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COMMUNITY HEALTH CONNECTION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CONNECTION INC (EIN 04-3766364)
Tax period
2021-12-01 to 2022-11-30
Filed
2023-09-27
IRS object ID
202342709349300449
Schema version
2021v4.0
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)
Return2023-09-27T16:50:04-04:00ReturnTs
Tax Period End2022-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN731303908PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOHNSTON & BRYANT CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1564AddressLine1Txt
CityADACityNm
State AbbreviationOKStateAbbreviationCd
ZIP748211564ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043766364EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CONNECTION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone9186220041PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12321 EAST 3RD STREETAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonW JAMES MCCARTHYPersonNm
Person TitleCEOPersonTitleTxt
Phone9186220041PhoneNum
Signature2023-09-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstW JAMESPersonFirstNm
Person LastMCCARTHYPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALLEN BRYANT CPAPreparerPersonNm
PTINP01340773PTIN
Phone5803325549PhoneNum
Preparation2023-09-27PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerW JAMES MCCARTHYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12321 E 3RDAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,145,038GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCOMMUNITYHEALTHCONNECTION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH CONNECTIONS, INC. WILL PROVIDE QUALITY AND ACCESSIBLE HEALTH CARE ACROSS ALL LIFE CYCLES REGARDLESS OF ABILITY TO PAY ON A NONDISCRIMINATORY BASIS THAT RESPECTS THE DIGNITY AND CULTURE OF OUR COMMUNITY NOW AND INTO THE FUTURE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee171TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$7,771,735PYContributionsGrantsAmt
CY Contributions Grants$6,879,428CYContributionsGrantsAmt
PY Program Service Revenue$6,104,811PYProgramServiceRevenueAmt
CY Program Service Revenue$7,192,804CYProgramServiceRevenueAmt
PY Investment Income$4,483PYInvestmentIncomeAmt
CY Investment Income$19,000CYInvestmentIncomeAmt
PY Other Revenue$33,108PYOtherRevenueAmt
CY Other Revenue$53,806CYOtherRevenueAmt
PY Total Revenue$13,914,137PYTotalRevenueAmt
CY Total Revenue$14,145,038CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,169,292PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,008,399CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,360CYTotalFundraisingExpenseAmt
PY Other Expenses$2,922,485PYOtherExpensesAmt
CY Other Expenses$3,081,286CYOtherExpensesAmt
PY Total Expenses$11,091,777PYTotalExpensesAmt
CY Total Expenses$12,089,685CYTotalExpensesAmt
PY Revenues Less Expenses$2,822,360PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,055,353CYRevenuesLessExpensesAmt
Total Assets BOY$9,079,749TotalAssetsBOYAmt
Total Assets EOY$11,114,743TotalAssetsEOYAmt
Total Liabilities BOY$902,471TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,004,549TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,177,278NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,110,194NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HEALTH CONNECTION WILL PROVIDE QUALITY AND ACCESSIBLE HEALTH CARE ACROSS ALL LIFE-CYCLES ON A NONDISCRIMINATORY BASIS REGARDLESS OF ABILTY TO PAY, THAT RESPECTS THE DIGNITY AND CULTURE OF OUR COMMUNITY NOW AND INTO THE FUTURE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,357,306ExpenseAmt
Grant$5,512,374GrantAmt
Revenue$7,192,804RevenueAmt
DescPROVIDED QUALITY CLINICAL CARE TO PERSONS IN THE SURROUNDING COMMUNITY ON A NONDISCRIMINATORY BASIS, REGARDLESS OF ABILITY TO PAY.Desc
Total Program Service Expenses$9,357,306TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee171EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY MILLER CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9186220641PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12321 E 3RDAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
W JAMES MCCARTHY
CEO40.00Yes (X)$254,750$0$0
ROBERTO A ELVIR ZELAYA
PHYSICIAN40.00$236,621$0$0Yes (X)
LEAH UPTON
MEDICAL DIRE40.00$200,536$0$360Yes (X)
JOSHUA L SORENSON
DENTIST40.00$186,292$0$0Yes (X)
LAUREN A NICHOLS
DENTIST40.00$167,439$0$0Yes (X)
JEREMY ARCHER
DENTIST40.00$161,470$0$0Yes (X)
TONI RAMOS
PHYSICIAN40.00$158,976$0$0Yes (X)
MONICA CORDERO
APRN40.00Yes (X)$157,046$0$0
VANESSA BOSHUIZEN
PHYSICIAN40.00Yes (X)$136,089$0$0
STEPHEN MARTIN
PHYSICIAN40.00Yes (X)$132,676$0$0
ANDY D LUGINBILL
PHARMACIST40.00Yes (X)$130,469$0$0
KRISTIE MCCARTY
PHARMACIST40.00Yes (X)$125,679$0$0
ANNA J SKORUPA
APRN40.00Yes (X)$111,945$0$0
DANIA A HATAHET
PHYSICIAN40.00Yes (X)$111,237$0$0
KERRI L VANDIVER
APRN40.00Yes (X)$106,537$0$0
CRYSTAL J HENSLEY
PHYSICIAN AS40.00Yes (X)$104,585$0$0
MEYLING HERNANDEZ
PHYSICIAN AS40.00Yes (X)$104,537$0$0
LOURDES ARROYO
BOARD MEMBER2.00$0$0$0Yes (X)
TIFFANY CROSS
BOARD MEMBER2.00Yes (X)$0$0$0Yes (X)
DANIEL FLORES
BOARD SECRET2.00Yes (X)$0$0$0Yes (X)
EDITH GOMEZ
BOARD MEMBER2.00$0$0$0Yes (X)
SANDRA GOMEZ
BOARD MEMBER2.00$0$0$0Yes (X)
REBECCA HOWARD
BOARD VICE-C2.00$0$0$0Yes (X)
JORDAN MAZARIGOS
BOARD TREASU2.00Yes (X)$0$0$0Yes (X)
TERRY REED
BOARD MEMBER2.00$0$0$0Yes (X)
KEVIN REID
BOARD CHAIR2.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,586,884TotalReportableCompFromOrgAmt
Total Other Compensation$360TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC272162140LAB$335,591
NETLINK SOLUTIONS
PO BOX 3396BROKEN ARROWOK74013IT NETWORK$164,304
GSI ENFORCEMENT INC
6734 S 78TH E AVETULSAOK74133SECURITY$128,287
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$5,512,374GovernmentGrantsAmt
All Other Contributions$1,367,054AllOtherContributionsAmt
Total Contributions$6,879,428TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEES - NETDesc
Total Revenue Column$7,192,804TotalRevenueColumnAmt
Related Or Exempt Func Income$7,192,804RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,192,804TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,000TotalRevenueColumnAmt
Related Or Exempt Func Income$19,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$20,654FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,654TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total Revenue Column$33,152TotalRevenueColumnAmt
Related Or Exempt Func Income$33,152RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$33,152OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,145,038TotalRevenueColumnAmt
Related Or Exempt Func Income$7,244,956RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,586,884TotalAmt
Program Services$2,332,134ProgramServicesAmt
Management And General$254,750ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,006,887TotalAmt
Program Services$3,773,240ProgramServicesAmt
Management And General$1,225,346ManagementAndGeneralAmt
Fundraising$8,301FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$240,292TotalAmt
Program Services$181,494ProgramServicesAmt
Management And General$58,406ManagementAndGeneralAmt
Fundraising$392FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$596,725TotalAmt
Program Services$472,695ProgramServicesAmt
Management And General$123,113ManagementAndGeneralAmt
Fundraising$917FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$577,611TotalAmt
Program Services$468,385ProgramServicesAmt
Management And General$108,556ManagementAndGeneralAmt
Fundraising$670FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,536TotalAmt
Management And General$37,536ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$734,415TotalAmt
Program Services$217,006ProgramServicesAmt
Management And General$516,329ManagementAndGeneralAmt
Fundraising$1,080FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$526,085TotalAmt
Program Services$325,247ProgramServicesAmt
Management And General$200,838ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$61,147TotalAmt
Program Services$45,709ProgramServicesAmt
Management And General$15,438ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$233,031TotalAmt
Program Services$195,953ProgramServicesAmt
Management And General$37,078ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$782,418$775,746$6,672
CONTRCT EXPENSE - OTHER$437,638$300,681$136,957
CONTRACT EXPENSE - MED.$269,016$269,016

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,089,685TotalAmt
Program Services$9,357,306ProgramServicesAmt
Management And General$2,721,019ManagementAndGeneralAmt
Fundraising$11,360FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,427,603BOYAmt
EOY$6,412,769EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$262,598BOYAmt
EOY$151,097EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$253,562BOYAmt
EOY$225,432EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$281,436BOYAmt
EOY$459,746EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,352EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,886,370LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,213,023LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,812,050BOYAmt
EOY$3,673,347EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,000BOYAmt
EOY$190,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,079,749BOYAmt
EOY$11,114,743EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$902,471BOYAmt
EOY$1,004,549EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$902,471BOYAmt
EOY$1,004,549EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,569,601BOYAmt
EOY$9,247,940EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$607,677BOYAmt
EOY$862,254EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,177,278BOYAmt
EOY$10,110,194EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,079,749BOYAmt
EOY$11,114,743EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,055,353ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$122,437NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,130,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,005,190CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,687,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,796,512CurrentTaxYearMinus1YearAmt
Current Tax Year$6,900,082CurrentTaxYearAmt
Total$27,519,675TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,130,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,005,190CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,687,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,796,512CurrentTaxYearMinus1YearAmt
Current Tax Year$6,900,082CurrentTaxYearAmt
Total$27,519,675TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$27,519,675PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,543CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,483CurrentTaxYearMinus1YearAmt
Current Tax Year$19,000CurrentTaxYearAmt
Total$41,806TotalAmt
FieldValueIRS element (for citing)
Total Support$27,561,481TotalSupportAmt
Gross Receipts Rltd Activities$25,944,059GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99850PublicSupportCY170Pct
Public Support PY1700.99900PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$425,753OtherCostOrOtherBasisAmt
Book Value$425,753BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,882,082OtherCostOrOtherBasisAmt
Depreciation$1,853,596DepreciationAmt
Book Value$3,028,486BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$245,811OtherCostOrOtherBasisAmt
Depreciation$245,811DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,332,724OtherCostOrOtherBasisAmt
Depreciation$1,113,616DepreciationAmt
Book Value$219,108BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,673,347TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$14,145,038TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$14,145,038RevenueSubtotalAmt
Total Revenue Per Form990$14,145,038TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,089,685TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$12,089,685ExpensesSubtotalAmt
Total Expenses Per Form990$12,089,685TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Gross Receipts Event1$20,654GrossReceiptsEvent1Amt
Gross Revenue Event1$20,654GrossRevenueEvent1Amt
Gross Receipts Total$20,654GrossReceiptsTotalAmt
Gross Revenue Total Events$20,654GrossRevenueTotalEventsAmt
Net Income Summary$20,654NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountTotal Compensation Filing OrgTotalCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
W JAMES MCCARTHY
CEO$179,750$75,000$254,750
ROBERTO A ELVIR ZELAYA
PHYSICIAN$236,621$236,621
LEAH UPTON
MEDICAL DIRECTOR$200,536$200,896$360
JOSHUA L SORENSON
DENTIST$186,292$186,292
LAUREN A NICHOLS
DENTIST$167,439$167,439
JEREMY ARCHER
DENTIST$161,470$161,470
TONI RAMOS
PHYSICIAN$158,976$158,976
MONICA CORDERO
APRN$157,046$157,046

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONCOMMUNITY HEALTH CONNECTION WILL PROVIDE QUALITY AND ACCESSIBLE HEALTH CARE ACROSS ALL LIFE-CYCLES ON A NONDISCRIMINATORY BASIS REGARDLESS OF ABILTY TO PAY, THAT RESPECTS THE DIGNITY AND CULTURE OF OUR COMMUNITY NOW AND INTO THE FUTURE.
FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO AND CFO REVEIW THE FORM 990 AND THEN MAKE IT AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW/APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANZATION CONTINUEOUSLY MONITORS ITS CONFLICT OF INTEREST POLICY THROUGHOUT THE YEAR TO INSURE COMPLIANCE WITH POLICY GUIDELINES.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS PERFORMS ANNUAL PERFORMANCE REVIEWS AND SALARY SETTINGS FOR CEO. THE BOARD ALSO ANNUALLY APPROVES THE OPERATIONS BUDGET WHICH INCLUDES SALARY AMOUNTS FOR ALL OTHER EMPLOYEES. SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER, THE OKLAHOMA PRIMARY CARE ASSOCIATION AND SPECIALIZED INTERNET SITES SUCH AS SALARY.COM ARE ALSO USED FOR COMPARISON PURPOSES.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS PERFORMS ANNUAL PERFORMANCE REVIEWS AND SALARY SETTINGS FOR CEO. THE BOARD ALSO ANNUALLY APPROVES THE OPERATIONS BUDGET WHICH INCLUDES SALARY AMOUNTS FOR ALL OTHER EMPLOYEES. SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER, THE OKLAHOMA PRIMARY CARE ASSOCIATION AND SPECIALIZED INTERNET SITES SUCH AS SALARY.COM ARE ALSO USED FOR COMPARISON PURPOSES.
FORM 990, PAGE 6, PART VI, LINE 19AS A RECIPIENT OF A 330 GRANT FROM HRSA, THE ORGANZATION IS REQUIRED TO FILE THE ANNUAL AUDIT REPORT WITH THE FEDERAL AUDIT CLEARINGHOUSE. AN UPDATED CONFLICT OF INTEREST POLICY IS ALSO FILED ANNUALLY. GOVERNING DOCUMENTS ARE FILED WITH THE SECRETARY OF STATE OF OKLAHOMA, AS WELL AS WITH HRSA. THESE ARE ALSO AVAILABLE AT THE ORGANIZATION'S PHYSICAL STREET ADRESS. ADDITIONALLY, THE ORGANIZATION IS A MEMBER OF GUIDESTAR WHICH MAKES INFORMATION AVAILABLE TO THE PUBLIC. COPIES OF ALL DOCUMENTS ARE KEPT ON LOCATION AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.