Great Plains of Cheyenne Co Inc

“Dave dellasega and durrel kelley 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, section a, line 6 great plains health alliance, inc., a not-for-profit, 501(c)(3) organization, is the sole member of great plains of cheyenne county, 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 ceo and coo 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.”

“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.”

“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 2020 included our rural health clinic, nursing department, and pharmacy. 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. Rural Health Clinic: Our Rural Health Clinic (RHC) is designated as a Safety Net Clinic by the State of Kansas. The clinic served 8022 patient visits in 2020, 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 2020, the RHC was awarded a Primary Care Clinic grant of $109,305.00. 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. Nursing: The second largest expense by department for 2020 was nursing. Not only in service to the more than 239 acute inpatients, 76 swing bed admissions, and 29 obstetric admissions in 2020, nursing was instrumental in overseeing key facility services such as Hospital Pharmacy (which included the implementation of 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 926 patients presenting to the ER in 2020 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 the greater than 2,600 residents of Cheyenne County. Pharmacy Pharmacy was the third largest expense for 2020 with a total expense of $2,136,537. The expense for the 340B program was $1,467,544 of the total above.”

“Description:contracted medical staff total fees:2146827”

“Description:billing/collections total fees:293035”

“Description:lab services total fees:74234”

“Description:pharmacy services total fees:121593”

“Description:administration/human resources total fees:99440”

“Description:plant operations total fees:186000”

“Description:dietary services total fees:5266”