FURP.ORG / PUBLIC DATA EXPLORER

NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER (EIN 73-1134098)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-01
IRS object ID
201310329349301356
Schema version
2011v1.5
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)
Timestamp2013-02-01T15:24:54-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16120 S Yale 1400AddressLine1
CityTulsaCity
StateOKState
ZIP Code741364223ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731134098EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% LONNIE RICE CFOInCareOfName
Name ControlNORTNameControl
Phone4058582700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14436 NW 50THAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73112ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLONNIE RICEName
TitleCFOTitle
Date Signed2013-02-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAnne M AdamsName
Phone9185842900Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLONNIE RICENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14436 NW 50THAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23522695GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionMENTAL HEALTH SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees364TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year288376ContributionsGrantsPriorYear
Contributions Grants Current Year5541030ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22688247ProgramServiceRevenuePriorYear
Program Service Revenue CY15930941ProgramServiceRevenueCY
Investment Income Prior Year212398InvestmentIncomePriorYear
Investment Income Current Year237333InvestmentIncomeCurrentYear
Other Revenue Prior Year223072OtherRevenuePriorYear
Other Revenue Current Year526829OtherRevenueCurrentYear
Total Revenue Prior Year23412093TotalRevenuePriorYear
Total Revenue Current Year22236133TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1200GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11138204SalariesEtcPriorYear
Salaries Etc Current Year10854619SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11398998OtherExpensePriorYear
Other Expenses Current Year10560739OtherExpensesCurrentYear
Total Expenses Prior Year22538402TotalExpensesPriorYear
Total Expenses Current Year21415358TotalExpensesCurrentYear
Revenues Less Expenses Prior Year873691RevenuesLessExpensesPriorYear
Revenues Less Expenses CY820775RevenuesLessExpensesCY
Total Assets BOY15391304TotalAssetsBOY
Total Assets EOY16076277TotalAssetsEOY
Total Liabilities BOY1701367TotalLiabilitiesBOY
Total Liabilities EOY1085670TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13689937NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14990607NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNORTHCARE EXISTS TO PROMOTE RECOVERY AND NEW LEVELS OF INDEPENDENCE FOR OKLAHOMA BY PROVIDING QUALITY SERVICES TO ACHEIVE THE BEST POSSIBLE OUTCOMES FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3508488Expense
Revenue3877826Revenue
DescriptionOKLAHOMA CHILDREN'S SERVICES PROJECT: COMPREHENSIVE HOME BASED SERVICES (CHBS) & PARENT AID SERVICES (PAS) OKLAHOMA CHILDRENS'S SERVICES (OCS) PROJECT IS A COMPREHENSIVE, INTEGRATED STATEWIDE APPROACH TO SERVICES FOR FAMILIES AND CHILDREN IMPACTED BY ABUSE AND NEGLECT. COMPREHENSIVE HOME BASED SERVICES AND PARENT AID SERVICES ARE COMPONENTS OF THE OKLAHOMA CHILDREN'S SERVICES PROJECT. CHBS AND PAS ARE PROVIDED BY NORTHCARE THROUGH CONRACTS WITH THE OKLAHOMA DEPARTMENT OF HUMAN SERVICES (OKDHS). FAMILIES ARE REFERRED FOR SERVICES BY LOCAL OKDHS CHILD WELFARE STAFF. CHBS SERVICES ARE INTENSIVE, IN-HOME INTERVENTIONS DESIGNED TO PRESERVE, STRENGTHEN AND RESTORE THE FAMILY. CHBS SERVICE GOALS INCLUDE THE PREVENTION OF FURTHER INCIDENTS OF CHILD ABUSE OR NEGLECT AND FAMILY REUNIFICATION. CASE MANAGERS PROVIDE COMPREHENSIVE SERVICES SUITED TO EACH FAMILY'S NEEDS, INCLUDING: CHILD HEALTH CARE, PARENT-CHILD BONDING, HOME SAFETY, BUDGETING ASSISTANCE AND PROBLEM SOLVING, CRISIS MANAGEMENT, PARENT-CHILD VISITATION AND FAMILY REUNIFICATION. CHBS CASE MANAGERS AND SUPERVISORS ARE AVAILABLE 24/7 VIA PAGER FOR EMERGENCIES OR TO PROVIDE CRISIS INTERVENTION. NORTHCARE'S OCS PROGRAM PROVIDES SERVICES IN 42 OF THE 77 COUNTIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1389976Expense
Revenue1334976Revenue
