PURCELL MUNICIPAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PURCELL MUNICIPAL HOSPITAL (EIN 73-0790960)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202211339349309316
- Schema version
- 2020v4.1
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T16:59:57-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N Elgin Ave Suite 400 | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741201490 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730790960 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Purcell Municipal Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARY A MORRIS | InCareOfNm |
| Business Name Control | PURC | BusinessNameControlTxt |
| Phone | 4055276524 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 North Green Avenue | AddressLine1Txt |
| City | Purcell | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73080 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Chris Wright | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4055276524 | PhoneNum |
| Signature | 2022-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Chris | PersonFirstNm |
| Person Last | Wright | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9185842900 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Chris Wright | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 North Green Avenue | AddressLine1Txt |
| City | Purcell | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73080 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,513,649 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PURCELLHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SHORT-TERM ACUTE HEALTH CARE TO THE CITIZENS OF PURCELL, OKLAHOMA AND SURROUNDING AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 150 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,206 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,102,193 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,666,508 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,371,862 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,431 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,420 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,378 | PYOtherRevenueAmt |
| CY Other Revenue | $25,174 | CYOtherRevenueAmt |
| PY Total Revenue | $13,762,523 | PYTotalRevenueAmt |
| CY Total Revenue | $15,513,649 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,180,667 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,214,143 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,259,150 | PYOtherExpensesAmt |
| CY Other Expenses | $8,858,197 | CYOtherExpensesAmt |
| PY Total Expenses | $14,439,817 | PYTotalExpensesAmt |
| CY Total Expenses | $14,072,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$677,294 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,441,309 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,386,206 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,506,068 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,407,499 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,944,156 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,978,707 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,561,912 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENRICH THE HEALTH AND LIVES OF THOSE WE SERVE THROUGH INDIVIDUALIZED, COMPASSIONATE AND EXCEPTIONAL CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,145,985 | ExpenseAmt |
| Revenue | $13,390,655 | RevenueAmt |
| Desc | THE HOSPITAL IS A 39-BED ACUTE CARE HOSPITAL LOCATED IN THE CITY OF PURCELL, OKLAHOMA. THE HOSPITAL IS LEASED FROM THE CITY OF PURCELL, OKLAHOMA TO THE PURCELL PUBLIC WORKS AUTHORITY. THE HOSPITAL WAS CREATED UNDER THE LAWS OF THE STATE OF OKLAHOMA AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3). THE HOSPITAL PROVIDES SHORT-TERM ACUTE HEALTH AND EMERGENCY CARE TO THE CITIZENS OF PURCELL, OKLAHOMA AND SURROUNDING COMMUNITIES REGARDLESS OF ABILITY TO PAY. WE OFFER A MEDICAL CLINIC AND SPECIALTY CLINIC TO MAKE ACCESS TO SPECIALISTS MORE CONVENIENT FOR THE COMMUNITY. EYE SURGERY, PAIN MANAGEMENT, SCOPES AND GENERAL SURGERY ARE PERFORMED IN OUR FACILITY. OUR FACILITY CAN ALSO FULFILL THE NEEDS OF SWING BEDS AND OBSERVATION STAYS. THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SINCE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. | Desc |
| Total Program Service Expenses | $12,145,985 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 150 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY A MORRIS | PersonNm |
| Phone | 4055272359 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 511 | AddressLine1Txt |
| City | PURCELL | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73080 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| KEM SCULLY | ||||||||
| CEO | 40.0 | 1.0 | Yes (X) | $138,059 | $0 | $16,958 | ||
| TONJA SHANDY | ||||||||
| PHYSICIAN ASSISTANT | 40.0 | 0.0 | $125,669 | $0 | $16,806 | Yes (X) | ||
| MARY A MORRIS | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $69,412 | $0 | $7,392 | ||
| DAVID SHIRLEY | ||||||||
| BOARD CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JUSTIN BLANKENSHIP | ||||||||
| VICE-CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TODD CLOUSE | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TAMMY POWELL | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| TREY SMITH | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $333,140 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $41,156 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SSMOK | |||||
| 777 NW 63RD STREET SUITE 417 | OKLAHOMA CITY | OK | 76116 | SOFTWARE AND SUPPORT | $173,354 |
| NATIVE INVESTMENTS LTD CO | |||||
| PO BOX 215 | ELMORE CITY | OK | 73433 | EQUIPMENT RENTAL | $162,202 |
| PICIS CLINICAL SOLUTIONS INC | |||||
| 33313 COLLECTION CENTER DRIVE | CHICAGO | IL | 606930333 | OUTSOURCED BILLING | $339,971 |
| EMCARE PHYSICIAN SERVICES | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ER PHYSICIAN CVG | $1,024,751 |
| ST ANTHONY HOSPITAL | |||||
| PO BOX 205 | OKLAHOMA CITY | OK | 73101 | NUC MED/TELEHEALTH | $122,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,102,193 | GovernmentGrantsAmt |
| Total Contributions | $2,102,193 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $11,900,718 | $11,900,718 |
| CITY APPROPRIATIONS | 900099 | $1,391,342 | $1,391,342 |
| CLINIC RENT | 531120 | $79,802 | $79,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,371,862 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,397 | TotalRevenueColumnAmt |
| Exclusion | $3,397 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,023 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,023 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,023 | TotalRevenueColumnAmt |
| Exclusion | $11,023 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 722210 | $6,381 | $6,381 | |
| MEDICAL RECORDS REVENUE | 561000 | $2,652 | $2,652 | |
| Miscellaneous Income | 900099 | $16,141 | $16,141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,174 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,513,649 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,390,655 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $20,801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,821 | TotalAmt |
| Management And General | $231,821 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,724 | TotalAmt |
| Program Services | $122,724 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,078,960 | TotalAmt |
| Program Services | $3,736,317 | ProgramServicesAmt |
| Management And General | $342,643 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,295 | TotalAmt |
| Management And General | $3,295 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,791 | TotalAmt |
| Program Services | $384,577 | ProgramServicesAmt |
| Management And General | $46,214 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,552 | TotalAmt |
| Program Services | $296,639 | ProgramServicesAmt |
| Management And General | $49,913 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,142 | TotalAmt |
| Management And General | $27,142 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,600 | TotalAmt |
| Management And General | $39,600 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,199 | TotalAmt |
| Management And General | $2,199 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,142,684 | TotalAmt |
| Program Services | $2,502,395 | ProgramServicesAmt |
| Management And General | $640,289 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,557 | TotalAmt |
| Program Services | $6,109 | ProgramServicesAmt |
| Management And General | $7,448 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,424,453 | TotalAmt |
| Program Services | $1,408,054 | ProgramServicesAmt |
| Management And General | $16,399 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,115 | TotalAmt |
| Program Services | $137,826 | ProgramServicesAmt |
| Management And General | $25,289 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,098 | TotalAmt |
| Program Services | $326,239 | ProgramServicesAmt |
| Management And General | $59,859 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,894 | TotalAmt |
| Program Services | $3,694 | ProgramServicesAmt |
| Management And General | $200 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,521 | TotalAmt |
| Program Services | $2,827 | ProgramServicesAmt |
| Management And General | $1,694 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,065 | TotalAmt |
| Program Services | $15,065 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,291 | TotalAmt |
| Program Services | $73,856 | ProgramServicesAmt |
| Management And General | $367,435 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,195 | TotalAmt |
| Program Services | $146,343 | ProgramServicesAmt |
| Management And General | $26,852 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $2,290,253 | $2,290,253 | |
| Medical Supplies | $463,240 | $463,240 | |
| Repairs and Maintenance | $167,988 | $167,988 | |
| Licenses & Taxes | $42,966 | $35,067 | $7,899 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,936 | TotalAmt |
| Program Services | $26,772 | ProgramServicesAmt |
| Management And General | $30,164 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,072,340 | TotalAmt |
| Program Services | $12,145,985 | ProgramServicesAmt |
| Management And General | $1,926,355 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,029,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,124,798 | BOYAmt |
| EOY | $4,047,185 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,478,886 | BOYAmt |
| EOY | $1,603,596 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,363 | BOYAmt |
| EOY | $62,598 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,328 | BOYAmt |
| EOY | $98,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,790,011 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,547,503 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,408,527 | BOYAmt |
| EOY | $2,242,508 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,304 | BOYAmt |
| EOY | $421,578 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,386,206 | BOYAmt |
| EOY | $9,506,068 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $995,633 | BOYAmt |
| EOY | $904,540 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,059,547 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,819 | BOYAmt |
| EOY | $1,450,643 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $991,500 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,588,973 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,407,499 | BOYAmt |
| EOY | $3,944,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,978,707 | BOYAmt |
| EOY | $5,561,912 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,978,707 | BOYAmt |
| EOY | $5,561,912 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,386,206 | BOYAmt |
| EOY | $9,506,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,441,309 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $141,896 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,199 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,199 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE HOSPITAL PAYS DUES TO ORGANIZATIONS LIKE THE OKLAHOMA HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,186 | OtherCostOrOtherBasisAmt |
| Book Value | $22,186 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,265,335 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,080,710 | DepreciationAmt |
| Book Value | $1,184,625 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,072,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $974,641 | DepreciationAmt |
| Book Value | $97,873 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,385,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,449,931 | DepreciationAmt |
| Book Value | $935,324 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,221 | DepreciationAmt |
| Book Value | $2,500 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,242,508 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EST AMOUNTS DUE TO 3RD PARTY PAYERS | Desc |
| Amt | $1,588,973 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,588,973 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $13,208,331 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,305,318 | OtherRevenueAmt |
| Revenue Not Reported | -$2,305,318 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,513,649 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,513,649 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,767,022 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $11,767,022 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,305,318 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,305,318 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,072,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Schedule D, Part X, Line 2 | ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Form 990, Schedule D, Part XI, Line 2 | Reconciliation of Revenue per Audited Financial Statements with Return: Bad Debt Expense ($2,290,253) Interest Expense ($15,065) ------------- Total ($2,305,318) |
| Form 990, Schedule D, Part XII, Line 4 | Reconciliation of Expenses per Audited Financial Statements with Return: Bad Debt Expense $2,290,253 Interest Expense $15,065 -------------- Total $2,305,318 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,030,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $765,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $264,349 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,042,431 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $765,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $276,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,376,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,110,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $266,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,376,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,110,455 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $266,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,419,322 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,876,243 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $543,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04600 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,290,253 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $407,665 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,832,807 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,388,217 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $444,590 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PURCELL MUNICIPAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 NORTH GREEN AVENUE | AddressLine1Txt |
| City | PURCELL | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73080 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PURCELLHOSPITAL.COM | WebsiteAddressTxt |
| State License | 2280 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 1 PROVIDER BASED CLI | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PURCELL MUNICIPAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PURCELLHOSPITAL.COM/ABOUT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.PURCELLHOSPITAL.COM/ABOUT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: A SURVEY RAN FROM APRIL 2, 2019 TO APRIL 16, 2019. COMMUNITY MEETINGS WERE HELD ON APRIL 2, 16 AND APRIL 30, 2019. ATTENDEES WERE FROM PURCELL SCHOOLS, MCCLAIN BANK, PURCELL MUNICIPAL HOSPITAL, GLENN A. MEAD DDS, OSU EXTENSION OFFICE, CITY OF PURCELL, EDWARD JONES INVESTMENTS, HEALTHBACK, WADLEY'S FUNERAL, WADLEY'S EMS, LEXINGTON NURSING HOME, FARMERS INSURANCE, MID AMERICA TECH CENTER, THERAPY IN MOTION, ROB'S RANCH FOR MEN/ADDICTION TREATMENT AND PURCELL REGISTER(NEWSPAPER). |
| SCHEDULE H, PART V, SECTION B, LINE 7a & 10a | THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: WWW.PURCELLHOSPITAL.COM/ABOUT/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: ACCESS TO PRIMARY CARE INCLUDING INCREASING THE NUMBER OF PROVIDERS WAS THE NEED IDENTIFIED. THE HOSPITAL IS IN THE PROCESS OF BUILDING A NEW FACILITY AND THERE WILL BE A PHYSICIAN'S BUILDING ON THE GROUNDS. THE NEW HOSPITAL AND PHYSICIAN'S BUILDING WILL AID IN THE RECRUITMENT OF PHYSICIANS AND SPECIALIST. DURING FISCAL YEAR 2021, THE HOSPITAL HIRED A FULL TIME NURSE PRACTITIONER TO ADD MORE PRIMARY CARE VISIT OPTIONS TO THE COMMUNITY. A PHYSICIAN WAS HIRED THROUGH THE SSM NETWORK WHO IS ALSO PART OF THE SSM FAMILY CLINIC IN PURCELL. ALSO, A SURGEON WAS HIRED THROUGH THE SSM NETWORK WHO VISITS TWICE A MONTH FOR PROCEDURES AND CONSULTS. |
| SCHEDULE H, PART V, SECTION B, LINE 6B | CHNA conducted with one or more organizations other than hospital facilities: OKLAHOMA OFFICE OF RURAL HEALTH AND OSU CENTER FOR RURAL HEALTH. |
| SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C | FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTPS://purcellhospital.com/patient-info/ |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -Medical Indigency -Insurance Status -Underinsurance status SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7 COL(F) PERCENT OF TOTAL EXPENSE: 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 $2,290,253. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: 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. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY: THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS UNDER THE Organization's charity care policy is 17.8%. THIS WAS DETERMINED BY USING THE PERCENTAGE IF THE POPULATION IN THE SERVICE AREA THAT IS UNDER THE FEDERAL POVERTY GUIDELINE ESTABLISHED FOR CHARITY CARE. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients, and others. The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions. SCHEDULE H, PART III, SECTION A, LINE 8 COSTING METHODOLOGY: TOTAL REVENUE RECEIVED FROM MEDICARE (INCLUDING DSH AND IME) IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT (INCLUDING LSA). BOTH THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | COLLECTION PRACTICES: PURCELL MUNICIPAL HOSPITAL WILL NOT IMPOSE EXTRAORDINARY COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE POLICY. COLLECTION EFFORTS WILL CEASE FOR PATIENTS THAT ARE IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. ONCE THERE IS A DETERMINATION OF FINANCIAL ASSISTANCE, ANY PERSONAL PORTION DUE WOULD FOLLOW NORMAL COLLECTION PROCEDURES. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: IN ADDITION TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT STATISTICAL ANALYSIS OF PUBLIC DATA, SPECIFICALLY COMMUNITY OUT-MIGRATION DATA IS ANALYZED TO DETERMINE UNMET COMMUNITY NEEDS. CONSTITUENTS VOCALIZE DIRECTLY TO HOSPITAL EMPLOYEES, ADMINISTRATION, AND GOVERNING BOARD THEIR DESIRES FOR SERVICES TO BE RENDERED LOCALLY. PHYSICIANS WITH ADMITTING PRIVILEGES AT PMH COMMUNICATE TO THE GOVERNING BOARD AND ADMINISTRATION ANY UNMET PATIENT NEEDS. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED AND EDUCATED ABOUT THE FINANCIAL ASSISTANCE POLICY AT PMH DURING THE ADMISSION PROCESS AND DURING ANY POST-DISCHARGE FINANCIAL COUNSELING. PATIENTS ARE ADVISED ABOUT THEIR POTENTIAL ELIGIBILITY FOR STATE, FEDERAL AND LOCAL ASSISTANCE DURING THE SAME PROCESS. COMMUNICATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED ON THE HOSPITAL'S WEBSITE AND THROUGH VARIOUS POSTINGS THROUGHOUT THE HOSPITAL. PROGRAM INFORMATION INCLUDES A CONTACT PHONE NUMBER AND IS WRITTEN IN THE PRIMARY LANGUAGE SPOKEN BY THE COMMUNITY'S POPULATIONS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR FAMILY MEMBER. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: PURCELL MUNICIPAL HOSPITAL (PMH) IS A 39-BED ACUTE CARE HOSPITAL LOCATED IN THE CITY OF PURCELL, OKLAHOMA. THE HOSPITAL IS LEASED FROM THE CITY OF PURCELL, OKLAHOMA TO THE PURCELL PUBLIC WORKS AUTHORITY. PMH SERVES PATIENTS FROM CENTRAL AND SOUTHERN MCCLAIN COUNTY, NORTHERN AND WESTERN GARVIN COUNTY, AND WESTERN PONTOTOC COUNTY. THE HOSPITAL SERVES A SIGNIFICANT UNDOCUMENTED PATIENT BASE SERVING THE AGRICULTURE AND EQUINE INDUSTRIES. PURCELL AND MCCLAIN COUNTY OF OKLAHOMA HAVE BEEN DEEMED A MEDICALLY UNDERSERVED AREA (MUA) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. PURCELL, OKLAHOMA HAS A POPULATION OF 6,931 WITH A MEDIAN HOUSEHOLD INCOME OF $56,576 AND THE POVERTY RATE IS AT 17.8%. THE ECONOMY IS SPECIALIZED IN MINING, QUARRYING, OIL GAS EXTRACTION; CONSTRUCTION; AND PUBLIC ADMINISTRATION. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: PURCELL MUNICIPAL HOSPITAL IS GOVERNED BY A 5-PERSON BOARD APPOINTED BY THE TRUSTEES OF THE PURCELL PUBLIC WORKS AUTHORITY FOR A 4-YEAR TERM OF OFFICE. THE ATTENDANCE OF THE CHIEF OF MEDICAL STAFF (EX-OFFICIO AND NON-VOTING) AND THE CHIEF EXECUTIVE OFFICER (EX-OFFICIO AND NON-VOTING) AT THE MONTHLY BOARD MEETINGS ARE REQUIRED BY THE HOSPITAL'S BY-LAWS. EACH MEETING IS OPEN TO THE PUBLIC AND ADHERES TO THE GUIDELINES SET FORTH IN THE OKLAHOMA OPEN MEETINGS ACT. A ONE-CENT SALES TAX INCREASE WAS EARMARKED FOR PURCELL MUNICIPAL HOSPITAL ON JANUARY 1, 2017. THE SALES TAX INCREASE WILL HELP GENERATE NEEDED REVENUE TO MEET OPERATIONAL EXPENSES AT THE HOSPITAL. THE SALES TAX WILL REMAIN IN EFFECT FOR THREE YEARS. AN ELECTION WAS HELD IN AUGUST 2018 AND A CONTINUATION OF THE ONE CENT SALES TAX FOR 20 ADDITIONAL YEARS WAS PASSED. THE PMH MEDICAL STAFF IS OPEN TO ALL COMMUNITY PHYSICIANS THAT MEET THE MEDICAL STAFF BY-LAW CRITERION FOR THE DESIRED PRIVILEGING LEVEL. THE HOSPITAL IS THE SOLE PROVIDER IN THE COMMUNITY. SEVERAL COVID VACCINE CLINICS WERE HELD. WE ALSO HOST THE BLOOD MOBILE IN OUR PARKING LOT WHEN THEY ARE RECEIVING COMMUNITY BLOOD DONATIONS. WE PUT UP SIGNAGE AND POST ON OUR MARQUEE WHEN THE BLOOD MOBILE WILL BE IN OUR PARKING LOT. WE ARE A SOLE COMMUNITY PROVIDER. WE HAVE AN AUXILIARY GIFT SHOP THAT IS STAFFED BY VOLUNTEERS. CPR CERTIFICATION IS PROVIDED TO OUR HEALTHCARE EMPLOYEES LOCATED IN PATIENT CARE AREAS. WE PARTICIPATE IN THE COMMUNITY NEEDS ASSESSMENT. WE OFFER OUTPATIENT CATARACT SURGERY SO THAT OUR AGING COMMUNITY DOESN'T HAVE TO TRAVEL A GREATER DISTANCE FOR THIS SERVICE. WE ALSO HAVE AN ENDOSCOPY DEPARTMENT THAT PROVIDES THE PATIENTS WITH THE CHOICE OF HAVING THEIR NEEDED SCREENINGS LOCALLY RATHER THAN HAVING TO TRAVEL TO ANOTHER FACILITY AT A GREATER DISTANCE. WE ALSO HAVE A CLINIC THAT IS ABLE TO OFFER A LESS EXPENSIVE ALTERNATIVE FOR MINOR EMERGENCIES RATHER THAN THE MORE EXPENSIVE EMERGENCY DEPARTMENT. THIS HAS BEEN RECEIVED WELL BY THE COMMUNITY. WE ALSO RENT OUT A SPACE TO SPECIALIST SUCH AS CARDIOLOGISTS, EYES, ORTHO, UROLOGY AND OTHER SPECIALTIES SO THAT OUR COMMUNITY AND SURROUNDING AREAS MAY HAVE EASIER ACCESS TO THIS MUCH NEEDED HEALTH CARE. DUE TO COVID, THE HOSPITAL WAS FORCED TO LIMIT INTERACTION WITH THE PUBLIC. HOWEVER, THERE WERE A NUMBER OF VACCINE CLINICS AND CURBSIDE TESTING CONDUCTED THROUGHOUT THE HEIGHT OF THE PANDEMIC. THE HOSPITAL ALSO PROVIDED TELEHEALTH TO THE INPATIENTS, ALONG WITH THE CLINIC. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: N/A. |
| SCHEDULE H, PART VI, LINE 7 | REPORTS FILED WITH STATES: OKLAHOMA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEM SCULLY | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $137,369 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $690 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $16,958 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $155,017 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BRITTANY SCULLY | |||
| DAUGHTER IN LAW OF CEO | $85,081 | EMPLOYEE COMPENSATION AND BENE | false |
| SUSIE THRASH | |||
| DAUGHTER OF CFO | $37,643 | EMPLOYEE COMPENSATION AND BENE | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY: ALL BOARD MEMBERS ARE APPROVED AND APPOINTED BY PURCELL PUBLIC WORKS AUTHORITY. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNANCE DECISIONS: NO MEMBER OF THE BOARD SHALL, WITHOUT THE PRIOR WRITTEN CONSENT OF PURCELL PULIC WORKS AUTHORITY: (A) ENTER INTO ANY CONTRACT WITH THE BOARD OR THE AUTHORITY RELATING IN ANY MANNER TO THE HOSPITAL; OR (B) PROFIT IN ANY MANNER, DIRECTLY OR INDIRECTLY, BY REASON OF MEMBERSHIP ON THE BOARD; OR (C) BE ELIGIBLE FOR EMPLOYMENT BY THE BOARD OR THE AUTHORITY WITHIN TWO YEARS AFTER EXPIRATION OF THE TERM FOR WHICH SUCH MEMBER WAS APPOINTED. |
| FORM 990, PART VI, SECTION A, LINE 8B | AUTHORITY TO ACT ON BEHALF OF GOVERNING BODY: NO COMMITTEES ARE ABLE TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990: THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE CEO & CFO REVIEW THE 990 WITH THE HOSPITAL'S AUDITOR TO ENSURE ITS ACCURACY. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: AT THE BEGINNING OF EACH CALENDAR YEAR, BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND DISCLOSE ALL POSSIBLE CONFLICTS OF INTEREST. THESE ARE REVIEWED AND IF A CONFLICT ARISES THE BOARD MEMBER WITH THE CONFLICT WOULD NOT VOTE ON THE MATTER AND MAY BE ASKED TO LEAVE THE MEETING. IF THE AGENDA TO BE VOTED ON CONCERNS SSM AND THE AFFILIATION, THE SSM MEMBER WILL NOT VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15A | DETERMINING CEO COMPENSATION: COMPENSATION FOR THE CEO IS REVIEWED ANNUALLY AND DETERMINED BY THE BOARD OF DIRECTORS. MULTIPLE RESOURCES ARE USED AS COMPARABLE DATA. WAGE COMPARISONS REPORTED BY THE OKLAHOMA HOSPITAL ASSOCIATION ARE USED MOST OFTEN. THESE COMPARISONS USE VARIOUS CRITERIA INCLUDING BED SIZE, NUMBER OF EMPLOYEES AND REVENUE CATEGORY. THE PROCESS IS DOCUMENTED IN THE PERSONNEL FILE AND COMPENSATION IS REPORTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC AVAILABILITY: ANY GOVERNING DOCUMENT, CONFLICT OF INTEREST STATEMENT, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, Line 8 | PRIOR PERIOD ADJUSTMENT: In prior years, the Hospital did not record the Hospital's investment in equity investee. In 2021, the Hospital retroactively changed its accounting method to record the Hospital's investment in Tecumseh. This change did not have a material impact on previously reported change in net position for the year ended June 30, 2020. An adjustment of $141,896 applicable to 2020 and prior has been included in the restated 2021 beginning net position. |
| FORM 990, PART VI, SECTION B, LINE 15B | DETERMINING COMPENSATION OF OTHER OFFICERS: THE COMPENSATION OF THE OTHER OFFICERS ARE DETERMINED BY A COMPENSATION TEAM AND THE REVIEW IS DOCUMENTED WITHIN THE HUMAN RESOURCE FILES. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1478361 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REFERENCE LABS TOTAL FEES:457115 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL COMPONENT TOTAL FEES:209654 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:291037 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING & MANAGEMENT TOTAL FEES:118745 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:85566 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION SERVICES TOTAL FEES:502206 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PURCELL MUNICIPAL HOSPITAL FDN INC | ||||||||||
| 1500 NORTH GREEN AVENUE | PURCELL | OK | 73080 | 731528938 | SUPPORT PMH | OK | 501(C)(3) | 12, TYPE I | PMH | Yes (true) |
| PURCELL PUBLIC WORKS AUTHORITY | ||||||||||
| 230 WEST MAIN STREET | PURCELL | OK | 73080 | 736005387 | LESSOR OF PMH | OK | GOVT | NA | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |