2015-11-06T16:18:11-06:00 2014-12-31 BKD LLP 6120 S Yale 1400 Tulsa OK 741364223 990 2014-01-01 730570773 NEWMAN MEMORIAL HOSPITAL INC % NEWMAN MEMORIAL HOSPITAL NEWM 5809382551 905 SOUTH MAIN SHATTUCK OK 73858 Greg Huenergardt OFFICER 5809382551 2015-11-06 true Anne M Adams P00887943 9185842900 2014 2016-04-25 22:37:26Z JEFFREY D SHELTON 905 SOUTH MAIN SHATTUCK OK 73858 9310990 false X WWW.NEWMANMEMORIALHOSPITAL.ORG X 1907 OK NEWMAN MEMORIAL HOSPITAL'S MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICE AND HEALTHCARE EDUCATION. 10 10 117 15 0 1624639 1267855 7796793 7946185 1600 1576 1119316 95374 10542348 9310990 0 0 0 0 4015760 3812708 0 0 0 7196818 6293045 11212578 10105753 -670230 -794763 14244579 12638067 7909038 7081290 6335541 5556777 X PROVIDE THE COMMUNITY WITH HEALTHCARE SERVICE AND HEALTHCHARE EDUCATION. false false 7156155 8023421 NEWMAN MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF NEWMAN MEMORIAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY: FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, DISABLED, MEDICALLY UNDER SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. NEWMAN MEMORIAL HOSPITAL SERVICED 377 INPATIENTS DURING 2014. IN ADDITION, NEWMAN MEMORIAL HOSPITAL PROVIDED EMERGENCY ROOM CARE FOR OVER 2,432 PATIENTS. NEWMAN MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, NEWMAN MEMORIAL HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH NEWMAN MEMORIAL HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: - PROVIDED ADDITIONAL CHARITY CARE TO THE COMMUNITY OF $108,117 DURING 2014. - BEING CALLED UPON TO SPEAK BEFORE COMMUNITY ORGANIZATIONS ON A VARIETY OF HEALTHCARE TOPICS. - PROVIDING ASSISTANCE TO EDUCATORS THROUGH OUR WORK WITH STUDENT NURSES. - PROVIDING MEETING FACILITIES FOR THE MINISTERIAL ALLIANCE. FACILITIES ARE USED FOR THIS PURPOSE ONCE A MONTH. - DURING 2014 THE NEWMAN HOSPITAL AUXILIARY CONTRIBUTED OVER 4,285 VOLUNTEER HOURS TOWARD THE PURPOSE OF SERVICING THE HEALTH CARE OF THE COMMUNITY. - PROVIDED NURSING SCHOLARSHIP TO AREA STUDENTS. - PROVIDED FREE FINGER BLOOD STICK SUGARS AND BLOOD PRESSURE CHECKS TO AREA SENIOR CITIZENS CENTERS. - PROVIDED OVER 288 WIC SERVICE VISITS FOR THE AREA. - PROVIDED INFLUENZA CLINICS IN THE FOUR SURROUNDING TOWNS WHICH SERVED OVER 191 PEOPLE. - PROVIDED OVER 228 IMMUNIZATIONS AT THE HOSPITAL. 7156155 true true false false false false false false false false true false false false false false false false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 27 0 true 117 true false false false false false false false false false false X 10 10 true false false false false false false true true false false true true true true true true true false false OK X NEWMAN MEMORIAL HOSPITAL 5809382551 905 SOUTH MAIN STREET SHATTUCK OK 73858 ANGELA PRATHER SECRETARY 0.5 0.0 X X 0 0 0 BRENDA HUENERGARDT MD DIRECTOR 0.5 0.0 X 0 0 0 Brenda COSBY DIRECTOR 0.5 0.0 X 0 0 0 DAVID DERSCH DIRECTOR 0.5 0.0 X 0 0 0 GREG HUENERGARDT PRESIDENT 2.0 0.0 X X 0 0 0 RHONDA WAYLAND DIRECTOR 0.5 0.0 X 0 0 0 TED MILLER VICE PRESIDENT 1.0 0.0 X X 0 0 0 THERESA MILLER DIRECTOR 0.5 0.0 X 0 0 0 TODD COOK DIRECTOR 0.5 0.0 X 0 0 0 Danna Stuart MD Director 0.5 0.0 X 0 0 0 JEFFREY SHELTON CEO 40.0 0.0 X 195986 0 5976 KEVIN O'BRIEN COO 40.0 0.0 X 39423 0 828 RILEY CASPER CNO 40.0 0.0 X 72800 0 1482 KELLICIE SKINNER CFO/CONTROLLER 40.0 0.0 X 48984 0 650 BONNIE FRAWLEY CFO/CONTROLLER 40.0 0.0 X 6731 0 896 363924 0 9832 1 false true false STAFF CARE PO BOX 429 SHATTUCK OK 73858 ANESTHESIA 257202 CONCORD MEDICAL GROUP 3004 50TH STREET SUITE D LUBBOCK TX 79413 ER PHYSICIANS 650318 ST ANTHONY HOSPITAL PO BOX 205 OKLAHOMA CITY OK 73101 CLINICAL RESOURCES 295116 HMS PO BOX 205 OKLAHOMA CITY OK 73101 BIO-MEDICAL ENGINEER 159500 NORTHWEST PT 2630 Oklahoma Ave WOODWARD OK 73801 PHYSICAL THERAPY 133220 5 1163985 103870 1267855 NET PATIENT SERVICE REVENUE 621300 7150829 7150829 EHR INCENTIVE REVENUE 900099 795356 795356 7946185 1576 1576 0 0 18138 18138 0 18138 18138 0 0 0 0 CAFETERIA MEALS 900099 47533 47533 VENDING SALES 722210 1445 1445 MEDICAL RECORD SALES 900099 2444 2444 25814 25814 77236 9310990 8023421 19714 0 0 0 0 373756 373756 0 2726737 2136330 590407 16922 13258 3664 467322 366135 101187 227971 178610 49361 0 9279 9279 70608 70608 0 0 0 0 31301 1653 29648 46524 36450 10074 0 0 213645 213645 15241 11941 3300 0 0 295580 295580 0 808584 808584 152151 152151 BAD DEBT EXPENSE 1239914 1239914 CONTRACTUAL SALARIES 1644779 1644779 SUPPLIES 686140 537574 148566 EQUIPMENT RENTAL & MAINTENANCE 608400 476666 131734 470899 360694 110205 10105753 7156155 2949598 0 1796131 1016678 407913 408912 0 0 1321469 1051983 0 0 0 0 0 0 172498 390519 106842 107714 23044666 13382405 10439726 9662261 0 0 0 0 0 0 0 0 0 0 14244579 12638067 832354 437254 0 0 0 0 0 0 0 0 0 0 7076684 6644036 0 0 0 0 7909038 7081290 X 5651904 4850769 683637 706008 0 0 6335541 5556777 14244579 12638067 -794763 15999 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 41025 41025 11249170 6555264 4693906 11715726 6827141 4888585 38745 38745 9662261 true true X true X 180. true X true true true false false 54913 54913 0.00600 878538 1306202 -427664 933451 1306202 -372751 0.00600 933451 1306202 -372751 0.00600 false 1239652 0 1141777 1764351 -622574 X true true NA 1 1 NEWMAN MEMORIAL HOSPITAL 905 SOUTH MAIN SHATTUCK OK 73858 X X X NEWMAN MEMORIAL HOSPITAL 1 true false true X X X X X X X X X 13 true false false true X WWW.NEWMANMEMORIAL.ORG X true 13 true WWW.NEWMANMEMORIAL.ORG false false true X 180. 300. X X X X X X true true X X X X true X X true X X true X X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 A SURVEY WAS DESIGNATED TO GAUGE HOSPITAL USAGE, SATISFACTION AND COMMUNITY HEALTH NEEDS. THE SURVEYS WERE DISTRIBUTED AT THE HOSPITAL AND DURING THE FIRST COMMUNITY MEETING ON AUGUST 21, 2013. COMMUNITY MEMBERS PRESENT AT THE HOSPITAL EACH TOOK A SURVEY. THE HOSPITAL ALSO HOSTED FOUR COMMUNITY MEETINGS FROM AUGUST 21, 2013 THRU OCTOBER 24, 2013. THESE MEETINGS WERE ATTENDED BY COMMUNITY MEMBERS AND THOSE WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. THE MEETINGS ALLOWED THOSE IN ATTENDANCE TO DISCUSS THE HEALTH NEEDS OF THE HOSPITAL'S COMMUNITY. SCHEDULE H, PART V, LINE 11 THERE WERE SEVERAL HEALTH NEEDS IDENTIFIED THRU THE SURVEY PROCESS AND THE COMMUNITY MEETINGS. WHILE ALL OF THESE NEEDS ARE LISTED IN THE CHNA, THE TOP HEALTH NEEDS WERE SPECIFICALLY IDENTIFIED WITH SPECIFIC EXAMPLES. THE IMPLEMENTATION STRATEGY ADDRESSES THE TOP HEALTH NEEDS OF THE COMMUNITY. SCHEDULE H, PART V, LINE 15E THE PATIENTS ARE PROVIDED LITERATURE AT TIME OF REGISTRATION AND THEN ARE CONTACTED BY THE FINANCIAL COUNSELOR AFTER THEY RECEIVE A STATEMENT. SCHEDULE H, PART III, SECTION A, LINE 2 ACTUAL ACCOUNTS WRITTEN OFF AND AN ESTIMATED AMOUNT FOR ACCOUNTS OVER 180 DAYS OLD. SCHEDULE H, PART III, SECTION B, LINE 8 BEING THAT NEWMAN MEMORIAL IS THE SOLE COMMUNITY HOSPITAL IT HAS BEEN REQUIRED TO OFFER SERVICES TO THE PATIENTS THAT ARE LOSS LEADERS DUE TO VOLUME WHICH PROVIDES A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION B, LINE 9B NONE SCHEDULE H, PART VI, LINE 2 THE HOSPITAL PROVIDES ALL THE SERVICES THAT IT IS CAPABLE OF PROVIDING. PACKET ABOUT SERVICES AND PROGRAMS THE HOSPITAL OFFERS. ONE BROCHURE IS AN APPLICATION FOR CHARITY CARE FOR PATIENTS TO FILL OUT. THE COLLECTION CLERK ALSO CONTACTS ALL SELF-PAY PATIENTS TO SET UP PAYMENT ARRANGEMENTS. IF THE PATIENT FEELS THEY CAN NOT PAY, THEY ARE ADVISED OF THE HOSPITAL CHARITY CARE AND APPLICATIONS ARE MAILED AT THAT TIME. SCHEDULE H, PART VI, LINE 3 THE PATIENTS ARE PROVIDED LITERATURE AT TIME OF REGISTRATION AND THAN ARE CONTACTED BY THE FINANCIAL COUNSELOR AFTER THEY RECEIVE A STATEMENT. HEALTH CARE NEEDS OF ALL INDIVIDUALS RESIDING IN THE IMMEDIATE AND ADJACENT COMMUNITIES. NO INDIVIDUAL WILL BE DEPRIVED OF EMERGENCY OR CRITICAL CARE BECAUSE OF THEIR INABILITY TO PAY; HOWEVER, EVERY EFFORT WILL BE MADE TO COLLECT FUNDS OWED TO THE HOSPITAL FOR ELECTIVE CARE SINCE THE ABILITY TO CONTINUE TO PROVIDE AND IMPROVE SERVICES TO THE COMMUNITIES SERVED DEPENDS ON FINANCIAL STABILITY. SCHEDULE H, PART VI, LINE 4 SHATTUCK IS A VERY RURAL TOWN APPROXIMATELY 3 HOURS FROM ANY METROLPOLITAN AREA. SCHEDULE H, PART VI, LINE 5 PROVIDES HEALTH COUNCILING AT AS MANY LOCAL HEALTH FAIRS AS POSSIBLE. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 N/A SCHEDULE H, PART II, LINES 1 - 10 N/A X X X X false false false false false false false false false JEFFREY SHELTON CEO 195986 0 0 0 0 0 0 0 5976 0 201962 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DAVID DERSCH IS THE FATHER OF DR. DANA STUART WHO IS THE CHIEF OF THE MEDICAL STAFF AND ALSO A BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSISTANCE OF THE CFO. AFTER COMPLETION, THE RETURN WAS THEN REVIEWED BY THE CEO PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL REAFFIRMATION IS RECEIVED FROM THE BOARD OF DIRECTORS THAT THEY HAVE NOT ENTERED INTO ANY ACTIVITY THAT WOULD PUT THEM INTO CONFLICT WITH THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD MEETS AND REVIEWS THE COMPENSATION OF THE CEO OF THE HOSPITAL. THE MEETING IS DOCUMENTED IN THE BOARD OF DIRECTORS' MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.