COAL COUNTY EXTENDED CARE INCORPORATED: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COAL COUNTY EXTENDED CARE INCORPORATED (EIN 68-0632560)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-04-26
- IRS object ID
- 201821169349300112
- Schema version
- 2016v3.0
- 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 | 2018-04-26T08:19:32-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 621 N ROBINSON AVE STE 200 | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731026232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680632560 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Coal County Extended Care Incorporated | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COAL | BusinessNameControlTxt |
| 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Billy Johnson | PersonNm |
| Person Title | Administrator | PersonTitleTxt |
| Phone | 5809272327 | PhoneNum |
| Signature | 2018-04-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 4054783334 | PhoneNum |
| Preparation | 2018-04-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 98.173.248.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-04-18 | IPDt |
| IP Tm | 11:14:51 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E10085862974BF89EE8F231EB831862A8F193D10 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E10085862974BF89EE8F231EB831862A8F193D10 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ruth Wilson Hurley Manor | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Phillip Simmons | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,748,063 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | n/a | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | Nursing home facility to provide quality nursing care services for the residents of Coal County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 118 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,997 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,759,861 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,712,941 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,245 | PYInvestmentIncomeAmt |
| CY Investment Income | $125 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,000 | PYOtherRevenueAmt |
| CY Other Revenue | $33,000 | CYOtherRevenueAmt |
| PY Total Revenue | $3,810,606 | PYTotalRevenueAmt |
| CY Total Revenue | $3,748,063 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,862,789 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,180,560 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,895,211 | PYOtherExpensesAmt |
| CY Other Expenses | $1,623,303 | CYOtherExpensesAmt |
| PY Total Expenses | $3,758,000 | PYTotalExpensesAmt |
| CY Total Expenses | $3,803,863 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,606 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$55,800 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $730,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $753,016 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $778,666 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $856,627 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$47,811 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$103,611 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,101,682 | ExpenseAmt |
| Revenue | $3,712,941 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $3,101,682 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 118 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Diane Downard | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5809272327 | PhoneNum |
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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Rick Chaney | |||||||
| Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Gerry Watkins | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Travis Williams | |||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Phyllis Mixon | |||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Imogene Mowdy | |||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Diane Downard | |||||||
| CFO | 10.00 | 30.00 | Yes (X) | $6,549 | $48,405 | $6,093 | |
| Phillip Simmons | |||||||
| Administrator | 40.00 | 0.00 | Yes (X) | $52,119 | $0 | $2,771 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $58,668 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $48,405 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,864 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medical PRN Staffing Inc | |||||
| 1512 Meadow Lane | Ardmore | OK | 73401 | Contract Nursing | $339,241 |
| Okla Medical Professional Staffing | |||||
| 312 South Commerce | Ardmore | OK | 73401 | Contract Nursing | $175,691 |
| Occupational Therapy SolutionsPLLC | |||||
| P O Box 596 | Ada | OK | 74821 | Contract Therapy Services | $123,703 |
| Boomer Solutions LLC | |||||
| 310 South First Street | Eufaula | OK | 74432 | Pharmacy consultant, software | $117,108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,997 | AllOtherContributionsAmt |
| Total Contributions | $1,997 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient revenue | 623000 | $3,306,845 | $3,306,845 |
| Supporting revenue | 900099 | $406,096 | $406,096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,712,941 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $125 | TotalRevenueColumnAmt |
| Exclusion | $125 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,000 | TotalRevenueColumnAmt |
| Exclusion | $33,000 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,748,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,712,941 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $33,125 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,360 | TotalAmt |
| Management And General | $59,360 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,751,360 | TotalAmt |
| Program Services | $1,635,634 | ProgramServicesAmt |
| Management And General | $115,726 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,828 | TotalAmt |
| Program Services | $213,984 | ProgramServicesAmt |
| Management And General | $22,844 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,012 | TotalAmt |
| Program Services | $120,154 | ProgramServicesAmt |
| Management And General | $12,858 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,573 | TotalAmt |
| Management And General | $9,573 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,119 | TotalAmt |
| Program Services | $550,109 | ProgramServicesAmt |
| Management And General | $48,010 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $812 | TotalAmt |
| Management And General | $812 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,119 | TotalAmt |
| Program Services | $72,949 | ProgramServicesAmt |
| Management And General | $7,170 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,279 | TotalAmt |
| Management And General | $89,279 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,519 | TotalAmt |
| Program Services | $20,270 | ProgramServicesAmt |
| Management And General | $3,249 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408 | TotalAmt |
| Program Services | $408 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,836 | TotalAmt |
| Program Services | $38,836 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,189 | TotalAmt |
| Management And General | $63,189 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| OHCA Assessment | $252,919 | $252,919 | |
| Medical supplies | $214,742 | $214,742 | |
| Food | $153,773 | $153,773 | |
| Bad debt expense | $76,013 | $76,013 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,002 | TotalAmt |
| Program Services | $4,810 | ProgramServicesAmt |
| Management And General | $17,192 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,803,863 | TotalAmt |
| Program Services | $3,101,682 | ProgramServicesAmt |
| Management And General | $702,181 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,160 | BOYAmt |
| EOY | $169,217 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,691 | BOYAmt |
| EOY | $440,656 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,550 | BOYAmt |
| EOY | $3,917 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $815,147 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $715,604 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,621 | BOYAmt |
| EOY | $99,543 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,333 | BOYAmt |
| EOY | $33,333 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,500 | BOYAmt |
| EOY | $6,350 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,855 | BOYAmt |
| EOY | $753,016 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,459 | BOYAmt |
| EOY | $211,362 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,374 | BOYAmt |
| EOY | $13,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,586 | BOYAmt |
| EOY | $4,719 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,247 | BOYAmt |
| EOY | $627,546 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $778,666 | BOYAmt |
| EOY | $856,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$47,811 | BOYAmt |
| EOY | -$103,611 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$47,811 | BOYAmt |
| EOY | -$103,611 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,855 | BOYAmt |
| EOY | $753,016 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$55,800 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,146 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $11,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,997 | CurrentTaxYearAmt |
| Total | $20,643 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,536,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,484,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,515,145 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,759,861 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,712,941 | CurrentTaxYearAmt |
| Total | $18,009,134 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,539,806 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,488,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,515,145 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,771,361 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,714,938 | CurrentTaxYearAmt |
| Total | $18,029,777 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $409,936 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $459,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $490,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $516,546 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $419,408 | CurrentTaxYearAmt |
| Total | $2,295,561 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $409,936 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $459,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $490,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $516,546 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $419,408 | CurrentTaxYearAmt |
| Total | $2,295,561 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,734,216 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $81 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,117 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,125 | CurrentTaxYearAmt |
| Total | $123,689 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $81 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,117 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,125 | CurrentTaxYearAmt |
| Total | $123,689 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,539,887 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,503,644 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,551,266 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,810,606 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,748,063 | CurrentTaxYearAmt |
| Total | $18,153,466 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.86670 | PublicSupportCY509Pct |
| Public Support PY509 | 0.86550 | PublicSupportPY509Pct |
| Investment Income CY | 0.00680 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00510 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,153 | DepreciationAmt |
| Book Value | $12,620 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $799,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $712,451 | DepreciationAmt |
| Book Value | $86,923 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $99,543 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to related party | Desc |
| Amt | $627,546 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $627,546 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,671,642 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$76,421 | OtherRevenueAmt |
| Revenue Not Reported | -$76,421 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,748,063 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,748,063 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,727,442 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,727,442 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $76,421 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $76,421 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,803,863 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | Deposits from patients held by the Organization. |
| Part XI, Line 2d - Other Adjustments: | Bad debt expense included in revenue on the financial statements -76,013. Interest expense included in nonoperating revenue on the financial statement -408. |
| Part XII, Line 4b - Other Adjustments: | Bad debt expense included in revenue on the financial statement 76,013. Interest expense included in revenue on the financial statement 408. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | The Chairman shall appoint members and chairs of all committees. Each committee may consist of one or more of the Directors and have such name or names as may be determined by the Board. The Board may designate one or more Directors as alternate members of any committee who may replace any absent or disqualified member at any meeting of the committee. Any committee, to the extent provided in a resolution of the Board, shall have and may exercise the authority of the Board in the management of the business and affairs of the Corporation and may generally perform duties and exercise authority as may be directed or delegated by the Board. Each committee shall regularly report to the Board as and when required. The Chairman may appoint persons who are not Directors to serve as members of a committee, as long as the powers and authority of the Board have not been delegated to that committee. |
| 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 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 | 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 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. OHA data as well as prevailing rates in the area are used to determine proper compensation. The deliberation and decision 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 available to the public upon request. |
| Form 990, Part IX, line 11g | Contract labor: Program service expenses 513,429. Management and general expenses 0. Fundraising expenses 0. Total expenses 513,429. Purchased services: Program service expenses 3,897. Management and general expenses 24,780. Fundraising expenses 0. Total expenses 28,677. Repairs and maintenance: Program service expenses 31,770. Management and general expenses 23,230. Fundraising expenses 0. Total expenses 55,000. Recruitment: Program service expenses 1,013. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,013. |
| 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/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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 12b, II | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |