Civic Intelligence

Bristow Memorial Hospital Foundation

EIN 73-1207848 • 501(c)3 • Bristow, OK

Profile

The main purpose of the foundation is to equip and maintain the bristow memorial hospital for the ongoing care and treatment of the sick and injured.

700 W 7th Street Suite 6Bristow, OK 74010

none

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

94th percentile

69%

Higher net margin than 94% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

45th percentile

-7.1%

Faster revenue growth than 45% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $631,571 (-100%) from 2016

Liabilities

Down

$0

Down $20 (-100%) from 2016

Net Assets

Down

$0

Down $631,551 (-100%) from 2016

Operations
Liabilities / Revenue62nd percentileNet Margin94th percentile

Revenue

Down

$111,297

Down $8,457 (-7.1%) from 2016

Expenses

Up

$34,993

Up $7,212 (+26%) from 2016

Net Income

Down

$76,304

Down $15,669 (-17%) from 2016

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$1.0M$500K$0Assets 2010: $891,510Liabilities 2010: $0Net Assets 2010: $891,5102010Assets 2011: $643,060Liabilities 2011: $20Net Assets 2011: $643,0402011Assets 2012: $545,804Liabilities 2012: $20Net Assets 2012: $545,7842012Assets 2013: $533,688Liabilities 2013: $20Net Assets 2013: $533,6682013Assets 2014: $540,262Liabilities 2014: $20Net Assets 2014: $540,2422014Assets 2015: $539,598Liabilities 2015: $20Net Assets 2015: $539,5782015Assets 2016: $631,571Liabilities 2016: $20Net Assets 2016: $631,5512016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0
Open 2017 Filing

Operations Trend

Revenue Growth45th percentile

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

$400K$200K$0-$200K-$400KExpenses 2010: $33,1512010Revenue 2011: $64,812Expenses 2011: $312,369Net Income 2011: -$247,5572011Revenue 2012: $5,660Expenses 2012: $102,916Net Income 2012: -$97,2562012Revenue 2013: $11,134Expenses 2013: $23,250Net Income 2013: -$12,1162013Revenue 2014: $29,235Expenses 2014: $22,663Net Income 2014: $6,5722014Revenue 2015: $23,673Expenses 2015: $24,337Net Income 2015: -$6642015Revenue 2016: $119,754Expenses 2016: $27,781Net Income 2016: $91,9732016Revenue 2017: $111,297Expenses 2017: $34,993Net Income 2017: $76,3042017

Highlighted filing

2017

Revenue$111,297
Expenses$34,993
Net Income$76,304
Open 2017 Filing

Filings

Most recent year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$111,297
Expenses
$34,993
Net income
$76,304
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$1.11$0.35$0.76
2016Detailed filing. Detailed filing data is available for this year.$6.32$0.00$6.32$1.20$0.28$0.92
2015Detailed filing. Detailed filing data is available for this year.$5.40$0.00$5.40$0.24$0.24$0.01
2014Detailed filing. Detailed filing data is available for this year.$5.40$0.00$5.40$0.29$0.23$0.07
2013Detailed filing. Detailed filing data is available for this year.$5.34$0.00$5.34$0.11$0.23$0.12
2012Summary only. Only limited summary data is available for this year.$5.46$0.00$5.46$0.06$1.03$0.97
2011Summary only. Only limited summary data is available for this year.$6.43$0.00$6.43$0.65$3.12$2.48
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.92$0.00$8.92$0.33
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 10, 2018
Return Version
2017v2.2
Gross Receipts
$111,297
Mission and Program Overview

Mission

The main purpose of the foundation is to equip and maintain the bristow memorial hospital for the ongoing care and treatment of the sick and injured.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$436,146$0▼ $436,146
Cash and Non-Interest-Bearing Accounts$131,642$0▼ $131,642
Savings and Temporary Cash Investments$63,784$0▼ $63,784
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$631,572$0▼ $631,572
Other Assets Total-$0-
Liabilities
Unsecured Notes Loans Payable$20$0▼ $20
Total Liabilities$20$0▼ $20
Net Assets / Fund Balance
Unrestricted Net Assets$631,552$0▼ $631,552
Total Net Assets Fund Balance$631,552$0▼ $631,552
Total Liabilities and Net Assets / Fund Balance$631,572$0▼ $631,572

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$275,072$118,759$393,831
Other Land Buildings$107,276$97,537$204,813
Land$25,718-$25,718
Equipment$0$23,525$23,525
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Keith HamChairman
Dr Roy HiskettDirector
Myra FadleyDirector
Peter KellyDirector
Sherry FisherDirector
Dr Debbie CorwinSecretary/treas
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$702
Other Revenue
$110,595
Change in Net Assets
$76,304
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$34,993
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$21,396$2,377-$23,773
Fees for Services Accounting$4,500--$4,500
Other Expenses$15$75-$15
All Other Expenses$3--$3
Total Functional Expenses$32,541$2,452$0$34,993
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“Tax returns are reviewed by the board chairman prior to filing and are subsequently provided to board members”

Form 990, Part VI, Section C, Line 19

“Documents are available on request.”

Filing and Contact Details

Filer

Filer Name
Bristow Memorial Hospital Foundationinc
EIN
73-1207848
Phone
9183673314
Address
700 W 7TH STREET SUITE 6, BRISTOW, OK 74010

Signing Officer

Name
Keith Ham
Title
Chairman
Phone
9183673314
Signed
2018-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Keith Ham
Formed
1953
Legal Domicile
Ok
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
STANFIELD O'DELL PC
Address
1350 S BOULDER AVE STE 800, TULSA, OK 74119
Preparer
John F Grace CPA
Phone
9186280500
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

“Organization was liquidated and assets distributed to the bristow hospital authority.”

FORM 990, PART XI, LINE 9:

“Transfer of assets to bristow hospital authority -707,856.”

Raw XML Appendix372 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/AllOtherExpensesGrp/ProgramServicesAmt03
IRS990/AllOtherExpensesGrp/TotalAmt03
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0THE ORGANIZATION
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IRS990/Desc0THE PURPOSE OF THE BRISTOW MEMORIAL HOSPITAL FOUNDATION, INC. IS TO SUPPORT THE OPERATIONS AND CAPITAL NEEDS OF BRISTOW MEDICAL CENTER. BMC PROVIDES INPATIENT, OUT PATIENT, EMERGENCY AND PHYSICAL THERAPY/REHABILITATION SERVICES TO THE CITY OF BRISTOW, OKLAHOMA AND THE SURROUNDING AREA.
IRS990/DescribedInSection501c3Ind01
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/PersonNm0KEITH HAM
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1SECRETARY/TREAS
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0111297
IRS990/GrossRentsGrp/RealAmt0110595
IRS990/GroupReturnForAffiliatesInd00
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0110 W 7TH ST
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0BRISTOW
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0OK
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd074010
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ORGANIZATION WAS LIQUIDATED AND ASSETS DISTRIBUTED TO THE BRISTOW HOSPITAL AUTHORITY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1TAX RETURNS ARE REVIEWED BY THE BOARD CHAIRMAN PRIOR TO FILING AND ARE SUBSEQUENTLY PROVIDED TO BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DOCUMENTS ARE AVAILABLE ON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3TRANSFER OF ASSETS TO BRISTOW HOSPITAL AUTHORITY -707,856.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OK
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0631572
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0631572
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt02452
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt032541
IRS990/TotalFunctionalExpensesGrp/TotalAmt034993
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt020
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt020
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0631552
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt032541
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0702
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0110595
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0111297
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0631572
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0631552
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt020
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0700 W 7TH STREET SUITE 6
IRS990/USAddress/CityNm0BRISTOW
IRS990/USAddress/StateAbbreviationCd0OK
IRS990/USAddress/ZIPCd074010
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0NONE
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KEITH HAM
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum09183673314
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BRISTOW MEMORIAL HOSPITAL FOUNDATIONINC
ReturnHeader/Filer/BusinessNameControlTxt0BRIS
ReturnHeader/Filer/EIN0731207848
ReturnHeader/Filer/PhoneNum09183673314
ReturnHeader/Filer/USAddress/AddressLine1Txt0700 W 7TH STREET SUITE 6
ReturnHeader/Filer/USAddress/CityNm0BRISTOW
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OK
ReturnHeader/Filer/USAddress/ZIPCd074010
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0009D62EE35F116204F2CF7D260D0937AF2B6F8B4
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0CEE76077663258657780DAB5797CD4FBBDED75C2
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0172.127.36.57
ReturnHeader/FilingSecurityInformation/IPDt02018-05-10
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm008:09:21
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0731293433
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0STANFIELD O'DELL PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01350 S BOULDER AVE STE 800
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0TULSA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd074119
ReturnHeader/PreparerPersonGrp/PhoneNum09186280500
ReturnHeader/PreparerPersonGrp/PreparationDt02018-05-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOHN F GRACE CPA
ReturnHeader/ReturnTs02018-05-14T14:09:23-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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