COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTERS INC (EIN 73-0930123)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-31
- IRS object ID
- 202222439349300007
- Schema version
- 2021v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-31T09:01:40-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 731303908 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON & BRYANT CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1564 | AddressLine1Txt |
| City | ADA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 748211564 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730930123 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 4057693301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 30589 | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73140 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ISABELLA LAWSON MBA | PersonNm |
| Person Title | CHIEF EXEC. OFFICER | PersonTitleTxt |
| Phone | 4057693301 | PhoneNum |
| Signature | 2022-08-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ISABELLA | PersonFirstNm |
| Person Last | LAWSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALLEN BRYANT | PreparerPersonNm |
| PTIN | P01340773 | PTIN |
| Phone | 5803325549 | PhoneNum |
| Preparation | 2022-08-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | 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 | MARY MAHONEY MEMORIAL HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ISABELLA LAWSON MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 30589 | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,258,576 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMMUNITYHEALTHOK.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO INCREASE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE AND TO IMPROVE THE HEALTH CARE STATUS OF THE UNDER SERVED AND VULNERABLE POPULATIONS WITHIN THE CENTER'S GEOGRAPHIC AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 229 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $13,480,044 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,483,252 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,653,163 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,735,805 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,233 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,190 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,139 | PYOtherRevenueAmt |
| CY Other Revenue | $26,329 | CYOtherRevenueAmt |
| PY Total Revenue | $17,149,579 | PYTotalRevenueAmt |
| CY Total Revenue | $18,258,576 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,077,868 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,771,934 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,807,462 | PYOtherExpensesAmt |
| CY Other Expenses | $4,614,957 | CYOtherExpensesAmt |
| PY Total Expenses | $15,885,330 | PYTotalExpensesAmt |
| CY Total Expenses | $16,386,891 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,264,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,871,685 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,358,445 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,979,142 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,676,171 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,425,183 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,682,274 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,553,959 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO INCREASE THE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE AND TO IMPROVE THE HEALTH CARE STATUS OF THE UNDERSERVED AND VULNERABLE POPULATIONS WITHIN THE CENTER'S GEOGRAPHIC AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,997,674 | ExpenseAmt |
| Grant | $11,556,021 | GrantAmt |
| Revenue | $4,735,805 | RevenueAmt |
| Desc | THE CENTER RECEIVES A DEPARTMENT OF HEALTH AND HUMAN SERVICES SECTION 330 GRANT WHICH IS USED TO PROVIDE PRIMARY HEALTH CARE TO PERSONS WHO ARE GENERALLY LOW INCOME AND DO NOT HAVE HEALTH INSURANCE. THE CENTER PROVIDES HIGH QUALITY PRIMARY HEALTH CARE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,054,265 | ExpenseAmt |
| Grant | $1,054,265 | GrantAmt |
| Desc | SCREENINGS, BRIEF INTERVENTION AND REFERRAL TO TREATMENT | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $134,218 | ExpenseAmt |
| Grant | $134,218 | GrantAmt |
| Desc | WOMEN, INFANT AND CHILD CAR PROGRAM PROVIDES NUTRITION ASSISTANCE TO LOW INCOME WOMEN, CHILDREN AND EXPECTANT MOTHERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $15,186,157 | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | false | 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 | Yes (true) | 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 | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 229 | 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 |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | L JEANNIE WILLIAMS-HANNA MBA CFO | PersonNm |
| Phone | 4057693301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12716 NE 36TH STREET | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73185 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| PRIYA SAMANT MD | ||||||||
| MEDICAL DIRE | 40.00 | Yes (X) | $300,000 | $0 | $0 | |||
| ISABELLA LAWSON MBA | ||||||||
| CHIEF EXEC. | 40.00 | Yes (X) | $250,000 | $0 | $0 | |||
| DANIEL SHEN | ||||||||
| PHYSICIAN | 40.00 | $210,000 | $0 | $0 | Yes (X) | |||
| GAURI GHATE | ||||||||
| PHYSICIAN | 40.00 | $200,000 | $0 | $0 | Yes (X) | |||
| GINA D BOSTICK DDS | ||||||||
| DENTAL DIREC | 40.00 | Yes (X) | $185,000 | $0 | $0 | |||
| DR VIVIAN WILSON | ||||||||
| PHYSICIAN | 40.00 | $177,600 | $0 | $0 | Yes (X) | |||
| FEBI MATHEW | ||||||||
| APRN | 40.00 | $175,000 | $0 | $0 | Yes (X) | |||
| COURTNEY BARRET DDS | ||||||||
| DENTIST | 40.00 | $170,000 | $0 | $0 | Yes (X) | |||
| LIJI THOMSON-SIELAS | ||||||||
| APRN | 40.00 | Yes (X) | $164,000 | $0 | $0 | |||
| TIERRA PAGE | ||||||||
| APRN | 40.00 | Yes (X) | $155,000 | $0 | $0 | |||
| JEANNIE HANNA-WILLIAMS MBA | ||||||||
| CHIEF FINAN. | 40.00 | $140,000 | $0 | $0 | Yes (X) | |||
| DELOIS ANDERSON BS MT ASCP | ||||||||
| HUMANRESOURS | 40.00 | $113,460 | $0 | $0 | Yes (X) | |||
| LEONDRA MOORE MSW | ||||||||
| ASST.BEH.HEA | 40.00 | $107,500 | $0 | $0 | Yes (X) | |||
| SUSAN GEURIN MPH | ||||||||
| QI/RISK MGMT | 40.00 | $102,000 | $0 | $0 | Yes (X) | |||
| DON ANDERSON ACSW LCSW | ||||||||
| BEHAVIORALHE | 40.00 | $77,000 | $0 | $0 | Yes (X) | |||
| CLARENCE BEATTY | ||||||||
| BOARD TREASU | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| MYRON COLEMAN | ||||||||
| BOARD VICE-P | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| STEVEN DRYER | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN GRIFFIN | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| DEBORAH GUY | ||||||||
| BOARD PRESID | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| VICKI LAMPLEY-DALLAS | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| LEANN NUNLEY | ||||||||
| BOARD SECRET | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| SUSAN RAMIREZ | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| JOETTA RHONE | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| LATONYA SHELTON-MILLER | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| MARY SMITH | ||||||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| LESTER THOMPSON | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| JEANNIE HANNA-WILLIAMS MBA | ||||||||
| CHIEF FINANC | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,526,560 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AUGUSTA CONTRACTING LLC | |||||
| 2701 HAINDL DRIVE | OKLAHOMA CITY | OK | 73129 | BUILDING CONTR. | $3,296,434 |
| GREENWAY | |||||
| PO BOX 203658 | DALLAS | TX | 753203658 | ELECTR.MGMT.SRV | $315,061 |
| LAB CORP | |||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | LAB. SERVICES | $119,492 |
| ELITE PROTECTION SERVICES | |||||
| 222 E SHERIDAN AVE SUITE 7 | OKLAHOMA CITY | OK | 73104 | SECURITY | $107,124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,977,932 | GovernmentGrantsAmt |
| All Other Contributions | $505,320 | AllOtherContributionsAmt |
| Noncash Contributions | $99,920 | NoncashContributionsAmt |
| Total Contributions | $13,483,252 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE SERVICE REVENUE | Desc |
| Total Revenue Column | $4,735,805 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,735,805 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,735,805 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,190 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,190 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $26,329 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,329 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,329 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,258,576 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,775,324 | RelatedOrExemptFuncIncomeAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,526,560 | TotalAmt |
| Program Services | $2,273,904 | ProgramServicesAmt |
| Management And General | $252,656 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,124,040 | TotalAmt |
| Program Services | $6,411,636 | ProgramServicesAmt |
| Management And General | $712,404 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,121,334 | TotalAmt |
| Program Services | $1,930,414 | ProgramServicesAmt |
| Management And General | $190,920 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,477 | TotalAmt |
| Program Services | $48,664 | ProgramServicesAmt |
| Management And General | $4,813 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,437 | TotalAmt |
| Program Services | $45,437 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,789 | TotalAmt |
| Program Services | $403,848 | ProgramServicesAmt |
| Management And General | $39,941 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OTHER | $1,807,648 | $1,807,648 |
| SUPPLIES | $1,212,853 | $1,212,853 |
| CONTRACTUAL SERVICES | $1,051,753 | $1,051,753 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,386,891 | TotalAmt |
| Program Services | $15,186,157 | ProgramServicesAmt |
| Management And General | $1,200,734 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,215,052 | BOYAmt |
| EOY | $930,614 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,935 | BOYAmt |
| EOY | $132,608 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,163 | BOYAmt |
| EOY | $481,144 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,992 | BOYAmt |
| EOY | $48,597 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,001,733 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,638,562 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,458,002 | BOYAmt |
| EOY | $8,363,171 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,301 | BOYAmt |
| EOY | $23,008 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,358,445 | BOYAmt |
| EOY | $9,979,142 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $915,293 | BOYAmt |
| EOY | $1,220,193 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,878 | BOYAmt |
| EOY | $2,204,990 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,676,171 | BOYAmt |
| EOY | $3,425,183 | 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 | $4,682,274 | BOYAmt |
| EOY | $6,553,959 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,682,274 | BOYAmt |
| EOY | $6,553,959 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,358,445 | BOYAmt |
| EOY | $9,979,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,871,685 | ReconcilationRevenueExpnssAmt |
| 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 |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,691,074 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,389,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,071,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,270,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,483,252 | CurrentTaxYearAmt |
| Total | $53,904,922 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $1,210,000 | CurrentTaxYearMinus1YearAmt |
| Total | $1,210,000 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,691,074 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,389,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,071,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,480,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,483,252 | CurrentTaxYearAmt |
| Total | $55,114,922 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $55,114,922 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,433 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,271 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,588 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,190 | CurrentTaxYearAmt |
| Total | $76,715 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,657 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,907 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,329 | CurrentTaxYearAmt |
| Total | $95,975 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $55,287,612 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $18,790,739 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99690 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99470 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 95,975 | 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) |
|---|---|---|
| Other Cost Or Other Basis | $4,454 | OtherCostOrOtherBasisAmt |
| Book Value | $4,454 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,118,296 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,556,828 | DepreciationAmt |
| Book Value | $6,561,468 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,784,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,081,734 | DepreciationAmt |
| Book Value | $1,702,808 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,441 | OtherCostOrOtherBasisAmt |
| Book Value | $94,441 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,363,171 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,258,576 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $18,258,576 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $18,258,576 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,386,891 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $16,386,891 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $16,386,891 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| PRIYA SAMANT MD | ||
| MEDICAL DIRECTOR | $300,000 | $300,000 |
| ISABELLA LAWSON MBA | ||
| CHIEF EXEC. OFFICER | $250,000 | $250,000 |
| DANIEL SHEN | ||
| PHYSICIAN | $210,000 | $210,000 |
| GAURI GHATE | ||
| PHYSICIAN | $200,000 | $200,000 |
| GINA D BOSTICK DDS | ||
| DENTAL DIRECTOR | $185,000 | $185,000 |
| DR VIVIAN WILSON | ||
| PHYSICIAN | $177,600 | $177,600 |
| FEBI MATHEW | ||
| APRN | $175,000 | $175,000 |
| COURTNEY BARRET DDS | ||
| DENTIST | $170,000 | $170,000 |
| LIJI THOMSON-SIELAS | ||
| APRN | $164,000 | $164,000 |
| TIERRA PAGE | ||
| APRN | $155,000 | $155,000 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $99,920 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND COMMENTS/QUESTIONS ARE REQUESTED IN A DESIGINATED TIME FRAME. THE FORM 990 IS THEN FORMALLY REVEWED AT A REGULARLY SCHEDULED BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | COMPLIANCE IS MONITORED VIA MONTHLY BOARD MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ED/CEO COMPENSATION IS DETERMEND THROUGH SALARY SURVEY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS ANNUAL WAGE SURVEY AS WELL AS SALARY SURVEYS CONDUCTED BY THE OKLAHOMA PRIMARY CARE ASSOCIATION. AFTER A SALARY RANGE IS DETERMINED THROUGH SURVEYS, THE PERSONNEL COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) NEGOTIATES A SALARY WITH THE CEO THAT IS WITHIN THE PREDETERMINED SALARY RANGE ESTABLISED FROM NATIONAL AND STATE HEALTH CETNER SURVEYS. THE PERSONNEL COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR APPROVAL OF HTE CEO CONTRACT AND COMPENSATION. THE MEDICAL DIRECTOR SALARY RANGE IS DETERMINED THROUGH THE SAME SURVEY AS THE EXECUTIVE DIRECTOR SALARY IN ADDITION TO MGMA NATIONAL PHYSICIAN SALARY DATA. THE SALARY IS THEN NEGOTIATED BY THE ED/CEO AND APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ED/CEO COMPENSATION IS DETERMEND THROUGH SALARY SURVEY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS ANNUAL WAGE SURVEY AS WELL AS SALARY SURVEYS CONDUCTED BY THE OKLAHOMA PRIMARY CARE ASSOCIATION. AFTER A SALARY RANGE IS DETERMINED THROUGH SURVEYS, THE PERSONNEL COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) NEGOTIATES A SALARY WITH THE CEO THAT IS WITHIN THE PREDETERMINED SALARY RANGE ESTABLISED FROM NATIONAL AND STATE HEALTH CETNER SURVEYS. THE PERSONNEL COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR APPROVAL OF HTE CEO CONTRACT AND COMPENSATION. THE MEDICAL DIRECTOR SALARY RANGE IS DETERMINED THROUGH THE SAME SURVEY AS THE EXECUTIVE DIRECTOR SALARY IN ADDITION TO MGMA NATIONAL PHYSICIAN SALARY DATA. THE SALARY IS THEN NEGOTIATED BY THE ED/CEO AND APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 18 | IRS FORM 990S ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | IRS FORM 990S ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
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