2017-02-14T16:25:51-06:00 2016-06-30 420714325 RSM US LLP 531 COUCH DR OKLAHOMA CITY OK 73102 990 2015-07-01 731347360 AVEDIS FOUNDATION AVED 4052734055 20 NORTH BROADWAY SUITE 1800 OKLAHOMA CITY OK 73102 MICHELLE BRIGGS PRESIDENT & CEO 4052734055 2017-02-14 1 JEFFREY COLLINS P00044119 4052397961 2015 2017-02-10 21:41:12Z MICHELLE BRIGGS 20 NORTH BROADWAY SUITE 1800 OKLAHOMA CITY OK 73102 59962524 0 X AVEDISFOUNDATION.ORG X 1989 OK AVEDIS FOUNDATION IS A CATALYST AND FACILITATOR OF CHANGE THROUGH STRATEGIC INVESTMENTS AND PARTNERSHIPS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN POTTAWATOMIE COUNTY. 13 12 5 1 0 0 0 0 0 0 3186942 7056945 767281 57149 3954223 7114094 3232810 5705774 0 0 462788 533521 0 0 0 481055 590509 4176653 6829804 -222430 284290 125695562 101805079 16732262 3235615 108963300 98569464 AVEDIS FOUNDATION IS A CATALYST AND FACILITATOR OF CHANGE THROUGH STRATEGIC INVESTMENTS AND PARTNERSHIPS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN POTTAWATOMIE COUNTY. 0 0 6114849 5705774 PROVIDING CONTRIBUTIONS TO VARIOUS MEDICAL, EDUCATIONAL, AND CHARITABLE ORGANIZATIONS TO MEASURABLY IMPROVE THE HEALTH, WELLNESS, AND QUALITY OF LIFE FOR THE PEOPLE OF POTTAWATOMIE COUNTY AND SURROUNDING COMMUNITIES. 6114849 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 5 1 0 1 CJ BD 0 0 0 0 0 0 0 0 X 13 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OK X MICHELLE BRIGGS 4052734055 20 N BROADWAY SUITE 1800 OKLAHOMA CITY OK 73102 SUDHIR GUPTA DIRECTOR 1.00 X 9000 0 0 JOE HODGES DIRECTOR 1.00 X 0 0 0 LINDA J PRAYTOR GOVERNANCE CHAIR 1.00 X 9000 0 0 CHARLES SKILLINGS DIRECTOR 1.00 X 0 0 0 CHARLES L SHEILDS DIRECTOR 1.00 X 10500 0 0 LAWRENCE STASYSZEN COMMUNICATIONS CHAIR 1.00 X 0 0 0 STEPHEN TROTTER AUDIT CHAIR 1.00 X 9000 0 0 JAMES MICHAEL ADCOCK CHAIR OF THE BOARD 2.00 X 10500 0 0 MARK L FINLEY VICE CHAIR/ASST. TREASURER 1.00 X 9000 0 0 KATHLEEN S LASTER VICE PRESIDENT/SECRETARY 1.00 X 9000 0 0 JOHN A ROBINSON VICE PRESIDENT/TREASURER 1.00 X 9000 0 0 MICHAEL P WARWICK VICE PRESIDENT/ASST. SECRETARY 1.00 X 14883 0 0 KAREN MICHELLE BRIGGS PRESIDENT/CEO 40.00 X 224207 0 0 314090 0 0 1 0 1 0 0 1712266 1712266 46867 46867 58193109 52848430 5344679 5344679 5344679 OTHER INCOME 900099 10282 10282 10282 7114094 0 0 7114094 5705774 5705774 303084 154456 148628 151045 125929 25116 15370 11330 4040 40278 25294 14984 23744 17448 6296 2870 2870 72335 72335 1422 1422 2241 2241 5156 2162 2994 2663 2008 655 24000 18095 5905 110504 110504 11813 4345 7468 3831 3831 HOSPITAL CHARGES 267669 267669 SOFTWARE LICENSING 21521 19268 2253 EVENTS AND SPONSORSHIPS 16519 16519 EDUCATIONAL 15734 7065 8669 32231 5156 27075 6829804 6114849 714955 0 955446 405090 2040275 3735333 758170 182155 767106 575330 87161 60279 103493 26882 84932351 58411261 35990210 38362155 148511 106873 125695562 101805079 40418 58739 1355329 757452 15336515 2419424 16732262 3235615 X 108963300 98569464 108963300 98569464 125695562 101805079 284290 -10678126 0 X X 1 X 1 X 1 0 X 335075 17360 352435 53361922 53361922 53696997 17360 53714357 0 0 0 53714357 890857 2068007 2653735 2311738 1759133 9683470 890857 2068007 2653735 2311738 1759133 9683470 971176 702 4564 641829 10282 1628553 55559030 2086069 2658299 2953567 1769415 65026380 0.82600 0.89120 0.14890 0.06940 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RENT REVENUE FROM SPECIALTY CLINIC - 2011 AMOUNT: $ 81,465. JOINT VENTURE INCOME - 2011 AMOUNT: $ 262,774. MEDICARE EHR INCENTIVE - OTHER REVENUE - 2011 AMOUNT: $ 494,284. 2012 AMOUNT: $ 702. 2013 AMOUNT: $ 4,564. 2014 AMOUNT: $ 641,829. 2015 AMOUNT: $ 10,282. GIFT SHOP REVENUE - 2011 AMOUNT: $ 132,653. 17342 17342 0 13446 9031 4415 56373 33906 22467 26882 REAL ESTATE FUNDS 72187 F OTHER INVESTMENTS 34674227 F MINERAL INTERESTS 689990 F MORTGAGE-BACKED SECURITIES 2925751 F 38362155 ACCRUED PAYROLL TAXES 7196 DUE FROM MCR/MCD 125000 ACCRUED WORKER'S COMPENSATION 150321 PAYABLES: 401K 2886 ACCRUED PAYROLL 12247 ACCRUED VACATION/SICK PAY 3297 CAPITAL COMMITMENT PAYABLE 2068477 OTHER MEDICAL & GENERAL 50000 2419424 X -3564032 -10678126 -10678126 7114094 0 7114094 6829804 0 6829804 0 6829804 PART X, LINE 2: MANAGEMENT EVALUATES THE FOUNDATIONS TAX POSITIONS AND HAS CONCLUDED THAT THE FOUNDATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS ENDING ON OR BEFORE JUNE 30, 2012. BERMUDA 0 0 INVESTMENTS 4449633 0 0 0 0 0 0 4449633 0 4449633 0 0 0 0 0 0 PART I, LINE 3 - ACTIVITIES PER REGION BERMUDA: EXPENDITURES: $0 INVESTMENTS: $4,449,633 1 BETHEL PUBLIC SCHOOLS 36000 CLEAR POND RD SHAWNEE OK 74801 731015182 GOV 33467 ADA PLAYGROUND GORDON COOPER TECHNOLOGY CENTER ONE JOHN C BRUTON BLVD SHAWNEE OK 74804 730773117 GOV 19446 EDUCATION PROJECT SAFE PO BOX 7532 ATHENS GA 30604 581908469 501C3 450000 CHARITABLE SUPPORT ST ANTHONY'S SHAWNEE HOSPITAL 1102 W MACARTHUR ST SHAWNEE OK 74804 455055149 501C3 800000 CHARITABLE SUPPORT SHAWNEE COMMUNITY FOUNDATION PO BOX 1447 SHAWNEE OK 74802 731564157 501C3 47800 CHARITABLE SUPPORT YOUTH & FAMILY RESOURCE CENTER 326 W 11TH STREET SHAWNEE OK 74801 730795028 501C3 282501 CHILD HEALTH & WELFARE INITIATIVE CITY OF SEMINOLE 401 N MAIN STREET SEMINOLE OK 74818 736005421 GOV 30000 FIT & FUN ACTIVITY GRANT CITY OF TECUMSEH 114 N BROADWAY TECUMSEH OK 74873 736005461 GOV 192500 SPLASH PAD CENTRAL OKLAHOMA COMMUNITY ACTION AGENCY 429 N UNION AVE SHAWNEE OK 74801 730772341 501C3 400167 BUILDING COMMUNITY ACTION CAPACITY IN CENTRAL OK COMMUNITIES FOUNDATION OF OK 2932 NW 122ND STREET SUITE D OKLAHOMA CITY OK 73120 731396320 501C3 50000 DOG TRAINING CENTER AT MABEL BASSETT WOMEN'S CORRECTIONAL FACILITY COMMUNITY MARKET 120 SRCEUTER SHAWNEE OK 74801 473737905 501C3 416184 PARKING LOT & OPERATING CRPC 1000 N KICKAPOO AVE SHAWNEE OK 74801 475359151 501C3 944380 BUILDING AND OPERATING BUDGET EARLSBORO PUBLIC SCHOOLS 101 N WILLIE STARGELL AVE EARLSBORO OK 74840 730776102 GOV 16500 FITNESS EQUIPMENT HOME INTEGRATION INC 1900 W MACARTHUR SHAWNEE OK 74801 731356349 501C3 25000 CHILD DEVELOPMENT CENTER SERVICES MEEKER PUBLIC SCHOOLS 214 E CARL HUBBELL BLVD MEEKER OK 74855 736060622 GOV 112000 PLAYGROUND SHAWNEE PUBLIC SCHOOLS 326 N UNION AVE SHAWNEE OK 74804 736021209 GOV 1500000 SHAWNEE MIDDLE SCHOOL MULTI-PURPOSE TENNIS COURTS, WALKING TRAILS, SIDEWALK, NATURE PLAY, AND LEARNING PLACE PROJECT CITY OF SHAWNEE 16 W 9TH ST SHAWNEE OK 74801 736005424 GOV 76597 HEALTH AWARENESS & SHAWNEE SPLASH WATER PARK SOUTH CENTRAL INDUSTRIES 130 N LOUISA AVE SHAWNEE OK 74801 731138726 501C3 25000 HANDICAP ACCESSIBLE BATHROOM RENOVATIONS, WORKSHOP/ASSEMBLY ROOM CONVERSION, CAFETERIA/DINING ROOM CONVERSION 18 PART I, LINE 2: GRANTEES ARE REQUIRED TO SUBMIT TWO FOLLOW UP REPORTS - A PROGRESS REPORT AND A FINAL REPORT. THESE REPORTS ARE COMPLETED IN THE GIFTS SYSTEM. GRANTS ARE FURTHER MONITORED BY FOUNDATION STAFF THROUGH SITE VISITS AND ONGOING RELATIONSHIPS WITH GRANTEES. PROGRESS REPORTS ARE COMPILED AND PRESENTED TO THE BOARD. 0 0 0 0 0 0 0 0 0 KAREN MICHELLE BRIGGS PRESIDENT/CEO 224207 0 0 0 0 0 0 0 0 0 224207 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED THE FOLLOWING DUTIES: BOOKKEEPING - SAMERSON, PLLC PAYROLL - GIBSON & REYNOLDS, PC INVESTMENT MANAGEMENT - GRAYSTONE CONSULTING: MORGAN STANLEY WEALTH MANAGEMENT OIL & GAS MANAGEMENT - BANCFIRST TRUST & INVESTMENT MANAGEMENT WORKERS' COMPENSATION - HEALTHSMART BENEFIT SOLUTIONS FORM 990, PART VI, SECTION B, LINE 11 A COPY IS PRESENTED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO INCLUDES A REVIEW AND APPROVAL BY AN INDEPENDENT COMMITTEE. THE REVIEW INCLUDES COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, DELIBERATION, AND A DECISION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS FOR THE OVERSIGHT OF ITS AUDIT IS UNCHANGED FROM PRIOR YEARS. FORM 990, PART VI, LINE 4B - FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES CAYMAN ISLANDS, BERMUDA