GREAT PLAINS OF PHILLIPS CO INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GREAT PLAINS OF PHILLIPS CO INC (EIN 48-1226829)
- Tax period
- 2014-04-01 to 2015-03-31
- Filed
- 2016-02-15
- IRS object ID
- 201610469349301601
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-15T09:56:02-06:00 | ReturnTs |
| Tax Period End | 2015-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1551 N WATERFRONT PKWY STE 300 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672066601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481226829 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS OF PHILLIPS CO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MIKE HAND | InCareOfNm |
| Business Name Control | GREA | BusinessNameControlTxt |
| Phone | 3166851523 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 NORTH ROCK ROAD STE 160 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE HAND | PersonNm |
| Person Title | CFO AND SENIOR VICE PRESIDENT | PersonTitleTxt |
| Phone | 3166851523 | PhoneNum |
| Signature | 2016-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN L WEBB | PreparerPersonNm |
| PTIN | P00235405 | PTIN |
| Phone | 3162652811 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILLIPS COUNTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE HAND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 NORTH ROCK ROAD STE 160 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,088,825 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PHILLIPSHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 136 | TotalEmployeeCnt |
| Total Volunteers | 57 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $431,715 | PYContributionsGrantsAmt |
| CY Contributions Grants | $434,932 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,719,891 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,353,415 | CYProgramServiceRevenueAmt |
| PY Investment Income | $676 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,861 | CYInvestmentIncomeAmt |
| PY Other Revenue | $230,288 | PYOtherRevenueAmt |
| CY Other Revenue | $298,617 | CYOtherRevenueAmt |
| PY Total Revenue | $10,382,570 | PYTotalRevenueAmt |
| CY Total Revenue | $12,088,825 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,498,402 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,911,190 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,943,022 | PYOtherExpensesAmt |
| CY Other Expenses | $6,531,205 | CYOtherExpensesAmt |
| PY Total Expenses | $10,441,424 | PYTotalExpensesAmt |
| CY Total Expenses | $12,442,395 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$58,854 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$353,570 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,097,407 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,911,346 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,719,946 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,887,455 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,377,461 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,023,891 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,959,947 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,494,500 | RevenueAmt |
| Desc | THE PHILLIPS COUNTY HOSPITAL'S PRIMARY FUNCTION IS THE DELIVERY OF HEALTHCARE AND WELLNESS SERVICES TO INPATIENTS AND OUTPATIENTS IN PHILLIPS COUNTY KANSAS. INPATIENT CARE INCLUDES ACUTE CARE, SWING BED, INTERMEDIATE SWING BED AND SURGICAL SERVICES. OUTPATIENT SERVICES INCLUDE THE RURAL HEALTH CLINICS, THERAPY, SURGICAL AND ANCILLARY SERVICES. | Desc |
| Total Program Service Expenses | $9,959,947 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 136 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE HAND | PersonNm |
| Phone | 3166851523 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 NORTH ROCK ROAD STE 160 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67206 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVE DELLASEGA | ||||||||
| PRESIDENT/CEO/DIRECTOR | 2.0 | 40.0 | Yes (X) | Yes (X) | $0 | $184,141 | $24,592 | |
| STEVE CARLSON | ||||||||
| TREASURER/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LOGAN SPRUNGER | ||||||||
| VICE PRESIDENT/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT HAMILTON | ||||||||
| SECRETARY/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BETH MEYERES | ||||||||
| VICE PRESIDENT/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS E KELLER DVM | ||||||||
| CHAIRMAN/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN TERRILL | ||||||||
