2012-08-15T15:19:02-05:00 2011-09-30 BKD LLP 6120 S Yale 1400 Tulsa OK 741364223 990 2010-10-01 731347360 COMMUNITY HEALTH PARTNERS INC COMM 4058788113 1102 WEST MACARTHUR SHAWNEE OK 74801 MICHELLE BRIGGS 4058788113 2012-08-15 true Anne M Adams 9185842900 2010 2016-02-24 21:20:13Z CHARLES SKILLINGS 1102 WEST MACARTHUR SHAWNEE OK 74801 91305924 false X WWW.UNITYHEALTHCENTER.COM X 1989 OK 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 15 13 763 73 0 0 541954 451008 65267000 64801919 945968 1286661 1316679 980561 68071601 67520149 44591 45305 0 0 33091326 34229978 0 0 0 29859168 25881937 62995085 60157220 5076516 7362929 93966886 100301234 17562772 16604413 76404114 83696821 X 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. false false 14824120 45305 11025570 ACUTE AND INTENSIVE CARE 9651842 17912820 EMERGENCY CARE AND URGENT CARE CLINIC 18435591 31573443 SURGERY 7011176 5588129 WOMEN'S CENTER 7011176 5588129 49922729 true true false true false false false false false true true false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false false true 122 0 true 763 true false false false false false false false false false false X 15 13 true false false false false false false true true false false true true true true true true true true true false OK X LINDA BROWN SECRETARY 4058788110 1102 WEST MACARTHUR SHAWNEE OK 74801 CHARLES SKILLINGS 40.0 X X 332854 0 31495 MIKE ADCOCK 1.0 X 10400 0 0 MICHELLE BRIGGS 1.0 X X 13650 0 0 DARRELL COKER 1.0 X 9275 0 0 SUDHIR GUPTA MD 1.0 X 103713 0 0 CHRIS HOWARD 1.0 X 9100 0 0 KELLI KOONS MD 1.0 X 10400 0 0 KATHLEEN LASTER PHD 1.0 X 10400 0 0 JOHN ROBINSON MD 1.0 X 14787 0 0 CHARLES SHIELDS 1.0 X 10400 0 0 ABBOT LAWRENCE STSYSZEN 1.0 X 9100 0 0 STEPHEN TROTTER MD 1.0 X 9100 0 0 MICHAEL WARWICK 1.0 X 15315 0 0 MARK FINLEY 1.0 X 22015 0 0 LINDA PRAYTOR 1.0 X 8450 0 0 THOMAS KELLER 40.0 X 236581 0 26834 MELISSA WALKER 40.0 X 186255 0 7800 STARLA GRIFFITH 40.0 X 154211 0 6581 ANGI MOHR 40.0 X 98695 0 23088 LINDA BROWN 40.0 X 145270 0 24336 GAYNELLE ANDERSON 40.0 X 234347 0 9431 DARLA DUNIPHEN 40.0 X 128057 0 5122 LARA MASHEK 40.0 X 251496 0 6769 DAVID HADLEY 40.0 X 257791 0 10378 TARIQ NIAZI 40.0 X 433722 0 14738 2715384 0 166572 18 false true false 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 12 424058 26950 451008 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 64801919 1143692 1143692 0 0 23916114 12630 23754267 31508 161847 -18878 142969 142969 0 0 0 OTHER REVENUE 900099 789666 789666 GIFT SHOP REVENUE 900099 190895 190895 980561 67520149 65591585 1477556 45305 45305 0 0 0 1405159 1150821 254338 0 24711994 20239045 4472949 0 705791 578041 127750 5546401 4542485 1003916 1860633 1523853 336780 0 124984 124984 173957 173957 0 0 136341 136341 7606700 6229863 1376837 253969 253969 273199 223749 49450 357331 292653 64678 0 577574 473031 104543 37887 31029 6858 0 192860 192860 316022 316022 0 4519153 3701172 817981 945381 774264 171117 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 1122616 930415 192201 60157220 49922729 10234491 0 4321737 6642490 7435340 4482751 8044685 9491460 28750 0 1562405 1729741 759895 880122 83845633 43113606 39018352 40732027 24907554 27505457 6185040 7203923 1603110 1554259 100018 79004 93966886 100301234 5428012 5781402 5682916 4630548 6408591 5939463 43253 253000 17562772 16604413 X 76404114 83696821 76404114 83696821 93966886 100301234 X 7362929 -70222 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7689 false false false 7689 false 1 SCHEDULE C, PART II-B, LINE 1F 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. 538372 538372 29989837 9497774 20492063 320112 63749 256363 42192711 32096035 10096676 10804601 1456048 9348553 40732027 Corporate Bonds 7203923 C 7203923 0 Due to third-party payers 253000 253000 1 SCHEDULE D, PART X, LINE 2 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. true true true X true X true true false false 266049 266049 0.00540 7566860 9549561 7832909 9549561 266049 0.00540 317202 225 316977 0.00640 317202 225 316977 0.00640 8150111 9549786 583026 0.01180 false 4041497 676190 9549561 7615408 1934153 X false SHAWNEE SURGICAL OWNS BUILDING THAT HOUSES OP REALTY LLC SURGERY DEPARTMENT 0.70316 0.02399 0.17690 1 1 COMMUNITY HEALTH PARTNERS INC

1102 W MACARTHUR SHAWNEE OK 74801

X X X COMMUNITY HEALTH PARTNERS INC 1 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 true UNZNER CENTER 214 NORTH OKLAHOMA AVENUE SHAWNEE OK 74801 736006409 Governmental 25000 GENERAL FUNDING 1 0 1 SCHEDULE I, PART 1, LINE 2 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. X X X false false false false false false false false false 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 THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 678910CN8 2004-02-01 10475000 REFUND SERIES 1993 BONDS false false false 10475000 1047500 11022203 75500 2004 true false true true false false false false false 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) UNITY HEALTH FOUNDATION 1102 W MACARTHUR SHAWNEE OK 74804 731421425 SUPPORT ORG OK 501(C)(3) 11A NA SHAWNEE SURGICAL REALTY LLC 2801 NORTH SARATOGA SHAWNEE OK 74804 432075456 RENT REAL ESTATE OK NA RENTAL INCOME 49463 843536 false false 0.70316 false true true false false false false false false false false false false true true false false false