NORTH PLATTE NEBRASKA HOSPITAL CORPORATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- NORTH PLATTE NEBRASKA HOSPITAL CORPORATION (EIN 47-0662290)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-11
- IRS object ID
- 202533159349300613
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-11T07:33:36-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT ST STE 200 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | 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 | 470662290 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH PLATTE NEBRASKA HOSPITAL CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 3085688000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 W LEOTA S | AddressLine1Txt |
| City | NORTH PLATTE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUMMER OWEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3085688000 | PhoneNum |
| Signature | 2025-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MEGAN L KOZIOL CPA | PreparerPersonNm |
| PTIN | P01544037 | PTIN |
| Phone | 4023302660 | PhoneNum |
| Preparation | 2025-11-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IVAN MITCHELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 W LEOTA S | AddressLine1Txt |
| City | NORTH PLATTE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $336,619,885 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GPHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE ACUTE, PREVENTIVE AND OTHER HEALTHCARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1631 | TotalEmployeeCnt |
| Total Volunteers | 110 | TotalVolunteersCnt |
| Total Gross UBI | $116,120 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $979,339 | PYContributionsGrantsAmt |
| CY Contributions Grants | $712,388 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $288,738,381 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $312,651,522 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,137,752 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,377,621 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,835,088 | PYOtherRevenueAmt |
| CY Other Revenue | $2,081,363 | CYOtherRevenueAmt |
| PY Total Revenue | $295,690,560 | PYTotalRevenueAmt |
| CY Total Revenue | $327,822,894 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $132,415 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,321,874 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $143,227,892 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $155,623,705 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $376,192 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $135,562,510 | PYOtherExpensesAmt |
| CY Other Expenses | $143,196,656 | CYOtherExpensesAmt |
| PY Total Expenses | $278,922,817 | PYTotalExpensesAmt |
| CY Total Expenses | $300,142,235 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,767,743 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $27,680,659 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $532,753,920 | TotalAssetsBOYAmt |
| Total Assets EOY | $579,535,707 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $125,925,072 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $117,380,820 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $406,828,848 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $462,154,887 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO INSPIRE HEALTH AND HEALING BY PUTTING PATIENTS FIRST -- ALWAYS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $255,699,000 | ExpenseAmt |
| Grant | $1,321,874 | GrantAmt |
| Revenue | $274,094,552 | RevenueAmt |
| Desc | GREAT PLAINS HEALTH IS A NOT FOR PROFIT HEALTH SYSTEM COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. OUR MEDICAL STAFF, BOARD AND LEADERSHIP BELIEVE WE OFFER SPECIALTIES THAT PROVIDE HIGH QUALITY AND LOW COST CARE TO OUR PATIENTS. SPECIALTIES, SUCH AS CARDIOLOGY, ONCOLOGY, ORTHOPEDICS AND NEUROSURGERY CONTINUE TO GROW AND MEET THE HEALTH CHALLENGES OF OUR COMMUNITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,623,342 | ExpenseAmt |
| Revenue | $33,686,824 | RevenueAmt |
| Desc | GREAT PLAINS HEALTH OPERATES A 116-BED INPATIENT HOSPITAL. THE INPATIENT CARE PROVIDED IN THOSE UNITS ARE THE FOLLOWING: MEDICAL, SURGICAL, INTENSIVE CARE, CORONARY CARE, OBSTETRICS, LABOR & DELIVERY, NICU, AND BEHAVIOR HEALTH SERVICES. GREAT PLAINS HEALTH PATIENTS COME FROM PRIMARY AND SECONDARY MARKETS. ADDITIONALLY, GREAT PLAINS HEALTH OPERATES 30 SPECIALTY OUTPATIENT DEPARTMENTS TO FURTHER MEET THE MEDICAL NEEDS OF THE COMMUNITIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,366,515 | ExpenseAmt |
| Revenue | $6,835,389 | RevenueAmt |
| Desc | GREAT PLAINS HEALTH IS DEDICATED TO MEETING THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITIES WE SERVE. TO HELP MEET THOSE NEEDS, WE OPERATE A DEDICATED BEHAVIORAL HEALTH UNIT/FLOOR AT THE HOSPITAL. THE UNIT ACCEPTS A WIDE VARIETY OF BEHAVIORAL DIAGNOSIS AND ISSUES. GREAT PLAINS HEALTH ALSO OFFERS OUTPATIENT BEHAVIORAL HEALTH SERVICES TO PEDIATRICS, ADOLESCENTS AND ADULTS NEEDING OUTPATIENT SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $279,688,857 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 176 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1631 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMER OWEN CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3085687193 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST LEOTA | AddressLine1Txt |