| VICE PRESIDENT/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVE RANKIN | ||||||||
| DIRECTOR | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | ||
| BILL NAVIS | ||||||||
| VICE PRESIDENT/DIRECTOR | 0.25 | 2.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR BARBARA BROWN APPLEGATE | ||||||||
| DIRECTOR | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | ||
| TERRY DESCHAINE | ||||||||
| DIRECTOR | 0.25 | 2.25 | Yes (X) | $0 | $0 | $0 | ||
| MIKE HAND | ||||||||
| CFO | 2.0 | 40.0 | Yes (X) | $0 | $136,809 | $28,363 | ||
| DAVE ENGEL | ||||||||
| ADMINISTRATOR | 40.0 | 0.0 | Yes (X) | $145,448 | $0 | $30,797 | ||
| JENNIFER HAMONS | ||||||||
| PHYSICIAN ASSISTANT | 40.0 | 0.0 | $113,122 | $0 | $26,354 | Yes (X) | ||
| DANIELLE BOHL | ||||||||
| PHYSICAL THERAPIST | 40.0 | 0.0 | $115,691 | $0 | $19,654 | Yes (X) | ||
| BEN STEPHENSON | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $289,737 | $0 | $34,894 | Yes (X) | ||
| SARAH MILLER | ||||||||
| PHYSICIAN ASSISTANT | 40.0 | 0.0 | $107,448 | $0 | $11,269 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $771,446 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $320,950 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $175,923 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| DOCS WHO CARE | |
| LOCUM TENEN | $728,755 |
| MHS DATA CENTER | |
| COMPUTER SUPPORT | $241,416 |
| GREAT PLAINS HEALTH ALLIANCE | |
| MANAGEMENT SERVICES | $130,065 |
| CASCADE HEALTH SERVICES | |
| CONTRACT NURSING | $120,677 |
| GPHA - CBO | |
| CENTRALIZED BILLING | $117,765 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,000 | RelatedOrganizationsAmt |
| Government Grants | $329,555 | GovernmentGrantsAmt |
| All Other Contributions | $100,377 | AllOtherContributionsAmt |
| Total Contributions | $434,932 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $10,089,152 | $10,089,152 |
| 340B PRESCRIPTION DRUGS | 621300 | $1,264,263 | $1,264,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,353,415 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $706 | TotalRevenueColumnAmt |
| Exclusion | $706 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $583 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $583 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $583 | TotalRevenueColumnAmt |
| Exclusion | $583 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,155 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,155 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,155 | TotalRevenueColumnAmt |
| Exclusion | $1,155 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OUTSIDE SERVICES | 621300 | $141,085 | $141,085 | |
| VENDOR REBATES | 900099 | $22,894 | $22,894 | |
| EMPLOYEE AND GUEST MEALS | 722513 | $22,278 | $22,278 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,777 | TotalRevenueColumnAmt |
| Exclusion | $111,777 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $298,034 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,088,825 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,494,500 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $159,393 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,715 | TotalAmt |
| Management And General | $149,715 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,596,143 | TotalAmt |
| Program Services | $3,756,411 | ProgramServicesAmt |
| Management And General | $839,732 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,350 | TotalAmt |
| Program Services | $267,943 | ProgramServicesAmt |
| Management And General | $30,407 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,137 | TotalAmt |
| Program Services | $382,220 | ProgramServicesAmt |
| Management And General | $148,917 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,845 | TotalAmt |
| Program Services | $266,278 | ProgramServicesAmt |
| Management And General | $69,567 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,601 | TotalAmt |
| Management And General | $104,601 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,020 | TotalAmt |
| Management And General | $81,020 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,942 | TotalAmt |
| Management And General | $53,942 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,435,873 | TotalAmt |
| Program Services | $2,104,112 | ProgramServicesAmt |
| Management And General | $331,761 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,404 | TotalAmt |
| Program Services | $3,001 | ProgramServicesAmt |
| Management And General | $61,403 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,392 | TotalAmt |
| Program Services | $219,151 | ProgramServicesAmt |
| Management And General | $73,241 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,932 | TotalAmt |
| Program Services | $30,219 | ProgramServicesAmt |
| Management And General | $21,713 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,979 | TotalAmt |
| Program Services | $101,927 | ProgramServicesAmt |
| Management And General | $74,052 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,818 | TotalAmt |
| Program Services | $10,242 | ProgramServicesAmt |
| Management And General | $576 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,170 | TotalAmt |
| Program Services | $35,781 | ProgramServicesAmt |
| Management And General | $33,389 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,441 | TotalAmt |
| Program Services | $18,327 | ProgramServicesAmt |
| Management And General | $6,114 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,526 | TotalAmt |
| Program Services | $213,606 | ProgramServicesAmt |
| Management And General | $159,920 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,281 | TotalAmt |
| Program Services | $49,624 | ProgramServicesAmt |
| Management And General | $35,657 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| 340B PRESCRIPTION DRUGS | $1,516,337 | $1,516,337 | |
| MEDICAL SUPPLIES | $455,677 | $455,677 | |
| EQUIPMENT RENTAL/MAINTENANCE | $305,879 | $265,727 | $40,152 |
| PROVISION FOR BAD DEBTS | $161,033 | $161,033 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,900 | TotalAmt |
| Program Services | $102,331 | ProgramServicesAmt |
| Management And General | $166,569 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,442,395 | TotalAmt |
| Program Services | $9,959,947 | ProgramServicesAmt |
| Management And General | $2,482,448 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,296 | BOYAmt |
| EOY | $74,150 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,151 | BOYAmt |
| EOY | $316,815 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,527,226 | BOYAmt |
| EOY | $1,209,670 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,450 | BOYAmt |
| EOY | $247,688 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,780 | BOYAmt |
| EOY | $29,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,943,460 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,314,601 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,572,504 | BOYAmt |
| EOY | $1,628,859 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $405,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,097,407 | BOYAmt |
| EOY | $3,911,346 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,108,852 | BOYAmt |
| EOY | $1,404,087 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,783 | BOYAmt |
| EOY | $154,277 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,240 | BOYAmt |
| EOY | $329,091 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,071 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,719,946 | BOYAmt |
| EOY | $1,887,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,177,147 | BOYAmt |
| EOY | $1,827,749 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,314 | BOYAmt |
| EOY | $196,142 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,377,461 | BOYAmt |
| EOY | $2,023,891 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,097,407 | BOYAmt |
| EOY | $3,911,346 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$353,570 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $3,444 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,444 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,100 | OtherCostOrOtherBasisAmt |
| Book Value | $48,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,644,268 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,719,397 | DepreciationAmt |
| Book Value | $924,871 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,044,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,489,414 | DepreciationAmt |
| Book Value | $554,806 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,872 | OtherCostOrOtherBasisAmt |
| Depreciation | $105,790 | DepreciationAmt |
| Book Value | $101,082 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,628,859 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM THIRD-PARTY PAYORS | Desc |
| Book Value | $405,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $405,000 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $11,927,792 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$161,033 | OtherRevenueAmt |
| Revenue Not Reported | -$161,033 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,088,825 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $12,088,825 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,281,362 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $12,281,362 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $161,033 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $161,033 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,442,395 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | PROVISION FOR UNCOLLECTIBLE ACCOUNTS (161,033) |
| SCHEDULE D, PART XII, LINE 4B | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 161,033 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $101,615 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,699 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $99,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $427,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $244,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $528,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $246,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $282,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,670 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $88,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,615 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,285 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $102,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $631,235 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $246,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $384,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $161,033 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,073,133 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,073,133 | CostOfCareReimbursedByMedcrAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS OF PHILLIPS CO INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 THIRD STREET | AddressLine1Txt |
| City | PHILLIPSBURG | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PHILLIPSHOSPITAL.ORG | WebsiteAddressTxt |
| State License | H074001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL HEALTH CLINIC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS OF PHILLIPS CO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PHILLIPSHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.PHILLIPSHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.PHILLIPSHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.PHILLIPSHOSPITAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, LINE 5 | THE DEVELOPMENT OF THE ASSESSMENT BRINGS TOGETHER COMMUNITY HEALTH LEADERS AND PROVIDERS, ALONG WITH LOCAL RESIDENTS TO RESEARCH AND PRIORITIZE COUNTY HEALTH NEEDS. THE ASSESSMENT WAS COORDINATED AND PRODUCED BY VVV RESEARCH & DEVELOPMENT INC, A CONSULTANT WITH TWENTY YEARS OF EXPERIENCE HELPING HOSPITALS ENGAGE THEIR COMMUNITIES. ADDITIONALLY, THE HOSPITAL WORKED CLOSELY WITH ITS COMMUNITY PARTNERS - PHILLIPS COUNTY MEDICAL CLINIC AND LOGAN MEDICAL CLINIC TO IDENTIFY THE NEEDS OF THE CITIZENS. |
| SCHEDULE H, PART V, LINE 11 | THE CHNA CONDUCTED HIGHLIGHTED TEN AREAS OF IMPROVEMENT. ONE AREA WAS THE RECRUITMENT OF DOCTORS, AND PHILLIPS COUNTY HOSPITAL PUT FORTH A PLAN TO UTILIZE RECRUITMENT STRATEGIES WITH FOUNDATION SUPPORT FOR PHYSICIAN LOAN FORGIVENESS AND SOFTWARE AND RECRUITMENT FAIR TOOLS. SECONDLY, THE HOSPITAL IS WORKING TO BUILD COOPERATION BETWEEN HEALTH CARE PROVIDERS BY DEVELOPING A COMMITTEE, IDENTIFYING BARRIERS IN COOPERATION, AND OPENING LINES OF COMMUNICATION BETWEEN PROVIDERS AND THE COMMUNITY. ADDITIONALLY, THE COMMUNITY WANTED AN OFFERING OF EXPANDED HEALTH SERVICES INCLUDING OB, DIALYSIS, AND CHEMOTHERAPY SERVICES. THE HOSPITAL PLANS TO RESEARCH MARKET DEMAND AS WELL AS FINANCIAL IMPACT OF SUPPORTING SUCH SERVICES, AND WORK ON RECRUITING AND RETAINING PROFESSIONALS AS WELL AS EDUCATING THE COMMUNITY OF SERVICES CURRENTLY AVAILABLE. ANOTHER COMMUNITY CONCERN WAS TO EXPAND HEALTH EDUCATION PROGRAMS. THE HOSPITALS STRATEGY IS TO FIRST IDENTIFY EXISTING PROGRAMS AND DETERMINE THEIR UTILIZATION AND SUPPORT ELEMENTS WHILE DETERMINING NEW PROGRAMS NEEDED. ELDERLY CARE ASSISTANCE IS A COMMUNITY CONCERN IN PHILLIPS COUNTY. AREAS OF FOCUS INCLUDE PROVIDING A CENTRALIZED RESOURCE OF ELDERLY CARE PROGRAMS AND ENHANCE OR EXPAND SENIOR PROGRAMS IN THE COMMUNITY. SUBSTANCE ABUSE LIKELY AFFECTS EVERY MEMBER OF THE COMMUNITY. RECOMMENDATIONS INCLUDE EDUCATION AND MONITORING OF PRESCRIPTION DRUG ABUSE BOTH IN THE COMMUNITY AND SCHOOLS. ADDITIONALLY, ENGAGE PROVIDERS, PHARMACISTS, AND COMMUNITY AND STATE EXPERTS IN DEVELOPING PROGRAMS AND PATHS OF COMMUNICATION. COMMUNITY MEMBERS ALSO IDENTIFIED CHEMOTHERAPY SERVICES AND PRESCRIPTION FINANCIAL AID AS SERVICES THEY WOULD LIKE TO SEE IN THE COMMUNITY. AS SUCH SERVICES ARE OFFERED, THE HOSPITAL IS WORKING ON IDENTIFYING WHY MEMBERS ARE NOT AWARE OF PROGRAMS, AND IMPROVE EDUCATION. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | THE ORGANIZATION EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S HOUSEHOLD INCOME MUST BE BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL AT THE DATE OF SERVICE. TO DETERMINE THE AMOUNT OF THE DISCOUNT, AN ASSET TEST IS ALSO UTILIZED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PHILLIPS COUNTY MEDICAL CLINIC | ||||
| 1719 HWY 183 | PHILLIPSBURG | KS | 67661 | MEDICAL CLINIC |
| LOGAN CLINIC | ||||
| 214 WEST MAIN STREET | LOGAN | KS | 67646 | MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | THE ORGANIZATION EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S HOUSEHOLD INCOME MUST BE BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL AT THE DATE OF SERVICE. TO DETERMINE THE AMOUNT OF THE DISCOUNT, AN ASSET TEST IS ALSO UTILIZED. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $161,033. |
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 2 | HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY. |
| SCHEDULE H, PART III, LINE 3 | THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. |
| SCHEDULE H, PART III, LINE 4 | SEE PAGES 6 AND 7 OF THE AUDITED FINANCIALS UNDER NOTE 1. |
| SCHEDULE H, PART III, LINE 8 | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 9B | ALL CHARITY CARE CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPT FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE. |
| SCHEDULE H, PART VI, LINE 2 | THE FACILITY MEETS REGULARLY WITH PROVIDERS AND COMMUNITY MEMBERS INQUIRING ABOUT HEALTHCARE NEEDS IN THE COMMUNITY. THESE SESSIONS ALONG WITH MONITORING OF THE KANSAS DEPARTMENT OF HEALTH AND KANSAS HOSPITAL ASSOCIATION DATA AND ONGOING COMMUNICATION WITH LOCAL TERTIARY FACILITIES HAS PROVIDED THE COMMUNITY AND FACILITY INFORMATION TO MAKE OBJECTIVE DECISIONS. THE COMMUNITY HEALTH CARE IMPROVEMENT COUNCIL WHICH MEETS PERIODICALLY, INCLUDES REPRESENATION FROM THE HOSPITAL, CLINICS, MEDICAL STAFF, SOCIAL SERVICES, MENTAL HEALTH, SRS/KDHE, SCHOOLS, MINISTERIAL ALLIANCE, HOSPICE, EMS, PUBLIC HEALTH DEPARTMENT, HOME HEALTH AND COMMUNITY MEMBERS. MEMBERS OF THIS COMMITTEE SHARE NEEDS WITHIN THEIR RESPECTIVE ENVIRONMENTS AND THE COUNCIL RESPECTIVELY ADDRESSES MEANS TO IMPROVE COMMUNITY HEALTHCARE NEEDS. THE FACILITY AND HEALTHCARE IMPROVEMENT COUNCIL THIS PAST YEAR COMPLETED PROGRAM INITIATIVES FROM 2012. PLANNING FOR CURRENT YEAR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT WAS INITIATED WITH A COMMUNITY TOWN HALL SESSION SCHEDULED FOR MAY 2015. WORKING RELATIONSHIPS WITH COUNTY HEATLH CARE AGENCIES CONTINUES TO BE STRONG. PCH PROVIDES THERAPY SERVICES WITH THESE AGENCIES AND CONTINUES TO COLLABORATE AT VARIOUS LEVELS TO MEET THE COMMUNITY HEALTH NEEDS ASSESSMENT OUTCOMES. NUMEROUS SPECIALTY CARE SERVICES ARE PROVIDED IN THE COMMUNITY AND SAVES THOSE REQUIRING SERVICES FROM HAVING TO TRAVEL. THE GOVERNING BOARD AND LEADERSHIP OF THE HOSPITAL ARE INVOLVED IN NUMEROUS CIVIC GROUPS ACROSS THE COMMUNITY. THE GOVERNING BOARD AND LEADERSHIP PROVIDED COMMUNITY EDUCATION SESSIONS TO SIX LOCATIONS ACROSS THE COUNTY THIS PAST YEAR. THESE SESSIONS ENGAGED IN AIDING COMMUNITY MEMBERS BETTER UNDERSTAND THE NEED FOR A STATE OF THE ART FACILITY. WE HAVE A VERY ACTIVE GOVERNING BOARD OF 9 MEMBERS, WHO SPEND MUCH TIME INTERACTING WITH CITIZENS OF PHILLIPS COUNTY COVERING AN 885 SQARE MILE SERVICE AREA. WE PROVIDE HEALTHCARE EDUCATION VIA DAILY PUBLIC SERVICE ANNOUNCEMENTS, INFORM AND EDUCATE THE PUBLIC VIA MEDIA RELEASES REGARDING CURRENT LEGISLATIVE ACTIVITIES OCCURRING AT THE FEDERAL AND STATE LEVEL. THESE TOPICS ARE SHARED OPENLY AT THE GOVERNANCE MEETING FOR WHICH COMMUNITY MEMBERS ATTEND ON A REGULAR BASIS. PHILLIPS COUNTY HOSPITAL IS A COMMUNITY MEMBER OF THE KS RURAL HEALTH CARE SYSTEM IMPROVEMENT PILOT PROJECT WITH NEARBY COUNTIES. THE SECOND YEAR OF THIS GRANT DELVED INTO DEVELOPMENT OF A PROGRAM (DIABETES EDUCATION) THAT WOULD IMPROVE THE QUALITY OF HEALTH OF THOSE IN THE PROGRAM, REDUCE DIABETIC CRISIS EVENTS THAT LEAD TO EMERGENCY ROOM CARE AND/OR HOSPITALIZATION. THE PROGRAM WILL EXPAND INTO ADDRESSING MENTAL HEALTH CHALLENGES AND INCORPORATE TECHNOLOGY TO REDUCE UNNECESSARY ACCESS TO MEDICAL CARE. PHILLIPS COUNTY HOSPITAL IS AN ACTIVE MEMBER OF THE KANSAS UNIVERSITY AND HAYS MEDICAL CENTER HEART AND STROKE COLLABORATIVE GRANT. THIS INITIATIVE IS DESIGNED TO IDENTIFY HEART / STROKE CANDIDATES AND INCORPORTATE A 'HEALTH COACH' PARTNER WHO WILL ASSIST CANDIDATES TO EMBRACE HEALTHIER ACTIVITES OF LIVING TO AVOID ACUTE HEART OR STROKE EVENTS. |
| SCHEDULE H, PART VI, LINE 3 | UPON REGISTRATION FOR SERVICES, EACH PATIENT IS ASKED IF THEY NEED FINANCIAL ASSISTANCE IF THEY DO NOT HAVE INSURANCE OR HAVE A STEEP DEDUCTIBLE. IF REQUESTED, A FINANCIAL COUNSELOR WILL VISIT WITH HIM/HER AT THAT TIME PRIOR TO SERVICES TO ESTABLISH ELIGIBILITY FOR STATE/FEDERAL PROGRAMS, ESTABLISH A PAYMENT PLAN, APPLY THE SLIDING FEE DISCOUNT BASED ON INCOME OR SIMPLY EDUCATE THE PATIENT OF PAYMENT OPTIONS. THE FACILITY MAKES AVAILABLE EDUCATIONAL INFORMATION IN PATIENT ROOMS AND WAITING AREAS. THE HOSPITAL FOLLOWS ITS CHARITY CARE POLICY AND REGULARLY SENIOR MANAGEMENT MEETS TO FURTHER QUALIFY THOSE IN NEED OF FINANCIAL ASSISTANCE. ALL OF THESE OPTIONS ARE AVAILABLE IN THE HOSPITAL AND CLINIC SETTINGS. IF DISCOVERED DURING THE ACCOUNTS RECEIVABLE PROCESS THAT A PATIENT IS HAVING DIFFICULTY MAKING PAYMENTS, THE PATIENT HAS THE OPTION TO CALL THE FINANCIAL COUNSELOR DIRECTLY OR ON A PRESCRIBED BASIS THE FINANCIAL COUNSELOR IS MAKING CALLS TO PATIENTS FALLING BEHIND ON THEIR PAYMENT PLANS TO SEE HOW WE CAN ASSIST THEM. THE HOSPITAL EMPLOYS A SOCIAL SERVICES DIRECTOR WHO CONSULTS AND ASSISTS PRIVATE PAY, UNINSURED AND UNDERINSURED PATIENTS TO DETERMINE AND GAIN FINANCIAL ASSISTANCE. OUR SOCIAL WORKER ASSISTS PATIENTS IN COMPLETING THE APPLICATIONS FOR MEDICAL ASSISTANCE AND SERVES AS A RESOURCE FOR OTHER HEALTH RELATED NEEDS. FINANCIAL SERVICES AND THE CASE MANAGER WORKS WITH OUR SOCIAL SERVICES STAFF UPON NEED TO ASSIST PATIENTS WITH PUBLIC PROGRAMS WHEN WARRANTED. WE HAVE OCCASIONALLY OBTAINED ASSISTANCE THROUGH THE STATE HIGH RISK POOL INSURANCE PROGRAM BY WORKING DIRECTLY WITH THE SRS AND STATE INSURANCE COMMISSIONER FOR DIFFICULT CASES. WE HAVE IMPLEMENTED VARIOUS EDUCATIONAL OFFERINGS INCLUDING FINANCIAL ASSISTANCE AND THE "SERVICE THROUGH BILLING PROCESS" EXPECTATIONS ON OUR WEBSITE. |
| SCHEDULE H, PART VI, LINE 4 | PHILLIPS COUNTY HOSPITAL IS LOCATED IN PHILLIPSBURG, KS. THIS FACILITY MAINTAINS TWO RURAL HEALTH CLINICS, ONE IN PHILLIPSBURG AND ONE IN LOGAN, KS. THE 2010 CENSUS ESTIMATED THE POPULATION TO BE 5,642 FOR THE COUNTY IN 3,037 HOUSEHOLDS WITH A POPULATION DENSITY OF 6.4 PER SQUARE MILE. PER CAPITA MEDIAN INCOME IS $42,838. ABOUT 8.6% OF FAMILIES AND 11.2% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 20.3% OF THOSE UNDER AGE 18 AND 9.4% OF THOSE AGE 65 OR OVER. ETHNICALLY, 97.0% OF THE POPULATION IS WHITE; 2.8% HISPANIC/LATINO AND 0.2% OTHER. OF TOTAL HOUSEHOLDS 28.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 61.5% ARE FAMILY/MARRIED, 5.50% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND AND 31.00% WERE NON-FAMILIES. 28.60% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 15.80% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OR OLDER. THIS RURAL COUNTY HAS EXPERIENCED A DECLINE IN POPULATION FOR THE PAST 20 YEARS. PEOPLE AGE 35-54 MAKE UP THE LARGEST PORTION OF THE POPULATION, WITH 24.9%. THOSE AGE 65 AND OLDER REPRESENT 20.3% OF THE POPULATION. 50.5% OF THE TOTAL POPULATION IS FEMALE. THE CLINICS AND HOSPITAL SERVE EIGHT (8) COMMUNITIES IN PHILLIPS COUNTY AND THE RURAL CONTIGUOUS COUNTIES OF ROOKS, NORTON, SMITH (IN KANSAS) AND HARLAN IN NEBRASKA. HOSPITAL PATIENT MIX IS HEAVILY WEIGHTED TOWARDS MEDICARE BENEFICIARIES. MEDICARE ACUTE INPATIENT AND SWING-BED OCCUPANCY CONSISTENTLY RUNS NEAR 90%. OUR PHYSICIAN/PROVIDER RATIO TO POPULATION IS 1:5276 COMPARED TO THE STATE AVERAGE OF 1:1723. 19.4 PERCENT OF OUR RESIDENTS ARE UNINSURED COMPARED TO THE STATE AVERAGE OF 19.1%. |
| SCHEDULE H, PART VI, LINE 5 | PHILLIPS COUNTY HOSPITAL PROVIDES AND PROMOTES THE HEALTH OF PHILLIPS COUNTY RESIDENTS THROUGH VARIOUS AVENUES. THE HOSPITAL SUPPORTS THE DEVELOPMENT OF THE COMMUNITY WELLNESS CENTER. MOST RECENTLY THE WELLNESS CENTER EXPANDED AND THE HOSPITAL PARTNERED WITH THEM IN DEVELOPMENT OF A CONTROLLED WEIGHT REDUCTION PROGRAM. THE HOSPITAL IS INTEGRALLY INVOLVED WITH THE THERAPY POOL AND IS PROVIDING THERAPY AND SAFETY PROGRAMS YEAR ROUND. PCH AND MEDICAL CLINICS HAVE AND CONTINUE TO PROVIDE A VARIETY OF HEALTH FAIRS. A HEALTH FAIR WAS HELD WITH LOCAL BUSINESSES AND PATRONS WERE INVITED TO JOIN IN HEALTH EDUCATION ALONG WITH YOUTH RELATED SAFETY CLINICS AND FUN FOR ALL. A VARIETY OF WELLNESS CHECKS WERE CONDUCTED ALONG WITH EDUCATIONAL RESOURCES. DISCOUNTED SCHOOL PHYSICALS ARE CONDUCTED EACH YEAR FOR AREA STUDENTS. THE HOSPITAL SPONSORS SEVERAL COMMUNITY FUN RUNS ANNUALLY. THE HOSPITAL AND EMPLOYEES DONATE RESOURCES AND TIME TOWARD THE "FREE SUMMER LUNCH" PROGRAM EACH YEAR TO SERVE HOT MEALS TO LOW INCOME CHILDREN. THIS PROGRAM INCORPORATES PROPER NUTRITION FOR THE YOUTH OF PHILLIPS COUNTY. BREAKFAST WITH SANTA IS AN ANNUAL EVENT TO GET YOUTH AND FAMILIES INVOLVED WITH PROPER NUTRITION, WELLNESS EVALUATIONS AND EDUCATION. THE HOSPITAL AND CLINIC ENCOURAGE COMMUNITY INVOLVEMENT. DURING THE YEAR, 57 EMPLOYEES DONATED OVER 2,730 HOURS TOWARD HUMANITARIANISM SERVING IN MOST EVERY CIVIC CLUB IN THE COMMUNITY. THIS INVOLVEMENT DEMONSTRATES THE HEALTH SYSTEM'S COMMITMENT TO THE COMMUNITY AND THE ABILITY TO DRAW THE COMMUNITY TO OUR HEALTH CENTER. COMMUNITY HEALTH EDUCATION IS PROVIDED ON A REGULAR BASIS FOR DIABETES AND OSTOMY CARE BY AN RN. WE UTILIZE OUR ITV HOOKUP TO PROVIDE EDUCATIONAL SERIES TO OUR PATIENTS AND STAFF. HOME SAFETY ASSESSMENTS ARE PROVIDED BY THERAPY STAFF TO HELP PREVENT FALLS. THE THERAPY DEPARTMENT PROVIDED A 'HOME FALLS RISK' EDUCATIONAL SERIES TO THE COMMUNITY THAT WAS WELL ATTENDED. THE HOSPITAL OPERATES THE COMMUNITY 'LIFELINE' SYSTEM. THE HOSPITAL SERVES AS THE RESOURCE FOR INSTALLATION, MONITORING, TRAINING AND EDUCATION ON THESE SERVICES. THE SCHOOL SYSTEM INCORPORATES THE HOSPITAL STAFF INTO CAREER FAIRS FOR STUDENTS WITH BOOTHS ON THE DIFFERENT PROFESSIONS WITHIN THE HEALTH CARE INDUSTRY TO PROMOTE NEW HEALTHCARE PROFESSIONALS. THESE ARE PROVIDED TO BOTH MIDDLE SCHOOL AND SENIOR-HIGH LEVELS. STUDENTS GET THE OPPORTUNITY TO ROLE PLAY AS VICTIMS DURING DISASTER DRILLS AS A FUN EVENT, BUT ALSO TO EDUCATE THEM ON THE HAZARDS THAT OCCUR IN THE COMMUNITY AND HOW THEY WOULD BE CARED FOR IN THE EVENT OF AN ACCIDENT. DURING FLU SEASON, CLINIC PERSONNEL PROVIDE VACCINATIONS TO LOCAL BUSINESSES IN SEVERAL COMMUNITIES IN THE COUNTY. IN CONJUNCTION WITH THE LOCAL EMS, THE HOSPITAL PARTICIPATES IN BASIC LIFE SUPPORT CLASSES FOR COMMUNITY MEMBERS AND STAFF. A SUICIDE PREVENTION PROGRAM IS PRESENTED ANNUALLY. PHILLIPS COUNTY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES 24 HOUR EMERGENCY ROOM CARE AND FINANCIALLY SUBSIDIZES THIS SERVICE. IN FISCAL YEAR 2015, THE COST OF PHYSICIAN SERVICES TO COVER THE EMERGENCY ROOM WAS $841,371. THE HOSPITAL PARTICIPATES IN ALL GOVERNMENTAL HEALTH CARE PLANS AND IS THE ONLY HOSPITAL IN PHILLIPS COUNTY, SERVICING AN 886 SQUARE MILE AREA. WE HAVE AN OPEN MEDICAL STAFF WITH 15 SPECIALIST PHYSICIANS HOLDING OUTPATIENT CLINICS PREVENTING THE NEED FOR PERSONS IN OUR COMMUNITY TO TRAVEL LONG DISTANCES FOR THESE SPECIALTY MEDICAL SERVICES. THE HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH HEALTH FAIRS, PUBLIC SERVICE ANNOUNCEMENTS, MEDIA RELEASES, COMMUNITY PRESENTATIONS, HEALTH EDUCATIONAL CLASSES, SEASONAL FLU VACCINATIONS PROVIDED ON-SITE AND AT OUR LOCAL BUSINESSES AND ANNUAL REDUCED RATE SCHOOL PHYSICALS FOR AREA ATHLETES. AREA BUSINESSES WERE ESTABLISHED IN THIS COMMUNITY DUE TO THE SUPPORT OF OUR HEALTHCARE FACILITY AND NUMEROUS PROMOTIONAL HEALTH RELATED EVENTS, LIKE RELAY FOR LIFE. THE AMERICAN HEART ASSOCIATION'S ANNUAL EVENTS ARE CONDUCTED THROUGH THE HOSPITAL. THE HOSPITAL WORKS CLOSELY WITH OUR LOCAL HOME HEALTH AND HOSPICE PROVIDERS FOR THEIR SERVICES. THE HOSPITAL HAS ALSO PARTNERED WITH SEVERAL UNIVERSITIES AND COMMUNITY COLLEGES TO PROVIDE CLINICAL EDUCATION OPPORTUNITIES ON-SITE FOR OUR PHYSICAL AND OCCUPATIONAL THERAPY, NURSING, LABORATORY, RADIOLOGY AND CODING PROFESSIONS. IN CONJUNCTION WITH THE COMMUNITY AMBULANCE SERVICE THE HOSPITAL SPONSORS ACLS, PALS AND CPR FOR PROFESSIONALS IN PHILLIPS COUNTY. TNCC CLASSES ARE SPONSORED BY THE HOSPITAL FOR NURSES AND AREA HEALTH CARE PROFESSIONALS. THE HOSPITAL ALSO PARTICIPATES IN DISASTER/BIOTERRORISM DRILLS WITH OTHER AREA HEALTH CARE FACILITIES ON A SEMI-ANNUAL BASIS. |
| SCHEDULE H, PART VI, LINE 6 | THE ORGANIZATION IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT 501(C) (3) ORGANIZATION, WHICH PROVIDES MANAGEMENT SERVICES AND OPERATIONAL, FINANCIAL 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 HOSPITALS, 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 MANAGERS, BILLERS, MEDICAL RECORDS PERSONNEL, DIRECTOR OF NURSING AND ADMINISTRATORS. GPHA IS A VITAL LINK IN ALLOWING CRITICAL ACCESS HOSPITALS THE ABILITY TO OFFER HIGH QUALITY MEDICINE DESPITE THE BUDGET CONSTRAINTS ENDURED IN FRONTIER POPULATION AREAS. |
| SCHEDULE H, PART VI, LINE 7 | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVE DELLASEGA | |||||||||||
| PRESIDENT/CEO/DIRECTOR | $0 | $181,781 | $2,360 | $0 | $17,850 | $0 | $6,742 | $0 | $208,733 | $0 | $0 |
| MIKE HAND | |||||||||||
| CFO | $0 | $133,966 | $2,843 | $0 | $13,165 | $0 | $15,198 | $0 | $165,172 | $0 | $0 |
| DAVE ENGEL | |||||||||||
| ADMINISTRATOR | $145,448 | $0 | $13,745 | $0 | $17,052 | $0 | $176,245 | $0 | $0 | $0 | |
| BEN STEPHENSON | |||||||||||
| PHYSICIAN | $289,737 | $0 | $25,200 | $0 | $9,694 | $0 | $324,631 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, PART VII, SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION FOR MIKE HAND 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. HAND AND MR. DELLASEGA. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAVE COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. A COMPENSATION REVIEW WAS DONE WHEN DAVE DELLASEGA TOOK OVER AS CEO AND WAS CONDUCTED BY THE BOARD, BUT SINCE THAT TIME THERE HAS BEEN NO FORMAL COMPENSATION REVIEW. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVE DELLASEGA AND MIKE HAND HAVE A BUSINESS RELATIONSHIP. THEY ARE BOTH EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE. |
| FORM 990, PART VI, SECTION A, LINE 6 | GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF PHILLIPS CO., INC. |
| FORM 990 PART VI, SECTION A, LINE 7A | GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE 990 WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL GPHA EMPLOYEES AND GPHA BOARD MEMBERS 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 MEMEBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED. |
| FORM 990, PART VI, SECTION B, LINES 15A & B | THE CEO AND CFO ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GPHA'S BOARD USES COMPARABILITY DATA IN SETTING THEIR SALARIES, AND DOCUMENTATION IS RETAINED OF THE BOARD'S DELIBERATIONS AND DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:1941480 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:222125 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAB SERVICES TOTAL FEES:35235 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY SERVICES TOTAL FEES:89955 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:101722 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE/HOUSEKEEPING TOTAL FEES:15664 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PLANT OPERATIONS TOTAL FEES:18808 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIETARY SERVICES TOTAL FEES:10884 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GREAT PLAINS HEALTH ALLIANCE INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 480617739 | MANAGEMENT | KS | 501(C)(3) | 3 | NA | false |
| GREAT PLAINS HEALTH CARE FOUNDATION INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 480955870 | SUPPORT | KS | 501(C)(3) | 9 | GPHA INC | Yes (true) |
| GREAT PLAINS OF ELLINWOOD INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226976 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| GREAT PLAINS OF KIOWA CO INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226833 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| GREAT PLAINS OF OTTAWA CO INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226856 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| GREAT PLAINS OF SABETHA INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481236156 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| GREAT PLAINS OF SMITH CO INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226830 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| GREAT PLAINS OF REPUBLIC CO INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226977 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| GREAT PLAINS OF CHEYENNE CO INC | ||||||||||
| 250 NORTH ROCK ROAD STE 160 | WICHITA | KS | 67206 | 481226831 | HOSPITAL | KS | 501(C)(3) | 3 | GPHA INC | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS HEALTH CARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $5,000 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments