Great Plains of Cheyenne County Inc

What it reported doing in 2024

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), 28 registered nurses (rn/ft/pt/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 2024 included our pharmacy with $4,864,942 total expenses. Of this, $3,865,094 was 340b expenses. Our nursing department with $2,159,378 in expenses, which includes $668k for contract nurses. The rural health clinic with $1,852,699 in expenses which includes $48k 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 2024 with $4,864,942 total expenses. Of this, $3,865,094 was 340b expenses. Nursing: the second largest expense by department for 2024 was nursing. Not only in service to the more than 192 acute inpatients, 72 swing bed admissions, and 31 obstetric admissions in 2024, 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 934 patients presenting to the er in 2024 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 8,367 patient visits in 2024, 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 2024, 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)

Financial Efficiency

• Mission deployment rate: 92.2%; rating input score 92
• Program expense ratio: 91.5%; rating input score 92
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 85.7%; rating input score 86; 19th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -0.7%; rating input score 28; 28th percentile among comparable filings
• Total-asset coverage ratio: 0.36; rating input score 10; 10th percentile among comparable filings
• Liabilities to assets ratio: 0.33; rating input score 43; 43rd percentile among comparable filings
• Officer compensation ratio: 10.4%; rating input score 19; 19th percentile among comparable filings

Growth

• Program expense growth: 9.5% per year; rating input score 100; 68th percentile among comparable filings
• Revenue growth: 8% per year; rating input score 100; 65th percentile among comparable filings
• Asset growth: 3.5% per year; rating input score 100; 26th percentile among comparable filings