Liabilities / Assets
71st percentile
Higher debt load relative to assets than 71% of similar nonprofits.
Purcell Municipal Hospital
EIN 73-0790960 • 501(c)3 • Purcell, OK
Profile
To enrich the health and lives of those we serve through individualized, compassionate and exceptional care.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.41x
Liabilities / Revenue
54th percentile
Higher debt load relative to revenue than 54% of similar nonprofits.
Net Margin
60th percentile
Higher net margin than 60% of similar nonprofits.
Top Officer Pay
39th percentile
Higher top officer pay than 39% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
74th percentile
Faster asset growth than 74% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Balance Sheet
Assets
Up$9,506,068
Up $1,119,862 (+13%) from 2020
Liabilities
Down$3,944,156
Down $463,343 (-11%) from 2020
Net Assets
Up$5,561,912
Up $1,583,205 (+40%) from 2020
Revenue
Up$15,513,649
Up $1,751,126 (+13%) from 2020
Expenses
Down$14,072,340
Down $367,477 (-2.5%) from 2020
Net Income
Up$1,441,309
Up $2,118,603 (+313%) from 2020
Trend Graphs
Filings
Most recent year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $9,506,068
- Liabilities
- $3,944,156
- Net assets
- $5,561,912
- Revenue
- $15,513,649
- Expenses
- $14,072,340
- Net income
- $1,441,309
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2020 to Jun 30, 2021
- Signed
- May 15, 2022
- Return Version
- 2020v4.1
- Gross Receipts
- $15,513,649
Mission and Program Overview
Mission
To enrich the health and lives of those we serve through individualized, compassionate and exceptional care.
To provide short-term acute health care to the citizens of purcell, oklahoma and surrounding area.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $4,124,798 | $4,047,185 | ▼ $77,613 |
| Land, Buildings, and Equipment, Net | $2,408,527 | $2,242,508 | ▼ $166,019 |
| Accounts Receivable | $1,478,886 | $1,603,596 | ▲ $124,710 |
| Cash and Non-Interest-Bearing Accounts | $0 | $1,029,650 | ▲ $1,029,650 |
| Prepaid Expenses and Deferred Charges | $44,328 | $98,953 | ▲ $54,625 |
| Inventories for Sale or Use | $44,363 | $62,598 | ▲ $18,235 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $8,386,206 | $9,506,068 | ▲ $1,119,862 |
| Other Assets Total | $285,304 | $421,578 | ▲ $136,274 |
| Liabilities | |||
| Deferred Revenue | $2,059,547 | $0 | ▼ $2,059,547 |
| Other Liabilities | $0 | $1,588,973 | ▲ $1,588,973 |
| Mortgage Notes Payable Secured by Investment Property | $360,819 | $1,450,643 | ▲ $1,089,824 |
| Unsecured Notes Loans Payable | $991,500 | $0 | ▼ $991,500 |
| Accounts Payable and Accrued Expenses | $995,633 | $904,540 | ▼ $91,093 |
| Grants Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $4,407,499 | $3,944,156 | ▼ $463,343 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $3,978,707 | $5,561,912 | ▲ $1,583,205 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $3,978,707 | $5,561,912 | ▲ $1,583,205 |
| Total Liabilities and Net Assets / Fund Balance | $8,386,206 | $9,506,068 | ▲ $1,119,862 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $935,324 | $4,449,931 | $5,385,255 |
| Buildings | $1,184,625 | $4,080,710 | $5,265,335 |
| Leasehold Improvements | $97,873 | $974,641 | $1,072,514 |
| Other Land Buildings | $2,500 | $42,221 | $44,721 |
| Land | $22,186 | - | $22,186 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kem Scully | CEO | FT | $137,369 | $17,648 | $155,017 |
| Tonja Shandy | Physician Assistant | FT | $125,669 | $16,806 | $142,475 |
| Mary a Morris | CFO | FT | $69,412 | $7,392 | $76,804 |
Board Members and Trustees
| Name | Title |
|---|---|
| David Shirley | Board Chair |
| Justin Blankenship | Vice-chair |
| Tammy Powell | Trustee |
| Trey Smith | Trustee |
| Todd Clouse | Secretary |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Emcare Physician Services | Er Physician Cvg | 7032 COLLECTION CENTER DRIVE, Chicago, IL 60693 | $1,024,751 |
| Picis Clinical Solutions INC | Outsourced Billing | 33313 COLLECTION CENTER DRIVE, Chicago, IL 60693-0333 | $339,971 |
| Ssmok | Software And Support | 777 NW 63RD STREET SUITE 417, Oklahoma City, OK 76116 | $173,354 |
| Native Investments Ltd Co | Equipment Rental | PO BOX 215, Elmore City, OK 73433 | $162,202 |
| St Anthony Hospital | Nuc Med/telehealth | PO BOX 205, Oklahoma City, OK 73101 | $122,227 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $2,102,193
- Program Service Revenue
- $13,371,862
- Investment Income
- $14,420
- Other Revenue
- $25,174
- Change in Net Assets
- $1,441,309
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $15,513,649
- Revenue Not Reported on Form 990
- $-2,305,318
- Total Revenue per Audited Statements
- $13,208,331
- Total Revenue per Form 990
- $15,513,649
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $8,858,197 |
| Salaries, Compensation, and Employee Benefits | $5,214,143 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,736,317 | $342,643 | - | $4,078,960 |
| Fees for Services Other | $2,502,395 | $640,289 | - | $3,142,684 |
| Office Expenses | $1,408,054 | $16,399 | - | $1,424,453 |
| Depreciation Depletion | $73,856 | $367,435 | - | $441,291 |
| Other Employee Benefits | $384,577 | $46,214 | - | $430,791 |
| Occupancy | $326,239 | $59,859 | - | $386,098 |
| Payroll Taxes | $296,639 | $49,913 | - | $346,552 |
| Current Officers, Directors, Trustees, and Key Employees | - | $231,821 | - | $231,821 |
| Insurance | $146,343 | $26,852 | - | $173,195 |
| Information Technology | $137,826 | $25,289 | - | $163,115 |
| Comp Disqual Persons | $122,724 | - | - | $122,724 |
| All Other Expenses | $26,772 | $30,164 | - | $56,936 |
| Other Expenses | $35,067 | $7,899 | - | $42,966 |
| Fees for Services Accounting | - | $39,600 | - | $39,600 |
| Fees for Services Legal | - | $27,142 | - | $27,142 |
| Interest | $15,065 | - | - | $15,065 |
| Advertising | $6,109 | $7,448 | - | $13,557 |
| Conferences and Meetings | $2,827 | $1,694 | - | $4,521 |
| Travel | $3,694 | $200 | - | $3,894 |
| Pension Plan Contributions | - | $3,295 | - | $3,295 |
| Fees for Services Lobbying | - | $2,199 | - | $2,199 |
| Total Functional Expenses | $12,145,985 | $1,926,355 | $0 | $14,072,340 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $14,072,340 |
| Expenses per Audited Statements | $11,767,022 |
| Total Expenses per Audited Statements | $11,767,022 |
| Expenses Not Reported on Financial Statements | $2,305,318 |
| Other Expense Adjustments | $2,305,318 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Brittany Scully | Daughter in Law of CEO | Employee Compensation and Bene | No | $85,081 |
| Susie Thrash | Daughter of CFO | Employee Compensation and Bene | No | $37,643 |
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Est Amounts Due to 3rd Party Payers | $1,588,973 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- Yes
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 7A
“Power to elect or appoint members of the governing body: all board members are approved and appointed by purcell public works authority.”
Form 990, Part VI, Section A, Line 7B
“Governance decisions: no member of the board shall, without the prior written consent of purcell pulic works authority: (a) enter into any contract with the board or the authority relating in any manner to the hospital; or (b) profit in any manner, directly or indirectly, by reason of membership on the board; or (c) be eligible for employment by the board or the authority within two years after expiration of the term for which such member was appointed.”
Form 990, Part VI, Section A, Line 8B
“Authority to act on behalf of governing body: no committees are able to act on behalf of the board.”
Form 990, Part VI, Section B, Line 11B
“Review of form 990: the form 990 is provided to the board of directors prior to filing. The ceo & cfo review the 990 with the hospital's auditor to ensure its accuracy.”
Form 990, Part VI, Section B, Line 12C
“Conflict of interest policy: at the beginning of each calendar year, board members and officers are required to complete a conflict of interest statement and disclose all possible conflicts of interest. These are reviewed and if a conflict arises the board member with the conflict would not vote on the matter and may be asked to leave the meeting. If the agenda to be voted on concerns ssm and the affiliation, the ssm member will not vote.”
Form 990, Part VI, Section B, Line 15A
“Determining ceo compensation: compensation for the ceo is reviewed annually and determined by the board of directors. Multiple resources are used as comparable data. Wage comparisons reported by the oklahoma hospital association are used most often. These comparisons use various criteria including bed size, number of employees and revenue category. The process is documented in the personnel file and compensation is reported in the board minutes.”
Form 990, Part VI, Section C, Line 19
“Public availability: any governing document, conflict of interest statement, and financial statements are available to the public upon request.”
Form 990, Part VI, Section B, Line 15B
“Determining compensation of other officers: the compensation of the other officers are determined by a compensation team and the review is documented within the human resource files.”
Filing and Contact Details
Filer
- Filer Name
- Purcell Municipal Hospital
- EIN
- 73-0790960
- In Care Of
- % MARY A MORRIS
- Phone
- 4055276524
- Address
- 1500 North Green Avenue, Purcell, OK 73080
Signing Officer
- Name
- Chris Wright
- Title
- CEO
- Phone
- 4055276524
- Signed
- 2022-05-15
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Chris Wright
- Formed
- 1970
- Legal Domicile
- Ok
- Voting Board Members
- 5
- Independent Board Members
- 5
- Employees
- 150
- Volunteers
- 6
Preparer
- Firm
- Bkd Llp
- Address
- 110 N Elgin Ave Suite 400, Tulsa, OK 74120-1490
- Preparer
- Jeanette Verrelli
- Phone
- 9185842900
Supplemental Narrative
Additional Explanations
Form 990, Part XI, Line 8
“PRIOR PERIOD ADJUSTMENT: In prior years, the Hospital did not record the Hospital's investment in equity investee. In 2021, the Hospital retroactively changed its accounting method to record the Hospital's investment in Tecumseh. This change did not have a material impact on previously reported change in net position for the year ended June 30, 2020. An adjustment of $141,896 applicable to 2020 and prior has been included in the restated 2021 beginning net position.”
Form 990 Part IX Line 11G
“Description:physician fees total fees:1478361”
Form 990 Part IX Line 11G
“Description:reference labs total fees:457115”
Form 990 Part IX Line 11G
“Description:professional component total fees:209654”
Form 990 Part IX Line 11G
“Description:other purchased services total fees:291037”
Form 990 Part IX Line 11G
“Description:consulting & management total fees:118745”
Form 990 Part IX Line 11G
“Description:contract labor total fees:85566”
Form 990 Part IX Line 11G
“Description:collection services total fees:502206”
Financial Statement Notes
Form 990, Schedule D, Part X, Line 2
“Asc 740 footnote: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
Form 990, Schedule D, Part XI, Line 2
“Reconciliation of Revenue per Audited Financial Statements with Return: Bad Debt Expense ($2,290,253) Interest Expense ($15,065) ------------- Total ($2,305,318)”
Form 990, Schedule D, Part XII, Line 4
“Reconciliation of Expenses per Audited Financial Statements with Return: Bad Debt Expense $2,290,253 Interest Expense $15,065 -------------- Total $2,305,318”
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| IRS990/Desc | 0 | THE HOSPITAL IS A 39-BED ACUTE CARE HOSPITAL LOCATED IN THE CITY OF PURCELL, OKLAHOMA. THE HOSPITAL IS LEASED FROM THE CITY OF PURCELL, OKLAHOMA TO THE PURCELL PUBLIC WORKS AUTHORITY. THE HOSPITAL WAS CREATED UNDER THE LAWS OF THE STATE OF OKLAHOMA AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3). THE HOSPITAL PROVIDES SHORT-TERM ACUTE HEALTH AND EMERGENCY CARE TO THE CITIZENS OF PURCELL, OKLAHOMA AND SURROUNDING COMMUNITIES REGARDLESS OF ABILITY TO PAY. WE OFFER A MEDICAL CLINIC AND SPECIALTY CLINIC TO MAKE ACCESS TO SPECIALISTS MORE CONVENIENT FOR THE COMMUNITY. EYE SURGERY, PAIN MANAGEMENT, SCOPES AND GENERAL SURGERY ARE PERFORMED IN OUR FACILITY. OUR FACILITY CAN ALSO FULFILL THE NEEDS OF SWING BEDS AND OBSERVATION STAYS. THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SINCE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. |
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| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 12145985 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 39600 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 39600 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 27142 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 27142 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 2199 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 2199 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 640289 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2502395 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3142684 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 16958 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 16806 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 7392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KEM SCULLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TONJA SHANDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARY A MORRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DAVID SHIRLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JUSTIN BLANKENSHIP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | TODD CLOUSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TAMMY POWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TREY SMITH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 138059 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 125669 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 69412 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | VICE-CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1970 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 11023 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 2102193 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 11023 |
| IRS990/GrossReceiptsAmt | 0 | 15513649 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 25289 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 137826 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 163115 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 26852 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 146343 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 173195 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 15065 |
| IRS990/InterestGrp/TotalAmt | 0 | 15065 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 44363 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 62598 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3397 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3397 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 52 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9547503 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2408527 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 2242508 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 11790011 |
| IRS990/LegalDomicileStateCd | 0 | OK |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO ENRICH THE HEALTH AND LIVES OF THOSE WE SERVE THROUGH INDIVIDUALIZED, COMPASSIONATE AND EXCEPTIONAL CARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 360819 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1450643 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 3978707 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5561912 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 11023 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 11023 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 3978707 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5561912 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 59859 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 326239 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 386098 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 16399 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1408054 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1424453 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 285304 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 421578 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 46214 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 384577 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 430791 |
| IRS990/OtherExpensesGrp/Desc | 0 | Bad Debt Expense |
| IRS990/OtherExpensesGrp/Desc | 1 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 2 | Repairs and Maintenance |
| IRS990/OtherExpensesGrp/Desc | 3 | Licenses & Taxes |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 7899 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2290253 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 463240 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 167988 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 35067 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2290253 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 463240 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 167988 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 42966 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1588973 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722210 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 561000 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | CAFETERIA SALES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MEDICAL RECORDS REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | Miscellaneous Income |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 6381 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2652 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 16141 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 6381 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 2652 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 16141 |
| IRS990/OtherRevenueTotalAmt | 0 | 25174 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 342643 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3736317 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 4078960 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 49913 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 296639 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 346552 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 3295 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 3295 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 44328 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 98953 |
| IRS990/PrincipalOfficerNm | 0 | Chris Wright |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 141896 |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 531120 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Service Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | CITY APPROPRIATIONS |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | CLINIC RENT |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 11900718 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 1391342 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 79802 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 11900718 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 1391342 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 79802 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 10206 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 5431 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 9259150 |
| IRS990/PYOtherRevenueAmt | 0 | 80378 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 13666508 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -677294 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 5180667 |
| IRS990/PYTotalExpensesAmt | 0 | 14439817 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 13762523 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1441309 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
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