COAL COUNTY GENERAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COAL COUNTY GENERAL HOSPITAL (EIN 73-1235996)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2022-05-02
- IRS object ID
- 202201229349301215
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-02T10:26:09-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
| Disaster Relief | DR-4587-OK | DisasterReliefTxt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N Elgin Ave Suite 400 | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741201490 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731235996 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Coal County General Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BARBIE MAXWELL | InCareOfNm |
| Business Name Control | COAL | BusinessNameControlTxt |
| Phone | 5809272327 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 326 6 N COVINGTON | AddressLine1Txt |
| City | COALGATE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74538 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRENT BOURLAND | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5809272327 | PhoneNum |
| Signature | 2022-02-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Peter Hollifield | PreparerPersonNm |
| PTIN | P01858194 | PTIN |
| Phone | 9185842900 | PhoneNum |
| Preparation | 2022-02-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY HURLEY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRENT BOURLAND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 326 6 N COVINGTON | AddressLine1Txt |
| City | COALGATE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74538 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,087,194 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CCGHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE THE HIGHEST QUALITY HEALTHCARE AT THE MOST AFFORDABLE COST ATTAINABLE | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 101 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $8,644 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,707 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,920,957 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,014,786 | CYProgramServiceRevenueAmt |
| PY Investment Income | $976 | PYInvestmentIncomeAmt |
| CY Investment Income | -$665 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,375 | PYOtherRevenueAmt |
| CY Other Revenue | $63,528 | CYOtherRevenueAmt |
| PY Total Revenue | $8,931,952 | PYTotalRevenueAmt |
| CY Total Revenue | $8,083,356 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,676 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,002,604 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,211,069 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,475,246 | PYOtherExpensesAmt |
| CY Other Expenses | $4,334,750 | CYOtherExpensesAmt |
| PY Total Expenses | $8,477,850 | PYTotalExpensesAmt |
| CY Total Expenses | $8,551,495 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $454,102 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$468,139 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,559,001 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,183,600 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $845,638 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,938,376 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,713,363 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,245,224 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COAL COUNTY GENERAL HOSPITAL INC IS A NOT-FOR-PROFIT RURAL HEALTH CARE DELIVERY SYSTEM WHOSE PRIMARY MISSION IS THE CONTINUOUS IMPROVEMENT OF THE HEALTH NEEDS OF THE PEOPLE OF COALGATE AND SURROUNDING COMMUNITIES. WE ARE COMMITTED TO BEING A LEADER IN THE HEALTH SERVICES AND ARE DEDICATED TO IMPROVING EACH AND EVERY LIFE WE TOUCH IN A DYNAMIC MARKETPLACE. WE WORK TOGETHER TO RESPOND QUICKLY WITH INNOVATIVE SOLUTIONS TO DELIVER THE BEST POSSIBLE RESULTS FOR OUTPATIENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,449,604 | ExpenseAmt |
| Grant | $5,676 | GrantAmt |
| Revenue | $8,076,714 | RevenueAmt |
| Desc | COAL COUNTY GENERAL HOSPITAL IS A 20-BED CRITICAL ACCESS HOSPITAL LOCATED IN COALGATE, OKLAHOMA. THE PRIMARY MISSION IS THE CONTINUOUS IMPROVEMENT OF THE HEALTH NEEDS OF THE PEOPLE OF COALGATE AND SURROUNDING COMMUNITIES. THE HOSPITAL IS COMMITTED TO BEING A LEADER IN HEALTH SERVICES AND IS DEDICATED TO IMPROVING EVERY LIFE TOUCHED. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SINCE THE AUTHORITY DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES PROVIDED UNDER THE ORGANIZATION'S CHARITY CARE WAS APPROXIMATELY $22,000 FOR THE YEAR ENDED JUNE 30, 2020. TOTAL DIRECT AND INDIRECT COSTS RELATED TO THESE FOREGONE CHARGES WERE APPROXIMATELY $14,000 AT JUNE 30, 2020 BASED ON AN AVERAGE RATIO OF COST TO GROSS CHARGES. IN KEEPING WITH THE COMMITMENT OF CCGH AND ITS AFFILIATES TO SERVE ALL MEMBERS OF ITS COMMUNITY, OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH ITEMS SUCH AS SUBSIDIZED COMMUNITY HEALTH SERVICES, DONATIONS TO OTHER NON-PROFIT HEALTHCARE RELATED PROVIDERS, FINANCIAL SUPPORT TO HEALTHCARE EDUCATIONAL SERVICES AND MANY OTHER COMMUNITY SERVICE ACTIVITIES AND DONATIONS OFFERED THROUGHOUT THE YEAR INCLUDING RELAY FOR LIFE, FFA BOOSTER, BLOOD DRIVES, ATHLETIC BOOSTER SPONSOR, SALVATION ARMY VOLUNTEER, A COMMUNITY CHRISTMAS PARADE AND A COMMUNITY 4TH OF JULY PARADE. | Desc |
| Total Program Service Expenses | $7,449,604 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 101 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARBIE MAXWELL | PersonNm |
| Phone | 5809272327 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 326 | AddressLine1Txt |
| City | COALGATE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74538 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| BILLY JOHNSON | |||||||
| CEO | 40.0 | 1.0 | Yes (X) | $92,726 | $0 | $7,919 | |
| TRENT BOURLAND | |||||||
| COO | 40.0 | 1.0 | Yes (X) | $69,452 | $0 | $5,279 | |
| KATHANNE IVEY | |||||||
| CHAIR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JIM GIRTEN | |||||||
| SECRETARY | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| NEAL SERVAIS | |||||||
| DIRECTOR | 2.0 | 2.0 | $0 | $0 | $0 | Yes (X) | |
| CHARLES CANIDA | |||||||
| DIRECTOR | 2.0 | 2.0 | $0 | $0 | $0 | Yes (X) | |
| PHILLIP HELMS | |||||||
| DIRECTOR | 2.0 | 2.0 | $0 | $0 | $0 | Yes (X) | |
| KAY HUNTER | |||||||
| CFO | 30.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $162,178 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $13,198 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DR R J HELTON | |||||
| PO BOX 345 | COALGATE | OK | 74538 | MEDICAL DIRECTOR | $115,000 |
| TOMMIE STANBERRY | |||||
| PO BOX 452 | COALGATE | OK | 74538 | ER PHYSICIAN | $139,435 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $5,707 | AllOtherContributionsAmt |
| Total Contributions | $5,707 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT & RESIDENT REVENUE | 622110 | $7,556,551 | $7,556,551 |
| SALES TAX REVENUE | 900099 | $458,235 | $458,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,014,786 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,173 | TotalRevenueColumnAmt |
| Exclusion | $3,173 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,600 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,600 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,600 | TotalRevenueColumnAmt |
| Exclusion | $1,600 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,838 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,838 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,838 | TotalRevenueColumnAmt |
| Exclusion | -$3,838 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER OPERATING REVENUE | 900099 | $52,167 | $52,167 |
| CAFETERIA SALES | 900099 | $6,485 | $6,485 |
| PURCHASE DISCOUNTS | 900099 | $2,291 | $2,291 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $985 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $985 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $61,928 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,083,356 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,076,714 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $935 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,676 | TotalAmt |
| Program Services | $5,676 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,457 | TotalAmt |
| Management And General | $155,457 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,053 | TotalAmt |
| Program Services | $26,053 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,419,184 | TotalAmt |
| Program Services | $2,881,489 | ProgramServicesAmt |
| Management And General | $537,695 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,392 | TotalAmt |
| Program Services | $300,962 | ProgramServicesAmt |
| Management And General | $12,430 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,983 | TotalAmt |
| Program Services | $285,204 | ProgramServicesAmt |
| Management And General | $11,779 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,620 | TotalAmt |
| Management And General | $57,620 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,114 | TotalAmt |
| Program Services | $305,840 | ProgramServicesAmt |
| Management And General | $66,274 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,566 | TotalAmt |
| Program Services | $5,345 | ProgramServicesAmt |
| Management And General | $221 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,779,832 | TotalAmt |
| Program Services | $1,654,422 | ProgramServicesAmt |
| Management And General | $125,410 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596 | TotalAmt |
| Program Services | $596 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,848 | TotalAmt |
| Program Services | $296,107 | ProgramServicesAmt |
| Management And General | $24,741 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,161 | TotalAmt |
| Program Services | $84,146 | ProgramServicesAmt |
| Management And General | $6,015 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,971 | TotalAmt |
| Program Services | $25,971 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,332 | TotalAmt |
| Program Services | $340,332 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,977 | TotalAmt |
| Management And General | $81,977 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $859,555 | $859,555 | |
| REPAIRS AND MAINTENANCE | $201,513 | $190,628 | $10,885 |
| FOOD | $38,263 | $38,263 | |
| COVID-19 EXPENSE | $30,093 | $28,899 | $1,194 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,309 | TotalAmt |
| Program Services | $120,116 | ProgramServicesAmt |
| Management And General | $10,193 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,551,495 | TotalAmt |
| Program Services | $7,449,604 | ProgramServicesAmt |
| Management And General | $1,101,891 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,652 | BOYAmt |
| EOY | $6,871,830 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,500 | BOYAmt |
| EOY | $42,500 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,074,476 | BOYAmt |
| EOY | $1,855,427 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,630 | BOYAmt |
| EOY | $268,236 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,354 | BOYAmt |
| EOY | $28,883 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,242,025 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,655,035 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $803,637 | BOYAmt |
| EOY | $586,990 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,752 | BOYAmt |
| EOY | $1,529,734 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,559,001 | BOYAmt |
| EOY | $11,183,600 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,135 | BOYAmt |
| EOY | $5,742,314 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,503 | BOYAmt |
| EOY | $1,196,062 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $845,638 | BOYAmt |
| EOY | $6,938,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,713,363 | BOYAmt |
| EOY | $4,245,224 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,713,363 | BOYAmt |
| EOY | $4,245,224 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,559,001 | BOYAmt |
| EOY | $11,183,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$468,139 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,814 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,907 | DepreciationAmt |
| Book Value | $35,907 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,168,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,617,128 | DepreciationAmt |
| Book Value | $551,083 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $586,990 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTY | $1,206,280 |
| SALES TAX RECEIVABLE | $58,454 |
| EST. THIRD-PARTY PAYOR SETTL. | $265,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,529,734 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,227,643 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,227,643 | RevenueSubtotalAmt |
| Other Revenues Not Included | $855,713 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $855,713 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,083,356 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,695,782 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,695,782 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $855,713 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $855,713 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,551,495 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b | 859,555 of Bad Debt expense net against revenue on audited financial statements; -3,838 of loss included in expenses by audited financial statements; -4 of rounding. |
| Part XII, Line 4b | 859,555 of Bad Debt expense net against revenue on audited financial statements; -3,838 of loss included in expenses by audited financial statements; -4 of rounding. |
| 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 INDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $388,240 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $266,265 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $391,840 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $269,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03510 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $423,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $186,612 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $237,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $423,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $186,612 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $237,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $815,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $308,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $507,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $859,555 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $155,533 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,765,711 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,793,368 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,657 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COAL COUNTY GENERAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 N COVINGTON | AddressLine1Txt |
| City | COALGATE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74538 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CCGHOSPITAL.COM | WebsiteAddressTxt |
| State License | 2201 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 3 PROVIDER BASED rural health clinics | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COAL COUNTY GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.ccghospital.com | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | see statement in section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.CCGHOSPITAL.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.ccghospital.com | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.ccghospital.com | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.ccghospital.com | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 7B | OKLAHOMA STATE UNIVERSITY - EXTENSION OFFICE WEBSITE OSURURALHEALTH.BLOGSPOT.COM/P/CHNA.HTML |
| SCHEDULE H, PART V, SECTION B, LINE 11 | 1) LACK OF MENTAL HEALTH RESOURCES ESPECIALLY FOR A YOUNGER POPULATION (ONGOING FUNDING CUTS) INCLUDING LACK OF AVAILABLE BEDS IN THE AREA. THE HOSPITAL IS WORKING WITH THE LOCAL LPC TO PROVIDE CARE FOR PATIENTS. THIS HAS THE GREATEST IMPACT ON MEDICAID PATIENTS, BUT THROUGH THIS RELATIONSHIP, BOTH ENTITIES ARE EXPLORING FUNDING AND PROVIDER OPPORTUNITIES TO BETTER SERVE THEIR COUNTY. 2) RECRUITMENT OF PROVIDERS- COAL COUNTY IS HOME TO ONE PHYSICIAN WHO IS NEARING RETIREMENT AGE. BASED ON THE NUMBER OF OFFICE VISITS AND COMMITMENTS, FILLING THIS PROVIDER'S ROLE COULD POTENTIALLY NEED TWO OR MORE PROVIDERS TO MEET THE NEEDS OF THE LOCAL POPULATION. THE HOSPITAL IS IN THE PROCESS OF ACQUIRING THREE RHCS WHICH WILL GREATLY ADD TO THE OVERALL PROVIDER BASE. THE HOSPITAL HAS ALSO MET WITH THE OSU RURAL MEDICAL EDUCATION COORDINATOR THAT COVERS SOUTHEAST OKLAHOMA TO SEE ABOUT OPTIONS FOR CLERKSHIPS AND RESIDENCY ROTATIONS. 3) LACK OF TRANSPORTATION- EMS TRANSFERS, TRANSFERS FOR MENTAL HEALTH NEEDS-THIS ISSUE IS FACED BY NOT HAVING ENOUGH STAFF ON DUTY AND THE AVAILABILITY OF A PARAMEDIC FOR THE TRANSFER. AS STATED PREVIOUSLY, THIS HAS BEEN AN ONGOING CONCERN. THE HOSPITAL ADMINISTRATION HAS BEEN DILIGENT TO MEET WITH CITY AND COUNTY LEADERSHIP TO ADDRESS THESE CONCERNS. ALSO, THE HOSPITAL CEO IS A MEMBER OF THE WORKGROUP THROUGH OKLAHOMA HOSPITAL ASSOCIATION TO EXPLORE OPTIONS AND BEST PRACTICES FOR RURAL AREAS. |
| SCHEDULE H, PART V, SECTION B, LINE 15E | Coal County General Hospital contacts patients concerned about their bills following discharge by phone and discusses the availablity and eligibility of all programs of assistance. If a patient claims they are unable to pay, the patient is referred to the local Department of Human Services for medical assistance. If denied thru DHS, Hospital personnel offer to help the patient complete the charity care application. Information regarding financial assistance is provided upon admission and included in statements and other literature sent to patients. |
| PART V, SECTION B, LINE 13H | Patients whose family income exceeds 150% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of Coal County General Hospital, however, the discounted rates shall not be greater than the amounts generally billed commercially insured patients. There are instances when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to a lack of supporting documentation. Often, there is adequate information provided by the patient through other sources, which could provide sufficient evidence to provide the patient with charity care assistance. In the event there is no evidence to support a patient's eligibility for charity care, Coal County General Hospital could use outside agencies in determining estimated income amounts for the basis of determining charity care eligibility and potential discount amounts. Presumptive eligibility may be determined on the basis of individual life circumstances that may include 1) State-funded prescription programs 2) Homeless or received care from a hoclinic 3) Participation in Women, Infants and Children programs (WIC), 4) Food stamp eligibility 5) Subsidized school lunch program eligibility 6) Eligibility for other state or local assistance program there unfunded (e g , Medicaid spenddown) 7) Low income/subsidized housing is provided as a valid address, and 8) Patient is deceased with no known estate. |
| SCHEDULE H, PART V, SECTION B, LINE 5 | THE HOSPITAL CEO AND COO PERSONALLY CALLED REPRESENTATIVES FROM THE CITY, COUNTY, COAL COUNTY HEALTH DEPARTMENT, AND LOCAL CIVIC ORGANIZATIONS TO ENCOURAGE THESE INDIVIDUALS TO ATTEND. NOTICES OF COMMUNITY MEETINGS WERE ALSO PLACED ON DOORS, WINDOWS, AND BULLETIN BOARDS OF LOCAL BUSINESSES. SIGNIFICANT EFFORTS WERE MADE TO INCLUDE AND OBTAIN INFORMATION FROM REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH SECTOR, AND COMMUNITY MEMBERS WHO HAD GREAT KNOWLEDGE OF HEALTH CONCERNS FACING LOW-INCOME AND RACIALLY DIVERSE POPULATIONS. PERSONS CONSULTED WERE LOCAL BANKERS, COAL COUNTY HEALTH DEPARTMENT EMPLOYEES, THE COUNTY ASSESSOR, THE COUNTY CLERK, COALGATE PUBLIC SCHOOLS ADMINISTRATION EMPLOYEES AND COAL COUNTY GENERAL HOSPITAL REPRESENTATIVES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| HELTON RURAL HEALTH CLINIC | ||||
| 108 W Ohio | Coalgate | OK | 74538 | Rural Health Clinic |
| ABC ATOKA MEDICAL CLINIC | ||||
| 1510 S Virginia Ave | Atoka | OK | 74525 | RURAL HEALTH CLINIC |
| ABC RURAL HEALTH CLINIC | ||||
| 1011 N Hinckley St | Holdenville | OK | 74848 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART VI, LINE 2 | Coal County General Hospital assesses the health care needs of the community it serves by consulting with various organizations including but not limited to: Department of Human Services, County Health Department, schools, Extension Service, and churches. To meet 501(r), the Community Health Needs Assessment was completed and made widely available by posting on the Hospital's website. |
| SCHEDULE H, PART VI, LINE 3 | Coal County General Hospital has a personal consultation with patients and families concerning availability and eligibility of all programs of assistance. The patients are contacted following discharge by phone and advised of the charity care program and the application is mailed to them. If the patient is unable to be contacted by phone, a statement is sent with an explanation of charity care and an application. We follow up after 30 days by sending a statement and a notice of charity care and request a call or visit. If no response, we continue with our normal collection policy. Notice of our Charity Care program is posted in the Emergency and Admission Departments with contact information. Other available assistance is included and the patient is requested to contact the Department of Human Services for possible assistance. |
| SCHEDULE H, PART VI, LINE 4 | Coal County is located in Southeastern Oklahoma. Coalgate is one of the lowest per capita income areas in the state. The community has a very high Medicare and Medicaid population. Persons living below poverty level represent approximately 19.9% of the population. The population is 1,995 and median household income is $32,781. The primary sources of employment are the health center, banks, locally owned businesses, schools, and local, state, and federal government. There is some oil and gas activity in the region. |
| SCHEDULE H, PART VI, LINE 5 | The Organization's board is comprised of local citizens from various occupations. The Organization extends privileges to all qualified physicians in the community. All surplus funds, if any, are used to improve equipment for patient care and to increase medical knowledge of staff and citizens. The Hospital operates an emergency room available to all regardless of ability to pay and participates in education and training of healthcare professionals. |
| Part III, Line 3 | The amount of bad debt estimated to be attributable to patients under the Organization's charity care policy is determined by using 19.9% of the population in the service area that is under the federal poverty guidel1ne established for charity care. |
| Part I, Line 3C | Patients whose family income exceeds 150% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of Coal County General Hospital, however, the discounted rates shall not be greater than the amounts generally billed commercially insured patients. There are instances when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to a lack of supporting documentation. Often, there is adequate information provided by the patient through other sources, which could provide sufficient evidence to provide the patient with charity care assistance. In the event there is no evidence to support a patient's eligibility for charity care, Coal County General Hospital could use outside agencies in determining estimated income amounts for the basis of determining charity care eligibility and potentiaL discount amounts. Presumptive eligibility may be determined on the basis of individual life circumstances that may include 1) State-funded prescription programs 2) Homeless or received care from a homeless clinic 3) Participation in Women, Infants and Children programs (WIC) 4 Food stamp eligibility 5) Subsidized school lunch program eligibility 6) Eligibility for other state or local assistance program that are unfunded (eg, Medicaid spenddown) 7) Low income/subsidized housing is provided as a valid address, and 8) Patient is deceased with no known Estate. |
| Part I, Line 7 | Charity care was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services on line 7g was determined using the Medicare Cost Report. |
| Part I, Line 7 Col(f) | The amount of bad debt expense removed from total expenses to determine the percentage was $859,555. |
| Part III, Line 2 | Bad debt expense is reported net of discounts and contractual allowances. A payment on an account previously written off reduces bad debt expense in the current year. Bad debt expense on line 2 is reported at charges as presented on the financial statements. |
| Part III, Line 4 | The footnote to the organization's financial statements can be found on the attached audited financial statements. |
| Part III, Line 8 | The community of Coal County General Hospital has a high Medicare population. Patients with Medicare coverage are accepted at the Hospital regardless of whether or not a surplus or shortfall is realized from providing the services. Providing services to Medicare patients is essential in the community and therefore the Medicare shortfall is considered a community benefit. Total revenue received from Medicare (including DSH and IME) is the gross reimbursement plus settlement (including LSA). Both the total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b | Coal County General Hospital has a personal consultation with patients and families concerning availability and eligibility of all programs of assistance. The patients are contacted following discharge by phone and advised of the charity care program and the application is mailed to them. If a patient claims they are unable to pay, the patient is referred to the local Department of Human Services for medical assistance. If denied thru DHS, Hospital personnel offer to help the patient complete the charity care application. If necessary, the patient is granted additional time to complete the application. Upon completing the application, the account is reviewed. When a decision is made on acceptance of charity care, the patient is contacted and advised of acceptance. If the application is rejected, the patient is contacted and an explanation given. If the patient is unable to be contacted by phone, a statement is sent with an explanation of charity care and an application. We follow up after 30 days by sending a statement and a notice of charity care and request a call or visit. If no response, we continue with our normal collection policy. There is a waiting period of 120 days from the date a statement would be forwarded to collections. Patients are allowed to complete the application for financial assistance for an additional 120 days. The application would be processed and if found to qualify, they would be removed from collections. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Johnson | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | spouse of CEO | RelationshipDescriptionTxt |
| Transaction | $26,053 | TransactionAmt |
| Transaction | Employee compensation and ben. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. THE CEO AND CFO REVIEW THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY DISCLOSURE IS MADE BY EACH INDIVIDUAL OF POSSIBLE CONFLICTS AND IS REVIEWED BY THE BOARD. THE BOARD DETERMINES WHETHER A CONFLICT EXISTS. ANY PERSON WITH ACTIVITY DEEMED A CONFLICT OF INTEREST IS REQUIRED TO CEASE AND DESIST OR RESIGN. |
| FORM 990, PART VI, SECTION B, LINE 15A | ALL COMPENSATION FOR MANAGEMENT IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. OHA DATA, AS WELL AS PREVAILING RATES IN THE AREA, ARE USED TO DETERMINE PROPER COMPENSATION. THE DELIBERATION AND DECISIONS ARE DOCUMENTED IN PERSONNEL FILES AND BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. HOWEVER, WITH WRITTEN REQUEST TO THE BOARD THESE DOCUMENTS CAN BE REVIEWED. |
| Form 990, Part XII, Line 2c | The Organization's Board of Directors assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. |
| Form 990, Part VI, Section A, line 6 | The sole member of the Corporation is Coal County General Hospital Holding Company. |
| Form 990, Part VI, Section A, Line 7a | The Member elects the Directors at its annual meeting by ballot from a list of qualified persons whose names are submitted as nominees by the Nominating Committee of the Member. |
| Form 990, Part VI, Section A, line 7b | The Member, acting by and through its Board of Directors, shall vote, furnish any necessary consent or approval, or take other action on any issue that may properly be presented to the Member. Notwithstanding the above, however, the following matters must receive approval of the Membership of the Member (a) the amendment, restatement or repeal of the Certificate of Incorporation of the Corporation, (b) the amendment, restatement or repeal of these Bylaws to the extent the rights or obligations of the Member or its Membership are affected thereby (c) the election of the directors of the Corporation, (d) the merger, consolidation or disposition of all or substantially all of the assets of the Corporation, (e) the dissolution, liquidation or termination of the business of the Corporation, (f) a material change in the purposes for which the Corporation was formed, and (g) the filing of a voluntary petition under any law having for its purpose the adjudication of the Corporation as bankrupt or insolvent or the taking of any action with respect to the reorganization or liquidation of the Corporation. |
| Amended Return | The original return was filed prior to audit being completed. This return is being filed to reflect the audited financial statements, which are attached with this return. Items that changed as a result of the audited financial statements include: Balance Sheet, Income Statement, Supplemental Schedules, Compensation of Officers. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COAL COUNTY GENERAL HOLDING CO | ||||||||||
| PO BOX 326 | COALGATE | OK | 74538 | 680632558 | HEALTHCARE | OK | 501(C)(3) | 12C, III-FI | NA | false |
| COAL COUNTY EXTENDED CARE INC | ||||||||||
| PO BOX 326 | COALGATE | OK | 74538 | 680632560 | NURSING HOME | OK | 501(C)(3) | 10 | COAL CTY GHC | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |