GREAT PLAINS OF SABETHA INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- GREAT PLAINS OF SABETHA INC (EIN 48-1236156)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-14
- IRS object ID
- 202503189349308770
- Schema version
- 2024v5.1
- 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 | 2025-11-14T13:01:08+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | 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 | 2024-01-01 | 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) |
|---|---|---|
| Business Name Control | GREA | BusinessNameControlTxt |
| Phone | 3166851523 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 NORTH ROCK ROAD STE 160 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON BARB | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3166851523 | PhoneNum |
| Signature | 2025-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kevin Ensminger | PreparerPersonNm |
| PTIN | P01310558 | PTIN |
| Phone | 3162652811 | PhoneNum |
| Preparation | 2025-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON BARB | 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 | $22,480,626 | 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 | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 188 | TotalEmployeeCnt |
| Total Volunteers | 47 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,777,156 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,725,781 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,199,095 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,150,081 | CYProgramServiceRevenueAmt |
| PY Investment Income | $101,045 | PYInvestmentIncomeAmt |
| CY Investment Income | $112,147 | CYInvestmentIncomeAmt |
| PY Other Revenue | $578,097 | PYOtherRevenueAmt |
| CY Other Revenue | $485,973 | CYOtherRevenueAmt |
| PY Total Revenue | $20,655,393 | PYTotalRevenueAmt |
| CY Total Revenue | $22,473,982 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,553,150 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,327,605 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,697,351 | PYOtherExpensesAmt |
| CY Other Expenses | $10,468,239 | CYOtherExpensesAmt |
| PY Total Expenses | $19,250,501 | PYTotalExpensesAmt |
| CY Total Expenses | $21,795,844 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,404,892 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $678,138 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,396,892 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,135,658 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,849,202 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,902,017 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,547,690 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,233,641 | 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 CIRCUMSTANCES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,676,000 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $20,150,081 | RevenueAmt |
| Desc | THE LARGEST PROGRAM SABETHA COMMUNITY HOSPITAL PROVIDES THAT IS IDENTIFIED AS A NEED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT IS OUTREACH EDUCATION WHICH IS DONE MONTHLY THROUGH CALENDARS SENT OUT TO THE COMMUNITY AND SURROUNDING REGION. WE PROVIDE PRE-NATAL CLASSES AND BREASTFEEDING SUPPORT IS OFFERED TO EXPECTANT MOMS WHETHER THEY ARE A FIRST-TIME MOM OR HAVE MULTIPLE CHILDREN. WE OFFER THE SERVICES OF 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 AND DIETICIAN 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 SECOND LARGEST PROGRAM SABETHA COMMUNITY HOSPITAL PROVIDES TO THE COMMUNITY IS THE CARDIAC REHAB PHASE III PROGRAM. COMMUNITY MEMBERS CAN COME TO THE HOSPITAL FOR REDUCED SESSION FEES UTILIZING CARDIOPULMONARY EXERCISE EQUIPMENT. THE PATIENTS WHO HAVE PHYSICAL LIMITATIONS AND ARE NOT ABLE TO USE THE HEALTH AND WELLNESS CENTER BENEFIT FROM THE MONITORING OF THIS PROGRAM BY AN RN OR CNA. 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. IN 2022, WE SERVED 124 PATIENTS IN THIS MANNER. THE THIRD LARGEST PROGRAM FOR THE HOSPITAL IS INVOLVEMENT WITH SCHOOL-BASED PROGRAMS SUCH AS CLINICAL ROTATIONS FOR MEDICAL STUDENTS AND RESIDENTS, NURSE PRACTITIONERS, NURSING, PHYSICAL AND OCCUPATIONAL THERAPY, RADIOLOGY, AND LAB. THE HOSPITAL IS VERY INVOLVED WITH THE LOCAL SCHOOL DISTRICT HOSTING STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS AND WOULD LIKE TO JOB SHADOW. THE HOSPITAL ALSO TAKES PART IN THE SCHOOL DISTRICT SCHOOL TO WORK PROGRAM. STUDENTS SPEND PART OF THEIR DAY AT THE HOSPITAL OR PHYSICIAN CLINIC AS PART OF THEIR DAILY CURRICULUM. THE HOSPITAL ALSO ADMINISTERS SIX HEALTHCARE SCHOLARSHIPS TO LOCAL SENIORS AND COMMUNITY MEMBERS. THE FOURTH LARGEST PROGRAM IS ENROLLMENT ASSISTANCE FOR PUBLIC MEDICAL PROGRAMS SUCH AS MEDICAID, MEDICARE, AND MEDICARE PART D. SOCIAL SERVICES AND PUBLIC RELATIONS STAFF ARE DEDICATED TO THIS PROGRAM DURING THE OPEN ENROLLMENT PERIODS. THE HOSPITAL SOCIAL WORKER TAKES THE LEAD ON THIS PROJECT. 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. ADDRESSING THE NEEDS OF MENTAL HEALTH AMONG THE ELDERLY POPULATION AS WELL AS YOUTH CONTINUES TO BE A PRIORITY. 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. STRATEGIC PLANNING FOR AUGMENTING MENTAL HEALTH FACILITIES INCLUDE 1491 SQUARE FEET IN A HOSPITAL ADDITION THAT WILL BREAK GROUND AS EARLY AS NEXT SPRING, 2024. THE COMMUNITY HEALTH NEEDS ASSESSMENT CONTINUES TO ILLUSTRATE THE IMPORTANCE OUR FAMILIES, FRIENDS, COWORKERS AND PATIENTS PLACE ON MENTAL HEALTH. WE WILL CONTINUE TO AGGRESSIVELY PURSUE THIS MATTER. ALSO OUTLINED AS A COMMUNITY NEED IS THE EXISTENCE OF A RELIABLE CHILD CARE FACILITY. OUR PLAN TO HELP ADDRESS THIS NEED INCLUDE 1399 SQUARE FEET IN THE HOSPITAL ADDITION THAT WILL BREAK GROUND IN SPRING OF 2024 FOR A CHILD CARE FACILITY. PROVIDING STABLE CARE WITH HEALTHY FOOD OPTIONS FOR YOUNG CHILDREN IS THE BACKBONE OF ANY HEALTHY COMMUNITY. QUALITY HEALTHCARE IS IMPORTANT TO SABETHA COMMUNITY HOSPITAL AND THE HOSPITAL CONTINUES TO PARTICIPATE IN THE KANSAS HEALTH CARE COLLABORATIVE 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. | Desc |
| Total Program Service Expenses | $18,676,000 | 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 | Yes (true) | 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 |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 188 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| 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 |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| 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 (14 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 |
|---|---|---|---|---|---|---|---|---|
| Allen Vandriel | ||||||||
| Director | 0.2 | 1.2 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CURT COLSON | ||||||||
| PRESIDENT/DIRECTOR | 0.2 | 41.2 | Yes (X) | Yes (X) | $0 | $227,653 | $57,031 | |
| 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 | ||
| DR BABARBA BROWN APPLEGATE | ||||||||
| DIRECTOR | 0.2 | 1.2 | Yes (X) | $0 | $0 | $0 | ||
| JAMES LONGABAUGH | ||||||||
| ADMINISTRATOR | 40.0 | 0.0 | Yes (X) | $343,034 | $0 | $55,173 | ||
| JASON BARB | ||||||||
| CFO | 0.2 | 41.2 | Yes (X) | $0 | $198,487 | $53,975 | ||
| CHRISTIAN TRAMP | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $352,309 | $0 | $68,256 | Yes (X) | ||
| KEVIN KENNALLY | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $227,286 | $0 | $21,929 | Yes (X) | ||
| LEVI GRIMM | ||||||||
| Nurse Practitioner | 40.0 | 0.0 | $156,160 | $0 | $44,828 | Yes (X) | ||
| NATALIE FRYE | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $288,317 | $0 | $63,042 | Yes (X) | ||
| RACHEL ALLEN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $333,173 | $0 | $56,523 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,700,279 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $426,140 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $420,757 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|---|
| GREAT PLAINS HEALTH ALLIANCE | ||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | MANAGEMENT SERVICES | $891,053 | |
| Health Facilities Group | ||||||
| 330 N Mead St | Wichita | KS | 67202 | Architectural services | $818,575 | |
| NORTHEASTERN ANES SVCS | ||||||
| 1706 GRACELAND DR | SABETHA | KS | 66534 | CRNA SERVICES | $507,577 | |
| TRS Managed Services LLC | ||||||
| PO Box 674854 | Dallas | TX | 752674854 | Contract Nursing | $383,091 | |
| Premier Specialty Network LLC | ||||||
| 3610 Buttonwood Dr | Columbia | MO | 65201 | Pain Management | $279,966 | suite 200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $11,520 | FundraisingAmt |
| Government Grants | $502,015 | GovernmentGrantsAmt |
| All Other Contributions | $1,212,246 | AllOtherContributionsAmt |
| Total Contributions | $1,725,781 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $19,100,091 | $19,100,091 |
| 340(B) PHARMACY REVENUE | 621300 | $1,049,990 | $1,049,990 |
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 | $20,150,081 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $112,124 | TotalRevenueColumnAmt |
| Exclusion | $112,124 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,901 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,901 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,901 | TotalRevenueColumnAmt |
| Exclusion | $18,901 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23 | 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 | $23 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23 | TotalRevenueColumnAmt |
| Exclusion | $23 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,591 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $11,520 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $6,644 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,053 | TotalRevenueColumnAmt |
| Exclusion | -$1,053 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OUTSIDE SERVICES | 621300 | $61,217 | $61,217 |
| EMPLOYEE/GUEST MEALS | 722513 | $25,380 | $25,380 |
| WELLNESS CENTER | 900099 | $270,269 | $270,269 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,259 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $111,259 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $468,125 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,473,982 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,150,081 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $598,120 | 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 | $388,834 | TotalAmt |
| Management And General | $388,834 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,586,634 | TotalAmt |
| Program Services | $7,668,362 | ProgramServicesAmt |
| Management And General | $918,272 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,666 | TotalAmt |
| Program Services | $581,141 | ProgramServicesAmt |
| Management And General | $72,525 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,565 | TotalAmt |
| Program Services | $909,902 | ProgramServicesAmt |
| Management And General | $179,663 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,906 | TotalAmt |
| Program Services | $526,540 | ProgramServicesAmt |
| Management And General | $82,366 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,074 | TotalAmt |
| Management And General | $52,074 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,311 | TotalAmt |
| Management And General | $4,311 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,171,854 | TotalAmt |
| Program Services | $3,475,010 | ProgramServicesAmt |
| Management And General | $696,844 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,886 | TotalAmt |
| Program Services | $31,873 | ProgramServicesAmt |
| Management And General | $49,013 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,017 | TotalAmt |
| Program Services | $128,475 | ProgramServicesAmt |
| Management And General | $75,542 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,069 | TotalAmt |
| Program Services | $2,832 | ProgramServicesAmt |
| Management And General | $3,237 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,855 | TotalAmt |
| Program Services | $333,100 | ProgramServicesAmt |
| Management And General | $167,755 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,105 | TotalAmt |
| Program Services | $4,571 | ProgramServicesAmt |
| Management And General | $3,534 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,484 | TotalAmt |
| Program Services | $43,283 | ProgramServicesAmt |
| Management And General | $10,201 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,966 | TotalAmt |
| Program Services | $13,928 | ProgramServicesAmt |
| Management And General | $38 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,871 | TotalAmt |
| Program Services | $620,554 | ProgramServicesAmt |
| Management And General | $14,317 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,646 | TotalAmt |
| Management And General | $219,646 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $3,415,253 | $3,415,253 | |
| RENTAL EQUIPMENT & REPAIRS | $864,357 | $809,962 | $54,395 |
| RECRUITING | $23,986 | $23,328 | $658 |
| DUES & SUBSCRIPTIONS | $88,762 | $49,658 | $39,104 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,743 | TotalAmt |
| Program Services | $38,228 | ProgramServicesAmt |
| Management And General | $87,515 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,795,844 | TotalAmt |
| Program Services | $18,676,000 | ProgramServicesAmt |
| Management And General | $3,119,844 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,255 | BOYAmt |
| EOY | $277 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,634,379 | BOYAmt |
| EOY | $3,188,107 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $738,243 | BOYAmt |
| EOY | $1,086,685 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,443,253 | BOYAmt |
| EOY | $2,705,550 | 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 | $216,916 | BOYAmt |
| EOY | $237,128 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,602 | BOYAmt |
| EOY | $126,671 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,769,857 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,799,716 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,970,374 | BOYAmt |
| EOY | $5,970,141 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,907 | BOYAmt |
| EOY | $31,202 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,963 | BOYAmt |
| EOY | $789,897 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,396,892 | BOYAmt |
| EOY | $14,135,658 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,475,722 | BOYAmt |
| EOY | $2,540,412 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,874 | BOYAmt |
| EOY | $27,727 | 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 | $342,606 | BOYAmt |
| EOY | $333,878 | 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 | $2,849,202 | BOYAmt |
| EOY | $2,902,017 | 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 | $8,450,573 | BOYAmt |
| EOY | $8,459,460 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,097,117 | BOYAmt |
| EOY | $2,774,181 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,547,690 | BOYAmt |
| EOY | $11,233,641 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,396,892 | BOYAmt |
| EOY | $14,135,658 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $678,138 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $7,813 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| 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) |
|---|---|---|
| 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 | $4,311 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $4,311 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $545,856 | OtherCostOrOtherBasisAmt |
| Book Value | $545,856 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,675,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,635,663 | DepreciationAmt |
| Book Value | $1,039,490 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,489,065 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,969,192 | DepreciationAmt |
| Book Value | $1,519,873 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,059,783 | OtherCostOrOtherBasisAmt |
| Depreciation | $194,861 | DepreciationAmt |
| Book Value | $2,864,922 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,970,141 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS | $595,000 |
| MISCELLANEOUS RECIEVABLES | $194,897 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $789,897 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $22,488,439 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $14,457 | OtherRevenueAmt |
| Revenue Not Reported | $14,457 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,473,982 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,473,982 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,802,488 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $6,644 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $6,644 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,795,844 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,795,844 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 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 XI, Line 2(d) Other revenues in audited financial statements not in form 990 | EQUITY IN EARNINGS IN SABETHA HEALTHCARE, INC. - 7813 FUNDRAISING EXPENSES - 6644 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | FUNDRAISING EXPENSES - 6644 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $17,111 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $11,520 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,591 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $2,616 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $2,025 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $950 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,053 | OtherDirectExpensesEvent1Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $17,111 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $11,520 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,591 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,616 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $2,025 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $950 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,053 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $6,644 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,053 | 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 |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,877 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00348 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $847,520 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $593,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $253,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01163 | 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 | $923,397 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $593,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $329,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01511 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 187272 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $67,655 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $67,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | 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) |
|---|---|---|
| Activities Or Programs | 172 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00032 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 187444 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $74,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00343 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 187444 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $998,127 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $593,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $404,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01854 | 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 | $542,064 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $7,649,610 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,649,610 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $0 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 | http://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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 24 | 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 | https://www.sabethahospital.com/getpage.php?name=chna&sub=About%20Us | OwnWebsiteURLTxt |
| Other Website URL | https://nemvch.com/resources/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.sabethahospital.com/getpage.php?name=chna&sub=About%20Us | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| 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.sabethahospital.com/getpage.php?name=Financial_Assistance&sub=Patient%2FVisitors | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&sub=Patient%2FVisitors | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&sub=Patient%2FVisitors | 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 | 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 Facility , 1 | Facility , 1 - SABETHA COMMUNITY HOSPITAL. NEMAHA VALLEY COMMUNITY HOSPITAL |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - SABETHA COMMUNITY HOSPITAL. AN AREA OF UNMET NEED IDENTIFIED IN THE 2024 CHNA WAS CHILDCARE OPTIONS THAT WERE BOTH AFFORDABLE & ACCESSIBLE. SPECIFIC ACTIONS INCLUDE RESEARCH AND DOCUMENT CURRENT AREA CHILDCARE CAPACITY WITH THE IDEA OF GROWTH IN MIND. WE REPORT AREA VITAL COMMUNITY CHILDCARE CAPACITY STATISCTICS. WE RECRUIT CHILDCARE PROVIDERS TO FULFILL COMMUNITY NEEDS; AND ASSIST LOCAL FACILITIES. WE Collaborate with local schools, Wellness Center, churches, etc. to provide childcare services for community, which includes before and after-school programming. Visit local daycare facilities to understand delivery. We conduct Childcare Support education i.e., teen babysitting classes, community options, etc. We continue to provide support for licensure i.e., CPR classes. We Utilize advertising and media outlets to keep the community aware of childcare available. We Provide training opportunities (work shop) for local firms to possibly consider offering onsite childcare services. Lastly, we Continue to lobby KS State lawmakers to ease child care regulations to encourage more supply options. ANOTHER AREA OF UNMET NEED IDENTIFIED IN THE CHNA WAS MENTAL HEALTH, WHICH INCLUDES DIAGNOSIS, PLACEMENT, AFTERCARE, AND ACCESS TO PROVIDERS. SPECIFIC ACTIONS WE ARE TAKING INCLUDE CONTINUING to educate ER staff regarding mental health delivery issues. Specifically, WE share available resources, offer education courses to keep staff current in terms of treating mental health. Recruit Mental Health provider(s) to meet specific MH capacity needs as identified. We Explore potential space for additional MH services within local hospitals. We Continue to encourage primary care physicians to complete depression screenings at annual physicals. We Continue to implement behavioral health services into primary care clinic deliver. (PQRS measure). We also Collaborate with community elementary, middle, and high schools to educate students on mental health to begin designating mental health conditions. Additionally, we Continue Bullying prevention training & onsite therapist services. We are also Continuing/Launching hospital telehealth / develop relationships with key MH community partners for collective impact to Potentially expand tele psych delivery options. We Research / Investigate grants and grant writing to fund mental health. Then we, Use grant funding to support mental health care and mental health prevention. We also Secure community resources to increase awareness for mental health services in the community. We Support mental health awareness through local media resources & Investigating programming to reduce / eliminate MH stigma. Lastly, we Promote and support new 988 24-hour crisis hotline & a toll free number on hospital websites. ANOTHER AREA OF UNMET NEED IDENTIFIED IN THE CHNA IS AFFORDABLE & ACCESSIBLE HOUSING. SPECIFIC ACTIONS TO ADDRESS THIS NEED INCLUDE Investigating grant writing to fund public / safe housing. If available, we designate community lead to work to attain the necessary grant. We also Create a County Housing Development Plan that would address affordable and safe housing for community residents to Improve the County housing code process. We Recruit Builders to start housing development with TIF / county shared funding based on research. We Explore / launch "Habitat for Humanity" program & teach technical skills (weekend workshops) to rehab houses for resell. Additionally, we are Promoting the program. We also Offer housing coalition properties to enhance housing options in PSA. Lastly; we are exploring safe rental inspection set-ups & Re-instating the code officer. ANOTHER AREA OF UNMET NEED IS SUBSTANCE ABUSE, SPECIFICALLY DRUGS & ALCOHOL. SPECIFIC ACTIONS TAKEN TO ADDRESS THIS NEED INCLUDE Continuing to expand & develop meaningful community youth activities. We are also Continuing to explore prevalent issues leading to adolescent drug abuse. We are Expanding Drug Education Programming at local Schools, focusing on alcohol/tobacco/drug education (i.e. SADD). We also Apply for grants to help assist with growing these resources. We Continue to support community substance abuse counseling & Establishing / maintaining a resource list for addiction treatment. (Adult & Youth). We Communicate Recovery support system partners or refer programs to help addicts and their families. We are Continuing/Launching to offer Prescriptions Takeback Service at local police departments. We are Continuing with hospital Pain Clinic services, offering alternative treatment options. We Encourage the use of alternative therapies to reduce prescriptions of opioids. If needed, we maintain up to date provider education/training. We are Exploring to start a local advertisement / social media campaign to combat drinking and drug abuse (emphasizing ramifications). We are continuing to Understand prevalent community issues leading to excessing during & drug abuse. Additionally, we are Continuing to monitor prescription drug abuse (Utilizing KTRACS). We are Creating an alert system between physicians and pharmacies for drug abuse. We are also Exploring options for recruiting additional substance abuse professionals to deliver care in PSA. We Continue to educate ED staff regarding substance abuse delivery & to train law enforcement in crisis intervention. We also are Continuing to enforce drug education training through Narcan training for every officer. We Continue/Launch Recovery support system partners (local AA program), Creating programs to help addicts and their families. Lastly, we are Continuing to provide counseling and support for drug abusers and their families. We are Promoting patient treatment to emphasize health care instead of being labeled addicts. ANOTHER AREA OF UNMET NEED IS CHRONIC DISEASE MANAGEMENT. SPECIFICALLY, WE ARE LOOKING AT CANCER, DIABETES, AND IN-HOME CARE. SPECIFIC ACTIONS TAKEN TO ADDRESS THIS NEED INCLUDE Actively participating in the Medicare Chronic Disease Program & Investing in resources (manpower, capital, and Information systems) necessary to support the program. We are also Continuing to develop processes to support primary care and other providers in efforts to refer patients to nutritionists and diabetic educators. We are also Launching and promoting support groups for diabetes, cancer, and cardiac rehab. We continue to Investigate the further usage of telemedicine to help with chronic disease management. We are Investigating/seeking grant writing options to fund Chronic Disease Management / preventive health. We Provide health screenings and awareness activities, Utilizing health portals to notify patients about appropriate screenings and reminders of upcoming screenings due based on age and/or history. We Collaborate with PC providers to keep them engaged with their patients on the screening upkeeps. We continue to Increase education on importance of preventive health care visits to catch early cancer. We also Collaborate with women's health services to ensure the female population is receiving yearly mammograms. Lastly, we Continue to encourage routine cancer screening. ANOTHER AREA OF UNMET NEED IS OBESITY, ACCESS TO HEALTHY FOODS, AND EXERCISE. SPECIFIC ACTIONS TAKEN TO ADDRESS THIS UNMET NEED INCLUDE Maintaining a countywide activities inventory (hours/programs) of fitness centers etc. We Continue to promote "free" fitness activities within the community - Zumba, water aerobics, family swim, local 5k's etc. and to promote/sponsor a community-wide "fitness challenge" i.e. Weight loss. We are Promoting current free (low-cost) community fitness offerings (Walking trails, indoor and outdoor facilities). We Continue cost-assistance programs to increase accessibility for community members. We are also Continuing to promote/provide "free and/or low cost" school sports physicals / wellness examinations. We are also Hosting Lunch & Learn educational series focusing on cooking demos, food labels, grocery store tours, restaurants healthy meals / portions options, health fairs, classes, speakers etc. Additionally, we Request for local youth groups to complete/ host county-wide wellness project (such as FFA,4-H). We are Collaborating with health plans, local cities and other groups focused on offering fitness & healthy eating opportunities. (Extension Office). We are also Sponsoring a program to teach people how to shop on a budget and eat healthy. We Continue "Meals on Wheels" program to support healthy lifestyles for elderly, disabled, or confined to their homes. We also Support the Backpack school program, continue to have access to healthy foods in schools, and Ask PSA School Districts to present what they have done so far with improving the school lunches. We are Creating a formal Hospital Marketing Plan to promote existing |
| 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | ALL CHARITY CARE CHARGES AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPTED FROM COLLECTION POLICIES AND PRACTICES. THOSE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - SABETHA COMMUNITY HOSPITAL: Line 16a URL: https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&sub=Patient%2FVisitors; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - SABETHA COMMUNITY HOSPITAL: Line 16b URL: https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&sub=Patient%2FVisitors; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - SABETHA COMMUNITY HOSPITAL: Line 16c URL: https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&sub=Patient%2FVisitors; |
| Schedule H, Part VI, Line 2 Needs assessment | DURING 2024, SABETHA COMMUNITY HOSPITAL CONTINUED TO MONITOR THROUGH THE CHNA COORDINATOR THE THREE IDENTIFIED COMMUNITY HEALTH NEEDS ASSESSMENT. PRIORITIES WERE TO PROMOTE HEALTH, WELLNESS, AND CHRONIC DISEASE PREVENTION ESPECIALLY IN THE AREAS OF HYPERTENSION, DIABETES, SMOKING CESSATION, AND INCREASED SEATBELT USAGE TO ALL AGES. THE HOSPITAL CONTINUES TO ACTIVELY MANAGE THE HEALTH AND WELLNESS CENTER. CLASSES ARE COORDINATED THROUGH EMPLOYED STAFF IN EXERCISE AND FITNESS REGIMENS. THE HOSPITAL CARDIAC REHAB PHASE III PROGRAM PROVIDES ELDERS IN THE COMMUNITY WHO CANNOT UTILIZE THE HEALTH AND WELLNESS CENTER DUE TO PHYSICAL LIMITATIONS, AN OPPORTUNITY FOR CARDIOVASCULAR EXERCISES AND SOCIALIZATION AT A REASONABLE CHARGE. THE COMMUNITY HEALTH NEEDS ASSESSMENT CONTINUES TO GUIDE AND SHAPE PLANS FOR OUR FUTURE. WE PROVIDE SPACE IN OUR OUTPATIENT CLINIC FOR MENTAL HEALTH PROVIDERS TO OFFER MENTAL HEALTH SERVICES TO OUR COMMUNITY. AS WE ARE DESIGNING OUR EXPANDED FACILITY, WE HAVE INCLUDED SPACE FOR A MENTAL HEALTH UNIT IF OUR BUDGET ALLOWS US TO PURSUE THAT NEED. SABETHA COMMUNITY HOSPITAL IS A CERTIFIED DIABETIC EDUCATION FACILITY. THE DIABETIC EDUCATOR AND THE DIETICIAN TEACH THE SMART PROGRAM WHICH TEACHES DIABETIC PATIENT'S ACCOUNTABILITY 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 EMPLOYS THREE 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. WE OFFER A WIDE RANGE OF OUTPATIENT SPECIALTY PROVIDERS THAT HELP COMMUNITY MEMBERS ACCESS CARE WITHOUT SIGNIFICANT DRIVES AND DECREASING THE NEED FOR TIME OFF FROM WORK. NEW HOSPITAL SERVICES ARE PROMOTED LOCALLY THROUGH ADVERTISING. THAT INFORMATION IS POSTED ON THE HOSPITAL WEBSITE AND FACEBOOK PAGE. PRE-NATAL CLASSES ARE CONDUCTED QUARTERLY THROUGHOUT THE YEAR FOR EXPECTANT MOMS AND DADS. SCH PARTNERS WITH THE LOCAL HEALTH DEPARTMENT TO PROVIDE BREASTFEEDING SERVICES THROUGH A CERTIFIED LACTATION CONSULTANT. THE BREASTFEEDING CONSULTANT PROVIDES INFORMATION THROUGH THE PRENATAL CLASSES BUT THEN WORKS WITH MOMS AFTER BABY IS BORN. 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. THIS COMMITTEE ALSO SUPPORTS PROVIDERS OF THE GUN SAFETY WORKSHOP. STOP THE BLEED INSTRUCTORS FROM SCH PROVIDE EDUCATION TO VARIOUS GROUPS EVERY YEAR. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | THE HOSPITAL PROVIDES AID TO COMMUNITY MEMBERS WHO NEED HELP ENROLLING IN MEDICAID, MEDICARE, AND THIRD-PARTY PAYERS AS WELL AS THE DRUG PRESCRIPTION PROGRAM. THIS IS PROVIDED THROUGH THE HOSPITAL SOCIAL WORKERS AND PUBLIC RELATIONS STAFF. ONE OF OUR SOCIAL WORKERS HAS BEEN CERTIFIED TO BE ABLE TO ENROLL UNINSURED PATIENTS IN PRESUMPTIVE ELIGIBILITY FOR MEDICAID IF THEY MEET CERTAIN QUALIFYING CIRCUMSTANCES. A RESOURCE DIRECTORY IS ATTACHED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT ON THE SCH WEBSITE. OUR FINANCIAL ASSISTANCE POLICY EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION THE PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. WE TAKE MANY OPPORTUNITIES DURING OUR INTERACTIONS WITH PATIENTS TO INFORM THEM ABOUT THE EXISTENCE OF OUR FINANCIAL ASSISTANCE POLICY. BESIDES ALWAYS BEING AVAILABLE UPON REQUEST, THE FINANCIAL ASSISTANCE POLICY IS POSTED AT THE FAMILY PRACTICE ADMISSIONS, PRIMARY ADMITTING AREA AT THE HOSPITAL, OUTPATIENT CLINIC, AND AT THE EMERGENCY ROOM. WHEN PATIENTS ARE DISCHARGED, THEY ARE PROVIDED A COPY OF OUR PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AND AN APPLICATION. OUR STATEMENTS TO PATIENTS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY AND WE POST IT ON OUR WEBSITE: WWW.SABETHAHOSPITAL.COM . |
| Schedule H, Part VI, Line 4 Community information | 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 2,584. THE PRIMARY SERVICE AREA FOR SABETHA COMMUNITY HOSPITAL INCLUDES PORTIONS OF NEMAHA, BROWN AND JACKSON COUNTY, KANSAS, AND SEVERAL COUNTIES IN NEBRASKA. 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 Promotion of community health | 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 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 ALSO CONDUCTED. 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 SIX 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 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, BLOODBORNE 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 DO CLINICAL ROTATIONS WITH THE FAMILY PRACTICE 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. THE HOSPITAL HOSTS VARIOUS HIGH SCHOOL STUDENTS FOR PROFESSIONAL LEARNING CLASSES THROUGHOUT THE SCHOOL YEAR. ONE OF OUR EMPLOYEES SERVES AS THE LOCAL FUTURE HEALTHCARE PROFESSIONALS (HOSA) CHAPTER SPONSOR. 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 Affiliated health care system | 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 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 (8 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/DIRECTOR | $0 | $223,989 | $0 | $0 | $0 | $3,664 | $0 | $22,342 | $0 | $34,689 | $0 | $284,684 | $0 | $0 |
| JAMES LONGABAUGH | ||||||||||||||
| ADMINISTRATOR | $338,884 | $0 | $0 | $0 | $4,150 | $0 | $33,700 | $0 | $21,473 | $0 | $398,207 | $0 | $0 | $0 |
| JASON BARB | ||||||||||||||
| CFO | $0 | $197,209 | $0 | $0 | $0 | $1,278 | $0 | $19,492 | $0 | $34,483 | $0 | $252,462 | $0 | $0 |
| CHRISTIAN TRAMP | ||||||||||||||
| PHYSICIAN | $351,540 | $0 | $0 | $0 | $769 | $0 | $33,700 | $0 | $34,556 | $0 | $420,565 | $0 | $0 | $0 |
| NATALIE FRYE | ||||||||||||||
| NURSE PRACTITIONER | $287,919 | $0 | $0 | $0 | $398 | $0 | $29,337 | $0 | $33,705 | $0 | $351,359 | $0 | $0 | $0 |
| RACHEL ALLEN | ||||||||||||||
| PHYSICIAN | $332,785 | $0 | $0 | $0 | $388 | $0 | $33,700 | $0 | $22,823 | $0 | $389,696 | $0 | $0 | $0 |
| KEVIN KENNALLY | ||||||||||||||
| PHYSICIAN | $227,286 | $0 | $0 | $0 | $0 | $0 | $21,929 | $0 | $0 | $0 | $249,215 | $0 | $0 | $0 |
| LEVI GRIMM | ||||||||||||||
| Nurse Practitioner | $156,160 | $0 | $0 | $0 | $0 | $0 | $14,966 | $0 | $29,862 | $0 | $200,988 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 FORM 990, PART VII | FormAndLineReferenceDesc |
| Explanation | ANNUAL COMPENSATION REVIEWS ARE COMPLETED BY THE CEO AND CHIEF FINANCIAL OFFICER USING RECOMMENDATIONS PROVIDED BY DEPARTMENT MANAGERS AND CURRENT MARKET CONDITIONS. ALL EXECUTIVE EMPLOYEE SALARIES, INCLUDING THE PRESIDENT/CEO, ARE APPROVED BY THE GPHA BOARD OF DIRECTORS. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAS COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. THE CEO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS | JASON BARB AND CURT COLSON 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 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 SABETHA, 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 FINANCIAL 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: 111259, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 111259; |
| Form 990, Part IX, Line 11g Other Fees | CONTRACTED MEDICAL STAFF - Total Expense: 3034733, Program Service Expense: 3034733, Management and General Expenses: , Fundraising Expenses: ; ADMINISTRATION/HUMAN RESOURCES - Total Expense: 398459, Program Service Expense: , Management and General Expenses: 398459, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 216258, Program Service Expense: 216258, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 209144, Program Service Expense: 209144, Management and General Expenses: , Fundraising Expenses: ; BILLING/COLLECTIONS - Total Expense: 298385, Program Service Expense: , Management and General Expenses: 298385, Fundraising Expenses: ; MAINTENANCE/HOUSEKEEPING - Total Expense: 3219, Program Service Expense: 3219, Management and General Expenses: , Fundraising Expenses: ; PLANT OPERATIONS - Total Expense: 11656, Program Service Expense: 11656, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. - 7813; Total - 7813; |
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 | 67037 | 480955870 | SUPPORT | KS | 501(c)(3) | 10 | GPHA INC | Yes (true) |
| GREAT PLAINS OF CHEYENNE COUNTY | ||||||||||
| 250 N ROCK ROAD STE 160 | WICHITA | KS | 67037 | 481226831 | HOSPITAL | KS | 501(c)(3) | 3 | GPHA INC | Yes (true) |
| 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 HEALTH ALLIANCE INC | ||||||||||
| 250 N ROCK ROAD STE 160 | WICHITA | KS | 67037 | 480617739 | MANAGEMENT | KS | 501(c)(3) | 3 | false | |
| 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 REPUBLIC COUNTY INC | ||||||||||
| 250 N 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 N ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226830 | 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) | |
| 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 Benefit Plan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $973,021 | InvolvedAmt |
| Method Of Amount Determination | ACTUAL | MethodOfAmountDeterminationTxt |