ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-04-28
IRS object ID
201731189349301113
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-04-28T17:26:15-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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)
PersonMICHELLE COCHRANPersonNm
Person TitleACTING EXECUTIVE DIRECTORPersonTitleTxt
Phone9075811202PhoneNum
Signature2017-04-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE COCHRANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 144AddressLine1Txt
CityUNALASKACityNm
State AbbreviationAKStateAbbreviationCd
ZIP99685ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,442,643GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee68TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,460,955PYContributionsGrantsAmt
CY Contributions Grants$1,742,465CYContributionsGrantsAmt
PY Program Service Revenue$4,867,683PYProgramServiceRevenueAmt
CY Program Service Revenue$4,518,989CYProgramServiceRevenueAmt
PY Investment Income$14,672PYInvestmentIncomeAmt
CY Investment Income$1,560CYInvestmentIncomeAmt
PY Other Revenue$191,783PYOtherRevenueAmt
CY Other Revenue$179,629CYOtherRevenueAmt
PY Total Revenue$6,535,093PYTotalRevenueAmt
CY Total Revenue$6,442,643CYTotalRevenueAmt
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$3,637,930PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,692,458CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$11,823CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,823CYTotalFundraisingExpenseAmt
PY Other Expenses$2,871,985PYOtherExpensesAmt
CY Other Expenses$3,106,840CYOtherExpensesAmt
PY Total Expenses$6,509,915PYTotalExpensesAmt
CY Total Expenses$6,811,121CYTotalExpensesAmt
PY Revenues Less Expenses$25,178PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$368,478CYRevenuesLessExpensesAmt
Total Assets BOY$5,032,192TotalAssetsBOYAmt
Total Assets EOY$4,449,628TotalAssetsEOYAmt
Total Liabilities BOY$782,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$571,618TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,249,806NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,878,010NetAssetsOrFundBalancesEOYAmt
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$5,234,855ExpenseAmt
Grant$0GrantAmt
Revenue$3,937,898RevenueAmt
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$368,486ExpenseAmt
Grant$0GrantAmt
Revenue$220,512RevenueAmt
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$174,024ExpenseAmt
Grant$0GrantAmt
Revenue$360,579RevenueAmt
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$5,777,365TotalProgramServiceExpensesAmt
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 MemYes (1)BusinessRlnWithFamMemInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee68EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 Line1LEE PODOLLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5094750563PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line123905 EAST WELLESLEY AVENUEAddressLine1Txt
CityOTIS ORCHARDSCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99027ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHELLE COCHRAN
PRESIDENT (THROUGH MAY 2016)2.00Yes (X)Yes (X)$0$0$0
D TYRELL MCGIRT
MEMBER & PRESIDENT2.00Yes (X)Yes (X)$0$0$0
SHARON SVARNY-LIVINGSTON
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
BILLIE JO GEHRING
SECRETARY/TREASURER2.00Yes (X)Yes (X)$0$0$0
LYDIA GORDON
MEMBER1.00Yes (X)$0$0$0
RACHELLE HATFIELD
MEMBER1.00Yes (X)$0$0$0
ESTKARLEN MAGDAONG
MEMBER1.00Yes (X)$0$0$0
KIM RODRIGUEZ
MEMBER1.00Yes (X)$0$0$0
GARY SANDNESS
MEMBER1.00Yes (X)$0$0$0
PATRICIA SOLE
MEMBER1.00Yes (X)$0$0$0
NICK TUTIKOFF
MEMBER (THROUGH FEB 2016)1.00Yes (X)$0$0$0
EILEEN C SCOTT
EXECUTIVE DIRECTOR50.00Yes (X)$168,936$0$17,051
ERIC HOOVER
DIRECTOR OF FINANCE50.00Yes (X)$82,304$0$19,016
LEE PODOLL
INTERIM DIRECTOR OF FINANCE50.00Yes (X)$0$0$0
DR ANN NORA EHRET DO
MEDICAL DIRECTOR40.00$236,000$0$9,410Yes (X)
PSALMER RICHMOND DDS
DIRECTOR OF DENTAL SERVICES40.00$141,002$0$8,416Yes (X)
RAMONA THOMPSON
DIRECTOR OF CLINICAL SERVICES40.00$101,494$0$21,070Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$729,736TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$74,963TotalOtherCompensationAmt
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$1,510,914GovernmentGrantsAmt
All Other Contributions$231,551AllOtherContributionsAmt
Total Contributions$1,742,465TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUESDesc
Business624100BusinessCd
Total Revenue Column$4,518,989TotalRevenueColumnAmt
Related Or Exempt Func Income$4,518,989RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,518,989TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,560TotalRevenueColumnAmt
Exclusion$1,560ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$79,200RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$79,200RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,200TotalRevenueColumnAmt
Exclusion$79,200ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business624100BusinessCd
Total Revenue Column$100,429TotalRevenueColumnAmt
Exclusion$100,429ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$100,429OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,442,643TotalRevenueColumnAmt
Related Or Exempt Func Income$4,518,989RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$181,189ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$254,821TotalAmt
Management And General$254,821ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,602,006TotalAmt
Program Services$2,387,609ProgramServicesAmt
Management And General$214,397ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$598,811TotalAmt
Program Services$530,433ProgramServicesAmt
Management And General$68,378ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$236,820TotalAmt
Program Services$199,978ProgramServicesAmt
Management And General$36,842ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$36,617TotalAmt
Management And General$36,617ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,638TotalAmt
Management And General$30,638ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$11,823TotalAmt
Fundraising$11,823FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$447,835TotalAmt
Program Services$406,694ProgramServicesAmt
Management And General$41,141ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,433TotalAmt
Program Services$50,931ProgramServicesAmt
Management And General$8,502ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,657TotalAmt
Program Services$13,778ProgramServicesAmt
Management And General$1,879ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$366,567TotalAmt
Program Services$327,292ProgramServicesAmt
Management And General$39,275ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$100,333TotalAmt
Program Services$85,981ProgramServicesAmt
Management And General$14,352ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$245TotalAmt
Program Services$210ProgramServicesAmt
Management And General$35ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,196TotalAmt
Program Services$7,881ProgramServicesAmt
Management And General$1,315ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$262,330TotalAmt
Program Services$230,850ProgramServicesAmt
Management And General$31,480ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$114,072TotalAmt
Program Services$102,408ProgramServicesAmt
Management And General$11,664ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$1,085,543$955,278$130,265
SUPPLIES$287,137$228,466$58,671
MISCELLANEOUS EXPENSES$273,952$234,764$39,188
DUES & SUBSCRIPTIONS$17,285$14,812$2,473

