ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201821359349307532
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T14:10:21-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | 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 | JAMES KAECH | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9075811202 | PhoneNum |
| Signature | 2018-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2018-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES KAECH | 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 | $5,617,859 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| 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 PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF THE UNALASKA REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 56 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,742,465 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,580,766 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,518,989 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,932,246 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,560 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,919 | CYInvestmentIncomeAmt |
| PY Other Revenue | $179,629 | PYOtherRevenueAmt |
| CY Other Revenue | $99,928 | CYOtherRevenueAmt |
| PY Total Revenue | $6,442,643 | PYTotalRevenueAmt |
| CY Total Revenue | $5,617,859 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,692,458 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,754,090 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $11,823 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $12,271 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $12,271 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,106,840 | PYOtherExpensesAmt |
| CY Other Expenses | $2,325,684 | CYOtherExpensesAmt |
| PY Total Expenses | $6,811,121 | PYTotalExpensesAmt |
| CY Total Expenses | $6,092,045 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$368,478 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$474,186 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,449,628 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,880,569 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $571,618 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $458,434 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,878,010 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,422,135 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,608,388 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,586,090 | 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 | $325,960 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $164,300 | 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 |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $238,592 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $181,856 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,172,940 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 56 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEE PODOLL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5094750563 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23905 EAST WELLESLEY AVENUE | AddressLine1Txt |
| City | OTIS ORCHARDS | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99027 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| D TYRELL MCGIRT | |||||||
| PRESIDENT (THROUGH OCTOBER 2016) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILLIE JO GEHRING | |||||||
| SECRETARY/TREASURER & PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARON SVARNY-LIVINGSTON | |||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOEL COLLINS | |||||||
| SECRETARY/TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DON GOODFELLOW | |||||||
| BOARD MEMBER (THROUGH SEPT 2016) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LYDIA GORDON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RACHELLE HATFIELD | |||||||
| BOARD MEMBER (THROUGH OCTOBER 2016) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANICE KRUKOFF | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FERDINAND LOPEZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ESTKARLEN MAGDAONG | |||||||
| BOARD MEMBER (THROUGH APRIL 2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM RODRIGUEZ | |||||||
| BOARD MEMBER (THROUGH JUNE 2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY SANDNESS | |||||||
| BOARD MEMBER (THROUGH JUNE 2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TAMMY TAYLOR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EILEEN C SCOTT | |||||||
| EXEC. DIR. (THROUGH AUG 2016) | 50.00 | Yes (X) | $134,326 | $0 | $6,591 | ||
| JAMES NOVOTNY | |||||||
| INTERIM EXEC. DIR. (AUG - NOV 2016) | 50.00 | Yes (X) | $59,869 | $0 | $5,680 | ||
| MICHELLE COCHRAN | |||||||
| EXECUTIVE DIRECTOR | 50.00 | Yes (X) | $38,933 | $0 | $0 | ||
| ERIC HOOVER | |||||||
| DIR. OF FINANCE (THROUGH DEC 2016) | 50.00 | Yes (X) | $39,583 | $0 | $571 | ||
| LEE PODOLL | |||||||
| CFO | 50.00 | Yes (X) | $0 | $0 | $0 | ||
| DR ANN NORA EHRET DO | |||||||
| MEDICAL DIRECTOR | 40.00 | $228,778 | $0 | $9,886 | Yes (X) | ||
| PSALMER RICHMOND DDS | |||||||
| DIRECTOR OF DENTAL SERVICES | 40.00 | $144,119 | $0 | $9,886 | Yes (X) | ||
| RAMONA THOMPSON | |||||||
| DIRECTOR OF CLINICAL SERVICES | 40.00 | $127,349 | $0 | $18,013 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $772,957 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $50,627 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAXWELL IT | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 99603 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98139 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | IT SERVICES | ServicesDesc |
| Compensation | $116,146 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,580,766 | GovernmentGrantsAmt |
| Total Contributions | $1,580,766 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $3,932,246 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,932,246 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,932,246 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,919 | TotalRevenueColumnAmt |
| Exclusion | $4,919 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,400 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | 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 |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $13,528 | TotalRevenueColumnAmt |
| Exclusion | $13,528 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,528 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,617,859 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,932,246 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $104,847 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,334 | TotalAmt |
| Management And General | $216,334 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,651,484 | TotalAmt |
| Program Services | $2,416,839 | ProgramServicesAmt |
| Management And General | $234,645 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $667,413 | TotalAmt |
| Program Services | $568,529 | ProgramServicesAmt |
| Management And General | $98,884 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,859 | TotalAmt |
| Program Services | $184,696 | ProgramServicesAmt |
| Management And General | $34,163 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,200 | TotalAmt |
| Program Services | $28,322 | ProgramServicesAmt |
| Management And General | $3,878 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,237 | TotalAmt |
| Program Services | $115,432 | ProgramServicesAmt |
| Management And General | $15,805 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,271 | TotalAmt |
| Fundraising | $12,271 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,311 | TotalAmt |
| Program Services | $274,938 | ProgramServicesAmt |
| Management And General | $25,373 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,558 | TotalAmt |
| Program Services | $15,386 | ProgramServicesAmt |
| Management And General | $4,172 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,215 | TotalAmt |
| Program Services | $11,629 | ProgramServicesAmt |
| Management And General | $1,586 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,609 | TotalAmt |
| Program Services | $263,044 | ProgramServicesAmt |
| Management And General | $31,565 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,769 | TotalAmt |
| Program Services | $35,220 | ProgramServicesAmt |
| Management And General | $9,549 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405 | TotalAmt |
| Program Services | $319 | ProgramServicesAmt |
| Management And General | $86 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,226 | TotalAmt |
| Program Services | $4,111 | ProgramServicesAmt |
| Management And General | $1,115 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,173 | TotalAmt |
| Program Services | $224,552 | ProgramServicesAmt |
| Management And General | $30,621 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,855 | TotalAmt |
| Program Services | $70,794 | ProgramServicesAmt |
| Management And General | $8,061 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MISCELLANEOUS EXPENSES | $428,760 | $337,308 | $91,452 |
| BAD DEBT | $369,381 | $325,055 | $44,326 |
| SUPPLIES | $344,000 | $290,484 | $53,516 |
| DUES & SUBSCRIPTIONS | $7,985 | $6,282 | $1,703 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,092,045 | TotalAmt |
| Program Services | $5,172,940 | ProgramServicesAmt |
| Management And General | $906,834 | ManagementAndGeneralAmt |
| Fundraising | $12,271 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,956 | BOYAmt |
| EOY | $236,409 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $458,642 | BOYAmt |
| EOY | $452,359 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,451 | BOYAmt |
| EOY | $647,799 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,453 | BOYAmt |
| EOY | $45,909 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,632 | BOYAmt |
| EOY | $39,771 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,021,187 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,187,834 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,088,527 | BOYAmt |
| EOY | $1,833,353 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,142 | BOYAmt |
| EOY | $619,144 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,825 | BOYAmt |
| EOY | $5,825 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,449,628 | BOYAmt |
| EOY | $3,880,569 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,807 | BOYAmt |
| EOY | $398,957 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,811 | BOYAmt |
| EOY | $59,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $571,618 | BOYAmt |
| EOY | $458,434 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,419,368 | BOYAmt |
| EOY | $2,969,776 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $458,642 | BOYAmt |
| EOY | $452,359 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,878,010 | BOYAmt |
| EOY | $3,422,135 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,449,628 | BOYAmt |
| EOY | $3,880,569 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$474,186 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,311 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $151,706,740 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,327,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,460,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,742,465 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,580,766 | CurrentTaxYearAmt |
| Total | $157,818,447 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $151,706,740 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,327,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,460,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,742,465 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,580,766 | CurrentTaxYearAmt |
| Total | $157,818,447 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $157,818,447 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $142,001 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,397 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,625 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,760 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $91,319 | CurrentTaxYearAmt |
| Total | $491,102 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,363 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $217,755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $100,489 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $100,429 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,528 | CurrentTaxYearAmt |
| Total | $538,564 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $158,848,113 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $21,462,502 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99350 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87320 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME | ExplanationTxt |
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 | $4,717,025 | DepreciationAmt |
| Book Value | $1,639,590 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,619,581 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,470,809 | DepreciationAmt |
| Book Value | $148,772 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,833,353 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,612,940 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $18,311 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $18,311 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,594,629 | RevenueSubtotalAmt |
| Other Revenues Not Included | $23,230 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $23,230 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,617,859 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,092,045 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,092,045 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,092,045 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 23,230. |
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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ANN NORA EHRET DO | ||||||||||||||
| MEDICAL DIRECTOR | $228,778 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,886 | $0 | $238,664 | $0 | $0 | $0 |
| PSALMER RICHMOND DDS | ||||||||||||||
| DIRECTOR OF DENTAL SERVICES | $144,119 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,886 | $0 | $154,005 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIELO HOOVER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF ERIC HOOVER, DIRECTOR OF FINANCE | RelationshipDescriptionTxt |
| Transaction | $73,569 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | 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, SECTION A, LINE 3 | STARTING IN JANUARY 2017, THE ORGANIZATION CONTRACTED WITH COMMUNITY LINK CONSULTING TO PROVIDE FINANCIAL MANAGEMENT SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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, SECTION B, LINE 12C | THE 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 15A | FOR THE EXECUTIVE DIRECTOR, 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 EXECUTIVE DIRECTOR'S CONTRACT. THIS PROCESS IS COMPLETED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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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