MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC (EIN 73-6617937)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-23
- IRS object ID
- 201901439349300705
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-23T06:56:47-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 N ROBINSON AVE STE 200 | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731026232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 736617937 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Medical | BusinessNameLine1Txt |
| Business Name Line2 | Management Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MCCU | BusinessNameControlTxt |
| Phone | 5802867623 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 E Lincoln Rd | AddressLine1Txt |
| City | Idabel | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74745 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brad Morse | PersonNm |
| Person Title | Interim CEO | PersonTitleTxt |
| Phone | 5802867623 | PhoneNum |
| Signature | 2019-05-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 4055942000 | PhoneNum |
| Preparation | 2019-05-21 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 98.173.248.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-22 | IPDt |
| IP Tm | 13:07:40 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E10085862974BF89EE8F231EB831862A8F193D10 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E10085862974BF89EE8F231EB831862A8F193D10 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Brad Morse | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 E Lincoln Rd | AddressLine1Txt |
| City | Idabel | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74745 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,129,632 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mmhok.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | To strive to be the healthcare provider of choice in our community | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 284 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,655,729 | PYContributionsGrantsAmt |
| CY Contributions Grants | $555,094 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,652,770 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,475,585 | CYProgramServiceRevenueAmt |
| PY Investment Income | $160 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,151 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$52,539 | PYOtherRevenueAmt |
| CY Other Revenue | -$47,348 | CYOtherRevenueAmt |
| PY Total Revenue | $32,256,120 | PYTotalRevenueAmt |
| CY Total Revenue | $18,992,482 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,660,006 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,897,130 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,085,380 | PYOtherExpensesAmt |
| CY Other Expenses | $10,994,645 | CYOtherExpensesAmt |
| PY Total Expenses | $33,745,386 | PYTotalExpensesAmt |
| CY Total Expenses | $20,891,775 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,489,266 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,899,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,088,849 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,150,563 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,675,197 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,636,204 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,586,348 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,485,641 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $18,948,642 | ExpenseAmt |
| Revenue | $18,475,585 | RevenueAmt |
| Desc | We 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 $136,000 for the year ended June 30, 2018. The estimated cost of providing these services was approximately $48,000 for the year ended June 30, 2018.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 | $18,948,642 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Donna Wallace | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5802083104 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 E Lincoln Rd | AddressLine1Txt |
| City | Idabel | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74745 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Walter H Frey | |||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| John Migliaccio MD | |||||||
| Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Julia Grigory | |||||||
| Secretary/Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Christopher Ray McKinney | |||||||
| Trustee until 8/15/17 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert C Chandler | |||||||
| Trustee until 2/13/18 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ann Zimmer | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Irvin C Jones | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Johnnie Meredith | |||||||
| Trustee began 8/17/17 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael West MD | |||||||
| Trustee/Chief of Staff | 41.00 | Yes (X) | $206,899 | $0 | $19,598 | ||
| Jahni Tapley JD | |||||||
| CEO until 12/29/17 | 40.00 | Yes (X) | $120,622 | $0 | $9,145 | ||
| Ray Whitmore Jr | |||||||
| CFO | 40.00 | Yes (X) | $84,562 | $0 | $14,222 | ||
| Robin E Lake | |||||||
| Interim CEO began 12/28/17 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey Martin CRNA | |||||||
| Nurse Anesthesiology | 40.00 | $298,312 | $0 | $9,142 | Yes (X) | ||
| P Michael Hines MD FACS | |||||||
| Surgeon | 39.00 | $208,926 | $0 | $5,911 | Yes (X) | ||
| Monty Grugan DO | |||||||
| Hospitalist | 39.00 | $192,556 | $0 | $28,007 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,111,877 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $86,025 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Pacific Genomics | |||||
| 27 Technology Dr Suite 100 | Irvine | CA | 92618 | Contract reference lab services | $4,282,607 |
| Imed Management | |||||
| 3204 Long Prairie Rd Suite A-3 | Flower Mound | TX | 75022 | Contract reference lab services | $1,784,822 |
| Quick Med PLLC | |||||
| 1400 SE Adams | Idabel | OK | 74745 | ER physician coverage | $661,603 |
| Western Healthcare | |||||
| PO Box 203152 | Dallas | TX | 75320 | ER physician coverage | $586,037 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 36685 | Computer support | $208,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $553,569 | RelatedOrganizationsAmt |
| All Other Contributions | $1,525 | AllOtherContributionsAmt |
| Total Contributions | $555,094 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Serv Rev | 622110 | $18,433,448 | $18,433,448 |