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,811,121TotalAmt
Program Services$5,777,365ProgramServicesAmt
Management And General$1,021,933ManagementAndGeneralAmt
Fundraising$11,823FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$435,678BOYAmt
EOY$645,956EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$464,925BOYAmt
EOY$458,642EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,232,871BOYAmt
EOY$531,451EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$66,571BOYAmt
EOY$82,453EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,785BOYAmt
EOY$40,632EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,021,187LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,932,660LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,216,077BOYAmt
EOY$2,088,527EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$599,460BOYAmt
EOY$596,142EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,032,192BOYAmt
EOY$4,449,628EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$514,985BOYAmt
EOY$463,807EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$215,935BOYAmt
EOY$107,811EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,466BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$782,386BOYAmt
EOY$571,618EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,784,881BOYAmt
EOY$3,419,368EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$464,925BOYAmt
EOY$458,642EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,249,806BOYAmt
EOY$3,878,010EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,032,192BOYAmt
EOY$4,449,628EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$368,478ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,318NetUnrlzdGainsLossesInvstAmt
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$1,785,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,706,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,327,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,460,955CurrentTaxYearMinus1YearAmt
Current Tax Year$1,742,465CurrentTaxYearAmt
Total$8,023,657TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,785,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,706,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,327,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,460,955CurrentTaxYearMinus1YearAmt
Current Tax Year$1,742,465CurrentTaxYearAmt
Total$8,023,657TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$8,023,657PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,113CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$142,001CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83,397CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,625CurrentTaxYearMinus1YearAmt
Current Tax Year$80,760CurrentTaxYearAmt
Total$502,896TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$137,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$217,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,489CurrentTaxYearMinus1YearAmt
Current Tax Year$100,429CurrentTaxYearAmt
Total$662,233TotalAmt
FieldValueIRS element (for citing)
Total Support$9,188,786TotalSupportAmt
Gross Receipts Rltd Activities$21,452,235GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87320PublicSupportCY170Pct
Public Support PY1700.87990PublicSupportPY170Pct
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,991OtherCostOrOtherBasisAmt
Book Value$44,991BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,356,615OtherCostOrOtherBasisAmt
Depreciation$4,506,325DepreciationAmt
Book Value$1,850,290BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,619,581OtherCostOrOtherBasisAmt
Depreciation$1,426,335DepreciationAmt
Book Value$193,246BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,088,527TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,441,083TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,318NetUnrealizedGainsInvstAmt
Other Revenue$1,758OtherRevenueAmt
Revenue Not Reported-$1,560RevenueNotReportedAmt
Revenue Subtotal$6,442,643RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,442,643TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,811,121TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,811,121ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,811,121TotalExpensesPerForm990Amt

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 2D - OTHER ADJUSTMENTS:INVESTMENT INCOME 1,758.

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 (2 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
EILEEN C SCOTT
EXECUTIVE DIRECTOR$168,936$0$0$0$0$0$0$0$17,051$0$185,987$0$0$0
DR ANN NORA EHRET DO
MEDICAL DIRECTOR$236,000$0$0$0$0$0$0$0$9,410$0$245,410$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CIELO HOOVERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSPOUSE OF ERIC HOOVER, DIRECTOR OF FINANCERelationshipDescriptionTxt
Transaction$62,472TransactionAmt
TransactionEMPLOYEE COMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

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 3FOR THREE MONTHS, THE ORGANIZATION CONTRACTED WITH COMMUNITY LINK CONSULTING TO PROVIDE FINANCIAL MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION B, LINE 11PRIOR 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 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 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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