STIGLER HEALTH AND WELLNESS CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- STIGLER HEALTH AND WELLNESS CENTER INC (EIN 20-0368759)
- Tax period
- 2013-12-01 to 2014-11-30
- Filed
- 2015-07-16
- IRS object ID
- 201511979349300521
- Schema version
- 2013v4.0
- 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 | 2015-07-16T12:10:50-05:00 | ReturnTs |
| Tax Period End | 2014-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 462936679 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGS TAX SERVICE | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 NE 8TH ST | AddressLine1 |
| City | STIGLER | City |
| State | OK | State |
| ZIP Code | 74462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200368759 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STIGLER HEALTH & WELLNESS CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STIG | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1505 E MAIN ST PO BOX 179 | AddressLine1 |
| City | STIGLER | City |
| State | OK | State |
| ZIP Code | 74462 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA HUGGINS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2015-07-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHERYL E KING | PreparerPersonNm |
| PTIN | P00421916 | PTIN |
| Phone | 9189678021 | PhoneNum |
| Preparation | 2015-07-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Gross Receipts | $13,593,356 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | THWCINC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE AND MAINTAIN THE PHYSICAL AND MENTAL HEALTH OF THE PEOPLE THAT THE STIGLER HEALTH & WELLNESS CENTER SERVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 148 | TotalEmployeeCnt |
| Total Gross UBI | -$6,560 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$6,560 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $2,505,339 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $11,078,565 | CYProgramServiceRevenueAmt |
| CY Investment Income | $9,452 | CYInvestmentIncomeAmt |
| CY Other Revenue | -$6,560 | CYOtherRevenueAmt |
| CY Total Revenue | $13,586,796 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $7,593,317 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $5,073,271 | CYOtherExpensesAmt |
| CY Total Expenses | $12,666,588 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $920,208 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $12,478,846 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $5,874,143 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $6,604,703 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE AND MAINTAIN THE PHYSICAL AND MENTAL HEALTH OF THE PEOPLE THAT THE STIGLER HEALTH & WELLNESS CENTER SERVES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,927,918 | ExpenseAmt |
| Revenue | $11,078,565 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES PHYSICIAN AND RELATED HEALTH CARE SERVICES THROUGH ITS CLINICS. APPROXIMATELY 18,667 PEOPLE RECEIVED MEDICAL CARE, 1,424 RECEIVED DENTAL CARE, 3,726 PEOPLE RECEIVED MENTAL HEALTH CARE, 2,198 RECEIVED OPTOMETRIC CARE AND 24,828 PRESCRIPTIONS WERE FILLED DURING THE FISCAL YEAR. SEE SCHEDULE O FOR MORE INFORMATION ON SERVICES PROVIDED. | Desc |
| Total Program Service Expenses | $9,927,918 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 104 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 148 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE PEERY | PersonNm |
| Phone | 9189673368 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1505 E MAIN ST PO BOX 179 | AddressLine1 |
| City | STIGLER | City |
| State | OK | State |
| ZIP Code | 74462 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LINUS WILLIAMS | ||||||||
| BOARD PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER SLATER | ||||||||
| BOARD VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PENNY EMBRY | ||||||||
| BOARD SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN ALEXANDER | ||||||||
| BOARD TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL ALDRIDGE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE JOHNSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROYCE ALVERSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MITCH GIRTY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| OPEN POSITION | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TAMARA YOUNG | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RITA JONES | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIKA MARTENS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE WADE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBIE SOTO | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $1 | $0 | $0 | ||
| RYAN BLANTON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TERESA HUGGINS | ||||||||
| CEO | 40.00 | 0.00 | $123,592 | $0 | $0 | Yes (X) | ||
| BROOKE LATTIMORE | ||||||||
| COO | 40.00 | 0.00 | $88,332 | $0 | $0 | Yes (X) | ||
| STEPHANIE PEERY | ||||||||
| CFO | 40.00 | 0.00 | $68,817 | $0 | $0 | Yes (X) | ||
| ERIC BROADWAY | ||||||||
| MDPSYCHIATRIST | 40.00 | 0.00 | $266,291 | $0 | $0 | Yes (X) | ||
| PARIND SHAH | ||||||||
| MDPSYCHIATRIST | 30.00 | 0.00 | $214,787 | $0 | $0 | Yes (X) | ||
| TRACY BAKER | ||||||||
| MD | 40.00 | 0.00 | $181,158 | $0 | $0 | Yes (X) | ||
| JEREMY ROACH | ||||||||
| OPTOMETRIST | 32.00 | 0.00 | $173,054 | $0 | $0 | Yes (X) | ||
| DAVID CAMPBELL | ||||||||
| MD | 32.00 | 0.00 | $145,880 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,261,912 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON | |||||
| ONE POST ST | SAN FRANCISCO | CA | 94104 | PHARMACEUTICALS | $1,097,175 |
| PROSPERITY BANK | |||||
| 402 CYPRESS ST | ABILENE | TX | 79601 | CREDIT CARD PURCH | $208,399 |
| HENRY SCHEIN | |||||
| DEPT CH 10241 | PALATINE | IL | 600550241 | MEDICALDENTAL SUP | $170,618 |
| DR PAUL THOMAS | |||||
| 202 E MIAMI | MCALESTER | OK | 74501 | PEDIATRIC DOCTOR | $140,532 |
| THREE RIVERS STAFFING SOLUTIONS | |||||
| PO BOX 1447 | MUSKOGEE | OK | 74402 | PHARMACY STAFFING | $139,920 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,505,339 | GovernmentGrantsAmt |
| Total Contributions | $2,505,339 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REVENU | 624100 | $9,267,572 | $9,267,572 |
| PHARMACY REVENUE | 624100 | $997,867 | $997,867 |
| 340 B REVENUE | 624100 | $596,009 | $596,009 |
| OTHER REVENUE | 624100 | $25,867 | $25,867 |
| MEANINGFUL USE REVENUE | 624100 | $191,250 | $191,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,078,565 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,452 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,452 | RelatedOrExemptFuncIncomeAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,560 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$6,560 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,560 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$6,560 | UnrelatedBusinessRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,586,796 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,088,017 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$6,560 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,281,690 | TotalAmt |
| Program Services | $1,002,898 | ProgramServicesAmt |
| Management And General | $278,792 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,104,144 | TotalAmt |
| Program Services | $4,281,412 | ProgramServicesAmt |
| Management And General | $822,732 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,827 | TotalAmt |
| Program Services | $157,414 | ProgramServicesAmt |
| Management And General | $34,413 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,107 | TotalAmt |
| Program Services | $405,235 | ProgramServicesAmt |
| Management And General | $145,872 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,549 | TotalAmt |
| Program Services | $391,150 | ProgramServicesAmt |
| Management And General | $73,399 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,853 | TotalAmt |
| Management And General | $13,853 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,793 | TotalAmt |
| Management And General | $39,793 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,823 | TotalAmt |
| Program Services | $553,582 | ProgramServicesAmt |
| Management And General | $21,241 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,708 | TotalAmt |
| Program Services | $23,685 | ProgramServicesAmt |
| Management And General | $46,023 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,100,435 | TotalAmt |
| Program Services | $1,876,864 | ProgramServicesAmt |
| Management And General | $223,571 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,871 | TotalAmt |
| Program Services | $60,592 | ProgramServicesAmt |
| Management And General | $221,279 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,237 | TotalAmt |
| Program Services | $214,295 | ProgramServicesAmt |
| Management And General | $108,942 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,874 | TotalAmt |
| Program Services | $110,692 | ProgramServicesAmt |
| Management And General | $96,182 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,943 | TotalAmt |
| Program Services | $50,186 | ProgramServicesAmt |
| Management And General | $54,757 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,446 | TotalAmt |
| Program Services | $109,260 | ProgramServicesAmt |
| Management And General | $117,186 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,941 | TotalAmt |
| Management And General | $356,941 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,556 | TotalAmt |
| Program Services | $38,087 | ProgramServicesAmt |
| Management And General | $25,469 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $584,615 | $584,615 | |
| DUES AND SUBSCRIPTIONS | $78,020 | $32,820 | $45,200 |
| RECRUITING | $37,927 | $29,619 | $8,308 |
| MISC | -$11,355 | $5,512 | -$16,867 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,584 | TotalAmt |
| Management And General | $21,584 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,666,588 | TotalAmt |
| Program Services | $9,927,918 | ProgramServicesAmt |
| Management And General | $2,738,670 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,634,512 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,626,853 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,928 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $811,796 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $222,531 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,483 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,005,298 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,846,555 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,158,743 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,478,846 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $939,556 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,934,587 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,874,143 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,484,271 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $32,039 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $88,393 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,604,703 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,478,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $920,208 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $5,684,495 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $1,739,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,586,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,442,267 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,323,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,505,339 | CurrentTaxYearAmt |
| Total | $10,597,013 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,739,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,586,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,442,267 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,323,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,505,339 | CurrentTaxYearAmt |
| Total | $10,597,013 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,597,013 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,514 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,590 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,882 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,159 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,452 | CurrentTaxYearAmt |
| Total | $41,597 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,638,610 | TotalSupportAmt |
| Public Support CY170 | 0.99610 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99600 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other activities to influence (Part II-B, line 1i) | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES (PART 1-B, LINE 1J): THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE OKLAHOMA PRIMARY CARY ASSOCIATION (OKPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $288,122 | OtherCostOrOtherBasisAmt |
| Book Value | $288,122 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,252,439 | OtherCostOrOtherBasisAmt |
| Depreciation | $751,766 | DepreciationAmt |
| Book Value | $4,500,673 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,092,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,808 | DepreciationAmt |
| Book Value | $869,572 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,372,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $871,981 | DepreciationAmt |
| Book Value | $500,376 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,158,743 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $13,586,796 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $11,118 | OtherRevenueAmt |
| Revenue Not Reported | $11,118 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,575,678 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $13,575,678 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,309,647 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $11,118 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $11,118 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,298,529 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $12,298,529 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other revenues not included on Form 990 (Part XI, line 2d) | OTHER (PART XII, LINE 2D, & PART XIII, LINE 2D): RETAL EXPENSES OF $11,118 WERE RECLASSED FROM EXPENSES TO REVENUE. |
| Other expenses not included on Form 990 (Part XII, line 2d) | OTHER (PART XII, LINE 2D, & PART XIII, LINE 2D): RENTAL EXPENSES OF $11,118 WERE RECLASSED FROM EXPENSES TO REVENUE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| ERIC BROADWAY | |||
| MDPSYCHIATRIST | $243,554 | $22,737 | $266,291 |
| PARIND SHAH | |||
| MDPSYCHIATRIST | $191,787 | $23,000 | $214,787 |
| TRACY BAKER | |||
| MD | $171,933 | $9,225 | $181,158 |
| JEREMY ROACH | |||
| OPTOMETRIST | $166,340 | $6,714 | $173,054 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Listed persons compensation information (Part I, line 4) | FormAndLineReferenceDesc |
| Explanation | FORM 990, PART 1 LINE 6 - VOLUNTEERS: THE ORGANIZATIONS BOARD IS MADE UP OF VOLUNTEER BOARD MEMBERS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | FORM 990, PART VI, LINE 10: UPON COMPLETION OF THE FORM 990, A DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO BEING FILED. |
| Conflict of interest policy compliance Part VI line 12c | FORM 990, PART VI, LINE 12 A&C - CONFLICT OF INTEREST POLICY; THE PURPOSES OF THE CORPORATION SHALL BE THOSE NON-PROFIT PURPOSES STATED IN THE ARTICLES OF INCORPORATION, AS THEY MAY BE AMENDED, NO PART OF THE NET EARNINGS OR OTHER ASSETS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF, BE DISTRIBUTED TO, OR AMONG, OR REVERT TO, ANY DIRECTOR, OFFICER, CONTRIBUTOR OR OTHER PRIVATE INDIVIDUAL HAVING DIRECTLY OR INDIRECTLY, ANY PERSONAL OR PRIVATE INTEREST IN THE ACTIVITIES OF THE CORPORATION, EXCEPT THAT THE CORPORATION MAY PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND MAY MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE NON-PROFIT PURPOSES STATED IN THE ARTICLES OF INCORPORATION. NO CONTRACT OR TRANSACTION BETWEEN THE CORPORATION AND ONE OR MORE OF ITS DIRECTORS OR OFFICERS, OR BETWEEN THE CORPORATION AND ANY OTHER CORPORATION, PARTNERSHIP, ASSOCIATION OR ORGANIZATION IN WHICH ONE OR MORE OF ITS DIRECTORS OR OFFICERS ARE DIRECTORS OR OFFICERS, OR HAVE A FINANCIAL INTREST, SHALL BE VOID OR VOIDABLE SOLEY FOR THAT REASON, OR SOLEY BECAUSE THE DIRECTOR OR OFFICER IS PRESENT AT OR PARTICIPATES IN THE MEETING OF THE BOARD OR COMMITTEE THEREOF WHICH AUTHORIZES THE CONTRACT OR TRANSACTION, OR SOLEY BECAUSE HIS/HER/THEIR VOTES ARE COUNTED FOR SUCH PURPOSES, THE MATERIAL FACTS AS TO HIS OR HER RELATIONSHIP OR INTEREST AND AS TO THE CONTRACT OR TRANSACTION ARE DISCLOSED OR ARE KNOWN TO THE BOARD OF DIRECTORS OR THE COMMITTEE, AND THE BOARD OR COMMITTEE IN GOOD FAITH, TAKING INTO ACCOUNT THE FAIRNESS OF THE CONTRACT OR TRANSACTION, AUTHORIZES THE CONTRACT OR TRANSACTION BY THE AFFIRMATIVE VOTES OF A MAJORITY OF THE DISINTERESTED PRESENT. ANNUALLY WE HAVE OUR BOARD COMPLETE A SURVEY DESIGNED TO BRING TO LIGHT ANY CONFLICTS OF INTEREST. IF A CONFLICT SHOULD ARISE, THEN THE BOARD MEMBER(S) WOULD ABSTAIN FROM VOTING. |
| CEO executive director top management comp Part VI line 15a | NON-FIXED PAYMENTS (PART 1, LINE 7): SOME PROVIDERS WITH COMPENSATION OVER $415,000 DURING THE FISCAL YEAR RECEIVED INCENTIVIVE PAY PER THEIR INDIVIDUAL CONTRACTS FOR THE ENCOUNTER PRODUCTIVITY OVER THE MINIMUM REQUIREMENT PER MONTH BASED ON A FIXED FORMULA. |
| Governing documents etc available to public Part VI line 19 | RECORDS ARE MAINTAINED AT THE HEALTH AND WELLNESS FACILITY AND ARE AVAILABLE UPON REQUEST. |
| Not undergone required audits or steps for audit part XII line 3b | FORM 990, PART XII, LINE 2C - AUDIT COMMITTEE; THE FULL BOARD IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUTITOR/ACCOUNTING FIRM. |
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