MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC (EIN 73-6617937)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-27
- IRS object ID
- 201240879349300439
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-27T16:05:11-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 NW EXPRESSWAY SUITE 1900 | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 736617937 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Medical Management Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MCCU | NameControl |
| Phone | 5802867623 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 East Lincoln Rd | AddressLine1 |
| City | Idabel | City |
| State | OK | State |
| ZIP Code | 74745 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ray Whitmore | Name |
| Title | CFO | Title |
| Phone | 5802867623 | Phone |
| Date Signed | 2012-03-23 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Carolyn Levings | Name |
| Phone | 4054783334 | Phone |
| Date Prepared | 2012-03-23 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Ray Whitmore | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 East Lincoln Rd | AddressLine1 |
| City | Idabel | City |
| State | OK | State |
| ZIP Code | 74745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22635303 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mmhok.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | Hospital care | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 326 | TotalNbrEmployees |
| Total Nbr Volunteers | 33 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 70 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 978542 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 22283596 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 21587861 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3376 | InvestmentIncomePriorYear |
| Investment Income Current Year | -83156 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 96467 | OtherRevenuePriorYear |
| Other Revenue Current Year | 66346 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22383509 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22549593 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1260 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1029 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11285550 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11661828 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11951548 | OtherExpensePriorYear |
| Other Expenses Current Year | 11312479 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 23238358 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22975336 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -854849 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -425743 | RevenuesLessExpensesCY |
| Total Assets BOY | 8231824 | TotalAssetsBOY |
| Total Assets EOY | 6974617 | TotalAssetsEOY |
| Total Liabilities BOY | 4652125 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3820661 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3579699 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3153956 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | McCurtain Memorial Hospital exists to provide appropriate, cost effective healthcare to our patients in a safe, healing environment while striving to be the healthcare leader of choice in our community. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 21555706 | Expense |
| Grants | 1029 | Grants |
| Revenue | 21565567 | Revenue |
| Description | We continue to provide quality health care to McCurtain County, Oklahoma and its surrounding areas. In addition, we endeavor to serve the public through such activities as wellness programs, community education programs, special programs for the elderly, handicapped and medically underserved and a variety of broad community support activities. To fulfill our mission of community service, we provide care to patients who meet certain criteria under our charity care policy without charge or at amounts less than our established rates. We maintain records to identify and monitor the level of charity care we provide. These records include the amount of charges foregone for services and supplies furnished under our charity care policy and equivalent service statistics. The amount of charges forgone, based on established rates, were approximately $343,248 for the year ended June 30, 2011. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 47021 | Expense |
| Revenue | 22294 | Revenue |
| Description | Jan. 3, 2011 - Opened Wellness Center - exercise area that community members can subscribe to and use the exercise equipment as well as receive personal training and wellness assessments on a regular basis. There is personnel available to assist them. This program is available to community members in order to help advocate healthy lifestyles in addition to the walking track. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22706 | Expense |
| Description | The Garden Meadows Walking Trail located at the Hospital is open to the public, in addition to employees, 24 hours a day, 7 days a week at no charge and is intended to promote physical activity for healthier lifestyles. Total estimated expense to maintain the walking trail, including depreciation, is $22,705.99 per year. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 21625433 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 49 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 326 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ray Whitmore | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5802083100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 E Lincoln Rd | AddressLine1 |
| City | Idabel | City |
| State | OK | State |
| ZIP Code | 74745 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Billie Tomlinson | |||||||
| President | 1.00 | X | X | 0 | 0 | 0 | |
| Thomas Salyer DO | |||||||
| Vice President | 1.00 | X | X | 0 | 0 | 0 | |
