FARMERS UNION HOSPITAL ASSOCIATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FARMERS UNION HOSPITAL ASSOCIATION (EIN 73-0579295)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-04-30
- IRS object ID
- 201531209349300208
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-04-30T09:09:38-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752570395 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURBIN & COMPANY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 79413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730579295 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FARMERS UNION HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Business Name Line2 | D/B/A GREAT PLAINS REGIONAL MEDICAL CTR | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FARM | BusinessNameControlTxt |
| Phone | 5802252511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 WEST THIRD LINCOLN BOX 2339 | AddressLine1 |
| City | ELK CITY | City |
| State | OK | State |
| ZIP Code | 73648 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA SCOTT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5802252511 | PhoneNum |
| Signature | 2015-04-30 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GAYLE DE HAAS | PreparerPersonNm |
| PTIN | P01774581 | PTIN |
| Phone | 8067911591 | PhoneNum |
| Preparation | 2015-04-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MONICA SCOTT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 WEST THIRD LINCOLN BOX 2339 | AddressLine1 |
| City | ELK CITY | City |
| State | OK | State |
| ZIP Code | 73648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,193,851 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GPRMC-OK.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1929 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | GREAT PLAINS REGIONAL MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE STATE LAWS OF OKLAHOMA FOR THE SOLE PURPOSE OF PROVIDING COMPREHENSIVE, COST-EFFECTIVE, HIGH QUALITY HEALTHCARE TO OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 504 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $14,497 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$13,777 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,008 | PYContributionsGrantsAmt |
| CY Contributions Grants | $87,134 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,544,365 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,946,279 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,016,818 | PYInvestmentIncomeAmt |
| CY Investment Income | $670,031 | CYInvestmentIncomeAmt |
| PY Other Revenue | $882,532 | PYOtherRevenueAmt |
| CY Other Revenue | $1,245,542 | CYOtherRevenueAmt |
| PY Total Revenue | $48,467,723 | PYTotalRevenueAmt |
| CY Total Revenue | $48,948,986 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,550 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,342 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,747,406 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,271,705 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,609,542 | PYOtherExpensesAmt |
| CY Other Expenses | $31,366,434 | CYOtherExpensesAmt |
| PY Total Expenses | $51,358,498 | PYTotalExpensesAmt |
| CY Total Expenses | $51,642,481 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,890,775 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,693,495 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,590,448 | TotalAssetsBOYAmt |
| Total Assets EOY | $85,483,381 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,463,259 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,049,687 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $49,127,189 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $46,433,694 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GREAT PLAINS REGIONAL MEDICAL CENTER WILL DISTINGUISH ITSELF AS THE LEADER IN WESTERN OKLAHOMA & THE EASTERN TEXAS PANHANDLE FOR COMPREHENSIVE, COST EFFECTIVE, HIGH-QUALITY HEALTHCARE. WE WILL MEET THE HEALTHCARE NEEDS OF PATIENTS IN OUR SERVICE AREA WHILE ACHIEVING COST EFFECTIVE QUALITY OUTCOMES. WE WILL MAINTAIN AND ENHANCE COLLABORATIVE RELATIONSHIPS WITH PHYSICIANS TO BETTER SERVE THE HEALTHCARE NEEDS OF OUR SERVICE AREA. WE WILL MAINTAIN AND CONTINUALLY ENHANCE HEALTH PROMOTION, PATIENT EDUCATION AND DISEASE PREVENTION FOR PATIENTS IN OUR SERVICE AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,822,702 | ExpenseAmt |
| Grant | $4,342 | GrantAmt |
| Revenue | $47,808,983 | RevenueAmt |
| Desc | FARMERS UNION HOSPITAL ASSOCIATION, DBA GREAT PLAINS REGIONAL MEDICAL CENTER IN ELK CITY, OKLAHOMA (HEREINAFTER REFERRED TO AS GPRMC) PROVIDES QUALITY HEALTH CARE REGARDLESS OF RACE, RELIGION, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF GPRMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, AND HEALTH CARE ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHETHER THE NEED AND/OR INDIVIDUALS INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS,SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, & MEDICALLY UNDER-SERVED, AND OTHER BROAD COMMUNITY SUPPORT ACTIVITIES.GPRMC SERVED OVER 2,170 PATIENTS WITH MORE THAN 7,770 PATIENT DAYS ON AN INPATIENT BASIS. WE ALSO HAD 60,567 OUTPATIENT ENCOUNTERS WITH PATIENTS DURING THE YEAR. WE TREATED 14,260 PATIENTS IN THE EMERGENCY DEPARTMENT. OUR SURGICAL TEAMS PERFORMED 1,852 OUTPATIENT SURGERIES DURING THE YEAR.GPRMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL AND OTHER PROGRAMS AS PART OF ITS MISSION TO THE COMMUNITY. THESE PROGRAMS MAY NOT PAY FULL CHARGES. TO THE EXTENT REIMBURSEMENT IS BELOW FULL CHARGES, GPRMC RECOGNIZES THESE AMOUNTS AS CONTRACTUAL ADJUSTMENTS IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. ALSO, IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GPRMC PROVIDES SERVICES FOR THOSE UNABLE TO PAY. ADDITIONALLY, GPRMC HAS PROVIDED SERVICES TO OTHERS WHO ARE EITHER UNWILLING OR UNABLE TO QUALIFY FOR CHARITY CARE GUIDELINES BUT WHO ARE STILL UNABLE TO PAY. COMMUNITY BENEFIT IS ALSO PROVIDED BY GPRMC BY ITS PROVIDING REDUCED PRICE SERVICES, FREE PROGRAMS OFFERED THROUGHOUT THE YEAR, AND INITIATIVES WHICH GPRMC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. SEE SCHEDULE H FOR MORE INFORMATION REGARDING THESE ACTIVITIES. | Desc |
| Total Program Service Expenses | $47,822,702 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 276 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 504 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET MILLER EXECUTIVE ASSISTANT | PersonNm |
| Phone | 5808215302 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2339 | AddressLine1 |
| City | ELK CITY | City |
| State | OK | State |
| ZIP Code | 73648 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PAUL KUMPF | |||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD ALBERT | |||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK MORRISON DDS | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT WILLIAMS DO | |||||||
| CHIEF OF STAFF (FORMER) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| J COFFEY MD | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN FORSBERG MD | |||||||
| CHIEF OF STAFF | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EMORY THOMAS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GENE SMITH | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL GWARTNEY | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANNY SPROWLS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COREY LIVELY | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| MONICA SCOTT | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $97,203 | $0 | $0 | Yes (X) | ||
| MISTY CARTER | |||||||
| CHIEF OPERATING OFFICER | 40.00 | $94,702 | $0 | $0 | Yes (X) | ||
| LAURA KURZENDOERFER | |||||||
| CHIEF NURSING OFFICER | 40.00 | $220,658 | $0 | $0 | Yes (X) | ||
| DON IKNER | |||||||
| CHEIF EXECUTIVE OFFICER (FORMER) | 40.00 | $191,206 | $0 | $0 | Yes (X) | ||
| STEVE STEWART | |||||||
| CHIEF FINANCIAL OFFICER (FORMER) | 40.00 | $128,039 | $0 | $0 | Yes (X) | ||
| TRACY BYERS | |||||||
| CHIEF OPERATING OFFICER (FORMER) | 40.00 | $128,114 | $0 | $0 | Yes (X) | ||
| FRANCIS ABRAHAM | |||||||
| VICE CHIEF OF STAFF/PHYSICIAN | 40.00 | $380,237 | $0 | $0 | Yes (X) | ||
| LINDSEY PENA | |||||||
| PHYSICIAN | 40.00 | $365,705 | $0 | $0 | Yes (X) | ||
| TIFFANY DUPREE | |||||||
| PHYSICIAN | 40.00 | $299,413 | $0 | $0 | Yes (X) | ||
| JANICE WITT | |||||||
| PHYSICIAN | 40.00 | $200,025 | $0 | $0 | Yes (X) | ||
| LELAND DENNIS | |||||||
| PHYSICIAN | 40.00 | $197,437 | $0 | $0 | Yes (X) | ||
| JAMIE GORE | |||||||
| PHYSICIAN | 40.00 | $179,170 | $0 | $0 | Yes (X) | ||
| THERESA GARNER | |||||||
| PHARMACIST | 40.00 | $120,334 | $0 | $0 | Yes (X) | ||
| PATRICIA DROKE | |||||||
| REGISTERED NURSE | 40.00 | $110,716 | $0 | $0 | Yes (X) | ||
| DEBRA MORRIS | |||||||
| REGISTERED NURSE | 40.00 | $108,751 | $0 | $0 | Yes (X) | ||
| MARSHA BALLEW | |||||||
| PHARMACIST | 40.00 | $100,038 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,921,748 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EM CARE PHYSICIAN SERVICES INC | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | PHYSICIAN ER COVERAGE | $1,738,378 |
| PLAINS DIAGNOSTIC IMAGING LLP | |||||
| PO BOX 2339 | ELK CITY | OK | 73648 | RADIOLOGY EQUIPMENT | $1,089,726 |
| NIGHTRAYS PA | |||||
| 10901 WEST TOLLER DRIVE SUITE 100 | LITTLETON | CO | 80127 | RADIOLOGIST SERVICES | $976,476 |
| HOSPITAL CARE CONSULTANTS INC | |||||
| 17304 PRESTON ROAD SUITE 1400 | DALLAS | TX | 75252 | HOSPITALIST | $573,600 |
| CRONIN ENTERPRISES INC | |||||
| 8270 COLLEGE PARKWAY SUITE 101-103 | FORT MYERS | FL | 33919 | OUTSIDE CODING SERVICES | $224,746 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,416 | GovernmentGrantsAmt |
| All Other Contributions | $79,718 | AllOtherContributionsAmt |
| Total Contributions | $87,134 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621990 | $45,931,050 | $45,931,050 |
| MEDICAID INCENTIVE PAY | 900099 | $806,750 | $806,750 |
| DAYCARE CENTER REVENUE | 900099 | $114,488 | $114,488 |
| OTHER SERVICE REVENUE | 900099 | $93,991 | $93,991 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,946,279 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $335,127 | TotalRevenueColumnAmt |
