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Great Plains Health is a small hospital system in a part of Nebraska surrounded by agriculture, railroads, and retail distribution. But that doesn’t mean it’s powerless — in fact, the system is a highly profitable, influential mainstay in the area.

At the center of Great Plains Health is a 116-bed hospital that offers services like neurosurgery, cancer care, and interventional cardiology. But it can’t do open-heart procedures. Those are reserved for hospitals in Omaha or Denver.

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It’s the type of hospital the pandemic presumably would have crushed and put on the brink of closure, especially when elective procedures were brought to a halt. But Great Plains Health has never lost a dime from patient care since the pandemic started (federal subsidies helped immensely).

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