NORTH PLATTE NEBRASKA HOSPITAL CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: NORTH PLATTE NEBRASKA HOSPITAL CORPORATION (EIN 47-0662290)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-05
IRS object ID: 201833099349302213
Schema version: 2017v2.3
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-05T14:58:50-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	476097913	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SEIM JOHNSON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT STREET SUITE 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	2017-01-01	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 WEST LEOTA STREET	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69103	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS LEGEL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3085688000	PhoneNum
Signature	2018-11-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY R COOLEY	PreparerPersonNm
PTIN	P01523804	PTIN
Phone	4023302660	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	209.34.201.180	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-05	IPDt
IP Tm	13:47:45	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B319C935D5CD5DD24452FA9CD51ABCBD1A9C8C2C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B319C935D5CD5DD24452FA9CD51ABCBD1A9C8C2C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2018-06-14 16:35:46Z	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	THOMAS LEGEL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 WEST LEOTA STREET	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$223,305,084	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	10	VotingMembersIndependentCnt
Total Employee	1322	TotalEmployeeCnt
Total Volunteers	205	TotalVolunteersCnt
Total Gross UBI	$141,191	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$7,500	CYContributionsGrantsAmt
PY Program Service Revenue	$199,116,347	PYProgramServiceRevenueAmt
CY Program Service Revenue	$212,196,049	CYProgramServiceRevenueAmt
PY Investment Income	$5,035,332	PYInvestmentIncomeAmt
CY Investment Income	$4,801,635	CYInvestmentIncomeAmt
PY Other Revenue	$473,100	PYOtherRevenueAmt
CY Other Revenue	$474,182	CYOtherRevenueAmt
PY Total Revenue	$204,624,779	PYTotalRevenueAmt
CY Total Revenue	$217,479,366	CYTotalRevenueAmt
PY Grants And Similar Paid	$133,767	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$176,312	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$94,613,278	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$96,594,312	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,176,828	PYOtherExpensesAmt
CY Other Expenses	$108,269,639	CYOtherExpensesAmt
PY Total Expenses	$196,923,873	PYTotalExpensesAmt
CY Total Expenses	$205,040,263	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,700,906	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,439,103	CYRevenuesLessExpensesAmt
Total Assets BOY	$337,925,088	TotalAssetsBOYAmt
Total Assets EOY	$363,965,086	TotalAssetsEOYAmt
Total Liabilities BOY	$124,547,339	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$125,628,763	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$213,377,749	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$238,336,323	NetAssetsOrFundBalancesEOYAmt
Mission	TO INSPIRE HEALTH AND HEALING BY PUTTING PATIENTS FIRST -- ALWAYS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$180,844,926	ExpenseAmt
Grant	$176,312	GrantAmt
Revenue	$182,422,977	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 THAT ARE NEW AND HAVE GROWN IN THE PAST THREE YEARS ARE ONCOLOGY, CARDIOLOGY, ORTHOPEDICS, HYPERBARIC AND WOUND CARE, AND THE DIABETIC PROGRAM TO MEET THE HEALTH CHALLENGES OF OUR COMMUNITIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$12,919,711	ExpenseAmt
Revenue	$18,851,191	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. THE INPATIENT ADMISSIONS CONTINUE TO GROW AND THE MEDICARE CASE MIX ACUITY HAS INCREASED BY 12% OVER THE PAST TWO YEARS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,794,177	ExpenseAmt
Revenue	$2,589,789	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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$909,911	ExpenseAmt
Revenue	$8,033,271	RevenueAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$909,911	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$8,033,271	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$196,468,725	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	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	204	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1322	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
Form1098 C Filed	Yes (1)	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS LEGEL CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3086967193	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 (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
NEWTON MACK MD
CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DARREL SMITH
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JAY ENGEL
SECRETARY/TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
BYRON BARKSDALE MD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MARGE BEATTY
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
CLARK DIFFENDAFFER MD
CHIEF OF STAFF/DIRECTOR	1.00	2.00	Yes (X)		$53,000	$0	$0
NARAYANA KODURI MD
VICE CHIEF OF STAFF/DIRECT	38.00	2.00	Yes (X)		$536,556	$0	$42,247
DWIGHT LIVINGSTON
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MARK OETTINGER
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
DAN O'NEILL
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JOHN PATTERSON
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
LANCE POLK
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MISTY ROBERTSON
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JIM SMITH MD
DIRECTOR	38.00	2.00	Yes (X)		$428,162	$0	$46,647
JODY TOMANEK
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MELVIN MCNEA
CEO	38.00	2.00		Yes (X)	$358,037	$0	$39,870
KRYSTAL CLAYMORE
SENIOR VP OF FIN & STRAT (THRU 11/6/17)	38.00	2.00		Yes (X)	$324,845	$0	$43,647
THOMAS LEGEL
CFO	38.00	2.00		Yes (X)	$25,100	$0	$2,392
MICHAEL SIMONSON
PHYSICIAN (GPH)	40.00	0.00			$1,155,437	$0	$43,647	Yes (X)
BRENDON CURTIS
PHYSICIAN (GPH)	40.00	0.00			$980,970	$0	$42,147	Yes (X)
HENRIK MIKE-MAYER
PHYSICIAN (GPH)	40.00	0.00			$889,934	$0	$42,661	Yes (X)
JOHN HANNAH
PHYSICIAN (GPH)	40.00	0.00			$889,369	$0	$43,528	Yes (X)
MARK MCKENZIE
PHYSICIAN (GPH)	40.00	0.00			$888,808	$0	$43,447	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,530,218	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$390,233	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	110	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
AVANT HEALTHCARE PROFESSIONALS
1211 SEMORAN BLVD	CASSELBERRY	FL	32707	STAFFING SERVICES	$1,223,127
WEATHERBY LOCUMS INC
6451 N FEDERAL HWY 800	FORT LAUDERDALE	FL	33308	STAFFING SERVICES	$660,172
ALLIANCE RECRUITING RESOURCES
900 ROCKMEAD DR 274	KINGWOOD	TX	77339	RECRUITING SERVICES	$493,059
HUDSON STAFFING
2340 BADGER DR	HUDSON	WI	54016	STAFFING SERVICES	$385,526
BAIRD HOLM MCEACHEN PEDERSEN
1700 FARNAM ST 1500	OMAHA	NE	68102	LEGAL SERVICES	$383,483

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$7,500	AllOtherContributionsAmt
Noncash Contributions	$7,500	NoncashContributionsAmt
Total Contributions	$7,500	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	624100	$135,732,924	$135,732,924
MEDICARE/MEDICAID PAYMENTS	624100	$71,984,755	$71,984,755
PATHOLOGY REVENUE	624100	$3,293,681	$3,293,681
OTHER OPERATING REVENUE	624100	$592,805	$592,805
EHR INCENTIVE PAYMENTS	624100	$535,933	$535,933

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,951	TotalRevenueColumnAmt
Related Or Exempt Func Income	$55,951	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$212,196,049	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,916,398	TotalRevenueColumnAmt
Exclusion	$2,916,398	ExclusionAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$27,430	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$27,430	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$27,430	TotalRevenueColumnAmt
Exclusion	-$27,430	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,669,548	SecuritiesAmt
Other	$13,977	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,790,328	SecuritiesAmt
Other	$7,960	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,879,220	SecuritiesAmt
Other	$6,017	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,885,237	TotalRevenueColumnAmt
Exclusion	$1,885,237	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NORTH PLATTE SURGICAL CENTER	621400	$1,279,526	$1,279,526
CAFETERIA REVENUE	722210	$659,242		$659,242
INVESTMENT IN FOUNDATION	900099	$210,203	$210,203

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,647,359	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,788,550	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$141,191	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$501,612	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,479,366	TotalRevenueColumnAmt
Related Or Exempt Func Income	$211,897,228	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$141,191	UnrelatedBusinessRevenueAmt
Exclusion	$5,433,447	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	$176,312	TotalAmt
Program Services	$176,312	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,847,503	TotalAmt
Program Services	$1,053,612	ProgramServicesAmt
Management And General	$793,891	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$216,909	TotalAmt
Program Services	$216,909	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$75,199,056	TotalAmt
Program Services	$71,983,279	ProgramServicesAmt
Management And General	$3,215,777	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,996,626	TotalAmt
Program Services	$1,913,780	ProgramServicesAmt
Management And General	$82,846	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,688,066	TotalAmt
Program Services	$12,098,839	ProgramServicesAmt
Management And General	$589,227	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,646,152	TotalAmt
Program Services	$4,412,211	ProgramServicesAmt
Management And General	$233,941	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$255,718	TotalAmt
Management And General	$255,718	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$454,102	TotalAmt
Management And General	$454,102	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$86,053	TotalAmt
Management And General	$86,053	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$387,168	TotalAmt
Management And General	$387,168	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,933,517	TotalAmt
Program Services	$24,526,932	ProgramServicesAmt
Management And General	$1,406,585	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$458,484	TotalAmt
Program Services	$9,979	ProgramServicesAmt
Management And General	$448,505	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,027,536	TotalAmt
Program Services	$4,809,986	ProgramServicesAmt
Management And General	$217,550	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,481,453	TotalAmt
Program Services	$5,392,628	ProgramServicesAmt
Management And General	$88,825	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,769,449	TotalAmt
Program Services	$2,753,627	ProgramServicesAmt
Management And General	$15,822	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$275,516	TotalAmt
Program Services	$250,559	ProgramServicesAmt
Management And General	$24,957	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,059,469	TotalAmt
Program Services	$4,059,469	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,822,775	TotalAmt
Program Services	$16,769,538	ProgramServicesAmt
Management And General	$53,237	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$627,031	TotalAmt
Program Services	$624,032	ProgramServicesAmt
Management And General	$2,999	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$34,747,608	$34,747,608
BAD DEBTS	$9,873,073	$9,873,073
EDUCATION & TRAINING	$530,172	$428,092	$102,080
DUES & SUBSCRIPTIONS	$316,503	$207,522	$108,981

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$164,012	TotalAmt
Program Services	$160,738	ProgramServicesAmt
Management And General	$3,274	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$205,040,263	TotalAmt
Program Services	$196,468,725	ProgramServicesAmt
Management And General	$8,571,538	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,526	BOYAmt
EOY	$4,526	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$124,691,952	BOYAmt
EOY	$149,999,446	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,878,732	BOYAmt
EOY	$28,069,981	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,184,963	BOYAmt
EOY	$1,007,170	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,326,910	BOYAmt
EOY	$5,709,598	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,978,259	BOYAmt
EOY	$2,842,357	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$278,749,986	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,192,572	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$135,921,809	BOYAmt
EOY	$122,557,414	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,203,316	BOYAmt
EOY	$26,935,396	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,205,197	BOYAmt
EOY	$3,047,146	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$13,954	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,515,470	BOYAmt
EOY	$23,792,052	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$337,925,088	BOYAmt
EOY	$363,965,086	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,441,934	BOYAmt
EOY	$19,661,206	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,293,627	BOYAmt
EOY	$99,774,040	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,811,778	BOYAmt
EOY	$6,193,517	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$124,547,339	BOYAmt
EOY	$125,628,763	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$209,769,527	BOYAmt
EOY	$228,928,442	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,608,222	BOYAmt
EOY	$9,407,881	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$213,377,749	BOYAmt
EOY	$238,336,323	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$337,925,088	BOYAmt
EOY	$363,965,086	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,439,103	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,719,812	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,799,659	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

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	$10,459	OtherActivitiesAmt
Total Lobbying Expenditures	$10,459	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 $10,459 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	$769,471	OtherCostOrOtherBasisAmt
Book Value	$769,471	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$138,409,600	OtherCostOrOtherBasisAmt
Depreciation	$48,529,897	DepreciationAmt
Book Value	$89,879,703	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,361,021	OtherCostOrOtherBasisAmt
Depreciation	$1,051,494	DepreciationAmt
Book Value	$1,309,527	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,409,016	OtherCostOrOtherBasisAmt
Depreciation	$103,381,014	DepreciationAmt
Book Value	$27,028,002	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,800,878	OtherCostOrOtherBasisAmt
Depreciation	$3,230,167	DepreciationAmt
Book Value	$3,570,711	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$122,557,414	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
MISCELLANEOUS RECEIVABLE	$808,256
DUE FROM AFFILIATES	$5,283,493
DEFERRED COMPENSATION	$4,227,696
RECEIVABLE ON INSURANCE CLAIM	$830,000
INTEREST IN GREAT PLAINS FOUNDATION	$12,642,607

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$23,792,052	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS	$1,965,821
DEFERRED COMPENSATION	$4,227,696

Field	Value	IRS element (for citing)
Total Liability	$6,193,517	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	GP HEALTH AND REGENCY ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GPMAI IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(2) OF THE INTERNAL REVENUE CODE. NPNPG IS A LIMITED LIABILITY COMPANY WHOLLY OWNED BY GP HEALTH. GP HEALTH, REGENCY AND GPMAI HAVE RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. GPHEI IS A FOR-PROFIT CORPORATION THAT RECOGNIZED NO FEDERAL AND STATE INCOME TAX EXPENSE IN 2017 AND 2016, RESPECTIVELY. GPHEI DID NOT RECOGNIZE ANY FEDERAL AND STATE INCOME TAX EXPENSE IN 2017 AND 2016 DUE TO OPERATING LOSSES INCURRED DURING THE YEAR. GPHIN IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. GPHIN DID NOT RECOGNIZE ANY FEDERAL AND STATE INCOME TAX EXPENSE IN 2017 AND 2016 DUE TO OPERATING LOSSES INCURRED DURING THE YEAR. MNMV IS A LIMITED LIABILITY COMPANY OF WHICH GP HEALTH OWNS A 60% INTEREST. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2017 AND 2016, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED.	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
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
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)
Total Community Benefit Expns	$9,343,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,328,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,014,725	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,348,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,740,328	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,607,856	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,691,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,069,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,622,581	NetCommunityBenefitExpnsAmt
Total Expense	0.05960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	20029	PersonsServedCnt
Total Community Benefit Expns	$1,526,670	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,150	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,521,520	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	53	PersonsServedCnt
Total Community Benefit Expns	$391,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$391,316	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	204	PersonsServedCnt
Total Community Benefit Expns	$1,527,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$298,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,228,839	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$263,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$261,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	20000	PersonsServedCnt
Total Community Benefit Expns	$296,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$296,760	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	40286	PersonsServedCnt
Total Community Benefit Expns	$4,005,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$305,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,700,240	NetCommunityBenefitExpnsAmt
Total Expense	0.01890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	40286	PersonsServedCnt
Total Community Benefit Expns	$25,697,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,374,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,322,821	NetCommunityBenefitExpnsAmt
Total Expense	0.07850	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	20000	PersonsServedCnt
Total Community Benefit Expns	$32,896	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$634	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$634	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	20000	PersonsServedCnt
Total Community Benefit Expns	$33,530	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,530	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,873,073	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,397,946	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$69,862,342	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,464,396	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 (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PHYSICIAN HOSPITAL CONTRACTING ORGANIZATION
NEGOTIATES HEALTHCARE CONTRACTS FOR PHYSICIANS AND THE HOSPITAL	0.50000	0.00000	0.50000
2 NORTH PLATTE SURGERY CENTER LLC
PROVIDES OUTPATIENT SURGERY SERVICES	0.50000	0.00000	0.50000
3 MID-NE MEDICAL VENTURES
LEASES OF PHYSICIAN'S OFFICE BUILDING	0.60000	0.05000	0.35000

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
Other	Yes (X)	OtherInd
CHNA Conducted	16	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	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GPHEALTH.ORG	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	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	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
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	WWW.GPHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GPHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GPHEALTH.ORG	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
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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
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 3J: THE GREAT PLAINS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JULY TO SEPTEMBER 2016. THE ANALYSIS INCLUDED CAREFUL REVIEW OF THE MOST CURRENT HEALTH DATA AVAILABLE, APPLICABLE DEMOGRAPHIC REVIEW AND INPUT FROM KEY COMMUNITY REPRESENTATIVES. ASSESSMENT RESULTS LED TO THE IDENTIFICATION OF SIX PRIORITY AREAS:1. INCREASED ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE AND EDUCATION2. PREVENTION EDUCATION TO ADDRESS CHRONIC DISEASES, PREVENTABLE CONDITIONS AND READMISSIONS, AND HIGH MORTALITY RATES3. INCREASED ACCESS TO SAFE AND AFFORDABLE HOUSING4. COLLABORATION WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH5. IMPROVED ACCESS TO CARE6. CONTINUED PHYSICIAN RECRUITMENT AND RETENTION
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 5: DURING THE RESEARCH AND COLLABORATION PHASE OF CHNA DEVELOPMENT, GREAT PLAINS HEALTH CONDUCTED PHONE INTERVIEWS WITH PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY; MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS AND COMMUNITY LEADERS. 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' LEADERSHIP PRIORITIZED AND DECIDED TO ADDRESS ALL OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THE FINAL LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS LISTED BELOW:1. INCREASED ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE AND EDUCATION2. PREVENTION EDUCATION TO ADDRESS CHRONIC DISEASES, PREVENTABLE CONDITIONS AND READMISSIONS, AND HIGH MORTALITY RATES3. INCREASED ACCESS TO SAFE AND AFFORDABLE HOUSING4. COLLABORATION WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH5. IMPROVED ACCESS TO CARE6. CONTINUED PHYSICIAN RECRUITMENT AND RETENTIONTHE GREAT PLAINS LEADERSHIP TEAM DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THESE PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HEALTH SYSTEM'S OVERALL STRATEGIC PLAN, AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, AND THE ANTICIPATED IMPACT AND EVALUATION.PRIORITY ONE: INCREASED ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE AND EDUCATION - IMPLEMENTATION ACTIVITIES INCLUDE EVALUATING THE IMPLEMENTATION OF A TELEMEDICINE PROGRAM FOR MENTAL AND BEHAVIORAL HEALTH EVALUATIONS AND ADOLESCENT PSYCHIATRY, EXPLORING THE RECRUITMENT OF ADDITIONAL ADULT PSYCHIATRISTS TO THE AREA AND PARTICIPATING IN COMMUNITY DISCUSSIONS ABOUT THE EXPANSION OF DETOX SERVICES IN THE LOCAL COMMUNITY.PRIORITY TWO: PREVENTION EDUCATION TO ADDRESS CHRONIC DISEASES, PREVENTABLE CONDITIONS AND READMISSIONS, AND HIGH MORTALITY RATES - IMPLEMENTATION ACTIVITIES INCLUDE OFFERING COMMUNITY SCREENINGS, PROVIDING COMMUNITY HEALTH EDUCATION AND INSPIRING HEALTH THROUGH HUMAN AND FINANCIAL CAPITAL.PRIORITY THREE: INCREASED ACCESS TO SAFE AND AFFORDABLE HOUSING - IMPLEMENTATION ACTIVITIES INCLUDE ASSISTING WITH HOUSING FOR FAMILIES AND FRIENDS OF PATIENTS WHO ARE SUBJECT TO HOSPITAL STAYS BECOMING ACTIVE PARTICIPANTS IN INNOVATIVE SOLUTIONS TO GROW SAFE HOUSING OPTIONS IN THE COMMUNITY.PRIORITY FOUR: COLLABORATION WITH LOCAL ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH - IMPLEMENTATION ACTIVITIES INCLUDE HOSPITAL PERSONNEL SERVING IN LEADERSHIP ROLES AND AS VOLUNTEERS WITH MANY AGENCIES AND COMMITTEES IN THE COMMUNITY, OFFERING COMMUNITY SCREENINGS AND SPONSORING VARIOUS COMMUNITY ACTIVITIES.PRIORITY FIVE: IMPROVED ACCESS TO CARE - IMPLEMENTATION ACTIVITIES INCLUDE DEVELOPING AND IMPLEMENTING A STRATEGY TO BETTER SERVE CRITICAL CARE PATIENTS, EXPANDING CAPABILITIES OF VARIOUS DEPARTMENTS AND CONTINUING TO OFFER FINANCIAL ASSISTANCE PROGRAMS TO THOSE IN NEED.PRIORITY SIX: CONTINUED PHYSICIAN RECRUITMENT AND RETENTION - IMPLEMENTATION ACTIVITIES INCLUDE PROMOTING ITS AVAILABLE PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES THROUGH SOCIAL MEDIA OUTLETS, LOCAL NEWSPAPERS, RADIO ADS, DIRECT MAIL, AND BILLBOARDS AND PARTICIPATING IN PHYSICIAN RETENTION STRATEGIES SUCH AS SOCIAL GATHERINGS FOR PHYSICIANS AND ABIDING BY MGMA STANDARDS FOR PHYSICIAN SALARIES.THERE ARE NOT ANY SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED.
GREAT PLAINS HEALTH	PART V, SECTION B, LINE 13B: IF A PATIENT'S COMBINED OUTSTANDING MEDICAL BILLS, AFTER INSURANCE PAYS, EXCEEDS 7.5% OF THEIR ANNUAL GROSS INCOME, THEY WILL RECEIVE AN ADDITIONAL 25% 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, AS WELL AS 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.

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 (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	GREAT PLAINS HEALTH (GPH) MAY MAKE A DETERMINATION OF ELIGIBILTY AT ANY STAGE OF THE PROCESS, INCLUDING PAST ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. EACH PATIENT REQUESTING FINANCIAL ASSISTANCE WILL BE ASKED TO COMPLETE A FINANCIAL QUESTIONNAIRE AND TO PROVIDE COPIES OF DOCUMENTATION INCLUDING THEIR MOST RECENT FEDERAL INCOME TAX FORM, COPIES OF RECENT PAY STUBS, BANK STATEMENTS AND OTHER APPROPRIATE INDICATORS OF INCOME. A REFERRAL FOR FINANCIAL ASSITANCE MAY BE RECOMMENDED BY THE PATIENT, FAMILY MEMBER, PHYSICIAN OR HOSPITAL DEPARTMENTS AND PROVIDED BASED ON INFORMATION FROM OTHER SOURCES. FULL FINANCIAL ASSISTANCE WILL GENERALLY BE PROVIDED WHEN GROSS HOUSEHOLD INCOME IS EQUAL TO OR LESS THAN 150% OF THE FEDERAL POVERTY GUIDELINES. A SLIDING FEE SCALE DISCOUNT WILL BE APPLIED FOR HOUSEHOLD INCOME UP TO 250% OF THE FEDERAL POVERTY GUIDELINES. THE INCOME LEVELS WILL BE UPDATED ANNUALLY BASED UPON THE MOST CURRENT FEDERAL POVERTY GUIDELINES.
PART I, LINE 6A:	GPH'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF OF GPH.
PART I, LINE 7:	GPH UTILIZED AN OVERALL COST TO CHARGE RATIO (TOTAL EXPENSES - BAD DEBT) / GROSS PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGE.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G INCLUDE TRAINING FOR EMS, OUTREACH, LIFE SUPPORT OUTSIDE, AND ER, TRAUMA, AND LIFE SUPPORT FOR HOSPITAL EDUCATION.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,873,073.
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:	IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND ESTIMATES A PERCENTAGE OF THOSE ACCOUNTS THAT WILL TRANSITION TO SELF-PAY PATIENTS BASED ON HISTORICAL ANALYSIS. THE ESTIMATED PERCENTAGE OF THOSE TRANSITION ACCOUNTS ARE ADDED TO RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ORGANIZATION HAS ADOPTED A POLICY RELATIVE TO SELF-PAY DISCOUNTS, WHEREBY CHARGES AND SUBSEQUENT BILLINGS WERE REDUCED TO APPROXIMATE REIMBURSEMENT LEVELS RECEIVED FROM GOVERNMENTAL THIRD-PARTY PAYORS.PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF THE BILLING. ACCOUNTS CONSIDERED PAST DUE ARE SENT TO COLLECTION AGENCIES WHEN INTERNAL COLLECTION EFFORTS HAVE BEEN UNSUCCESSFUL. ANY AMOUNTS DEEMED UNCOLLECTIBLE ARE WRITTEN OFF ON A MONTHLY BASIS. THE ORGANIZATION DOES NOT CHARGE INTEREST ON OUTSTANDING BALANCES OWED.
PART III, LINE 3:	THE ORGANIZATION PROVIDES CHARITY CARE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR THE HEALTHCARE SERVICES THEY RECEIVE. PATIENTS WHO QUALIFY FOR CHARITY CARE ARE GIVEN A PERCENTAGE DISCOUNT FROM ESTABLISHED CHARGES BASED ON A SLIDING SCALE USING POVERTY GUIDELINES. IT IS THE POLICY OF THE ORGANIZATION NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. ACCORDINGLY, THE ORGANIZATION DOES NOT REPORT THESE AMOUNTS IN NET PATIENT SERVICE REVENUE OR IN THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ORGANIZATION DETERMINES THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE BY AGGREGATING THE DIRECT AND INDIRECT COSTS, INCLUDING SALARIES, BENEFITS, SUPPLIES, AND OTHER OPERATING EXPENSES, BASED ON THE OVERALL COST TO CHARGE RATIO FOR GP HEALTH AND NPNPG. THE COSTS OF CARING FOR CHARITY CARE PATIENTS FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016 WERE APPROXIMATELY $3,800,000 AND $3,480,000, RESPECTIVELY.
PART III, LINE 4:	THE COSTING METHODOLOGY USED IN DETERMINING THE BAD DEBT EXPENSES INCLUDES CALCULATING ON A MONTHLY BASIS THE TOTAL ESTIMATED AMOUNTS BASED ON HISTORICAL WRITE OFFS.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE, NET," "NET PATIENT SERVICE REVENUE, AND "CHARITY CARE" CAN BE FOUND ON PAGES 9 AND 11 OF THE ATTACHED AUDITED 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. 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 (ADMINISTRATIVE POLICY 8210-0008). 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 123,026 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 86,000.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), TRI COUNTY HOSPITAL (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 74.1% GPH'S INPATIENT CASES- THE 2014 POPULATION WAS 35,815 SECONDARY SERVICE AREA- CONSISTS OF NINETEEN COUNTIES EXTENDING NORTH TO SOUTH DAKOTA, SOUTH TO KANSAS AND WEST TO COLORADO - ACCOUNTS FOR 25.9% OF GPH'S INPATIENT CASES - POPULATION 86,462 IN 2012 - LARGEST EMPLOYER IS UNION PACIFIC WITH 2,300 EMPLOYEES AT THE END OF 2013
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.
PART VI, LINE 6:	GREAT PLAINS HEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM, BUT ASSISTS IN IDENTIFYING AND RECRUITING TOP PHYSICIANS IN NEEDED SPECIALTIES. 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, A HOME HEALTH AGENCY, 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, RENT INDEPENDENT LIVING APARTMENTS TO THE ELDERLY AND PROVIDE PHYSICIAN PROFESSIONAL MEDICAL SERVICES AND OTHER PROGRAMS TO PATIENTS.
PART VI, LINE 7:	GPH DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NEBRASKALAND DAYS INC
PO BOX 706	NORTH PLATTE	NE	69103	470521025	501(C)(4)	$20,000	SPONSOR OF 2017 EVENTS
PLATTE RIVER FITNESS SERIES
1300 MCDONALD ROAD	NORTH PLATTE	NE	69101	476006297	GOVERNMENTAL	$17,500	SPONSOR OF 2017 EVENTS
CREATIVITY UNLIMITED ARTS COUNCIL
PO BOX 266	NORTH PLATTE	NE	69103	202209105	501(C)(3)	$10,000	FOR RENOVATION TO THE PRAIRIE ARTS CENTER
UNITED WAY OF NORTH PLATTE
PO BOX 172	NORTH PLATTE	NE	69103	470525576	501(C)(3)	$5,000	SUPPORT OF THE MID-PLAINS UNITED WAY CAMPAIGN TO SUPPORT LOCAL COMMUNITY SUPPORT ORGANIZATIONS
NORTH PLATTE CHAMBER OF COMMERCE
502 S DEWEY ST	NORTH PLATTE	NE	69101	237355570	GOVERNMENTAL	$85,750	SHOT IN THE ARM HOUSING INCENTIVE PROGRAM
AMERICAN HEART ASSOCIATION
5375 SOUTHWEST 7TH ST	TOPEKA	KS	66606	135613797	501(C)(3)	$5,000	PURCHASE OF CPR KITS FOR LINCOLN COUNTY SCHOOLS AS AN EDUCATIONAL TOOL.
308 BMX INC
PO BOX 1152	NORTH PLATTE	NE	69103	813779247	501(C)(3)	$5,000	SPONSOR AT USA BMX SANCTIONED TRACK

Field	Value	IRS element (for citing)
Total501c3 Org	6	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	0	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
NARAYANA KODURI MD
VICE CHIEF OF STAFF/DIRECT	$385,541	$0	$149,040	$0	$1,975	$0	$10,800	$0	$31,447	$0	$578,803	$0	$0	$0
JIM SMITH MD
DIRECTOR	$418,055	$0	$9,333	$0	$774	$0	$10,800	$0	$35,847	$0	$474,809	$0	$0	$0
MELVIN MCNEA
CEO	$343,827	$0	$13,022	$0	$1,188	$0	$10,600	$0	$29,270	$0	$397,907	$0	$0	$0
KRYSTAL CLAYMORE
SENIOR VP OF FIN & STRAT (THRU 11/6/	$318,479	$0	$6,100	$0	$266	$0	$10,800	$0	$32,847	$0	$368,492	$0	$0	$0
MICHAEL SIMONSON
PHYSICIAN (GPH)	$1,085,092	$0	$68,983	$0	$1,362	$0	$10,800	$0	$32,847	$0	$1,199,084	$0	$0	$0
BRENDON CURTIS
PHYSICIAN (GPH)	$886,876	$0	$93,824	$0	$270	$0	$10,800	$0	$31,347	$0	$1,023,117	$0	$0	$0
HENRIK MIKE-MAYER
PHYSICIAN (GPH)	$839,475	$0	$1,365	$0	$49,094	$0	$10,800	$0	$31,861	$0	$932,595	$0	$0	$0
JOHN HANNAH
PHYSICIAN (GPH)	$763,861	$0	$125,100	$0	$408	$0	$10,800	$0	$32,728	$0	$932,897	$0	$0	$0
MARK MCKENZIE
PHYSICIAN (GPH)	$762,934	$0	$125,100	$0	$774	$0	$10,800	$0	$32,647	$0	$932,255	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL AUTHORITY NO 1 OF LINCOLN COUNTY NEBRASKA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	971837633	BondIssuerEIN
CUSIP	533282BQ1	CUSIPNum
Bond Issued	2012-11-15	BondIssuedDt
Issue Price	$109,560,864	IssuePriceAmt
Purpose	CONSTRUCT/UPDATE FACILITIES AND REFUND PRIOR REVENUE BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,075,000	RetiredAmt
Total Proceeds	$109,877,098	TotalProceedsAmt
Issuance Costs From Proceeds	$1,189,899	IssuanceCostsFromProceedsAmt
Capital Expenditures	$98,296,247	CapitalExpendituresAmt
Other Spent Proceeds	$9,390,952	OtherSpentProceedsAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	Yes (1)	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	Yes (1)	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 3:	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART III, LINE 3(A):	WHILE THE HOSPITAL HAS MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY, SUCH CONTRACTS DO NOT GIVE RISE TO PRIVATE USE UNDER THE PRINCIPLES OF REV. PROC. 97-13.
PART IV; LINE 2C:	DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2017. NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BYRON L BARKSDALE
MR. BARKSDALE, A DIRECTOR, IS THE OWNER OF PATHOLOGY SERVICES, PC	$361,055	PATHOLOGY SERVICES	0
MICHELLE L MCNEA
SPOUSE OF MELVIN MCNEA, OFFICER.	$93,150	EMPLOYMENT WITH THE HOSPITAL	0
MOLLY H WALKER
DAUGHTER OF MELVIN MCNEA, OFFICER.	$76,756	EMPLOYMENT WITH THE HOSPITAL	0
TRISHA A JORGENSEN
STEP-DAUGHTER OF DWIGHT LIVINGSTON, DIRECTOR.	$47,003	EMPLOYMENT WITH THE HOSPITAL	0
(no name)
			0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THIS IS DONE VIA THE BOARD PORTAL WHICH IS AVAILABLE TO ALL BOARD MEMBERS. FOLLOW UP IS DISCUSSED AT THE NEXT MEETING FOLLOWING THE FILING OF THE FORM 990.
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 AND KEY EMPLOYEES 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, OFFICERS, AND KEY EMPLOYEES. 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 AND KEY EMPLOYEES 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 AND KEY EMPLOYEES.
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 SENIOR VP OF FINANCE & STRATEGY, GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC FOR REVIEW AT THE HOSPITAL'S ADMINSTRATIVE OFFICE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 1,042,111. MANAGEMENT AND GENERAL EXPENSES 326,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,368,724. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,147,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,147,376. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 9,206,189. MANAGEMENT AND GENERAL EXPENSES 583,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,789,656. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,582,193. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,582,193. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,549,063. MANAGEMENT AND GENERAL EXPENSES 496,505. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,045,568.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION 5,799,659.
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 Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH PLATTE NE PHYSICIAN GROUP LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 EAST FRANCIS STREET SUITE 9	AddressLine1Txt
City	NORTH PLATTE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69101	ZIPCd

Field	Value	IRS element (for citing)
EIN	261608464	EIN
Primary Activities	PHYSICIAN AND MID LEVEL SERVICES FOR VARIOUS CLINIC AND HOSPITAL PHYSICIANS	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Total Income	$19,607,915	TotalIncomeAmt
End Of Year Assets	$5,624,204	EndOfYearAssetsAmt
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREAT PLAINS MEDICAL ARTS BUILDING INC
611 WEST FRANCIS	NORTH PLATTE	NE	69101	470606871	PROPERTY HOLDING COMPANY	NE	501(C)(2)	N/A	NORTH PLATTE NEBRASKA HOSPITAL CORP	Yes (1)
REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE
700 WEST PHILIP	NORTH PLATTE	NE	69101	470792670	RETIREMENT APPARTMENTS	NE	501(C)(3)	LINE 10	NORTH PLATTE NEBRASKA HOSPITAL CORP	Yes (1)

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	$1,323,332	$2,069,416	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	$1,743,105	$13,884,775	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	$1,284,421	$1,502,064	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	$128,445	$54,778	1.00000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	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	0	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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREAT PLAINS MEDICAL ARTS BUILDING INC
D	$1,426,696	FMV
REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE
D	$2,130,997	FMV