| City | NORTH PLATTE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JACOB WIESEN | |||||||
| DIRECTOR/PHYSICIAN (GPH) | 40.00 | Yes (X) | $1,162,006 | $0 | $55,438 | ||
| JOVANKA VULSANOVIC MD | |||||||
| DIRECTOR/PHYSICIAN (GPH) | 40.00 | Yes (X) | $359,214 | $0 | $13,800 | ||
| LINDSAY PEDERSON | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MATTHEW HAWKS | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAN O'NEILL | |||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MIKE JACOBSON | |||||||
| PLANNING AND STRATEGY COMMITTEE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN KLUG MD | |||||||
| CHIEF OF STAFF/DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL CUNNING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETE VOLZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ML MARTIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAYNA SCHAAF | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAYE MONIE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RYAN PURDY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LELAND POPPE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHAWN MURDOCK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IVAN MITCHELL | |||||||
| CEO | 40.00 | $601,825 | $0 | $58,487 | Yes (X) | ||
| SUMMER OWEN | |||||||
| CFO | 39.00 | $345,671 | $0 | $43,003 | Yes (X) | ||
| WAYNE L WARREN MD | |||||||
| PHYSICIAN (GPH) | 40.00 | $2,021,837 | $0 | $45,711 | Yes (X) | ||
| PUSHKAR M KANADE MD | |||||||
| PHYSICIAN (GPH) | 40.00 | $1,368,770 | $0 | $56,754 | Yes (X) | ||
| NARAYANA KODURI MD | |||||||
| PHYSICIAN (GPH) | 40.00 | $1,309,857 | $0 | $57,104 | Yes (X) | ||
| MICHAEL SIMONSON MD | |||||||
| PHYSICIAN (GPH) | 40.00 | $1,116,044 | $0 | $55,087 | Yes (X) | ||
| NATHAN JACOBSON MD | |||||||
| PHYSICIAN (GPH) | 40.00 | $1,138,352 | $0 | $22,750 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,423,576 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $408,134 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 271 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SAMPSON CONSTRUCTION | |||||
| 5825 SOUTH 14TH STREET | LINCOLN | NE | 68512 | CONTRUCTION AND GENERAL CONTRACTING | $11,692,353 |
| MEDICAL SOLUTIONS LLC | |||||
| 1010 N 102ND STREET SUITE 300 | OMAHA | NE | 68114 | HEALTHCARE STAFFING | $3,925,615 |
| HEALTH CAROUSEL LLC | |||||
| 3805 EDWARDS RD 700 | CINCINNATI | OH | 45209 | STAFFING SERVICES | $3,858,020 |
| COLLABORATIVE SOLUTIONS LLC | |||||
| 300 FRANK W BURR BLVD | TEANECK | NJ | 07666 | SOFTWARE CONSULTANTS | $1,952,315 |
| GUARDIAN HEALTHCARE PROVIDERS | |||||
| 2208 N WEBB RD UNIT 3 | GRAND ISLAND | NE | 68803 | STAFFING SERVICES | $1,330,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $712,388 | AllOtherContributionsAmt |
| Total Contributions | $712,388 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 624100 | $310,099,801 | $310,099,801 |
| OTHER OPERATING REVENUE | 624100 | $2,349,653 | $2,349,653 |
| MANAGEMENT FEES | 624100 | $202,068 | $202,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $312,651,522 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,036,891 | TotalRevenueColumnAmt |
| Exclusion | $10,036,891 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $168,317 | 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 | $168,317 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $168,317 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $168,317 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,124,985 | SecuritiesAmt |
| Other | $12,736 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,748,659 | SecuritiesAmt |
| Other | $48,332 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,376,326 | SecuritiesAmt |
| Other | -$35,596 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,340,730 | TotalRevenueColumnAmt |
| Exclusion | $2,340,730 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $935,799 | $935,799 |
| MID-NEBRASKA MEDICAL VENTURES | 621110 | $467,982 | $467,982 |
| NORTH PLATTE SURGICAL CENTER | 621400 | $217,069 | $217,069 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $292,196 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $176,076 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $116,120 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,913,046 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $327,822,894 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $314,616,765 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $116,120 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,377,621 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,321,874 | TotalAmt |
| Program Services | $1,321,874 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,642,204 | TotalAmt |
| Program Services | $1,591,837 | ProgramServicesAmt |
| Management And General | $1,050,367 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $792,778 | TotalAmt |
| Program Services | $792,778 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,447,710 | TotalAmt |
| Program Services | $114,441,334 | ProgramServicesAmt |
| Management And General | $6,779,109 | ManagementAndGeneralAmt |
| Fundraising | $227,267 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,956,668 | TotalAmt |
| Program Services | $4,798,360 | ProgramServicesAmt |
| Management And General | $151,116 | ManagementAndGeneralAmt |
| Fundraising | $7,192 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,734,121 | TotalAmt |
