INDIAN HEALTH CARE RESOURCE CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INDIAN HEALTH CARE RESOURCE CENTER (EIN 73-1042545)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-03-11
IRS object ID
201420709349300527
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-03-11T14:13:27-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN731413977EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOGANTAYLOR LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12222 S UTICA PL SUITE 200AddressLine1
CityTULSACity
StateOKState
ZIP Code741147002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731042545EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIAN HEALTH CARE RESOURCE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINDINameControl
Phone9185881900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1550 SOUTH PEORIA AVEAddressLine1
CityTULSACity
StateOKState
ZIP Code741203825ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUDY A GIBSONName
TitleCFOTitle
Phone9183821208Phone
Date Signed2014-03-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW LYNDEL LACKEYName
PTINP00234298PTIN
Phone9187452333Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCARMELITA SKEETERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1550 SOUTH PEORIA AVEAddressLine1
CityTULSACity
StateOKState
ZIP Code74120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20362879GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IHCRC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionPROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO TULSA AREA INDIAN PEOPLE IN A CULTURALLY SENSITIVE MANNER THAT PROMOTES GOOD HEALTH, WELL BEING AND HARMONY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees175TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3266731ContributionsGrantsPriorYear
Contributions Grants Current Year2568220ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12852395ProgramServiceRevenuePriorYear
Program Service Revenue CY13305245ProgramServiceRevenueCY
Investment Income Prior Year22287InvestmentIncomePriorYear
Investment Income Current Year17713InvestmentIncomeCurrentYear
Other Revenue Prior Year9458OtherRevenuePriorYear
Other Revenue Current Year82344OtherRevenueCurrentYear
Total Revenue Prior Year16150871TotalRevenuePriorYear
Total Revenue Current Year15973522TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8087256SalariesEtcPriorYear
Salaries Etc Current Year8567079SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year129658TotalFundrsngExpCurrentYear
Other Expense Prior Year7139408OtherExpensePriorYear
Other Expenses Current Year6885287OtherExpensesCurrentYear
Total Expenses Prior Year15226664TotalExpensesPriorYear
Total Expenses Current Year15452366TotalExpensesCurrentYear
Revenues Less Expenses Prior Year924207RevenuesLessExpensesPriorYear
Revenues Less Expenses CY521156RevenuesLessExpensesCY
Total Assets BOY21141776TotalAssetsBOY
Total Assets EOY20515964TotalAssetsEOY
Total Liabilities BOY7644632TotalLiabilitiesBOY
Total Liabilities EOY6481633TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13497144NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14034331NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO TULSA AREA INDIAN PEOPLE IN A CULTURALLY SENSITIVE MANNER THAT PROMOTES GOOD HEALTH, WELL BEING AND HARMONY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5650589Expense
DescriptionURBAN INDIAN HEALTH CLINIC - TO PROVIDE COMPREHENSIVE COMMUNITY HEALTH CARE SERVICES AND FAMILY SEPARATION PREVENTION SERVICES THROUGH FAMILY COUNSELING AND EDUCATION. 11,733 PATIENTS SERVED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense431731Expense
DescriptionOMH PAC HEALTHY PATHWAYS - STRATEGIC PARTNERSHIP TO ADDRESS HEALTH DISPARITIES IN 10 TARGET ZIP CODES WITH A SIGNIFICANT MINORITY POPULATION EXPERIENCING POOR HEALTH OUTCOMES ESPECIALLY IN THE CO-OCCURING HEALTH AREAS OF OBESITY, DIABETES AND HEART DISEASE INCLUDING THE STANDARDIZATION AND IMPLEMENTATION OF PRIMARY AND SECONDARY PREVENTION STRATEGIES IN 10 TARGET ZIP CODES WITH HIGH MINORITY POPULATIONS AND POOR HEALTH OUTCOMES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense359322Expense
DescriptionSPECIAL DIABETES PROGRAM FOR INDIANS - TO HELP PATIENTS BETTER UNDERSTAND AND MANAGE THEIR DIABETES AND LEARN THE SPECIAL CARE AND NUTRITION REQUIREMENTS.Description

Activity Other ActivityOther (12 entries)

ExpenseExpenseDescriptionDescription
183435METH AND SUICIDE PREVENTION
5746IHS FAMILY HPDP
62927IHS PHN PROGRAM
277925SDPI CARDIOVASCULAR DISEASE
96128CDC TRADITIONAL FOODS PROGRAM
91403CHIPRA OUTREACH/ENROLLMENT
135831HRSA PSYCHOLOGY EDUCATION
46189REACH US
164174SYSTEMS OF CARE
40597TULSA HEALTHY START INITIATIVE
8924THD TSET
3627727NON-GRANT FUNDING
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4741006TotalOfOtherProgramServiceExp
Total Program Service Expense11182648TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109640NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees175NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JUDY A GIBSON CFO IHCRCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9183821208TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1550 S PEORIA AVENUEAddressLine1
CityTULSACity
StateOKState
ZIP Code741203825ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JIM CAMERON
PRESIDENT0.30X000
LUKE ESSMAN
VICE PRESIDENT0.30X000
JOE NEELEY
SECRETARY0.30X000
HERB HASCHKE
TREASURER0.30X000
BOB BITTING
TRUSTEE0.30X000
JANICE EDMISTON
TRUSTEE0.30X000
MARY ANN VASSAR
TRUSTEE0.30X000
JAY ANDERSON
TRUSTEE0.30X000
MADELINE TEAGUE
TRUSTEE0.30X000
DAVID MOON
TRUSTEE0.30X000
GOLDIE PHILLIPS
TRUSTEE0.30X000
C E PIERCE
TRUSTEE0.30X000
CARMELITA SKEETER
CEO40.00236151018028X
JUDY A GIBSON
CFO40.00135417014375X
EDWARD HATHCOAT
COO40.00108850011462X
MICHEAL SCOTT
MED DIRECTOR40.00165909017543X
DEAN MARTIN
MD40.002424600852X
ARTHUR HOLLEMAN
DDS40.00147745012850X
APRIL BOWLING
PHYSICIAN40.00160023015485X
IAN BUSHYHEAD
PHYSICIAN40.00153491011005X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1350046TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation101600TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DIAGNOSTIC LAB OF OK
PO BOX 676324DALLASTX75267OUTSIDE LABORATORY386891
JONESPLAN LLC
PO BOX 4845TULSAOK74159CONSTRUCTION CONSULT120439
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events10786FundraisingEvents
Government Grants2089444GovernmentGrants
All Other Contributions467990AllOtherContributions
Total Contributions2568220TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GOVERNMENT CONTRACT62410071060657106065
MEDICAL SERVICE62410061991806199180
FieldValueIRS element (for citing)
Total Program Service Revenue13305245TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20697TotalRevenueColumn
Exclusion$20,697ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9293Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9293Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9293TotalRevenueColumn
Exclusion$9,293ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4337388Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4337388Securities
Other2984Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-2984Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2984TotalRevenueColumn
Exclusion-$2,984ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events122036GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events10786CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses48985FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column73051TotalRevenueColumn
Exclusion$73,051ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15973522TotalRevenueColumn
Related Or Exempt Function Income13305245RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$100,057ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total524283Total
Management And General524283ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6565388Total
Program Services5555715ProgramServices
Management And General945185ManagementAndGeneral
Fundraising64488Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1477408Total
Program Services1191127ProgramServices
Management And General270137ManagementAndGeneral
Fundraising16144Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total72179Total
Program Services25467ProgramServices
Management And General46661ManagementAndGeneral
Fundraising51Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1201502Total
Program Services388720ProgramServices
Management And General812782ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACEUTICALS & OTHER2620059247694811144831663
CONTRACTUAL163587110910335365638275
OTHER13556764536388930019037

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15452366Total
Program Services11182648ProgramServices
Management And General4140060ManagementAndGeneral
Fundraising129658Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300140BOY
EOY254960EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6328295BOY
EOY6202261EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY240133BOY
EOY368778EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY354671BOY
EOY164154EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY104796BOY
EOY117561EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY227215BOY
EOY252556EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19572108LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6585338LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13430209BOY
EOY12986770EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY130034BOY
EOY146948EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26283BOY
EOY21976EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21141776BOY
EOY20515964EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1000404BOY
EOY876101EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY696172BOY
EOY63865EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5948056BOY
EOY5541667EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7644632BOY
EOY6481633EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13340536BOY
EOY13856710EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY156608BOY
EOY177621EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13497144BOY
EOY14034331EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21141776BOY
EOY20515964EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses521156ReconcilationRevenueExpenses
Reconciliation Unrealized Invest16033ReconciliationUnrealizedInvest
Reconcilation Other Changes-2ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2177069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2859414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2903598CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3266731CurrentTaxYearMinus1Year
Current Tax Year2638287CurrentTaxYear
Total13845099Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2177069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2859414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2903598CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3266731CurrentTaxYearMinus1Year
Current Tax Year2638287CurrentTaxYear
Total13845099Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total35357AmountsSubstContributorsTotal
Public Support Total17013809742PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24781CurrentTaxYearMinus1Year
Current Tax Year29990CurrentTaxYear
Total117482Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3780CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6964CurrentTaxYearMinus1Year
Total19564Total
FieldValueIRS element (for citing)
Total Support13982145TotalSupport
Gross Receipts From Admissions Etc67291852GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96590PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4311915OtherCostOrOtherBasis
Book Value4311915BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10934245OtherCostOrOtherBasis
Depreciation4161905Depreciation
Book Value6772340BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis99992OtherCostOrOtherBasis
Depreciation99992Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4127936OtherCostOrOtherBasis
Depreciation2323441Depreciation
Book Value1804495BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis98020OtherCostOrOtherBasis
Book Value98020BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12986770TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt15989553TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16033NetUnrealizedGainsInvestments
Other Revenues-2OtherRevenues
Revenue Not Rptd F99016031RevenueNotRptdF990
Revenue Subtotal15973522RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015973522TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15452366TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15452366ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015452366TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationOTHER UNLOCATED DIFFERENCE -2.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1AUCTION/DINNER/DANCENameOfEvent1
Gross Receipts Event1132822GrossReceiptsEvent1
Charitable Contributions Event110786CharitableContributionsEvent1
Gross Revenue Event1122036GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event121815FoodAndBeverageEvent1
Entertainment Event18282EntertainmentEvent1
Other Direct Expenses Event118888OtherDirectExpensesEvent1
Gross Receipts Total132822GrossReceiptsTotal
Charitable Contributions Total10786CharitableContributionsTotal
Gross Revenue Total Events122036GrossRevenueTotalEvents
Food And Beverage Total Events21815FoodAndBeverageTotalEvents
Entertainment Total Events8282EntertainmentTotalEvents
Other Direct Expenses Total Events18888OtherDirectExpensesTotalEvents
Direct Expense Summary Events48985DirectExpenseSummaryEvents
Net Income Summary73051NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CARMELITA SKEETER
CEO2361510000018028000254179000
MICHEAL SCOTT
MED DIRECTOR1659090000017543000183452000
DEAN MARTIN
MD24246000000852000243312000
ARTHUR HOLLEMAN
DDS1477450000012850000160595000
APRIL BOWLING
PHYSICIAN1600230000015485000175508000
IAN BUSHYHEAD
PHYSICIAN1534910000011005000164496000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TULSA COUNTY INDUSTRIAL AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521526494IssuerEIN
Date Issued2010-12-17DateIssued
Issue Price6650000IssuePrice
Description Of PurposeCONSTRUCTION FACILITY EXPANSIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired958333AmountRetired
Total Proceeds6500000TotalProceeds
Capital Expenditures6500000CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJIM CAMERONNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEE OF THE ORGANIZATION.Relationship
Amount Of Transaction2194AmountOfTransaction
Description Of TransactionKATY BROWN WITH CAMERON GLASS, INC. WAS CONTRACTED AS A CONSTRUCTION PROJECT MANAGER FOR THE ORGANIZATION. JIM CAMERON IS A MEMBER OF CAMERON GLASS, INC.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6MEMBERSHIP OF THE ORGANIZATION SHALL CONSIST OF ALL MEMBERS OF THE BOARD FOR AS LONG AS THEIR RESPECTIVE TERMS OF OFFICE SHALL CONTINUE.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BOARD IS ELECTED BY A MAJORITY OF THE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE BY CFO. THE BOARD TREASURER PRESENTED THE FORM 990 TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CON 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 15ATHE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE ORGANIZATION'S FINANCE COMMITTEE SEEKS FOR REQUESTS FOR PROPOSAL EVERY THREE YEARS FOR AUDIT CONTRACTS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.
THE FOLLOWING QUESTIONS ARE NOT APPLICABLE TO THE ORGANIZATION: PART IV: QUESTION 20B AND 35B PART V: QUESTIONS 3B, 4B, 5C, 6B, 7D, 7G, 7H, 8, 9A, 9B, 10A, 10B, 11A, 11B, 12A, 12B, 13A, 13B, 13C, AND 14B PART VI: QUESTIONS 10B AND 16B PART XII: QUESTION 3B

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1IHCRC PROPERTIES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12727 E 21ST SUITE 200AddressLine1
CityTULSACity
StateOKState
ZIP Code74114ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesHOLD TITLE TO LAND PURCHASED FOR FUTURE EXPANSIONPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1INDIAN HEALTH CARE RESOURCE CENTER OF TULSA INCBusinessNameLine1

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