INDIAN HEALTH CARE RESOURCE CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- INDIAN HEALTH CARE RESOURCE CENTER (EIN 73-1042545)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-19
- IRS object ID
- 201800509349300900
- Schema version
- 2016v3.0
- 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 | 2018-02-19T14:17:14-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 731413977 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOGANTAYLOR LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2222 S UTICA PL SUITE 200 | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741147002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731042545 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN HEALTH CARE RESOURCE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 9185881900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 SOUTH PEORIA AVE | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741203825 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDY A GIBSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9183821208 | PhoneNum |
| Signature | 2018-02-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | W LYNDEL LACKEY | PreparerPersonNm |
| PTIN | P00234298 | PTIN |
| Phone | 9187452333 | PhoneNum |
| Preparation | 2018-01-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.249.102.217 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-06 | IPDt |
| IP Tm | 11:08:49 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 05E3149E89962FDD46ABB79744C1A67736A22E8B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4E0D735068D6152C99544686194D2A38FD75B12D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARMELITA SKEETER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 SOUTH PEORIA AVE | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741203825 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,344,136 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.IHCRC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO TULSA AREA INDIAN PEOPLE IN A CULTURALLY SENSITIVE MANNER THAT PROMOTES GOOD HEALTH, WELL BEING AND HARMONY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 178 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,037,128 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,855,414 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,603,182 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,948,537 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$940 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,743 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,508 | PYOtherRevenueAmt |
| CY Other Revenue | -$14,219 | CYOtherRevenueAmt |
| PY Total Revenue | $18,679,878 | PYTotalRevenueAmt |
| CY Total Revenue | $18,810,475 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,293,794 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,422,584 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $147,662 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,975,465 | PYOtherExpensesAmt |
| CY Other Expenses | $6,567,199 | CYOtherExpensesAmt |
| PY Total Expenses | $17,269,259 | PYTotalExpensesAmt |
| CY Total Expenses | $16,989,783 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,410,619 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,820,692 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,711,373 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,556,661 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,430,405 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,434,156 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,280,968 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,122,505 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO TULSA AREA INDIAN PEOPLE IN A CULTURALLY SENSITIVE MANNER THAT PROMOTES GOOD HEALTH, WELL BEING AND HARMONY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,329,503 | ExpenseAmt |
| Revenue | $6,684,989 | RevenueAmt |
| Desc | URBAN INDIAN HEALTH CLINIC - TO PROVIDE COMPREHENSIVE COMMUNITY HEALTH CARE SERVICES AND FAMILY SEPARATION PREVENTION SERVICES THROUGH FAMILY COUNSELING AND EDUCATION. MORE THAN 10,000 PATIENTS SERVED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $512,653 | ExpenseAmt |
| Revenue | $573,591 | RevenueAmt |
| Desc | IHS SPECIAL DIABETES PROGRAM FOR INDIANS - TO HELP PATIENTS BETTER UNDERSTAND AND MANAGE THEIR DIABETES AND LEARN THE SPECIAL CARE AND NUTRITION REQUIREMENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $210,522 | ExpenseAmt |
| Revenue | $228,366 | RevenueAmt |
| Desc | OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES SYSTEMS OF CARE - TO FURNISH THE NECESSARY RESOURCES TO DEVELOP A LOCAL SYSTEM OF CARE WITH WRAPAROUND SERVICES FOR AMERICAN INDIAN YOUTH AT GREATEST RISK OF OUT OF HOME PLACEMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (9 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $47,539 | $50,824 | IHS METH AND SUICIDE PREVENTION |
| $145,944 | $158,852 | IHS PUBLIC HEALTH NURSE PROGRAM |
| $102,540 | $107,260 | IHS DOMESTIC VIOLENCE PREVENTION INITIATIVE |
| $99,524 | $110,193 | HRSA PSYCHOLOGY EDUCATION |
| $71,150 | $77,284 | HIS SPECIAL DIABETES PROGRAM/CARDIOVASCULAR DISEASE |
| $41,582 | $41,581 | TULSA HEALTHY START INITIATIVE |
| $7,668 | $108,118 | CONNECTING KIDS INITIATIVE |
| $2,977 | $3,623 | GESTATIONAL DIABETES |
| $6,440,493 | $7,807,479 | NON-GRANT FUNDING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,959,417 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $8,465,214 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,012,095 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 178 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | JUDY A GIBSON CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9183821208 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 S PEORIA AVENUE | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741203825 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LUKE ESSMAN | ||||||||
| PRESIDENT | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| JAY ANDERSON | ||||||||
| VICE PRESIDENT | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| JIM CAMERON | ||||||||
| SECRETARY | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| DONNIE COX | ||||||||
| TREASURER | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| BOB BITTING | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| JANICE EDMISTON | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| MARY ANN VASSAR | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| MADELINE TEAGUE | ||||||||
| TREASURER | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| BRANDON CARUSO | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| JOYCE ROBERTS | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| MATT WILKETT | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| GOLDIE PHILLIPS | ||||||||
| TRUSTEE | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| CARMELITA SKEETER | ||||||||
| CEO | 40.00 | $262,500 | $0 | $46,796 | Yes (X) | |||
| JUDY A GIBSON | ||||||||
| CFO | 40.00 | $168,120 | $0 | $42,243 | Yes (X) | |||
| TANYA CAIN | ||||||||
| COO | 40.00 | $64,133 | $0 | $8,478 | Yes (X) | |||
| STACIE NUTT | ||||||||
| HRO | 40.00 | $119,205 | $0 | $23,280 | Yes (X) | |||
| MICHEAL SCOTT | ||||||||
| MEDICAL DIRECTOR | 40.00 | $187,832 | $0 | $43,093 | Yes (X) | |||
| DEAN MARTIN | ||||||||
| MD | 40.00 | $257,563 | $0 | $46,663 | Yes (X) | |||
| ASHLEY HOPKINS | ||||||||
| PHYSICIAN | 40.00 | $188,780 | $0 | $35,485 | Yes (X) | |||
| JESSICAH GILMORE | ||||||||
| PHYSICIAN | 40.00 | $183,216 | $0 | $22,462 | Yes (X) | |||
| RACHEL RAY | ||||||||
| PHYSICIAN | 40.00 | $175,531 | $0 | $31,802 | Yes (X) | |||
| VALERIE HOWARD | ||||||||
| PHYSICIAN | 40.00 | $201,438 | $0 | $33,390 | Yes (X) | |||
| ARTHUR HOLLEMAN | ||||||||
| DDS | 40.00 | $158,000 | $0 | $39,589 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,966,318 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $373,281 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $146,998 | FundraisingAmt |
| Government Grants | $2,419,824 | GovernmentGrantsAmt |
| All Other Contributions | $288,592 | AllOtherContributionsAmt |
| Total Contributions | $2,855,414 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICE | 624100 | $10,072,083 | $10,072,083 |
| GOVERNMENT CONTRACT | 624100 | $5,876,454 | $5,876,454 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,948,537 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,140 | TotalRevenueColumnAmt |
| Exclusion | $23,140 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,856 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,856 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,856 | TotalRevenueColumnAmt |
| Exclusion | $9,856 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,484,189 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,484,189 | SecuritiesAmt |
| Other | $2,397 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$2,397 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,397 | TotalRevenueColumnAmt |
| Exclusion | -$2,397 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $146,998 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $47,075 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$24,075 | TotalRevenueColumnAmt |
| Exclusion | -$24,075 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,810,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,948,537 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,524 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054,506 | TotalAmt |
| Program Services | $863,760 | ProgramServicesAmt |
| Management And General | $175,781 | ManagementAndGeneralAmt |
| Fundraising | $14,965 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,342,927 | TotalAmt |
| Program Services | $6,013,881 | ProgramServicesAmt |
| Management And General | $1,224,788 | ManagementAndGeneralAmt |
| Fundraising | $104,258 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,272 | TotalAmt |
| Program Services | $172,353 | ProgramServicesAmt |
| Management And General | $34,966 | ManagementAndGeneralAmt |
| Fundraising | $2,953 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,226,237 | TotalAmt |
| Program Services | $1,005,106 | ProgramServicesAmt |
| Management And General | $203,911 | ManagementAndGeneralAmt |
| Fundraising | $17,220 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,642 | TotalAmt |
| Program Services | $482,491 | ProgramServicesAmt |
| Management And General | $97,885 | ManagementAndGeneralAmt |
| Fundraising | $8,266 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,896 | TotalAmt |
| Program Services | $3,637 | ProgramServicesAmt |
| Management And General | $1,259 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,226 | TotalAmt |
| Program Services | $20,226 | ProgramServicesAmt |
| Management And General | $7,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,561 | TotalAmt |
| Program Services | $34,589 | ProgramServicesAmt |
| Management And General | $11,972 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,308 | TotalAmt |
| Program Services | $395,571 | ProgramServicesAmt |
| Management And General | $131,737 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,673 | TotalAmt |
| Program Services | $27,204 | ProgramServicesAmt |
| Management And General | $52,469 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,075 | TotalAmt |
| Program Services | $53,008 | ProgramServicesAmt |
| Management And General | $2,067 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,876 | TotalAmt |
| Program Services | $79,515 | ProgramServicesAmt |
| Management And General | $153,361 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,668 | TotalAmt |
| Program Services | $14,275 | ProgramServicesAmt |
| Management And General | $40,393 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,561 | TotalAmt |
| Program Services | $26,824 | ProgramServicesAmt |
| Management And General | $51,737 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,131 | TotalAmt |
| Program Services | $55,359 | ProgramServicesAmt |
| Management And General | $106,772 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,773 | TotalAmt |
| Program Services | $268,603 | ProgramServicesAmt |
| Management And General | $714,170 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,658 | TotalAmt |
| Program Services | $87,977 | ProgramServicesAmt |
| Management And General | $169,681 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,516,432 | $2,451,083 | $65,349 |
| CONTRACTUAL | $876,762 | $651,334 | $225,428 |
| EQUIPMENT EXPENSES | $339,777 | $116,016 | $223,761 |
| OTHER SUPPLIES | $126,200 | $121,465 | $4,735 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,622 | TotalAmt |
| Program Services | $67,818 | ProgramServicesAmt |
| Management And General | $130,804 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,989,783 | TotalAmt |
| Program Services | $13,012,095 | ProgramServicesAmt |
| Management And General | $3,830,026 | ManagementAndGeneralAmt |
| Fundraising | $147,662 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,445 | BOYAmt |
| EOY | $265,676 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,185,114 | BOYAmt |
| EOY | $9,895,028 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,085 | BOYAmt |
| EOY | $89,767 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,669 | BOYAmt |
| EOY | $468,234 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,129 | BOYAmt |
| EOY | $153,707 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,149 | BOYAmt |
| EOY | $321,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,717,631 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,564,301 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,915,357 | BOYAmt |
| EOY | $10,153,330 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,841 | BOYAmt |
| EOY | $191,986 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,584 | BOYAmt |
| EOY | $17,733 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,711,373 | BOYAmt |
| EOY | $21,556,661 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,254 | BOYAmt |
| EOY | $920,228 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,660 | BOYAmt |
| EOY | $58,626 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,054,491 | BOYAmt |
| EOY | $3,455,302 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,430,405 | BOYAmt |
| EOY | $4,434,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,140,432 | BOYAmt |
| EOY | $17,027,441 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,536 | BOYAmt |
| EOY | $95,064 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,280,968 | BOYAmt |
| EOY | $17,122,505 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,711,373 | BOYAmt |
| EOY | $21,556,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,820,692 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $20,845 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $2,638,287 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,578,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,853,531 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,037,128 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,855,414 | CurrentTaxYearAmt |
| Total | $13,963,239 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,638,287 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,578,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,853,531 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,037,128 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,855,414 | CurrentTaxYearAmt |
| Total | $13,963,239 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $13,963,239 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,990 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,490 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,240 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,996 | CurrentTaxYearAmt |
| Total | $141,299 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $122,036 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,205 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,890 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,000 | CurrentTaxYearAmt |
| Total | $275,181 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,379,719 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $71,500,113 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97100 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97050 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $4,585,428 | OtherCostOrOtherBasisAmt |
| Book Value | $4,585,428 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,009,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,583,608 | DepreciationAmt |
| Book Value | $4,425,890 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $460,273 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,278 | DepreciationAmt |
| Book Value | $288,995 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,662,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,809,415 | DepreciationAmt |
| Book Value | $853,017 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,153,330 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,880,792 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $20,845 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $49,472 | OtherRevenueAmt |
| Revenue Not Reported | $70,317 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,810,475 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,810,475 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,039,255 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $49,472 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $49,472 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,989,783 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,989,783 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 47,075. LOSS ON DISPOSAL OF ASSET 2,397. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 47,075. LOSS ON DISPOSAL OF ASSET 2,397. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | AUCTION/DINNER/DANCE | Event1Nm |
| Gross Receipts Event1 | $169,998 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $146,998 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,000 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $283 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $25,199 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $19,093 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $169,998 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $146,998 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,000 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $283 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $25,199 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,093 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $47,075 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$24,075 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARMELITA SKEETER | ||||||||||||||
| CEO | $212,196 | $0 | $50,304 | $0 | $0 | $0 | $36,732 | $0 | $10,064 | $0 | $309,296 | $0 | $0 | $0 |
| JUDY A GIBSON | ||||||||||||||
| CFO | $140,816 | $0 | $27,304 | $0 | $0 | $0 | $32,149 | $0 | $10,094 | $0 | $210,363 | $0 | $0 | $0 |
| MICHEAL SCOTT | ||||||||||||||
| MEDICAL DIRECTOR | $183,728 | $0 | $4,104 | $0 | $0 | $0 | $29,834 | $0 | $13,259 | $0 | $230,925 | $0 | $0 | $0 |
| DEAN MARTIN | ||||||||||||||
| MD | $253,560 | $0 | $4,003 | $0 | $0 | $0 | $34,506 | $0 | $12,157 | $0 | $304,226 | $0 | $0 | $0 |
| ASHLEY HOPKINS | ||||||||||||||
| PHYSICIAN | $184,777 | $0 | $4,003 | $0 | $0 | $0 | $25,391 | $0 | $10,094 | $0 | $224,265 | $0 | $0 | $0 |
| JESSICAH GILMORE | ||||||||||||||
| PHYSICIAN | $179,213 | $0 | $4,003 | $0 | $0 | $0 | $12,368 | $0 | $10,094 | $0 | $205,678 | $0 | $0 | $0 |
| RACHEL RAY | ||||||||||||||
| PHYSICIAN | $175,531 | $0 | $0 | $0 | $0 | $0 | $22,411 | $0 | $9,391 | $0 | $207,333 | $0 | $0 | $0 |
| VALERIE HOWARD | ||||||||||||||
| PHYSICIAN | $197,435 | $0 | $4,003 | $0 | $0 | $0 | $22,121 | $0 | $11,269 | $0 | $234,828 | $0 | $0 | $0 |
| ARTHUR HOLLEMAN | ||||||||||||||
| DDS | $153,946 | $0 | $4,054 | $0 | $0 | $0 | $26,330 | $0 | $13,259 | $0 | $197,589 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF TRUSTEES HAS COMPLETE DISCRETION OVER AND APPROVES THE CEO'S BONUS. THE CEO HAS COMPLETE DISCRETION OVER AND APPROVES THE BONUSES OF OTHER EMPLOYEES. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TULSA COUNTY INDUSTRIAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521526494 | BondIssuerEIN |
| Bond Issued | 2010-12-17 | BondIssuedDt |
| Issue Price | $6,650,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION FACILITY EXPANSION | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,142,287 | RetiredAmt |
| Total Proceeds | $6,500,000 | TotalProceedsAmt |
| Capital Expenditures | $6,500,000 | CapitalExpendituresAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES BY THE CFO. THE BOARD TREASURER PRESENTS THE FORM 990 TO THE FULL BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, THE ORGANIZATION REQUIRES THE BOARD TRUSTEES AND DEPARTMENT HEADS TO ATTEST TO AND SIGN A CONFLICT OF INTEREST STATEMENT. PER THE ORGANIZATION'S POLICY, IT IS THE DUTY OF THESE INDIVIDUALS TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS BASED ON HIS/HER FINANCIAL INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO'S COMPENSATION IS DEFINED AND APPROVED BY THE BOARD TRUSTEES. MARKET SURVEYS AS WELL AS FEDERAL INDIAN HEALTH SERVICE INFORMATION ARE USED TO HELP DETERMINE THIS COMPENSATION. THE CEO DEFINES AND APPROVES COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 2C | THE ORGANIZATION'S FINANCE COMMITTEE SEEKS FOR REQUESTS FOR PROPOSAL EVERY THREE YEARS FOR AUDIT CONTRACTS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
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