AVEDIS FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- AVEDIS FOUNDATION (EIN 73-1347360)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201202289349303365
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T15:19:02-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | 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 | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731347360 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH PARTNERS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 4058788113 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1102 WEST MACARTHUR | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74801 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELLE BRIGGS | Name |
| Title | CHAIR | Title |
| Phone | 4058788113 | Phone |
| Date Signed | 2012-08-15 | 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 | CHARLES SKILLINGS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1102 WEST MACARTHUR | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 91305924 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.UNITYHEALTHCENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | TO POSITIVELY IMPACT HUMAN LIFE THROUGH EXCEPTIONAL HEALTH CARE. OUR CORE VALUES ARE THE FOLLOWING: COMPASSIONATE CARE, CLINICAL EXCELLENCE, PEOPLE FIRST, RESOURCE STEWARDSHIP, AND COMMUNITY OUTREACH | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 763 | TotalNbrEmployees |
| Total Nbr Volunteers | 73 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 541954 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 451008 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 65267000 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 64801919 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 945968 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1286661 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1316679 | OtherRevenuePriorYear |
| Other Revenue Current Year | 980561 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68071601 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67520149 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 44591 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 45305 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33091326 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34229978 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29859168 | OtherExpensePriorYear |
| Other Expenses Current Year | 25881937 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62995085 | TotalExpensesPriorYear |
| Total Expenses Current Year | 60157220 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5076516 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7362929 | RevenuesLessExpensesCY |
| Total Assets BOY | 93966886 | TotalAssetsBOY |
| Total Assets EOY | 100301234 | TotalAssetsEOY |
| Total Liabilities BOY | 17562772 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16604413 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 76404114 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 83696821 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO POSITIVELY IMPACT HUMAN LIFE THROUGH EXCEPTIONAL HEALTH CARE. OUR CORE VALUES ARE THE FOLLOWING: COMPASSIONATE CARE, CLINICAL EXCELLENCE, PEOPLE FIRST, RESOURCE STEWARDSHIP, AND COMMUNITY OUTREACH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 14824120 | Expense |
| Grants | 45305 | Grants |
| Revenue | 11025570 | Revenue |
| Description | ACUTE AND INTENSIVE CARE | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9651842 | Expense |
| Revenue | 17912820 | Revenue |
| Description | EMERGENCY CARE AND URGENT CARE CLINIC | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 18435591 | Expense |
| Revenue | 31573443 | Revenue |
| Description | SURGERY | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7011176 | Expense |
| Revenue | 5588129 | Revenue |
| Description | WOMEN'S CENTER | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 7011176 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 5588129 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 49922729 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | true | 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 | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | 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 | true | 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 | false | 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 | true | 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 | 122 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 763 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | 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 | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| 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 | LINDA BROWN SECRETARY | NamePerson |
| Telephone Number | 4058788110 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1102 WEST MACARTHUR | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHARLES SKILLINGS | ||||||||
| CEO, PRESIDENT | 40.0 | X | X | 332854 | 0 | 31495 | ||
| MIKE ADCOCK | ||||||||
| DIRECTOR | 1.0 | X | 10400 | 0 | 0 | |||
| MICHELLE BRIGGS | ||||||||
| CHAIR | 1.0 | X | X | 13650 | 0 | 0 | ||
| DARRELL COKER | ||||||||
| DIRECTOR | 1.0 | X | 9275 | 0 | 0 | |||
| SUDHIR GUPTA MD | ||||||||
| DIRECTOR | 1.0 | X | 103713 | 0 | 0 | |||
| CHRIS HOWARD | ||||||||
| DIRECTOR | 1.0 | X | 9100 | 0 | 0 | |||
| KELLI KOONS MD | ||||||||
| DIRECTOR | 1.0 | X | 10400 | 0 | 0 | |||
| KATHLEEN LASTER PHD | ||||||||
| DIRECTOR | 1.0 | X | 10400 | 0 | 0 | |||
| JOHN ROBINSON MD | ||||||||
| DIRECTOR | 1.0 | X | 14787 | 0 | 0 | |||
| CHARLES SHIELDS | ||||||||
| DIRECTOR | 1.0 | X | 10400 | 0 | 0 | |||
| ABBOT LAWRENCE STSYSZEN | ||||||||
| DIRECTOR | 1.0 | X | 9100 | 0 | 0 | |||
| STEPHEN TROTTER MD | ||||||||
| DIRECTOR | 1.0 | X | 9100 | 0 | 0 | |||
| MICHAEL WARWICK | ||||||||
| DIRECTOR | 1.0 | X | 15315 | 0 | 0 | |||
| MARK FINLEY | ||||||||
| DIRECTOR | 1.0 | X | 22015 | 0 | 0 | |||
| LINDA PRAYTOR | ||||||||
| DIRECTOR | 1.0 | X | 8450 | 0 | 0 | |||
| THOMAS KELLER | ||||||||
| EVP, COO | 40.0 | X | 236581 | 0 | 26834 | |||
| MELISSA WALKER | ||||||||
| SENIOR VP FINANCE | 40.0 | X | 186255 | 0 | 7800 | |||
| STARLA GRIFFITH | ||||||||
| VP NURSING | 40.0 | X | 154211 | 0 | 6581 | |||
| ANGI MOHR | ||||||||
| SENIOR VP NURSING | 40.0 | X | 98695 | 0 | 23088 | |||
| LINDA BROWN | ||||||||
| SENIOR VP CLINICAL SUPP. SVCS | 40.0 | 145270 | 0 | 24336 | X | |||
| GAYNELLE ANDERSON | ||||||||
| HOSPITALIST | 40.0 | 234347 | 0 | 9431 | X | |||
| DARLA DUNIPHEN | ||||||||
| PA | 40.0 | 128057 | 0 | 5122 | X | |||
| LARA MASHEK | ||||||||
| HOSPITALIST | 40.0 | 251496 | 0 | 6769 | X | |||
| DAVID HADLEY | ||||||||
| HOSPITALIST | 40.0 | 257791 | 0 | 10378 | X | |||
| TARIQ NIAZI | ||||||||
| PHYSICIAN | 40.0 | 433722 | 0 | 14738 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2715384 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 166572 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CLINICAL PARTNERS PA | |||||
| PO BOX 4502 | LONGVIEW | TX | 75606 | CRNA'S | 1683560 |
| WESTCHESTER DEVELOPMENT CO | |||||
| 1901 NORHT KICKAPOO | SHAWNEE | OK | 74801 | CONSTRUCTION | 1660346 |
| JJ WILD INC OF NEW ENGLAND | |||||
| POBOX 31498 | HARTFORD | CT | 061051498 | COMPUTER MAINTENANCE | 696650 |
| SODEXO INC AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152620001 | DIETARY | 1169639 |
| SMITH PICKEL CONSTRUCTION | |||||
| POST OFFICE BOX 21447 | OKLAHOMA CITY | OK | 73156 | CONSTRUCTION | 425369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Government Grants | 424058 | GovernmentGrants |
| All Other Contributions | 26950 | AllOtherContributions |
| Total Contributions | 451008 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | 62259117 | 62259117 |
| RENT REVENUE FROM SPECIALTY CLINIC | 531120 | 171870 | 171870 |
| JOINT VENTURE | 531120 | 49463 | 49463 |
| MEDICARE EHR INCENTIVES | 621300 | 2321469 | 2321469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 64801919 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1143692 | TotalRevenueColumn |
| Exclusion | $1,143,692 | 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 Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23916114 | Securities |
| Other | 12630 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23754267 | Securities |
| Other | 31508 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 161847 | Securities |
| Other | -18878 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142969 | TotalRevenueColumn |
| Exclusion | $142,969 | 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 (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | 789666 | 789666 | |
| GIFT SHOP REVENUE | 900099 | 190895 | $190,895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 980561 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67520149 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65591585 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,477,556 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45305 | Total |
| Program Services | 45305 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 1405159 | Total |
| Program Services | 1150821 | ProgramServices |
| Management And General | 254338 | 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 | 24711994 | Total |
| Program Services | 20239045 | ProgramServices |
| Management And General | 4472949 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 705791 | Total |
| Program Services | 578041 | ProgramServices |
| Management And General | 127750 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5546401 | Total |
| Program Services | 4542485 | ProgramServices |
| Management And General | 1003916 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1860633 | Total |
| Program Services | 1523853 | ProgramServices |
| Management And General | 336780 | 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 | 124984 | Total |
| Management And General | 124984 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173957 | Total |
| Management And General | 173957 | 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 | 136341 | Total |
| Management And General | 136341 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7606700 | Total |
| Program Services | 6229863 | ProgramServices |
| Management And General | 1376837 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253969 | Total |
| Management And General | 253969 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 273199 | Total |
| Program Services | 223749 | ProgramServices |
| Management And General | 49450 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357331 | Total |
| Program Services | 292653 | ProgramServices |
| Management And General | 64678 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 577574 | Total |
| Program Services | 473031 | ProgramServices |
| Management And General | 104543 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37887 | Total |
| Program Services | 31029 | ProgramServices |
| Management And General | 6858 | 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 | 192860 | Total |
| Program Services | 192860 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316022 | Total |
| Management And General | 316022 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4519153 | Total |
| Program Services | 3701172 | ProgramServices |
| Management And General | 817981 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 945381 | Total |
| Program Services | 774264 | ProgramServices |
| Management And General | 171117 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 7863767 | 7863767 | |
| DIETARY EXPENSE | 618677 | 506695 | 111982 |
| COMMUNICATIONS | 213955 | 175228 | 38727 |
| RECRUITMENT AND RETENTION | 400596 | 328087 | 72509 |
| MINOR EQUIPMENT AND TOOLS | 146968 | 120366 | 26602 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1122616 | Total |
| Program Services | 930415 | ProgramServices |
| Management And General | 192201 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60157220 | Total |
| Program Services | 49922729 | ProgramServices |
| Management And General | 10234491 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4321737 | BOY |
| EOY | 6642490 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7435340 | BOY |
| EOY | 4482751 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8044685 | BOY |
| EOY | 9491460 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28750 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1562405 | BOY |
| EOY | 1729741 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 759895 | BOY |
| EOY | 880122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 83845633 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 43113606 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39018352 | BOY |
| EOY | 40732027 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24907554 | BOY |
| EOY | 27505457 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6185040 | BOY |
| EOY | 7203923 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1603110 | BOY |
| EOY | 1554259 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100018 | BOY |
| EOY | 79004 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93966886 | BOY |
| EOY | 100301234 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5428012 | BOY |
| EOY | 5781402 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5682916 | BOY |
| EOY | 4630548 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6408591 | BOY |
| EOY | 5939463 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43253 | BOY |
| EOY | 253000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17562772 | BOY |
| EOY | 16604413 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76404114 | BOY |
| EOY | 83696821 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76404114 | BOY |
| EOY | 83696821 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93966886 | BOY |
| EOY | 100301234 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 7362929 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -70222 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $7,689 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 7689 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1F | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE OKLAHOMA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS ARE USED FOR LOBBYING. | Explanation |
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 | 538372 | OtherCostOrOtherBasis |
| Book Value | 538372 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29989837 | OtherCostOrOtherBasis |
| Depreciation | 9497774 | Depreciation |
| Book Value | 20492063 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 320112 | OtherCostOrOtherBasis |
| Depreciation | 63749 | Depreciation |
| Book Value | 256363 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42192711 | OtherCostOrOtherBasis |
| Depreciation | 32096035 | Depreciation |
| Book Value | 10096676 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10804601 | OtherCostOrOtherBasis |
| Depreciation | 1456048 | Depreciation |
| Book Value | 9348553 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 40732027 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Corporate Bonds | Description |
| Book Value | 7203923 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 7203923 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to third-party payers | Description |
| Amount | $253,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 253000 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | MANAGEMENT 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. | Explanation |
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 | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 266049 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 266049 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00540 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7566860 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9549561 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7832909 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9549561 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 266049 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 317202 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 225 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 316977 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 317202 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 225 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 316977 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8150111 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9549786 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 583026 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $4,041,497 | BadDebtExpenseAmount |
| Amount Attributable To | 676190 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9549561 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7615408 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1934153 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicy |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| SHAWNEE SURGICAL | |||
| OWNS BUILDING THAT HOUSES OP | |||
| REALTY LLC | |||
| SURGERY DEPARTMENT | 0.70316 | 0.02399 | 0.17690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | COMMUNITY HEALTH PARTNERS INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1102 W MACARTHUR | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| 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 | COMMUNITY HEALTH PARTNERS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | SCHEDULE H, PART I, LINE 3C | THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES IN DETERMINING THOSE ELIGIBLE FOR CHARITY CARE. THE INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL AND CHARITY PERCENTAGE ALLOWED IS ON A SLIDING SCALE. 100 & BELOW POVERTY LEVEL = 100% DISCOUNT 101 - 200% OF POVERTY LEVEL = 75% DISCOUNT 201 - 300% OF POVERTY LEVEL = 50% DISCOUNT |
| 2 | SCHEDULE H, PART III, LINE 4 | UNITY HEALTH CARE HAS APPLIED THE COST TO CHARGE RATIO TO BAD DEBT EXPENSE FOR THE CURRENT TAX YEAR. |
| 3 | SCHEDULE H, PART VI, LINE 2 | COMMUNITY PARTNERS UTILIZES INTERNAL PATIENT DATA TO BETTER UNDERSTAND WHAT TYPES OF HEALTH ISSUES AND SOCIETAL TRENDS ARE PRESENT IN OUR COMMUNITY. THE EMERGENCY DEPARTMENT PROVIDES A GREAT DEAL OF INFORMATION DISEASES, ACCIDENTS AND OTHER HEALTH RELATED CHALLENGES FACED BY OUR POPULATION. WE ALSO PARTICIPATE IN OUR LOCAL COMMUNITY TO REPRESENT THE HOSPITAL AND TO GAIN AN UNDERSTANDING OF THE OPPORTUNITES FOR COMMUNITY BUILDING ACTIVITIES. MANY OF OUR PROFESSIONAL AND CLININCAL STAFF ARE ACTIVE IN THEIR RELEVANT PROFESSIONAL ORGANIZATIONS AND IN THIS WAY THE HOSPITAL CAN DETERMINE WHAT EDUCATIONAL PROGRAMS OR SERVICES IT WILL SPONSOR. IT IS OUR INTENT TO PERFORM A FORMAL COMMUNITY NEEDS ASSESSMENT IN THE UPCOMING FISCAL YEAR. |
| 4 | SCHEDULE H, PART VI, LINE 3 | COMMUNITY HEALTH PARTNERS USES AN OUTSIDE COMPANY TO REVIEW ALL PATIENTS SEEN IN THE HOSPITAL THAT DO NOT HAVE INSURANCE OR OTHER COVERAGE FOR THEIR CARE. ACCOUNTS ARE REVIEWED AND POTENTIAL ELIGIBILITY IS DETERMINED BY THIS COMPANY WHO THEN WORKS WITH THE PATIENT TO COMPLETE ANY NECESSARY PAPERWORK. IF IT APPEARS THERE ARE NO OTHER PROGRAMS AVAILABLE TO THE PATIENT, THE OUTSIDE COMPANY EDUCATES THE PATIENT ABOUT THE CHARITY POLICY OF THE HOSPITAL AND PROVIDES THE NECESSARY APPLICATION. |
| 5 | SCHEDULE H, PART VI, LINE 4 | COMMUNITY HEALTH PARTNERS SERVES A POPULATION OF WHICH 19% IS OVER AGE 65 ACCORDING TO 2008 CENSUS INFORMATION., ADDITIONALLY WE ARE A DISPROPORTIONATE SHARE HOSPITAL SO MANY OF OUR CONSTITUENTS ARE LOWER INCOME INDIVIDUALS. A SIGNIFICANT PORTION OF OUR SERVICE AREA IS RURAL AND IT'S POPULATION IS DISPERSED GEOGRAPHICALLY. |
| 6 | SCHEDULE H, PART VI, LINE 5 | COMMUNITY HEALTH PARTNERS' STAFF PARTICIPATE IN MANY COMMUNITY BUILDING ACTIVITIES SUCH AS SHAWNEE ECONOMIC DEVELOPMENT FOUNDATION, THE POLICE FOUNDATION, CHAMBER OF COMMERCE AND UNITED WAY. BY STAYING INVOLVED IN THE COMMUNITY WE UNDERSTAND WHAT PROGRAMS THE HOSPITAL COULD OFFER OR SUPPORT TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. ONE RECENT NEED THAT WAS IDENTIFIED IN OUR COMMUNITY WAS A PLACE TO HOUSE AND CARE FOR THE HOMELESS IN SHAWNEE. THE HOSPITAL SECURED A BUILDING FOR THE SHAWNEE RESCUE MISSION AND MAINTAINS TO BE A CRITICAL SUPPORT ROLE IN THIS ENDEAVOR. OTHER INFORMATION: COMMUNITY HEALTH PARTNERS' BOARD OF DIRECTORS INCLUDE MEMBERS FROM SHAWNEE AND ITS SURROUNDING COMMUNITIES AS WELL AS MEMBERS OF THE HOSPITAL'S MEDICAL STAFF. ANY SURPLUS FUNDS ARE DIRECTED BACK TO THE HOSPITAL TO PURCHASE EQUIPMENT, UPDATE THE FACILITIES OR PROVIDE FOR OPERATIONAL SUPPORT. COMMUNITY HEALTH PARTNERS SPONSOR AND SUPPORT A VARIETY OF HEALTH PROGRAMS IN THE COMMUNITY. PROGRAMS THE HOSPITAL OFFERS INCLUDE: EDUCATION PROGRAMS: BETTER BREATHERS CLUB, CHILDBIRTH CLASSES, DIABETES EDUCATION, PROSTATE SCREENING, SKIN CANCER SCREENING, BREAST CANCER EDUCATION PROGRAMS, HEART DISEASE EDUCATION PROGRAMS. FOR PROFESSIONALS: CPR TRAINING COMMUNITY OUTREACH: CANADIAN VALLEY HEALTH INFORMATION BOOTH, SHAWNEE MILLING WELLNESS, SHAWNEE HOME & GARDEN EVENT PROVIDING INFORMATION ON BACK SAFETY AND SUN SAFETY, PHYSICAL THERAPY EDUCATION TO AREA BUSINESSES AND SCHOOLS, CANCER INFORMATION TO CIVIC ORGANIZATION, UNITED WAY OF POTTAWATOMIE COUNTY, SALVATION ARMY, VOLUNTEER FREE CLINIC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNZNER CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 NORTH OKLAHOMA AVENUE | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 736006409 | EINOfRecipient |
| IRC Section | Governmental | IRCSection |
| Amount Of Cash Grant | 25000 | AmountOfCashGrant |
| Purpose Of Grant | GENERAL FUNDING | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | SCHEDULE I, PART 1, LINE 2 | ReturnReference |
| Explanation | THE ORGANIZATION GRANTED MONEY DURING THE FISCAL YEAR TO VARIOUS TAX-EXEMPT ORGANIZATION. THE ORGANIZATION MAINTAINS RECORDS WHICH SHOW THE AMOUNT OF MONEY GIVEN TO THE VARIOUS ORGANIZATIONS, ALONG WITH THE PURPOSE OF WHY THE MONEY WAS GRANTED. THE ORGANIZATION MAKES A DETERMINATION OF WHICH ORGANIZATIONS WILL RECEIVE GRANT MONEY DURING THE YEAR AND DONATES THE FUNDS ACCORDINGLY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| 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 (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES SKILLINGS | |||||||||||||
| 315854 | 0 | 17000 | 0 | 0 | 0 | 12336 | 0 | 19159 | 0 | 364349 | 0 | 0 | 0 |
| THOMAS KELLER | |||||||||||||
| 236581 | 0 | 0 | 0 | 0 | 0 | 7675 | 0 | 19159 | 0 | 263415 | 0 | 0 | 0 |
| LINDA BROWN | |||||||||||||
| 145270 | 0 | 0 | 0 | 0 | 0 | 5177 | 0 | 19159 | 0 | 169606 | 0 | 0 | 0 |
| MELISSA WALKER | |||||||||||||
| 186255 | 0 | 0 | 0 | 0 | 0 | 6720 | 0 | 1080 | 0 | 194055 | 0 | 0 | 0 |
| GAYNELLE ANDERSON | |||||||||||||
| 234347 | 0 | 0 | 0 | 0 | 0 | 9431 | 0 | 0 | 0 | 243778 | 0 | 0 | 0 |
| LARA MASHEK | |||||||||||||
| 251496 | 0 | 0 | 0 | 0 | 0 | 6769 | 0 | 0 | 0 | 258265 | 0 | 0 | 0 |
| DAVID HADLEY | |||||||||||||
| 257791 | 0 | 0 | 0 | 0 | 0 | 10378 | 0 | 0 | 0 | 268169 | 0 | 0 | 0 |
| TARIQ NIAZI | |||||||||||||
| 433722 | 0 | 0 | 0 | 0 | 0 | 14738 | 0 | 0 | 0 | 448460 | 0 | 0 | 0 |
| STARLA GRIFFITH | |||||||||||||
| 154211 | 0 | 0 | 0 | 0 | 0 | 5501 | 0 | 1080 | 0 | 160792 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 731083741 | IssuerEIN |
| CUSIP Number | 678910CN8 | CUSIPNumber |
| Date Issued | 2004-02-01 | DateIssued |
| Issue Price | 10475000 | IssuePrice |
| Description Of Purpose | REFUND SERIES 1993 BONDS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 10475000 | TotalProceeds |
| Amount In Reserve Fund | 1047500 | AmountInReserveFund |
| Refunding Escrow | 11022203 | RefundingEscrow |
| Issuance Costs From Proceeds | 75500 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
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 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, PART VI, LINE 11 | THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE 990 IS THEN POSTED TO THE BOARD PAGE BEFORE THE MEETING AND ALSO REVIEWED IN THE BOARD MEETING PRIOR TO FILING WITH THE IRS. |
| 2 | FORM 990, PART VI, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE COMPLETED AND REVIEWED BY THE BOARD ON AN ANNUAL BASIS. OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES COMPLETE THE FORMS. |
| 3 | FORM 990, PART VI, LINE 15 | COMPARABILITY DATA FROM INDEPENDENT SOURCES IS USED TO DETERMINE THE CEO'S COMPENSATION. EXECUTIVE COMPENSATION SURVEYS AND THE COMPENSATION SURVEY DONE BY OHA IS USED FOR SETTING COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARABILITY AND OTHER DATA AND APPROVES COMPENSATION ADJUSTMENTS. |
| 4 | FORM 990, PART VI, LINE 19 | THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. |
| 5 | FORM 990, PART VI, LINE 2 | STEPHEN TROTTER AND JOHN ROBINSON HAVE A BUSINESS RELATIONSHIP. |
| 6 | FORM 990, PART XI, LINE 5 | UNREALIZED LOSSES (568,646) FOUNDATION NET ASSET ELIMINATION 180,942 BOOK/TAX DIFFERENCE FROM JOINT VENTURE 317,482 TOTAL (70,222) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITY HEALTH FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1102 W MACARTHUR | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731421425 | EIN |
| Primary Activities | SUPPORT ORG | PrimaryActivities |
| Legal Domicile State | OK | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAWNEE SURGICAL REALTY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2801 NORTH SARATOGA | AddressLine1 |
| City | SHAWNEE | City |
| State | OK | State |
| ZIP Code | 74804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 432075456 | EIN |
| Primary Activity | RENT REAL ESTATE | PrimaryActivity |
| Legal Domicile State | OK | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RENTAL INCOME | PredominantIncomeType |
| Share Of Total Income | 49463 | ShareOfTotalIncome |
| Share Of EOY Assets | 843536 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.70316 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Comments