2023-04-24T14:27:54-05:00 2022-06-30 731225615 SMITH CARNEY & CO PC 5100 N BROOKLINE SUITE 1000 OKLAHOMA CITY OK 731123627 990 2021-07-01 730580264 THE CHILDREN'S CENTER INC CHIL 4057896711 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 NICO GOMEZ CHIEF EXECUTIVE OFFICER 4054702233 2023-03-24 1 NICO GOMEZ 999009999 LEAH K LOGAN P01209918 4052721040 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z BETHANY CHILDREN'S HEALTH CENTER NICO GOMEZ 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 79391472 0 X WWW.BETHANYCHILDRENS.ORG X 1946 OK BECAUSE WE BELEIVE LIFE IS SACRED, AN INHERENT GIFT FROM A LOVING CREATOR, AND THAT ALL CHILDREN ARE OF EQUAL WORTH, WE DEDICATE OURSELVES TO MAXIMIZING THE POTENTIAL OF EVERY CHILD BY PROVIDING EXCELLENT PEDIATRIC MEDICAL AND REHABILITATIVE SERVICES IN A COMPASSIONATE ENVIRONMENT CONSISTENT WITH THE CHRISTIAN PRINCIPLES ON WHICH WE WERE FOUNDED. 12 12 917 47 0 0 3036217 2404263 57540139 74739169 744989 106564 197243 301870 61518588 77551866 0 0 0 0 43311999 54732370 0 0 461111 17767567 21500537 61079566 76232907 439022 1318959 87016749 88760843 34823561 35642857 52193188 53117986 SUBACUTE HOSPITAL PROVIDING 24-HOUR MEDICAL AND RESPIRATORY CARE, COMPREHENSIVE THERAPIES, AND SPECIAL EDUCATION TO MEDICALLY FRAGILE CHILDREN. 0 0 70950864 74739169 SUBACUTE HOSPITAL PROVIDING 24-HOUR MEDICAL AND RESPIRATORY CARE, COMPREHENSIVE THERAPIES, AND SPECIAL EDUCATION TO MEDICALLY FRAGILE CHILDREN. SERVES 200 IN-PATIENTS AND 23,000 OUT-PATIENTS ANNUALLY. 70950864 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 0 0 0 1 53 0 917 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OK X THE CHILDREN'S CENTER INC 4057896711 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 ALBERT GRAY BOARD CHAIRMAN AND ADMINISTRATOR 40.00 X 348000 0 4702 GLENN COFFEE BOARD 1.00 X 0 0 0 MIKE COWAN BOARD 1.00 X 0 0 0 KIM GRUBBS BOARD 1.00 X 0 0 0 CHRIS STREETS BOARD 1.00 X 0 0 0 DON ORR BOARD 1.00 X 0 0 0 THOMAS MCGEE BOARD 1.00 X 0 0 0 TIFFANY SELF BOARD 1.00 X 0 0 0 DOUG HOGUE BOARD 1.00 X 0 0 0 BETH WHITE BOARD 1.00 X 0 0 0 MICHAEL SIATKOWSKI BOARD 1.00 X 0 0 0 JASON RICHARDS BOARD 1.00 X 0 0 0 MICHAEL JOHNSON CHIEF MEDICAL OFFICER 40.00 X 367457 0 13370 JOEL NICO GOMEZ CHIEF EXECUTIVE OFFICER 40.00 X 313757 0 13370 THOMAS RICHARDS CHIEF FINANCIAL OFFICER 40.00 X 161730 0 10993 DARIN BRANNAN PHYSICIAN 40.00 X 262855 0 12428 SHANNAN KANEASTER PHYSICIAN 40.00 X 196692 0 12549 SUNEET SAHGAL PHYSICIAN 40.00 X 321952 0 13370 TONYA WASHBURN PHYSICIAN 40.00 X 400807 0 13370 MICHAEL COFFEY PHYSICIAN 40.00 X 193815 0 12405 RACHEL BLANKENSHIP PHYSICIAN 40.00 X 157755 0 11875 LAURA FINLAYSON PHYSICIAN 40.00 X 184216 0 13264 HEATHER WILSON CHIEF OF MISSION AND CULTU 40.00 X 231082 0 232 ANBER MCKENZIE CHIEF NURSING OFFICER 40.00 X 163699 0 3217 SHELLY POPLIN APRN MANAGER 40.00 X 136126 0 6993 ALANA ZUELSDORF