| Program Services | $17,651,614 | ProgramServicesAmt |
| Management And General | $1,041,136 | ManagementAndGeneralAmt |
| Fundraising | $41,371 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,050,224 | TotalAmt |
| Program Services | $6,520,390 | ProgramServicesAmt |
| Management And General | $514,035 | ManagementAndGeneralAmt |
| Fundraising | $15,799 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,000 | TotalAmt |
| Management And General | $220,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,545 | TotalAmt |
| Management And General | $403,545 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,527 | TotalAmt |
| Management And General | $176,527 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,420 | TotalAmt |
| Management And General | $473,420 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,085,775 | TotalAmt |
| Program Services | $30,890,898 | ProgramServicesAmt |
| Management And General | $5,184,272 | ManagementAndGeneralAmt |
| Fundraising | $10,605 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $730,832 | TotalAmt |
| Program Services | $226,927 | ProgramServicesAmt |
| Management And General | $503,066 | ManagementAndGeneralAmt |
| Fundraising | $839 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,818,151 | TotalAmt |
| Program Services | $2,956,099 | ProgramServicesAmt |
| Management And General | $830,198 | ManagementAndGeneralAmt |
| Fundraising | $31,854 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,051,290 | TotalAmt |
| Program Services | $10,348,152 | ProgramServicesAmt |
| Management And General | $686,219 | ManagementAndGeneralAmt |
| Fundraising | $16,919 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,324,844 | TotalAmt |
| Program Services | $5,078,162 | ProgramServicesAmt |
| Management And General | $244,198 | ManagementAndGeneralAmt |
| Fundraising | $2,484 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,990 | TotalAmt |
| Program Services | $99,772 | ProgramServicesAmt |
| Management And General | $8,218 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,487,884 | TotalAmt |
| Program Services | $2,261,169 | ProgramServicesAmt |
| Management And General | $224,793 | ManagementAndGeneralAmt |
| Fundraising | $1,922 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,368,088 | TotalAmt |
| Program Services | $16,127,693 | ProgramServicesAmt |
| Management And General | $1,226,883 | ManagementAndGeneralAmt |
| Fundraising | $13,512 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,455,462 | TotalAmt |
| Program Services | $1,358,126 | ProgramServicesAmt |
| Management And General | $96,511 | ManagementAndGeneralAmt |
| Fundraising | $825 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $61,553,486 | $61,532,814 | $20,672 | |
| TAXES | $530,074 | $530,074 | ||
| EDUCATION & TRAINING | $521,644 | $474,383 | $42,365 | $4,896 |
| DUES & SUBSCRIPTIONS | $327,227 | $142,187 | $184,441 | $599 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,417 | TotalAmt |
| Program Services | $544,214 | ProgramServicesAmt |
| Management And General | $16,095 | ManagementAndGeneralAmt |
| Fundraising | $108 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,142,235 | TotalAmt |
| Program Services | $279,688,857 | ProgramServicesAmt |
| Management And General | $20,077,186 | ManagementAndGeneralAmt |
| Fundraising | $376,192 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,203 | BOYAmt |
| EOY | $182,885 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,361,836 | BOYAmt |
| EOY | $34,777,178 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,725,408 | BOYAmt |
| EOY | $35,057,645 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,451,999 | BOYAmt |
| EOY | $1,141,142 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,343,029 | BOYAmt |
| EOY | $10,879,765 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,012,083 | BOYAmt |
| EOY | $5,112,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $339,958,683 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $195,858,547 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,462,220 | BOYAmt |
| EOY | $144,100,136 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,543,271 | BOYAmt |
| EOY | $312,174,888 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,404,766 | BOYAmt |
| EOY | $14,331,331 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,630,213 | BOYAmt |
| EOY | $8,280,851 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,692,892 | BOYAmt |
| EOY | $13,497,008 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $532,753,920 | BOYAmt |
| EOY | $579,535,707 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,748,280 | BOYAmt |
| EOY | $24,130,858 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,744,965 | BOYAmt |
| EOY | $77,649,679 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,431,827 | BOYAmt |
| EOY | $15,600,283 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,925,072 | BOYAmt |
| EOY | $117,380,820 | 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 | $404,924,979 | BOYAmt |
| EOY | $460,331,542 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,903,869 | BOYAmt |
| EOY | $1,823,345 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,828,848 | BOYAmt |
| EOY | $462,154,887 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $532,753,920 | BOYAmt |
