NORTH PLATTE NEBRASKA HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTH PLATTE NEBRASKA HOSPITAL CORPORATION (EIN 47-0662290)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201313179349302326
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T10:49:49-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 476097913 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 680224722 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470662290 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH PLATTE NE HOSPITAL CORP DBA | BusinessNameLine1 |
| Business Name Line2 | GREAT PLAINS REGIONAL MEDICAL CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 3086968000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST LEOTA STREET | AddressLine1 |
| City | NORTH PLATTE | City |
| State | NE | State |
| ZIP Code | 69103 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KRYSTAL CLAYMORE | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3086968000 | Phone |
| Date Signed | 2013-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIE M GERKEN | Name |
| PTIN | P00400882 | PTIN |
| Phone | 4023302660 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KRYSTAL CLAYMORE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST LEOTA STREET | AddressLine1 |
| City | NORTH PLATTE | City |
| State | NE | State |
| ZIP Code | 69103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 144463535 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GPRMC.COM | WebSite |
| Type Of Organization Association | X | TypeOfOrganizationAssociation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE ACUTE, PREVENTIVE AND OTHER HEALTHCARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1027 | TotalNbrEmployees |
| Total Nbr Volunteers | 96 | TotalNbrVolunteers |
| Total Gross UBI | 1242522 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -186799 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 272616 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 217152 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 136609704 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 145304353 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2334782 | InvestmentIncomePriorYear |
| Investment Income Current Year | -3154345 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1624207 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1529146 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 136171745 | TotalRevenuePriorYear |
| Total Revenue Current Year | 143896306 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 520000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 544715 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 61924901 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 69908585 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 67764544 | OtherExpensePriorYear |
| Other Expenses Current Year | 67280162 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 130209445 | TotalExpensesPriorYear |
| Total Expenses Current Year | 137733462 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5962300 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6162844 | RevenuesLessExpensesCY |
| Total Assets BOY | 166896116 | TotalAssetsBOY |
| Total Assets EOY | 278483459 | TotalAssetsEOY |
| Total Liabilities BOY | 28867342 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 128007114 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 138028774 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 150476345 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDING THE KIND OF HEALTH CARE WE WOULD WANT FOR OURSELVES AND OUR FAMILIES, IN PARTNERSHIP WITH THOSE WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 131406645 | Expense |
| Grants | 544715 | Grants |
| Revenue | 145522658 | Revenue |
| Description | GREAT PLAINS REGIONAL MEDICAL CENTER (GPRMC) PROVIDES FULL SERVICE MEDICAL CARE TO THE GENERAL PUBLIC THAT OFFERS INPATIENT, AND OUTPATIENT SERVICES THAT INCLUDE HOME SUPPORT SERVICES, OUTREACH PROGRAMS, AND FOLLOW-UP CARE TO MEET THE DIVERSE NEEDS OF THE PATIENTS GPRMC SERVES. GPRMC PROVIDES CARE TO THE UNDERINSURED AND THE UNINSURED. FURTHERMORE, GPRMC PROVIDES PROGRAMS, SUCH AS MEDICATION ASSISTANCE, HOME HEALTH, HOSPICE, HEALTHY START, AND ATHLETIC TRAINING AND DOES NOT RECOUP THE COST OF SUCH PROGRAMS. GPRMC ABSORBS THE COST ASSOCIATED WITH PROGRAMS THAT DO NOT COVER THE COSTS OF CARE. SO THAT GPRMC STILL PROVIDES COMMUNITY MEMBERS WITH THE CARE THEY NEED.GPRMC 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. GPRMC SUBSIDIZES PROFESSIONAL DEVELOPMENT EDUCATION AND CERTIFICATION OF CLINICAL STAFF TO ENSURE GPRMC IS ABLE TO PROVIDE THE NEWEST TREATMENTS AND BEST CARE. | Description |
| Total Program Service Expense | 131406645 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 192 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1027 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRYSTAL CLAYMORE CHIEF FINANCIAL OFFICER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3086967197 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST LEOTA | AddressLine1 |
| City | NORTH PLATTE | City |
| State | NE | State |
| ZIP Code | 69103 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DAVID PEDERSON | ||||||||
| CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| KYLE GIFFORD | ||||||||
| VICE CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| MISTY ROBERTSON | ||||||||
| SECRETARY/TREASURER | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| CHRIS JOHNG MD | ||||||||
| CHIEF OF STAFF | 1.00 | 2.00 | X | X | 41400 | 0 | 0 | |
| JEFF BRITAN MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT BUCKLAND MD | ||||||||
| DIRECTOR THROUGH 08/12 | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| BYRON BARKSDALE | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| KATHY BOURQUE | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| MARC KASCHKE | ||||||||
| DIRECTOR THROUGH 11/12 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| DIANN KOLKMAN | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| BEN LASHLEY DDS | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| DWIGHT LIVINGSTON | ||||||||
| DIRECTOR BEGINNING 12/12 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| DUDLEY OLTMANS | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| JOHN PATTERSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| RORIC PAULMAN | ||||||||
| DIRECTOR BEGINNING 09/12 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| CHRIS SEIP MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 3863 | 0 | 0 | ||
| LINDA TUCKER | ||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| GREG NIELSEN | ||||||||
| CEO | 38.00 | 2.00 | X | 344606 | 0 | 37161 | ||
| MEL MCNEA | ||||||||
| COO | 40.00 | 0.00 | X | 220700 | 0 | 33893 | ||
| KRYSTAL CLAYMORE | ||||||||
| CFO | 38.00 | 2.00 | X | 222615 | 0 | 31339 | ||
| JAMES ANDERSON | ||||||||
| CIO (THROUGH 01/12) | 40.00 | 0.00 | X | 95171 | 0 | 3263 | ||
| BRANDON KELLIHER | ||||||||
| CIO (01/12 - 10/12) | 40.00 | 0.00 | X | 137286 | 0 | 14798 | ||
| MARK CLARK | ||||||||
| CIO (BEGINNING 10/12) | 40.00 | 0.00 | X | 27652 | 0 | 3912 | ||
| IRFAN A VAZIRI | ||||||||
| PHYSICIAN (GPRMC) | 40.00 | 0.00 | 1160219 | 0 | 38966 | X | ||
| ARSHAD ALI | ||||||||
| PHYSICIAN (GPRMC) | 40.00 | 0.00 | 896982 | 0 | 18339 | X | ||
| SATYANARAYANA NELLURI | ||||||||
| PHYSICIAN (GPRMC) | 40.00 | 0.00 | 866487 | 0 | 37241 | X | ||
| MICHAEL GALLENTINE | ||||||||
| PHYSICIAN (NPNPG) | 40.00 | 0.00 | 625048 | 0 | 33912 | X | ||
| MARIA E DE VILLA | ||||||||
| PHYSICIAN (GPRMC) | 40.00 | 0.00 | 531030 | 0 | 37811 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5173059 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 290635 | TotalOtherCompensation |
| Number Individuals GT100 K | 72 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HDR ARCHITECTURE INC | |||||
| 8404 INDIAN HILLS DRIVE | OMAHA | NE | 68114 | ARCHITECTURE | 2925141 |
| SAMPSON CONSTRUCTION | |||||
| 440 REGENCY PARKWAY DRIVE | OMAHA | NE | 68114 | CONSTRUCTION | 1763056 |
| SNELL SERVICES INC | |||||
| 2345 10TH STREET | GERING | NE | 69341 | CONSTRUCTION | 1064637 |
| REGIONAL CARE INC | |||||
| 905 WEST 27TH STREET | SCOTTSBLUFF | NE | 69361 | MANAGEMENT | 655749 |
| NORTH PLATTE ORTHOPAEDIC | |||||
| 215 MCNEEL LANE | NORTH PLATTE | NE | 69101 | PHYSICIAN/ADMINISTRATIVE SERVICES | 520528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 41 | NumberOfContractorsGT100K |
| All Other Contributions | 217152 | AllOtherContributions |
| Total Contributions | 217152 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REV | 624100 | 91059411 | 91059411 |
| MEDICARE/MEDICAID PAYMENTS | 624100 | 52687713 | 52687713 |
| MANAGEMENT FEES | 624100 | 789988 | 789988 |
| OTHER OPERATING REVENUE | 624100 | 767241 | 767241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 145304353 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2635670 | TotalRevenueColumn |
| Exclusion | -$2,635,670 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 68319 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 68319 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68319 | TotalRevenueColumn |
| Exclusion | $68,319 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 48554 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 567229 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -518675 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -518675 | TotalRevenueColumn |
| Exclusion | -$518,675 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| PATHOLOGY | 621500 | 1175405 | 1175405 | |
| CAFETERIA SALES | 624200 | 218305 | 218305 | |
| MEDICAL TRANSCRIPTION | 519100 | 47500 | 47500 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19617 | TotalRevenueColumn |
| Unrelated Business Revenue | 19617 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1460827 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 143896306 | TotalRevenueColumn |
| Related Or Exempt Function Income | 145522658 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1242522 | UnrelatedBusinessRevenue |
| Exclusion | -$3,086,026 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544715 | Total |
| Program Services | 544715 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1213747 | Total |
| Program Services | 45263 | ProgramServices |
| Management And General | 1168484 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55247619 | Total |
| Program Services | 54202315 | ProgramServices |
| Management And General | 1045304 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1700223 | Total |
| Program Services | 1668044 | ProgramServices |
| Management And General | 32179 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7798488 | Total |
| Program Services | 7593436 | ProgramServices |
| Management And General | 205052 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3948508 | Total |
| Program Services | 3801685 | ProgramServices |
| Management And General | 146823 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310590 | Total |
| Management And General | 310590 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 456169 | Total |
| Management And General | 456169 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65797 | Total |
| Management And General | 65797 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171150 | Total |
| Management And General | 171150 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19961094 | Total |
| Program Services | 17946218 | ProgramServices |
| Management And General | 2014876 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 435149 | Total |
| Program Services | 391869 | ProgramServices |
| Management And General | 43280 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7307818 | Total |
| Program Services | 7030214 | ProgramServices |
| Management And General | 277604 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1267649 | Total |
| Program Services | 1267649 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450941 | Total |
| Program Services | 379094 | ProgramServices |
| Management And General | 71847 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616441 | Total |
| Program Services | 616441 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10836383 | Total |
| Program Services | 10786774 | ProgramServices |
| Management And General | 49609 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 522271 | Total |
| Program Services | 393500 | ProgramServices |
| Management And General | 128771 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 20900069 | 20900069 | |
| BAD DEBTS | 3142036 | 3142036 | |
| EDUCATION & TRAINING | 377104 | 362135 | 14969 |
| DUES & SUBSCRIPTIONS | 187213 | 187213 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272288 | Total |
| Program Services | 147975 | ProgramServices |
| Management And General | 124313 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137733462 | Total |
| Program Services | 131406645 | ProgramServices |
| Management And General | 6326817 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54777 | BOY |
| EOY | -133567 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25017884 | BOY |
| EOY | 36657642 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20107897 | BOY |
| EOY | 17731451 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 932719 | BOY |
| EOY | 710882 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3867826 | BOY |
| EOY | 3954596 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2608877 | BOY |
| EOY | 2907366 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 147869509 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 102244315 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41317414 | BOY |
| EOY | 45625194 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60566811 | BOY |
| EOY | 157608032 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6388314 | BOY |
| EOY | 6458060 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6033597 | BOY |
| EOY | 6963803 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166896116 | BOY |
| EOY | 278483459 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9956937 | BOY |
| EOY | 14280721 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14870000 | BOY |
| EOY | 109466819 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4040405 | BOY |
| EOY | 4259574 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28867342 | BOY |
| EOY | 128007114 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137296645 | BOY |
| EOY | 149744216 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 732129 | BOY |
| EOY | 732129 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138028774 | BOY |
| EOY | 150476345 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166896116 | BOY |
| EOY | 278483459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6162844 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 937744 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 5346983 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $8,987 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 8987 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE $8,987 REPRESENTS THE PORTION OF NHA AND AHA DUES ARE USED FOR LOBBYING BY THOSE ORGANIZATIONS. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 213971 | OtherCostOrOtherBasis |
| Book Value | 213971 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43789504 | OtherCostOrOtherBasis |
| Depreciation | 29402216 | Depreciation |
| Book Value | 14387288 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1010111 | OtherCostOrOtherBasis |
| Depreciation | 629220 | Depreciation |
| Book Value | 380891 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 90701201 | OtherCostOrOtherBasis |
| Depreciation | 70218718 | Depreciation |
| Book Value | 20482483 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12154722 | OtherCostOrOtherBasis |
| Depreciation | 1994161 | Depreciation |
| Book Value | 10160561 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45625194 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $2,287,783 |
| DEFERRED COMPENSATION | $1,946,925 |
| LEASES PAYABLE | $24,866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4259574 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 146867847 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 937744 | NetUnrealizedGainsInvestments |
| Other Revenues | 5346983 | OtherRevenues |
| Revenue Not Rptd F990 | 6284727 | RevenueNotRptdF990 |
| Revenue Subtotal | 140583120 | RevenueSubtotal |
| Investment Expenses Not Included | 171150 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 3142036 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3313186 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 143896306 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 134420276 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 134420276 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 171150 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 3142036 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3313186 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 137733462 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | GREAT PLAINS REGIONAL MEDICAL CENTER (THE MEDICAL CENTER) AND REGENCY RETIREMENT RESIDENCE (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 THE MEDICAL CENTER. THE MEDICAL CENTER, 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. IN GENERAL, SUCH STANDARDS REQUIRE THE MEDICAL CENTER, REGENCY AND GPMAI TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. GREAT PLAINS HOMECARE EQUIPMENT, INC. (GPHEI) IS A FOR-PROFIT CORPORATION THAT RECOGNIZED FEDERAL AND STATE INCOME TAX EXPENSE OF APPROXIMATELY $49,300 AND $21,400 IN 2012 AND 2011, RESPECTIVELY. THE INCOME TAX EXPENSE IS INCLUDED AS AN OTHER EXPENSE OF THE CONSOLIDATED STATEMENTS OF OPERATIONS. 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, 2012, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2009. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION 254,539. TRANSFER OF EQUITY FROM AFFILIATE 5,092,444. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 3,142,036. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 3,142,036. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3166798 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3166798 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02350 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12037024 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8517164 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3519860 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02620 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60197589 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 39554091 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20643498 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15340 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 75401411 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48071255 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27330156 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.20310 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1181010 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1181010 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00880 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 86204 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 86204 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 499184 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14198 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 484986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 541900 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 541900 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2308298 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14198 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2294100 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01700 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77709709 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48085453 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29624256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.22010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,142,036 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 36941703 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 46019528 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -9077825 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 PHYSICIAN HOSPITAL CONTRACTING ORGANIZATION | |||
| NEGOTIATE HEALTHCARE CONTRACTS FOR PHYSCIANS AND THE HOSPITAL. | 0.50000 | 0.00000 | 0.50000 |
| 2 NORTH PLATTE SURGERY CENTER | |||
| PROVIDES OUTPATIENT SURGERY SERVICES | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST LEOTA | AddressLine1 |
| City | NORTH PLATTE | City |
| State | NE | State |
| ZIP Code | 69101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| PHYSICIAN HOSPITAL CONTRACTING ORG | ||||
| 601 WEST LEOTA | NORTH PLATTE | NE | 69101 | NEGOTIATE HEALTHCARE CONTRACTS FOR PHYSCIANS AND THE HOSPITAL. |
| NORTH PLATTE SURGERY CENTER | ||||
| 621 WEST FRANCIS STREET | NORTH PLATTE | NE | 69101 | OUTPATIENT SURGERIES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: GREAT PLAINS REGIONAL MEDICAL CENTER (GPRMC) 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 PROVIDE COPIES OF DOCUMENTATION INCLUDING A 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 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: GPRMC'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF OF GPRMC. | ||
| PART I, LINE 7: GPRMC 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 $ 3142036. | ||
| PART II: THERE ARE NO ACTIVITIES REPORTED IN PART II. HOWEVER, GPRMC HAS MANY ACTIVITES TO PROMOTE HEALTH IN THE COMMUNITIES SERVED BY GPRMC. THIS ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSOR OF HEALTH FAIR, SPORTS CLINICS, SUPPORT GROUPS, PHYSICIANS SERVE 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 4: THE COSTING METHODOLOGY USED IN DETERMINING THE BAD DEBT EXPENSES INCLUDES CALCULATING ON A MONTHLY BASIS THE TOTAL ESTIMATE AMOUNTS BASED ON HISTORICAL WRITE OFFS.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, THE FOLLOWING IS THE TEXT OF THE FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE, NET," "NET PATIENT SERVICE REVENUE," AND "CHARITY CARE":PATIENT ACCOUNTS RECEIVABLE, NET:THE ORGANIZATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL 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 DOUBTFUL ACCOUNTS.IN 2013, THE ORGANIZATION ADOPTED A NEW POLICY RELATIVE TO SELF-PAY DISCOUNTS, WHEREBY CHARGES AND SUBSEQUENT BILLINGS WERE REDUCED TO APPROXIMATE REIMBURSEMENT LEVELS RECEIVED FROM GOVERNMENTAL THIRD-PARTY PAYERS.PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF THE BILLING. ACCOUNTS CONSIDERED PAST DUE ARE SENT TO COLLECTION AGENCIES WHEN EXTERNAL 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.NET PATIENT SERVICE REVENUE:NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED.CHARITY CARE:THE ORGANIZATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. MANAGEMENT'S DISCLOSURE OF CHARITY CARE COSTS ARE DESCRIBED IN NOTE 3.THE ORGANIZATION IS DEDICATED TO PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO ALL SEGMENTS OF SOCIETY, INCLUDING THE AGED AND OTHERWISE ECONOMICALLY DISADVANTAGED. IN ADDITION, THE ORGANIZATION PROVIDES A VARIETY OF COMMUNITY HEALTH SERVICES AT OR BELOW COST. | ||
| 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 COST SHOULD BE TREATED AS COMMUNITY BENEFITS TO THE EXTENT THAT THEY DO NOT COVER OUR COSTS, AND WE DO NOT USE ANY NEGOTITION TOOL WITH MEDICARE FOR OUR RATES. THE RATES THAT WE ARE PAID ARE MANDATED. HENCE, THIS DOES NOT GIVE US AS A PROVIDER 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 GPRMC CHARITY CARE POLICY, THEN THE COLLECTION AGENCY SHALL PROMPTLY NOTIFY THE PATIENT FINANCIAL SERVICES DIRECTOR AND CEASE ANY FURTHER COLLECITON ACTIVITY UNTIL GPRMC DETERMINES THE PATIENT ELIGIBILITY. | ||
| PART V, SECTION B, LINE 12H: THE CHARGES ARE BASED ON A COMBINATION OF FACTORS. THE COMBINATION INCLUDES THE USE OF MEDICARE FEE SCHEDULES AND INFORMATION SUPPLIED BY THE NHA FOR PEER GROUP HOSPITALS. THE ITEMS MARKED ON LINE 12 REFER TO CALCULATING DISCOUNTS. | GREAT PLAINS REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 14G: THE WRITTEN FINANCIAL ASSISTANCE POLICY IS ON THE GPRMC WEBSITE AS WELL AS PRINTED ON THE BACK SIDE OF EACH PAGE OF THE PATIENT BILLING STATEMENT. | GREAT PLAINS REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 18E: GPRMC WORKS WITH PATIENTS THROUGH PHONE INTERVIEWS AND IN PERSON INTERVIEWS TO SEE WHAT THE PATIENT'S SITUATION IS AND DETERMINE IF THE INDIVIDUAL QUALIFIES FOR ASSISTANCE, SUCH AS MEDICAID. | GREAT PLAINS REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 20D: GPRMC ALSO USES THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. | GREAT PLAINS REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 21: ALL CHARGES ARE THE SAME FOR PATIENT THAT QUALIFY AS FAP-ELIGIBLE AND THOSE THAT DO NOT. THE LEVEL OF FINANCIAL ASSISTANCE IS DETERMINED BY THE CURRENT YEAR'S FEDERAL POVERTY GUIDELINES. | GREAT PLAINS REGIONAL MEDICAL CENTER | |
| PART V, SECTION B, LINE 22: ALL CHARGES ARE THE SAME FOR PATIENT THAT QUALIFY AS FAP-ELIGIBLE AND THOSE THAT DO NOT. THE LEVEL OF FINANCIAL ASSISTANCE IS DETERMINED BY THE CURRENT YEAR'S FEDERAL POVERTY GUIDELINES. | GREAT PLAINS REGIONAL MEDICAL CENTER | |
| PART VI, LINE 2: THE ORGANIZATION USES STRATEGIC PLANNING PROCESS, MARKET STUDIES, OPEN FORUMS WITH PHYSICIANS, COMMUNITY FOCUS GROUP, CUSTOMER SERVICE SURVEYS, COMMUNITY SURVEYS ALL TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES GPRMC SERVES. PATIENT CARE AND SUPPORT SERVICES PROVIDED BY GPRMC ARE BASED ON THE MISSION, VISION, VALUES AND PHILOSOPHY. PATIENT CARE AND ANCILLARY SERVICES ARE ORGANIZED IN RESPONSE TO PATIENT NEEDS AS IDENTIFIED THROUGH THE STRATEGIC PLANNING PROCESS. THE GPRMC 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: PATIENTS THAT ARE DETERMINED TO BE FINANCIALLY INDIGENT, THE PATIENT/GUARANTOR WILL BE NOTIFIED AND ASSISTED BY THE GPRMC 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 THE HOSPITAL'S CHARITY POLICY (ADMINISTRATIVE POLICY 8210-0008). CASE MANAGERS ARE AVAILABLE AT GPRMC TO ASSISTS PATIENTS AND THEIR FAMILIES IN DEALING THE FINANCIAL AND SOCIAL STRESS THAT ACCOMPANY ILLNESS AND HOSPITALIZATION. CASE MANAGERS HAVE A WORKING KNOWLEDGE OF SOCIAL WORK THEORIES AND 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 REGIONAL MEDICAL CENTER IS THE ONLY HOSPITAL IN LINCOLN COUNTY AND IS A REGIONAL REFERRAL HOSPITAL FOR 19 OTHER COUNTIES IN NEBRASKA. GPRMC SERVES A MARKET OF OVER 123,026 RESIDENTS. OVER NINETY-THREE PERCENT OF GPRMC'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 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 72% GPRMC'S INPATIENT CASES- THE 2012 POPULATION IS 36,099 SECONDARY SERVICE AREA- CONSISTS OF 19 COUNTIES EXTENDING NORTH TO SOUTH DAKOTA, SOUTH TO KANSAS AND WEST TO COLORADO - ACCOUNTS FOR 21.6% OF GPRMC'S INPATIENT CASES - POPULATION 86,462 IN 2012 - LARGEST EMPLOYER IS UNION PACIFIC WITH 2,300 EMPLOYEES AT THE END OF 2012 | ||
| PART VI, LINE 5: GPRMC HAS MANY ACTIVITIES TO PROMOTE HEALTH IN THE COMMUNITIES SERVED BY GPRMC. THESE ACTIVITIES INCLUDE: RECRUITMENT OF PHYSICIANS TO MEET NEED, SPONSOR OF HEALTH FAIR, SPORTS CLINICS, SUPPORT GROUPS, PHYSICIANS SERVE 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 REGIONAL MEDICAL CENTER ASSISTS IN IDENTIFYING AND RECRUITING TOP PHYSICIANS IN NEEDED SPECIALTIES. GPRMC PROVIDES EDUCATION TO THE COMMUNITY ON VARIOUS HEALTH PROGRAMS FOR EMPLOYEES, EMPLOYERS AND THE COMMUNITY GPRMC 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 MEDICAL CENTER OPERATES ACUTE AND PSYCHIATRIC CARE BEDS, A HOME HEALTH AGENCY, AND PROVIDES VARIOUS OUTPATIENT AND EMERGENCY MEDICAL TREATMENT SERVICES. THE AFFILIATES LEASE ANS 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. | ||
| GPRMC DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEBRASKA. | PART VI, LINE 7: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|
| NEBRASKALAND DAYS INC | |||||||
| PO BOX 706 | NORTH PLATTE | NE | 69103 | 470521025 | 5000 | SPONSOR OF 2012 EVENT | |
| PLATTE RIVER FITNESS SERIES | |||||||
| 1300 MCDONALD ROAD | NORTH PLATTE | NE | 69101 | 476006297 | 5000 | SPONSOR OF 2012 EVENTS | GOVERNMENTAL |
| NORTH PLATTE COMMUNITY COLLEGE FOUNDATION | |||||||
| 601 W STATE FARM ROAD | NORTH PLATTE | NE | 69101 | 202459157 | 500000 | HEALTHCARE COMPLEX | 501(C)(3) |
| NORTH PLATTE PUBLIC SCHOOLS | |||||||
| 301 W F STREET | NORTH PLATTE | NE | 69101 | 476004045 | 5000 | ADOPT A BACKPACK PROGRAM | GOVERNMENTAL |
| BRIDGE OF HOPE CHILD AVOCACY CENTER | |||||||
| 410 W 5TH STREET | NORTH PLATTE | NE | 69101 | 201996528 | 5000 | SUPPORT OF 2012 CHILD AVOCACY PROGRAMS | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GREAT PLAINS REGIONAL MEDICAL CENTER PROVIDES SPONSORSHIP DOLLARS TO CHARITABLE EVENTS IN THE LOCAL AREA. THE ORGANIZATION GIVES TO CHARITABLE ORGANIZATIONS IN THE AREA WHICH BENEFIT THE LOCAL COMMUNITY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Payments For Use Of Residence | X | PaymentsForUseOfResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREG NIELSEN | ||||||||||||||
| CEO | 321869 | 0 | 22575 | 0 | 162 | 0 | 10000 | 0 | 27161 | 0 | 381767 | 0 | 0 | 0 |
| MEL MCNEA | ||||||||||||||
| COO | 208592 | 0 | 11334 | 0 | 774 | 0 | 9001 | 0 | 24892 | 0 | 254593 | 0 | 0 | 0 |
| KRYSTAL CLAYMORE | ||||||||||||||
| CFO | 211316 | 0 | 11119 | 0 | 180 | 0 | 6786 | 0 | 24553 | 0 | 253954 | 0 | 0 | 0 |
| BRANDON KELLIHER | ||||||||||||||
| CIO (01/12 - 10/12) | 130084 | 0 | 100 | 0 | 7102 | 0 | 5583 | 0 | 9215 | 0 | 152084 | 0 | 0 | 0 |
| IRFAN A VAZIRI | ||||||||||||||
| PHYSICIAN (GPRMC) | 841394 | 0 | 318555 | 0 | 270 | 0 | 10000 | 0 | 28966 | 0 | 1199185 | 0 | 0 | 0 |
| ARSHAD ALI | ||||||||||||||
| PHYSICIAN (GPRMC) | 818102 | 0 | 52074 | 0 | 26806 | 0 | 10000 | 0 | 8339 | 0 | 915321 | 0 | 0 | 0 |
| SATYANARAYANA NELLURI | ||||||||||||||
| PHYSICIAN (GPRMC) | 795766 | 0 | 52543 | 0 | 18178 | 0 | 10000 | 0 | 27241 | 0 | 903728 | 0 | 0 | 0 |
| MICHAEL GALLENTINE | ||||||||||||||
| PHYSICIAN (NPNPG) | 495889 | 0 | 128016 | 0 | 1143 | 0 | 10000 | 0 | 23912 | 0 | 658960 | 0 | 0 | 0 |
| MARIA E DE VILLA | ||||||||||||||
| PHYSICIAN (GPRMC) | 500750 | 0 | 30100 | 0 | 180 | 0 | 10000 | 0 | 27811 | 0 | 568841 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | JAMES ANDERSON HAD AN ARRANGEMENT AS PART OF HIS EMPLOYMENT HE LIVED IN A FACILITY RENTED BY THE HOSPITAL. GPRMC REPORTED THE FAIR MARKET VALUE OF THE BENEFIT HE RECEIVED AS COMPENSATION TO HIM. |
| PART I, LINE 4A | JAMES ANDERSON RECEIVED SEVERANCE PAYMENTS OF $73,923. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AUTHORITY NO 1 OF LINCOLN COUNTY NEBRASKA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 971837633 | IssuerEIN |
| CUSIP Number | 533282BQ1 | CUSIPNumber |
| Date Issued | 2012-11-15 | DateIssued |
| Issue Price | 109560864 | IssuePrice |
| Description Of Purpose | CONSTRUCT/UPDATE FACILITIES AND REFUND PRIOR REVENUE BONDS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 109590488 | TotalProceeds |
| Refunding Escrow | 1911276 | RefundingEscrow |
| Issuance Costs From Proceeds | 956161 | IssuanceCostsFromProceeds |
| Capital Expenditures | 6290392 | CapitalExpenditures |
| Other Spent Proceeds | 7475598 | OtherSpentProceeds |
| Amount Unspent | 92957061 | AmountUnspent |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 1 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, LINE 3: | Identifier |
| Explanation | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Relationship With OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| ARSHAD ALI MD | |||||||
| EMPLOYEE | SIGNING BONUS/FORGIVENESS FOR SERVICE | X | $75,000 | 37500 | 0 | 1 | 1 |
| SATYANARAYANA NELLURI MD | |||||||
| EMPLOYEE | SIGNING BONUS/FORGIVENESS FOR SERVICE | X | $50,000 | 31410 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 68910 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID PEDERSEN | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | WIFE OF MR. PEDERSEN, A DIRECTOR, IS THE OWNER OF PRO PRINTING | Relationship |
| Amount Of Transaction | 140330 | AmountOfTransaction |
| Description Of Transaction | PRINTING SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DIANN KOLKMAN AND JAMES E. SMITH HAVE A BUSINESS RELATIONSHIP. JOHN PATTERSON AND DAVID PEDERSON HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION B, LINE 11 | COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THIS IS DONE VIA THE BOARD PORTAL; FOLLOW UP IS DISCUSSED AT THE NEXT MEETING FOLLOWING THE FILING OF THE FORM 990. | |
| FORM 990, PART VI, SECTION B, LINE 12C | GPRMC PROVIDES A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH OFFICER AND DIRECTOR. THE CONFLICT OF INTEREST QUESTIONNAIRE IS FILLED OUT 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. THERE HAS BEEN A COMMITTEE FORMED CALLED THE CONFLICTS REVIEW COMMITTEE. THE COMMITTEE REVIEWS TRANSACTIONS THAT MAY BE CONSIDERED TO HAVE A CONFLICT OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE GREAT PLAINS REGIONAL MEDICAL CENTER (GPRMC) BOARD OF DIRECTORS STRIVE 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 TRUSTEES MEETS NO LESS THAN ANNUALLY TO REVIEW COMPENSATION PACKAGES FOR GPRMC'S PRESIDENT, OFFICERS, AND KEY EMPLOYEES. COMPENSATION DATA IS GATHERED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT BY SURVEY OF COMPARABLE POSITIONS AT PEER INSTITUTIONS ENSURE THAT COMPENSATION PACKAGES ARE MEETING FAIR MARKET VALUE. A COMPLETE ANALYSIS OF DATA IS REQUESTED 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; REVIEWS COMPENSATION RECOMMENDATIONS; AND DETERMINES THOSE OFFICERS AND KEY EMPLOYEES FOR WHOM WRITTEN EMPLOYMENT CONTRACTS WILL BE WRITTEN. 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 19 | GREAT PLAINS REGIONAL MEDICAL CENTER DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. UPON WRITTEN REQUEST TO THE CHIEF FINANCIAL OFFICER, GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC FOR REVIEW AT THE HOSPITAL'S ADMINSTRATIVE OFFICE. | |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 340,989. MANAGEMENT AND GENERAL EXPENSES 69,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 410,848. COLLECTION FEES: PROGRAM SERVICE EXPENSES 364,582. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 364,582. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,523,747. MANAGEMENT AND GENERAL EXPENSES 601,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,125,619. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,362,733. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,362,733. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 792,133. MANAGEMENT AND GENERAL EXPENSES 930,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,722,978. RECRUITMENT EXPENSES: PROGRAM SERVICE EXPENSES 168,737. MANAGEMENT AND GENERAL EXPENSES 315,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 484,627. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 4,393,297. MANAGEMENT AND GENERAL EXPENSES 96,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,489,707. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN GREAT PLAINS HEALTH CARE FOUNDATION 254,539. TRANSFER OF EQUITY FROM AFFILIATE 5,092,444. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS OF GREAT PLAINS REGIONAL MEDICAL CENTER 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
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH PLATTE NE PHYSICIAN CORP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST FRANCIS STREET SUITE 9 | AddressLine1 |
| City | NORTH PLATTE | City |
| State | NE | State |
| ZIP Code | 69101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261608464 | EIN |
| Primary Activities | PHYSICIAN AND MID LEVEL SERVICES FOR VARIOUS CLINIC AND HOSPITAL PHYSICIANS | PrimaryActivities |
| Legal Domicile State | NE | LegalDomicileState |
| Total Income | 8982785 | TotalIncome |
| EOY Assets | 2890722 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| GREAT PLAINS MEDICAL ARTS INC | ||||||||||
| 611 WEST FRANCIS | NORTH PLATTE | NE | 69101 | 470606874 | PROPERTY HOLDING COMPANY | NE | 501(C)(2) | N/A | N/A | 0 |
| REGENCY RETIREMENT RESIDENCE OF NORTH PLATTE | ||||||||||
| 700 WEST PHILIP | NORTH PLATTE | NE | 69101 | 470792670 | RETIREMENT APPARTMENTS | NE | 501(C)(3) | 9 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS HOME MEDICAL EQUIPMENT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1596 | AddressLine1 |
| City | NORTH PLATTE | City |
| State | NE | State |
| ZIP Code | 69101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470786518 | EIN |
| Primary Activity | SELLING OF HOME MEDICAL EQUIPMENT | PrimaryActivity |
| Legal Domicile State | NE | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 1515028 | ShareOfTotalIncome |
| Share Of EOY Assets | 1390394 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS HOMECARE EQUIPMENT INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionType |
| Amount Involved | 640338 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |
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