2014-03-11T14:13:27-05:00 2013-06-30 731413977 HOGANTAYLOR LLP 2222 S UTICA PL SUITE 200 TULSA OK 741147002 990 2012-07-01 731042545 INDIAN HEALTH CARE RESOURCE CENTER INC INDI 9185881900 550 SOUTH PEORIA AVE TULSA OK 741203825 JUDY A GIBSON 9183821208 2014-03-04 1 W LYNDEL LACKEY P00234298 9187452333 2012 2015-11-30 17:44:51Z CARMELITA SKEETER 550 SOUTH PEORIA AVE TULSA OK 74120 20362879 0 X WWW.IHCRC.ORG X 1976 OK PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO TULSA AREA INDIAN PEOPLE IN A CULTURALLY SENSITIVE MANNER THAT PROMOTES GOOD HEALTH, WELL BEING AND HARMONY. 11 11 175 6 0 0 3266731 2568220 12852395 13305245 22287 17713 9458 82344 16150871 15973522 0 0 0 0 8087256 8567079 0 0 129658 7139408 6885287 15226664 15452366 924207 521156 21141776 20515964 7644632 6481633 13497144 14034331 X PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO TULSA AREA INDIAN PEOPLE IN A CULTURALLY SENSITIVE MANNER THAT PROMOTES GOOD HEALTH, WELL BEING AND HARMONY. 0 0 5650589 URBAN INDIAN HEALTH CLINIC - TO PROVIDE COMPREHENSIVE COMMUNITY HEALTH CARE SERVICES AND FAMILY SEPARATION PREVENTION SERVICES THROUGH FAMILY COUNSELING AND EDUCATION. 11,733 PATIENTS SERVED. 431731 OMH 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. 359322 SPECIAL DIABETES PROGRAM FOR INDIANS - TO HELP PATIENTS BETTER UNDERSTAND AND MANAGE THEIR DIABETES AND LEARN THE SPECIAL CARE AND NUTRITION REQUIREMENTS. 183435 METH AND SUICIDE PREVENTION 5746 IHS FAMILY HPDP 62927 IHS PHN PROGRAM 277925 SDPI CARDIOVASCULAR DISEASE 96128 CDC TRADITIONAL FOODS PROGRAM 91403 CHIPRA OUTREACH/ENROLLMENT 135831 HRSA PSYCHOLOGY EDUCATION 46189 REACH US 164174 SYSTEMS OF CARE 40597 TULSA HEALTHY START INITIATIVE 8924 THD TSET 3627727 NON-GRANT FUNDING 4741006 11182648 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 40 0 1 175 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OK X JUDY A GIBSON CFO IHCRC 9183821208 550 S PEORIA AVENUE TULSA OK 741203825 JIM CAMERON 0.30 X 0 0 0 LUKE ESSMAN 0.30 X 0 0 0 JOE NEELEY 0.30 X 0 0 0 HERB HASCHKE 0.30 X 0 0 0 BOB BITTING 0.30 X 0 0 0 JANICE EDMISTON 0.30 X 0 0 0 MARY ANN VASSAR 0.30 X 0 0 0 JAY ANDERSON 0.30 X 0 0 0 MADELINE TEAGUE 0.30 X 0 0 0 DAVID MOON 0.30 X 0 0 0 GOLDIE PHILLIPS 0.30 X 0 0 0 C E PIERCE 0.30 X 0 0 0 CARMELITA SKEETER 40.00 X 236151 0 18028 JUDY A GIBSON 40.00 X 135417 0 14375 EDWARD HATHCOAT 40.00 X 108850 0 11462 MICHEAL SCOTT 40.00 X 165909 0 17543 DEAN MARTIN 40.00 X 242460 0 852 ARTHUR HOLLEMAN 40.00 X 147745 0 12850 APRIL BOWLING 40.00 X 160023 0 15485 IAN BUSHYHEAD 40.00 X 153491 0 11005 1350046 0 101600 13 1 1 0 DIAGNOSTIC LAB OF OK PO BOX 676324 DALLAS TX 75267 OUTSIDE LABORATORY 386891 JONESPLAN LLC PO BOX 4845 TULSA OK 74159 CONSTRUCTION CONSULT 120439 2 10786 2089444 467990 2568220 GOVERNMENT CONTRACT 624100 7106065 7106065 MEDICAL SERVICE 624100 6199180 6199180 13305245 20697 20697 9293 0 9293 9293 9293 4337388 4337388 2984 0 -2984 -2984 -2984 122036 10786 48985 73051 73051 15973522 13305245 0 100057 524283 524283 6565388 5555715 945185 64488 1477408 1191127 270137 16144 72179 25467 46661 51 1201502 388720 812782 PHARMACEUTICALS & OTHER 2620059 2476948 111448 31663 CONTRACTUAL 1635871 1091033 536563 8275 OTHER 1355676 453638 893001 9037 15452366 11182648 4140060 129658 300140 254960 6328295 6202261 240133 368778 354671 164154 104796 117561 227215 252556 19572108 6585338 13430209 12986770 130034 146948 26283 21976 21141776 20515964 1000404 876101 696172 63865 5948056 5541667 7644632 6481633 X 13340536 13856710 156608 177621 13497144 14034331 21141776 20515964 521156 16033 -2 X X 0 1 X 1 0 X 2177069 2859414 2903598 3266731 2638287 13845099 2177069 2859414 2903598 3266731 2638287 13845099 35357 13809742 25795 15575 21341 24781 29990 117482 3780 3780 5040 6964 19564 13982145 67291852 0.98770 0.96590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4311915 4311915 10934245 4161905 6772340 99992 99992 0 4127936 2323441 1804495 98020 98020 12986770 15989553 16033 -2 16031 15973522 0 15973522 15452366 0 15452366 0 15452366 PART XI, LINE 2D - OTHER ADJUSTMENTS: OTHER UNLOCATED DIFFERENCE -2. AUCTION/DINNER/DANCE 132822 10786 122036 0 0 0 21815 8282 18888 132822 10786 122036 21815 8282 18888 48985 73051 X X X X X X 0 0 0 0 0 0 0 0 0 CARMELITA SKEETER 236151 0 0 0 0 0 18028 0 0 0 254179 0 0 0 MICHEAL SCOTT 165909 0 0 0 0 0 17543 0 0 0 183452 0 0 0 DEAN MARTIN 242460 0 0 0 0 0 852 0 0 0 243312 0 0 0 ARTHUR HOLLEMAN 147745 0 0 0 0 0 12850 0 0 0 160595 0 0 0 APRIL BOWLING 160023 0 0 0 0 0 15485 0 0 0 175508 0 0 0 IAN BUSHYHEAD 153491 0 0 0 0 0 11005 0 0 0 164496 0 0 0 A TULSA COUNTY INDUSTRIAL AUTHORITY 521526494 2010-12-17 6650000 CONSTRUCTION FACILITY EXPANSION 0 0 0 A 958333 6500000 6500000 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 JIM CAMERON TRUSTEE OF THE ORGANIZATION. 2194 KATY BROWN WITH CAMERON GLASS, INC. WAS CONTRACTED AS A CONSTRUCTION PROJECT MANAGER FOR THE ORGANIZATION. JIM CAMERON IS A MEMBER OF CAMERON GLASS, INC. 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP 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 7A THE GOVERNING BOARD IS ELECTED BY A MAJORITY OF THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 A 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 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. 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 IHCRC PROPERTIES LLC 2727 E 21ST SUITE 200 TULSA OK 74114 HOLD TITLE TO LAND PURCHASED FOR FUTURE EXPANSION OK 0 0 INDIAN HEALTH CARE RESOURCE CENTER OF TULSA INC