Civic Intelligence

Bartlesville Medical Corporation

EIN 73-1492080 • 501(c)3 • Bartlesville, OK

Profile

To oversee operations of surgery center spun off from jane phillips medical center, an exempt hospital organization. To oversee the activities of providing health care to the bartlesville ok area.

3500 E Frank Phillips BlvdBartlesville, OK 74006

n/A

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 2015

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

1st percentile

-30966%

Higher net margin than 1% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

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 2015

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

9th percentile

-82%

Faster revenue growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $753,589 (-100%) from 2014

Liabilities

Flat

$0

Flat from 2014

Net Assets

Down

$0

Down $753,589 (-100%) from 2014

Operations
Liabilities / Revenue62nd percentileNet Margin1st percentile

Revenue

Down

$496

Down $2,239 (-82%) from 2014

Expenses

Up

$154,085

Up $60,962 (+65%) from 2014

Net Income

Down

-$153,589

Down $63,201 (-70%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$3.0M$2.0M$1.0M$0Assets 2011: $2,846,488Liabilities 2011: $172,257Net Assets 2011: $2,674,2312011Assets 2012: $2,805,824Liabilities 2012: $76,425Net Assets 2012: $2,729,3992012Assets 2013: $2,177,475Liabilities 2013: $1,333,498Net Assets 2013: $843,9772013Assets 2014: $753,589Liabilities 2014: $0Net Assets 2014: $753,5892014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0
Open 2015 Filing

Operations Trend

Revenue Growth9th percentile

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2011: $647,568Expenses 2011: $134,233Net Income 2011: $513,3352011Revenue 2012: $565,113Expenses 2012: $95,135Net Income 2012: $469,9782012Revenue 2013: $3,742,058Expenses 2013: $5,673,855Net Income 2013: -$1,931,7972013Revenue 2014: $2,735Expenses 2014: $93,123Net Income 2014: -$90,3882014Revenue 2015: $496Expenses 2015: $154,085Net Income 2015: -$153,5892015

Highlighted filing

2015

Revenue$496
Expenses$154,085
Net Income-$153,589
Open 2015 Filing

Filings

Most recent year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$496
Expenses
$154,085
Net income
-$153,589
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.15$0.15
2014Summary only. Only limited summary data is available for this year.$0.75$0.00$0.75$0.00$0.09$0.09
2013Summary only. Only limited summary data is available for this year.$2.18$1.33$0.84$3.74$5.67$1.93
2012Summary only. Only limited summary data is available for this year.$2.81$0.08$2.73$0.57$0.10$0.47
2011Summary only. Only limited summary data is available for this year.$2.85$0.17$2.67$0.65$0.13$0.51
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Dec 2, 2015
Return Version
2014v5.0
Gross Receipts
$496
Mission and Program Overview

Mission

To oversee operations of surgery center spun off from jane phillips medical center, an exempt hospital organization. To oversee the activities of providing health care to the bartlesville ok area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$753,589--
Total Assets$753,589$0▼ $753,589
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$753,589--
Total Net Assets Fund Balance$753,589$0▼ $753,589
Total Liabilities and Net Assets / Fund Balance$753,589$0▼ $753,589
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Donald DotyChairman
Robert BaughmanVice Chairma
David StireMember
Francis HornMember
Jean BloomfieldMember
Mark RobertsonMember
Robert KaneMember
Scott PhillipsMember
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$496
Other Revenue
$0
Change in Net Assets
$-153,589

Audited Revenue Reconciliation

Revenue per Audited Statements
$496
Total Revenue per Audited Statements
$496
Total Revenue per Form 990
$496
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$154,085
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
Payments to Affiliates$153,585--$153,585
Fees for Services Accounting$500--$500
Total Functional Expenses$154,085$0$0$154,085

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$154,085
Total Expenses per Audited Statements$154,085
Total Expenses per Form 990$154,085
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
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, Page 6, Part VI, Line 11B

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Bartlesville Medical Corporation
EIN
73-1492080
Phone
9183337200
Address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006

Signing Officer

Name
Bartlesville Medical
Title
President
Phone
9183337200
Signed
2015-12-02

Organization Details

Principal Officer
Bartlesville Medical
Legal Domicile
Ok
Voting Board Members
8
Independent Board Members
8
Employees
0

Preparer

Firm
Hood & Associates Cpas Pc
Address
2727 EAST 21ST STREET SUITE 600, TULSA, OK 74114-3537
Preparer
Paul Hood CPA
Phone
9187477000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Distributions to jane phillips medical center 0”

Form 990, Part XI, Line 9

“DIVIDEND 600,000”

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 2D

“Distributions to jane phillips medical center 0”

Raw XML Appendix276 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/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0COMPANY
IRS990/BooksInCareOfDetail/PhoneNum09183337200
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt03500 E FRANK PHILLIPS BLVD
IRS990/BooksInCareOfDetail/USAddress/CityNm0BARTLESVILLE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OK
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IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
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IRS990/DescribedInSection501c3Ind0true
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IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
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IRS990/Form990PartVIISectionAGrp/PersonNm1JEAN BLOOMFIELD
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IRS990/Form990PartVIISectionAGrp/PersonNm3MARK ROBERTSON
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IRS990/Form990PartVIISectionAGrp/PersonNm5DAVID STIRE
IRS990/Form990PartVIISectionAGrp/PersonNm6SCOTT PHILLIPS
IRS990/Form990PartVIISectionAGrp/PersonNm7FRANCIS HORN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIRMA
IRS990/Form990PartVIISectionAGrp/TitleTxt3MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7MEMBER
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0496
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt08
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0496
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0496
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0OK
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO OVERSEE OPERATIONS OF SURGERY CENTER SPUN OFF FROM JANE PHILLIPS MEDICAL CENTER, AN EXEMPT HOSPITAL ORGANIZATION. TO OVERSEE THE ACTIVITIES OF PROVIDING HEALTH CARE TO THE BARTLESVILLE OK AREA.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0753589
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-600000
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/ProgramServicesAmt0153585
IRS990/PaymentsToAffiliatesGrp/TotalAmt0153585
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0BARTLESVILLE MEDICAL
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt060511
IRS990/PYInvestmentIncomeAmt02735
IRS990/PYOtherExpensesAmt032612
IRS990/PYRevenuesLessExpensesAmt0-90388
IRS990/PYTotalExpensesAmt093123
IRS990/PYTotalRevenueAmt02735
IRS990/ReconcilationRevenueExpnssAmt0-153589
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IRS990/RelatedOrganizationCtrlEntInd0false
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IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/ExpensesSubtotalAmt0154085
IRS990ScheduleD/RevenueSubtotalAmt0496
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0DISTRIBUTIONS TO JANE PHILLIPS MEDICAL CENTER 0
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XII, LINE 2D
IRS990ScheduleD/TotalExpensesPerForm990Amt0154085
IRS990ScheduleD/TotalRevenuePerForm990Amt0496
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0496
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0154085
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IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0TO BLUESTEM
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0DEVELOOPMENT FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02015-09-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0731081013
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0153585
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0BARTLESVILLE
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IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DISTRIBUTIONS TO JANE PHILLIPS MEDICAL CENTER 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DIVIDEND 600,000
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9
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IRS990/USAddress/CityNm0BARTLESVILLE
IRS990/USAddress/StateAbbreviationCd0OK
IRS990/USAddress/ZIPCd074006
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/PersonNm0BARTLESVILLE MEDICAL
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum09183337200
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-12-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BARTLESVILLE MEDICAL CORPORATION
ReturnHeader/Filer/BusinessNameControlTxt0BART
ReturnHeader/Filer/EIN0731492080
ReturnHeader/Filer/PhoneNum09183337200
ReturnHeader/Filer/USAddress/AddressLine1Txt03500 E FRANK PHILLIPS BLVD
ReturnHeader/Filer/USAddress/CityNm0BARTLESVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OK
ReturnHeader/Filer/USAddress/ZIPCd074006
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0731432162
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HOOD & ASSOCIATES CPAS PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02727 EAST 21ST STREET SUITE 600
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0TULSA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0741143537
ReturnHeader/PreparerPersonGrp/PhoneNum09187477000
ReturnHeader/PreparerPersonGrp/PreparationDt02015-12-03
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0PAUL HOOD CPA
ReturnHeader/ReturnTs02015-12-08T17:12:15-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-10-01
ReturnHeader/TaxPeriodEndDt02015-09-30
ReturnHeader/TaxYr02014

Document Assets

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