FURP.ORG / PUBLIC DATA EXPLORER

MCPHERSON HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MCPHERSON HOSPITAL INC (EIN 48-0799105)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201841349349304814
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T12:24:17-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033491ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480799105EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1McPherson Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMCPHBusinessNameControlTxt
Phone6202412250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1Txt
CityMcPhersonCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674602326ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTeresa GehringPersonNm
Person TitleCEOPersonTitleTxt
Phone6202412250PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2018-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTeresa GehringPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1Txt
CityMcPhersonCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674602326ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,431,330GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.mcphersonhospital.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionProvision of acute hospital care to patients regardless of ability to pay.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee414TotalEmployeeCnt
Total Volunteers135TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,102,143PYContributionsGrantsAmt
CY Contributions Grants$3,103,156CYContributionsGrantsAmt
PY Program Service Revenue$23,731,378PYProgramServiceRevenueAmt
CY Program Service Revenue$23,711,804CYProgramServiceRevenueAmt
PY Investment Income$174,269PYInvestmentIncomeAmt
CY Investment Income$183,854CYInvestmentIncomeAmt
PY Other Revenue$513,666PYOtherRevenueAmt
CY Other Revenue$430,774CYOtherRevenueAmt
PY Total Revenue$27,521,456PYTotalRevenueAmt
CY Total Revenue$27,429,588CYTotalRevenueAmt
PY Grants And Similar Paid$232PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,365,463PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,267,073CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,426,845PYOtherExpensesAmt
CY Other Expenses$16,663,471CYOtherExpensesAmt
PY Total Expenses$28,792,540PYTotalExpensesAmt
CY Total Expenses$33,953,544CYTotalExpensesAmt
PY Revenues Less Expenses-$1,271,084PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,523,956CYRevenuesLessExpensesAmt
Total Assets BOY$20,627,872TotalAssetsBOYAmt
Total Assets EOY$17,615,156TotalAssetsEOYAmt
Total Liabilities BOY$4,207,553TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,721,141TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,420,319NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,894,015NetAssetsOrFundBalancesEOYAmt
MissionTo meet our community's need by providing superior health care and exceptional service for each person, every time.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$29,904,818ExpenseAmt
Grant$23,000GrantAmt
Revenue$23,809,197RevenueAmt
DescProvision of inpatient and outpatient hospital services and physician clinic services.Desc
Total Program Service Expenses$29,904,818TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee414EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1George Kimbro CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6202412250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1Txt
CityMcPhersonCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674602326ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Brian Billings MD
Trustee2.00Yes (X)$0$0$0
Lenny Favara
Trustee2.00Yes (X)$0$0$0
Bill Glazner
Trustee2.00Yes (X)$0$0$0
Craig Harms
Secretary2.00Yes (X)$0$0$0Yes (X)
Andrea Herrera MD
Trustee2.00Yes (X)$0$0$0
Tim Karstetter
Trustee2.00Yes (X)$0$0$0
Chet Lang
Trustee2.00Yes (X)$0$0$0
Rob Monical
CEO through 5/31/201740.00Yes (X)$0$0$0Yes (X)
Joan Reichenberger
Vice Chair2.00Yes (X)$0$0$0Yes (X)
Marsha Silver
Trustee2.00Yes (X)$0$0$0
Paul Taliaferro
Chair2.00Yes (X)$0$0$0Yes (X)
Brent Wall
Trustee2.00Yes (X)$0$0$0
Michael Bloustine MD
Trustee/Physician40.00Yes (X)$262,464$0$23,095
Greg Thomas MD
Trustee through 12/31/20162.00Yes (X)$0$0$0
Teresa Gehring
Interim CEO effective 6/1/201640.00$131,229$0$25,637Yes (X)
Dan Lichty MD
Physician40.00$266,130$0$32,770Yes (X)
Clayton Fetsch
Physician40.00$310,141$0$37,585Yes (X)
Tyler Hughes
Physician40.00$203,018$0$25,657Yes (X)
Trenton Vaneaton
Physician40.00$222,442$0$30,857Yes (X)
Delane Vaughn
Physician40.00$227,521$0$31,283Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,622,945TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$206,884TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMS LLC
920 Main Ste 300Kansas CityMO64105Professional services$2,147,798
Via Christi Health Inc
8200 E ThornWichitaKS67226Contract labor and services$1,347,205
Rehabvisions
11623 Arbor StOmahaNE68144Therapy services$835,106
Trimedx LLC
6461 Lakeview Parkway South DrIndianapolisIN46268Clinical Equipment Service Agreement$377,542
Vista Staffing Solutions Inc
File 50834Los AngelesCA900740834Contract labor$348,657
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Related Organizations$280,573RelatedOrganizationsAmt
Government Grants$2,717,112GovernmentGrantsAmt
All Other Contributions$105,471AllOtherContributionsAmt
Total Contributions$3,103,156TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue900099$23,682,061$23,682,061
EHR incentive payment900099$29,743$29,743
FieldValueIRS element (for citing)
Total Program Service Revenue$23,711,804TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,102TotalRevenueColumnAmt
Exclusion$24,102ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$43,684RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$43,684RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,684TotalRevenueColumnAmt
Exclusion$43,684ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$161,494OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,742OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$159,752OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$159,752TotalRevenueColumnAmt
Exclusion$159,752ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Nonpatient meals722210$182,861$182,861
Auxiliary900099$65,733$65,733
Fitness center713940$41,103$41,103

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,393TotalRevenueColumnAmt
Related Or Exempt Func Income$97,393RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$387,090OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,429,588TotalRevenueColumnAmt
Related Or Exempt Func Income$23,809,197RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$517,235ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$23,000TotalAmt
Program Services$23,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$445,380TotalAmt
Program Services$283,971ProgramServicesAmt
Management And General$161,409ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,265,564TotalAmt
Program Services$13,120,770ProgramServicesAmt
Management And General$1,144,794ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$356,936TotalAmt
Program Services$329,649ProgramServicesAmt
Management And General$27,287ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,180,429TotalAmt
Program Services$1,096,115ProgramServicesAmt
Management And General$84,314ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,018,764TotalAmt
Program Services$929,868ProgramServicesAmt
Management And General$88,896ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,699,074TotalAmt
Program Services$1,034,166ProgramServicesAmt
Management And General$664,908ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,500TotalAmt
Management And General$25,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,120,698TotalAmt
Program Services$5,650,682ProgramServicesAmt
Management And General$470,016ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$76,139TotalAmt
Program Services$698ProgramServicesAmt
Management And General$75,441ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$212,396TotalAmt
Program Services$139,726ProgramServicesAmt
Management And General$72,670ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$644,875TotalAmt
Program Services$483,656ProgramServicesAmt
Management And General$161,219ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$520,612TotalAmt
Program Services$419,822ProgramServicesAmt
Management And General$100,790ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,039TotalAmt
Program Services$22,000ProgramServicesAmt
Management And General$15,039ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$20,704TotalAmt
Program Services$16,224ProgramServicesAmt
Management And General$4,480ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$75,289TotalAmt
Program Services$60,713ProgramServicesAmt
Management And General$14,576ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,511,581TotalAmt
Program Services$1,218,939ProgramServicesAmt
Management And General$292,642ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$374,058TotalAmt
Program Services$158,505ProgramServicesAmt
Management And General$215,553ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$1,842,900$1,842,900
Pharmacy supplies$1,328,002$1,328,002
Equipment rental & main$1,225,136$1,102,979$122,157
Dietary food & supplies$298,524$283,628$14,896

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$650,944TotalAmt
Program Services$358,805ProgramServicesAmt
Management And General$292,139ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,953,544TotalAmt
Program Services$29,904,818ProgramServicesAmt
Management And General$4,048,726ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$379,762BOYAmt
EOY$61,711EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,930,796BOYAmt
EOY$862,580EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,044,199BOYAmt
EOY$2,905,373EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$581,365BOYAmt
EOY$493,710EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$69,303BOYAmt
EOY$51,925EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,422,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,123,838LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,459,132BOYAmt
EOY$7,298,768EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,163,315BOYAmt
EOY$5,941,089EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,627,872BOYAmt
EOY$17,615,156EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,255,243BOYAmt
EOY$4,226,384EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,822,640BOYAmt
EOY$2,388,880EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$129,670BOYAmt
EOY$105,877EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,207,553BOYAmt
EOY$6,721,141EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,053,246BOYAmt
EOY$5,496,509EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,988,571BOYAmt
EOY$4,002,243EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,378,502BOYAmt
EOY$1,395,263EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,420,319BOYAmt
EOY$10,894,015EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,627,872BOYAmt
EOY$17,615,156EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,523,956ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$997,652OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$8,705GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$8,705TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMcPherson 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,191,328BeginningYearBalanceAmt
