GREAT PLAINS OF SMITH CO INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: GREAT PLAINS OF SMITH CO INC (EIN 48-1226830)
Tax period: 2016-04-01 to 2017-03-31
Filed: 2018-01-24
IRS object ID: 201840249349300534
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-01-24T14:33:16-06:00	ReturnTs
Tax Period End	2017-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1551 N WATERFRONT PKWY STE 300	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	672066601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481226830	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF SMITH CO INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVE DELLASEGA	InCareOfNm
Business Name Control	GREA	BusinessNameControlTxt
Phone	3166851523	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 NORTH ROCK ROAD STE 160	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67206	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVE DELLASEGA	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	3166851523	PhoneNum
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SHAWNELL LINOT	PreparerPersonNm
PTIN	P01663908	PTIN
Phone	3162652811	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	48010220180245000004	FederalOriginalSubmissionId
Federal Original Submission Id	2018-01-24	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	030EAFEF7448B19F8362D687E65D5E700F35231F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	91DD30FEEB741F1A7672B92B7EACB194C0F2AFCF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SMITH COUNTY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MIKE HAND	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 NORTH ROCK ROAD STE 160	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67206	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$16,397,372	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SMITHCOHOSP.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	THE OPERATION OF HOSPITAL FACILITIES FOR THE DELIVERY OF HEALTH CARE SERVICES, EDUCATION, AND WELLNESS WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	204	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$333,298	PYContributionsGrantsAmt
CY Contributions Grants	$1,652,845	CYContributionsGrantsAmt
PY Program Service Revenue	$13,872,408	PYProgramServiceRevenueAmt
CY Program Service Revenue	$14,606,058	CYProgramServiceRevenueAmt
PY Investment Income	$35,493	PYInvestmentIncomeAmt
CY Investment Income	$14,079	CYInvestmentIncomeAmt
PY Other Revenue	$83,418	PYOtherRevenueAmt
CY Other Revenue	$91,704	CYOtherRevenueAmt
PY Total Revenue	$14,324,617	PYTotalRevenueAmt
CY Total Revenue	$16,364,686	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,659,519	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,093,937	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$89,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,003,530	PYOtherExpensesAmt
CY Other Expenses	$7,224,548	CYOtherExpensesAmt
PY Total Expenses	$14,752,049	PYTotalExpensesAmt
CY Total Expenses	$15,318,485	CYTotalExpensesAmt
PY Revenues Less Expenses	-$427,432	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,046,201	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,750,511	TotalAssetsBOYAmt
Total Assets EOY	$8,738,752	TotalAssetsEOYAmt
Total Liabilities BOY	$2,752,997	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,639,872	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,997,514	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,098,880	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$13,124,183	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$14,606,058	RevenueAmt
Desc	SMITH COUNTY MEMORIAL HOSPITAL'S PURPOSE IS THE DELIVERY OF PRIMARY HEALTHCARE SERVICES TO A SERVICE AREA THAT INCLUDES SMITH COUNTY, KANSAS. THE SERVICE AREA ALSO INCLUDES, TO A LESSER DEGREE, PHILLIPS, JEWELL, AND OSBORNE COUNTIES IN KANSAS, AS WELL AS FRANKLIN AND WEBSTER COUNTIES IN NEBRASKA. THE PRIMARY HEALTHCARE SERVICES ARE DELIVERED THROUGH A RURAL HEALTH CLINIC, A CRITICAL ACCESS HOSPITAL INCLUDING INPATIENT, OUTPATIENT, AND SKILLED NURSING SERVICES, AS WELL AS LONG TERM CARE SERVICES.	Desc
Total Program Service Expenses	$13,124,183	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	44	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	204	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVE DELLASEGA	PersonNm
Phone	3166851523	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 NORTH ROCK ROAD STE 160	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67206	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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
TOM KELLER DVM
CHAIRMAN/DIRECTOR	0.25	2.25	Yes (X)	Yes (X)	$0	$0	$0
DAVE DELLASEGA
PRESIDENT/CEO/DIRECTOR	2.0	40.0	Yes (X)	Yes (X)	$0	$201,991	$29,280
BILL NAVIS
VICE PRESIDENT/DIRECTOR	0.25	2.25	Yes (X)	Yes (X)	$0	$0	$0
JOHN TERRILL
VICE PRESIDENT/DIRECTOR	0.25	2.25	Yes (X)	Yes (X)	$0	$0	$0
ROBERT HAMILTON
SECRETARY/DIRECTOR	0.25	2.25	Yes (X)	Yes (X)	$0	$0	$0
STEVE CARLSON
TREASURER/DIRECTOR	0.25	2.25	Yes (X)	Yes (X)	$0	$0	$0
DAVE RANKIN
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
DR BARBARA BROWN APPLEGATE
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
MIKE HAND
CFO	2.0	40.0		Yes (X)	$0	$163,659	$30,575
ALLEN VANDRIEL
ADMINISTRATOR	40.0	0.0		Yes (X)	$129,402	$0	$30,298
DURREL KELLEY
COO	2.0	40.0		Yes (X)	$0	$154,186	$31,217
JUSTIN OVERMILLER
PHYSICIAN	40.0	0.0			$301,525	$0	$45,177	Yes (X)
FERRILL CONANT
PHYSICIAN	40.0	0.0			$299,870	$0	$42,079	Yes (X)
HANNAH HAACK
PHYSICIAN	40.0	0.0			$182,178	$0	$51,367	Yes (X)
STACEY DIMITT
PHYSICIAN	40.0	0.0			$274,479	$0	$45,177	Yes (X)
TAMARA WINDSCHEFFEL
ARNP	40.0	0.0			$163,359	$0	$33,086	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,350,813	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$519,836	TotReportableCompRltdOrgAmt
Total Other Compensation	$338,256	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MHS DATA CENTER
103 E 27TH SUITE A	HAYS	KS	67601	COMPUTER SERVICES	$359,291
WOUND CARE SPECIALISTS
PO BOX 71849	CHICAGO	IL	60694	WOUND CARE	$166,563
GREAT PLAINS HEALTH SERVICES
250 N ROCK ROAD	WICHITA	KS	67206	BILLING SERVICE	$133,972
GREAT PLAINS HEALTH ALLIANCE
PO BOX 366	PHILLIPSBURG	KS	67661	MANAGEMENT FEES	$136,992
QUEST DIAGNOSTICS
PO BOX 719	HAYS	KS	67601	REFERENCE LAB	$133,871

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,566,646	GovernmentGrantsAmt
All Other Contributions	$86,199	AllOtherContributionsAmt
Total Contributions	$1,652,845	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$12,415,409	$12,415,409
340B PRESCRIPTION DRUG REVENUE	621300	$2,190,649	$2,190,649

Field	Value	IRS element (for citing)
Total Program Service Revenue	$14,606,058	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,327	TotalRevenueColumnAmt
Exclusion	$38,327	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$8,438	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$32,686	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$24,248	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$24,248	TotalRevenueColumnAmt
Exclusion	-$24,248	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE/GUEST MEALS	722513	$60,717	$60,717
WELLNESS CENTER	713940	$15,588	$15,588
VENDOR REBATES	900099	$6,460	$6,460

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,939	TotalRevenueColumnAmt
Exclusion	$8,939	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$91,704	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,364,686	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,606,058	RelatedOrExemptFuncIncomeAmt
Exclusion	$105,783	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	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$171,013	TotalAmt
Management And General	$171,013	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,007,141	TotalAmt
Program Services	$5,371,691	ProgramServicesAmt
Management And General	$635,450	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$432,428	TotalAmt
Program Services	$394,431	ProgramServicesAmt
Management And General	$37,997	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,087,363	TotalAmt
Program Services	$863,052	ProgramServicesAmt
Management And General	$224,311	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$395,992	TotalAmt
Program Services	$340,756	ProgramServicesAmt
Management And General	$55,236	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$118,061	TotalAmt
Management And General	$118,061	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,012	TotalAmt
Management And General	$7,012	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$74,935	TotalAmt
Management And General	$74,935	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,538,435	TotalAmt
Program Services	$2,132,015	ProgramServicesAmt
Management And General	$406,420	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,555	TotalAmt
Program Services	$3,350	ProgramServicesAmt
Management And General	$7,205	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$412,026	TotalAmt
Program Services	$353,495	ProgramServicesAmt
Management And General	$58,531	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,444	TotalAmt
Program Services	$1,248	ProgramServicesAmt
Management And General	$1,196	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$214,026	TotalAmt
Program Services	$158,051	ProgramServicesAmt
Management And General	$55,975	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,364	TotalAmt
Program Services	$2,156	ProgramServicesAmt
Management And General	$1,208	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$62,174	TotalAmt
Program Services	$28,831	ProgramServicesAmt
Management And General	$33,343	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,965	TotalAmt
Program Services	$3,548	ProgramServicesAmt
Management And General	$1,417	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$390,689	TotalAmt
Program Services	$279,177	ProgramServicesAmt
Management And General	$111,512	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$111,217	TotalAmt
Program Services	$79,473	ProgramServicesAmt
Management And General	$31,744	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,461,941	$2,461,941
PROVISION FOR BAD DEBTS	$322,429	$322,429
EQUIPMENT RENTAL/MAINTENANCE	$274,084	$222,339	$51,745
DUES & SUBSCRIPTIONS	$38,704	$13,243	$25,461

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$177,487	TotalAmt
Program Services	$92,957	ProgramServicesAmt
Management And General	$84,530	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,318,485	TotalAmt
Program Services	$13,124,183	ProgramServicesAmt
Management And General	$2,194,302	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$204,169	BOYAmt
EOY	$74,535	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,579,873	BOYAmt
EOY	$1,640,487	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,740,206	BOYAmt
EOY	$1,479,100	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$166,182	BOYAmt
EOY	$223,019	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$259,977	BOYAmt
EOY	$239,896	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$11,272,014	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,710,487	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,800,104	BOYAmt
EOY	$4,561,527	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$520,188	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,750,511	BOYAmt
EOY	$8,738,752	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,137,934	BOYAmt
EOY	$2,127,160	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,512,712	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$32,493	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$582,570	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,752,997	BOYAmt
EOY	$3,639,872	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,066,082	BOYAmt
EOY	$4,116,470	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,403	BOYAmt
EOY	$49,216	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$878,029	BOYAmt
EOY	$933,194	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,997,514	BOYAmt
EOY	$5,098,880	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,750,511	BOYAmt
EOY	$8,738,752	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,046,201	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$55,165	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$4,005	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$4,005	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$931,434	BeginningYearBalanceAmt
Contributions	$49,072	ContributionsAmt
Investment Earnings Or Losses	$67,637	InvestmentEarningsOrLossesAmt
Other Expenditures	$65,732	OtherExpendituresAmt
End Year Balance	$982,411	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$904,033	BeginningYearBalanceAmt
Contributions	$45,770	ContributionsAmt
Investment Earnings Or Losses	$14,884	InvestmentEarningsOrLossesAmt
Other Expenditures	$33,253	OtherExpendituresAmt
End Year Balance	$931,434	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$835,575	BeginningYearBalanceAmt
Contributions	$9,959	ContributionsAmt
Investment Earnings Or Losses	$75,163	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,664	OtherExpendituresAmt
End Year Balance	$904,033	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$790,370	BeginningYearBalanceAmt
Contributions	$7,624	ContributionsAmt
Investment Earnings Or Losses	$75,716	InvestmentEarningsOrLossesAmt
Other Expenditures	$38,135	OtherExpendituresAmt
End Year Balance	$835,575	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$811,365	BeginningYearBalanceAmt
Contributions	$12,500	ContributionsAmt
Investment Earnings Or Losses	-$11,597	InvestmentEarningsOrLossesAmt
Other Expenditures	$21,898	OtherExpendituresAmt
End Year Balance	$790,370	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.94990	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.05010	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$399,451	OtherCostOrOtherBasisAmt
Book Value	$399,451	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,861,089	OtherCostOrOtherBasisAmt
Depreciation	$2,453,282	DepreciationAmt
Book Value	$1,407,807	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,285,121	OtherCostOrOtherBasisAmt
Depreciation	$4,155,997	DepreciationAmt
Book Value	$1,129,124	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,726,353	OtherCostOrOtherBasisAmt
Depreciation	$101,208	DepreciationAmt
Book Value	$1,625,145	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,561,527	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	Due from Third Party	Desc
Book Value	$520,188	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$520,188	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$16,097,422	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$55,165	NetUnrealizedGainsInvstAmt
Other Revenue	-$322,429	OtherRevenueAmt
Revenue Not Reported	-$267,264	RevenueNotReportedAmt
Revenue Subtotal	$16,364,686	RevenueSubtotalAmt
Total Revenue Per Form990	$16,364,686	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$14,996,056	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$14,996,056	ExpensesSubtotalAmt
Other Expenses Not Included	$322,429	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$322,429	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$15,318,485	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE CONTINUING OPERATIONS OF THE REPORTING ORGANIZATION.
SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	PROVISION FOR UNCOLLECTIBLE ACCOUNTS (322,429)
SCHEDULE D, PART XII, LINE 4B	PROVISION FOR UNCOLLECTIBLE ACCOUNTS 322,429

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$179,357	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$597,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$296,709	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$776,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$476,066	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,326	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,326	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,326	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,326	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$851,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$551,392	NetCommunityBenefitExpnsAmt
Total Expense	0.03680	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$322,429	BadDebtExpenseAmt
Reimbursed By Medicare	$4,799,837	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,799,837	CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF SMITH CO INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	614 SOUTH MAIN STREET	AddressLine1Txt
City	SMITH CENTER	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66967	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SMITHCOHOSP.ORG	WebsiteAddressTxt
State License	H092001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	RURAL HEALTH CLINIC LONG-TERM CARE UNIT	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GREAT PLAINS OF SMITH CO INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	0.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5	A PRIORITY OF THE PROGRAM IS TO SOLICIT INPUT FROM A BROAD CROSS SECTION OF THE COMMUNITY, NOT SIMPLY MEMBERS OF THE LOCAL HEALTHCARE SECTOR. THE MEETING PARTICIPANTS INCLUDED COMMUNITY RESIDENTS AND GOVERNMENTAL BUSINESS LEADERS WITHIN THE COMMUNITY. THIS INFORMATION CAN BE FOUND IN THE SMITH COUNTY, KS TOWN HALL ROSTER AS PART OF THE THE TOWN HALL ATTENDEES NOTES & FEEDBACK LOCATED IN THE DETAIL EXHIBITS OF THE CHNA.
SCHEDULE H, PART V, LINE 7A	https://docs.wixstatic.com/ugd/7f2e4f_80f3616407f74f0eb5a9f40131845220.pdf
SCHEDULE H, PART V, LINE 7D	ALSO SHARED THE RESULTS AT A TOWN HALL MEETING.
SCHEDULE H, PART V, LINE 10	https://docs.wixstatic.com/ugd/7f2e4f_ac21e8b7d9f14fa282759c1c5f36f375.pdf
SCHEDULE H, PART V, LINE 11	THE CHNA CONDUCTED HIGHLIGHTED TWO PRIORITIES IN SMITH COUNTY; FIRST, UPDATING EXISTING FACILITIES TO CREATE A NEW HEALTH CARE CENTER WITH AN EXPANDED ARRAY OF PROGRAMS AND SERVICES. THE HOSPITAL IS BUILDING A COUNTY COALITION TO FOCUS ON THE FUTURE OF HEALTH CARE IN THE COUNTY. THE HOSPITAL PUT UP A WEBSITE TO REACH MORE PEOPLE, HIRED A FUNDRAISER TO RAISE CAPITAL FOR A NEW HEALTH CARE CENTER, AND HELD A HEALTH CARE EVENT FAIR. THE SECOND PRIORITY IS A FOCUS ON COMMUNITY HEALTH AND WELLNESS. TO MEET THIS NEED, SMITH COUNTY HOSPITAL IS PUTTING TOGETHER A COMMUNITY GARDEN AND REVITALIZING RECREATION IN SMITH COUNTY THROUGH LEADERSHIP BOARD MEETINGS, REGULAR MONTHLY MEETINGS, AND PUBLIC EVENTS AND FORUMS.
SCHEDULE H, PART V, LINE 13H	THE ORGANIZATION EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S HOUSEHOLD INCOME MUST BE BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL AT THE DATE OF SERVICE. TO DETERMINE THE AMOUNT OF THE DISCOUNT, AN ASSET TEST IS ALSO UTILIZED.
SCHEDULE H, PART V, LINE 16A	https://www.scmhks.org/financial-assistance
SCHEDULE H, PART V, LINE 16B	https://www.scmhks.org/copy-of-make-a-payment
SCHEDULE H, PART V, LINE 16C	https://www.scmhks.org/financial-assistance

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	SMITH COUNTY FAMILY PRACTICE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	119 E PARLIAMENT STREET	AddressLine1Txt
City	SMITH CENTER	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66967	ZIPCd

Field	Value	IRS element (for citing)
Facility	FAMILY PRACTICE	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	THE ORGANIZATION EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S HOUSEHOLD INCOME MUST BE BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL AT THE DATE OF SERVICE. TO DETERMINE THE AMOUNT OF THE DISCOUNT, AN ASSET TEST IS ALSO UTILIZED.
SCHEDULE H, 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 $322,429.
SCHEDULE H, PART I, LINE 7	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 2	HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY.
SCHEDULE H, PART III, LINE 3	THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT.
SCHEDULE H, PART III, LINE 4	SEE PAGES 7 AND 8 OF THE AUDITED FINANCIALS UNDER NOTE 1.
SCHEDULE H, PART III, LINE 8	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 9B	ALL CARITY CARE CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPT FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.
SCHEDULE H, PART VI, LINE 2	GREAT PLAINS OF SMITH COUNTY, INC. USES SEVERAL MECHANISMS TO ASSESS THE NEEDS OF THE COMMUNITIES FOR HEALTHCARE. FIRST IS THE FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ROUND 2 OF A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED DURING THE FISCAL YEAR. THE FINAL REPORT, AVAILABLE ON OUR WEBSITE, WAS ISSUED IN JUNE 2015. SECOND, WE UTILIZE A STEERING COMMITTEE ORGANIZED IN CONJUNCTION WITH OUR ONGOING CAPITAL CAMPAIGN TO PROVIDE INPUT FROM THE GREATER COMMUNITY REGARDING NEEDS OF THE COMMUNITY. THIS CAPITAL CAMPAIGN WAS INITIATED IN AUGUST 2014, AND THE STEERING COMMITTEE WAS ORGANIZED AT THAT TIME. BECAUSE THE PRIMARY PRIORITY IDENTIFIED DURING THE PREVIOUS CHNA (COMPLETED IN 2012) WAS UPDATING OF FACILITIES, THIS STEERING COMMITTEE HAS PROVEN VERY BENEFICIAL. OTHER METHODS OF COMMUNICATION WITH THE PUBLIC INCLUDE PUBLISHING AND DISTRIBUTION OF A MONTHLY NEWSLETTER (THE SMITH), WHICH CONTAINS A VARIETY OF INFORMATION ON TOPICS RELATED TO THE HEALTH SYSTEM, HEALTH INSURANCE, AND LIFESTYLE. WE ALSO MAINTAIN A PUBLIC WEBSITE, CURRENTLY UNDER REVISION AND UPDATE, WHICH PROVIDES INFORMATION INCLUDING CONTACT INFORMATION, SPECIALTY PROVIDER CLINIC SCHEDULES, ETC. WE ALSO USE SOCIAL MEDIA, INCLUDING A FACEBOOK PAGE TO DISSEMINATE INFORMATION AND EVENTS. DURING THE PAST TWO YEARS, TWO INITIATIVES WERE UNDERTAKEN WHICH INVOLVED A GREAT DEAL OF FACE TO FACE CONTACT WITH THE COMMUNITY. IN NOVEMBER 2014, A QUESTION WAS PLACED ON THE ELECTION BALLOT REQUESTING SUPPORT FOR AN INCREASE IN SALES TAX FOR HOSPITAL OPERATIONS. IN PREPARATION FOR THIS ELECTION, TOWN HALL MEETINGS WERE HOSTED IN EACH COMMUNITY IN THE COUNTY TO EXPLAIN HOSPITAL OPERATIONS, FUNDING, AND TAX SUPPORT. THE TOWN HALL MEETINGS WERE WELL ATTENDED, AND RESULTED IN AN OVERWHELMINGLY FAVORABLE VOTE (MORE THAN 70% IN FAVOR). SPURRED IN PART BY THE RESULTS OF THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT (AND REITERATED IN THE 2015 ROUND 2 CHNA), THE BOARD OF TRUSTEES MOVED FORWARD WITH PLANS TO IMPROVE HOSPITAL FACILITIES. A FACILITY MASTER PLAN EXPLORED AND COMPARED RENOVATION WITH CONSTRUCTION OF A REPLACEMENT FACILITY. THE BOARD DETERMINED THAT CONSTRUCTION OF A REPLACEMENT FACILITY IS THE MORE COST EFFECTIVE ALTERNATIVE. AS FINANCING OPTIONS FOR THE PROJECT WERE EXPLORED, IT BECAME OBVIOUS THAT THE BEST FINANCING ALTERNATIVE WAS THE USE OF REVENUE BONDS ISSUED BY AN ALREADY-EXISTING PUBLIC BUILDING COMMISSION, COUPLED WITH A LONG TERM LOAN FROM THE US DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT PROGRAM. THE USE OF PBC BOND FUNDING FOR CONSTRUCTION FINANCING DOES NOT INCLUDE A PROVISION FOR A PUBLIC VOTE ON THE ISSUE. HOWEVER, THE BOARD OF TRUSTEES AND THE PBC BOARD DESIRED TO GAIN INPUT FROM THE PUBLIC REGARDING SUPPORT FOR THE PROPOSED PROJECT. A SERIES OF MORE THAN 10 TOWN HALL MEETINGS, SOME OF THEM BROADCAST ON THE LOCAL ACCESS CABLE TELEVISION CHANNEL, WERE HOSTED TO EXPLAIN THE PROJECT AND FINANCING. FOLLOWING THE PUBLIC EDUCATION CAMPAIGN, A MAIL BALLOT WAS DISTRIBUTED TO ALL VOTERS IN THE COUNTY. THE RETURN RATE FOR THE BALLOTS (MORE THAN 50%) WAS HIGHER THAN ELECTION OFFICIALS PREDICTED. MORE THAN 80% OF THE VOTERS WHO RETURNED BALLOTS FAVORED PROCEEDING WITH THE CONSTRUCTION PROJECT. THE BOARD OF TRUSTEES AND PBC BOARD, HEEDING THIS STRONG VOTE OF SUPPORT, HAVE MOVED FORWARD WITH THE FINANCING AND DEVELOPMENT OF PLANS FOR THE NEW FACILITY.
SCHEDULE H, PART VI, LINE 3	OUR FINANCIAL ASSISTANCE POLICY IS ROUTINELY UTILIZED IN COMMUNICATING WITH PATIENTS REGARDING THEIR FINANCIAL OBLIGATIONS TO US. EVERY BILLING STATEMENT SENT TO PATIENTS INCLUDES INFORMATION REGARDING THE FAP AND WHO TO CONTACT WITH QUESTIONS. EVERY TELEPHONE CONTACT WITH OUR PATIENT ACCOUNTS STAFF INCLUDES QUESTIONING OF PATIENTS REGARDING THE NEED FOR ASSISTANCE WITH THE APPLICATION FOR FINANCIAL ASSISTANCE. OUR FINANCIAL ASSISTANCE POLICY IS POSTED ON OUR PUBLIC WEBSITE AND INCLUDES CONTACT INFORMATION.
SCHEDULE H, PART VI, LINE 4	THE 2010 CENSUS SHOWED A POPULATION OF 3,853 INDIVIDUALS IN SMITH COUNTY, KANSAS. KANSAS VITAL STATISTICS ESTIMATES A POPULATION OF 3,802 IN 2014. THE DEMOGRAPHIC BREAKDOWN OF THAT POPULATION SHOWS 27% OF THE TOTAL AGED 65 OR ABOVE. THIS COMPARES TO A STATEWIDE POPULATION OF 14% ABOVE THE AGE OF 65. THE POPULATION DENSITY OF SMITH COUNTY IS LESS THAN 6 PERSONS PER SQUARE MILE, CLASSIFYING THE COUNTY A FRONTIER. APPROXIMATELY 96% OF THE POPULATION IS CLASSIFIED AS CAUCASIAN, APPROXIMATELY 2% HISPANIC, AND LESS THAN 1% BLACK. THE POPULATION IS 51% FEMALE, 49% MALE. THE AVERAGE HOUSEHOLD INCOME FOR THE COUNTY IS $53,074.
SCHEDULE H, PART VI, LINE 5	SMITH COUNTY MEMORIAL HOSPITAL HAS A FIVE MEMBER BOARD OF TRUSTEES APPOINTED BY THE COUNTY BOARD OF COMMISSIONERS. THIS BOARD MAINTAINS RESPONSIBILITY FOR THE MAINTENANCE AND UPKEEP OF THE FACILITIES UTILIZED BY SMITH COUNTY MEMORIAL HOSPITAL, SMITH COUNTY LONG TERM CARE, AND SMITH COUNTY FAMILY PRACTICE. SMITH COUNTY MEMORIAL HOSPITAL, OPERATED BY GREAT PLAINS OF SMITH COUNTY, OPERATES A MEALS ON WHEELS PROGRAM IN SMITH CENTER. THIS PROGRAM PROVIDES ONE MEAL PER DAY CONSISTING OF A BALANCED DIET, PROVIDED AT REDUCED RATES TO MEMBERS OF THE COMMUNITY UNABLE TO COOK FOR THEMSELVES. CLIENTS OF THIS PROGRAM INCLUDE INDIVIDUALS LIVING IN THEIR OWN HOMES, AS WELL AS IN SEVERAL INCOME-SUBSIDIZED HOUSING FACILITIES OPERATED PRIVATELY OR BY THE PUBLIC HOUSING AUTHORITY IN SMITH CENTER. THE MEALS ARE PREPARED AND PACKAGED IN THE SCMH KITCHEN. THEY ARE DELIVERED BY COMMUNITY VOLUNTEERS. THE PRICE FOR THE MEALS IS DEEPLY DISCOUNTED, RESULTING IN PROVISION OF MEALS AT FAR LESS THAN THE COST OF THEIR PRODUCTION. SMITH COUNTY FAMILY PRACTICE, OPERATED AS A DEPARTMENT OF SMITH COUNTY MEMORIAL HOSPITAL, OFFERS FREE SPORTS PHYSICALS ANNUALLY TO STUDENTS AT TWO SCHOOL DISTRICTS IN THE COUNTY. THE PHYSICALS ARE PROVIDED AT A DEEPLY DISCOUNTED FEE, WITH THE PROCEEDS FROM THEM DONATED BACK TO THE SCHOOLS. THE HOSPITAL ALSO PROVIDES AN EDUCATIONAL PROGRAM FOR KINDERGARTEN STUDENTS IN ONE LOCAL SCHOOL DISTRICT EACH YEAR TO FAMILIARIZE THEM WITH DIFFERENT SERVICE AREAS OF THE HOSPITAL TO HELP ALLEVIATE ANXIETY IN THE EVENT THEY NEED TO USE OUR SERVICES. IN CONJUNCTION WITH THE SMITH COUNTY EXTENSION AGENCY, SMITH COUNTY MEMORIAL HOSPITAL SPONSORS AND PROMOTES AN EXERCISE ENCOURAGEMENT PROGRAM CALLED WALK KANSAS. IN SEPTEMBER EACH YEAR, THE HOSPITAL SPONSORS A FUN RUN/WALK IN THE COMMUNITY TO ENCOURAGE WELLNESS AMONG RESIDENTS AND VISITORS IN TOWN FOR THE ANNUAL OLD SETTLERS DAY CELEBRATION. THE HOSPITAL ALSO SPONSORS A HEALTH FAIR EACH FALL IN CONJUNCTION WITH THE SMITH COUNTY EXTENSION AGENCY, OFFERING EDUCATION ON A VARIETY OF HEALTH RELATED TOPICS. GARDNER WELLNESS CENTER, OPERATED AS A PART OF SMITH COUNTY MEMORIAL HOSPITAL, PROVIDES MONITORED EXERCISE TO MEMBERS OF THE COMMUNITY. SMITH COUNTY MEMORIAL HOSPITAL WORKS CLOSELY WITH SMITH COUNTY EMS TO FACILITATE THE DELIVERY OF EMERGENCY MEDICAL SERVICES IN THROUGHOUT THE COUNTY. THIS INCLUDES PROVISION ON MEDICAL DIRECTION TO THE EMS AGENCY BY ONE OF OUR EMPLOYED PHYSICIANS. IN ADDITION, SMITH COUNTY MEMORIAL HOSPITAL MAINTAINS A TRAILER BASED BIOHAZARD RESPONSE UNIT, WHICH CAN BE UTILIZED ANYWHERE IN THE COUNTY IT IS NEEDED. THE HOSPITAL ALSO PARTICIPATES ANNUALLY IN EMERGENCY PREPAREDNESS TRAINING IN CONJUNCTION WITH LAW ENFORCEMENT, FIRE, AND EMS PERSONNEL. AS A CRITICAL ACCESS HOSPITAL, SMITH COUNTY MEMORIAL HOSPITAL PROVIDES 24 HOUR EMERGENCY MEDICAL CARE, IN ADDITION TO INPATIENT, OUTPATIENT, AND LONG TERM CARE SERVICES. SMITH COUNTY MEMORIAL HOSPITAL IS THE ONLY HOSPITAL LOCATED IN SMITH COUNTY. WE HAVE AN OPEN MEDICAL STAFF, ACCEPTING MEMBERSHIP FROM A WIDE VARIETY OF LOCAL AND VISITING PROVIDERS. SCMH PROVIDES SPACE FOR THE REGIONAL BEHAVIORAL HEALTH AGENCY TO PROVIDE COUNSELING SERVICES ON A WEEKLY BASIS. TELEHEALTH SERVICES ARE USED FOR THE DELIVERY OF SPECIALTY MEDICAL SERVICES NOT AVAILABLE IN THE COMMUNITY, AND ARE PROVIDED FOR PUBLIC SERVICE EVENTS, SUCH AS MENTAL HEALTH HEARINGS, COURT ORDERED COUNSELING SESSIONS, ETC. SMITH COUNTY MEMORIAL HOSPITAL ALSO WORKS CLOSELY WITH HOSPICE SERVICES, INC, THE REGIONAL PROVIDER OF HOSPICE SERVICES.
SCHEDULE H, PART VI, LINE 6	SMITH COUNTY MEMORIAL HOSPITAL IS OPERATED BY GREAT PLAINS OF SMITH CO., INC., A SUBSIDIARY OF GREAT PLAINS HEALTH ALLIANCE. GPHA IS A 501(C)(3) NOT FOR PROFIT ORGANIZATION WHICH PROVIDES MANAGEMENT, FINANCE, BILLING, INFORMATION SYSTEMS, AND PHARMACY SUPPORT SERVICES TO ITS AFFILIATED ORGANIZATIONS. GPHA DOES NOT PROVIDE SERVICES DIRECTLY TO PATIENTS, BUT PROVIDES ACCESS TO PROFESSIONALS AND SYSTEMS WHICH MIGHT NOT OTHERWISE BE AVAILABLE OR AFFORDABLE TO SMALL RURAL HOSPITALS. GPHA PROVIDES EDUCATION AND ASSISTANCE IN AREAS SUCH AS HIPAA PRIVACY AND SECURITY, MEDICARE AND MEDICAID REIMBURSEMENT RULES AND REGULATIONS, MEANINGFUL USE REQUIREMENTS FOR ELECTRONIC HEALTH RECORDS, ETC. GREAT PLAINS HEALTH ALLIANCE BRINGS TOGETHER ITS NETWORKED CRITICAL ACCESS HOSPITALS IN KANSAS AND NEBRASKA TO LEARN FROM EACH OTHER AND DEVELOP BEST PRACTICES IN CARE PROVISION, MANAGEMENT, AND GOVERNANCE. AFFILIATED HOSPITALS RECEIVE POLICY GUIDANCE REGARDING FINANCIAL ASSISTANCE TO PATIENTS, CORPORATE COMPLIANCE, CONFLICTS OF INTEREST, AND MANY OTHER AREAS. GUIDANCE IS ALSO PROVIDED TO THE GOVERNING BOARDS OF AFFILIATED HOSPITALS TO ASSIST THEM IN FULFILLING THEIR FIDUCIARY RESPONSIBILITIES.
SCHEDULE H, PART VI, LINE 7	N/A

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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
DAVE DELLASEGA
PRESIDENT/CEO/DIRECTOR	$0	$199,426	$0	$0	$0	$2,565	$0	$19,610	$0	$9,670	$0	$231,271	$0	$0
MIKE HAND
CFO	$0	$161,675	$0	$0	$0	$1,984	$0	$15,599	$0	$14,976	$0	$194,234
ALLEN VANDRIEL
ADMINISTRATOR	$127,896	$0	$0	$0	$1,506	$0	$12,368	$0	$17,930	$0	$159,700	$0
DURREL KELLEY
COO	$0	$153,592	$0	$0	$0	$594	$0	$14,698	$0	$16,519	$0	$185,403
JUSTIN OVERMILLER
PHYSICIAN	$299,327	$0	$0	$0	$2,198	$0	$25,700	$0	$19,477	$0	$346,702	$0
FERRILL CONANT
PHYSICIAN	$297,616	$0	$0	$0	$2,254	$0	$25,700	$0	$16,379	$0	$341,949	$0
HANNAH HAACK
PHYSICIAN	$180,299	$0	$0	$0	$1,879	$0	$25,700	$0	$25,667	$0	$233,545	$0
STACEY DIMITT
PHYSICIAN	$272,601	$0	$0	$0	$1,878	$0	$25,700	$0	$19,477	$0	$319,656	$0
TAMARA WINDSCHEFFEL
ARNP	$161,105	$0	$0	$0	$2,254	$0	$15,623	$0	$17,463	$0	$196,445	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, PART VII; SCHEDULE J, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	COMPENSATION FOR MIKE HAND, DAVE DELLASEGA, AND DURRELL KELLEY IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. HAND, MR. DELLASEGA, AND MR. KELLEY. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAVE COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. A COMPENSATION REVIEW WAS DONE WHEN DAVE DELLASEGA TOOK OVER AS CEO AND WAS CONDUCTED BY THE BOARD, BUT SINCE THAT TIME THERE HAS BEEN NO FORMAL COMPENSATION REVIEW.	ExplanationTxt

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	SMITH COUNTY KANSAS PUBLIC BUILDING COMMISSION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	271520447	BondIssuerEIN
Bond Issued	2016-06-29	BondIssuedDt
Issue Price	$1,804,495	IssuePriceAmt
Purpose	NEW HOSPITAL CONSTRUCTION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$1,804,495	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$291,783	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$1,596,560	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DAVE DELLASEGA, DURREL KELLEY AND MIKE HAND HAVE A BUSINESS RELATIONSHIP. THEY ARE BOTH EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE.
FORM 990, PART VI, SECTION A, LINE 6	GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMEBER OF GREAT PLAINS OF SMITH CO., INC.
FORM 990, PART VI, SECTION A, LINE 7A	GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMESELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.
FORM 990, PART VI, SECTION B, LINES 15A & B	THE CEO AND CFO ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GPHA'S BOARD USES COMPARABILITY DATA IN SETTING THEIR SALARIES, AND DOCUMENTATION IS RETAINED OF THE BOARD'S DELIBERATIONS AND DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:1399210
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:284901
FORM 990 PART IX LINE 11G	DESCRIPTION:LAB SERVICES TOTAL FEES:443477
FORM 990 PART IX LINE 11G	DESCRIPTION:PHARMACY SERVICES TOTAL FEES:199793
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:118050
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE/HOUSEKEEPING TOTAL FEES:62860
FORM 990 PART IX LINE 11G	DESCRIPTION:PLANT OPERATIONS TOTAL FEES:12153
FORM 990 PART IX LINE 11G	DESCRIPTION:DIETARY SERVICES TOTAL FEES:17991

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREAT PLAINS HEALTH ALLIANCE INC
250 N ROCK ROAD STE 160	WICHITA	KS	67206	480617739	MANAGEMENT	KS	501(C)(3)	3	NA	false
GREAT PLAINS HEALTH CARE FOUNDATION INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	480955870	SUPPORT	KS	501(C)(3)	10	GPHA INC	Yes (true)
GREAT PLAINS OF ELLINWOOD INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226976	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF KIOWA COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226833	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF OTTAWA COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226856	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF SABETHA COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481236156	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF REPUBLIC COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226977	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF CHEYENNE COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226831	HOSPITAL	KS	501(C)(3)	3	GPHA INC	Yes (true)
GREAT PLAINS OF PHILLIPS COUNTY INC
250 NORTH ROCK ROAD STE 160	WICHITA	KS	67206	481226829	HOSPITAL	KS	501 (C) (3)	3	GPHA INC	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd