FURP.ORG / PUBLIC DATA EXPLORER

STROUD REGIONAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
STROUD REGIONAL MEDICAL CENTER (EIN 26-0532635)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201612289349306461
Schema version
2014v6.0
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)
Return2016-08-15T16:01:40-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079606497ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260532635EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STROUD REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SEAN J KIRRANEInCareOfNm
Business Name ControlSTROBusinessNameControlTxt
Phone9189683571PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12308 HIGHWAY 66 WESTAddressLine1Txt
CitySTROUDCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74079ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES M ELDRIDGEPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone9738989494PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone9738989494PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES M ELDRIDGEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13419 EAST CHAPMAN AVE STE 290AddressLine1Txt
CityORANGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92869ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,994,631GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STROUDHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION IS AN ACUTE CARE services FACILITY LOCATED IN A RURAL AREA OF OKLAHOMA. THE HOSPITAL PROVIDES EMERGENCY ROOM AND ACUTE CARE TO ITS SURROUNDING COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$19,789PYContributionsGrantsAmt
CY Contributions Grants$14,031CYContributionsGrantsAmt
PY Program Service Revenue$12,586,897PYProgramServiceRevenueAmt
CY Program Service Revenue$9,954,914CYProgramServiceRevenueAmt
PY Investment Income$141PYInvestmentIncomeAmt
CY Investment Income$1,552CYInvestmentIncomeAmt
PY Other Revenue$23,707PYOtherRevenueAmt
CY Other Revenue$24,134CYOtherRevenueAmt
PY Total Revenue$12,630,534PYTotalRevenueAmt
CY Total Revenue$9,994,631CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,937,333PYOtherExpensesAmt
CY Other Expenses$19,339,664CYOtherExpensesAmt
PY Total Expenses$20,937,333PYTotalExpensesAmt
CY Total Expenses$19,339,664CYTotalExpensesAmt
PY Revenues Less Expenses-$8,306,799PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,345,033CYRevenuesLessExpensesAmt
Total Assets BOY$7,121,177TotalAssetsBOYAmt
Total Assets EOY$6,413,777TotalAssetsEOYAmt
Total Liabilities BOY$40,937,435TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,575,068TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$33,816,258NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$43,161,291NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF STROUD REGIONAL MEDICAL CENTER IS TO SERVE EVERYONE WITH RESPECT, QUALITY, AND COMPASSION. IN ADDITION, THE ORGANIZATION PROVIDES MEDICALLY NECESSAY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,405,698ExpenseAmt
Grant$0GrantAmt
Revenue$9,954,914RevenueAmt
DescEXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc
Total Program Service Expenses$17,405,698TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSEAN J KIRRANEPersonNm
Phone9737065197PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14323 NORTH WEST 63RD STREETAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73116ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHARLES M ELDRIDGE
DIRECTOR - CEO40.00.0Yes (X)Yes (X)$75,000$75,000$0
CELESTE CARPENTER
DIRECTOR1.00.0Yes (X)$0$0$0
VICKY KIEM
DIRECTOR1.00.0Yes (X)$0$0$0
TOMMY SMITH
DIRECTOR1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$75,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$75,000TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FIRST PHYSICIAN'S BUSINESS SOLUTION
4324 NW 63RD STREET SUITE 232OKLAHOMA CITYOK73116MANAGEMENT$2,339,150
FIRST PHYSICIANS SERVICES LLC
4324 NW 63RD STREET SUITE 232OKLAHOMA CITYOK73116IT$2,089,902
PROSCAN READING SERVICES
PO BOX 632506CINCINNATIOH45263MEDICAL IMAGING$114,465
DUANE MORRIS LLP
30 SOUTH 17TH STREETPHILADELPHIAPA19103LEGAL$107,287
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$14,031AllOtherContributionsAmt
Total Contributions$14,031TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE541900$9,909,665$9,909,665
OTHER HEALTHCARE RELATED REVENUE541900$45,249$45,249
FieldValueIRS element (for citing)
Total Program Service Revenue$9,954,914TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$802TotalRevenueColumnAmt
Exclusion$802ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$15,180RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,180RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,180TotalRevenueColumnAmt
Exclusion$15,180ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$750OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$750OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$750TotalRevenueColumnAmt
Exclusion$750ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Total Revenue Column$8,954TotalRevenueColumnAmt