DescriptionPROGRAM FOR ASSERTIVE COMMUNITY TREATMENT (PACT): PACT PROVIDES TREATMENT AND CASE MANAGEMENT SERVICES FOR INDIVIDUALS EXPERIENCING ADVANCED MENTAL HEALTH ISSUES. THE PROGRAM IS DISTINGUISHED FROM MORE TRADITIONAL SERVICES BY SEVERAL IMPORTANT FEATURES. INSTEAD OF A CASE MANAGER COORDINATING SERVICES FOR AN INDIVIDUAL, A MULTI-DISCIPLINARY TEAM PROVIDES SERVICES TAILORED TO THE INDIVIDUAL'S SPECIFIC NEEDS. NORTHCARE'S PACT TEAM INCLUDES MEMBERS FROM THE FIELDS OF PSYCHIATRY, NURSING PSYCHOLOGY, SOCIAL WORK, AND SUBSTANCE ABUSE. ALSO INCLUDED ON THE PACT TEAM ARE VOCATIONAL REHABILITATION AND PEER SPECIALISTS. BASED ON THEIR VARIOUS AREAS OF EXPERTISE, THE TEAM MEMBERS COLLABORATE TO DELIVER INTEGRATED SERVICES OF THE RECIPIENT'S CHOICE, MONITOR PROGRESS TOWARDS GOALS, AND TO ADJUST SERVICES OVER TIME TO MEET THE RECIPIENT'S CHANGING NEEDS. SERVICES ARE MOBILE, DELIVERED BY THE PACT TEAM TO THE INDIVIDUAL IN THEIR OWN ENVIRONMENT, RATHER THAN HOSPITAL OR CLINIC SETTINGS. THESE SERVICES ARE PROVIDED 24 HOURS-A-DAY, 7 DAYS-A-WEEK, FOR AS LONG AS THEY ARE NEEDED. PACT SERVICES OKLAHOMA AND PAYNE COUNTIES AND IS FUNDED IN PART BY THE ODMHSAS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense860911Expense
Revenue1093232Revenue
DescriptionNORTH ROCK MEDICATION CLINIC, INC., PROVIDES PSYCHIATRIC EVALUATIONS AND A MEDICATION CLINIC. SCHEDULED APPOINTMENTS ARE AVAILABLE MONDAY - FRIDAY. ADDITIONALLY A "DROP IN CLINIC" IS SCHEDULED EVERY WEDNESDAY BEGINNING AT 4:00PM FOR CONSUMERS WHO MISSED THE CURRENT MONTH'S APPOINTMENT. THE CONSUMER IS SEEN BY THE PSYCHIATRIST AND CAN HAVE MEDICATIONS FILLED AT THE PHARMACY DURING THEIR SCHEDULED APPOINTMENT AND AT ONE LOCATION. NORTH ROCK MEDICATION CLINIC RECOGNIZES THE OVERWHELMING REDUCTIONS IN CONSUMER MEDICATION BENEFITS AND IS ABLE TO ASSIST CONSUMERS WITH APPLICATIONS FOR VARIOUS PATIENT MEDICATION ASSISTANCE PROGRAMS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense13525195Expense
Grants27338Grants
Revenue9624907Revenue
DescriptionOTHER VARIOUS PROGRAMS AND SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp13525195TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt27338TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev9624907TotalOfOtherProgramServiceRev
Total Program Service Expense19284570TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees364NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLONNIE RICE CFONamePerson
Telephone Number4058582700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14436 NW 50THAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73112ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
EDWINA TROUT
PRESIDENT1.0XX000
BILL LOCKHART
VICE PRESIDENT1.0XX000
TONY MILLER
TREASURER1.0XX000
DOLI MATHEWS
SECRETARY1.0XX000
CAROL ASIN
DIRECTOR1.0X000
PANSY HOLBERT-BROWN
DIRECTOR1.0X000
WILLIAM JAMES
DIRECTOR1.0X000
ANN SIMANK
DIRECTOR1.0X000
CLIFTON THOMAS
DIRECTOR1.0X000
THOMAS PEARSON
DIRECTOR1.0X000
KEN STONE
DIRECTOR1.0X000
TARA RAVNELL BRADLEY
DIRECTOR1.0X000
DAVID DONCHIN
DIRECTOR1.0X000
ROGER ETLING
DIRECTOR1.0X000
PHILLIP TATE
CEO40.0X257357026137
LONNIE RICE
CFO40.0X191031024595
CLARK GROTHE
COO40.0X146999025246
CAMISA STEWART
PSYCHIATRIST40.017383905977X
RICHARD HANES
PHYSICIAN ASSISTANT40.012480002145X
CYNTHIA WILLIS
PERSONNEL & COMPLIANCE OFFICER40.0116828013531X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1010854TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation97631TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OKLAHOMA COMMUNITY HEALTH SERVICES
1025 STRAKA TERRACEOKLAHOMA CITYOK73139MEDICAL SERVICES178509
CANADIAN COUNTY JUVENILE CENTER
7905 E HIGHWAY 66EL RENOOK73036CASE MANAGEMENT245946
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns298110FederatedCampaigns
Government Grants349247GovernmentGrants
All Other Contributions4893673AllOtherContributions
Noncash Contributions4828557NoncashContributions
Total Contributions5541030TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column15930941TotalRevenueColumn
Related Or Exempt Function Income15930941RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15930941TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column156323TotalRevenueColumn
Exclusion$156,323ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1364707Securities
Other2865Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1286562Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities78145Securities
Other2865Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column81010TotalRevenueColumn
Exclusion$81,010ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
JOINT VENTURE INCOME621110398698398698
OTHER INCOME900099128131128131
FieldValueIRS element (for citing)
Total Other Revenue526829TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22236133TotalRevenueColumn
Related Or Exempt Function Income16457770RelatedOrExemptFunctionIncome
Exclusion$237,333ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1125860Total
Program Services973650ProgramServices
Management And General152210ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7854716Total
Program Services6792803ProgramServices
Management And General1061913ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total349268Total
Program Services302049ProgramServices
Management And General47219ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total754979Total
Program Services652910ProgramServices
Management And General102069ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total769796Total
Program Services665724ProgramServices
Management And General104072ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24213Total
Management And General24213ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74240Total
Management And General74240ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total32364Total
Management And General32364ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total491025Total
Program Services424641ProgramServices
Management And General66384ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3725Total
Program Services3221ProgramServices
Management And General504ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total189883Total
Program Services164212ProgramServices
Management And General25671ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total349017Total
Program Services301832ProgramServices
Management And General47185ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total354124Total
Program Services306248ProgramServices
Management And General47876ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total663498Total
Program Services573797ProgramServices
Management And General89701ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2492Total
Management And General2492ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total389938Total
Program Services337221ProgramServices
Management And General52717ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total239066Total
Program Services206746ProgramServices
Management And General32320ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES12250010593916561
MEDICATION64117996411799
EQUIPMENT RENTAL1080619345214609
COST UPON UTILIZATION54923647498274254

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total555559Total
Program Services493344ProgramServices
Management And General62214ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21415358Total
Program Services19284570ProgramServices
Management And General2130788ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2012465BOY
EOY996116EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3600836BOY
EOY4618917EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY121361BOY
EOY281461EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7245860LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3189973LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3741374BOY
EOY4055887EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5897542BOY
EOY5556248EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY564410EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17726BOY
EOY3238EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15391304BOY
EOY16076277EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1701367BOY
EOY1085670EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1701367BOY
EOY1085670EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13689937BOY
EOY14990607EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13689937BOY
EOY14990607EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15391304BOY
EOY16076277EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses820775ReconcilationRevenueExpenses
Reconcilation Other Changes479895ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years407536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1136054CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years353213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288376CurrentTaxYearMinus1Year
Current Tax Year5541030CurrentTaxYear
Total7726209Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years407536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1136054CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years353213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288376CurrentTaxYearMinus1Year
Current Tax Year5541030CurrentTaxYear
Total7726209Total
FieldValueIRS element (for citing)
Public Support Total1707726209PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5210CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-502597CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57644CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183625CurrentTaxYearMinus1Year
Current Tax Year1521030CurrentTaxYear
Total1264912Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years273256CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years421806CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years255850CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223072CurrentTaxYearMinus1Year
Current Tax Year526829CurrentTaxYear
Total1700813Total
FieldValueIRS element (for citing)
Total Support10691934TotalSupport
Public Support Pertcentage1700.72262PublicSupportPertcentage170
Public Support Pertcent Prior Year0.68080PublicSupportPertcentPriorYear
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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis967541OtherCostOrOtherBasis
Book Value967541BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3557425OtherCostOrOtherBasis
Depreciation1172351Depreciation
Book Value2385074BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2720894OtherCostOrOtherBasis
Depreciation2017622Depreciation
Book Value703272BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings4055887TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value5556248BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5556248TotalOfBookValueSecurities
Total Revenue22236133TotalRevenue
Total Expenses21415358TotalExpenses
Excess Or Deficit For Year820775ExcessOrDeficitForYear
Net Unrealized GL On Investments-170308NetUnrealizedGLOnInvestments
Other-$265OtherAmount
Total Adjustments-170573TotalAdjustments
Excess Or Deficit Per FS650202ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22097067TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-170308NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities63606DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990-106702RevenueNotRptdF990
Revenue Subtotal22203769RevenueSubtotal
Investment Expenses Not Included32364InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt32364RevenueNotRptdOnFinStmt
Total Revenue Per Form99022236133TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21446600TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities63606DonatedServicesUseOfFacilities
Expenses Not Rptd F99063606ExpensesNotRptdF990
Expenses Subtotal21382994ExpensesSubtotal
Investment Expenses Not Included232364InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt32364ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021415358TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1Form 990, Schedule D, Part X, Line 2Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
2Schedule D, Part XI, Line 8Other adjustments to tie net asset change to audited financial statements: $265.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base 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
PHILLIP TATE
190152052500014705022417037200283494000
LONNIE RICE
150759028500011772017995066000215626000
CLARK GROTHE
1183770175000111220146060106400172245000
CAMISA STEWART
173839000005977000179816000

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9904828557NoncashContribsRptdF990
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1FORM 990, PART VI, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY MANAGEMENT AND BY THE BOARD PRIOR TO FILING WITH THE IRS.
2FORM 990, PART VI,LINE 12CTHE BOARD OF DIRECTORS MEET ANNUALLY TO REVIEW AND APPROVE THE CONFLICT OF INTEREST POLICY AND PROCEDURES.
3FORM 990, PART VI, LINE 15THE BOARD OF DIRECTORS MEET TO DETERMINE THE CEO'S COMPENSATION ON AN ANNUAL BASIS.
4FORM 990, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
5FORM 990, PART XI, LINE 5UNREALIZED GAINS/LOSSES (170,308) PRIOR PERIOD GAAP ADJUSTMENT 650,203
6Form 990, Line 1gTHE AMOUNT OF NONCASH CONTRIBUTIONS REPRESENTS THE AMOUNT OF PRESCRIPTION DRUGS THAT VARIOUS PHARMACIES AROUND THE STATE AND COUNTRY GIVE TO THE ORGANIZATION. PATIENTS OF THE ORGANIZATION APPLY TO RECEIVE PRESCRIPTION DRUGS, AND THE PHARMACIES SEND THE PRESCRIPTION DRUGS TO THE ORGANIZATION. THE ORGANIZATION DETERMINES THE VALUE OF THE DRUGS WHEN THEY ARE DISTRIBUTED TO THE PATIENTS. THOSE PHARMACIES THAT GIVE OVER $5,000 OR 2% OF THE TOTAL CONTRIBUTIONS FOR THE TAX YEAR ARE NOT TRACKED AND THEREFORE A LIST OF THOSE CONTRIBUTORS IS NOT FEASIBLE FOR THE ORGANIZATION TO PROVIDE AT THIS TIME. WHEN THE DRUGS ARE DISTRIBUTED, THE ORGANIZATION RECOGNIZES IN-KIND REVENUE AND IN-KIND EXPENSE AND THE NET EFFECT TO THE INCOME STATEMENT IS ZERO.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OKLAHOMA BEHAVIORAL HEALTH PHARMACY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14400 N LINCOLN BLVD STE 345AddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73105ZIPCode
FieldValueIRS element (for citing)
EIN113656715EIN
Primary ActivityPHARMACYPrimaryActivity
Legal Domicile StateOKLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income316753ShareOfTotalIncome
Share Of EOY Assets661046ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.33333PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Oklahoma Behavioral Health PharmacyBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TyperTransactionType
Amount Involved225000AmountInvolved
Method Of Amt DeterminationCashMethodOfAmtDetermination