Great Plains of Republic Co Inc

What it reported doing in 2024

Republic county hospital's (rch) primary program is the delivery of healthcare and related services to patients from republic county and contiguous counties in northcentral Kansas and southcentral Nebraska. Services include inpatient acute, intermediate swing bed (isb), surgery, obstetric, emergency room and outpatient care. Republic county hospital provides needed health care services to patients who come to our hospital for care, regardless of the patient's ability to pay and has a financial assistance program for those patients with limited resources. Major accomplishments in fy 2024 (10/01/2023- 09/30/2024) include the following: 1) hospital staff provides education to the community including smoking cessation, vaping education and works closely with area schools related to impact testing and head injuries occurring during sports/activities. 2) the hospital maintains the outpatient seniors group therapy program senior life solutions. 3) retained and recertified for our level 4 trauma certification. 4) continues to update our website meeting the price transparency requirements for cms and no surprises act requirements. 5) provide ongoing case management services for our patients. 6) hospital participates in open forum coffee for local chamber of commerce on a weekly basis. 7) hospital also regularly serves as a clinical site for nursing students and certified nursing assistant (cna) students from a neighboring community college. 8) continues to offer regular exercise programming for our community following referral and a-fit testing. 9) continue to provide patient assistance and diabetic education with our certified diabetic educator. 10) rch continues to provide a lactation program for the community and provides education and patient support to mothers in the community with an international board-certified lactation consultant. The hospital also provides childbirth education classes. 11) collaborates with the north central Kansas healthcare foundations through providing community education on the services we provide and offering a community health fair in conjunction with their annual radiothon fundraiser. 12) supply appropriate patients discharging from our ed with flu kits. 13) the rch bot reviewed and approved our 2022 community health needs assessment and implementation strategy -for fy ending sept. 2025. The chna and implementation strategy can be found on our hospital website. 14) hospital staff lead a summer safety camp for kids in collaboration with multiple stakeholders across the community including ems and law enforcement. Staff also provide safe sitter training and farm safety education with support from area schools and businesses. 15) rch support families, caregivers and the community with pregnancy/infant loss programming and alzheimer's/dementia support. 16) below please find: a year in review - rch 2024 that list changes in roles, major accomplishments with surveys, accreditations and equipment upgrades and additional services. 2024 year in review: republic county hospital/belleville medical clinic enhancements fukuda telemetry (trauma) designed chemistry analyzer (ortho vitros) operationalized lab refrigeration all upgraded from residential to medical grade new phone system operationalizes at rch and bmc trauma project at 50% completion_ under budget pyxis operationalized with expanded footprint cerner scheduling started pbrhc (provider based rural health clinic) transition process pbrhc provider compensation plan implemented pbrhc provider employment agreements implemented bmc staff migration completed 01mar24 bmc asset buyout executed (contested) dr. Lexia zenger signed contract (11jun24) - anticipated start october 2025 pbrhc policy and procedure implemented pbrhc emergency preparedness plan implemented rhc accreditation achieved 11sep24 kdhe rhc enrollment completed and sent to cms (04oct24) senators marshall and moran contacted about the pin timeline rcm rebuilt from $0 collections physician document

Financial Efficiency

• Mission deployment rate: 86.5%; rating input score 86
• Program expense ratio: 88.8%; rating input score 89
• 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: Yes; rating input score 100

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: 2.6%; rating input score 45; 45th percentile among comparable filings
• Total-asset coverage ratio: 0.62; rating input score 21; 21st percentile among comparable filings
• Liabilities to assets ratio: 0.23; rating input score 55; 55th percentile among comparable filings
• Officer compensation ratio: 9%; rating input score 24; 24th percentile among comparable filings

Growth

• Program expense growth: 7.6% per year; rating input score 100; 59th percentile among comparable filings
• Revenue growth: 5.8% per year; rating input score 100; 50th percentile among comparable filings
• Asset growth: 7.3% per year; rating input score 100; 51st percentile among comparable filings