SEASONS HOSPICE OF MUSKOGEE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SEASONS HOSPICE OF MUSKOGEE (EIN 84-2294666)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349303174
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

FieldValueIRS element (for citing)
Return2022-11-15T09:05:55-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN731432162PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOOD & ASSOCIATES CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15350 EAST 46TH STREET SUITE 130AddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP741353537ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN842294666EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEASONS HOSPICE OF MUSKOGEE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSEASBusinessNameControlTxt
Phone9184926440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16532 EAST 71ST STREET SUITE 100AddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74133ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY J WINTERSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9184926440PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTIMPersonFirstNm
Person LastWINTERSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL HOOD CPAPreparerPersonNm
PTINP00579236PTIN
Phone9187477000PhoneNum
Preparation2022-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIMOTHY J WINTERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16532 EAST 71ST STREET SUITE 100AddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74133ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,388,092GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionPROVIDE HOSPICE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES REGARDLESS OF ABILITY TO PAY. THE STAFF IS ON CALL 24 HOURS A DAY TO PROVIDE NURSING, PERSONAL PASTORAL AND BEREAVEMENT CARE.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$208,450PYContributionsGrantsAmt
CY Contributions Grants$120,361CYContributionsGrantsAmt
PY Program Service Revenue$493,625PYProgramServiceRevenueAmt
CY Program Service Revenue$1,267,731CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$13,600PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$715,675PYTotalRevenueAmt
CY Total Revenue$1,388,092CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$500,145PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$879,345CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$207,541PYOtherExpensesAmt
CY Other Expenses$456,379CYOtherExpensesAmt
PY Total Expenses$707,686PYTotalExpensesAmt
CY Total Expenses$1,335,724CYTotalExpensesAmt
PY Revenues Less Expenses$7,989PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$52,368CYRevenuesLessExpensesAmt
Total Assets BOY$162,807TotalAssetsBOYAmt
Total Assets EOY$12,977TotalAssetsEOYAmt
Total Liabilities BOY$202,403TotalLiabilitiesBOYAmt
Total Liabilities EOY$205TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$39,596NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,772NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOSPICE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES REGARDLESS OF ABILITY TO PAY. THE STAFF IS ON CALL 24 HOURS A DAY TO PROVIDE NURSING, PERSONAL PASTORAL AND BEREAVEMENT CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,202,241ExpenseAmt
Revenue$1,267,731RevenueAmt
DescDURING 2021, WE HAD 105 NEW PATIENT ADMISSIONS. MEETINGS WERE GENERALLY HELD TWICE PER WEEK AT THE SEASONS HOSPICE MUSKOGEE LOCATION WITH ALL STAFF REQUIRED TO ATTEND. THESE MEETINGS WERE BUSINESS ORGANIZATIONAL IN NATURE. FORMAL BOARD MEETINGS WERE HELD AS NEEDED DURING THE YEAR TO DISCUSS FINANCIALS, COMPANY MISSION AND STATE OF AFFAIRS AND ADDITION/SUBTRACTION OF BOARD MEMBERS AND/OR KEY EMPLOYEES.Desc
Total Program Service Expenses$1,202,241TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee22EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCARLA BELLPersonNm
Phone9184926440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16532 EAST 71ST STREET SUITE 100AddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74133ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtInstitutional TrusteeInstitutionalTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
SUSAN WINTERS
TRUSTEE10.00Yes (X)$0$88,269$0
TIMOTHY J WINTERS
PRESIDENT20.00$0$202,961$0Yes (X)Yes (X)
ANDREW WINTERS
VICE PRESIDE20.00$32,524$132,876$1,200Yes (X)Yes (X)
CARLA BELL
VICE PRESIDE10.00$0$139,929$0Yes (X)Yes (X)
DAVID WILLETS
GRIEF COUNSE10.00$0$27,288$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$32,524TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$591,323TotReportableCompRltdOrgAmt
Total Other Compensation$1,200TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$120,361AllOtherContributionsAmt
Total Contributions$120,361TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICARE/COMMERCIALDesc
Total Revenue Column$1,267,731TotalRevenueColumnAmt
Related Or Exempt Func Income$1,267,731RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,267,731TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,388,092TotalRevenueColumnAmt
Related Or Exempt Func Income$1,267,731RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$32,524TotalAmt
Program Services$29,272ProgramServicesAmt
Management And General$3,252ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$757,952TotalAmt
Program Services$682,157ProgramServicesAmt
Management And General$75,795ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,448TotalAmt
Program Services$4,003ProgramServicesAmt
Management And General$445ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,863TotalAmt
Program Services$21,477ProgramServicesAmt
Management And General$2,386ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$60,558TotalAmt
Program Services$54,502ProgramServicesAmt
Management And General$6,056ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,198TotalAmt
Program Services$4,678ProgramServicesAmt
Management And General$520ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,717TotalAmt
Program Services$23,145ProgramServicesAmt
Management And General$2,572ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,074TotalAmt
Program Services$3,666ProgramServicesAmt
Management And General$408ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$39,900TotalAmt
Program Services$35,910ProgramServicesAmt
Management And General$3,990ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$79,379TotalAmt
Program Services$71,441ProgramServicesAmt
Management And General$7,938ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,260TotalAmt
Program Services$2,034ProgramServicesAmt
Management And General$226ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$936TotalAmt
Program Services$936ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,721TotalAmt
Program Services$11,448ProgramServicesAmt
Management And General$1,273ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS$116,369$104,732$11,637
RENTAL - EQUIPMENT$57,588$51,829$5,759
BILLING & COLLECTION SERV$32,351$29,116$3,235
CONTRACT LABOR$23,000$20,700$2,300

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$56,886TotalAmt
Program Services$51,195ProgramServicesAmt
Management And General$5,691ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,335,724TotalAmt
Program Services$1,202,241ProgramServicesAmt
Management And General$133,483ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$159,065BOYAmt
EOY$10,171EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,677LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,871LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,742BOYAmt
EOY$2,806EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$162,807BOYAmt
EOY$12,977EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,403BOYAmt
EOY$205EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$190,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,403BOYAmt
EOY$205EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$39,596BOYAmt
EOY$12,772EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$39,596BOYAmt
EOY$12,772EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$162,807BOYAmt
EOY$12,977EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$52,368ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$25,100CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$208,450CurrentTaxYearMinus1YearAmt
Current Tax Year$120,361CurrentTaxYearAmt
Total$353,911TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$507,225CurrentTaxYearMinus1YearAmt
Current Tax Year$1,267,731CurrentTaxYearAmt
Total$1,774,956TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$25,100CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$715,675CurrentTaxYearMinus1YearAmt
Current Tax Year$1,388,092CurrentTaxYearAmt
Total$2,128,867TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,128,867PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$25,100CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$715,675CurrentTaxYearMinus1YearAmt
Current Tax Year$1,388,092CurrentTaxYearAmt
Total$2,128,867TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,677OtherCostOrOtherBasisAmt
Depreciation$1,871DepreciationAmt
Book Value$2,806BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,806TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
TIMOTHY J WINTERS
PRESIDENT$202,961$202,961
ANDREW WINTERS
VICE PRESIDENT$132,876$132,876$32,524$1,200$33,724

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 2TIMOTHY WINTERS ANDREW WINTERS PRESIDENT VICE PRES FATHER AND SON
FORM 990, PAGE 6, PART VI, LINE 8BNO
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS GIVEN TO TIM WINTERS, PRESIDENT, FOR REVIEW PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATON PROCESS FOR TOP OFFICIAL WAGES, STUDY BY INDEPENDENT CPA FIRM
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION PROCESS FOR OFFICERS, COMPARISON FOR SIMILAR POSITIONS
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE AT THE MAIN OFFICE FROM 8AM TO 5PM MONDAY THROUGH FRIDAY

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDOK SPECIALTY FINANCES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16532 EAST 71ST STREET SUITE 100AddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74133ZIPCd
FieldValueIRS element (for citing)
EIN731606537EIN
Primary ActivitiesBILLINGPrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd
Total Income$562,444TotalIncomeAmt
Direct Controlling NAN/ADirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
CROWN CHAPLAIN SERVICES INC
6532 EAST 71ST STREET SUITE 100TULSAOK74133201436033SPIRITUALOK501C37N/Afalse
SEASONS HOSPICE INC
6532 EAST 71ST STREET SUITE 100TULSAOK74133731531714HOSPICE CAOK501C37N/Afalse
SEASONS HOSPICE INC OF MISSOURI
6532 EAST 71ST STREET SUITE 100TULSAOK74133200251173HOSPICE CAMO501C37N/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CROWN HOSPICE LLC
6532 EAST 71ST STREET SUITE 100TULSAOK74133208138201MEDICAL SVTXN/Afalsefalse
WINTERS REAL ESTATE LLC
6532 EAST 71ST STREET SUITE 100TULSAOK74133261900084RENTALOKN/Afalsefalse
CAPE REAL ESTATE LLC
6532 EAST 71ST STREET SUITE 100TULSAOK74133262147324RENTALOKN/Afalsefalse
WINTERS GROUP LLC
6532 EAST 71ST STREET SUITE 100TULSAOK74133731603058RENTALOKN/Afalsefalse
CROWN VICTORIA REAL ESTATE LLC
6532 EAST 71ST STREET SUITE 100TULSAOK74133872888866RENTALTXN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
CROWN HOSPICE INC (OF MO)
6532 EAST 71ST STREET SUITE 100TULSAOK74133205316521HOSPICE SVMON/Afalse
CROWN HOSPICE OF POPLAR BLUFF
1125 HERSHEL BESS BLVD STE 1POPLAR BLUFFMO63901843006001HOSPICE SVMON/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SEASON'S HOSPICE INC
C$120,000FMV
WINTERS GROUP LLC
K$38,400FMV
MEDOK SPECIALTY FINANCES LLC
M$32,351FMV

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