2024-08-12T10:42:24-04:00 2023-09-30 464454415 ELMER AND ASSOCIATES PLLC 833 S KELLY AVE SUITE 160 EDMOND OK 73003 990 2022-10-01 730955756 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC CENT 4059484900 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 CHRIS K VAN ESS CFO 4059484900 2024-08-12 true true MICHAEL L ELMER P01215529 4053405974 2024-08-12 2022 2024-08-08 14:25:15Z OKLAHOMA CITY INDIAN CLINIC ROBYN R SUNDAY-ALLEN 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 81427726 false X WWW.OKCIC.COM X 1974 OK THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. 9 9 400 40 0 25995564 18143284 37980300 61264724 117987 1731765 14548 171427 64108399 81311200 8043807 10661450 0 30052803 36304118 0 0 9492706 11189757 47589316 58155325 16519083 23155875 65670294 89430316 24934978 25524027 40735316 63906289 THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. false false 43698086 10661450 61264724 PROVIDED COMPREHENSIVE OUTPATIENT MEDICAL, DENTAL, BEHAVIORAL, AND PREVENTATIVE HEALTH SERVICES TO THE URBAN INDIAN POPULATION OF OKLAHOMA CITY, OK AND THE SURROUNDING AREAS. 834798 PROVIDED A SPECIAL DIABETES AND DIABETES PREVENTION PROGRAM FOR NATIVE AMERICANS AND PROMOTED HEALTHY LIFESTYLES THROUGH EDUCATION, NUTRITION, INFORMATION AND PHYSICAL ACTIVITY INSTRUCTION. 44532884 true true false false false false false false false false true false false false false true true false false false false false false false true false false false true true false false false false false false false false true false false false false false false false false true 72 0 true 400 true false false false false false true true false false false false false false false false X 9 9 false false true false false false false true true false false true true true true true true true true false OK X CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC 4059484900 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 ROBYN R SUNDAY-ALLEN CEO 40.00 X 475026 0 42964 LYSA M ROSS COO 40.00 X 244159 0 55837 CHRIS K VAN ESS CFO 40.00 X 250425 0 56776 DAVID A TOAHTY CDO 40.00 X 145440 0 13967 MONICA KRIENKE CHRO 40.00 X 225512 0 46767 DR HAZEL A LONEWOLF CQO 40.00 X 161122 0 43381 DR JANICE K HIXSON CMO 40.00 X 312323 0 34829 DR MAX BURCHETT JR CIO 40.00 X 179327 0 25043 BRIAN GABBARD CHAIRMAN 3.00 X 0 0 0 DAVID THOMAS VICE CHAIRMA 3.00 X 0 0 0 GENA TIMBERMAN SECRETARY 3.00 X 0 0 0 JOHN DAUGHERTY JR TREASURER 3.00 X 0 0 0 BISHOP DAVID WILSON BOARD MEMBER 3.00 X 0 0 0 DR JAMES KENNEDYE BOARD MEMBER 3.00 X 0 0 0 REV ALVIN BURKE DEER BOARD MEMBER 3.00 X 0 0 0 TARA DAWKINS DPT BOARD MEMBER 3.00 X 0 0 0 MASHELL SOURJOHN BOARD MEMBER 3.00 X 0 0 0 DR TYLER S FREEMAN PHYSICIAN 40.00 X 307629 0 34594 DR PAUL S DASARI PHYSICIAN 40.00 X 247971 0 31612 JENNIFER PHAM PHARMACY DIR 40.00 X 168611 0 27644 DR BROOKE N FRANTZ PHYSICIAN 40.00 X 278942 0 20642 DR JIN KONG PHYSICIAN 40.00 X 272032 0 32815 