Great Plains of Smith Co Inc

“Curt colson and jason barb have a business relationship. They are both employed by, and also officers of, a related 501(c)(3) organization, great plains health alliance.”

“The ceo and cfo are compensated by great plains health alliance, a related organization. Gpha's board uses comparability data in setting their salaries, and documentation is retained of the board's deliberations and decisions.”

“Great plains health alliance, inc., a not-for-profit 501(c)(3) organization, is the sole member of great plains of smith co., inc.”

“Great plains health alliance, inc., being the sole member, has the right to elect and approve all the board members.”

“Great plains health alliance, inc. (gpha) is the sole member and has the authority to approve the articles of incorporation, bylaws, election to or removal from the board of directors, the annual operating and capital budgets, and the long range or strategic plans.”

“The 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.”

“The 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.”

“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.”

“MISCELLANEOUS REVENUE - Total Revenue: 27556, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 27556;”

“The largest program services measured by expenses are: 1. Smith county memorial hospital - this 16 bed critical access hospital provides a wide variety of inpatient and outpatient medical services to residents of the service area. Included among these services are the following: a. Inpatient care - i. Acute and observation (outpatient) care for patients with medical and surgical conditions. This includes neonatal, pediatric, adult, and geriatric patients. Ii. Skilled swing bed care for patients requiring post-acute care, especially skilled nursing and rehabilitation services. Iii. Private pay custodial care is provided on a limited basis. Much of this care is provided to patients who have elected hospice benefits but do not have family members able care for them in the home. B. Obstetrical care including prenatal education, monitoring and diagnostic services during the prenatal period, as well as labor and delivery services during the perinatal period. This includes surgical care for scheduled and urgent c-sections needed for delivery. This area has seen increased volumes as many surrounding hospitals have discontinued ob programs. C. Emergency care available 24 hours per day by a staff of specially trained registered nurses, advanced practice registered nurses, physician assistants, and physicians. All emergency department staff are certified in various types of advanced life support programs, including advanced cardiovascular life support, pediatric advanced life support, and advanced trauma care courses. This facility is certified as a level iv trauma center. Telehealth services are available in each of the two trauma rooms by avel, connecting instantly to registered nurses and board certified emergency physicians at a dedicated response center in south dakota. This telehealth service also provides evaluation of patients suffering from crisis level behavioral health emergency services. Avel also provides pharmacy oversight for any medication orders written per contract. D. Ancillary diagnostic and therapeutic services. These include: i. Laboratory with staff available 24 hours per day to perform a wide variety of chemistry, hematology, coagulation, urinalysis, blood gas, as well as basic microbiology tests. Blood banking is also available. A contracted reference laboratory performs more complex testing. Pathology services are also provided through a contracted service. Ii. Diagnostic imaging services include digital x-ray, ct scan, diagnostic ultrasound, echocardiography, portable fluoroscopy, mammography, and bone density. Mobile services provided under contract include mri and nuclear imaging. Iii. Anesthesia services are provided in the emergency, ambulatory surgery, and inpatient surgical setting by a dedicated certified registered nurse anesthetist (crna). An additional crna was added one day per month to assist with the high volumes of orthopedic cases and obstetrics patients allowing both services to be offered simultaneously. A separate pain management service utilizing a contracted service was implemented during the year and has been extremely successful. This service involves evaluation of patient needs by a specially trained aprn, with interventional pain management services subsequently performed by a crna. Iv. Respiratory therapy and pulmonary function are available, including acute inpatient and emergency department assistance with airway management, supplemental oxygen, heliox, and aerosol therapy, short term mechanical ventilation, and assistance with neonatal resuscitation. V. Physical and occupational therapy, as well as speech language pathology are available for inpatient and outpatient care. Vi. Cardiac and pulmonary rehabilitation services are provided to patients on a scheduled basis. Patients recovering from cardiac events or surgery, and patients with chronic pulmonary disease benefit from these services. Vii. Wound care services are available through a contract service on a weekly basis. Gpsc medic”

“CONTRACTED MEDICAL STAFF - Total Expense: 3378023, Program Service Expense: 3284301, Management and General Expenses: 93722, Fundraising Expenses: ; BILLING/COLLECTIONS - Total Expense: 683508, Program Service Expense: , Management and General Expenses: 683508, Fundraising Expenses: ; LAB SERVICES - Total Expense: 271966, Program Service Expense: 271966, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 258046, Program Service Expense: 258046, Management and General Expenses: , Fundraising Expenses: ; ADMIN/HUMAN RESOURCES - Total Expense: 90186, Program Service Expense: , Management and General Expenses: 90186, Fundraising Expenses: ; MAINTENANCE/HOUSEKEEPING - Total Expense: 111671, Program Service Expense: , Management and General Expenses: 111671, Fundraising Expenses: ; PLANT OPERATIONS - Total Expense: 31677, Program Service Expense: , Management and General Expenses: 31677, Fundraising Expenses: ; DIETARY SERVICES - Total Expense: 1782, Program Service Expense: , Management and General Expenses: 1782, Fundraising Expenses: ;”