2026-04-08T14:56:36+00:00 2025-11-25 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2025-04-01 823936808 SCMH QALICB INC SCMH 3166851523 PO BOX 349 SMITH CENTER KS 66967 JASON BARB CFO 3166851523 2026-04-08 true Kevin Ensminger P01310558 3162652811 2026-04-08 2025 2025-03-06 01:10:19Z X BRET STRINE 921 EAST HIGHWAY 36 SMITH CENTER KS 66967 0 false X WWW.SCMHKS.ORG X 2017 KS THIS ORGANIZATION WAS FORMED TO FACILITATE THE ISSUANCE OF NMTC'S UTILIZED FOR ADDITIONAL CONSTRUCTION EXPENSES FOR THE BUILDING OF A NEW HOSPITAL IN SMITH CENTER. X 5 5 0 5 0 0 0 948447 0 0 0 16880383 0 17828830 0 553795 118611 0 0 0 0 0 418020 0 971815 118611 16857015 -118611 118611 0 0 0 118611 0 None false false 118611 118611 0 THE MISSION OF THIS ORGANIZATION IS TO FACILITATE THE ISSUANCE OF NMTC'S TO BE USED TO HELP CONSTRUCT A NEW HOSPITAL IN SMITH CENTER AND TO COMPLY WITH FEDERAL REGULATIONS THROUGH THE TERM OF THE LIFE OF THE DEBT ISSUED ($17,025,000) AS PART OF THE ISSUANCE OF NMTC'S. 118611 true false false false false false false false false false false false 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 false false true false false true false false true false true 0 0 0 false false false false false false false false false false false false X 5 5 false true false false true true false true true false false false true true true true true true false false false false X JASON BARB 3166851523 250 N ROCK ROAD STE 160 WICHITA KS 67206 X BRET STRINE CHAIRMAN/DIRECTOR 5.0 0.0 X X 0 0 0 CLAIRE ARMENT SECRETARY/TREASURER/DIRECTOR 5.0 0.0 X X 0 0 0 JOHN TERRILL VICE CHAIRMAN/DIRECTOR 5.0 0.2 X X 0 0 0 ERIC HERMANNS DIRECTOR 5.0 0.0 X 0 0 0 KENTON WELTMER DIRECTOR 5.0 0.0 X 0 0 0 0 0 0 0 false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118611 118611 0 0 0 0 0 0 0 0 118611 118611 0 0 118611 0 0 0 0 0 0 0 0 0 0 0 0 0 118611 0 0 0 0 0 0 0 0 0 X 118611 0 118611 0 118611 0 -118611 0 X false false false X X X 1 BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL 480561973 6 true 118611 0 1 118611 0 true false false false false false false false false false false false false false false true false true BOARD OF TRUSTEES SMITH CO MEM HOSP 921 E HIGHWAY 36 SMITH CENTER KS 66967 480561973 SMITH COUNTY, KS 118611 NEW HOSPITAL BUILDING 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE GRANT FUNDS WERE GIVEN TO THE BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL, THE SOLE MEMBER OF SCMH QALICB, INC., TO ENHANCE THE FACILITIES USED BY AND SERVICES PROVIDED BY SMITH COUNTY MEMORIAL HOSPITAL IN SMITH CENTER, KANSAS. THE FUNDS WILL BE MONITORED BY THE BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL. CASH 2025-11-25 118611 COST 480561973 BOT OF SMITH COUNTY HOSPITAL 921 E HIGHWAY 36 SMITH CENTER KS 66967 GOVERNMENT UNIT false false false false true true true true false Form 990, Part VI, Line 3 Delegation of management duties GREAT PLAINS OF SMITH COUNTY, INC., A 501(C)(3) ORGANIZATION, PERFORMS THE DAY-TO-DAY MANAGEMENT OF SCMH QALICB, INC.'S OPERATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders THE BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL IS THE SOLE MEMBER OF SCMH QALICB, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL, BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 19 Required documents available to the public 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. BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL 921 E HIGHWAY 36 SMITH CENTER KS 66967 480561973 HOSPITAL KS NA false false true false false false false false false false false false false false false false false false false false BOARD OF TRUSTEES OF SMITH COUNTY MEMORIAL HOSPITAL B 118611 BOOK