FURP.ORG / PUBLIC DATA EXPLORER

MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC (EIN 73-6617937)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-21
IRS object ID
202032039349300418
Schema version
2018v3.2
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)
Return2020-07-21T14:15:39-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1621 N ROBINSON AVE STE 200AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP731026232ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN736617937EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1McCurtain Memorial MedicalBusinessNameLine1Txt
Business Name Line2Management IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
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)
PersonBrad MorsePersonNm
Person TitleCEOPersonTitleTxt
Phone5802867623PhoneNum
Signature2020-07-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone4055942000PhoneNum
Preparation2020-07-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.147.181.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-15IPDt
IP Tm14:01:06IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE10085862974BF89EE8F231EB831862A8F193D10AtSubmissionCreationDeviceId
At Submission Filing Device Id96EA8C5DFC6EFE4FCBF1129FDB3AF0E7B3BD41AEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1McCurtain Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBrad MorsePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E Lincoln RdAddressLine1Txt
CityIdabelCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,485,331GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mmhok.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo strive to be the healthcare provider of choice in our communityActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee274TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$555,094PYContributionsGrantsAmt
CY Contributions Grants$2,412,519CYContributionsGrantsAmt
PY Program Service Revenue$18,475,585PYProgramServiceRevenueAmt
CY Program Service Revenue$19,892,322CYProgramServiceRevenueAmt
PY Investment Income$9,151PYInvestmentIncomeAmt
CY Investment Income$97,905CYInvestmentIncomeAmt
PY Other Revenue-$47,348PYOtherRevenueAmt
CY Other Revenue-$71,239CYOtherRevenueAmt
PY Total Revenue$18,992,482PYTotalRevenueAmt
CY Total Revenue$22,331,507CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,897,130PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,715,953CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,994,645PYOtherExpensesAmt
CY Other Expenses$12,618,180CYOtherExpensesAmt
PY Total Expenses$20,891,775PYTotalExpensesAmt
CY Total Expenses$20,334,133CYTotalExpensesAmt
PY Revenues Less Expenses-$1,899,293PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,997,374CYRevenuesLessExpensesAmt
Total Assets BOY$4,150,563TotalAssetsBOYAmt
Total Assets EOY$5,175,909TotalAssetsEOYAmt
Total Liabilities BOY$7,636,204TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,664,176TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,485,641NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,488,267NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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 SrvcYes (1)SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$18,131,392ExpenseAmt
Revenue$19,892,322RevenueAmt
DescWe continue to provide quality health care to McCurtain County, Oklahoma and its surrounding areas. In addition, we endeavor to serve the public through such activities as wellness programs, community education programs, special programs for the elderly, handicapped and medically underserved and a variety of broad community support activities.To fulfill our mission of community service, we provide 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.These records include the amount of charges foregone for services and supplies furnished under our charity care policy and equivalent service statistics. The amount of charges forgone, based on established rates were approximately $343,376 for the year ended June 30, 2019. The estimated cost of providing these services was approximately $100,865 for the year ended June 30, 2019.The Hospital has a Wellness Center-exercise area that community members can subscribe to and use the exercise equipment. 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. Total expense includes overhead cost (administrative & utilities) and the cost of depreciation for equipment. The Garden Meadows Walking Trail located at the Hospital is open to the public, in addition to employees, 24 hours a day, 7 days a week at no charge and is intended to promote physical activity for healthier lifestyles. Hospital expense to maintain the walking track includes labor, water, electricity, and depreciation.Desc
Total Program Service Expenses$18,131,392TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee274EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Chuck CaveBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5802083104PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Walter H Frey
President1.00Yes (X)Yes (X)$0$0$0
John Migliaccio MD
Vice President until 6/20/191.00Yes (X)Yes (X)$0$0$0
Julia Grigory
Secretary/Treasurer1.00Yes (X)Yes (X)$0$0$0
Ann Zimmer
Trustee January - March 20191.00Yes (X)$0$0$0
Irvin C Jones
Trustee1.00Yes (X)$0$0$0
Johnnie Meredith
Trustee1.00Yes (X)$0$0$0
Michael West MD - Trustee
Chief of Staff until March 201941.00Yes (X)$206,039$0$22,871
Brennan Hill
Trustee starting April 20191.00Yes (X)$0$0$0
Dr Tom Salyer - Trustee
Chief of Staff starting March 20191.00Yes (X)$0$0$0
Robin E Lake
Interim CEO until Dec 201840.00Yes (X)$223,849$0$0
Brad Morse - Interim CEO Dec
2018-May 2019; CEO as of June 201940.00Yes (X)$1,538$0$0
Ray Whitmore Jr
CFO until January 201940.00Yes (X)$84,073$0$7,398
Stephanie Helton
Interim CFO from 1/14/19-2/20/1940.00Yes (X)$0$0$0
Donna Wallace
Interim CFO starting March 201940.00Yes (X)$0$0$0
David Flores - Nurse
Anesthesiology (resigned 6/1/19)40.00$239,038$0$0Yes (X)
Monty Grugan DO
Hospitalist (resigned 6/3/19)40.00$191,092$0$42,284Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$945,629TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$72,553TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quick Med PLLC
1400 SE AdamsIdabelOK74745ER Physician$710,615
Western Healthcare
PO Box 203152DallasTX75320CRNA Coverage$546,854
Create a Storehouse
1970 Marie DriveDurantOK74701ER Physician$328,620
CPSI
PO Box 850309MobileAL36685Computer support$320,573
Delta Locum Tenen LLC
PO Box 202940DallasTX75320ER Physician$115,118
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$2,410,019RelatedOrganizationsAmt
All Other Contributions$2,500AllOtherContributionsAmt
Total Contributions$2,412,519TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Serv Rev622110$19,846,438$19,846,438
Cafeteria900099$27,878$27,878

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,006TotalRevenueColumnAmt
Related Or Exempt Func Income$18,006RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,892,322TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,252TotalRevenueColumnAmt
Exclusion$1,252ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$79,238RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$150,477RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$71,239RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$71,239TotalRevenueColumnAmt
Exclusion-$71,239ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$100,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,347OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$96,653OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,653TotalRevenueColumnAmt
Exclusion$96,653ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,331,507TotalRevenueColumnAmt
Related Or Exempt Func Income$19,892,322RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,666ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$626,533TotalAmt
Program Services$243,913ProgramServicesAmt
Management And General$382,620ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,154,387TotalAmt
Program Services$5,764,550ProgramServicesAmt
Management And General$389,837ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$177TotalAmt
Program Services$157ProgramServicesAmt
Management And General$20ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$463,012TotalAmt
Program Services$435,493ProgramServicesAmt
Management And General$27,519ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$471,844TotalAmt
Program Services$418,093ProgramServicesAmt
Management And General$53,751ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,650TotalAmt
Management And General$19,650ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,288TotalAmt
Management And General$86,288ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,830,248TotalAmt
Program Services$1,363,776ProgramServicesAmt
Management And General$466,472ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,865TotalAmt
Management And General$1,865ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$380,686TotalAmt
Program Services$342,752ProgramServicesAmt
Management And General$37,934ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$333,795TotalAmt
Program Services$333,795ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$93,035TotalAmt
Program Services$40,101ProgramServicesAmt
Management And General$52,934ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total-$329TotalAmt
Program Services-$2,354ProgramServicesAmt
Management And General$2,025ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$98,297TotalAmt
Program Services$98,297ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$366,410TotalAmt
Program Services$366,410ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$784,632TotalAmt
Program Services$109,573ProgramServicesAmt
Management And General$675,059ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Provision for Bad Debts$6,826,665$6,826,665
Medical Supplies$1,282,566$1,282,566
Repairs and Maintenance$481,743$480,205$1,538
Dues, Subcriptions, Lic$32,465$27,236$5,229

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$164TotalAmt
Program Services$164ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,334,133TotalAmt
Program Services$18,131,392ProgramServicesAmt
Management And General$2,202,741ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$129,327BOYAmt
EOY$255,591EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,623,495BOYAmt
EOY$1,874,696EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$10,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$308,499BOYAmt
EOY$433,707EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$201,124BOYAmt
EOY$369,511EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,617,166LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,535,543LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,701,578BOYAmt
EOY$2,081,623EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$186,540BOYAmt
EOY$150,781EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,150,563BOYAmt
EOY$5,175,909EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,387,167BOYAmt
EOY$3,458,282EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$381,114BOYAmt
EOY$585,355EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$293,732BOYAmt
EOY$325,916EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,574,191BOYAmt
EOY$2,294,623EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,636,204BOYAmt
EOY$6,664,176EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,485,641BOYAmt
EOY-$1,488,267EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,485,641BOYAmt
EOY-$1,488,267EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,150,563BOYAmt
EOY$5,175,909EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,997,374ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

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$8,377,036OtherCostOrOtherBasisAmt
Depreciation$7,625,947DepreciationAmt
Book Value$751,089BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,830,453OtherCostOrOtherBasisAmt
Depreciation$7,598,412DepreciationAmt
Book Value$1,232,041BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$372,227OtherCostOrOtherBasisAmt
Depreciation$311,184DepreciationAmt
Book Value$61,043BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,081,623TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Health insurance reserves$19,865
Taxes payable$692,822
Estimated third-party payor settlements$1,581,936
FieldValueIRS element (for citing)
Total Liability$2,294,623TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,865TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100,865NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$253,552TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$253,552NetCommunityBenefitExpnsAmt
Total Expense0.01880TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$354,417TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$354,417NetCommunityBenefitExpnsAmt
Total Expense0.02630TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,849DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,051NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,849DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,051NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$423,317TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,849DirectOffsettingRevenueAmt
Net Community Benefit Expns$371,468NetCommunityBenefitExpnsAmt
Total Expense0.02760TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$6,826,665BadDebtExpenseAmt
Bad Debt Expense Attributable$2,136,746BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,952,109ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,990,541CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$38,432MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1McCurtain Memorial Medical ManagementBusinessNameLine1Txt

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 Medical ManagementInBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
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 (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.mmhok.com/about/CHNA_2019.htmlOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.osururalhealth.blogspot.com/p/chna.htmlOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.mmhok.com/about/CHNA_2019.htmlStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)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/financialasst.htmlFAPSummaryOnWebsiteURLTxt
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
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
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 (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
McCurtain Memorial Medical Management,IncPart V, Section B, Line 5: 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: https://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.
McCurtain Memorial Medical Management,IncPart V, Section B, Line 6b: McCurtain County Health Department, McCurtain County Coalition for Change, Little Dixie Community Action Agency, Oklahoma Office of Rural Health, OSU Center for Rural Health
McCurtain Memorial Medical Management,IncPart V, Section B, Line 11: 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 STIs - Motor vehicle crash death rate and potential correlation with substance abuse Overall wellness and education, improve quality of life In continuing efforts in actively recruiting and retaining physicians and other healthcare professionals for the medical service area. A general surgeon with trauma care experience has been recruited and employed by the Hospital effective 6/17/19.A new family practice physician has been contracted to open a family practice clinic and is scheduled to arrive in mid-October 2019.Concerning Nurse Practitioner recruitment, the hospital will provide a location to provide medical services rent free for one year effective Mar 15, 2018 - March 14,2019.The hospital will 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.CNO, pharmacist and new hospitalist team is working to train nursing staff in the administration of certain drugs in order for care to be continued on an inpatient basis rather than transferring patients to other facilities.The Hospital is working to partner with Oklahoma State University 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.Increased access to healthcare is provided through outpatient clinics with extended hours. Plans have been completed and purchases made for the 7/1/19 opening of an Urgent Care clinic with hours of operation outside of regular business hours. The Clinic will be staffed by a newly hired nurse practitioner and supervised by a family practice physician.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 Breast Cancer awareness month. Special rate PSA screenings are offered at certain times of the year.The Hospital provided health screening booths at the annual Hospital Foundation festival on 5/18/2019.The Hospital participated in RAM Clinic providing free dental, vision, and limited medical care provided on first-come first-served basis. There were no income qualifications. This was a Hospital volunteer booth.Plans are in progress to open a Free Care clinic one half-day a week to provide health care evaluations and lab tests to uninsured/underinsured individuals and to provide education in types of health insurance and how to obtain public assistanceThe 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. Efforts will continue in researching and securing outside grants and other funding as well as committing its own resources to the improvement of overall community health. ObesityThe Hospital will 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. The Hospital will continue to maintain the Garden Meadows Walking Trail located in the front of the hospital which is free and open to the public. Encouraging the consumption of healthy snacks to all patients, visitors and guests will continue by making fresh popcorn available during weekdays in the front lobby of the hospital. SmokingInformation 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 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.The Hospital will explore the possibility of intensive outpatient treatment programs. Meeting space will continue to be provided along with other resources for educational events addressing Mental Health issues, such as an Alzheimer's support group. Trauma Informed CareThe Hospital will 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.
Part V, Section B, Line 7b:https://osururalhealth.blogspot.com/p/chna.html#mccurtain
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - Surgery ClinicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11425 E Lincoln Rd Suite B-3AddressLine1Txt
CityIdabelCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74745ZIPCd
FieldValueIRS element (for citing)
FacilitySurgery Outpatient ClinicFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Charity care at cost on line 7a was calculated based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services on line 7g was determined using the Medicare Cost Report.
Part I, Ln 7 Col(f):The amount of bad debt expense removed from total expenses to determine the percentage was $6,826,665.
Part III, Line 2: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.
Part III, Line 3:The amount of bad debt estimated to be attributable to patients under the Organization's charity care policy is 31.3%. 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.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page 8 of the attached audited financial statements.
Part III, Line 8:McCurtain Memorial Hospital had a Medicare shortfall. The Hospital continues to provide services to these patients because access to healthcare and individual's health is important. Therefore, the Medicare shortfall is considered a community benefit. 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.
Part III, Line 9b: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 Memorial 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.
Part VI, Line 2: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.
Part VI, Line 3: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).
Part VI, Line 4: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 geographical area, census tracts, and/or a Native American tribal population. According to the 2018 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 decreased from 26% to 21.1%. Of the estimated population for 2014-2018, there were approximately 21.4% of persons under the age of 65 years without health insurance coverage, compared to 16.7% for the same category in the entire state of Oklahoma. 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 2010 US Census Bureau population estimates base for McCurtain County is 33,154, with an estimated 32,832 at July 1, 2018. Of the 2018 estimated population, 18.2% are in the age group 65 and older and 25.1% are under the age of 18. These county percentages are above the Oklahoma state percentages for the same categories, 15.7% and 24.3% 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 International Paper, Tyson Foods, Hagale Industries, Huber Paper, Georgia Pacific Pan Pacific Products and the Hospital. McCurtain County continues to have one of the highest unemployment rates in the state averaging 5.7% in 2019 and 5.5% in 2018, above the Oklahoma state average rate of 3.3% in 2019 and 3.4% in 2018.
Part VI, Line 5: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, 2019. 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael West MD - Trustee
Chief of Staff until March 2019$206,039$0$0$0$0$0$1,037$0$22,871$0$229,947$0$0$0
Robin E Lake
Interim CEO until Dec 2018$193,516$0$0$0$30,333$0$0$0$0$0$223,849$0$0$0
David Flores - Nurse
Anesthesiology (resigned 6/1/19)$239,038$0$0$0$0$0$0$0$0$0$239,038$0$0$0
Monty Grugan DO
Hospitalist (resigned 6/3/19)$164,009$0$27,083$0$0$0$0$0$42,284$0$233,376$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1aFormAndLineReferenceDesc
ExplanationRobin Lake, Interim CEO, was provided a housing allowance. The amount was included on her W-2 as taxable income.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Quick Med PLLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDr. Migliaccio, board member, is ownerRelationshipDescriptionTxt
Transaction$710,615TransactionAmt
TransactionPayment for servicesTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2-Added Occupational Therapy services February 2019 -Resumed Speech Therapy services March 2019 with addition of part-time speech pathologist -Resumed Hospital Surgical Services and re-opened Surgery Clinic with addition of new surgeon June 17, 2019
Form 990, Part III, line 3Idabel Primary Care Clinic closed August 17, 2018
Form 990, Part IV, Line 20b:The Organization is in the process of an audit of the financial statements for the year ended 6/30/2019. However, at the time of filing this return, the audit is not yet complete. The Organization has attached a copy of its most recent audited financial statements for the years ended June 30, 2018 and 2017 to the Form 990 and answered yes to Part IV, line 20b.
Form 990, Part VI, Section A, line 1The Executive Committee of the Board of Trustees consists of the officers of the Board of Trustees. The President serves as Chairman of the Executive Committee and calls the meetings on as need basis. The Executive Committee may make decisions on the Board's behalf for issues needing immediate attention.
Form 990, Part VI, Section A, line 6The membership of McCurtain Memorial Medical Management, Inc., shall be those appointed by the existing Board of Trustees. Non-voting memberships include honorary memberships, sustaining memberships, ex-officio memberships, and memberships otherwise designated.
Form 990, Part VI, Section B, line 11bThe return is reviewed by the CFO and is emailed to the Board of Directors prior to filing. The Form 990 is also an agenda item for discussion at the subsequent Board of Director's meeting.
Form 990, Part VI, Section B, line 12cAll officers, directors, 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 Directors. 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 15aCompensation for the CEO is determined by the Board of Directors based on comparability data and an annual evaluation included in an employment contract. Documentation is provided in the Board minutes and personnel file. Compensation for the CFO is determined by the CEO based on an annual evaluation. Documentation is provided in the personnel file.
Form 990, Part VI, Section C, line 19The Organization's governing documents, conflict of interest policy, and financial statements are available upon request during normal business hours.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
McCurtain Memorial Hospital Foundation
1301 East Lincoln RdIdabelOK74745731455422Provide financial support to McCurtain Memorial HospitalOK501(c)(3)Line 12b, IIMcCurtain Memorial Medical Management IncYes (1)
McCurtain County Hospital Authority
1301 East Lincoln RdIdabelOK74745731512938Lessor/owner of McCurtain County Hospital's premises/landOKMcCurtain County0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
McCurtain Memorial Hospital Foundation
C$1,356,219General ledger
McCurtain Memorial Hospital Foundation
K$176,750General ledger