ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-12
IRS object ID
202341329349309264
Schema version
2021v4.1
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)
Return2023-05-12T15:51:49-07:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

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 Begin2021-07-01TaxPeriodBeginDt

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)
PersonWilliam HomkaPersonNm
Person TitlePresidentPersonTitleTxt
Signature2023-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWilliamPersonFirstNm
Person LastHomkaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTom J Domagala CPAPreparerPersonNm
PTINP00122688PTIN
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)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMelanee TiuraPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 144AddressLine1Txt
CityUnalaskaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,680,007GrossReceiptsAmt
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 Employee53TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,567,888PYContributionsGrantsAmt
CY Contributions Grants$2,327,327CYContributionsGrantsAmt
PY Program Service Revenue$4,975,970PYProgramServiceRevenueAmt
CY Program Service Revenue$3,952,372CYProgramServiceRevenueAmt
PY Investment Income$14,027PYInvestmentIncomeAmt
CY Investment Income$12,881CYInvestmentIncomeAmt
PY Other Revenue$165,845PYOtherRevenueAmt
CY Other Revenue$169,993CYOtherRevenueAmt
PY Total Revenue$8,723,730PYTotalRevenueAmt
CY Total Revenue$6,462,573CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,362,309PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,351,038CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,584,079PYOtherExpensesAmt
CY Other Expenses$3,497,370CYOtherExpensesAmt
PY Total Expenses$5,946,388PYTotalExpensesAmt
CY Total Expenses$6,848,408CYTotalExpensesAmt
PY Revenues Less Expenses$2,777,342PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$385,835CYRevenuesLessExpensesAmt
Total Assets BOY$7,305,987TotalAssetsBOYAmt
Total Assets EOY$6,581,488TotalAssetsEOYAmt
Total Liabilities BOY$932,132TotalLiabilitiesBOYAmt
Total Liabilities EOY$669,542TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,373,855NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,911,946NetAssetsOrFundBalancesEOYAmt
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$5,811,509ExpenseAmt
Revenue$3,952,372RevenueAmt
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$41,714ExpenseAmt
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$5,853,223TotalProgramServiceExpensesAmt
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
Employee53EmployeeCnt
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
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)
PersonMelanee TiuraPersonNm
Phone9075818658PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Melanee Tiura
CEO50.000.00Yes (X)$284,550$0$0
Megan Sarnecki MD
Medical Director30.000.00$213,723$0$19,500
Ann Nora Ehret DO
Physician30.000.00$204,086$0$26,000
Murray Buttner MD
Acting Medical Director30.000.00$190,227$0$26,000
Beatriz Dietrick FNP
Provider32.000.00$142,420$0$0
Noel Rea
Interim CEO50.000.00Yes (X)$66,960$0$0
William Rodgers
Interim CEO50.000.00Yes (X)$35,538$0$0
Jennifer Heller
Interim CEO50.000.00Yes (X)$17,309$0$0
Rebecca Geary
Board Member1.000.00$0$0$0Yes (X)
William Homka
President2.000.00Yes (X)$0$0$0Yes (X)
M Lynn Crane
Sec/Treasurer2.000.00Yes (X)$0$0$0Yes (X)
Virginia Hatfield
Vice President1.000.00Yes (X)$0$0$0Yes (X)
Victor Fisher
Board Member1.000.00$0$0$0Yes (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$1,154,813TotalReportableCompFromOrgAmt
Total Other Compensation$71,500TotalOtherCompensationAmt
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$2,327,327GovernmentGrantsAmt
Total Contributions$2,327,327TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient RevenuesDesc
Business624100BusinessCd
Total Revenue Column$3,952,372TotalRevenueColumnAmt
Related Or Exempt Func Income$3,952,372RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,952,372TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,203TotalRevenueColumnAmt
Exclusion$12,203ExclusionAmt

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$81,359RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$81,359RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,359TotalRevenueColumnAmt
Exclusion$81,359ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$218,112SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$217,434SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$678SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$678TotalRevenueColumnAmt
Exclusion$678ExclusionAmt

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$88,634TotalRevenueColumnAmt
Exclusion$88,634ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$88,634OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,462,573TotalRevenueColumnAmt
Related Or Exempt Func Income$3,952,372RelatedOrExemptFuncIncomeAmt
Exclusion$182,874ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$879,385TotalAmt
Program Services$747,477ProgramServicesAmt
Management And General$131,908ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,923,154TotalAmt
Program Services$1,634,681ProgramServicesAmt
Management And General$288,473ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$342,535TotalAmt
Program Services$291,155ProgramServicesAmt
Management And General$51,380ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$205,964TotalAmt
Program Services$175,069ProgramServicesAmt
Management And General$30,895ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,360TotalAmt
Program Services$17,441ProgramServicesAmt
Management And General$4,919ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,415TotalAmt
Program Services$29,184ProgramServicesAmt
Management And General$8,231ManagementAndGeneralAmt

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$359,788TotalAmt
Program Services$283,244ProgramServicesAmt
Management And General$76,544ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$438TotalAmt
Program Services$338ProgramServicesAmt
Management And General$100ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$210,687TotalAmt
Program Services$201,042ProgramServicesAmt
Management And General$9,645ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$228,081TotalAmt
Program Services$182,465ProgramServicesAmt
Management And General$45,616ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$69,628TotalAmt
Program Services$54,981ProgramServicesAmt
Management And General$14,647ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,550TotalAmt
Program Services$1,197ProgramServicesAmt
Management And General$353ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$290,175TotalAmt
Program Services$150,890ProgramServicesAmt
Management And General$139,285ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$160,689TotalAmt
Program Services$33,745ProgramServicesAmt
Management And General$126,944ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Contractual/sliding fee Adjust$1,609,418$1,609,418
Supplies$309,685$286,007$23,678
Repairs/Maintenance$126,987$100,320$26,667
Fees/Dues$31,819$24,565$7,254

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,650TotalAmt
Program Services$30,004ProgramServicesAmt
Management And General$8,646ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,848,408TotalAmt
Program Services$5,853,223ProgramServicesAmt
Management And General$995,185ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,296,344BOYAmt
EOY$3,398,504EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$427,227BOYAmt
EOY$420,944EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,648,081BOYAmt
EOY$1,169,531EOYAmt

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$98,912BOYAmt
EOY$61,106EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,619BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,392,855LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,511,237LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,078,459BOYAmt
EOY$881,618EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$704,083BOYAmt
EOY$644,523EOYAmt

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$4,158EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,305,987BOYAmt
EOY$6,581,488EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$432,132BOYAmt
EOY$598,472EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$71,070EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$932,132BOYAmt
EOY$669,542EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,946,628BOYAmt
EOY$5,491,002EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$427,227BOYAmt
EOY$420,944EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,373,855BOYAmt
EOY$5,911,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,305,987BOYAmt
EOY$6,581,488EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$385,835ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$76,074NetUnrlzdGainsLossesInvstAmt
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$2,062,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,183,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,883,486CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,567,888CurrentTaxYearMinus1YearAmt
Current Tax Year$2,327,327CurrentTaxYearAmt
Total$13,024,697TotalAmt

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$2,062,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,183,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,883,486CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,567,888CurrentTaxYearMinus1YearAmt
Current Tax Year$2,327,327CurrentTaxYearAmt
Total$13,024,697TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$13,024,697PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$90,966CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,548CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$90,351CurrentTaxYearMinus1YearAmt
Current Tax Year$93,562CurrentTaxYearAmt
Total$368,427TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,642CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$80,525CurrentTaxYearMinus1YearAmt
Current Tax Year$88,634CurrentTaxYearAmt
Total$186,568TotalAmt
FieldValueIRS element (for citing)
Total Support$13,579,692TotalSupportAmt
Gross Receipts Rltd Activities$14,253,865GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95910PublicSupportCY170Pct
Public Support PY1700.96260PublicSupportPY170Pct
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$6,433,394OtherCostOrOtherBasisAmt
Depreciation$5,796,570DepreciationAmt
Book Value$636,824BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,914,470OtherCostOrOtherBasisAmt
Depreciation$1,714,667DepreciationAmt
Book Value$199,803BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$881,618TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,552,246TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$76,074NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$768,882DonatedServicesAndUseFcltsAmt
Other Revenue$6,283OtherRevenueAmt
Revenue Not Reported$699,091RevenueNotReportedAmt
Revenue Subtotal$4,853,155RevenueSubtotalAmt
Other Revenues Not Included$1,609,418OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,609,418RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,462,573TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,014,155TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$768,882DonatedServicesUseFcltsAmt
Other Expenses Included$6,283OtherExpensesIncludedAmt
Expenses Not Reported$775,165ExpensesNotReportedAmt
Expenses Subtotal$5,238,990ExpensesSubtotalAmt
Other Expenses Not Included$1,609,418OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,609,418ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,848,408TotalExpensesPerForm990Amt

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, 2022 and 2021. With few exceptions,the Clinic is not subject to audit of its tax returns prior to 2019. 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 $1609418
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 $1609418

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
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 (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Ann Nora Ehret DO
Physician$195,086$9,000$26,000$230,086
Melanee Tiura
CEO$242,116$42,434$284,550
Megan Sarnecki MD
Medical Director$207,723$6,000$19,500$233,223
Murray Buttner MD
Acting Medical Director$187,227$3,000$26,000$216,227

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to CommitteeThe 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, Line 11b: Form 990 Review ProcessPrior 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, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementFor 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, Line 19: Other Organization Documents Publicly AvailableThe 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.

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