2014-08-15T17:35:00-05:00 2013-09-30 STOTTS BARCLAY PETTUS WHIPPLE LITTLETON RUEF PC 7645 EAST 63RD ST STE TULSA OK 74133 990 2012-10-01 237169376 PAWHUSKA HOSPITAL INC PAWH 9182873232 1101 EAST 15TH STREET PAWHUSKA OK 740561920 JASON MCCAULEY 9182873232 2014-08-15 true GARY L PETTUS 9182540433 2014-08-15 2012 2015-11-30 17:44:51Z JASON MCCAULEY 1101 EAST 15TH STREET PAWHUSKA OK 740561920 4607974 false X WWW.PAWHUSKAHOSPITAL.ORG X 1972 OK TO PROVIDE CARE FOR PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES WHICH REQUIRE IN OR OUT PATIENT HOSPITAL CARE. TO CARRY ON EDUCATION ACTIVITIES AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED AND TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 5 5 69 25 0 177043 130997 4656150 4471123 9212 5854 0 4842405 4607974 0 0 2674491 2566250 0 0 1641676 1883438 4316167 4449688 526238 158286 3668760 4376918 921766 1471638 2746994 2905280 X TO PROVIDE CARE FOR PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES WHICH REQUIRE IN OR OUT PATIENT HOSPITAL CARE. TO CARRY ON EDUCATION ACTIVITIES AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED AND TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. false false 3926728 4471123 PAWHUSKA HOSPITAL, INC. IS A 25-BED CRITICAL ACCESS HOSPITAL THAT ACCEPTS PATIENTS REGARDLESS OF ABILITY TO PAY. CHARITY CARE FOR THE YEAR ENDED SEPTEMBER 30, 2013, WAS 156,150. 3926728 true true false false false false false false false false true false false false false true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 4 0 69 true false false false false false false false false false false false false X 5 5 false false false false false false false true true false false true true true true true true true true false OK X X JASON MCCAULEY 9182873232 1101 EAST 15TH STREET PAWHUSKA OK 740561920 X JAMES HAGER 1.00 X X 0 0 0 TOBY BIGHORSE 1.00 X X 0 0 0 BOB ROBERTS 1.00 X 0 0 0 FRANCIS ALTAFFER 1.00 X 0 0 0 NANCY WOODYARD 1.00 X 0 0 0 JOHN HAM PA 52.00 X 168020 0 0 168020 1 false true false 109948 21049 130997 NET PATIENT SERVICE REVENUE 900099 4464476 4464476 DIETARY REVENUE 900099 6315 6315 MISCELLANEOUS REVENUE 900099 332 332 4471123 5854 5854 4607974 4471123 5854 2015415 1672559 342856 251176 208447 42729 299659 248681 50978 928851 928851 66149 66149 1245 1245 14124 11717 2407 50054 22564 27490 15230 5035 10195 15293 15293 251427 251427 49066 49066 MEDICAL SUPPLIES 191952 191952 REPAIRS AND MAINTENANCE 143615 139938 3677 OTHER SUPPLIES & EXPENSES 88217 52786 35431 UTILITIES 59344 59344 8871 1674 7197 4449688 3926728 522960 0 403723 26106 1438849 719817 461000 428159 28467 1106583 130028 101382 36398 11314 4646876 2663319 1170295 1983557 3668760 4376918 405319 413392 408355 1058246 108092 921766 1471638 X 2746994 2905280 2746994 2905280 3668760 4376918 158286 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34360 34360 1043701 691883 351818 35979 30956 5023 3128776 1940480 1188296 404060 404060 1983557 4607974 4607974 4607974 4449688 4449688 4449688 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL HAD NO UNRELATED BUSINESS TAXABLE INCOME DURING THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE HOSPITAL HAS ANALYZED THE TAX POSITIONS TAKEN IN ITS FILINGS WITH THE INTERNAL REVENUE SERVICE ("IRS") AND STATE JURISDICTIONS WHERE IT OPERATES. THE HOSPITAL BELIEVES THAT ITS INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE HOSPITAL'S FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. ACCORDINGLY, THE HOSPITAL HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES RELATING TO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2013 AND 2012. THE HOSPITAL FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF OKLAHOMA. THE STATUTE OF LIMITATIONS FOR BOTH FEDERAL AND OKLAHOMA TAX RETURNS IS THREE YEARS; THEREFORE ALL TAX RETURNS FILED THREE YEARS AGO ARE NO LONGER SUBJECT TO EXAMINATION. true true X true X true X true true false false 144096 144096 0.03240 782754 506387 276367 0.06210 23070 22080 990 0.00020 949920 528467 421453 0.09470 949920 528467 421453 0.09470 true 683658 34183 2986067 60968 2925099 X true true 1 1 PAWHUSKA HOSPITAL INC

1101 EAST 15TH STREET PAWHUSKA OK 740561920

WWWPAWHUSKAHOSPITALORG X X X X PAWHUSKA HOSPITAL INC 1 true X X X X X X X X X X true false true X X X X X X X X X false false true true 100.0 true 200.0 true X X X X X X true true X X true false true X false false OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE PART I LINE 3C PAWHUSKA HOSPITAL INC PROVIDES ITS SERVICES WITHOUT REGARD TO A PATIENTS ABILITY TO PAY PAWHUSKA HOSPITAL INC PROVIDES A DISCOUNT OF AT LEAST 25 OF BILLED CHARGES TO ALL UNINSURED PATIENTS UNINSURED PATIENTS ALSO MAY QUALIFY FOR AN ADDITIONAL 10 PROMPT PAY DISCOUNT IN ADDITION TO THESE AUTOMATIC DISCOUNTS PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE INCLUDING FREE AND DISCOUNTED CARE THE DETERMINATION OF THE PATIENTS QUALIFICATION FOR FINANCIAL ASSISTANCE IS BASED ON AN OBJECTIVE DETERMINATION OF THE PATIENTS FINANCIAL RESOURCES AND ABILITY TO PAY IN GENERAL ALL UNINSURED PATIENTS WITH HOUSEHOLD INCOME OF LESS THAN 100 OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR FREE CARE PATIENTS WITH HOUSEHOLD INCOMES LESS THAN 200 OF FEDERAL POVERTY GUIDELINES QUALIFY FOR SLIDING SCALE DISCOUNTS THAT ARE IN ADDITION TO THE AUTOMATIC DISCOUNT PROVIDED TO ALL UNINSURED PATIENTS COSTING METHODOLOGY EXPLANATION PART I LINE 7 CHARITY CARE UNREIMBURSED MEDICAID AND UNREIMBURSED COSTSOTHER MEANS TESTED GOVERNMENT PROGRAMS WERE CALCULATED AT COST USING THE COSTTOCHARGE RATIO DERIVED FROM WORKSHEET 2 COMMUNITY BUILDING ACTIVITIES PART II PART II CURRENTLY PAWHUSKA HOSPITAL INC DOES NOT HAVE A COMMUNITY BUILDING ACTIVITY IN PLACE BUT IS WORKING TO DEVELOP ONE BAD DEBT EXPENSE EXPLANATION PART III LINE 4 PAWHUSKA HOSPITAL INCS BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE EXPENSE REPORTED ON THE FINANCIAL STATEMENTS AND APPLYING AN OVERALL COST TOCHARGE RATIO CALCULATED FROM WORKSHEET 2 THE ESTIMATED AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE IS 5 THIS IS AN ESTIMATION FROM NOTIFICATIONS OF CHARITY CARE POLICIES SENT TO PATIENTS AND THE NUMBER COMPLETED AND RETURNED TO THE HOSPITAL THE MAJORITY OF THE POPULATION SERVED WOULD QUALIFY FOR GOVERNMENT ASSISTANCE OR MEET THE FEDERAL POVERTY GUIDELINES THEREFORE IF PATIENTS WOULD HAVE APPLIED FOR FINANCIAL ASSISTANCE THE MAJORITY OF THE BAD DEBT WOULD HAVE BEEN CLASSIFIED AS CHARITY CARE PAWHUSKA HOSPITAL INC CONSIDERS CARE FOR THE POOR TO BE AN ESSENTIAL PART OF ITS MISSION OF SERVICE TO THE COMMUNITY BAD DEBT IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR FINANCIAL STATEMENT NOTE THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENTS ESTIMATES OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRDPARTY PAYORS MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO BAD DEBTS MANAGEMENT CONSIDERS HISTORICAL WRITEOFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION MEDICARE EXPLANATION PART III LINE 8 MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE COLLECTION POLICY IS SUCH THAT ALL COLLECTION ACTIVITY CEASES FOR EACH PATIENTS AMOUNT DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR EXAMPLE IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR FREE CARE ALL COLLECTION EFFORTS STOP IF A PATIENT IS ELIGIBLE FOR DISCOUNT CARE NORMAL COLLECTION EFFORTS CONTINUE ONLY ON THE PORTION DETERMINED TO STILL BE OWED BY THE PATIENT DURING THE FISCAL YEAR ALL UNINSURED PATIENTS WERE ELIGIBLE FOR AN UPFRONT DISCOUNT OF AT LEAST 25 DURING THE FISCAL YEAR ALL PATIENTS WITH A FAMILY INCOME LESS THAN OR EQUAL TO 200 OF THE FEDERAL POVERTY GUIDELINES WERE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE OF FREE OR DISCOUNTED CARE NEEDS ASSESSMENT PART VI ADMINISTRATION MEDICAL STAFF AND THE GOVERNING BOARD REGULARLY DISCUSS THE HEALTH CARE NEEDS OF THE LOCAL COMMUNITY DURING GOVERNING BOARD MEETINGS AS WELL AS IN THE BIMONTHLY MEETINGS OF THE MEDICAL STAFF IN CONJUNCTION WITH THE OKLAHOMA OFFICE OF RURAL HEALTH PAWHUSKA HOSPITAL INC DEVELOPED A COMMUNITY NEEDS ASSESSMENT DURING TAX YEAR 2012 GOING FORWARD PAWHUSKA HOSPITAL INC WILL IMPLEMENT STRATEGIES FOR EACH HEALTH PRIORITY IDENTIFIED THROUGH THE ASSESSMENT PROCESS IN ADDITION WHEN LOOKING AT THE POTENTIAL OF ADDING NEW SERVICES AN INTEGRAL PART OF THAT RESEARCH REVOLVES AROUND HOW SUCH SERVICES WILL MEET AND ADDRESS THE DIFFERENT NEEDS OF THE COMMUNITY WE ARE PLANNING ON DEVELOPING FUTURE PROGRAMS THAT WILL ALLOW US THE OPPORTUNITY TO GATHER A LARGER COMMUNITY AUDIENCE THAT CAN INFORM US AS TO THE ISSUES THAT ARE IMPORTANT TO THE COMMUNITY AND TO GATHER SUGGESTIONS FROM THOSE INVOLVED PROGRAMS SUCH AS THE USE OF FOCUS GROUPS WILL ENABLE US TO BE FURTHER EDUCATED TO MEET THE NEEDS OF OUR COMMUNITY AND TO DEVELOP PROGRAMS TO MEET THOSE NEEDS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PAWHUSKA HOSPITAL INC PROVIDES A LETTER TO PATIENTS UPON ADMISSION THAT STATES THAT OUR HOSPITAL PROVIDES ASSISTANCE TO THOSE PATIENTS WHO HAVE LIMITED INCOME TO HELP PAY FOR HOSPITAL EXPENSES THE LETTER INDICATES THAT CHARITY CARE APPLICATIONS ARE AVAILABLE TO ALL PATIENTS AND CAN BE PICKED UP AT THE TIME OF SERVICE OR AT A LATER DATE THE CHARITY CARE APPLICATION GIVES AN OVERVIEW OF OUR CHARITY CARE POLICY AND NOTES THAT MEDICARE AND OTHER STATE PROGRAMS ARE ALSO AVAILABLE TO PATIENTS THAT MEET INCOME REQUIREMENTS OUR STAFF IS AVAILABLE TO OFFER PATIENTS ASSISTANCE IN COMPLETING THE CHARITY CARE AND MEDICAID APPLICATIONS IF NEEDED COMMUNITY INFORMATION PART VI PAWHUSKA HOSPITAL INC PRIMARILY SERVIES THE CITIZENS OF THE COMMUNITY OF PAWHUSKA OKLAHOMA AND THE SURROUNDING AREA PAWHUSKA SERVES AS THE COUNTY SEAT OF THE OSAGE COUNTY OKLAHOMA AND IS ALSO THE CAPITAL OF THE OSAGE NATION THE HOSPITAL IS ONE OF TWO FACILITIES LOCATED IN OSAGE COUNTY PAWHUSKA IS LOCATED IN A RURAL AREA WIHT THE CITYS POPULATION BEING 3589 2010 CENSUS AND THE OVERALL COUNTY POPULATION OF 47472 THE PER CAPITA INCOME FOR THE CITY WAS 13916 ABOUT 137 OF FAMILIES AND 175 OF THE POPULATION WERE BELOW THE POVERTY LINE INCLUDING 223 OF THOSE UNDER AGE 18 AND 149 OF THOSE AGE 65 OR OVER THE HOSPITAL IS LOCATED WITHIN FEDERALLYDESIGNATED UNDERSERVED AREAS FOR PRIMARY CARE HEALTH PROFESSIONALS MENTAL HEALTH PROFESSIONALS DENTAL CARE HEALTH PROFESSIONALS AND IS LOCATED IN A MEDICALLY UNDERSERVED AREA POPULATION THE ENTIRE COUNTY FALLS INTO TWO MEDICALLY UNDERSERVED AREAS OSAGE SERVICE AREA AND WEST OSAGE SERVICE AREA HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI PAWHUSKA HOSPITAL INCS GOVERNING BODY IS COMPRISED OF VOLUNTEER MEMBERS WHO RESIDE IN THE COMMUNITY MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY SURPLUS FUNDS ARE REINVESTED IN FACILITIES TO IMPROVE PATIENT CARE THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY THE HOSPITAL IS PLANNING AN OPEN HOUSE NEXT JANUARY AND WILL BE OFFERING FREE HEALTH SCREENINGS TO THE COMMUNITY WE PLAN TO INVITE OTHER LOCAL HEALTHCARE ENTITIES TO PARTICIPATE IN THE OPEN HOUSE WITH OUR HOSPITAL PAWHUSKA HOSPITAL INC LINE NUMBER 1 PART V LINE 1J PART V LINE 1J NO ADDITIONAL ITEMS NOTED PAWHUSKA HOSPITAL INC LINE NUMBER 1 PART V LINE 3 PART V LINE 3 PAWHUSKA HOSPITAL INC IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING A COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THE GEOGRAPHIC AREA OF THE DEFINED COMMUNITY BASED ON THE IDENTIFIED ZIP CODES FOR THE COMMUNITY COVERS THE CITIY OF PAWHUSKA AND THE SURROUNDING COMMUNITIES IN OSAGE COUNTY COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT DISCUSSIONS OF 20 STAKEHOLDERS AND A COMMUNITY HEALTH SURVEY WAS DISTRIBUTED WITH A TOTAL RESPONSE OF 132 SURVEYS IN ADDITION SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE HEALTH INDICATORS HEALTH EQUITY AND MORTALITY INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS LOWINCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE HEALTH NEEDS WERE RANKED UTILIZING WEIGHTING METHODS THAT WEIGHED 1 SIZE OF THE PROBLEM 2 SERIOUSNESS OF THE PROBLEM 3 THE PREVALENCE OF COMMON THEMES 4 THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS 5 HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY AND 6 WHETHER OR NOT PAWHUSKA HOSPITAL INC HAS EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED SUBSEQUENTLY PAWHUSKA HOSPITAL INC LEADERSHIP DISCUSSED THE RESULTS OF THE EVALUATION AND SELECTED HEALTH PRIORITIES AFTER CONSIDERING THE COMMUNITY HEALTH NEEDS AND IN LIGHT OF PAWHUSKA HOSPITAL INCS SCOPE OF EXPERTISE AND RESOURCES PAWHUSKA HOSPITAL INC SELECTED TO ADDRESS THREE PRIORITY HEALTH ISSUES IN ITS SERVICE REGION 1 COMMUNITY INVOLVEMENT 2 PHYSICIAN RECRUITMENT 3 EDUCATION AND COORDINATION REGARDING AVAILABLE RESOURCES WITHIN THE COMMUNITY PAWHUSKA HOSPITAL INC LINE NUMBER 1 PART V LINE 5C PART V LINE 5C NO ADDITIONAL ITEMS NOTED PAWHUSKA HOSPITAL INC LINE NUMBER 1 PART V LINE 6I PART V LINE 6I NO ADDITIONAL ITEMS NOTED PAWHUSKA HOSPITAL INC LINE NUMBER 1 PART V LINE 7 PART V LINE 7 WHILE THE INITIAL COMMUNITY NEEDS ASSESSMENTS HAVE BEEN COMPLETED WORK IS ONGOING TO FORMULATE SUSTAINABLE RESPONSES TO THE OVERWHELMING COMMUNITY NEEDS THE MOST RECENT COMMUNITY NEEDS ASSESSMENTS CONFIRM WHAT WE ALREADY KNOW THE COMMUNITIES SERVED BY PAWHUSKA HOSPITAL INC STRUGGLE WITH THE HEALTH CHALLENGES ARISING FROM MANY SOCIOECONOMIC FACTORS INCLUDING RELATIVELY LARGE NUMBER OF INDIVIDUALS LIVING IN HOUSEHOLDS WITH INCOMES NEAR OR BELOW FEDERAL POVERTY LEVELS RELATIVELY LARGE NUMBERS OF INDIVIDUALS WITH NO OR POOR HEALTH INSURANCE COVERAGE RELATIVELY LARGE NUMBERS OF INDIVIDUALS WITH OVERALL POOR HEALTH STATUS AND CHRONIC HEALTH PROBLEMS INCLUDING MENTAL HEALTH ISSUES A SHORTAGE OF HEALTH CARE RESOURCES AND PROVIDERS AVAILABLE TO PROVIDE SERVICES TO THE UNDERSERVED PARTS OF OUR COMMUNITIES AND A DISPARATE SAFETY NET SYSTEM THAT SUFFERS FROM LACK OF RESOURCES AND LARGELY UNCOORDINATED EFFORTS TO ADDRESS COMMUNITY NEEDS THE UNFORTUNATE REALITY IS THAT THERE ARE SIMPLY NOT ENOUGH PRIVATE RESOURCES TO EFFECTIVELY ADDRESS ALL OF THE COMMUNITY NEEDS IDENTIFIED IN PARTICULAR PAWHUSKA HOSPITAL INC PROVIDES ANNUALLY OVER ONE MILLION DOLLARS EACH YEAR IN UNCOMPENSATED CARE TO THE POOR IN THE FORM OF FREE OR DISCOUNTED CARE TO THE UNINSURED THE UNDERINSURED AND TO MEDICAID BENEFICIARIES A MORE SUSTAINABLE PUBLIC PRIVATE PARTNERSHIP IS NEEDED TO PROVIDE ADEQUATE RESOURCES TO ADDRESS THE COMMUNITY NEEDS IN A MORE EFFECTIVE AND MORE FINANCIALLY SUSTAINABLE WAY PAWHUSKA HOSPITAL INC WILL CONTINUE TO WORK WITH STATE AND LOCAL POLICY AND POLITICAL LEADERS SAFETY NET PROVIDERS AND COMMUNITY LEADERS AND ADVOCATES TO BUILD SUSTAINABLE PARTNERSHIPS TO BETTER ADDRESS THE COMMUNITY NEEDS AS WE WORK TO IMPROVE HEALTH CARE DELIVERY IN PAWHUSKA AND OSAGE COUNTY PAWHUSKA HOSPITAL INC WILL CONTINUE TO ADVOCATE FOR THE POOR THE VULNERABLE AND THE UNDERSERVED false false false false false false false false false JOHN HAM PA 168020 168020 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO PROVIDE CARE FOR PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES WHICH REQUIRE IN OR OUT PATIENT HOSPITAL CARE. TO CARRY ON EDUCATION ACTIVITIES AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED AND TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED TO THE ADMINISTRATOR FOR REVIEW AND THEN PRESENTED TO THE BOARD OF DIRECTORS. THE FORM 990 IS FILED AFTER REVIEW BY THE BOARD OF DIRECTORS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ALL EMPLOYEES, BOARD MEMBERS AND CONTRACT EMPLOYEES ARE COVERED IN OUR POLICIES. THE EMPLOYEE AND CONTRACT EMPLOYEE DETERMINATIONS ARE MADE BY ADMINISTRATION AND ANY BOARD DETERMINATIONS ARE MADE BY THE GOVERNING BOARD. THE EMPLOYEE WILL BE ASKED TO REMEDY THE SITUATION AND THE BOARD MEMBER WILL BE ASKED TO LEAVE AFTER PRESENTING THEIR CONFLICT AND THE REMAINDER OF THE GOVERNING BOARD WILL DISCUSS AND THEN VOTE. COPIES OF BOTH POLICIES CAN BE PROVIDED UPON REQUEST. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A PAWHUSKA HOSPITAL, INC. FOLLOWS THE PAY GUIDELINES PER OUR MANAGING COMPANY, JANE PHILLIPS MEDICAL CENTER. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B PAWHUSKA HOSPITAL, INC. FOLLOWS THE PAY GUIDELINES PER OUR MANAGING COMPANY, JANE PHILLIPS MEDICAL CENTER. NO PUBLIC DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 18 DOCUMENTS ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGE IN FINANCIAL REVIEW PROCESS FORM 990, PAGE 12, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM THE PRIOR FISCAL YEAR.