Exclusion$8,954ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,954OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,994,631TotalRevenueColumnAmt
Related Or Exempt Func Income$9,954,914RelatedOrExemptFuncIncomeAmt
Exclusion$25,686ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$218,903TotalAmt
Program Services$197,013ProgramServicesAmt
Management And General$21,890ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,500TotalAmt
Program Services$23,850ProgramServicesAmt
Management And General$2,650ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,121TotalAmt
Program Services$7,309ProgramServicesAmt
Management And General$812ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$181,500TotalAmt
Program Services$163,350ProgramServicesAmt
Management And General$18,150ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$283,480TotalAmt
Program Services$255,132ProgramServicesAmt
Management And General$28,348ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,334TotalAmt
Program Services$24,601ProgramServicesAmt
Management And General$2,733ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,928TotalAmt
Program Services$7,135ProgramServicesAmt
Management And General$793ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,175,170TotalAmt
Program Services$1,057,653ProgramServicesAmt
Management And General$117,517ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$366,236TotalAmt
Program Services$329,612ProgramServicesAmt
Management And General$36,624ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$103,834TotalAmt
Program Services$93,451ProgramServicesAmt
Management And General$10,383ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED SERVICES$11,823,492$10,641,143$1,182,349$0
CONTRACTED LABOR$4,301,738$3,871,564$430,174$0
MEDICAL SUPPLIES$438,833$394,950$43,883$0
OTHER EXPENSES$376,595$338,935$37,660$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,339,664TotalAmt
Program Services$17,405,698ProgramServicesAmt
Management And General$1,933,966ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$300BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$80,849BOYAmt
EOY$185,859EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,018,990BOYAmt
EOY$1,404,273EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$166,753BOYAmt
EOY$100,248EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,718BOYAmt
EOY$49,634EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,838,414LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,486,792LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,441,407BOYAmt
EOY$4,351,622EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,371,160BOYAmt
EOY$322,141EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,121,177BOYAmt
EOY$6,413,777EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,129,987BOYAmt
EOY$37,767,630EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,807,448BOYAmt
EOY$11,683,955EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$123,483EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,937,435BOYAmt
EOY$49,575,068EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$33,816,258BOYAmt
EOY-$43,161,291EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$33,816,258BOYAmt
EOY-$43,161,291EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,121,177BOYAmt
EOY$6,413,777EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$9,345,033ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,745,210OtherCostOrOtherBasisAmt
Depreciation$1,056,701DepreciationAmt
Book Value$3,688,509BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$869,775OtherCostOrOtherBasisAmt
Depreciation$430,091DepreciationAmt
Book Value$439,684BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$223,429OtherCostOrOtherBasisAmt
Book Value$223,429BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,351,622TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$67,088
OTHER ASSETS$21,500
DUE FROM AFFILIATIES$233,553
RECEIVABLE$0
FieldValueIRS element (for citing)
Total Book Value Other Assets$322,141TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO THRID PARTY PAYABLEDesc
Amt$123,483Amt
FieldValueIRS element (for citing)
Total Liability$123,483TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceTEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTEFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS AN AFFILIATE WITHIN ONE CURA WELLNESS, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S YEARS ENDED SEPTEMBER 30, 2015 AND SEPTEMBER 30, 2014; RESPECTIVELY, AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S ACCOUNTING POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 "INCOME TAXES". PURSUANT TO THE GUIDANCE IN THIS ACCOUNTING PRONOUNCEMENT, THE ORGANIZATION HAS DETERMINED THAT NO UNRECOGNIZED TAX BENEFITS EXIST AS OF SEPTEMBER 30, 2015, 2014, 2013, 2012 AND 2011 AND DOES NOT EXPECT THIS DETERMINATION TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. THE ORGANIZATION HAS NOT INCURRED ANY INCOME TAX RELATED PENALTIES OR INTEREST FOR THE YEARS ENDED SEPTEMBER 30, 2015, 2014, 2013, 2012, 2011 AND HAS NO OPEN TAX YEARS SUBJECT TO EXAMINATION PRIOR TO 2010. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THE ORGANIZATION'S POLICY WOULD BE TO RECOGNIZE THEM AS OPERATING EXPENSES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,675,527TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,692,115DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,675,527TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,692,115DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,335TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,353NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,335TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,353NetCommunityBenefitExpnsAmt

