2025-04-08T10:30:46-05:00 2024-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2023-07-01 480799105 McPherson Hospital Inc MCPH 6202412250 1000 Hospital Drive McPherson KS 674602326 Tanner Wealand President and CEO 6202412250 2025-03-24 1 0 Cameron L Werth P01797399 7852334226 2025-03-24 2023 2025-03-06 01:10:19Z Tanner Wealand 1000 Hospital Drive McPherson KS 674602326 45262797 0 X http://www.mcphersoncenterforhealth.org X 1972 KS Provision of acute hospital care to patients regardless of ability to pay. 12 9 534 57 0 0 4609418 4070684 37577680 40671136 55575 67641 427409 452943 42670082 45262404 26000 26500 0 0 24092137 25893308 0 0 118572 21346225 19748363 45464362 45668171 -2794280 -405767 25499569 25929690 11693274 11832463 13806295 14097227 Superior healthcare and exceptional service for each person, every time. 0 0 38356640 26500 40681187 Provision of inpatient and outpatient hospital services. 38356640 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 70 0 1 534 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Tanner Wealand President and CEO 6202412250 1000 Hospital Drive McPherson KS 674602326 Chet Lang Chairperson 2.00 X X 0 0 0 Paul Taliaferro Vice Chair 2.00 X X 0 0 0 Bill Glazner Secretary 2.00 X X 0 0 0 Abbey Archer-Rierson Trustee 2.00 X 0 0 0 Lenny Favara Trustee 2.00 X 0 0 0 Paul Godwin Trustee 2.00 X 0 0 0 Dorothy Hughes Trustee 2.00 X 0 0 0 Tim Karstetter Trustee 2.00 X 0 0 0 James Loving Trustee 2.00 X 0 0 0 Brandon Stringer MD Physician/Trustee 40.00 X 353044 0 41019 Carl Turner DO Physician/Trustee 40.00 X 332346 0 39311 Michael Bloustine Physician/Trustee 40.00 X 366087 0 20147 Lewis Newberry President and CEO (Thru Feb 2024) 40.00 X 273549 0 19483 Tanner Wealand CFO and Interim CEO (Eff. Feb 2024) 40.00 X 139302 0 2878 Clayton Fetsch Physician 40.00 X 343702 0 40698 Ruth Lehman Wiens Physician 40.00 X 309477 0 36458 Rachel Nichols Physician 40.00 X 249283 0 22737 Trenton VanEaton Physician 40.00 X 298081 0 37862 Dustie Samuels Physician 40.00 X 310887 0 25520 2975758 0 286113 33 0 1 0 EMS Kansas LLC 7032 Collection Drive Chicago IL 60693 Physician Coverage 1502791 Level 1 Nurse Staffing LLC 337 Northern St El Dorado KS 67042 Nursing Contract Labor 1213093 RehabVisions 11623 Arbor St Omaha NE 68144 Therapy services 1065092 Caring for Kansas 24529 W Lost Point Andale KS 67001 Contract labor 910606 Qualivis LLC PO Box 674913 Dallas TX 75267 Nursing Contract Labor 799023 19 365147 3644098 61439 4070684 Patient service revenue 900099 40671136 40671136 40671136 68034 68034 79239 0 79239 79239 79239 393 -393 -393 -393 Nonpatient meals 722210 258916 258916 Fitness center 713940 78333 78333 Auxiliary 900099 26011 26011 10444 10444 373704 45262404 40681187 0 510533 X 26500 26500 1692881 1254371 438510 20165492 17665211 2403860 96421 446387 389848 54370 2169 2023307 1761753 253122 8432 1565241 1352097 205659 7485 74484 74484 7978586 7149833 828597 156 21700 2102 19598 254573 177570 76866 137 26632 20507 6125 458954 321108 136999 847 27597 27342 254 1 6834 2688 4146 394711 184161 210403 147 1933787 1381672 550455 1660 546237 184368 361716 153 Pharmacy supplies 2320916 2310411 10505 Medical supplies 2173821 2154899 18922 Equipment rental & main 1312320 1117574 193861 885 Medicaid State Assessme 822263 822263 1394948 872625 522244 79 45668171 38356640 7192959 118572 264230 307931 1007978 971922 5887895 6450083 611820 554044 430464 278966 45523026 32841329 13945000 12681697 3352182 4685047 25499569 25929690 4332651 4590631 6785623 6845933 575000 395899 11693274 11832463 X 11257126 10859812 2549169 3237415 13806295 14097227 25499569 25929690 X -405767 696699 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7895 0 0 0 7895 0 Part II-B, Line 1: McPherson Hospital, Inc., is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. 2344918 549344 424412 229101 27601 3061972 2189953 105323 315545 243207 22696 2344918 2712852 515088 -350308 662358 25321 2189953 2279725 954106 574181 1071831 23329 2712852 1905665 603539 100749 310516 19712 2279725 0.56540 0.43460 1 1 1 26697 26697 24652831 16095046 8557785 18626641 15152797 3473844 2216857 1593486 623371 12681697 Other receivables 804239 Beneficial interest in net assets of the Foundation 3115148 Intangible assets 144000 Estimated third-party payor settlements 621660 4685047 Estimated third-party payor settlements 395899 395899 X 45959103 696699 696699 45262404 0 45262404 45668171 0 45668171 0 45668171 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 696,699. 1 1 1 X 1 X 1 1 1 0 0 62361 62361 4956264 4678945 277319 0.00610 5018625 4741306 277319 0.00610 2789 2789 0.00010 26500 26500 0.00060 11779392 8351600 3427792 0.07510 11808681 8351600 3457081 0.07580 16827306 13092906 3734400 0.08190 1 1750729 7145772 9385514 -2239742 X 1 1 1 1 McPherson Hospital Inc 1000 Hospital Drive McPherson KS 67460 X X X McPherson Hospital Inc 1 0 0 1 X X X X X X X 21 1 1 1 1 X http://www.mcphersoncenterforhealth.org X http://www.lindsborgcommunityhospital.org X 1 21 1 http://www.https://mcphersoncenterforhealth.org/community-needs-assessments 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X 1 X http://www.mcphersoncenterforhealth.org/patients-visitors/ X http://www.mcphersoncenterforhealth.org/patients-visitors/ X http://www.mcphersoncenterforhealth.org/patients-visitors/ X X X X X X X 1 X 0 X X X 1 X 0 0 McPherson Hospital, Inc. Part V, Section B, Line 5: The assessment was achieved through the co-leadership of the director of the McPherson County Health Department along with input from other county hospitals, Lindsborg Community Hospital and Mercy Hospital in Moundridge. The McPherson County CHNA process included gathering opinions from the public and area sources through the use of a survey and quantitative data from secondary sources. A survey instrument comprised of 37 questions was developed by the leadership of the participating hospitals and the public health department. The electronic survey was made available throughout the county through various means including media, social media, hospital websites, and was publicized through said sources as well as newspaper and radio. A focus group was formed to provide input regarding the results of the survey. Included in the focus group were individuals representing health care, law enforcement, family advocacy, indigent populations, mental health, public health, civic leadership, education, religion, and senior services, fitness, and Chamber of Commerce, among others. A total of 556 survey responses were received with each community in the county represented in the respondent group. McPherson Hospital, Inc. Part V, Section B, Line 6a: Lindsborg Community Hospital in Lindsborg and Mercy Hospital in Moundridge McPherson Hospital, Inc. Part V, Section B, Line 6b: McPherson County Health Department McPherson Hospital, Inc. Part V, Section B, Line 11: The annual update below pertains to the CHNA and implementation strategy completed for the 2021 tax year (fiscal year ended 06/30/2022), which is the second annual update for the three-year cycle.This update is for the CHNA that was adopted by the boards of the three McPherson County, Kansas hospitals in June of 2022. The specific McPherson Hospital Implementation Strategy was adopted by the McPherson Hospital Board of Trustees on October 24, 2022. A status update on each initiative is provided below. It may be worth noting that in general, with limited resources, individual strategies can be challenging to realize without available funds. Despite strict attention to managing operating expenses while seeing variable, unpredictable income streams, our 2024 fiscal year end financials show an operating loss of $3,491,964. One element impacting this loss is a nursing shortage that began during the COVID-19 pandemic from which we still have not fully recovered, causing us to continue to rely on contract nursing labor. This ongoing issue also affects our ability to respond to some of these strategies as well.Community Drug Abuse Taskforce: As with the mental health taskforce, this group met quarterly prior to the pandemic but has been unable to reconvene due to a variety of circumstances. The initiative remains in our strategy in case the group re-forms. The hospital was part of this taskforce whose goals were to provide resources, outreach and education to the public about the dangers of opioid use. Impact was monitored as activities and initiatives developed over the years with a goal to educate the communities in McPherson County to help prevent abuse, make McPherson County a safer place and to get ahead of the epidemic. It is hoped that the group can reconvene in the near future. We continue to support law enforcement drug abuse education in our community.K-TRACS EHR Integration: We continue to use this database designed to let physicians and pharmacists know if a patient is receiving and filling multiple controlled substance prescriptions. Integrating patient drug prescribing history into our EHR, providers who