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    <Timestamp>2012-11-14T15:41:23-06:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
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        <BusinessNameLine1>BKD LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1551 N WATERFRONT PKWY STE 300</AddressLine1>
        <City>WICHITA</City>
        <State>KS</State>
        <ZIPCode>672066601</ZIPCode>
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    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>481236156</EIN>
      <Name>
        <BusinessNameLine1>GREAT PLAINS OF SABETHA INC</BusinessNameLine1>
      </Name>
      <InCareOfName>% DAVE DELLASEGA</InCareOfName>
      <NameControl>GREA</NameControl>
      <Phone>7855432111</Phone>
      <USAddress>
        <AddressLine1>625 THIRD STREET</AddressLine1>
        <City>PHILLIPSBURG</City>
        <State>KS</State>
        <ZIPCode>676612138</ZIPCode>
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    <Officer>
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      <DateSigned>2012-11-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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    <Preparer>
      <Name>ELIZABETH S HOGAN</Name>
      <Phone>3162652811</Phone>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <StateLegalDomicile>KS</StateLegalDomicile>
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      <NetIncomeFromFundraisingEvents>
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        <ExclusionAmount>-4689</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>EMPLOYEE/GUEST MEALS</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>18280</TotalRevenueColumn>
        <ExclusionAmount>18280</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OUTSIDE SERVICES</Description>
        <BusinessCode>621300</BusinessCode>
        <TotalRevenueColumn>53099</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>53099</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>VENDOR REBATES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>8579</TotalRevenueColumn>
        <ExclusionAmount>8579</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>36834</TotalRevenueColumn>
        <ExclusionAmount>36834</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>116792</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>9984939</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9738433</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>88903</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>109029</Total>
        <ManagementAndGeneral>109029</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>4664261</Total>
        <ProgramServices>4146175</ProgramServices>
        <ManagementAndGeneral>518086</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>359327</Total>
        <ProgramServices>310542</ProgramServices>
        <ManagementAndGeneral>48785</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>542686</Total>
        <ProgramServices>411105</ProgramServices>
        <ManagementAndGeneral>131581</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>329094</Total>
        <ProgramServices>281919</ProgramServices>
        <ManagementAndGeneral>47175</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>93635</Total>
        <ManagementAndGeneral>93635</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>2204</Total>
        <ManagementAndGeneral>2204</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>27966</Total>
        <ManagementAndGeneral>27966</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1155372</Total>
        <ProgramServices>1023314</ProgramServices>
        <ManagementAndGeneral>132058</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>28333</Total>
        <ProgramServices>10090</ProgramServices>
        <ManagementAndGeneral>18243</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>207398</Total>
        <ProgramServices>146814</ProgramServices>
        <ManagementAndGeneral>60584</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>218277</Total>
        <ProgramServices>208470</ProgramServices>
        <ManagementAndGeneral>9807</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>9739</Total>
        <ProgramServices>6615</ProgramServices>
        <ManagementAndGeneral>3124</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>40868</Total>
        <ProgramServices>31499</ProgramServices>
        <ManagementAndGeneral>9369</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>21185</Total>
        <ProgramServices>19623</ProgramServices>
        <ManagementAndGeneral>1562</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>625101</Total>
        <ProgramServices>574900</ProgramServices>
        <ManagementAndGeneral>50201</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>149903</Total>
        <ProgramServices>42729</ProgramServices>
        <ManagementAndGeneral>107174</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>RENTAL EQUIPMENT &amp; REPAIRS</Description>
        <Total>401533</Total>
        <ProgramServices>388227</ProgramServices>
        <ManagementAndGeneral>13306</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>182457</Total>
        <ProgramServices>182457</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES &amp; TAXES</Description>
        <Total>19506</Total>
        <ProgramServices>18474</ProgramServices>
        <ManagementAndGeneral>1032</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>39732</Total>
        <ProgramServices>20553</ProgramServices>
        <ManagementAndGeneral>19179</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>986569</Total>
        <ProgramServices>978635</ProgramServices>
        <ManagementAndGeneral>7934</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>10214175</Total>
        <ProgramServices>8802141</ProgramServices>
        <ManagementAndGeneral>1412034</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>220</BOY>
        <EOY>220</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>931724</BOY>
        <EOY>975815</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>14208</BOY>
