NORTH PLATTE NEBRASKA HOSPITAL CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NORTH PLATTE NEBRASKA HOSPITAL CORPORATION (EIN 47-0662290)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-01
IRS object ID
201643069349300909
Schema version
2015v2.1
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)
Return2016-11-01T08:31:46-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470662290EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH PLATTE NEBRASKA HOSPITAL CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone3085688000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTA STREETAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRYSTAL CLAYMOREPersonNm
Person TitleSENIOR VP OF FINANCE & STRATEGYPersonTitleTxt
Phone3085688000PhoneNum
Signature2016-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARBARA J FAJENPreparerPersonNm
PTINP00400874PTIN
Phone4023302660PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKRYSTAL CLAYMOREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTA STREETAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$188,669,051GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GPHEALTH.ORGWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation1971FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionPROVIDE ACUTE, PREVENTIVE AND OTHER HEALTHCARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1266TotalEmployeeCnt
Total Volunteers209TotalVolunteersCnt
Total Gross UBI$62,499TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,872,909PYContributionsGrantsAmt
CY Contributions Grants$70,611CYContributionsGrantsAmt
PY Program Service Revenue$170,120,280PYProgramServiceRevenueAmt
CY Program Service Revenue$184,872,602CYProgramServiceRevenueAmt
PY Investment Income$11,404,342PYInvestmentIncomeAmt
CY Investment Income$1,731,054CYInvestmentIncomeAmt
PY Other Revenue$942,692PYOtherRevenueAmt
CY Other Revenue$1,812,985CYOtherRevenueAmt
PY Total Revenue$184,340,223PYTotalRevenueAmt
CY Total Revenue$188,487,252CYTotalRevenueAmt
PY Grants And Similar Paid$131,120PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$162,001CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,945,316PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$86,215,862CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$74,813,561PYOtherExpensesAmt
CY Other Expenses$90,770,254CYOtherExpensesAmt
PY Total Expenses$155,889,997PYTotalExpensesAmt
CY Total Expenses$177,148,117CYTotalExpensesAmt
PY Revenues Less Expenses$28,450,226PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,339,135CYRevenuesLessExpensesAmt
Total Assets BOY$322,648,810TotalAssetsBOYAmt
Total Assets EOY$327,190,799TotalAssetsEOYAmt
Total Liabilities BOY$134,063,677TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,390,919TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$188,585,133NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$197,799,880NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO INSPIRE HEALTH AND HEALING BY PUTTING PATIENTS FIRST -- ALWAYS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$168,114,643ExpenseAmt
Grant$162,001GrantAmt
Revenue$185,592,876RevenueAmt
DescGREAT PLAINS HEALTH (GPH) PROVIDES FULL SERVICE MEDICAL CARE TO THE GENERAL PUBLIC. GPH OFFERS INPATIENT AND OUTPATIENT SERVICES INCLUDING HOME SUPPORT SERVICES, OUTREACH PROGRAMS, AND FOLLOW-UP CARE TO MEET THE DIVERSE NEEDS OF THE PATIENTS GPH SERVES. GPH PROVIDES CARE TO THE UNDERINSURED AND THE UNINSURED. FURTHERMORE, GPH PROVIDES PROGRAMS, SUCH AS MEDICATION ASSISTANCE, HOME HEALTH, HOSPICE, HEALTHY START AND ATHLETIC TRAINING AND DOES NOT RECOUP THE COST OF SUCH PROGRAMS. GPH ABSORBS THE COSTS ASSOCIATED WITH PROGRAMS THAT DO NOT RECEIVE SUFFICIENT REVENUE TO COVER THE COSTS OF CARE, SO THAT GPH STILL PROVIDES COMMUNITY MEMBERS WITH THE CARE THEY NEED.GPH PROVIDES BENEFITS TO THE SURROUNDING COMMUNITIES IN THE FORM OF DONATIONS OF CASH AND SUPPLIES, SPONSORSHIP OF EVENTS, TRANSPORTATION SERVICES, ASSISTANCE IN REGISTERING FOR GOVERNMENT PROGRAMS, SCHOOL HEALTH AND STUDENT HOUSING.EDUCATING THE COMMUNITY CONCERNING THEIR HEALTH AND WELL BEING ALLOWS PATIENTS TO MANAGE THEIR OWN CARE. GPH SUBSIDIZES PROFESSIONAL DEVELOPMENT EDUCATION AND CERTIFICATION OF CLINICAL STAFF TO ENSURE GPH IS ABLE TO PROVIDE THE NEWEST TREATMENTS AND BEST CARE.Desc
Total Program Service Expenses$168,114,643TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document236IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1266EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRYSTAL CLAYMORE SENIOR VP OF FINANCE & STRATEGYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3086967197PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTAAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID PEDERSON
CHAIR1.002.00Yes (X)Yes (X)$0$0$0
BYRON BARKSDALE MD
VICE CHAIR1.002.00Yes (X)Yes (X)$0$0$0
JAMES SMITH MD
SECRETARY/TREASURER38.002.00Yes (X)Yes (X)$416,301$0$42,346
KATHY BOURQUE
DIRECTOR1.002.00Yes (X)$0$0$0
CLARK DIFFENDAFFER MD
DIRECTOR1.001.00Yes (X)$0$0$0
JAY ENGEL
DIRECTOR1.001.00Yes (X)$0$0$0
RENEE ENGLER MD
CHIEF OF STAFF/DIRECTOR38.002.00Yes (X)$434,753$0$40,346
KYLE GIFFORD
DIRECTOR1.002.00Yes (X)$0$0$0
DWIGHT LIVINGSTON
DIRECTOR1.001.00Yes (X)$0$0$0
NEWTON MACK MD
DIRECTOR1.001.00Yes (X)$0$0$0
MARK OETTINGER
DIRECTOR1.001.00Yes (X)$0$0$0
DUDLEY OLTMANS
DIRECTOR (THRU 6/29/15)1.001.00Yes (X)$0$0$0
JOHN PATTERSON
DIRECTOR1.002.00Yes (X)$0$0$0
MISTY ROBERTSON
DIRECTOR1.001.00Yes (X)$0$0$0
DARREL SMITH
DIRECTOR1.001.00Yes (X)$0$0$0
LINDA TUCKER
DIRECTOR1.001.00Yes (X)$0$0$0
GREGORY NIELSEN
FORMER CEO0.000.00$24,519$0$0Yes (X)
MELVIN MCNEA
CEO38.002.00Yes (X)$341,912$0$40,346
KRYSTAL CLAYMORE
SENIOR VP OF FINANCE & STRATEGY38.002.00Yes (X)$314,891$0$40,346
IRFAN A VAZIRI
PHYSICIAN (GPH)40.000.00$975,847$0$39,466Yes (X)
ARSHAD ALI
PHYSICIAN (GPH)40.000.00$861,979$0$23,304Yes (X)
DANIEL NOBLE
PHYSICIAN (NPNPG)40.000.00$846,971$0$11,721Yes (X)
SATYANARAYANA NELLURI
PHYSICIAN (GPH)40.000.00$830,769$0$39,366Yes (X)
AHMED AWAIS
PHYSICIAN (GPH)40.000.00$746,845$0$27,945Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,794,787TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$305,186TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K100IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SAMPSON CONSTRUCTION
