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            <BusinessNameLine1Txt>DIRECT CARE MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6500 THURLOW PL</AddressLine1Txt>
            <CityNm>EDMOND</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73034</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>955630</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PICIS CLINICAL SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>33313 COLLECTION CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>470263</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WILLIAM JOSEPH HARRISON DO PA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2601 MARSH LANE 23</AddressLine1Txt>
            <CityNm>PLANO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>337980</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THOMAS CARPER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1535 SUGAR BUSH TRAIL</AddressLine1Txt>
            <CityNm>ALLEN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75002</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CRNA</ServicesDesc>
        <CompensationAmt>262925</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRENTICE HEATHER DBA HKP ERC LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 559</AddressLine1Txt>
            <CityNm>ALLEN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74825</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>251125</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>110706</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1801344</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>53184</AllOtherContributionsAmt>
      <NoncashContributionsAmt>20000</NoncashContributionsAmt>
      <TotalContributionsAmt>1965234</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <TotalRevenueColumnAmt>22399400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22399400</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <TotalRevenueColumnAmt>186025</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>186025</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>22585425</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>31049</TotalRevenueColumnAmt>
        <ExclusionAmt>31049</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>261044</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>332635</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-71591</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-71591</TotalRevenueColumnAmt>
        <ExclusionAmt>-71591</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANOUS</Desc>
        <TotalRevenueColumnAmt>311837</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>311837</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <TotalRevenueColumnAmt>52101</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52101</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORD FEE</Desc>
        <TotalRevenueColumnAmt>9586</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9586</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>373524</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24883641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22958949</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-40542</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>7087</TotalAmt>
        <ProgramServicesAmt>7087</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>910563</TotalAmt>
        <ProgramServicesAmt>101083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>809480</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>10021876</TotalAmt>
        <ProgramServicesAmt>8940402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1081474</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>3975</TotalAmt>
        <ProgramServicesAmt>3401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>574</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>950590</TotalAmt>
        <ProgramServicesAmt>808001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142589</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>760431</TotalAmt>
        <ProgramServicesAmt>646366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114065</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>140135</TotalAmt>
        <ManagementAndGeneralAmt>140135</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>230668</TotalAmt>
        <ManagementAndGeneralAmt>230668</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>5916</TotalAmt>
        <ManagementAndGeneralAmt>5916</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>3719943</TotalAmt>
        <ProgramServicesAmt>2963400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>756543</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>61209</TotalAmt>
        <ProgramServicesAmt>33602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27607</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>277765</TotalAmt>
        <ProgramServicesAmt>243080</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34685</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>906</TotalAmt>
        <ProgramServicesAmt>752</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1119024</TotalAmt>
        <ProgramServicesAmt>891260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227764</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>37721</TotalAmt>
        <ProgramServicesAmt>21837</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15884</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7931</TotalAmt>
        <ProgramServicesAmt>7931</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>144054</TotalAmt>
        <ProgramServicesAmt>119565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24489</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>686402</TotalAmt>
        <ProgramServicesAmt>569714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116688</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>601010</TotalAmt>
        <ProgramServicesAmt>33458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>567552</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2323801</TotalAmt>
        <ProgramServicesAmt>2260293</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63508</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>629937</TotalAmt>
        <ProgramServicesAmt>591740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38197</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>R&amp;M</Desc>
        <TotalAmt>203536</TotalAmt>
        <ProgramServicesAmt>172733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30803</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANOUS</Desc>
        <TotalAmt>13682</TotalAmt>
        <ProgramServicesAmt>13682</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22858162</TotalAmt>
        <ProgramServicesAmt>18429387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4428775</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>-71000</BOYAmt>
        <EOYAmt>1950950</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3815055</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>724824</BOYAmt>
        <EOYAmt>716017</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>340948</BOYAmt>
        <EOYAmt>337503</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>23655122</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17526716</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3439262</BOYAmt>
        <EOYAmt>6128406</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>824375</BOYAmt>
        <EOYAmt>832832</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>11466987</BOYAmt>
        <EOYAmt>13780763</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3470938</BOYAmt>
        <EOYAmt>2148985</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>936011</BOYAmt>
        <EOYAmt>829849</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>691041</BOYAmt>
        <EOYAmt>2379159</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5097990</BOYAmt>
        <EOYAmt>5357993</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5548742</BOYAmt>
        <EOYAmt>7594059</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>820255</BOYAmt>
        <EOYAmt>828711</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6368997</BOYAmt>
        <EOYAmt>8422770</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11466987</BOYAmt>
        <EOYAmt>13780763</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2025479</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>28294</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc10">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>5405</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PAYS DUES TO OKLAHOMA HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTED TO LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
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        <BookValueAmt>72658</BookValueAmt>
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        <BookValueAmt>972400</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN FOUNDATION</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASES</Desc>
        <Amt>620489</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>109443</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2379159</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS FOR THE CURRENT FISCAL YEAR WERE NOT COMPLETED AT THE TIME THIS RETURN WAS FILED. THIS IS THE TAX FOOTNOTE FROM THE LAST FINANCIAL STATEMENTS FOR WHICH AN AUDIT HAS BEEN COMPLETED. THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MANAGEMENT IS UNAWARE OF ANY KNOWN UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc9">
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
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        <NetCommunityBenefitExpnsAmt>78913</NetCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.00350</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>195</NetCommunityBenefitExpnsAmt>
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      <TotalOtherBenefitsGrp>
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      <MedicareSurplusOrShortfallAmt>-86733</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MCCURTAIN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1301 E LINCOLN RD</AddressLine1Txt>
          <CityNm>IDABEL</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74745</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.MMHOK.NET</WebsiteAddressTxt>
        <StateLicenseNum>2202</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MCCURTAIN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.MMHOK.NET</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>WWW.OSURURALHEALTH.BLOGSPOT.COM/P/CH</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.MMHOK.NET</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.MMHOK.NET/BILLING</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW/MMHOK.NET/BILLING</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW/MMHOK.NET/BILLING</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCURTAIN MEMORIAL HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2025 CHNA IDENTIFIED 5 SIGNIFICANT HEALTH NEEDS - 1) CHRONIC DISEASES 2) MENTAL HEALTH 3) DRUG ADDICTION 4) LACK OF PHYSICIANS 5) LACK OF OB/GYN SERVICES</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCURTAIN MEMORIAL HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INPUT WAS GATHERED THROUGH A TWO COMMUNITY MEETING IN A IN-PERSON FORMAT. LOCAL COMMUNITY MEMBERS HAD THE OPPORTUNITY TO MEET IN PERSON AT THE OSU EXTENSION OFFFICE. THE MEETINGS WERE HELD ON MARCH 18,2025 AND APRIL 15,2025. COMMUNITY MEMBERS IN ATTENDANCE AT THIS MEETING INCLUDED: -MCCURTAIN MEMORIAL HOSPITAL -MCCURTAIN COUNTY HEALTH DEPARTMENT -LIFT COMMUNITY ACTION AGENCY -OKLAHOMA STATE DEPT OF HEALTH -MCCURTAIN COUNTY COOPERATIVE EXTENSION -MCCURTAIN COUNTY HEALTH COALITION -HOUSE UPON A ROCK -OKLAHOMA HUMAN SERVICES -IDABEL CHAMBER OF COMMERCE- BRIGHTER HEIGHTS OKLAHOMA -OSU EXTENSION OFFICE TWO SURVEY'S WAS ALSO CONDUCTED IN DECEMBER 2024 AND JANUARY 2025 TO GAUGE HOSPITAL USAGE, SATISFACTION AND ADDITIONAL COMMUNITY HEALTH NEEDS. A TOTAL OF 84 SURVEYS WERE COMPLETED, IN TOTAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCURTAIN MEMORIAL HOSPITAL - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHNA CONDUCTED WITH OTHER FACILITIES: THE CHNA WAS CONDUCTED WITH THE ASSISTANCE OF OKLAHOMA OFFICE OF RURAL HEALTH AND OSU CENTER FOR RURAL HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCURTAIN MEMORIAL HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING NEEDS WERE IDENTIFIED IN THE CHNA COMPLETED IN 2025. THE HOSPITAL HAS CHOSEN TO FOCUS ON IDENTIFIED NEEDS AND REGRETS THAT A LACK OF HOSPITAL RESOURCES PREVENTS US FROM SPECIFICALLY ADDRESSING ALL OF THE NEEDS IDENTIFIED IN THE COMMUNITY MEETING. THE NEEDS THAT WILL NOT BE ADDRESSED ARE THE FOLLOWING: - INPATIENT MENTAL HEALTH - ADDITIONAL WOMEN'S HEALTH/OBGYN CARE - TRANSPORTATION - SUBSTANCE ABUSE ASSISTANCE - HOUSING &amp; HOMELESSNESS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCURTAIN MEMORIAL HOSPITAL - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FACTORS CONSIDERED WHEN OFFERING DISCOUNTED CARE THE NATURE AND EXTENT OF ANY DEBT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SURGERY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1425 E LINCOLN RD STE-3</AddressLine1Txt>
            <CityNm>IDABEL</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74745</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>IDABEL FAMILY PRACTICE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1425 E LINCOLN RD STE-B-3</AddressLine1Txt>
            <CityNm>IDABEL</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74745</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MCCURTAIN MEMORIAL CLINIC- VALIANT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 E TERRI</AddressLine1Txt>
            <CityNm>VALIANT</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74764</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MCCURTAIN URGENT CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8901 N US HIGHWAY 259</AddressLine1Txt>
            <CityNm>BROKEN BOW</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74728</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM IRS INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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. AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS 22.2%. THIS IS DETERMINED BY USING THE PERCENTAGE OF THE POPULATION IN THE SERVICE AREA THAT IS UNDER THE FEDERAL POVERTY GUIDELINE ESTABLISHED FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FOOTNOTE 2 FOR A DETAILED DISCUSSION OF PATIENT REVENUE, PERFORMANCE OBLIGATIONS AND BAD DEBTS, CHARITY CARE, AND UNINSURED PAYORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL REVENUE 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 THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. IN ADDITION, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED REIMBURSEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>SELF-PAY PATIENTS WILL BE NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM UPON REGISTRATION DURING FACE-TO-FACE INTERVIEWS IF POSSIBLE. FIRST TIME BILLING STATEMENTS WILL BE MAILED TO THE RESPONSIBLE PARTY OF ALL PATIENTS WITHIN APPROXIMATELY 15 DAYS OF DISCHARGE. INFORMATION REGARDING MAKING APPLICATION FOR FINANCIAL ASSISTANCE IS INCLUDED IN THE STATEMENT. APPLICANTS ARE NOTIFIED BY MAIL OR PHONE CALL WHEN THEIR APPLICATION IS INCOMPLETE AND ARE GIVEN AN OPPORTUNITY TO PROVIDE THE MISSING DOCUMENTATION OR INFORMATION WITHIN 90 DAYS OF NOTIFICATION. BEFORE FINDING A PATIENT ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY MCCURTAIN MEMORIAL MAY REQUIRE PATIENTS TO APPLY FOR PUBLIC HEALTH COVERAGE PROGRAMS, SUCH AS MEDICAID, FOR WHICH MCCURTAIN MEMORIAL PRESUMES THE PATIENTS ARE ELIGIBLE, AS INSTRUCTED BY THE HOSPITAL'S FINANCIAL SERVICES DEPARTMENT. MCCURTAIN MEMORAL MAY DENY ELIGIBLITY FOR THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS WHO HAVE BEEN SCREENED FOR A PUBLIC HEALTH COVERAGE PROGRAM AND ARE PRESUMED TO BE ELIGBILE BUT ARE NOT COOPERATING WITH THE PROCESS TO APPLY FOR THE HEALTH COVERAGE PROGRAM. IF THE INDIVIDUAL DOES NOT PROVIDE THE REQURED INFORMATION OF THE APPLICATION IS DENIED, NORMAL COLLECTION PROCEDURES WILL COMMENCE. A PATIENT HAS 120 DAYS TO APPLY FOR FINANCIAL ASSISTANCE FROM THE DATE OF DISCHARGE THE ACCOUNT IS SENT TO AN OUTSIDE COLLECTION AGENCY. MCCURTAIN MEMORIAL, AS WELL AS THIRD PARTIES WORKING ON BEHALF OF MCCURTAIN MEMORIAL, WILL NOT USE EXTRAORDINARY COLLECTIONS EFFORTS WITHIN THE FIRST 120 DAYS POST DISCHARGE. NOR WILL MCCURTAIN MEMORIAL USE EXTRAORDINARY COLLECTION EFFORTS WHILE THE PATIENT OR REPRESENTATIVE IS ACTIVELY IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. IN THE EVENT THAT A PATIENT OR RESPONSIBLE PARTY APPLIES FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF FIRST STATEMENT DATE AND HAS BEEN FOUND TO BE ELIGBILE, ANY EXTRAORDINARY COLLECTION EFFORTS BY MCCURTAIN MEMORIAL OR THIRD PARTIES WORKING ON BEHALF OF MCCURTAIN WILL CEASE AND RETRACTION WILL BE MADE FOR ANY ADVERSE REPORTING TO CREDIT BUREAUS IN REGARDS TO THE SERVICES FOR WHICH THEY HAVE BEEN APPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL ADMINISTRATION CONTINUALLY COMMUNICATES WITH THE BOARD OF TRUSTEES AND SEEKS THEIR INPUT EACH MONTH ON THE COMMUNITY HEALTH NEEDS AND HOSPITAL'S ABILITY TO MEET THOSE NEEDS, EVALUATION INTERNAL AND EXTERNAL ISSUES THAT AFFECT THE ORGANIZATION. THE ADMINISTRATOR'S REPORT EACH MONTH GIVES AN UPDATE FROM PREVIOUSLY DISCUSSED ITEMS TO INCLUDE PROGRESS REPORTS ON HOW THE HOSPITAL IS ADDRESSING OR INTENDS TO ADDRESS EACH NEED IDENTIFIED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL POSTS ITS CHARITY CARE POLICY SUMMARY WITH FINANCIAL ASSISTANCE CONTACT INFORMATION ON THE WEBSITE, WWW.MMHOK.COM/BILLING. THERE IS ALSO INFORMATION POSTED IN THE EMERGENCY DEPARTMENT WAITING AREA. FINANCIAL ASSISTANCE GUIDANCE AND INFORMATION IS PROVIDED TO PATIENTS UPON COMPLETION OF MEDICAL EVALUATION AND SCREENING AT WHICH TIME POTENTIALLY ELIGIBLE PATIENTS ARE COUNSELED BY FINANCIAL SERVICES. FINANCIAL ASSISTANCE INFORMATION IS NOT PROVIDED WITH DISCHARGE MATERIALS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN FIRST TIME STATEMENTS OF PATIENT BILLS. FINANCIAL SERVICES COUNSELS ALL PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BY PROVIDING GUIDANCE IN APPLYING FOR ASSISTANCE THROUGH FEDERAL, STATE AND COUNTY PROGRAMS. SHOULD A PATIENT NOT QUALIFY FOR ONE OF THESE PROGRAMS AND IS NOT ELIGIBLE FOR NOR ENROLLED IN PRIVATE AND PUBLIC INSURANCE PLANS, THE PATIENT MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM UPON MEETING THE CRITERIA OUTLINED IN THE POLICY (78-12). THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AND INFORMATION IS AVAILABLE IN THE EMERGENCY DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCURTAIN MEMORIAL HOSPITAL IS THE ONLY HOSPITAL LOCATED IN MCCURTAIN COUNTY, WHICH IS THE 3RD LARGEST COUNTY IN THE STATE. THE ENTIRE COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA WITH PORTIONS OF THE COUNTY DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS DUE TO THE GEOGRAPHICAL AREA, CENSUS TRACTS, AND/OR A NATIVE AMERICAN TRIBAL POPULATION. ACCORDING TO THE 2024 U.S. CENSUS BUREAU QUICKFACTS (SMALL AREA INCOME AND POVERTY ESTIMATES,OR SAIPE) ESTIMATES, THE PERCENTAGE OF MCCURTAIN COUNTY INDIVIDUALS (ALL AGES) WHOSE INCOME WAS BELOW POVERTY WAS 21.2% OF THE ESTIMATED POPULATION IN POVERTY FOR 2020-2024, THERE WERE APPROXIMATELY 15.0% OF PERSONS UNDER AGE 65 YEARS WITHOUT HEALTH INSURANCE COVERAGE, COMPARED TO 9.5% FOR THE SAME CATEGORY IN THE ENTIRE STATE OF OKLAHOMA. APPROXIMATELY 28.4% OF THE PEOPLE IN MCCURTAIN COUNTY ARE COVERED BY MEDICAID AND THE UNEMPLOYMENT RATE RANKS AS ONE OF THE HIGHEST IN THE STATE. THE PRIMARY SERVICE ARE IS APPROXIMATELY A 35-MILE RADIUS AROUND IDABEL. THE 2024 US CENSUS BUREAU POPULATION ESTIMATES MADE FOR MCCURTAIN COUNTY IS 30,805, WITH AN ESTIMATED 30,744, AT JULY 1 ,2025. OF THE 2024 ESTIMATED POPULATION, 17.4% ARE IN THE GROUP 65 AND OLDER AND 26.4 ARE UNDER THE AGE OF 18. THESE COUNTY PERCENTAGES ARE ABOVE THE OKLAHOMA STATE PERCENTAGES FOR THE SAME CATEGORIES, 16.9% AND 23.6% RESPECTIVELY. WITH THE EXCEPTIONS OF MCCURTAIN MEMORIAL HOSPITAL THERE ARE NO OTHER MAJOR HOSPITALS LOCATED WITHIN THE COUNTY. MCCURTAIN COUNTY HAS MAJOR EMPLOYERS SUCH AS CHOCTAW NATION, INTERNATIONAL PAPER, TYSON FOODS, SETCO, JM HUBER ENGINEERED WOODS, DOMINANCE/PAN PACIFIC PRODUCTS, DARYL THOMASON TRUCKING AND THE MCCURTAIN MEMORIAL HOSPITAL. MCCURTAIN COUNTY'S UNEMPLOYMENT RATE OF 4.8% IS SLIGHTLY ABOVE THE STATE OF RATE OF THE 3.9% FOR NOT SEASONALLY ADJUSTED RATES. WITH THE SLOWING OF COVID-19 RELATED CLOSURES AND SERVICE SUSPENSIONS, MCCURTAIN COUNTY HAS EXPERIENCED A .2% INCREASE IN UNEMPLOYMENT RATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCURTAIN MEMORIAL HOSPITAL IS A SOLE COMMUNITY PROVIDER WITH A BOARD OF DIRECTORS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. FIVE MEMBERS OF THE BOARD ARE NON-PHYSICIAN AS OF JUNE 30, 2025. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL ITS DEPARTMENTS. THE HOSPITAL APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION. THE HOSPITAL CONTINUOUSLY EVALUATES AND MONTIORS QUALITY CONTROL INITIATIVES. THE HOSPITAL'S EMERGENCY ROOM IS AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. CONTINUING EDUCATION CLASSES ARE PROVIDED TO PERSONNEL ON A REGULAR BASIS INCLUDING EKG MONITORING CLASSES, ACLS, PALS, CPR, AND BLS UPDATES IN ADDITION TO ALLOWANCES PROVIDED TO EMPLOYED PHYSICIANS AND CRNA FOR CONTINIOUS MEDICAL EDUCATION WORKSHOPS AND SEMINARS. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. MCCURTAIN MEMORIAL HOSPITAL IS AN ACTIVE COMMUNITY MEMBER WITHIN THE COUNTY AND PARTICIPATES IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, BLOOD DRIVES, SEASONAL FESTIVALS AND PARADES, COUNTY FAIRS, ETC. WITH THE PURPOSE OF EDUCATING PEOPLE OF THE COMMUNITY IN HEALTH, WELLNESS AND DISEASE AND ILLNESS PREVENTION. PAMPHLETS AND OTHER USEFUL INFORMATION ARE PROVIDED AS WELL AS FREE BLOOD PRESSURE CHECKS AND GLUCOSE SCREENINGS. THE WELLESS CENTER IS AN EXCERISE AREA THAT COMMUNITY MEMBERS CAN SUBCRIBE TO AND USE THE EXERCISE EQUIPMENT ON A REGULAR BASIS. PERSONNEL ARE AVAILABLE TO ASSIST THEM. THIS PROGRAM IS AVAILABLE TO ALL COMMUNITY MEMBERS AT A LOW COST WITH DISCOUNTED RATES FOR SENIORS AND IS FREE TO EMPLOYEES IN ORDER TO HELP ADVOCATE HEALTHY LIFESTYLES. THE GARDEN MEADOWS WALKING TRAIL LOCATED AT THE HOSPITAL IS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK AT NO CHARGE AND IS INTENDED TO PROMOTE PHYSICIAL ACTIVITY FOR HEALTHIER LIFESTYLES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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        <PersonNm>MICHAEL BROWN JR</PersonNm>
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        <PersonNm>MISTI LEONARD</PersonNm>
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        <PersonNm>BILLY BECKHAM</PersonNm>
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        <BaseCompensationFilingOrgAmt>272250</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24668</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>296918</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN A WHITFIELD</PersonNm>
        <TitleTxt>CEO/PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>204120</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204120</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA ANN PIERCE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>173712</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22589</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196301</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990: THE RETURN IS REVIEWED BY THE CFO AND CEO AND IS EMAILED TO EACH MEMBER OF THE BOARD OF TRUSTEES FOR REVIEW AND QUESTIONS PRIOR TO THE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, TRUSTEES, HIGHEST COMPENSATED EMPLOYEES, AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURE FORMS ARE REVIEWED INITIALLY BY THE CEO AND CFO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF TRUSTEES. A BOARD MEMBER WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. SIMILIARLY, AN OFFICER OR KEY EMPLOYEE WITH A CONFLICT IS RESTRICTED FROM PARTICIPATING IN DECISION MAKING RELATED TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF TRUSTEES BASED ON COMPARABILITY DATA AND AN ANNUAL EVALUATION INCLUDED IN AN EMPLOYMENT CONTRACT. DOCUMENTATION IS PROVIDED IN THE BOARD MINUTES AND PERSONNEL FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR ALL OFFICERS IS DETERMINED BY THE CEO BASED ON AN ANNUAL EVALUATION AND SALARY SURVEY. DOCUMENTATION IS PROVIDED IN THE PERSONNEL FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR 5,343 15,842 0 PROFESSIONAL FEES 2,958,057 740,701 0 TOTAL 2,963,400 756,543 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>POST AUDIT ENTRY 28,294</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS HAD NOT BEEN RELEASED AT THE TIME THIS RETURN WAS FILED. ONCE COMPLETED, THIS RETURN WILL BE AMENDED TO REFLECT ALL MATERIAL CHANGES THAT RESULT FROM THE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc8">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MCCURTAIN MEMORIAL HOSPITAL FOUNDAT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1301 E LINCOLN RD</AddressLine1Txt>
          <CityNm>IDABEL</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74745</ZIPCd>
        </USAddress>
        <EIN>731455422</EIN>
        <PrimaryActivitiesTxt>FUNDRAISIN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMM</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>X</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>MCCURTAIN MEMORIAL HOSPITAL FOUNDAT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>172754</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SQUARE FOOTAGE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MCCURTAIN MEMORIAL HOSPITAL FOUNDAT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>110706</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>