STRATEGY STUDIO / PUBLIC DATA EXPLORER

COAL COUNTY EXTENDED CARE INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COAL COUNTY EXTENDED CARE INCORPORATED (EIN 68-0632560)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202211369349317116
Schema version
2020v4.1
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)
Return2022-05-16T19:37:14-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1110 N Elgin Ave Suite 400AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741201490ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680632560EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Coal County Extended Care IncorporatedBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% TRENT BOURLANDInCareOfNm
Business Name ControlCOALBusinessNameControlTxt
Phone5809272327PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 326AddressLine1Txt
CityCoalgateCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74538ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRENT BOURLANDPersonNm
Person TitleCEOPersonTitleTxt
Phone5809272327PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTrentPersonFirstNm
Person LastBourlandPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9185842900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Ruth Wilson Hurley ManorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTRENT BOURLANDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16 N COVINGTON STREETAddressLine1Txt
CityCOALGATECityNm
State AbbreviationOKStateAbbreviationCd
ZIP74538ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,398,081GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCCGHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionNURSING HOME FACILITY TO PROVIDE QUALITY NURSING CARE SERVICES TO THE RESIDENTS OF COAL COUNTYActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee110TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,885PYContributionsGrantsAmt
CY Contributions Grants$380,600CYContributionsGrantsAmt
PY Program Service Revenue$2,954,023PYProgramServiceRevenueAmt
CY Program Service Revenue$2,759,450CYProgramServiceRevenueAmt
PY Investment Income-$10,662PYInvestmentIncomeAmt
CY Investment Income$100,038CYInvestmentIncomeAmt
PY Other Revenue$30,250PYOtherRevenueAmt
CY Other Revenue$157,993CYOtherRevenueAmt
PY Total Revenue$2,976,496PYTotalRevenueAmt
CY Total Revenue$3,398,081CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,089,769PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,871,637CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,453,909PYOtherExpensesAmt
CY Other Expenses$885,280CYOtherExpensesAmt
PY Total Expenses$3,543,678PYTotalExpensesAmt
CY Total Expenses$2,756,917CYTotalExpensesAmt
PY Revenues Less Expenses-$567,182PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$641,164CYRevenuesLessExpensesAmt
Total Assets BOY$546,770TotalAssetsBOYAmt
Total Assets EOY$935,521TotalAssetsEOYAmt
Total Liabilities BOY$2,120,398TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,867,985TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,573,628NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$932,464NetAssetsOrFundBalancesEOYAmt
MissionORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATION PURPOSES. ORGANIZED SPECIFICALLY FOR THE EXCLUSIVE SUPPORT AND BENEFIT OF COAL COUNTY GENERAL HOSPITAL, INCORPORATED DOING BUSINESS AS MARY HURLEY HOSPITAL IN COALGATE, OKLAHOMA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,575,334ExpenseAmt
Revenue$2,898,193RevenueAmt
DescTHE CORPORATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES AND OPERATES RUTH WILSON MANOR, A FIFTY BED NURSING HOME FACILITY IN COALGATE, OKLAHOMA.Desc
Total Program Service Expenses$2,575,334TotalProgramServiceExpensesAmt
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 CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee110EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
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 PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTRENT BOURLANDPersonNm
Phone5809272327PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16 N COVINGTONAddressLine1Txt
CityCOALGATECityNm
State AbbreviationOKStateAbbreviationCd
ZIP74538ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
TRENT BOURLAND
CEO1.040.0Yes (X)$0$126,675$564
KAY HUNTER
CFO1.040.0Yes (X)$0$68,439$10,808
TRAVIS WILLIAMS
CHAIR1.01.0Yes (X)$0$0$0Yes (X)
RICK CHANEY
SECRETARY1.01.0Yes (X)$0$0$0Yes (X)
CALEB WARD
DIRECTOR1.01.0$0$0$0Yes (X)
MATTHEW PARKER
DIRECTOR1.01.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$195,114TotReportableCompRltdOrgAmt
Total Other Compensation$11,372TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$380,600GovernmentGrantsAmt
Total Contributions$380,600TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient revenue623000$2,748,993$2,748,993
OHCA Focus on Excellence900099$10,457$10,457
FieldValueIRS element (for citing)
Total Program Service Revenue$2,759,450TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$100,038TotalRevenueColumnAmt
Exclusion$100,038ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,250RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$19,250RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,250TotalRevenueColumnAmt
Exclusion$19,250ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescBad Debt RecoveryDesc
Business900099BusinessCd
Total Revenue Column$138,743TotalRevenueColumnAmt
Related Or Exempt Func Income$138,743RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$138,743OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,398,081TotalRevenueColumnAmt
Related Or Exempt Func Income$2,898,193RelatedOrExemptFuncIncomeAmt
Exclusion$119,288ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,623,515TotalAmt
Program Services$1,623,515ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$133,684TotalAmt
Program Services$133,684ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$114,438TotalAmt
Program Services$114,438ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$219,019TotalAmt
Program Services$162,276ProgramServicesAmt
Management And General$56,743ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$715TotalAmt
Management And General$715ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,597TotalAmt
Program Services$34,597ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$102,246TotalAmt
Program Services$29,181ProgramServicesAmt
Management And General$73,065ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,492TotalAmt
Program Services$7,492ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,222TotalAmt
Program Services$1,222ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,468TotalAmt
Program Services$34,468ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$50,436TotalAmt
Management And General$50,436ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
OHCA Assessment$181,694$181,694
Medical Supplies$103,463$103,463
Food$105,089$105,089
COVID-19 EXPENSES$27,327$27,327

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,512TotalAmt
Program Services$16,888ProgramServicesAmt
Management And General$624ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,756,917TotalAmt
Program Services$2,575,334ProgramServicesAmt
Management And General$181,583ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$218,502BOYAmt
EOY$183,771EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$241,529BOYAmt
EOY$621,888EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,304BOYAmt
EOY$46,689EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$503,456LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$453,616LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44,102BOYAmt
EOY$49,840EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$33,333BOYAmt
EOY$33,333EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$546,770BOYAmt
EOY$935,521EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$480,947BOYAmt
EOY$609,682EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$27,213BOYAmt
EOY$39,253EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$25,358BOYAmt
EOY$15,727EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$380,600BOYAmt
EOY$356,600EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,206,280BOYAmt
EOY$846,723EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,120,398BOYAmt
EOY$1,867,985EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,573,628BOYAmt
EOY-$932,464EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,573,628BOYAmt
EOY-$932,464EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$546,770BOYAmt
EOY$935,521EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$641,164ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,997CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,885CurrentTaxYearMinus1YearAmt
Current Tax Year$380,600CurrentTaxYearAmt
Total$386,032TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,712,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,749,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,815,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,954,023CurrentTaxYearMinus1YearAmt
Current Tax Year$2,898,193CurrentTaxYearAmt
Total$17,130,667TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,714,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,750,227CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,815,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,956,908CurrentTaxYearMinus1YearAmt
Current Tax Year$3,278,793CurrentTaxYearAmt
Total$17,516,699TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$249,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$384,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$444,295CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$538,310CurrentTaxYearMinus1YearAmt
Current Tax Year$146,774CurrentTaxYearAmt
Total$1,763,375TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$249,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$384,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$444,295CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$538,310CurrentTaxYearMinus1YearAmt
Current Tax Year$146,774CurrentTaxYearAmt
Total$1,763,375TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$15,753,324PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,334CurrentTaxYearMinus1YearAmt
Current Tax Year$119,288CurrentTaxYearAmt
Total$284,177TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,334CurrentTaxYearMinus1YearAmt
Current Tax Year$119,288CurrentTaxYearAmt
Total$284,177TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,748,063CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,795,831CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,871,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,987,242CurrentTaxYearMinus1YearAmt
Current Tax Year$3,398,081CurrentTaxYearAmt
Total$17,800,876TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88497PublicSupportCY509Pct
Public Support PY5090.85650PublicSupportPY509Pct
Investment Income CY0.01596InvestmentIncomeCYPct
Investment Income PY0.01120InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,978OtherCostOrOtherBasisAmt
Depreciation$21,668DepreciationAmt
Book Value$34,310BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$447,478OtherCostOrOtherBasisAmt
Depreciation$431,948DepreciationAmt
Book Value$15,530BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$49,840TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to related partyDesc
Amt$846,723Amt
FieldValueIRS element (for citing)
Total Liability$846,723TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART IV, LINE 2BESCROW ACCOUNT LIABILITY: DEPOSITS FROM PATIENTS HELD BY THE ORGANIZATION.
SCHEDULE D, PART X, LINE 2ASC 740: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR SHAREHOLDERS: THE SOLE MEMBER OF THE CORPORATION IS COAL COUNTY GENERAL HOSPITAL HOLDING COMPANY.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS WITH POWER TO ELECT GOVERNING BODY: THE MEMBER ELECTS THE DIRECTORS AT ITS ANNUAL MEETING BY BALLOT FROM A LIST OF QUALIFIED PERSONS WHOSE NAMES ARE SUBMITTED AS NOMINEES OF THE NOMINATING COMMITTEE OF THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BGOVERNANCE DECISIONS: THE MEMBER, ACTING THROUGH ITS BOARD OF DIRECTORS, SHALL VOTE, FURNISH ANY NECESSARY CONSENT OR APPROVAL, OR TAKE OTHER ACTION ON ANY ISSUE THAT MAY BE PRESENTED TO THE MEMBER 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.
FORM 990, PART VI, SECTION A, LINE 8BDOCUMENTATION OF COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY: THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. THE CEO AND CFO OF COAL COUNTY GENERAL HOSPITAL REVIEW THE 990.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ANNUAL DISCLOSURES ARE MADE BY OFFICERS AND BOARD MEMBERS AND ARE REVIEWED BY THE ENTIRE 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 15ACOMPENSATION REVIEW: COMPENSATION FOR THE ADMINISTRATOR IS REVIEWED AND APPROVED ANNUALLY BY THE COAL COUNTY GENERAL HOSPITAL'S BOARD OF DIRECTORS. COAL COUNTY GENERAL HOSPITAL IS A RELATED ORGANIZATION. COMPENSATION FOR THE CFO WAS DETERMINED BY COAL COUNTY GENERAL HOSPITAL, A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COAL COUNTY GENERAL HOSPITAL INC
6 N COVINGTONCOALGATEOK74538731235996HLTH CARE SVCOK501(C)(3)3CC HOSP HLDGYes (true)
COAL COUNTY GENERAL HOSPITAL HOLDING CO
6 N COVINGTONCOALGATEOK74538680632558HOSP HOLD COOK501(C)(3)12C, III-FINAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd