ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202431359349313373
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T17:44:36-07:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN920143182PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ALTMAN ROGERS & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 C ST STE 201AddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN920041961EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Iliuliuk Family & Health ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlILIUBusinessNameControlTxt
Phone9075811202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 144AddressLine1Txt
CityUnalaskaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNoel ReaPersonNm
Person TitleCEOPersonTitleTxt
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNoelPersonFirstNm
Person LastReaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSterling Gillon CPAPreparerPersonNm
PTINP02428406PTIN
Phone9072742992PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNoel ReaPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 144AddressLine1Txt
CityUnalaskaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,825,302GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ifhs.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateAKLegalDomicileStateCd
Activity Or MissionTo provide comprehensive medical, dental, and behavioral health care through the operation of its clinic in Unalaska, Alaska.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee57TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,327,327PYContributionsGrantsAmt
CY Contributions Grants$3,022,308CYContributionsGrantsAmt
PY Program Service Revenue$3,952,372PYProgramServiceRevenueAmt
CY Program Service Revenue$3,488,266CYProgramServiceRevenueAmt
PY Investment Income$12,881PYInvestmentIncomeAmt
CY Investment Income$10,022CYInvestmentIncomeAmt
PY Other Revenue$169,993PYOtherRevenueAmt
CY Other Revenue$93,049CYOtherRevenueAmt
PY Total Revenue$6,462,573PYTotalRevenueAmt
CY Total Revenue$6,613,645CYTotalRevenueAmt
CY Grants And Similar Paid$500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,351,038PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,580,626CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,497,370PYOtherExpensesAmt
CY Other Expenses$3,455,211CYOtherExpensesAmt
PY Total Expenses$6,848,408PYTotalExpensesAmt
CY Total Expenses$7,036,337CYTotalExpensesAmt
PY Revenues Less Expenses-$385,835PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$422,692CYRevenuesLessExpensesAmt
Total Assets BOY$6,581,488TotalAssetsBOYAmt
Total Assets EOY$6,060,024TotalAssetsEOYAmt
Total Liabilities BOY$669,542TotalLiabilitiesBOYAmt
Total Liabilities EOY$381,551TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,911,946NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,678,473NetAssetsOrFundBalancesEOYAmt
MissionTo provide comprehensive medical, dental, and behavioral health care through the operation of its clinic in Unalaska, Alaska. The clinic's mission is to provide care to all, regardless of ability to pay, and to specialize in providing care for the medically underserved, low income, and other disadvantaged populations, most of whom are local residents or individuals employed by commercial seafood processors or related industries in the surrounding area.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,948,383ExpenseAmt
Revenue$3,489,874RevenueAmt
DescProvided primary health care and emergency medical services to permanent and temporary residents of Unalaska, the fishing Fleet of the Bering sea, and the outlying islands of Atka, Akutan, and Nikolski.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$24,446ExpenseAmt
DescProvided counseling to permanent and temporary residents of Unalaska, the fishing Fleet of the Bering sea, and the outlying islands of Atka, Akutan, and Nikolski.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,972,829TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee57EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNoel ReaPersonNm
Phone9075811202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 144AddressLine1Txt
CityUnalaskaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
William Buttner MD
Medical Director40.000.00$213,365$0$60,056
Megan Sarnecki MD
Medical Director40.000.00$229,751$0$21,816
Noel Rea
CEO40.000.00$226,028$0$0Yes (X)
Beatriz Dietrick
FNP40.000.00$118,712$0$35,392
Ann Nora Ehret
DO40.000.00$119,955$0$32,162
Jennifer Heller
Interim CEO20.000.00$84,824$0$20,500Yes (X)
William Rodgers
Interim CEO40.000.00$35,538$0$0Yes (X)
Hannah Vowell
Board Member1.000.00$0$0$0Yes (X)
William Homka
Vice President2.000.00$0$0$0Yes (X)Yes (X)
M Lynn Crane
President2.000.00$0$0$0Yes (X)Yes (X)
Virginia Hatfield
Treasurer2.000.00$0$0$0Yes (X)Yes (X)
Ferdinand Lopez
Board Member1.000.00$0$0$0Yes (X)
Harriet Berikoff
Board Member1.000.00$0$0$0Yes (X)
Ben Knowles
Board Member1.000.00$0$0$0Yes (X)
Cole McCracken
Board Member1.000.00$0$0$0Yes (X)
Twyla Olson
Board Member1.000.00$0$0$0Yes (X)
Ian Shoup
Board Member1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,028,173TotalReportableCompFromOrgAmt
Total Other Compensation$169,926TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$3,019,008GovernmentGrantsAmt
All Other Contributions$3,300AllOtherContributionsAmt
Total Contributions$3,022,308TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient RevenuesDesc
Business624100BusinessCd
Total Revenue Column$3,488,266TotalRevenueColumnAmt
Related Or Exempt Func Income$3,488,266RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,488,266TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,344TotalRevenueColumnAmt
Exclusion$19,344ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$91,441RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$91,441RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,441TotalRevenueColumnAmt
Exclusion$91,441ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$202,335SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$211,657SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$9,322SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9,322TotalRevenueColumnAmt
Exclusion-$9,322ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneous IncomeDesc
Business624100BusinessCd
Total Revenue Column$1,608TotalRevenueColumnAmt
Related Or Exempt Func Income$1,608RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,608OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,613,645TotalRevenueColumnAmt
Related Or Exempt Func Income$3,489,874RelatedOrExemptFuncIncomeAmt
Exclusion$101,463ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$180,227TotalAmt
Program Services$154,728ProgramServicesAmt
Management And General$25,499ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,935,872TotalAmt
Program Services$2,520,489ProgramServicesAmt
Management And General$415,383ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$271,702TotalAmt
Program Services$230,946ProgramServicesAmt
Management And General$40,756ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$192,825TotalAmt
Program Services$163,901ProgramServicesAmt
Management And General$28,924ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$36,183TotalAmt
Program Services$28,223ProgramServicesAmt
Management And General$7,960ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,860TotalAmt
Program Services$38,111ProgramServicesAmt
Management And General$10,749ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$187,468TotalAmt
Program Services$146,226ProgramServicesAmt
Management And General$41,242ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$395ProgramServicesAmt
Management And General$105ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$253,602TotalAmt
Program Services$200,241ProgramServicesAmt
Management And General$53,361ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$328,490TotalAmt
Program Services$262,792ProgramServicesAmt
Management And General$65,698ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$216,574TotalAmt
Program Services$171,093ProgramServicesAmt
Management And General$45,481ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,911TotalAmt
Program Services$4,670ProgramServicesAmt
Management And General$1,241ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$318,217TotalAmt
Program Services$165,472ProgramServicesAmt
Management And General$152,745ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$91,253TotalAmt
Program Services$19,163ProgramServicesAmt
Management And General$72,090ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Contractual/sliding fee Adjust$1,330,444$1,330,444
Supplies$232,630$214,701$17,929
Billing Fees$170,367$134,590$35,777
Repairs$121,846$96,258$25,588

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$112,866TotalAmt
Program Services$89,886ProgramServicesAmt
Management And General$22,980ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,036,337TotalAmt
Program Services$5,972,829ProgramServicesAmt
Management And General$1,063,508ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,398,504BOYAmt
EOY$2,713,337EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,104BOYAmt
EOY$12,506EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$420,944BOYAmt
EOY$414,661EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,169,531BOYAmt
EOY$1,286,266EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$61,106BOYAmt
EOY$93,525EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,175,757LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,301,118LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$881,618BOYAmt
EOY$874,639EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$644,523BOYAmt
EOY$664,182EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,158BOYAmt
EOY$908EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,581,488BOYAmt
EOY$6,060,024EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$598,472BOYAmt
EOY$381,551EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$71,070BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$669,542BOYAmt
EOY$381,551EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,491,002BOYAmt
EOY$5,263,812EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$420,944BOYAmt
EOY$414,661EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,911,946BOYAmt
EOY$5,678,473EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,581,488BOYAmt
EOY$6,060,024EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$422,692ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,332NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$176,887PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,183,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,883,486CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,567,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,327,327CurrentTaxYearMinus1YearAmt
Current Tax Year$3,022,308CurrentTaxYearAmt
Total$13,984,759TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,183,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,883,486CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,567,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,327,327CurrentTaxYearMinus1YearAmt
Current Tax Year$3,022,308CurrentTaxYearAmt
Total$13,984,759TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$13,984,759PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,548CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$90,351CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,562CurrentTaxYearMinus1YearAmt
Current Tax Year$110,785CurrentTaxYearAmt
Total$388,246TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$80,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,634CurrentTaxYearMinus1YearAmt
Current Tax Year$1,608CurrentTaxYearAmt
Total$186,409TotalAmt
FieldValueIRS element (for citing)
Total Support$14,559,414TotalSupportAmt
Gross Receipts Rltd Activities$15,048,216GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96050PublicSupportCY170Pct
Public Support PY1700.95910PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,991OtherCostOrOtherBasisAmt
Book Value$44,991BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,600,345OtherCostOrOtherBasisAmt
Depreciation$5,989,932DepreciationAmt
Book Value$610,413BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,485,119OtherCostOrOtherBasisAmt
Depreciation$1,311,186DepreciationAmt
Book Value$173,933BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,302OtherCostOrOtherBasisAmt
Book Value$45,302BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$874,639TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,070,698TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$12,332NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$768,882DonatedServicesAndUseFcltsAmt
Other Revenue$6,283OtherRevenueAmt
Revenue Not Reported$787,497RevenueNotReportedAmt
Revenue Subtotal$5,283,201RevenueSubtotalAmt
Other Revenues Not Included$1,330,444OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,330,444RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,613,645TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,481,058TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$768,882DonatedServicesUseFcltsAmt
Other Expenses Included$6,283OtherExpensesIncludedAmt
Expenses Not Reported$775,165ExpensesNotReportedAmt
Expenses Subtotal$5,705,893ExpensesSubtotalAmt
Other Expenses Not Included$1,330,444OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,330,444ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,036,337TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteThe Clinic is exempt from federal income taxes under Section 501 (c)(3) of the Internal Revenue Code. The Clinic is exempt from State income taxes under the Alaska Nonprofit Corporation Act. Therefore, the accompanying statements do not reflect a provision for income taxes. Although the Clinic is exempt from federal income taxes, any income derived from unrelated business activities is subject to the requirement of filing U.S. Federal Income Tax Form 990-T and a tax liability may bedetermined on these activities.The Clinics policy is to report interest and penalties associated with uncertain tax positions as other expense. There is no interest or penalties accrued at June 30, 2023 and 2022. With few exceptions, the Clinic is not subject to audit of its tax returns prior to 2020. Management has taken no uncertain tax positions.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Net Assets Released From Restrictions $6283
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SContractual/ Sliding Fee Adjustment/Bad $1330444
Part XII, Line 2d: Other expenses and losses per audited F/SNet Assets Released From Restrictions $6283
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SContractual/ Sliding Fee Adjustment/Bad $1330444

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Ann Nora Ehret
DO$119,955$6,500$25,662$152,117
Beatriz Dietrick
FNP$118,712$35,392$154,104
Noel Rea
CEO$226,028$226,028
Megan Sarnecki MD
Medical Director$229,751$20,500$1,316$251,567
William Buttner MD
Medical Director$213,365$26,000$34,056$273,421

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 1aThe officers of the board serve as an executive committee. Their function is to approve operational requirements on which action may be required between regular meetings of the board of directors, and other related duties as determined by the board.
Form 990, Part VI, Section B, Line 11bPrior to filing, the form 990 was reviewed by the organization's administration, then presented to the finance committee, and then to the entire board of directors for approval.
Form 990, Part VI, Section B, Line 12cThe board of directors performs internal monitoring of each member's associations and relationships on an annual basis so that no member is in a decision making process that can be unduly influenced through a prior relationship. A Member of the board who has a financial, fiduciary or other direct interest in any specific issue before the board abstains from voting on that issue. Board members are required to declare any suspected or actual conflict of interest for purposes of determination by the board. Any board member may ask the board to resolve any question of conflicts.
Form 990, Part VI, Section B, Line 15aFor the CEO, the board of directors gathers various pieces of information in determining compensation. They utilize the Alaska state salary surveys and salary information provided by the northwest regional primary care association. Other factors involved in the determination are as follows: Job description, compensation history, performance goals achieved, and overall performance of the organization. The board meets in an executive session to finalize the compensation piece of the CEO's contract. This process is completed annually.
Form 990, Part VI, Section C, Line 19The governing documents, board code of ethics, and grievance policy are available to the public upon request. The organization's monthly financial statements are available to the public at the board of directors' monthly meetings.
Form 990, Part XI, Line 8During the audit, it was discovered that the accrued leave in FY22 had been calculated incorrectly according to the Clinics policies. This caused a significant variance in the 2022 accrued leave balance and beginning net assets.As a result of the error, the Clinic has recorded an opening balance adjustment to decrease the accrued leave balance and the net assets as follows:Opening net assets, as originally presented $ 6,373,855Prior period adjustment 176,887Opening net assets, as restated $ 6,550,742

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