STRATEGY STUDIO / PUBLIC DATA EXPLORER

COAL COUNTY EXTENDED CARE INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COAL COUNTY EXTENDED CARE INCORPORATED (EIN 68-0632560)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202021959349300937
Schema version
2018v3.2
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

FieldValueIRS element (for citing)
Return2020-07-13T10:12:34-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1621 N ROBINSON AVE STE 200AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP731026232ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

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)
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)
PersonKay HunterPersonNm
Person TitleCFOPersonTitleTxt
Phone5809272327PhoneNum
Signature2020-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim HunwardsenPreparerPersonNm
PTINP00484560PTIN
Phone4055942000PhoneNum
Preparation2020-07-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.147.181.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-08IPDt
IP Tm10:14:33IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE10085862974BF89EE8F231EB831862A8F193D10AtSubmissionCreationDeviceId
At Submission Filing Device Id96EA8C5DFC6EFE4FCBF1129FDB3AF0E7B3BD41AEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

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 Line1PO Box 326AddressLine1Txt
CityCoalgateCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74538ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,871,659GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressn/aWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionNursing home facility to provide quality nursing care services for the residents of Coal County.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee122TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$500PYContributionsGrantsAmt
CY Contributions Grants$50CYContributionsGrantsAmt
PY Program Service Revenue$3,749,727PYProgramServiceRevenueAmt
CY Program Service Revenue$3,815,783CYProgramServiceRevenueAmt
PY Investment Income$12,604PYInvestmentIncomeAmt
CY Investment Income$22,826CYInvestmentIncomeAmt
PY Other Revenue$33,000PYOtherRevenueAmt
CY Other Revenue$33,000CYOtherRevenueAmt
PY Total Revenue$3,795,831PYTotalRevenueAmt
CY Total Revenue$3,871,659CYTotalRevenueAmt
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$2,056,325PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,130,334CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,210,902PYOtherExpensesAmt
CY Other Expenses$2,172,766CYOtherExpensesAmt
PY Total Expenses$4,267,227PYTotalExpensesAmt
CY Total Expenses$4,303,100CYTotalExpensesAmt
PY Revenues Less Expenses-$471,396PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$431,441CYRevenuesLessExpensesAmt
Total Assets BOY$614,570TotalAssetsBOYAmt
Total Assets EOY$648,781TotalAssetsEOYAmt
Total Liabilities BOY$1,189,577TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,655,229TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$575,007NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,006,448NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOrganized 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,936,796ExpenseAmt
Revenue$3,815,783RevenueAmt
DescThe Corporation is organized and operated exclusively for charitable, scientific and educational purposes and operates Ruth Wilson Manor, a seventy-five bed nursing home facility in Coalgate, Oklahoma. The Corporation is organized specifically for the exclusive support and benefit of Coal County General Hospital, Inc., which provides continuing health care services to patients of the Hospital and residents of Coal County and surrounding communities. Program service accomplishments continued on Schedule O.The Organization's activities include Home Health Blood Pressure Clinics, Home Health Benefits for employees, Relay for Life, Home Health Career Fair and Health Fairs, Athletic Booster sponsor, FFA Booster, Community Christmas parade, Community 4th of July parade, and Salvation Army bell ringer.Desc
Total Program Service Expenses$3,936,796TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee122EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kay HunterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5809272327PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16 N CovingtonAddressLine1Txt
CityCoalgateCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74538ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Travis Williams
Chair2.000.00Yes (X)Yes (X)$0$0$0
Rick Chaney
Secretary2.000.00Yes (X)Yes (X)$0$0$0
Imogene Mowdy
Board Member2.000.00Yes (X)$0$0$0
Caleb Ward
Board Member2.000.00Yes (X)$0$0$0
Kim Strong
Board Member2.000.00Yes (X)$0$0$0
Trent Bourland - Admin
until Jan 2019/COO as of Jan 20191.0040.00Yes (X)$0$45,558$8,816
Diane Downard
CFO (thru March 2019)10.0030.00Yes (X)$5,946$47,693$11,975
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,946TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$93,251TotReportableCompRltdOrgAmt
Total Other Compensation$20,791TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medical PRN Staffing Inc
1512 Meadow LaneArdmoreOK73401Contract Nursing$860,126
Occupational Therapy Solutions PLLC
1020 Arlington StreetAdaOK74820Contract Therapy Services$125,924
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$50AllOtherContributionsAmt
Total Contributions$50TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient revenue623000$3,334,067$3,334,067
OHCA Focus on Excellen900099$443,840$443,840

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,876TotalRevenueColumnAmt
Related Or Exempt Func Income$37,876RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,815,783TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,826TotalRevenueColumnAmt
Exclusion$22,826ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$33,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$33,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,000TotalRevenueColumnAmt
Exclusion$33,000ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,871,659TotalRevenueColumnAmt
Related Or Exempt Func Income$3,815,783RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$55,826ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,751TotalAmt
Management And General$4,751ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,722,342TotalAmt
Program Services$1,617,925ProgramServicesAmt
Management And General$104,417ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$272,271TotalAmt
Program Services$255,061ProgramServicesAmt
Management And General$17,210ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$130,970TotalAmt
Program Services$122,692ProgramServicesAmt
Management And General$8,278ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,475TotalAmt
Management And General$9,475ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,098,016TotalAmt
Program Services$1,056,421ProgramServicesAmt
Management And General$41,595ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$812TotalAmt
Management And General$812ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$92,386TotalAmt
Program Services$89,286ProgramServicesAmt
Management And General$3,100ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$87,539TotalAmt
Management And General$87,539ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,864TotalAmt
Program Services$14,953ProgramServicesAmt
Management And General$3,911ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,272TotalAmt
Program Services$3,272ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$44,078TotalAmt
Program Services$44,078ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,412TotalAmt
Management And General$51,412ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
OHCA Assessment$262,369$262,369
Medical supplies$202,288$202,288
Food$175,305$175,305
Bad debt expense$73,133$73,133

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$53,817TotalAmt
Program Services$20,013ProgramServicesAmt
Management And General$33,804ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,303,100TotalAmt
Program Services$3,936,796ProgramServicesAmt
Management And General$366,304ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$29,757BOYAmt
EOY$13,433EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$420,408BOYAmt
EOY$501,954EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,058BOYAmt
EOY$11,557EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$895,974LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$807,470LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$118,664BOYAmt
EOY$88,504EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,350BOYAmt
EOY$33,333EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$614,570BOYAmt
EOY$648,781EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$221,071BOYAmt
EOY$180,330EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$13,068BOYAmt
EOY$14,611EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$43,058BOYAmt
EOY$34,347EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$912,380BOYAmt
EOY$1,425,941EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,189,577BOYAmt
EOY$1,655,229EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$575,007BOYAmt
EOY-$1,006,448EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$575,007BOYAmt
EOY-$1,006,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$614,570BOYAmt
EOY$648,781EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$431,441ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$11,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,997CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$500CurrentTaxYearMinus1YearAmt
Current Tax Year$50CurrentTaxYearAmt
Total$14,047TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,515,145CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,759,861CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,712,941CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,749,727CurrentTaxYearMinus1YearAmt
Current Tax Year$3,815,783CurrentTaxYearAmt
Total$18,553,457TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,515,145CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,771,361CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,714,938CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,750,227CurrentTaxYearMinus1YearAmt
Current Tax Year$3,815,833CurrentTaxYearAmt
Total$18,567,504TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$490,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$516,546CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$419,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,250CurrentTaxYearMinus1YearAmt
Current Tax Year$483,012CurrentTaxYearAmt
Total$2,331,422TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$490,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$516,546CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$419,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,250CurrentTaxYearMinus1YearAmt
Current Tax Year$483,012CurrentTaxYearAmt
Total$2,331,422TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$16,236,082PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,245CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,604CurrentTaxYearMinus1YearAmt
Current Tax Year$55,826CurrentTaxYearAmt
Total$209,921TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,245CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,604CurrentTaxYearMinus1YearAmt
Current Tax Year$55,826CurrentTaxYearAmt
Total$209,921TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,551,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,810,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,748,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,795,831CurrentTaxYearMinus1YearAmt
Current Tax Year$3,871,659CurrentTaxYearAmt
Total$18,777,425TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.86470PublicSupportCY509Pct
Public Support PY5090.86540PublicSupportPY509Pct
Investment Income CY0.01120InvestmentIncomeCYPct
Investment Income PY0.00920InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,773OtherCostOrOtherBasisAmt
Depreciation$11,229DepreciationAmt
Book Value$4,544BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$880,201OtherCostOrOtherBasisAmt
Depreciation$796,241DepreciationAmt
Book Value$83,960BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$88,504TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescNew Horizons Home Health, LLCDesc
Book Value$33,333BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$33,333TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to related partyDesc
Amt$1,425,941Amt
FieldValueIRS element (for citing)
Total Liability$1,425,941TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,795,254TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$76,405OtherRevenueAmt
Revenue Not Reported-$76,405RevenueNotReportedAmt
Revenue Subtotal$3,871,659RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,871,659TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,226,695TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,226,695ExpensesSubtotalAmt
Other Expenses Not Included$76,405OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$76,405ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,303,100TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:Deposits from patients held by the Organization.
Part X, Line 2:The Organization believes that it has appropriate support for any tax positions taken affecting their annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. Extended Care would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 2d - Other Adjustments:Bad debt expense included in revenue on the financial statements -73,133. Interest expense included in nonoperating revenue on the financial statement -3,272.
Part XII, Line 4b - Other Adjustments:Bad debt expense included in revenue on the financial statement 73,133. Interest expense included in revenue on the financial statement 3,272.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of the Corporation is Coal County General Hospital Holding Company.
Form 990, Part VI, Section A, line 7aThe 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 7bThe 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 8bThe Organization does not have committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe 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 12cAnnual 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 15Compensation 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 19The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part IX, line 11gContract labor: Program service expenses 1,017,864. Management and general expenses 3,062. Fundraising expenses 0. Total expenses 1,020,926. Purchased services: Program service expenses 7,755. Management and general expenses 24,852. Fundraising expenses 0. Total expenses 32,607. Repairs and maintenance: Program service expenses 30,605. Management and general expenses 13,681. Fundraising expenses 0. Total expenses 44,286. Recruitment: Program service expenses 197. Management and general expenses 0. Fundraising expenses 0. Total expenses 197.
Form 990, Part XII, Line 2c:The Coal County General Hospital's Board of Directors assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant.

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 OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Coal County General Hospital Inc
6 N CovingtonCoalgateOK74538731235996Provision of health care servicesOK501(c)(3)Line 3Coal County General Hospital Holding Co0
Coal County General Hospital Holding Company
6 N CovingtonCoalgateOK74538680632558To own and operate hospital and nursing home facilitiesOK501(c)(3)Line 12c, III-FI0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd