GREAT PLAINS OF SMITH CO INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: GREAT PLAINS OF SMITH CO INC (EIN 48-1226830)
Tax period: 2023-04-01 to 2024-03-31
Filed: 2025-02-06
IRS object ID: 202520379349301672
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-02-06T15:45:46+00:00	ReturnTs
Tax Period End	2024-03-31	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	2023-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481226830	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	GREA	BusinessNameControlTxt
Phone	7852826845	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 349	AddressLine1Txt
City	SMITH CENTER	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66967	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CURT COLSON	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	3166851523	PhoneNum
Signature	2025-02-06	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	Michael Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	3162652811	PhoneNum
Preparation	2025-02-06	PreparationDt

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SMITH COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CURT COLSON	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	$24,921,452	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SCMHKS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	THE OPERATION OF HOSPITAL FACILITIES FOR THE DELIVERY OF HEALTH CARE SERVICES, EDUCATION, AND WELLNESS WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	183	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,012,270	PYContributionsGrantsAmt
CY Contributions Grants	$240,325	CYContributionsGrantsAmt
PY Program Service Revenue	$22,899,322	PYProgramServiceRevenueAmt
CY Program Service Revenue	$24,097,562	CYProgramServiceRevenueAmt
PY Investment Income	$92,924	PYInvestmentIncomeAmt
CY Investment Income	$372,781	CYInvestmentIncomeAmt
PY Other Revenue	$199,599	PYOtherRevenueAmt
CY Other Revenue	$210,784	CYOtherRevenueAmt
PY Total Revenue	$24,204,115	PYTotalRevenueAmt
CY Total Revenue	$24,921,452	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	$11,188,679	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,312,200	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$14,262,704	PYOtherExpensesAmt
CY Other Expenses	$14,160,142	CYOtherExpensesAmt
PY Total Expenses	$25,451,383	PYTotalExpensesAmt
CY Total Expenses	$26,472,342	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,247,268	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,550,890	CYRevenuesLessExpensesAmt
Total Assets BOY	$33,511,448	TotalAssetsBOYAmt
Total Assets EOY	$32,530,756	TotalAssetsEOYAmt
Total Liabilities BOY	$28,646,580	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,059,075	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,864,868	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,471,681	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	$22,496,366	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$24,132,992	RevenueAmt
Desc	GREAT PLAINS OF SMITH COUNTY, INC., DBA SMITH COUNTY MEMORIAL HOSPITAL, DELIVERS PRIMARY HEALTH CARE SERVICES TO RESIDENTS IN AN AREA THAT INCLUDES SMITH COUNTY, KANSAS. THE SERVICE AREA ALSO INCLUDES, TO A LESSER DEGREE, PHILLIPS, JEWELL, AND OSBORNE COUNTIES IN KANSAS, AS WELL AS FRANKLIN AND WEBSTER COUNTIES IN NEBRASKA. THE PRIMARY HEALTHCARE SERVICES ARE DELIVERED THROUGH A CRITICAL ACCESS HOSPITAL AND A PROVIDER-BASED RURAL HEALTH CLINIC. THE RURAL HEALTH CLINIC SERVED 15,307 PATIENTS FROM 41 ZIPCODES. SEE SCHEDULE O FOR CONTINUATION.	Desc
Total Program Service Expenses	$22,496,366	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	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	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	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	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	22	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	183	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	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	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 (16 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	0.2	41.2	Yes (X)	Yes (X)	$0	$217,359	$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
ARTHUR HENDRICKSON
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
CHARLES WESTIN
DIRECTOR (LEFT 5/23)	0.2	1.2	Yes (X)		$0	$0	$0
DR BARBARA BROWN APPLEGATE
DIRECTOR	0.2	1.2	Yes (X)		$0	$0	$0
ALLEN VANDRIEL
ADMINISTRATOR	40.0	0.0		Yes (X)	$195,657	$0	$42,486
JASON BARB
CFO	0.2	41.2		Yes (X)	$0	$191,413	$50,658
SARAH RAGSDALE
Administrator	40.0	0.0		Yes (X)	$124,848	$0	$26,280
STEPHEN LEWIS
CFO	40.0	0.0		Yes (X)	$140,349	$0	$36,941
FERRILL CONANT
PHYSICIAN	40.0	0.0			$269,755	$0	$47,151	Yes (X)
HANNAH HAACK
PHYSICIAN	40.0	0.0			$343,732	$0	$64,944	Yes (X)
JUSTIN OVERMILLER
PHYSICIAN	40.0	0.0			$323,187	$0	$62,030	Yes (X)
LEAH WIEHL
PHYSICIAN	40.0	0.0			$171,370	$0	$40,570	Yes (X)
STEPHEN MOLL
PHYSICIAN	40.0	0.0			$264,027	$0	$59,463	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,832,925	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$408,772	TotReportableCompRltdOrgAmt
Total Other Compensation	$485,297	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
GPHA
250 N ROCK RD STE 160	WICHITA	KS	67206	BILLING SERVICE/MGMT	$1,401,295
HOLISTIC PAIN MANAGEMENT
3780 N GARFIELD	LOVELAND	CO	80538	PAIN MGMT SERVICE	$767,290
MIDWEST ANESTHESIA ALLIANCE
PO BOX 306	MEMPHIS	MO	63555	CRNA SERVICES	$448,942
AYA HEALTHCARE INC
PO Box 123519	Dallas	TX	75312	Nurse Staffing	$203,068	Dept 3519
WOUND CARE SPECIALISTS
PO BOX 71849	CHICAGO	IL	606941849	WOUND CARE	$193,900

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Government Grants	$11,664	GovernmentGrantsAmt
All Other Contributions	$228,661	AllOtherContributionsAmt
Total Contributions	$240,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$20,939,663	$20,939,663
340B PRESCRIPTION DRUG REVENUE	621300	$3,157,899	$3,157,899

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	$24,097,562	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,781	TotalRevenueColumnAmt
Exclusion	$369,781	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,005	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,005	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,005	TotalRevenueColumnAmt
Exclusion	$6,005	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$3,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,000	TotalRevenueColumnAmt
Exclusion	$3,000	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE/GUEST MEALS	722513	$115,475	$115,475
MEALS ON WHEELS	722513	$35,430		$35,430
VENDOR REBATES	900099	$27,287	$27,287

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,587	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$26,587	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$204,779	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,921,452	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,132,992	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$548,135	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$569,187	TotalAmt
Management And General	$569,187	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,060,091	TotalAmt
Program Services	$8,235,145	ProgramServicesAmt
Management And General	$824,946	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$721,984	TotalAmt
Program Services	$644,704	ProgramServicesAmt
Management And General	$77,280	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,305,252	TotalAmt
Program Services	$1,083,178	ProgramServicesAmt
Management And General	$222,074	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$655,686	TotalAmt
Program Services	$560,901	ProgramServicesAmt
Management And General	$94,785	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$139,688	TotalAmt
Management And General	$139,688	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,045	TotalAmt
Management And General	$3,045	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$200,847	TotalAmt
Management And General	$200,847	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,120	TotalAmt
Management And General	$4,120	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,839,662	TotalAmt
Program Services	$4,083,034	ProgramServicesAmt
Management And General	$756,628	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$38,612	TotalAmt
Management And General	$38,612	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$495,470	TotalAmt
Program Services	$457,831	ProgramServicesAmt
Management And General	$37,639	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,040	TotalAmt
Program Services	$17,624	ProgramServicesAmt
Management And General	$18,416	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$474,626	TotalAmt
Program Services	$355,796	ProgramServicesAmt
Management And General	$118,830	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,676	TotalAmt
Program Services	$6,422	ProgramServicesAmt
Management And General	$3,254	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$105,760	TotalAmt
Program Services	$65,791	ProgramServicesAmt
Management And General	$39,969	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$730,038	TotalAmt
Program Services	$547,261	ProgramServicesAmt
Management And General	$182,777	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,097,828	TotalAmt
Program Services	$1,572,602	ProgramServicesAmt
Management And General	$525,226	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$235,314	TotalAmt
Program Services	$176,399	ProgramServicesAmt
Management And General	$58,915	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,457,399	$4,457,399
EQUIPMENT RENTAL/MAINTENANCE	$194,877	$167,948	$26,929
DUES & SUBSCRIPTIONS	$64,100	$31,291	$32,809
ALL OTHER EXPENSES	$33,040	$33,040

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,472,342	TotalAmt
Program Services	$22,496,366	ProgramServicesAmt
Management And General	$3,975,976	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,816,889	BOYAmt
EOY	$164,148	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,421,743	BOYAmt
EOY	$8,819,386	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,567,448	BOYAmt
EOY	$2,970,841	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	$329,031	BOYAmt
EOY	$259,103	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$179,609	BOYAmt
EOY	$228,108	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$31,293,012	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$13,071,210	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,090,704	BOYAmt
EOY	$18,221,802	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	$2,106,024	BOYAmt
EOY	$1,867,368	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,511,448	BOYAmt
EOY	$32,530,756	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,593,159	BOYAmt
EOY	$2,844,585	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	$26,018,121	BOYAmt
EOY	$25,490,809	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,300	BOYAmt
EOY	$723,681	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,646,580	BOYAmt
EOY	$29,059,075	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	$3,908,767	BOYAmt
EOY	$2,333,958	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$956,101	BOYAmt
EOY	$1,137,723	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,864,868	BOYAmt
EOY	$3,471,681	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$33,511,448	BOYAmt
EOY	$32,530,756	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,550,890	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$157,703	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,120	OtherActivitiesAmt
Total Lobbying Expenditures	$4,120	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 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$956,098	BeginningYearBalanceAmt
Contributions	$106,971	ContributionsAmt
Investment Earnings Or Losses	$178,743	InvestmentEarningsOrLossesAmt
Other Expenditures	$104,092	OtherExpendituresAmt
End Year Balance	$1,137,720	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$985,545	BeginningYearBalanceAmt
Contributions	$46,808	ContributionsAmt
Investment Earnings Or Losses	-$64,148	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,107	OtherExpendituresAmt
End Year Balance	$956,098	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$972,031	BeginningYearBalanceAmt
Contributions	$171,687	ContributionsAmt
Investment Earnings Or Losses	$8,634	InvestmentEarningsOrLossesAmt
Other Expenditures	$166,807	OtherExpendituresAmt
End Year Balance	$985,545	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$877,459	BeginningYearBalanceAmt
Contributions	$66,240	ContributionsAmt
Investment Earnings Or Losses	$93,680	InvestmentEarningsOrLossesAmt
Other Expenditures	$65,348	OtherExpendituresAmt
End Year Balance	$972,031	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$936,018	BeginningYearBalanceAmt
Contributions	$13,269	ContributionsAmt
Investment Earnings Or Losses	-$38,761	InvestmentEarningsOrLossesAmt
Other Expenditures	$33,067	OtherExpendituresAmt
End Year Balance	$877,459	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.9041	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0959	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$395,701	OtherCostOrOtherBasisAmt
Book Value	$395,701	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,602,101	OtherCostOrOtherBasisAmt
Depreciation	$6,810,424	DepreciationAmt
Book Value	$12,791,677	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,943,803	OtherCostOrOtherBasisAmt
Depreciation	$4,540,480	DepreciationAmt
Book Value	$2,403,323	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,351,407	OtherCostOrOtherBasisAmt
Depreciation	$1,720,306	DepreciationAmt
Book Value	$2,631,101	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,221,802	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
FUNDS HELD BY ESCROW AGENT	$1,677,731
OTHER RECEIVABLES	$189,637

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,867,368	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO THIRD PARTY	Desc
Amt	$723,681	Amt

Field	Value	IRS element (for citing)
Total Liability	$723,681	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	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 V, Line 4 Intended uses of endowment funds	THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE CONTINUING OPERATIONS OF THE REPORTING ORGANIZATION.

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	$34,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,149	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,747,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,063,048	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$684,142	NetCommunityBenefitExpnsAmt
Total Expense	0.0258	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	$1,781,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,063,048	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$718,291	NetCommunityBenefitExpnsAmt
Total Expense	0.0271	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,006	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,006	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	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	$90,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,006	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,871,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,063,048	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$808,297	NetCommunityBenefitExpnsAmt
Total Expense	0.0305	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	$521,360	BadDebtExpenseAmt
Reimbursed By Medicare	$1,063,048	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,747,190	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$684,142	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	GREAT PLAINS OF SMITH CO INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	921 E HWY 36	AddressLine1Txt
City	SMITH CENTER	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66967	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SCMHKS.ORG	WebsiteAddressTxt
State License	H092001	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
Other	RURAL HEALTH CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF SMITH CO INC	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	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	https://www.scmhks.org/about-us/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.scmhks.org/about-us/community-health-needs-assessment/	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
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	HTTPS://WWW.SCMHKS.ORG/SERVICES/FINANCIAL-ASSISTANCE-RESOURCES/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SCMHKS.ORG/SERVICES/FINANCIAL-ASSISTANCE-RESOURCES/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SCMHKS.ORG/SERVICES/FINANCIAL-ASSISTANCE-RESOURCES/	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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GREAT PLAINS OF SMITH CO, INC. THE OBJECTIVE OF THE SMITH COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS TO DETERMINE HEALTH NEEDS FROM THE PERSPECTIVE OF THE COMMUNITY IN COLLABORATION WITH THE HEALTH CARE PROVIDERS IN THE COMMUNITY. PARTICIPANTS IN A TOWN HALL MEETING HELD AS PART OF THE CHNA INCLUDED COMMUNITY RESIDENTS, GOVERNMENTAL, CIVIC, AND BUSINESS LEADERS IN THE COMMUNITY. THE ATTENDANCE ROSTER CAN BE FOUND IN SECTION V OF THE CHNA DOCUMENT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GREAT PLAINS OF SMITH CO, INC. THE CHNA CONDUCTED IN APRIL 2021 HIGHLIGHTED 10 ISSUES FOR SMITH COUNTY. THE ISSUES WERE: 1. DENTAL SERVICES 2. MENTAL HEALTH (DIAGNOSIS, PLACEMENT, AFTERCARE) 3. CHRONIC DISEASE MANAGEMENT 4. HOUSING 5. SPECIALITY SERVICES (OPTOMETRY AND PODIATRY) 6. AFFORDABLE INSURANCE/ACCESS TO MEDICAID 7. OBESITY (ACCESS TO EXERCISE) 8. DRUG & SUBSTANCE ABUSE 9. CHILD CARE 10. NURSING HOME/SENIOR CARE THE ISSUES IDENTIFIED WERE REVIEWED BY LEADERSHIP AND THE GOVERNING BOARD OF GREAT PLAINS OF SMITH COUNTY, INC. THEY WERE PRIORITIZED INTO AN IMPLEMENTATION PLAN, WHICH WAS PUBLISHED LATER IN 2021. THE CHNA REPORT, ALONG WITH THE IMPLEMENTATION PLAN ARE POSTED TO THE PUBLIC WEBSITE (WWW.SCMHKS.ORG). THE STRATEGY ADDRESSES EACH OF THE PRIORITIES IDENTIFIED, BUT ONLY TWO OF THE TEN ISSUES WERE RECOGNIZED AS BEING SOLELY WITHIN THE PURVIEW OF GREAT PLAINS OF SMITH COUNTY, INC. THOSE WERE ITEMS 3 AND 5. ITEMS 1, 2, 4, 6, 7, 8, 9, AND 10 WERE IDENTIFIED AS BEING ONLY ADDRESSABLE THROUGH A COLLABORATIVE APPROACH INVOLVING OTHER COMMUNITY PARTNERS. DURING THE INTERVAL BETWEEN COMPLETION OF THE CHNA AND THE END OF THE 2024 FISCAL YEAR, SIGNIFICANT PROGRESS WAS DEMONSTRATED IN ADDRESSING BOTH ITEM 3 AND 5. THE REMAINING 8 ISSUES ALSO HAD SIGNIFICANT PROGRESS DEMONSTRATED THROUGH COLLABORATION WITH OUTSIDE AGENCIES.

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	SMITH COUNTY FAMILY PRACTICE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	921 E HWY 36	AddressLine1Txt
City	SMITH CENTER	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66967	ZIPCd

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

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 BAD DEBT EXCLUDED FOR PURPOSE OF CALCULATING COMMUNITY BENEFIT	THE BAD DEBT EXPENSE IS NOT CONSIDERED A COMMUNITY BENEFIT EXPENSE AND IS NOT INCLUDED IN SCHEDULE H, PART I, LINE 7. THE AMOUNT EXCLUDED IS $521,360.
Schedule H, Part VI ADDITIONAL DISCLOSURE REGARDING 501(R)	DURING PREPARATION OF THE 2023 FORM 990, THE ORGANIZATION WAS ALERTED TO MINOR AND INADVERTENT ERRORS RELATED TO 501(R) COMPLIANCE. PRIOR TO FILING THE 2023 FORM 990, THE ORGANIZATION HAS ADDRESSED THE FOLLOWING DEFICIENCIES: - PROVIDER LISTS POSTED ONLINE, INCLUDING THOSE COVERED AND NOT COVERED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, DID NOT HAVE AN UPDATED TIME STAMP REFLECTING THAT THEY HAD BEEN REVIEWED IN THE LAST THREE MONTHS. THE LISTS HAVE BEEN UPDATED AND ARE AVAILABLE ON THEIR WEBSITE AT THE FOLLOWING LOCATION: https://www.scmhks.org/services/financial-assistance-resources/. PAPER COPIES OF THE LISTINGS ARE ALSO AVAILABLE AT THE HOSPITAL'S REGISTRATION DESK. - FEDERAL POVERTY GUIDELINES HAVE BEEN UPDATED TO INCLUDE THE CURRENT YEAR AND FUTURE YEARS. FPG GUIDELINES ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING LOCATION: https://www.scmhks.org/services/financial-assistance-resources/. - DURING QUARTERLY FINANCIAL CLOSE, STAFF WILL REVIEW THE WEBSITE AND MATERIALS AT THE REGISTRATION DESK TO ENSURE ALL REQUIRED DOCUMENTS, APPLICATIONS, AND POLICIES ARE AVAILABLE ELECTRONICALLY AND IN PAPER FORMAT. - DURING QUARTERLY FINANCIAL CLOSE, THE PROVIDER LISTINGS WILL BE REVIEWED AND UPDATED, INCLUDING AN UPDATED TIME AND DATE STAMP. - THE ORGANIZATION WILL CONTINUE TO IMPROVE LINES OF COMMUNICATIONS WITH THOSE RESPONSIBLE FOR WEBSITE MAINTENANCE AND PATIENT ACCOUNTS TO ENSURE THAT STAFF UNDERSTAND THE REQUIREMENTS OUTLINED IN THE 501(R) REGULATIONS.
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 UNDER INSURANCE STATUS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS 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 REASOBABLE 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	THE APPLICABLE FOOTNOTE, NOTE 12, BEGINS ON PAGE 21 OF THE ATTACHED FINANCIAL STATEMENTS. Credit loss expense of $521,360 and $356,553 was recognized for the current fiscal year & prior year, respectively.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. ANY SHORTFALL WOULD ARISE FROM PAYMENTS THAT ARE LESS THAN THE COSTS TO PROVIDE THE SERVICES. SHOULD A SHORTFALL OCCUR, IT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS IT MUST BE ABSORBED IN ORDER TO CONTINUE PROVIDING CARE TO OUR COMMUNITY. IT IS ALSO IMPLIED IN INTERNAL REVENUE SERVICE RULING 69-545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS AND INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ALL CHARITY CARE AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPTED FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.
Schedule H, Part V, Section B, Line 16a FAP website	- GREAT PLAINS OF SMITH CO, INC: Line 16a URL: HTTPS://WWW.SCMHKS.ORG/SERVICES/FINANCIAL-ASSISTANCE-RESOURCES/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GREAT PLAINS OF SMITH CO, INC: Line 16b URL: HTTPS://WWW.SCMHKS.ORG/SERVICES/FINANCIAL-ASSISTANCE-RESOURCES/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GREAT PLAINS OF SMITH CO, INC: Line 16c URL: HTTPS://WWW.SCMHKS.ORG/SERVICES/FINANCIAL-ASSISTANCE-RESOURCES/;
Schedule H, Part VI, Line 2 Needs assessment	GREAT PLAINS OF SMITH COUNTY, INC. (GPSC) USES FORMAL AND INFORMAL METHODS TO DETERMINE THE NEEDS OF THE COMMUNITIES IT SERVES. OUTSIDE FACILITATORS HAVE BEEN USED TO ASSIST WITH FORMAL COMMUNITY HEALTH NEEDS ASSESSMENTS. THE FIRST OF THESE FORMAL ASSESSMENTS WAS COMPLETED IN 2012, FOLLOWED BY SUBSEQUENT ASSESSMENTS IN 2015, 2018 AND 2021. EACH OF THESE ASSESSMENTS INCLUDED SURVEYS MAILED TO MEMBERS OF THE COMMUNITY, FOLLOWED BY A PUBLIC FORUM DESIGNED TO GATHER INPUT IN AN INTERACTIVE FORMAT. FOLLOWING COMPLETION AND PUBLICATION OF EACH OF THE CHNAS, AN IMPLEMENTATION PLAN WAS DEVELOPED. IN 2021, THE SARS COV-2 PANDEMIC AND ITS IMPACT ON THE COMMUNITY AND ON PUBLIC GATHERINGS NECESSITATED A CHANGE IN TACTICS FOR THE FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT. AFTER ANALYSIS OF THE SURVEYS AND THE PUBLIC INPUT, TEN AREAS OF COMMUNITY NEED WERE IDENTIFIED. THEY ARE OUTLINED IN THE CNHA DOCUMENT AND ARE ADDRESSED IN THE IMPLEMENTATION PLAN PUBLISHED IN 2022 AND UPDATED IN 2023. THE IMPLEMENTATION PLAN IS ATTACHED TO THIS SUMMARY. THE BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL, WHICH CONSISTS OF FIVE MEMBERS APPOINTED BY THE SMITH COUNTY BOARD OF COMMISSIONERS, IS RESPONSIBLE FOR THE DELIVERY OF HEALTHCARE THROUGH SCMH. THE BOARD OF TRUSTEES HAS MAINTAINED A LEASE ARRANGEMENT WITH GREAT PLAINS HEALTH ALLIANCE (AND ITS PREDECESSOR, GREAT PLAINS LUTHERAN HOSPITALS) SINCE 1951. THIS LEASE ARRANGEMENT CREATES THE GREAT PLAINS OF SMITH COUNTY, INC. AS THE OPERATING ENTITY FOR THE DELIVERY OF SERVICES. THE BOARD OF TRUSTEES, ALTHOUGH NOT DIRECTLY INVOLVED IN THE GOVERNANCE OF THE DELIVERY SYSTEM, SERVE AS AN IMPORTANT CONDUIT FOR PUBLIC INPUT REGARDING THE NEEDS AND DELIVERY OF HEALTHCARE BY GREAT PLAINS OF SMITH COUNTY, INC.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	GREAT PLAINS OF SMITH COUNTY, INC. MAKES SIGNIFICANT EFFORTS TO PROVIDE INFORMATION TO THE PUBLIC REGARDING THE FUNCTION OF FEDERAL AND STATE PROGRAMS. WE USE FREQUENT SOCIAL MEDIA POSTS, NEWSPAPER ARTICLES, AND A BIANNUAL MAGAZINE TO PROVIDE INFORMATION ABOUT THE MEDICARE AND MEDICAID PROGRAMS, AND THE SERVICES THEY COVER. THE MAGAZINE-STYLE REPORT TO THE COMMUNITY HELPS TO EDUCATE THE COMMUNITY ABOUT PREVENTIVE HEALTH CARE, SERVICES AVAILABLE THROUGH GPSC, AND TOPICS RELATED TO INSURANCE PROGRAMS AVAILABLE IN THE COMMUNITY. DURING THE 2023 OPEN ENROLLMENT PERIOD FOR THE MEDICARE PROGRAM, GPSC UTILIZED THEIR OWN SHICK (SENIOR HEALTH INSURANCE FOR KANSAS) COUNSELOR WHO IS A LICENSED SOCIAL WORKER TO PROVIDE ONE ON ONE ASSISTANCE TO BENEFICIARIES. THESE MEETINGS ARE DESIGNED AS PURELY EDUCATIONAL TO ASSIST BENEFICIARIES IN SELECTING THE MOST BENEFICIAL MEDICARE RELATED PROGRAMS (ESPECIALLY SUPPLEMENTAL PLANS) DURING THE TIME WHEN THEY CAN MAKE THEIR ANNUAL SELECTION. OUR PATIENT CARE ADVOCATE, A LICENSED SOCIAL WORKER, PROVIDES INDIVIDUAL ASSISTANCE TO UNINSURED PATIENTS IN APPLICATION FOR COVERAGE UNDER THE KANCARE (KANSAS MEDICAID) PROGRAM. PATIENT ADVOCATE ALSO ASSISTS PATIENTS WITH THE INITIATION OF APPLICATIONS FOR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE PROGRAM. EVERY BILLING STATEMENT SENT TO PATIENTS CONTAINS INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM, INCLUDING INSTRUCTIONS ABOUT HOW TO INITIATE AN APPLICATION FOR ASSISTANCE. ADDITIONALLY, EVERY TELEPHONE CALL MADE TO PATIENTS REGARDING UNPAID BALANCES INCLUDES INFORMATION REGARDING THE OPTION TO APPLY FOR FINANCIAL ASSISTANCE. OUR FINANCIAL ASSISTANCE POLICY, ALONG WITH THE CONTACT IN FORMATION AND APPLICATION FORMS, IS ACCESSIBLE ON OUR PUBLIC WEBSITE.
Schedule H, Part VI, Line 4 Community information	THE 2020 UNITED STATES CENSUS REPORTED A TOTAL POPULATION IN SMITH COUNTY, KANSAS OF 3,570. THIS REPRESENTS A DECREASE OF 7.3% FROM THE 2010 CENSUS OF 3,853. THE POPULATION DENSITY IS APPROXIMATELY 4 PERSONS PER SQUARE MILE, CLASSIFYING THE COUNTY AS FRONTIER. APPROXIMATELY 96% OF THE POPULATION OF SMITH COUNTY IS REPORTED AS WHITE, WITH LESS THAN 1% EACH REPORTED AS BLACK, ASIAN, OR NATIVE AMERICAN. THE POPULATION IS NEARLY EVENLY DIVIDED BETWEEN MALE AND FEMALE. THE MEDIAN FAMILY INCOME IN SMITH COUNTY WAS REPORTED AS $43,429, COMPARED TO A NATIONAL MEDIAN OF $62,843. DESPITE THIS DISPARITY IN MEDIAN INCOME, THE CENSUS REPORTED 11.6% OF SMITH COUNTY RESIDENTS BEING BELOW THE POVERTY LEVEL, COMPARED TO 11.4% NATIONALLY. THIS INDICATES A HIGHER POPULATION IN THE LOW-MODERATE INCOME RANGE, BUT ABOVE THE POVERTY LEVEL. OF THE RESIDENTS LESS THAN 65 YEARS OF AGE IN SMITH COUNTY, 11.7% ARE REPORTED AS UNINSURED, COMPARED TO 10.2% NATIONALLY. THESE REPORTED NUMBERS ON UNINSURED LIKELY DO NOT REFLECT THE IMPACT OF THE COVID-19 PANDEMIC ON THE ECONOMY AND EMPLOYER-PROVIDED INSURANCE.
Schedule H, Part VI, Line 5 Promotion of community health	GREAT PLAINS OF SMITH COUNTY, INC. MAINTAINS AN OPEN MEDICAL STAFF, STRIVING FOR DIVERSITY TO REFLECT THE COMMUNITY AND SERVICE AREA. WE ADDED A TELEMEDICINE RHEUMATOLOGY AND ENDOCRINOLOGY CLINIC TO THE SPECIALTY CLINIC IN NOVEMBER 2023. THE ADDITION OF THESE CLINICS GAVE COMMUNITY MEMBERS ACCESS TO SPECIALISTS LOCALLY WITHOUT THE TRAVEL. THE UTILIZATION OF TELEHEALTH SERVICES TO EXPAND THE AVAILABILITY OF SERVICES, INCLUDING BEHAVIORAL HEALTH, HAVE SEEN SIGNIFICANT INCREASES IN USE DURING THE PAST YEAR. GREAT PLAINS OF SMITH COUNTY, INC. PARTNERED WITH HOLISTIC PAIN MANAGEMENT TO PROVIDE A PAIN MANAGEMENT CLINIC AND INCREASE AVAILABILITY OF PROCEDURES FOR PATIENTS WITH CHRONIC PAIN. THE SMITH COUNTY MEMORIAL HOSPITAL BOARD OF TRUSTEES, ALTHOUGH NOT DIRECTLY RESPONSIBLE FOR THE GOVERNANCE OF THE OPERATING ENTITY, NEVERTHELESS SERVES AS AN IMPORTANT LINK TO THE COMMUNITY. THE MEMBERSHIP OF THE BOARD OF TRUSTEES REPRESENTS THE GEOGRAPHIC DIVERSITY OF SMITH COUNTY, WITH MEMBERS APPOINTED TO REPRESENT VARIOUS REGIONS AND POPULATION CENTERS OF THE COUNTY. GREAT PLAINS OF SMITH COUNTY, INC. USES SIGNIFICANT EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITY. AMONG THESE EFFORTS ARE COMMUNICATION REGARDING HEALTHY LIFESTYLE, DISEASE PREVENTION AND DETECTION, AND COMMUNITY AWARENESS. WE USE SOCIAL MEDIA, OUR WEBSITE, RADIO AND TELEVISION ADVERTISING, AND NEWSPAPER ARTICLES AND ADVERTISING TO CONVEY IMPORTANT INFORMATION TO THE COMMUNITY. OTHER EFFORTS TO ENHANCE COMMUNITY EDUCATION INCLUDE STEPPING ON CLASSES OFFERED BY OUR EMERGENCY DEPARTMENT SUPERVISOR AND AN OCCUPATIONAL THERAPIST. THESE CLASSES, OFFERED TWICE PER YEAR IN VARIOUS LOCATIONS IN THE COUNTY, EMPHASIZE FALL PREVENTION THROUGH TECHNIQUES TO INCREASE BALANCE AND FLEXIBILITY TO OLDER RESIDENTS. THE TWO STAFF MEMBERS WHO TEACH THE CLASSES HAVE NOW BEEN ASKED TO SERVE AS STATEWIDE INSTRUCTOR TRAINERS IN AN EFFORT TO EXPAND THE AVAILABILITY OF THESE PROGRAMS IN OTHER COMMUNITIES. OTHER OFFERINGS INCLUDED ARE THE MEALS ON WHEELS PROGRAM, TELEHEALTH SERVICES, CARDIAC AND PULMONARY REHABILITATION PROGRAMS, AND EDUCATION PROGRAMS. THE MEALS ON WHEELS PROGRAM IS NOW COMPLETELY MANAGED BY GPSC, INCLUDING PREPARATION AND PACKAGING OF MEALS THAT ARE PROVIDED AT A DEEPLY DISCOUNTED COST TO HOMEBOUND MEMBERS OF THE COMMUNITY. GPSC HAS ALSO ASSUMED THE RESPONSIBILITY FOR SCHEDULING AND COORDINATING THE VOLUNTEER DELIVERY DRIVERS FOR THE MEALS, SUPPLEMENTED WHEN NECESSARY BY OUR PAID STAFF. ALTHOUGH ACCESS TO FACILITIES WAS LIMITED FOR A PERIOD OF TIME DUE TO THE PANDEMIC, THE CARDIAC REHABILITATION AND PULMONARY REHABILITATION PROGRAMS HAVE NOW RESUMED ACTIVITY, PROVIDING SERVICE TO GROWING NUMBERS OF BENEFICIARIES. EDUCATION PROGRAMS INCLUDE HEALTHY DIET PROGRAMS AND CHILDBIRTH EDUCATION PROGRAMS FOR EXPECTANT PARENTS. A COLLABORATIVE PROGRAM TO INCREASE SUPPORT SERVICES FOR BREASTFEEDING TO NEW MOTHERS WAS IMPLEMENTED IN 2022. THIS PROGRAM, A COLLABORATION BETWEEN GPSC HOSPITAL AND CLINIC STAFF, AS WELL AS STAFF FROM THE SMITH COUNTY HEALTH DEPARTMENT, SEEKS TO STANDARDIZE THE INFORMATION MADE AVAILABLE TO MOTHERS OF NEW BABIES. THE TRAINING FOR THE EMPOWER BEST PRACTICE BREASTFEEDING COLLABORATIVE WAS COMPLETED IN 2023. TRAINING AND CERTIFICATION PROGRAMS IN A VARIETY OF BASIC AND ADVANCED LIFESAVING TECHNIQUES. THESE INCLUDE BASIC LIFE SUPPORT (CPR), ADVANCED CARDIOVASCULAR LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, NEONATAL RESUSCITATION, TRAUMA NURSE CORE CURRICULUM, AND BASIC AND ADVANCED FETAL MONITORING COURSES ARE OFFERED BY INSTRUCTOR STAFF FROM OUR FACILITY. THE TARGET AUDIENCE FOR THESE CLASSES IS OUR OWN STAFF, AS WELL AS STAFF FROM NEIGHBORING COMMUNITIES. IN GENERAL, WHEN WE BECOME AWARE OF A NEED FOR ADDITIONAL SERVICES TO THE COMMUNITY AND SERVICE AREA, WE TAKE STEPS TO ASSURE DEVELOPMENT AND DELIVERY OF PROGRAMS TO ADDRESS THE NEEDS OF THE COMMUNITY.
Schedule H, Part VI, Line 6 Affiliated health care system	SMITH COUNTY MEMORIAL HOSPITAL IS OPERATED BY GREAT PLAINS OF SMITH CO., INC., A SUBSIDIARY OF GREAT PLAINS HEALTH ALLIANCE. GPHA IS A 501(C)(3) NOT FOR PROFIT ORGANIZATION WHICH PROVIDES MANAGEMENT, FINANCE, BILLING, INFORMATION SYSTEMS, AND PHARMACY SUPPORT SERVICES TO ITS AFFILIATED ORGANIZATIONS. GPHA DOES NOT PROVIDE SERVICES DIRECTLY TO PATIENTS, BUT PROVIDES ACCESS TO PROFESSIONALS AND SYSTEMS WHICH MIGHT NOT OTHERWISE BE AVAILABLE OR AFFORDABLE TO SMALL RURAL HOSPITALS. GPHA PROVIDES EDUCATION AND ASSISTANCE IN AREAS SUCH AS HIPAA PRIVACY AND SECURITY, MEDICARE AND MEDICAID REIMBURSEMENT RULES AND REGULATIONS, MEANINGFUL USE REQUIREMENTS FOR ELECTRONIC HEALTH RECORDS, ETC. GREAT PLAINS HEALTH ALLIANCE BRINGS TOGETHER ITS NETWORKED CRITICAL ACCESS HOSPITALS IN KANSAS AND NEBRASKA TO LEARN FROM EACH OTHER AND DEVELOP BEST PRACTICES IN CARE PROVISION, MANAGEMENT, AND GOVERNANCE. AFFILIATED HOSPITALS RECEIVE POLICY GUIDANCE REGARDING FINANCIAL ASSISTANCE TO PATIENTS, CORPORATE COMPLIANCE, CONFLICTS OF INTEREST, AND MANY OTHER AREAS. GUIDANCE IS ALSO PROVIDED TO THE GOVERNING BOARDS OF AFFILIATED HOSPITALS TO ASSIST THEM IN FULFILLING THEIR FIDUCIARY RESPONSIBILITIES.

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 (10 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	$0	$213,766	$0	$0	$0	$3,593	$0	$21,263	$0	$33,511	$0	$272,133	$0	$0
JASON BARB
CFO	$0	$190,136	$0	$0	$0	$1,277	$0	$18,538	$0	$32,120	$0	$242,071	$0	$0
ALLEN VANDRIEL
ADMINISTRATOR	$189,192	$0	$0	$0	$6,465	$0	$19,924	$0	$22,562	$0	$238,143	$0	$0	$0
STEPHEN LEWIS
CFO	$136,696	$0	$0	$0	$3,653	$0	$14,426	$0	$22,515	$0	$177,290	$0	$0	$0
SARAH RAGSDALE
Administrator	$124,533	$0	$0	$0	$315	$0	$12,103	$0	$14,177	$0	$151,128	$0	$0	$0
HANNAH HAACK
PHYSICIAN	$343,342	$0	$0	$0	$390	$0	$32,200	$0	$32,744	$0	$408,676	$0	$0	$0
JUSTIN OVERMILLER
PHYSICIAN	$322,754	$0	$0	$0	$433	$0	$32,200	$0	$29,830	$0	$385,217	$0	$0	$0
FERRILL CONANT
PHYSICIAN	$264,253	$0	$0	$0	$5,502	$0	$27,072	$0	$20,079	$0	$316,906	$0	$0	$0
STEPHEN MOLL
PHYSICIAN	$263,744	$0	$0	$0	$283	$0	$26,899	$0	$32,564	$0	$323,490	$0	$0	$0
LEAH WIEHL
PHYSICIAN	$171,046	$0	$0	$0	$324	$0	$17,739	$0	$22,831	$0	$211,940	$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 OF 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	THE LARGEST PROGRAM SERVICES MEASURED BY EXPENSES ARE: 1. SMITH COUNTY MEMORIAL HOSPITAL - THIS 16 BED CRITICAL ACCESS HOSPITAL PROVIDES A WIDE VARIETY OF INPATIENT AND OUTPATIENT MEDICAL SERVICES TO RESIDENTS OF THE SERVICE AREA. INCLUDED AMONG THESE SERVICES ARE THE FOLLOWING: A. INPATIENT CARE - I. ACUTE AND OBSERVATION (OUTPATIENT) CARE FOR PATIENTS WITH MEDICAL AND SURGICAL CONDITIONS. THIS INCLUDES NEONATAL, PEDIATRIC, ADULT, AND GERIATRIC PATIENTS. II. SKILLED SWING BED CARE FOR PATIENTS REQUIRING POST-ACUTE CARE, ESPECIALLY SKILLED NURSING AND REHABILITATION SERVICES. III. PRIVATE PAY CUSTODIAL CARE IS PROVIDED ON A LIMITED BASIS. MUCH OF THIS CARE IS PROVIDED TO PATIENTS WHO HAVE ELECTED HOSPICE BENEFITS BUT DO NOT HAVE FAMILY MEMBERS ABLE CARE FOR THEM IN THE HOME. B. OBSTETRICAL CARE INCLUDING PRENATAL EDUCATION, MONITORING AND DIAGNOSTIC SERVICES DURING THE PRENATAL PERIOD, AS WELL AS LABOR AND DELIVERY SERVICES DURING THE PERINATAL PERIOD. THIS INCLUDES SURGICAL CARE FOR SCHEDULED AND URGENT C SECTIONS NEEDED FOR DELIVERY. THIS AREA HAS SEEN INCREASED VOLUMES AS MANY SURROUNDING HOSPITALS HAVE DISCONTINUED OB PROGRAMS. C. EMERGENCY CARE AVAILABLE 24 HOURS PER DAY BY A STAFF OF SPECIALLY TRAINED REGISTERED NURSES, ADVANCED PRACTICE REGISTERED NURSES, PHYSICIAN ASSISTANTS, AND PHYSICIANS. ALL EMERGENCY DEPARTMENT STAFF ARE CERTIFIED IN VARIOUS TYPES OF ADVANCED LIFE SUPPORT PROGRAMS, INCLUDING ADVANCED CARDIOVASCULAR LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, AND ADVANCED TRAUMA CARE COURSES. THIS FACILITY IS CERTIFIED AS A LEVEL IV TRAUMA CENTER AND IS CERTIFIED AS A STROKE CARE CENTER. TELEHEALTH SERVICES ARE AVAILABLE IN EACH OF THE TWO TRAUMA ROOMS, CONNECTING INSTANTLY TO REGISTERED NURSES AND BOARD CERTIFIED EMERGENCY PHYSICIANS AT A DEDICATED RESPONSE CENTER IN SOUTH DAKOTA. THIS TELEHEALTH SERVICE ALSO PROVIDES EVALUATION OF PATIENTS SUFFERING FROM CRISIS LEVEL BEHAVIORAL HEALTH EMERGENCY SERVICES. D. ANCILLARY DIAGNOSTIC AND THERAPEUTIC SERVICES. THESE INCLUDE: I. LABORATORY WITH STAFF AVAILABLE 24 HOURS PER DAY TO PERFORM A WIDE VARIETY OF CHEMISTRY, HEMATOLOGY, COAGULATION, URINALYSIS, BLOOD GAS, AS WELL AS BASIC MICROBIOLOGY TESTS. BLOOD BANKING IS ALSO AVAILABLE. A CONTRACTED REFERENCE LABORATORY PERFORMS MORE COMPLEX TESTING. PATHOLOGY SERVICES ARE ALSO PROVIDED THROUGH A CONTRACTED SERVICE. II. DIAGNOSTIC IMAGING SERVICES INCLUDE DIGITAL X-RAY, CT SCAN, DIAGNOSTIC ULTRASOUND, ECHOCARDIOGRAPHY, PORTABLE FLUOROSCOPY, MAMMOGRAPHY, AND BONE DENSITY. MOBILE SERVICES PROVIDED UNDER CONTRACT INCLUDE MRI AND NUCLEAR IMAGING. III. ANESTHESIA SERVICES ARE PROVIDED IN THE EMERGENCY, AMBULATORY SURGERY, AND INPATIENT SURGICAL SETTING BY A DEDICATED CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). A SEPARATE PAIN MANAGEMENT SERVICE UTILIZING A CONTRACTED SERVICE WAS IMPLEMENTED DURING THE YEAR AND HAS BEEN EXTREMELY SUCCESSFUL. THIS SERVICE INVOLVES EVALUATION OF PATIENT NEEDS BY A SPECIALLY TRAINED APRN, WITH INTERVENTIONAL PAIN MANAGEMENT SERVICES SUBSEQUENTLY PERFORMED BY A CRNA. IV. RESPIRATORY THERAPY AND PULMONARY FUNCTION ARE AVAILABLE, INCLUDING ACUTE INPATIENT AND EMERGENCY DEPARTMENT ASSISTANCE WITH AIRWAY MANAGEMENT, SUPPLEMENTAL OXYGEN, HELIOX, AND AEROSOL THERAPY, SHORT-TERM MECHANICAL VENTILATION, AND ASSISTANCE WITH NEONATAL RESUSCITATION. V. PHYSICAL AND OCCUPATIONAL THERAPY, AS WELL AS SPEECH LANGUAGE PATHOLOGY ARE AVAILABLE FOR INPATIENT AND OUTPATIENT CARE. VI. CARDIAC AND PULMONARY REHABILITATION SERVICES ARE PROVIDED TO PATIENTS ON A SCHEDULED BASIS. PATIENTS RECOVERING FROM CARDIAC EVENTS OR SURGERY, AND PATIENTS WITH CHRONIC PULMONARY DISEASE BENEFIT FROM THESE SERVICES. VII. WOUND CARE SERVICES ARE AVAILABLE THROUGH A CONTRACT SERVICE ON A WEEKLY BASIS. GPSC MEDICAL STAFF AND NURSING STAFF FROM THE RURAL HEALTH CLINIC HELP STAFF THIS CLINIC, WHICH PROVIDES DEBRIDEMENT AND CARE FOR SLOW-HEALING WOUNDS, AS WELL AS THE APPLICATION OF SKIN SUBSTITUTE PRODUCTS TO PROMOTE HEALING. VIII. DIAGNOSTIC SLEEP SERVICES INCLUDING BOTH ATTENDED AND HOME SLEEP STUDIES AND CPAP TITRATION ARE PROVIDED UNDER A CONTRACT ARRANGEMENT. IX.DIETARY SERVICES TO INPATIENTS AND OUTPATIENTS ARE PROVIDED BY A STAFF LED BY A REGISTERED CLINICAL DIETICIAN WHO IS ALSO OUR EXECUTIVE CHEF. TAILORING OF MEALS TO MEET THE THERAPEUTIC NEEDS AND DESIRES OF OUR INPATIENTS, COUPLED WITH EDUCATION REGARDING HEALTHIER FOOD CHOICES ARE PROVIDED TO EVERY INPATIENT. THE FOOD SERVICES STAFF ALSO PROVIDE AND PACKAGE THE MEALS FOR THE MEALS ON WHEELS PROGRAM. X. OUTPATIENT SPECIALTY CLINIC SERVICES ARE PROVIDED AT THE CAH BY A WIDE VARIETY OF PROVIDERS. THESE ARRANGEMENTS ALLOW US TO OFFER SPECIALTY SERVICES TO RESIDENTS OF THE AREA WITHOUT THE NEED FOR TRAVEL TO DISTANT LOCATIONS. SERVICES PROVIDED AT SCMH INCLUDE CARDIOLOGY (3 PROVIDERS), CARDIOVASCULAR SURGERY, PULMONOLOGY, NEPHROLOGY, GENERAL SURGERY (2 PROVIDERS), PODIATRY, ORTHOPEDIC SURGERY, UROLOGY, OB/GYN, DERMATOLOGY, RHEUMATOLOGY, ENDOCRINOLOGY, BEHAVIORAL HEALTH MEDICATION MANAGEMENT, AND COUNSELING SERVICES AND THE PREVIOUSLY MENTIONED PAIN MANAGEMENT SERVICE. 2. SMITH COUNTY FAMILY PRACTICE - THIS CERTIFIED RURAL HEALTH CLINIC PROVIDES PRIMARY CARE SERVICES TO PEDIATRIC, ADULT AND GERIATRIC PATIENTS FOR A FULL RANGE OF MEDICAL CONDITIONS. STAFFED BY FIVE BOARD CERTIFIED FAMILY MEDICINE PHYSICIANS AS WELL AS PHYSICIAN ASSISTANTS AND ADVANCED PRACTICE REGISTERED NURSES. IN ADDITION TO PRIMARY CARE SERVICES DELIVERED IN THE RHC, THESE PROVIDERS STAFF THE EMERGENCY DEPARTMENT AND INPATIENT AND OUTPATIENT AREAS OF THE CAH. THEY ALSO PROVIDE SERVICES TO PATIENTS (RESIDENTS) IN SKILLED NURSING AND ICF LONG TERM CARE FACILITIES IN SMITH, OSBORNE, AND PHILLIPS COUNTIES. PHYSICIANS ALSO SERVE AS MEDICAL DIRECTORS FOR TWO SKILLED NURSING FACILITIES, FOR SMITH COUNTY EMS, AND AS THE COUNTY HEALTH OFFICER. 3. 340B PHARMACY SERVICES - GREAT PLAINS OF SMITH COUNTY, INC. UTILIZES THE 340B PROGRAM OPERATED UNDER THE AUSPICES OF THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO OBTAIN DRUGS AND PHARMACEUTICALS FOR USE IN THE OUTPATIENT SETTING AT SMITH COUNTY MEMORIAL HOSPITAL (THE CAH) AS WELL AS THROUGH CONTRACTED ARRANGEMENTS WITH THREE AREA RETAIL PHARMACIES. THE DISCOUNTED PRICING AVAILABLE UNDER THIS PROGRAM (ALTHOUGH UNDER THREAT CURRENTLY BY UNILATERAL ACTION BY SOME DRUG MANUFACTURERS) ALLOWS US TO OFFSET THE COST OF DELIVERY OF SERVICES WITHIN OUR SERVICE AREA.
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS	CURT COLSON AND JASON BARB 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, Line 15a 15B - PROCESS FOR DETERMINING OFFICER COMPENSATION	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 SMITH CO., 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: 26587, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 26587;
Form 990, Part IX, Line 11g Other Fees	CONTRACTED MEDICAL STAFF - Total Expense: 3389100, Program Service Expense: 3389100, Management and General Expenses: , Fundraising Expenses: ; BILLING/COLLECTIONS - Total Expense: 627204, Program Service Expense: , Management and General Expenses: 627204, Fundraising Expenses: ; LAB SERVICES - Total Expense: 297175, Program Service Expense: 297175, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 308059, Program Service Expense: 308059, Management and General Expenses: , Fundraising Expenses: ; ADMIN/HUMAN RESOURCES - Total Expense: 99992, Program Service Expense: , Management and General Expenses: 99992, Fundraising Expenses: ; MAINTENANCE/HOUSEKEEPING - Total Expense: 75857, Program Service Expense: 56865, Management and General Expenses: 18992, Fundraising Expenses: ; PLANT OPERATIONS - Total Expense: 41700, Program Service Expense: 31260, Management and General Expenses: 10440, Fundraising Expenses: ; DIETARY SERVICES - Total Expense: 575, Program Service Expense: 575, Management and General Expenses: , Fundraising Expenses: ;

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREAT PLAINS HEALTH CARE FOUNDATION INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	480955870	SUPPORT	KS	501(c)(3)	10	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 OF ELLINWOOD INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226976	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF OTTAWA COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226856	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF SABETHA COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481236156	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF CHEYENNE COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226831	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF REPUBLIC COUNTY INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	481226977	HOSPITAL	KS	501(c)(3)	3	GPHA INC	Yes (true)
GPHA EMPLOYEE BENEFITS TRUST
250 N ROCK ROAD STE 160	WICHITA	KS	67206	476918582	HEALTH PLAN	KS	501(c)(9)		GPHA INC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TR	KS	GP OF SMITH CTY	Yes (true)
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TR	KS	GP OF SMITH CTY	Yes (true)
CHARITABLE REMAINDER TRUST (3)
CHARITABLE TR	KS	GP OF SMITH CTY	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	Yes (true)	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	$1,112,911	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt