KINGFISHER REGIONAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- KINGFISHER REGIONAL HOSPITAL (EIN 73-0618679)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201201369349301255
- Schema version
- 2010v3.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T08:49:21-04:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6120 S Yale 1400 | AddressLine1 |
| City | Tulsa | City |
| State | OK | State |
| ZIP Code | 741364223 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730618679 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGFISHER REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KING | NameControl |
| Phone | 4053753141 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 KINGFISHER REGIONAL HOSP DRIVE | AddressLine1 |
| City | KINGFISHER | City |
| State | OK | State |
| ZIP Code | 73750 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Parigi | Name |
| Title | CFO | Title |
| Date Signed | 2012-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Anne M Adams | Name |
| Phone | 9185842900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NANCY SCHMID | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 KINGFISHER REGIONAL HOSP | AddressLine1 |
| City | KINGFISHER | City |
| State | OK | State |
| ZIP Code | 73750 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16602299 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.kingfisherhospital.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITIES WITH EXCELLENCE, COMPASSION AND COMMITMENT | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 170 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 101196 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 54866 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16922629 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15884805 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1789 | InvestmentIncomePriorYear |
| Investment Income Current Year | 264139 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 64987 | OtherRevenuePriorYear |
| Other Revenue Current Year | 398489 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17087023 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16602299 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2100 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7282216 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6593956 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11761990 | OtherExpensePriorYear |
| Other Expenses Current Year | 12283080 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19046306 | TotalExpensesPriorYear |
| Total Expenses Current Year | 18879536 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1959283 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2277237 | RevenuesLessExpensesCY |
| Total Assets BOY | 35343915 | TotalAssetsBOY |
| Total Assets EOY | 31998366 | TotalAssetsEOY |
| Total Liabilities BOY | 29073274 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28004962 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6270641 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3993404 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITIES WITH EXCELLENCE, COMPASSION AND COMMITMENT | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 12784512 | Expense |
| Revenue | 13673488 | Revenue |
| Description | Kinfisher Regional Hospital provides quality health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Furthermore, our mission is to serve the community with respect to providing health care services and health care education. Therefore, in keeping with this hospital's commitment to serve all members of its community: Free care and /or subsidized care, care provided to persons covered by governmental programs below cost, health activities and programs to support the surrounding community will be considered where the need exists. | Description |
| Total Program Service Expense | 12784512 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 170 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN PARIGI | NamePerson |
| Telephone Number | 4053757951 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 KINGFISHER REGIONAL HOSPITAL D | AddressLine1 |
| City | KINGFISHER | City |
| State | OK | State |
| ZIP Code | 73750 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| GERALD KNECHT | ||||||
| PRESIDENT | 2.0 | X | X | |||
| PAT CHEAP | ||||||
| VICE-PRESIDENT | 2.0 | X | X | |||
| JERRY KADAVY | ||||||
| DIRECTOR | 2.0 | X | ||||
| JUAN JECH | ||||||
| DIRECTOR | 2.0 | X | ||||
| MATT OPPEL | ||||||
| DIRECTOR | 2.0 | X | ||||
| CAROLYN FLOOD | ||||||
| DIRECTOR | 2.0 | X | ||||
| JAMES GERBER MD | ||||||
| DIRECTOR | 2.0 | X | ||||
| JACK STUTEVILLE | ||||||
| DIRECTOR | 2.0 | X | ||||
| KAREN HAUSER | ||||||
| DIRECTOR | 2.0 | X | ||||
| NANCY SCHMID | ||||||
| CEO | 40.0 | X | X | 157938 | ||
| AMY HARMON | ||||||
| CFO | 40.0 | X | 84319 | 0 | 3848 | |
| BOBBY STITT | ||||||
| CNO | 40.0 | X | 76575 | 0 | 5272 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 318832 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 9120 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| STEPHEN ARTHURS | |||||
| 408 S MAIN | KINGFISHER | OK | 73750 | ER COVERAGE | 594428 |
| HOLBROOK ANESTHESIA | |||||
| 412 FOREMAN AVENUE | NORMAN | OK | 73069 | ANESTHEISA SERVICE | 349290 |
| QHR | |||||
| 105 CONTITNENTAL PLACE | BRENTWOOD | TN | 370271018 | MANAGEMENT | 345775 |
| MATSON ENTERPRISES | |||||
| RT 1 BOX 133-M | KINGFISHER | OK | 73750 | ER COVERAGE | 337980 |
| CPP WOUND CARE LLC | |||||
| 3017 N CAUSEWAY BOULEVARD | METAIRIE | LA | 70002 | WOUND CARE | 307254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 20811 | GovernmentGrants |
| All Other Contributions | 34055 | AllOtherContributions |
| Total Contributions | 54866 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | 15101568 | 15101568 |
| SALES TAX REVENUE | 900099 | 783237 | 783237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15884805 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 143815 | TotalRevenueColumn |
| Exclusion | $143,815 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6410 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6410 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6410 | TotalRevenueColumn |
| Exclusion | $6,410 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 120324 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 120324 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120324 | TotalRevenueColumn |
| Exclusion | $120,324 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 392079 | TotalRevenueColumn |
| Related Or Exempt Function Income | 392079 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 392079 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16602299 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16276884 | RelatedOrExemptFunctionIncome |
| Exclusion | $270,549 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2500 | Total |
| Program Services | 2500 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189776 | Total |
| Management And General | 189776 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4950742 | Total |
| Program Services | 3224794 | ProgramServices |
| Management And General | 1725948 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1067118 | Total |
| Program Services | 669434 | ProgramServices |
| Management And General | 397684 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386320 | Total |
| Program Services | 242350 | ProgramServices |
| Management And General | 143970 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150975 | Total |
| Management And General | 150975 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272911 | Total |
| Management And General | 272911 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2585074 | Total |
| Program Services | 1621691 | ProgramServices |
| Management And General | 963383 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9916 | Total |
| Program Services | 6221 | ProgramServices |
| Management And General | 3695 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 653092 | Total |
| Program Services | 409703 | ProgramServices |
| Management And General | 243389 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 948071 | Total |
| Program Services | 594752 | ProgramServices |
| Management And General | 353319 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33749 | Total |
| Program Services | 21172 | ProgramServices |
| Management And General | 12577 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1730311 | Total |
| Program Services | 1085474 | ProgramServices |
| Management And General | 644837 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2246161 | Total |
| Program Services | 1409081 | ProgramServices |
| Management And General | 837080 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190353 | Total |
| Program Services | 119414 | ProgramServices |
| Management And General | 70939 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT EXPENSE | 2603396 | 2603396 |
| SUPPLIES | 184561 | 184561 |
| PHARMACY | 205781 | 205781 |
| COLLECTION FEES | 156915 | 156915 |
| DIETARY | 84963 | 84963 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226851 | Total |
| Program Services | 142310 | ProgramServices |
| Management And General | 84541 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18879536 | Total |
| Program Services | 12784512 | ProgramServices |
| Management And General | 6095024 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303015 | BOY |
| EOY | 959564 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1999663 | BOY |
| EOY | 1010460 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3093421 | BOY |
| EOY | 1577843 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55835 | BOY |
| EOY | 33200 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108321 | BOY |
| EOY | 105104 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89770 | BOY |
| EOY | 40189 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30181531 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5319825 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26627161 | BOY |
| EOY | 24861706 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2129122 | BOY |
| EOY | 2177479 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 937607 | BOY |
| EOY | 1232821 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35343915 | BOY |
| EOY | 31998366 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2130870 | BOY |
| EOY | 1447244 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25035972 | BOY |
| EOY | 24804323 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1904067 | BOY |
| EOY | 1749490 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2365 | BOY |
| EOY | 3905 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29073274 | BOY |
| EOY | 28004962 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6265641 | BOY |
| EOY | 3988404 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000 | BOY |
| EOY | 5000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6270641 | BOY |
| EOY | 3993404 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35343915 | BOY |
| EOY | 31998366 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -2277237 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 730215 | OtherCostOrOtherBasis |
| Book Value | 730215 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24708233 | OtherCostOrOtherBasis |
| Depreciation | 3270490 | Depreciation |
| Book Value | 21437743 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22624 | OtherCostOrOtherBasis |
| Depreciation | 22624 | Depreciation |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4214242 | OtherCostOrOtherBasis |
| Depreciation | 2000469 | Depreciation |
| Book Value | 2213773 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 506218 | OtherCostOrOtherBasis |
| Depreciation | 26241 | Depreciation |
| Book Value | 479975 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24861706 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO FOUNDATION | Description |
| Amount | $3,905 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3905 | TotalOfAmounts |
| Total Revenue | 16602299 | TotalRevenue |
| Total Expenses | 18879536 | TotalExpenses |
| Excess Or Deficit For Year | -2277237 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -2277237 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16602299 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 16602299 | RevenueSubtotal |
| Total Revenue Per Form990 | 16602299 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 18879536 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 18879536 | ExpensesSubtotal |
| Total Expenses Per Form990 | 18879536 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2035895 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2035895 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10780 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2122751 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 982132 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1140619 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4158646 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 982132 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3176514 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16820 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48858 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 48858 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48858 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 48858 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4207504 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 982132 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3225372 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,860,381 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 11595873 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11481062 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 114811 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGFISHER REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 KINGFISHER REGIONAL HOSPITAL D | AddressLine1 |
| City | KINGFISHER | City |
| State | OK | State |
| ZIP Code | 73750 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGFISHER REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, SCHEDULE H, PART III, LINE 4A | Accounts are writen off to bad debt when they are returned from Revenue Cycle Solutions as noncollectible. |
| 2 | FORM 990, SCHEDULE H, PART III, LINE 4B | Amount on line 2 was derived by taking the cost to charge ratio and applying it to the bad debt expense. |
| 3 | FORM 990, SCHEDULE H, PART 3, LINE 9A | The hospital will treat a patient regardless of their ability to pay. If a patient is unable to pay, the hospital will provide uncompensated services, assist in third party billing, or bill the patient depending on the need and resources of the patient. An alpha census is reviewed by patient account representatives every week. Through review all uninsured patients are identified and patients that will owe a copay/deductible. The registration staff will visit the patient's room to make financial arrangements with the patient and/or guarantor. The PFS collectors are making daily visits to the patient's room to notify them of any copay/deductible that are due and to make sure of the uncompensated services policy available if they have not filled out an affidavit yet. If the patient indicates a need for financial assistance, the patient account representative will discuss the various payment plans and other options available. These options may include the medicaid program. If medicaid assistance might be available, this must be looked at first. The registration staff will send (and fax) a MSMA-5 to the appropriate DHS county office. If the patient does not qualify for medicaid assistance, we will ask the patient to provide us with the financial information needed (after discharge) in a timely manner to calculate the uncompensated services that will apply. Assistance will be provided by the hospital in any of the above areas if necessary. |
| 4 | FORM 990, SCHEDULE H, PART VI, LINE 2 | The hospital uses a variety of resources to assess the health care needs of the communities it serves. Those resources include the following: 3-year strategic business plan and market assessment of current and potential service areas utilizing consultants from Quorum Health Resources. Health assessments in conjuction with offices of the Oklahoma State Department of Health and Oklahoma State University Economic Development. |
| 5 | FORM 990, SCHEDULE H, PART VI, LINE 3 | Information regarding charity care is available in the admission are and the emergency room. A copy of the charity care policy is given to patients when they come to register. The hospital also discusses with patients the availability of medicaid and assists them with the qualification of such programs. They will also inform them of other discounts that may be available to them. |
| 6 | FORM 990, SCHEDULE H, PART VI, LINE 4 | The county of Kingfisher is a rural community with a county population of 10,397. The average household income is $32,471 with 10.4% of population under the poverty level as reported in the year 2005, our latest current data. Kingfisher County has an unemployment rate of 2.7% as of January, 2008. Based on the Bureau of Economic Analysis Data, the 2006 per capita is slightly higher than the state of Oklahoma's average, but lower than the United States average. Medical payments for the county included public assist medical care at a 11.6% rate with additional family assistance at .4% and food stamps at 1.2%. The hospital is the only hospital in this county. The Kingfisher Health Department also serves this county as well as DHS. |
| 7 | FORM 990, SCHEDULE H, PART VI, LINE 5 | The hospital sponsors a student governing body where area high school students participate on the board. The hospital provides employees to oversee the meeting, provide lunch and provide a speaker. The students learn about healthcare and related healthcare occupations. Once a year, the students work on a project related to health care. This provides students an opportunity to learn about the industry and make a difference in the community. The hospital's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay. The hospital serves a major role in the education of the population of the Kingfisher County. The hospital provides free health screenings; glucose, blood pressure checks, weight and bmi at various health and wellness fairs; major sponsor of the Kingfisher County life to the max, a healthy fit-lifestyle change weight challenge; women's health fairs; Kingfisher county fair, Kingfisher couny teachers health fair; the 8th grade mini-health conference; student governing board health scholarships; and businesses flu shots. The hospital also provides information out of the primary area and secondary areas by way of a "health scene" magazine flyer and their internet site. |
| 8 | FORM 990, SCHEDULE H, PART I, LINE 7 | THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM DENOMINATOR OF TOTAL EXPENSE = $2,603,396. |
| 9 | FORM 990, SCHEDULE H, PART VI, SECTION B, LINE 6 | THE ORGANIZATION IS A CRITICAL ACCESS HOSPITAL THAT RECEIVES MEDICARE REVENUE BASED ON A PERCENTAGE OF ITS COST. THIS AMOUNT WAS DETERMINED USING THAT RATIO. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NANCY SCHMID | NamePerson |
| Base Compensation Filing Org | 157938 | BaseCompensationFilingOrg |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Total Compensation Filing Org | 157938 | TotalCompensationFilingOrg |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | SCHEDULE J, PART II | ReturnReference |
| Explanation | AN UNRELATED ORGANIZATION PAYS THE CEO COMPENSATION FOR SERVICES PERFORMED FOR THE ORGANIZATION. THE UNRELATED ORGANIZATION IS A MANAGEMENT COMPANY. THE MANAGEMENT COMPANY IS AN INDEPENDENT CONTRACTOR. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kingfisher Hospital Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 261537909 | IssuerEIN |
| CUSIP Number | 495713AC3 | CUSIPNumber |
| Date Issued | 2007-12-12 | DateIssued |
| Issue Price | 25040250 | IssuePrice |
| Description Of Purpose | REPLACEMENT FACILITY | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | true | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 25040250 | TotalProceeds |
| Amount In Reserve Fund | 1860125 | AmountInReserveFund |
| Issuance Costs From Proceeds | 500805 | IssuanceCostsFromProceeds |
| Capital Expenditures | 22679320 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| THROCKMORTON INSURANCE AGENCY | |||
| SEE 1 BELOW | 145268 | INSURANCE PAYMENTS | false |
| MMS CONSTRUCTION PAVING | |||
| FAMILY MEMBER OF DIRECTOR | 89990 | PAVED PARKING LOT | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | SCHEDULE L, PART IV, LINE 1 | ReturnReference |
| Explanation | BOARD MEMBER IS A KEY EMPLOYEE OF THE COMPANY | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, PART VI, QUESTION 3 | Quorum Health Resources QHR - Provided a CEO and advisory services to KRH. |
| 2 | FORM 990, PART VI, QUESTION 7a | Any person may become a member in the Corporation by filing a written application for membership; agreeing to comply with and be bound by the certificate of incorporation and bylaws of the Corporation and any rules and regulations adopted by the Board; paying a membership fee of $100; and acceptance for membership by the Board or the members. The Board of Directors are elected by the members of the corporation. |
| 3 | FORM 990, PART VI, QUESTION 7B | The members must approve any material changes in the purposes of the Corporation for which it was formed by a 2/3 vote of the members. The members must also approve by a 2/3 vote any amendments, restatements, or repeals to the certificate of incorporation, any voluntary petition in bankruptcy, or for the Corporation to make any assignment for the benefit of creditors. The Corporation must have approval by a majority of the members entitled to vote in order to dissolve. |
| 4 | FORM 990, PART VI, QUESTION 11B | The CFO coordinates the preparation of the 990 with the tax preparation firm who are also our auditors.The return is then reviewed and approved by the CEO and Board. |
| 5 | FORM 990, PART VI, QUESTION 12C | We have a fulltime compliance officer, compliance hot line, compliance education, compliance orientation, and complaince meetings and presentations to the Board. |
| 6 | FORM 990, PART VI, QUESTION 15B | QHR set the CEO's salary and used the Oklahoma Hospital Associations compensation survey to set the amount. |
| 7 | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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