DR NACASIO S GUTIERREZ PHYSICIAN 40.00 X 263312 0 26106 DR ZANE D HARVEY PHYSICIAN 40.00 X 246829 0 24759 DR MOIRA A REDCORN PHYSICIAN 40.00 X 245793 0 25230 4024453 542966 60 false true false DIAGNOSTIC LABORATORY OF OKLAHOMA PO BOX 676324 DALLAS TX 752676324 LABORATORY SERV 885457 OKC AREA INDIAN HEALTH SERVICE PO BOX 14175 OKLAHOMA CITY OK 73113 HEALTH SERVICES 577861 HOGAN TAYLOR TECHNOLOGY PO BOX 680 LOWELL AR 72745 CONSULTANTS 571575 MODERN EYES LTD 423 SW 11TH STREET LAWTON OK 73501 HEALTH SERVICES 250765 TRAVIS VOICE DATA PO BOX 1057 COWETA OK 74429 COMMUNICATIONS 217030 15 16888534 1254750 1254750 18143284 MEDICAID INCOME 621400 26491010 26491010 MEDICAID INCOME - PHARMACY 621400 24819258 24819258 PRIVATE INSURANCE - PHARMACY 621400 5786451 5786451 PRIVATE INSURANCE 621400 3992247 3992247 MISCELLANEOUS 621400 139824 139824 35934 35934 61264724 1731765 1731765 31414 31414 31414 31414 256539 116526 140013 140013 81311200 61264724 1903192 10661450 10661450 2956827 2185587 771240 24839885 18360808 6479077 8507406 6338411 2168995 48701 2611 46090 26000 1394 24606 2622080 1514736 1107344 233274 201208 32066 810060 402862 407198 329242 164621 164621 1171240 427688 743552 408135 268806 139329 1826 1575 251 316774 4718 312056 1993189 1712991 280198 820620 375875 444745 REPAIRS & MAINTENANCE 1064950 748583 316367 SMALL GRANTS 583410 503211 80199 ASSISTANCE FUND 381932 329430 52502 SPECIAL PROGRAMS 266924 230231 36693 111400 96088 15312 58155325 44532884 13622441 0 33292962 23555070 30035729 490020 388506 3783435 3510042 293886 349097 340207 897354 35976310 9032030 27340634 26944280 70927 1298655 58223 2451583 65670294 89430316 3355349 4575868 13296169 13213343 8283460 7734816 24934978 25524027 X 40480577 63803387 254739 102902 40735316 63906289 65670294 89430316 X 23155875 15080 -22346 22364 X false true X true true true X 13019188 14926656 24250842 25995564 18143284 96335534 13019188 14926656 24250842 25995564 18143284 96335534 96335534 560008 492782 7167 132535 1763179 2955671 139013 139013 42600 43500 86100 99516318 61264724 0.96800 0.97920 X PART II, LINE 10 OTHER INCOME 86,100 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1948418 1948418 24647626 3433762 21213864 9380266 5598268 3781998 26944280 X 81442807 15080 116527 131607 81311200 81311200 58249488 116526 116526 58132962 22363 22363 58155325 SCHEDULE D, PAGE 3, PART X THE CLINIC'S APPLICATION OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THEY HAVE NO MATERIAL UNRECOGNIZED UNCERTAIN TAX POSITIONS. SCHEDULE D, PAGE 4, PART XI, LINE 2D FUNDRAISING EXPENSES 116,526 ROUNDING 1 SCHEDULE D, PAGE 4, PART XII, LINE 2D FUNDRAISING EXPENSES 116,526 SCHEDULE D, PAGE 4, PART XII, LINE 4B DEPRECIATION 22,363 RED FEATHER GAL 256539 256539 991 51890 5350 58295 256539 256539 991 51890 5350 58295 116526 140013 true MEDICAL SUPPLIES/SERVICES 17060 10661450 COST MEDICAL SERVICE SCHEDULE I, PAGE 4, PART IV PATIENTS ARE PRE-QUALIFIED TO RECEIVE SERVICES AND ASSITANCE BY THE ORGANZIATON. NO FURTHER MONITORING OF ASSISTANCE PROVIDED IS CONSIDERED NECESSARY. X X X false true false false false false false false false ROBYN R SUNDAY-ALLEN CEO 473951 1075 23751 19213 517990 LYSA M ROSS COO 243084 1075 36624 19213 299996 CHRIS K VAN ESS CFO 249350 1075 37563 19213 307201 DAVID A TOAHTY CDO 144303 1137 7272 6695 159407 MONICA KRIENKE CHRO 224437 1075 33827 12940 272279 DR HAZEL A LONEWOLF CQO 160053 1069 24168 19213 204503 DR JANICE K HIXSON CMO 311248 1075 15616 19213 347152 DR MAX BURCHETT JR CIO 178258 1069 8966 16077 204370 DR TYLER S FREEMAN PHYSICIAN 279554 28075 15381 19213 342223 DR PAUL S DASARI PHYSICIAN 223896 24075 12399 19213 279583 JENNIFER PHAM PHARMACY DIRECTOR 167542 1069 8431 19213 196255 DR BROOKE N FRANTZ PHYSICIAN 250867 28075 13947 6695 299584 DR JIN KONG PHYSICIAN 270957 1075 13602 19213 304847 DR NACASIO S GUTIERREZ PHYSICIAN 262237 1075 13166 12940 289418 DR ZANE D HARVEY PHYSICIAN 241254 5575 12341 12418 271588 DR MOIRA A REDCORN PHYSICIAN 244718 1075 12290 12940 271023 SCHEDULE J, PAGE 1, PART I, LINE 4 LYSA M. ROSS 0 24,416 0 CHRIS K. VAN ESS 0 25,042 0 MONICA KRIENKE 0 22,551 0 DR. HAZEL A. LONEWOLF 0 16,112 0 SCHEDULE J, PART III THE CLINIC MAINTAINS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHERE THE ABOVE LISTED EMPLOYEES EARNED THE STATED DEFERRED COMPENSATION. THESE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. X MEDICAL DEVICES 1 1254750 ESTIMATED FMV false false false FORM 990, PAGE 6, PART VI, LINE 4 THE CLINIC FILED A RESTATED ARTICLES OF INCORPORATION TO CHANGE TO A PERPETUAL LIFE FROM THE ORGINIAL THAT WAS CREATED AND FILED AND LIMITED THE ORGANIZATIONS LIFE TO 50 YEARS. FORM 990, PAGE 6, PART VI, LINE 11B MANAGEMENT PERFORMS A DETAILED REVIEW OF THE FORM 990 AND HAS ACCESS TO THE UNDERLYING DATA SO THAT IT CAN VERIFY THE INFORMATION ON THE 990. EACH BOARD MEMBER IS GIVEN A DRAFT COPY OF THE 990 PRIOR TO ITS FILING. FORM 990, PAGE 6, PART VI, LINE 12C ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS PROVIDES DOCUMENTATION IN REFERENCE TO ANY POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE MANANGEMENT HAS MEETINGS WITH THE SUPERVISORS AND KEY EMPLOYEES TO DISCUSS AND ENSURE COMPLIANCE WITH THE CLINIC'S CONFLICT OF INTEREST POLICY. FORM 990, PAGE 6, PART VI, LINE 15A COMPARABILITY DATA AND A SALARY SURVEY WAS UTILIZED IN DETERMINING THE COMPENSATION FOR THE KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 15B COMPARABILITY DATA AND A SALARY SURVEY WAS UTILIZED IN DETERMINING THE COMPENSATION FOR THE KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMMENTS, AND OTHER INFORMATION IS MADE AVAILABLE TO THE PUBLIC VIA A WRITTEN REQUEST TO THE CHIEF EXECUTIVE OFFICER OR BOARD CHAIR. FORM 990, PART XI, LINE 9 FUNDRAISING EXPENSES 116,526 ROUNDING 1 FUNDRAISING EXPENSES -116,526 DEPRECIATION 22,363 TOTAL 22,364