2022-05-13T06:27:16-05:00 2021-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2020-07-01 480799105 McPherson Hospital Inc MCPH 6202412250 1000 Hospital Drive McPherson KS 674602326 Lewis Newberry CFO 6202412250 2022-05-02 1 Lewis Newberry 999009999 Cameron L Werth P01797399 7852334226 2022-05-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Lewis Newberry 1000 Hospital Drive McPherson KS 674602326 43690094 0 X http://www.mcphersoncenterforhealth.org X 1972 KS Provision of acute hospital care to patients regardless of ability to pay. 12 11 421 28 0 0 3700180 11931485 27988996 31411742 20200 3376 366397 335835 32075773 43682438 22500 27000 0 0 18680221 20576326 0 0 84054 14786243 16510049 33488964 37113375 -1413191 6569063 28983135 30869943 19162265 14046108 9820870 16823835 Superior healthcare and exceptional service for each person, every time. 0 0 31532425 27000 31421135 Provision of inpatient and outpatient hospital services. 31532425 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 88 0 1 421 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Lewis Newberry CFO 6202412250 1000 Hospital Drive McPherson KS 674602326 Lenny Favara Trustee 2.00 X 0 0 0 Bill Glazner Trustee 2.00 X 0 0 0 Sheila Gorman Physician/Trustee 40.00 X 229302 0 33459 Tim Karstetter Trustee/Chairperson (Through 10/2020) 2.00 X X 0 0 0 Chet Lang Secretary 2.00 X X 0 0 0 Chet Buchman Trustee/Chairperson (Beg. 10/2020) 2.00 X X 0 0 0 Joan Reichenberger Vice Chair 2.00 X X 0 0 0 Paul Taliaferro Trustee 2.00 X 0 0 0 Esther Rettig Trustee 2.00 X 0 0 0 Brent Wall Trustee 2.00 X 0 0 0 Abbey Archer-Rierson Trustee 2.00 X 0 0 0 Alicia Chennell Trustee 2.00 X 0 0 0 Chris Stipe CEO (Beg. 02/2021) 40.00 X X 0 0 0 Teresa Gehring CEO (Through 12/2020) 40.00 X 239356 0 24838 George Kimbro CFO/CEO (Beg. 12/2020 - 2/2021) 20.00 X 144372 0 4050 John Worden COO 40.00 X 217286 0 26109 Bret Heskett Physician 40.00 X 318253 0 36236 Brandon Stringer Physician 40.00 X 292616 0 29967 Clayton Fetsch Physician 40.00 X 328508 0 36760 Carl Turner Physician 40.00 X 316599 0 35509 Michael Bloustine Physician 40.00 X 278540 0 16874 2364832 0 243802 24 0 1 0 EMS Kansas LLC 7032 Collection Drive Chicago IL 60693 Physician Coverage 1291508 RehabVisions 11623 Arbor St Omaha NE 68144 Therapy services 1010581 Quest Diagnostics PO Box 772976 Chicago IL 60677 Lab testing 562663 CPSI Inc 54 St Emanuel Street Mobile AL 36602 Computer support and billing services 536452 Contemporary Anesthesia Services 8175 Shoreline Drive Parkville MO 64152 Contract labor 317585 15 1069581 10690226 171678 11931485 Net patient service revenue 900099 31411742 31411742 31411742 11032 11032 72602 0 72602 72602 72602 7656 -7656 -7656 -7656 Nonpatient meals 722210 198305 198305 Fitness center 713940 36919 36919 Auxiliary 900099 10960 10960 17049 17049 263233 43682438 31421135 0 329818 X 27000 27000 934812 264976 669836 16476267 14503320 1905523 67424 345978 306006 38536 1436 1582874 1358085 218434 6355 1236395 1045766 185483 5146 48326 48326 7011358 6198979 812366 13 42377 722 41655 238973 171854 67041 78 239559 185594 53965 547410 386446 159840 1124 33976 3844 30127 5 9312 4529 4783 276000 123611 152288 101 1392070 993081 397418 1571 322246 170930 151156 160 Pharmacy supplies 2326887 2313332 13555 Medical supplies 1955280 1951317 3963 Equipment rental & main 1093188 988686 104002 500 Dietary food & supplies 280947 130679 150244 24 692140 403668 288355 117 37113375 31532425 5496896 84054 8768134 6551855 985054 1698522 4049345 4465902 485599 492505 392625 461520 42418210 28817182 10652265 13601028 3650113 3598611 28983135 30869943 2580593 3966937 5570724 7394118 3131800 0 7879148 2685053 19162265 14046108 X 6997402 13542725 2823468 3281110 9820870 16823835 28983135 30869943 X 6569063 433902 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6176 0 0 0 6176 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. 2279725 1038307 574181 1071831 23329 2797053 1905665 603539 100749 310516 19712 2279725 4615375 334306 124867 3144281 2000 22602 1905665 3896531 1176511 189828 630986 16509 4615375 3191328 779637 214695 269581 19548 3896531 0.00000 0.48800 0.51200 1 1 1 26697 26697 23178026 14277549 8900477 16130525 13078451 3052074 3082962 1461182 1621780 13601028 Other receivables 514195 Beneficial interest in net assets of the Foundation 2866905 Intangible assets 144000 Estimated third-party payor settlements 73511 3598611 Estimated third-party payor settlements 169267 Medicare accelerated payment advances 2515786 2685053 X 44116340 433902 433902 43682438 0 43682438 37113375 0 37113375 0 37113375 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 433,902. 