4A (Expenses $ 12145985 including grants of $ 0) (Revenue $ 13390655)
THE HOSPITAL IS A 39-BED ACUTE CARE HOSPITAL LOCATED IN THE CITY OF PURCELL, OKLAHOMA. THE HOSPITAL IS LEASED FROM THE CITY OF PURCELL, OKLAHOMA TO THE PURCELL PUBLIC WORKS AUTHORITY. THE HOSPITAL WAS CREATED UNDER THE LAWS OF THE STATE OF OKLAHOMA AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3). THE HOSPITAL PROVIDES SHORT-TERM ACUTE HEALTH AND EMERGENCY CARE TO THE CITIZENS OF PURCELL, OKLAHOMA AND SURROUNDING COMMUNITIES REGARDLESS OF ABILITY TO PAY. WE OFFER A MEDICAL CLINIC AND SPECIALTY CLINIC TO MAKE ACCESS TO SPECIALISTS MORE CONVENIENT FOR THE COMMUNITY. EYE SURGERY, PAIN MANAGEMENT, SCOPES AND GENERAL SURGERY ARE PERFORMED IN OUR FACILITY. OUR FACILITY CAN ALSO FULFILL THE NEEDS OF SWING BEDS AND OBSERVATION STAYS. THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SINCE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE.

SCHEDULE H, PART V, SECTION B, LINE 5
CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: A SURVEY RAN FROM APRIL 2, 2019 TO APRIL 16, 2019. COMMUNITY MEETINGS WERE HELD ON APRIL 2, 16 AND APRIL 30, 2019. ATTENDEES WERE FROM PURCELL SCHOOLS, MCCLAIN BANK, PURCELL MUNICIPAL HOSPITAL, GLENN A. MEAD DDS, OSU EXTENSION OFFICE, CITY OF PURCELL, EDWARD JONES INVESTMENTS, HEALTHBACK, WADLEY'S FUNERAL, WADLEY'S EMS, LEXINGTON NURSING HOME, FARMERS INSURANCE, MID AMERICA TECH CENTER, THERAPY IN MOTION, ROB'S RANCH FOR MEN/ADDICTION TREATMENT AND PURCELL REGISTER(NEWSPAPER).

SCHEDULE H, PART V, SECTION B, LINE 7a & 10a
THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: WWW.PURCELLHOSPITAL.COM/ABOUT/

SCHEDULE H, PART V, SECTION B, LINE 11
IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: ACCESS TO PRIMARY CARE INCLUDING INCREASING THE NUMBER OF PROVIDERS WAS THE NEED IDENTIFIED. THE HOSPITAL IS IN THE PROCESS OF BUILDING A NEW FACILITY AND THERE WILL BE A PHYSICIAN'S BUILDING ON THE GROUNDS. THE NEW HOSPITAL AND PHYSICIAN'S BUILDING WILL AID IN THE RECRUITMENT OF PHYSICIANS AND SPECIALIST. DURING FISCAL YEAR 2021, THE HOSPITAL HIRED A FULL TIME NURSE PRACTITIONER TO ADD MORE PRIMARY CARE VISIT OPTIONS TO THE COMMUNITY. A PHYSICIAN WAS HIRED THROUGH THE SSM NETWORK WHO IS ALSO PART OF THE SSM FAMILY CLINIC IN PURCELL. ALSO, A SURGEON WAS HIRED THROUGH THE SSM NETWORK WHO VISITS TWICE A MONTH FOR PROCEDURES AND CONSULTS.

SCHEDULE H, PART V, SECTION B, LINE 6B
CHNA conducted with one or more organizations other than hospital facilities: OKLAHOMA OFFICE OF RURAL HEALTH AND OSU CENTER FOR RURAL HEALTH.

SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C
FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTPS://purcellhospital.com/patient-info/

SCHEDULE H, PART I, LINE 3C
FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -Medical Indigency -Insurance Status -Underinsurance status SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. THE COST FOR SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7 COL(F) PERCENT OF TOTAL EXPENSE: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,290,253. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: ACCOUNTS ARE NOT WRITTEN OFF TO BAD DEBT UNTIL ALL PAYMENTS, DISCOUNTS AND CONTRACTUAL ALLOWANCES ARE APPLIED AND INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. WHEN A PAYMENT IS RECEIVED ON AN ACCOUNT PREVIOUSLY WRITTEN OFF TO BAD DEBT, THE PAYMENT REDUCES THE CURRENT YEAR'S BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY: THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS UNDER THE Organization's charity care policy is 17.8%. THIS WAS DETERMINED BY USING THE PERCENTAGE IF THE POPULATION IN THE SERVICE AREA THAT IS UNDER THE FEDERAL POVERTY GUIDELINE ESTABLISHED FOR CHARITY CARE. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients, and others. The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions. SCHEDULE H, PART III, SECTION A, LINE 8 COSTING METHODOLOGY: TOTAL REVENUE RECEIVED FROM MEDICARE (INCLUDING DSH AND IME) IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT (INCLUDING LSA). BOTH THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS.

SCHEDULE H, PART III, SECTION C, LINE 9B
COLLECTION PRACTICES: PURCELL MUNICIPAL HOSPITAL WILL NOT IMPOSE EXTRAORDINARY COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE POLICY. COLLECTION EFFORTS WILL CEASE FOR PATIENTS THAT ARE IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. ONCE THERE IS A DETERMINATION OF FINANCIAL ASSISTANCE, ANY PERSONAL PORTION DUE WOULD FOLLOW NORMAL COLLECTION PROCEDURES.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT: IN ADDITION TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT STATISTICAL ANALYSIS OF PUBLIC DATA, SPECIFICALLY COMMUNITY OUT-MIGRATION DATA IS ANALYZED TO DETERMINE UNMET COMMUNITY NEEDS. CONSTITUENTS VOCALIZE DIRECTLY TO HOSPITAL EMPLOYEES, ADMINISTRATION, AND GOVERNING BOARD THEIR DESIRES FOR SERVICES TO BE RENDERED LOCALLY. PHYSICIANS WITH ADMITTING PRIVILEGES AT PMH COMMUNICATE TO THE GOVERNING BOARD AND ADMINISTRATION ANY UNMET PATIENT NEEDS.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED AND EDUCATED ABOUT THE FINANCIAL ASSISTANCE POLICY AT PMH DURING THE ADMISSION PROCESS AND DURING ANY POST-DISCHARGE FINANCIAL COUNSELING. PATIENTS ARE ADVISED ABOUT THEIR POTENTIAL ELIGIBILITY FOR STATE, FEDERAL AND LOCAL ASSISTANCE DURING THE SAME PROCESS. COMMUNICATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS PUBLICIZED ON THE HOSPITAL'S WEBSITE AND THROUGH VARIOUS POSTINGS THROUGHOUT THE HOSPITAL. PROGRAM INFORMATION INCLUDES A CONTACT PHONE NUMBER AND IS WRITTEN IN THE PRIMARY LANGUAGE SPOKEN BY THE COMMUNITY'S POPULATIONS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR FAMILY MEMBER.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: PURCELL MUNICIPAL HOSPITAL (PMH) IS A 39-BED ACUTE CARE HOSPITAL LOCATED IN THE CITY OF PURCELL, OKLAHOMA. THE HOSPITAL IS LEASED FROM THE CITY OF PURCELL, OKLAHOMA TO THE PURCELL PUBLIC WORKS AUTHORITY. PMH SERVES PATIENTS FROM CENTRAL AND SOUTHERN MCCLAIN COUNTY, NORTHERN AND WESTERN GARVIN COUNTY, AND WESTERN PONTOTOC COUNTY. THE HOSPITAL SERVES A SIGNIFICANT UNDOCUMENTED PATIENT BASE SERVING THE AGRICULTURE AND EQUINE INDUSTRIES. PURCELL AND MCCLAIN COUNTY OF OKLAHOMA HAVE BEEN DEEMED A MEDICALLY UNDERSERVED AREA (MUA) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. PURCELL, OKLAHOMA HAS A POPULATION OF 6,931 WITH A MEDIAN HOUSEHOLD INCOME OF $56,576 AND THE POVERTY RATE IS AT 17.8%. THE ECONOMY IS SPECIALIZED IN MINING, QUARRYING, OIL GAS EXTRACTION; CONSTRUCTION; AND PUBLIC ADMINISTRATION.

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: N/A.

SCHEDULE H, PART VI, LINE 7
REPORTS FILED WITH STATES: OKLAHOMA

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: PURCELL MUNICIPAL HOSPITAL IS GOVERNED BY A 5-PERSON BOARD APPOINTED BY THE TRUSTEES OF THE PURCELL PUBLIC WORKS AUTHORITY FOR A 4-YEAR TERM OF OFFICE. THE ATTENDANCE OF THE CHIEF OF MEDICAL STAFF (EX-OFFICIO AND NON-VOTING) AND THE CHIEF EXECUTIVE OFFICER (EX-OFFICIO AND NON-VOTING) AT THE MONTHLY BOARD MEETINGS ARE REQUIRED BY THE HOSPITAL'S BY-LAWS. EACH MEETING IS OPEN TO THE PUBLIC AND ADHERES TO THE GUIDELINES SET FORTH IN THE OKLAHOMA OPEN MEETINGS ACT. A ONE-CENT SALES TAX INCREASE WAS EARMARKED FOR PURCELL MUNICIPAL HOSPITAL ON JANUARY 1, 2017. THE SALES TAX INCREASE WILL HELP GENERATE NEEDED REVENUE TO MEET OPERATIONAL EXPENSES AT THE HOSPITAL. THE SALES TAX WILL REMAIN IN EFFECT FOR THREE YEARS. AN ELECTION WAS HELD IN AUGUST 2018 AND A CONTINUATION OF THE ONE CENT SALES TAX FOR 20 ADDITIONAL YEARS WAS PASSED. THE PMH MEDICAL STAFF IS OPEN TO ALL COMMUNITY PHYSICIANS THAT MEET THE MEDICAL STAFF BY-LAW CRITERION FOR THE DESIRED PRIVILEGING LEVEL. THE HOSPITAL IS THE SOLE PROVIDER IN THE COMMUNITY. SEVERAL COVID VACCINE CLINICS WERE HELD. WE ALSO HOST THE BLOOD MOBILE IN OUR PARKING LOT WHEN THEY ARE RECEIVING COMMUNITY BLOOD DONATIONS. WE PUT UP SIGNAGE AND POST ON OUR MARQUEE WHEN THE BLOOD MOBILE WILL BE IN OUR PARKING LOT. WE ARE A SOLE COMMUNITY PROVIDER. WE HAVE AN AUXILIARY GIFT SHOP THAT IS STAFFED BY VOLUNTEERS. CPR CERTIFICATION IS PROVIDED TO OUR HEALTHCARE EMPLOYEES LOCATED IN PATIENT CARE AREAS. WE PARTICIPATE IN THE COMMUNITY NEEDS ASSESSMENT. WE OFFER OUTPATIENT CATARACT SURGERY SO THAT OUR AGING COMMUNITY DOESN'T HAVE TO TRAVEL A GREATER DISTANCE FOR THIS SERVICE. WE ALSO HAVE AN ENDOSCOPY DEPARTMENT THAT PROVIDES THE PATIENTS WITH THE CHOICE OF HAVING THEIR NEEDED SCREENINGS LOCALLY RATHER THAN HAVING TO TRAVEL TO ANOTHER FACILITY AT A GREATER DISTANCE. WE ALSO HAVE A CLINIC THAT IS ABLE TO OFFER A LESS EXPENSIVE ALTERNATIVE FOR MINOR EMERGENCIES RATHER THAN THE MORE EXPENSIVE EMERGENCY DEPARTMENT. THIS HAS BEEN RECEIVED WELL BY THE COMMUNITY. WE ALSO RENT OUT A SPACE TO SPECIALIST SUCH AS CARDIOLOGISTS, EYES, ORTHO, UROLOGY AND OTHER SPECIALTIES SO THAT OUR COMMUNITY AND SURROUNDING AREAS MAY HAVE EASIER ACCESS TO THIS MUCH NEEDED HEALTH CARE. DUE TO COVID, THE HOSPITAL WAS FORCED TO LIMIT INTERACTION WITH THE PUBLIC. HOWEVER, THERE WERE A NUMBER OF VACCINE CLINICS AND CURBSIDE TESTING CONDUCTED THROUGHOUT THE HEIGHT OF THE PANDEMIC. THE HOSPITAL ALSO PROVIDED TELEHEALTH TO THE INPATIENTS, ALONG WITH THE CLINIC.