2022-08-11T07:55:28-07:00 2021-09-30 HSPG & ASSOCIATES PC 5400 N GRAND BLVD STE 330 OKLAHOMA CITY OK 73112 990 2020-10-01 730955756 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC CENT 4059484900 4913 W RENO OKLAHOMA CITY OK 73127 CHRIS VAN ESS CHIEF FINANCIAL OFFICER 4059484900 2022-08-04 true CHRIS VAN ESS MATTHEW L COLE P02039803 4058449995 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z OKLAHOMA CITY INDIAN CLINIC ROBYN SUNDAY-ALLEN 4913 W RENO OKLAHOMA CITY OK 73127 49159437 false X WWW.OKCIC.COM X 1974 OK THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. 8 8 286 3 0 0 14926656 24250842 19045334 24901428 57884 7167 -93290 0 33936584 49159437 6358520 7923490 0 20913667 24663766 0 17924 5325943 6235884 32598130 38823140 1338454 10336297 33001180 34134466 19117575 9895310 13883605 24239156 THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. false false 28673944 7923490 24901428 PROVIDED COMPREHENSIVE OUTPATIENT MEDICAL, DENTAL, BEHAVIORAL, AND PREVENTATIVE HEALTH SERVICES TO THE URBAN INDIAN POPULATION OF OKLAHOMA CITY, OK AND THE SURROUNDING AREAS. 906711 0 0 PROVIDED A SPECIAL DIABETES AND DIABETES PREVENTION PROGRAM FOR NATIVE AMERICANS AND PROMOTED HEALTHY LIFESTYLES THROUGH EDUCATION, NUTRITION, INFORMATION AND PHYSICAL ACTIVITY INSTRUCTION. 197145 0 0 MSPI IS A NATIONALLY-COORDINATED PROGRAM FOCUSING ON PROVIDING MUCH NEEDED METHAMPHETAMINE AND SUICIDE PREVENTION AND INTERVENTION RESOURCES FOR INDIAN COUNTRY. 29777800 true true false false false false false false false false true false false false false true true false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false true 35 0 true 286 true false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false OK X CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC 4059484900 4913 W RENO OKLAHOMA CITY OK 73127 ROBYN SUNDAY-ALLEN CHIEF EXECUTIVE OFFICER 40.00 X 424353 0 19899 DR JANICE HIXSON CHIEF MEDICAL OFFICER 40.00 X 284682 0 28512 DR TYLER FREEMAN PHYSICIAN 40.00 X 260623 0 32931 DRJIN KONG PHYSICIAN 40.00 X 251058 0 32452 DR VENKATARAMAN KALYANARAMAN PHYSICIAN 40.00 X 248015 0 28902 DR NICASIO GUTIERREZ PHYSICIAN 40.00 X 249686 0 22122 DR ZANE HARVEY PHYSICIAN 40.00 X 242385 0 23674 DR JEANIE LOPER PHYSICIAN 40.00 X 237159 0 19899 CHRIS VAN ESS CHIEF FINANCIAL OFFICER/GENERAL COUNSEL 40.00 X 198603 0 29830 LYSA ROSS CHIEF OPERATING OFFICER 40.00 X 191802 0 29489 JENNIFER PHAM PHARMACY DIRECTOR 40.00 X 159604 0 27880 MONICA KRIENKE CHIEF HUMAN RESOURCES OFFICER 40.00 X 157745 0 27787 HAZEL LONEWOLF CHIEF QUALITY OFFICER 40.00 X 152005 0 24229 MAX BURCHETT CHIEF INFORMATION OFFICER 40.00 X 147326 0 18642 DAVID TOAHTY CHIEF DEVELOPMENT OFFICER 40.00 X 138751 0 13169 BRIAN GABBARD CHAIR 3.00 X X 0 0 0 DAVID THOMAS VICE-CHAIR 3.00 X X 0 0 0 GENA TIMBERMAN SECRETARY 3.00 X X 0 0 0 JOHN DAUGHERTY JR TREASURER 3.00 X X 0 0 0 REVEREND DAVID WILSON MEMBER 3.00 X 0 0 0 DR JAMES KENNEDYE MEMBER 3.00 X 0 0 0 REVEREND ALVIN BURKE DEER MEMBER 3.00 X 0 0 0 CHEROKEE BALLARD MEMBER 3.00 X 0 0 0 3343797 0 379417 41 false true false GOLDSBY CONSTRUCTION 834 WEST INTERSTATE DRIVE NORMAN OK 73072 CONSTRUCTION 4022444 ARXIUM INC 52226 NETWORK PLACE CHICAGO IL 60673 PHARMACY AUTOMATION 587211 DIAGNOSTIC LABORATORY OF OKLAHOMA PO BOX 676324 DALLAS TX 75267 LABORATORY SERVICES 526697 OKLAHOMA CITY AREA