NEWMAN MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- NEWMAN MEMORIAL HOSPITAL INC (EIN 73-0570773)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202423189349304332
- Schema version
- 2023v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T11:48:51-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730570773 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWMAN MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWM | BusinessNameControlTxt |
| Phone | 5809382551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 905 S MAIN ST | AddressLine1Txt |
| City | SHATTUCK | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73858 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM VASKO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5809382551 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2024-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOM VASKO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 905 S MAIN ST | AddressLine1Txt |
| City | SHATTUCK | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73858 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,183,523 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEWMANMEMORIALHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE HIGHEST QUALITY PATIENT CARE EXPERIENCE WITH COMMITTMENT TO VALUE AND EXCELLENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 136 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,199,088 | PYContributionsGrantsAmt |
| CY Contributions Grants | $860,224 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,432,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,233,004 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,376 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,183 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,366 | PYOtherRevenueAmt |
| CY Other Revenue | $69,112 | CYOtherRevenueAmt |
| PY Total Revenue | $13,650,054 | PYTotalRevenueAmt |
| CY Total Revenue | $13,183,523 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,366,978 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,276,109 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,786,834 | PYOtherExpensesAmt |
| CY Other Expenses | $7,151,124 | CYOtherExpensesAmt |
| PY Total Expenses | $13,153,812 | PYTotalExpensesAmt |
| CY Total Expenses | $13,427,233 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $496,242 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$243,710 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,018,862 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,040,545 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,972,052 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,937,173 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,046,810 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,103,372 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE THE HIGHEST QUALITY PATIENT CARE EXPERIENCE WITH COMMITTMENT TO VALUE AND EXCELLENCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,305,172 | ExpenseAmt |
| Revenue | $12,233,004 | RevenueAmt |
| Desc | NEWMAN MEMORIAL HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SHATTUCK, OKLAHOMA. THE HOSPITAL STRIVES TO PROVIDE ITS COMMUNITY AND PATIENTS A WIDE VARIETY OF SERVICES WITH EXCEPTIONAL CARE AND CONVENIENT SCHEDULING. WE PROVIDE GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT AND EMERGENCY ROOM PATIENTS. IN ADDITION, OUR URGENT CARE CLINIC IS OPEN 7 DAYS A WEEK WITH NO APPOINTMENT NECESSARY TO SEE A PHYSICIAN. NEWMAN MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. THE HOSPITAL PROVIDED 2,513 DAYS OF ACUTE CARE SERVICES. IN ADDITION, THE HOSPITAL PROVIDED 2,688 OBSERVATION HOURS AND 6,313 RURAL HEALTH CLINIC VISITS. (SEE SCHEDULE O FOR CONTINUATION) | Desc |
| Total Program Service Expenses | $10,305,172 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 136 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DORAN HAMMETT | PersonNm |
| Phone | 5809382551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 905 S MAIN ST | AddressLine1Txt |
| City | SHATTUCK | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73858 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DANA STUART | ||||||||
| CHIEF OF STA | 40.00 | 0.00 | Yes (X) | $363,690 | $0 | $16,386 | ||
| TOM VASKO | ||||||||
| CEO | 40.00 | 0.00 | $193,193 | $0 | $4,725 | Yes (X) | ||
| SHANDY BAGGS | ||||||||
| APRN | 40.00 | 0.00 | $153,078 | $0 | $10,018 | Yes (X) | ||
| STEVE BROCK | ||||||||
| CFO (ENDED 0 | 40.00 | 0.00 | $137,966 | $0 | $11,189 | Yes (X) | ||
| AMY FULCHER | ||||||||
| RN | 40.00 | 0.00 | $136,219 | $0 | $7,868 | Yes (X) | ||
| JERSON PENAFLOR | ||||||||
| LAB MANAGER | 40.00 | 0.00 | $120,535 | $0 | $6,293 | Yes (X) | ||
| HEATHER LONGHOFER | ||||||||
| RADIOLOGY MA | 40.00 | 0.00 | $118,210 | $0 | $0 | Yes (X) | ||
| MATTHEW BUDIG | ||||||||
| COO | 40.00 | 0.00 | $117,745 | $0 | $5,129 | Yes (X) | ||
| DORAN HAMMETT | ||||||||
| CFO (BEGAN 1 | 40.00 | 0.00 | $32,563 | $0 | $0 | Yes (X) | ||
| GREG HUENEGARDT | ||||||||
| PRESIDENT | 5.00 | 0.00 | Yes (X) | $25,000 | $0 | $0 | Yes (X) | |
| ANGIE PRATHER | ||||||||
| VICE PRESIDE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JENI HINKLE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN CULLY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICK MESSER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARCLAY HOLT | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DEELYN POOL | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,398,199 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $61,608 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HOSPITAL CARE CONSULTANTS | |||||
| 17304 PRESTON RD STE 1400 | DALLAS | TX | 75252 | PHYSICIAN SVS. | $1,050,166 |
| BE SMITH | |||||
| PO BOX 74007636 | CHICAGO | IL | 606747636 | PLACEMENT SVS. | $206,685 |
| MARISA ENDERSBY | |||||
| 42205 S CR 209 | WOODWARD | OK | 73801 | ANESTHESIA SVS. | $136,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $859,924 | GovernmentGrantsAmt |
| All Other Contributions | $300 | AllOtherContributionsAmt |
| Total Contributions | $860,224 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $12,006,888 | $12,006,888 |
| PHARMACY REVENUE | 456110 | $226,116 | $226,116 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,233,004 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,087 | TotalRevenueColumnAmt |
| Exclusion | $13,087 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,487 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,487 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,487 | TotalRevenueColumnAmt |
| Exclusion | $11,487 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,096 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,096 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,096 | TotalRevenueColumnAmt |
| Exclusion | $8,096 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $51,175 | $51,175 |
| OTHER REVENUE | 900099 | $6,450 | $6,450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $57,625 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,183,523 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,233,004 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $90,295 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,712 | TotalAmt |
| Program Services | $380,076 | ProgramServicesAmt |
| Management And General | $404,636 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,614,699 | TotalAmt |
| Program Services | $3,926,715 | ProgramServicesAmt |
| Management And General | $687,984 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,778 | TotalAmt |
| Program Services | $50,224 | ProgramServicesAmt |
| Management And General | $11,554 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,539 | TotalAmt |
| Program Services | $290,411 | ProgramServicesAmt |
| Management And General | $62,128 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,381 | TotalAmt |
| Program Services | $303,942 | ProgramServicesAmt |
| Management And General | $158,439 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,416 | TotalAmt |
| Management And General | $17,416 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,220 | TotalAmt |
| Management And General | $22,220 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,062,912 | TotalAmt |
| Program Services | $3,233,466 | ProgramServicesAmt |
| Management And General | $829,446 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,967 | TotalAmt |
| Program Services | $10,158 | ProgramServicesAmt |
| Management And General | $33,809 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,340 | TotalAmt |
| Program Services | $372,768 | ProgramServicesAmt |
| Management And General | $130,572 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,074 | TotalAmt |
| Program Services | $208,862 | ProgramServicesAmt |
| Management And General | $80,212 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,374 | TotalAmt |
| Program Services | $27,016 | ProgramServicesAmt |
| Management And General | $28,358 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,626 | TotalAmt |
| Program Services | $58,500 | ProgramServicesAmt |
| Management And General | $32,126 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,143 | TotalAmt |
| Program Services | $15,983 | ProgramServicesAmt |
| Management And General | $388,160 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $1,060,722 | $1,060,722 | |
| REPAIRS & MAINTENANCE | $375,243 | $334,168 | $41,075 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,087 | TotalAmt |
| Program Services | $32,161 | ProgramServicesAmt |
| Management And General | $193,926 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,427,233 | TotalAmt |
| Program Services | $10,305,172 | ProgramServicesAmt |
| Management And General | $3,122,061 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256 | BOYAmt |
| EOY | $610,334 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,068,779 | BOYAmt |
| EOY | $1,195,354 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,245,591 | BOYAmt |
| EOY | $1,866,535 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,502 | BOYAmt |
| EOY | $151,701 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,701 | BOYAmt |
| EOY | $184,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,500 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,950 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,650 | BOYAmt |
| EOY | $32,550 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,500 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,883 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,018,862 | BOYAmt |
| EOY | $4,040,545 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,831,463 | BOYAmt |
| EOY | $2,336,263 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,319 | BOYAmt |
| EOY | $94,449 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,270 | BOYAmt |
| EOY | $357,199 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $149,262 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,052 | BOYAmt |
| EOY | $2,937,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,046,810 | BOYAmt |
| EOY | $1,103,372 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,046,810 | BOYAmt |
| EOY | $1,103,372 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,018,862 | BOYAmt |
| EOY | $4,040,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$243,710 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$848,404 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $148,676 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,842 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,842 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | NEWMAN MEMORIAL HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS DUES TO OKLAHOMA HOSPITAL ASSOCIATION OF WHICH A PORTION OF SUCH DUES IS USED TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,950 | DepreciationAmt |
| Book Value | $32,550 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,550 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD-PARTY SETTLEMENTS | Desc |
| Amt | $149,262 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $149,262 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS ORGANIZED AS AN OKLAHOMA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE HOSPITAL FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME FOR THE YEAR ENDING DECEMBER 31, 2017. THE HOSPITAL HAS RECORDED A LIABILITY TO THE OKLAHOMA TAX COMMISSION OF 812,051 AS OF DECEMBER 31, 2023 AND 2022, RESPECTIVELY, RELATED TO POTENTIALLY UNRELATED BUSINESS TAXABLE INCOME GENERATED IN THE 2017 TAX YEAR. DURING 2021, THE INTERNAL REVENUE SERVICE ACCEPTED AN OFFER IN COMPROMISE FROM THE HOSPITAL, WHICH DISCHARGED THE FEDERAL TAX LIABILITY. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.800000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,416 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $956,602 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $956,602 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,072,018 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $956,602 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $115,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 109 | ActivitiesOrProgramsCnt |
| Persons Served | 1054 | PersonsServedCnt |
| Total Community Benefit Expns | $145,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $138,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,169,766 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $751,327 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $418,439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 5351 | PersonsServedCnt |
| Total Community Benefit Expns | $49,665 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,755 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 110 | ActivitiesOrProgramsCnt |
| Persons Served | 6405 | PersonsServedCnt |
| Total Community Benefit Expns | $1,364,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $785,184 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $579,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04320 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 110 | ActivitiesOrProgramsCnt |
| Persons Served | 6405 | PersonsServedCnt |
| Total Community Benefit Expns | $2,436,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,741,786 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $694,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $135,525 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $27,105 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,022,292 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,067,048 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$44,756 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWMAN MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 905 S MAIN ST | AddressLine1Txt |
| City | SHATTUCK | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73858 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NEWMANMEMORIALHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 2243 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 1 PROVIDER BASED RHC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWMAN MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART VI | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART VI | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 180.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, NEWMAN MEMORIAL HOSPITAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED ON PAGE 19 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 1, NEWMAN MEMORIAL HOSPITAL - PART V, LINE 5 | COMMUNITY INPUT WAS GATHERED THROUGH A SINGLE COMMUNITY MEETING HELD ON SEPTEMBER 6, 2022. ALL STAKEHOLDERS RECEIVED BOTH PRIMARY AND SECONDARY DATA PRIOR TO THEIR RESPECTIVE MEETINGS. THE OKLAHOMA OFFICE OF RURAL HEALTH FACILITATED THE GATHERING OF SECONDARY DATA, COMPLETION OF THE SURVEY, AND THE COMMUNITY MEETING. COMMUNITY MEMBERS WHO WERE INCLUDED TO PROVIDE INPUT CAME FROM A VARIETY OF ORGANIZATIONS, INCLUDING NEWMAN MEMORIAL HOSPITAL REPRESENTATIVES, NWDCS, INC., RETIRED INDIVIDUALS, EBENEZER BAPTIST CHURCH, SENIOR CENTER, ARNETT SCHOOLS, SHATTUCK SCHOOLS, SHATTUCK CHAMBER OF COMMERCE, AND WIOA. COMMUNITY MEMBERS WERE INVITED TO PARTICIPATE BROADLY THROUGH ARTICLES IN THE COUNTY NEWSPAPER, FACEBOOK POSTS ON NEWMAN MEMORIAL HOSPITAL AND NEWMAN HEALTHCARE ASSOCIATE'S PAGES. FLYERS WERE ALSO DISTRIBUTED AT THE GAGE ROTARY MEETING AND SHATTUCK SENIOR CENTER. EMAIL INVITATIONS WERE BROADLY SENT OUT THROUGH THE CHAMBER OF COMMERCE'S EMAIL DISTRIBUTION LIST, THE HOSPITAL'S MARKETING EMAIL LIST (WHICH CONTAINS MORE THAN 200 INDIVIDUALS), AND ALL HOSPITAL EMPLOYEES. INDIVIDUAL, PERSONAL INVITATIONS WERE EXTENDED TO SENIOR CENTER REPRESENTATIVES; SUPERINTENDENTS, PRINCIPALS, COUNSELORS, AND SCHOOL ADMINISTRATIVE ASSISTANTS FROM SHATTUCK, ARNETTE, AND GAGE/FARGO PUBLIC SCHOOLS; THE SAFETY COORDINATOR FOR ELLIS COUNTY; ELLIS COUNTY EMERGENCY MANAGEMENT; THE LOCAL MINISTERIAL ALLIANCE; THE LOCAL NEWSPAPER OWNER; ELLIS COUNTY COMMISSIONERS; ELLIS COUNTY EMS DIRECTOR/COORDINATOR; AND THE SHATTUCK CHAMBER OF COMMERCE BOARD OF DIRECTORS. A SIGNIFICANT EFFORT WAS MADE TO INCLUDE REPRESENTATIVES FROM THE PUBLIC HEALTH SECTOR AND THOSE WHO SERVE THE UNDERSERVED, LOW-INCOME, OR RACIALLY DIVERSE POPULATIONS IN ORDER TO GAIN THEIR PERSPECTIVES ON COMMUNITY NEEDS. |
| FACILITY 1, NEWMAN MEMORIAL HOSPITAL - PART V, LINE 6B | THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE ASSISTANCE OF THE OKLAHOMA OFFICE OF RURAL HEALTH. THIS OFFICE WORKED CLOSELY WITH THE HOSPITAL TO ASSESS THE ECONOMIC IMPACT OF THE LOCAL HEALTH SECTOR, DEVELOP AND ANALYZE SURVEYS, AND GATHER LOCAL HEALTH DATA. |
| FACILITY 1, NEWMAN MEMORIAL HOSPITAL - PART V, LINE 11 | THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022. THE FOLLOWING ITEMS WERE IDENTIFIED AS PRIORITIES AND THE ACTIONS TAKEN IN 2022. EXPAND EDUCATION OUTREACH TO THE COMMUNITY REGARDING HEALTH AND WELLNESS TOPICS SPECIFICALLY TARGETING ISSUES OF OBESITY AND PHYSICAL INACTIVITY. 1. THE HOSPITAL WILL PROVIDE EDUCATIONAL OUTREACH IN THE FORM OF PUBLIC SERVICE ANNOUNCEMENTS IN THE NEWSPAPER AND VIA SOCIAL MEDIA REGARDING HEALTHY EATING, SAFE WEIGHT LOSS, AND INCREASING ACTIVITY LEVELS. 2. THE HOSPITAL WILL LEAD THIS INITIATIVE BY EXAMPLE BY CREATING OPPORTUNITIES FOR ITS EMPLOYEES TO COMBAT OBESITY AND INACTIVITY THROUGH HEALTHY EMPLOYEE INITIATIVES. 3. THE HOSPITAL WILL SPONSOR AND/OR HOST OPPORTUNITIES FOR THE COMMUNITY TO ACTIVELY PARTICIPATE IN PROGRAMS TARGETING ACTIVITY AND HEALTHY WEIGHT MAINTENANCE THROUGH LUNCH AND LEARN PROGRAMS AND COMMUNITY ACTIVITIES. 4. THE EXPECTED OUTCOME OF THE ENHANCED EDUCATION OUTREACH IS INCREASED KNOWLEDGE OF EXISTING RESOURCES, IMPROVED HEALTH, AND IMPROVED QUALITY OF LIFE. INCREASING AVAILABILITY OF SPECIALISTS. 1. THE HOSPITAL IS PLANNING TO ADD TWO PHYSICIANS IN 2023 WHO ARE DUAL- CERTIFIED IN FAMILY PRACTICE AND OB/GYN. 2. A SURGEON WILL BE JOINING THE SPECIALTY CLINIC SOON TO DO OUTPATIENT GYNECOLOGICAL SURGERIES. 3. OTOLARYNGOLOGIST SERVICES WILL ALSO BE ADDED TO THE CURRENT TELEHEALTH OPTIONS. THE HOSPITAL IS ALSO ACTIVELY EXPLORING ADDITIONAL SERVICES TO OFFER VIA TELEHEALTH. NOT ALL NEEDS COULD BE ADDRESSED BY THE HOSPITAL DUE TO LACK OF EXPERTISE IN THE AREA AND FUNDS. THESE NEEDS WILL BE ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. 1. MENTAL HEALTH AND SUBSTANCE ABUSE AMONG YOUNGER POPULATION. 2. TRANSPORTATION FOR ELDERLY (PRICE OF GAS ON FIXED INCOMES, MAYBE SHOULDNT BE DRIVING) WILL BE ADDRESSED BY ELLIS COUNTY TRANSPORTATION SERVICES. 3. LIFEFLIGHT CHARGES: HOW DO THOSE WHO DO NOT HAVE INSURANCE/COVERAGE PAY FOR THOSE SERVICES? GENERALLY, AMBULANCES CAN MAKE THE TRANSFERS AT THE HOSPITAL; HOWEVER, DURING COVID, AIR EVAC WAS UTILIZED MORE OFTEN THAN USUAL. 4. DHS, FAMILY SERVICES, AND HEALTH DEPARTMENT SERVICES ARE NOT AVAILABLE IN ELLIS COUNTY. PATIENTS ARE REFERRED TO SAYRE COUNTY. FOR SERIOUS NEEDS (WELL CHECKS) LAW ENFORCEMENT IS THE FIRST CALL. 5. ALCOHOL DRIVING DEATHS. 6. SELF-MEDICATION AND FENTANYL COMING INTO THE COMMUNITY. |
| FACILITY 1, NEWMAN MEMORIAL HOSPITAL - PART V, LINE 13H | PATIENTS WHO QUALIFY FOR THE FOLLOWING AID PROGRAMS WILL AUTOMATICALLY BE AWARDED FINANCIAL ASSISTANCE: SSI/DISABILITY, FOOD STAMPS. PATIENTS WHO QUALIFY FOR SPECIAL LOW INCOME MEDICARE BENEFICIARY (SLMB) WILL HAVE ANY CONSUMER RESPONSIBILITY ADJUSTED TO CHARITY. PATIENTS WHO HAVE MEDICARE AND MEDICAID (DUAL ELIGIBLE), AND MEDICARE DENIES THE CLAIM OR A PORTION OF THE CLAIM, I.E., AMBULANCE DETERMINED NOT MEDICALLY NECESSARY, NON-COVERED SELF-ADMINISTERED DRUGS, MEDICARE LOCAL COVERAGE DETERMINATIONS (WHEN AN ABN IS SIGNED), THOSE CHARGES WILL BE ADJUSTED TO CHARITY ONCE MEDICARE AND MEDICAID HAVE BEEN BILLED AND HAVE ASSIGNED AN AMOUNT TO PATIENT RESPONSIBILITY. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL ALSO USES THE FOLLOWING FACTORS TO DETERMINE FREE OR DISCOUNTED CARE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, RESIDENCY. PATIENTS WHO QUALIFY FOR THE FOLLOWING AID PROGRAMS WILL AUTOMATICALLY BE AWARDED FINANCIAL ASSISTANCE: SSI/DISABILITY, FOOD STAMPS. PATIENTS WHO QUALIFY FOR SPECIAL LOW-INCOME MEDICARE BENEFICIARY (SLMB) WILL HAVE ANY CONSUMER RESPONSIBILITY ADJUSTED TO CHARITY. PATIENTS WHO HAVE MEDICARE AND MEDICAID (DUAL ELIGIBLE), AND MEDICARE DENIES THE CLAIM OR A PORTION OF THE CLAIM, I.E., AMBULANCE DETERMINED NOT MEDICALLY NECESSARY, NON-COVERED SELF-ADMINISTERED DRUGS, MEDICARE LOCAL COVERAGE DETERMINATIONS (WHEN AN ABN IS SIGNED), THOSE CHARGES WILL BE ADJUSTED TO CHARITY ONCE MEDICARE AND MEDICAID HAVE BEEN BILLED AND HAVE ASSIGNED AN AMOUNT TO PATIENT RESPONSIBILITY. |
| SCHEDULE H, PART III, LINE 2 | PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER EVERY EFFORT IS MADE TO COLLECT THE BALANCE AND PATIENTS ARE GIVEN OPPORTUNITIES TO COMPLETE CHARITY CARE APPLICATIONS OR SET UP PAYMENT PLANS. ALL DISCOUNTS AND CONTRACTUAL ADJUSTMENTS ARE APPLIED TO ACCOUNTS BEFORE THEY ARE WRITTEN OFF TO BAD DEBT. CURRENT PAYMENTS ON ACCOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT REDUCE BAD DEBT EXPENSE. BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 3 | A REASONABLE ESTIMATE OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 20%. THIS IS BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY. |
| SCHEDULE H, PART III, LINE 4 | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE PROVISION FOR BAD DEBTS. |
| SCHEDULE H, PART III, LINE 8 | NEWMAN MEMORIAL HOSPITAL PROVIDES SERVICES TO MEDICARE PATIENTS EVEN THOUGH THERE IS A SHORTFALL BECAUSE ACCESS TO HEALTHCARE AND INDIVIDUAL'S HEALTH IS IMPORTANT. THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. BOTH THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| SCHEDULE H, PART III, LINE 9B | THE HOSPITAL HAS A 120-DAY APPLICATION PERIOD WHERE ANY PATIENT IS ABLE TO APPLY FOR FINANCIAL ASSISTANCE AND THERE ARE NO EXTRAORDINARY COLLECTION ACTIONS. PATIENTS ARE SENT A NOTICE 30 DAYS PRIOR TO ANY COLLECTION ACTIVITIES. AFTER 120 DAYS, ANY ACCOUNT MAY BE TURNED OVER TO COLLECTIONS; HOWEVER, A PATIENT HAS ANOTHER 120 DAYS TO COMPLETE AN APPLICATION FOR A TOTAL OF 240 DAYS. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, ANY PERSONAL PORTION DUE WOULD FOLLOW NORMAL COLLECTION ACTIONS. |
| SCHEDULE H, PART VI, LINE 2 | IN ADDITION TO THE CHNA, THE HOSPITAL ADDRESSED THE HEALTH NEEDS OF THE COMMUNITY BY HOSTING MONTHLY LUNCH AND LEARNS FOCUSING ON COMMUNITY HEALTH, EDUCATION, AND SAFETY. AT THE END OF EACH SESSION, A PROGRAM EVALUATION WAS COMPLETED BY ATTENDEES, GIVING THEM THE OPPORTUNITY TO REQUEST ADDITIONAL TOPICS OF INTEREST. NEWMAN EXPANDED TELEMEDICINE OPPORTUNITIES BY PURCHASING MONITORING CARTS FOR SPECIALISTS OUTSIDE OF OUR AREA AND CONTRACTING WITH SSM HEALTH TELEMEDICINE PROGRAM. THE LATEST CHNA IS AVAILABLE ON THE WEBSITE AS FOLLOWS: HTTPS://NEWMANMEMORIALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| SCHEDULE H, PART VI, LINE 3 | PATIENTS ARE PROVIDED LITERATURE AT THE TIME OF REGISTRATION AND THEN ARE CONTACTED BY THE FINANCIAL COUNSELOR AFTER THEY RECEIVE A STATEMENT. THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE PROVIDED ON THE HOSPITAL'S WEBSITE. THE HEALTH CARE NEEDS OF ALL INDIVIDUALS RESIDING IN THE IMMEDIATE AND ADJACENT COMMUNITIES ARE CONSIDERED. NO INDIVIDUAL WILL BE DEPRIVED OF EMERGENCY OR CRITICAL CARE BECAUSE OF THEIR INABILITY TO PAY; HOWEVER, EVERY EFFORT WILL BE MADE TO COLLECT FUNDS OWED TO THE HOSPITAL FOR ELECTIVE CARE SINCE THE ABILITY TO CONTINUE TO PROVIDE AND IMPROVE SERVICES TO THE COMMUNITIES SERVED DEPENDS ON FINANCIAL STABILITY. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON THE WEBSITE AS FOLLOWS: HTTPS://NEWMANMEMORIALHOSPITAL.ORG/PAY-ONLINE/ |
| SCHEDULE H, PART VI, LINE 4 | NEWMAN MEMORIAL HOSPITAL, INC. IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SHATTUCK, OKLAHOMA. SHATTUCK IS A VERY RURAL TOWN ABOUT 3 HOURS FROM ANY METROPOLITAN AREA WITH A POPULATION OF APPROXIMATELY 1,243. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 43,661. ABOUT 20% OF THE POPULATION IS BELOW THE POVERTY LINE. THE MOST COMMON EMPLOYMENT INDUSTRIES ARE HEALTH CARE AND SOCIAL ASSISTANCE, EDUCATIONAL SERVICES, CONSTRUCTION, AND AGRICULTURE. THE ECONOMY OF SHATTUCK, OK EMPLOYS 633 PEOPLE. 85.4% OF THE POPULATION OF SHATTUCK, OK HAS HEALTH COVERAGE, WITH 47.3% ON EMPLOYEE PLANS, 14% ON MEDICAID, 12.7% ON MEDICARE, 10.4% ON NONGROUP PLANS, AND 1% ON MILITARY OR VA PLANS. PRIMARY CARE PHYSICIANS IN SHATTUCK, OK SEE APPROXIMATELY 1,600 PATIENTS PER YEAR ON AVERAGE. ALLIANCEHEALTH WOODWARD IS APPROXIMATELY THIRTY MILES AWAY. |
| SCHEDULE H, PART VI, LINE 5 | THE BOARD OF DIRECTORS CONSISTS OF MEMBERS THAT RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA REPRESENTING THE COMMUNITY IT SERVES. THE BOARD DEDICATES TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE THE CREDENTIALING PROCESS ENSURES PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, PRACTITIONERS FROM NUMEROUS SPECIALTIES ARE ENCOURAGED TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO EQUIPMENT AND BUILDING IMPROVEMENTS TO BETTER SERVE OUR PATIENTS. NEWMAN MEMORIAL HOSPITAL PROVIDES HEALTH COUNSELING AT AS MANY LOCAL HEALTH FAIRS AS POSSIBLE. THE HOSPITAL PARTICIPATES IN VARIOUS COMMUNITY ACTIVITIES TO INCREASE THEIR PRESENCE IN THE COMMUNITY. NEWMAN MEMORIAL HOSPITAL RUNS A MINIMUM OF THREE BLOOD DRIVES DURING THE YEAR. THE HOSPITAL ALSO HELD MULTIPLE FLU SHOT CLINICS, WITH THREE BEING AT LOCAL SENIOR CITIZEN CENTERS, AT THE HOSPITAL ITSELF, AND LOCAL BUSINESSES. THE HOSPITAL PROVIDES A MONTHLY LUNCH AND LEARN PROGRAM WITH THE GOAL OF PROVIDING A SPEAKER EACH MONTH TO TEACH ON A TOPIC THAT IMPROVES THE HEALTH AND SAFETY OF THE COMMUNITY. WHEN A LUNCH AND LEARN IS NOT AVAILABLE, EDUCATION IS SHARED VIA FACEBOOK AND LOCAL NEWSPAPERS. SOME OF THE TOPICS ADDRESSED INCLUDE: COVID SIGNS AND SYMPTOMS, AGE-RELATED EYE ISSUES, HEALTHY HEARTS, MEDICATION SAFETY, TRADITIONAL VS. ADVANTAGE MEDICARE, AND KNOW YOUR VETERAN'S BENEFITS. NEWMAN MEMORIAL HOSPITAL OPERATES A 24/7 EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS BY WORKING WITH HIGH PLAINS TECHNOLOGY CENTER LPN PROGRAM. |
| SCHEDULE H, PART VI, LINE 6 | NEWMAN MEMORIAL HOSPITAL IS A ST. ANTHONY'S HOSPITAL (SSM) AFFILIATE. THE HOSPITAL ACCESSES THEIR ELECTRONIC HEALTH RECORDS THROUGH SSM ALONG WITH TRANSFER AGREEMENTS FOR A HIGHER LEVEL OF CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| DANA STUART | ||||
| CHIEF OF STAFF/DIR. | $363,690 | $10,517 | $5,869 | $380,076 |
| TOM VASKO | ||||
| CEO | $193,193 | $4,725 | $197,918 | |
| SHANDY BAGGS | ||||
| APRN | $153,078 | $4,560 | $5,458 | $163,096 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 226,306 FOR CHARITY CARE, 6,973,062 FOR MEDICARE, 910,118 FOR MEDICAID, AND 5,522,035 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE DIRECTORS INCLUDE AT LEAST TWO MEMBERS OF THE MEDICAL STAFF, ONE OF WHOM IS THE CHIEF OF STAFF, WHO IS ELECTED BY THE MEDICAL STAFF, IN AN EX OFFICIO CAPACITY WITH VOTE. THE OTHER IS A MEMBER OF THE MEDICAL STAFF ELECTED DIRECTLY BY THE BOARD. IN THE EVENT THAT THE CHIEF OF STAFF IS ALSO SERVING AS THE ELECTED MEMBER, THE VICE CHIEF OF STAFF SHALL BE SEATED AS THE OTHER MEDICAL STAFF MEMBER TO SERVE UNTIL THE ELECTED OFFICES OF THE MEDICAL STAFF CHANGE. NO MORE THAN TWENTY PERCENT OF THE DIRECTORS MAY BE PHYSICIANS WITH MEDICAL STAFF PRIVILEGES AT THE HOSPITAL. EX OFFICIO DIRECTORS SERVE ON THE BOARD BY VIRTUE OF THEIR OFFICIAL POSITION, AND REMAIN A DIRECTOR UNTIL THEY RESIGN OR ARE REMOVED FROM THE OFFICIAL POSITION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO & CFO WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A REVISED DRAFT IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-TE AND THE RETURN IS E-FILED BY THE PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY OR WHEN A POSSIBLE CONFLICT ARISES. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. NO CONTRACT OR TRANSACTION BETWEEN THIS CORPORATION AND ONE OR MORE OF ITS DIRECTORS, OR BETWEEN THIS CORPORATION AND ANY OTHER CORPORATION, PARTNERSHIP, ASSOCIATION, OR OTHER ORGANIZATION IN WHICH ONE OR MORE OF THE DIRECTORS ARE DIRECTORS OR OFFICERS, OR HAVE A FINANCIAL INTEREST, SHALL BE VOID OR VOIDABLE SOLELY FOR THAT REASON, OR SOLELY BECAUSE AN INTERESTED DIRECTOR IS PRESENT AT OR PARTICIPATES IN THE MEETING OF THE BOARD OR ANY COMMITTEE WHICH AUTHORIZES THE CONTRACT OR TRANSACTION, OR SOLELY BECAUSE THE VOTE OF ONE OR MORE INTERESTED DIRECTORS OR OFFICERS IS COUNTED FOR PURPOSES OF ESTABLISHING A QUORUM, IF: (1) THE MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST OF SUCH DIRECTOR AND AS TO THE CONTRACT OR TRANSACTION ARE DISCLOSED OR ARE KNOWN TO THE BOARD OR THE COMMITTEE, AND THE BOARD OR COMMITTEE, IN GOOD FAITH AUTHORIZES THE CONTRACT OR TRANSACTION BY THE AFFIRMATIVE VOTES OF A MAJORITY OF THE DISINTERESTED DIRECTORS, EVEN THOUGH THE DISINTERESTED DIRECTORS MAY BE LESS THAN A QUORUM; AND (2) THE CONTRACT OR TRANSACTION IS FAIR AS TO THE CORPORATION AT THE TIME IT IS AUTHORIZED OR RATIFIED BY THE BOARD. COMMON OR INTERESTED DIRECTORS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD, OR THE COMMITTEE WHICH AUTHORIZES THE CONTRACT OR TRANSACTION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE CEO WAS DETERMINED THROUGH AN ANNUAL EVALUATION CONDUCTED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HIRED AN OUTSIDE CONSULTING FIRM FOR SALARY COMPARABILITY DATA. THE INFORMATION AND DECISION WERE DOCUMENTED IN THE BOARD MINUTES AND EMPLOYEE FILE. COMPENSATION FOR THE CFO WAS DETERMINED THROUGH AN ANNUAL EVALUATION CONDUCTED BY THE CEO. COMPARABILITY DATA AND SURVEY INFORMATION FROM THE OKLAHOMA HOSPITAL ASSOCIATION WAS USED. THE INFORMATION AND DECISION WERE DOCUMENTED IN THE EMPLOYEE FILE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE HOSPITAL ALSO PROVIDES A COPY OF ITS ANNUAL AUDIT TO THE CITY OF SHATTUCK. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES 3,233,466 829,446 0 |
| FORM 990, PART XI, LINE 9 | TRANSFERS FROM AUTHORITY 148,676 |
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