DIRECTOR OF PHARMACY 40.00 X 141896 0 13370 BECKY VOGT EVP REHAB AND EDUCATION 40.00 X 135667 0 13217 BETH VEATCH APRN 40.00 X 134579 0 13370 CAROL GRAY SR. DIRECTOR OF MISSION AN 40.00 X 143230 0 10993 3995315 0 193088 55 1 1 0 COLLEGIATE MEDICAL LLC PO BOX 9238 SHAWNEE MISSION KS 66201 MEDICAL SUPPLIER 131528 1 2404263 214962 2404263 IN-PATIENT MEDICAID 623000 67398809 67398809 OUT-PATIENT SERVICES 621400 3919967 3919967 OTHER IN-PATIENT 623000 2468426 2468426 PATIENT EDUCATION 611710 703555 703555 PATIENT SCHOOL MEALS 611710 248412 248412 74739169 95484 95484 22080 22080 82469 88898 -6429 -6429 -6429 1761788 1750708 11080 11080 11080 FOOD SERVICE 722210 184558 184558 OTHER 623000 101661 101661 286219 77551866 74739169 0 408434 3712642 3480136 232506 42019032 40637344 1247138 134550 5717178 5515378 184979 16821 3283518 3167619 106238 9661 25487 25487 175306 98842 76464 279715 279715 1517763 1083404 434359 104612 40 104572 296226 134477 161749 2779403 1498824 1279131 1448 310202 190856 93321 26025 767 767 1617555 1567514 48527 1514 3568512 3458094 107077 3341 592033 573718 17761 554 DRUGS 3987610 3987610 GENERAL MEDICAL SUPPLIE 2929538 2929538 RESPIRATORY SUPPLIES 1194272 1194272 OTHER 1030566 504885 525681 0 1090970 1062023 28071 876 76232907 70950864 4820932 461111 4515101 2273184 1346171 1741812 2513 2129 6087704 10997980 719889 822590 468553 679887 97180155 33114898 65294309 64065257 3048001 2743044 1367732 1297857 4166776 4137103 87016749 88760843 5615575 6695456 29122169 28867550 85817 79851 34823561 35642857 X 46022118 46796556 6171070 6321430 52193188 53117986 87016749 88760843 1318959 -394161 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3112023 -401823 21594 2688608 2444344 682265 14587 3112023 2399472 56962 12090 2444344 2260022 4861 146912 12323 2399472 2155687 832 121056 17553 2260022 0.69360 0.30640 0 1 1 2663224 2663224 949320 72966228 18957342 54958206 18224486 13515564 4708922 2376897 641992 1734905 64065257 PATIENT TRUST FUNDS 59051 HEALTHY SCHOOL LOAN 20800 79851 PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE CORPUS OF THE ENDOWMENT FUNDS IS PERMANENTLY RESTRICTED. THE EARNINGS CAN BE USED FOR THE UPKEEP AND MAINTENANCE OF THE ORGANIZATION'S FACILITIES. 1 1 1 X 400.000000000000 1 X 1 0 0 78321505 64339290 13982215 0.18340 78321505 64339290 13982215 0.18340 63888 63888 0.00080 63888 63888 0.00080 78385393 64339290 14046103 0.18420 1 7631 0 1 1 THE CHILDREN'S CENTER INC 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 X THE CHILDREN'S CENTER INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.BETHANYCHILDRENS.ORG X 1 22 1 WWW.BETHANYCHILDRENS.ORG 0 1 X 400.000000000000 400.000000000000 0 1 X X X 1 X WWW.BETHANYCHILDRENS.ORG X WWW.BETHANYCHILDRENS.ORG X WWW.BETHANYCHILDRENS.ORG X X X X X X X 1 X 0 1 X 0 0 PART V, SECTION A: FACILITY 1, THE CHILDREN'S CENTER, INC. - PART V, LINE 3PERSONS CONSULTED:THE HOSPITAL'S BOARD PRESIDENT, PHYSICIANS AT NEIGHBORING HOSPITALS; VAROUS COMMUNITY LEADERS; PARENT OF PATIENT.THE INDIVIDUALS ABOVE WERE INTERVIEWED TO GAIN INSIGHT INTO HOW THE HOSPITAL CURRENTLY SERVES THE SPECIAL NEEDS PEDIATRIC POPULATION AND HOW THAT CARE COULD BE IMPROVED. BASED ON RESPONSES FROM INTERVIEWS, THE HOSPITAL GAINED INSIGHT ON BARRIERS TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF THE PRIMARY COMMUNITY, OPINIONS ON TYPES OF SERVICES THAT ARE NEEDED TO ADDRESS IMPORTANT HEALTH ISSUES IN THE COMMUNITY, AND FURTHER SPECIALIZATION OF SERVICES FOR COMPLEX HEALTH ISSUES. THE CHILDREN'S CENTER, INC PART V, SECTION B, LINE 16J: THE POLICY IS ALSO PROVIDED, IN WRITING, TO PATIENTS AND/OR FAMILIES UPON ADMISSION TO THE HOSPITAL FACILITY. PART III, LINE 2: MANAGEMENT'S ESTIMATE OF THE ALLOWANCE FOR BAD DEBTS IS BASED ON THE HOSPITAL'S PAST LOSS EXPERIENCE AND REVIEW OF INDIVIDUAL ACCOUNTS. PART VI, LINE 2: THE HOSPITAL PROVIDES SPECIALIZED CARE FOR MEDICALLY FRAGILE CHILDREN WITH DISABILITIES THAT RESULT FROM TRAUMATIC BRAIN AND SPINAL CORD INJURIES. THE HOSPITAL HAS ASSESSED AN ON-GOING NEED FOR THIS HIGHLY SPECIALIZED CARE FOR OKLAHOMA CHILDREN AS WELL AS CHILDREN FROM SURROUNDING STATES THROUGH INTERNAL ANALYSIS AND DISCUSSION WITH REGIONAL TRAUMA CENTERS. PART VI, LINE 3: THE MAJORITY OF THE HOSPITAL'S IN-PATIENTS QUALIFY FOR MEDICAID ASSISTANCE. IN OTHER CASES, A SOCIAL WORKER AT THE HOSPITAL WILL WORK WITH THE PATIENT AND FAMILY TO EDUCATE THEM ON ELIGIBILTY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: THE HOSPITAL IS LOCATED IN BETHANY, OK AND SERVES ALL CHILDREN FROM BIRTH TO 18 YEARS OF AGE WHO HAVE SUFFERED A TRAUMATIC ACCIDENT, BRAIN OR SPINAL CORD INJURY. ADDITIONALLY, THE HOSPITAL MAINTAINS AN OUT-PATIENT PRACTICE THAT SERVES TYPICALLY DEVELOPING CHILDREN AS WELL AS CHILDREN WITH SPECIAL NEEDS. THE HOSPITAL SERVES PATIENTS FROM THE STATE OF OKLAHOMA AS WELL AS OTHER STATES, WITH VARIOUS BACKGROUNDS, ETHNICITIES, AND INCOME LEVELS. PART VI, LINE 5: IN ADDITION TO SERVING THE COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS, THE HOSPITAL ALSO HOSTS A VARIETY OF SPECIAL EVENTS, SEMINARS, AND SAFETY TALKS THAT ADDRESS SAFETY AND HEALTH RISK FACTORS FOR CHILDREN. THE HOSPITAL WORKS CLOSELY WITH COMMUNITY SCHOOLS AND FIRE DEPARTMENTS TO RAISE AWARENESS OF THESE ISSUES. PART VI, LINE 6: THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. X X 1 0 0 0 0 0 0 0 0 TONYA WASHBURN PHYSICIAN 400807 0 0 0 0 0 4000 0 9370 0 414177 0 0 0 MICHAEL JOHNSON CHIEF MEDICAL OFFICER 367457 0 0 0 0 0 4000 0 9370 0 380827 0 0 0 ALBERT GRAY BOARD CHAIRMAN AND ADMINISTRATOR 348000 0 0 0 0 0 4000 0 702 0 352702 0 0 0 SUNEET SAHGAL PHYSICIAN 321952 0 0 0 0 0 4000 0 9370 0 335322 0 0 0 JOEL NICO GOMEZ CHIEF EXECUTIVE OFFICER 313757 0 0 0 0 0 4000 0 9370 0 327127 0 0 0 DARIN BRANNAN PHYSICIAN 262855 0 0 0 0 0 3058 0 9370 0 275283 0 0 0 HEATHER WILSON CHIEF OF MISSION AND CULTU 156082 0 0 0 75000 0 0 0 232 0 231314 0 0 0 SHANNAN KANEASTER PHYSICIAN 196692 0 0 0 0 0 3179 0 9370 0 209241 0 0 0 MICHAEL COFFEY PHYSICIAN 193815 0 0 0 0 0 3035 0 9370 0 206220 0 0 0 LAURA FINLAYSON PHYSICIAN 184216 0 0 0 0 0 3894 0 9370 0 197480 0 0 0 THOMAS RICHARDS CHIEF FINANCIAL OFFICER 161730 0 0 0 0 0 4000 0 6993 0 172723 0 0 0 RACHEL BLANKENSHIP PHYSICIAN 157755 0 0 0 0 0 2505 0 9370 0 169630 0 0 0 ANBER MCKENZIE CHIEF NURSING OFFICER 163699 0 0 0 0 0 2515 0 702 0 166916 0 0 0 ALANA ZUELSDORF DIRECTOR OF PHARMACY 141896 0 0 0 0 0 4000 0 9370 0 155266 0 0 0 CAROL GRAY SR. DIRECTOR OF MISSION AN 143230 0 0 0 0 0 4000 0 6993 0 154223 0 0 0 PART I, LINE 4A HEATHER WILSON $75,000 CHRIS STREETS BOARD MEMBER 320869 PAYMENTS FOR MAINTENANCE AND REPAIRS TO STREETS, LLC - OWNED BY BOARD MEMBER CHRIS STREETS 0 X EQUIPMENT 225 139811 FMV X TOILETRIES 21347 17023 FMV X DIAPERS 52148 13939 FMV X EDUCATION SUPPLIES 1280 11871 FMV X RESPIRATORY SUPPLIES 7731 10945 FMV X RENTAL EXPENSE 1 7200 FMV X CLOTHES AND SHEETS 1050 6242 FMV X FORMULA 1916 4407 FMV X LANDSCAPING 1 2000 FMV X CONTRACTED SERVICES- CONSULTANT 1 800 FMV X TRACH SUPPLIES 3 404 FMV X ART AND HOLIDAY DECOR 1 250 FMV X SPEECH THERAPY SUPPLIES 1 70 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 ALBERT GRAY - BOARD CHAIRMAN AND ADMINISTRATOR CAROL GRAY - FORMER COO AND CURRENT SENIOR DIRECTOR OF MISSION AND CULTURE BROTHER/SISTER FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 THOROUGHLY BEFORE IT IS FILED AND IS ALSO REVIEWED BY THE CEO BEFORE SIGNING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM AND NOTIFY THE ORGANIZATION IF A CONFLICT EXISTS. BOARD MEMBERS ARE NOT ALLOWED TO VOTE ON ITEMS THAT COULD HAVE AN IMPACT ON THAT INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S SALARY IS REVIEWED AND DETERMINED BY THE BOARD EACH YEAR. BOARD MEMBERS USE COMPARABLE INFORMATION FOR OTHER CEOS FROM SALARY AND BENEFIT SURVEYS IN THEIR DETERMINATON OF SALARY ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 THEY ARE ALL AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS, OTHER OFFICER'S AND KEY EMPLOYEE SALARIES ARE BASED ON A SALARY GRADE DIRECTORY RESULTING FROM MARKET RESEARCH AND APPROVED BY HUMAN RESOURCES. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION THEY ARE ALL AVAILABLE UPON REQUEST. PART XII, LINE 2C EXPLANATION THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE HAVE BEEN NO CHANGES IN THIS PROCESS FROM PRIOR YEAR. MATLORY PROPERTIES 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 RENTAL OK 82469 716358 THE CHILDREN'S CENTER THE CHILDREN'S CENTER FOUNDATION 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 020561610 FUNDRAISING OK 501(C)(3) LINE 11 THE CHILDREN'S CENTER 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0