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Nonprofiteer
← GREAT PLAINS OF CHEYENNE CO INC

Form 990 for tax year 2023

Filed by GREAT PLAINS OF CHEYENNE CO INC.

Totals

Total revenue
$19,827,954
Total expenses
$20,127,868
Contributions and grants received
$1,032,167
Grants paid
$0
Program service revenue
$18,284,398
Investment income
$66,644
Other revenue
$444,745
Total assets, end of year
$8,629,067
Total liabilities, end of year
$3,077,280
Net assets or fund balances, end of year
$5,551,787
Program services expenses (Part IX)
$18,459,894
Management and general expenses
$1,667,974
Fundraising expenses
$0
Program service expenses (Part III)
$18,459,894

Program services were 91.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $848,579

  • 1f · All other contributions, gifts and grants

    $183,588

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $13,360,358 · related or exempt $13,360,358

  • 2b · Program service revenue: 340B REVENUE

    total $4,924,040 · related or exempt $4,924,040

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $65,500 · excluded $65,500

  • 6a · Gross rents

    real property $1,112

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,112 · personal property $0

  • 6d · Net rental income or loss

    total $1,112 · excluded $1,112

  • 7a · Gross sales of assets other than inventory

    other assets $1,144

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $1,144

  • 7d · Net gain or loss

    total $1,144 · excluded $1,144

  • 11a · Other revenue: EMPLOYEE/GUEST MEALS

    total $29,599 · excluded $29,599

  • 11b · Other revenue: HEALTH FAIR

    total $120,847 · excluded $120,847

  • 11d · All other revenue

    total $293,187 · related or exempt $0 · unrelated business $0 · excluded $293,187

  • 11e · Other revenue, total

    $443,633

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $382,414 · management and general $382,414

  • 7 · Other salaries and wages

    total $6,492,680 · program services $6,362,759 · management and general $129,921

  • 8 · Pension plan contributions

    total $506,056 · program services $496,749 · management and general $9,307

  • 9 · Other employee benefits

    total $1,127,705 · program services $1,106,925 · management and general $20,780

  • 10 · Payroll taxes

    total $359,495 · program services $329,605 · management and general $29,890

  • 11a · Fees: management

    total $100,514 · management and general $100,514

  • 11b · Fees: legal

    total $29,106 · management and general $29,106

  • 11c · Fees: accounting

    total $62,983 · management and general $62,983

  • 11d · Fees: lobbying

    total $2,129 · management and general $2,129

  • 11g · Fees: other

    total $4,873,384 · program services $4,373,073 · management and general $500,311 · fundraising $0

  • 12 · Advertising and promotion

    total $32,919 · program services $173 · management and general $32,746

  • 13 · Office expenses

    total $504,392 · program services $494,561 · management and general $9,831

  • 14 · Information technology

    total $3,181 · program services $1,224 · management and general $1,957

  • 16 · Occupancy

    total $368,205 · program services $179,591 · management and general $188,614

  • 17 · Travel

    total $4,546 · program services $4,065 · management and general $481

  • 19 · Conferences, conventions and meetings

    total $35,350 · program services $24,734 · management and general $10,616

  • 20 · Interest

    total $12,616 · management and general $12,616

  • 22 · Depreciation, depletion and amortization

    total $398,574 · program services $397,429 · management and general $1,145

  • 23 · Insurance

    total $45,609 · management and general $45,609

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $4,174,683 · program services $4,174,535 · management and general $148

  • 24b · Other expenses: EQUIPMENT RENTAL & MAINTENAN

    total $525,200 · program services $483,420 · management and general $41,780

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $44,518 · program services $11,166 · management and general $33,352

  • 24d · Other expenses: RECRUITING

    total $11,412 · program services $1,239 · management and general $10,173

  • 24e · All other expenses

    total $30,197 · program services $18,646 · management and general $11,551 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,086,754 · end of year $1,437,606

  • 2 · Savings and temporary cash investments

    beginning of year $2,999,681 · end of year $2,071,702

  • 4 · Accounts receivable

    beginning of year $1,424,273 · end of year $2,683,284

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $6,765

  • 8 · Inventories for sale or use

    beginning of year $182,070 · end of year $192,858

  • 9 · Prepaid expenses and deferred charges

    beginning of year $44,447 · end of year $92,891

  • 10a · Land, buildings and equipment: cost or other basis

    $8,134,575

  • 10b · Land, buildings and equipment: accumulated depreciation

    $6,268,372

  • 10c · Land, buildings and equipment, net

    beginning of year $1,774,371 · end of year $1,866,203

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $9,165

  • 15 · Other assets

    beginning of year $437,599 · end of year $277,758

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,578,060 · end of year $2,768,280

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $528,599 · end of year $309,000

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $5,765,092 · end of year $5,430,226

  • 28 · Net assets with donor restrictions

    beginning of year $86,609 · end of year $121,561

Mission and programs · 2023

Mission

TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.

Activities or mission (Part I)

TO OPERATE AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC IN ST. FRANCIS, KANSAS AND SURROUNDING RURAL COMMUNITIES IN CHEYENNE COUNTY, KANSAS.

  • CHEYENNE COUNTY HOSPITAL (CCH) IS A CRITICAL ACCESS, LEVEL IV TRAUMA, 16 BED HOSPITAL PROVIDING EMERGENCY, ACUTE AND SWING BED CARE TO CHEYENNE COUNTY AND SURROUNDING AREAS; IT EMPLOYS TWO FULL TIME PHYSICIANS, THREE NURSE PRACTITIONERS (APRN'S), ONE PHYSICIAN ASSISTANT (PA-C), 18 REGISTERED NURSES (RN/PRN), A CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA), AND OTHER ALLIED HEALTH PROFESSIONALS. CHEYENNE COUNTY HOSPITAL'S AIM IS TO PROVIDE SAFE, HIGH QUALITY, TEAM BASED HEALTHCARE TO CHEYENNE COUNTY, KANSAS AND SURROUNDING AREAS. CCH IS A CRITICAL ACCESS HOSPITAL SERVING A FRONTIER AREA POPULATION (POPULATION DENSITY OF 2.70) AND HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA SINCE 2005. WE PROVIDE A VARIETY OF CARE INCLUDING PRIMARY CARE IN TWO RURAL HEALTH CLINICS, INPATIENT CARE (INCLUDING ACUTE CARE), OBSERVATION, SWING BED, INTERMEDIATE SWING BED SERVICES AND OBSTETRICS. IN ADDITION, WE PROVIDE A VARIETY OF OUTPATIENT AND DIAGNOSTIC PROCEDURES AND HAVE GENERAL SURGERY PERFORMED ONSITE. WE PROVIDE 24/7 COVERAGE OF AN EMERGENCY ROOM THAT IS STAFFED WITH OUR OWN PROVIDERS. CHEYENNE COUNTY HOSPITAL'S MOST EXPENSIVE ENTITIES IN 2023 INCLUDED OUR PHARMACY WITH $3,964,067 TOTAL EXPENSES. OF THIS, $3,208,391 WAS 340B EXPENSES. OUR NURSING DEPARTMENT WITH $2,170,688 IN EXPENSES, WHICH INCLUDES $712K FOR CONTRACT NURSES. THE RURAL HEALTH CLINIC WITH $1688,422 IN EXPENSES WHICH INCLUDES $39KK FOR CONTRACT PROVIDERS TO COVER THE RHC. OUR SUCCESS BY WAY OF THESE CAPACITIES IS REFLECTED IN THE NUMBER OF PATIENTS SERVED, AS HIGHLIGHTED BELOW, AND THE INNOVATIVE WAYS WITH WHICH WE CONTINUE TO FIND NEW WAYS TO MEET THE EVOLVING NEEDS OF OUR PATIENTS. PHARMACY PHARMACY WAS THE LARGEST EXPENSE FOR 2023 WITH $3,208,391 TOTAL EXPENSES. OF THIS, $3,208,391 WAS 340B EXPENSES. NURSING: THE SECOND LARGEST EXPENSE BY DEPARTMENT FOR 2023 WAS NURSING. NOT ONLY IN SERVICE TO THE MORE THAN 199 ACUTE INPATIENTS, 64 SWING BED ADMISSIONS, AND 40 OBSTETRIC ADMISSIONS IN 2023, NURSING WAS INSTRUMENTAL IN OVERSEEING KEY FACILITY SERVICES SUCH AS HOSPITAL PHARMACY (WHICH INCLUDED THE COST SAVING 340B PROGRAM), INFECTION CONTROL, CASE MANAGEMENT, UTILIZATION REVIEW, EDUCATION AND OTHER OUTPATIENT SERVICES. NURSING WAS A KEY VOICE ON THE COUNTY'S RURAL HEALTHCARE TASK FORCE WHOSE MAJOR ACHIEVEMENT WAS LEVERAGING FEDERAL AND PRIVATE GRANT DOLLARS TO ESTABLISH A PROGRAM BY WHICH ROUTINE AND AFFORDABLE IN-HOME VISITS CAN BE EXTENDED TO CHEYENNE COUNTY'S MOST VULNERABLE CHRONICALLY ILL PATIENTS. ADDITIONALLY, THE NURSING DEPARTMENT STAFFED CCH'S 24-HOUR EMERGENCY ROOM, PROVIDING COMPASSIONATE CARE TO THE MORE THAN 985 PATIENTS PRESENTING TO THE ER IN 2023 REGARDLESS OF THEIR ABILITY TO PAY. IN SUM, AS THE PRIMARY FRONT LINE STAFF FOR THE FACILITY, THE NURSING DEPARTMENT WAS ESSENTIAL TO CCH'S ABILITY TO EXTEND QUALITY CARE TO APPROXIMATELY 2,700 RESIDENTS OF CHEYENNE COUNTY. RURAL HEALTH CLINIC: OUR RURAL HEALTH CLINIC (RHC) IS DESIGNATED AS A SAFETY NET CLINIC BY THE STATE OF KANSAS. THE CLINIC SERVED 10,756 PATIENT VISITS IN 2023, FOCUSING ON ACTIVITIES CONCERNED WITH PREVENTION AND TREATMENT OF COMMON MEDICAL PROBLEMS IN AN OUTPATIENT SETTING. CARE IS DELIVERED BY PRIMARY CARE PRACTITIONERS TO INDIVIDUALS WHO PRESENT FOR SERVICE REGARDLESS OF THEIR ABILITY TO PAY. EXPENSE IS OFTEN A BARRIER TO CARE IN OUR COMMUNITY AND FOR THAT REASON THE RURAL HEALTH CLINIC REMAINS RESPONSIVE TO A POPULATION OFTEN WITH FIXED INCOMES. IN 2023, THE RHC WAS AWARDED A PRIMARY CARE CLINIC GRANT OF $101,539. THIS CRITICAL FUNDING ASSISTED THE CLINIC IN PROVIDING ACCESS TO QUALITY, COMMUNITY-BASED HEALTHCARE, REDUCING HEALTH DISPARITIES FOR OUR COUNTY'S UNDERSERVED POPULATIONS, AND PROVIDING ACCESS TO PRESCRIPTION DRUGS FOR PATIENTS THAT COULD NOT OTHERWISE AFFORD MEDICATION. AS EVIDENCE OF OUR COMMITMENT TO PROVIDE QUALITY HEALTHCARE TO OUR PATIENT BASE, IN JUNE OF 2015 THE CCH RURAL HEALTH CLINIC ACHIEVED A LEVEL III CERTIFICATION AS A PATIENT CENTERED MEDICAL HOME (PCMH) FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. UNQUESTIONABLY, THIS NATIONAL ACCREDITATION SPEAKS TO THE COMMITMENT OF OUR PROVIDERS AND STAFF TO DELIVER OUTSTANDING MEDICAL ATTENTION TO OUR PATIENTS AND THE SIGNIFICANT PROCESS IMPROVEMENTS INDUCED BY THE ENDEAVOR IS EVIDENCE OF THE CLINIC'S COMMITMENT TO OVERCOMING TRADITIONAL RURAL HEALTHCARE BARRIERS.

    Expenses $18,459,894 · Revenue $18,284,398

As filed on the 2023 return.

Listed in Part VII

  • Charles Westin

    CHAIRMAN/DIRECTOR (LEFT 05/23)

    Total calculated
    $0
    Hours/week
    0.2 + 1.2 related

  • Curt Colson

    PRESIDENT/DIRECTOR

    Total calculated
    $272,133
    From this org
    $0
    From related orgs
    $217,359
    Other
    $54,774
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,766 related
    Bonus
    $0
    Other
    $0 + $3,593 related
    Deferred
    $0 + $21,263 related
    Nontaxable benefits
    $0 + $33,511 related
    Filer's total
    $0 + $272,133 related

  • John Terrill

    CHARIMAN/DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2 + 1.2 related

  • Roger John

    SECRETARY/DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2 + 1.2 related

  • Steve Carlson

    TREASURER/DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2 + 1.2 related

  • Arthur Hendrickson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2 + 1.2 related

  • Dr Barbara Brown Applegate

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2 + 1.2 related

  • Heidi Tice

    CFO

    Total calculated
    $170,321
    From this org
    $125,520
    From related orgs
    $0
    Other
    $44,801
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,179
    Bonus
    $0
    Other
    $341
    Deferred
    $13,033
    Nontaxable benefits
    $31,768
    Filer's total
    $170,321

  • Jason Barb

    CFO

    Total calculated
    $242,071
    From this org
    $0
    From related orgs
    $191,413
    Other
    $50,658
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,136 related
    Bonus
    $0
    Other
    $0 + $1,277 related
    Deferred
    $0 + $18,538 related
    Nontaxable benefits
    $0 + $32,120 related
    Filer's total
    $0 + $242,071 related

  • Jeremy Clingenpeel

    CEO

    Total calculated
    $212,092
    From this org
    $169,270
    From related orgs
    $0
    Other
    $42,822
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,940
    Bonus
    $0
    Other
    $330
    Deferred
    $25,827
    Nontaxable benefits
    $16,995
    Filer's total
    $212,092

  • Benjamin Bosen

    PHYSICIAN

    Total calculated
    $539,013
    From this org
    $471,887
    From related orgs
    $0
    Other
    $67,126
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $471,338
    Bonus
    $0
    Other
    $549
    Deferred
    $32,200
    Nontaxable benefits
    $34,926
    Filer's total
    $539,013

  • Celeste Hays

    DEPT HD DISCHARGE PLANNER & RN

    Total calculated
    $172,217
    From this org
    $152,917
    From related orgs
    $0
    Other
    $19,300
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,807
    Bonus
    $0
    Other
    $110
    Deferred
    $14,753
    Nontaxable benefits
    $4,547
    Filer's total
    $172,217

  • Heather Licke

    PHYSICIAN

    Total calculated
    $540,007
    From this org
    $483,855
    From related orgs
    $0
    Other
    $56,152
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $483,145
    Bonus
    $0
    Other
    $710
    Deferred
    $32,200
    Nontaxable benefits
    $23,952
    Filer's total
    $540,007

  • Jeffrey Parsons

    NURSE PRACTIONER

    Total calculated
    $377,505
    From this org
    $321,696
    From related orgs
    $0
    Other
    $55,809
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $321,489
    Bonus
    $0
    Other
    $207
    Deferred
    $26,246
    Nontaxable benefits
    $29,563
    Filer's total
    $377,505

  • Jesse Cahoj

    ARNP

    Total calculated
    $169,151
    From this org
    $126,939
    From related orgs
    $0
    Other
    $42,212
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,861
    Bonus
    $0
    Other
    $78
    Deferred
    $29,268
    Nontaxable benefits
    $12,944
    Filer's total
    $169,151

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 FORM 990, PART VII
ANNUAL 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202433209349303588

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