MCPHERSON HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MCPHERSON HOSPITAL INC (EIN 48-0799105)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-09
IRS object ID
201711299349301011
Schema version
2015v3.0
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)
Return2017-05-09T09:09:58-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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)
PersonRobert MonicalPersonNm
Person TitleCEOPersonTitleTxt
Phone6202412250PhoneNum
Signature2017-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2017-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert MonicalPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1Txt
CityMcPhersonCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674602326ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,523,889GrossReceiptsAmt
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 Employee366TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,469,449PYContributionsGrantsAmt
CY Contributions Grants$3,102,143CYContributionsGrantsAmt
PY Program Service Revenue$23,252,651PYProgramServiceRevenueAmt
CY Program Service Revenue$23,731,378CYProgramServiceRevenueAmt
PY Investment Income$81,575PYInvestmentIncomeAmt
CY Investment Income$174,269CYInvestmentIncomeAmt
PY Other Revenue$423,878PYOtherRevenueAmt
CY Other Revenue$513,666CYOtherRevenueAmt
PY Total Revenue$25,227,553PYTotalRevenueAmt
CY Total Revenue$27,521,456CYTotalRevenueAmt
PY Grants And Similar Paid$13,732PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$232CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,747,380PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,365,463CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,020,559PYOtherExpensesAmt
CY Other Expenses$14,426,845CYOtherExpensesAmt
PY Total Expenses$26,781,671PYTotalExpensesAmt
CY Total Expenses$28,792,540CYTotalExpensesAmt
PY Revenues Less Expenses-$1,554,118PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,271,084CYRevenuesLessExpensesAmt
Total Assets BOY$21,516,079TotalAssetsBOYAmt
Total Assets EOY$20,627,872TotalAssetsEOYAmt
Total Liabilities BOY$4,179,025TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,207,553TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,337,054NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,420,319NetAssetsOrFundBalancesEOYAmt
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$24,943,518ExpenseAmt
Grant$232GrantAmt
Revenue$23,768,012RevenueAmt
DescProvision of inpatient and outpatient hospital services.Desc
Total Program Service Expenses$24,943,518TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Individuals0GrantsToIndividualsInd
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
Employee366EmployeeCnt
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 Line1Robert Monical President CEOBusinessNameLine1Txt
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Brian Billings
Trustee2.00Yes (X)$0$0$0
Lenny Favara
Trustee2.00Yes (X)$0$0$0
Bill Glazner
Trustee2.00Yes (X)$0$0$0
Craig Harms
Trustee2.00Yes (X)$0$0$0
Andrea Herrera MD
Trustee2.00Yes (X)$0$0$0
Tim Karstetter
Vice Chairman2.00Yes (X)$0$0$0Yes (X)
Chet Lang
Trustee2.00Yes (X)$0$0$0
Rob Monical
CEO40.00Yes (X)$0$0$0Yes (X)
Joan Reichenberger
Trustee2.00Yes (X)$0$0$0
Marsha Silver
Chairperson2.00Yes (X)$0$0$0Yes (X)
Paul Taliaferro
Secretary2.00Yes (X)$0$0$0Yes (X)
Greg Thomas MD
Trustee2.00Yes (X)$0$0$0
Brent Wall
Trustee2.00Yes (X)$0$0$0
Dan Lichty MD
Trustee through 12/31/20152.00Yes (X)$217,969$0$23,740
Michael Bloustine
Physician40.00$277,467$0$24,128Yes (X)
Clayton Fetsch
Physician40.00$325,354$0$37,721Yes (X)
Tyler Hughes
Physician40.00$289,277$0$34,550Yes (X)
Samuel Claassen
Physician40.00$159,576$0$27,210Yes (X)
Delane Vaughn
Physician40.00$195,810$0$29,071Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,465,453TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$176,420TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
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 CityMO64105ER physician coverage$2,054,201
Via Christi Health Inc
8200 E ThornWichitaKS67226Management fees and CEO, CFO & CNO servi$1,824,789
Rehabvisions
11623 Arbor StOmahaNE68144Physical/occupational therapy$814,430
Trimedx LLC
PO Box 636129CincinnatiOH45263Clinical equipment servicer$390,376
Shared Medical Serices
209 Limestone PassCottage GroveWI53527Scanning services$261,330
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$282,686RelatedOrganizationsAmt
Government Grants$2,717,898GovernmentGrantsAmt
All Other Contributions$101,559AllOtherContributionsAmt
Total Contributions$3,102,143TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue900099$23,363,781$23,363,781
EHR incentive payment900099$367,597$367,597
FieldValueIRS element (for citing)
Total Program Service Revenue$23,731,378TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,702TotalRevenueColumnAmt
Exclusion$176,702ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$172,502RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$172,502RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,502TotalRevenueColumnAmt
Exclusion$172,502ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,433OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,433OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,433TotalRevenueColumnAmt
Exclusion-$2,433ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Nonpatient meals722210$186,793$186,793
Auxiliary900099$71,649$71,649
Fitness center713940$46,088$46,088

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,634TotalRevenueColumnAmt
Related Or Exempt Func Income$36,634RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$341,164OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,521,456TotalRevenueColumnAmt
Related Or Exempt Func Income$23,768,012RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$651,301ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$232TotalAmt
Program Services$232ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$236,653TotalAmt
Program Services$236,653ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,879,609TotalAmt
Program Services$10,713,054ProgramServicesAmt
Management And General$1,166,555ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$317,783TotalAmt
Program Services$286,558ProgramServicesAmt
Management And General$31,225ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,098,532TotalAmt
Program Services$990,569ProgramServicesAmt
Management And General$107,963ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$832,886TotalAmt
Program Services$752,522ProgramServicesAmt
Management And General$80,364ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,163,462TotalAmt
Program Services$622,931ProgramServicesAmt
Management And General$540,531ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,795TotalAmt
Management And General$17,795ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,657,132TotalAmt
Program Services$5,160,101ProgramServicesAmt
Management And General$497,031ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$69,813TotalAmt
Program Services$1,037ProgramServicesAmt
Management And General$68,776ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$218,982TotalAmt
Program Services$132,895ProgramServicesAmt
Management And General$86,087ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$566,710TotalAmt
Program Services$425,032ProgramServicesAmt
Management And General$141,678ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$471,056TotalAmt
Program Services$349,288ProgramServicesAmt
Management And General$121,768ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,074TotalAmt
Program Services$22,855ProgramServicesAmt
Management And General$10,219ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,667TotalAmt
Program Services$16,777ProgramServicesAmt
Management And General$14,890ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$40,387TotalAmt
Program Services$29,947ProgramServicesAmt
Management And General$10,440ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,368,355TotalAmt
Program Services$1,014,635ProgramServicesAmt
Management And General$353,720ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$271,131TotalAmt
Program Services$85,664ProgramServicesAmt
Management And General$185,467ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$1,397,357$1,397,357
Equipment rental & main$1,139,063$1,045,245$93,818
Pharmacy supplies$1,068,746$1,068,746
Dietary food & supplies$289,850$270,853$18,997

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$622,265TotalAmt
Program Services$320,567ProgramServicesAmt
Management And General$301,698ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,792,540TotalAmt
Program Services$24,943,518ProgramServicesAmt
Management And General$3,849,022ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,802BOYAmt
EOY$379,762EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,051,794BOYAmt
EOY$2,930,796EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,645,285BOYAmt
EOY$4,044,199EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$564,777BOYAmt
EOY$581,365EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$54,409BOYAmt
EOY$69,303EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,722,158LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,263,026LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,553,216BOYAmt
EOY$7,459,132EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,426,116BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,217,680BOYAmt
EOY$5,163,315EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,516,079BOYAmt
EOY$20,627,872EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,690,001BOYAmt
EOY$2,255,243EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$393,580BOYAmt
EOY$1,822,640EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,444BOYAmt
EOY$129,670EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,179,025BOYAmt
EOY$4,207,553EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,368,766BOYAmt
EOY$12,053,246EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,029,779BOYAmt
EOY$2,988,571EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$938,509BOYAmt
EOY$1,378,502EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,337,054BOYAmt
EOY$16,420,319EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,516,079BOYAmt
EOY$20,627,872EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,271,084ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$51,597NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$405,946OtherChangesInNetAssetsAmt
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$8,649GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$8,649TotalLobbyingExpendituresAmt
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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,001,082BeginningYearBalanceAmt
Contributions$12,198ContributionsAmt
Investment Earnings Or Losses$19,182InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$74,239GrantsOrScholarshipsAmt
Other Expenditures-$314OtherExpendituresAmt
End Year Balance$957,909EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.39840PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.60160TermEndowmentBalanceEOYPct
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$16,312OtherCostOrOtherBasisAmt
Book Value$16,312BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,558,249OtherCostOrOtherBasisAmt
Depreciation$11,918,587DepreciationAmt
Book Value$4,639,662BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,466,443OtherCostOrOtherBasisAmt
Depreciation$11,075,368DepreciationAmt
Book Value$2,391,075BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,681,154OtherCostOrOtherBasisAmt
Depreciation$1,269,071DepreciationAmt
Book Value$412,083BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,459,132TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other receivables$550,928
Beneficial interest in net assets of the Foundation$4,089,916
Goodwill$12,700
Estimated third-party payor settlements$509,771
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,163,315TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated third-party payor settlements$91,450
Estimated liability for receivables sold with recourse$38,220
FieldValueIRS element (for citing)
Total Liability$129,670TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$27,875,805TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$51,597NetUnrealizedGainsInvstAmt
Other Revenue$405,946OtherRevenueAmt
Revenue Not Reported$354,349RevenueNotReportedAmt
Revenue Subtotal$27,521,456RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$27,521,456TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,792,540TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$28,792,540ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,792,540TotalExpensesPerForm990Amt

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 405,946.

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 Budget0ExpensesExceedBudgetInd
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$567,590TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,987DirectOffsettingRevenueAmt
Net Community Benefit Expns$507,603NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,308,980TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,002,276DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,306,704NetCommunityBenefitExpnsAmt
Total Expense0.04540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,876,570TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,062,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,814,307NetCommunityBenefitExpnsAmt
Total Expense0.06300TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,467TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,467NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,460,840TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,851,116DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,609,724NetCommunityBenefitExpnsAmt
Total Expense0.12540TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,536TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,536NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,497,843TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,851,116DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,646,727NetCommunityBenefitExpnsAmt
Total Expense0.12670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,374,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,913,379DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,461,034NetCommunityBenefitExpnsAmt
Total Expense0.18970TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$585,630BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$4,932,015ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,998,811CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,066,796MedicareSurplusOrShortfallAmt

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
OtherUrgent care clinicOtherDesc

