2025-11-03T17:50:08-05:00 2024-12-31 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-01-01 300078435 GREELEY COUNTY HEALTH SERVICES INC GREE 6203764221 506 THIRD STREET TRIBUNE KS 67879 TRICE WATTS CEO/CFO 6203764221 2025-10-27 true true RIKKI PATCH P01472231 5092420874 2025-11-03 2024 2025-03-06 01:10:19Z TRICE WATTS 506 THIRD STREET TRIBUNE KS 67879 18444116 false X HTTPS://GREELEY.HEALTH/ X 2002 KS TO SERVE WITH COMPASSION AND EXCELLENCE 5 5 188 5 0 1187722 1640477 13568981 16014121 319414 380983 443037 408535 15519154 18444116 0 0 9073602 9521083 0 0 6619641 7758153 15693243 17279236 -174089 1164880 24254834 25141915 9242794 8964995 15012040 16176920 TO SERVE WITH COMPASSION AND EXCELLENCE false false 14348349 16014121 GREELEY COUNTY HEALTH SERVICES (GCHS) OPERATES AN 25-BED CRITICAL ACCESS HOSPITAL, TWO RURAL HEALTH CLINICS, AND A LONG-TERM CARE FACILITY WHICH PROVIDE HEALTHCARE SERVICES INCLUDING INPATIENT, OUTPATIENT, EMERGENCY CARE, AND RESIDENTIAL LONG-TERM CARE SERVICES TO PATIENTS IN THE GREELEY COUNTY AREA. GCHS PROVIDED 279 ADMISSIONS, 11,030 OUTPATIENT VISITS, 956 EMERGENCY VISITS, AS WELL AS 5,778 RESIDENT PATIENT DAYS IN 2024. GCHS PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 402,356 FOR CHARITY CARE, 2,697,390 FOR MEDICARE, AND 2,253,772 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 14348349 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 26 0 true 188 true false false false false false false false false false false false false X 5 5 false false false false false false false true true false false true true true true true true true true false X TRICE WATTS 6203764221 506 THIRD STREET TRIBUNE KS 67879 WENDEL ELLIS CMO 40.00 X 295809 0 53419 BENJAMIN JENKINS PHYSICIAN 40.00 X 282021 0 60202 TRICE WATTS CEO/CFO 40.00 X 235018 0 37240 ROSS MARLOW PA-C 40.00 X 163640 0 50031 AMY M KNIGHT CCO 40.00 X 165678 0 29089 JANIE SCHMIDT ADN 40.00 X 148003 0 40252 CHRIS DIXON CHAIR 2.00 X X 0 0 0 DAN HILD VICE CHAIR 2.00 X X 0 0 0 LINDA PETERSON SECRETARY/TR 2.00 X X 0 0 0 BEN FISHER TRUSTEE 2.00 X 0 0 0 MIKE THON TRUSTEE 2.00 X 0 0 0 1290169 270233 11 false true false HPM SERVICES LLC PO BOX 1476 LOVELAND CO 80539 PAIN MGMT SVS 287661 DOCS WHO CARE 800 W FRONTIER LANE OLATHE KS 66061 PHYSICIANS 206052 3 AM TECHNOLOGIES LLC 5551 HIGHWAY 41A JOELTON TN 37080 MEDICATION TECH 127006 3 1389184 251293 1640477 NET PATIENT SERVICE REVENUE 621110 16014121 16014121 16014121 380983 380983 5541 5541 5541 5541 OUTSIDE SERVICES 621110 173234 173234 CHILD CARE 624410 105229 105229 EMPLOYEE/GUEST MEALS 722513 100632 100632 23899 23899 402994 18444116 16014121 789518 X 272258 272258 7462733 6334162 1128571 134760 133236 1524 1048183 870853 177330 603149 496331 106818 3221 3221 118619 118619 2512313 2160364 351949 10184 10184 389506 307240 82266 236733 216279 20454 59950 40897 19053 36121 23667 12454 64921 64921 1616206 1354743 261463 176048 139770 36278 MEDICAL SUPPLIES & DRUGS 1322730 1322730 REPAIRS & MAINTENANCE 552313 390075 162238 FOOD SERVICES 377707 377707 281581 180295 101286 17279236 14348349 2930887 0 194263 72314 7742817 7897715 32944 48597 1813901 2983098 173965 187249 284178 304252 24823196 11703181 13750178 13120015 262588 528675 24254834 25141915 1192065 1483453 8050729 7481542 9242794 8964995 X 15012040 16176920 15012040 16176920 24254834 25141915 1164880 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3144 3144 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 301707 301707 18847755 8260593 10587162 3802183 2955113 847070 1871551 487475 1384076 13120015 GREELEY COUNTY BOND CONTRIBUTION 6561650 LEASE LIABILITIES 646685 SUBSCRIPTION LIABILITIES 273207 7481542 X 18444116 18444116 18444116 17279236 17279236 17279236 SCHEDULE D, PAGE 3, PART X GCHS IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, BOTH ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ENTITIES EVALUATE UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2024 AND 2023, THE HOSPITAL AND GCHS HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X true X true true false true true 313838 313838 0.01820 1599360 1599360 1913198 1599360 313838 0.01820 9566 9566 0.00060 2223810 1442430 781380 0.04520 68423 68423 0.00400 2301799 1442430 859369 0.04970 4214997 3041790 1173207 0.06790 532 532 911 911 0.00010 1443 1443 0.00010 true 196098 7647915 7781148 -133233 X true true 1 1 GREELEY COUNTY HEALTH SERVICES 506 3RD STREET TRIBUNE KS 67879 HTTPS://GREELEY.HEALTH/ H036001 X X X X GREELEY COUNTY HEALTH SERVICES 1 false false true X X X X X X X X X X 22 true false false true X HTTPS://GREELEY.HEALTH/ X true 22 true HTTPS://GREELEY.HEALTH/ false true X 100.000000000000 400.000000000000 X X X true true X X X true X HTTP://MYGCHS.COM/FINANCIAL-ASSISTANCE X HTTP://MYGCHS.COM/FINANCIAL-ASSISTANCE X HTTP://MYGCHS.COM/FINANCIAL-ASSISTANCE X X X X X X true X false X X X true X false false FACILITY 1, GREELEY COUNTY HEALTH SERVICES - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 28 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, GREELEY COUNTY HEALTH SERVICES - PART V, LINE 5 GCHS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SOLICITATING WRITTEN COMMENTS FROM A DIVERSE GROUP OF COMMUNITY MEMBERS, REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (PUBLIC HEALTH, DEPARTMENTS AND AGENCIES, PRIORITY POPULATIONS, CHRONIC DISEASE GROUPS, ELDERLY, SCHOOLS, ETC.). ADDITIONALLY INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED IN MULTIPLE LOCATIONS TO BETTER UNDERSTAND THE CONCERNS AND STRENGTHS OF OUR COMMUNITIES. THESE RESULTS WERE PROVIDED TO A GROUP OF LOCAL EXPERTS TO REVIEW AND PROVIDE FEEDBACK. FACILITY 1, GREELEY COUNTY HEALTH SERVICES - PART V, LINE 11 GCHS DOES NOT HAVE ADEQUATE RESOURCES TO SOLVE ALL THE PROBLEMS IDENTIFIED IN ITS MOST RECENT HEALTH NEEDS ASSESSMENT. SOME ISSUES ARE BEYOND THE MISSION OF THE HOSPITAL AND ACTION IS BEST SUITED FOR A RESPONSE BY OTHERS. SOME IMPROVEMENTS WILL REQUIRE PERSONAL ACTIONS BY INDIVIDUALS RATHER THAN THE RESPONSE OF AN ORGANIZATION. ALONG WITH OTHER AREA ORGANIZATIONS AND AGENCIES, GCHS PLANS TO COLLABORATE TO BRING THE BEST EACH HAS TO OFFER TO SUPPORT CHANGE AND TO ADDRESS THE MOST PRESSING IDENTIFIED NEEDS. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENT ASSESSMENT FOLLOW: 1. MENTAL HEALTH ACCESS FOR PATIENTS OF ALL AGES 2. YOUTH MENTAL HEALTH AND SOCIAL MEDIA DIFFICULTIES 3. ACCESS TO HEALTHCARE 4. ACCESS TO CHILDCARE 5. SAFE AND AFFORDABLE HOUSING WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. 3 GREELEY COUNTY FAMILY PRACTICE 321 E HARPER TRIBUNE KS 67879 RURAL HEALTH CLINIC WALLACE COUNTY FAMILY PRACTICE 504 E 6TH STREET SHARON SPRINGS KS 67758 RURAL HEALTH CLINIC GREELEY COUNTY LONG-TERM CARE 320 E GREELEY TRIBUNE KS 67879 LONG-TERM CARE SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 2,223,810 IN COLUMN C AND 1,442,430 IN COLUMN D. SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2, FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). SCHEDULE H, PART III, LINE 2 THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARTIY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT ABTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 STARTING ON PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 6 STARTING ON PAGE 15 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART III, LINE 9B THE ACCOUNTS OF UNINSURED OR UNDER-INSURED PATIENTS WHO HAVE APPLIED FOR MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE ARE HELD WITHOUT FURTHER COLLECTION ACTION, UNTIL THE APPLICATION PROCESS HAS BEEN COMPLETE. SCHEDULE H, PART VI, LINE 2 GREELEY COUNTY HEALTH SERVICES USES LOCAL AND STATE BASED DATA TO ASSIST ITS MEDICAL STAFF IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AND PROVIDES BASIC FAMILY BASED PRIMARY CARE. WE ARE CONTINUALLY TAKING IN INFORMATION AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://GREELEY.HEALTH/ SCHEDULE H, PART VI, LINE 3 ALL PATIENTS PRESENTING TO OUR FACILITY WHO ARE UNINSURED/UNDER-INSURED ARE PRESENTED WITH THE OPPORTUNITY FOR FINANCIAL ASSISTANCE APPLICATION. A PATIENT FINANCIAL ASSISTANCE COUNSELOR IS AVAILABLE FULL TIME FOR INQUIRIES AND CONSULTING REGARDING ALL AVAILABLE FINANCIAL AID PROGRAMS. SCHEDULE H, PART VI, LINE 4 THE COMMUNITY IS A FRONTIER, RURAL COMMUNITY IN WESTERN KANSAS. THE RURAL POPULATION AMONG THE THREE COUNTIES SERVED BY THE FACILITY IS APPROXIMATELY 3,000 PEOPLE. THE SERVICE AREA COVERS 8,000 SQUARE MILES. THE AREA IS PREDOMINANTLY AGRICULTURAL BASED. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL DOES HAVE AN OPEN MEDICAL STAFF WITH SUPPORTING MID-LEVEL PRACTITIONERS. THE HOSPITAL HAS A COUNTY GOVERNMENT APPOINTED COMMUNITY BOARD THAT RECEIVES APPROXIMATELY 3% SUPPORT FROM LOCAL TAX APPROPRIATIONS. THE HOSPITAL'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA AND DEDICATE TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. THE HOSPITAL DOES NOT HAVE ANY SHAREHOLDERS AND ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. THE HOSPITAL HOLDS NUMEROUS COMMUNITY ACTIVITIES SUCH AS HEALTH FAIRS, FREE FLU SHOT CLINICS, PROMOTES SCHOOL PROGRAMS, AND PROVIDES NUMEROUS HEALTH, WELLNESS, AND EDUCATION ACTIVITIES TO PROMOTE HEALTH WITHIN THE COMMUNITY. IN ADDITION, THE HOSPITAL IS CONTINUALLY COLLABORATING WITH OTHER FACILITIES AND ORGANIZATIONS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. X X X false false false false false false false false false WENDEL ELLIS CMO 295809 30500 22919 349228 BENJAMIN JENKINS PHYSICIAN 282021 29376 30826 342223 TRICE WATTS CEO/CFO 235018 27150 10090 272258 ROSS MARLOW PA-C 163640 19205 30826 213671 AMY M KNIGHT CCO 165678 7455 21634 194767 JANIE SCHMIDT ADN 148003 6660 33592 188255 FORM 990 DURING 2019, GREELEY COUNTY TRANSFERRED BUILDINGS AND IMPROVEMENTS TO THE HOSPITAL. THE HOSPITAL RECOGNIZES A LIABILITY FOR FUTURE BOND PAYMENTS TO GREELEY COUNTY. THE HOSPITAL ALSO RECEIVES FINANCIAL SUPPORT DERIVED FROM PROPERTY TAXES LEVIED BY THE COUNTY TO SUPPORT OPERATIONS OF THE HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO/CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO/CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND OFFICERS. IT IS REVIEWED ANNUALLY BY THE BOARD MEMBERS AND OFFICERS. ANY POTENTIAL CONFLICTS OF INTEREST THAT ARE DISCLOSED ARE REVIEWED BY THE BOARD CHAIRMAN TO DETERMINE IF AN ACTUAL CONFLICT OF INTEREST EXISTS. INDIVIDUALS WITH A POTENTIAL CONFLICT OF INTEREST ARE PROHIBITED FROM VOTING OR PARTICIPATING IN DISCUSSIONS REGARDING THE POTENTIAL CONFLICT. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS AND QHR REVIEW BOTH THE CEO'S AND CFO'S COMPENSATION ANNUALLY. COMPARISON DATA FROM SIMILAR ORGANIZATIONS IS USED TO DETERMINE ANY PAY INCREASES. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED. FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF DIRECTORS AND QHR REVIEW KEY EMPLOYEE COMPENSATION AT CONTRACT RENEWALS. COMPARISON DATA FROM SIMILAR ORGANIZATIONS IS USED TO DETERMINE ANY PAY INCREASES. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES 2,160,364 279,092 0 COLLECTION FEES 0 72,857 0 TOTAL 2,160,364 351,949 0 GREELEY COUNTY HOSPITAL PO BOX 338 TRIBUNE KS 67879 480783240 HEALTHCARE KS GOVT N/A true false false false false false false false false false false true false false false false false false false true GREELEY COUNTY HOSPITAL S 826871 GAAP