| EOY | $579,535,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $27,680,659 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $27,725,904 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$80,524 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,406 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,406 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE $17,406 REPRESENTS THE PORTION OF THE DUES PAID TO THE NEBRASKA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION THAT ARE USED FOR LOBBYING BY THOSE ORGANIZATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,335,247 | OtherCostOrOtherBasisAmt |
| Book Value | $2,335,247 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,582,325 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,953,130 | DepreciationAmt |
| Book Value | $99,629,195 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,244,216 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,839,413 | DepreciationAmt |
| Book Value | $404,803 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,283,084 | OtherCostOrOtherBasisAmt |
| Depreciation | $92,522,097 | DepreciationAmt |
| Book Value | $27,760,987 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,513,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,543,907 | DepreciationAmt |
| Book Value | $13,969,904 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $144,100,136 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $11,878,137 |
| OPERATING LEASES LIABILITY | $3,722,146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,600,283 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1959 | PersonsServedCnt |
| Total Community Benefit Expns | $4,242,356 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,242,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5766 | PersonsServedCnt |
| Total Community Benefit Expns | $34,976,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,188,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,788,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03930 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7725 | PersonsServedCnt |
| Total Community Benefit Expns | $39,219,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,188,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,030,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05340 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19357 | PersonsServedCnt |
| Total Community Benefit Expns | $1,737,816 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,309 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,717,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 75 | PersonsServedCnt |
| Total Community Benefit Expns | $469,921 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $469,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2082 | PersonsServedCnt |
| Total Community Benefit Expns | $2,975,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,144,281 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,831,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $657,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $222,762 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $434,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,449,036 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,449,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21514 | PersonsServedCnt |
| Total Community Benefit Expns | $7,289,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,387,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,902,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 29239 | PersonsServedCnt |
| Total Community Benefit Expns | $46,509,069 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,576,142 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,932,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07300 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 20000 | PersonsServedCnt |
| Total Community Benefit Expns | $2,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 500 | PersonsServedCnt |
| Total Community Benefit Expns | $9,245 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,245 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2000 | PersonsServedCnt |
| Total Community Benefit Expns | $4,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22500 | PersonsServedCnt |
| Total Community Benefit Expns | $16,242 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,242 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $388,685 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $68,409 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $98,877,556 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $149,733,217 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$50,855,661 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 NORTH PLATTE SURGERY CENTER LLC | |||
| PROVIDES OUTPATIENT SURGERY SERVICES | 0.50000 | 0.00000 | 0.50000 |
| 2 MID-NE MEDICAL VENTURES | |||
| LEASES OF PHYSICIAN'S OFFICE BUILDING | 0.60000 | 0.00000 | 0.40000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST LEOTA | AddressLine1Txt |
| City | NORTH PLATTE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GPHEALTH.ORG | WebsiteAddressTxt |
