Great Plains of Smith Co Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH-RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE.
- Income
- $26.9 million
- Spending
- $27.7 million
- Spent on programs
- 75%
- Reserves
- -6.6 months of spending
- Largest source of income
- fees for its services, 96%
- Employees
- 186
- Volunteers
- 7
- Highest pay
- $415,987, physician
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 40 out of 100. Higher than 18% of charities in its peer group (health care, $10m to $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
2 of 20It owes 91% of what it owns.
Living within its means
8 of 15Spending exceeded income by 3% of income.
Income trend
15 of 15Income rose 8% on the year before.
Spending floor
15 of 1575% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 95 out of 100. Higher than 39% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 255 of 6 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $20.7 million spent. GREAT PLAINS OF SMITH COUNTY, INC., DBA SMITH COUNTY MEMORIAL HOSPITAL, DELIVERS PRIMARY HEALTHCARE SERVICES TO RESIDENTS IN AN AREA THAT INCLUDES SMITH COUNTY, KANSAS. THE SERVICE AREA ALSO INCLUDES, TO A LESSER DEGREE, PHILLIPS, JEWELL, AND OSBORNE COUNTIES IN KANSAS, AS WELL AS FRANKLIN AND WEBSTER COUNTIES IN NEBRASKA. THE PRIMARY HEALTHCARE SERVICES ARE DELIVERED THROUGH A CRITICAL ACCESS HOSPITAL AND A PROVIDER BASED RURAL HEALTH CLINIC. THE RURAL HEALTH CLINIC SERVED 15800 PATIENTS FROM 41 ZIPCODES. SEE SCHEDULE O FOR CONTINUATION. 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 MEDICAL STAFF AND NURSING STAFF FROM THE RURAL HEALTH CLINIC HELP STAFF THIS CLINIC, WHICH PROVIDES DEBRIDEMENT AND CARE FOR SLOW-HEALING WOUNDS, AS WELL AS THE APPLICATION OF SKIN SUBSTITUTE PRODUCTS TO PROMOTE HEALING. VIII. DIAGNOSTIC SLEEP SERVICES INCLUDING BOTH ATTENDED AND HOME SLEEP STUDIES AND CPAP TITRATION ARE PROVIDED UNDER A CONTRACT ARRANGEMENT. IX. DIETARY SERVICES TO INPATIENTS AND OUTPATIENTS ARE PROVIDED BY A STAFF LED BY A REGISTERED CLINICAL DIETICIAN WHO IS ALSO OUR EXECUTIVE CHEF. TAILORING OF MEALS TO MEET THE THERAPEUTIC NEEDS AND DESIRES OF OUR INPATIENTS, COUPLED WITH EDUCATION REGARDING HEALTHIER FOOD CHOICES ARE PROVIDED TO EVERY INPATIENT. THE FOOD SERVICES STAFF ALSO PROVIDE AND PACKAGE THE MEALS FOR THE MEALS ON WHEELS PROGRAM. LAST FISCAL YEAR 7331 MEALS WERE SERVED TO THE COMMUNITY THROUGH THIS PROGRAM. X. OUTPATIENT SPECIALTY CLINIC SERVICES ARE PROVIDED AT THE CAH BY A WIDE VARIETY OF PROVIDERS. THESE ARRANGEMENTS ALLOW US TO OFFER SPECIALTY SERVICES TO RESIDENTS OF THE AREA WITHOUT THE NEED FOR TRAVEL TO DISTANT LOCATIONS. SERVICES PROVIDED AT SCMH INCLUDE CARDIOLOGY (3 PROVIDERS), CARDIOVASCULAR SURGEON, PULMONOLOGY, NEPHROLOGY, GENERAL SURGERY (2 PROVIDERS), PODIATRY, ORTHOPEDIC SURGERY, ORTHOTICS, UROLOGY, OB/GYN, DERMATOLOGY, RHEUMATOLOGY, ENDOCRINOLOGY, BEHAVIORAL HEALTH MEDICATION MANAGEMENT, AND COUNSELING SERVICES AND THE PREVIOUSLY MENTIONED PAIN MANAGEMENT SERVICE. 2. SMITH COUNTY FAMILY PRA
Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending March 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since December 2000.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
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