2022-05-17T09:04:26-05:00 2021-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2020-07-01 736617937 McCurtain Memorial Medical Management Inc % BRAD MORSE CEO MCCU 5802867623 1301 E Lincoln Rd Idabel OK 74745 Kena Allen CFO 5802083104 2022-05-15 true Kena Allen 999009999 Noelle Alberto P01704142 9727028262 3 2020 2022-09-23 18:48:47Z McCurtain Memorial Hospital Brian Whitfield 1301 E LINCOLN RD IDABEL OK 74745 35443680 false X WWW.MMHOK.COM X 1975 OK SAVING LIVES, SAVING JOBS, SAVING THE HOSPITAL 5 5 283 12 0 0 610592 9430321 21000685 25351370 101057 4428 194834 657561 21907168 35443680 0 7568 0 0 8639030 9576839 0 0 0 14950849 18563722 23589879 28148129 -1682711 7295551 11071264 11531552 13500529 6536596 -2429265 4994956 MCCURTAIN 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. false false 23677843 7568 25352456 WE 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. 22542 THE 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. 1848 6200 TO 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. 23702233 true true false true false false false false false false true false false true true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 52 0 true 283 true false false false false false false false false false false false false X 5 5 true false false false false false false true true false false true true true true true true true true false OK X BRAD MORSE CEO 5802083100 1301 E LINCOLN RD IDABEL OK 74745 X BRAD MORSE CEO 40.0 0.0 X 353923 0 23739 GRETCHEN ADAMS PHYSICIAN 40.0 0.0 X 258163 0 0 SARA COLLIER PHYSICIAN 40.0 0.0 X 211510 0 23749 SANDRA D LEGGETT CNO 40.0 0.0 X 178704 0 23654 CHARLES CAVE CFO 40.0 0.0 X 156310 0 16178 KARYN LANE NURSE PRACTITIONER 40.0 0.0 X 108721 0 4687 THOMAS HILL PHARMACIST 40.0 0.0 X 108679 0 4687 APRIL HURST PHYSICAL THERAPIST 40.0 0.0 X 101532 0 4687 WALTER H FREY PRESIDENT END 12/08/21 1.0 0.0 X X 0 0 0 JOHNNIE MEREDITH Vice President 1.0 0.0 X X 0 0 0 LINDASU D GRIFFIN TRUSTEE END: 06/30/2021 1.0 0.0 X 0 0 0 THOMAS WILLISTON TRUSTEE 1.0 0.0 X 0 0 0 KENDRA GROSS TRUSTEE 2.0 0.0 X 0 0 0 HENRY MOY TRUSTEE START: 03/2021 0.5 0.0 X 0 0 0 LINDSAY E CAMPBELL Interim Secretary/Treasurer 0.5 0.0 X X 0 0 0 1477542 0 101381 8 false true false JULIE MAHANEY LLP 1116 CAINES HILL ROAD EDMOND OK 73034 PHYSICIAN STAFFING 725363 CHRISTOPHER BRADSHAW 1101 MCLAUGHLIN STREET OKLAHOMA CITY OK 73170 ER PHYS STAFFING 417750 WESTERN HEALTHCARE PO BOX 203152 DALLAS TX 75320 CRNA STAFFING 558734 HEALTH CAROUSEL PO BOX 714216 CINCINNATI OH 45271 NURSE STAFFING 350756 STORMY WALKUP 5623 STONE CREEK DRIVE DURANT OK 74701 ER PHYS STAFFING 414090 7 5491525 3938796 9430321 Net Patient Revenue 622110 25216594 25216594 Medical Office Rental Revenue 532000 127442 127442 Other Operating Revenue 622110 7334 7334 25351370 3684 3684 0 0 0 0 0 744 744 744 744 0 0 0 0 0 0 0 0 0 Cafeteria Revenue 722514 56018 56018 Medical Record Revenue 561000 7286 7286 GAIN ON EXTINGUISHMENT OF DEBT 900099 594257 594257 657561 35443680 25358656 654703 X 7568 7568 0 0 0 658381 658381 0 7584098 6663127 920971 0 769893 697348 72545 564467 401305 163162 0 19223 19223 150786 150786 19053 19053 0 0 7263278 5955160 1308118 160671 11784 148887 400854 351879 48975 17849 15118 2731 0 838266 657108 181158 19943 5701 14242 0 0 148984 123294 25690 0 618061 511487 106574 646635 94450 552185 Bad Debt Expense 6122337 6122337 Medical Supplies 1994742 1971610 23132 Repairs & Maintenance 98893 84936 13957 Subscriptions Licenses & Dues 44147 28021 16126 28148129 23702233 4445896 0 2229296 1687857 2362443 31331 0 0 2319470 3798556 0 0 0 0 0 0 340246 518497 285118 343154 19121089 15303367 2209289 3817722 0 0 0 0 0 0 0 0 1325402 1334435 11071264 11531552 3420996 2942277 0 0 0 0 0 0 0 0 0 0 632806 842471 0 0 9446727 2751848 13500529 6536596 X -2962694 4332857 533429 662099 -2429265 4994956 11071264 11531552 X 7295551 128670 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7568 7568 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO OKLAHOMA HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTED TO LOBBYING. 37450 37450 3937646 3369016 568630 485387 446167 39220 14635475 11488184 3147291 25131 25131 3817722 Estimated Amounts Due from 3rd 672336 Interest in Net Assets of Fdn 662099 1334435 0 Medicare Advance Payments 2169564 ESTIMATED AMOUNTS DUE TO 3RD PARTY 557284 HEALTH INSURANCE RESERVE 25000 2751848 X 29764351 443008 -6122337 -5679329 35443680 35443680 22468800 443008 443008 22025792 6122337 6122337 28148129 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(6,122,337) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $6,122,337 SCHEDULE D, PART X, LINE 2 Liability 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. true true X true X true X true true true false false 10577 10577 0.00050 4188052 2517160 1670892 0.07590 4198629 2517160 1681469 0.07640 408851 408851 0.01850 7568 7568 0.00030 416419 416419 0.01880 4615048 2517160 2097888 0.09520 false 6122337 1897924 7994884 7235526 759358 X true true 1 1 MCCURTAIN MEMORIAL HOSPITAL 1301 E LINCOLN RD IDABEL OK 74745 WWW.MMHOK.COM 2202 X X X X MCCURTAIN MEMORIAL HOSPITAL false false true X X X X X X X X X 18 true false true true X WW.MMHOK.COM/ABOUT/CHNA_2019 X WWW.OSURURALHEALTH.BLOGSPOT.COM/P/CH X true 18 true WWW.MMHOK.COM/ABOUT/CHNA_2019.HTML false true X 100 300. X X X X true true X X X X true X WWW.MMHOK.COM/FINANCIALASST.HTML X WWW.MMHOK.COM/FINANCIALASST.HTML X WWW.MMHOK.COM/FINANCIALASST X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT 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 11 NEEDS 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 6B CHNA 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. 5 SURGERY CLINIC 1425 E LINCOLN RD STE B-3 IDABEL OK 74745 SURGERY OUTPATIENT CLINIC IDABEL FAMILY PRACTICE CLINIC 1425 E LINCOLN RD STE B-3 IDABEL OK 74745 FAMILY PRACTICE MCCURTAIN URGENT CARE CLINIC 8901 N US HIGHWAY 259 BROKEN BOW OK 74728 URGENT CARE BOOKER T WASHINGTON FREECARE CLINIC 1000 NW HASKELL ST IDABEL OK 74745 COMMUNITY CLINIC mccurtain memorial clinic - Valiant HC 101 e terri valiant OK 74764 family practice SCHEDULE H, PART III, SECTION A, LINE 2 BAD 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 3 BAD 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 4 BAD 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 8 COST 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 9B COLLECTION 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 2 NEEDS 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 3 PATIENT 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 4 COMMUNITY 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 5 PROMOTION 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 6 AFFILIATED HEALTH CARE SYSTEM: NOT APPLICABLE SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: NO REPORT WAS FILED FOR FY2021 SCHEDULE H, PART I, LINE 7 COST 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 F PERCENT 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 3C FACTORS 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 X true true X X X false false false false false false false false false BRAD MORSE CEO 319461 0 507 0 33955 0 0 0 23739 0 377662 0 CHARLES CAVE CFO 155769 0 541 0 0 0 0 0 16178 0 172488 0 SANDRA D LEGGETT CNO 176538 0 2166 0 0 0 0 0 23654 0 202358 0 SARA COLLIER PHYSICIAN 210969 0 541 0 0 0 0 0 23749 0 235259 0 GRETCHEN ADAMS PHYSICIAN 257622 0 541 0 0 0 0 0 0 0 258163 0 SCHEDULE J, PART I, LINE 1A BENEFITS 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. FORM 990, PART VI, SECTION A, LINE 2 Family Relationships: Gretchen Adams and Brad Morse have a family relationship. FORM 990, PART VI, SECTION B, LINE 11B REVIEW 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 12C PROCESS 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 & 15B COMPENSATION 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 19 AVAILABILITY 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 1A DELEGATION 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 9 OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST OF NET ASSETS OF FOUNDATION $128,670 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3214204 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT SERVICES TOTAL FEES:1860074 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:1799355 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:389645 MCCURTAIN MEMORIAL HOSPITAL FOUNDATION 1301 E LINCOLN ROAD IDABEL OK 74745 731455422 FUNDRAISING OK 501(C)3 12, Type II MMMM true false false false false false false false false false false true false true true true false false false false