ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-05-22
- IRS object ID
- 202011439349302201
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-22T16:45:38-07:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920143182 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALTMAN ROGERS & CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 C Street Suite 201 | AddressLine1Txt |
| City | Anchorage | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920041961 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Iliuliuk Family & Health Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ILIU | BusinessNameControlTxt |
| Phone | 9075811202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 144 | AddressLine1Txt |
| City | Unalaska | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99685 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Amy Dowds | PersonNm |
| Person Title | Board Chair | PersonTitleTxt |
| Signature | 2020-05-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tom J Domagala CPA | PreparerPersonNm |
| PTIN | P00122688 | PTIN |
| Phone | 9072742992 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Amy Dowds | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 144 | AddressLine1Txt |
| City | Unalaska | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99685 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,297,152 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ifhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | To provide comprehensive medical, dental, and behavioral health care through the operation of its clinic in Unalaska, Alaska. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 50 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,062,246 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,183,750 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,693,915 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,631,608 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,566 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,264 | CYInvestmentIncomeAmt |
| PY Other Revenue | $88,167 | PYOtherRevenueAmt |
| CY Other Revenue | $102,042 | CYOtherRevenueAmt |
| PY Total Revenue | $4,848,894 | PYTotalRevenueAmt |
| CY Total Revenue | $4,937,664 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,234,166 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,494,288 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,166,916 | PYOtherExpensesAmt |
| CY Other Expenses | $1,561,657 | CYOtherExpensesAmt |
| PY Total Expenses | $5,401,082 | PYTotalExpensesAmt |
| CY Total Expenses | $5,055,945 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$552,188 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$118,281 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,298,504 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,728,627 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $420,378 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $997,014 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,878,126 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,731,613 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To 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 area surrounding Dutch Harbor, Alaska. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $3,713,708 | ExpenseAmt |
| Revenue | $2,577,268 | RevenueAmt |
| Desc | Provided 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $230,604 | ExpenseAmt |
| Revenue | $37,484 | RevenueAmt |
| Desc | Provided Dental 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 Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $121,989 | ExpenseAmt |
| Revenue | $16,856 | RevenueAmt |
| Desc | Provided 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,066,301 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 50 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Melanee Tiura | PersonNm |
| Phone | 9075818658 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 144 | AddressLine1Txt |
| City | Unalaska | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99685 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Sharon Svarny-Livingston | |||||||||
| Sec/Treas | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jana V Lekanoff | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Leslie Thomas | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Harriett Berikoff | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Amy Dowds | |||||||||
| Board Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Victor Fisher | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| William Homka | |||||||||
| Vice President | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Janice Krukoff | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ferdinand Lopez | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sean O'Donnell | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Billie Jo Gehring | |||||||||
| CFO | 50.00 | 0.00 | Yes (X) | $25,846 | $0 | $0 | |||
| James Kaech | |||||||||
| CEO | 50.00 | 0.00 | Yes (X) | $187,899 | $0 | $25,311 | |||
| Darlene Dumais-Allen | |||||||||
| CFO | 50.00 | 0.00 | Yes (X) | $81,041 | $0 | $3,480 | |||
| Megan Sarneck MD | |||||||||
| Medical Director | 40.00 | 0.00 | $230,518 | $0 | $48,157 | Yes (X) | |||
| Ann Nora Ehret DO | |||||||||
| Physician | 40.00 | 0.00 | $250,931 | $0 | $34,405 | Yes (X) | |||
| Psalmer Richmond DDS | |||||||||
| Dir. of Dent Serv | 40.00 | 0.00 | $152,594 | $0 | $29,657 | Yes (X) | |||
| Beatriz Dietrick | |||||||||
| Provider | 40.00 | 0.00 | $111,122 | $0 | $28,909 | Yes (X) | |||
| Claire Lattimore FNP | |||||||||
| Provider | 40.00 | 0.00 | $101,350 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,141,301 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $169,919 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,068,298 | GovernmentGrantsAmt |
| All Other Contributions | $115,452 | AllOtherContributionsAmt |
| Total Contributions | $2,183,750 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Revenues | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $2,631,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,631,608 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,631,608 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,148 | TotalRevenueColumnAmt |
| Exclusion | $7,148 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,400 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,400 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,400 | TotalRevenueColumnAmt |
| Exclusion | $86,400 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $372,604 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $359,488 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,116 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,116 | TotalRevenueColumnAmt |
| Exclusion | $13,116 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Income | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $15,642 | TotalRevenueColumnAmt |
| Exclusion | $15,642 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,642 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,937,664 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,631,608 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $122,306 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,137 | TotalAmt |
| Program Services | $391,060 | ProgramServicesAmt |
| Management And General | $76,077 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,366,491 | TotalAmt |
| Program Services | $1,981,091 | ProgramServicesAmt |
| Management And General | $385,400 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,784 | TotalAmt |
| Program Services | $373,872 | ProgramServicesAmt |
| Management And General | $73,912 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,876 | TotalAmt |
| Program Services | $177,739 | ProgramServicesAmt |
| Management And General | $35,137 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,659 | TotalAmt |
| Program Services | $12,955 | ProgramServicesAmt |
| Management And General | $8,704 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,015 | TotalAmt |
| Program Services | $48,459 | ProgramServicesAmt |
| Management And General | $32,556 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,219 | TotalAmt |
| Program Services | $172,341 | ProgramServicesAmt |
| Management And General | $53,878 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $694 | TotalAmt |
| Program Services | $558 | ProgramServicesAmt |
| Management And General | $136 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,382 | TotalAmt |
| Program Services | $62,197 | ProgramServicesAmt |
| Management And General | $15,185 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,731 | TotalAmt |
| Program Services | $104,273 | ProgramServicesAmt |
| Management And General | $25,458 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,924 | TotalAmt |
| Program Services | $175,885 | ProgramServicesAmt |
| Management And General | $31,039 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,787 | TotalAmt |
| Program Services | $44,840 | ProgramServicesAmt |
| Management And General | $10,947 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,250 | TotalAmt |
| Program Services | $145,605 | ProgramServicesAmt |
| Management And General | $136,645 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,712 | TotalAmt |
| Program Services | $24,277 | ProgramServicesAmt |
| Management And General | $54,435 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $240,790 | $221,682 | $19,108 |
| Repairs/Maintenance | $94,328 | $75,817 | $18,511 |
| Bank Charges/Fees | $19,171 | $15,409 | $3,762 |
| Equipment Rental | $11,111 | $8,931 | $2,180 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,884 | TotalAmt |
| Program Services | $29,310 | ProgramServicesAmt |
| Management And General | $6,574 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,055,945 | TotalAmt |
| Program Services | $4,066,301 | ProgramServicesAmt |
| Management And General | $989,644 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $535,530 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,748 | BOYAmt |
| EOY | $150,031 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,076 | BOYAmt |
| EOY | $439,793 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,420 | BOYAmt |
| EOY | $990,087 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,031 | BOYAmt |
| EOY | $80,307 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,126 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,984,771 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,625,380 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,641,641 | BOYAmt |
| EOY | $1,359,391 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,212 | BOYAmt |
| EOY | $169,330 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,250 | BOYAmt |
| EOY | $4,158 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,298,504 | BOYAmt |
| EOY | $3,728,627 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,743 | BOYAmt |
| EOY | $497,014 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,635 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,378 | BOYAmt |
| EOY | $997,014 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,392,074 | BOYAmt |
| EOY | $2,141,869 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $486,052 | BOYAmt |
| EOY | $589,744 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,878,126 | BOYAmt |
| EOY | $2,731,613 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,298,504 | BOYAmt |
| EOY | $3,728,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$118,281 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$28,232 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,460,955 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,742,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,580,766 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,062,246 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,183,750 | CurrentTaxYearAmt |
| Total | $9,030,182 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,460,955 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,742,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,580,766 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,062,246 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,183,750 | CurrentTaxYearAmt |
| Total | $9,030,182 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $9,030,182 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $93,625 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $80,760 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,966 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $93,548 | CurrentTaxYearAmt |
| Total | $450,218 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $100,429 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,528 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,642 | CurrentTaxYearAmt |
| Total | $231,855 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,712,255 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $18,644,441 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.92980 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90340 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,991 | OtherCostOrOtherBasisAmt |
| Book Value | $44,991 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,356,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,145,040 | DepreciationAmt |
| Book Value | $1,211,575 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,583,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,480,340 | DepreciationAmt |
| Book Value | $102,825 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,359,391 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,938,874 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$28,232 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $6,283 | OtherRevenueAmt |
| Revenue Not Reported | -$21,949 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,960,823 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$23,159 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$23,159 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,937,664 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,085,387 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $29,442 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $29,442 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,055,945 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,055,945 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X : FIN48 Footnote | The 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 be determined 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, 2019 and 2018. With few exceptions, the Clinic is not subject to audit of its tax returns prior to 2016. Management has taken no uncertain tax positions. |
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Net Assets Released From Restrictions $6283 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | Net Assets Released From Restrictions $6283 Investment Valuation Adj $23159 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| Ann Nora Ehret DO | ||||
| Physician | $250,931 | $24,500 | $9,905 | $285,336 |
| Psalmer Richmond DDS | ||||
| Dir. of Dent Serv | $152,594 | $29,657 | $182,251 | |
| James Kaech | ||||
| CEO | $187,899 | $6,500 | $18,811 | $213,210 |
| Megan Sarneck MD | ||||
| Medical Director | $230,518 | $18,500 | $29,657 | $278,675 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services | IFHS's sole dental provider left the organization in May of 2019 and thus we are collaborating with a local dentist to provide dental care for our patients by referral. We also lost our Behavioral health provider in September of 2018 and purchased those services from our local tribal program over the remainder of the year. |
| Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee | The 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 Process | Prior 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 Conflicts | The 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 Management | For 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 Available | The 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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