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
Strategy Attached0StrategyAttachedInd
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
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
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 App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.mcphersonhospital.org/patients-visitors/billing-financial-assistFAPAppAvailableOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 prior CHNA and implementation strategy completed for the 2012 tax year (fiscal year ended 06/30/2013), which completes the three year cycle for the prior assessment and strategy. The most recently completed assessment and strategy applies to the next three years moving forward. Activities with the Kansas State University Extension Office: The hospital helped promote the Walk Kansas event held last spring, providing teams and resources to encourage participation from the community. The SNAP Ed program is operated within the school system through the Kansas State University (KSU) Extension Office. It has not yet been determined by these partners how the hospital can be an effective partner. The Dining with Diabetes event, also so-sponsored by the KSU Extension Office, was not held due to insufficient interest at the scheduled time.Diabetes support group: The planned activities of the Diabetes Support Group were postponed due to lack of participation and interest. The leadership for this group continues to assess needs and interest and implement additional activities as warranted.Lunch and Learn Events: A series of free monthly physician-led, lunch lectures were held in the Spring of 2016. Publicized widely in the community, topics ranged from the importance of health screenings to identifying certain types of cancers. A total of approximately 100 people attended these events.Speaker's Bureau: A list of clinical speakers was compiled in the Fall of 2015. There was limited usage indicating a need for targeted marketing strategies which still in development. Other providers have also been added to the bureau to increase outreach opportunities.Radio show: A radio show airs twice monthly with the pharmacy and lab director, a general surgeon and others covering a wide variety of health topics. The half-hour show receives positive feedback from listenership, though actual numbers are unquantifiable at this time."Commit to Get Fit": This initiative was a joint effort with the City of McPherson and other entities. The program was discontinued in 2015 due to lack of support from other leading organizations.Theraband Classes: These classes are held weekly for senior citizens at no charge, reaching approximately ten or more individuals each week, aged 50 and over.Health Risk Analyses: The Corporate Health Services department works regularly with local and area businesses providing information to employees on risk factors for health issues such as heart disease, cancer, obesity and diabetes. Staff members also regularly provide free blood pressure checks at the local YMCA.Corporate Challenge: A change in leadership and direction in the partnering organization in our community has postponed this initiative indefinitely. We will hopefully be able to realize this goal in the coming years.Disease Awareness: McPherson Hospital provides significant support locally through a variety of resources, specifically for breast cancer, by sponsoring events for area residents to provide education and encourage screenings. National health awareness dates are communicated through the hospital-produced newsletter which is available to patients, families and guests. Also, the hospital is a platinum sponsor for the local Relay for Life event each year for the American Cancer Society, providing resources and leadership to raise awareness and encourage healthy lifestyles.County health services resource directory: Due to the existence of other community-based resources, it was determined that such a directory would be repetitive. The hospital will seek to provide input and support for its ongoing availability.The identified needs not addressed specifically were daily life stressors and substance abuse. It is felt that the broad scope of daily life stressors makes it difficult to target a specific area that would have significant impact. However, the strategies outlined in the CHNA implementation strategy could have a positive effect on daily life stress with proper diet and exercise. Substance abuse was not addressed specifically as it is addressed by other organizations in the community and is not within the scope of available resources to affect meaningfully.
McPherson Hospital, Inc.Part V, Section B, Line 16i: We assist applicants fill out the form.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - McPherson Medical & Surgical AssociatesBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1Txt
CityMcPhersonCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67460ZIPCd
FieldValueIRS element (for citing)
FacilityPhysician clinic, family & internal medicine, surgery and hospitalistsFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7g:Subsidized health services community benefit expenses include $4,934,053 of expenses attributable to a physician clinic that has net operating losses.
Part III, Line 4:See Note 3A (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, 2016. 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 2015 census information, the per capita income for McPherson was $29,068. The percent of individuals below poverty level was 6.2. For the year ending June 30, 2016, 11 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 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 (6 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
Dan Lichty MD
Trustee through 12/31/2015$202,076$0$0$0$15,893$0$2,914$0$20,826$0$241,709$0$0$0
Michael Bloustine
Physician$273,432$0$0$0$4,035$0$14,278$0$9,850$0$301,595$0$0$0
Clayton Fetsch
Physician$273,462$0$0$0$51,892$0$13,530$0$24,191$0$363,075$0$0$0
Tyler Hughes
Physician$211,538$0$0$0$77,739$0$13,530$0$21,020$0$323,827$0$0$0
Samuel Claassen
Physician$132,112$0$0$0$27,464$0$7,300$0$19,910$0$186,786$0$0$0
Delane Vaughn
Physician$187,992$0$0$0$7,818$0$5,570$0$23,501$0$224,881$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 is responsible for the daily management and administration of the Hospital, including the employment of the CEO, CFO, and CNO (effective April 2014). For the calendar year of 2015, McPherson Hospital reimbursed Via Christi $219,798 for Robert Monical, CEO's salary and benefits, $141,343 for George Halama, CFO's salary and benefits, and $115,370 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 11A copy of the Form 990 is provided to members of the organization's Finance Committee 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 2,630,214. Management and general expenses 24,367. Fundraising expenses 0. Total expenses 2,654,581. Other medical personnel professional fees: Program service expenses 1,518,841. Management and general expenses 75,290. Fundraising expenses 0. Total expenses 1,594,131. Non physician professional services: Program service expenses 1,011,046. Management and general expenses 397,374. Fundraising expenses 0. Total expenses 1,408,420.
Form 990, Part XI, line 9:Change in beneficial interest in net assets of Foundation 405,946.
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

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