2017-08-14T14:17:04-05:00 2016-09-30 920127098 ELGEE REHFELD MERTZ LLC 9309 GLACIER HWY STE B-200 JUNEAU AK 99801 990 2015-10-01 920041488 NORTON SOUND HEALTH CORPORATION NORT 9074433311 PO BOX 966 NOME AK 99762 ANGELA GORN PRESIDENT/CEO 9074433311 2017-08-10 1 ROBERT L REHFELD P00104959 9077893178 2017-08-10 2015 2021-01-29 14:40:06Z ANGELA GORN PO BOX 966 NOME AK 99762 122839801 0 X NORTONSOUNDHEALTH.ORG X 1970 AK COMMITMENT TO PROVIDING THE NATIVE PEOPLE OF THE NORTON SOUND REGION WITH THE HIGHEST QUALITY HEALTH CARE POSSIBLE. 23 22 873 0 0 0 67819012 67462957 45798759 53287951 494793 239641 1088009 1816710 115200573 122807259 840355 332987 0 0 61662634 62703907 0 0 0 53245405 50627574 115748394 113664468 -547821 9142791 252411635 260489691 13584006 12290656 238827629 248199035 X TO PROVIDE QUALITY HEALTH SERVICES AND PROMOTE WELLNESS WITHIN ITS PEOPLE AND ENVIRONMENT. 0 0 70276862 332987 44663417 THE HOSPITAL DIVISION OF NORTON SOUND HEALTH CORPORATION (NSHC) INCLUDES A 18 BED ACUTE CARE HOSPITAL AND A 18 BED LONG-TERM CARE FACILITY THROUGH WHICH MEDICAL CARE IS PROVIDED TO THE RESIDENTS OF NOME AND 15 VILLAGES ON THE COAST AND ISLANDS OF THE BERING SEA. IN ADDITION TO INPATIENT/OUTPATIENT CARE, NSHC CONTINUES TO INCREASE ITS COMMITMENT TO PREVENTIVE HEALTH CARE BY SUPPORTING PROGRAMS THAT EMPHASIZE HEALTH AND FITNESS, INCLUDING OFFERING NUMEROUS SCREENING TESTS, DIET, EXERCISE AND FITNESS COUNSELING, AS WELL AS SCREENING PROCEDURES FOR COLON AND STOMACH CANCER, CARDIOVASCULAR AND DIABETES HEALTH RISKS. QUYANNA CARE CENTER - THE LONG TERM CARE FACILITY, CONTINUES TO MAXIMIZE THE QUALITY OF LIFE FOR ITS RESIDENTS. STAFF MEMBERS STRIVE TO MAINTAIN A VERY HIGH LEVEL OF CARE BY ENSURING THAT PATIENT SAFETY AND QUALITY OF CARE COME FIRST. A HOME-LIKE ENVIRONMENT IS PROMOTED AND EMBRACED AND THE NATIVE CULTURE IS WOVEN INTO EVERY ASPECT OF CARE. NATIVE FOODS ARE PREPARED OFTEN THROUGH FAMILY AND COMMUNITY DONATIONS. CELEBRATIONS AND FAMILY GATHERINGS ARE PART OF EVERYDAY LIFE IN THE FACILITY.KEY HOSPITAL STATISTICS FOR FY16 INCLUDE: ER VISITS 9,756 OUTPATIENTS 11,219FAST TRACK DENTAL ENCOUNTERS 9,739 RADIOLGY PROCEDURES 6,969 23834196 7720590 NSHC'S REGIONAL HEALTH SERVICES PROVIDE A WIDE VARIETY OF HEALTH CARE, PROMOTION, SCREENING, AND PREVENTION PROGRAMS TO NOME AND 15 BERING SEA VILLAGES. SUCH PROGRAMS INCLUDE BUT ARE NOT LIMITED TO THE PROVISION OF HEALTH AIDES (CERTIFIED AND IN-TRAINING) AT EACH VILLAGE HEALTH CLINIC, A TRIBAL HEALER PROGRAM, INFANT LEARNING PROGRAMS, ENVIRONMENTAL HEALTH PROGRAM, HEALTHY STARTS AND OTHER SERVICES GEARED SPECIFICALLY TO WOMEN, INFANTS AND CHILDREN.KEY STATISTICS FOR FY16 INCLUDE: PATIENT VISITS IN VILLAGE CLINICS 31,358 3833056 1592410 NSHC'S BEHAVIORAL HEALTH SERVICES DIVISION PROVIDES OUTPATIENT INDIVIDUAL, COUPLE, FAMILY AND GROUP MENTAL HEALTH THERAPY, INTERACTIVE AND OBSERVATIONAL PLAY THERAPY AS WELL AS INDIVIDUAL, COUPLE, FAMILY AND GROUP SUBSTANCE ABUSE COUNSELING, SEXUAL ASSAULT RESPONSE SERVICES AND ALCOHOL AND DRUG INFORMATION SCHOOL. IT ALSO PROVIDES PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL TESTING, PSYCHIATRIC SERVICES INCLUDING MEDICATION ASSESSMENT AND EVALUATION, CASE MANAGEMENT AND REFERRAL SERVICES AND 24/7 CRISIS INTERVENTION IN THE EMERGENCY ROOM AND INPATIENT UNITS. BEHAVIORAL HEALTH SERVICES ARE DELIVERED IN THE VILLAGES THROUGH THE VILLAGE BASED COUNSELORS (VBC'S). BHS IS THE ONLY RURAL LOCATION IN THE STATE ACCREDITED BY THE AMERICAN PSYCHOLOGICAL ASSOCIATION WITH A PR-DOCTORAL INTERNSHIP PROGRAM. KEY STATISTICS FOR FY16 INCLUDE: BEHAVIORAL HEALTH VISITS 5,353 7765244 966900 7765244 966900 105709358 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 229 0 1 873 1 0 0 0 0 0 0 0 0 0 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 AK X NORTON SOUND HEALTH CORPORATION 9074433201 PO BOX 966 NOME AK 99762 EMILY HUGHES BOARD CHAIRPERSON 40.00 X X 75048 0 30986 PRESTON ROOKOK BOARD FIRST VICE CHAIR 3.00 X X 14100 0 0 JUNE WALUNGA BOARD SECOND VICE CHAIR 3.00 X X 24150 0 0 BERDA WILSON BOARD SECRETARY 3.00 X X 21810 0 0 KARLA NAYOKPUK BOARD TREASURER 3.00 X X 12720 0 0 MARTIN AUKONGAK EXECUTIVE MEMBER NO 1 1.00 X 14700 0 0 MATILDA HARDY EXECUTIVE MEMBER NO 2 1.00 X 12630 0 0 ALFRED SHALIN EXECUTIVE MEMBER NO 3 1.00 X 12090 0 0 CAROL ABLOWALUK BOARD MEMBER 1.00 X 3600 0 0 LEONARD ADAMS BOARD MEMBER 1.00 X 9600 0 0 CASSANDRA AHKVALUK BOARD MEMBER 1.00 X 1800 0 0 STAN ANDERSON BOARD MEMBER 1.00 X 10860 0 0 ALLEN ATCHAK BOARD MEMBER 1.00 X 7200 0 0 MARY CHARLES BOARD MEMBER 1.00 X 7200 0 0 JANICE DOHERTY BOARD MEMBER 1.00 X 9300 0 0 BRIAN JAMES BOARD MEMBER 1.00 X 3900 0 0 ROBERT KEITH BOARD MEMBER 1.00 X 9900 0 0 JENNY LEE BOARD MEMBER 1.00 X 11130 0 0 FREDERICK MURRY BOARD MEMBER 1.00 X 9000 0 0 RUBY NASSUK BOARD MEMBER 1.00 X 9930 0 0 RUTH OJANEN BOARD MEMBER 1.00 X 10500 0 0 DANIEL L RICHARD SR BOARD MEMBER 1.00 X 11700 0 0 VIRGINA WASHINGTON BOARD MEMBER 1.00 X 12600 0 0 HENRIETTA WILSON BOARD MEMBER 1.00 X 14130 0 0 ANGELA GORN PRESIDENT/CEO 40.00 X 319918 0 58539 PHILIP HOFSTETTER VICE PRESIDENT 40.00 X 211205 0 54773 CHRISTOPHER BOLTON CHIEF OPERATING OFFICER 40.00 X 261705 0 29780 TWOSIXTWOFIVEONEZEROZERO CHIEF FINANCIAL OFFICER 40.00 X 189017 0 53220 MARY STAAB CHIEF FINANCIAL OFFICER 40.00 X 125841 0 34887 DAVID HEAD CHIEF OF MEDICAL STAFF 40.00 X 502506 0 59322 KAREN F ONEILL DIRECTOR OF HEALTH AIDE TRAINING 40.00 X 399665 0 48726 SAI-LING LIU PHYSICIAN 40.00 X 317376 0 32486 SHANA THEOBALD PHYSICIAN 40.00 X 306734 0 29670 MARK KELSO DIRECTOR OF DENSTRY 40.00 X 278124 0 59362 ALIN LEDFORD PHYSICIAN 40.00 X 289398 0 14 3531087 0 491765 90 0 1 0 PAUG-VIK DEVELOPMENT CORP 6250 TUTTLE PLACE NO 5 ANCHORAGE AK 99507 CONSTRUCTION SERVICES 1489044 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 STAFFING AGENCY 1039894 HUDSON STAFFING LLC 4625 NADINE LANE FRANKLIN TN 37064 STAFFING AGENCY 422646 INNOVATIVE EMPLOYEE SOLUTIONS 9665 GRANITE RIDGE DR STE 420 SAN DIEGO CA 92123 STAFFING AGENCY 295080 ELGEE REHFELD MERTZ LLC 9309 GLACIER HIGHWAY SUITE B-200 JUNEAU AK 99801 ACCOUNTANT/CPAS 256526 16 67462957 67462957 NET PATIENT REVENUES 622110 53287951 53287951 53287951 272183 272183 161344 0 161344 161344 161344 32542 -32542 -32542 -32542 MISCELLANEOUS REIMBURSEMENTS 900099 918939 918939 DIETARY REVENUES 900099 641212 641212 AIR AMBULANCE REIMBURSEMENTS 900099 95215 95215 1655366 122807259 54943317 0 400985 53775 53775 279212 279212 2031711 2031711 44047323 38470755 5576568 1991068 1775624 215444 11220554 9493405 1727149 3413251 2918770 494481 298039 298039 445178 58561 386617 157500 157500 91012 91012 5514380 4769077 745303 145408 7888 137520 1445631 970124 475507 339640 339640 4853449 3841145 1012304 9547028 8547654 999374 131830 89573 42257 33176 33176 16928950 15789266 1139684 590327 29129 561198 MATERIALS AND OTHER OPE 6391831 5775934 615897 MAINTENANCE AND EQUIPME 2597118 1372068 1225050 ALL OTHER EXPENSES 574415 190853 383562 BAD DEBT 542662 542662 10609695 -10609695 113664468 105709358 7955110 0 15530275 25364569 3391457 13753756 3780203 3092842 5967240 3496087 1728527 1885054 121447 261079 237492008 71614453 175532931 165877555 46356239 46758749 3316 0 252411635 260489691 8968095 9427977 2526984 935188 719751 690746 1369176 1236745 13584006 12290656 X 238827629 248199035 238827629 248199035 252411635 260489691 9142791 228615 0 X X 0 1 X 1 1 1 X 90327509 72596961 69989839 67819012 67462957 368196278 90327509 72596961 69989839 67819012 67462957 368196278 368196278 577235 544215 512319 486748 416213 2536730 3000000 9800000 1872 12801872 383534880 213774701 0.96000 0.96140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 157500 0 0 157500 0 PART II-B, LINE 1: THE CORPORATION CONTRACTS WITH TWO INDIVIDUALS WHO LOBBY ON BEHALF OF THE ORGANIZATION FOR TRIBAL HEALTH AND VILLAGE MATTERS. ONE IS FOCUSED ON STATE OF ALASKA AND ONE OPERATES ON THE FEDERAL LEVEL. THEY HAVE DIRECT CONTACT WITH LEGISLATORS, ETC. 1 10493 27946 29688 8751 0 14164452 14164452 102763630 34634475 68129155 112405905 36979978 75425927 8158021 8158021 165877555 RESERVE FOR CLAIM PAYMENTS 1236745 1236745 X 141898976 228615 19496776 19725391 122173585 91012 542662 633674 122807259 132527570 19496776 19496776 113030794 91012 542662 633674 113664468 PART IV, LINE 1B: THE ORGANIZATION MAINTAINS CUSTODIAL ACCOUNTS FOR RESIDENTS OF THEIR LONG TERM CARE FACILITY. PART X, LINE 2: THE CORPORATION FOLLOWS THE PROVISIONS OF FASB ASC 740, INCOME TAXES. MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN. THE CORPORATION'S FEDERAL INFORMATIONAL RETURNS (FORM 990) ARE SUBJECT TO POSSIBLE EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE EXPIRATION OF THE RELATED STATUTE OF LIMITATIONS ON THOSE INFORMATIONAL RETURNS, WHICH, IN GENERAL, HAVE A THREE-YEAR STATUTE OF LIMITATIONS. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS FOR THE YEARS ENDED SEPTEMBER 30, 2014 THROUGH 2016 IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES AND HAS DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS REQUIRED TO BE DISCLOSED. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT PROVISION 542,662. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT PROVISION 542,662. 1 NOME EMERGENCY SHELTER TEAM PO BOX 1609 NOME AK 99762 273970829 501(C)(3) 45000 COST TO EXTEND SERVICES PROVIDED TO HOMELESS INDIVIDUALS 1 FINANCIAL ASSISTANCE TO ELIGIBLE STUDENTS WHO ARE PURSUING HIGHER EDUCATION IN A HEALTH RELATED FIELD. 273 279212 CASH PART I, LINE 2: SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE EDUCATIONAL INSTITUTION ON BEHALF OF THE ELIGIBLE RECIPIENT. FOR SCHOLARSHIPS, RECIPIENTS MUST PROVIDE EVIDENCE OF SATISFACTORY COMPLETION OF COURSES AND MAINTAIN GPA'S AS MANDATED IN NORTON SOUND POLICY FOR SCHOLARSHIPS. X X 1 1 X 0 0 0 0 0 0 0 0 0 ANGELA GORN PRESIDENT/CEO 319918 0 0 0 0 0 18550 0 39989 0 378457 0 0 0 PHILIP HOFSTETTER VICE PRESIDENT 211205 0 0 0 0 0 14784 0 39989 0 265978 0 0 0 CHRISTOPHER BOLTON CHIEF OPERATING OFFICER 261705 0 0 0 0 0 18319 0 11461 0 291485 0 0 0 TWOSIXTWOFIVEONEZEROZERO CHIEF FINANCIAL OFFICER 189017 0 0 0 0 0 13231 0 39989 0 242237 0 0 0 MARY STAAB CHIEF FINANCIAL OFFICER 125841 0 0 0 0 0 8809 0 26078 0 160728 0 0 0 DAVID HEAD CHIEF OF MEDICAL STAFF 502506 0 0 0 0 0 18550 0 40772 0 561828 0 0 0 KAREN F ONEILL DIRECTOR OF HEALTH AIDE TRAINING 399665 0 0 0 0 0 18550 0 30176 0 448391 0 0 0 SAI-LING LIU PHYSICIAN 317376 0 0 0 0 0 18550 0 13936 0 349862 0 0 0 SHANA THEOBALD PHYSICIAN 306734 0 0 0 0 0 18550 0 11120 0 336404 0 0 0 MARK KELSO DIRECTOR OF DENSTRY 278124 0 0 0 0 0 18550 0 40812 0 337486 0 0 0 ALIN LEDFORD PHYSICIAN 289398 0 0 0 0 0 0 0 14 0 289412 0 0 0 PART I, LINE 1A THE NORTON SOUND HEALTH CORPORATION OPERATES IN A VERY REMOTE PART OF ALASKA. AS A RESULT, THERE ARE TIMES WHERE NUMEROUS STAFF MEMBERS TRAVEL TO THE SAME RURAL DESTINATION AND IT IS MORE COST EFFECTIVE FOR THAT TRAVEL TO OCCUR ON A CHARTER. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED BY CHIEF FINANCIAL OFFICER PRIOR TO FILING AND WILL BE PRESENTED AT A FULL BOARD MEETING AT A LATER TIME. FORM 990, PART VI, SECTION B, LINE 12C ORGANIZATION'S HUMAN RESOURCES DEPARTMENT (HR) PROVIDES EMPLOYEE EDUCATION ON OUR POLICIES ON EMPLOYEE'S FIRST DAY OF WORK. ALL CORPORATE POLICIES ARE APPROVED BY THE BOARD OF DIRECTORS AND ENFORCED/MONITORED BY ADMINISTRATION AND HR STAFF. THEY ARE MONITORED BY INTERACTION WITH MANAGERS AND OTHER STAFF. ANY ISSUES THAT ARE IDENTIFIED ARE FORWARDED TO HR FOR INVESTIGATION AND FOLLOW UP. FORM 990, PART VI, SECTION B, LINE 15 OFFICER AND KEY EMPLOYEE SALARIES REQUIRE BOARD APPROVAL AND HAVE HISTORICALLY BEEN DETERMINED USING READILY AVAILABLE MARKET DATA FOR COMPARISON. DURING FY16 THE CORPORATION ENGAGED AN OUTSIDE ENTITY TO COMPLETE A COMPENSATION ANALYSIS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE. FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED FROM PRIOR YEAR.