2023-04-04T09:29:03-05:00 2022-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2021-07-01 480799105 McPherson Hospital Inc MCPH 6202412250 1000 Hospital Drive McPherson KS 674602326 Lewis Newberry CEO 6202412250 2023-03-29 1 Lewis Newberry 999009999 Cameron L Werth P01797399 7852334226 2023-03-29 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Lewis Newberry 1000 Hospital Drive McPherson KS 674602326 44243848 0 X http://www.mcphersoncenterforhealth.org X 1972 KS Provision of acute hospital care to patients regardless of ability to pay. 12 11 450 30 0 0 11931485 5910727 31411742 36948538 3376 958901 335835 410210 43682438 44228376 27000 22000 0 0 20576326 22654135 0 0 92747 16510049 21219985 37113375 43896120 6569063 332256 30869943 29131562 14046108 12565166 16823835 16566396 Superior healthcare and exceptional service for each person, every time. 0 0 37840946 22000 37927022 Provision of inpatient and outpatient hospital services. 37840946 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 71 0 1 450 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Lewis Newberry CEO 6202412250 1000 Hospital Drive McPherson KS 674602326 Paul Taliaferro Chairperson (Eff. Jan. 2022 2.00 X X 0 0 0 Chet Buchman Chairperson (Thru Dec. 2021) 2.00 X X 0 0 0 Joan Reichenberger Secretary (Eff. Jan. 2022) 2.00 X X 0 0 0 Chet Lang Vice Chair (Eff. Jan. 2022) 2.00 X X 0 0 0 Abbey Archer-Rierson Trustee 2.00 X 0 0 0 Alicia Chennell MD Trustee 2.00 X 0 0 0 Lenny Favara Trustee 2.00 X 0 0 0 Bill Glazner Trustee 2.00 X 0 0 0 Sheila Gorman MD Physician/Trustee (Thru Dec. 2021) 40.00 X 209444 0 34687 Carl Turner DO Physician/Trustee (Eff. Jan. 2022) 40.00 X 325671 0 37748 Tim Karstetter Trustee 2.00 X 0 0 0 Brent Wall Trustee 2.00 X 0 0 0 Esther Rettig MD Trustee 2.00 X 0 0 0 Christopher Stipe President and CEO 40.00 X 208062 0 17954 George Kimbro CFO (Thru Jan. 2022) 40.00 X 285000 0 9975 Lewis Newberry CFO (Eff. Feb. 2022) 40.00 X 0 0 0 Clayton Fetsch Physician 40.00 X 335776 0 38763 Michael Bloustine Physician 40.00 X 294131 0 18235 Bret Heskett Physician 40.00 X 317283 0 36852 Rachel Nichols Physician 40.00 X 270304 0 31557 Brandon Stringer Physician 40.00 X 285743 0 37335 2531414 0 263106 27 0 1 0 Hutton Corporation 111 N Sycamore Wichita KS 67203 Construction services 1673372 EMS Kansas LLC 7032 Collection Drive Chicago IL 60693 Physician Coverage 1487378 Caring for Kansas 24529 W Lost Point Andale KS 67001 Contract labor 1257920 RehabVisions 11623 Arbor St Omaha NE 68144 Therapy services 1083752 CPSI Inc PO Box 850309 Mobile AL 36685 Computer support and billing services 444104 19 798964 5009628 102135 5910727 Patient service revenue 900099 36948538 36948538 36948538 21151 21151 68951 0 68951 68951 68951 953222 15472 937750 937750 937750 Nonpatient meals 722210 218808 218808 Fitness center 713940 48207 48207 Auxiliary 900099 33510 33510 40734 40734 341259 44228376 37927022 0 390627 X 22000 22000 920158 366591 553567 17797170 15587477 2137069 72624 507213 435987 69209 2017 2113028 1841184 263298 8546 1316566 1126457 184791 5318 67221 67221 10168031 9374802 793016 213 52565 2565 50000 234619 171799 62729 91 191762 150296 41466 544805 392713 151023 1069 44886 26919 17947 20 11575 8924 2651 369900 196135 173579 186 1876353 1362679 511977 1697 404033 177768 226112 153 Pharmacy supplies 2442360 2438285 4075 Medical supplies 2360510 2325943 34567 Equipment rental & main 1188279 1101246 86683 350 Dietary food & supplies 363685 166680 196825 180 899401 564496 334622 283 43896120 37840946 5962427 92747 6551855 2554074 1698522 992858 4465902 6057000 492505 828841 461520 417701 44032228 29171464 13601028 14860764 3598611 3420324 30869943 29131562 3966937 4668658 7394118 7302095 2685053 594413 14046108 12565166 X 13542725 14026687 3281110 2539709 16823835 16566396 30869943 29131562 X 332256 -589695 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5095 0 0 0 5095 0 Part II-B, Line 1: McPherson Hospital, Inc., is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. 2712852 515088 -350308 662358 25321 2189953 2279725 954106 574181 1071831 23329 2712852 1905665 603539 100749 310516 19712 2279725 4615375 334306 124867 3144281 2000 22602 1905665 3896531 1176511 189828 630986 16509 4615375 0.62810 0.37190 1 1 1 26697 26697 23731244 14694657 9036587 16507980 12980594 3527386 3766307 1496213 2270094 14860764 Other receivables 906797 Beneficial interest in net assets of the Foundation 2277209 Intangible assets 144000 Estimated third-party payor settlements 92318 3420324 Estimated third-party payor settlements 594413 594413 X 43638681 -589695 -589695 44228376 0 44228376 43896120 0 43896120 0 43896120 Part V, Line 4: Donor restricted and board designated funds for special projects and operating purposes. Part X, Line 2: Management is not aware of any uncertainties in income tax positions. Part XI, Line 2d - Other Adjustments: Change in beneficial interest in net assets of the Foundation -589,695. 