TULSA FOUNDATION FOR HEALTH CARE SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TULSA FOUNDATION FOR HEALTH CARE SERVICES INC (EIN 20-1946114)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-04-25
IRS object ID
201421159349300442
Schema version
2013v3.0
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

FieldValueIRS element (for citing)
Return2014-04-25T15:43:11-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN730604026PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SARTAIN FISCHBEIN & COBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13010 S HARVARD AVE STE 400AddressLine1
CityTULSACity
StateOKState
ZIP Code741146193ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201946114EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE TULSA FOUNDATION FOR HEALTH CAREBusinessNameLine1
Business Name Line2SERVICES INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlTULSBusinessNameControlTxt
Phone9186603080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14502 E 41 ST NO 2B18AddressLine1
CityTULSACity
StateOKState
ZIP Code741352553ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMALCOLM E ROSSER IVPersonNm
Person TitleSECRETARY/TREASURERPersonTitleTxt
Phone9186603080PhoneNum
Signature2014-04-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE JONESPreparerPersonNm
PTINP00104727PTIN
Phone9187496601PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMALCOLM E ROSSER IVPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14502 E 41 ST NO 2B18AddressLine1
CityTULSACity
StateOKState
ZIP Code741352553ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$250,000GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTULSA FOUNDATION FOR HEALTH CARE SERVICES, INC. WAS ESTABLISHED TO FUND AND OPERATE THE BEDLAM CLINIC. THE BEDLAM CLINIC HEALTH CARE PROJECT IS AN AFTER-HOURS FREE HEALTH CARE CLINIC OPERATED BY VOLUNTEER MEDICAL STUDENTS, PHYSICIAN ASSISTANT STUDENTS AND STAFF FROM THE UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE'S SCHOOL OF COMMUNITY MEDICINE, TULSA, OK, LOCAL MEDICAL SOCIETIES AND NURSING SCHOOLS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$248,000PYContributionsGrantsAmt
CY Contributions Grants$250,000CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$248,000PYTotalRevenueAmt
CY Total Revenue$250,000CYTotalRevenueAmt
PY Grants And Similar Paid$238,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$242,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,273PYOtherExpensesAmt
CY Other Expenses$2,864CYOtherExpensesAmt
PY Total Expenses$242,273PYTotalExpensesAmt
CY Total Expenses$245,364CYTotalExpensesAmt
PY Revenues Less Expenses$5,727PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,636CYRevenuesLessExpensesAmt
Total Assets BOY$7,939TotalAssetsBOYAmt
Total Assets EOY$12,575TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,939NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,575NetAssetsOrFundBalancesEOYAmt
MissionTHE TULSA FOUNDATION FOR HEALTH CARE SERVICES, INC. IS COMMITTED TO SUPPORTING COMMUNITY MEDICAL FACILITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$245,364ExpenseAmt
Grant$242,500GrantAmt
DescFUND BEDLAM CLINIC, A PROJECT OF THE UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE'S SCHOOL OF COMMUNITY MEDICINE.Desc
Total Program Service Expenses$245,364TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MALCOLM ROSSER IVBusinessNameLine1
FieldValueIRS element (for citing)
Phone9185929800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 S BOSTONAddressLine1
CityTULSACity
StateOKState
ZIP Code74103ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GERARD P CLANCY MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ROBERT B SARTIN
DIRECTOR1.00Yes (X)$0$0$0
MALCOLM E ROSSER IV
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
LAURIE STERLING
ADMINISTRATOR/CONTROLLER1.00Yes (X)$0$0$0
LEELAND ALEXANDER
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JOHN R BARKER
DIRECTOR1.00Yes (X)$0$0$0
GREGORY ALLEN GRAY
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$250,000AllOtherContributionsAmt
Total Contributions$250,000TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$250,000TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$242,500TotalAmt
Program Services$242,500ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$414TotalAmt
Program Services$414ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,450TotalAmt
Program Services$2,450ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$245,364TotalAmt
Program Services$245,364ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,939BOYAmt
EOY$12,575EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,939BOYAmt
EOY$12,575EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$7,939BOYAmt
EOY$12,575EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,939BOYAmt
EOY$12,575EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,939BOYAmt
EOY$12,575EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,636ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$250,000TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$250,000RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$250,000TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$245,364TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$245,364ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$245,364TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEDLAM COMMUNITY HEALTH CLINICBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14502 E 41 ST STE 2B12AddressLine1
CityTULSACity
StateOKState
ZIP Code74135ZIPCode
FieldValueIRS element (for citing)
Cash Grant$242,500CashGrantAmt
Purpose Of GrantFUND BEDLAM CLINIC, A PROJECT OF THE UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE.PurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE COMPLETED ANNUALLY, AFTER THE EXTERNAL AUDIT IS COMPLETE. THE FORM 990 WILL BE REVIEWED IN DETAIL BY THE FINANCE COMMITTEE AND THE TULSA FOUNDATION FOR HEALTH CARE SERVICES, INC. EXECUTIVE DIRECTOR AND FINANCIAL DIRECTOR. AFTER RESOLVING ANY QUESTIONS AND MAKING ANY NECESSARY CHANGES, THE FORM WILL BE APPROVED BY THE FINANCE COMMITTEE AND SIGNED OFF ON BY THE TULSA FOUNDATION FOR HEALTH CARE SERVICES, INC. EXECUTIVE DIRECTOR. THE FORM WILL THEN BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING THE FORM WITH THE IRS.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST.

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