2013-11-13T15:38:25-06:00 2012-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2012-01-01 480617739 GREAT PLAINS HEALTH ALLIANCE INC % MIKE HAND GREA 7855432111 625 THIRD STREET Suite PHILLIPSBURG KS 676612138 MIKE HAND 7855432111 2013-11-15 true ELIZABETH S HOGAN 3162652811 2012 2016-02-25 16:41:14Z ROGER JOHN 625 THIRD STREET PHILLIPSBURG KS 67661 7346547 false X WWW.GPHA.COM X 1956 KS MANAGING AND OPERATING HEALTH CARE FACILITIES AND PROVIDING RELATED SERVICES IN RURAL AREAS OF THE UNITED STATES. 11 10 56 10 0 0 0 6354968 7260311 30291 86236 0 0 6385259 7346547 0 899 0 0 3512037 4049259 0 0 0 2889598 3379750 6401635 7429908 -16376 -83361 7117799 8314981 5734571 7015114 1383228 1299867 GIVE EXPRESSION TO A CHRISTIAN MINISTRY OF MERCY BY MANAGING AND OPERATING HEALTH CARE FACILITIES AND PROVIDING RELATED SERVICES IN RURAL AREAS OF THE UNITED STATES. false false 7281327 0 7260311 OPERATION AND MANAGEMENT OF HEALTH CARE FACILITIES IN RURAL KANSAS AND NEBRASKA. 7281327 true false false false false false false false false false true false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 39 0 true 56 true false false false false false false false false false false X 11 10 false false false false false false false true true false false true true true true true true true true false X MIKE HAND 3166851523 250 N ROCK RD STE 160 WICHITA KS 67206 ROGER JOHN 48.0 2.0 X X 117047 27982 BETH MEYERES 0.25 2.25 X X 105 LOGAN SPRUNGER 0.25 2.25 X X 105 ROBERT HAMILTON 0.25 2.25 X X 175 THOMAS E KELLER DVM 0.25 2.25 X X 105 STEVE CARLSON 0.25 2.25 X X 35 BILL NAVIS 0.25 2.25 X 140 CURTIS ERICKSON 0.25 2.25 X 140 DAVE RANKIN 0.25 2.25 X 140 JOHN TERRILL 0.25 2.25 X 105 DR BARBARA BROWN 0.25 2.25 X 140 DAVE DELLASEGA 48.0 2.0 X 110698 22720 ELDON SCHUMACHER 40.0 0.0 X 145094 0 31361 JACKIE JOHN 40.0 0.0 X 101665 12746 JH SEITZ 40.0 0.0 X 103089 26299 KEN ABENDSHIEN 40.0 0.0 X 105909 30087 684692 0 151195 6 false true false SIEMENS MEDICAL SOLUTIONS SOFTWARE & SUPPORT 1198645 EDCO GROUP INC HIM IMAGING SYSTEM 500883 BKD LLP ACCOUNTING SERVICES 125343 PREMIER SOFTWARE ASSOCIATE MEDICAL NECESSITY 116752 DATA INNOVATION INC SOFTWARE & SUPPORT 113047 5 0 HOSPITAL AND CLINIC FEES 561000 7039840 7039840 DATA PROCESSING 518210 94642 94642 OTHER 561439 125829 125829 7260311 86236 86236 0 0 0 0 0 0 0 0 0 0 7346547 7260311 86236 899 899 0 0 0 278448 278448 0 2738263 2678943 59320 219481 214660 4821 588878 576518 12360 224189 219705 4484 0 23549 23078 471 130447 127838 2609 0 0 0 559485 548295 11190 31164 30541 623 284128 278445 5683 52263 51218 1045 0 116794 114458 2336 395498 387588 7910 0 66710 65376 1334 215379 211071 4308 0 692707 678853 13854 29832 29235 597 EQUIPMENT RENTAL AND REPAIRS 330731 324116 6615 LICENSES AND PERMITS 305353 299246 6107 DUES AND SUBSCRIPTIONS 145169 142266 2903 _ 541 530 11 7429908 7281327 148581 0 153889 598589 676228 896447 0 0 1801452 1924006 0 0 0 0 0 0 23954 4445 291969 371379 5838316 2478527 2766574 3359789 0 0 0 0 0 0 0 0 1403733 1160326 7117799 8314981 1415242 1798458 0 0 0 0 0 0 0 0 0 0 4319329 5216656 0 0 0 0 5734571 7015114 X 1383228 1299867 0 0 0 0 1383228 1299867 7117799 8314981 -83361 X false true X true false X 8800 8800 107857 106347 1510 2421230 1264137 1157093 3300429 1108043 2192386 3359789 DUE FROM KS RD USDA 148860 LEASE AGREEMENT 1011466 1160326 0 0 X 7362777 16230 16230 7346547 7346547 7677831 247923 247923 7429908 7429908 UNCERTAIN TAX POSITIONS 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. RECONCILIATION OF REVENUE SCHEDULE D, PART XI, LINE 2D RELATED ORGANIZATION INCOME 16,230 RECONCILIATION OF EXPENSES SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSE 247,923 X false false false false false false false false false ELDON SCHUMACHER 145094 0 0 0 0 0 13921 0 17440 0 176455 0 0 0 FORM 990 REVIEW PROCESS 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 PRIOR TO FILING THE 990 WITH THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY THE BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A & B ALL EXECUTIVE EMPLOYEE SALARIES, INCLUDING THE PRESIDENT/CEO, ARE APPROVED BY THE GPHA BOARD OF DIRECTORS. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAS COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. COMPARABLE DATA WAS OBTAINED FROM MEMBER HOSPITALS THROUGH RECENT HIRES COORDINATED BY GPHA. DECISIONS ARE APPROVED AND FORWARDED TO THE CHIEF FINANCIAL OFFICER (CFO) FOR INPUT. THE CFO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 18 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. GREAT PLAINS HEALTH CARE FOUNDATION INC 625 THIRD STREET PHILLIPSBURG KS 67661 480955870 SUPPORT KS 501(C)(3) 9 GPHA INC true GREAT PLAINS OF CHEYENNE COUNTY INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226831 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF ELLINWOOD INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226976 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF KIOWA COUNTY INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226833 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF OTTAWA COUNTY INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226856 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF PHILLIPS COUNTY INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226829 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF REPUBLIC COUNTY INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226977 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF SABETHA INC 625 THIRD STREET PHILLIPSBURG KS 67661 481236156 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF SMITH COUNTY INC 625 THIRD STREET PHILLIPSBURG KS 67661 481226830 HOSPITAL KS 501(C)(3) 3 GPHA INC true false false false false false false false false false false true false false false false false false false GREAT PLAINS OF CHEYENNE COUNTY INC L 359914 COST GREAT PLAINS OF ELLINWOOD COUNTY INC L 355988 COST GREAT PLAINS OF KIOWA COUNTY INC L 390276 COST GREAT PLAINS OF OTTAWA COUNTY INC L 240408 COST GREAT PLAINS OF PHILLIPS COUNTY INC L 433527 COST GREAT PLAINS OF REPUBLIC COUNTY INC L 363529 COST GREAT PLAINS OF SABETHA INC L 292089 COST GREAT PLAINS OF SMITH COUNTY INC L 412598 COST