Civic Intelligence

Adair County Health Center Inc

EIN 73-0977997 • 501(c)3 • Stilwell, OK

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Profile

To serve the community with respect to providing health care services and health care education through the operation of hospital(s), clinic(s) and other such facilities as are necessary and useful in providing care, treatment and rehabilitation for the sick, injured, aged and infirm without regard to race, color, national origin or financial status. Stilwell memorial hospital provides quality health care regardless of race, creed, sex national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of stilwell memorial hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing health care services and health care education. Therefore, in keeping with this hospital's commitment to serve all members of its community: * free care and/or subsidized care, * care provided to persons cover

PO Box 272Stilwell, OK 74960

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

91st percentile

0.93x

Higher debt load relative to assets than 91% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

66th percentile

0.42x

Higher debt load relative to revenue than 66% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

14th percentile

-14%

Higher net margin than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

88th percentile

$433,618

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 1.8% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

33rd percentile

-0.2%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

18th percentile

-11%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets91st percentile

Assets

Down

$11,044,330

Down $26,756 (-0.2%) from 2023

Liabilities

Up

$10,230,813

Up $3,419,726 (+50%) from 2023

Net Assets

Down

$813,517

Down $3,446,482 (-81%) from 2023

Operations
Liabilities / Revenue66th percentileNet Margin14th percentile

Revenue

Down

$24,216,252

Down $3,032,105 (-11%) from 2023

Expenses

Down

$27,662,734

Down $1,718,697 (-5.8%) from 2023

Net Income

Down

-$3,446,482

Down $1,313,408 (-62%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth33rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $12,560,065Liabilities 2010: $790,855Net Assets 2010: $11,769,2102010Assets 2011: $13,574,472Liabilities 2011: $1,003,005Net Assets 2011: $12,571,4672011Assets 2012: $14,689,471Liabilities 2012: $1,047,420Net Assets 2012: $13,642,0512012Assets 2013: $15,471,878Liabilities 2013: $1,932,973Net Assets 2013: $13,538,9052013Assets 2014: $15,156,409Liabilities 2014: $1,923,617Net Assets 2014: $13,232,7922014Assets 2015: $14,678,173Liabilities 2015: $1,857,557Net Assets 2015: $12,820,6162015Assets 2016: $14,340,373Liabilities 2016: $1,899,886Net Assets 2016: $12,440,4872016Assets 2017: $13,323,443Liabilities 2017: $1,825,384Net Assets 2017: $11,498,0592017Assets 2018: $15,263,715Liabilities 2018: $3,650,051Net Assets 2018: $11,613,6642018Assets 2019: $15,621,372Liabilities 2019: $4,152,574Net Assets 2019: $11,468,7982019Assets 2020: $15,530,873Liabilities 2020: $7,225,195Net Assets 2020: $8,305,6782020Assets 2021: $15,179,631Liabilities 2021: $7,164,118Net Assets 2021: $8,015,5132021Assets 2022: $8,896,363Liabilities 2022: $2,503,290Net Assets 2022: $6,393,0732022Assets 2023: $11,071,086Liabilities 2023: $6,811,087Net Assets 2023: $4,259,9992023Assets 2024: $11,044,330Liabilities 2024: $10,230,813Net Assets 2024: $813,5172024

Highlighted filing

2024

Assets$11,044,330
Liabilities$10,230,813
Net Assets$813,517
Open 2024 Filing

Operations Trend

Revenue Growth18th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MExpenses 2010: $27,561,4182010Expenses 2011: $31,936,5642011Expenses 2012: $33,902,5072012Expenses 2013: $31,797,4472013Revenue 2014: $32,970,672Expenses 2014: $33,276,785Net Income 2014: -$306,1132014Revenue 2015: $33,964,047Expenses 2015: $34,376,223Net Income 2015: -$412,1762015Revenue 2016: $36,521,459Expenses 2016: $36,901,588Net Income 2016: -$380,1292016Revenue 2017: $36,364,176Expenses 2017: $37,306,604Net Income 2017: -$942,4282017Revenue 2018: $37,518,257Expenses 2018: $37,402,652Net Income 2018: $115,6052018Revenue 2019: $37,087,631Expenses 2019: $37,232,497Net Income 2019: -$144,8662019Revenue 2020: $31,483,045Expenses 2020: $34,646,165Net Income 2020: -$3,163,1202020Revenue 2021: $32,772,276Expenses 2021: $33,062,441Net Income 2021: -$290,1652021Revenue 2022: $31,176,971Expenses 2022: $32,799,411Net Income 2022: -$1,622,4402022Revenue 2023: $27,248,357Expenses 2023: $29,381,431Net Income 2023: -$2,133,0742023Revenue 2024: $24,216,252Expenses 2024: $27,662,734Net Income 2024: -$3,446,4822024

Highlighted filing

2024

Revenue$24,216,252
Expenses$27,662,734
Net Income-$3,446,482
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$11,044,330
Liabilities
$10,230,813
Net assets
$813,517
Revenue
$24,216,252
Expenses
$27,662,734
Net income
-$3,446,482
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.0$10.2$0.81$24.2$27.7$3.45
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.1$6.81$4.26$27.2$29.4$2.13
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.90$2.50$6.39$31.2$32.8$1.62
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.2$7.16$8.02$32.8$33.1$0.29
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.5$7.23$8.31$31.5$34.6$3.16
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.6$4.15$11.5$37.1$37.2$0.14
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.3$3.65$11.6$37.5$37.4$0.12
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.3$1.83$11.5$36.4$37.3$0.94
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.3$1.90$12.4$36.5$36.9$0.38
2015Detailed filing. Detailed filing data is available for this year.$14.7$1.86$12.8$34.0$34.4$0.41
2014Detailed filing. Detailed filing data is available for this year.$15.2$1.92$13.2$33.0$33.3$0.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$1.93$13.5$31.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.7$1.05$13.6$33.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.6$1.00$12.6$31.9
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.6$0.79$11.8$27.6
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 15, 2023
Return Version
2021v4.2
Gross Receipts
$31,176,971
Mission and Program Overview

Mission

To serve the community with respect to providing health care services and health care education through the operation of hospital(s), clinic(s) and other such facilities as are necessary and useful in providing care, treatment and rehabilitation for the sick, injured, aged and infirm without regard to race, color, national origin or financial status. Stilwell memorial hospital provides quality health care regardless of race, creed, sex national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of stilwell memorial hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing health care services and health care education. Therefore, in keeping with this hospital's commitment to serve all members of its community: * free care and/or subsidized care, * care provided to persons cover

To serve the community with respect to providing health care services and health care education.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,841,562$3,993,162▼ $848,400
Accounts Receivable$7,721,635$3,200,538▼ $4,521,097
Inventories for Sale or Use$1,494,151$550,623▼ $943,528
Cash and Non-Interest-Bearing Accounts$184,534$470,992▲ $286,458
Savings and Temporary Cash Investments$250,182$72,005▼ $178,177
Prepaid Expenses and Deferred Charges$74,267$50,000▼ $24,267
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$15,179,631$8,896,363▼ $6,283,268
Other Assets Total$613,300$559,043▼ $54,257
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,821,571$1,452,607▼ $4,368,964
Accounts Payable and Accrued Expenses$1,342,547$1,050,683▼ $291,864
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$7,164,118$2,503,290▼ $4,660,828
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,015,513$6,393,073▼ $1,622,440
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$8,015,513$6,393,073▼ $1,622,440
Total Liabilities and Net Assets / Fund Balance$15,179,631$8,896,363▼ $6,283,268

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$301,402$11,011,821$11,313,223
Buildings$3,500,404$4,338,324$7,838,728
Other Land Buildings$119,206$201,661$320,867
Land$72,150-$72,150
Other Assets Org$35,743--
Compensation and Service Providers
Top Officer Pay88th percentile

Employees

NameTitleBaseOtherTotal
Dr Wojciech DulowskiPhysician$190,000$348,769$538,769
Dr Vikrant L LandgePhysician$450,008-$450,008
Dr Jeffrey JenkinsPhysician$190,000$236,994$426,994
Drdavid M PeyokPhysician$269,772-$269,772
Anastasia D DerousselNurse Practitioner$266,092-$266,092
Daniel BradleyPresident$146,538-$146,538
James W CausonVice President$140,000-$140,000

Board Members and Trustees

NameTitle
Jim F CarsonChairman

Highest Paid Contractors

ContractorServicesLocationCompensation
Medsphere Systems CorporationEmr1903 WRIGHT PLACE STE 120, Carlsbad, CA 92008$617,520
Emergency Staffing SolutionsEr StaffingP O BOX 222030, Dallas, TX 75222-2030$425,306
Hospital Care ConsultantsHospitalist StaffingP O BOX 222030, Dallas, TX 75222-2030$260,208
Revenue and Support

Revenue Composition

Contributions and Grants
$250,000
Program Service Revenue
$30,926,416
Investment Income
$555
Other Revenue
$0
All Other Contributions
$250,000
Change in Net Assets
$-1,622,440

Audited Revenue Reconciliation

Revenue per Audited Statements
$16,044,531
Revenue Not Reported on Financial Statements
$15,132,440
Other Revenue Adjustments
$15,132,440
Total Revenue per Audited Statements
$16,044,531
Total Revenue per Form 990
$31,176,971
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$22,361,778
Salaries, Compensation, and Employee Benefits$10,437,633
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,352,865$606,276-$8,959,141
All Other Expenses$2,552,759--$2,552,759
Depreciation Depletion$848,400--$848,400
Other Expenses$795,088$104,139-$795,088
Payroll Taxes$549,239$58,707-$607,946
Other Employee Benefits$527,612$56,395-$584,007
Current Officers, Directors, Trustees, and Key Employees-$286,539-$286,539
Fees for Services Accounting-$88,835-$88,835
Fees for Services Legal-$52,739-$52,739
Travel$13,088$58-$13,146
Total Functional Expenses$31,545,723$1,253,688$0$32,799,411

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$32,799,411
Expenses per Audited Statements$17,666,971
Total Expenses per Audited Statements$17,666,971
Expenses Not Reported on Financial Statements$15,132,440
Other Expense Adjustments$15,132,440
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Adair County Health Center Inc
EIN
73-0977997
In Care Of
% STILWELL MEMORIAL HOSPITAL
Phone
9186963101
Address
PO BOX 272, STILWELL, OK 74960

Signing Officer

Name
James Causon
Title
President & CEO
Phone
9186963101
Signed
2023-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James W Causon
Formed
1975
Legal Domicile
Ok
Voting Board Members
2
Independent Board Members
0
Employees
286

Preparer

Firm
CAUSON & WESTHOFF CPA'S
Address
15 W 6th St Ste 2310, TULSA, OK 74119
Phone
9183827000
Supplemental Narrative

Additional Explanations

1

“The organization does not make governing documents or financial statements available to the public. The organization does make form 990 available to the public upon written request to the administrative offices located at 1401 w. Locust, stilwell, ok 74960.”

Financial Statement Notes

CONTRACTUAL ALLOWANCES $ 15,132,440

“Contractual allowances $ 15,132,440”

Raw XML AppendixShowing 400 of 653 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsReceivableGrp/BOYAmt07721635
IRS990/AccountsReceivableGrp/EOYAmt03200538
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0To serve the community with respect to providing health care services and health care education.
IRS990/AdvertisingGrp/TotalAmt00
IRS990/AllOtherContributionsAmt0250000
IRS990/AllOtherExpensesGrp/ProgramServicesAmt02552759
IRS990/AllOtherExpensesGrp/TotalAmt02552759
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IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0STILWELL MEMORIAL HOSPITAL
IRS990/BooksInCareOfDetail/PhoneNum09186963101
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 272
IRS990/BooksInCareOfDetail/USAddress/CityNm0STILWELL
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IRS990/BooksInCareOfDetail/USAddress/ZIPCd074960
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IRS990/ContractorCompensationGrp/CompensationAmt0617520
IRS990/ContractorCompensationGrp/CompensationAmt1425306
IRS990/ContractorCompensationGrp/CompensationAmt2260208
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IRS990/ContractorCompensationGrp/ContractorName/PersonNm0MEDSPHERE SYSTEMS CORPORATION
IRS990/ContractorCompensationGrp/ContractorName/PersonNm1EMERGENCY STAFFING SOLUTIONS
IRS990/ContractorCompensationGrp/ContractorName/PersonNm2HOSPITAL CARE CONSULTANTS
IRS990/ContractorCompensationGrp/ServicesDesc0EMR
IRS990/ContractorCompensationGrp/ServicesDesc1ER STAFFING
IRS990/ContractorCompensationGrp/ServicesDesc2HOSPITALIST STAFFING
IRS990/CostOfGoodsSoldAmt00
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0250000
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0555
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IRS990/CYOtherRevenueAmt00
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IRS990/CYSalariesCompEmpBnftPaidAmt010437633
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IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
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IRS990/DAFExcessBusinessHoldingsInd0false
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IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0848400
IRS990/DepreciationDepletionGrp/TotalAmt0848400
IRS990/Desc0Stilwell Memorial Hospital provides quality health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Stilwell Memorial Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing health care services and health care education. Therefore, in keeping with this Hospital's commitment to serve all members of its community: * Free care and/or subsidized care, * Care provided to persons covered by government programs at below cost, and * Health care activities and programs to support the community will be considered where the need and/or and individual's inability to pay coexists. These activities will include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Stilwell Memorial Hospital served over 1,000 patients, over 6,600 emergency room visits, 1,400 home health care visits, and provided the equivalent of more than 1,900 patient days during the year ended June 30, 2022. Stilwell Memorial Hospital provides care to persons covered by governmental programs at below cost, recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent reimbursement is below cost, Stilwell Memorial Hospital recognizes these amounts as charity care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients is $15,132,440. Also, in recognizing its mission to the community, Stilwell Memorial Hospital provides services for those unable to pay. These services are unreimbursed to the Hospital and the unreimbursed value of providing care to these patients is $1,672,154, of this $837,201 is identified as charity care and $834,953 is specified as bad debts. Charity care is also provided through many reduced price services and free programs throughout the year. These programs and services are chosen to meet legitimate community health center needs. The following listing of activities provides a sample of the types of programs and services offered to our community. Home health and Hospital employees donated and collected enough perishable and nonperishable food items to fill and distribute approximately 90 food baskets to needy families, impacting the lives of nearly 400 individuals. The home health care department has also performed complimentary assessments and free visits as a part of their mission to the community. Free assistance is offered to patients by the business office employees, so patients may complete billing forms accurately. The Hospital participates in a providing various tests and procedures at reduced prices or at no cost to the public. Such tests include, but are not limited to, prostate exams, colorectal exams, cholesterol and blood pressure checks. Hospital employees speak publicly to various groups regarding a variety of health care topics. Others are members of local civic groups and participate in community activities thereby helping to promote proper health care throughout the community. Hospital employees annually give of their time and expertise to organize and coordinate reduced cost physicals for local youths, so they may participate in athletic events. Hospital employees have adopted a section of State Highway 100 West and regularly participate in the Oklahoma Department of Transportation's "Adopt-A-Highway" program which contributes toward the effort of maintaining litter-free Oklahoma highways. Other community services in which Hospital employees participate are: the American Cancer Society's Relay for Life, which through various fund raising events employees raised and contributed more than $7,000 to nine different relief/recovery/rebuild needs for the fis
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