2024-05-07T16:18:40-05:00 2023-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-07-01 476918582 GPHA EMPLOYEE BENEFITS TRUST % BMI GPHA 3166851523 250 N ROCK ROAD STE 160 WICHITA KS 67206 JASON BARB CFO 3166851523 2024-05-15 true JASON BARB 999009999 SHAWNELL LINOT P01663908 3162652811 2024-05-15 2 2022 2023-04-26 12:10:37Z JASON BARB 250 N ROCK ROAD STE 160 WICHITA KS 67206 14972136 false X N/A X 2015 KS THE PLAN PROVIDES FOR THE PAYMENT OR REIMBURSEMENT OF CERTAIN MEDICAL, PRESCRIPTION DRUGS AND DENTAL BENEFITS FOR ELIGIBLE EMPLOYEES 6 0 0 0 0 0 13358182 14855130 -10154 18187 0 0 13348028 14873317 0 0 13354955 13339995 0 0 0 0 0 1254573 2469129 14609528 15809124 -1261500 -935807 4425933 3481663 78054 0 4347879 3481663 NONE false false TIMELY PAYMENT OF ALL CLAIMS FOR MEDICAL, DRUG AND DENTAL SERVICES. false false false false false false false false false false false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false true true true false true 589 0 true 0 false false false false false false false false X 6 0 true false false false true true true true false false false true true true true true false false false false X BMI 8002901368 PO BOX 1090 GREAT BEND KS 67530 CURT COLSON PRESIDENT/TRUSTEE 1.0 40.0 X X 0 216245 60227 JASON BARB SECRETARY/TRUSTEE 1.0 40.0 X X 0 176924 49870 ALLEN VAN DRIEL TRUSTEE 1.0 40.0 X 0 185628 38145 MARCIA GABEL TRUSTEE 1.0 40.0 X 0 148598 28483 DARIN WALK TRUSTEE 1.0 40.0 X 0 135000 22688 JILL WENGER TRUSTEE 1.0 40.0 X 0 115492 33064 0 977887 232477 0 false true false 0 0 EMPLOYER CONTRIBUTIONS 900099 14855130 14855130 14855130 117006 117006 0 0 0 0 0 98819 -98819 -98819 -98819 0 0 0 0 0 0 0 0 0 0 14873317 14855130 18187 0 0 0 13339995 0 0 0 0 0 0 0 0 0 0 0 10161 0 0 0 0 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE EXPENSES 715290 INSURANCE PREMIUMS 1743678 15809124 0 482632 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4425933 2999031 0 0 0 0 0 0 0 0 4425933 3481663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78054 0 78054 0 X 4347879 3481663 0 0 4347879 3481663 4425933 3481663 -935807 69591 X X false true X false false 14932747 69591 69591 14863156 10161 10161 14873317 15798963 15798963 10161 10161 15809124 false false false MARCIA GABEL TRUSTEE 0 148598 0 0 0 0 0 2972 0 25511 0 177081 0 0 ALLEN VAN DRIEL TRUSTEE 0 183388 0 0 0 2240 0 18064 0 20081 0 223773 0 0 CURT COLSON PRESIDENT/TRUSTEE 0 213737 0 0 0 2508 0 18997 0 41230 0 276472 0 0 DARIN WALK TRUSTEE 0 133070 0 0 0 1930 0 12842 0 9846 0 157688 0 0 JASON BARB SECRETARY/TRUSTEE 0 174587 0 0 0 2337 0 2692 0 47178 0 226794 0 0 SCHEDULE J, PART II Curt Colson, Jason Barb, and Darin Walk ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, INC., A RELATED 501(C)(3) ORGANIZATION. MARCIA GABEL IS COMPENSATED BY LANE COUNTY HEALTH SYSTEM AND ALLEN VAN DRIEL IS COMPENSATED BY SMITH COUNTY MEMORIAL HOSPITAL, RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 CURT COLSON, JASON BARB, DARIN WALK, AND JILL WENGER HAVE A BUSINESS RELATIONSHIP. THEY ARE ALL EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 6 GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, AND THE RELATED HOSPITALS ARE MEMBERS OF THE GPHA EMPLOYEE BENEFITS TRUST. FORM 990, PART VI, SECTION A, LINE 7A GREAT PLAINS HEALTH ALLIANCE, INC. HAS THE RIGHT TO ELECT AND APPROVE ALL OF THE BOARD TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT OF GPHA EMPLOYEE BENEFITS TRUST IS SUBJECT TO THE CONTROL OF THE ORGANIZATION'S BOARD OF TRUSTEES, OR GPHA BOARD, AS APPLICABLE. THE BYLAWS OF THE ORGANIZATION MAY BE ALTERED, AMENDED OR REPEALED AND NEW BYLAWS MAY BE ADOPTED BY THE GPHA BOARD. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE CURRENTLY NO COMMITTEES FORMED WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF OPERATING OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND, AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY THE BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE. GREAT PLAINS HEALTH ALLIANCE INC L 1115151 FMV GREAT PLAINS OF CHEYENNE COUNTY INC L 1043971 FMV GREAT PLAINS OF ELLINWOOD INC L 876402 FMV GREAT PLAINS OF OTTAWA COUNTY INC L 649516 FMV GREAT PLAINS OF REPUBLIC COUNTY INC L 1460669 FMV GREAT PLAINS OF SABETHA INC L 1310895 FMV GREAT PLAINS OF SMITH COUNTY INC L 1565956 FMV LANE COUNTY HOSPITAL L 668794 FMV MINNEOLA DISTRICT HOSPITAL L 1098839 FMV TREGO COUNTY-LEMKE MEMORIAL HOSPITAL L 1589682 FMV SATANTA DISTRICT HOSPITAL L 1075112 FMV MITCHELL COUNTY HOSPITAL HEALTH SYSTEM L 1755768 FMV KIOWA COUNTY MEMORIAL HOSPITAL L 618375 FMV