2019-11-15T20:06:08-06:00 2018-12-31 450250958 EIDE BAILLY LLP 621 N ROBINSON AVE STE 200 OKLAHOMA CITY OK 731026232 990 2018-01-01 731455422 McCurtain Memorial Hospital Foundation Inc MCCU 5802083100 1301 E Lincoln Road Idabel OK 74745 Brad Morse CEO 5802083100 2019-11-15 1 Kim Hunwardsen CPA P00484560 4055942000 2019-11-15 216.147.181.47 2019-11-15 16:49:44 CS P E10085862974BF89EE8F231EB831862A8F193D10 E10085862974BF89EE8F231EB831862A8F193D10 2018 2020-03-31 21:24:44Z Brad Morse 1301 E Lincoln Road Idabel OK 74745 583050 0 X N/A X 1994 OK Support McCurtain Memorial Hospital and other exempt subsidiaries. 4 4 0 4 0 0 7008 6551 234300 216400 14984 122200 -5691 8095 250601 353246 6900 1355658 0 0 0 0 0 0 0 99095 93253 105995 1448911 144606 -1095665 2001866 696206 557769 347774 1444097 348432 X The McCurtain Memorial Hospital Foundation is a charitable organization created to promote and provide financial support to McCurtain Memorial Hospital and other 501(c)(3) organizations to ensure safe, reliable, and affordable healthcare for our community. 0 1 1446316 1355658 216400 The Foundation supports the McCurtain Memorial Hospital by providing medical office buildings for lease for medical professionals who provide services in Idabel, Valliant and Broken Bow, Oklahoma. Total gross revenues from the medical office buildings were $216,400 with related lease expenses of $90,658. 1446316 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 OK X Chuck Cave 5802083100 1301 E Lincoln Road Idabel OK 74745 Jia Bain Johnson Secretary 1.00 0.00 X X 0 0 0 Charles Nation Co-Chairperson 1.00 0.00 X X 0 0 0 Cindy Kennedy Co-Chairperson 1.00 0.00 X X 0 0 0 Billie Tomlinson Member as of March 2018 1.00 0.00 X 0 0 0 Ray B Whitmore Jr CFO 3.00 40.00 X 0 84073 24174 0 84073 24174 0 0 0 0 0 6551 6551 Rental Revenue 531120 216400 216400 216400 196 196 350000 227996 122004 122004 122004 0 6551 1808 -1808 -1808 Interest on notes rece 900099 9903 9903 9903 353246 216400 0 130295 1355658 1355658 1800 1800 688 688 107 107 24095 24095 66563 66563 1448911 1446316 2595 0 15823 22537 1040575 55415 1724254 1106000 912813 618254 32655 0 2001866 696206 579 1800 557190 345714 0 260 557769 347774 X 0 0 0 0 1444097 348432 1444097 348432 2001866 696206 -1095665 0 X 0 0 0 X X 1 McCurtain Memorial Hospital 736617937 3 1 1355658 90658 1 1355658 90658 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 Part I, Line 11g, Column (vi): The organization supports the McCurtain Memorial Hospital by providing medical office buildings for lease for medical professionals who provide services in Idabel, Valliant and Broken Bow, Oklahoma. The expenses for the medical office buildings included $24,095 in interest expense and $66,563 in depreciation expense. The Foundation also gave a grant in the amount of $1,355,658 for the Hospital. Part IV, Section A, Line 6: The Foundation provides office space for lease to physicians that provide medical services in Idabel, Valliant and Broken Bow, Oklahoma. This ensures McCurtian Memorial Hospital has safe, reliable, and affordable healthcare for the community. 77197 77197 1613477 1072420 541057 33580 33580 0 618254 Accrued interest expense 260 260 1 McCurtain Memorial Hospital 1301 E Lincoln Rd Idabel OK 74745 736617937 1355658 Health care needs and debt forgiveness 1 0 Part I, Line 2: McCurtain Memorial Hospital Foundation is a supporting organization to McCurtain Memorial Hospital. The Foundation provides support through fundraising and other activities for the Hospital. The Hospital's CFO works closely with the Foundation and the board members to ensure funds are used appropriately. Form 990, Part III, line 3 The Foundation no longer owns and leases North Broken Bow Clinic as it was sold on August 15, 2018. Form 990, Part VI, Section A, line 1 The Board of Directors, by a vote of a majority of the whole board, may designate an Executive Committee to serve at the pleasure of the board and shall elect a director or directors to serve as the member or members of the Executive Committee, designating, if it desires, other directors as alternate members who may replace any absent or disqualified member at any meeting of the Executive Committee. The Executive Committee, except to the extent as it may be restricted from time to time by the vote of a majority of the whole board, may exercise all the powers and authority of the Board of Directors in the management of the business and affairs of the corporation. The Executive Committee shall have no power or authority in reference to amending the Certificate of Incorporation, adopting an agreement of merger or consolidation, recommending to the members the sale, lease or exchange of all or substantially all of the property and assets of the corporation, recommending to the members a dissolution of the corporation or a revocation of a dissolution, or amending the bylaws of the corporation. Form 990, Part VI, Section A, line 6 Sole member is McCurtain Memorial Hospital. Form 990, Part VI, Section A, line 7a The sole member, McCurtain Memorial Hospital has the authority to elect members of the governing body. Form 990, Part VI, Section A, line 8b The Executive Committee has authority to act on behalf of the governing body but did not meet during the fiscal year. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CFO and provided to each Board Member via email before it is filed. Form 990, Part VI, Section B, line 12c All board members are required to complete a conflict of interest statement annually. The officers and key employees do not complete the annual conflict of interest statement. The Board reviews the forms for potential conflicts. The Board of Directors reviews when the conflict is first presented and annually report on the conflicts. The individuals who have conflicts are not present during discussions by the board or vote regarding the conflicts. Form 990, Part VI, Section C, line 19 Documents were made available upon request during normal business hours at the principal office of the Corporation. McCurtain Memorial Medical Mgmt Inc 1301 E Lincoln Road Idabel OK 74745 736617937 Provision of health care services OK 501(c)(3) Line 3 N/A 0 0 1 0 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0