GREAT PLAINS OF REPUBLIC CO INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
GREAT PLAINS OF REPUBLIC CO INC (EIN 48-1226977)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-07
IRS object ID
202642199349301229
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-07T11:24:15+00:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 WALNUT STREET SUITE 1700AddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481226977EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS OF REPUBLIC CO INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGREABusinessNameControlTxt
Phone3166851523PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 NORTH ROCK ROAD SUITE 160AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJASON BARBPersonNm
Person TitleCFOPersonTitleTxt
Phone3166851523PhoneNum
Signature2026-08-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEVIN ENSMINGERPreparerPersonNm
PTINP01310558PTIN
Phone8162216300PhoneNum
Preparation2026-08-07PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL KELLYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 NORTH ROCK ROAD SUITE 160AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,338,835GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RPHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTO OPERATE AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC IN BELLEVILLE, KANSAS AND THE SURROUNDING RURAL COMMUNITIES IN REPUBLIC COUNTY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee239TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,143,315PYContributionsGrantsAmt
CY Contributions Grants$5,016,521CYContributionsGrantsAmt
PY Program Service Revenue$21,559,520PYProgramServiceRevenueAmt
CY Program Service Revenue$25,120,015CYProgramServiceRevenueAmt
PY Investment Income$117,236PYInvestmentIncomeAmt
CY Investment Income$5,341CYInvestmentIncomeAmt
PY Other Revenue$267,625PYOtherRevenueAmt
CY Other Revenue$196,958CYOtherRevenueAmt
PY Total Revenue$25,087,696PYTotalRevenueAmt
CY Total Revenue$30,338,835CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,582,423PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,848,483CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,371,023PYOtherExpensesAmt
CY Other Expenses$12,692,915CYOtherExpensesAmt
PY Total Expenses$25,953,446PYTotalExpensesAmt
CY Total Expenses$29,541,398CYTotalExpensesAmt
PY Revenues Less Expenses-$865,750PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$797,437CYRevenuesLessExpensesAmt
Total Assets BOY$17,660,859TotalAssetsBOYAmt
Total Assets EOY$18,321,073TotalAssetsEOYAmt
Total Liabilities BOY$4,315,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,178,035TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,345,601NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,143,038NetAssetsOrFundBalancesEOYAmt
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,238,123ExpenseAmt
Grant$0GrantAmt
Revenue$25,131,380RevenueAmt
DescREPUBLIC COUNTY HOSPITAL'S (RCH) PRIMARY PROGRAM IS THE DELIVERY OF HEALTHCARE AND RELATED SERVICES TO PATIENTS FROM REPUBLIC COUNTY AND CONTIGUOUS COUNTIES IN NORTHCENTRAL KANSAS AND SOUTHCENTRAL NEBRASKA. SERVICES INCLUDE INPATIENT ACUTE, INTERMEDIATE SWING BED (ISB), SURGERY, OBSTETRIC, EMERGENCY ROOM AND OUTPATIENT CARE. REPUBLIC COUNTY HOSPITAL PROVIDES NEEDED HEALTH CARE SERVICES TO PATIENTS WHO COME TO OUR HOSPITAL FOR CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND HAS A FINANCIAL ASSISTANCE PROGRAM FOR THOSE PATIENTS WITH LIMITED RESOURCES. MAJOR ACCOMPLISHMENTS IN FY 2024 (10/01/2023- 09/30/2024) INCLUDE THE FOLLOWING: 1) HOSPITAL STAFF PROVIDES EDUCATION TO THE COMMUNITY INCLUDING SMOKING CESSATION, VAPING EDUCATION AND WORKS CLOSELY WITH AREA SCHOOLS RELATED TO IMPACT TESTING AND HEAD INJURIES OCCURRING DURING SPORTS/ACTIVITIES. 2) THE HOSPITAL MAINTAINS THE OUTPATIENT SENIORS GROUP THERAPY PROGRAM SENIOR LIFE SOLUTIONS. 3) RETAINED AND RECERTIFIED FOR OUR LEVEL 4 TRAUMA CERTIFICATION. 4) CONTINUES TO UPDATE OUR WEBSITE MEETING THE PRICE TRANSPARENCY REQUIREMENTS FOR CMS AND NO SURPRISES ACT REQUIREMENTS. 5) PROVIDE ONGOING CASE MANAGEMENT SERVICES FOR OUR PATIENTS. 6) HOSPITAL PARTICIPATES IN OPEN FORUM COFFEE FOR LOCAL CHAMBER OF COMMERCE ON A WEEKLY BASIS. 7) HOSPITAL ALSO REGULARLY SERVES AS A CLINICAL SITE FOR NURSING STUDENTS AND CERTIFIED NURSING ASSISTANT (CNA) STUDENTS FROM A NEIGHBORING COMMUNITY COLLEGE. 8) CONTINUES TO OFFER REGULAR EXERCISE PROGRAMMING FOR OUR COMMUNITY FOLLOWING REFERRAL AND A-FIT TESTING. 9) CONTINUE TO PROVIDE PATIENT ASSISTANCE AND DIABETIC EDUCATION WITH OUR CERTIFIED DIABETIC EDUCATOR. 10) RCH CONTINUES TO PROVIDE A LACTATION PROGRAM FOR THE COMMUNITY AND PROVIDES EDUCATION AND PATIENT SUPPORT TO MOTHERS IN THE COMMUNITY WITH AN INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANT. THE HOSPITAL ALSO PROVIDES CHILDBIRTH EDUCATION CLASSES. 11) COLLABORATES WITH THE NORTH CENTRAL KANSAS HEALTHCARE FOUNDATIONS THROUGH PROVIDING COMMUNITY EDUCATION ON THE SERVICES WE PROVIDE AND OFFERING A COMMUNITY HEALTH FAIR IN CONJUNCTION WITH THEIR ANNUAL RADIOTHON FUNDRAISER. 12) SUPPLY APPROPRIATE PATIENTS DISCHARGING FROM OUR ED WITH FLU KITS. 13) THE RCH BOT REVIEWED AND APPROVED OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY -FOR FY ENDING SEPT. 2025. THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND ON OUR HOSPITAL WEBSITE. 14) HOSPITAL STAFF LEAD A SUMMER SAFETY CAMP FOR KIDS IN COLLABORATION WITH MULTIPLE STAKEHOLDERS ACROSS THE COMMUNITY INCLUDING EMS AND LAW ENFORCEMENT. STAFF ALSO PROVIDE SAFE SITTER TRAINING AND FARM SAFETY EDUCATION WITH SUPPORT FROM AREA SCHOOLS AND BUSINESSES. 15) RCH SUPPORT FAMILIES, CAREGIVERS AND THE COMMUNITY WITH PREGNANCY/INFANT LOSS PROGRAMMING AND ALZHEIMER'S/DEMENTIA SUPPORT. 16) BELOW PLEASE FIND: A YEAR IN REVIEW - RCH 2024 THAT LIST CHANGES IN ROLES, MAJOR ACCOMPLISHMENTS WITH SURVEYS, ACCREDITATIONS AND EQUIPMENT UPGRADES AND ADDITIONAL SERVICES. 2024 YEAR IN REVIEW: REPUBLIC COUNTY HOSPITAL/BELLEVILLE MEDICAL CLINIC ENHANCEMENTS FUKUDA TELEMETRY (TRAUMA) DESIGNED CHEMISTRY ANALYZER (ORTHO VITROS) OPERATIONALIZED LAB REFRIGERATION ALL UPGRADED FROM RESIDENTIAL TO MEDICAL GRADE NEW PHONE SYSTEM OPERATIONALIZES AT RCH AND BMC TRAUMA PROJECT AT 50% COMPLETION_ UNDER BUDGET PYXIS OPERATIONALIZED WITH EXPANDED FOOTPRINT CERNER SCHEDULING STARTED PBRHC (PROVIDER BASED RURAL HEALTH CLINIC) TRANSITION PROCESS PBRHC PROVIDER COMPENSATION PLAN IMPLEMENTED PBRHC PROVIDER EMPLOYMENT AGREEMENTS IMPLEMENTED BMC STAFF MIGRATION COMPLETED 01MAR24 BMC ASSET BUYOUT EXECUTED (CONTESTED) DR. LEXIA ZENGER SIGNED CONTRACT (11JUN24) - ANTICIPATED START OCTOBER 2025 PBRHC POLICY AND PROCEDURE IMPLEMENTED PBRHC EMERGENCY PREPAREDNESS PLAN IMPLEMENTED RHC ACCREDITATION ACHIEVED 11SEP24 KDHE RHC ENROLLMENT COMPLETED AND SENT TO CMS (04OCT24) SENATORS MARSHALL AND MORAN CONTACTED ABOUT THE PIN TIMELINE RCM REBUILT FROM $0 COLLECTIONS PHYSICIAN DOCUMENTATION SUBSTANTIALLY IMPROVED LAB STATUS CHANGED FROM FULL SERVICE TO RHC WAIVED TESTING CLIA CERTIFICATION OF LAB KDHE CERTIFICATION OF X-RAY CLINIC/BMC ENHANCEMENTS WALK IN CLINIC CARE ADDED CR IMAGING CONVERTED TO DR IMAGING (PAUSCH BLADEVIEW) ULTRASOUND UPGRADED TO MINDRAY TE X PHONE SYSTEM REPLACED SALTO SECURITY LOCKS EXPANDED CENTRALIZED MEDICATION ROOM COMPLETED CERNER TRANSITION COMMISSIONED AND KICKED OFF CLINIC REMODELING DESIGN AND DEVELOPMENT SUBSTANTIALLY COMPLETE HVAC UNITS REPLACED (2) PROJECTS/REPAIRS/REPLACEMENTS FIRE PANEL (MAIN) REPLACED IP SHOWER PROJECT_ COMPLETED ROOMS 6, 7, 8, 9, 17 & 18 (OB) LAB REMODEL COMPLETED (CEILING, LED LIGHTING, FLOOR, PAINT) EUPRY REMOTE TEMPERATURE/CONDITION MONITORING SYSTEM INSTALLED ISB ROOM REFRESH (4-6 ROOMS) PANTRY SEWER REPLACED PARKING LOTS SUBSTANTIALLY PATCH AND RESTRIPED EXTERIOR SIGNAGE ADDRESSED WITH PROJECT AED - PLACEMENT AND TRAINING FOR 10 NEW AED PLACEMENTS ACROSS RP CO. COMMUNITIES ALLIANCES/AFFILIATIONS LEPC - LOCAL EMERGENCY PLANNING COMMISSION (LIVE DRILL, TABLE TOP DRILLS) MINISTERIAL ALLIANCE OF RP CO RP CO MENTAL HEALTH COALITION W/ RCHD, USD 109 AND USD 426 RP CO RESOURCE COUNCIL ALZHEIMER'S/DEMENTIA SUPPORT W/ OCCK SENIOR LIFE SOLUTIONS BELLEVILLE CHAMBER AND MAINSTREET RP CO ECONOMIC DEVELOPMENT SUNFLOWER HEALTH NETWORK KANSAS HOSPITAL ASSOCIATION KUMED - CANCER SCREENINGS AND COMMUNITY HEALTH FAIR NEX GEN- SCHOLARSHIP AND INTERNSHIP PROGRAMSDesc
Total Program Service Expenses$26,238,123TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee239EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JASON BARBBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3166851523PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 NORTH ROCK ROAD STE 160AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CURT COLSON
PRESIDENT/CEO/DIRECTOR0.241.2Yes (X)Yes (X)$0$227,653$57,031
JOHN TERRILL
CHAIRMAN/DIRECTOR0.21.2Yes (X)Yes (X)$0$0$0
STEVE CARLSON
TREASURER/DIRECTOR0.21.2Yes (X)Yes (X)$0$0$0
ALLEN VANDRIEL
DIRECTOR BEG 05/240.21.2Yes (X)$0$0$0
ARTHUR HENDRICKSON
DIRECTOR0.21.2Yes (X)$0$0$0
DR BARBARA BROWN APPLEGATE
DIRECTOR0.21.2Yes (X)$0$0$0
ROGER JOHN
SECRETARY/DIRECTOR0.21.2Yes (X)$0$0$0
BARRY BOTTGER
CFO40.00.0Yes (X)$135,166$0$27,966
DANIEL KELLY
ADMINISTRATOR40.00.0Yes (X)$197,497$0$32,744
JASON BARB
CFO0.241.2Yes (X)$0$198,487$54,810
BRENT MARTIN
COO40.00.0$175,595$0$51,121Yes (X)
JOSH CHAMPLIN
MD40.00.0$344,829$0$63,813Yes (X)
KURTIS KLECAN
MD40.00.0$403,240$0$61,649Yes (X)
NOLAN BEAVERS
MD40.00.0$437,683$0$54,742Yes (X)
PHILLIP ZAPPA
CRNA40.00.0$285,664$0$62,681Yes (X)
SHANNON SHORT
PHARMACIST40.00.0$171,961$0$42,540Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,151,635TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$426,140TotReportableCompRltdOrgAmt
Total Other Compensation$509,097TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GPHA
250 N ROCK RD STE 160WICHITAKS67206MANAGEMENT AND SERV$1,422,932
PSYCHIATRIC MEDICAL CARE LLC
PO BOX 734606DALLASTX753734606OUTPATIENT PSYCH SERVICES$429,689
LARRY TROSHYNSKI
1020 S 12TH TERLOUISBURGKS66503CONTRACT SERVICES$287,500
QUALIVIS
PO BOX 1180COLUMBIASC29201CONTRACT NURSING$127,659
QUEST DIAGNOSTIC
PO BOX 772976CHICAGOIL60677LAB TESTS$117,527
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$4,739,663GovernmentGrantsAmt
All Other Contributions$276,858AllOtherContributionsAmt
Total Contributions$5,016,521TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621300$24,983,948$24,983,948
340B REVENUE621300$136,067$136,067

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,120,015TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,341TotalRevenueColumnAmt
Exclusion$5,341ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,344RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,344RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,344TotalRevenueColumnAmt
Exclusion$9,344ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE/GUEST MEALS722513$85,183$85,183
OUTSIDE SERVICES621300$11,365$11,365
VENDOR REBATES900099$37,219$37,219

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,847TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$53,847ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$187,614OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,338,835TotalRevenueColumnAmt
Related Or Exempt Func Income$25,131,380RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$190,934ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$607,987TotalAmt
Management And General$607,987ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,776,429TotalAmt
Program Services$12,171,100ProgramServicesAmt
Management And General$605,329ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,003,927TotalAmt
Program Services$963,127ProgramServicesAmt
Management And General$40,800ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,560,738TotalAmt
Program Services$1,487,744ProgramServicesAmt
Management And General$72,994ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$899,402TotalAmt
Program Services$819,514ProgramServicesAmt
Management And General$79,888ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$212,676TotalAmt
Management And General$212,676ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,671TotalAmt
Management And General$13,671ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$156,058TotalAmt
Management And General$156,058ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,193TotalAmt
Management And General$3,193ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,348,420TotalAmt
Program Services$2,720,056ProgramServicesAmt
Management And General$628,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,845TotalAmt
Management And General$33,845ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$845,967TotalAmt
Program Services$704,792ProgramServicesAmt
Management And General$141,175ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$505,827TotalAmt
Program Services$499,669ProgramServicesAmt
Management And General$6,158ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,235TotalAmt
Program Services$3,981ProgramServicesAmt
Management And General$254ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$47,999TotalAmt
Program Services$38,381ProgramServicesAmt
Management And General$9,618ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,548TotalAmt
Program Services$28,981ProgramServicesAmt
Management And General$567ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,300,890TotalAmt
Program Services$1,274,608ProgramServicesAmt
Management And General$26,282ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$317,535TotalAmt
Management And General$317,535ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,632,951$3,632,951
BAD DEBT EXPENSE$1,223,965$1,223,965
EQUIPMENT RENTAL & REPAIRS$593,296$591,337$1,959
DUES & SUBSCRIPTIONS$38,131$6,435$31,696

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$384,708TotalAmt
Program Services$71,482ProgramServicesAmt
Management And General$313,226ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,541,398TotalAmt
Program Services$26,238,123ProgramServicesAmt
Management And General$3,303,275ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$762,787BOYAmt
EOY$1,179,798EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,568,729BOYAmt
EOY$2,502EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,805,331BOYAmt
EOY$4,178,507EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,756BOYAmt
EOY$5,723EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$449,380BOYAmt
EOY$415,121EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$197,450BOYAmt
EOY$219,069EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,356,793LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,199,781LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,607,106BOYAmt
EOY$12,157,012EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$264,320BOYAmt
EOY$163,341EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,660,859BOYAmt
EOY$18,321,073EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,733,045BOYAmt
EOY$3,510,240EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$582,213BOYAmt
EOY$448,075EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$219,720EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,315,258BOYAmt
EOY$4,178,035EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,020,601BOYAmt
EOY$14,143,038EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$325,000BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,345,601BOYAmt
EOY$14,143,038EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,660,859BOYAmt
EOY$18,321,073EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$797,437ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$3,193GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$3,193TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationA PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,107OtherCostOrOtherBasisAmt
Book Value$14,107BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,685,266OtherCostOrOtherBasisAmt
Depreciation$8,007,726DepreciationAmt
Book Value$6,677,540BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,002,437OtherCostOrOtherBasisAmt
Depreciation$7,698,619DepreciationAmt
Book Value$5,303,818BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$654,983OtherCostOrOtherBasisAmt
Depreciation$493,436DepreciationAmt
Book Value$161,547BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,157,012TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES
DUE TO THIRD PARTY PAYOR$219,720
FieldValueIRS element (for citing)
Total Liability$219,720TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$29,114,870TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$29,114,870RevenueSubtotalAmt
Other Revenues Not Included$1,223,965OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,223,965RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,338,835TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,317,433TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$28,317,433ExpensesSubtotalAmt
Other Expenses Not Included$1,223,965OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,223,965ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,541,398TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONSMANAGEMENT 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 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTSPROVISION FOR UNCOLLECTIBLE ACCOUNTS - 1223965
SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTSPROVISION FOR UNCOLLECTIBLE ACCOUNTS - 1223965

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$164,789TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$164,789NetCommunityBenefitExpnsAmt
Total Expense0.00558TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,530,437TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$887,295DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,643,142NetCommunityBenefitExpnsAmt
Total Expense0.05562TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,695,226TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$887,295DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,807,931NetCommunityBenefitExpnsAmt
Total Expense0.06120TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,276TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$65,276NetCommunityBenefitExpnsAmt
Total Expense0.00221TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,765TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,765NetCommunityBenefitExpnsAmt
Total Expense0.00016TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$70,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,041NetCommunityBenefitExpnsAmt
Total Expense0.00237TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,765,267TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$887,295DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,877,972NetCommunityBenefitExpnsAmt
Total Expense0.06357TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,223,965BadDebtExpenseAmt
Reimbursed By Medicare$11,496,929ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,496,929CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$0MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REPUBLIC COUNTY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12420 G STREETAddressLine1Txt
CityBELLEVILLECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66935ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.RPHOSPITAL.ORGWebsiteAddressTxt
State LicenseH079001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line11BusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted25CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.rphospital.org/getpage.php?name=Community_Health_Needs&sub=PATIENT%20INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt25ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.rphospital.org/getpage.php?name=Community_Health_Needs&sub=PATIENT%20INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.rphospital.org/getpage.php?name=Community_Health_Needs&sub=PATIENT%20INFORMATIONFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.rphospital.org/getpage.php?name=Community_Health_Needs&sub=PATIENT%20INFORMATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.rphospital.org/getpage.php?name=Community_Health_Needs&sub=PATIENT%20INFORMATIONFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY 1, 1FACILITY 1, 1 - REPUBLIC COUNTY HOSPITAL. THE ASSESSMENT PROCESS WAS INITIATED AND CHAIRED JOINTLY BY REPUBLIC COUNTY HOSPITAL AND THE REPUBLIC COUNTY HEALTH DEPARTMENT. ALL OF THE EDUCATIONAL, GOVERNMENTAL, CIVIC AND HEALTH RELATED ORGANIZATIONS WITHIN THE COMMUNITY WERE INVITED TO PARTICIPATE.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1FACILITY 1, 1 - REPUBLIC COUNTY HOSPITAL. REPUBLIC COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1FACILITY 1, 1 - REPUBLIC COUNTY HOSPITAL. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED SEVEN (7) SPECIFIC COMMUNITY HEALTH NEEDS. FOUR OF THOSE SEVEN NEEDS (HOUSING, CHILDCARE, MENTAL HEALTH, SUICIDE) WERE NOT ADDRESSED DUE TO A LACK OF FINANCIAL RESOURCES AND/OR DEEMED OUTSIDE THE SCOPE OF HOSPITAL MISSION OF CRITICAL OPPERATIONS. REPUBLIC COUNTY HOSPITAL (RCH) IS PROMOTING PHYSICAL AND MENTAL HEALTH, WELLNESS, AND CHRONIC DISEASE PREVENTION. RCH IS COLLABORATING WITH OTHER PROVIDERS IN THE COUNTY TO PROVIDE EDUCATION RESOURCES AND SUPPORTING THE REPUBLIC COUNTY HEALTH DEPARTMENT, REPUBLIC COUNTY RESOURCE COUNCIL AND SCHOOL DISTRICTS USD 109 AND 426 IN REPUBLIC COUNTY. RCH IS IMPROVING ACCESS TO INFORMATION AND ASSISTANCE ACROSS MULTIPLE NEEDS AND POPULATIONS. THE HOSPITAL IS SUPPORTING THE REPUBLIC COUNTY RESOURCE COUNCIL IN KEEPING THE HEALTH SERVICES DIRECTORY CURRENT AND AVAILABLE TO THE PUBLIC. ADDITIONALLY, RCH IS WORKING WITH OTHER PROVIDERS TO ENHANCE AWARENESS FOR EXISTING PROGRAMS AND SERVICES WHILE ALSO WORKING TO ESTABLISH SUSTAINABLE ATTENTION IN PROMOTING HEALTHY LIVING THROUGH PROGRAMMING SPECIFIC TO PATIENT POPULATIONS AND NEEDS AS OUTLINED IN THE RCH CHNA IMPLEMENTATION PLAN.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BELLEVILLE MEDICAL CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12337 G STREETAddressLine1Txt
CityBELLEVILLECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66935ZIPCd
FieldValueIRS element (for citing)
FacilityMEDICAL CLINICFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENTTHE REPUBLIC COUNTY HOSPITAL (RCH) ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES IN AN ONGOING FASHION. RCH STRIVES TO PROVIDE SERVICES THAT MEET PATIENT NEEDS, AND THAT THE NEEDS OF THE POPULATION SERVED GUIDE DECISIONS ABOUT WHICH SERVICES WILL BE PROVIDED DIRECTLY OR THROUGH REFERRAL, CONSULTATION, CONTRACTUAL ARRANGEMENTS OR OTHER AGREEMENTS. WE DETERMINE THESE NEEDS IN A VARIETY OF WAYS. IN JUNE 2025, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED UTILIZING ASSISTANCE FROM VVV CONSULTANTS LLC. THIS ASSESSMENT INVOLVED AN EXTENSIVE ON-LINE SURVEY AND A VIRTUAL TOWN-HALL MEETING WITH COMMUNITY STAKEHOLDERS (PLUS OTHER EXTENSIVE DATA COLLECTION) THAT ADDRESSED ACCESS TO PRIMARY CARE HEALTH SERVICES, HEALTH INSURANCE, TRAVEL DISTANCE FOR SERVICES, HOSPITAL SERVICES, COUNTY HEALTH DEPARTMENT SERVICES AND OTHER COUNTY HEALTH RELATED SERVICES. THE SURVEY IDENTIFIED THE TOP SEVEN COMMUNITY NEEDS AS FOLLOWS: 1) MENTAL HEALTHCARE 2) QUALITY CHILDCARE 3) HOUSING 4) OBESITY [NUTRITION/EXERCISE] 5) LACK OF "OWNING YOUR HEALTH" 6) PREVENTATIVE HEALTH AND WELLNESS 7) SUICIDE THE RESULTS OF THIS SURVEY WERE SHARED WITH THE PUBLIC, COMMUNITY STAKEHOLDERS AND PROVIDERS, AND WERE USED TO ADDRESS THE PERCEIVED HEALTH RELATED NEED IN THE IDENTIFIED AREAS. A COPY OF THE RESULTS OF THE CHNA AND THE IMPLEMENTATION STRATEGY PLAN, MOVING INTO YEAR 1 OF 3 (STARTING 10/1/25-9/30/26), AS APPROVED BY OUR GOVERNING BODY, ARE AVAILABLE UPON REQUEST AND POSTED TO OUR WEBSITE, WWW.RPHOSPITAL.ORG. AN IMPORTANT COMPONENT OF THE HOSPITAL MISSION AND VISION IS THAT OF BEING A HEALTH RESOURCE TO THE COMMUNITY BY ADVOCATING HEALTHY BEHAVIORS, WORKING IN CONCERT WITH OTHER HEALTH CARE PROVIDERS, PROMOTING HEALTH SERVICES THROUGH EDUCATION AND BY RECRUITING AND RETAINING QUALIFIED HEALTH PROFESSIONALS. SERVICES ARE ALSO ASSESSED THROUGH HCAHPS PATIENT SATISFACTION SURVEY PROCESSES. RCH BOARD OF TRUSTEE MEETINGS ARE OPEN TO THE PUBLIC AND WE HAVE OPEN COMMUNICATION WITH OUR PATIENTS AND THEIR PHYSICIANS ABOUT THE TYPES AND QUALITY OF SERVICES PROVIDED. NEEDS ARE ALSO IDENTIFIED THROUGH COMMUNITY INVOLVEMENT AND ARE BROUGHT TO THE HOSPITAL THROUGH THE PATIENT AND FAMILY ADVISORY COUNCIL, WHICH ARE SCHEDULED TO MEET MONTHLY.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE.REPUBLIC COUNTY HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY AND A CREDIT POLICY THAT IS INCLUDED IN THE PATIENT INFORMATION BROCHURE PROVIDED TO ALL PATIENTS RECEIVING CARE AT RCH, INCLUDING CLINIC VISITS, OUTPATIENT, SWING BED, OBSERVATION AND INPATIENT CARE. THE CREDIT POLICY IS ALSO POSTED ON THE HOSPITAL'S WEBSITE, WWW.RPHOSPITAL.ORG. IN ADDITION TO OTHER PAYMENT OPTIONS THE PATIENT BROCHURE, WEBSITE AND EACH BILLING STATEMENT SENT TO PATIENTS INCLUDES THE STATEMENT "REPUBLIC COUNTY HOSPITAL ALSO OFFERS A HEALTHCARE ASSISTANCE PROGRAM THAT PROVIDES MEDICAL CARE FREE, OR AT REDUCED RATES, FOR PATIENTS WHO QUALIFY BASED ON INCOME GUIDELINES". THE HOSPITAL'S FINANCIAL COUNSELOR VISITS WITH PRIVATE PAY PATIENTS AND PATIENTS WITH HIGH DEDUCTIBLES TO DETERMINE IF THEY QUALIFY FOR THE RCH CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM. RCH ALSO PROVIDES SOCIAL SERVICES WHO CONSULT AND ASSIST WITH PRIVATE PAY OR UNINSURED PATIENTS TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE THROUGH THE STATE MEDICAID PROGRAM OR OTHER GOVERNMENT PROGRAMS. OUR SOCIAL SERVICES STAFF IS A MEMBER OF THE REPUBLIC COUNTY RESOURCE COUNCIL AND ASSISTS IN COMPLETING THE APPLICATIONS FOR MEDICAL ASSISTANCE AND ACT AS A RESOURCE FOR OTHER HEALTH RELATED SERVICES.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATIONREPUBLIC COUNTY HOSPITAL IS LOCATED IN BELLEVILLE, KANSAS AND SERVES THE RESIDENTS OF REPUBLIC COUNTY AND SURROUNDING AREA. THE EST. POPULATION OF REPUBLIC COUNTY, BASED ON 2023 FINDINGS, IS 4,627 WHICH IS RELATIVELY UNCHANGED SINCE THE 2019 CENSUS. THE SERVICE AREA FOR THE HOSPITAL IS REPUBLIC COUNTY AND CONTIGUOUS COUNTIES IN NORTHCENTRAL KANSAS AND SOUTHCENTRAL NEBRASKA. THESE COUNTIES ARE EXCLUSIVELY RURAL. REPUBLIC COUNTY HAS A POPULATION DENSITY OF LESS THAN 8 PEOPLE PER SQUARE MILE AND 27.5% OF THE POPULATION IS OVER THE AGE OF 65 YEARS AND 6% OF THE POPULATION IS UNDER 5 YEARS OF AGE. CHILDREN IN SINGLE PARENT HOUSEHOLDS MAKE UP A TOTAL OF 18%, AND 91.5% ARE LIVING IN THE SAME HOUSE AS ONE YEAR AGO. IN REPUBLIC COUNTY, THE AVERAGE PER CAPITA INCOME IS $31,626 WHILE 10.1% OF THE POPULATION IS IN POVERTY. APPROXIMATELY 60% OF HOSPITAL SERVICES ARE DELIVERED TO PATIENTS 65 YEARS OF AGE OR OLDER. THE REPUBLIC COUNTY PRIMARY CARE SERVICE COVERAGE RATIO IN JUNE OF 2025 WAS 1 PROVIDER (COUNTY BASED OFFICED PHYSICIAN WHO IS A MD OR DO) TO 1,166 RESIDENTS. MORE COMPLETE DEMOGRAPHICS AND ADDITIONAL INFORMATION ARE AVAILABLE ON THE HOSPITAL WEBSITE IN THE CHNA SECTION.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH.REPUBLIC COUNTY HOSPITAL PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL IS VERY ACTIVE IN COMMUNITY EDUCATION ON THE BENEFITS OF IMMUNIZATIONS FOR THE PREVENTION OF INFLUENZA AND PNEUMONIA. WE COLLABORATE WITH THE REPUBLIC COUNTY HEALTH DEPARTMENT, CARE HOMES IN THE COMMUNITY AND WITH OUR PROVIDERS AND AREA PHARMACIES REGARDING IMMUNIZATION PLANNING AND DISTRIBUTION. THE HOSPITAL SERVES AS AN INTEGRAL PART OF OUR COUNTY EMERGENCY PREPAREDNESS ACTIVITIES, CURRENTLY 2 MEMBERS OF OUR RCH STAFF ARE APPOINTED TO THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) BY THE COMMISSIONERS OF REPUBLIC COUNTY. THE HOSPITAL IS AN EDUCATION PROVIDER FOR CONTINUING EDUCATION AND IN ADDITION TO OTHER CLASSES PRESENTS CLASSES FOR CPR, ACLS, NRP AND TNCC CERTIFICATIONS. WE WORK CLOSELY WITH AREA EMS IN THE DELIVERY OF EMERGENCY SERVICES. THE HOSPITAL IS AN EDUCATIONAL SITE FOR NURSING STUDENTS FROM THE CLOUD COUNTY COMMUNITY COLLEGE AND WE FREQUENTLY HAVE MEDICAL STUDENTS IN OUR FACILITY FOR CLINICAL CLERKSHIPS AND FAMILY PRACTICE RESIDENTS HERE FOR 4 TO 6 WEEK RURAL RESIDENCIES. WE ARE A CLINICAL PRACTICE SITE FOR MEDICAL LABORATORY TECHNICIANS, PHYSICIAN ASSISTANT STUDENTS, VARIOUS PHARMACY, ALLIED HEALTH STUDENTS AND ADVANCED PRACTICE REGISTERED NURSE STUDENTS. REPUBLIC COUNTY HOSPITAL COLLABORATES WITH AND ASSISTS IN THE LEADERSHIP OF THE LOCAL NORTH CENTRAL KANSAS HEALTH CARE FOUNDATION TO SUPPORT ACTIVITIES RELATED TO PROVIDER AND STAFF RECRUITMENT, SCHOLARSHIPS AND ENHANCEMENTS TO THE HEALTHCARE INFRASTRUCTURE IN REPUBLIC COUNTY. WE ALSO PARTNER WITH NEX GENERATION - ROUND UP FOR YOUTH, INC. WHERE HIGH SCHOOL AND COLLEGE STUDENTS ARE MATCHED FOR BOTH WORK STUDY OPPORTUNITIES DURING THE SCHOOL YEAR AND SUMMER INTERNSHIPS IN HEALTHCARE RELATED FIELDS. CURRENTLY, MEMBERS OF OUR ADMINISTRATIVE TEAM ACTIVELY SERVE AS BOARD MEMBERS OF THE REPUBLIC COUNTY ECONOMIC DEVELOPMENT CORPORATION, BELLEVILLE CHAMBER AND MAINSTREET AND USD 109 BOARD OF EDUCATION. THE HOSPITAL COLLABORATES WITH THE RP CO HEALTH DEPARTMENT AND AREA STAKEHOLDERS WITH COMMUNITY HEALTH SCREENING EVENT, DURING THE NCK FREE FAIR, TO ASSIST AND EDUCATE THE COMMUNITY ON CURRENT HEALTH ISSUES. THE HOSPITAL ALSO TAKES SERIOUSLY ITS EFFORTS AT PROMOTING THE MENTAL HEALTH FOR SENIORS IN ITS COMMUNITY IN PARTNERSHIP WITH THE SENIOR LIFE SOLUTIONS PROGRAM IN REPUBLIC COUNTY. REPUBLIC COUNTY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL (CAH) WHICH ALSO PROVIDES LEVEL IV TRAUMA CARE. THIS INCLUDES 24-HOUR EMERGENCY CARE WHICH CAN OFTEN RESULT IN PROVIDING FINANCIALLY SUBSIDIZES SERVICES. THE REPUBLIC COUNTY HOSPITAL STAFF INCLUDES 6 PROVIDERS WHO COVER THE NEEDS OUR HOSPITAL WHICH ALSO INCLUDES OUR ON-CAMPUS PROVIDER BASED RURAL HEALTH CLINIC. THE HOSPITAL PARTICIPATES IN GOVERNMENT HEALTH CARE PLANS AND IS THE ONLY HOSPITAL IN REPUBLIC COUNTY. OUR MEDICAL STAFF CURRENTLY INCLUDES 3 PRIMARY CARE FAMILY PRACTICE PHYSICIANS, 3 MID-LEVEL PRACTITIONERS, 13 SPECIALIZED CLINICIANS PROVIDING SERVICES ON OUR HEALTHCARE CAMPUS MINIMIZING THE NEED FOR MEMBERS OF OUR COMMUNITY TO TRAVEL LONG DISTANCES FOR THESE SPECIALTY MEDICAL SERVICES AND 1 PHYSICIAN PROVIDING SPECIALIZED CARE VIA TELEHEALTH. WE PROMOTE COMMUNITY HEALTH THROUGH HEALTH FAIRS, SUPPORTING PUBLIC SERVICES, EDUCATION AND WELLNESS CLASSES IN COLLABORATION AND SUPPORT OF VARIOUS HEALTH EDUCATION OPPORTUNITIES ACROSS OUR COMMUNITY. THE HOSPITAL WORKS CLOSELY WITH A REGIONAL HOSPICE PROVIDER IN THE PROVISION HOSPICE SERVICES. THE HOSPITAL ALSO PROVIDES DIABETIC EDUCATION, WOMEN'S HEALTH EDUCATION, CHILDBIRTH EDUCATION, LACTATION SUPPORT, SAFE SITTER TRAINING, FARM SAFETY / FIRST AIDE, SENIOR FITNESS PROGRAMMING OFFERING SUPPORT TO OUR PATIENTS, FAMILIES AND THE COMMUNITY WE SERVE.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMREPUBLIC COUNTY HOSPITAL IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT 501 (C)(3) ORGANIZATION WHICH PROVIDES MANAGEMENT SERVICES AND OPERATIONAL, FINANCE AND ACCOUNTING SUPPORT TO THE HOSPITAL. GPHA DOES NOT PROVIDE SERVICES DIRECTLY TO PATIENTS, BUT IT DOES PROVIDE ACCESS TO PROFESSIONALS THAT MAY NOT BE AFFORDABLE TO INDEPENDENTLY STRUCTURED CRITICAL ACCESS HOSPITAL. GPHA PROVIDES EDUCATION AND ASSISTANCE IN AREAS SUCH AS HIPAA, MEDICARE REIMBURSEMENT, MEANINGFUL USE REQUIREMENTS FOR COMPUTER SYSTEM, ETC. GPHA IS AN AFFILIATION OF CRITICAL ACCESS HOSPITALS IN KANSAS AND NEBRASKA THAT PROVIDES NETWORKING OPPORTUNITIES WITH OTHER RURAL HOSPITALS, COMMUNITIES AND OTHER HEALTH CARE ORGANIZATIONS. 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, CLINICIANS, ALONG WITH DEPARTMENT AND ORGANIZATION LEADERSHIP. GPHA IS A VITAL LINK IN ALLOWING CAH HOSPITALS TO OPERATE AT A HIGH QUALITY WITHIN THE CASH CONSTRAINTS IMPOSED BY THE CRITICAL ACCESS PROGRAM.
SCHEDULE H, PART I, LINE 3C ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARETHE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCETHE 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 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNTHOSPITAL 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 BAD DEBT EXPENSE METHODOLOGYTHE 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 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTENOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCEALL 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 V, SECTION B, LINE 16A FAP WEBSITE1 - REPUBLIC COUNTY HOSPITAL: LINE 16A URL: HTTPS://WWW.RPHOSPITAL.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS&SUB=PATIENT%20INFORMATION;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE1 - REPUBLIC COUNTY HOSPITAL: LINE 16B URL: HTTPS://WWW.RPHOSPITAL.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS&SUB=PATIENT%20INFORMATION;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE1 - REPUBLIC COUNTY HOSPITAL: LINE 16C URL: HTTPS://WWW.RPHOSPITAL.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS&SUB=PATIENT%20INFORMATION;
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTKS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CURT COLSON
PRESIDENT/CEO/DIRECTOR$0$223,990$0$0$0$3,664$0$22,342$0$34,689$0$284,685$0$0
DANIEL KELLY
ADMINISTRATOR$194,817$0$0$0$2,680$0$18,966$0$13,778$0$230,241$0$0$0
BARRY BOTTGER
CFO$135,166$0$0$0$0$0$13,095$0$14,871$0$163,132$0$0$0
JASON BARB
CFO$0$197,209$0$0$0$1,278$0$19,491$0$35,319$0$253,297$0$0
BRENT MARTIN
COO$174,773$0$0$0$822$0$17,122$0$33,999$0$226,716$0$0$0
KURTIS KLECAN
MD$402,842$0$0$0$398$0$33,700$0$27,949$0$464,889$0$0$0
JOSH CHAMPLIN
MD$344,431$0$0$0$398$0$33,700$0$30,113$0$408,642$0$0$0
PHILLIP ZAPPA
CRNA$283,394$0$0$0$2,270$0$28,244$0$34,437$0$348,345$0$0$0
SHANNON SHORT
PHARMACIST$171,961$0$0$0$0$0$16,029$0$26,511$0$214,501$0$0$0
NOLAN BEAVERS
MD$436,937$0$0$0$746$0$33,700$0$21,042$0$492,425$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 3 FORM 990, PART VIIFormAndLineReferenceDesc
ExplanationANNUAL COMPENSATION REVIEWS ARE COMPLETED BY THE CEO AND CHIEF FINANCIAL OFFICER USING RECOMMENDATIONS PROVIDED BY DEPARTMENT MANAGERS AND CURRENT MARKET CONDITIONS. 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. THE CEO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 2JASON BARB AND CURT COLSON 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, LINE 15A & 15BTHE 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, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERSGREAT PLAINS HEALTH ALLIANCE, INC., A NOT FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF REPUBLIC CO., INC.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODYGREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERSGREAT 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, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODYTHE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF EXECUTIVE 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, LINE 12C CONFLICT OF INTEREST POLICYTHE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLICTHE 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 VIII, LINE 11D OTHER MISCELLANEOUS REVENUEALL OTHER REVENUE - TOTAL REVENUE: 53847, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 53847;
FORM 990, PART IX, LINE 11G OTHER FEESCONTRACTED MEDICAL STAFF - TOTAL EXPENSE: 1770313, PROGRAM SERVICE EXPENSE: 1755737, MANAGEMENT AND GENERAL EXPENSES: 14576, FUNDRAISING EXPENSES: ; ADMINISTRATION/HUMAN RESOURCES - TOTAL EXPENSE: 419309, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 419309, FUNDRAISING EXPENSES: ; LAB SERVICES - TOTAL EXPENSE: 275873, PROGRAM SERVICE EXPENSE: 275873, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHARMACY SERVICES - TOTAL EXPENSE: 213556, PROGRAM SERVICE EXPENSE: 213556, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; BILLING/COLLECTIONS - TOTAL EXPENSE: 519267, PROGRAM SERVICE EXPENSE: 334381, MANAGEMENT AND GENERAL EXPENSES: 184886, FUNDRAISING EXPENSES: ; PLANT OPERATIONS - TOTAL EXPENSE: 136386, PROGRAM SERVICE EXPENSE: 136386, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MAINTENANCE/HOUSEKEEPING - TOTAL EXPENSE: 13393, PROGRAM SERVICE EXPENSE: 3800, MANAGEMENT AND GENERAL EXPENSES: 9593, FUNDRAISING EXPENSES: ; DIETARY SERVICES - TOTAL EXPENSE: 323, PROGRAM SERVICE EXPENSE: 323, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GREAT PLAINS HEALTH ALLIANCE
250 N ROCK ROAD STE 160WICHITAKS67206480617739MANAGEMENTKS501(C)(3)3false
GREAT PLAINS HEALTH CARE FOUNDATION INC
250 N ROCK ROAD STE 160WICHITAKS67206480955870SUPPORTKS501(C)(3)10Yes (true)GPHA INC
GREAT PLAINS OF SABETHA COUNTY INC
250 N ROCK ROAD STE 160WICHITAKS67206481236156HOSPITALKS501(C)(3)3Yes (true)GPHA INC
GREAT PLAINS OF OTTAWA COUNTY INC
250 N ROCK ROAD STE 160WICHITAKS67206481226856HOSPITALKS501(C)(3)3Yes (true)GPHA INC
GREAT PLAINS OF SMITH COUNTY INC
250 N ROCK ROAD STE 160WICHITAKS67206481226830HOSPITALKS501(C)(3)3Yes (true)GPHA INC
GREAT PLAINS OF CHEYENNE COUNTY
250 N ROCK ROAD STE 160WICHITAKS67206481226831HOSPITALKS501(C)(3)3Yes (true)GPHA INC
GREAT PLAINS OF ELLINWOOD INC
250 N ROCK ROAD STE 160WICHITAKS67206481226976HOSPITALKS501(C)(3)3Yes (true)GPHA INC
GPHA EMPLOYEE BENEFITS TRUST
250 N ROCK ROAD STE 160WICHITAKS67206476918582HEALTH PLANKS501(C)(9)Yes (true)GPHA INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GPHA EMPLOYEE BENEFIT PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$1,367,303InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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