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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN KENNALLY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEVI GRIMM</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIE FRYE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL ALLEN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>GREAT PLAINS HEALTH ALLIANCE</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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        <CompensationAmt>507577</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <ServicesDesc>Contract Nursing</ServicesDesc>
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      <ContractorCompensationGrp>
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          <USAddress>
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        <DepreciationAmt>194861</DepreciationAmt>
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      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS RECIEVABLES</Desc>
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      <RevenueSubtotalAmt>22473982</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <OtherExpensesIncludedAmt>6644</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>6644</ExpensesNotReportedAmt>
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      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN EARNINGS IN SABETHA HEALTHCARE, INC. - 7813 FUNDRAISING EXPENSES - 6644</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <OtherWebsiteURLTxt>https://nemvch.com/resources/</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://www.sabethahospital.com/getpage.php?name=chna&amp;sub=About%20Us</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
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        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <GrossChargesInd>false</GrossChargesInd>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SABETHA COMMUNITY HOSPITAL. AN AREA OF UNMET NEED IDENTIFIED IN THE 2024 CHNA WAS CHILDCARE OPTIONS THAT WERE BOTH AFFORDABLE &amp; 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 &amp; 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 &amp; Investigating programming to reduce / eliminate MH stigma. Lastly, we Promote and support new 988 24-hour crisis hotline &amp; a toll free number on hospital websites. ANOTHER AREA OF UNMET NEED IDENTIFIED IN THE CHNA IS AFFORDABLE &amp; 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 &amp; 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 &amp; Re-instating the code officer. ANOTHER AREA OF UNMET NEED IS SUBSTANCE ABUSE, SPECIFICALLY DRUGS &amp; ALCOHOL. SPECIFIC ACTIONS TAKEN TO ADDRESS THIS NEED INCLUDE Continuing to expand &amp; 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 &amp; Establishing / maintaining a resource list for addiction treatment. (Adult &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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</ExplanationTxt>
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            <BusinessNameLine1Txt>SABETHA FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1115 MAIN STREET</AddressLine1Txt>
            <CityNm>SABETHA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66534</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY CLINIC</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SABETHA COMMUNITY HOSPITAL: Line 16a URL: https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&amp;sub=Patient%2FVisitors;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SABETHA COMMUNITY HOSPITAL: Line 16b URL: https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&amp;sub=Patient%2FVisitors;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SABETHA COMMUNITY HOSPITAL: Line 16c URL: https://www.sabethahospital.com/getpage.php?name=Financial_Assistance&amp;sub=Patient%2FVisitors;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 .</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14966</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29862</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200988</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a &amp; 15b - PROCESS FOR DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF SABETHA, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - Total Revenue: 111259, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 111259;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>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: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. - 7813; Total - 7813;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>GREAT PLAINS HEALTH CARE FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 N ROCK ROAD STE 160</AddressLine1Txt>
          <CityNm>WICHITA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67037</ZIPCd>
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          <BusinessNameLine1Txt>GREAT PLAINS OF CHEYENNE COUNTY</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GREAT PLAINS OF ELLINWOOD INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 N ROCK ROAD STE 160</AddressLine1Txt>
          <CityNm>WICHITA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67206</ZIPCd>
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          <StateAbbreviationCd>KS</StateAbbreviationCd>
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        <EIN>480617739</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GREAT PLAINS OF OTTAWA COUNTY INC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67206</ZIPCd>
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        <EIN>481226856</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>GREAT PLAINS OF REPUBLIC COUNTY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 N ROCK ROAD STE 160</AddressLine1Txt>
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          <StateAbbreviationCd>KS</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GREAT PLAINS OF SMITH COUNTY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 N ROCK ROAD STE 160</AddressLine1Txt>
          <CityNm>WICHITA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
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        <EIN>481226830</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GPHA EMPLOYEE BENEFITS TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 N ROCK ROAD STE 160</AddressLine1Txt>
          <CityNm>WICHITA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67206</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH PLAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>GPHA Employee Benefit Plan</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>973021</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
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</Return>