the hospital and for reduced session fees utilizing cardio pulmonary exercise equipment. This program addresses the importance of continual exercise and the health benefits associated but brings with it a social aspect to those community members who participate providing much needed social interaction within the elderly population. This was evidenced when this program was thought to be discontinued due to the establishment of the health and wellness center. SEE SCHEDULE O FOR CONTINUATION.	Desc
Total Program Service Expenses	$11,535,951	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	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	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	31	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	161	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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

Field	Value	IRS element (for citing)
Person	DAVE DELLASEGA	PersonNm
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
KEVIN KENNALLY
PHYSICIAN	40.0	0.0	Yes (X)	$342,692	$0	$43,381
CHRISTIAN TRAMP
PHYSICIAN	40.0	0.0	Yes (X)	$303,282	$0	$51,221
JAMES LONGABAUGH
PHYSICIAN	40.0	0.0	Yes (X)	$274,092	$0	$51,598
GREGG WENGER
PHYSICIAN	40.0	0.0	Yes (X)	$250,943	$0	$40,956
DAVE DELLASEGA
PRESIDENT/CEO/DIRECTOR	2.0	40.0		$0	$208,624	$33,481	Yes (X)	Yes (X)
ELIZABETH KROLL
APRN/NP	40.0	0.0	Yes (X)	$168,786	$0	$30,257
DURREL KELLEY
SENIOR VP OF OPERATIONS	2.25	40.0		$0	$160,492	$32,685		Yes (X)
LORA KEY
ADMINISTRATOR	40.0	0.0		$118,076	$0	$21,307		Yes (X)
DAVE RANKIN
CHAIRMAN/DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)	Yes (X)
JOHN TERRILL
VICE PRESIDENT/DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)	Yes (X)
ROBERT HAMILTON
SECRETARY/DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)	Yes (X)
STEVE CARLSON
TREASURER/DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)	Yes (X)
DR BARBARA BROWN APPL
DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)
ART HENRICKSON
DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)
CHARLES WESTIN
DIRECTOR	0.25	2.25		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,457,871	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$369,116	TotReportableCompRltdOrgAmt
Total Other Compensation	$304,886	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6	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
GREAT PLAINS HEALTH ALLIANCE
250 N ROCK ROAD	WICHITA	KS	67206	MANAGEMENT AND CBO	$790,031
STORMONT-VAIL HEALTH
1500 SW 10TH ST	TOPEKA	KS	66604	REFERENCE LAB	$153,607
SHARED MEDICAL SERVICES
209 LIMESTONE PASS	COTTAGE GROVE	WI	53527	MRI SERVICES	$129,720
STARS INC
201 S 4TH ST	HIAWATHA	KS	66434	PHYSICAL THERAPISTS	$114,237

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Fundraising	$14,088	FundraisingAmt
Government Grants	$370,650	GovernmentGrantsAmt
All Other Contributions	$93,359	AllOtherContributionsAmt
Noncash Contributions	$1,654	NoncashContributionsAmt
Total Contributions	$478,097	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$11,820,519	$11,820,519
340(b) Pharmacy Revenue	621300	$856,705	$856,705

Field	Value	IRS element (for citing)
Total Program Service Revenue	$12,677,224	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,967	TotalRevenueColumnAmt
Exclusion	$41,967	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$14,100	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$14,100	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,100	TotalRevenueColumnAmt
Exclusion	$14,100	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$2,415	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$14,088	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$4,239	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,824	TotalRevenueColumnAmt
Exclusion	-$1,824	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE/GUEST MEALS	722513	$17,082	$17,082
OUTSIDE SERVICES	621300	$19,306	$19,306
WELLNESS CENTER	900099	$254,241	$254,241

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,463	TotalRevenueColumnAmt
Exclusion	$36,463	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$327,092	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,536,656	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,677,224	RelatedOrExemptFuncIncomeAmt
Exclusion	$381,335	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$139,383	TotalAmt
Management And General	$139,383	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,209,501	TotalAmt
Program Services	$5,526,978	ProgramServicesAmt
Management And General	$682,523	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$470,348	TotalAmt
Program Services	$402,490	ProgramServicesAmt
Management And General	$67,858	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$647,671	TotalAmt
Program Services	$531,833	ProgramServicesAmt
Management And General	$115,838	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$422,228	TotalAmt
Program Services	$359,167	ProgramServicesAmt
Management And General	$63,061	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$128,146	TotalAmt
Management And General	$128,146	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,948	TotalAmt
Management And General	$12,948	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$38,044	TotalAmt
Management And General	$38,044	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,061	TotalAmt
Management And General	$3,061	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,786,857	TotalAmt
Program Services	$1,455,966	ProgramServicesAmt
Management And General	$330,891	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$47,223	TotalAmt
Program Services	$28,297	ProgramServicesAmt
Management And General	$18,926	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$177,229	TotalAmt
Program Services	$123,670	ProgramServicesAmt
Management And General	$53,559	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,353	TotalAmt
Program Services	$99	ProgramServicesAmt
Management And General	$6,254	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$332,125	TotalAmt
Program Services	$318,776	ProgramServicesAmt
Management And General	$13,349	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$15,529	TotalAmt
Program Services	$4,851	ProgramServicesAmt
Management And General	$10,678	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$53,699	TotalAmt
Program Services	$44,061	ProgramServicesAmt
Management And General	$9,638	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,892	TotalAmt
Program Services	$9,473	ProgramServicesAmt
Management And General	$1,419	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$299,604	TotalAmt
Program Services	$250,944	ProgramServicesAmt
Management And General	$48,660	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$129,842	TotalAmt
Program Services	$37,583	ProgramServicesAmt
Management And General	$92,259	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$1,636,367	$1,636,367
RENTAL EQUIPMENT & REPAIRS	$363,180	$345,751	$17,429
BAD DEBT EXPENSE	$331,655	$331,655
DUES & SUBSCRIPTIONS	$56,025	$15,550	$40,475

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$144,877	TotalAmt
Program Services	$112,440	ProgramServicesAmt
Management And General	$32,437	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,462,787	TotalAmt
Program Services	$11,535,951	ProgramServicesAmt
Management And General	$1,926,836	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$35,482	BOYAmt
EOY	$9,860	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,036,880	BOYAmt
EOY	$2,223,602	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$99,575	BOYAmt
EOY	$100,640	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,424,776	BOYAmt
EOY	$1,818,244	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$189,291	BOYAmt
EOY	$162,242	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$113,002	BOYAmt
EOY	$120,280	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$12,688,420	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,368,148	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,155,776	BOYAmt
EOY	$2,320,272	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$256,046	BOYAmt
EOY	$247,894	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$201,498	BOYAmt
EOY	$59,701	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,512,326	BOYAmt
EOY	$7,062,735	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,346,553	BOYAmt
EOY	$1,582,700	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,321	BOYAmt
EOY	$40,102	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$105,394	BOYAmt
EOY	$307,071	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,461,268	BOYAmt
EOY	$1,929,873	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,015,796	BOYAmt
EOY	$5,123,222	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,262	BOYAmt
EOY	$9,640	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,051,058	BOYAmt
EOY	$5,132,862	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,512,326	BOYAmt
EOY	$7,062,735	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$73,869	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$7,935	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Form4720 Filed	Yes (true)	Form4720FiledInd
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	$3,061	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$3,061	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,460	OtherCostOrOtherBasisAmt
Book Value	$45,460	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,528,545	OtherCostOrOtherBasisAmt
Depreciation	$5,038,518	DepreciationAmt
Book Value	$1,490,027	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,917,541	OtherCostOrOtherBasisAmt
Depreciation	$5,148,056	DepreciationAmt
Book Value	$769,485	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$196,874	OtherCostOrOtherBasisAmt
Depreciation	$181,574	DepreciationAmt
Book Value	$15,300	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,320,272	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$13,217,175	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$319,481	OtherRevenueAmt
Revenue Not Reported	-$319,481	RevenueNotReportedAmt
Revenue Subtotal	$13,536,656	RevenueSubtotalAmt
Total Revenue Per Form990	$13,536,656	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,135,371	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$4,239	OtherExpensesIncludedAmt
Expenses Not Reported	$4,239	ExpensesNotReportedAmt
Expenses Subtotal	$13,131,132	ExpensesSubtotalAmt
Other Expenses Not Included	$331,655	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$331,655	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$13,462,787	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2	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.
SCHEDULE D, PART XI, LINE 2D	EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 7,935 SPECIAL EVENT EXPENSES 4,239 PROVISION FOR UNCOLLECTIBLE ACCOUNTS (331,655) ------------ TOTAL (319,481)
SCHEDULE D, PART XII, LINE 2D	SPECIAL EVENT EXPENSES 4,239
SCHEDULE D, PART XII, LINE 4B	PROVISION FOR UNCOLLECTIBLE ACCOUNTS 331,655

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$16,503	GrossReceiptsEvent1Amt
Charitable Contri Event1	$14,088	CharitableContriEvent1Amt
Gross Revenue Event1	$2,415	GrossRevenueEvent1Amt
Cash Prizes Event1	$990	CashPrizesEvent1Amt
Non Cash Prizes Event1	$1,654	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$528	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,067	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$16,503	GrossReceiptsTotalAmt
Charitable Contributions Tot	$14,088	CharitableContributionsTotAmt
Gross Revenue Total Events	$2,415	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$990	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$1,654	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$528	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,067	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$4,239	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,824	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,058	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$429,554	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$190,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$239,192	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$455,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$190,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$265,250	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,272	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,794	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,733	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,733	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,272	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$524,411	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$202,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$321,777	NetCommunityBenefitExpnsAmt
Total Expense	0.02450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$331,655	BadDebtExpenseAmt
Reimbursed By Medicare	$5,171,424	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,171,424	CostOfCareReimbursedByMedcrAmt

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	SABETHA COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14TH OREGON PO BOX 229	AddressLine1Txt
City	SABETHA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66534	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SABETHAHOSPITAL.ORG	WebsiteAddressTxt
State License	H066002	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SABETHA COMMUNITY HOSPITAL	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	A PRIORITY OF THE PROGRAM IS TO SOLICIT INPUT FROM A BROAD CROSS SECTION OF THE COMMUNITY, NOT SIMPLY MEMBERS OF THE LOCAL HEALTHCARE SECTOR. THE MEETING PARTICIPANTS INCLUDED COMMUNITY RESIDENTS AND GOVERNMENTAL AND BUSINESS LEADERS WITHIN THE COMMUNITY.
SCHEDULE H, PART V, SECTION B, LINE 6A	NEMAHA VALLEY COMMUNITY HOSPITAL
SCHEDULE H, PART V, LINE 7A	http://www.sabethahospital.com/getpage.php?name=chna
SCHEDULE H, PART V, LINE 10A	http://www.sabethahospital.com/getpage.php?name=chna
SCHEDULE H, PART V, LINE 11	Sabetha Community Hospital's Community Health Needs Assessment identified three focused areas. Priority #1 was to promote health, wellness, and chronic disease prevention especially in the areas of hypertension, diabetes, smoking cessation and increased seatbelt usage. The hospital accomplished this goal by partnering with the City of Sabetha on a health and wellness center. The Health and Wellness Center opened on July 1, 2019. The center provides exercise classes in cardio fitness and aquatic therapy. Physical Therapy as well Cardiac Rehab Phase III programs transition patients who have completed their care to an exercise program at the Health and Wellness Center. Sabetha Community Hospital is a Certified Diabetic Education Facility and employs a Certified Diabetic educator who works with the current diabetes patients. The diabetic educator not only conducts education classes but works alongside the dietician in conducting the SMART program which holds the diabetic accountable for their own care. The hospital conducts low dose CT for lung cancer screening and partners with the local Community Health agency to direct patients to a smoking cessation class. The hospital now employs two certified seatbelt technician who do car seat safety checks for newborn babes leaving the hospital and car seat safety checks in the community as well. Monthly publications are sent out to the community and surrounding region on related health topics as mentioned above. This information is posted on the hospital website and Facebook page. Pre-natal classes are conducted quarterly throughout the year. SCH partners with the local health department to provide breastfeeding services through a certified lactation consultant. This consultant works with the pre-natal instructor to provide information to expectant mothers. The two hospitals in the county work together to provide supplies to newborn babes and families. The Level IV Trauma committee remains active in the community by giving scholarships to community children for swimming lessons offered at the public pool. Stop the Bleed instructors also provide that education to the community. Priority #2 identified improving access to mental health services. The local community mental health center provides access to mental health services through a clinic setting and some telehealth. The hospital does use Avera e-care within the ER setting to help with mental health issues. Resources and the availability of mental health professionals are limited in this rural area. The hospital continues to provide assistance to the community to those who seek help enrolling in Medicaid, Medicare and third-party payers as well as the drug prescription program. A local community group through the library, daycare, parents as teachers, and other organizations meet monthly to remain updated on community resources and needs. The hospital social worker and public relations coordinator attend to share hospital resources back to the group. In addition, a resource directory is attached to the community health needs assessment on the SCH website. In mid-year of 2019, the hospital updated the revenue cycle to a Cerner product. This entailed educating the community on new bill types due to the combining of the physician clinic and the hospital billing statements. Patients continue to be educated on accessing the Cerner patient portal to access their medical records. The Care Transitions Committee continued to meet through 2019 to better enhance patients' transitions for acute care to post-acute care. Transition of care reports generated by Cerner upon patients' discharge is used to enhance follow up of the patient from the emergency room, inpatient or OBs back to the physician's office. assessment on the SCH website. For the first six months of 2019, city officials and the hospital CEO and staff engaged in numerous meetings regarding the building of the community health and wellness center. This project was complete by July 1, 2019. The staff of the health and wellness center focuses on cardio fitness and aquatic therapy. As a community benefit to local industries, the hospital provides wellness checks which include blood pressure checks, BMI, and blood work and, if requested, educational sessions. Another service to the local businesses is the provision of occupational assessment testing along with hearing screens. The OAS testing and hearing screens are done by certified hospital staff. The hospital offers public flu immunization clinics at the local grocery store as well as providing immunization clinics to the local industries. Wellness is promoted among SCH employees by providing a corporate membership to the community fitness center. Hospital staff is also encouraged to donate blood during the quarterly blood drives. CPR training for professionals in the area are conducted. The hospital provides prenatal classes including CPR training, breastfeeding and care of a newborn infant on a quarterly basis for expectant parents. Cardiac Rehab Phase III is open to the community to offer support in an exercise program, especially for those patients who have graduated from the Cardiac Rehab Phase II program. This program is above and beyond use of the Health and Wellness Center. Social Services aids those in the community who request assistance and need resources for items such as meals on wheels, transportation, etc. Social Service and swingbed director coordinate transfer of patients to the local dialysis center. Medical Director for the city owned ambulance service is a hospital employed physician and the hospital provides RNs as needed for emergency indicated transfers to the local tertiary center. The four family practice physicians serve as medical directors for the Home Health and Hospice Agency. The Chief Executive Officer of Sabetha Community Hospital serves on the Health Innovations Network of Kansas Board, and the Governors KanCare Advisory Group. Hospital staff serves on various committees for the Kansas Hospital Association, and also, local civic groups. Sabetha Community Hospital takes its commitment to the community very seriously and participates in emergency drills, always monitoring patient and employee safety, educating staff on risk management, quality assurance, infection control issues, bloodborn pathogens, HIPAA and Corporate Compliance. The hospital provides an avenue for nursing students to do rotations through the hospital with its affiliation with Highland Community College and Southeast Community College, Beatrice, Nebraska. Medical students in the rural residency program at Kansas University School of Medicine are able to do clinical rotations with the family physicians. Physical therapy students through affiliation with Kansas City Kansas Community College and Indian Hills Community College, occupational therapy students through Washburn University affiliation, and social service students from Kansas State University all do clinical rotations at the hospital as well. Hospital Administration works closely with the High School counselor in the administration of local scholarships to nursing students and to those who are going into a healthcare career. Hospital staff participate in Senior Career Day at the local high school and every year middle school and high school student's job shadow at the hospital to encourage careers in healthcare.
SCHEDULE H, PART V, LINE 16A	http://www.sabethahospital.com/getpage.php?name=Financial_Assistance
SCHEDULE H, PART V, LINE 16B	http://www.sabethahospital.com/getpage.php?name=Financial_Assistance
SCHEDULE H, PART V, LINE 16C	http://www.sabethahospital.com/getpage.php?name=Financial_Assistance

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	SABETHA FAMILY PRACTICE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1115 MAIN STREET	AddressLine1Txt
City	SABETHA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66534	ZIPCd

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	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 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 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 $331,655. SCHEDULE H, PART III, LINE 2 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	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	SEE PAGE 7 OF THE AUDITED FINANCIALS UNDER NOTE 1.
SCHEDULE H, PART III, LINE 8	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 9B	ALL CHARITY CARE CHARGES AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPTED FROM COLLECTION POLICIES AND PRACTICES. THOSE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.
SCHEDULE H, PART VI, LINE 2	Sabetha Community Hospital's Community Health Needs Assessment identified three focused areas. Priority #1 was to promote health, wellness, and chronic disease prevention especially in the areas of hypertension, diabetes, smoking cessation and increased seatbelt usage. The hospital accomplished this goal by partnering with the City of Sabetha on a health and wellness center. The Health and Wellness Center opened on July 1, 2019. The center provides exercise classes in cardio fitness and aquatic therapy. Physical Therapy as well Cardiac Rehab Phase III programs transition patients who have completed their care to an exercise program at the Health and Wellness Center. Sabetha Community Hospital is a Certified Diabetic Education Facility and employs a Certified Diabetic educator who works with the current diabetes patients. The diabetic educator not only conducts education classes but works alongside the dietician in conducting the SMART program which holds the diabetic accountable for their own care. The hospital conducts low dose CT for lung cancer screening and partners with the local Community Health agency to direct patients to a smoking cessation class. The hospital now employs two certified seatbelt technician who do car seat safety checks for newborn babes leaving the hospital and car seat safety checks in the community as well. Monthly publications are sent out to the community and surrounding region on related health topics as mentioned above. This information is posted on the hospital website and Facebook page. Pre-natal classes are conducted quarterly throughout the year. SCH partners with the local health department to provide breastfeeding services through a certified lactation consultant. This consultant works with the pre-natal instructor to provide information to expectant mothers. The two hospitals in the county work together to provide supplies to newborn babes and families. The Level IV Trauma committee remains active in the community by giving scholarships to community children for swimming lessons offered at the public pool. Stop the Bleed instructors also provide that education to the community. Priority #2 identified improving access to mental health services. The local community mental health center provides access to mental health services through a clinic setting and some telehealth. The hospital does use Avera e-care within the ER setting to help with mental health issues. Resources and the availability of mental health professionals are limited in this rural area. The hospital continues to provide assistance to the community to those who seek help enrolling in Medicaid, Medicare and third-party payers as well as the drug prescription program. A local community group through the library, daycare, parents as teachers, and other organizations meet monthly to remain updated on community resources and needs. The hospital social worker and public relations coordinator attend to share hospital resources back to the group. In addition, a resource directory is attached to the community health needs assessment on the SCH website. In mid-year of 2019, the hospital updated the revenue cycle to a Cerner product. This entailed educating the community on new bill types due to the combining of the physician clinic and the hospital billing statements. Patients continue to be educated on accessing the Cerner patient portal to access their medical records. The Care Transitions Committee continued to meet through 2019 to better enhance patients' transitions for acute care to post-acute care. Transition of care reports generated by Cerner upon patients' discharge is used to enhance follow up of the patient from the emergency room, inpatient or OBs back to the physician's office. assessment on the SCH website.
SCHEDULE H, PART VI, LINE 3	The following measures are used to publicize the program to the community and patients: 1. Posting the Financial Assistance Program, Financial Assistance Application and a summary of the Policy on the Sabetha Community Hospital website at the following location: www.sabethahospital.com 2. Providing paper copies of the Program, application and summary of the Program upon request in admissions and patient financial services at Sabetha Community Hospital. 3. Posting notices about the Program in the emergency department, admitting areas, Clinic lobby and business office of Sabetha Community Hospital. 4. Distributing a plain language summary of the Program and offering a Financial Assistance application to patients before discharge from the hospital. 5. Informing patients about the Program in person or during billing and customer service phone contacts. 6. Providing notification of the Program in the patients' monthly billing statement which provides information and resources on how to apply for financial 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. If discovered during the accounts receivable collection process that a patient is having trouble paying bills, both the hospital and the clinic will inform the patient that financial assistance is available. As part of the financial assistance program all applicants must apply for Medicaid. To determine if 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 qualifications 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. Information about Financial Assistance is posted on the hospital website and the Financial Assistance form can be downloaded from www.sabethehospital.com
SCHEDULE H, PART VI, LINE 4	Sabetha Community Hospital is a 25 bed Critical Access Hospital located in the city of Sabetha, Nemaha County Kansas. Currently, the population of the City of Sabetha is estimated at 2584. The primary service area for Sabetha Community Hospital includes portions of Nemaha, Brown and Jackson County, Kansas and several counties in Nebraska. For Nemaha County in 2017 there were 599 of inpatient discharges. Estimated population for Nemaha County is 10,241 according to the United States Census Bureau. People age 65 and over make up 27% of the county's total population. The racial and ethnic composition of Nemaha County is mostly white which is at 96.9%, Native American .6%, African Americans .8%, Asians .3% and Hispanics were 1.7% of the population.
SCHEDULE H, PART VI, LINE 5	For the first six months of 2019, city officials and the hospital CEO and staff engaged in numerous meetings regarding the building of the community health and wellness center. This project was complete by July 1, 2019. The staff of the health and wellness center focuses on cardio fitness and aquatic therapy. As a community benefit to local industries, the hospital provides wellness checks which include blood pressure checks, BMI, and blood work and, if requested, educational sessions. Another service to the local businesses is the provision of occupational assessment testing along with hearing screens. The OAS testing and hearing screens are done by certified hospital staff. The hospital offers public flu immunization clinics at the local grocery store as well as providing immunization clinics to the local industries. Wellness is promoted among SCH employees by providing a corporate membership to the community fitness center. Hospital staff is also encouraged to donate blood during the quarterly blood drives. CPR training for professionals in the area are conducted. The hospital provides prenatal classes including CPR training, breastfeeding and care of a newborn infant on a quarterly basis for expectant parents. Cardiac Rehab Phase III is open to the community to offer support in an exercise program, especially for those patients who have graduated from the Cardiac Rehab Phase II program. This program is above and beyond use of the Health and Wellness Center. Social Services aids those in the community who request assistance and need resources for items such as meals on wheels, transportation, etc. Social Service and swingbed director coordinate transfer of patients to the local dialysis center. Medical Director for the city owned ambulance service is a hospital employed physician and the hospital provides RNs as needed for emergency indicated transfers to the local tertiary center. The four family practice physicians serve as medical directors for the Home Health and Hospice Agency. The Chief Executive Officer of Sabetha Community Hospital serves on the Health Innovations Network of Kansas Board, and the Governors KanCare Advisory Group. Hospital staff serves on various committees for the Kansas Hospital Association, and also, local civic groups. Sabetha Community Hospital takes its commitment to the community very seriously and participates in emergency drills, always monitoring patient and employee safety, educating staff on risk management, quality assurance, infection control issues, bloodborn pathogens, HIPAA and Corporate Compliance. The hospital provides an avenue for nursing students to do rotations through the hospital with its affiliation with Highland Community College and Southeast Community College, Beatrice, Nebraska. Medical students in the rural residency program at Kansas University School of Medicine are able to do clinical rotations with the family physicians. Physical therapy students through affiliation with Kansas City Kansas Community College and Indian Hills Community College, occupational therapy students through Washburn University affiliation, and social service students from Kansas State University all do clinical rotations at the hospital as well. Hospital Administration works closely with the High School counselor in the administration of local scholarships to nursing students and to those who are going into a healthcare career. Hospital staff participate in Senior Career Day at the local high school and every year middle school and high school student's job shadow at the hospital to encourage careers in healthcare.
SCHEDULE H, PART VI, LINE 6	Organization is 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 to the Hospital. 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 hospital, communities and leaders. GPHA provides policies and guidance to its Critical Access facilities regarding financial assistance, conflicts of interest, corporate compliance, HIPAA Privacy and Security and many other areas. GPHA also provides educational sessions for Board Members, Business Office Mangers, Billers, Medical Records personnel, Director 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	N/A

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 (7 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
DAVE DELLASEGA
PRESIDENT/CEO/DIRECTOR	$0	$208,541	$0	$0	$0	$83	$0	$20,484	$0	$12,997	$0	$242,105	$0	$0
DURREL KELLEY
SENIOR VP OF OPERATIONS	$0	$160,275	$0	$0	$0	$217	$0	$15,277	$0	$17,408	$0	$193,177	$0	$0
KEVIN KENNALLY
PHYSICIAN	$339,635	$0	$0	$0	$3,057	$0	$27,200	$0	$16,181	$0	$386,073	$0	$0	$0
ELIZABETH KROLL
APRN/NP	$167,151	$0	$0	$0	$1,635	$0	$7,159	$0	$23,098	$0	$199,043	$0	$0	$0
GREGG WENGER
PHYSICIAN	$248,881	$0	$0	$0	$2,062	$0	$25,317	$0	$15,639	$0	$291,899	$0	$0	$0
JAMES LONGABAUGH
PHYSICIAN	$271,585	$0	$0	$0	$2,507	$0	$27,200	$0	$24,398	$0	$325,690	$0	$0	$0
CHRISTIAN TRAMP
PHYSICIAN	$300,807	$0	$0	$0	$2,475	$0	$27,200	$0	$24,021	$0	$354,503	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, PART VII; SCHEDULE J, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	COMPENSATION FOR DURREL KELLEY AND DAVE DELLASEGA IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. KELLEY AND MR. DELLASEGA. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAVE COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. A COMPENSATION REVIEW WAS DONE WHEN DAVE DELLASEGA TOOK OVER AS CEO AND WAS CONDUCTED BY THE BOARD, BUT SINCE THAT TIME THERE HAS BEEN NO FORMAL COMPENSATION REVIEW.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	Addressing the needs of mental health among the elderly population as well as youth continues to be a priority but problematic due to the lack of mental health providers. The hospital partners with the regional Community Mental Health Center to provide access to mental health services whether it be in a clinic setting or through telehealth services. Again, addressing mental health is as important as promoting physical health within a community, and Sabetha Hospital recognizes that importance. Another large program the hospital provides is community support and mentoring. Outreach education is a priority to the hospital by participating in the Middle School and High School job shadowing days for these students. Several departments of the hospital participate in the high school work study program where students go into the workplace as part of their curriculum. Pre-natal classes and breastfeeding support is offered to expectant moms whether they are a first-time mom or have multiple children already. Another important factor in babes care is also a properly fitted car seat. The hospital provides a certified car seat specialist to make sure the baby is safe when leaving the hospital. The hospital has two technicians that will conduct car seat safety checks for the community as well. Stop the Bleed instructors conduct classes for the EMS technicians and various local industries. The hospital diabetic educator conducts the SMART program with diabetic patients which holds them accountable for their diabetic health. Hospital department heads present education on hospital services to the Hospital Guild which meets on a monthly basis. Staff provides presentations for local civic groups to create healthcare awareness on topics such as obesity, stroke/heart attacks, and diabetes. The next largest program that the hospital provides to the Sabetha Community is enrollment assistance for public medical programs such as Medicaid, Medicare, and Medicare Part D. Two hospital staff are dedicated to this program during the open enrollment periods. The hospital social worker takes the lead on this project and is helped by a staff member. After the open enrollment periods are closed the Social Worker is still available to the community to help with any assistance needed to for first time enrollees in Medicare or the Medicaid programs. The Social Worker also will assistance community members with needed information and resources, and work with the local pharmacies regarding prescription drug programs if the community member is unable to afford a needed medication. Quality healthcare is important to Sabetha Community Hospital and the hospital continues to participate in the Kansas Health Care Collaborative HIIN as well as reporting to the Medicare Beneficiary Quality Improvement Program. HCAHPS scores are monitored and used to keep staff informed of patient satisfaction and evaluate areas for needed improvement. SCH's mission remains to provide quality of health and care given in our communities. FORM 990, PART VI, SECTION A, LINE 2 DAVE DELLASEGA AND DURREL KELLEY HAVE A BUSINESS RELATIONSHIP. THEY ARE BOTH EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE. FORM 990, PART VI, SECTION A, LINE 6 GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF SABETHA, INC. FORM 990, PART VI, SECTION A, LINE 7A GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	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, SECTION B, LINE 11B	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, SECTION B, LINE 12C	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, SECTION B, LINES 15A & B THE CEO AND COO 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, SECTION C, LINE 19 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 XI, LINE 9	EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 7,935
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:1135948
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:152131
FORM 990 PART IX LINE 11G	DESCRIPTION:LAB SERVICES TOTAL FEES:170126
FORM 990 PART IX LINE 11G	DESCRIPTION:PHARMACY SERVICES TOTAL FEES:140905
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:177758
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE/HOUSEKEEPING TOTAL FEES:9989

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREAT PLAINS HEALTH CARE FOUNDATION INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	480955870	SUPPORT	KS	501(C)(3)	10	GPHA INC	Yes (true)
GREAT PLAINS OF CHEYENNE COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226831	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF ELLINWOOD INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226976	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF KIOWA COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226833	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF OTTAWA COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226856	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF REPUBLIC COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226977	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF SMITH COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226830	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS HEALTH ALLIANCE INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	480617739	MANAGEMENT	KS	501(C)(3)	3	NA	false
GREAT PLAINS EMPLOYEE BENEFITS TRUST
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	476918582	HEALTH PLAN	KS	501(C)(9)		GPHA INC	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GPHA EMPLOYEE BENEFITS TRUST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$570,910	InvolvedAmt
Method Of Amount Determination	ACTUAL	MethodOfAmountDeterminationTxt