CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC (EIN 73-0955756)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-11
IRS object ID: 202222239349301027
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-11T07:55:28-07:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	HSPG & ASSOCIATES PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5400 N GRAND BLVD STE 330	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	730955756	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	4059484900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4913 W RENO	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73127	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS VAN ESS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	4059484900	PhoneNum
Signature	2022-08-04	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CHRIS	PersonFirstNm
Person Last	VAN ESS	PersonLastNm

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MATTHEW L COLE	PreparerPersonNm
PTIN	P02039803	PTIN
Phone	4058449995	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	OKLAHOMA CITY INDIAN CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROBYN SUNDAY-ALLEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4913 W RENO	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73127	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$49,159,437	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OKCIC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	286	TotalEmployeeCnt
Total Volunteers	3	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,926,656	PYContributionsGrantsAmt
CY Contributions Grants	$24,250,842	CYContributionsGrantsAmt
PY Program Service Revenue	$19,045,334	PYProgramServiceRevenueAmt
CY Program Service Revenue	$24,901,428	CYProgramServiceRevenueAmt
PY Investment Income	$57,884	PYInvestmentIncomeAmt
CY Investment Income	$7,167	CYInvestmentIncomeAmt
PY Other Revenue	-$93,290	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$33,936,584	PYTotalRevenueAmt
CY Total Revenue	$49,159,437	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,358,520	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,923,490	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,913,667	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,663,766	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$17,924	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,325,943	PYOtherExpensesAmt
CY Other Expenses	$6,235,884	CYOtherExpensesAmt
PY Total Expenses	$32,598,130	PYTotalExpensesAmt
CY Total Expenses	$38,823,140	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,338,454	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,336,297	CYRevenuesLessExpensesAmt
Total Assets BOY	$33,001,180	TotalAssetsBOYAmt
Total Assets EOY	$34,134,466	TotalAssetsEOYAmt
Total Liabilities BOY	$19,117,575	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$9,895,310	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,883,605	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$24,239,156	NetAssetsOrFundBalancesEOYAmt
Mission	THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$28,673,944	ExpenseAmt
Grant	$7,923,490	GrantAmt
Revenue	$24,901,428	RevenueAmt
Desc	PROVIDED COMPREHENSIVE OUTPATIENT MEDICAL, DENTAL, BEHAVIORAL, AND PREVENTATIVE HEALTH SERVICES TO THE URBAN INDIAN POPULATION OF OKLAHOMA CITY, OK AND THE SURROUNDING AREAS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$906,711	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	PROVIDED A SPECIAL DIABETES AND DIABETES PREVENTION PROGRAM FOR NATIVE AMERICANS AND PROMOTED HEALTHY LIFESTYLES THROUGH EDUCATION, NUTRITION, INFORMATION AND PHYSICAL ACTIVITY INSTRUCTION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$197,145	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	MSPI IS A NATIONALLY-COORDINATED PROGRAM FOCUSING ON PROVIDING MUCH NEEDED METHAMPHETAMINE AND SUICIDE PREVENTION AND INTERVENTION RESOURCES FOR INDIAN COUNTRY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$29,777,800	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	35	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	286	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4059484900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4913 W RENO	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73127	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROBYN SUNDAY-ALLEN
CHIEF EXECUTIVE OFFICER	40.00	Yes (X)	$424,353	$0	$19,899
DR JANICE HIXSON
CHIEF MEDICAL OFFICER	40.00	Yes (X)	$284,682	$0	$28,512
DR TYLER FREEMAN
PHYSICIAN	40.00		$260,623	$0	$32,931	Yes (X)
