2026-08-12T17:41:44-04:00 2025-09-30 464454415 ELMER AND ASSOCIATES PLLC 833 S KELLY AVE SUITE 160 EDMOND OK 73003 990 2024-10-01 730955756 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC CENT 4059484900 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 CHRIS K VAN ESS CFO 4059484900 2026-08-07 true true MICHAEL L ELMER P01215529 4053405974 2026-08-07 2024 2025-03-06 01:10:19Z OKLAHOMA CITY INDIAN CLINIC ROBYN R SUNDAY-ALLEN 4913 W RENO AVENUE OKLAHOMA CITY OK 731276339 105709118 false X WWW.OKCIC.COM X 1974 OK THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. 9 9 501 90 0 22083345 24011433 67303634 78548285 3104225 2865099 129444 131821 92620648 105556638 11555925 14667350 0 43323937 53828571 0 0 12030436 20927114 66910298 89423035 25710350 16133603 110204516 129907168 20525259 24084135 89679257 105823033 THE ORGANIZATION'S MISSION IS TO PROVIDE EXCELLENT HEALTH CARE TO AMERICAN INDIANS. false false 63142028 14667350 78548285 PROVIDED COMPREHENSIVE OUTPATIENT MEDICAL, DENTAL, BEHAVIORAL, AND PREVENTATIVE HEALTH SERVICES TO THE URBAN INDIAN POPULATION OF OKLAHOMA CITY, OK AND THE SURROUNDING AREAS. 1038890 1122918 PROVIDED A SPECIAL DIABETES AND DIABETES PREVENTION PROGRAM FOR NATIVE AMERICANS AND PROMOTED HEALTHY LIFESTYLES THROUGH EDUCATION, NUTRITION, INFORMATION AND PHYSICAL ACTIVITY INSTRUCTION. 64180918 true true false false false false false false false false true false false true true false true false false false false false false false true false false false true true false false false false false false false false false false false false false false false false false true 86 0 true 501 true false false false false false true true false false false false false false false false X 9 9 false false false 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 743411 0 58608 LYSA M ROSS COO 40.00 X 427306 0 85533 CHRIS K VAN ESS CFO 40.00 X 454081 0 89549 DAVID A TOAHTY CDO 40.00 X 192112 0 17075 MONICA KRIENKE CHRO 40.00 X 274397 0 55598 DR HAZEL A LONEWOLF CSO 40.00 X 239193 0 57316 DR JANICE K HIXSON CMO 40.00 X 393920 0 41133 DR MAX BURCHETT JR CIO 40.00 X 268321 0 34853 BRIAN GABBARD CHAIRMAN OF 3.00 X 0 0 0 DAVID THOMAS VICE CHAIRMA 3.00 X 0 0 0 GENA TIMBERMAN SECRETARY OF 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 379579 0 40416 DR PAUL S DASARI PHYSICIAN 40.00 X 334702 0 38172 JENNIFER PHAM VP PHARMACY/ 40.00 X 206493 0 31762 DR MICHELLE E DENNISON VP POLICY/PR 40.00 X 168776 0 29876 MONICA L MCKEE MPH RDH VP ALLIED SE 40.00 X 160398 0 29457 DR BROOKE N FRANTZ PHYSICIAN 40.00 X 340477 0 31462 DR JIN KONG PHYSICIAN 40.00 X 375107 0 40192 DR NACASIO S GUTIERREZ PHYSICIAN 40.00 X 321480 0 30512 TRACEE BARTON VP NURSING 40.00 X 171708 0 30022 MICHAEL BRYER-ASH PHYSICIAN 40.00 X 339142 0 38394 AMY BADEN VP OF OPERAT 40.00 X 110762 0 14470 JUSTIN SLAUGHTER VP OF IT 40.00 X 93226 0 11807 PATRICK LO PHISICIAN 40.00 X 314017 0 30139 6308608 836346 20 false true false CROSS ROCK I LLC 13230 PAWNEE DRIVE SUITE 301 OKLAHOMA CITY OK 73114 OTHER 3447069 PREMIER VISIONS AV SECURITY 3812 NE 104TH ST SUITE 100 OKLAHOMA CITY OK 73131 CONTRACTOR 1099488 GOLDSBY CONTRUCTION 834 WEST INTERSTASTE DRIVE NORMAN OK 73072 CONTRACTOR 1089371 LABCORP OKLAHOMA INC PO BOX 8011 BURLINGTON NC 272168011 CONSULTANT 926594 OKC AREA INDIAN HEALTH SERVICE PO BOX 14175 OKLAHOMA CITY OK 73113 CONTRACTOR 564243 24 23548335 463098 24011433 MEDICAID INCOME 621400 26715371 26715371 MEDICAID INCOME - PHARMACY 621400 25100723 25100723 PRIVATE INSURANCE - PHARMACY 621400 8105416 8105416 MEDICARE INCOME - PHARMACY 621400 7706620 7706620 PRIVATE INSURANCE 621400 5504674 5504674 5415481 5415481 78548285 2865099 2865099 26743 26743 26743 26743 257558 152480 105078 105078 105556638 78548285 2996920 14667350 14667350 4821643 3523398 1298245 36024180 26324545 9699635 12982748 9516926 3465822 33392 2675 30717 33000 2643 30357 3277003 2038012 1238991 350934 262843 88091 1051982 409742 642240 2164726 1543694 621032 2602790 1460240 1142550 543002 340850 202152 1079 808 271 271283 271283 2693282 2331583 361699 1341492 580754 760738 LOSS ON IMPAIRMENT OF BDG 4858686 4858686 REPAIRS & MAINTENANCE 1112594 731276 381318 SMALL GRANTS 199239 149225 50014 SPECIAL IHS PROGRAMS 108145 80998 27147 284485 213356 71129 89423035 64180918 25242117 0 48599351 55096365 21946763 17099392 635491 444860 4619620 4306752 349097 428536 594932 977696 43621828 18803807 28688625 24818021 972117 3351344 3798520 23384202 110204516 129907168 5953772 8938790 7405636 129901 7165851 6574109 8441335 20525259 24084135 X 89654563 105757146 24694 65887 89679257 105823033 110204516 129907168 X 16133603 10192 -18 -1 X false true X true true true X 24250842 25995564 18143284 22083345 24011433 114484468 24250842 25995564 18143284 22083345 24011433 114484468 114484468 7167 132535 1763179 3130189 2891842 7924912 139013 102480 104078 345571 122754951 207116643 0.93260 0.94770 X PART II, LINE 10 OTHER INCOME 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1948418 1948418 26118812 10210399 15908413 15554598 8593408 6961190 24818021 LEASEHOLD IMPROVEMENTS 10085669 RIGHT OF USE 8798987 CONSTRUCTION IN PROCESS 4519008 CASH SURRENDER VALUE OF LIFE INSURAN 418127 RIGHT OF USE AMORT -437589 23384202 OPERATING LEASE 8441335 8441335 105719310 10192 152480 162672 105556638 105556638 89575516 152481 152481 89423035 89423035 SCHEDULE D, PAGE 4, PART XI, LINE 2D FUNDRAISING EXPENSES 152,480 ROUNDING 0 SCHEDULE D, PAGE 4, PART XII, LINE 2D FUNDRAISING EXPENSES 152,480 BOOK / TAX DEPRECIATION DIFFERENCE 1 RED FEATHER GAL 257558 257558 152480 257558 257558 152480 152480 105078 true MEDICAL SUPPLIES/MEDICINE 13014057 COST MEDICAL SERVICE MEDICAL SERVICES 1653293 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 718231 25180 37171 21437 802019 LYSA M ROSS COO 411516 15790 64096 21437 512839 CHRIS K VAN ESS CFO 437604 16477 68112 21437 543630 DAVID A TOAHTY CDO 185227 6885 9606 7469 209187 MONICA KRIENKE CHRO 264003 10394 41160 14438 329995 DR HAZEL A LONEWOLF CSO 230511 8682 35879 21437 296509 DR JANICE K HIXSON CMO 379640 14280 19696 21437 435053 DR MAX BURCHETT JR CIO 258427 9894 13416 21437 303174 DR TYLER S FREEMAN PHYSICIAN 313244 66335 18979 21437 419995 DR PAUL S DASARI PHYSICIAN 269729 64973 16735 21437 372874 JENNIFER PHAM VP PHARMACY/ANCILLAR 198860 7633 10325 21437 238255 DR MICHELLE E DENNISON VP POLICY/PREVENTION 161347 7429 8439 21437 198652 MONICA L MCKEE MPH RDH VP ALLIED SERVICES 153810 6588 8020 21437 189855 DR BROOKE N FRANTZ PHYSICIAN 275885 64592 17024 14438 371939 DR JIN KONG PHYSICIAN 309550 65557 18755 21437 415299 DR NACASIO S GUTIERREZ PHYSICIAN 298126 23354 16074 14438 351992 TRACEE BARTON VP NURSING 163849 7859 8585 21437 201730 MICHAEL BRYER-ASH PHYSICIAN 313700 25442 16957 21437 377536 PATRICK LO PHISICIAN 252235 61782 15701 14438 344156 SCHEDULE J, PAGE 1, PART I, LINE 4 LYSA M. ROSS 0 42,731 0 CHRIS K. VAN ESS 0 45,408 0 MONICA KRIENKE 0 27,440 0 DR. HAZEL A. LONEWOLF 0 23,919 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. 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 152,480 ROUNDING 0 FUNDRAISING EXPENSES -152,480 BOOK / TAX DEPRECIATION DIFFERENCE -1 TOTAL -1