1 1 1 X 1 X 1 1 1 0 0 192676 152988 39688 0.00090 4267754 2794258 1473496 0.03360 4460430 2947246 1513184 0.03450 3392 3392 0.00010 22000 22000 0.00050 9735943 6812702 2923241 0.06660 9761335 6812702 2948633 0.06720 14221765 9759948 4461817 0.10170 1 1691416 6987368 9695458 -2708090 X 1 1 1 1 McPherson Hospital Inc 1000 Hospital Drive McPherson KS 67460 X X X McPherson Hospital Inc 1 0 0 1 X X X X X X X 21 1 1 1 1 X http://www.mcphersoncenterforhealth.org X http://www.lindsborgcommunityhospital.org X 1 21 1 http://www.https://mcphersoncenterforhealth.org/community-needs-assessments 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X 1 X http://www.mcphersoncenterforhealth.org/patients-visitors/ X http://www.mcphersoncenterforhealth.org/patients-visitors/ X http://www.mcphersoncenterforhealth.org/patients-visitors/ X X X X X X X 1 X 0 X X X 1 X 0 0 McPherson Hospital, Inc. Part V, Section B, Line 5: The assessment was achieved through the co-leadership of the director of the McPherson County Health Department along with input from other county hospitals, Lindsborg Community Hospital and Mercy Hospital in Moundridge. The McPherson County CHNA process included gathering opinions from the public and area sources through the use of a survey and quantitative data from secondary sources. A survey instrument comprised of 37 questions was developed by the leadership of the participating hospitals and the public health department. The electronic survey was made available throughout the county through various means including media, social media, hospital websites, and was publicized through said sources as well as newspaper and radio. A focus group was formed to provide input regarding the results of the survey. Included in the focus group were individuals representing health care, law enforcement, family advocacy, indigent populations, mental health, public health, civic leadership, education, religion, and senior services, fitness, and Chamber of Commerce, among others. A total of 556 survey responses were received with each community in the county represented in the respondent group. McPherson Hospital, Inc. Part V, Section B, Line 6a: Lindsborg Community Hospital in Lindsborg and Mercy Hospital in Moundridge McPherson Hospital, Inc. Part V, Section B, Line 6b: McPherson County Health Department McPherson Hospital, Inc. Part V, Section B, Line 11: The annual update below pertains to the CHNA and implementation strategy completed for the 2018 tax year (fiscal year ended 06/30/2019), which is the third annual update for the three-year cycle. This final update is for the CHNA that was adopted by the boards of the associated McPherson County Hospitals in June of 2019. The McPherson Hospital Implementation Strategy was adopted by the McPherson Hospital Board of Trustees on October 28, 2019. A status update on each initiative is provided below. The COVID-19 pandemic continues to limit to some extent the hospital's resources and abilities to address the identified health concerns in the assessment, though there continue to be some initiatives that saw some progress over the last year. Community Mental Health Taskforce: Prior to the COVID pandemic, the hospital participated in this multi-agency taskforce created to address mental health issues in the county. The group met quarterly to develop resources and educational opportunities to bring awareness and create dialogue between agencies to better care for mental health patients. The goal was to educate the communities in McPherson County about mental health issues through public educational forums. Impact would be monitored as activities, initiatives and inter-agency strategies developed to provide appropriate care for patients. The taskforce has had difficulty reconvening even as the pandemic has lessened. However, the hospital has taken steps to provide support for mental health patients. To alleviate the utilization of healthcare or law enforcement personnel to sit with at-risk patients until appropriate levels of support could be secured, pulling these resources away from other needs, we continue to contract with a third party that provides one-on-one support for patients needing immediate mental health observation. This provides a safer environment for all parties and allows the medical teams and law enforcement to remain available for other needs. In addition, we continue to utilize the Columbia Suicide Severity Rating Scale in our Emergency Department to help assess our patients' mental health status related to suicide so that appropriate interventions can be