DRJIN KONG
PHYSICIAN	40.00		$251,058	$0	$32,452		Yes (X)
DR VENKATARAMAN KALYANARAMAN
PHYSICIAN	40.00		$248,015	$0	$28,902		Yes (X)
DR NICASIO GUTIERREZ
PHYSICIAN	40.00		$249,686	$0	$22,122		Yes (X)
DR ZANE HARVEY
PHYSICIAN	40.00		$242,385	$0	$23,674		Yes (X)
DR JEANIE LOPER
PHYSICIAN	40.00		$237,159	$0	$19,899		Yes (X)
CHRIS VAN ESS
CHIEF FINANCIAL OFFICER/GENERAL COUNSEL	40.00	Yes (X)	$198,603	$0	$29,830
LYSA ROSS
CHIEF OPERATING OFFICER	40.00	Yes (X)	$191,802	$0	$29,489
JENNIFER PHAM
PHARMACY DIRECTOR	40.00		$159,604	$0	$27,880	Yes (X)
MONICA KRIENKE
CHIEF HUMAN RESOURCES OFFICER	40.00	Yes (X)	$157,745	$0	$27,787
HAZEL LONEWOLF
CHIEF QUALITY OFFICER	40.00	Yes (X)	$152,005	$0	$24,229
MAX BURCHETT
CHIEF INFORMATION OFFICER	40.00	Yes (X)	$147,326	$0	$18,642
DAVID TOAHTY
CHIEF DEVELOPMENT OFFICER	40.00	Yes (X)	$138,751	$0	$13,169
BRIAN GABBARD
CHAIR	3.00	Yes (X)	$0	$0	$0			Yes (X)
DAVID THOMAS
VICE-CHAIR	3.00	Yes (X)	$0	$0	$0			Yes (X)
GENA TIMBERMAN
SECRETARY	3.00	Yes (X)	$0	$0	$0			Yes (X)
JOHN DAUGHERTY JR
TREASURER	3.00	Yes (X)	$0	$0	$0			Yes (X)
REVEREND DAVID WILSON
MEMBER	3.00		$0	$0	$0			Yes (X)
DR JAMES KENNEDYE
MEMBER	3.00		$0	$0	$0			Yes (X)
REVEREND ALVIN BURKE DEER
MEMBER	3.00		$0	$0	$0			Yes (X)
CHEROKEE BALLARD
MEMBER	3.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,343,797	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$379,417	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	41	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GOLDSBY CONSTRUCTION
834 WEST INTERSTATE DRIVE	NORMAN	OK	73072	CONSTRUCTION	$4,022,444
ARXIUM INC
52226 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY AUTOMATION	$587,211
DIAGNOSTIC LABORATORY OF OKLAHOMA
PO BOX 676324	DALLAS	TX	75267	LABORATORY SERVICES	$526,697
OKLAHOMA CITY AREA INDIAN HEALTH SERVICE
PO BOX 14175	OKLAHOMA CITY	OK	73113	HEALTH SERVICES	$402,808
PHILIPS HEALTHCARE
PO BOX 100355	ATLANTA	GA	30384	MEDICAL SUPPLIES	$300,397

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$23,053,415	GovernmentGrantsAmt
All Other Contributions	$1,197,427	AllOtherContributionsAmt
Total Contributions	$24,250,842	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICAID INCOME - MEDICAL	621400	$8,482,158	$0	$0
MEDICAID INCOME - PHARMACY	621400	$6,094,228	$0	$0
MEDICARE INCOME - PHARMACY	621400	$3,852,074	$0	$0
PRIVATE INSURANCE INCOME - PHARMACY	621400	$4,019,057	$0	$0
PRIVATE INSURANCE INCOME - MEDICAL	621400	$2,160,224	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,687	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$24,901,428	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,167	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,167	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,159,437	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,901,428	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,167	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$7,923,490	TotalAmt
Program Services	$7,923,490	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,731,540	TotalAmt
Program Services	$438,398	ProgramServicesAmt
Management And General	$1,290,474	ManagementAndGeneralAmt
Fundraising	$2,668	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,001,557	TotalAmt
Program Services	$13,957,994	ProgramServicesAmt
Management And General	$3,034,832	ManagementAndGeneralAmt
Fundraising	$8,731	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,930,669	TotalAmt
Program Services	$4,624,524	ProgramServicesAmt
Management And General	$1,306,145	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$43,305	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$43,305	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$50,930	TotalAmt
Program Services	$35,430	ProgramServicesAmt
Management And General	$15,500	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,236,812	TotalAmt
Program Services	$1,157,817	ProgramServicesAmt
Management And General	$78,995	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$70,218	TotalAmt
Program Services	$33,048	ProgramServicesAmt
Management And General	$37,170	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,079,984	TotalAmt
Program Services	$235,676	ProgramServicesAmt
Management And General	$844,308	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$574,921	TotalAmt
Program Services	$160,957	ProgramServicesAmt
Management And General	$413,964	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$87,388	TotalAmt
Program Services	$11,585	ProgramServicesAmt
Management And General	$75,803	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$134,969	TotalAmt
Program Services	$17,130	ProgramServicesAmt
Management And General	$117,839	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$232,889	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$232,889	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,068,996	TotalAmt
Program Services	$294,470	ProgramServicesAmt
Management And General	$774,526	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$474,495	TotalAmt
Program Services	$315,121	ProgramServicesAmt
Management And General	$159,374	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
REPAIRS AND MAINTENANCE	$699,016	$365,624	$333,392	$0
SPECIAL PROGRAMS	$300,593	$206,536	$87,532	$6,525
ASSISTANCE FUND	$181,368	$0	$181,368	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,823,140	TotalAmt
Program Services	$29,777,800	ProgramServicesAmt
Management And General	$9,027,416	ManagementAndGeneralAmt
Fundraising	$17,924	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,497,056	BOYAmt
EOY	$13,546,813	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$65,027	BOYAmt
EOY	$84,281	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$173,193	BOYAmt
EOY	$272,613	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$322,203	BOYAmt
EOY	$1,527,436	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$157,350	BOYAmt
EOY	$200,079	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$225,909	BOYAmt
EOY	$324,652	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$23,684,571	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,505,979	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,560,442	BOYAmt
EOY	$18,178,592	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,001,180	BOYAmt
EOY	$34,134,466	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,108,467	BOYAmt
EOY	$2,491,475	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,448,093	BOYAmt
EOY	$1,890,254	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,408,315	BOYAmt
EOY	$5,513,581	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,152,700	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,117,575	BOYAmt
EOY	$9,895,310	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,410,155	BOYAmt
EOY	$23,859,725	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$473,450	BOYAmt
EOY	$379,431	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,883,605	BOYAmt
EOY	$24,239,156	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$33,001,180	BOYAmt
EOY	$34,134,466	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$10,336,297	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$19,254	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,059,972	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,586,663	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,019,188	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,926,656	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,250,842	CurrentTaxYearAmt
Total	$74,843,321	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,059,972	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,586,663	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,019,188	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,926,656	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,250,842	CurrentTaxYearAmt
Total	$74,843,321	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$74,843,321	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$468,144	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$506,116	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$560,008	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$492,782	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,167	CurrentTaxYearAmt
Total	$2,034,217	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$129,034	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$93,625	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$222,659	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$29,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$42,600	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$43,500	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$115,100	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$77,215,297	TotalSupportAmt
Gross Receipts Rltd Activities	$90,826,246	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.96930	PublicSupportCY170Pct
Public Support PY170	0.96580	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509	$0	PublicSupportTotal509Amt
Public Support CY509	0	PublicSupportCY509Pct
Investment Income CY	0	InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Pt II Ln 10	FormAndLineReferenceDesc
Explanation	Other Income Part II, Line 10 Description: GROSS INCOME FROM FUNDRAISING EVENTS 2017: 29000. 2018: 42600. 2019: 43500. 2020: 0.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,015,718	OtherCostOrOtherBasisAmt
Book Value	$1,015,718	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,119,867	OtherCostOrOtherBasisAmt
Depreciation	$2,374,132	DepreciationAmt
Book Value	$12,745,735	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,548,986	OtherCostOrOtherBasisAmt
Depreciation	$3,131,847	DepreciationAmt
Book Value	$4,417,139	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,178,592	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	NONE	Desc
Amt	$0	Amt

Field	Value	IRS element (for citing)
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$49,178,691	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$19,254	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$19,254	RevenueNotReportedAmt
Revenue Subtotal	$49,159,437	RevenueSubtotalAmt
Total Revenue Per Form990	$49,159,437	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$38,823,140	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$38,823,140	ExpensesSubtotalAmt
Total Expenses Per Form990	$38,823,140	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Pt X, Line 2	FormAndLineReferenceDesc
Explanation	THE CLINIC'S APPLICATION OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THEY HAVE NO MATERIAL UNRECOGNIZED UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	MEDICAL SUPPLIES AND SERVICES	GrantTypeTxt
Recipient	17694	RecipientCnt
Cash Grant	$0	CashGrantAmt
Non Cash Assistance	$7,923,490	NonCashAssistanceAmt
Valuation Method Used	COST	ValuationMethodUsedDesc
Non Cash Assistance	MEDICAL SUPPLIES AND SERVICES	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Pt I Line 2	FormAndLineReferenceDesc
Explanation	PATIENTS ARE PRE-QUALIFIED TO RECEIVE SERVICES AND ASSISTANCE BY THE ORGANIZATION. NO FURTHER MONITORING OF ASSISTANCE PROVIDED IS CONSIDERED NECESSARY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBYN SUNDAY-ALLEN
$422,339	$0	$1,024	$0	$990	$0	$0	$0	$19,899	$0	$444,252	$0	$0	$0
DR JANICE HIXSON
$282,692	$0	$1,024	$0	$966	$0	$8,612	$0	$19,899	$0	$313,193	$0	$0	$0
DR TYLER FREEMAN
$259,253	$0	$1,024	$0	$346	$0	$13,031	$0	$19,899	$0	$293,553	$0	$0	$0
DRJIN KONG
$247,155	$0	$1,024	$0	$2,879	$0	$12,553	$0	$19,899	$0	$283,510	$0	$0	$0
DR VENKATARAMAN KALYANARAMAN
$246,042	$0	$1,024	$0	$949	$0	$9,003	$0	$19,899	$0	$276,917	$0	$0	$0
DR NICASIO GUTIERREZ
$245,339	$0	$1,024	$0	$3,323	$0	$8,000	$0	$14,122	$0	$271,808	$0	$0	$0
DR ZANE HARVEY
$239,518	$0	$1,024	$0	$1,843	$0	$12,119	$0	$11,555	$0	$266,059	$0	$0	$0
DR JEANIE LOPER
$235,489	$0	$1,024	$0	$646	$0	$0	$0	$19,899	$0	$257,058	$0	$0	$0
CHRIS VAN ESS
$197,029	$0	$1,015	$0	$559	$0	$9,930	$0	$19,899	$0	$228,432	$0	$0	$0
LYSA ROSS
$190,251	$0	$1,015	$0	$536	$0	$9,590	$0	$19,899	$0	$221,291	$0	$0	$0
JENNIFER PHAM
$158,326	$0	$1,015	$0	$264	$0	$7,980	$0	$19,899	$0	$187,484	$0	$0	$0
MONICA KRIENKE
$156,154	$0	$1,015	$0	$576	$0	$7,887	$0	$19,899	$0	$185,531	$0	$0	$0
HAZEL LONEWOLF
$150,769	$0	$1,015	$0	$221	$0	$4,330	$0	$19,899	$0	$176,234	$0	$0	$0
MAX BURCHETT
$145,975	$0	$1,083	$0	$268	$0	$7,088	$0	$11,554	$0	$165,968	$0	$0	$0
DAVID TOAHTY
$136,056	$0	$1,083	$0	$1,612	$0	$6,750	$0	$6,419	$0	$151,920	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 11b	MANAGEMENT PERFORMS A DETAILED REVIEW OF THE FORM 990 AND HAS ACCESS TO THE UNDERLYING DATA SO THAT IT CAN VERIFY THE INFORMATION ON THE 990. EACH BOARD MEMBER IS GIVEN A DRAFT COPY OF THE 990 PRIOR TO ITS FILING.
Pt VI, Line 12c	ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS PROVIDES DOCUMENTATION IN REFERENCE TO ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE MANAGEMENT HAS MEETINGS WITH THE SUPERVISORS AND KEY EMPLOYEES TO DISCUSS AND ENSURE COMPLIANCE WITH THE CLINIC'S CONFLICT OF INTEREST POLICY.
Pt VI, Line 15a	COMPARABILITY DATA AND A SALARY SURVEY WAS UTILIZED IN DETERMINING THE COMPENSATION FOR THE KEY EMPLOYEES.
Pt VI, Line 15b	COMPARABILITY DATA AND A SALARY SURVEY WAS UTILIZED IN DETERMINING THE COMPENSATION FOR THE KEY EMPLOYEES.
Pt VI, Line 19	GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND OTHER INFORMATION IS MADE AVAILABLE TO THE PUBLIC VIA A WRITTEN REQUEST TO THE CHIEF EXECUTIVE OFFICER OR BOARD CHAIR.
Other	IN PAST YEARS, THE RESULTS OF THE CLINIC'S FLAGSHIP FUNDRAISING EVENT, THE RED FEATHER GALA, HAVE BEEN REPORTED ON SCHEDULE G. DUE TO THE PANDEMIC, THE RED FEATHER GALA WAS CHANGED TO A VIRTUAL FUNDRAISER IN 2020 AND NOT REQUIRED TO BE REPORTED ON SCHEDULE G.