CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC (EIN 73-0955756)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-14
- IRS object ID
- 202532269349302258
- Schema version
- 2023v6.0
- 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 | 2025-08-14T13:14:36-04:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 464454415 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELMER AND ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 833 S KELLY AVE SUITE 160 | AddressLine1Txt |
| City | EDMOND | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | 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 | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH COUNCIL INC | BusinessNameLine2Txt |
| 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 AVENUE | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731276339 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS K VAN ESS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4059484900 | PhoneNum |
| Signature | 2025-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL L ELMER | PreparerPersonNm |
| PTIN | P01215529 | PTIN |
| Phone | 4053405974 | PhoneNum |
| Preparation | 2025-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | 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 R SUNDAY-ALLEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4913 W RENO AVENUE | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731276339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $92,747,979 | 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 | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 461 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $18,143,284 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,083,345 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $61,264,724 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,303,634 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,731,765 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,104,225 | CYInvestmentIncomeAmt |
| PY Other Revenue | $171,427 | PYOtherRevenueAmt |
| CY Other Revenue | $129,444 | CYOtherRevenueAmt |
| PY Total Revenue | $81,311,200 | PYTotalRevenueAmt |
| CY Total Revenue | $92,620,648 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,661,450 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,555,925 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,304,118 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,323,937 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,189,757 | PYOtherExpensesAmt |
| CY Other Expenses | $12,030,436 | CYOtherExpensesAmt |
| PY Total Expenses | $58,155,325 | PYTotalExpensesAmt |
| CY Total Expenses | $66,910,298 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,155,875 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,710,350 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $89,430,316 | TotalAssetsBOYAmt |
| Total Assets EOY | $110,204,516 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,524,027 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,525,259 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $63,906,289 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $89,679,257 | 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 | $51,166,800 | ExpenseAmt |
| Grant | $11,555,925 | GrantAmt |
| Revenue | $67,541,708 | 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 | $841,242 | ExpenseAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $52,008,042 | 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 | Yes (true) | 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 | 141 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 461 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH COUNCIL INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4059484900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4913 W RENO AVENUE | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731276339 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROBYN R SUNDAY-ALLEN | ||||||||
| CEO | 40.00 | Yes (X) | $687,480 | $0 | $55,773 | |||
| LYSA M ROSS | ||||||||
| COO | 40.00 | Yes (X) | $402,714 | $0 | $81,806 | |||
| CHRIS K VAN ESS | ||||||||
| CFO | 40.00 | Yes (X) | $427,866 | $0 | $85,579 | |||
| DAVID A TOAHTY | ||||||||
| CDO | 40.00 | Yes (X) | $193,326 | $0 | $17,122 | |||
| MONICA KRIENKE | ||||||||
| CHRO | 40.00 | Yes (X) | $361,701 | $0 | $53,667 | |||
| DR HAZEL A LONEWOLF | ||||||||
| CQO | 40.00 | Yes (X) | $230,561 | $0 | $55,983 | |||
| DR JANICE K HIXSON | ||||||||
| CMO | 40.00 | Yes (X) | $376,695 | $0 | $40,234 | |||
| DR MAX BURCHETT JR | ||||||||
| CIO | 40.00 | Yes (X) | $256,672 | $0 | $34,233 | |||
| BRIAN GABBARD | ||||||||
| CHAIRMAN OF | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVID THOMAS | ||||||||
| VICE CHAIRMA | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| GENA TIMBERMAN | ||||||||
| SECRETARY | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN DAUGHERTY JR | ||||||||
| TREASURER | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| BISHOP DAVID WILSON | ||||||||
| BOARD MEMBER | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| DR JAMES KENNEDYE | ||||||||
| BOARD MEMBER | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| REV ALVIN BURKE DEER | ||||||||
| BOARD MEMBER | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| TARA DAWKINS DPT | ||||||||
| BOARD MEMBER | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| MASHELL SOURJOHN | ||||||||
| BOARD MEMBER | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| DR TYLER S FREEMAN | ||||||||
| PHYSICIAN | 40.00 | $374,368 | $0 | $40,117 | Yes (X) | |||
| DR PAUL S DASARI | ||||||||
| PHYSICIAN | 40.00 | $318,674 | $0 | $37,333 | Yes (X) | |||
| JENNIFER PHAM | ||||||||
| PHARMACY DIR | 40.00 | $188,729 | $0 | $30,835 | Yes (X) | |||
| DR BROOKE N FRANTZ | ||||||||
| PHYSICIAN | 40.00 | $348,446 | $0 | $24,878 | Yes (X) | |||
| DR JIN KONG | ||||||||
| PHYSICIAN | 40.00 | $347,590 | $0 | $38,779 | Yes (X) | |||
| DR NACASIO S GUTIERREZ | ||||||||
| PHYSICIAN | 40.00 | $298,118 | $0 | $29,318 | Yes (X) | |||
| KRISTEN JORDAN | ||||||||
| PHYSICIAN | 40.00 | $291,016 | $0 | $35,939 | Yes (X) | |||
| MICHAEL BRYER-ASH | ||||||||
| PHYSICIAN | 40.00 | $289,197 | $0 | $34,075 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,393,153 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $695,671 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 63 | 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 CONTRUCTION | |||||
| 834 WEST INTERSTASTE DRIVE | NORMAN | OK | 73072 | CONTRACTOR | $2,663,955 |
| OKC AREA INDIAN HEALTH SERVICE | |||||
| PO BOX 14175 | OKLAHOMA CITY | OK | 73113 | HEALTH SERVICES | $622,351 |
| DIAGNOSTIC LABORATORY OF OKLAHOMA | |||||
| PO BOX 676324 | DALLAS | TX | 752676324 | SERVICE PROVIDE | $613,464 |
| LABCORP OKLAHOMA INC | |||||
| PO BOX 8011 | BURLINGTON | NC | 272168011 | CONSULTANT | $445,402 |
| PHILIPS HEALTHCARE | |||||
| PO BOX 100355 | ATLANTA | GA | 303840355 | SERVICE PROVIDE | $443,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $21,825,592 | GovernmentGrantsAmt |
| All Other Contributions | $257,753 | AllOtherContributionsAmt |
| Total Contributions | $22,083,345 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID INCOME | 621400 | $24,279,911 | $24,279,911 |
| MEDICAID INCOME - PHARMACY | 621400 | $20,167,428 | $20,167,428 |
| PRIVATE INSURANCE - PHARMACY | 621400 | $6,966,921 | $6,966,921 |
| MEDICARE INCOME - PHARMACY | 621400 | $6,055,304 | $6,055,304 |
| PRIVATE INSURANCE | 621400 | $5,209,125 | $5,209,125 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,624,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,624,945 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $67,303,634 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,104,225 | TotalRevenueColumnAmt |
| Exclusion | $3,104,225 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,964 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,964 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,964 | TotalRevenueColumnAmt |
| Exclusion | $25,964 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $230,811 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $127,331 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,480 | TotalRevenueColumnAmt |
| Exclusion | $103,480 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,620,648 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,303,634 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,233,669 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,555,925 | TotalAmt |
| Program Services | $11,555,925 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,135,451 | TotalAmt |
| Program Services | $3,121,605 | ProgramServicesAmt |
| Management And General | $1,013,846 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,182,202 | TotalAmt |
| Program Services | $22,027,910 | ProgramServicesAmt |
| Management And General | $7,154,292 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,006,284 | TotalAmt |
| Program Services | $7,668,140 | ProgramServicesAmt |
| Management And General | $2,338,144 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,041 | TotalAmt |
| Program Services | $256 | ProgramServicesAmt |
| Management And General | $2,785 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,700 | TotalAmt |
| Program Services | $4,095 | ProgramServicesAmt |
| Management And General | $44,605 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,631,819 | TotalAmt |
| Program Services | $1,690,629 | ProgramServicesAmt |
| Management And General | $941,190 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,941 | TotalAmt |
| Program Services | $348,055 | ProgramServicesAmt |
| Management And General | $106,886 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,523 | TotalAmt |
| Program Services | $280,821 | ProgramServicesAmt |
| Management And General | $456,702 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,480,050 | TotalAmt |
| Program Services | $1,112,548 | ProgramServicesAmt |
| Management And General | $367,502 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,127,361 | TotalAmt |
| Program Services | $415,584 | ProgramServicesAmt |
| Management And General | $711,777 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,213 | TotalAmt |
| Program Services | $275,202 | ProgramServicesAmt |
| Management And General | $160,011 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,530 | TotalAmt |
| Program Services | $2,701 | ProgramServicesAmt |
| Management And General | $829 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,154 | TotalAmt |
| Management And General | $290,154 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,193 | TotalAmt |
| Program Services | $1,928,353 | ProgramServicesAmt |
| Management And General | $294,840 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,137 | TotalAmt |
| Program Services | $431,058 | ProgramServicesAmt |
| Management And General | $582,079 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $747,714 | $507,075 | $240,639 |
| SMALL GRANTS | $241,613 | $184,847 | $56,766 |
| ASSISTANCE FUND - HEARING | $150,390 | $115,056 | $35,334 |
| SPECIAL IHS PROGRAMS | $113,715 | $86,998 | $26,717 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,342 | TotalAmt |
| Program Services | $251,184 | ProgramServicesAmt |
| Management And General | $77,158 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,910,298 | TotalAmt |
| Program Services | $52,008,042 | ProgramServicesAmt |
| Management And General | $14,902,256 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,555,070 | BOYAmt |
| EOY | $48,599,351 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,035,729 | BOYAmt |
| EOY | $21,946,763 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,506 | BOYAmt |
| EOY | $635,491 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,510,042 | BOYAmt |
| EOY | $4,619,620 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,097 | BOYAmt |
| EOY | $349,097 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $897,354 | BOYAmt |
| EOY | $594,932 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,939,952 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,251,327 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,944,280 | BOYAmt |
| EOY | $28,688,625 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,298,655 | BOYAmt |
| EOY | $972,117 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,451,583 | BOYAmt |
| EOY | $3,798,520 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,430,316 | BOYAmt |
| EOY | $110,204,516 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,575,868 | BOYAmt |
| EOY | $5,953,772 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,213,343 | BOYAmt |
| EOY | $7,405,636 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,734,816 | BOYAmt |
| EOY | $7,165,851 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,524,027 | BOYAmt |
| EOY | $20,525,259 | 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 | $63,803,387 | BOYAmt |
| EOY | $89,654,563 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,902 | BOYAmt |
| EOY | $24,694 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,906,289 | BOYAmt |
| EOY | $89,679,257 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,430,316 | BOYAmt |
| EOY | $110,204,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $25,710,350 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $40,253 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $22,364 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1 | OtherChangesInNetAssetsAmt |
| 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 | $14,926,656 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,250,842 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,995,564 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,143,284 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,083,345 | CurrentTaxYearAmt |
| Total | $105,399,691 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,926,656 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,250,842 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,995,564 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,143,284 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,083,345 | CurrentTaxYearAmt |
| Total | $105,399,691 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $105,399,691 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $492,782 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,167 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $132,535 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,763,179 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,130,189 | CurrentTaxYearAmt |
| Total | $5,525,852 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $139,013 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,480 | CurrentTaxYearAmt |
| Total | $241,493 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,500 | CurrentTaxYearMinus4YearsAmt |
| Total | $43,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $111,210,536 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $128,568,358 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94770 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96800 | 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 | OTHER INCOME 43,500 | 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 | $1,948,418 | OtherCostOrOtherBasisAmt |
| Book Value | $1,948,418 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,069,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,140,425 | DepreciationAmt |
| Book Value | $21,929,142 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,921,967 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,110,902 | DepreciationAmt |
| Book Value | $4,811,065 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,688,625 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $92,788,233 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $40,253 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $127,332 | OtherRevenueAmt |
| Revenue Not Reported | $167,585 | RevenueNotReportedAmt |
| Revenue Subtotal | $92,620,648 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $92,620,648 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $67,037,629 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $127,331 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $127,331 | ExpensesNotReportedAmt |
| Expenses Subtotal | $66,910,298 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $66,910,298 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | 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. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | FUNDRAISING EXPENSES 127,331 ROUNDING 1 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | FUNDRAISING EXPENSES 127,331 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | RED FEATHER GAL | Event1Nm |
| Gross Receipts Event1 | $230,811 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $230,811 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $127,331 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $230,811 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $230,811 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $127,331 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $127,331 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $103,480 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|
| MEDICAL SUPPLIES/MEDICINE | $10,107,706 | COST | MEDICAL SERVICE |
| MEDICAL SERVICES | $1,448,219 | COST | MEDICAL SERVICE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 4, PART IV | FormAndLineReferenceDesc |
| Explanation | PATIENTS ARE PRE-QUALIFIED TO RECEIVE SERVICES AND ASSITANCE BY THE ORGANZIATON. 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 | Yes (true) | 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 (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| ROBYN R SUNDAY-ALLEN | |||||
| CEO | $686,456 | $1,024 | $34,374 | $21,399 | $743,253 |
| LYSA M ROSS | |||||
| COO | $391,690 | $11,024 | $60,407 | $21,399 | $484,520 |
| CHRIS K VAN ESS | |||||
| CFO | $416,842 | $11,024 | $64,180 | $21,399 | $513,445 |
| DAVID A TOAHTY | |||||
| CDO | $182,311 | $11,015 | $9,666 | $7,456 | $210,448 |
| MONICA KRIENKE | |||||
| CHRO | $250,677 | $111,024 | $39,255 | $14,412 | $415,368 |
| DR HAZEL A LONEWOLF | |||||
| CQO | $219,537 | $11,024 | $34,584 | $21,399 | $286,544 |
| DR JANICE K HIXSON | |||||
| CMO | $365,671 | $11,024 | $18,835 | $21,399 | $416,929 |
| DR MAX BURCHETT JR | |||||
| CIO | $245,648 | $11,024 | $12,834 | $21,399 | $290,905 |
| DR TYLER S FREEMAN | |||||
| PHYSICIAN | $298,344 | $76,024 | $18,718 | $21,399 | $414,485 |
| DR PAUL S DASARI | |||||
| PHYSICIAN | $242,650 | $76,024 | $15,934 | $21,399 | $356,007 |
| JENNIFER PHAM | |||||
| PHARMACY DIRECTOR | $187,714 | $1,015 | $9,436 | $21,399 | $219,564 |
| DR BROOKE N FRANTZ | |||||
| PHYSICIAN | $266,422 | $82,024 | $17,422 | $7,456 | $373,324 |
| DR JIN KONG | |||||
| PHYSICIAN | $304,566 | $43,024 | $17,380 | $21,399 | $386,369 |
| DR NACASIO S GUTIERREZ | |||||
| PHYSICIAN | $289,594 | $8,524 | $14,906 | $14,412 | $327,436 |
| KRISTEN JORDAN | |||||
| PHYSICIAN | $228,492 | $62,524 | $14,540 | $21,399 | $326,955 |
| MICHAEL BRYER-ASH | |||||
| PHYSICIAN | $284,492 | $4,705 | $14,460 | $19,615 | $323,272 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | LYSA M. ROSS 0 40,271 0 CHRIS K. VAN ESS 0 42,787 0 MONICA KRIENKE 0 26,170 0 DR. HAZEL A. LONEWOLF 0 23,056 0 |
| SCHEDULE J, PART III | THE CLINIC MAINTAINS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHERE THE ABOVE LISTED EMPLOYEES EARNED THE STATED DEFERRED COMPENSATION. THESE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART 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. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS PROVIDES DOCUMENTATION IN REFERENCE TO ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE MANANGEMENT HAS MEETINGS WITH THE SUPERVISORS AND KEY EMPLOYEES TO DISCUSS AND ENSURE COMPLIANCE WITH THE CLINIC'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPARABILITY DATA AND A SALARY SURVEY WAS UTILIZED IN DETERMINING THE COMPENSATION FOR THE KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPARABILITY DATA AND A SALARY SURVEY WAS UTILIZED IN DETERMINING THE COMPENSATION FOR THE KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, FINANCIAL STATEMMENTS, AND OTHER INFORMATION IS MADE AVAILABLE TO THE PUBLIC VIA A WRITTEN REQUEST TO THE CHIEF EXECUTIVE OFFICER OR BOARD CHAIR. |
| FORM 990, PART XI, LINE 9 | FUNDRAISING EXPENSES 127,331 ROUNDING 1 FUNDRAISING EXPENSES -127,331 TOTAL 1 |
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