2020-07-13T10:12:34-05:00 2019-06-30 450250958 EIDE BAILLY LLP 621 N ROBINSON AVE STE 200 OKLAHOMA CITY OK 731026232 990 2018-07-01 680632560 Coal County Extended Care Incorporated COAL 5809272327 PO Box 326 Coalgate OK 74538 Kay Hunter CFO 5809272327 2020-07-08 1 Kim Hunwardsen P00484560 4055942000 2020-07-07 216.147.181.47 2020-07-08 10:14:33 CD P E10085862974BF89EE8F231EB831862A8F193D10 96EA8C5DFC6EFE4FCBF1129FDB3AF0E7B3BD41AE 2018 2020-09-22 18:59:49Z Ruth Wilson Hurley Manor Trent Bourland PO Box 326 Coalgate OK 74538 3871659 0 X n/a X 2006 OK Nursing home facility to provide quality nursing care services for the residents of Coal County. 5 5 122 30 0 0 500 50 3749727 3815783 12604 22826 33000 33000 3795831 3871659 0 0 0 0 2056325 2130334 0 0 0 2210902 2172766 4267227 4303100 -471396 -431441 614570 648781 1189577 1655229 -575007 -1006448 X Organized specifically for the exclusive support and benefit of Coal County General Hospital, Incorporated, doing business as Mary Hurley Hospital in Coalgate, Oklahoma. 0 0 3936796 3815783 The 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. 3936796 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 122 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 1 0 0 1 1 OK X Kay Hunter 5809272327 6 N Covington Coalgate OK 74538 Travis Williams Chair 2.00 0.00 X X 0 0 0 Rick Chaney Secretary 2.00 0.00 X X 0 0 0 Imogene Mowdy Board Member 2.00 0.00 X 0 0 0 Caleb Ward Board Member 2.00 0.00 X 0 0 0 Kim Strong Board Member 2.00 0.00 X 0 0 0 Trent Bourland - Admin until Jan 2019/COO as of Jan 2019 1.00 40.00 X 0 45558 8816 Diane Downard CFO (thru March 2019) 10.00 30.00 X 5946 47693 11975 5946 93251 20791 0 0 0 0 Medical PRN Staffing Inc 1512 Meadow Lane Ardmore OK 73401 Contract Nursing 860126 Occupational Therapy Solutions PLLC 1020 Arlington Street Ada OK 74820 Contract Therapy Services 125924 2 50 50 Net patient revenue 623000 3334067 3334067 OHCA Focus on Excellen 900099 443840 443840 37876 37876 3815783 22826 22826 33000 0 33000 33000 33000 3871659 3815783 0 55826 X 4751 4751 1722342 1617925 104417 272271 255061 17210 130970 122692 8278 9475 9475 1098016 1056421 41595 812 812 92386 89286 3100 87539 87539 18864 14953 3911 3272 3272 44078 44078 51412 51412 OHCA Assessment 262369 262369 Medical supplies 202288 202288 Food 175305 175305 Bad debt expense 73133 73133 53817 20013 33804 4303100 3936796 366304 0 29757 13433 420408 501954 6058 11557 895974 807470 118664 88504 33333 6350 33333 614570 648781 221071 180330 13068 14611 43058 34347 912380 1425941 1189577 1655229 X -575007 -1006448 -575007 -1006448 614570 648781 -431441 0 X X 0 1 X 1 0 X 11500 1997 500 50 14047 3515145 3759861 3712941 3749727 3815783 18553457 3515145 3771361 3714938 3750227 3815833 18567504 0 490206 516546 419408 422250 483012 2331422 490206 516546 419408 422250 483012 2331422 16236082 36121 39245 33125 45604 55826 209921 36121 39245 33125 45604 55826 209921 3551266 3810606 3748063 3795831 3871659 18777425 0.86470 0.86540 0.01120 0.00920 X 0 1 X 15773 11229 4544 880201 796241 83960 88504 New Horizons Home Health, LLC 33333 F 33333 Due to related party 1425941 1425941 X 3795254 -76405 -76405 3871659 0 3871659 4226695 0 4226695 76405 76405 4303100 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. 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 of the Nominating Committee of the Member. Form 990, Part VI, Section A, line 7b 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 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 of Coal County General Hospital review the 990. Form 990, Part VI, Section B, line 12c 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 15 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 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part IX, line 11g Contract 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. Coal County General Hospital Inc 6 N Covington Coalgate OK 74538 731235996 Provision of health care services OK 501(c)(3) Line 3 Coal County General Hospital Holding Co 0 Coal County General Hospital Holding Company 6 N Covington Coalgate OK 74538 680632558 To own and operate hospital and nursing home facilities OK 501(c)(3) Line 12c, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0