440 REGENCY PARKWAY DR 131OMAHANE68114GENERAL CONTRACTOR$12,044,125
ERDMAN COMPANY
1 ERDMAN PLACEMADISONWI53717GENERAL CONTRACTOR$9,237,621
SNELL SERVICES INC
2220 W FRONT STNORTH PLATTENE69101ELECTRICAL CONTRACTOR$8,800,136
NORTH PLATTE ORTHOPEDIC
215 MCNEEL LANENORTH PLATTENE69101ORTHOPEDIC SERVICES$1,282,397
FIVE NINES TECHNOLOGY GROUP
5000 CENTRAL PARK DR 101LINCOLNNE68504IT SERVICES$860,639
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
All Other Contributions$70,611AllOtherContributionsAmt
Total Contributions$70,611TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE624100$135,556,349$135,556,349
MEDICARE/MEDICAID PAYMENTS624100$48,923,887$48,923,887
OTHER OPERATING REVENUE624100$366,827$366,827
MANAGEMENT FEES624100$10,020$10,020
EHR INCENTIVE PAYMENTS624100$1,180$1,180

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,339TotalRevenueColumnAmt
Related Or Exempt Func Income$14,339RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$184,872,602TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,895,184TotalRevenueColumnAmt
Exclusion$1,895,184ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$621,524RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$621,524RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$621,524TotalRevenueColumnAmt
Exclusion$621,524ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,759SecuritiesAmt
Other$1,910OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,726SecuritiesAmt
Other$177,073OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,033SecuritiesAmt
Other-$175,163OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$164,130TotalRevenueColumnAmt
Exclusion-$164,130ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NORTH PLATTE SURGICAL CENTER621400$896,032$896,032
CAFETERIA REVENUE722210$408,688$408,688
MEDICAL TRANSCRIPTION519100$36,892$36,892

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$150,151TotalRevenueColumnAmt
Related Or Exempt Func Income-$175,758RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$25,607UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,191,461OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$188,487,252TotalRevenueColumnAmt
Related Or Exempt Func Income$185,592,876RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$62,499UnrelatedBusinessRevenueAmt
Exclusion$2,761,266ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$162,001TotalAmt
Program Services$162,001ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,695,761TotalAmt
Program Services$933,747ProgramServicesAmt
Management And General$762,014ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$143,724TotalAmt
Program Services$143,724ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$68,738,064TotalAmt
Program Services$65,718,038ProgramServicesAmt
Management And General$3,020,026ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,978,774TotalAmt
Program Services$1,893,730ProgramServicesAmt
Management And General$85,044ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,347,211TotalAmt
Program Services$8,909,004ProgramServicesAmt
Management And General$438,207ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,312,328TotalAmt
Program Services$4,085,902ProgramServicesAmt
Management And General$226,426ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$529,053TotalAmt
Program Services$262,826ProgramServicesAmt
Management And General$266,227ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$302,433TotalAmt
Management And General$302,433ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$90,697TotalAmt
Management And General$90,697ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$333,746TotalAmt
Management And General$333,746ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,057,103TotalAmt
Program Services$20,947,831ProgramServicesAmt
Management And General$2,109,272ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$533,504TotalAmt
Program Services$11,335ProgramServicesAmt
Management And General$522,169ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,127,387TotalAmt
Program Services$4,797,443ProgramServicesAmt
Management And General$329,944ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,922,347TotalAmt
Program Services$3,849,855ProgramServicesAmt
Management And General$72,492ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,279,365TotalAmt
Program Services$3,252,562ProgramServicesAmt
Management And General$26,803ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$291,357TotalAmt
Program Services$249,157ProgramServicesAmt
Management And General$42,200ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,388,354TotalAmt
Program Services$1,388,354ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,141,820TotalAmt
Program Services$14,087,755ProgramServicesAmt
Management And General$54,065ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$675,792TotalAmt
Program Services$664,283ProgramServicesAmt
Management And General$11,509ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$28,296,721$28,296,721
BAD DEBTS$7,512,081$7,512,081
EDUCATION & TRAINING$656,241$525,829$130,412
DUES & SUBSCRIPTIONS$420,044$215,131$204,913

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$212,209TotalAmt
Program Services$207,334ProgramServicesAmt
Management And General$4,875ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$177,148,117TotalAmt
Program Services$168,114,643ProgramServicesAmt
Management And General$9,033,474ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,201BOYAmt
EOY$4,122EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$134,622,452BOYAmt
EOY$107,484,705EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,410,072BOYAmt
EOY$22,512,873EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$977,587BOYAmt
EOY$1,018,820EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,401,352BOYAmt
EOY$4,747,504EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,219,096BOYAmt
EOY$3,907,905EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$268,926,493LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$126,283,702LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$119,369,987BOYAmt
EOY$142,642,791EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$23,141,566BOYAmt
EOY$18,070,697EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,025,822BOYAmt
EOY$2,947,354EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$60,150BOYAmt
EOY$168,700EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,417,525BOYAmt
EOY$23,685,328EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$322,648,810BOYAmt
EOY$327,190,799EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,851,156BOYAmt
EOY$18,711,463EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,338,272BOYAmt
EOY$105,837,872EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,874,249BOYAmt
EOY$4,841,584EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$134,063,677BOYAmt
EOY$129,390,919EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$187,853,004BOYAmt
EOY$197,067,751EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$732,129BOYAmt
EOY$732,129EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$188,585,133BOYAmt
EOY$197,799,880EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$322,648,810BOYAmt
EOY$327,190,799EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,339,135ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,748,185NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$623,797OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,778OtherActivitiesAmt
Total Lobbying Expenditures$10,778TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE $10,778 REPRESENTS THE PORTION OF THE DUES PAID TO THE NEBRASKA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION THAT ARE USED FOR LOBBYING BY THOSE ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$769,471OtherCostOrOtherBasisAmt
Book Value$769,471BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$136,525,798OtherCostOrOtherBasisAmt
Depreciation$34,287,173DepreciationAmt
Book Value$102,238,625BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,360,499OtherCostOrOtherBasisAmt
Depreciation$1,032,564DepreciationAmt
Book Value$1,327,935BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$123,064,663OtherCostOrOtherBasisAmt
Depreciation$88,357,787DepreciationAmt
Book Value$34,706,876BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,206,062OtherCostOrOtherBasisAmt
Depreciation$2,606,178DepreciationAmt
Book Value$3,599,884BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$142,642,791TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLE$996,878
DUE FROM AFFILIATES$3,568,290
DEFERRED COMPENSATION$3,106,169
RECEIVABLE ON INSURANCE CLAIM$220,000
INTEREST IN GREAT PLAINS FOUNDATION$4,322,421
ASSETS HELD FOR SALE$11,471,570
FieldValueIRS element (for citing)
Total Book Value Other Assets$23,685,328TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS$1,735,415
DEFERRED COMPENSATION$3,106,169
FieldValueIRS element (for citing)
Total Liability$4,841,584TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationGREAT PLAINS HEALTH (GP HEALTH) AND REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE (REGENCY) ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GREAT PLAINS MEDICAL ARTS BUILDING, INC. (GPMAI) IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(2) OF THE INTERNAL REVENUE CODE. NORTH PLATTE NEBRASKA PHYSICIANS GROUP, LLC (NPNPG) IS A LIMITED LIABILITY COMPANY WHOLLY OWNED BY GP HEALTH. GP HEALTH, REGENCY AND GPMAI HAVE RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. GREAT PLAINS HOMECARE EQUIPMENT, INC. (GPHME) IS A FOR-PROFIT CORPORATION THAT RECOGNIZED FEDERAL AND STATE INCOME TAX EXPENSE OF APPROXIMATELY $62,163 AND $68,580 IN 2015 AND 2014, RESPECTIVELY. THE INCOME TAX EXPENSE IS INCLUDED AS AN OTHER EXPENSE OF THE CONSOLIDATED STATEMENTS OF OPERATIONS. GREAT PLAINS PHO, INC. (PHO) IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. PHO DID NOT RECOGNIZE ANY FEDERAL AND STATE INCOME TAX EXPSENSE IN 2015 DUE TO OPERATING LOSSES INCURRED DURING THE YEAR. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2015, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,491,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$568,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,923,593NetCommunityBenefitExpnsAmt
Total Expense0.01130TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,113,112TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,004,113DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,108,999NetCommunityBenefitExpnsAmt
Total Expense0.01830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,604,953TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,572,361DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,032,592NetCommunityBenefitExpnsAmt
Total Expense0.02960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served14777PersonsServedCnt
Total Community Benefit Expns$1,804,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,736DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,799,289NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served62PersonsServedCnt
Total Community Benefit Expns$402,100TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$402,100NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served169PersonsServedCnt
Total Community Benefit Expns$1,229,117TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$309,079DirectOffsettingRevenueAmt
Net Community Benefit Expns$920,038NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$240,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,345DirectOffsettingRevenueAmt
Net Community Benefit Expns$217,046NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served20000PersonsServedCnt
Total Community Benefit Expns$305,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$305,511NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served35008PersonsServedCnt
Total Community Benefit Expns$3,981,144TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$337,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,643,984NetCommunityBenefitExpnsAmt
Total Expense0.02150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served35008PersonsServedCnt
Total Community Benefit Expns$15,586,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,909,521DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,676,576NetCommunityBenefitExpnsAmt
Total Expense0.05110TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served20000PersonsServedCnt