administered if needed. Assess Internal Employee Assistance Program and Provide Training: We continue to offer this program as a means of assisting hospital employees while educating them on mental health issues. Available are resources and opportunities for hospital employees to become educated about and engaged in management of their own potential issues as well as for patients. Better educated employees allow for appropriate treatment and care for themselves and their patients. This employee-focused assistance program is promoted during new employee orientation to inform and encourage utilization of services for personal well-being in a variety of life situations and circumstances. Statistics for usage are not documented due to confidentiality concerns, but we do know that employees are utilizing these services for their intended purposes. Community Drug Abuse Taskforce: The hospital was part of this ongoing taskforce whose goals were to provide resources, outreach and education to the public about the dangers of opioid use. Impact was monitored as activities and initiatives developed over the years with a goal to educate the communities in McPherson County to help prevent abuse and make McPherson County a safer place and to get ahead of the epidemic. This group met quarterly in the past but continues to have difficulty convening following the surge of the pandemic in this area. It is hoped that the group can reconvene in the near future. We continue to support law enforcement drug abuse education in our community.K-TRACS EHR Integration: This is a database designed to let physicians and pharmacists know if a patient is receiving and filling multiple controlled substance prescriptions. Integrating patient drug prescribing history into our EHR, providers who are aware of their current and past prescriptions can make informed decisions on what they are prescribing. We continue to partner with the software interface management group and are fully functional in using K-TRACS in the emergency department with all of our physicians.Non-Narcotic Order Set: The goal for this program is to design an order set for electronic use that does not contain narcotics, thereby patients will not be exposed to as many narcotics. Providers are aware that narcotics are sometimes not the safest form of pain management. This initiative continues to be delayed due to shifting focus of resources related to COVID-19.Electronic Prescribing of Narcotics: The plan is to make it mandatory for all providers to electronically prescribe narcotics. Electronically prescribing medications provides better tracking and drug management, increasing provider awareness of patients' narcotic use. The State of Kansas now requires this practice. We continue to be 100% compliant with this requirement, and are able to utilize waivers for printed scripts if the computer system is down. Provide Staff Training and Education on Drug Abuse: Originally, the plan for this initiative included education from PrairieView Mental Health Center for our staff on how to properly identify and care for patients with a substance abuse problem. Staff would be able to better identify and care for drug abuse patients and provide better education and referral services upon discharge. PrairieView, a major mental health provider in the area has conducted staff training onsite for providers in the past, but challenges in the aftermath of the pandemic continue to put a strain on resources, including staffing and reallocation of resources. Walk Kansas Co-sponsorship: In the past, we have taken an active role and partnered with the Kansas State University Extension Office in McPherson County for this annual spring event designed to encourage teams of 6 or more people to track minutes of physical activity and food choices during an 8-week period. This potentially impacts a couple hundred people, encouraging activity and overall good health. Our participation in co-sponsoring this event is dependent on the county extension office utilizing our support. Due to a leadership change at the extension office this last year, we were not approached to participate, but conversations with new leadership have taken place and additional partnerships have been discussed.Internal wellness committee story sharing: This plan was initially launched to develop personal weight loss and wellness stories of hospital employees that could be shared internally and externally to encourage others. Leading by example, the impact could inspire others in the county to create their own success stories. The aftermath of the pandemic continues to affect many of our programs in this area due to shifting of personnel resources so the program was suspended this last year.Continue targeted Doc Talks: This series of lectures from hospital providers on topics of general health was targeted toward specific identified health needs. It has the potential to reach hundreds of people annually through education and resources. We were still not comfortable bringing people together in large groups over the last year, but evaluation of this activity is continuing. Virtual Exercise Sponsorship, the "Hess Express 150": Named after the family for which our fitness center is named, this initiative is to sponsor a community-wide effort to motivate and engage people in specific healthy activities with goals toward individual completion. This community event encourages physical activity and overall good health. The virtual event was sponsored in February through May of 2022. The 23 participants were encouraged to log 150 minutes of exercise each week during these months. Pair-a-docs: This initiative was initially a monthly local radio show where hospital providers and others discussed a variety of health topics. Since 2020, the subject matter has focused more on ways to keep the public informed and safe regarding COVID. During the past year, new ownership at the radio station suspended programming and issued new contracts with a different show format. We now have weekly programs of just a few minutes each where we are able to provide updates of services and general health information. Opportunities still exist for education on wellness and topics related to our identified health needs in a brief "tip" format. McPherson Hospital, Inc. Part V, Section B, Line 11: (continued): Food insecurity screenings in the clinics: This initiative focuses on the implementation of two validated screening questions about food insecurity during annual exams in the physician clinics. Eleven percent of people in McPherson County struggle with food insecurity, which increases risk for obesity and simultaneous malnutrition. Implementing screenings would raise awareness of patients who are struggling with food insecurity, and potentially reduce the risk of obesity by directing them to resources or food assistance programs. Recently, through physician and dietitian consultations, clinical priorities have shifted to malnutrition awareness for our patients, particularly for COVID patients. The plan is to keep the food insecurities initiative in the plan, as it is also part of the broader malnutrition awareness program that is continuing to be developed. McPherson Hospital, Inc. Part V, Section B, Line 16j: We assist applicants in filling out the form. 2 1 - McPherson Medical & Surgical Associates 1000 Hospital Drive McPherson KS 67460 Physician clinic, family & internal medicine, surgery and hospitalists 2 - McPherson Urgent Care Clinic 823 N Main Street McPherson KS 67460 Urgent care clinic Part I, Line 7g: Subsidized health services community benefit expenses include $7,693,510 of expenses attributable to physician clinics that have net operating losses. Part III, Line 4: See Note B (page 10) of the audited financial statements regarding the allowance for implicit price concessions. Part III, Line 8: Amounts were obtained from the cost report filed with Medicare for the period ending June 30, 2022. The total amount of shortfall between Medicare revenue received and relating allowable costs is considered community benefit. Part III, Line 9b: Patients who have qualified for financial assistance are considered qualified for six months. Updated information must be provided for any subsequent account balances. Patients who have qualified for partial financial assistance are to make payment arrangements for any remaining balance according to the policies that apply to other patients. Part III, Line 3: McPherson Hospital, Inc. is unable to determine the amount of implicit price concessions (bad debt expense) attributable to patients eligible under its charity care policy for the year covered by this return. Suggested methods for estimation were either not in place or proved to be unreliable. For example, the number of financial assistance applications distributed but not returned was not tracked. Using demographic data to estimate an amount did not provide reasonable results. Rather than provide an estimate that cannot be substantiated, McPherson Hospital Inc. has chosen to report zero dollars as implicit price concessions (bad debt expense) attributable to charity care patients. Part III, Line 2: The Hospital's implicit price concessions (bad debt) at cost was determined by applying an overall ratio of cost to charges. Part VI, Line 2: McPherson Hospital, Inc. does not have a formal community needs assessment process, with the exception of the process utilized for the CHNA. Part VI, Line 3: All self-pay patients are screened by a contractor for eligibility under federal, state, or local government programs. Notice of the Hospital's financial assistance program is posted in patient registration areas and on the Hospital's website. The availability of financial assistance is also communicated to patients with the first billing statement and at any time during the collection process if an inability to pay is expressed by the patient/guarantor. Part VI, Line 4: McPherson Hospital, Inc.'s primary service area is McPherson, Kansas, a rural community of approximately 13,944. According to 2022 census information, the per capita income for McPherson was $31,971. The percentage of individuals below poverty level was 11.9 percent. For the year ending June 30, 2022, 14 percent of the Hospital's inpatient admissions were Medicaid recipients and 6 percent were uninsured. Larger hospitals in Hutchinson, Salina, and Newton also provide services to the residents of McPherson. The distances between these facilities and McPherson Hospital, Inc. are approximately 23, 29, and 28 miles respectively. There are no federally-designated medically underserved areas or populations in McPherson. Part VI, Line 5: McPherson Hospital, Inc.'s governing body is comprised of individuals who reside in the primary service area. All Board members, with the exception of the CEO and one physician, are not employed by the Hospital. Annually, all trustees sign a conflict of interest statement and disclose any potential conflicts of interest. With limited exceptions for hospital-based services, the Hospital extends medical staff privileges to all qualified physicians in the community. Surplus funds are used by the Hospital to update facilities and equipment, recruit needed physicians and staff, and otherwise improve patient care. 1 Scholarship awards for local students pursuing education in health care industry. 22 22000 Part I, Line 2: Scholarship checks are not provided to students until verification is received from the school that the student has begun classes. X X X 0 0 0 0 0 0 0 0 0 Clayton Fetsch Physician 335700 0 76 0 0 0 11817 0 26946 0 374539 0 0 0 Carl Turner DO Physician/Trustee (Eff. Jan. 2022) 233130 0 92541 0 0 0 10344 0 27404 0 363419 0 0 0 Bret Heskett Physician 317283 0 0 0 0 0 9609 0 27243 0 354135 0 0 0 Brandon Stringer Physician 275475 0 10268 0 0 0 10092 0 27243 0 323078 0 0 0 Michael Bloustine Physician 294064 0 67 0 0 0 8498 0 9737 0 312366 0 0 0 Rachel Nichols Physician 247673 0 22631 0 0 0 4314 0 27243 0 301861 0 0 0 George Kimbro CFO (Thru Jan. 2022) 285000 0 0 0 0 0 9975 0 0 0 294975 0 0 0 Sheila Gorman MD Physician/Trustee (Thru Dec. 2021) 205317 0 4127 0 0 0 7382 0 27305 0 244131 0 0 0 Christopher Stipe President and CEO 208062 0 0 0 0 0 0 0 17954 0 226016 0 0 0 Form 990, Part VI, Section A, line 6 Organization's sole member is MACCO Healthcare, Inc. Form 990, Part VI, Section A, line 7a MACCO Healthcare, Inc. approves members of the governing body of McPherson Hospital, Inc. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is provided to all board members with an opportunity to comment or ask questions prior to filing. Form 990, Part VI, Section B, line 12c The conflict of interest policy is reviewed annually by the governing body. Updated individual disclosure forms are also required annually. Form 990, Part VI, Section B, line 15 Organization participates annually in salary surveys sponsored by the Kansas Hospital Association and uses MGMA and other national references in establishing physician compensation. Terms of employment contracts are approved by the governing body. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request. Form 990, Part IX, line 11g Physician professional fees: Program service expenses 1,960,040. Management and general expenses 7,855. Fundraising expenses 0. Total expenses 1,967,895. Other medical personnel professional fees: Program service expenses 2,243,190. Management and general expenses 61,317. Fundraising expenses 0. Total expenses 2,304,507. Non physician professional services: Program service expenses 5,171,572. Management and general expenses 723,844. Fundraising expenses 213. Total expenses 5,895,629. Form 990, Part XI, line 9: Change in beneficial interest in net assets of Foundation -589,695. FORM 990 PART XI, LINE 2C: The Finance Committee reviews the audit prior to submitting to the Board. MACCO Healthcare Inc 1000 Hospital Drive McPherson KS 67460 481059194 Sole Member of McPherson Hospital, Inc. and McPherson Healthcare Fdn, Inc. KS 501(c)(3) Line 7 0 McPherson Healthcare Foundation Inc 1016 N Main McPherson KS 67460 481043952 Raise funds to support the operation of McPherson Hopsital, Inc. KS 501(c)(3) Line 7 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0