2016-04-18T14:06:09-05:00 2015-06-30 420714325 RSM US LLP 531 COUCH DR OKLAHOMA CITY OK 73102 990 2014-07-01 731347360 AVEDIS FOUNDATION AVED 4052734055 20 NORTH BROADWAY SUITE 1800 OKLAHOMA CITY OK 73102 MICHELLE BRIGGS PRESIDENT & CEO 4052734055 2016-02-15 1 JEFFREY COLLINS P00044119 4052397961 2014 2016-08-17 19:52:53Z MICHELLE BRIGGS 20 NORTH BROADWAY SUITE 1800 OKLAHOMA CITY OK 73102 26272419 0 X AVEDISFOUNDATION.ORG X 1989 OK AVEDIS FOUNDATION IS A CATALYST AND FACILITATOR OF CHANGE THROUGH STRATEGIC INVESTMENTS AND PARTNERSHIPS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN POTTAWATOMIE COUNTY. 13 12 5 1 0 0 0 0 0 0 8155927 3186942 113360 767281 8269287 3954223 3486424 3232810 0 0 451720 462788 0 0 0 554391 481055 4492535 4176653 3776752 -222430 126721376 125695562 16431571 16732262 110289805 108963300 AVEDIS FOUNDATION IS A CATALYST AND FACILITATOR OF CHANGE THROUGH STRATEGIC INVESTMENTS AND PARTNERSHIPS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN POTTAWATOMIE COUNTY. 0 0 3556338 3232810 PROVIDING CONTRIBUTIONS TO VARIOUS MEDICAL, EDUCATIONAL, AND CHARITABLE ORGANIZATIONS TO MEASURABLY IMPROVE THE HEALTH, WELLNESS, AND QUALITY OF LIFE FOR THE PEOPLE OF POTTAWATOMIE COUNTY AND SURROUNDING COMMUNITIES. 3556338 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 5 1 0 1 CJ BD 0 0 0 0 0 0 0 0 X 13 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OK X MICHELLE BRIGGS 4052734055 20 N BROADWAY SUITE 1800 OKLAHOMA CITY OK 73102 SUDHIR GUPTA DIRECTOR 1.00 X 9000 0 0 JOE HODGES DIRECTOR 1.00 X 0 0 0 LINDA J PRAYTOR GOVERNANCE CHAIR 1.00 X 9000 0 0 CHARLES SKILLINGS DIRECTOR 1.00 X 0 0 0 JOHN A ROBINSON FINANCE CHAIR 1.00 X 10000 0 0 LAWRENCE STASYSZEN COMMUNICATIONS CHAIR 1.00 X 0 0 0 STEPHEN TROTTER AUDIT CHAIR 1.00 X 9000 0 0 CHARLES L SHIELDS CHAIR OF THE BOARD 2.00 X 13136 0 0 JAMES MICHAEL ADCOCK VP/ASST TREASURER 1.00 X 9000 0 0 MARK L FINLEY V CHAIR/TREAS 1.00 X 9000 0 0 KATHLEEN S LASTER VICE PRES/SECRETARY 1.00 X 9000 0 0 MICHAEL P WARWICK VICE PRES/ASST. SEC 1.00 X 15101 0 0 KAREN MICHELLE BRIGGS PRESIDENT/CEO 40.00 X 209197 0 0 301434 0 0 1 0 1 0 COLOR WORKS LLC PO BOX 3331 SHAWNEE OK 74802 GRANT PROJECT MANAGEMENT 145000 1 2186286 2186286 125452 125452 23318852 22318196 1000656 1000656 1000656 OTHER INCOME 900099 641829 641829 641829 3954223 0 0 3954223 3232810 3232810 296057 149771 146286 108351 83998 24353 13076 9231 3845 24418 12702 11716 20886 14691 6195 5121 5121 73321 73321 1306 1306 2985 2985 2330 1128 1202 2862 1938 924 24000 16250 7750 8609 8609 17776 8470 9306 3690 3690 HOSPITAL CHARGES 279321 279321 EDUCATIONAL 18516 5679 12837 SOFTWARE LICENSING 17722 15466 2256 DUES AND FEES 5264 5264 18232 4204 14028 4176653 3556338 620315 0 973982 955446 2844115 2040275 745694 758170 958883 767106 151959 48466 115274 103493 87342147 84932351 33545154 35990210 196127 148511 126721376 125695562 12830 40418 1048192 1355329 15370549 15336515 16431571 16732262 X 110289805 108963300 110289805 108963300 126721376 125695562 X -222430 -1174075 70000 X X 1 X 1 X 1 0 X 451008 335075 17360 803443 62259117 53361922 115621039 62710125 53696997 17360 116424482 0 0 0 116424482 1143692 890857 2068007 2653735 2311738 9068029 1143692 890857 2068007 2653735 2311738 9068029 3523363 971176 702 4564 641829 5141634 67377180 55559030 2086069 2658299 2953567 130634145 0.89120 0.93040 0.06940 0.04000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RENT REVENUE FROM SPECIALTY CLINIC - 2010 AMOUNT: $ 171,870. 2011 AMOUNT: $ 81,465. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. JOINT VENTURE INCOME - 2010 AMOUNT: $ 49,463. 2011 AMOUNT: $ 262,774. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. MEDICARE EHR INCENTIVE - 2010 AMOUNT: $ 2,321,469. 2011 AMOUNT: $ 0. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. OTHER REVENUE - 2010 AMOUNT: $ 789,666. 2011 AMOUNT: $ 494,284. 2012 AMOUNT: $ 702. 2013 AMOUNT: $ 4,564. 2014 AMOUNT: $ 641,829. GIFT SHOP REVENUE - 2010 AMOUNT: $ 190,895. 2011 AMOUNT: $ 132,653. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. 69678 69678 17342 17342 0 13446 6342 7104 51493 24782 26711 103493 REAL ESTATE FUNDS 888639 F OTHER INVESTMENTS 30754971 F MINERAL INTERESTS 901149 F MORTGAGE-BACKED SECURITIES 3445451 F 35990210 ACCRUED PAYROLL TAXES 5613 DUE FROM MCR/MCD 125000 ACCRUED WORKER'S COMPENSATION 141190 PAYABLES: 401K 2227 ACCRUED PAYROLL 9539 ACCRUED VACATION/SICK PAY 2946 CAPITAL COMMITMENT PAYABLE 15000000 OTHER MEDICAL & GENERAL 50000 15336515 X 2780148 -1174075 -1174075 3954223 0 3954223 4106653 -70000 -70000 4176653 0 4176653 PART X, LINE 2: MANAGEMENT EVALUATES THE FOUNDATIONS TAX POSITIONS AND HAS CONCLUDED THAT THE FOUNDATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS ENDING ON OR BEFORE JUNE 30, 2011. PART XII, LINE 2D - OTHER ADJUSTMENTS: RETURN OF GRANT PREVIOUSLY AWARDED -70,000. BERMUDA 0 0 INVESTMENTS 2488825 0 0 0 0 0 0 2488825 0 2488825 0 0 0 0 0 0 PART I, LINE 3 - ACTIVITIES PER REGION BERMUDA: EXPENDITURES: $0 INVESTMENTS: $2,488,825 1 ASHER PUBLIC SCHOOLS 201 S DIVISION PO BOX 168 ASHER OK 74826 731166565 GOV 144296 EDUCATIONAL BETHEL PUBLIC SCHOOLS 36000 CLEAR POND RD SHAWNEE OK 74801 731015182 GOV 72500 EDUCATIONAL CARGO RANCH 8895 COKER RD SHAWNEE OK 74804 263010003 501C3 20000 MEETING BARN CENTER FOR CHILDREN & FAMILILES 210 SO COCKREL AVE NORMAN OK 73071 730933253 501C3 76951 POTTOWATOMIE COUNTY CHILD HEALTH AND WELFARE INITIATIVE CITY OF MCLOUD 408 W BROADWAY MCLOUD OK 74851 736070692 GOV 5000 BODY CAMERAS CITY OF SHAWNEE 16 W 9TH ST SHAWNEE OK 74801 736005424 GOV 328294 HEALTH AWARENESS & BOY SCOUT PARK COMMUNITY RENEWAL INTERNATIONAL PO BOX 4678 SHREVEPORT LA 71134 721213057 501C3 300000 CHARITABLE SUPPORT CROSSROADS YOUTH & FAMILY 1333 W MAIN NORMAN OK 73069 731254978 501C3 60325 REMODEL FAMILY PROMISE OF SHAWNEE PO BOX 3044 SHAWNEE OK 74802 900132761 501C3 10000 CHARITABLE SUPPORT, COMPLETION OF CONSTRUCTION PROJECT REGIONAL FOOD BANK OF OKALHOMA PO BOX 270968 OKLAHOMA CITY OK 73137 731100380 501C3 750000 FOOD RESOURCE CENTER FRIENDS OF THE UNZNER CENTRE FOUNDATION 331 N BROADWAY SHAWNEE OK 74801 461328060 501C3 10000 CHILD HEALTH & WELFARE INITIATIVE GATEWAY TO PREVENTION AND RECOVERY 1010 E 45TH ST SHAWNEE OK 74804 731215510 501C3 12500 CHILD HEALTH & WELFARE INITIATIVE MABEE-GERRER MUSEUM OF ART 1900 W MACARTHUR SHAWNEE OK 74804 731392868 501C3 60000 CHARITABLE SUPPORT, FREE SUMMER ADMIT MAUD PUBLIC SCHOOLS 306 W MAIN MAUD OK 74854 736021208 GOV 360000 POOL, BATH HOUSE, FURNITURE MCLOUD PUBLIC SCHOOLS 113 N MAIN MCLOUD OK 74851 730939118 GOV 83478 PLAYGROUND EQUIPMENT PROJECT GABRIEL 613 W BENEDICT ST SHAWNEE OK 74801 730701519 501C3 8000 CHARITABLE SUPPORT PROJECT SAFE PO BOX 7532 ATHENS GA 30604 581908469 501C3 65000 CHARITABLE SUPPORT RED ROCK BEHAVIORAL HEALTH 4400 NORTH LINCOLN BLVD OKLAHOMA CITY OK 73105 736111618 501C3 110500 CHILD HEALTH & WELFARE INITIATIVE GORDON COOPER TECHNOLOGY CENTER ONE JOHN C BRUTON BLVD SHAWNEE OK 74804 730773117 GOV 40000 EDUCATION ST ANTHONY'S SHAWNEE HOSPITAL 1102 W MACARTHUR ST SHAWNEE OK 74804 455055149 501C3 7000 CHARITABLE SUPPORT SALVATION ARMY 1424 NORTHEAST EXPRESSWAY ATLANTA GA 30329 580660607 501C3 195000 CHARITABLE SUPPORT SEMINOLE DOMESTIC VIOLENCE TASK FORCE 211 TIMMONS STREET SEMINOLE OK 74868 731520142 501C3 30000 CHARITABLE SUPPORT SHAWNEE COMMUNITY FOUNDATION PO BOX 1447 SHAWNEE OK 74802 731564157 501C3 25000 CHARITABLE SUPPORT SHAWNEE LITTLE THEATRE INC PO BOX 1342 SHAWNEE OK 74802 237102712 501C3 7500 ONE MATCH SENIOR CITIZENS OF SHAWNEE INC 401 N BELL SHAWNEE OK 74801 731251774 501C3 7500 ONE MATCH TECUMSEH PUBLIC SCHOOLS 1301 E HIGHLAND STREET TECUMSEH OK 74873 730734287 GOV 63000 CHARITABLE SUPPORT UNITED WAY OF POTT CO PO BOX 697 SHAWNEE OK 74802 730732745 501C3 5000 CHARITABLE SUPPORT VOLUNTEER HEALTH CLINIC 1904 GORDON COOPER DRIVE SHAWNEE OK 74801 731555178 501C3 35000 CHARITABLE SUPPORT WHITEROCK SCHOOL 334998 E 1010 RD MCLOUD OK 74851 731415997 GOV 107000 CHARITABLE SUPPORT YOUTH & FAMILY RESOURCE CENTER 326 W 11TH STREET SHAWNEE OK 74801 730795028 501C3 28147 CHILD HEALTH & WELFARE INITIATIVE YMCA 700 W SARATOGA SHAWNEE OK 74804 730602462 501C3 8958 CHARITABLE SUPPORT C-BAR THERAPEUTIC RIDING CENTER INC 2320 AIRPORT DR SHAWNEE OK 74804 472378580 501C3 10000 EQUINE ASSISTED ACTIVITIES & THERAPIES PROGRAM CARING COMMUNITIES SUPPORT CENTER INC 1801 WOODHILL RD EDMOND OK 73025 464229766 501C3 80188 NON PROFIT LEADERSHIP ASSISTANCE CENTRAL OKLAHOMA COMMUNITY ACTION AGEN PO BOX 486 SHAWNEE OK 74802 730772341 501C3 41447 VEHICLE TIRES, CREDIT RE-ESTABLISHMENT INITIATIVE, ASSISTANCE ST ANTHONY'S FOUNDATION 601 NW 11TH STREET OKLAHOMA CITY OK 73103 736104300 501C3 19000 CHARITABLE SUPPORT ST GREGORY'S ABBEY 1900 W MACARTHUR ST SHAWNEE OK 74804 731174716 501C3 9000 CHARITABLE SUPPORT TECUMSEH FRIENDS OF THE LIBRARY 114 N BROADWAY ST TECUMSEH OK 74873 470806235 501C3 5000 CHARITABLE SUPPORT PART I, LINE 2: GRANTEES ARE REQUIRED TO SUBMIT TWO FOLLOW UP REPORTS - A PROGRESS REPORT AND A FINAL REPORT. THESE REPORTS ARE COMPLETED IN THE GIFTS SYSTEM. GRANTS ARE FURTHER MONITORED BY FOUNDATION STAFF THROUGH SITE VISITS AND ONGOING RELATIONSHIPS WITH GRANTEES. PROGRESS REPORTS ARE COMPILED AND PRESENTED TO THE BOARD. 0 0 0 0 0 0 0 0 0 KAREN MICHELLE BRIGGS PRESIDENT/CEO 209197 0 0 0 0 0 0 0 0 0 209197 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED THE FOLLOWING DUTIES: BOOKKEEPING - SAMERSON, PLLC PAYROLL - GIBSON & REYNOLDS, PC INVESTMENT MANAGEMENT - GRAYSTONE CONSULTING: MORGAN STANLEY WEALTH MANAGEMENT OIL & GAS MANAGEMENT - BANCFIRST TRUST & INVESTMENT MANAGEMENT WORKERS' COMPENSATION - WORKMED BENEFIT SERVICES / HEALTHSMART BENEFIT SOLUTIONS FORM 990, PART VI, SECTION B, LINE 11 A COPY IS PRESENTED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO INCLUDES A REVIEW AND APPROVAL BY AN INDEPENDENT COMMITTEE. THE REVIEW INCLUDES COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, DELIBERATION, AND A DECISION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION UPON REQUEST. FORM 990, PART XI, LINE 9: REVERSAL OF PRIOR YEAR GRANT 70,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS FOR THE OVERSIGHT OF ITS AUDIT IS UNCHANGED FROM PRIOR YEARS. FORM 990, PART VI, LINE 4B - FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES CAYMAN ISLANDS, BERMUDA