ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-04-30
IRS object ID
201911209349301811
Schema version
2017v2.3
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)
Return2019-04-30T19:39:59-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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)
PersonAMY DOWDSPersonNm
Person TitleBOARD CHAIRPersonTitleTxt
Phone9075811202PhoneNum
Signature2019-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2019-04-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-27IPDt
IP Tm06:28:44IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD9296ABB841A0B8370F91367E66032AC87F74933AtSubmissionCreationDeviceId
At Submission Filing Device Id33F877C3ABFBB78B8EF2964D67A95BC3B590144CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAMY DOWDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 144AddressLine1Txt
CityUNALASKACityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,848,894GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IFHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateAKLegalDomicileStateCd
Activity Or MissionTO PROVIDE PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF THE UNALASKA REGION.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee58TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,580,766PYContributionsGrantsAmt
CY Contributions Grants$2,062,246CYContributionsGrantsAmt
PY Program Service Revenue$3,932,246PYProgramServiceRevenueAmt
CY Program Service Revenue$2,693,915CYProgramServiceRevenueAmt
PY Investment Income$4,919PYInvestmentIncomeAmt
CY Investment Income$4,566CYInvestmentIncomeAmt
PY Other Revenue$99,928PYOtherRevenueAmt
CY Other Revenue$88,167CYOtherRevenueAmt
PY Total Revenue$5,617,859PYTotalRevenueAmt
CY Total Revenue$4,848,894CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,754,090PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,234,166CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$12,271PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,325,684PYOtherExpensesAmt
CY Other Expenses$2,166,916CYOtherExpensesAmt
PY Total Expenses$6,092,045PYTotalExpensesAmt
CY Total Expenses$5,401,082CYTotalExpensesAmt
PY Revenues Less Expenses-$474,186PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$552,188CYRevenuesLessExpensesAmt
Total Assets BOY$3,880,569TotalAssetsBOYAmt
Total Assets EOY$3,298,504TotalAssetsEOYAmt
Total Liabilities BOY$458,434TotalLiabilitiesBOYAmt
Total Liabilities EOY$420,378TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,422,135NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,878,126NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,794,244ExpenseAmt
Grant$0GrantAmt
Revenue$2,444,017RevenueAmt
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$329,021ExpenseAmt
Grant$0GrantAmt
Revenue$106,782RevenueAmt
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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$223,099ExpenseAmt
Grant$0GrantAmt
Revenue$143,116RevenueAmt
DescPROVIDED 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
FieldValueIRS element (for citing)
Total Program Service Expenses$4,346,364TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee58EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BILLIE JO GEHRINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9075818655PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 144AddressLine1Txt
CityUNALASKACityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BILLIE JO GEHRING
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
SHARON SVARNY-LIVINGSTON
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
JOEL COLLINS SECRETARY
TREASURER (THROUGH DECEMBER 2017)2.00Yes (X)Yes (X)$0$0$0
ANNA POOLE
BOARD MEMBER & SECRETARY/TREASURER2.00Yes (X)Yes (X)$0$0$0
LYDIA GORDON
BOARD MEMBER (THROUGH JUNE 2018)1.00Yes (X)$0$0$0
HARRIETT BERIKOFF
BOARD MEMBER1.00Yes (X)$0$0$0
AMY DOWDS
BOARD MEMBER1.00Yes (X)$0$0$0
VICTOR FISHER
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM HOMKA
BOARD MEMBER1.00Yes (X)$0$0$0
JANICE KRUKOFF
BOARD MEMBER1.00Yes (X)$0$0$0
FERDINAND LOPEZ
BOARD MEMBER1.00Yes (X)$0$0$0
JAMIE STIPPEL
BOARD MEMBER1.00Yes (X)$0$0$0
TAMMY TAYLOR
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE COCHRAN EXECUTIVE
DIRECTOR (THROUGH AUGUST 2017)50.00Yes (X)$77,077$0$19,818
JAMES KAECH
CEO (AS OF AUGUST 2017)50.00Yes (X)$67,500$0$13,555
LEE PODOLL
CFO (THROUGH NOV 2017)50.00Yes (X)$0$0$0
DARLENE DUMAIS-ALLEN
CFO (AS OF NOVEMBER 2017)50.00Yes (X)$11,635$0$0
ANN NORA EHRET DO
MEDICAL DIRECTOR40.00$253,003$0$34,584Yes (X)
MEGAN SAMECKI MD
PHYSICIAN40.00$201,662$0$45,732Yes (X)
PSALMER RICHMOND DDS
DIRECTOR OF DENTAL SERVICES40.00$145,231$0$27,732Yes (X)
RAMONA THOMPSON
DIRECTOR OF CLINICAL SERVICES40.00$111,765$0$43,788Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$867,873TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$185,209TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,022,271GovernmentGrantsAmt
All Other Contributions$39,975AllOtherContributionsAmt
Total Contributions$2,062,246TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUESDesc
Business624100BusinessCd
Total Revenue Column$2,693,915TotalRevenueColumnAmt
Related Or Exempt Func Income$2,693,915RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,693,915TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,566TotalRevenueColumnAmt
Exclusion$4,566ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$86,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$86,400RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,400TotalRevenueColumnAmt
Exclusion$86,400ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business624100BusinessCd
Total Revenue Column$1,767TotalRevenueColumnAmt
Exclusion$1,767ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,767OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,848,894TotalRevenueColumnAmt
Related Or Exempt Func Income$2,693,915RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$92,733ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$223,694TotalAmt
Program Services$201,325ProgramServicesAmt
Management And General$22,369ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,299,688TotalAmt
Program Services$1,827,192ProgramServicesAmt
Management And General$472,496ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$87,050TotalAmt
Program Services$78,461ProgramServicesAmt
Management And General$8,589ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$426,380TotalAmt
Program Services$384,309ProgramServicesAmt
Management And General$42,071ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$197,354TotalAmt
Program Services$177,881ProgramServicesAmt
Management And General$19,473ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,754TotalAmt
Program Services$26,146ProgramServicesAmt
Management And General$3,608ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$113,908TotalAmt
Program Services$100,095ProgramServicesAmt
Management And General$13,813ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$381,318TotalAmt
Program Services$335,077ProgramServicesAmt
Management And General$46,241ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$40,906TotalAmt
Program Services$31,154ProgramServicesAmt
Management And General$9,752ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,913TotalAmt
Program Services$6,315ProgramServicesAmt
Management And General$4,598ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$180,402TotalAmt
Program Services$139,092ProgramServicesAmt
Management And General$41,310ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,751TotalAmt
Program Services$34,844ProgramServicesAmt
Management And General$10,907ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$381ProgramServicesAmt
Management And General$119ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,851TotalAmt
Program Services$2,933ProgramServicesAmt
Management And General$918ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$249,680TotalAmt
Program Services$129,200ProgramServicesAmt
Management And General$120,480ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$90,958TotalAmt
Program Services$36,868ProgramServicesAmt
Management And General$54,090ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS EXPENSES$494,603$376,686$117,917
SUPPLIES$284,628$225,263$59,365
BAD DEBT$231,759$227,061$4,698
DUES & SUBSCRIPTIONS$7,985$6,081$1,904

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,401,082TotalAmt
Program Services$4,346,364ProgramServicesAmt
Management And General$1,054,718ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$236,409BOYAmt
EOY$309,748EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$452,359BOYAmt
EOY$446,076EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$647,799BOYAmt
EOY$379,420EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$45,909BOYAmt
EOY$66,031EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,771BOYAmt
EOY$22,126EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,984,772LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,343,131LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,833,353BOYAmt
EOY$1,641,641EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$619,144BOYAmt
EOY$430,212EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,825BOYAmt
EOY$3,250EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,880,569BOYAmt
EOY$3,298,504EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$398,957BOYAmt
EOY$385,743EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$59,477BOYAmt
EOY$34,635EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$458,434BOYAmt
EOY$420,378EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,969,776BOYAmt
EOY$2,392,074EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$452,359BOYAmt
EOY$486,052EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,422,135BOYAmt
EOY$2,878,126EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,880,569BOYAmt
EOY$3,298,504EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$552,188ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,179NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$1,327,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,460,955CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,742,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,580,766CurrentTaxYearMinus1YearAmt
Current Tax Year$2,062,246CurrentTaxYearAmt
Total$8,173,953TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,327,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,460,955CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,742,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,580,766CurrentTaxYearMinus1YearAmt
Current Tax Year$2,062,246CurrentTaxYearAmt
Total$8,173,953TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$8,173,953PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,397CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$80,760CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$91,319CurrentTaxYearMinus1YearAmt
Current Tax Year$90,966CurrentTaxYearAmt
Total$440,067TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$217,755CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$100,489CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$100,429CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,528CurrentTaxYearMinus1YearAmt
Current Tax Year$1,767CurrentTaxYearAmt
Total$433,968TotalAmt
FieldValueIRS element (for citing)
Total Support$9,047,988TotalSupportAmt
Gross Receipts Rltd Activities$20,200,814GrossReceiptsRltdActivitiesAmt
Public Support CY1700.90340PublicSupportCY170Pct
Public Support PY1700.99350PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOMEExplanationTxt

Schedule B IRS990ScheduleB

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$6,356,615OtherCostOrOtherBasisAmt
Depreciation$4,925,312DepreciationAmt
Book Value$1,431,303BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,583,166OtherCostOrOtherBasisAmt
Depreciation$1,417,819DepreciationAmt
Book Value$165,347BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,641,641TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,804,353TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,179NetUnrealizedGainsInvstAmt
Revenue Not Reported$8,179RevenueNotReportedAmt
Revenue Subtotal$4,796,174RevenueSubtotalAmt
Other Revenues Not Included$52,720OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$52,720RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,848,894TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,401,082TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,401,082ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,401,082TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS BECAUSE THE CLINIC IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 12,745. TEMPORARILY RESTRICTED CONTRIBUTIONS 39,975.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANN NORA EHRET DO
MEDICAL DIRECTOR$253,003$0$0$0$0$0$24,000$0$10,584$0$287,587$0$0$0
MEGAN SAMECKI MD
PHYSICIAN$201,662$0$0$0$0$0$18,000$0$27,732$0$247,394$0$0$0
PSALMER RICHMOND DDS
DIRECTOR OF DENTAL SERVICES$145,231$0$0$0$0$0$0$0$27,732$0$172,963$0$0$0
RAMONA THOMPSON
DIRECTOR OF CLINICAL SERVICES$111,765$0$0$0$0$0$24,000$0$19,788$0$155,553$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 A, LINE 3THROUGH OCTOBER 2017, THE ORGANIZATION CONTRACTED WITH COMMUNITY LINK CONSULTING TO PROVIDE FINANCIAL MANAGEMENT SERVICES.
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 MEMBERS' 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.

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