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GREAT PLAINS HEALTH ALLIANCE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GREAT PLAINS HEALTH ALLIANCE INC (EIN 48-0617739)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201333179349305508
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T15:38:25-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1
CityWICHITACity
StateKSState
ZIP Code672066601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480617739EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTH ALLIANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MIKE HANDInCareOfName
Name ControlGREANameControl
Phone7855432111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 THIRD STREETAddressLine1
Address Line2SuiteAddressLine2
CityPHILLIPSBURGCity
StateKSState
ZIP Code676612138ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMIKE HANDName
TitleCFO AND SENIOR VICE PRESIDENTTitle
Phone7855432111Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameELIZABETH S HOGANName
Phone3162652811Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROGER JOHNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1625 THIRD STREETAddressLine1
CityPHILLIPSBURGCity
StateKSState
ZIP Code67661ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7346547GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GPHA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionMANAGING AND OPERATING HEALTH CARE FACILITIES AND PROVIDING RELATED SERVICES IN RURAL AREAS OF THE UNITED STATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees56TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6354968ProgramServiceRevenuePriorYear
Program Service Revenue CY7260311ProgramServiceRevenueCY
Investment Income Prior Year30291InvestmentIncomePriorYear
Investment Income Current Year86236InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6385259TotalRevenuePriorYear
Total Revenue Current Year7346547TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY899GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3512037SalariesEtcPriorYear
Salaries Etc Current Year4049259SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2889598OtherExpensePriorYear
Other Expenses Current Year3379750OtherExpensesCurrentYear
Total Expenses Prior Year6401635TotalExpensesPriorYear
Total Expenses Current Year7429908TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16376RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-83361RevenuesLessExpensesCY
Total Assets BOY7117799TotalAssetsBOY
Total Assets EOY8314981TotalAssetsEOY
Total Liabilities BOY5734571TotalLiabilitiesBOY
Total Liabilities EOY7015114TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1383228NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1299867NetAssetsOrFundBalancesEOY
Mission DescriptionGIVE EXPRESSION TO A CHRISTIAN MINISTRY OF MERCY BY MANAGING AND OPERATING HEALTH CARE FACILITIES AND PROVIDING RELATED SERVICES IN RURAL AREAS OF THE UNITED STATES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7281327Expense
Grants0Grants
Revenue7260311Revenue
DescriptionOPERATION AND MANAGEMENT OF HEALTH CARE FACILITIES IN RURAL KANSAS AND NEBRASKA.Description
Total Program Service Expense7281327TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees56NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMIKE HANDNamePerson
Telephone Number3166851523TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 N ROCK RD STE 160AddressLine1
CityWICHITACity
StateKSState
ZIP Code67206ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From Related OrgsReportableCompFromRelatedOrgs
ROGER JOHN
PRESIDENT/CEO/DIRECTOR48.02.0XX11704727982
BETH MEYERES
VICE PRESIDENT/DIRECTOR0.252.25XX105
LOGAN SPRUNGER
VICE PRESIDENT/DIRECTOR0.252.25XX105
ROBERT HAMILTON
SECRETARY/DIRECTOR0.252.25XX175
THOMAS E KELLER DVM
TREASURER/DIRECTOR0.252.25XX105
STEVE CARLSON
CHAIRMAN/DIRECTOR0.252.25XX35
BILL NAVIS
DIRECTOR0.252.25X140
CURTIS ERICKSON
DIRECTOR0.252.25X140
DAVE RANKIN
DIRECTOR0.252.25X140
JOHN TERRILL
DIRECTOR0.252.25X105
DR BARBARA BROWN
DIRECTOR0.252.25X140
DAVE DELLASEGA
CFO48.02.0X11069822720
ELDON SCHUMACHER
VP OF REIMBURSEMENT40.00.014509431361X0
JACKIE JOHN
REGIONAL VP40.00.010166512746X
JH SEITZ
REGIONAL VP40.00.010308926299X
KEN ABENDSHIEN
DATA CENTER DIRECTOR40.00.010590930087X
FieldValueIRS element (for citing)
Total Reportable Comp From Org684692TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation151195TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
SIEMENS MEDICAL SOLUTIONS
SOFTWARE & SUPPORT1198645
EDCO GROUP INC
HIM IMAGING SYSTEM500883
BKD LLP
ACCOUNTING SERVICES125343
PREMIER SOFTWARE ASSOCIATE
MEDICAL NECESSITY116752
DATA INNOVATION INC
SOFTWARE & SUPPORT113047
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL AND CLINIC FEES56100070398407039840
DATA PROCESSING5182109464294642
OTHER561439125829125829
FieldValueIRS element (for citing)
Total Program Service Revenue7260311TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column86236TotalRevenueColumn
Exclusion$86,236ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7346547TotalRevenueColumn
Related Or Exempt Function Income7260311RelatedOrExemptFunctionIncome
Exclusion$86,236ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total899Total
Program Services899ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total278448Total
Program Services278448ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2738263Total
Program Services2678943ProgramServices
Management And General59320ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total219481Total
Program Services214660ProgramServices
Management And General4821ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total588878Total
Program Services576518ProgramServices
Management And General12360ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total224189Total
Program Services219705ProgramServices
Management And General4484ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23549Total
Program Services23078ProgramServices
Management And General471ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total130447Total
Program Services127838ProgramServices
Management And General2609ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total559485Total
Program Services548295ProgramServices
Management And General11190ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total31164Total
Program Services30541ProgramServices
Management And General623ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total284128Total
Program Services278445ProgramServices
Management And General5683ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total52263Total
Program Services51218ProgramServices
Management And General1045ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total116794Total
Program Services114458ProgramServices
Management And General2336ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total395498Total
Program Services387588ProgramServices
Management And General7910ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total66710Total
Program Services65376ProgramServices
Management And General1334ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total215379Total
Program Services211071ProgramServices
Management And General4308ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total692707Total
Program Services678853ProgramServices
Management And General13854ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total29832Total
Program Services29235ProgramServices
Management And General597ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIPMENT RENTAL AND REPAIRS3307313241166615
LICENSES AND PERMITS3053532992466107
DUES AND SUBSCRIPTIONS1451691422662903
_

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total541Total
Program Services530ProgramServices
Management And General11ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7429908Total
Program Services7281327ProgramServices
Management And General148581ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY153889BOY
EOY598589EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY676228BOY
EOY896447EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1801452BOY
EOY1924006EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23954BOY
EOY4445EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY291969BOY
EOY371379EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5838316LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2478527LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2766574BOY
EOY3359789EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1403733BOY
EOY1160326EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7117799BOY
EOY8314981EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1415242BOY
EOY1798458EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4319329BOY
EOY5216656EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5734571BOY
EOY7015114EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1383228BOY
EOY1299867EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1383228BOY
EOY1299867EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7117799BOY
EOY8314981EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-83361ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8800OtherCostOrOtherBasis
Book Value8800BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis107857OtherCostOrOtherBasis
Depreciation106347Depreciation
Book Value1510BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2421230OtherCostOrOtherBasis
Depreciation1264137Depreciation
Book Value1157093BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3300429OtherCostOrOtherBasis
Depreciation1108043Depreciation
Book Value2192386BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3359789TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM KS RD USDA148860
LEASE AGREEMENT1011466
FieldValueIRS element (for citing)
Total Book Value Other Assets1160326TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt7362777TotRevenueEtcAuditedFinclStmt
Other Revenues16230OtherRevenues
Revenue Not Rptd F99016230RevenueNotRptdF990
Revenue Subtotal7346547RevenueSubtotal
Total Revenue Per Form9907346547TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7677831TotExpensesEtcAuditedFinclStmt
Other Expenses Included247923OtherExpensesIncluded
Expenses Not Rptd F990247923ExpensesNotRptdF990
Expenses Subtotal7429908ExpensesSubtotal
Total Expenses Per Form9907429908TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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.
RECONCILIATION OF REVENUESCHEDULE D, PART XI, LINE 2DRELATED ORGANIZATION INCOME 16,230
RECONCILIATION OF EXPENSESSCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATION EXPENSE 247,923

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonELDON SCHUMACHERNamePerson
TitleVP OF REIMBURSEMENTTitle
Base Compensation Filing Org145094BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org13921DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org17440NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org176455TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE 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 PRIOR TO FILING THE 990 WITH THE IRS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY THE 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.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15A & BALL EXECUTIVE EMPLOYEE SALARIES, INCLUDING THE PRESIDENT/CEO, ARE APPROVED BY THE GPHA BOARD OF DIRECTORS. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAS COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. COMPARABLE DATA WAS OBTAINED FROM MEMBER HOSPITALS THROUGH RECENT HIRES COORDINATED BY GPHA. DECISIONS ARE APPROVED AND FORWARDED TO THE CHIEF FINANCIAL OFFICER (CFO) FOR INPUT. THE CFO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 18THE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GREAT PLAINS HEALTH CARE FOUNDATION INC
625 THIRD STREETPHILLIPSBURGKS67661480955870SUPPORTKS501(C)(3)9GPHA INCtrue
GREAT PLAINS OF CHEYENNE COUNTY INC
625 THIRD STREETPHILLIPSBURGKS67661481226831HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF ELLINWOOD INC
625 THIRD STREETPHILLIPSBURGKS67661481226976HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF KIOWA COUNTY INC
625 THIRD STREETPHILLIPSBURGKS67661481226833HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF OTTAWA COUNTY INC
625 THIRD STREETPHILLIPSBURGKS67661481226856HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF PHILLIPS COUNTY INC
625 THIRD STREETPHILLIPSBURGKS67661481226829HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF REPUBLIC COUNTY INC
625 THIRD STREETPHILLIPSBURGKS67661481226977HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF SABETHA INC
625 THIRD STREETPHILLIPSBURGKS67661481236156HOSPITALKS501(C)(3)3GPHA INCtrue
GREAT PLAINS OF SMITH COUNTY INC
625 THIRD STREETPHILLIPSBURGKS67661481226830HOSPITALKS501(C)(3)3GPHA INCtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GREAT PLAINS OF CHEYENNE COUNTY INC
L359914COST
GREAT PLAINS OF ELLINWOOD COUNTY INC
L355988COST
GREAT PLAINS OF KIOWA COUNTY INC
L390276COST
GREAT PLAINS OF OTTAWA COUNTY INC
L240408COST
GREAT PLAINS OF PHILLIPS COUNTY INC
L433527COST
GREAT PLAINS OF REPUBLIC COUNTY INC
L363529COST
GREAT PLAINS OF SABETHA INC
L292089COST
GREAT PLAINS OF SMITH COUNTY INC
L412598COST