| State License | 510001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GPHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.GPHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | GPHEALTH.ORG/PATIENTS-VISITORS/ESTIMATES-BILLING-FINANCIAL-ASSISTANCE-PRICE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | GPHEALTH.ORG/PATIENTS-VISITORS/ESTIMATES-BILLING-FINANCIAL-ASSISTANCE-PRICE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | GPHEALTH.ORG/PATIENTS-VISITORS/ESTIMATES-BILLING-FINANCIAL-ASSISTANCE-PRICE | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GREAT PLAINS HEALTH | PART V, SECTION B, LINE 5: GPHEALTH PROVIDED CHC CONSULTING WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN LINCOLN COUNTY, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, 29 IN DEPTH PHONE INTERVIEWS WERE CONDUCTED. DURING THESE INTERVIEWS, THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS WERE DISCUSSED. |
| GREAT PLAINS HEALTH | PART V, SECTION B, LINE 11: GREAT PLAINS HEALTH LEADERSHIP PRIORITIZED AND DECIDED TO ADDRESS ALL OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN.THE FINAL LIST OF PRIORITIZED NEEDS IS LISTED BELOW IN DESCENDING ORDER:1. RECRUIT AND RETAIN QUALITY HEALTH PROFESSIONALS.2. INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE.3. IMPROVE ACCESS TO MEDICAL AND DENTAL CARE.4. INCREASE PREVENTION, EDUCATION TO REDUCE THE PREVALENCE OF CHRONIC DISEASES, PREVENTABLE CONDITIONS, READMISSIONS, AND HIGH MORTALITY RATES.5. INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING.THERE ARE NO SIGNIFICANT IDENTIFIED NEEDS THAT ARE NOT BEING ADDRESSED.IN THE CURRENT TAX YEAR, GPH HAS ADDRESSED THE PRIORITIES AS FOLLOWS:1. RECRUIT AND RETAIN QUALITY HEALTHCARE PROFESSIONALS: WE HAVE FILLED THE PHYSICIAN NEEDS IDENTIFIED IN THE ANNUAL MEDICAL STAFF NEEDS ASSESSMENT. IN 2024, WE HIRED ONE ONCOLOGIST, ONE OBGYN, AND TWO GENERAL SURGEONS. ADDITIONALLY, WE HAVE MAINTAINED ABOVE THE INDUSTRY AVERAGE FOR RETENTION RATE OF PHYSICIANS AT 9%. WE PROVIDE MONTHLY CME EDUCATION TO PROVIDERS WHICH AIDS IN RETENTION. WE ROUND ON 100% OF PHYSICIANS ANNUALLY. OUR LEADERSHIP SERVES AS THE CHAMBER AND DEVELOPMENT BOARD CHAIR AS WELL AS LEADS THE NP RECREATION ALLIANCE TO CONTINUE IMPROVING QUALITY OF LIFE IN NORTH PLATTE FOR RETENTION. WE OFFER NURSE AND PRECEPTOR PROGRAMS. WE HAVE SEVERAL RESIDENCY PROGRAMS, INCLUDING A PA PROGRAM AND A PT PROGRAM. WE HELPED 4 STAFF MEMBERS GO FROM RN TO BSN, WE HAD TWO STUDENTS WE TRAINED IN SURGICAL TECH IN PARTNERSHIP WITH SECC AND MPCC. WE HOSTED A CAREER CAMP FOR MIDDLE SCHOOL KIDS, HOSTED THE PRE-MED CLUB AND ATTENDED AREA CAREER PROGRAMS AT SCHOOLS AND WITH THE ESU. WE HAD 4 STUDENTS COMPLETE THE ACCELERATED BSN PROGRAM, AND PROVIDED HOUSING TO 74 STUDENTS.2. INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE: WE CONTINUE TO PROVIDE INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES. EXECUTIVE MEMBERS OF THE STAFF PARTICIPATE IN A COMMITTEE ON STARTING A DETOX IN OUR REGION. ASSISTED IN WRITING A GRANT WITH LOCAL PARTNERS. ORGANIZED A MOCK TRIAL FOR SANE AND SART TEAMS. WE MAINTAIN A FULL TIME RN CASE MANAGER FOR BEHAVIORAL HEALTH SERVICES PATIENTS. THREE STAFF MEMBERS CERTIFIED IN PLAY FOR EXPANDED AUTISM SERVICES. OUR PSYCHIATRIST MEETS WEEKLY WITH SCHOOL AND COUNSELORS TO ENSURE NEEDS ARE BEING MET. HOSTED A MENTAL HEALTH DAY IN 2024 TO 250 STUDENTS. WE CONTINUE TO SCREEN ALL PEDIATRIC AND FAMILY MEDICINE PATIENTS FOR DEPRESSION.3. IMPROVE ACCESS TO MEDICAL AND DENTAL CARE: DURING THE YEAR, GPH LAUNCHED SELF SCHEDULING IN PRIMARY CARE CLINICS. 58% OF OUR PATIENTS UTILIZE MYCHART PATIENT PORTAL. EXECUTIVE LEADERS PARTICIPATE IN A DENTAL COMMITTEE EXPLORING WAYS TO PROVIDE INDIGENT DENTAL SERVICES TO MEDICAID PATIENTS. PROVIDED $1,366,509 IN PATIENT MEDICATION ASSISTANCE. PROVIDED $25,218,586 IN FINANCIAL ASSISTANCE AND CHARITY CARE. WE LAUNCHED OUTREACH CLINICS IN ORTHOPAEDICS, ONCOLOGY AND CARDIOLOGY IN COZAD. WE HIRED A CERTIFIED DIABETIC EDUCATOR IN 2024.4. INCREASED PREVENTION EDUCATION TO REDUCE THE PREVALENCE OF CHRONIC CONDITIONS: WE EDUCATED 13 STUDENTS ON BREASTFEEDING 101. WE HELD ONE CLASS IN ENGLISH AND ONE IN SPANISH OF HANDS-ONLY CPR. WE HOSTED TWO BLOOD DRIVES WITH THE RED CROSS. LEADERSHIP SERVES AS LEADERS ON COMMUNITY TASK FORCES. $1.3 MILLION WAS PROVIDED TO LOCAL ORGANIZATIONS FOR VARIOUS INITIATIVES SUCH AS HOUSING PROJECTS, COMMUNITY EVENTS, LOCAL NON-PROFITS. PROVIDED $500 TO LOCAL SCHOOLS FOR SAFE, DRUG-FREE POST PROM EVENTS. AN EMPLOYEE CAMPAIGN NETTED $1,952 FOR THE UNITED WAY. GPGIVES GAVE A $5,000 MATCH. COMPLETED 429 LOW COST HEART SCREENINGS. OFFERED PICKLEBALL TRAINING FREE OF CHARGE TO OUR EMPLOYEES. SCREENED 43 AT OUR STROKE SCREENING. PROVIDED EMS RUN REVIEWS QUARTERLY AND ARE THE KEY SPONSOR TO THE EMS CONFERENCE ANNUALLY. PROVIDED FREE ATHLETIC TRAINING SERVICES TO 15 AREA HIGH SCHOOLS.5. INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING: PROVIDED DOWN PAYMENT ASSISTANCE TO 24 EMPLOYEES, TOTALING $357,480. PROVIDED $250,000 TO HABITAT FOR HUMANITY. |
| GREAT PLAINS HEALTH | PART V, SECTION B, LINE 13B: SYSTEM HOSPITAL WILL APPLY PRESUMPTIVE ELIGIBILITY CRITERIA TO FACILITATE PROMPT RECOGNITION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE. CIRCUMSTANCES INCLUDE HOMELESSNESS, DEATH WITHOUT ESTATE, AND EMERGENCY SERVICES FOR OUT-OF-STATE MEDICAID PATIENTS. |
| GREAT PLAINS HEALTH | PART V, SECTION B, LINE 13H: IF A PATIENT'S COMBINED OUTSTANDING MEDICAL BILLS, AFTER INSURANCE PAYS, EXCEEDS 7.5% OF THEIR ANNUAL GROSS INCOME, THEY WILL RECEIVE AN ADDITIONAL 15% DISCOUNT ON TOP OF THE FINANCIAL ASSISTANCE DISCOUNT WITH THE COMBINED DISCOUNT NOT TO EXCEED 100% OF THE OUTSTANDING BALANCE. OUTSTANDING MEDICAL BILLS ARE NOT RESTRICTED TO JUST GREAT PLAINS HEALTH SERVICES BUT CAN BE ANY MEDICAL SERVICES. CURRENT STATEMENTS MUST BE PROVIDED SHOWING THE OUTSTANDING BALANCES CLAIMED. |