are aware of their current and past prescriptions can make informed decisions on what they are prescribing. We continue to partner with the software interface management group and are fully functional in using K-TRACS in the emergency department with all of our physicians.Non-Narcotic Order Set: Through our regular evaluation of patient care, we have found it not necessary to create a formal order set. Our providers are aware that narcotics are sometimes not the safest form of pain management and therefore self-manage their use.Electronic Prescribing of Narcotics: The plan is to make it mandatory for all providers to electronically prescribe narcotics. Electronically prescribing medications provides better tracking and drug management, increasing provider awareness of patients' narcotic use. The State of Kansas now requires this practice. We continue to be fully 100% compliant with this requirement and are able to utilize waivers for printed scripts if the computer system is down.Community Mental Health Taskforce: The Community Mental Health Task Force meets quarterly to discuss the latest statistics, new trends and strategies to better serve our community. Impact is monitored as activities, initiatives and inter-agency strategies are developed to provide appropriate care for patients.One-on-one support for acute mental health cases: Our Emergency Department has contracted with a third party that provides one-on-one support for patients needing immediate mental health observation and potential transportation. This support provides a safer environment for all parties and allows the medical teams and law enforcement to remain available for other community needs. This resource may be utilized for any admission from other departments.Suicide assessment: We currently utilize the Columbia Suicide Severity Rating Scale (CSSRS) in our Emergency Department (ED) to help assess our patients' mental health status related to suicide. The screening is utilized for every ED and admitted patient to the hospital. Initially, tracking showed 100% compliance. Currently, spot checks are completed to maintain compliance rates.Real-time staff debriefing of difficult cases: Hospital staff members currently hold immediate debriefing sessions following difficult or emotional cases to determine levels of staff mental stability. The purpose is to determine levels of staff mental stability following exceptionally emotional cases. Director of EMS and Safety Officer recently educated all nursing directors and house supervisors on successful event debriefings. These are performed after codes, requested traumas and other requested events. Results are scanned and reviewed by the Safety Officer and Executive Director of Nursing and Acute Care Services. Referral for additional resources may be suggested and are available through the Employee Assistance Program.Internal Employee Assistance Program and Training: Though the focus on this is internal, we continue to offer this program as a means of assisting hospital employees while educating them on mental health issues, in hopes it will also create sensitivity toward our patients who struggle with mental health difficulties. Resources and opportunities are made available for hospital employees to become educated about and engaged in management of their own potential issues as well as for patients. Better educated employees allow for appropriate treatment and care for themselves and their patients. This employee-focused assistance program is promoted during new employee orientation to inform and encourage utilization of services for personal well-being in a variety of life situations and circumstances. Statistics for usage are not documented due to confidentiality concerns, but we do know through engagement that employees are utilizing these services for their intended purposes. Co-sponsorship of local fitness events: Many local organizations hold fitness awareness events and activities in the community. This potentially impacts a couple hundred people across all events, encouraging activity and overall good health. One such event was a local trail run that we co-sponsored in the spring of 2024. Our participation in co-sponsoring other events is dependent on the county extension office utilizing our support. New leadership at the extension office is currently organizing a work plan and communicates with us regularly for potential opportunities. We also sponsor health and wellness events for our staff a few times a year.Physician and provider health presentations: Labeled DocTalks, we continue to sponsor local events free to the public where our providers conduct presentations and lectures on relevant health topics. Last fall, one of our physicians presented a lecture on proper nutrition, and this year, a physician presented on the effects of sufficient sleep on overall health and wellness. Total attendance at these events is estimated at about 100 people.Virtual Run Sponsorship (Hess Express): Rather than sponsoring a specific run this past year, we focused on a different virtual event, encouraging families to get exercise together indoors or out, suggesting a variety of options during the month of February 2024. Families were asked to submit photos of themselves exercising together. Several social media posts provided education on the importance of exercise along with risk factors for heart disease.Yoga Classes: Our fitness center hosts free weekly yoga classes on Tuesdays. Yoga has been shown to improve flexibility, respiration, weight reduction, a balanced metabolism, among other benefits. Approximately a dozen people participate each week.Food insecurity screenings in the clinics: This initiative focuses on the implementation of two validated screening questions about food insecurity during annual exams in the physician clinics. Eleven percent of people in McPherson County struggle with food insecurity, which increases risk for obesity and simultaneous malnutrition. Implementing screenings would raise awareness of patients who are struggling with food insecurity, and potentially reduce the risk of obesity by directing them to resources or food assistance programs. Recently, through physician and dietitian consultations, clinical priorities have shifted to malnutrition awareness for our patients. These screenings are currently being conducted in the clinics for appropriate patients, with particular focus on malnutrition awareness. In addition, free community food sources are visible in each exam room in our physician clinics. McPherson Hospital, Inc. Part V, Section B, Line 16j: We assist applicants in filling out the form. 1 1 - McPherson Medical & Surgical Associates 1000 Hospital Drive McPherson KS 67460 Physician clinic, family & internal medicine, surgery and hospitalists Part I, Line 7g: Subsidized health services community benefit expenses include $9,660,825 of expenses attributable to physician clinics that have net operating losses. Part III, Line 4: See Note B (page 10) of the audited financial statements regarding the allowance for implicit price concessions. Part III, Line 8: Amounts were obtained from the cost report filed with Medicare for the period ending June 30, 2024. The total amount of shortfall between Medicare revenue received and relating allowable costs is considered community benefit. Part III, Line 9b: Patients who have qualified for financial assistance are considered qualified for six months. Updated information must be provided for any subsequent account balances. Patients who have qualified for partial financial assistance are to make payment arrangements for any remaining balance according to the policies that apply to other patients. Part III, Line 3: McPherson Hospital, Inc. is unable to determine the amount of implicit price concessions (bad debt expense) attributable to patients eligible under its charity care policy for the year covered by this return. Suggested methods for estimation were either not in place or proved to be unreliable. For example, the number of financial assistance applications distributed but not returned was not tracked. Using demographic data to estimate an amount did not provide reasonable results. Rather than provide an estimate that cannot be substantiated, McPherson Hospital Inc. has chosen to report zero dollars as implicit price concessions (bad debt expense) attributable to charity care patients. Part III, Line 2: The Hospital's implicit price concessions (bad debt) at cost was determined by applying an overall ratio of cost to charges. Part VI, Line 2: McPherson Hospital, Inc. does not have a formal community needs assessment process, with the exception of the process utilized for the CHNA. Part VI, Line 3: All self-pay patients are screened by a contractor for eligibility under federal, state, or local government programs. Notice of the Hospital's financial assistance program is posted in patient registration areas and on the Hospital's website. The availability of financial assistance is also communicated to patients with the first billing statement and at any time during the collection process if an inability to pay is expressed by the patient/guarantor. Part VI, Line 4: McPherson Hospital, Inc.'s primary service area is McPherson, Kansas, a rural community of approximately 13,906. According to 2024 census information, the per capita income for McPherson was $33,449. The percentage of individuals below poverty level was 15.1 percent. For the year ending June 30, 2024, 15 percent of the Hospital's inpatient admissions were Medicaid recipients and 2 percent were uninsured. Larger hospitals in Hutchinson, Salina, and Newton also provide services to the residents of McPherson. The distances between these facilities and McPherson Hospital, Inc. are approximately 23, 29, and 28 miles respectively. There are no federally-designated medically underserved areas or populations in McPherson. Part VI, Line 5: McPherson Hospital, Inc.'s governing body is comprised of individuals who reside in the primary service area. All Board members, with the exception of the CEO and two physicians, are not employed by the Hospital. Annually, all trustees sign a conflict of interest statement and disclose any potential conflicts of interest. With limited exceptions for hospital-based services, the Hospital extends medical staff privileges to all qualified physicians in the community. Surplus funds are used by the Hospital to update facilities and equipment, recruit needed physicians and staff, and otherwise improve patient care. 1 Scholarship awards for local students pursuing education in health care industry. 27 26500 Part I, Line 2: Scholarship checks are not provided to students until verification is received from the school that the student has begun classes. X X X 0 0 0 0 0 0 0 0 0 Brandon Stringer MD Physician/Trustee 299248 0 53796 0 0 0 13662 0 27357 0 394063 0 0 0 Michael Bloustine Physician/Trustee 305487 0 60600 0 0 0 9765 0 10382 0 386234 0 0 0 Clayton Fetsch Physician 343702 0 0 0 0 0 13200 0 27498 0 384400 0 0 0 Carl Turner DO Physician/Trustee 239234 0 93112 0 0 0 11822 0 27489 0 371657 0 0 0 Ruth Lehman Wiens Physician 224972 0 84505 0 0 0 9181 0 27277 0 345935 0 0 0 Dustie Samuels Physician 290236 0 20651 0 0 0 0 0 25520 0 336407 0 0 0 Trenton VanEaton Physician 222492 0 75589 0 0 0 10447 0 27415 0 335943 0 0 0 Lewis Newberry President and CEO (Thru Feb 2024) 273549 0 0 0 0 0 9262 0 10221 0 293032 0 0 0 Rachel Nichols Physician 207488 0 41795 0 0 0 7832 0 14905 0 272020 0 0 0 Form 990, Part VI, Section A, line 6 Organization's sole member is MACCO Healthcare, Inc. Form 990, Part VI, Section A, line 7a MACCO Healthcare, Inc. approves members of the governing body of McPherson Hospital, Inc. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is provided to all board members with an opportunity to comment or ask questions prior to filing. Form 990, Part VI, Section B, line 12c The conflict of interest policy is reviewed annually by the governing body. Updated individual disclosure forms are also required annually. Form 990, Part VI, Section B, line 15 Organization participates annually in salary surveys sponsored by the Kansas Hospital Association and uses MGMA and other national references in establishing physician compensation. Terms of employment contracts are approved by the governing body. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request. Form 990, Part IX, line 11g Physician professional fees: Program service expenses 2,053,033. Management and general expenses 9,174. Fundraising expenses 0. Total expenses 2,062,207. Other medical personnel professional fees: Program service expenses 2,371,816. Management and general expenses 10,667. Fundraising expenses 0. Total expenses 2,382,483. Other purchased services: Program service expenses 2,724,984. Management and general expenses 808,756. Fundraising expenses 156. Total expenses 3,533,896. Form 990, Part XI, line 9: Change in beneficial interest in net assets of Foundation 696,699. FORM 990 PART XI, LINE 2C: The Finance Committee reviews the audit prior to submitting to the Board. MACCO Healthcare Inc 1000 Hospital Drive McPherson KS 67460 481059194 Sole Member of McPherson Hospital, Inc. and McPherson Healthcare Fdn, Inc. KS 501(c)(3) Line 7 0 McPherson Healthcare Foundation Inc 1016 N Main McPherson KS 67460 481043952 Raise funds to support the operation of McPherson Hopsital, Inc. KS 501(c)(3) Line 7 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0