Contributions$779,637ContributionsAmt
Investment Earnings Or Losses$214,695InvestmentEarningsOrLossesAmt
Grants Or Scholarships$269,581GrantsOrScholarshipsAmt
Administrative Expenses$19,548AdministrativeExpensesAmt
End Year Balance$3,896,531EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,451,101BeginningYearBalanceAmt
Contributions$1,040,269ContributionsAmt
Investment Earnings Or Losses-$19,295InvestmentEarningsOrLossesAmt
Grants Or Scholarships$267,877GrantsOrScholarshipsAmt
Administrative Expenses$12,870AdministrativeExpensesAmt
End Year Balance$3,191,328EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,190,121BeginningYearBalanceAmt
Contributions$1,262,657ContributionsAmt
Investment Earnings Or Losses$80,038InvestmentEarningsOrLossesAmt
Grants Or Scholarships$81,715GrantsOrScholarshipsAmt
End Year Balance$2,451,101EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,065,492BeginningYearBalanceAmt
Contributions$46,956ContributionsAmt
Investment Earnings Or Losses$162,884InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$73,602GrantsOrScholarshipsAmt
End Year Balance$1,190,121EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$957,909BeginningYearBalanceAmt
Contributions$41,166ContributionsAmt
Investment Earnings Or Losses$149,077InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$82,660GrantsOrScholarshipsAmt
End Year Balance$1,065,492EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.33060PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.66940TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,697OtherCostOrOtherBasisAmt
Book Value$26,697BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,781,076OtherCostOrOtherBasisAmt
Depreciation$12,332,576DepreciationAmt
Book Value$4,448,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,845,359OtherCostOrOtherBasisAmt
Depreciation$11,461,062DepreciationAmt
Book Value$1,384,297BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,769,474OtherCostOrOtherBasisAmt
Depreciation$1,330,200DepreciationAmt
Book Value$1,439,274BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,298,768TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other receivables$546,521
Beneficial interest in net assets of the Foundation$5,087,568
Intangible assets$144,000
Estimated third-party payor settlements$163,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,941,089TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated third-party payor settlements$72,469
Estimated liability for receivables sold with recourse$33,408
FieldValueIRS element (for citing)
Total Liability$105,877TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,427,240TotalRevEtcAuditedFinclStmtAmt
Other Revenue$997,652OtherRevenueAmt
Revenue Not Reported$997,652RevenueNotReportedAmt
Revenue Subtotal$27,429,588RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$27,429,588TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$33,953,544TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$33,953,544ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,953,544TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 997,652.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,187,080TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$86,611DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,100,469NetCommunityBenefitExpnsAmt
Total Expense0.03240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,991,209TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,658,533DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,332,676NetCommunityBenefitExpnsAmt
Total Expense0.03920TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,178,289TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,745,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,433,145NetCommunityBenefitExpnsAmt
Total Expense0.07160TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,497TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,497NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,000NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,085,603TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,928,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,157,479NetCommunityBenefitExpnsAmt
Total Expense0.12240TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,411TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,411NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,143,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,928,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,215,387NetCommunityBenefitExpnsAmt
Total Expense0.12410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,321,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,673,268DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,648,532NetCommunityBenefitExpnsAmt
Total Expense0.19570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$963,178BadDebtExpenseAmt
Reimbursed By Medicare$4,855,371ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,042,717CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,187,346MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1McPherson Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1Txt
CityMcPhersonCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67460ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1McPherson Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.mcphersonhospital.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://www.lindsborgcommunityhospital.orgOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.mcphersonhospital.orgStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.mcphersonhospital.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.mcphersonhospital.org/patients-visitors/billing-financial-assistFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.mcphersonhospital.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
McPherson Hospital, Inc.Part V, Section B, Line 5: The most recent 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 33 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 322 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 2015 tax year (fiscal year ended 06/30/2016), which is the first annual update for the second three-year cycle. Activities with the Kansas State University Extension Office: The hospital helped promote the Walk Kansas event held in the spring of 2017, providing resources to encourage participation from the community. The event drew 17 teams, totaling nearly 100 participants with the goal of walking a targeted amount and eating a healthy diet. The Dining and Diabetes event is a special dinner targeted to families with loved ones who have been diagnosed with diabetes. Also co-sponsored by the KSU Extension Office, an event for later this year is being discussed in consultation with the hospital's registered dietitian. Lunch and Learn Events: These events have not yet been scheduled but are targeted for fall of 2018.Speaker's Bureau: Promotion of hospital speakers is targeted for late summer, early fall of 2018. Some members of the hospital staff have to date presented information through speeches and discussion in the local community. Topics have included "Staying Fit as We Age and the wide range of services provided by the hospital which includes a fitness center, specialty care clinics, dietary information and other health services. Persons reached is estimated at 100. An issue is that it can be challenge for clinical staff, who are best suited to present health information, to be away in the public during the workday. Radio show: A radio show on the local radio station airs once monthly, hosted by a hospital General Surgeon and the Chief Operating Officer, who has a doctorate in pharmacy and is also director of the hospital pharmacy. A variety of health topics are discussed that include nutrition and weight control, heart health, diabetes, common ailments, pharmaceuticals, and others. Guests are frequently utilized to bring special emphasis and expertise to the topic. The half-hour show receives positive feedback from listenership, however, actual number of listeners is unknown as the radio station does not track such statistics. Theraband Classes: These classes are held weekly and are targeted for senior citizens at no charge, reaching approximately ten or more individuals each week, aged 50 and over. The classes are led by staff from the hospital's fitness center. Promote healthy meals: This initiative is scheduled for a feasibility assessment in the fall of 2018. Using the hospital's licensed and registered dietitian as a guide, a course of action will be targeted with the local grocery store. Expert speaker on relevant topic: The goal of this initiative is to partner with a local business or businesses to help with resources and promotion of an expert speaker in an appropriate field to build awareness in the community. A business partner has not been identified to date but the initiative is still a possibility. Local college student initiative: Planned for the fall of 2018, the goal is to develop educational information for the collages to utilize in their orientation programming to promote healthy lifestyles. Disease Awareness: National health awareness dates are communicated through the hospital produced newsletter which is available to staff, patients, families and guests. Also, the hospital is a platinum sponsor for the local Rely for Life event each year for the American Cancer Society, and a financial supporter of a local independent group whose focus is on providing assistance to women and children who are fighting cancer. These initiatives provide resources and leadership to raise awareness and encourage healthy lifestyles. The hospital has recently agreed to sponsor cancer awareness publications through a local newspaper. The identified need not addressed specifically in the implementation strategy was mental health issues. However, since the CHNA and implementation strategy was developed, the hospital has engaged in a task force along with mental health providers and other key partners in the community to develop strategies for cooperative care of patients and addressing their unique needs as patients. Meeting quarterly, this task force has an opportunity to expand their scope in addressing broader mental health issues in the community in the coming year. Current county-wide data is not yet available that would indicate if there are changes in any of the significant health needs measures identified in the McPherson County health needs assessments.
McPherson Hospital, Inc.Part V, Section B, Line 16j: We assist applicants in filling out the form.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Family Practice Associates
1010 Hospital DriveMcPhersonKS67460Physician clinic
2 - McPherson Medical & Surgical Associates
1000 Hospital DriveMcPhersonKS67460Physician clinic, family & internal medicine, surgery and hospitalists
3 - McPherson Urgent Care Clinic
823 North Main StMcPhersonKS67460Urgent care clinic

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7g:Subsidized health services community benefit expenses include $9,497,221 of expenses attributable to physician clinics that have net operating losses.
Part III, Line 4:See Note A3 (page 7) of the audited financial statements regarding the allowance for uncollectible accounts.
Part III, Line 8:Amounts were obtained from the cost report filed with Medicare for the period ending June 30, 2017. 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 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 bad debt expense attributable to charity care patients.
Part III, Line 2:The Hospital's 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 13,000. According to 2016 census information, the per capita income for McPherson was $29,566. The percent of individuals below poverty level was 7.3%. For the year ending June 30, 2017, 10 percent of the Hospital's inpatient admissions were Medicaid recipients and 5 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, 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarship awards for local students pursuing education in health care industry.GrantTypeTxt
Recipient23RecipientCnt
Cash Grant$23,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationScholarships checks are not provided to students until verification is received from the school that the student has begun classes.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael Bloustine MD
Trustee/Physician$260,723$0$0$0$1,741$0$13,530$0$9,565$0$285,559$0$0$0
Teresa Gehring
Interim CEO effective 6/1/2016$116,332$0$0$0$14,897$0$5,504$0$20,133$0$156,866$0$0$0
Dan Lichty MD
Physician$192,529$0$0$0$73,601$0$12,095$0$20,675$0$298,900$0$0$0
Clayton Fetsch
Physician$278,077$0$0$0$32,064$0$13,530$0$24,055$0$347,726$0$0$0
Tyler Hughes
Physician$119,808$0$0$0$83,210$0$13,530$0$12,127$0$228,675$0$0$0
Trenton Vaneaton
Physician$155,850$0$0$0$66,592$0$7,208$0$23,649$0$253,299$0$0$0
Delane Vaughn
Physician$212,636$0$0$0$14,885$0$11,296$0$19,987$0$258,804$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3The Hospital entered into a management agreement with Via Christi Health, Inc. (Via Christi) on January 1, 2011. Under the agreement, Via Christi was responsible for the daily management and administration of the Hospital, including the employment of the CEO, CFO, and CNO (effective April 2014). The management agreement was terminated May 31, 2017. For the calendar year of 2016, McPherson Hospital reimbursed Via Christi $235,820 for Robert Monical, CEO in calendar year 2016 salary and benefits, $222,894 (including severance of $68,464) for George Halama, CFO in calendar year 2016 salary and benefits, and $101,448 for Beth Worden, DON's salary and benefits.
Form 990, Part VI, Section A, line 6Organization's sole member is MACCO Healthcare, Inc.
Form 990, Part VI, Section A, line 7aMACCO Healthcare, Inc. approves members of the governing body of McPherson Hospital, Inc.
Form 990, Part VI, Section B, line 11bA 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 12cThe 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 15Organization participates annually in salary surveys sponsored by the State 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 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request.
Form 990, Part IX, line 11gPhysician professional fees: Program service expenses 3,360,789. Management and general expenses 41,892. Fundraising expenses 0. Total expenses 3,402,681. Other medical personnel professional fees: Program service expenses 1,783,992. Management and general expenses 80,116. Fundraising expenses 0. Total expenses 1,864,108. Other purchased services: Program service expenses 505,901. Management and general expenses 348,008. Fundraising expenses 0. Total expenses 853,909.
Form 990, Part XI, line 9:Change in beneficial interest in net assets of Foundation 997,652.
FORM 990 PART XI, LINE 2C:The Finance Committee reviews the audit prior to submitting to the Board.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
MACCO Healthcare Inc
1000 Hospital DriveMcPhersonKS67460481059194Sole Member of McPherson Hopsital, Inc. and McPherson Healthcare Fdn, Inc.KS501(c)(3)Line 70
McPherson Healthcare Foundation Inc
1016 N MainMcPhersonKS67460481043952Raise funds to support the operation of McPherson Hopsital, Inc.KS501(c)(3)Line 70
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd