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MCPHERSON HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MCPHERSON HOSPITAL INC (EIN 48-0799105)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-02-12
IRS object ID
201530439349300548
Schema version
2013v4.0
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)
Return2015-02-12T10:40:39-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1
CityTopekaCity
StateKSState
ZIP Code666033491ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480799105EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1McPherson Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMCPHBusinessNameControlTxt
Phone6202412250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1
CityMcPhersonCity
StateKSState
ZIP Code674602326ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRobert MonicalPersonNm
Person TitleCEOPersonTitleTxt
Phone6202412250PhoneNum
Signature2015-02-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2015-02-10PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert MonicalPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1
CityMcPhersonCity
StateKSState
ZIP Code674602326ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$22,858,853GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mcphersonmemorial.orgWebsiteAddressTxt
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 Independent11VotingMembersIndependentCnt
Total Employee337TotalEmployeeCnt
Total Volunteers138TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,201,310PYContributionsGrantsAmt
CY Contributions Grants$866,095CYContributionsGrantsAmt
PY Program Service Revenue$21,394,702PYProgramServiceRevenueAmt
CY Program Service Revenue$21,432,493CYProgramServiceRevenueAmt
PY Investment Income$250,870PYInvestmentIncomeAmt
CY Investment Income$139,044CYInvestmentIncomeAmt
PY Other Revenue$420,751PYOtherRevenueAmt
CY Other Revenue$413,301CYOtherRevenueAmt
PY Total Revenue$23,267,633PYTotalRevenueAmt
CY Total Revenue$22,850,933CYTotalRevenueAmt
PY Grants And Similar Paid$16,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,980CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,233,959PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,686,614CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,160,253PYOtherExpensesAmt
CY Other Expenses$12,477,196CYOtherExpensesAmt
PY Total Expenses$23,410,712PYTotalExpensesAmt
CY Total Expenses$24,179,790CYTotalExpensesAmt
PY Revenues Less Expenses-$143,079PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,328,857CYRevenuesLessExpensesAmt
Total Assets BOY$20,333,449TotalAssetsBOYAmt
Total Assets EOY$19,501,937TotalAssetsEOYAmt
Total Liabilities BOY$2,665,043TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,988,257TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,668,406NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,513,680NetAssetsOrFundBalancesEOYAmt
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$20,707,354ExpenseAmt
Grant$15,980GrantAmt
Revenue$21,458,249RevenueAmt
DescProvision of inpatient and outpatient hospital services.Desc
Total Program Service Expenses$20,707,354TotalProgramServiceExpensesAmt
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 IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee337EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 CEOBusinessNameLine1
FieldValueIRS element (for citing)
Phone6202412250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1
CityMcPhersonCity
StateKSState
ZIP Code674602326ZIPCode

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
Dean Elliott
Trustee2.00Yes (X)$0$0$0
J David Ferrell
Trustee2.00Yes (X)$0$0$0
Bill Glazner
Chairman2.00Yes (X)$0$0$0Yes (X)
Tim R Karstetter
Trustee2.00Yes (X)$0$0$0
Marsha Silver
Secretary2.00Yes (X)$0$0$0Yes (X)
Paul Taliaferro
Vice Chairman2.00Yes (X)$0$0$0Yes (X)
Brent Wall
Trustee2.00Yes (X)$0$0$0
Samuel Claassen
Trustee/Physician40.00Yes (X)$190,203$0$18,821
Craig Harms
Trustee2.00Yes (X)$0$0$0
Joan Reichenberger
Trustee2.00Yes (X)$0$0$0
Greg Thomas MD
Trustee2.00Yes (X)$0$0$0
Dan Lichty MD
Trustee2.00Yes (X)$0$0$0
Rob Monical
CEO40.00Yes (X)$0$0$0Yes (X)
George Halama
CFO40.00$0$0$0Yes (X)
Tyler G Hughes MD
Physician40.00$278,564$0$22,951Yes (X)
John Worden
Pharmacy Director40.00$142,215$0$17,463Yes (X)
Mary Blankenship
Pharmacist40.00$110,042$0$5,743Yes (X)
Clayton Fetsch
Physician40.00$266,460$0$24,243Yes (X)
Andrea Herrera
Physician40.00$126,103$0$11,068Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,113,587TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$100,289TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Via Christi Health Inc
8200 E ThornWichitaKS67226Management fees and CEO, CFO & CNO servi$1,748,890
EMSC LLC
3521 Bayview CtWichitaKS67204ER physician coverage$1,349,040
Rehabvisions
11623 Arbor StOmahaNE68144Physical/occupational therapy$596,953
Trimedx LLC
PO Box 636129CincinnatiOH452636129Clinical equipment servicer$387,621
Shared Medical Services
209 Limestone PassCotton GroveWI53527Mobile MRI services$250,160
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$40,578RelatedOrganizationsAmt
Government Grants$713,939GovernmentGrantsAmt
All Other Contributions$111,578AllOtherContributionsAmt
Total Contributions$866,095TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue900099$20,662,694$20,662,694
EHR incentive payment900099$769,767$769,767
Lab services621500$32$32
FieldValueIRS element (for citing)
Total Program Service Revenue$21,432,493TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,093TotalRevenueColumnAmt
Exclusion$121,093ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$78,586RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$78,586RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,586TotalRevenueColumnAmt
Exclusion$78,586ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$25,871OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,920OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$17,951OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,951TotalRevenueColumnAmt
Exclusion$17,951ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Nonpatient meals722210$180,855$180,855
Auxiliary900099$84,102$84,102
Fitness center713940$44,002$44,002

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,756TotalRevenueColumnAmt
Related Or Exempt Func Income$25,756RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$334,715OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,850,933TotalRevenueColumnAmt
Related Or Exempt Func Income$21,458,249RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$526,589ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$15,980TotalAmt
Program Services$15,980ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$241,393TotalAmt
Program Services$241,393ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,744,030TotalAmt
Program Services$8,692,586ProgramServicesAmt
Management And General$1,051,444ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$231,862TotalAmt
Program Services$206,244ProgramServicesAmt
Management And General$25,618ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$738,524TotalAmt
Program Services$659,282ProgramServicesAmt
Management And General$79,242ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$730,805TotalAmt
Program Services$653,674ProgramServicesAmt
Management And General$77,131ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,087,803TotalAmt
Program Services$573,700ProgramServicesAmt
Management And General$514,103ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,216TotalAmt
Management And General$25,216ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,130,315TotalAmt
Program Services$764,760ProgramServicesAmt
Management And General$365,555ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$42,293TotalAmt
Program Services$1,179ProgramServicesAmt
Management And General$41,114ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$190,496TotalAmt
Program Services$137,184ProgramServicesAmt
Management And General$53,312ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$560,988TotalAmt
Program Services$420,741ProgramServicesAmt
Management And General$140,247ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$483,277TotalAmt
Program Services$359,993ProgramServicesAmt
Management And General$123,284ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,410TotalAmt
Program Services$24,289ProgramServicesAmt
Management And General$8,121ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,527TotalAmt
Program Services$5,244ProgramServicesAmt
Management And General$2,283ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,518TotalAmt
Program Services$5,600ProgramServicesAmt
Management And General$1,918ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,436,540TotalAmt
Program Services$1,070,079ProgramServicesAmt
Management And General$366,461ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$220,943TotalAmt
Program Services$61,901ProgramServicesAmt
Management And General$159,042ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Physician fees$3,188,033$3,097,482$90,551
Medical supplies$1,238,068$1,238,068
Equipment rental & main$1,068,312$1,030,283$38,029
Pharmacy supplies$873,946$873,946

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$883,511TotalAmt
Program Services$573,746ProgramServicesAmt
Management And General$309,765ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,179,790TotalAmt
Program Services$20,707,354ProgramServicesAmt
Management And General$3,472,436ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,154BOYAmt
EOY$2,483EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,787,562BOYAmt
EOY$3,386,298EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,529,288BOYAmt
EOY$3,274,887EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$555,742BOYAmt
EOY$480,268EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$215,549BOYAmt
EOY$184,870EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,612,383LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,846,349LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,974,931BOYAmt
EOY$6,766,034EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,440,002BOYAmt
EOY$2,720,841EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,828,221BOYAmt
EOY$2,686,256EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,333,449BOYAmt
EOY$19,501,937EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,102,174BOYAmt
EOY$1,844,620EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$440,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,869BOYAmt
EOY$143,637EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,665,043BOYAmt
EOY$1,988,257EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,188,012BOYAmt
EOY$15,064,772EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$574,478BOYAmt
EOY$1,510,399EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$905,916BOYAmt
EOY$938,509EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,668,406BOYAmt
EOY$17,513,680EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,333,449BOYAmt
EOY$19,501,937EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,328,857ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$175,497NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$998,634OtherChangesInNetAssetsAmt
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$7,881GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$7,881TotalLobbyingExpendituresAmt
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$1,065,492BeginningYearBalanceAmt
Contributions$46,956ContributionsAmt
Investment Earnings Or Losses$162,884InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$73,602GrantsOrScholarshipsAmt
End Year Balance$1,190,121EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$853,047BeginningYearBalanceAmt
Contributions$47,383ContributionsAmt
Investment Earnings Or Losses$125,329InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$24,677GrantsOrScholarshipsAmt
End Year Balance$1,001,082EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$513,503BeginningYearBalanceAmt
Contributions$300,373ContributionsAmt
Investment Earnings Or Losses$43,365InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$4,194GrantsOrScholarshipsAmt
End Year Balance$853,047EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.09310BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.69870PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.20820TermEndowmentBalanceEOYPct
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$14,793,524OtherCostOrOtherBasisAmt
Depreciation$11,004,985DepreciationAmt
Book Value$3,788,539BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,428,895OtherCostOrOtherBasisAmt
Depreciation$9,688,007DepreciationAmt
Book Value$2,740,888BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,373,652OtherCostOrOtherBasisAmt
Depreciation$1,153,357DepreciationAmt
Book Value$220,295BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,766,034TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other receivables$40,967
Beneficial interest in net assets of the Foundation$2,196,673
Goodwill$25,952
Estimated third-party payor settlements$422,664
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,686,256TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated third-party payor settlementsDesc
Amt$143,637Amt
FieldValueIRS element (for citing)
Total Liability$143,637TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,025,064TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$175,497NetUnrealizedGainsInvstAmt
Other Revenue$998,634OtherRevenueAmt
Revenue Not Reported$1,174,131RevenueNotReportedAmt
Revenue Subtotal$22,850,933RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,850,933TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,179,790TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$24,179,790ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,179,790TotalExpensesPerForm990Amt

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 998,634.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$664,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$151,585DirectOffsettingRevenueAmt
Net Community Benefit Expns$512,968NetCommunityBenefitExpnsAmt
Total Expense0.02120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,584,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,067,995DirectOffsettingRevenueAmt
Net Community Benefit Expns$516,753NetCommunityBenefitExpnsAmt
Total Expense0.02140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,249,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,219,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,029,721NetCommunityBenefitExpnsAmt
Total Expense0.04260TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,487DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,875NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,735NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,373,081TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,396,442DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,976,639NetCommunityBenefitExpnsAmt
Total Expense0.08170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,034TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,034NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,580,888TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,537,605DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,043,283NetCommunityBenefitExpnsAmt
Total Expense0.08450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,830,189TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,757,185DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,073,004NetCommunityBenefitExpnsAmt
Total Expense0.12710TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,154,775BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,036,637ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,905,545CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$131,092MedicareSurplusOrShortfallAmt

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 IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1
CityMcPhersonCity
StateKSState
ZIP Code67460ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1McPherson Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.mcphersonhospital.orgOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
McPherson Hospital, Inc.Part V, Section B, Line 3: The assessment was achieved through the co-leadership of the director of the McPherson County Health Department. The McPherson County CHNA process included gathering opinions from local sources and quantitative data from secondary sources. A survey instrument was developed by the leadership of the participating hospitals and the public health department. The survey was distributed to individuals throughout the county, representing a broad spectrum of the population and their interests and professional and community endeavors. Included were individuals representing health care, law enforcement, family advocacy, United Way, civic leadership, education, religion, and seniors, among others. A total of 158 surveys were distributed with 106 returned for a 67% return rate. The identified weaknesses through the survey results were reviewed and prioritized by a workgroup comprised of a cross section of survey respondents from throughout the county. This group met to discuss survey results and explore relevant county secondary data from various sources. The workgroup was split into subgroups and asked to rank the top five health issues gleaned from the survey to arrive at a prioritized list.
McPherson Hospital, Inc.Part V, Section B, Line 4: The leadership of McPherson Hospital in McPherson, Lindsborg Community Hospital in Lindsborg, Mercy Hospital in Moundridge, and the McPherson County Health Department chose to collaborate in creating the McPherson County CHNA.
McPherson Hospital, Inc.Part V, Section B, Line 5d: The link for the CHNA on the Hospital's website is http://www.mcphersonhospital.org/gallery/images/communityhealthneeds.pdf
McPherson Hospital, Inc.Part V, Section B, Line 7: 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.Annual description of the actions taken by the Hospital during the fiscal year to address the significant health needs identified through the most recently conducted CHNA:(a) Lunch and Learn Events: Because of the timing of the budget planning process prior to the implementation strategy's completion and due to budget constraints, the lunch and learn events were postponed until fiscal year 2015 with appropriate budget allocations.(b) Speaker's Bureau: This list is currently being compiled and will be available in October of 2014.(c) Radio show: A radio show has aired twice monthly with our pharmacy and lab director and a general surgeon as moderators covering a wide variety of health topics. The show continues in a different format of one show monthly for a half hour each so the time allotted remains the same.(d) "Commit to Get Fit": This local wellness initiative is held early each fall and is currently getting under way with McPherson Hospital as a co-sponsor. As a co-sponsor and through the encouragement of organized teams, it is stressed to the general public the importance of exercise and proper nutrition. Teams are engaged in activities and challenges for healthy eating and exercise.(d) Theraband Classes: These classes are held weekly for senior citizens at no charge, reaching approximately ten or more individuals aged 50 and over.(e) Activities with the Kansas State University Extension Office: The hospital participated in the Walk Kansas event held each spring, providing teams and helping to share information. The SNAP Ed program is operated within the school system and the hospital and the KSU Extension Office are still discussing ways in which the hospital can be an effective partner. A new initiative through a co-sponsorship is expected in the fall of 2014, providing information and activities to elementary school-aged children on health eating habits. The Dining with Diabetes event scheduled in the spring of 2014 was not held due to a lack of interest. Another attempt will be made in the fall of 2014 prior to the holidays.(f) Diabetes support group: The planned activities of the Diabetes Support Group was postponed due to lack of participation and interest. The leadership for this group will continue to assess needs and interest and implement additional activities as warranted in the coming months.(g) 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.(h) Corporate Challenge: These activities have been postponed until the Corporate Health Services department is established in a permanent space off of the main hospital grounds. The department will partner with our local industrial development council in creating this initiative in the fall of 2014. (i) Disease Awareness: McPherson Hospital provides significant support locally through a variety of resources, specifically for breast cancer awareness by sponsoring events for area residents to raise awareness and encourage screenings. 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 health lifestyles.(j) County health services resource directory: The hospital is currently finalizing with the McPherson County Public Health Department a comprehensive directory that will be made available to the public on websites and at appropriate care agencies throughout the county in the fall of 2014.
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 Line1McPherson Medical & Surgical AssociatesBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Hospital DriveAddressLine1
CityMcPhersonCity
StateKSState
ZIP Code67460ZIPCode
FieldValueIRS element (for citing)
FacilityPhysician clinic, family & internal medicine, surgery and hospitlistsFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2014. 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 the 2012 census, the per capita income for McPherson was $28,113. The percent of families below poverty level was 4.6. The percent of individuals below poverty level was 8.5. For the year ending June 30, 2014, 10 percent of the Hospital's inpatient admissions were Medicaid recipients and 5 percent were uninsured. Larger hospitals in Hutchinson, Salina, and Newton also provide services to the residents of McPherson. The distances between these facilities and McPherson Hospital, Inc. are approximately 23, 29, and 28 miles respectively. There are no federally-designated medically underserved areas or populations in McPherson.
Part VI, Line 5:McPherson Hospital, Inc.'s governing body is comprised of individuals who reside in the primary service area. All Board members, with the exception of the CEO 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.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarship awards for local students pursuing education in the health care industry.GrantTypeTxt
Recipient16RecipientCnt
Cash Grant$15,980CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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
Samuel Claassen
Trustee/Physician$183,703$0$6,500$0$0$0$9,288$0$9,533$0$209,024$0$0$0
Tyler G Hughes MD
Physician$278,564$0$0$0$0$0$13,026$0$9,925$0$301,515$0$0$0
John Worden
Pharmacy Director$142,215$0$0$0$0$0$6,842$0$10,621$0$159,678$0$0$0
Clayton Fetsch
Physician$265,799$0$661$0$0$0$13,026$0$11,217$0$290,703$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 2013, McPherson Hospital reimbursed Via Christi $202,016 for Robert Monical, CEO's salary and benefits and $120,750 for George Halama, CFO's salary and benefits.
Form 990, Part VI, Section A, line 4The bylaws were amended May 5, 2014, which changed the board meetings from monthly to bimonthly.
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 XI, line 9:Change in beneficial interest in net assets of Foundation 998,634.
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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 Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1McPherson Healthcare Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$40,578InvolvedAmt