2022-01-31T16:24:24-06:00 2021-06-30 731225615 SMITH CARNEY & CO PC 5100 N BROOKLINE SUITE 1000 OKLAHOMA CITY OK 731123627 990 2020-07-01 730580264 THE CHILDREN'S CENTER INC CHIL 4057896711 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 NICO GOMEZ CHIEF EXECUTIVE OFFICER 4054702233 2022-01-18 1 NICO GOMEZ 999009999 LEAH LOGAN P01209918 4052721040 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE CHILDREN'S CENTER NICO GOMEZ 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 66272744 0 X WWW.MIRACLESHAPPENHERE.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. 9 9 944 131 0 0 2878360 3036217 54142767 57540139 -43458 744989 345102 197243 57322771 61518588 0 0 0 0 41245874 43311999 0 0 306096 15351228 17767567 56597102 61079566 725669 439022 85141065 87016749 33462501 34823561 51678564 52193188 SUBACUTE HOSPITAL PROVIDING 24-HOUR MEDICAL AND RESPIRATORY CARE, COMPREHENSIVE THERAPIES, AND SPECIAL EDUCATION TO MEDICALLY FRAGILE CHILDREN. 0 0 57907979 57540139 SUBACUTE HOSPITAL PROVIDING 24-HOUR MEDICAL AND RESPIRATORY CARE, COMPREHENSIVE THERAPIES, AND SPECIAL EDUCATION TO MEDICALLY FRAGILE CHILDREN. SERVES 200 IN-PATIENTS AND 2,000 OUT-PATIENTS ANNUALLY. 57907979 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 52 0 1 944 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 NE 39TH EXPRESSWAY BETHANY OK 73008 ALBERT GRAY EXECUTIVE BOARD CHAIRMAN 40.00 X 265385 0 4974 RICHARD COOK BOARD 1.00 X 0 0 0 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 COLEEN MCGEE BOARD 1.00 X 0 0 0 CHRIS STREETS BOARD 1.00 X 0 0 0 DONN ORR BOARD 1.00 X 0 0 0 THOMAS MCGEE BOARD 1.00 X 0 0 0 MICHAEL JOHNSON CHIEF MEDICAL OFFICER 40.00 X 362500 0 13642 JOEL NICO GOMEZ CHIEF EXECUTIVE OFFICER 40.00 X 311538 0 13642 THOMAS RICHARDS CHIEF FINANCIAL OFFICER 40.00 X 114000 0 7274 HEATHER WILSON CHIEF OF MISSION AND CULTURE 40.00 X 72116 0 722 DARIN BRANNAN PHYSICIAN 40.00 X 256385 0 13642 SHANNAN KANEASTER PHYSICIAN 40.00 X 198100 0 12614 SUNEET SAHGAL PHYSICIAN 40.00 X 305038 0 13489 TONYA WASHBURN PHYSICIAN 40.00 X 401000 0 13642 MICHAEL COFFEY PHYSICIAN 40.00 X 175477 0 11868 ROBERT COUCH PHYSICIAN 40.00 X 190935 0 11719 RACHEL BLANKENSHIP PHYSICIAN 40.00 X 169385 0 9939 LAURA FINLAYSON PHYSICIAN 40.00 X 173711 0 13642 LORI BOYD CHIEF OPERATING OFFICER 40.00 X 239642 0 9454 TAMI MCMICHAEL PHYSIATRY PROGRAM MANAGER 40.00 X 136259 0 13605 SHELLY POPLIN APRN MANAGER 40.00 X 136259 0 7237 ALANA ZUELSDORF DIRECTOR OF PHARMACY 40.00 X 136648 0 11237 HUYEN TRAN RESPIRATORY THERAPIST 40.00 X 141495 0 11237 CAROL GRAY SR. DIRECTOR OF MISSION AND CULTURE 40.00 X 141000 0 11237 3926873 0 204816 17 1 1 0 CHRISTOPHER R KELLY 10248 KINGSTON WAY THE VILLAGE OK 73120 LEGAL SERVICES 125500 1 3036217 214563 3036217 IN-PATIENT MEDICAID 623000 51087987 51087987 OUT-PATIENT SERVICES 621400 2942846 2942846 OTHER IN-PATIENT 623000 2733694 2733694 PATIENT EDUCATION 611710 574009 574009 PATIENT SCHOOL MEALS 611710 201603 201603 57540139 102153 102153 6842 6842 92566 118599 -26033 -26033 -26033 5278393 4635557 642836 642836 642836 FOOD SERVICE 722210 157313 157313 OTHER 623000 59121 59121 216434 61518588 57540139 0 942232 2732100 2288847 443253 34240626 33076245 1018156 146225 3689103 3536495 138727 13881 2650170 2535790 103976 10404 108653 108653 348785 278535 69107 1143 17240 17240 1209769 1171261 38508 40586 40586 137475 65659 71816 2020209 2020209 286227 284629 1598 18982 18982 1631378 1549809 81569 3271549 3107972 163577 499053 499053 DRUGS 3581837 3581837 GENERAL MEDICAL SUPPLIE 1699474 1699474 RESPIRATORY SUPPLIES 911571 911571 OTHER SUPPLIES 852652 633328 211852 7472 1132127 1017553 101603 12971 61079566 57907979 2865491 306096 1378297 4515101 5060168 1346171 53142 2513 6804946 6087704 398698 719889 332252 468553 94905328 29611019 61763467 65294309 4422763 3048001 802691 1367732 4124641 4166776 85141065 87016749 4055857 5615575 29362929 29122169 43715 85817 33462501 34823561 X 45656344 46022118 6022220 6171070 51678564 52193188 85141065 87016749 439022 75602 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2444344 682265 14587 3112023 2399472 56962 12090 2444344 2260022 4861 146912 12323 2399472 2155687 832 121056 17553 2260022 1960040 210420 14773 2155687 0.59920 0.40080 0 1 1 2663224 2663224 949320 72750710 16868548 56831482 17524328 12215187 5309141 1017746 527284 490462 65294309 PATIENT TRUST FUNDS 85817 85817 X PART X, LINE 2: GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE ENTITIES TO FOLLOW A POLICY FOR EVALUATING AND REPORTING ISSUES THAT MAY ARISE RELATED TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATION, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. AS OF JUNE 30, 2021 AND 2020, NO SUCH POSITIONS WERE DETERMINED TO BE MAINTAINED BY THE ORGANIZATION. INCOME TAX RETURNS FOR FISCAL YEARS ENDING 2018, 2019, AND 2020 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. 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 57262179 53326472 3935707 0.06440 57262179 53326472 3935707 0.06440 12454 12454 0.00020 12454 12454 0.00020 57274633 53326472 3948161 0.06460 1 74873 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 18 1 0 0 1 X WWW.MIRACLESHAPPENHERE.ORG X 1 18 1 WWW.MIRACLESHAPPENHERE.ORG 0 1 X 400.000000000000 400.000000000000 0 1 X X X 1 X WWW.MIRACLESHAPPENHERE.ORG X WWW.MIRACLESHAPPENHERE.ORG X WWW.MIRACLESHAPPENHERE.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, ADVANCED PRACTICE NURSE AND OCCUPATIONAL THERAPIST; PULMONOLOGIST AT OU MEDICAL CENTER; PARENT OF PATIENTTHE 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.FACILITY 1, THE CHILDREN'S CENTER INC. - PART V, LINE 20DTHE MAXIMUM AMOUNT CHARGED TO ANY INDIVIDUAL WAS THE MEDICAID RATE PLUS 5%. 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 II, COMMUNITY BUILDING ACTIVITIES: TO CONTINUE TO MEET THE REHABILITATION NEEDS OF THE CHILDREN AND TEENAGERS IN THE COMMUNITY, THE CHILDREN'S CENTER COMPLETED AN EXPANSION OF THE FACILITY TO EXPAND THE SERVICES AND CAPACITY OF THE HOSPITAL. 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 401000 0 0 0 0 0 4000 0 9642 0 414642 0 0 0 MICHAEL JOHNSON CHIEF MEDICAL OFFICER 362500 0 0 0 0 0 4000 0 9642 0 376142 0 0 0 JOEL NICO GOMEZ CHIEF EXECUTIVE OFFICER 311538 0 0 0 0 0 4000 0 9642 0 325180 0 0 0 SUNEET SAHGAL PHYSICIAN 305038 0 0 0 0 0 4000 0 9489 0 318527 0 0 0 ALBERT GRAY EXECUTIVE BOARD CHAIRMAN 265385 0 0 0 0 0 4000 0 974 0 270359 0 0 0 DARIN BRANNAN PHYSICIAN 256385 0 0 0 0 0 4000 0 9642 0 270027 0 0 0 LORI BOYD CHIEF OPERATING OFFICER 99642 0 0 0 140000 0 2180 0 7274 0 249096 0 0 0 SHANNAN KANEASTER PHYSICIAN 198100 0 0 0 0 0 2972 0 9642 0 210714 0 0 0 ROBERT COUCH PHYSICIAN 190935 0 0 0 0 0 4000 0 7719 0 202654 0 0 0 LAURA FINLAYSON PHYSICIAN 173711 0 0 0 0 0 4000 0 9642 0 187353 0 0 0 MICHAEL COFFEY PHYSICIAN 175477 0 0 0 0 0 2226 0 9642 0 187345 0 0 0 RACHEL BLANKENSHIP PHYSICIAN 169385 0 0 0 0 0 297 0 9642 0 179324 0 0 0 HUYEN TRAN RESPIRATORY THERAPIST 141495 0 0 0 0 0 4000 0 7237 0 152732 0 0 0 CAROL GRAY SR. DIRECTOR OF MISSION AND CULTURE 141000 0 0 0 0 0 4000 0 7237 0 152237 0 0 0 PART I, LINE 4A LORI BOYD $140,000 X EQUIPMENT 97 103267 FMV X EDUCATION SUPPLIES 3327 27586 FMV X MASKS 19053 19293 FMV X TOILETRIES 11671 13792 FMV X DIAPERS 69078 12466 FMV X RESPIRATORY SUPPLIES 8965 12097 FMV X CLOTHES AND SHEETS 1833 10310 FMV X MISCELLANEOUS 20 8489 FMV X FORMULA 756 5375 FMV X TRACH SUPPLIES 108 1317 FMV X SEWING MACHINE 1 500 FMV X SPEECH THERAPY SUPPLIES 1 70 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 ALBERT GRAY - CEO CAROL GRAY - FORMER COO 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 RECOMMENDATIONS FROM THE CEO OR HUMAN RESOURCE DIRECTOR. BI-ANNUAL SALARY SURVEYS FOR OKLAHOMA HOSPITALS ARE ALSO USED IN SALARY DETERMINATIONS. 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. DOING BUSINESS AS - ADDITIONAL NAMES REHABILITATION HOSPITAL MATLORY PROPERTIES 6800 NW 39TH EXPRESSWAY BETHANY OK 73008 RENTAL OK 92566 740091 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