2025-08-14T13:14:36-04:00 2024-09-30 464454415 ELMER AND ASSOCIATES PLLC 833 S KELLY AVE SUITE 160 EDMOND OK 73003 990 2023-10-01 730955756 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC CENT 4059484900 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 CHRIS K VAN ESS CFO 4059484900 2025-08-12 true true MICHAEL L ELMER P01215529 4053405974 2025-08-12 2023 2025-03-06 01:10:19Z OKLAHOMA CITY INDIAN CLINIC ROBYN R SUNDAY-ALLEN 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 92747979 false X WWW.OKCIC.COM X 1974 OK THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. 9 9 461 32 0 18143284 22083345 61264724 67303634 1731765 3104225 171427 129444 81311200 92620648 10661450 11555925 0 36304118 43323937 0 0 11189757 12030436 58155325 66910298 23155875 25710350 89430316 110204516 25524027 20525259 63906289 89679257 THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. false false 51166800 11555925 67541708 PROVIDED COMPREHENSIVE OUTPATIENT MEDICAL, DENTAL, BEHAVIORAL, AND PREVENTATIVE HEALTH SERVICES TO THE URBAN INDIAN POPULATION OF OKLAHOMA CITY, OK AND THE SURROUNDING AREAS. 841242 PROVIDED A SPECIAL DIABETES AND DIABETES PREVENTION PROGRAM FOR NATIVE AMERICANS AND PROMOTED HEALTHY LIFESTYLES THROUGH EDUCATION, NUTRITION, INFORMATION AND PHYSICAL ACTIVITY INSTRUCTION. 52008042 true true false false false false false false false false true false false false false true true false false false false false false false true false false false true true false false false false false false false false false false false false false false false false false true 141 0 true 461 true false false false false false true true false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false OK X CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC 4059484900 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 ROBYN R SUNDAY-ALLEN CEO 40.00 X 687480 0 55773 LYSA M ROSS COO 40.00 X 402714 0 81806 CHRIS K VAN ESS CFO 40.00 X 427866 0 85579 DAVID A TOAHTY CDO 40.00 X 193326 0 17122 MONICA KRIENKE CHRO 40.00 X 361701 0 53667 DR HAZEL A LONEWOLF CQO 40.00 X 230561 0 55983 DR JANICE K HIXSON CMO 40.00 X 376695 0 40234 DR MAX BURCHETT JR CIO 40.00 X 256672 0 34233 BRIAN GABBARD CHAIRMAN OF 3.00 X 0 0 0 DAVID THOMAS VICE CHAIRMA 3.00 X 0 0 0 GENA TIMBERMAN SECRETARY 3.00 X 0 0 0 JOHN DAUGHERTY JR TREASURER 3.00 X 0 0 0 BISHOP DAVID WILSON BOARD MEMBER 3.00 X 0 0 0 DR JAMES KENNEDYE BOARD MEMBER 3.00 X 0 0 0 REV ALVIN BURKE DEER BOARD MEMBER 3.00 X 0 0 0 TARA DAWKINS DPT BOARD MEMBER 3.00 X 0 0 0 MASHELL SOURJOHN BOARD MEMBER 3.00 X 0 0 0 DR TYLER S FREEMAN PHYSICIAN 40.00 X 374368 0 40117 DR PAUL S DASARI PHYSICIAN 40.00 X 318674 0 37333 JENNIFER PHAM PHARMACY DIR 40.00 X 188729 0 30835 DR BROOKE N FRANTZ PHYSICIAN 40.00 X 348446 0 24878 DR JIN KONG PHYSICIAN 40.00 X 347590 0 38779 DR NACASIO S GUTIERREZ PHYSICIAN 40.00 X 298118 0 29318 KRISTEN JORDAN PHYSICIAN 40.00 X 291016 0 35939 MICHAEL BRYER-ASH PHYSICIAN 40.00 X 289197 0 34075 5393153 695671 63 false true false GOLDSBY CONTRUCTION 834 WEST INTERSTASTE DRIVE NORMAN OK 73072 CONTRACTOR 2663955 OKC AREA INDIAN HEALTH SERVICE PO BOX 14175 OKLAHOMA CITY OK 73113 HEALTH SERVICES 622351 DIAGNOSTIC LABORATORY OF OKLAHOMA PO BOX 676324 DALLAS TX 752676324 SERVICE PROVIDE 613464 LABCORP OKLAHOMA INC PO BOX 8011 BURLINGTON NC 272168011 CONSULTANT 445402 PHILIPS HEALTHCARE PO BOX 100355 ATLANTA GA 303840355 SERVICE PROVIDE 443049 22 21825592 257753 22083345 MEDICAID INCOME 621400 24279911 24279911 MEDICAID INCOME - PHARMACY 621400 20167428 20167428 PRIVATE INSURANCE - PHARMACY 621400 6966921 6966921 MEDICARE INCOME - PHARMACY 621400 6055304 6055304 PRIVATE INSURANCE 621400 5209125 5209125 4624945 4624945 67303634 3104225 3104225 25964 25964 25964 25964 230811 127331 103480 103480 92620648 67303634 3233669 11555925 11555925 4135451 3121605 1013846 29182202 22027910 7154292 10006284 7668140 2338144 3041 256 2785 48700 4095 44605 2631819 1690629 941190 454941 348055 106886 737523 280821 456702 1480050 1112548 367502 1127361 415584 711777 435213 275202 160011 3530 2701 829 290154 290154 2223193 1928353 294840 1013137 431058 582079 REPAIRS & MAINTENANCE 747714 507075 240639 SMALL GRANTS 241613 184847 56766 ASSISTANCE FUND - HEARING 150390 115056 35334 SPECIAL IHS PROGRAMS 113715 86998 26717 328342 251184 77158 66910298 52008042 14902256 0 23555070 48599351 30035729 21946763 388506 635491 3510042 4619620 349097 349097 897354 594932 39939952 11251327 26944280 28688625 1298655 972117 2451583 3798520 89430316 110204516 4575868 5953772 13213343 7405636 7734816 7165851 25524027 20525259 X 63803387 89654563 102902 24694 63906289 89679257 89430316 110204516 X 25710350 40253 22364 1 X false true X true true true X 14926656 24250842 25995564 18143284 22083345 105399691 14926656 24250842 25995564 18143284 22083345 105399691 105399691 492782 7167 132535 1763179 3130189 5525852 139013 102480 241493 43500 43500 111210536 128568358 0.94770 0.96800 X PART II, LINE 10 OTHER INCOME 43,500 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1948418 1948418 26069567 4140425 21929142 11921967 7110902 4811065 28688625 X 92788233 40253 127332 167585 92620648 92620648 67037629 127331 127331 66910298 66910298 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 RED FEATHER GAL 230811 230811 127331 230811 230811 127331 127331 103480 true MEDICAL SUPPLIES/MEDICINE 10107706 COST MEDICAL SERVICE MEDICAL SERVICES 1448219 COST MEDICAL SERVICE SCHEDULE I, PAGE 4, PART IV PATIENTS ARE PRE-QUALIFIED TO RECEIVE SERVICES AND ASSITANCE BY THE ORGANZIATON. NO FURTHER MONITORING OF ASSISTANCE PROVIDED IS CONSIDERED NECESSARY. X X X false true false false false false false false false ROBYN R SUNDAY-ALLEN CEO 686456 1024 34374 21399 743253 LYSA M ROSS COO 391690 11024 60407 21399 484520 CHRIS K VAN ESS CFO 416842 11024 64180 21399 513445 DAVID A TOAHTY CDO 182311 11015 9666 7456 210448 MONICA KRIENKE CHRO 250677 111024 39255 14412 415368 DR HAZEL A LONEWOLF CQO 219537 11024 34584 21399 286544 DR JANICE K HIXSON CMO 365671 11024 18835 21399 416929 DR MAX BURCHETT JR CIO 245648 11024 12834 21399 290905 DR TYLER S FREEMAN PHYSICIAN 298344 76024 18718 21399 414485 DR PAUL S DASARI PHYSICIAN 242650 76024 15934 21399 356007 JENNIFER PHAM PHARMACY DIRECTOR 187714 1015 9436 21399 219564 DR BROOKE N FRANTZ PHYSICIAN 266422 82024 17422 7456 373324 DR JIN KONG PHYSICIAN 304566 43024 17380 21399 386369 DR NACASIO S GUTIERREZ PHYSICIAN 289594 8524 14906 14412 327436 KRISTEN JORDAN PHYSICIAN 228492 62524 14540 21399 326955 MICHAEL BRYER-ASH PHYSICIAN 284492 4705 14460 19615 323272 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. 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