        <EOY>15025</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1278063</BOY>
        <EOY>1458752</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
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        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>211757</BOY>
        <EOY>228701</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>128765</BOY>
        <EOY>116343</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>11939104</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>7305362</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4910663</BOY>
        <EOY>4633742</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>219415</BOY>
        <EOY>233651</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>85000</BOY>
        <EOY>35000</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>7779815</BOY>
        <EOY>7697249</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>947266</BOY>
        <EOY>1106564</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
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        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
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        <EOY>0</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
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        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
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        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
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        <EOY>515273</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1351904</BOY>
        <EOY>1621837</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6413703</BOY>
        <EOY>6060387</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>14208</BOY>
        <EOY>15025</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>6427911</BOY>
        <EOY>6075412</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7779815</BOY>
        <EOY>7697249</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-229236</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-123263</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>2108</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>2108</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1F</ReturnReference>
        <Explanation>APPROXIMATELY 20% OF KANSAS HOSPITAL ASSOCIAITON (KHA) DUES ARE DEDICATED FOR LOBBYING PURPOSES AS DIRECTED BY THE KHA.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
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      </Buildings>
      <LeaseholdImprovements />
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        <Depreciation>3966627</Depreciation>
        <BookValue>1356295</BookValue>
      </Equipment>
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        <BookValue>38484</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4633742</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <TotalOfAmounts>0</TotalOfAmounts>
      <TotalRevenue>9984939</TotalRevenue>
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      <TotalAdjustments>-123264</TotalAdjustments>
      <ExcessOrDeficitPerFS>-352500</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>10033273</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>48334</OtherRevenues>
      <RevenueNotRptdF990>48334</RevenueNotRptdF990>
      <RevenueSubtotal>9984939</RevenueSubtotal>
      <TotalRevenuePerForm990>9984939</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10385773</TotExpensesEtcAuditedFinclStmt>
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      <ExpensesNotRptdF990>171598</ExpensesNotRptdF990>
      <ExpensesSubtotal>10214175</ExpensesSubtotal>
      <TotalExpensesPerForm990>10214175</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
        <Explanation>OTHER CHANGES: EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 41,736 TRANSFER TO CITY OF SABETHA (165,000) ---------- TOTAL $ (123,264)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 2D</ReturnReference>
        <Explanation>EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 41,736 SPECIAL EVENT EXPENSES 6,598 --------- TOTAL $ 48,334</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>TRANSFER TO CITY OF SABETHA 165,000 SPECIAL EVENT EXPENSES 6,598 -------- TOTAL $ 171,598</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
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        <GrossRevenueEvent1>1909</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>6598</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>18927</GrossReceiptsTotal>
        <CharitableContributionsTotal>17018</CharitableContributionsTotal>
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        <DirectExpenseSummaryEvents>6598</DirectExpenseSummaryEvents>
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      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
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      <Pcent200D>X</Pcent200D>
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      </CashAndInKindContributions>
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      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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      <AmountAttributableTo>0</AmountAttributableTo>
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      <CostingMethodologyUsed>
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      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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        </Name>
        <Address>
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          <City>SABETHA</City>
          <State>KS</State>
          <ZIPCode>66534</ZIPCode>
        </Address>
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        <CriticalAccessHospital>X</CriticalAccessHospital>
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      <Form990ScheduleHPartVSectionB>
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        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>300.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>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 $182,457.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 4</ReturnReference>
        <Explanation>No separate bad debt expense disclosure. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Disclosures on provision for doubtful account are related to disclosures regarding the allowance for doubtful accounts which is set for all non-Medicare accounts receivable over 150 days old. The provision for doubtful accounts is a separate expense on the statement of operations and changes in net assets. Hospital charges that are not collected and are not approved for financial assistance are classified as bad debts from patients who will not pay. Bad debts are a service to the community because many people cannot pay, but will not submit a charity care application due to the negative implications within the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 9B</ReturnReference>
        <Explanation>ALL CHARITY CARE CHARGES AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPTED FROM COLLECTION POLICIES AND PRACTICES. THOSE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CHARGES FOR MEDICAL CARE</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 19</ReturnReference>
        <Explanation>THE HOSPITAL DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE USING GROSS CHARGES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>In 2009, Sabetha Community Hospital developed a three year strategic plan. The goals established through the strategic plan process continue to be reviewed on a regular basis by the Hospital Board of Directors. Community perceptions of the hospital were determined based on two focus groups, interviews of community leaders, health care providers, Board members, the five family physicians located in Sabetha and hospital department directors. As a result of this strategic plan several nutritional sessions and obstetrical classes were provided to the community. The Board of Directors is kept informed of regulatory and industry changes as the Board meets monthly. Results from patient satisfaction surveys are reviewed on regular intervals in order that hospital staff can identify issues which need to be addressed. The Hospital plans on conducting a community needs assessment in 2012 bringing in community leaders from local industry, city officials, schools, local consumers, and community health.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>The Financial Assistance Program employs a sliding scale discount that takes into consideration a patients household income and qualifying assets. The Financial Counselor consults with private pay patients to see if they qualify for the Hospitals financial assistance policy. We also have posted in both the hospital and clinic lobbies that financial assistance is available and to apply you need to visit with the Financial Counselor at the Hospital. If discovered during the accounts receivable collection process that a patient is having trouble paying bills, both the hospital and the clinic will inform the patient that financial assistance is available. As part of the financial assistance program all applicants must apply for Medicaid. To determine if the patient may qualify for financial assistance, the financial counselor gives patient forms to complete and asks to see bank statements, tax returns, etc. Computations based on current Federal Poverty Level Guidelines are completed to see if qualifications is appropriate and the percentage of charges to be written off is determined, based on family size and household income. All instances of financial assistance are approved by upper management of the Hospital. Information about Financial Assistance is posted on the hospital website and the Financial Assistance form can be downloaded from www.sabethahospital.com.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>Sabetha Community Hospital is a 25 bed Critical Access Hospital located in the city of Sabetha, Nemaha County Kansas. Currently the population is estimated at 2800. According to data collected during the strategic planning process, the primary service area for Sabetha Community Hospital includes portions of Nemaha and Brown Counties with Nemaha County providing 79% of all inpatients and Sabetha zip code alone contributing 69%. Nebraska and a few other counties provide a growing portion of the hospitals patient base. Brown and Nemaha counties account for 20,269 persons according to the 2007 U.S. Census estimate. In 2007, 92.5% of the the two-county population was white, 4.2% Native American, 2.1% Hispanic and 1.2% African-American. The 65 and older age group accounted for 19.5% of the population in 2007.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>The hospital provides and promotes the health of the citizens of Sabetha and the surrounding region by providing the following. In January, the hospital sponsored a Healthy U class for the community which focuses on healthy eating and exercise. Promoting a life style change rather than another fad diet. The hospital also promotes wellness among employees by providing a corporate membership to the community fitness room and the Healthy U program is open to employees as well as the public. The hospital also helps sponsor a 5K run/walk to promote wellness. In March, employees and the community were encouraged to participate in the Annual Walk Across Kansas Program. In February, the hospital board approved the purchase of a true digital mammography machine. This is a great advancement in womens health for the community and the hospital was recognized in USA Today as one of the top 100 Hospitals for Patient Experience by Womens Certified in the small, rural hospital category. A hospital volunteer core with community members was created to enhance the stay of swing bed patients and the activities they are involved in during their stay. Another service to the community is the provision of occupational assessment testing along with hearing screens. Certified staff is available in house to provide those services. Sabetha Family Practice was awarded the two years Medical Home Pilot Project and will finish up with project in July of 2013. Two of the five physicians celebrated 30 years providing care in the Sabetha Community. First grade students are invited to attend an annual hospital tour guiding them through various departments of the hospital. The hospital Guild members volunteer to coordinate efforts to hold bloodmobile clinics. During the flu season flu clinics are offered at the hospital, and hospital staff conducts flu clinics at the local grocery store as well as onsite flu vaccinations for several local businesses. Hospital staff provides CPR training for professionals in the area. The hospital provides prenatal classes including CPR training on a quarterly basis. Hospital staff travels to surrounding communities to provide free blood pressure clinics. A registered dietician is available for diabetic consultations. Cardiac Rehab Phase III is open to the community to offer support in an exercise program, especially for those patients who have graduated from the Cardiac Rehab Phase II program. Social Services aids those in the community who are in need of enrollment assistance, whether it be for Medicaid, Medicare Part D services, or other information referral assistance. The hospital also provides Lifeline to the senior population in the region. One of the hospital physicians sits as the Medical Director for the city owned ambulance service.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEMS</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 6</ReturnReference>
        <Explanation>Organization is affiliated with Great Plains Health Alliance, Inc. (GPHA), a non-profit 501c3 organization which provides management services and operational, finance and accounting support to the Hospital. GPHA does not provide services directly to patients, but does provide access to professionals that may not be affordable to the normal critical access hospital. GPHA provides education and assistance in areas such as HIPAA, Medicare reimbursement, meaningful use requirements for computer systems, etc. GPHA is an affiliation of Critical Access hospitals in Kansas and Nebraska that provides networking opportunities with other rural hospital, communities and leaders. GPHA provides policies and guidance to its Critical Access facilities regarding financial assistance, conflicts of interest, corporate compliance and many other areas. GPHA also provides educational sessions for Board Members, Business Office Mangers, Billers, Medical Records personnel, Director of Nursing and Administrators. GPHA is a vital link in allowing CAH hospitals to operate at a high quality within the cash constraints imposed by the Critical Access program.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <NamePerson>JAMES LONGABAUGH</NamePerson>
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        <NamePerson>GREGG WENGER</NamePerson>
        <BaseCompensationFilingOrg>164755</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION FROM A RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII; SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>COMPENSATION FOR ROGER JOHN AND DAVE DELLASEGA IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. JOHN AND MR. DELLASEGA.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>The hospital added a digital mammography machine in 2011 and was recognized by Womens Health as being one of the top 100 hospitals in the small, rural hospital category. Community Education on digital mammography was the primary focus for 2011. Patients were educated on the importance of getting a mammogram and breast exam annually. Mammography Techs spoke to community groups to increase awareness of the importance of early detection in diagnosing breast cancer and the increased survival rate. Also during 2011, information technology was a priority and the continued move to meaningful use of the electronic health record. Internal committees were formed to aid in the collection of data and determining new process to better enhance the patient experience.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF SABETHA, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS MAY ELECT GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>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 REIVEW PRIOR TO FILING THE 990 WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; B</ReturnReference>
        <Explanation>THERE IS NO FORMAL REVIEW BY INDEPENDENT SOURCES, BUT THE ORGANIZATION'S BUDGET AND THE GPHA BUDGET IS APPROVED BY THE BOARD. AS A HISTORICAL PRACTICE, RAISES OF THE PRESIDENT/CEO AND CHIEF FINANCIAL OFFICER ARE LIMITED TO $3,000 ANNUALLY SINCE THESE INDIVIDUALS EACH EARN OVER $100,000 ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 41,736 TRANSFER TO CITY OF SABETHA (165,000) ---------- TOTAL $ (123,264)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:STEVE CARLSON TITLE:CHAIRMAN/DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROGER JOHN TITLE:PRESIDENT/CEO/DIRECTOR HOURS:48</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BETH MEYERES TITLE:VICE PRESIDENT/DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LOGAN SPRUNGER TITLE:VICE PRESIDENT/DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBERT HAMILTON TITLE:SECREATRY/DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:THOMAS E. KELLER, D.V.M. TITLE:TREASURER/DIRECTOR HOURS:2</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:FERD DIETZ TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:BILL NAVIS TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:DAVE RANKIN TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:CURTIS ERICKSON TITLE:DIRECTOR HOURS:2</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN TERRILL TITLE:DIRECTOR HOURS:2</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DR. BARBARA BROWN TITLE:DIRECTOR HOURS:2</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
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        <Explanation>NAME:DAVE DELLASEGA TITLE:CFO HOURS:46</Explanation>
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      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
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      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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</Return>