View data for this organization below, or select additional hospitals to create a comparison view.
Compare tax-exempt hospitals

Search tax-exempt hospitals
for comparison purposes.

Stroud Regional Medical Center

Stroud Regional Medical Center
2308 Highway 66 West
Stroud, OK 74079
Bed count25Medicare provider number371316Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 260532635
Display data for year:
Community Benefit Spending- 2018
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
1.28%
Spending by Community Benefit Category- 2018
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2014-2018
Additional data

Community Benefit Expenditures: 2018

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 56,045,988
      Total amount spent on community benefits
      as % of operating expenses
      $ 718,746
      1.28 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 30,139
        0.05 %
        Medicaid
        as % of operating expenses
        $ 666,729
        1.19 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 18,122
        0.03 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 3,756
        0.01 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2018

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 2,993,205
        5.34 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 20,749
        0.69 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2018

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2018

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 50441761 including grants of $ 3756) (Revenue $ 39132245)
      EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      SCHEDULE H, PART V, SECTION B, QUESTIONS 5 & 6
      THE CHNA DATA WAS SUPPLEMENTED BY MEETINGS AND DISCUSSIONS WITH THE LOCAL HEALTH DEPARTMENT WHERE DATA WAS SHARED FROM THEIR OWN NEEDS ASSESSMENTS. IN ADDITION, INPUT WAS DERIVED FROM THE COUNTY-WIDE TASK FORCE WHICH PROVIDED INSIGHT AND EXPERTISE, LEADING TO THE IDENTIFICATION OF COUNTY-WIDE HEALTH PRIORITIES. DETAILS INCLUDING THE COUNTY-WIDE TASK FORCE MEMBERS, COMMUNITY MEETING ATTENDEES AND PROCESS ARE CONTAINED IN THE CHNA.
      SCHEDULE H, PART V, SECTION B, QUESTION 7B
      DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7B, IS THE HOME PAGE FOR THE ORGANIZATION. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE ORGANIZATION'S WEBSITE: http://stroudhospital.com/media/2020/01/2020HealthSurveyResults.pdf
      SCHEDULE H, PART V, SECTION B, QUESTION 11
      THE FACILITY, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS IDENTIFIED AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITY HEALTH NEED AREAS. THE CHNA INFORMS THE FACILITY'S STRATEGIC PLANNING WHICH INCORPORATES ELEMENTS FROM THE CHNA IMPLEMENTATION PLAN IN ITS STRATEGIES TO MEET ITS GOAL OF IMPROVED COMMUNITY HEALTH. THE CHNA IMPLEMENTATION PLAN ALSO INCLUDES RESOURCES, ACTIONS AND GOALS (MEASURABLE). AS DISCUSSED ABOVE, THE FACILITY CONDUCTED A COMPREHENSIVE ASSESSMENT AND A MYRIAD OF HEALTH NEEDS WERE IDENTIFIED. GIVEN LIMITED RESOURCES, NEEDS WERE PRIORITIZED WITH CONSIDERATION OF SERVICE ARRAY OFFERED BY THE FACILITY AND ABILITY TO COLLABORATE.
      SCHEDULE H, PART V, SECTION B, QUESTION 16
      DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16BAND 16C, IS THE HOME PAGE FOR THE ORGANIZATION. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE ORGANIZATION'S WEBSITE: http://stroudhospital.com/media/2013/08/StroudCharity.pdf
      SCHEDULE H, PART V, SECTION B, QUESTION 18E
      Due to billing system limitations the hospital bills all uninsured patients at gross charges. Prior to the transaction closing on August 11, 2011; the hospital had historically been owned by for profit operators. As such, the billing software still reflects a carryover from the previous ownership. The organization and its management company are curently taking actions so as to reasonably remedy this situation and to fully comply with the regulations of IRC Code Section 501(r). The current policy allows for the following actions: i. The patient, or financially responsible individual, will receive an itemized billing WITHIN 30 DAYS OF DISCHARGE DATE. The statement will include SERVICE DATE, EPISODE NUMBER, TOTAL CHARGES AND a copy of the payment arrangement or a request for payment arrangement if not completed at time of service. ii. If the account is not paid or acceptable arrangements made by the first of the following month, aging of account will begin and be monitored by Patient Account Representative. iii. If no activity on account after the first 60 days, the account will be set to receive the first of two collections letters at 90 days. At such time as it is determined that the account is inactive, the hospital will then write off any unpaid account balance. As the hospital is operating within the confines of the system limitations no patients are reported to collection agencies, lawsuits filed, no liens are placed on any residences and no body attachments filed. The hospital, in providing financial assistance to those patients deemed FAP eligible, must operate within the cofines of the current billing system. As such, in working with the current billing system limitations, the hospital is forced to characterize charity care as bad debt write offs. hospital will then write off any unpaid account balance. As the hospital is operating within the confines of the system limitations no patients are reported to collection agencies, lawsuits filed, no liens are placed on any residences and no body attachments filed. The hospital, in providing financial assistance to those patients deemed FAP eligible, must operate within the cofines of the current billing system. As such, in working with the current billing system limitations, the hospital is forced to characterize charity care as bad debt write offs.
      SCHEDULE H, PART V, SECTION B, QUESTIONS 23 & 24
      Due to billing system limitations the hospital bills all uninsured patients at gross charges. Prior to the transaction closing on August 11, 2011; the hospital had historically been owned by for profit operators. As such, the billing system still reflects a carryover from the previous ownership. Upon determination of a patient being FAP eligible a sliding scale based upon the 2018 Federal Poverty Guidelines is applied to gross charges. Due to billing system limitations as set forth above, which are a carryover from the prior for profit system, the patient billing process requires the mailing of two collection letters to the patients within the first sixty days. After said letters are mailed the billing system then permits the write off of the balance owed for any FAP eligible patients. The intention of the hospital is to work closely with those FAP eligible patients and respect their rights and as such no reports are filed with credit agencies, lawsuits, liens on residences or body attachments are undertaken. The organization and its management company are currently taking actions so as to reasonably remedy this situation and to fully comply with the regulations of IRC Code Section 501(r).
      SCH H, PART V, SECTION B, Q'S 2,3J,6A,7D,13B,13H,15E,16J,19E,20E,21C&21D
      NOT APPLICABLE.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Part i, line 3c
      "STROUD REGIONAL MEDICAL CENTER (""SRMC"") PROVIDES CHARITY CARE TO BOTH FINANCIALLY INDIGENT AND MEDICAL INDIGENT INDIVIDUALS. THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER SENATE BILL 500 PASSED BY THE 79TH LEGISLATURE OF THE STATE OF OKLAHOMA, REGULAR SESSION AND BASED UPON THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) POVERTY GUIDELINES, ALSO REFERRED AS THE FEDERAL POVERTY GUIDELINES (FPG). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNT CARE."
      Schedule h, part i; question 6a
      NOT APPLICABLE.
      Schedule h, part i, question 7
      THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED.
      Schedule h, part ii
      Not applicable.
      Schedule h, part iii, section a; questions 2, 3 & 4
      BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. ONE CURA WELLNESS, INC. AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. PLEASE REFER TO FOOTNOTE 7 ON PAGE 16 OF THE ONE CURA WELLNESS, INC. AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. The Organization may provide care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Since the Organization does not expect payment, recorded charges for charity care are deducted from patient fee revenues in order to reflect net patient service revenue. For the years ended September 30, 2019 AND 2018, there were no charges related to charity care.
      Schedule h, part iii, section b; question 8
      "Medicare costs were derived from the FISCAL YEAR 2019 Medicare cost report. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The organization feels bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below, the CORPORATION believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code (""irc"") 501(c)(3). The CORPORATION is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term ""charitable"" a regulation promulgated by the department of the treasury provides some guidance and states that ""[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term ""charitable"" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the ""charity care standard."" under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which ""remove[d]"" from revenue ruling 56-185 ""the requirements relating to caring for patients without charge or at rates below cost."" under the standard developed in revenue ruling 69-545, which is known as the ""community benefit standard,"" hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the ""generally accepted legal sense"" of the term ""charitable,"" as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was ""promoting the health of a class of persons that is broad enough to benefit the community"" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The american hospital association (""aha"") feels bad debt is community benefit and thus includable on the form 990, schedule h, part i. This CORPORATION agrees with the aha position. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. There are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office (""cbo"") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that ""the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line."" - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings ""support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits"" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospitals' best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance. The organization and its management company are currently taking actions so as to reassembly remedy this situation and to fully comply with the regulations of IRC Code Section 501(r). studies indicating that ""the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line."" - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings ""support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits"" assuming the findings are generalizable nationwide; the expe"
      Schedule h, part iii, section b; question 9b
      The hospital also has a Charity and Uncompensated Care Policy to assure patients are provided with charity care assistance determined by state and federal regulations. It is the policy that SRMC may inform each patient of the charity care program and how to apply. Patients who desire to apply for charity care should complete a Financial Assistance application form and return the completed application form to the hospital. Along with promotion of the charity care program, Patient Registration will refer patients who may quality for financial assistance from a government agency to the appropriate program, such as Medicaid. Patients not eligible for charity care will be financially counseled for all other options. An uninsured patient who does not qualify as financially or medically indigent could receive a discount according to policy. At the time of the patient visit and part of the registration process at the facility, the following options are made available to patients: - counseling for possible eligibility for medical assistance including Medicaid and ssi; and - counseling for possible eligibility for the Charity Care Program. In addition to the above options, the facility has established a payment program to assist with individuals who do not qualify for Charity Care or a government program.
      Schedule h, part vi; question 2
      In conjunction with the Oklahoma Office of Rural Health, TPHA conducts a Community Health Needs Assessment (CNHA) every three years per Internal Revenue Code Section 501(c)(3) and the Patient Protection and Affordable Care Act (ACA), passed on March 23, 2010. The CNHA is a review of key factor information and health indicators which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) for determining increased or decreased health needs; healthcare service estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; health factors and outcomes; hospital usage and satisfaction; existing hospital services; and, a review of health status/needs assessments and studies conducted by external parties (Caddo County Health Department, etc.). To ensure the CNHA is accurate with the community's needs, the hospital holds four public Town Hall meeitngs to discuss local data and information/health needs, economic impact, health needs survey, and community action plan. The CNHA also pulls data from government entities including; U.S. Bureau of Census, IMPLAN, Oklahoma State Department of Health, and other support agencies. The goal behind CNHA is to gather community input that leads to recommendations on how the hospital can better meet and serve residents' needs. This includes an extensive review of the population's healthcare needs and gaps (physicians, specialists, services, etc) every three years. The results of the CNHA are published via electronic and non-electronic means.
      Schedule h, part vi; question 3
      SRMC educates patients in a number of ways regarding financial assistance including: i. Charity Care signs posted throughout the facility, mainly in patient registration areas; ii. Registration clerk educates patients on the financial assistance options during registration; iii. Inpatient admission packets include information regarding our financial assistance programs; and iv. SRMC's website displays the Charity Care policy and procedure for public viewing.
      Schedule h, part vi; question 7
      Not applicable.
      Schedule h, part vi; question 4
      "The City of Stroud is located in east central Lincoln County, about 12 miles east of Chandler, the Lincoln County Seat. Stroud is governed by a Council/Manager form of government. The City is divided into four wards, each ward electing a council person. The Mayor is elected at-large. The City Council employs a city manager who is the chief executive officer of the City under the direction of the Council. All departments of the City report to the city manager. The total incorporated land area of Stroud is 12.5 square miles. The city is located on the south side of Salt Creek, three miles north of the Deep Fork River, at elevation 886 feet. The town is situated on the former Santa Fe Railroad, now the Stillwater Central Railroad, and is at the crossroads of OKlahoma Hwy 66 and US Hwy 377/OK Hwy 99, and one mile south of the midpoint of the Turner Turnpike between Tulsa and Oklahoma City. Stroud originated in 1892 when James W. Stroud built a store and post office on his homestead, located one mile west of the present town site. A community developed there but soon moved to Stroud's present location in order to be on the route of the Arkansas and Oklahoma Railroad (sold to St. Louis and San Francisco Railway in 1901). The James W. Stroud House is listed in the National Register of Historical Places. Prior to statehood Stroud was one of Oklahoma Territory's notorious ""whiskey towns"" along the boundary of Indian Territory. The town's early economy was based on cotton farming. In 1907 the population stood at 1,312, and by 1909 Stroud had two banks, two newspapers, four cotton gins, and a cottonseed-oil mill. In 1910 the town had 1,220 residents. On March 27, 1915, the Henry Starr gang robbed simultaneously both banks. Oil created a boom in the 1920s and was an economic force until the 1990s. Early newspapers included the Messenger, the Star, and the Democrat. The Censuses of 1920 and 1930 reported 1,361 and 1,894 residents, respectively. Population numbers rose to 2,450 in 1950 and 2,502 in 1970, and peaked at 3,148 in 1980. Population fell to 2,666 in 1990, rebounded to 2,758 in 2000, and then dropped to 2,690 in 2010. Light industry and trucking have generally provided Stroud's economic base, and Stroud Midway Industrial Park is community-owned. Prior to its destruction in the May 3, 1999 tornado, the Tanger Outlet Mall had employed 350 local citizens. At the end of the twentieth century the town supported three banks, and the Stroud American newspaper. City services included a municipal hospital, a city golf course, a municipal airport, and a public library. In early 2010 BNSF Railway and Stillwater Central Railroad initiated a crude oil train service between North Dakota's Bakken oil fields and a newly created terminal in Stroud. Trains carrying 60,000 barrels of crude are hauled to Tulsa, where they are passed to the Stillwater Central Railway for delivery to Stroud. It takes about 15 hours to offload as shipment at Stroud. From Stroud the oil is sent by pipeline to Cushing in Payne County. Stroud's largest employers are Stroud Public Schools, City of Stroud, Service King, Miller Trucking and Stroud Regional Medical Center. There is one pharmacy in Stroud and one Nursing Home. Community activities include an annual, city-wide garage sale in June and a Fourth of July celebration, followed by the nearby Annual Sac and Fox Powwow in early July. Stroud Lake, three miles north and east, is owned by the City and is the location of the Wilderness Challenge Center of the Oklahoma Foundation for the Disabled. The headquarters of the Sac and Fox Nation is located five miles south of Stroud, and the nation is one of the community's major employers. The City of Stroud had a 2010 Census population of 2,690. Table 5.9-1 provides demographic information identifying populations who may be among the community's most vulnerable to weather and other hazards."
      Schedule h, part vi; question 5
      COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY STROUD TO IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A NUMBER OF OUTREACH ACTIVITIES TARGETED TO PROMOTE HEALTH AND HEALTHCARE IN THE COMMUNITY. Areas of emphasis would be education, early disease detection, health and wellness, and needs specific to Native Americans and other minorities. In order to be successful, the Lincoln County Department of Health and Tribal Leaders will have to be actively involved. Stroud Regional Medical Center allows students from various schools to obtain clinicals for nursing and lab. Stroud Regional Medical Center held a health fair which provided information to patrons on various health issues and services available to them. Stroud Regional Medical Center provides blood pressure checks at the following senior citizen centers each month: Stroud, Chandler, Davenport and Sparks.
      Schedule h, part vi; question 6
      "Outlined below is a summary of the entities which comprise ONE CURA WELLNESS. Not for profit healthcare system entities ONE CURA WELLNESS, INC. ONE CURA WELLNESS, INC. (""ONE CURA"") is the tax-exempt parent of ONE CURA WELLNESS, INC. (""system""). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member of each entity is ONE CURA. The System is an integrated network of healthcare providers throughout the state of OKLAHOMA. ONE CURA is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). As the parent organization of a tax-exempt integrated healthcare delivery system in OKLAHOMA, ONE CURA strives to continually develop and operate a multi CRITICAL ACCESS hospitAl healthcare system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of OKLAHOMA and surrounding communities. ONE CURA ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origins, religion or ability to pay. No individuals are denied necessary medical care, treatment or services. The system's active CRITICAL ACCESS hospitals include: THE PHYSICIAN'S HOSPITAL IN ANADARKO AND STROUD REGIONAL MEDICAL CENTER. EAch of these hospitals operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Each provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self- pay, Medicare and Medicaid patients; 2. Each operate an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. Each maintain an open medical staff, with privileges available to all qualified physicians; and 4. Control of each rests with its board of trustees and the board of trustees of the corporation. Both boards are comprised of independent civic leaders and other prominent members of the community. 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. THE PHYSICIAN'S HOSPITAL IN ANADARKO THE PHYSICIAN'S HOSPITAL IN ANADARKO (""TPHA"") is a 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN ANADARKO, CADDO county, OKLAHOMA. TPHA is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, TPHA provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, TPHA operates consistently with the criteria outlined in irs revenue ruling 69-545. STROUD REGIONAL MEDICAL CENTER STROUD REGIONAL MEDICAL CENTER (""SRMC"") is a 25-BED CRITICAL ACCESS HOSPITAL located in STROUD, LINCOLN county, OKLAHOMA. SRMC is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, SRMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, SRMC operates consistently with the criteria outlined in irs revenue ruling 69-545. ONE CURA FAMILY CLINIC ANADARKO, INC. ONE CURA FAMILY CLINIC ANADARKO, INC. PROVIDES ACCESS TO AFFORDABLE QUALITY PRIMARY AND PREVENTIVE HEALTHCARE TO THE COMMUNITIES IN GREATER CADDO COUNTY IN A PATIENT CENTERED, SAFE, COMPASSIONATE ENVIRONMENT. ONE CURA FAMILY CLINIC ANADARKO, INC. IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. ONE CURA FAMILY CLINIC STROUD, INC. ONE CURA FAMILY CLINIC STROUD, INC. PROVIDES ACCESS TO AFFORDABLE QUALITY PRIMARY AND PREVENTIVE HEALTHCARE TO THE COMMUNITIES IN GREATER LINCOLN COUNTY IN A PATIENT CENTERED, SAFE, COMPASSIONATE ENVIRONMENT. ONE CURA FAMILY CLINIC STROUD, INC. IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION."