2022-05-16T19:37:14-05:00 2021-06-30 BKD LLP 110 N Elgin Ave Suite 400 Tulsa OK 741201490 990 2020-07-01 680632560 Coal County Extended Care Incorporated % TRENT BOURLAND COAL 5809272327 PO Box 326 Coalgate OK 74538 TRENT BOURLAND CEO 5809272327 2022-05-16 true Trent Bourland 999009999 Jeanette Verrelli P00742631 9185842900 3 2020 2022-09-23 18:48:47Z Ruth Wilson Hurley Manor TRENT BOURLAND 6 N COVINGTON STREET COALGATE OK 74538 3398081 false X CCGHOSPITAL.COM X 2006 OK NURSING HOME FACILITY TO PROVIDE QUALITY NURSING CARE SERVICES TO THE RESIDENTS OF COAL COUNTY 4 4 110 30 0 2885 380600 2954023 2759450 -10662 100038 30250 157993 2976496 3398081 0 0 0 0 2089769 1871637 0 0 0 1453909 885280 3543678 2756917 -567182 641164 546770 935521 2120398 1867985 -1573628 -932464 ORGANIZED 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. false false 2575334 2898193 THE 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. 2575334 true true false false false false false false true false true false false false true false false true false false false false false false false false false false false false false false false false false false false false false false false false false true true false false false true 16 0 true 110 true false false false false false false false false false false false false X 4 4 false false false false true true true true false false false true true true true false true true false true true OK X TRENT BOURLAND 5809272327 6 N COVINGTON COALGATE OK 74538 TRENT BOURLAND CEO 1.0 40.0 X 0 126675 564 KAY HUNTER CFO 1.0 40.0 X 0 68439 10808 TRAVIS WILLIAMS CHAIR 1.0 1.0 X X 0 0 0 RICK CHANEY SECRETARY 1.0 1.0 X X 0 0 0 CALEB WARD DIRECTOR 1.0 1.0 X 0 0 0 MATTHEW PARKER DIRECTOR 1.0 1.0 X 0 0 0 0 195114 11372 0 false false false 0 380600 380600 Net patient revenue 623000 2748993 2748993 OHCA Focus on Excellence 900099 10457 10457 2759450 100038 100038 0 0 19250 19250 0 19250 19250 0 0 0 0 0 0 0 0 0 0 Bad Debt Recovery 900099 138743 138743 138743 3398081 2898193 119288 0 0 0 0 0 0 1623515 1623515 0 133684 133684 114438 114438 0 0 0 0 0 0 219019 162276 56743 715 715 34597 34597 0 0 102246 29181 73065 7492 7492 0 0 1222 1222 0 34468 34468 50436 50436 OHCA Assessment 181694 181694 Medical Supplies 103463 103463 Food 105089 105089 COVID-19 EXPENSES 27327 27327 17512 16888 624 2756917 2575334 181583 0 0 0 218502 183771 0 0 241529 621888 0 0 0 0 0 0 9304 46689 0 0 503456 453616 44102 49840 0 0 0 0 33333 33333 0 0 0 0 546770 935521 480947 609682 0 0 0 0 0 0 27213 39253 0 0 25358 15727 380600 356600 1206280 846723 2120398 1867985 X -1573628 -932464 0 0 -1573628 -932464 546770 935521 641164 X false true X true false X 1997 500 50 2885 380600 386032 3712941 3749727 3815783 2954023 2898193 17130667 0 0 0 3714938 3750227 3815833 2956908 3278793 17516699 0 249704 384292 444295 538310 146774 1763375 249704 384292 444295 538310 146774 1763375 15753324 33125 45604 55826 30334 119288 284177 0 33125 45604 55826 30334 119288 284177 0 0 3748063 3795831 3871659 2987242 3398081 17800876 0.88497 0.85650 0.01596 0.01120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 55978 21668 34310 447478 431948 15530 49840 0 Due to related party 846723 846723 SCHEDULE D, PART IV, LINE 2B ESCROW ACCOUNT LIABILITY: DEPOSITS FROM PATIENTS HELD BY THE ORGANIZATION. SCHEDULE D, PART X, LINE 2 ASC 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. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR SHAREHOLDERS: THE SOLE MEMBER OF THE CORPORATION IS COAL COUNTY GENERAL HOSPITAL HOLDING COMPANY. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS 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 7B GOVERNANCE 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 8B DOCUMENTATION 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 11B PROCESS 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 12C PROCESS 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 15A COMPENSATION 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 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. COAL COUNTY GENERAL HOSPITAL INC 6 N COVINGTON COALGATE OK 74538 731235996 HLTH CARE SVC OK 501(C)(3) 3 CC HOSP HLDG true COAL COUNTY GENERAL HOSPITAL HOLDING CO 6 N COVINGTON COALGATE OK 74538 680632558 HOSP HOLD CO OK 501(C)(3) 12C, III-FI NA false false false false false true false false false false false false false false true true true true false false