INDIAN HEALTH CARE RESOURCE CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
INDIAN HEALTH CARE RESOURCE CENTER (EIN 73-1042545)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-10
IRS object ID
201110419349300216
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-10T11:00:46-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HoganTaylor LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12200 S Utica Pl Suite 400AddressLine1
CityTulsaCity
StateOKState
ZIP Code741147000ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731042545EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Indian Health Care Resource Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINDINameControl
Phone9185881900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1550 South Peoria AveAddressLine1
CityTulsaCity
StateOKState
ZIP Code741203825ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJudy GibsonName
TitleCFOTitle
Phone9183821208Phone
Date Signed2011-02-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAlan R SchmitzName
Phone9187452333Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJudy A GibsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1550 South Peoria AveAddressLine1
CityTulsaCity
StateOKState
ZIP Code74120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20023648GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.ihcrc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionProvide quality, comprehensive health care to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well being and harmony.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees151TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2177069ContributionsGrantsPriorYear
Contributions Grants Current Year2859414ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12399014ProgramServiceRevenuePriorYear
Program Service Revenue CY14583404ProgramServiceRevenueCY
Investment Income Prior Year25795InvestmentIncomePriorYear
Investment Income Current Year15575InvestmentIncomeCurrentYear
Other Revenue Prior Year3780OtherRevenuePriorYear
Other Revenue Current Year4830OtherRevenueCurrentYear
Total Revenue Prior Year14605658TotalRevenuePriorYear
Total Revenue Current Year17463223TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6169813SalariesEtcPriorYear
Salaries Etc Current Year7343812SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year102398TotalFundrsngExpCurrentYear
Other Expense Prior Year6211944OtherExpensePriorYear
Other Expenses Current Year7299069OtherExpensesCurrentYear
Total Expenses Prior Year12381757TotalExpensesPriorYear
Total Expenses Current Year14642881TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2223901RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2820342RevenuesLessExpensesCY
Total Assets BOY10952785TotalAssetsBOY
Total Assets EOY18224780TotalAssetsEOY
Total Liabilities BOY2194434TotalLiabilitiesBOY
Total Liabilities EOY6632823TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8758351NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11591957NetAssetsOrFundBalancesEOY
Mission DescriptionProvide quality, comprehensive health care to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well being and harmony.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5849182Expense
DescriptionURBAN INDIAN HEALTH CLINIC - TO PROVIDE COMPREHENSIVE COMMUNITY HEALTH CARE SERVICES AND FAMILY SEPARATION PREVENTION SERVICES THROUGH FAMILY COUNSELING AND EDUCATION. APPROXIMATELY 10,000 ACTIVE PATIENTS SERVED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense360768Expense
DescriptionSPECIAL DIABETES PROGRAM FOR INDIANS - TO HELP PATIENTS BETTER UNDERSTAND AND MANAGE THEIR DIABETES AND LEARN THE SPECIAL CARE AND NUTRITION REQUIREMENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense335000Expense
DescriptionSpecial Diabetes Program and Cardio-vascular DiseaseDescription

Activity Other ActivityOther (13 entries)

ExpenseExpenseDescriptionDescription
69897REACH US
CIRCLE OF CARE
40246TULSA HEALTHY START INITIATIVE
17000IHS CHILDREN YOUTH PROGRAM
HEALTHY LIVING
4002088NON-GRANT PROGRAM SERVICES
107258INDIAN FAMILY SERVICES PROGRAM
105695CDC Traditional Foods
94187CFP Food for Life
315653TSET Healthy Lifestyles
198380Systems of Care
134399Suicide Prevention
3763CHIPRA Outreach/Enrollment
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5088566TotalOfOtherProgramServiceExp
Total Program Service Expense11633516TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees151NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Judy A Gibson IHCRCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9183821208TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1550 S Peoria AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code741203825ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Madeline Teague
President of Trustees0.00X000
Janice Edmiston
VP of Trustees0.00X000
Jim Cameron
Secretary of TRUSTEEs0.00X000
Herb Haschke
Treasurer of Trustees0.00X000
Bob Bitting
TRUSTEE0.00X000
CE Pierce
Trustee0.00X000
Jay Anderson
TRUSTEE0.00X000
Goldie Phillips
TRUSTEE0.00X000
Cindy Bear
TRUSTEE0.00X000
Charles Knife
Chief Trustee0.00X000
David Moon
Trustee0.00X000
Bobby Jones
Trustee0.00X000
Jimmy Reeder
Trustee0.00X000
Mary Ann Vassar
Trustee0.00X000
Carmelita Skeeter
CEO40.00161512014652X
Edward Hathcoat
COO40.007168102925X
Judy Gibson
CFO40.00106132011856X
Michael Scott
Medical Director40.00155731014070X
Deanna Storts
MD32.0014958106903X
Laura Taylor
DO32.00142596013235X
Justin Postier
Pharm. Director40.00119848010628X
David Haggard
MD24.0011266802342X
Claude Denize
PA40.00109929011825X
Stephen Martin
MD0.0015270407435X
Robert Warren
DDS0.0012495204952X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1407334TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation100823TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Regional Medical LabBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1Dept 1728AddressLine1
CityTULSACity
StateOKState
ZIP Code74182ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesOutside lab servicesDescriptionOfServices
Compensation287458Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants2381021GovernmentGrants
All Other Contributions478393AllOtherContributions
Total Contributions2859414TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL SERVICE62410076072747607274
GOVERNMENT CONTRACT62410069761306976130
FieldValueIRS element (for citing)
Total Program Service Revenue14583404TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15575TotalRevenueColumn
Exclusion$15,575ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2560425Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2560425Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionRENTAL INCOME - WIC PrDescription
Business Code624100BusinessCode
Total Revenue Column4830TotalRevenueColumn
Exclusion$4,830ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4830TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17463223TotalRevenueColumn
Related Or Exempt Function Income14583404RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$20,405ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total368758Total
Management And General368758ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5758323Total
Program Services4780105ProgramServices
Management And General922991ManagementAndGeneral
Fundraising55227Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1216731Total
Program Services965326ProgramServices
Management And General238688ManagementAndGeneral
Fundraising12717Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total104597Total
Program Services45397ProgramServices
Management And General59181ManagementAndGeneral
Fundraising19Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total412999Total
Program Services121218ProgramServices
Management And General291781ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACEUTICALS & OTHER2487843235986110675321229
BAD DEBTS18932811893281
CONTRACTUAL12626559992982581775180
OTHER11376944690306606388026

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14642881Total
Program Services11633516ProgramServices
Management And General2906967ManagementAndGeneral
Fundraising102398Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY268918BOY
EOY3206419EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4237505BOY
EOY2414839EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY478773BOY
EOY402720EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY431711BOY
EOY580881EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY85602BOY
EOY94392EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY156058BOY
EOY207345EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15052906LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3786584LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5250933BOY
EOY11266322EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43285BOY
EOY51862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10952785BOY
EOY18224780EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY854434BOY
EOY2130922EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY97020EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1340000BOY
EOY4404881EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2194434BOY
EOY6632823EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8603627BOY
EOY11546556EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY154724BOY
EOY45401EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8758351BOY
EOY11591957EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10952785BOY
EOY18224780EOY
FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1907365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2216685CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2183127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2177069CurrentTaxYearMinus1Year
Current Tax Year2859414CurrentTaxYear
Total11343660Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1907365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2216685CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2183127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2177069CurrentTaxYearMinus1Year
Current Tax Year2859414CurrentTaxYear
Total11343660Total
FieldValueIRS element (for citing)
Public Support Total17011343660PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105165CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73547CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25795CurrentTaxYearMinus1Year
Current Tax Year15575CurrentTaxYear
Total279511Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3780CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3780CurrentTaxYearMinus1Year
Current Tax Year3780CurrentTaxYear
Total18780Total
FieldValueIRS element (for citing)
Total Support11641951TotalSupport
Gross Receipts From Admissions Etc56621997GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97440PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96480PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3082087OtherCostOrOtherBasis
Book Value3082087BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3165547OtherCostOrOtherBasis
Depreciation2389273Depreciation
Book Value776274BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis99992OtherCostOrOtherBasis
Depreciation99992Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2444342OtherCostOrOtherBasis
Depreciation1297319Depreciation
Book Value1147023BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6260938OtherCostOrOtherBasis
Book Value6260938BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11266322TotalOfBookValueLandBuildings
Total Revenue17463223TotalRevenue
Total Expenses14642881TotalExpenses
Excess Or Deficit For Year2820342ExcessOrDeficitForYear
Net Unrealized GL On Investments13264NetUnrealizedGLOnInvestments
Total Adjustments13264TotalAdjustments
Excess Or Deficit Per FS2833606ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17476487TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments13264NetUnrealizedGainsInvestments
Revenue Not Rptd F99013264RevenueNotRptdF990
Revenue Subtotal17463223RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017463223TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14642881TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14642881ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014642881TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Carmelita Skeeter
1615120000014652000176164000
Michael Scott
1557310000014070000169801000
Deanna Storts
149581000006903000156484000
Laura Taylor
1425960000013235000155831000
Stephen Martin
152704000007435000160139000
Robert Warren
124952000004952000129904000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJim CameronNamePerson
FieldValueIRS element (for citing)
RelationshipJim Cameron is a trustee of the Organization.Relationship
Amount Of Transaction25082AmountOfTransaction
Description Of TransactionKaty Brown with Cameron Glass, Inc. was contracted as a Construction Project Manager for the Organization. Jim Cameron is a member of Cameron Glass, Inc.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 4The Board of TRustees amended and restated the organization's bylaws in March of 2010
Form 990, Part VI, Section A, line 6The Organization's patients are members.
Form 990, Part VI, Section A, line 7aThe Organization's members elect the Board of Directors each year.
Form 990, Part VI, Section B, line 11A draft of the Form 990 is presented to the Finance Committee Board Treasurer as well as the Board of Directors for review prior to finalizing.
Form 990, Part VI, Section B, line 12cOn an annual basis, the Organization requires the Board Trustees and Department Heads to attest to and sign a Conflict of Interest Statement. Per the Organization's policy, it is the duty of these individuals to disclose any actual or possible conflicts based on his/her financial interest.
Form 990, Part VI, Section B, line 15aThe CEO's compensation is determined and approved by the Board Trustees. Market surveys are used to help determine this compensation. The CEO determines and approves compensation of officers and other key employees.
Form 990, Part VI, Section C, line 19The Organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request.
Form 990, Part XI, Line 2cThe Organization's Finance Committee seeks for Requests for Proposal every three years for audit contracts. This process has not changed from prior years.
The Following Questions are not Applicable to the Organization: Part IV: Questions 5 and 24b - 24d Part V: Questions 1c, 3b, 4b, 5c, 7b, 7d, 10a-10b, 11a-11b, and 12a-12b Part VI, Section B: Question 10b and 16b Part XI: Question 3b

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