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,677,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,692,115DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,353NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,047,874BadDebtExpenseAmt
Bad Debt Expense Attributable$729,043BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,656,558ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,905,091CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$751,467MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STROUD REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12308 HIGHWAY 66 WESTAddressLine1Txt
CitySTROUDCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74079ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STROUDHOSPITAL.COMWebsiteAddressTxt
State License2188StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1STROUD REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.OKRURALHEALTHWORKS.ORGOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.OKRURALHEALTHWORKS.ORGStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.STROUDHOSPITAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.STROUDHOSPITAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentfalseFAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledYes (true)AmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTIONS 5 & 6THE CHNA DATA WAS SUPPLEMENTED BY MEETINGS AND DISCUSSIONS WITH THE LOCAL HEALTH DEPARTMENT WHERE DATA WAS SHARED FROM THEIR OWN NEEDS ASSESSMENTS. IN ADDITION, INPUT WAS DERIVED FROM THE COUNTY-WIDE TASK FORCE WHICH PROVIDED INSIGHT AND EXPERTISE, LEADING TO THE IDENTIFICATION OF COUNTY-WIDE HEALTH PRIORITIES. DETAILS INCLUDING THE COUNTY-WIDE TASK FORCE MEMBERS, COMMUNITY MEETING ATTENDEES AND PROCESS ARE CONTAINED IN THE CHNA.
SCHEDULE H, PART V, SECTION B, QUESTION 11THE FACILITY, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS IDENTIFIED AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITY HEALTH NEED AREAS. THE CHNA INFORMS THE FACILITY'S STRATEGIC PLANNING WHICH INCORPORATES ELEMENTS FROM THE CHNA IMPLEMENTATION PLAN IN ITS STRATEGIES TO MEET ITS GOAL OF IMPROVED COMMUNITY HEALTH. THE CHNA IMPLEMENTATION PLAN ALSO INCLUDES RESOURCES, ACTIONS AND GOALS (MEASURABLE). AS DISCUSSED ABOVE, THE FACILITY CONDUCTED A COMPREHENSIVE ASSESSMENT AND A MYRIAD OF HEALTH NEEDS WERE IDENTIFIED. GIVEN LIMITED RESOURCES, NEEDS WERE PRIORITIZED WITH CONSIDERATION OF SERVICE ARRAY OFFERED BY THE FACILITY AND ABILITY TO COLLABORATE.
SCHEDULE H, PART V, SECTION B, QUESTION 18DDue to billing system limitations the hospital bills all uninsured patients at gross charges. Prior to the transaction closing on August 11, 2011; the hospital had historically been owned by for profit operators. As such, the billing software still reflects a carryover from the previous ownership. The organization and its management company are curently taking actions so as to reasonably remedy this situation and to fully comply with the regulations of IRC Code Section 501(r). The current policy allows for the following actions: i. The patient, or financially responsible individual, will receive an itemized billing the first week after services are rendered. The statement will include a copy of the payment arrangement or a request for payment arrangement if not completed at time of service. ii. If the account is not paid or acceptable arrangements made by the first of the following month, aging of account will begin and be monitored by Patient Account Representative. iii. If no activity on account after the first 60 days, the account will be set to receive the first of two collections letters at 90 days. At such time as it is determined that the account is inactive, the hospital will then write off any unpaid account balance. As the hospital is operating within the confines of the system limitations no patients are reported to collection agencies, lawsuits filed, no liens are placed on any residences and no body attachments filed. The hospital, in providing financial assistance to those patients deemed FAP eligible, must operate within the cofines of the current billing system. As such, in working with the current billing system limitations, the hospital is forced to characterize charity care as bad debt write offs.
SCHEDULE H, PART V, SECTION B, QUESTION 22DThe hospital bills all patients at charges. The hospital provides a standard 40% discount to those uninsured patients upon the patient's request.
SCHEDULE H, PART V, SECTION B, QUESTIONS 23 & 24Due to billing system limitations the hospital bills all uninsured patients at gross charges. Prior to the transaction closing on August 11, 2011; the hospital had historically been owned by for profit operators. As such, the billing software is still reflects a carryover from the previous ownership. Upon determination of a patient being FAP eligible a sliding scale based upon the 2012 Federal Poverty Guidelines is applied to gross charges. Due to system limitations as set forth above, which are a carryover from the prior for profit system, the patient billing process requires the mailing of two collection letters to the patients within the first sixty days. After said letters are mailed the billing system then permits the write off of the balance owed for any FAP eligible patients. The intention of the hospital is to work closely with those FAP eligible patients and respect their rights and as such no reports are filed with credit agencies, lawsuits, liens on residences or body attachments are undertaken.
SCH H, PART V, SECTION B, Q'S 2,3J,6A,7D,13B,13H,15E,16I,19D,20E,21C&21DNOT APPLICABLE.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part i, line 3cstroud regional medical center ("srmc") provides charity care to both financially indigent and medical indigent individuals. The income based criteria used to determine eligibility is per Senate Bill 500 passed by the 79th Legislature of the State of Oklahoma, Regular Session and based upon the Department of Health and Human Services (HHS) poverty guidelines, also referred as the Federal Poverty Guidelines (FPG). FPG are included in the criteria for determining eligibility for charity and discount care.
Schedule h, part i; question 6aNot applicable.
Schedule h, part i; question 7 column (f)The bad debt expense included on form 990, part ix, line 25, column (a), but subtracted for purposes of calculating the percentage in this column is $2,047,874.
Schedule h, part i, question 7THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED.
Schedule h, part iii, section a; question 1Healthcare financial management association statement no 15 ("statement 15") provides guidelines for distinguishing charity care from bad debt expense. Statement 15 requires that charity care is not recognized as receivable or revenue in the financial statements. Statement 15 further explains that self pay patients that do have a reasonable likelihood of payment should be reported as charity care and not bad debt expense. The hospital, due to billing system limitations, generally does not follow the guidelines outlined in statement 15. In addition, the hospital follows Senate Bill 500 passed by the 79th Legislature of the State of Oklahoma, Regular Session per FPG guidelines in determining charity care eligibility. In certain instances, it is unlikely that uninsured patients will pay for the services rendered, but they do not qualify for the state's charity care program because of lack of patient cooperation or other reasons. The hospital pursues collection of these amounts and unpaid balances are reported as bad debt expense. Under statement 15, these amounts would be recorded as charity care rather than bad debt expense and this is the rationale for our response: "no".
Schedule h, part iii, section a; questions 2, 3 & 4BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. CHARITY CARE The Organization provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Since the Organization does not expect payment, recorded charges for charity care are deducted from patient fee revenues in order to reflect net patient service revenue.
Schedule h, part iii, section b; question 8Medicare costs were derived from the FISCAL YEAR 2015 Medicare cost report. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The organization feels bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below, the CORPORATION believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The CORPORATION is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The american hospital association ("aha") feels bad debt is community benefit and thus includable on the form 990, schedule h, part i. This CORPORATION agrees with the aha position. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. There are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospitals' best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance. The organization and its management company are currently taking actions so as to reassembly remedy this situation and to fully comply with the regulations of IRC Code Section 501(r). studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the expe
Schedule h, part iii, section b; question 9bThe hospital also has a Charity and Uncompensated Care Policy to assure patients are provided with charity care assistance determined by state and federal regulations. It is the policy that SRMC may inform each patient of the charity care program and how to apply. Patients who desire to apply for charity care should complete a Financial Assistance application form and return the completed application form to the hospital. Along with promotion of the charity care program, Patient Registration will refer patients who may quality for financial assistance from a government agency to the appropriate program, such as Medicaid. Patients not eligible for charity care will be financially counseled for all other options. An uninsured patient who does not qualify as financially or medically indigent could receive a discount according to policy. At the time of the patient visit and part of the registration process at the facility, the following options are made available to patients: - counseling for possible eligibility for medical assistance including Medicaid and ssi; and - counseling for possible eligibility for the Charity Care Program. In addition to the above options, the facility has established a payment program to assist with individuals who do not qualify for Charity Care or a government program.
Schedule h, part vi; question 2In conjunction with the Oklahoma Office of Rural Health, srmc conducts a Community Health Needs Assessment (CNHA) every three years per IRC SECTION 501(c)(3), Patients Protection and Affordable Care Act (ACA), passed on March 23, 2010. The CNHA is a review of key factor information and health indicators which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) for determining increased or decreased health needs; healthcare service estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; health factors and outcomes; hospital usage and satisfaction; existing hospital services; and, a review of health status/needs assessments and studies conducted by external parties (Lincoln County Health Department, etc.). To ensure the CNHA is accurate with the community's needs, The hospital holds four public Town Hall meeitngs to discuss local data and information/health needs, economic impact, health needs survey, and community action plan. The CNHA also pulls data from government entities including; U.S. Bureau of Census, IMPLAN, Oklahoma State Department of Health, and other support agencies. The goal behind CNHA is to gather community input that leads to recommendations on how the hospital can better meet and serve residents' needs. This includes an extensive review of the population's healthcare needs and gaps (physicians, specialists, services, etc) every three years. The results of the CNHA are published via electronic and non-electronic means.
Schedule h, part vi; question 3srmc educates patients in a number of ways regarding financial assistance including: i. Charity Care signs posted throughout the facility, mainly in patient registration areas; ii. Registration clerk educates patients on the financial assistance options during registration; iii. Inpatient admission packets include information regarding our financial assistance programs; and iv. srmc's website displays the Charity Care policy and procedure for public viewing.
Schedule h, part vi; question 4The City of Stroud is located in east central Lincoln County, about 12 miles east of Chandler, the Lincoln County Seat. Stroud is governed by a Council/Manager form of government. The City is divided into four wards, each ward electing a council person. The Mayor is elected at-large. The City Council employs a city manager who is the chief executive officer of the City under the direction of the Council. All departments of the City report to the city manager. The total incorporated land area of Stroud is 12.5 square miles. The city is located on the south side of Salt Creek, three miles north of the Deep Fork River, at elevation 886 feet. The town is situated on the former Santa Fe Railroad, now the Stillwater Central Railroad, and is at the crossroads of OKlahoma Hwy 66 and US Hwy 377/OK Hwy 99, and one mile south of the midpoint of the Turner Turnpike between Tulsa and Oklahoma City. Stroud originated in 1892 when James W. Stroud built a store and post office on his homestead, located one mile west of the present town site. A community developed there but soon moved to Stroud's present location in order to be on the route of the Arkansas and Oklahoma Railroad (sold to St. Louis and San Francisco Railway in 1901). The James W. Stroud House is listed in the National Register of Historical Places. Prior to statehood Stroud was one of Oklahoma Territory's notorious "whiskey towns" along the boundary of Indian Territory. The town's early economy was based on cotton farming. In 1907 the population stood at 1,312, and by 1909 Stroud had two banks, two newspapers, four cotton gins, and a cottonseed-oil mill. In 1910 the town had 1,220 residents. On March 27, 1915, the Henry Starr gang robbed simultaneously both banks. Oil created a boom in the 1920s and was an economic force until the 1990s. Early newspapers included the Messenger, the Star, and the Democrat. The Censuses of 1920 and 1930 reported 1,361 and 1,894 residents, respectively. Population numbers rose to 2,450 in 1950 and 2,502 in 1970, and peaked at 3,148 in 1980. Population fell to 2,666 in 1990, rebounded to 2,758 in 2000, and then dropped to 2,690 in 2010. Light industry and trucking have generally provided Stroud's economic base, and Stroud Midway Industrial Park is community-owned. Prior to its destruction in the May 3, 1999 tornado, the Tanger Outlet Mall had employed 350 local citizens. At the end of the twentieth century the town supported three banks, and the Stroud American newspaper. City services included a municipal hospital, a city golf course, a municipal airport, and a public library. In early 2010 BNSF Railway and Stillwater Central Railroad initiated a crude oil train service between North Dakota's Bakken oil fields and a newly created terminal in Stroud. Trains carrying 60,000 barrels of crude are hauled to Tulsa, where they are passed to the Stillwater Central Railway for delivery to Stroud. It takes about 15 hours to offload as shipment at Stroud. From Stroud the oil is sent by pipeline to Cushing in Payne County. Stroud's largest employers are Stroud Public Schools, City of Stroud, Service King, Miller Trucking and Stroud Regional Medical Center. There is one pharmacy in Stroud and one Nursing Home. Community activities include an annual, city-wide garage sale in June and a Fourth of July celebration, followed by the nearby Annual Sac and Fox Powwow in early July. Stroud Lake, three miles north and east, is owned by the City and is the location of the Wilderness Challenge Center of the Oklahoma Foundation for the Disabled. The headquarters of the Sac and Fox Nation is located five miles south of Stroud, and the nation is one of the community's major employers. The City of Stroud had a 2010 Census population of 2,690. Table 5.9-1 provides demographic information identifying populations who may be among the community's most vulnerable to weather and other hazards.
Schedule h, part vi; question 5COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY STROUD TO IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A NUMBER OF OUTREACH ACTIVITIES TARGETED TO PROMOTE HEALTH AND HEALTHCARE IN THE COMMUNITY. Areas of emphasis would be education, early disease detection, health and wellness, and needs specific to Native Americans and other minorities. In order to be successful, the Lincoln County Department of Health and Tribal Leaders will have to be actively involved. Stroud Regional Medical Center allows students from various schools to obtain clinicals for nursing and lab. Stroud Regional Medical Center held a health fair which provided information to patrons on various health issues and services available to them. Stroud Regional Medical Center provides blood pressure checks at the following senior citizen centers each month: Stroud, Chandler, Davenport and Sparks.
Schedule h, part vi; question 6Outlined below is a summary of the entities which comprise ONE CURA WELLNESS. Not for profit health care system entities ONE CURA WELLNESS, INC. ONE CURA WELLNESS, INC. ("ONE CURA") is the tax-exempt parent of ONE CURA WELLNESS, INC. ("system"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member of each entity is ONE CURA. The System is an integrated network of healthcare providers throughout the state of OKLAHOMA. ONE CURA is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). As the parent organization of a tax-exempt integrated healthcare delivery system in OKLAHOMA, ONE CURA strives to continually develop and operate a multi CRITICAL ACCESS hospitAl healthcare system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of OKLAHOMA and surrounding communities. ONE CURA ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origins, RELIGION or ability to pay. No individuals are denied necessary medical care, treatment or services. The system's active CRITICAL ACCESS hospitals include: THE PHYSICIAN'S HOSPITAL IN ANADARKO AND STROUD REGIONAL MEDICAL CENTER. EAch of these hospitals operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Each provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self- pay, Medicare and Medicaid patients; 2. Each operate an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. Each maintain an open medical staff, with privileges available to all qualified physicians; and 4. Control of each rests with its board of trustees and the board of trustees of the corporation. Both boards are comprised of independent civic leaders and other prominent members of the community. 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. THE PHYSICIAN'S HOSPITAL IN ANADARKO THE PHYSICIAN'S HOSPITAL IN ANADARKO ("TPHA") is a 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN in ANADARKO, CADDO county, OKLAHOMA. TPHA is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, TPHA provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, RELIGION or ability to pay. Moreover, TPHA operates consistently with the criteria outlined in irs revenue ruling 69-545 STROUD REGIONAL MEDICAL CENTER STROUD REGIONAL MEDICAL CENTER ("SRMC") is a 25-BED CRITICAL ACCESS HOSPITAL located in STROUD, LINCOLN county, OKLAHOMA. SRMC is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, SRMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, RELIGION or ability to pay. Moreover, SRMC operates consistently with the criteria outlined in irs revenue ruling 69-545.
Schedule h, part vi; question 7NOT APPLICABLE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSSTROUD MUNICIPAL HOSPITAL WAS CONSTRUCTED IN 1978 AS A RESULT OF THE STROUD COMMUNITY COMING TOGETHER AND FORMING THE STROUD HOSPITAL AUTHORITY TO MAKE THE DREAM OF HAVING QUALITY HEALTHCARE CLOSE TO HOME A REALITY. THE HOSPITAL CONTINUED TO GROW AND SERVE THE COMMUNITY THROUGHOUT THE 1980S AND 1990S. IN MAY 1999 A TORNADO DAMAGED THE HOSPITAL RESULTING IN IT BEING CLOSED UNTIL MARCH 2001. AT THE RE-OPENING OF THE HOSPITAL THE NAME WAS CHANGED TO STROUD REGIONAL MEDICAL CENTER. THE STROUD HOSPITAL AUTHORITY SOLD THE HOSPITAL IN NOVEMBER 2002 AND THE CURRENT OWNER OF THE FACILITY, ONE CURA WELLNESS, INC., HAS OWNED THE HOSPITAL SINCE 2011.
CORE FORM, PART VI, SECTION A; QUESTION 3THE HOSPITAL ENGAGES FIRST PHYSICIAN'S BUSINESS SOLUTIONS, LLC TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO FIRST PHYSICIAN'S BUSINESS SOLUTIONS, LLC IN THE MANAGEMENT AND SUPPORT SERVICES OF THE HOSPITAL. THE HOSPITAL ENGAGES FIRST PHYSICIANS SERVICES, LLC TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO FIRST PHYSICIANS SERVICES, LLC IN THE MANAGEMENT OF FURNISHING INFORMATION TECHNOLOGY, DIAGNOSTIC TESTING SERVICES, ELECTRONIC HEALTH RECORDS SOFTWARE AND SYSTEMS, MANAGEMENT OF PROFESSIONAL SERVICES AND OTHER ANCILLARY SERVICES OF THE HOSPITAL. THE HOSPITAL ENGAGES FIRST PHYSICIANS RESOURCES, LLC TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO FIRST PHYSICIANS RESOURCES, LLC IN THE LEASING OF VARIOUS CLINICAL, ADMINISTRATIVE AND OTHER PERSONNEL, INCLUDING PHYSICIANS AND SENIOR EXECUTIVES, WHO ARE QUALIFIED TO PROVIDE SERVICES TO THE HOSPITAL FOR THE EFFICIENT AND EFFECTIVE OPERATION OF THE HOSPITAL. THE HOSPITAL ENGAGES FIRST PHYSICIANS REALTY GROUP, LLC TO LEASE LAND AND BUILDINGS, INCLUDING THE RIGHT TO USE ALL OF THE PARKING AREAS, DRIVEWAYS, ROADS, ALLEYS, MEANS OF INGRESS AND EGRESS AND OTHER PORTIONS OF THE PREMISES IN THE OPERATION OF THE HOSPITAL.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7ONE CURA WELLNESS, INC. ("ONE CURA") IS THE SOLE MEMBER OF THIS ORGANIZATION. ONE CURA HAS THE ULTIMATE AUTHORITY TO APPOINT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE OF ONE CURA WELLNESS, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ONE CURA WELLNESS, INC. IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING WITH THE IRS. IN ADDITION THE MANAGEMENT COMPANY UTILIZED BY THE ORGANIZATION ALSO PERFORMED A REVIEW OF THE FEDERAL FORM 990 PRIOR TO MAKING IT AVAILABLE TO EACH VOTING MEMBER OF ITS BOARD OF DIRECTORS. THE ONE CURA WELLNESS, INC. BOARD OF DIRECTORS HAS DELEGATED TO THE MANAGEMENT COMPANY THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE DEPARTMENT LEADERSHIP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING, BUT NOT LIMITED TO, THE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE ORGANIZATION'S MANAGEMENT COMPANY. FOLLOWING THE MANAGEMENT COMPANY'S REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, AND DIRECTORS ANNUALLY. IF AN INDIVIDUAL DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE INDIVIDUAL'S POTENTIAL CONFLICT IS REFERRED TO THE ORGANIZATION'S CEO AND OUTSIDE GENERAL COUNSEL, WHICH EVALUATE THE CONFLICT AND ITS POTENTIAL IMPACT ON THE INDIVIDUAL'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES THAT MAY COME BEFORE THE BOARD. AFTER CONSULTATION WITH THE ORGANIZATION'S OUTSIDE COUNSEL, THE OUTSIDE GENERAL COUNSEL WILL TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
CORE FORM, PART VI, SECTION B; QUESTION 15COMPENSATION PAID TO THE ORGANIZATION'S DIRECTOR - CEO IS DISCUSSED AND DETERMINED BY THE BOARD OF DIRECTORS, TAKING INTO ACCOUNT COMPENSATION OF COMPARABLE POSITIONS.
CORE FORM, PART VI, SECTION B; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF OKLAHOMA SECRETARY OF STATE.
CORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECTS A BOARD MEMBER/OFFICER RECEIVING COMPENSATION FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS THE HEALTHCARE SYSTEM'S CEO AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
CORE FORM, PART VII, PAGE 1, PART 1, QUESTION 5, & PAGE 5, QUESTION 2ATHIS ORGANIZATION HAS NO EMPLOYEES AND ACCORDINGLY ISSUED NO FORMS W-2. PLEASE REFER TO PART VI, QUESTION 3 WORDING WHEREBY THIS ORGANIZATION ENGAGES FIRST PHYSICIAN'S BUSINESS SOLUTIONS, LLC TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO FIRST PHYSICIAN'S BUSINESS SOLUTIONS, LLC IN THE MANAGEMENT AND SUPPORT SERVICES OF THE HOSPITAL.
CORE FORM, PART VII, SECTION A, COLUMN BTHE ORGANIZATION IS AN AFFILIATE OF ONE CURA WELLNESS, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XII; QUESTION 2THIS ORGANIZATION IS AN AFFILIATE OF ONE CURA WELLNESS, INC. AND AFFILIATES; A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS ONE CURA WELLNESS, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ONE CURA WELLNESS, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND SEPTEMBER 30, 2014; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. ONE CURA WELLNESS'S MANAGEMENT COMPANY ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

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
ONE CURA WELLNESS INC
3419 EAST CHAPMAN AVENUE SUITE 290ORANGECA92869451870767HEALTH SVCS.CA501(C)(3)509(A)(3)NAfalse
THE PHYSICIAN'S HOSPITAL IN ANADARKO
1002 CENTRAL BOULEVARDANADARKOOK73005260532528HEALTH SVCS.OK501(C)(3)HOSPITALONE CURAYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd