MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC (EIN 73-6617937)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-17
IRS object ID
202201379349301270
Schema version
2020v4.1
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)
Return2022-05-17T09:04:26-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY SUITE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN736617937EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1McCurtain Memorial Medical Management IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BRAD MORSE CEOInCareOfNm
Business Name ControlMCCUBusinessNameControlTxt
Phone5802867623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E Lincoln RdAddressLine1Txt
CityIdabelCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKena AllenPersonNm
Person TitleCFOPersonTitleTxt
Phone5802083104PhoneNum
Signature2022-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKenaPersonFirstNm
Person LastAllenPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNoelle AlbertoPreparerPersonNm
PTINP01704142PTIN
Phone9727028262PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1McCurtain Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBrian WhitfieldPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E LINCOLN RDAddressLine1Txt
CityIDABELCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,443,680GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MMHOK.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionSAVING LIVES, SAVING JOBS, SAVING THE HOSPITALActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee283TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$610,592PYContributionsGrantsAmt
CY Contributions Grants$9,430,321CYContributionsGrantsAmt
PY Program Service Revenue$21,000,685PYProgramServiceRevenueAmt
CY Program Service Revenue$25,351,370CYProgramServiceRevenueAmt
PY Investment Income$101,057PYInvestmentIncomeAmt
CY Investment Income$4,428CYInvestmentIncomeAmt
PY Other Revenue$194,834PYOtherRevenueAmt
CY Other Revenue$657,561CYOtherRevenueAmt
PY Total Revenue$21,907,168PYTotalRevenueAmt
CY Total Revenue$35,443,680CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,568CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,639,030PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,576,839CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,950,849PYOtherExpensesAmt
CY Other Expenses$18,563,722CYOtherExpensesAmt
PY Total Expenses$23,589,879PYTotalExpensesAmt
CY Total Expenses$28,148,129CYTotalExpensesAmt
PY Revenues Less Expenses-$1,682,711PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,295,551CYRevenuesLessExpensesAmt
Total Assets BOY$11,071,264TotalAssetsBOYAmt
Total Assets EOY$11,531,552TotalAssetsEOYAmt
Total Liabilities BOY$13,500,529TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,536,596TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,429,265NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,994,956NetAssetsOrFundBalancesEOYAmt
MissionMCCURTAIN MEMORIAL HOSPITAL EXISTS TO PROVIDE APPROPRIATE, COST EFFECTIVE HEALTHCARE TO OUR PATIENTS IN A SAFE, HEALING ENVIRONMENT WHILE STRIVING TO BE THE HEALTHCARE LEADER OF CHOICE IN OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,677,843ExpenseAmt
Grant$7,568GrantAmt
Revenue$25,352,456RevenueAmt
DescWE CONTINUE TO PROVIDE QUALITY HEALTH CARE TO MCCURTAIN COUNTY, OKLAHOMA AND ITS SURROUNDING AREAS. THE HOSPITAL CONTINUES TO OPERATE AND MAINTAIN THE FOLLOWING CLINICS: MCCURTAIN MEMORIAL SURGICAL SERVICES CLINIC OPENED JUNE 2019, MCCURTAIN NORTH URGENT CARE CLINIC OPENED 7/1/2019, BOOKER T WASHINGTON FREE CARE CLINIC OPENED 10/2019, AND THE MCCURTAIN FAMILY CLINIC OPENED 10/14/2019. THE VALLIANT URGENT CARE CLINIC WAS RECENTLY OPENED IN FEBRUARY 2021. BY PROVIDING CLINICS IN THE SURROUNDING AREAS THE HOSPITAL SEEKS TO PROVIDE HEALTHCARE ACCESS TO LOCAL COMMUNITY WHICH IS IN A MEDICALLY UNDERSERVED REGION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$22,542ExpenseAmt
DescTHE HOSPITAL ENDEAVORS TO FULFILL ITS MISSION OF COMMUNITY SERVICE BY PROVIDING CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER OUR CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN OUR ESTABLISHED RATES. WE MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE WE PROVIDE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,848ExpenseAmt
Revenue$6,200RevenueAmt
DescTO PROMOTE GENERAL HEALTH AND WELLNESS WITHIN THE COMMUNITY THE HOSPITAL PROVIDES A WELLNESS CENTER OPEN TO THE PUBLIC WITH REDUCED MEMBERSHIP RATES FOR SENIORS. THE HOSPITAL ALSO MAINTAINS AN OUTDOOR WELL-LIGHTED WALKING TRACK OPEN TO THE PUBLIC 24 HOURS A DAY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$23,702,233TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee283EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRAD MORSE CEOPersonNm
Phone5802083100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E LINCOLN RDAddressLine1Txt
CityIDABELCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BRAD MORSE
CEO40.00.0Yes (X)$353,923$0$23,739
GRETCHEN ADAMS
PHYSICIAN40.00.0$258,163$0$0Yes (X)
SARA COLLIER
PHYSICIAN40.00.0$211,510$0$23,749Yes (X)
SANDRA D LEGGETT
CNO40.00.0Yes (X)$178,704$0$23,654
CHARLES CAVE
CFO40.00.0Yes (X)$156,310$0$16,178
KARYN LANE
NURSE PRACTITIONER40.00.0$108,721$0$4,687Yes (X)
THOMAS HILL
PHARMACIST40.00.0$108,679$0$4,687Yes (X)
APRIL HURST
PHYSICAL THERAPIST40.00.0$101,532$0$4,687Yes (X)
WALTER H FREY
PRESIDENT END 12/08/211.00.0Yes (X)$0$0$0Yes (X)
JOHNNIE MEREDITH
Vice President1.00.0Yes (X)$0$0$0Yes (X)
LINDASU D GRIFFIN
TRUSTEE END: 06/30/20211.00.0$0$0$0Yes (X)
THOMAS WILLISTON
TRUSTEE1.00.0$0$0$0Yes (X)
KENDRA GROSS
TRUSTEE2.00.0$0$0$0Yes (X)
HENRY MOY
TRUSTEE START: 03/20210.50.0$0$0$0Yes (X)
LINDSAY E CAMPBELL
Interim Secretary/Treasurer0.50.0Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,477,542TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$101,381TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JULIE MAHANEY LLP
1116 CAINES HILL ROADEDMONDOK73034PHYSICIAN STAFFING$725,363
CHRISTOPHER BRADSHAW
1101 MCLAUGHLIN STREETOKLAHOMA CITYOK73170ER PHYS STAFFING$417,750
WESTERN HEALTHCARE
PO BOX 203152DALLASTX75320CRNA STAFFING$558,734
HEALTH CAROUSEL
PO BOX 714216CINCINNATIOH45271NURSE STAFFING$350,756
STORMY WALKUP
5623 STONE CREEK DRIVEDURANTOK74701ER PHYS STAFFING$414,090
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$5,491,525GovernmentGrantsAmt
All Other Contributions$3,938,796AllOtherContributionsAmt
Total Contributions$9,430,321TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$25,216,594$25,216,594
Medical Office Rental Revenue532000$127,442$127,442
Other Operating Revenue622110$7,334$7,334
FieldValueIRS element (for citing)
Total Program Service Revenue$25,351,370TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,684TotalRevenueColumnAmt
Exclusion$3,684ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$744OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$744OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$744TotalRevenueColumnAmt
Exclusion$744ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Revenue722514$56,018$56,018
Medical Record Revenue561000$7,286$7,286
GAIN ON EXTINGUISHMENT OF DEBT900099$594,257$594,257
FieldValueIRS element (for citing)
Other Revenue Total$657,561OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,443,680TotalRevenueColumnAmt
Related Or Exempt Func Income$25,358,656RelatedOrExemptFuncIncomeAmt
Exclusion$654,703ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,568TotalAmt
Program Services$7,568ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$658,381TotalAmt
Management And General$658,381ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,584,098TotalAmt
Program Services$6,663,127ProgramServicesAmt
Management And General$920,971ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$769,893TotalAmt
Program Services$697,348ProgramServicesAmt
Management And General$72,545ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$564,467TotalAmt
Program Services$401,305ProgramServicesAmt
Management And General$163,162ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,223TotalAmt
Management And General$19,223ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$150,786TotalAmt
Management And General$150,786ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,053TotalAmt
Management And General$19,053ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,263,278TotalAmt
Program Services$5,955,160ProgramServicesAmt
Management And General$1,308,118ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$160,671TotalAmt
Program Services$11,784ProgramServicesAmt
Management And General$148,887ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$400,854TotalAmt
Program Services$351,879ProgramServicesAmt
Management And General$48,975ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,849TotalAmt
Program Services$15,118ProgramServicesAmt
Management And General$2,731ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$838,266TotalAmt
Program Services$657,108ProgramServicesAmt
Management And General$181,158ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,943TotalAmt
Program Services$5,701ProgramServicesAmt
Management And General$14,242ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$148,984TotalAmt
Program Services$123,294ProgramServicesAmt
Management And General$25,690ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$618,061TotalAmt
Program Services$511,487ProgramServicesAmt
Management And General$106,574ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$646,635TotalAmt
Program Services$94,450ProgramServicesAmt
Management And General$552,185ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$6,122,337$6,122,337
Medical Supplies$1,994,742$1,971,610$23,132
Repairs & Maintenance$98,893$84,936$13,957
Subscriptions Licenses & Dues$44,147$28,021$16,126

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,148,129TotalAmt
Program Services$23,702,233ProgramServicesAmt
Management And General$4,445,896ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,229,296BOYAmt
EOY$1,687,857EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,362,443BOYAmt
EOY$31,331EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,319,470BOYAmt
EOY$3,798,556EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$340,246BOYAmt
EOY$518,497EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$285,118BOYAmt
EOY$343,154EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,121,089LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,303,367LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,209,289BOYAmt
EOY$3,817,722EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,325,402BOYAmt
EOY$1,334,435EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,071,264BOYAmt
EOY$11,531,552EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,420,996BOYAmt
EOY$2,942,277EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$632,806BOYAmt
EOY$842,471EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,446,727BOYAmt
EOY$2,751,848EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,500,529BOYAmt
EOY$6,536,596EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,962,694BOYAmt
EOY$4,332,857EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$533,429BOYAmt
EOY$662,099EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,429,265BOYAmt
EOY$4,994,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,071,264BOYAmt
EOY$11,531,552EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,295,551ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$128,670OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$7,568OtherActivitiesAmt
Total Lobbying Expenditures$7,568TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO OKLAHOMA HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,450OtherCostOrOtherBasisAmt
Book Value$37,450BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,937,646OtherCostOrOtherBasisAmt
Depreciation$3,369,016DepreciationAmt
Book Value$568,630BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$485,387OtherCostOrOtherBasisAmt
Depreciation$446,167DepreciationAmt
Book Value$39,220BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,635,475OtherCostOrOtherBasisAmt
Depreciation$11,488,184DepreciationAmt
Book Value$3,147,291BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,131OtherCostOrOtherBasisAmt
Book Value$25,131BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,817,722TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Estimated Amounts Due from 3rd$672,336
Interest in Net Assets of Fdn$662,099
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,334,435TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Medicare Advance Payments$2,169,564
ESTIMATED AMOUNTS DUE TO 3RD PARTY$557,284
HEALTH INSURANCE RESERVE$25,000
FieldValueIRS element (for citing)
Total Liability$2,751,848TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$29,764,351TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$443,008DonatedServicesAndUseFcltsAmt
Other Revenue-$6,122,337OtherRevenueAmt
Revenue Not Reported-$5,679,329RevenueNotReportedAmt
Revenue Subtotal$35,443,680RevenueSubtotalAmt
Total Revenue Per Form990$35,443,680TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,468,800TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$443,008DonatedServicesUseFcltsAmt
Expenses Not Reported$443,008ExpensesNotReportedAmt
Expenses Subtotal$22,025,792ExpensesSubtotalAmt
Other Expenses Not Included$6,122,337OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$6,122,337ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,148,129TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2DRECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(6,122,337)
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $6,122,337
SCHEDULE D, PART X, LINE 2Liability for uncertain tax positions: The Hospital has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Hospital is subject to federal income tax on any unrelated business taxable income. During the year ended June 30, 2021, the Hospital recognized a change in estimate of $692,822 included within other nonoperating income in the accompanying statement of operations and changes in net assets. The change in estimate related to an estimated unrelated business income tax accrued in the accompanying balance sheets at June 30, 2020. Management is unaware of any other known uncertain tax positions.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,577TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,577NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,188,052TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,517,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,670,892NetCommunityBenefitExpnsAmt
Total Expense0.07590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,198,629TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,517,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,681,469NetCommunityBenefitExpnsAmt
Total Expense0.07640TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$408,851TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$408,851NetCommunityBenefitExpnsAmt
Total Expense0.01850TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,568TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,568NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$416,419TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$416,419NetCommunityBenefitExpnsAmt
Total Expense0.01880TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,615,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,517,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,097,888NetCommunityBenefitExpnsAmt
Total Expense0.09520TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,122,337BadDebtExpenseAmt
Bad Debt Expense Attributable$1,897,924BadDebtExpenseAttributableAmt
Reimbursed By Medicare$7,994,884ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,235,526CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$759,358MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCCURTAIN MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E LINCOLN RDAddressLine1Txt
CityIDABELCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MMHOK.COMWebsiteAddressTxt
State License2202StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MCCURTAIN MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWW.MMHOK.COM/ABOUT/CHNA_2019OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.OSURURALHEALTH.BLOGSPOT.COM/P/CHOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MMHOK.COM/ABOUT/CHNA_2019.HTMLStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MMHOK.COM/FINANCIALASST.HTMLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MMHOK.COM/FINANCIALASST.HTMLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MMHOK.COM/FINANCIALASSTFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: MCCURTAIN MEMORIAL HOSPITAL PARTICIPATED AS THE MAIN SPEAKER FOR MARCH 2019 COALITION FOR CHANGE MEETING. THIS MEETING WAS HELD ON MARCH 19, 2019. DURING THIS TIME, THE EXECUTIVE DIRECTOR OF LITTLE DIXIE COMMUNITY ACTION AGENCY SHARED THE FINDINGS OF THE LITTLE DIXIE COMMUNITY NEEDS ASSESSMENT, AND THE OKLAHOMA OFFICE OF RURAL HEALTH PRESENTED DEMOGRAPHIC AND HEALTH DATA AND FACILITATED THE DISCUSSION TO IDENTIFY HEALTH PRIORITIES FOR MCCURTAIN MEMORIAL HOSPITAL TO ADDRESS. DATA INPUT WAS PROVIDED BY THE LITTLE DIXIE COMMUNITY ACTION AGENCY NEEDS ASSESSMENT PREVIOUSLY COMPLETED IN JANUARY 2019 WHICH WAS COMPRISED OF DATA GATHERED VIA SURVEY, FOCUS GROUPS, AND COMMUNITY MEETINGS DURING MAY 2018 THROUGH NOVEMBER 2018. THE COMPLETE METHODOLOGY AND FINDINGS OF THE LITTLE DIXIE COMMUNITY NEEDS ASSESSMENT CAN BE FOUND AT: WWW.LITTLEDIXIE.ORG/RESOURCES. COMMUNITY MEMBERS IN ATTENDANCE AT THIS MEETING INCLUDED: -MCCURTAIN MEMORIAL HOSPITAL -LITTLE DIXIE COMMUNITY ACTION AGENCY -MCCURTAIN COUNTY HEALTH DEPARTMENT -OKLAHOMA HEALTHCARE AUTHORITY -DHS THIS GROUP WAS SELECTED DUE TO THEIR BROAD REPRESENTATION OF THE COMMUNITY AND THE DIVERSE POPULATIONS THEY SERVE. THESE INDIVIDUALS WORK WITH DIVERSE POPULATIONS AND LOW-INCOME POPULATIONS, AND THEY PROVIDE GREAT INSIGHT INTO THE NEEDS OF THE COMMUNITY. REPRESENTATIVES FROM THE PUBLIC HEALTH SECTOR WERE INCLUDED TO PROVIDE INSIGHT INTO WHAT THEY SEE FROM A PUBLIC HEALTH AND UNDERSERVED POPULATION PERSPECTIVE OF COMMUNITY NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS ADDRESSED AND NOT ADDRESSED: THE FOLLOWING NEEDS WERE IDENTIFIED IN THE CHNA COMPLETED IN 2018. THE HOSPITAL BEGAN ADDRESSING THE FOLLOWING NEEDS IN FISCAL YEAR 2019 AND WILL CONTINUE OVER THE NEXT 3 YEARS. TWO OF THE NEEDS WILL NOT BE ADDRESSED: THE HOSPITAL HAS CHOSEN TO FOCUS ON FIVE IDENTIFIED NEEDS AND REGRETS THAT A LACK OF HOSPITAL RESOURCES PREVENTS US FROM SPECIFICALLY ADDRESSING ALL OF THE NEEDS IDENTIFIED IN THE COMMUNITY MEETING. ALTHOUGH THE HOSPITAL WILL NOT SPECIFICALLY ADDRESS MOTOR VEHICLE CRASH DEATH RATE AND POTENTIAL CORRELATION WITH SUBSTANCE ABUSE AND TEEN BIRTH RATE ALONG WITH STI'S, THEY WILL FULLY SUPPORT ANY EDUCATION EFFORTS MADE BY OTHER COMMUNITY ORGANIZATIONS BY PROVIDING MEETING SPACE AND LIMITED RESOURCES FOR EDUCATIONAL EVENTS AIMED AT ACHIEVING OVERALL HEALTHCARE IMPROVEMENT IN OUR COMMUNITY. FURTHER, THE HOSPITAL WILL CONTINUE TO SERVE AS AN ACTIVE MEMBER OF THE LOCAL HEALTH COALITION AND OTHER PARTNERSHIPS. OTHER COMMUNITY AGENCIES DO EXIST WITH SPECIFIC GOALS AND OBJECTIVES AIMED AT ADDRESSING THESE NEEDS: -TEEN BIRTH RATE ALONG WITH STI'S -MOTOR VEHICLE CRASH DEATH RATE AND POTENTIAL CORRELATION WITH SUBSTANCE ABUSE. OVERALL WELLNESS AND EDUCATION, IMPROVE QUALITY OF LIFE THE HOSPITAL CONTINUES ITS EFFORTS IN ACTIVELY RECRUITING AND RETAINING PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS FOR THE MEDICAL SERVICE AREA. July 2020 - RN recruitment and retention efforts. Purchased a contact list from the State Nursing Board of RNs in the surrounding counties and sent out postcards offering sign on bonus of $3000, with a $2000 retention bonus at the end of one year March 2021 - Recruitment efforts continue with two additional mailouts. One for McCurtain County nurses saying 'are you tired of drivingone for neighboring counties with a 'ready to join a great team' message. Both mailouts offered a $5000 sign on bonus. August 2020 - Began offering cardiology services via telemedicine at Idabel Family Medical & Surgical Clinic location August 2020 - Began offering Inpatient Dialysis Services with an onsite nurse and telemed physician visit August 2020 - Telestroke agreement in place with Regional Brain Center to provide stroke consultations/assessments via telemedicine Sept 2020 - McCurtain Memorial Hospital hosted a zoom meeting with local law enforcement and Dewayne Moore, the Inspector General for the OK Department of Mental Health Services and Substance Abuse. The meeting focused on the Emergency Order of Detention (EOD) process and was very informative and well attended. Our need for mental health beds has increased during the pandemic. February 2021 - Opened third clinic location in Valliant, OK staffed with a Nurse Practitioner with Physician supervision November 2020 - Ob nursing staff participated in Fetal Heart Tones and STABLE classes which were provided by Plano Medical at no cost to employees or McCurtain Memorial Hospital. February 2021 - Completed remodel to expand Idabel Clinic location to better accommodate two physicians and increasing patient visit volumes Physician recruitment efforts continued throughout FY2021 with OU Health for a general surgeon and an OBGYN surgeon. THE HOSPITAL CONTINUES TO PROVIDE HIGHER QUALITY OF NURSING STAFF THROUGH INCREASED LEVEL OF STANDARDS AND BY ENCOURAGING STAFF TO OBTAIN FURTHER EDUCATION AND CERTIFICATIONS. - SKILLS FAIRS ARE HELD AT LEAST ANNUALLY TO KEEP NURSES AND OTHER CLINICAL PERSONNEL UP TO DATE IN CERTIFICATIONS. THE HOSPITAL CONTINUES TO WORK TO PARTNER WITH OKLAHOMA STATE UNIVERSITY AND OTHERS TO OFFER SPECIALTY SERVICES NOT CURRENTLY PROVIDED IN THE COUNTY. - PARTNERSHIP PLANS ARE IN PROGRESS WITH OSU SCHOOL OF MEDICINE TO PROVIDE TELEMEDICINE SERVICES FOR CARDIOLOGY PATIENTS. - SEEKING TO PROVIDE DIALYSIS SERVICES TO INPATIENTS THROUGH CONTRACTUAL ARRANGEMENTS WITH NEW DIRECTIONS - PROVIDING STROKE DETECTION SERVICES THROUGH THE EMERGENCY ROOM TO DETECT STROKES EARLIER AND BETTER OUTCOMES WORK TO PROVIDE BETTER ACCESS TO HEALTHCARE THROUGH OUTPATIENT CLINICS WITH EXTENDED HOURS. - THE HOSPITAL LABORATORY ALONG WITH THE URGENT CARE CLINIC IN HOCHATOWN AND THE FAMILY PRACTICE CLINIC IN IDABEL HAVE BEEN OPEN AND INSTRUMENTAL IN PROVIDING COVID-19 TESTING TO ALL MEMBERS OF THE COMMUNITY DURING THE PANDEMIC. THE HOSPITAL CONTINUES TO PROVIDE REDUCED RATE MEDICAL SCREENINGS WHICH WILL OFFER THE OPPORTUNITY FOR SERVICES TO THOSE WHO MAY NOT NORMALLY BE ABLE TO AFFORD THE USUAL RATES DESPITE HAVING INSURANCE. - SPECIAL RATE MAMMOGRAPHY SCREENINGS ARE OFFERED DURING THE BREAST CANCER AWARENESS MONTH. - SPECIAL RATE PSA SCREENINGS ARE OFFERED AT CERTAIN TIMES OF THE YEAR. THE HOSPITAL WILL CONTINUE TO PROVIDE MEETING SPACE AND OTHER RESOURCES, SUCH AS PUBLIC SPEAKING, FOR HOSPITAL AND COMMUNITY HEALTHCARE EDUCATIONAL EVENTS AS WELL AS AT CIVIC ORGANIZATIONS AND OTHER PUBLIC VENUES: - NURSING STAFF PARTICIPATION IN MOCK INTERVIEWS FOR NURSING STUDENTS AT KTC AND EOSC - PROVIDE CONTRACT RATES TO LOCAL ORGANIZATIONS FOR TB SCREENINGS - PROVIDE CONTRACT RATES TO LOCAL ORGANIZATIONS FOR LAB/IMAGING PROCEDURES OBESITY OBESITY RATES ALONG WITH PHYSICAL INACTIVITY RATES - LITTLE OPPORTUNITY FOR PHYSICAL ACTIVITY IN RURAL AREAS - CONTINUE EFFORTS IN RESEARCHING AND SECURING OUTSIDE GRANTS AND OTHER FUNDING AS WELL AS COMMITTING ITS OWN RESOURCES TO THE IMPROVEMENT OF OVERALL COMMUNITY HEALTH - CONTINUE OPERATION OF THE PATRICIA R. BAGGS REHABILITATION AND WELLNEss CENTER AT LOW COST TO ALL COMMUNITY MEMBERS WITH DISCOUNTED RATES FOR SENIORS AND FREE ACCESS TO EMPLOYEES OF THE HOSPITAL AND OTHER GROUPS OF THE COMMUNITY SUCH AS TEACHERS - CONTINUE TO MAINTAIN THE GARDEN MEADOWS WALKING TRAIL LOCATED IN THE FRONT OF THE HOSPITAL WHICH IS FREE AND OPEN TO THE PUBLIC - ENCOURAGE CONSUMPTION OF HEALTHY SNACKS TO ALL PATIENTS, VISITORS AND GUESTS BY MAKING FRESH POPCORN AVAILABLE DURING WEEKDAYS IN THE FRONT LOBBY OF THE HOSPITAL SMOKING INFORMATION WILL BE PROVIDED ON SMOKING CESSATION AND OTHER ALTERNATIVES TO ASSIST PATIENTS IN THEIR EFFORTS TO DISCONTINUE SMOKING. THERE WILL BE CONTINUED ENFORCEMENT OF A NO SMOKING CAMPUS POLICY. THE HOSPITAL WILL CONTINUE TO ENCOURAGE THE USE OF OTHER COMMUNITY RESOURCES SUCH AS THE SMOKING CESSATION HOTLINE. ACCESS TO MENTAL HEALTH PROVIDERS THE HOSPITAL WILL CONTINUE TO ACTIVELY RECRUIT LICENSED MENTAL HEALTH PROFESSIONALS AND WORK TO PARTNER WITH OKLAHOMA STATE UNIVERSITY TO PROVIDE TELEHEALTH MENTAL HEALTH SERVICES ON AN OUTPATIENT TREATMENT BASIS. - CREATE AWARENESS AMONG CARE PROVIDERS AND STAFF OF TRAUMA INFORMED CARE THROUGH RESOURCES AVAILABLE THROUGH THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES - CONTINUE TO PROVIDE MEETING SPACE AND OTHER RESOURCES FOR EDUCATIONAL EVENTS ADDRESSING MENTAL HEALTH ISSUES, SUCH AS ALZHEIMER'S SUPPORT GROUP. TRAUMA INFORMED CARE THE HOSPITAL WILL CREATE AWARENESS AMONG CARE PROVIDERS AND STAFF OF TRAUMA INFORMED CARE THROUGH THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES.
SCHEDULE H, PART V, SECTION B, LINE 6BCHNA CONDUCTED WITH OTHER FACILITIES: THE CHNA WAS CONDUCTED WITH THE ASSISTANCE OF THE FOLLOWING ORGANIZATIONS- MCCURTAIN COUNTY HEALTH DEPARTMENT, MCCURTAIN COUNTY COALITION FOR CHANGE, LITTLE DIXIE COMMUNITY ACTION AGENCY, OKLAHOMA OFFICE OF RURAL HEALTH, OSU CENTER FOR RURAL HEALTH.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SURGERY CLINIC
1425 E LINCOLN RD STE B-3IDABELOK74745SURGERY OUTPATIENT CLINIC
IDABEL FAMILY PRACTICE CLINIC
1425 E LINCOLN RD STE B-3IDABELOK74745FAMILY PRACTICE
MCCURTAIN URGENT CARE CLINIC
8901 N US HIGHWAY 259BROKEN BOWOK74728URGENT CARE
BOOKER T WASHINGTON FREECARE CLINIC
1000 NW HASKELL STIDABELOK74745COMMUNITY CLINIC
mccurtain memorial clinic - Valiant HC
101 e terrivaliantOK74764family practice

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT EXPENSE: ACCOUNTS ARE NOT WRITTEN OFF TO BAD DEBT UNTIL ALL PAYMENTS, DISCOUNTS AND CONTRACTUAL ALLOWANCES ARE APPLIED AND INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. WHEN A PAYMENT IS RECEIVED ON AN ACCOUNT PREVIOUSLY WRITTEN OFF TO BAD DEBT, THE PAYMENT REDUCES THE CURRENT YEAR'S BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS 31%. THIS IS DETERMINED BY USING THE PERCENTAGE OF THE POPULATION IN THE SERVICE AREA THAT IS UNDER THE FEDERAL POVERTY GUIDELINE ESTABLISHED FOR CHARITY CARE.
SCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 2014-09 TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
SCHEDULE H, PART III, SECTION B, LINE 8COST METHODOLOGY: TOTAL REVENUE RECEIVED FROM MEDICARE (INCLUDING DSH AND IME) IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT (INCLUDING LSA). 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, SECTION C, LINE 9BCOLLECTION PRACTICES: SELF-PAY PATIENTS WILL BE NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM UPON REGISTRATION DURING FACE-TO-FACE INTERVIEWS IF POSSIBLE. FIRST TIME BILLING STATEMENTS WILL BE MAILED TO THE RESPONSIBLE PARTY OF ALL PATIENTS WITHIN APPROXIMATELY 15 DAYS OF DISCHARGE. INFORMATION REGARDING MAKING APPLICATION FOR FINANCIAL ASSISTANCE IS INCLUDED IN THE STATEMENT. APPLICANTS ARE NOTIFIED BY MAIL OR PHONE CALL WHEN THEIR APPLICATION IS INCOMPLETE AND ARE GIVEN AN OPPORTUNITY TO PROVIDE THE MISSING DOCUMENTATION OR INFORMATION WITHIN 90 DAYS OF NOTIFICATION. BEFORE FINDING A PATIENT ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY MCCURTAIN MEMORIAL MAY REQUIRE PATIENTS TO APPLY FOR PUBLIC HEALTH COVERAGE PROGRAMS, SUCH AS MEDICAID, FOR WHICH MCCURTAIN MEMORIAL PRESUMES THE PATIENTS ARE ELIGIBLE, AS INSTRUCTED BY THE HOSPITAL'S FINANCIAL SERVICES DEPARTMENT. MCCURTAIN MEMORIAL MAY DENY ELIGIBILITY FOR THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO HAVE BEEN SCREENED FOR A PUBLIC HEALTH COVERAGE PROGRAM AND ARE PRESUMED TO BE ELIGIBLE BUT ARE NOT COOPERATING WITH THE PROCESS TO APPLY FOR THE HEALTH COVERAGE PROGRAM. IF THE INDIVIDUAL DOES NOT PROVIDE THE REQUIRED INFORMATION OR THE APPLICATION IS DENIED, NORMAL COLLECTION PROCEDURES WILL COMMENCE. A PATIENT HAS 120 DAYS TO APPLY FOR FINANCIAL ASSISTANCE FROM THE DATE OF DISCHARGE THE ACCOUNT IS SENT TO AN OUTSIDE COLLECTION AGENCY. MCCURTAIN MEMORIAL, AS WELL AS THIRD PARTIES WORKING ON BEHALF OF MCCURTAIN MEMORIAL, WILL NOT USE EXTRAORDINARY COLLECTIONS EFFORTS WITHIN THE FIRST 120 DAYS POST DISCHARGE. NOR WILL MCCURTAIN MEMORIAL USE EXTRAORDINARY COLLECTION EFFORTS WHILE THE PATIENT OR REPRESENTATIVE IS ACTIVELY IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. IN THE EVENT THAT A PATIENT OR RESPONSIBLE PARTY APPLIES FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF FIRST STATEMENT DATE AND HAS BEEN FOUND TO BE ELIGIBLE, ANY EXTRAORDINARY COLLECTION EFFORTS BY MCCURTAIN MEMORIAL OR THIRD PARTIES WORKING ON BEHALF OF MCCURTAIN WILL CEASE AND RETRACTION WILL BE MADE FOR ANY ADVERSE REPORTING TO CREDIT BUREAUS IN REGARDS TO THE SERVICES FOR WHICH THEY HAVE BEEN APPROVED.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: HOSPITAL ADMINISTRATION CONTINUALLY COMMUNICATES WITH THE BOARD OF TRUSTEES AND SEEKS THEIR INPUT EACH MONTH ON COMMUNITY HEALTH NEEDS AND THE HOSPITAL'S ABILITY TO MEET THOSE NEEDS, EVALUATING INTERNAL AND EXTERNAL ISSUES THAT AFFECT THE ORGANIZATION. THE ADMINISTRATOR'S REPORT EACH MONTH GIVES AN UPDATE FROM PREVIOUSLY DISCUSSED ITEMS TO INCLUDE PROGRESS REPORTS ON HOW THE HOSPITAL IS ADDRESSING OR INTENDS TO ADDRESS EACH NEED IDENTIFIED.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL POSTS ITS CHARITY CARE POLICY SUMMARY WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE FINANCIAL SERVICES OFFICE. FINANCIAL ASSISTANCE GUIDANCE AND INFORMATION IS PROVIDED TO PATIENTS UPON COMPLETION OF MEDICAL EVALUATION AND SCREENING AT WHICH TIME POTENTIALLY ELIGIBLE PATIENTS ARE COUNSELED BY FINANCIAL SERVICES. FINANCIAL ASSISTANCE INFORMATION IS NOT PROVIDED WITH DISCHARGE MATERIALS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN FIRST TIME STATEMENTS OF PATIENT BILLS. FINANCIAL SERVICES COUNSELS ALL PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BY PROVIDING GUIDANCE IN APPLYING FOR ASSISTANCE THROUGH FEDERAL, STATE AND COUNTY PROGRAMS. SHOULD A PATIENT NOT QUALIFY FOR ONE OF THESE PROGRAMS AND IS NOT ELIGIBLE FOR NOR ENROLLED IN PRIVATE OR PUBLIC INSURANCE PLANS, THE PATIENT MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM UPON MEETING THE CRITERIA OUTLINED IN THE POLICY (78-06-20).
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: MCCURTAIN MEMORIAL HOSPITAL IS THE ONLY HOSPITAL LOCATED IN MCCURTAIN COUNTY, WHICH IS THE 3RD LARGEST COUNTY IN THE STATE. THE ENTIRE COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA WITH PORTIONS OF THE COUNTY DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS DUE TO THE GEOGRAPHICAL AREA, CENSUS TRACTS, AND/OR A NATIVE AMERICAN TRIBAL POPULATION. ACCORDING TO THE 2021 U.S. CENSUS BUREAU QUICKFACTS(SMALL AREA INCOME AND POVERTY ESTIMATES, SAIPE) ESTIMATES, THE PERCENTAGE OF MCCURTAIN COUNTY INDIVIDUALS (ALL AGES) WHOSE INCOME WAS BELOW POVERTY WAS 18.9%. OF THE ESTIMATED POPULATION FOR 2016-2020, THERE WERE APPROXIMATELY 22.5% OF PERSONS UNDER THE AGE OF 65 YEARS WITHOUT HEALTH INSURANCE COVERAGE, COMPARED TO 16.8% FOR THE SAME CATEGORY IN THE ENTIRE STATE OF OKLAHOMA AND 10.2% FOR THE NATION. APPROXIMATELY 30% OF THE PEOPLE IN MCCURTAIN COUNTY ARE COVERED BY MEDICAID AND THE UNEMPLOYMENT RATE RANKS AS ONE OF THE HIGHEST IN THE STATE. THE PRIMARY SERVICE AREA IS APPROXIMATELY A 35-MILE RADIUS AROUND IDABEL. THE 2020 US CENSUS BUREAU POPULATION ESTIMATES BASE FOR MCCURTAIN COUNTY IS 30,814, WITH AN ESTIMATED 30,884 AT JULY 1, 2021. OF THE 2021 ESTIMATED POPULATION, 18.6% ARE IN THE AGE GROUP 65 AND OLDER AND 25.2% ARE UNDER THE AGE OF 18. THESE COUNTY PERCENTAGES ARE ABOVE THE OKLAHOMA STATE PERCENTAGES FOR THE SAME CATEGORIES, 16.1% AND 24.1% RESPECTIVELY. WITH THE EXCEPTION OF MCCURTAIN MEMORIAL HOSPITAL THERE ARE NO OTHER MAJOR HOSPITALS LOCATED WITHIN THE COUNTY. MCCURTAIN COUNTY HAS MAJOR EMPLOYERS SUCH AS CHOCTAW NATION, INTERNATIONAL PAPER, TYSON FOODS, SETCO, JM HUBER ENGINEERED WOODS, DOMINANCE/PAN PACIFIC PRODUCTS, DARYL THOMASON TRUCKING AND THE MCCURTAIN MEMORIAL HOSPITAL. MCCURTAIN COUNTY'S UNEMPLOYMENT RATE OF 3.8% IS SLIGHTLY ABOVE THE STATE RATE OF 3.2% FOR NOT SEASONALLY ADJUSTED RATES. WITH THE SLOWING OF COVID-19 RELATED CLOSURES AND SERVICE SUSPENSIONS, MCCURTAIN COUNTY HAS EXPERIENCED A DECREASE IN UNEMPLOYMENT RATES.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: MCCURTAIN MEMORIAL HOSPITAL IS A SOLE COMMUNITY PROVIDER WITH A BOARD OF DIRECTORS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. FIVE MEMBERS OF THE BOARD ARE NON-PHYSICIANS AND ONE MEMBER IS A PHYSICIAN AS OF JUNE 30, 2020. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL OF ITS DEPARTMENTS. THE HOSPITAL APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION. THE HOSPITAL CONTINUOUSLY EVALUATES AND MONITORS QUALITY CONTROL INITIATIVES. THE HOSPITAL'S EMERGENCY ROOM IS AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. CONTINUING EDUCATION CLASSES ARE PROVIDED TO PERSONNEL ON A REGULAR BASIS INCLUDING EKG MONITORING CLASSES, VENOUS THROMBO-EMBOLISM PREVENTION AND PROPHYLAXIS, ACLS, PALS, CPI, CPR, MEDICARE WORKSHOPS, CREDENTIALING UPDATES IN ADDITION TO ALLOWANCES PROVIDED TO EMPLOYED PHYSICIANS AND CRNA FOR CONTINUING MEDICAL EDUCATION WORKSHOPS AND SEMINARS. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. MCCURTAIN MEMORIAL HOSPITAL IS AN ACTIVE COMMUNITY MEMBER WITHIN THE COUNTY AND PARTICIPATES IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, BLOOD DRIVES, SEASONAL FESTIVALS AND PARADES, COUNTY FAIRS, ETC. WITH THE PURPOSE OF EDUCATING PEOPLE OF THE COMMUNITY IN HEALTH, WELLNESS AND DISEASE AND ILLNESS PREVENTION. PAMPHLETS AND OTHER USEFUL INFORMATION ARE PROVIDED AS WELL AS FREE BLOOD PRESSURE CHECKS AND GLUCOSE SCREENINGS. THE WELLNESS CENTER IS AN EXERCISE AREA THAT COMMUNITY MEMBERS CAN SUBSCRIBE TO AND USE THE EXERCISE EQUIPMENT ON A REGULAR BASIS. PERSONNEL ARE AVAILABLE TO ASSIST THEM. THIS PROGRAM IS AVAILABLE TO ALL COMMUNITY MEMBERS AT A LOW COST WITH DISCOUNTED RATES FOR SENIORS AND IS FREE TO EMPLOYEES IN ORDER TO HELP ADVOCATE HEALTHY LIFESTYLES. THE GARDEN MEADOWS WALKING TRAIL LOCATED AT THE HOSPITAL IS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK AT NO CHARGE AND IS INTENDED TO PROMOTE PHYSICAL ACTIVITY FOR HEALTHIER LIFESTYLES.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: NOT APPLICABLE
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: NO REPORT WAS FILED FOR FY2021
SCHEDULE H, PART I, LINE 7COST METHODOLOGY FOR COMMUNITY BENEFIT COSTS: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. THIS RATIO WAS ALSO USED WHILE COMPLETING WORKSHEET 3 and 6. Worksheet 8 was completed using the hospital's internal income statements.
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $6,122,337 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF PERCENT OF TOTAL EXPENSE IN THIS COLUMN.
SCHEDULE H, PART I, LINE 3CFACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - FAMILY SIZE - NATURE AND EXTENT OF DEBT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 OrgsTotalCompensationRltdOrgsAmt
BRAD MORSE
CEO$319,461$0$507$0$33,955$0$0$0$23,739$0$377,662$0
CHARLES CAVE
CFO$155,769$0$541$0$0$0$0$0$16,178$0$172,488$0
SANDRA D LEGGETT
CNO$176,538$0$2,166$0$0$0$0$0$23,654$0$202,358$0
SARA COLLIER
PHYSICIAN$210,969$0$541$0$0$0$0$0$23,749$0$235,259$0
GRETCHEN ADAMS
PHYSICIAN$257,622$0$541$0$0$0$0$0$0$0$258,163$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationBENEFITS PROVIDED TO OFFICERS: BRAD MORSE - GROSS UP PAYMENTS FOR RETIREMENT CONTRIBUTION AND CAR ALLOWANCE, GROSS UP OF BONUSES PAID SANDRA LEGGETT - GROSS UP OF BONUSES PAID ALL TREATED AS TAXABLE AND INCLUDED IN TOTAL WAGES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2Family Relationships: Gretchen Adams and Brad Morse have a family relationship.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW OF FORM 990: THE RETURN IS REVIEWED BY THE CFO AND CEO AND IS EMAILED TO THE BOARD OF TRUSTEES PRIOR TO FILING. THE FORM 990 IS ALSO AN AGENDA ITEM FOR DISCUSSION AT THE SUBSEQUENT BOARD OF TRUSTEE'S MEETING.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURE FORMS ARE REVIEWED INITIALLY BY THE CEO AND CFO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF TRUSTEES. A BOARD MEMBER WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. SIMILARLY, AN OFFICER OR KEY EMPLOYEE WITH A CONFLICT IS RESTRICTED FROM PARTICIPATING IN DECISION MAKING RELATED TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A & 15BCOMPENSATION REVIEW: COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF TRUSTEES BASED ON COMPARABILITY DATA AND AN ANNUAL EVALULATION INCLUDED IN AN EMPLOYMENT CONTRACT. DOCUMENTATION IS PROVIDED IN THE BOARD MINUTES AND PERSONNEL FILE. COMPENSATION OF THE CFO IS DETERMINED BY THE CEO BASED ON AN ANNUAL EVALUATION AND SALARY SURVEY. DOCUMENTATION IS PROVIDED IN THE PERSONNEL FILE. COMPENSATION OF THE CNO WAS BASED ON B.E. SMITH RECOMMENDATION AND SALARY SURVEY. THE CEO CONSULTED WITH THE BOARD ON THE FINAL COMPENSATION DECISION AND DOCUMENTATION IS PROVIDED IN THE PERSONNEL FILE. The most recent reviews were conducted in 2020 using the health care compensation survey from the Oklahoma Hospital Association.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS.
FORM 990, PART VI, section A, LINE 1ADELEGATION OF AUTHORITY: THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF OFFICERS OF THE BOARD OF TRUSTEES. THE PRESIDENT SERVES AS CHAIRMAN OF THE EXECUTIVE COMMITTEE AND CALLS THE MEETINGS ON AN AS NEEDED BASIS. THE EXECUTIVE COMMITTEE MAY MAKE DECISIONS ON THE BOARD'S BEHALF FOR ISSUES NEEDING IMMEDIATE ATTENTION.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST OF NET ASSETS OF FOUNDATION $128,670
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:3214204
FORM 990 PART IX LINE 11GDESCRIPTION:PATIENT SERVICES TOTAL FEES:1860074
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:1799355
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION SERVICES TOTAL FEES:389645

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MCCURTAIN MEMORIAL HOSPITAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E LINCOLN ROADAddressLine1Txt
CityIDABELCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd
FieldValueIRS element (for citing)
EIN731455422EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd
Exempt Code Section501(C)3ExemptCodeSectionTxt
Public Charity Status12, Type IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MMMMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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