| Irvin C Jones | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Desmond Brown | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| David White | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Thomas A Jones MD | |||||||
| Bd Member, Chief of Staff | 2.00 | X | 5000 | 0 | 0 | ||
| Nancy Woodruff MD | |||||||
| Bd Member, Chief of Staff | 2.00 | X | 5000 | 0 | 0 | ||
| Bristol Messer | |||||||
| CEO | 40.00 | X | 165106 | 0 | 19355 | ||
| Ray Whitmore | |||||||
| CFO | 40.00 | X | 88373 | 0 | 17376 | ||
| Jeffrey Martin | |||||||
| CRNA | 40.00 | 299364 | 0 | 12758 | X | ||
| Raman Talwar | |||||||
| Physician | 40.00 | 198471 | 0 | 15226 | X | ||
| Jose Gomez | |||||||
| Physician | 40.00 | 195703 | 0 | 15100 | X | ||
| Raymond Smith | |||||||
| Physician | 40.00 | 197183 | 0 | 15135 | X | ||
| John Oglesbee | |||||||
| Physician | 40.00 | 180450 | 0 | 15100 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1334650 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 110050 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| John H Migliaccio MD PC | |||||
| 1401 S Lynn Lane | Idabel | OK | 74745 | ER Physician | 442464 |
| Locumtenenscom LLC | |||||
| PO Box 532869 | Atlanta | GA | 30353 | Radiologist Physicians | 355681 |
| CompHealth Inc | |||||
| PO Box 972651 | Dallas | TX | 753972651 | ER Physician | 311513 |
| Gerard Enterprise Inc | |||||
| 303 Summit Circle | Durant | OK | 74701 | ER Physician | 205575 |
| Create A Storehouse Inc | |||||
| 1970 marie Drive | Durant | OK | 74701 | ER Physician | 167040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Government Grants | 926818 | GovernmentGrants |
| All Other Contributions | 51724 | AllOtherContributions |
| Total Contributions | 978542 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Serv. Rev | 900099 | 21550137 | 21550137 |
| Other Revenue | 900099 | 37724 | 37724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 21587861 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 875 | TotalRevenueColumn |
| Exclusion | $875 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 66346 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 66346 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66346 | TotalRevenueColumn |
| Exclusion | $66,346 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1679 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 85710 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -84031 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -84031 | TotalRevenueColumn |
| Exclusion | -$84,031 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22549593 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21587861 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$16,810 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1029 | Total |
| Program Services | 1029 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310945 | Total |
| Management And General | 310945 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9399113 | Total |
| Program Services | 8846745 | ProgramServices |
| Management And General | 552368 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76958 | Total |
| Program Services | 71552 | ProgramServices |
| Management And General | 5406 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1201113 | Total |
| Program Services | 1125729 | ProgramServices |
| Management And General | 75384 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 673699 | Total |
| Program Services | 617680 | ProgramServices |
| Management And General | 56019 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2872 | Total |
| Management And General | 2872 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60213 | Total |
| Management And General | 60213 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2071749 | Total |
| Program Services | 1871480 | ProgramServices |
| Management And General | 200269 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15801 | Total |
| Program Services | 13505 | ProgramServices |
| Management And General | 2296 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1012744 | Total |
| Program Services | 973313 | ProgramServices |
| Management And General | 39431 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 746887 | Total |
| Program Services | 741428 | ProgramServices |
| Management And General | 5459 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61046 | Total |
| Program Services | 56361 | ProgramServices |
| Management And General | 4685 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109916 | Total |
| Program Services | 109916 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 636920 | Total |
| Program Services | 636920 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 755323 | Total |
| Program Services | 755323 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 4259468 | 4259468 | |
| Medical Supplies | 1238756 | 1238756 | |
| Miscellaneous | 340784 | 306228 | 34556 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22975336 | Total |
| Program Services | 21625433 | ProgramServices |
| Management And General | 1349903 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155008 | BOY |
| EOY | 309797 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3400648 | BOY |
| EOY | 2353823 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122500 | BOY |
| EOY | 122500 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200317 | BOY |
| EOY | 238320 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 371279 | BOY |
| EOY | 401683 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229277 | BOY |
| EOY | 247632 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16776866 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13540993 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3671493 | BOY |
| EOY | 3235873 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81302 | BOY |
| EOY | 64989 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8231824 | BOY |
| EOY | 6974617 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2825034 | BOY |
| EOY | 2513817 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1379177 | BOY |
| EOY | 1011973 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 447914 | BOY |
| EOY | 294871 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4652125 | BOY |
| EOY | 3820661 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3579699 | BOY |
| EOY | 3153956 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3579699 | BOY |
| EOY | 3153956 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8231824 | BOY |
| EOY | 6974617 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -425743 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37450 | OtherCostOrOtherBasis |
| Book Value | 37450 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8093281 | OtherCostOrOtherBasis |
| Depreciation | 6413377 | Depreciation |
| Book Value | 1679904 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 333627 | OtherCostOrOtherBasis |
| Depreciation | 251386 | Depreciation |
| Book Value | 82241 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7825428 | OtherCostOrOtherBasis |
| Depreciation | 6876230 | Depreciation |
| Book Value | 949198 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 487080 | OtherCostOrOtherBasis |
| Book Value | 487080 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3235873 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Third-Party Payor | Description |
| Amount | $294,871 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 294871 | TotalOfAmounts |
| Total Revenue | 22549593 | TotalRevenue |
| Total Expenses | 22975336 | TotalExpenses |
| Excess Or Deficit For Year | -425743 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -425743 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21705931 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 21705931 | RevenueSubtotal |
| Other Revenues Not Included | 843662 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 843662 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 22549593 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23365991 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23365991 | ExpensesSubtotal |
| Other Expenses Not Included | -390655 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -390655 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 22975336 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The Hospital undergoes an annual analysis of its various tax positions assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. The Hospital believes that they are in substantial compliance with all IRS tax regulations and as of June 30, 2011, and have not recorded any unrecognized tax benefit or liabilities for income taxes. |
| Part XII, Line 4b - Other Adjustments: | Other Income Stated Separately on Financial Statement 649,494. Contributions for Long-live Assets Stated Separately on Financial Stmt 194,168. Capital Transfers Stated Separately on Financial Statements | |
| Part XIII, Line 4b - Other Adjustments: | Depreciation Transfer Reported in Financial Statements as Capital Transfer -390,655. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 160924 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20857 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 140067 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4363549 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4268298 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 95251 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4524473 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4289155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 235318 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01260 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48332 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26038 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7476 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1387 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6089 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1023 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1023 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56831 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23681 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33150 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4581304 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4312836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 268468 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1037 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1037 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 557 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 557 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 882 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 882 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 144109 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 144109 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 146585 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 146585 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,998,399 | BadDebtExpenseAmount |
| Amount Attributable To | 539568 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 7528726 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7087012 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 441714 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Medical Management | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 East Lincoln Rd | AddressLine1 |
| City | Idabel | City |
| State | OK | State |
| ZIP Code | 74745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Idabel Primary Care Clinic | ||||
| 1425 E Lincoln Road Suite B-4 | Idabel | OK | 74745 | Physician Clinic |
| Memorial North Health Center | ||||
| 510 South Park Drive | Broken Bow | OK | 74728 | Physician Clinic |
| McCurtain Memorial Home Health | ||||
| 1301 E Lincoln Road | Idabel | OK | 74745 | Home Health office on Hospital premises |
| Southeast Oklahoma Surgical Services | ||||
| 1425 E Lincoln Road Suite A-6 | Idabel | OK | 74745 | Physician Clinic |
| Hospitalist Services Dr Nia | ||||
| 1425 E Lincoln Road Suite B-2 | Idabel | OK | 74745 | Physician Clinic |
| MedFast | ||||
| 1425 E Lincoln Road Suite B-2 | Idabel | OK | 74745 | Walk-in Clinic staffed with Nurse Practitioners |
| Southeast Regional Psychiatric Services | ||||
| 1425 E Lincoln Road Suite A-2 | Idabel | OK | 74745 | Physician Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation |
|---|
| Part I, Line 7: Amounts on lines 7 a and b were determined using the cost to charge ratio in Worksheet 2. Amounts on line 7e and f were determined based on actual costs from the general ledger. |
| Part I, L7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $4,259,468. |
| Part II: McCurtain Memorial Hospital is a facility dedicated to promoting the health of the community. The Hospital is a member of the Chambers of Commerce and Main Street programs in the communities in our service area, which promote our community and economic development. The Hospital expended $114,109 to recruit and retain physicians to serve the citizens of our service area and increase the availability of providers. The Hospital is also involved in helping to prevent domestic violence in our community by providing leadership and participation to the McCurtain County Child Abuse Awareness Team as well as the Domestic Violence Task Force. In addition, the Hospital also participates in the McCurtain County Coalition for Change Program - Turning Point. |
| Part III, Line 4: The organization's bad debt expense at cost was calculated using the expense reported on the financial statements and applying the cost to charge ratio derived from Worksheet 2.Accounts are not written off to bad debt until all payments, discounts and contractual allowances are applied and internal collection efforts have been exhausted. When a payment is received on an account previously written off to bad debt, the payment reduces the current year's bad debt expense.The amount of bad debt estimated to be attributable to patients under the organization's charity care policy is determined by using the percentage of the population in the service area that is under the federal poverty guideline established for charity care.Footnote from Financial Statements: The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients and third-party 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 the aging analysis in determining the estimated bad debt provision. |
| Part III, Line 8: Medicare costs were determined using the organization's Medicare Cost Report. |
| Part III, Line 9b: Self-pay patients are notified of the Financial Assistance Program upon registration during face-to-face interviews if at all possible. First time billing statements will be mailed to the responsible party of all self-pay patients within approximately 15 days of discharge. The message on this statement indicates the patient may be eligible for a discount and provides information on applying for discounts. If eligibility is established, the discounted amount is written off as charity care and no further collection will occur. If the individual does not provide the required information or the application is denied, normal collection procedures will commence. |
| Part VI, Line 2: The Hospital holds an annual Strategic Planning Meeting in which the needs of the community are evaluated within an environmental assessment which also identifies internal and external issues that affect the organization and its ability to meet the needs of the community it serves. |
| Part VI, Line 3: The Hospital posts its charity care policy summary with financial assistance contact information in the financial services office. Information is also printed in pamphlets provided in the ER waiting room. Financial Assistance guidance and information is provided to patients upon completion of medical evaluation and screening at which time potentially eligible patients are counseled by Financial Services. Financial Assistance information is not provided with discharge materials. Financial Assistance information is provided in "first-time" statements of patient bills. Financial Services counsels all patients who are potentially eligible for financial assistance by providing guidance in applying for assistance through federal, state and county programs. |
| Part VI, Line 4: McCurtain Memorial Hospital is a hospital facility owned by McCurtain County, Oklahoma. It is the only hospital located in McCurtain County, which is the 3rd largest county in the state. The entire county is designated as a Medically Underserved Area with portions of the county designated as Health Professional Shortage Areas due to geographical area, census tracts, and/or a Native American tribal population. According to 2010 QuickFacts of the U.S. Census Bureau, persons below poverty level represent approximately 27.0% of the county's population in comparison to 16.1% for the State of Oklahoma. Approximately 30% of the people in McCurtain County are covered by Medicaid and the unemployment rate usually ranks in the top five of the state. The primary service area is approximately a 35-mile radius around Idabel. The 2010 census count for McCurtain County is 33,151. The nearest major hospital from McCurtain Memorial Hospital is located in Paris, TX, approximately 60 minutes away. The next nearest hospital is located in Texarkana, TX approximately 75 minutes away.McCurtain County consistently has one of the highest unemployment rates in the state, with the twelve month rolling average rate from July 2010 through June 2011 at 10.2%. |
| Part VI, Line 6: The Hospital's Board is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof. Five of the board members are non-physicians and two members are local physicians, one of which serves as Chief of Medical Staff.The Hospital extends medical staff privileges to all qualified physicians in its community for all of its departments. The Hospital applies surplus funds to improvements in patient care and medical education. Continuing education and seminars are provided to personnel on a regular basis including EKG monitoring classes, Venous Thrombo-embolism Prevention and Prophylaxis, ACLS, PALS, CPI, CPR, Medicare Workshops, Credentialing Updates in addition to allowances provided to employed physicians and CRNA for continuing medical education workshops and seminars.The Hospital provides a 24-hour emergency room and a walk-in clinic (MedFast) operating after regular business hours (M-Th 6pm-11pm, Fri 6pm-12am, Sat 10am-11pm, Sun 12pm-11pm). The Hospital has also become a certified stroke center through the ER with real-time stroke assessment and treatment through the use of two-way interactive videoconferencing. Emergency medical staff and nurses have undergone extensive training to learn the signs and symptoms of stroke to determine the level of stroke according to the NIH Stroke Scale. The Hospital actively advocates for healthy lifestyles and improved public health by opening to the public a Wellness Center complete with gym access, fitness assessment and individual training session with a certified licensed athletic trainer. Also available to the public is an outdoor, lighted walking track. The Hospital regularly participates in the various health fairs at surrounding communities, schools and workplaces. The Hospital is a strong advocate of Relay for Life, a program of the American Cancer Society.The Hospital provides the meeting room and regularly attends meetings for the McCurtain County Coalition for Change - Turning Point. The Hospital also developed and sponsored the Domestic Violence Task Force and the McCurtain County Child Abuse Awareness Team providing leadership and a monthly meeting location for both groups. The Hospital is a partner with the Eastern Oklahoma State College Nursing Program and the EOSC Medical Laboratory Tech Program. Students from these programs use the Hospital as a clinical rotation site. Hospital staff was provided for mock interviews for Kiamichi Technology Center Nursing Students. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bristol Messer | |||||||||||||
| 161662 | 0 | 0 | 0 | 3444 | 0 | 4255 | 0 | 21868 | 0 | 191229 | 0 | 0 | 0 |
| Jeffrey Martin | |||||||||||||
| 299364 | 0 | 0 | 0 | 0 | 0 | 6125 | 0 | 7389 | 0 | 312878 | 0 | 0 | 0 |
| Raman Talwar | |||||||||||||
| 198471 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15289 | 0 | 213760 | 0 | 0 | 0 |
| Jose Gomez | |||||||||||||
| 195703 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15100 | 0 | 210803 | 0 | 0 | 0 |
| Raymond Smith | |||||||||||||
| 197183 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15135 | 0 | 212318 | 0 | 0 | 0 |
| John Oglesbee | |||||||||||||
| 180450 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15100 | 0 | 195550 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Rent and utilities paid by hospital for housing of CEO that was not on the business premises. |
| Part I, Line 1b | The board approved such expenditures at the beginning of the CEO's employment with the hospital and the hospital has continued to pay for those expenses since that time. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Good Honest Medicine - Michael West | NamePerson |
| Purpose Of Loan | agreement to pay physician recruitment fees for physician practice | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $122,500 | OriginalPrincipalAmount |
| Balance Due | 122500 | BalanceDue |
| Default | 1 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 122500 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, line 2 | Jan. 3, 2011 - Opened Wellness Center - exercise area that community members can subscribe to and use the exercise equipment. There is personnel available to assist them. Oct. 19, 2010 - Have been certified by the Oklahoma State Dept of Health as a Primary Stroke Center through the existing ER services. June 1, 2011 - Inpatient physical therapy services once again became available after a turnover of personnel in physical therapy dept. It had been discontinued in Mar. 2010 Implementation of Electronic health record - EHR - qualified for both Medicare and Medicaid financial incentives |
| Changes in Program Services | Form 990, Part III, line 3 | The newsletter "Landscapes and Portraits" has been phased out and discontinued and it is being considered for other versions |
| Form 990, Part VI, Section B, line 11 | The return is reviewed by the CFO prior to filing. | |
| Form 990, Part VI, Section B, line 12c | All officers, directors, and key employees fill out a conflict of interest disclosure annually. The disclosure forms are reviewed initially by the CEO and CFO for potential conflicts. Any actual conflicts are reviewed by the Board of Directors. A person with a conflict is restricted from voting on related matters. | |
| Form 990, Part VI, Section B, line 15a | The CEO compensation is determined by the Board of Directors based on comparability data and an annual evaluation. The CFO compensation is determined by the CEO based on an annual evaluation. | |
| Form 990, Part VI, Section C, line 19 | Form 990, Part VI, Section C, Line 19: These documents are available upon request during normal business hours. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McCurtain Memorial Hospital Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Lincoln Rd | AddressLine1 |
| City | Idabel | City |
| State | OK | State |
| ZIP Code | 74745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731455422 | EIN |
| Primary Activities | Fundraising | PrimaryActivities |
| Legal Domicile State | OK | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11a | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| McCurtain Memorial Hospital Foundation | ||
| J | 53700 | Book |
| McCurtain Memorial Hospital Foundation | ||
| J | 134400 | Book |
| McCurtain Memorial Hospital Foundation | ||
| E | 50250 | Book |
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