1 1 1 X 1 X 1 1 0 0 166287 21540 144747 0.00390 3368545 1266248 2102297 0.05660 3534832 1287788 2247044 0.06050 4879 4879 0.00010 27000 27000 0.00070 9439192 8664904 774288 0.02090 9471071 8664904 806167 0.02170 13005903 9952692 3053211 0.08220 1 1610835 6200405 8266436 -2066031 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 18 1 1 1 1 X http://www.mcphersoncenterforhealth.org X http://www.lindsborgcommunityhospital.org X 1 18 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 36 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 380 survey responses were received with each community in the county represented in the respondent group. McPherson Hospital, Inc. Part V, Section B, Line 6a: Lindsborg Community Hospital in Lindsborg and Mercy Hospital in Moundridge McPherson Hospital, Inc. Part V, Section B, Line 6b: McPherson County Health Department McPherson Hospital, Inc. Part V, Section B, Line 11: The annual update below pertains to the CHNA and implementation strategy completed for the 2018 tax year (fiscal year ended 06/30/2019), which is the second annual update for the three-year cycle. The most recent CHNA was adopted by the boards of the associated McPherson County Hospitals in June 2019. The McPherson Hospital Implementation Strategy was adopted by the McPherson Hospital Board of Trustees on October 28, 2019. A status update on each initiative is provided below. As is evident, the Covid-19 pandemic continues to significantly limit the hospital's resources and abilities to address the identified health concerns over the last year. However, several initiatives saw progress or were completed during a significantly challenging time. Community Mental Health Taskforce: The hospital participates in this taskforce created to address mental health issues in the county. They meet quarterly to develop resources and educational opportunities to bring awareness and create dialogue between agencies to better care for mental health patients. Public educational forums are planned each spring and fall. Impact is monitored as activities and initiatives continue to develop over the years. The goal is to educate the communities in McPherson County about mental health issues and to develop inter-agency strategies to provide appropriate care for patients. This taskforce took a break during the height of the pandemic. One of the challenges identified was using healthcare or law enforcement personnel to sit with at-risk patients until appropriate levels of support could be secured, which was pulling these resources away from other needs. As a result, we have contracted with a third party that provides one-on-one support for patients needing immediate mental health observation, providing a safer environment for all parties, and allowing the medical teams and law enforcement to remain available for other needs. In addition, we have now implemented the Columbia Suicide Severity Rating Scale in our Emergency Department to help assess our patients' mental health status related to suicide so that appropriate interventions can be administered if needed. All patients presenting to the Emergency Department are now screened using this assessment tool.Assess Internal Employee Assistance Program and Provide Training: As a means of assisting hospital employees while educating them on mental health issues, the plan is to research available resources and opportunities for hospital employees to become educated about and engaged in management of their own potential issues as well as for patients. Better educated employees will allow for appropriate treatment and care for themselves and their patients. This employee-focused assistance program is promoted during new employee orientation and periodically in monthly staff newsletters to inform and encourage utilization of services for personal well-being in a variety of life situations and circumstances. Statistics for usage are not documented due to confidentiality concerns, but we do know that employees are utilizing these services for their intended purposes.Community Drug Abuse Taskforce: The hospital is part of this ongoing taskforce whose goals are to provide resources, outreach and education to the public about the dangers of opioid use. Impact is monitored as activities and initiatives develop over the years. The goal is to educate the communities in McPherson County to help prevent abuse, make McPherson County a safer place and to get ahead of the epidemic. This group has met quarterly in the past but has suspended all meetings during the pandemic. It is unknown if meetings of the wider group will resume when we are not faced with pandemic challenges. We are aware that law enforcement continues to be involved in drug abuse education in our community.K-TRACS EHR Integration: This is a database designed to let physicians and pharmacists know if a patient is receiving and filling multiple controlled substance prescriptions. The plan is to integrate 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. A contract has been signed with the software interface management group. We are now fully functional in using K-TRACS in the emergency department with all of our physicians.Non-Narcotic Order Set: The goal is to design an order set for electronic use that does not contain narcotics, thereby patients will not be exposed to as many narcotics. Providers are becoming aware that narcotics are sometimes not the safest form of pain management. This initiative continues to be delayed due to shifting focus of resources related to COVID-19.Electronic Prescribing of Narcotics: The plan is to make it mandatory for all providers to electronically prescribe narcotics. Electronically prescribing medications provides better tracking and drug management, increasing provider awareness of patients' narcotic use. The State of Kansas now requires this practice. We are now fully 100% compliant with this requirement, and are able to utilize waivers for printed scripts if the computer system is down. Provide Staff Training and Education on Drug Abuse: The plan includes education from PrairieView Mental Health Center for staff on how to properly identify and care for patients with a substance abuse problem. Staff will be able to better identify and care for drug abuse patients and provide better education and referral services upon discharge. PrairieView, a major mental health provider in the area has conducted staff training onsite for providers in the past, but challenges related to the pandemic have put a strain on resources, including staffing and reallocation of resources. This will remain in our plan of action and can resume when operations return to more normal levels. Walk Kansas Co-sponsorship: In the past, we have taken an active role and partnered with the Kansas State University Extension Office in McPherson County for this annual spring event designed to encourage teams of 6 or more people to track minutes of physical activity and food choices during an 8-week period. This potentially impacts a couple hundred people, encouraging activity and overall good health. Our participation in co-sponsoring this event is dependent on the county extension office utilizing our support, which did not happen this past year.Internal wellness committee story sharing: This is to develop personal weight loss and wellness stories of hospital employees that can be shared internally and externally to encourage others. Leading by example, the impact can be that others in the county will be encouraged to create their own success stories. The ongoing pandemic continues to affect many of our programs in this area due to shifting of personnel resources. However, we will keep this in our plan of action for future consideration.Continue targeted Doc Talks: This is a series of lectures from hospital providers on topics of general health and targeted toward specific identified health needs. It has the potential to reach hundreds of people annually through education and resources. Because the format for this is in-person engagement, due to ongoing COVID-19 concerns, these events have been suspended indefinitely. Virtual Run Sponsorship, the "Hess Express": Named after the family for which our fitness center is named, this initiative is to sponsor a community-wide effort to motivate and engage people in specific healthy activities with goals toward individual completion. This potentially impacts hundreds of people, encouraging physical activity and overall good health. A virtual run was sponsored in February through May of 2021. Participants logged physical activity such as walking, running or biking, over a specified time period. There were over 50 participants.Pair-a-docs: This monthly local radio show continues where, in more normal times, hospital providers and others discuss a variety of health topics. Due to the ongoing pandemic, the subject matter continues to focus on ways to keep the public informed and safe. This program has continued to serve as an invaluable resource for communicating important information for the public. Our local radio station does not track numbers of listeners so that data is not available. McPherson Hospital, Inc. Part V, Section B, Line 11: Food insecurity screenings in the clinics: The goal is to include 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. Before this could be fully developed and initiated, the pandemic caused a significant change in the number of patients seen in the clinics and the priorities for care. More recently, through physician and dietitian consultations, clinical priorities have shifted to malnutrition awareness for our patients, particularly for COVID patients. The plan is to keep the food insecurities initiative in the plan, as it is also part of the broader malnutrition awareness program that is continuing to be developed. McPherson Hospital, Inc. Part V, Section B, Line 16j: We assist applicants in filling out the form. 2 1 - McPherson Medical & Surgical Associates 1000 Hospital Drive McPherson KS 67460 Physician clinic, family & internal medicine, surgery and hospitalists 2 - McPherson Urgent Care Clinic 823 N Main Street McPherson KS 67460 Urgent care clinic Part I, Line 7g: Subsidized health services community benefit expenses include $7,549,563 of expenses attributable to physician clinics that have net operating losses. Part III, Line 4: See Note 3A (page 6) 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, 2021. 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 14,082. According to 2021 census information, the per capita income for McPherson was $31,683. The percentage of individuals below poverty level was 10.4. For the year ending June 30, 2021, 14 percent of the Hospital's inpatient admissions were Medicaid recipients and 4 percent were uninsured. Larger hospitals in Hutchinson, Salina, and Newton also provide services to the residents of McPherson. The distances between these facilities and McPherson Hospital, Inc. are approximately 23, 29, and 28 miles respectively. There are no federally-designated medically underserved areas or populations in McPherson. Part VI, Line 5: McPherson Hospital, Inc.'s governing body is comprised of individuals who reside in the primary service area. All Board members, with the exception of the CEO and one physician, are not employed by the Hospital. Annually, all trustees sign a conflict of interest statement and disclose any potential conflicts of interest. With limited exceptions for hospital-based services, the Hospital extends medical staff privileges to all qualified physicians in the community. Surplus funds are used by the Hospital to update facilities and equipment, recruit needed physicians and staff, and otherwise improve patient care. 1 Scholarship awards for local students pursuing education in health care industry. 28 27000 Part I, Line 2: Scholarship checks are not provided to students until verification is received from the school that the student has begun classes. X X X 0 0 0 0 0 0 0 0 0 Clayton Fetsch Physician 327406 0 1102 0 0 0 9938 0 26822 0 365268 0 0 0 Bret Heskett Physician 311099 0 7154 0 0 0 9638 0 26598 0 354489 0 0 0 Carl Turner Physician 227347 0 89252 0 0 0 9013 0 26496 0 352108 0 0 0 Brandon Stringer Physician 274233 0 18383 0 0 0 3369 0 26598 0 322583 0 0 0 Michael Bloustine Physician 277252 0 1288 0 0 0 7352 0 9522 0 295414 0 0 0 Teresa Gehring CEO (Through 12/2020) 208666 0 30690 0 0 0 6564 0 18274 0 264194 0 0 0 Sheila Gorman Physician/Trustee 200253 0 29049 0 0 0 6955 0 26504 0 262761 0 0 0 John Worden COO 189644 0 27642 0 0 0 5952 0 20157 0 243395 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 2,303,113. Management and general expenses 4,967. Fundraising expenses 0. Total expenses 2,308,080. Other medical personnel professional fees: Program service expenses 2,501,610. Management and general expenses 70,955. Fundraising expenses 0. Total expenses 2,572,565. Non physician professional services: Program service expenses 1,394,256. Management and general expenses 736,444. Fundraising expenses 13. Total expenses 2,130,713. Form 990, Part XI, line 9: Change in beneficial interest in net assets of Foundation 433,902. 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