Total Community Benefit Expns$63,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,664NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,581NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$409TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$409NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served20000PersonsServedCnt
Total Community Benefit Expns$68,654TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,654NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$7,512,081BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$46,132,966ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$61,151,609CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,018,643MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PHYSICIAN HOSPITAL CONTRACTING ORGANIZATION
NEGOTIATES HEALTHCARE CONTRACTS FOR PHYSICIANS AND THE HOSPITAL0.500000.000000.50000
2 NORTH PLATTE SURGERY CENTER LLC
PROVIDES OUTPATIENT SURGERY SERVICES0.500000.000000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST LEOTAAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GPHEALTH.ORGWebsiteAddressTxt
State License510001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GPHEALTH.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.GPHEALTH.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.GPHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GREAT PLAINS HEALTHPART V, SECTION B, LINE 3J: THE GREAT PLAINS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM APRIL TO DECEMBER 2013. THE ANALYSIS INCLUDED CAREFUL REVIEW OF THE MOST CURRENT HEALTH DATA AVAILABLE, APPLICABLE DEMOGRAPHIC REVIEW AND INPUT FROM KEY COMMUNITY REPRESENTATIVES. ASSESSMENT RESULTS LED TO THE IDENTIFICATION OF FIVE PRIORITY AREAS: 1. PRIMARY CARE SERVICES AND PROVIDERS, INCLUDING NURSING STAFF. 2. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLES. 3. ADDITIONAL SPECIALTY CARE. 4. TEEN PREGNANCY; INCREASED EDUCATION OF THE IMPORTANCE OF PRENATAL CARE AND INCREASED AWARENESS OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY. 5. AFFORDABLE PRIMARY CARE SERVICES FOR LOW-INCOME AND UNINSURED POPULATIONS.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 5: DURING THE RESEARCH AND COLLABORATION PHASE OF CHNA DEVELOPMENT, GREAT PLAINS HEALTH DISTRIBUTED THREE SURVEYS BETWEEN JUNE 2012 AND JULY 2012; A COMMUNITY SURVEY, AN EMPLOYEE SURVEY AND A PHYSICIAN SURVEY. THE PURPOSE OF THE SURVEY WAS TO OBTAIN INFORMATION ABOUT NEEDED HEALTHCARE SERVICES, ACCESSABILITY OF PHYSICIANS(COMMUNITY ONLY) AND HOSPITAL IMPROVEMENTS. IN ADDITION TO SURVEYS, GPRMC CONDUCTED TEN INTERVIEWS WITH PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. DURING THESE INTERVIEWS, THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS WERE DISCUSSED.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 11: GREAT PLAINS' LEADERSHIP PRIORITIZED AND DECIDED TO ADDRESS ALL OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THE FINAL LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS LISTED BELOW:1. NEED FOR PRIMARY CARE SERVICES AND PROVIDERS, INCLUDING NURSING STAFF2. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLES3. NEED FOR ADDITIONAL LOCAL SPECIALTY CARE4. TEEN PREGNANCY: NEED FOR INCREASED EDUCATION OF THE IMPORTANCE OF PRENATAL CARE AND INCREASED AWARENESS OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY5. NEED FOR AFFORDABLE PRIMARY CARE SERVICES FOR LOW-INCOME AND UNINSURED POPULATIONSTHE GREAT PLAINS LEADERSHIP TEAM DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THESE PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HEALTH SYSTEM'S OVERALL STRATEGIC PLAN, AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES, AND THE ANTICIPATED IMPACT AND EVALUATION.PRIORITY ONE: NEED FOR PRIMARY CARE SERVICES AND PROVIDERS, INCLUDING NURSING STAFF - IMPLEMENTATION ACTIVITIES INCLUDE RECRUITING PROVIDERS, DEVELOPING NURSES AND IMPROVING PRIMARY CARE SERVICE.PRIORITY TWO: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLES - IMPLEMENTATION ACTIVITIES INCLUDE OFFERING COMMUNITY SCREENINGS, PROVIDING COMMUNITY HEALTH EDUCATION AND INSPIRING HEALTH THROUGH HUMAN AND FINANCIAL CAPITAL.PRIORITY THREE: NEED FOR ADDITIONAL LOCAL SPECIALTY CARE - IMPLEMENTATION ACTIVITIES INCLUDE RECRUITING SPECIALISTS TO THE REGION, EXPANDING PROGRAMS OFFERED IN THE REGION AND GROWING OUTREACH CLINICS THROUGHOUT THE REGION.PRIORITY FOUR: TEEN PREGNANCY: NEED FOR INCREASED EDUCATION OF THE IMPORTANCE OF PRENATAL CARE AND INCREASED AWARENESS OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY - IMPLEMENTATION ACTIVITIES INCLUDE IMPROVING THE PROCESS AND EDUCATION TO CREATE HEALTHIER PREGNANCIES IN THE COMMUNITY FOR ANY AGE, EDUCATING YOUNG WOMEN ABOUT THE SOCIAL CONSEQUENCES OF EARLY MOTHERHOOD AND CREATING HEALTHY ALTERNATIVES FOR TEENS.PRIORITY FIVE: NEED FOR AFFORDABLE PRIMARY CARE SERVICES FOR THE LOW-INCOME AND UNINSURED POPULATIONS - IMPLEMENTATION STRATEGIES INCLUDE INCREASING ACCESS AND PROVIDING FINANCIAL SUPPORT.THERE ARE NOT ANY SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA THAT ARE NOT BEING ADDRESSED.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 13B: IF A PATIENT'S COMBINED OUTSTANDING MEDICAL BILLS, AFTER INSURANCE PAYS, EXCEEDS 7.5% OF THEIR ANNUAL GROSS INCOME, THEY WILL RECEIVE AN ADDITIONAL 25% DISCOUNT ON TOP OF THE FINANCIAL ASSISTANCE DISCOUNT WITH THE COMBINED DISCOUNT NOT TO EXCEED 100% OF THE OUTSTANDING BALANCE. OUTSTANDING MEDICAL BILLS ARE NOT RESTRICTED TO JUST GREAT PLAINS HEALTH SERVICES BUT CAN BE ANY MEDICAL SERVICES. CURRENT STATEMENTS MUST BE PROVIDED SHOWING THE OUTSTANDING BALANCES CLAIMED.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 16I: THE WRITTEN FINANCIAL ASSISTANCE POLICY IS ON GPH'S WEBSITE, AS WELL AS PRINTED ON THE BACK SIDE OF EACH PAGE OF THE PATIENT BILLING STATEMENT. POSTERS REGARDING AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT PATIENT POINTS OF ENTRY THROUGHOUT THE HOSPITAL FACILITY.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 18D: OTHER PERMITTED COLLECTION ACTIONS UPON PATIENT ELIGIBILITY VERIFICATION INCLUDE SENDING BALANCE DUE STATEMENTS, ACCOUNT LETTERS AND TELEPHONE CALLS ON HIGH DOLLAR ACCOUNTS.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 20E: GPH WORKS WITH PATIENTS THROUGH PHONE AND IN-PERSON INTERVIEWS TO DETERMINE THE PATIENT'S FINANCIAL SITUATION AND TO DETERMINE IF THE INDIVIDUAL QUALIFIES FOR ASSISTANCE, SUCH AS MEDICAID.
GREAT PLAINS HEALTHPART V, SECTION B, LINE 22D: GPH ALSO USES THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - NORTH PLATTE SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 WEST FRANCIS STREETAddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
FacilityOUTPATIENT SURGERIESFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:GREAT PLAINS HEALTH (GPH) MAY MAKE A DETERMINATION OF ELIGIBILTY AT ANY STAGE OF THE PROCESS, INCLUDING PAST ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. EACH PATIENT REQUESTING FINANCIAL ASSISTANCE WILL BE ASKED TO COMPLETE A FINANCIAL QUESTIONNAIRE AND TO PROVIDE COPIES OF DOCUMENTATION INCLUDING THEIR MOST RECENT FEDERAL INCOME TAX FORM, COPIES OF RECENT PAY STUBS, BANK STATEMENTS AND OTHER APPROPRIATE INDICATORS OF INCOME. A REFERRAL FOR FINANCIAL ASSITANCE MAY BE RECOMMENDED BY THE PATIENT, FAMILY MEMBER, PHYSICIAN OR HOSPITAL DEPARTMENTS AND PROVIDED BASED ON INFORMATION FROM OTHER SOURCES. FULL FINANCIAL ASSISTANCE WILL GENERALLY BE PROVIDED WHEN GROSS HOUSEHOLD INCOME IS EQUAL TO OR LESS THAN 150% OF THE FEDERAL POVERTY GUIDELINES. A SLIDING FEE SCALE DISCOUNT WILL BE APPLIED FOR HOUSEHOLD INCOME UP TO 250% OF THE FEDERAL POVERTY GUIDELINES. THE INCOME LEVELS WILL BE UPDATED ANNUALLY BASED UPON THE MOST CURRENT FEDERAL POVERTY GUIDELINES.
PART I, LINE 6A:GPH'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF OF GPH.
PART I, LINE 7:GPH UTILIZED AN OVERALL COST TO CHARGE RATIO (TOTAL EXPENSES - BAD DEBT) / GROSS PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGE.
PART I, LINE 7G:THERE ARE NO SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G.
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 $ 7,512,081.
PART II, COMMUNITY BUILDING ACTIVITIES:GPH HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSORING HEALTH FAIR, SPORTS CLINICS AND SUPPORT GROUPS, PHYSICIANS SERVING ON COMMUNITY BOARDS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.
PART III, LINE 2:IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND ESTIMATES A PERCENTAGE OF THOSE ACCOUNTS THAT WILL TRANSITION TO SELF-PAY PATIENTS BASED ON HISTORICAL ANALYSIS. THE ESTIMATED PERCENTAGE OF THOSE TRANSITION ACCOUNTS ARE ADDED TO RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ORGANIZATION HAS ADOPTED A POLICY RELATIVE TO SELF-PAY DISCOUNTS, WHEREBY CHARGES AND SUBSEQUENT BILLINGS WERE REDUCED TO APPROXIMATE REIMBURSEMENT LEVELS RECEIVED FROM GOVERNMENTAL THIRD-PARTY PAYORS.PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF THE BILLING. ACCOUNTS CONSIDERED PAST DUE ARE SENT TO COLLECTION AGENCIES WHEN INTERNAL COLLECTION EFFORTS HAVE BEEN UNSUCCESSFUL. ANY AMOUNTS DEEMED UNCOLLECTIBLE ARE WRITTEN OFF ON A MONTHLY BASIS. THE ORGANIZATION DOES NOT CHARGE INTEREST ON OUTSTANDING BALANCES OWED.
PART III, LINE 3:THE ORGANIZATION PROVIDES CHARITY CARE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR THE HEALTHCARE SERVICES THEY RECEIVE. PATIENTS WHO QUALIFY FOR CHARITY CARE ARE GIVEN A PERCENTAGE DISCOUNT FROM ESTABLISHED CHARGES BASED ON A SLIDING SCALE USING POVERTY GUIDELINES. IT IS THE POLICY OF THE ORGANIZATION NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. ACCORDINGLY, THE ORGANIZATION DOES NOT REPORT THESE AMOUNTS IN NET PATIENT SERVICE REVENUE OR IN THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ORGANIZATION DETERMINES THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE BY AGGREGATING THE DIRECT AND INDIRECT COSTS, INCLUDING SALARIES, BENEFITS, SUPPLIES, AND OTHER OPERATING EXPENSES, BASED ON THE OVERALL COST TO CHARGE RATIO FOR GP HEALTH AND NPNPG. THE COSTS OF CARING FOR CHARITY CARE PATIENTS FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014 WERE APPROXIMATELY $2,607,000 AND $2,843,000, RESPECTIVELY.
PART III, LINE 4:THE COSTING METHODOLOGY USED IN DETERMINING THE BAD DEBT EXPENSES INCLUDES CALCULATING ON A MONTHLY BASIS THE TOTAL ESTIMATED AMOUNTS BASED ON HISTORICAL WRITE OFFS.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE, NET," "NET PATIENT SERVICE REVENUE, AND "CHARITY CARE" CAN BE FOUND ON PAGES 8, 10 AND 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE MEDICARE SHORTFALL IS BASED ON THE INFORMATION FROM THE COST REPORT. THESE COSTS ARE MEDICARE REIMBURSABLE COSTS, NOT ALL COSTS. THESE MEDICARE REIMBURSABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT TO THE EXTENT THAT MEDICARE REVENUES DO NOT COVER THE COSTS. WE DO NOT USE ANY NEGOTIATION TOOL WITH MEDICARE FOR OUR RATES; THE RATES THAT WE ARE PAID ARE MANDATED. HENCE, THIS DOES NOT GIVE US THE ABILITY AS A PROVIDER TO RECEIVE SUFFICIENT REVENUES TO COVER THE MEDICARE COSTS. AS A FACILITY WE ARE WORKING TOWARD COSTS SAVINGS.
PART III, LINE 9B:IF THE COLLECTION AGENCY LEARNS INFORMATION THAT INDICATES THAT THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE GPH CHARITY CARE POLICY, THEN THE COLLECTION AGENCY SHALL PROMPTLY NOTIFY THE PATIENT FINANCIAL SERVICES DIRECTOR AND CEASE ANY FURTHER COLLECTION ACTIVITY UNTIL GPH DETERMINES THE PATIENT ELIGIBILITY.
PART VI, LINE 2:GPH USES STRATEGIC PLANNING PROCESSES, MARKET STUDIES, OPEN FORUMS WITH PHYSICIANS, COMMUNITY FOCUS GROUPS, CUSTOMER SERVICE SURVEYS AND COMMUNITY SURVEYS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES GPH SERVES. PATIENT CARE AND SUPPORT SERVICES PROVIDED BY GPH ARE BASED ON GPH'S MISSION, VISION, VALUES AND STANDARDS OF BEHAVIOR. PATIENT CARE AND ANCILLARY SERVICES ARE ORGANIZED IN RESPONSE TO PATIENT NEEDS AS IDENTIFIED THROUGH THE STRATEGIC PLANNING PROCESS. THE GPH STRATEGIC PLAN FOCUSES ON ACHIEVING A CONTINUUM OF CARE TO MEET THE NEEDS OF THE COMMUNITY SERVED. THE STRATEGIC PLANNING PROCESS IS COMPLETED APPROXIMATELY EVERY THREE TO FIVE YEARS.
PART VI, LINE 3:FOR PATIENTS THAT GPH DETERMINES ARE FINANCIALLY INDIGENT, THE PATIENT/GUARANTOR WILL BE NOTIFIED AND ASSISTED BY THE GPH PATIENT FINANCIAL SERVICES IN APPLYING FOR FINANCIAL ASSISTANCE. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE ACCOUNT WILL BE REVIEWED FOR A CHARITY ALLOWANCE ACCORDING TO THE HOSPITAL'S CHARITY POLICY (ADMINISTRATIVE POLICY 8210-0008). CASE MANAGERS ARE AVAILABLE AT GPH TO ASSIST PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL AND SOCIAL STRESS THAT ACCOMPANY ILLNESS AND HOSPITALIZATION. CASE MANAGERS HAVE A WORKING KNOWLEDGE OF SOCIAL WORK THEORIES AND ARE ABLE TO ASSIST PATIENTS WITH CONTACTING COMMUNITY AGENCIES THAT CAN ASSIST THEM IN RECOVERY AND FINANCIAL NEEDS. AN OUTSIDE AGENCY IS USED TO PROVIDE ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR MEDICAID. ONE-ON-ONE FINANCIAL COUNSELING IS AVAILABLE TO EVERY PATIENT, UPON REQUEST.
PART VI, LINE 4:GREAT PLAINS HEALTH IS THE ONLY HOSPITAL IN LINCOLN COUNTY AND IS A REGIONAL REFERRAL HOSPITAL FOR NINETEEN OTHER COUNTIES IN NEBRASKA. GPH SERVES A MARKET OF OVER 123,026 RESIDENTS. OVER NINETY-THREE PERCENT OF GPH'S INPATIENT ADMISSIONS COME FROM WITHIN THIS MARKET. SEVENTY-TWO PERCENT OF THE PATIENTS COME FROM LINCOLN COUNTY. THE PRIMARY SERVICE AREA IS DEFINED AS LINCOLN COUNTY. THE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING NINETEEN COUNTIES: ARTHUR, FRONTIER, HOOKER, PERKINS, CHASE, GRANT, GOSPER, KEITH, RED WILLOW, FURNAS, DUNDY, CHERRY, CUSTER, HAYES, LOGAN, THOMAS, DAWSON, HITCHCOCK, AND MCPHERSON. THE TOTAL POPULATION OF THE SECONDARY SERVICE AREA IS ABOUT 86,000.THE POPULATION IN THE SERVICE AREA IS EXPECTED TO CONTINUE THE SHIFT TOWARDS AN AGING POPULATION THAT WOULD INCREASE SERVICE UTILIZATION. HOSPITALS IN THE SECONDARY SERVICE AREA ARE: CHASE COUNTY COMMUNITY HOSPITAL (CHASE COUNTY), CHERRY COUNTY HOSPITAL (CHERRY COUNTY), CALLAWAY DISTRICT HOSPITAL (CUSTER COUNTY), JENNIE M. MELHAM MEMORIAL HOSPITAL (CUSTER COUNTY), COZAD COMMUNITY HOSPITAL (DAWSON COUNTY), GOTHENBURG MEMORIAL HOSPITAL (DAWSON COUNTY), TRI COUNTY HOSPITAL (DAWSON COUNTY), DUNDY COUNTY HOSPITAL (DUNDY COUNTY), TRI VALLEY HEALTH SYSTEM (FURNAS COUNTY), OGALLALA COMMUNITY HOSPITAL (KEITH COUNTY), PERKINS COUNTY HEALTH SERVICES (PERKINS COUNTY), AND COMMUNITY HOSPITAL (RED WILLOW COUNTY).MARKET OVERVIEWPRIMARY SERVICE AREA- CONSISTS OF LINCOLN COUNTY- ACCOUNTS FOR NEARLY 74.1% GPH'S INPATIENT CASES- THE 2014 POPULATION IS 35,815 SECONDARY SERVICE AREA- CONSISTS OF NINETEEN COUNTIES EXTENDING NORTH TO SOUTH DAKOTA, SOUTH TO KANSAS AND WEST TO COLORADO - ACCOUNTS FOR 25.9% OF GPH'S INPATIENT CASES - POPULATION 86,462 IN 2012 - LARGEST EMPLOYER IS UNION PACIFIC WITH 2,300 EMPLOYEES AT THE END OF 2013
PART VI, LINE 5:GPH HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES IT SERVES. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSORING HEALTH FAIR, SPORTS CLINICS AND SUPPORT GROUPS, PHYSICIANS SERVING ON COMMUNITY BOARDS, EDUCATION PROGRAMS AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.
PART VI, LINE 6:GREAT PLAINS HEALTH ASSISTS IN IDENTIFYING AND RECRUITING TOP PHYSICIANS IN NEEDED SPECIALTIES. GPH PROVIDES EDUCATION TO THE COMMUNITY ON VARIOUS HEALTH PROGRAMS FOR EMPLOYEES, EMPLOYERS AND THE COMMUNITY GPH SERVES. MANY MEMBERS OF THE STAFF HOLD SPEAKING ENGAGEMENTS TO PROVIDE MEDICAL INFORMATION TO THE COMMUNITY. THE MEDICATION ASSISTANCE PROGRAM ASSISTS PATIENTS TO FIND OTHER MEANS TO AFFORD THEIR PRESCRIPTIONS.THE HEALTH CENTER OPERATES ACUTE AND PSYCHIATRIC CARE BEDS, A HOME HEALTH AGENCY, AND PROVIDES VARIOUS OUTPATIENT AND EMERGENCY MEDICAL TREATMENT SERVICES. THE AFFILIATES LEASE AND SELL HOME MEDICAL EQUIPMENT TO THE PUBLIC, RENT OFFICE SPACE TO PHYSICIAN PRACTICES, RENT INDEPENDENT LIVING APARTMENTS TO THE ELDERLY AND PROVIDE PHYSICIAN PROFESSIONAL MEDICAL SERVICES AND OTHER PROGRAMS TO PATIENTS.
PART VI, LINE 7:GPH DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NEBRASKALAND DAYS INC
PO BOX 706NORTH PLATTENE69103470521025501(C)(4)$20,363SPONSOR OF 2015 EVENTS
PLATTE RIVER FITNESS SERIES
1300 MCDONALD ROADNORTH PLATTENE69101476006297GOVERNMENTAL$12,500SPONSOR OF 2015 EVENTS
MID-NEBRASKA COMMUNITY FOUNDATION INC
120 N DEWEY STNORTH PLATTENE69101470604965501(C)(3)$25,050SUPPORT OF THE LAKE MALONEY TRIALS
CREATIVITY UNLIMITED ARTS COUNCIL
PO BOX 266NORTH PLATTENE69103202209105501(C)(3)$10,000FOR RENOVATION TO THE PRAIRIE ARTS CENTER
UNITED WAY OF NORTH PLATTE
PO BOX 172NORTH PLATTENE69103470525576501(C)(3)$5,000SUPPORT OF THE MID-PLAINS UNITED WAY CAMPAIGN TO SUPPORT LOCAL COMMUNITY SUPPORT ORGANIZATIONS
NORTH PLATTE COMMUNITY PLAYHOUSE INC
PO BOX 825NORTH PLATTENE69103476032789501(C)(3)$5,036SUPPORT OF THE TOWN HALL LECTURE SERIES
NORTH PLATTE AREA CHAMBER OF COMMERCE
502 S DEWEY STNORTH PLATTENE69101237355570501(C)(6)$5,480SUPPORT OF VARIOUS ECONOMIC AND CIVIC INCENTIVES
NORTH PLATTE KIDS ACADEMY
PO BOX 1044NORTH PLATTENE69103470527598501(C)(3)$5,000SUPPORT OF THE NORTH PLATTE COMMUNITY DAY CARE CENTER
NORTH PLATTE AREA CHILDREN'S MUSEUM
PO BOX 2088NORTH PLATTENE69103470813286501(C)(3)$7,976SUPPORT OF THE MUSEUM FOR MEDICAL WORLD REMODEL
MISTY THORNTON AND ASSOCIATES INC
PO BOX 2300ALLENTX75013201360570$34,965SUPPORT OF THE NORTH PLATTE COMMUNITY DAY CARE CENTER, CHILD CARE CONSULTING GROUP
AMERICAN HEART ASSOCIATION
5375 SOUTHWEST 7TH STTOPEKAKS66606135613797501(C)(3)$10,000PURCHASE OF CPR KITS FOR LINCOLN COUNTY SCHOOLS AS AN EDUCATIONAL TOOL.
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGREAT PLAINS HEALTH PROVIDES SPONSORSHIP DOLLARS TO CHARITABLE EVENTS IN THE LOCAL AREA. THE ORGANIZATION GIVES TO CHARITABLE ORGANIZATIONS IN THE AREA WHICH BENEFIT THE LOCAL COMMUNITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES SMITH MD
SECRETARY/TREASURER$398,832$0$17,055$0$414$0$10,600$0$31,746$0$458,647$0$0$0
RENEE ENGLER MD
CHIEF OF STAFF/DIRECTOR$385,989$0$48,350$0$414$0$10,600$0$29,746$0$475,099$0$0$0
GREGORY NIELSEN
FORMER CEO$0$0$0$0$24,519$0$0$0$0$0$24,519$0$0$0
MELVIN MCNEA
CEO$325,499$0$15,225$0$1,188$0$10,600$0$29,746$0$382,258$0$0$0
KRYSTAL CLAYMORE
SENIOR VP OF FINANCE & STRATEGY$289,611$0$25,100$0$180$0$10,600$0$29,746$0$355,237$0$0$0
IRFAN A VAZIRI
PHYSICIAN (GPH)$974,833$0$600$0$414$0$10,600$0$28,866$0$1,015,313$0$0$0
ARSHAD ALI
PHYSICIAN (GPH)$859,443$0$600$0$1,936$0$10,600$0$12,704$0$885,283$0$0$0
DANIEL NOBLE
PHYSICIAN (NPNPG)$810,481$0$600$0$35,890$0$10,600$0$1,121$0$858,692$0$0$0
SATYANARAYANA NELLURI
PHYSICIAN (GPH)$828,508$0$600$0$1,661$0$10,600$0$28,766$0$870,135$0$0$0
AHMED AWAIS
PHYSICIAN (GPH)$409,740$0$336,943$0$162$0$10,600$0$17,345$0$774,790$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationGREGORY NIELSEN, FORMER CEO, RECEIVED A SEVERANCE PAYMENT OF $24,519 DURING THE YEAR.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY NO 1 OF LINCOLN COUNTY NEBRASKABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN971837633BondIssuerEIN
CUSIP533282BQ1CUSIPNum
Bond Issued2012-11-15BondIssuedDt
Issue Price$109,560,864IssuePriceAmt
PurposeCONSTRUCT/UPDATE FACILITIES AND REFUND PRIOR REVENUE BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,945,000RetiredAmt
Total Proceeds$109,876,817TotalProceedsAmt
Issuance Costs From Proceeds$1,189,899IssuanceCostsFromProceedsAmt
Capital Expenditures$98,701,735CapitalExpendituresAmt
Other Spent Proceeds$9,390,952OtherSpentProceedsAmt
Unspent$594,232UnspentAmt
Current RefundingYes (1)CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds InvestedYes (1)GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART III, LINE 3(A):WHILE THE HOSPITAL HAS MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY, SUCH CONTRACTS DO NOT GIVE RISE TO PRIVATE USE UNDER THE PRINCIPLES OF REV. PROC. 97-13.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DAVID PEDERSEN
MR. PEDERSEN, A DIRECTOR, IS 49% OWNER OF PERIPETY, LLC D/B/A PRO PRINTING$139,517PRINTING SERVICES0
BYRON L BARKSDALE
MR. BARKSDALE, A DIRECTOR, IS PART OWNER OF PATHOLOGY SERVICES, PC$405,384PATHOLOGY SERVICES0
MICHELLE L MCNEA
SPOUSE OF MELVIN MCNEA, OFFICER.$93,235EMPLOYMENT WITH THE HOSPITAL0
MOLLY H WALKER
DAUGHTER OF MELVIN MCNEA, OFFICER.$18,968EMPLOYMENT WITH THE HOSPITAL0
TRISHA A JORGENSEN
STEP-DAUGHTER OF DWIGHT LIVINGSTON, DIRECTOR.$31,521EMPLOYMENT WITH THE HOSPITAL0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THIS IS DONE VIA THE BOARD PORTAL WHICH IS AVAILABLE TO ALL BOARD MEMBERS. FOLLOW UP IS DISCUSSED AT THE NEXT MEETING FOLLOWING THE FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CGPH PROVIDES A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH OFFICER AND DIRECTOR. THE CONFLICT OF INTEREST QUESTIONNAIRE IS COMPLETED AND RETURNED ANNUALLY. ANY QUESTIONABLE SITUATION IS DISCLOSED ON THE QUESTIONNAIRE. FURTHERMORE, ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR ARE TO BE REPORTED TO ADMINISTRATION. THE CONFLICTS REVIEW COMMITTEE REVIEWS ANY TRANSACTIONS THAT MAY BE CONSIDERED TO HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE GREAT PLAINS HEALTH BOARD OF DIRECTORS STRIVES TO COMPENSATE OFFICERS AND KEY EMPLOYEES AT LEVELS THAT ARE COMPETITIVE IN THE MARKETPLACE, COST EFFECTIVE AND, AS MUCH AS POSSIBLE, INTERNALLY EQUITABLE. THE EXECUTIVE COMMITTEE FOR THE BOARD OF DIRECTORS MEETS NO LESS THAN ANNUALLY TO REVIEW COMPENSATION PACKAGES FOR GPH'S PRESIDENT, OFFICERS, AND KEY EMPLOYEES. COMPENSATION DATA IS GATHERED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT BY SURVEYING COMPARABLE POSITIONS AT PEER INSTITUTIONS, ENSURING THAT COMPENSATION PACKAGES ARE MEETING FAIR MARKET VALUE. A COMPLETE ANALYSIS OF DATA IS REQUESTED FROM THE CONSULTANT AT LEAST EVERY FOUR YEARS. THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT IS ULTIMATELY ACCOUNTABLE TO THE EXECUTIVE COMMITTEE AND THE BOARD. THE EXECUTIVE COMMITTEE ANNUALLY RECOMMENDS TO THE BOARD THE SELECTION/RETENTION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT; REVIEWS COMPENSATION RECOMMENDATIONS; AND DETERMINES THOSE OFFICERS AND KEY EMPLOYEES FOR WHOM WRITTEN EMPLOYMENT CONTRACTS WILL BE REQUIRED. THE BOARD OF DIRECTORS HAS THE AUTHORITY TO ANNUALLY AUTHORIZE MANAGEMENT TO PROCEED WITH IMPLEMENTATION OF PROPOSED COMPENSATION OF OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19GREAT PLAINS HEALTH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. UPON WRITTEN REQUEST TO THE SENIOR VP OF FINANCE & STRATEGY, GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC FOR REVIEW AT THE HOSPITAL'S ADMINSTRATIVE OFFICE.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 1,150,513. MANAGEMENT AND GENERAL EXPENSES 346,813. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,497,326. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,877,896. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,877,896. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 7,370,769. MANAGEMENT AND GENERAL EXPENSES 873,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,244,197. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,977,533. MANAGEMENT AND GENERAL EXPENSES 12. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,977,545. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 571,120. MANAGEMENT AND GENERAL EXPENSES 889,019. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,460,139.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION 623,797.
FORM 990, PART XII, LINE 2C:THE BOARD OF DIRECTORS OF GREAT PLAINS HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH PLATTE NE PHYSICIAN GROUP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 EAST FRANCIS STREET SUITE 9AddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
EIN261608464EIN
Primary ActivitiesPHYSICIAN AND MID LEVEL SERVICES FOR VARIOUS CLINIC AND HOSPITAL PHYSICIANSPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Total Income$15,520,734TotalIncomeAmt
End Of Year Assets$8,447,551EndOfYearAssetsAmt
Direct Controlling NAN/ADirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
GREAT PLAINS MEDICAL ARTS BUILDING INC
611 WEST FRANCISNORTH PLATTENE69101470606871PROPERTY HOLDING COMPANYNE501(C)(2)N/AN/A0
REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE
700 WEST PHILIPNORTH PLATTENE69101470792670RETIREMENT APPARTMENTSNE501(C)(3)LINE 9N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH PLATTE SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 W FRANCIS STE 270AddressLine1Txt
CityNORTH PLATTECityNm
State AbbreviationNEStateAbbreviationCd
ZIP69101ZIPCd
FieldValueIRS element (for citing)
EIN800016588EIN
Primary ActivitiesAMBULATORY SURGERY CENTERPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$1,160,778ShareOfTotalIncomeAmt
Share Of EOY Assets$1,742,859ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
GREAT PLAINS HOMECARE EQUIPMENT INC
PO BOX 1596NORTH PLATTENE69101470786518SELLING OF HOME MEDICAL EQUIPMENTNEGREAT PLAINS HEALTHC$1,685,526$1,660,4861.00000Yes (1)
GREAT PLAINS PHO INC
PO BOX 1167NORTH PLATTENE69103470786942PROVIDER OF CONTRACT MESSENGER SERVICESNEGREAT PLAINS HEALTHC$1,7741.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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