| GREAT PLAINS HEALTH | PART V, SECTION B, LINE 16J: THE WRITTEN FINANCIAL ASSISTANCE POLICY IS ON GPH'S WEBSITE, AND TELEPHONE NUMBERS TO PATIENT FINANCIAL SERVICES AND FINANCIAL COUNSELING ARE PRINTED ON THE BACK SIDE OF EACH PAGE OF THE PATIENT BILLING STATEMENT. POSTERS REGARDING AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT PATIENT POINTS OF ENTRY THROUGHOUT THE HOSPITAL FACILITY. |
| GREAT PLAINS HEALTH | PART V, SECTION B, LINE 20E: GPH WORKS WITH PATIENTS THROUGH PHONE AND IN-PERSON INTERVIEWS TO DETERMINE THE PATIENT'S FINANCIAL SITUATION AND TO DETERMINE IF THE INDIVIDUAL QUALIFIES FOR ASSISTANCE, SUCH AS MEDICAID. PATIENTS CAN ALSO REQUEST FINANCIAL ASSISTANCE AND SUBMIT DOCUMENTS THROUGH THE PATIENT PORTAL. |
| 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 | 1 - NORTH PLATTE SURGERY CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 WEST FRANCIS STREET | AddressLine1Txt |
| City | NORTH PLATTE | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | OUTPATIENT SURGERIES | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ASIDE FROM FEDERAL PROVERY GUIDELINES, GPH ALSO UTILIZES THE FOLLOWING FACTORS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: ASSET LEVEL, MEDICAL INDIGENCY, UNDERINSURANCE STATUS, PRESUMPTIVE ELIGIBILITY AND TOTAL OUTSTANDING MEDICAL BILLS. |
| PART I, LINE 6A: | GPH'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF OF GPH. |
| PART I, LINE 7: | CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONS EDUCATION, LINE 7F, RESEARCH, LINE 7H, AND CONTRIBUTIONS, LINE 7I, ARE REPORTED BASED ON ACTUAL EXPENSES REPORTED IN THE GENERAL LEDGER. THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS CALCULATED USING THE RATIO OF PATIENT COST TO CHARGES ON WORKSHEET 2. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | GPH HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSORING HEALTH FAIR, SPORTS CLINICS AND SUPPORT GROUPS, PHYSICIANS SERVING ON COMMUNITY BOARDS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED. |
| PART III, LINE 2: | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. |
| PART III, LINE 3: | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 17.6% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. |
| PART III, LINE 4: | THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 16 AND 17 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL IS BASED ON THE INFORMATION FROM THE COST REPORT. THESE COSTS ARE MEDICARE REIMBURSABLE COSTS, NOT ALL COSTS. THESE MEDICARE REIMBURSABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT TO THE EXTENT THAT MEDICARE REVENUES DO NOT COVER THE COSTS, THEREFORE THE ENTIRE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. WE DO NOT USE ANY NEGOTIATION TOOL WITH MEDICARE FOR OUR RATES; THE RATES THAT WE ARE PAID ARE MANDATED. HENCE, THIS DOES NOT GIVE US THE ABILITY AS A PROVIDER TO RECEIVE SUFFICIENT REVENUES TO COVER THE MEDICARE COSTS. AS A FACILITY WE ARE WORKING TOWARD COSTS SAVINGS. |
| PART III, LINE 9B: | IF THE COLLECTION AGENCY LEARNS INFORMATION THAT INDICATES THAT THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE GPH CHARITY CARE POLICY, THEN THE COLLECTION AGENCY SHALL PROMPTLY NOTIFY THE PATIENT FINANCIAL SERVICES DIRECTOR AND CEASE ANY FURTHER COLLECTION ACTIVITY UNTIL GPH DETERMINES THE PATIENT ELIGIBILITY. |
| PART VI, LINE 2: | GPH USES STRATEGIC PLANNING PROCESSES, MARKET STUDIES, OPEN FORUMS WITH PHYSICIANS, COMMUNITY FOCUS GROUPS, CUSTOMER SERVICE SURVEYS AND COMMUNITY SURVEYS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES GPH SERVES. PATIENT CARE AND SUPPORT SERVICES PROVIDED BY GPH ARE BASED ON GPH'S MISSION, VISION, VALUES AND STANDARDS OF BEHAVIOR. PATIENT CARE AND ANCILLARY SERVICES ARE ORGANIZED IN RESPONSE TO PATIENT NEEDS AS IDENTIFIED THROUGH THE STRATEGIC PLANNING PROCESS. THE GPH STRATEGIC PLAN FOCUSES ON ACHIEVING A CONTINUUM OF CARE TO MEET THE NEEDS OF THE COMMUNITY SERVED. THE STRATEGIC PLANNING PROCESS IS COMPLETED APPROXIMATELY EVERY THREE TO FIVE YEARS. |
| PART VI, LINE 3: | FOR PATIENTS THAT GPH DETERMINES ARE FINANCIALLY INDIGENT, THE PATIENT/GUARANTOR WILL BE NOTIFIED AND ASSISTED BY THE GPH PATIENT FINANCIAL SERVICES IN APPLYING FOR FINANCIAL ASSISTANCE. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE ACCOUNT WILL BE REVIEWED FOR A CHARITY ALLOWANCE ACCORDING TO THE HOSPITAL'S CHARITY POLICY. CASE MANAGERS ARE AVAILABLE AT GPH TO ASSIST PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL AND SOCIAL STRESS THAT ACCOMPANY ILLNESS AND HOSPITALIZATION. CASE MANAGERS HAVE A WORKING KNOWLEDGE OF SOCIAL WORK THEORIES AND ARE ABLE TO ASSIST PATIENTS WITH CONTACTING COMMUNITY AGENCIES THAT CAN ASSIST THEM IN RECOVERY AND FINANCIAL NEEDS. AN OUTSIDE AGENCY IS USED TO PROVIDE ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR MEDICAID. ONE-ON-ONE FINANCIAL COUNSELING IS AVAILABLE TO EVERY PATIENT, UPON REQUEST. |
| PART VI, LINE 4: | GREAT PLAINS HEALTH IS THE ONLY HOSPITAL IN LINCOLN COUNTY AND IS A REGIONAL REFERRAL HOSPITAL FOR NINETEEN OTHER COUNTIES IN NEBRASKA. GPH SERVES A MARKET OF OVER 134,000 RESIDENTS. OVER NINETY-THREE PERCENT OF GPH'S INPATIENT ADMISSIONS COME FROM WITHIN THIS MARKET. SEVENTY-TWO PERCENT OF THE PATIENTS COME FROM LINCOLN COUNTY. THE PRIMARY SERVICE AREA IS DEFINED AS LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING NINETEEN COUNTIES: ARTHUR, FRONTIER, HOOKER, PERKINS, CHASE, GRANT, GOSPER, KEITH, RED WILLOW, FURNAS, DUNDY, CHERRY, CUSTER, HAYES, LOGAN, THOMAS, DAWSON, HITCHCOCK, AND MCPHERSON. THE TOTAL POPULATION OF THE SECONDARY SERVICE AREA IS ABOUT 99,000.THE POPULATION IN THE SERVICE AREA IS EXPECTED TO CONTINUE THE SHIFT TOWARDS AN AGING POPULATION THAT WOULD INCREASE SERVICE UTILIZATION. HOSPITALS IN THE SECONDARY SERVICE AREA ARE: CHASE COUNTY COMMUNITY HOSPITAL (CHASE COUNTY), CHERRY COUNTY HOSPITAL (CHERRY COUNTY), CALLAWAY DISTRICT HOSPITAL (CUSTER COUNTY), JENNIE M. MELHAM MEMORIAL HOSPITAL (CUSTER COUNTY), COZAD COMMUNITY HOSPITAL (DAWSON COUNTY), GOTHENBURG MEMORIAL HOSPITAL (DAWSON COUNTY), LEXINGTON REGIONAL MEDICAL CENTER (DAWSON COUNTY), DUNDY COUNTY HOSPITAL (DUNDY COUNTY), TRI VALLEY HEALTH SYSTEM (FURNAS COUNTY), OGALLALA COMMUNITY HOSPITAL (KEITH COUNTY), PERKINS COUNTY HEALTH SERVICES (PERKINS COUNTY), AND COMMUNITY HOSPITAL (RED WILLOW COUNTY).MARKET OVERVIEWPRIMARY SERVICE AREA- CONSISTS OF LINCOLN COUNTY- ACCOUNTS FOR NEARLY 64% GPH'S INPATIENT CASES- THE 2024 POPULATION WAS 33,728SECONDARY SERVICE AREA- CONSISTS OF NINETEEN COUNTIES EXTENDING NORTH TO SOUTH DAKOTA, SOUTH TO KANSAS AND WEST TO COLORADO - ACCOUNTS FOR 28% OF GPH'S INPATIENT CASES - POPULATION 96,995 IN 2024 - LARGEST EMPLOYER IS UNION PACIFIC |
| PART VI, LINE 5: | GPH HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSORING HEALTH FAIR, SPORTS CLINICS AND SUPPORT GROUPS, PHYSICIANS SERVING ON COMMUNITY BOARDS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.GPH PROVIDES EDUCATION TO THE COMMUNITY ON VARIOUS HEALTH PROGRAMS FOR EMPLOYEES, EMPLOYERS AND THE COMMUNITY GPH SERVES. MANY MEMBERS OF THE STAFF HOLD SPEAKING ENGAGEMENTS TO PROVIDE MEDICAL INFORMATION TO THE COMMUNITY. THE MEDICATION ASSISTANCE PROGRAM ASSISTS PATIENTS TO FIND OTHER MEANS TO AFFORD THEIR PRESCRIPTIONS.THE HEALTH CENTER OPERATES ACUTE AND PSYCHIATRIC CARE BEDS AND PROVIDES VARIOUS OUTPATIENT AND EMERGENCY MEDICAL TREATMENT SERVICES. THE AFFILIATES LEASE AND SELL HOME MEDICAL EQUIPMENT TO THE PUBLIC, RENT OFFICE SPACE TO PHYSICIAN PRACTICES AND PROVIDE PHYSICIAN PROFESSIONAL MEDICAL SERVICES AND OTHER PROGRAMS TO PATIENTS. |
| PART VI, LINE 6: | GREAT PLAINS HEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| MID-NEBRASKA COMMUNITY COLLEGE | ||||||||
| 601 W STATE FARM ROAD | NORTH PLATTE | NE | 69101 | 470519583 | GOVERNMENTAL | $26,500 | $0 | SCOREBOARD AND ELECTRICAL TECH BUILDING |
| HABITAT FOR HUMANITY | ||||||||
| 420 N COTTONWOOD ST | NORTH PLATTE | NE | 69101 | 911833181 | 501(C)(3) | $250,000 | $0 | SUPPORT FOR ORGANIZATION'S EXEMPT PURPOSE |
| HOPE-ESPERANZA | ||||||||
| 5258 E STATE FARM RD | NORTH PLATTE | NE | 69101 | 873977032 | 501(C)(3) | $6,000 | $0 | INTERNATIONAL BAZAARE |
| MID-NEBRASKA COMMUNITY FOUNDATION INC | ||||||||
| 121 N DEWEY ST STE 112 PO BOX 1321 | NORTH PLATTE | NE | 69101 | 470604965 | 501(C)(3) | $1,001,000 | $0 | RECREATION CENTER AND POKER CYCLE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GREAT PLAINS HEALTH PROVIDES SPONSORSHIP DOLLARS TO CHARITABLE EVENTS IN THE LOCAL AREA. THE ORGANIZATION GIVES TO CHARITABLE ORGANIZATIONS IN THE AREA WHICH BENEFIT THE LOCAL COMMUNITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAYNE L WARREN MD | ||||||||||||||
| PHYSICIAN (GPH) | $1,997,515 | $0 | $685 | $0 | $23,637 | $0 | $13,800 | $0 | $32,601 | $0 | $2,068,238 | $0 | $0 | $0 |
| PUSHKAR M KANADE MD | ||||||||||||||
| PHYSICIAN (GPH) | $1,303,612 | $0 | $61,024 | $0 | $4,134 | $0 | $13,800 | $0 | $43,644 | $0 | $1,426,214 | $0 | $0 | $0 |
| NARAYANA KODURI MD | ||||||||||||||
| PHYSICIAN (GPH) | $1,218,646 | $0 | $86,542 | $0 | $4,669 | $0 | $13,800 | $0 | $43,994 | $0 | $1,367,651 | $0 | $0 | $0 |
| JACOB WIESEN | ||||||||||||||
| DIRECTOR/PHYSICIAN (GPH) | $1,088,662 | $0 | $69,066 | $0 | $4,278 | $0 | $13,800 | $0 | $42,328 | $0 | $1,218,134 | $0 | $0 | $0 |
| MICHAEL SIMONSON MD | ||||||||||||||
| PHYSICIAN (GPH) | $1,045,832 | $0 | $67,486 | $0 | $2,726 | $0 | $13,800 | $0 | $41,977 | $0 | $1,171,821 | $0 | $0 | $0 |
| NATHAN JACOBSON MD | ||||||||||||||
| PHYSICIAN (GPH) | $957,501 | $0 | $180,551 | $0 | $300 | $0 | $13,800 | $0 | $9,640 | $0 | $1,161,792 | $0 | $0 | $0 |
| IVAN MITCHELL | ||||||||||||||
| CEO | $549,880 | $0 | $20,200 | $0 | $31,745 | $0 | $13,800 | $0 | $45,377 | $0 | $661,002 | $0 | $0 | $0 |
| SUMMER OWEN | ||||||||||||||
| CFO | $325,171 | $0 | $20,200 | $0 | $300 | $0 | $13,800 | $0 | $29,893 | $0 | $389,364 | $0 | $0 | $0 |
| JOVANKA VULSANOVIC MD | ||||||||||||||
| DIRECTOR/PHYSICIAN (GPH) | $358,564 | $0 | $200 | $0 | $450 | $0 | $13,800 | $0 | $690 | $0 | $373,704 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | PHYSICIANS ARE ELIGIBLE FOR NON-FIXED QUALITY COMPENSATION BONUSES. QUALITY INDICATORS FOR QUALITY COMPENSATION SHALL BE OBJECTIVE, IDENTIFIABLE STANDARDS THAT ARE ESTABLISHED BY GPH, THE PHYSICIAN, AND EXECUTIVE IN WRITING ON AN ANNUAL BASIS PRIOR TO THE BEGINNING OF A NEW CONTRACT YEAR. SAID QUALITY METRICS SHALL NOT RELATE IN ANY MANNER TO THE VOLUME OR VALUE OF REFERRALS OR OTHER BUSINESS GENERATED BY PHYSICIAN FOR HOSPITAL OR AFFILIATES THEREOF OR BASED UPON REDUCING OR REFUSING CARE PROVIDED TO BENEFICIARIES OF THE FEDERAL PROGRAMS. THE FOLLOWING PHYSICIANS RECEIVED BONUSES DURING THE YEAR: KANADE, PUSHKAR M. KODURI, NARAYANA M. JACOBSON, NATHAN A. SIMONSON, MICHAEL L. WIESEN, JACOB | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JOSEPH RUYBAL | |||
| SON-IN-LAW OF PETE VOLZ, DIRECTOR | $31,923 | EMPLOYMENT WITH HOSPITAL | 0 |
| EDUARDO A F FREITAS | |||
| SPOUSE OF JOVANKA VUKSANOVIC, DIRECTOR | $746,276 | EMPLOYMENT WITH HOSPITAL | 0 |
| STEPHANIE WIESEN | |||
| SPOUSE OF JACOB WIESEN, DIRECTOR | $14,580 | EMPLOYMENT WITH HOSPITAL | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE BOARD OF DIRECTORS, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION HAS TWO CLASSES OF MEMBERS, CHARTER MEMBERS AND PATRON MEMBERS. CHARTER MEMBERS CONTRIBUTED TO THE ORIGINAL FUND DRIVE. THOSE INDIVIDUAL WHO CONTRIBUTE $500 TO EITHER GPH OR THE FOUNDATION AND DID NOT CONTRIBUTE DURING THE ORIGINAL FUND DRIVE SHALL BE DESIGNATED AS PATRON MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS ARE ENTITLED TO ONE VOTE IN ELECTIONS OF BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBERS HAVE THE POWER TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, A MERGER, A CONSOLIDATION, DISSOLUTION, OR SALE OF ALL OR SUBSTANTIALLY ALL THE ASSETS. |
| FORM 990, PART VI, SECTION B, LINE 11B | COPIES OF THE FORM 990 ARE AVAILABLE TO THE BOARD ON A PORTAL. THE BOARD IS NOTIFIED WHEN IT IS AVAILABLE FOR VIEWING. |
| FORM 990, PART VI, SECTION B, LINE 12C | GPH PROVIDES A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH OFFICER AND DIRECTOR. THE CONFLICT OF INTEREST QUESTIONNAIRE IS COMPLETED AND RETURNED ANNUALLY. ANY QUESTIONABLE SITUATION IS DISCLOSED ON THE QUESTIONNAIRE. FURTHERMORE, ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR ARE TO BE REPORTED TO ADMINISTRATION. THE CONFLICTS REVIEW COMMITTEE REVIEWS ANY TRANSACTIONS THAT MAY BE CONSIDERED TO HAVE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE GREAT PLAINS HEALTH BOARD OF DIRECTORS STRIVES TO COMPENSATE OFFICERS AT LEVELS THAT ARE COMPETITIVE IN THE MARKETPLACE, COST EFFECTIVE AND, AS MUCH AS POSSIBLE, INTERNALLY EQUITABLE. THE EXECUTIVE COMMITTEE FOR THE BOARD OF DIRECTORS MEETS NO LESS THAN ANNUALLY TO REVIEW COMPENSATION PACKAGES FOR GPH'S PRESIDENT AND OFFICERS. COMPENSATION DATA IS GATHERED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT BY SURVEYING COMPARABLE POSITIONS AT PEER INSTITUTIONS, ENSURING THAT COMPENSATION PACKAGES ARE MEETING FAIR MARKET VALUE. A COMPLETE ANALYSIS OF DATA IS REQUESTED FROM THE CONSULTANT AT LEAST EVERY FOUR YEARS. THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT IS ULTIMATELY ACCOUNTABLE TO THE EXECUTIVE COMMITTEE AND THE BOARD. THE EXECUTIVE COMMITTEE ANNUALLY RECOMMENDS TO THE BOARD THE SELECTION/RETENTION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT; REVIEWS COMPENSATION RECOMMENDATIONS; AND DETERMINES THOSE OFFICERS FOR WHOM WRITTEN EMPLOYMENT CONTRACTS WILL BE REQUIRED. THE BOARD OF DIRECTORS HAS THE AUTHORITY TO ANNUALLY AUTHORIZE MANAGEMENT TO PROCEED WITH IMPLEMENTATION OF PROPOSED COMPENSATION OF OFFICERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GREAT PLAINS HEALTH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. UPON WRITTEN REQUEST TO THE CFO, GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC FOR REVIEW AT THE HOSPITAL'S ADMINSTRATIVE OFFICE. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 10,261,378. MANAGEMENT AND GENERAL EXPENSES 24,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,286,250. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 14,827,909. MANAGEMENT AND GENERAL EXPENSES 444,775. FUNDRAISING EXPENSES 696. TOTAL EXPENSES 15,273,380. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,031. MANAGEMENT AND GENERAL EXPENSES 1,184,228. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,185,259. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,800,580. MANAGEMENT AND GENERAL EXPENSES 3,530,397. FUNDRAISING EXPENSES 9,909. TOTAL EXPENSES 9,340,886. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION -80,524. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS OF GREAT PLAINS HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH PLATTE SURGERY CENTER LLC | |||||||||||||
| 621 W FRANCIS STE 270 | NORTH PLATTE | NE | 69101 | 800016588 | AMBULATORY SURGERY CENTER | NE | GREAT PLAINS HEALTH | RELATED | $369,264 | $2,196,980 | 0 | Yes (1) | 0.50000 |
| MID-NEBRASKA MEDICAL VENTURES LLC | |||||||||||||
| 601 W LEOTA STREET | NORTH PLATTE | NE | 69101 | 811815353 | REAL ESTATE | NE | GREAT PLAINS HEALTH | RELATED | $462,787 | $2,187,096 | 0 | Yes (1) | 0.60000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREAT PLAINS HOMECARE EQUIPMENT INC | ||||||||||||
| PO BOX 1596 | NORTH PLATTE | NE | 69101 | 470786518 | SELLING OF HOME MEDICAL EQUIPMENT | NE | GREAT PLAINS HEALTH | C | $2,169,246 | $979,377 | 1.00000 | Yes (1) |
| GREAT PLAINS PHO INC | ||||||||||||
| PO BOX 1167 | NORTH PLATTE | NE | 69103 | 470786942 | DEVELOPMENT OF A NETWORK OF HEALTH CARE PROVIDERS | NE | GREAT PLAINS HEALTH | C | $641,882 | $1,643,108 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GREAT PLAINS PHO INC | ||
| O | $471,315 | COST |
| GREAT PLAINS HOMECARE EQUIPMENT INC | ||
| O | $591,510 | COST |
| GREAT PLAINS HOMECARE EQUIPMENT INC | ||
| L | $125,562 | COST |
| GREAT PLAINS PHO INC | ||
| L | $60,630 | COST |
| GREAT PLAINS PHO INC | ||
| A | $6,286 | FMV |
| GREAT PLAINS HOMECARE EQUIPMENT INC | ||
| A | $38,327 | FMV |