| Cafeteria | 900099 | $34,407 | $34,407 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,730 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,475,585 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $539 | TotalRevenueColumnAmt |
| Exclusion | $539 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,802 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $137,150 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$47,348 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,348 | TotalRevenueColumnAmt |
| Exclusion | -$47,348 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,612 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,612 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,612 | TotalRevenueColumnAmt |
| Exclusion | $8,612 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,992,482 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,475,585 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$38,197 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,268 | TotalAmt |
| Program Services | $225,883 | ProgramServicesAmt |
| Management And General | $307,385 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,185,078 | TotalAmt |
| Program Services | $6,772,909 | ProgramServicesAmt |
| Management And General | $412,169 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,550 | TotalAmt |
| Program Services | $19,097 | ProgramServicesAmt |
| Management And General | $453 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,618,223 | TotalAmt |
| Program Services | $1,505,818 | ProgramServicesAmt |
| Management And General | $112,405 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,011 | TotalAmt |
| Program Services | $490,574 | ProgramServicesAmt |
| Management And General | $50,437 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,620 | TotalAmt |
| Management And General | $25,620 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,706 | TotalAmt |
| Management And General | $85,706 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,677,106 | TotalAmt |
| Program Services | $1,294,845 | ProgramServicesAmt |
| Management And General | $382,261 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,359 | TotalAmt |
| Management And General | $2,359 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,024 | TotalAmt |
| Program Services | $445,502 | ProgramServicesAmt |
| Management And General | $6,522 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,582 | TotalAmt |
| Program Services | $346,582 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,913 | TotalAmt |
| Program Services | $23,513 | ProgramServicesAmt |
| Management And General | $17,400 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,869 | TotalAmt |
| Program Services | $199,869 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,692 | TotalAmt |
| Program Services | $376,692 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,467 | TotalAmt |
| Program Services | $43,919 | ProgramServicesAmt |
| Management And General | $530,548 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Bad Debts | $5,362,097 | $5,362,097 | |
| Medical Supplies | $1,382,785 | $1,382,785 | |
| Repairs and Maintenance | $439,550 | $429,682 | $9,868 |
| Dues, Subcriptions, Lic | $28,875 | $28,875 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,891,775 | TotalAmt |
| Program Services | $18,948,642 | ProgramServicesAmt |
| Management And General | $1,943,133 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,707 | BOYAmt |
| EOY | $129,327 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,187,259 | BOYAmt |
| EOY | $1,623,495 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,120 | BOYAmt |
| EOY | $308,499 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,195 | BOYAmt |
| EOY | $201,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,968,831 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,267,253 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,865,887 | BOYAmt |
| EOY | $1,701,578 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,681 | BOYAmt |
| EOY | $186,540 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,088,849 | BOYAmt |
| EOY | $4,150,563 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,545,447 | BOYAmt |
| EOY | $5,387,167 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,997 | BOYAmt |
| EOY | $381,114 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,721 | BOYAmt |
| EOY | $293,732 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,032 | BOYAmt |
| EOY | $1,574,191 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,675,197 | BOYAmt |
| EOY | $7,636,204 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,586,348 | BOYAmt |
| EOY | -$3,485,641 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,586,348 | BOYAmt |
| EOY | -$3,485,641 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,088,849 | BOYAmt |
| EOY | $4,150,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,899,293 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,450 | OtherCostOrOtherBasisAmt |
| Book Value | $37,450 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,349,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,533,356 | DepreciationAmt |
| Book Value | $816,340 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,201,344 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,429,177 | DepreciationAmt |
| Book Value | $772,167 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $380,341 | OtherCostOrOtherBasisAmt |
| Depreciation | $304,720 | DepreciationAmt |
| Book Value | $75,621 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,701,578 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Health insurance reserves | $150,000 |
| Note payable to McCurtain County Hospital Authority | $381,369 |
| Note payable to McCurtain Memorial Hospital Foundation | $350,000 |
| Taxes payable | $692,822 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,574,191 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,201,930 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $434,827 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$5,362,097 | OtherRevenueAmt |
| Revenue Not Reported | -$4,927,270 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,129,200 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$136,718 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$136,718 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,992,482 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,101,223 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $434,827 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $136,718 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $571,545 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,529,678 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $5,362,097 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $5,362,097 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,891,775 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Provision for Bad Debts included in Revenue for Financial Statements -5,362,097. |
| Part XI, Line 4b - Other Adjustments: | Loss on disposal of asset included in revenue for Form 990 432. Rental expenses included in revenue for Form 990 -137,150. |
| Part XII, Line 2d - Other Adjustments: | Loss on disposal of asset included in revenue for Form 990 -432. Rental expenses included in revenue for Form 990 137,150. |
| Part XII, Line 4b - Other Adjustments: | Provision for Bad Debts included in Revenue for Financial Statements 5,362,097. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,696,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,058,824 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $637,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,744,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,058,824 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $685,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,442 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,782 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $790,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $109,556 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $680,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04380 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $850,215 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $130,459 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $719,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04640 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,594,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,189,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,405,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09050 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $627 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,480 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,480 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,957 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,393 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,457 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,362,097 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,394,145 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,139,081 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,017,826 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$878,745 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Medical Management | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 E Lincoln Rd | AddressLine1Txt |
| City | Idabel | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74745 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mmhok.com | WebsiteAddressTxt |
| State License | 2202 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Medical ManagementIn | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.mmhok.com/about/CHNA_2015.html | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.mmhok.com/about/MMH-CHIP-FY16.pdf | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.mmhok.com/financialasst.html | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.mmhok.com/financialasst.html | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.mmhok.com/financialasst.html | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| McCurtain Memorial Medical Management,Inc | Part V, Section B, Line 6b: McCurtain County Health Department and the McCurtain County Coalition for Change |
| McCurtain Memorial Medical Management,Inc | Part V, Section B, Line 11: The following outlines the Implementation Strategy from our 2015 CHNA. The fiscal year 2018 updates are listed below.Ongoing for each committee - We continue to provide meeting space for Coalition meetings as well as staff for service and education awareness at events such as health fairs, blood drives, and other community events. Access to Healthcare- One physician recruited and placed in the county as of Jan. 2018, though not directly employed by the Hospital this makes another provider available to improve access to healthcare - Dr. Jordan Paslay- One nurse practitioner (educational expense assisted by the Hospital) employed by the Hospital and clinic- Assistance provided to new VA CBOC such as vendor names/numbers, also arrangements made to provide lab and x-ray services at Medicare rates- Hospital property leased to Air Evac to establish a McCurtain County base where a helicopter is on stand-by to airlift critical condition patients- Fixed-wing air transportation also on stand-by as an alternative to helicopter service when weather is bad- Office space leases continued for nephrology and oncology services Chronic Disease Improvement Strategy- New mammography diagnostic and biopsy equipment purchased with grant assistance continues to be used- Upon completion of training, mammo screenings offered to community at reduced rates through use of "Diagnostic Live" for immediate results and faster treatment in positive cancer screenings- Continue to offer reduced rate mammo screenings through "Project Woman"- Partner with local charitable organization "Treasured Chests" who purchases coupons/vouchers for mammo screenings and provides to patients free of charge (specifically for community members who cannot afford mammo screenings even at reduced rates)- Provide contract rates to other Healthcare organizations for TB screenings (chest x-rays) - Stroke services continued in partnership with Plano Hospital during FY 2018- Provide GIP-Hospice Care in partnership with Mays Hospice Care (eff. 8/23/2017) and AspireMental Health Improvement Strategy- No success in recruiting licensed mental health professionals- Outpatient telemedicine for mental health services is still under consideration- Due to low volumes, geriatric psychiatric inpatient services were closed February 16, 2018Physical Activity Improvement Strategy- Continued maintenance of walking trail located in front of the Hospital, free and open to the public- Continued operation of Wellness Center at low cost for most community members or even free in some circumstances |
| Part V, Section B, Line 7b: | https://www.ok.gov/health2/documents/McCurtain%20County%20Community%20Health%20Assessment.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - McCurtain Memorial Home Health | ||||
| 1301 E Lincoln Rd | Idabel | OK | 74745 | Home Health |
| 3 - Idabel Primary Care Clinic | ||||
| 1425 E Lincoln Rd Suite B-4 | Idabel | OK | 74745 | Primary Care Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 amounts for community health improvement services, line 7e, and health professions education, line 7f, were determined based on actual costs from the general ledger. The cost for subsidized health services on line 7g was determined using the Medicare Cost Report. |
| Part I, Line 7g: | Idabel Primary Care Clinic is a physician clinic included as a subsidized service on the 990. Direct and indirect costs were $558,008. |
| Part I, Ln 7 Col(f): | The amount of bad debt expense removed from total expenses to determine the percentage was $5,362,097. |
| Part II, Community Building Activities: | The Hospital is an active member of the communities of its service area and is located in Idabel, Oklahoma the county seat of McCurtain County. The Hospital fully supports the promotion of community and economic development. The Hospital actively recruits physicians and Allied Health professionals (nurse practitioners) to serve the citizens of its service area and increase the availability of healthcare providers. The Hospital is also a participant in several community health improvement steering committees addressing topics such as fragmented healthcare, substance abuse and mental health issues, obesity and healthy living to name a few. In addition, the Hospital also has one member of the Board of Directors who participates in the McCurtain County Coalition for Change Program - Turning Point. |
| 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 26%. 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: | Generally the Hospital holds an annual Strategic Planning Meeting in which the needs of the community are evaluated with an environmental assessment identifying internal and external issues that affect the organization and its ability to meet the needs of the community it serves. There was not a Strategic Planning Meeting held during FYE 6/30/18. |
| 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 U.S. Census Bureau 2013-2017 as provided by the 2017 Small Area Income and Poverty estimates (SAIPE), the percentage of individuals whose income was below poverty increased from 25.7% to 26.0%. Of the estimated population for 2012-2016, there were approximately 20.4% of persons under the age of 65 years without health insurance coverage, which is 4.3% above the estimated 16.1% 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 32,808 at July 1, 2017. Of the 2017 estimated population, 17.9% 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, 15.3% and 24.4% 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 at 6.5% for June 2018 (not seasonally adjusted), well above the Oklahoma state rate of 3.7% (not seasonally adjusted) for the same time period. |
| 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, with the exception of one member. Five members of the Board are non-physicians and two members are physicians as of June 30, 2018.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.Until March 2018, the Organization provided Geriatric Psychiatric inpatient services not otherwise available within the county. Emergency services are also 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 Hospital's Idabel Primary Care Clinic offers reduced price sports physicals to students for only $10.McCurtain Memorial Hospital is also a sponsor of Kids Safe Saturday and the Great American Smoke-Out. These events are organized by community advocacy groups to help raise awareness of domestic/child abuse and teen drug and tobacco abuse. The Organization participates in these planning meetings as well as the events.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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael West MD | ||||||||||||||
| Trustee/Chief of Staff | $206,899 | $0 | $0 | $0 | $0 | $0 | $5,325 | $0 | $14,273 | $0 | $226,497 | $0 | $0 | $0 |
| Jeffrey Martin CRNA | ||||||||||||||
| Nurse Anesthesiology | $298,312 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,142 | $0 | $307,454 | $0 | $0 | $0 |
| P Michael Hines MD FACS | ||||||||||||||
| Surgeon | $208,926 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,911 | $0 | $214,837 | $0 | $0 | $0 |
| Monty Grugan DO | ||||||||||||||
| Hospitalist | $166,515 | $0 | $26,041 | $0 | $0 | $0 | $0 | $0 | $28,007 | $0 | $220,563 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Quick Med PLLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Dr. Migliaccio, board member, is owner | RelationshipDescriptionTxt |
| Transaction | $609,283 | TransactionAmt |
| Transaction | Payment for services | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | Surgical Clinic closed - Aug 25, 2017 Wound Care Services closed - Dec 13, 2017 New Directions Geriatric Psychiatric Unit closed - Feb 16, 2018 ICU Unit closed - Mar 7, 2018 Home Health Services closed - Mar 26, 2018 Idabel Primary Care Clinic closed - Aug 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 6/30/2018. 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, 2017 and 2016 to the Form 990 and answered yes to Part IV, line 20b. |
| Form 990, Part VI, Section A, line 1 | The 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 6 | The 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 11b | The 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 12c | All 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 15a | Compensation 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 19 | The 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| McCurtain Memorial Hospital Foundation | ||||||||||
| 1301 East Lincoln Rd | Idabel | OK | 74745 | 731455422 | Provide financial support to McCurtain Memorial Hospital | OK | 501(c)(3) | Line 12b, II | McCurtain Memorial Medical Management Inc | Yes (1) |
| McCurtain County Hospital Authority | ||||||||||
| 1301 East Lincoln Rd | Idabel | OK | 74745 | 731512938 | Lessor/owner of McCurtain County Hospital's premises/land | OK | McCurtain County | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Hospital Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $234,300 | InvolvedAmt |
| Method Of Amount Determination | General ledger | MethodOfAmountDeterminationTxt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Late filed return due to CCH Software outage. | ExplanationTxt |