INDIAN HEALTH SERVICE PO BOX 14175 OKLAHOMA CITY OK 73113 HEALTH SERVICES 402808 PHILIPS HEALTHCARE PO BOX 100355 ATLANTA GA 30384 MEDICAL SUPPLIES 300397 14 23053415 1197427 24250842 MEDICAID INCOME - MEDICAL 621400 8482158 0 0 MEDICAID INCOME - PHARMACY 621400 6094228 0 0 MEDICARE INCOME - PHARMACY 621400 3852074 0 0 PRIVATE INSURANCE INCOME - PHARMACY 621400 4019057 0 0 PRIVATE INSURANCE INCOME - MEDICAL 621400 2160224 0 0 293687 0 0 24901428 7167 0 7167 49159437 24901428 0 7167 7923490 7923490 1731540 438398 1290474 2668 17001557 13957994 3034832 8731 5930669 4624524 1306145 0 43305 0 43305 0 50930 35430 15500 0 1236812 1157817 78995 0 70218 33048 37170 0 1079984 235676 844308 0 574921 160957 413964 0 87388 11585 75803 0 134969 17130 117839 0 232889 0 232889 0 1068996 294470 774526 0 474495 315121 159374 0 REPAIRS AND MAINTENANCE 699016 365624 333392 0 SPECIAL PROGRAMS 300593 206536 87532 6525 ASSISTANCE FUND 181368 0 181368 0 38823140 29777800 9027416 17924 16497056 13546813 65027 84281 173193 272613 322203 1527436 157350 200079 225909 324652 23684571 5505979 15560442 18178592 33001180 34134466 3108467 2491475 7448093 1890254 5408315 5513581 3152700 0 19117575 9895310 X 13410155 23859725 473450 379431 13883605 24239156 33001180 34134466 10336297 19254 X false true X true true true X 0 11059972 11586663 13019188 14926656 24250842 74843321 0 0 11059972 11586663 13019188 14926656 24250842 74843321 0 74843321 468144 506116 560008 492782 7167 2034217 129034 93625 0 0 0 222659 29000 42600 43500 0 115100 77215297 90826246 0.96930 0.96580 X 0 0 0 Pt II Ln 10 Other Income Part II, Line 10 Description: GROSS INCOME FROM FUNDRAISING EVENTS 2017: 29000. 2018: 42600. 2019: 43500. 2020: 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1015718 1015718 15119867 2374132 12745735 7548986 3131847 4417139 18178592 0 NONE 0 0 X 49178691 19254 19254 49159437 49159437 38823140 38823140 38823140 Pt X, Line 2 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. true MEDICAL SUPPLIES AND SERVICES 17694 0 7923490 COST MEDICAL SUPPLIES AND SERVICES Pt I Line 2 PATIENTS ARE PRE-QUALIFIED TO RECEIVE SERVICES AND ASSISTANCE BY THE ORGANIZATION. NO FURTHER MONITORING OF ASSISTANCE PROVIDED IS CONSIDERED NECESSARY. X X X false false false false false false false false false ROBYN SUNDAY-ALLEN 422339 0 1024 0 990 0 0 0 19899 0 444252 0 0 0 DR JANICE HIXSON 282692 0 1024 0 966 0 8612 0 19899 0 313193 0 0 0 DR TYLER FREEMAN 259253 0 1024 0 346 0 13031 0 19899 0 293553 0 0 0 DRJIN KONG 247155 0 1024 0 2879 0 12553 0 19899 0 283510 0 0 0 DR VENKATARAMAN KALYANARAMAN 246042 0 1024 0 949 0 9003 0 19899 0 276917 0 0 0 DR NICASIO GUTIERREZ 245339 0 1024 0 3323 0 8000 0 14122 0 271808 0 0 0 DR ZANE HARVEY 239518 0 1024 0 1843 0 12119 0 11555 0 266059 0 0 0 DR JEANIE LOPER 235489 0 1024 0 646 0 0 0 19899 0 257058 0 0 0 CHRIS VAN ESS 197029 0 1015 0 559 0 9930 0 19899 0 228432 0 0 0 LYSA ROSS 190251 0 1015 0 536 0 9590 0 19899 0 221291 0 0 0 JENNIFER PHAM 158326 0 1015 0 264 0 7980 0 19899 0 187484 0 0 0 MONICA KRIENKE 156154 0 1015 0 576 0 7887 0 19899 0 185531 0 0 0 HAZEL LONEWOLF 150769 0 1015 0 221 0 4330 0 19899 0 176234 0 0 0 MAX BURCHETT 145975 0 1083 0 268 0 7088 0 11554 0 165968 0 0 0 DAVID TOAHTY 136056 0 1083 0 1612 0 6750 0 6419 0 151920 0 0 0 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.