| Exclusion | $335,127 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,474 | TotalRevenueColumnAmt |
| Exclusion | $143,474 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,355 | TotalRevenueColumnAmt |
| Exclusion | $88,355 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $671,274 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $671,274 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $671,274 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $671,274 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $372,954 | SecuritiesAmt |
| Other | $63,341 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $183,251 | SecuritiesAmt |
| Other | $61,614 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $189,703 | SecuritiesAmt |
| Other | $1,727 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $191,430 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 722210 | $458,799 | $458,799 | |
| CATERING SERVICES | 722320 | $14,497 | $14,497 | |
| VENDING MACHINES | 445100 | $12,617 | $12,617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $485,913 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,948,986 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,808,983 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14,497 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,038,372 | 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 | $4,342 | TotalAmt |
| Program Services | $4,342 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,060 | TotalAmt |
| Program Services | $248,846 | ProgramServicesAmt |
| Management And General | $232,214 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,572,073 | TotalAmt |
| Program Services | $14,670,682 | ProgramServicesAmt |
| Management And General | $901,391 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,107,715 | TotalAmt |
| Program Services | $3,107,715 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,857 | TotalAmt |
| Program Services | $1,033,530 | ProgramServicesAmt |
| Management And General | $77,327 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,709 | TotalAmt |
| Management And General | $166,709 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,935 | TotalAmt |
| Management And General | $112,935 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,567 | TotalAmt |
| Management And General | $81,567 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,112,336 | TotalAmt |
| Program Services | $6,864,903 | ProgramServicesAmt |
| Management And General | $247,433 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,118 | TotalAmt |
| Program Services | $218,551 | ProgramServicesAmt |
| Management And General | $34,567 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,181,089 | TotalAmt |
| Program Services | $2,141,097 | ProgramServicesAmt |
| Management And General | $39,992 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,889 | TotalAmt |
| Program Services | $165,889 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,230,169 | TotalAmt |
| Program Services | $1,219,033 | ProgramServicesAmt |
| Management And General | $11,136 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,998 | TotalAmt |
| Program Services | $103,111 | ProgramServicesAmt |
| Management And General | $2,887 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,142 | TotalAmt |
| Program Services | $58,545 | ProgramServicesAmt |
| Management And General | $12,597 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,801,176 | TotalAmt |
| Program Services | $3,045 | ProgramServicesAmt |
| Management And General | $1,798,131 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,758,844 | TotalAmt |
| Program Services | $4,755,772 | ProgramServicesAmt |
| Management And General | $3,072 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,552 | TotalAmt |
| Program Services | $895,552 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $6,283,389 | $6,283,389 | |
| MEDICAL SUPPLIES | $3,842,322 | $3,842,322 | |
| EQUIPMENT LEASE/RENT | $1,264,968 | $1,264,843 | $125 |
| DIETARY EXPENSE | $597,907 | $597,907 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,324 | TotalAmt |
| Program Services | $343,628 | ProgramServicesAmt |
| Management And General | $97,696 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,642,481 | TotalAmt |
| Program Services | $47,822,702 | ProgramServicesAmt |
| Management And General | $3,819,779 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,985,815 | BOYAmt |
| EOY | $3,918,932 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,057,769 | BOYAmt |
| EOY | $18,161,825 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,374,179 | BOYAmt |
| EOY | $5,749,921 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,501 | BOYAmt |
| EOY | $1,284,175 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,371 | BOYAmt |
| EOY | $603,957 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $84,750,229 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,615,987 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,011,273 | BOYAmt |
| EOY | $49,134,242 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,415,492 | BOYAmt |
| EOY | $4,592,913 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $976,905 | BOYAmt |
| EOY | $1,257,900 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,143 | BOYAmt |
| EOY | $779,516 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,590,448 | BOYAmt |
| EOY | $85,483,381 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,597,251 | BOYAmt |
| EOY | $2,550,186 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,335,000 | BOYAmt |
| EOY | $35,505,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,008 | BOYAmt |
| EOY | $399,501 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $595,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,463,259 | BOYAmt |
| EOY | $39,049,687 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,127,189 | BOYAmt |
| EOY | $46,433,694 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,127,189 | BOYAmt |
| EOY | $46,433,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,590,448 | BOYAmt |
| EOY | $85,483,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,693,495 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $748,759 | OtherCostOrOtherBasisAmt |
| Book Value | $748,759 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,247,608 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,588,576 | DepreciationAmt |
| Book Value | $42,659,032 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,657,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $763,156 | DepreciationAmt |
| Book Value | $894,514 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,092,953 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,264,255 | DepreciationAmt |
| Book Value | $4,828,698 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,239 | OtherCostOrOtherBasisAmt |
| Book Value | $3,239 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,134,242 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEGAL ESTIMATE | Desc |
| Amt | $595,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $595,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $42,665,597 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $42,665,597 | RevenueSubtotalAmt |
| Other Revenues Not Included | $6,283,389 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $6,283,389 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $48,948,986 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $45,359,092 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $45,359,092 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $6,283,389 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $6,283,389 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $51,642,481 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE HOSPITAL EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ASC 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE THAT ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL HAS FILED ALL APPLICABLE TAX RETURNS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $816,336 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $157,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $659,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01450 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,915,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,473,789 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,442,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,732,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,631,027 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,101,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06830 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,512 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $156,409 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $156,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,342 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $205,263 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $205,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,937,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,631,027 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,306,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07280 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $2,541 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$2,541 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $13,144 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$13,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $210,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$210,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $225,969 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$225,969 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,569,707 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,863,549 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,708,757 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,629,049 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,920,292 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 PLAINS DIAGNOSTIC IMAGING LLP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL EQUIPMENT LEASING | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.80170 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.19830 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | GREAT PLAINS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2339 | AddressLine1 |
| City | ELK CITY | City |
| State | OK | State |
| ZIP Code | 73648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GPRMC-OK.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GPRMC-OK.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Other Actions | Yes (X) | OtherActionsInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GREAT PLAINS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 3: THE ORGANIZATION RELIES ON INPUT FROM PHYSICIANS, OTHER HEALTHCARE PROVIDERS, COMMUNITY LEADERS, THE BOARD OF DIRECTORS, CITIZENS, ETC. IN THE COMMUNITY. WE LOOK AT OUT-MIGRATION STUDIES TO DETERMINE WHAT SERVICES PEOPLE FROM OUR COMMUNITY ARE SEEKING AND RECEIVING FROM OUTSIDE LOCATIONS. WE ALSO CONSIDER COMPARISONS OF THE VOLUME OF PHYSICIAN SPECIALTIES IN OUR AREA TO NATIONALLY RECOGNIZED DATA. THESE FACTORS ARE ALL CONSIDERED IN ADDITION TO FEEDBACK FROM PATIENTS IN THE COMMUNITY TO DETERMINE SHORTAGE OF CARE AREAS. |
| GREAT PLAINS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 10: GREAT PLAINS REGIONAL MEDICAL CENTER (GPRMC) IS COMMITTED TO PROVIDING CARE BASED ON THE FOLLOWING PRINCIPLES:-TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, WITH RESPECT AND WITH COMPASSION.-SERVE THE EMERGENT HEALTH CARE NEEDS OF EVERYONE, REGARDLESS OF A PATIENTS' ABILITY TO PAY FOR CARE.-ASSIST PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE.-CAREFUL BALANCE BETWEEN FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH THE NEED FOR FISCAL STEWARDSHIP TO THE COMMUNITY AT LARGE.GPRMC WILL BUDGET AND FUND A REASONABLE AMOUNT OF CHARITY CARE ON AN ANNUAL BASIS TO HELP SUPPORT THE COMMUNITY MEDICAL NEEDS OF THE INDIGENT.CRITERIA:AN APPLICANT MUST MEET EACH OF THE FOLLOWING CRITERIA TO BE ELIGIBLE FOR CHARITY CARE:A. HAVE INCURRED MEDICAL EXPENSES AT GREAT PLAINS REGIONAL MEDICAL CENTER AS A RESULT OF MEDICALLY EMERGENT NON-ELECTIVE SERVICES.B. HAVE NO HEALTH INSURANCE AND APPLY AND BE DENIED DUE TO PROGRAM ELIGIBILITY IN WHOLE OR PART BY MEDICAID AND ANY OTHER PROGRAM THE HOSPITAL CONSIDERS TO BE AN ALTERNATIVE SOURCE OF PAYMENT.DENIAL DUE TO NON-COOPERATION WITH ANY POTENTIAL THIRD PARTY PAYER WILL CONSTITUTE A DENIAL OF CHARITY CARE.C. HAVE INCOME NOT TO EXCEED 200% OF THE CURRENT YEAR FEDERAL POVERTY GUIDELINES. ELIGIBILITY IS BASED UPON THE SIZE OF THE FAMILY UNIT OF THE PATIENT AND THE GROSS FAMILY INCOME FOR THE PRECEDING TWELVE (12) MONTHS. APPLICANTS WILL BE REQUIRED TO FURNISH PROOF OF INCOME FOR THE LAST TWELVE (12) MONTHS WHEN APPLICATION IS MADE. THE INCOME GUIDELINES AND DEFINITION OF FAMILY UNIT ARE DETERMINED BY THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES. APPROVED APPLICANTS WILL RECEIVE A 100% DISCOUNT IN THE MONTH THE APPLICATION IS APPROVED.AN APPROVED APPLICATION WILL REMAIN IN EFFECT FOR TWELVE (12) MONTHS IF THE INDIVIDUAL DOCUMENTS THEY CONTINUE TO MEET THE INCOME GUIDELINES.D. HAVE RESOURCES NOT TO EXCEED $5,000. HOUSEHOLD RESOURCES WILL BE DETERMINED YBY THE GUIDELINES SET FORTH BY THE DEPARTMENT OF HUMAN SERVICES.E. MAKE APPLICATION WITHIN SIXTY (60) DAYS AFTER BEING DENIED COVERAGE DUE TO PROGRAM ELIGIBILITY IN WHOLE OR PART BY MEDICAID OR ANY OTHER PROGRAM THE HOSPITAL CONSIDERS TO BE AN ALTERNATIVE SOURCE OF PAYMENT. |
| GREAT PLAINS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 12I: PATIENTS, THEIR FAMILIES, OR THEIR REPRESENTATIVES MUST REQUEST CHARITY CARE AND COMPLETE THE APPLICATION WITHIN SIXTY (60) DAYS AFTER BEING DENIED COVERAGE DUE TO PROGRAM ELIGIBILITY IN WHOLE OR PART BY MEDICAID OR ANY OTHER PROGRAM THE HOSPITAL CONSIDERS TO BE AN ALTERNATIVE SOURCE OF PAYMENT. APPLICATIONS SUBMITTED MUST INCLUDE PROOF OF INCOME BY INCLUDING A PERSONAL FINANCIAL STATEMENT, PREVIOUS YEAR'S TAX RETURN, RELEASE OF INFORMATION FROM EMPLOYERS, AND CHECK STUBS FROM THE EMPLOYER. ADDITIONALLY, THE HOSPITAL PROVIDES A 35% DISCOUNT TO ALL SELF-PAY (NO INSURANCE) PATIENTS. THERE IS AN ASSET TEST TO QUALIFY FOR CHARITY CARE. HOUSEHOLD RESOURCES ARE DETERMINED BY THE GUIDELINES SET FORTH BY THE DEPARTMENT OF HUMAN SERVICES. |
| GREAT PLAINS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 16E: THE ORGANIZATION HAS A 100% DISCOUNT FOR QUALIFIED CHARITY CARE PATIENTS. APPLICANTS HAVE SIXTY (60) DAYS AFTER BEING DENIED COVERAGE DUE TO PROGRAM ELIGIBILITY IN WHOLE OR PART BY MEDICAID OR ANY OTHER PROGRAM THE HOSPITAL CONSIDERS TO BE AN ALTERNATIVE SOURCE OF PAYMENT TO SUBMIT THEIR APPLICATION FOR CHARITY CARE. DETERMINATION FOR APPLICATIONS REQUESTING CHARITY CARE IS TO BE MADE BY GPRMC WITHIN THIRTY (30) DAYS AFTER A COMPLETE APPLICATION HAS BEEN SUBMITTED. NO AMOUNTS PAID PRIOR TO RECEIVING CHARITY CARE WILL BE REIMBURSED. |
| GREAT PLAINS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 17E: THE ORGANIZATION HAS A 100% DISCOUNT FOR QUALIFIED CHARITY CARE PATIENTS. APPLICANTS HAVE SIXTY (60) DAYS AFTER BEING DENIED COVERAGE DUE TO PROGRAM ELIGIBILITY IN WHOLE OR PART BY MEDICAID OR ANY OTHER PROGRAM THE HOSPITAL CONSIDERS TO BE AN ALTERNATIVE SOURCE OF PAYMENT TO SUBMIT THEIR APPLICATION FOR CHARITY CARE. DETERMINATION FOR APPLICATIONS REQUESTING CHARITY CARE IS TO BE MADE BY GPRMC WITHIN THIRTY (30) DAYS AFTER A COMPLETE APPLICATION HAS BEEN SUBMITTED. NO AMOUNTS PAID PRIOR TO RECEIVING CHARITY CARE WILL BE REIMBURSED. |
| GREAT PLAINS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 20D: GPRMC PROVIDES A 100% DISCOUNT TO QUALIFIED INDIVIDUALS UNDER THE CHARITY CARE POLICY. THE AMOUNT THAT IS CHARGED IS BASED OFF OF THE CHARGE MASTER AT THE FULL RATE AMOUNT. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | AMOUNTS ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO IN IRS WORKSHEET 2. AMOUNTS ON LINES 7E, F, AND I ARE BASED ON ACTUAL COST RECORDED IN THE GENERAL LEDGER AND HOURS AT AVERAGE RATES. |
| PART I, LN 7 COL(F): | THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE COMMUNITY BENEFIT PERCENTAGE WAS $6,283,389. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | GPRMC PROVIDES COMMUNITY BUILDING ACTIVITIES WITHIN THE COMMUNITY, BUT HAS NOT TRACKED THE EXPENSES RELATED TO THESE ACTIVITIES. THE HOSPITAL PROVIDES SUPPORT TO THE COMMUNITY IN THE FOLLOWING WAYS:-GPRMC EMPLOYEES PROVIDE MANY HOURS OF VOLUNTEER SERVICE TO CIVIC AND OTHER COMMUNITY BENEFIT CLUBS IN THE AREA. WE PROVIDE VARIOUS DONATIONS TO THESE CLUBS, LOCAL SCHOOL SYSTEMS, AND VARIOUS NON-PROFIT FOUNDATIONS & ORGANIZATIONS.-AWARE OF THE SHORTAGE OF PHYSICIANS IN THE ELK CITY AREA, GPRMC HAS WORKED DILIGENTLY TO ATTRACT ADDITIONAL PHYSICIANS TO THE COMMUNITY. THESE PHYSICIANS RANGE FROM FAMILY PRACTICE TO A VARIETY OF SPECIALTY AREAS. PATIENTS WILL BE ABLE TO ACCESS THEIR HEALTHCARE NEEDS LOCALLY INSTEAD OF DRIVING GREAT DISTANCES TO SEE A SPECIALIST.-GPRMC INVOLVEMENT IN COMMUNITY BUILDING ACTIVITIES ALSO EXTENDS THROUGH OTHER PROGRAMS SUCH AS MEALS ON WHEELS WHICH DELIVERS MEALS TO THE HOMEBOUND; DONATING ATHLETIC TRAINER SERVICES TO LOCAL SCHOOLS; AND WORKING WITH THE LOCAL FOODBANK.-GPRMC HAS A SHUTTLE SERVICE FOR PATIENTS WITHOUT TRANSPORTATION TO THE PHYSICIAN'S OFFICES, CLINICS AND THE HOSPITAL. THE FREE SHUTTLE TRAVELS IN ELK CITY AND AREA COMMUNITIES.-GPRMC IS COMMITTED TO COALITION BUILDING THROUGH THE DREAM LEAGUE SPORTS PROGRAM.-THE HOSPITAL IS ALSO COMMITTED TO COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH PROGRAMS AND EVENTS SUCH AS ATHLETIC TRAINING, BIRTHING CLASSES, HEALTH FAIRS, BLOOD DRIVES, AND PUBLICLY AVAILABLE FLU SHOTS. |
| PART III, LINE 4: | PER AUDIT REPORT: "THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE IS MAINTAINED AT A LEVEL WHICH, IN MANAGEMENT'S JUDGMENT, IS ADEQUATE TO ABSORB PATIENT ACCOUNT BALANCE WRITE-OFFS INHERENT IN THE BILLING PROCESS. THE AMOUNT OF THE ALLOWANCE IS BASED ON MANAGEMENT'S EVALUATION OF THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, INCLUDING THE NATURE OF THE ACCOUNTS, CREDIT CONCENTRATIONS, HISTORICAL WRITE-OFF TRENDS, SPECIFIC IMPAIRED ACCOUNTS, AND ECONOMIC CONDITIONS. ALLOWANCES FOR UNCOLLECTIBLE AND CONTRACTUALS ARE GENERALLY DETERMINED BY APPLYING HISTORICAL PERCENTAGES TO FINANCIAL CLASSES WITHIN ACCOUNTS RECEIVABLE. THE ALLOWANCES ARE INCREASED BY A PROVISION FOR BAD DEBT EXPENSES AND CONTRACTUAL ADJUSTMENTS, AND REDUCED BY WRITE-OFFS, NET OF RECOVERIES."THE ORGANIZATION'S BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE EXPENSE REPORTED ON THE FINANCIAL STATEMENTS AND APPLYING AN OVERALL COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2. BAD DEBT EXPENSE IS REPORTED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS. ALL DISCOUNTS AND PAYMENTS ARE APPLIED BEFORE WRITTEN OFF TO BAD DEBT. A PAYMENT ON AN ACCOUNT THAT WAS PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY APPLYING A PERCENTAGE OF THE POPULATION BELOW FEDERAL POVERTY GUIDELINES TO BAD DEBT AT COST. |
| PART III, LINE 8: | GPRMC PROVIDES SERVICES TO MEDICARE PATIENTS UNDERSTANDING THERE WILL BE WRITE-OFFS AND KNOWING THE ORGANIZATION WILL NOT RECOVER THE COSTS OF THE SERVICES PROVIDED. PROVIDING THESE SERVICES IS ESSENTIAL TO THE COMMUNITY AND THEREFORE INCREASES ACCESS TO HEALTHCARE SERVICES, WHICH IS A COMMUNITY BENEFIT.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. |
| PART III, LINE 9B: | THE PATIENTS ARE PRE-SCREENED PRIOR TO TESTING FOR CHARITABLE SERVICES AND A DETERMINATION IS MADE AS TO THE FINANCIAL ABILITY TO PAY. IF PATIENTS ARE PRE-QUALIFIED FOR SERVICES, THE COLLECTION PROCESS IS CEASED. |
| PART VI, LINE 1 | ASSISTANCE IS DISCUSSED WITH PATIENTS AS PART OF THE INTAKE PROCESS. THEY ARE SCREENED AT REGISTRATION FOR NEED FOR FINANCIAL ASSISTANCE AND THEN ARE GIVEN COPIES OF CHARITY CARE POLICY/FINANCIAL POLICY UPON REQUEST. WE TRY TO ASSIST PEOPLE IN QUALIFYING FOR SOME TYPE OF MEDICAL ASSISTANCE WHETHER IT BE MEDICARE, MEDICAID, DISABILITY OR CHARITY CARE. |
| PART VI, LINE 2 | GREAT PLAINS REGIONAL MEDICAL CENTER IS A SIXTY-TWO LICENSED BED ACUTE CARE HOSPITAL LOCATED IN ELK CITY, OKLAHOMA IN BECKMAN COUNTY. THE CORPORATION PROVIDES A COMPREHENSIVE RANGE OF GENERAL, ACUTE AND SPECIALIZED CARE, AS WELL AS OUTPATIENT AND ANCILLARY SERVICES, TO RESIDENTS IN ITS PRIMARY AND SECONDARY SERVICE AREAS COVERING TEN COUNTIES. ESTIMATED PRIMARY AND SECONDARY SERVICE AREA POPULATION EXCEEDS 100,000 PEOPLE. THE MEDIAN HOUSEHOLD INCOME IN BECKAM COUNTY IS $43,642 AND 16% OF THE COUNTY IS BELOW POVERTY LEVEL. |
| PART VI, LINE 3 | OUR BOARD OF DIRECTORS IS MADE UP OF CITIZENS FROM THE COMMUNITY, FROM BUSINESS OWNERS TO RETIRED INDIVIDUALS. THIS BROADLY BASED GROUP PROVIDES US WITH A BROAD PERSPECTIVE ON THE NEEDS OF THE COMMUNITY.GPRMC EXTENDS MEDICAL PRIVILEGES TO AREA PHYSICIANS. THEY MUST APPLY FOR PRIVILEGES AND THEN BE APPROVED BY THE MEDICAL STAFF AND THEN BY THE BOARD OF DIRECTORS.IF GPRMC HAS A SURPLUS OF FUNDS, THEN THEY ARE USED BY THE ORGANIZATION TO FULFILL OUR MISSION, VISION, AND VALUES.AS QUANTIFIED IN PART II, QUESTION 7E, F AND I COMMUNITY BENEFIT IS PROVIDED BY GPRMC THROUGH FREE PROGRAMS OFFERED THROUGHOUT THE YEAR AND INITIATIVES WHICH GPRMC BELIEVES SERVE A BONA FIDE COMMUNITY HEALTH NEED. SOME OF THESE ACTIVITIES ARE AS FOLLOWS: -NOTICES ARE PUBLISHED IN AREA NEWSPAPERS, REGARDING NEW PHYSICIANS OR MEDICAL SERVICES. ACCORDING TO ESTIMATED NEWSPAPER CIRCULATION, THESE ADS REACH FROM 8,000 TO 10,000 HOMES IN THE AREA.-GPRMC PROVIDED FLU SHOTS FOR THE OFFICE PERSONNEL OF THE PHYSICIANS IN THE COMMUNITY. -GPRMC PROVIDES BREAST SELF-EXAM, CPR AND PRE-NATAL EDUCATION TO COMMUNITY MEMBERS.-GPRMC IS ONE OF TWO DESIGNATED DONOR LOCATIONS FOR THE COMMUNITY-WIDE BLOOD DRIVE HELD FIVE TIMES PER YEAR.-GPRMC HAS A SHUTTLE SERVICE FOR PATIENTS WITHOUT TRANSPORTATION TO THE PHYSICIAN'S OFFICES, CLINICS AND THE HOSPITAL. THE FREE SHUTTLE TRAVELS IN ELK CITY AND AREA COMMUNITIES.-GPRMC SPONSORS HEALTHCARE EDUCATION INITIATIVES FOR THE COMMUNITY. SOME OF THESE INCLUDE DIABETES SELF-MANAGEMENT CLASSES FOR PATIENTS WITH NEW OR UNCONTROLLED DIABETES AND EDUCATION TO LOCAL NURSING HOME STAFF REGARDING CARE OF PATIENTS WITH DEMENTIA AND OTHER TYPES OF BEHAVIORAL DISORDERS.-DUE TO THE SHORTAGE OF NURSES, SCHOLARSHIPS ARE AWARDED TO STUDENTS WISHING TO PURSUE DEGREES IN THE MEDICAL FIELD. -REPRESENTATIVES FROM GPRMC PRESENT EDUCATION PROGRAMS AT THE LOCAL ADULT LEARNING CENTER RELATIVE TO EDUCATION NEEDED TO FULFILL THE REQUIREMENTS FOR EMPLOYMENT IN A HOSPITAL SETTING. WE ALSO PARTICIPATE IN SEVERAL CAREER FAIRS FOR DIFFERENT SCHOOLS IN OUR AREA.-GPRMC WORKS IN COOPERATION WITH EDUCATORS BY PROVIDING A CLINICAL ROTATION TRAINING ENVIRONMENT FOR STUDENTS OF VARIOUS FIELDS INCLUDING PHYSICIAN, NURSING, PHARMACY, LAB, RADIOLOGY AND MEDICAL RECORDS.-WE PARTICIPATE WITH AREA HIGH SCHOOLS IN THE 'JOB SHADOW PROGRAM'. STUDENTS INTERESTED IN HEALTH CAREERS MAY OBSERVE OUR STAFF IN THE WORK SETTING AND OBTAIN A FIRST-HAND EXPERIENCE.-GPRMC HAS DEVELOPED COLLABORATION WITH WESTERN OKLAHOMA STATE COLLEGE TO PROVIDE DISTANCE LEARNING CLASSES FOR THOSE IN THE COMMUNITY WISHING TO PURSUE NURSING DEGREES. GPRMC'S PART OF THE COLLABORATIVE IS TO PROVIDE A CLASSROOM IN THE LOCAL COMMUNITY. ADDITIONALLY, IN-KIND SERVICES ARE PROVIDED TO WESTERN OKLAHOMA STATE COLLEGE. THIS IS VITAL TO THOSE PROSPECTIVE STUDENTS PURSUING NURSING DEGREES THAT WOULD NOT HAVE BEEN ABLE TO DRIVE THE LONG DISTANCE TO THE COLLEGE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | Yes (1) | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAURA KURZENDOERFER | ||||||||||||||
| CHIEF NURSING OFFICER | $220,658 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $220,658 | $0 | $0 | $0 |
| DON IKNER | ||||||||||||||
| CHEIF EXECUTIVE OFFICER (FORMER) | $191,206 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $191,206 | $0 | $0 | $0 |
| FRANCIS ABRAHAM | ||||||||||||||
| VICE CHIEF OF STAFF/PHYSICIAN | $380,237 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $380,237 | $0 | $0 | $0 |
| LINDSEY PENA | ||||||||||||||
| PHYSICIAN | $365,705 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $365,705 | $0 | $0 | $0 |
| TIFFANY DUPREE | ||||||||||||||
| PHYSICIAN | $299,413 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $299,413 | $0 | $0 | $0 |
| JANICE WITT | ||||||||||||||
| PHYSICIAN | $200,025 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $200,025 | $0 | $0 | $0 |
| LELAND DENNIS | ||||||||||||||
| PHYSICIAN | $197,437 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $197,437 | $0 | $0 | $0 |
| JAMIE GORE | ||||||||||||||
| PHYSICIAN | $179,170 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $179,170 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR THE CEO IS ESTABLISHED BY GPRMC THROUGH A COMPENSATION COMMITTEE WHICH USES AN INDEPENDENT CONSULTATION CONSULTANT AND A COMPENSATION STUDY. THE BOARD THEN REVIEWS AND APPROVES THE CEO'S COMPENSATION AND SIGNS A WRITTEN EMPLOYMENT CONTRACT WITH THE CEO. |
| PART I, LINE 4C | FRANCIS ABRAHAM AND JAMIE GORE ARE PARTNERS IN PLAINS DIAGNOSTIC IMAGING, LLP (A RELATED ORGANIZATION AND JOINT VENTURE). DURING FISCAL YEAR 2014, BOTH RECEIVED LESS THAN THE $10,000 EXCEPTION FOR REPORTING COMPENSATION ON THEIR K-1S, THUS, THESE AMOUNTS WERE EXCLUDED FROM FORM 990 PART VII. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OKLAHOMA DEVELOPMENT FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CUSIP | 678910DB3 | CUSIPNum |
| Bond Issued | 2007-06-01 | BondIssuedDt |
| Issue Price | $40,000,000 | IssuePriceAmt |
| Purpose | CONSTRUCT & FURNISH 62-BED HOSPITAL | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $4,495,000 | RetiredAmt |
| Total Proceeds | $40,000,000 | TotalProceedsAmt |
| In Reserve Fund | $3,387,711 | InReserveFundAmt |
| Issuance Costs From Proceeds | $291,418 | IssuanceCostsFromProceedsAmt |
| Substantial Completion | 2036 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MARK ALBERT | |||
| BROTHER OF BOARD MEMBER EDWARD ALBERT | $18,597 | ATTORNEY CONTRACTED FOR LEGAL COLLECTIONS, BROTHER OF BOARD MEMBER EDWARD ALBERT. | 0 |
| AARON GWARTNEY | |||
| SON OF BOARD MEMBER BILL GWARTNEY | $27,988 | ATTORNEY CONTRACTED FOR LEGAL COUNSEL, SON OF BOARD MEMBER BILL GWARTNEY. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS ARE INDIVIDUALS WHO HAVE VOTING SHARES IN THE ORGANIZATION. MEMBERSHIP IS OBTAINED THROUGH TRANSFERS OF EXISTING MEMBERSHIPS. TRANSFERS NORMALLY RESULT EITHER THROUGH VOLUNTARY SURRENDER OF A MEMBERSHIP OF THROUGH THE DEATH OF A MEMBER WHO HAS NO IMMEDIATE FAMILY INTERESTED IN RETAINING THE MEMBERSHIP. EACH INDIVIDUAL IS ALLOWED ONLY ONE MEMBERSHIP AND THERE IS ONLY ONE VOTE PER MEMBERSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7A | GOVERNING BOARD MEMBERS ARE APPOINTED THROUGH NOMINATION AND A MAJORITY VOTE ELECTION BY THE MEMBERSHIP AT ANNUAL MEETINGS. |
| FORM 990, PART VI, SECTION A, LINE 7B | ANY EDITS TO THE GOVERNING BOARD BYLAWS, RULES, AND/OR REGULATIONS HAVE TO BE APPROVED BY A MAJORITY VOTE OF THE MEMBERSHIP. PER THE ORGANIZATION'S BYLAWS, THE MEMBERS ARE THE SUPREME AUTHORITY OF THE ORGANIZATION IN ALL ITS AFFAIRS. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 WILL BE PRESENTED AND REVIEWED AT ONE OF THE GOVERNING BOARD'S MONTHLY MEETINGS. THE FORM 990 WILL ALSO HAVE BEEN POSTED ON THE GOVERNING BOARD'S WEBSITE IN THE DAYS PRECEDING THE MONTHLY MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, ALL MEMBERS OF THE GOVERNING BODY AND KEY EMPLOYEES RECEIVE A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THEY ARE REQUIRED TO REVIEW THE POLICY, COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, AND SIGN THE QUESTIONNAIRE; ATTESTING TO THEIR UNDERSTANDING OF THE POLICY AND THAT THEIR ANSWERS ON THE QUESTIONNAIRE ARE TRUE AND ACCURATE. |
| FORM 990, PART VI, SECTION B, LINE 15 | HUMAN RESOURCES CONDUCTS A COMPARATIVE ANALYSIS USING STATE, MULTI-STATE, REGIONAL, AND NATIONAL COMPENSATION (BY POSITION) DATA. DATA IS CULLED INTO BED-SIZE, REVENUE, AND SIMILAR AREA COMPARATIVES. HUMAN RESOURCES THEN SUBMITS A REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY. THE EXECUTIVE COMMITTEE REVIEWS THE DATA, CONFIRMS THE DATA WITH AN OUT-OF-HOUSE AUDITOR, AND RECOMMENDS APPROPRIATE CEO COMPENSATION TO THE BOARD OF DIRECTORS AS A WHOLE. ALL OTHER POSITIONS ARE REVIEWED ANNUALLY BY HUMAN RESOURCES AND APPROVED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 18 | GPRMC MAKES ITS FORMS 1023, 990, AND 990-T AVAILABLE TO THE PUBLIC UPON REQUEST. A COPY OF THE REQUESTED DOCUMENT IS PROVIDED WHEN PRACTICAL. OTHERWISE, AN APPOINTMENT FOR AN ON-SITE REVIEW OF THE REQUESTED DOCUMENT IS MADE, WITH THE DAY AND TIME OF THE APPOINTMENT DETERMINED BY THE PERSON(S) WHO HAS MADE THE REQUEST, ACCORDING TO THEIR SCHEDULE AND CONVENIENCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | GPRMC MAKES ITS FORMS 1023, 990, AND 990-T AVAILABLE TO THE PUBLIC UPON REQUEST. A COPY OF THE REQUESTED DOCUMENT IS PROVIDED WHEN PRACTICAL. OTHERWISE, AN APPOINTMENT FOR AN ON-SITE REVIEW OF THE REQUESTED DOCUMENT IS MADE, WITH THE DAY AND TIME OF THE APPOINTMENT DETERMINED BY THE PERSON(S) WHO HAS MADE THE REQUEST, ACCORDING TO THEIR SCHEDULE AND CONVENIENCE. |
| FORM 990, PART IX, LINE 11G | HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 6,864,903. MANAGEMENT AND GENERAL EXPENSES 247,433. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,112,336. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS OF GPRMC ENGAGES AN INDEPENDENT THIRD-PARTY ACCOUNTING FIRM TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS ANNUALLY. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR SELECTING AN INDEPENDENT ACCOUNTANT. MANAGEMENT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, AND COMPILATION OF ITS FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION BOARD OF GREAT PLAINS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2339 | AddressLine1 |
| City | ELK CITY | City |
| State | OK | State |
| ZIP Code | 73648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730479295 | EIN |
| Primary Activities | PROVIDING SUPPORT FOR GPRMC | PrimaryActivitiesTxt |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLAINS DIAGNOSTIC IMAGING LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2339 | AddressLine1 |
| City | ELK CITY | City |
| State | OK | State |
| ZIP Code | 73648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261530951 | EIN |
| Primary Activities | RADIOLOGY EQUIPMENT LEASING | PrimaryActivitiesTxt |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLAINS DIAGNOSTIC IMAGING LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $1,089,726 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |