2017-11-03T13:25:30-05:00 2016-12-31 450250958 EIDE BAILLY LLP 1601 NW EXPRESSWAY SUITE 1900 OKLAHOMA CITY OK 73118 990 2016-01-01 731455422 McCurtain Memorial Hospital Foundation Inc MCCU 5802083100 1301 E Lincoln Road Idabel OK 74745 Ray B Whitmore Jr CFO 5802083100 2017-10-30 1 Kim Hunwardsen CPA P00484560 4054783334 2017-10-30 24.248.119.42 2017-10-30 16:37:14 CD P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 E10085862974BF89EE8F231EB831862A8F193D10 2016 2018-03-14 21:41:22Z Ray B Whitmore Jr 1301 E Lincoln Road Idabel OK 74745 249034 0 X N/A X 1994 OK Support McCurtain Memorial Medical Management, Inc. and other exempt subsidiaries. 5 5 0 10 0 0 10000 2500 234300 234300 1463 12234 4250 0 250013 249034 0 0 0 0 0 0 0 0 0 137947 133594 137947 133594 112066 115440 1888451 1931248 704400 631757 1184051 1299491 X The McCurtain Memorial Hospital Foundation is a charitable organization created to promote and provide financial support to McCurtain Memorial Medical Management, Inc. and other 501(c)(3) organizations to ensure safe, reliable, and affordable healthcare for our community. 0 0 130744 234300 The Foundation supports the McCurtain Memorial Hospital by providing medical office buildings for lease for medical professionals who provide services in Idabel, Valliant and Broken Bow, Oklahoma. Total gross revenues from the medical office buildings were $234,300 with related lease expenses of $130,647. 130744 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 OK X Ray B Whitmore Jr 5802083104 1301 E Lincoln Road Idabel OK 74745 Melvin Cavender President 1.00 0.00 X X 0 0 0 Jia Bain Johnson Vice President 1.00 0.00 X X 0 0 0 Cindy Kennedy Secretary 1.00 0.00 X X 0 0 0 Charles Nation Director 1.00 0.00 X 0 0 0 Kevin Sain Director 1.00 0.00 X 0 0 0 Ray B Whitmore Jr CFO 3.00 40.00 X 0 86625 18629 0 86625 18629 0 0 0 0 0 2500 2500 Rental Revenue 531120 234300 234300 234300 12234 12234 249034 234300 0 12234 1800 1800 97 97 1050 1050 28677 28677 101970 101970 133594 130744 2850 0 278412 22917 517300 906175 2321357 1336981 1086346 984376 6393 17780 1888451 1931248 2711 702 701689 631055 704400 631757 X 0 0 0 0 1184051 1299491 1184051 1299491 1888451 1931248 115440 0 X 0 0 0 X X 1 McCurtain Mem Med Mgmt Inc 736617937 3 1 0 130744 1 0 130744 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 Part I, Line 11g, Column (vi): The organization supports the McCurtain Memorial Hospital by providing medical office buildings for lease for medical professionals who provide services in Idabel, Valliant and Broken Bow, Oklahoma. The expenses for the medical office buildings included $28,677 in interest expense and $101,970 in depreciation expense. Other fees supporting the Hospital were $97. Part IV, Section A, Line 6: The Foundation provides office space for lease to physicians that provide medical services in Idabel, Valliant and Broken Bow, Oklahoma. This ensures McCurtian Memorial Hospital has safe, reliable, and affordable healthcare for the community. 107197 107197 1966680 1091166 875514 203900 202235 1665 43580 43580 0 984376 Form 990, Part VI, Section A, line 1 The Board of Directors, by a vote of a majority of the whole board, may designate an Executive Committee to serve at the pleasure of the board and shall elect a director or directors to serve as the member or members of the Executive Committee, designating, if it desires, other directors as alternate members who may replace any absent or disqualified member at any meeting of the Executive Committee. The Executive Committee, except to the extent as it may be restricted from time to time by the vote of a majority of the whole board, may exercise all the powers and authority of the Board of Directors in the management of the business and affairs of the corporation. The Executive Committee shall have no power or authority in reference to amending the Certificate of Incorporation, adopting an agreement of merger or consolidation, recommending to the members the sale, lease or exchange of all or substantially all of the property and assets of the corporation, recommending to the members a dissolution of the corporation or a revocation of a dissolution, or amending the bylaws of the corporation. Form 990, Part VI, Section A, line 6 Sole member is McCurtain Memorial Medical Management, Inc. Form 990, Part VI, Section A, line 7a The sole member, McCurtain Memorial Medical Management, Inc., has the authority to elect members of the governing body. Form 990, Part VI, Section A, line 8b The Executive Committee has authority to act on behalf of the governing body but did not meet during the fiscal year. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CFO and provided to each Board Member via email before it is filed. Form 990, Part VI, Section B, line 12c All board members are required to complete a conflict of interest statement annually. The officers and key employees do not complete the annual conflict of interest statement. The Board reviews the forms for potential conflicts. The Board of Directors reviews when the conflict is first presented and annually report on the conflicts. The individuals who have conflicts are not present during discussions by the board or vote regarding the conflicts. Form 990, Part VI, Section C, line 19 Documents were made available upon request during normal business hours at the principal office of the Corporation. McCurtain Memorial Medical Mgmt Inc 1301 E Lincoln Road Idabel OK 74745 736617937 Provision of health care services OK 501(c)(3) Line 3 N/A 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0