2017-04-28T17:26:15-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2015-07-01 920041961 ILIULIUK FAMILY & HEALTH SERVICES ILIU 9075811202 PO BOX 144 UNALASKA AK 99685 MICHELLE COCHRAN ACTING EXECUTIVE DIRECTOR 9075811202 2017-04-26 1 KURT BENNION P01469618 4252506100 2015 2021-01-29 14:40:06Z MICHELLE COCHRAN PO BOX 144 UNALASKA AK 99685 6442643 0 X WWW.IFHS.ORG X 1972 AK TO PROVIDE PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF THE UNALASKA REGION. 9 9 68 8 0 0 1460955 1742465 4867683 4518989 14672 1560 191783 179629 6535093 6442643 0 0 0 0 3637930 3692458 0 11823 11823 2871985 3106840 6509915 6811121 25178 -368478 5032192 4449628 782386 571618 4249806 3878010 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. 0 0 5234855 0 3937898 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. 368486 0 220512 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. 174024 0 360579 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. 5777365 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 68 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AK X LEE PODOLL 5094750563 23905 EAST WELLESLEY AVENUE OTIS ORCHARDS WA 99027 MICHELLE COCHRAN PRESIDENT (THROUGH MAY 2016) 2.00 X X 0 0 0 D TYRELL MCGIRT MEMBER & PRESIDENT 2.00 X X 0 0 0 SHARON SVARNY-LIVINGSTON VICE PRESIDENT 2.00 X X 0 0 0 BILLIE JO GEHRING SECRETARY/TREASURER 2.00 X X 0 0 0 LYDIA GORDON MEMBER 1.00 X 0 0 0 RACHELLE HATFIELD MEMBER 1.00 X 0 0 0 ESTKARLEN MAGDAONG MEMBER 1.00 X 0 0 0 KIM RODRIGUEZ MEMBER 1.00 X 0 0 0 GARY SANDNESS MEMBER 1.00 X 0 0 0 PATRICIA SOLE MEMBER 1.00 X 0 0 0 NICK TUTIKOFF MEMBER (THROUGH FEB 2016) 1.00 X 0 0 0 EILEEN C SCOTT EXECUTIVE DIRECTOR 50.00 X 168936 0 17051 ERIC HOOVER DIRECTOR OF FINANCE 50.00 X 82304 0 19016 LEE PODOLL INTERIM DIRECTOR OF FINANCE 50.00 X 0 0 0 DR ANN NORA EHRET DO MEDICAL DIRECTOR 40.00 X 236000 0 9410 PSALMER RICHMOND DDS DIRECTOR OF DENTAL SERVICES 40.00 X 141002 0 8416 RAMONA THOMPSON DIRECTOR OF CLINICAL SERVICES 40.00 X 101494 0 21070 729736 0 74963 4 0 1 0 0 1510914 231551 1742465 PATIENT REVENUES 624100 4518989 4518989 4518989 1560 1560 79200 0 79200 79200 79200 MISCELLANEOUS INCOME 624100 100429 100429 100429 6442643 4518989 0 181189 254821 254821 2602006 2387609 214397 598811 530433 68378 236820 199978 36842 36617 36617 30638 30638 11823 11823 447835 406694 41141 59433 50931 8502 15657 13778 1879 366567 327292 39275 100333 85981 14352 245 210 35 9196 7881 1315 262330 230850 31480 114072 102408 11664 BAD DEBT 1085543 955278 130265 SUPPLIES 287137 228466 58671 MISCELLANEOUS EXPENSES 273952 234764 39188 DUES & SUBSCRIPTIONS 17285 14812 2473 6811121 5777365 1021933 11823 435678 645956 464925 458642 1232871 531451 66571 82453 10785 40632 8021187 5932660 2216077 2088527 599460 596142 5825 5825 5032192 4449628 514985 463807 215935 107811 51466 0 782386 571618 X 3784881 3419368 464925 458642 4249806 3878010 5032192 4449628 -368478 -3318 0 X 0 1 X 1 1 1 X 1785976 1706740 1327521 1460955 1742465 8023657 1785976 1706740 1327521 1460955 1742465 8023657 8023657 103113 142001 83397 93625 80760 502896 137197 106363 217755 100489 100429 662233 9188786 21452235 0.87320 0.87990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 44991 44991 6356615 4506325 1850290 1619581 1426335 193246 2088527 X 6441083 -3318 1758 -1560 6442643 0 6442643 6811121 0 6811121 0 6811121 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. X X X 0 0 0 0 0 0 0 0 0 EILEEN C SCOTT EXECUTIVE DIRECTOR 168936 0 0 0 0 0 0 0 17051 0 185987 0 0 0 DR ANN NORA EHRET DO MEDICAL DIRECTOR 236000 0 0 0 0 0 0 0 9410 0 245410 0 0 0 CIELO HOOVER SPOUSE OF ERIC HOOVER, DIRECTOR OF FINANCE 62472 EMPLOYEE COMPENSATION 0 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 FOR THREE MONTHS, THE ORGANIZATION CONTRACTED WITH COMMUNITY LINK CONSULTING TO PROVIDE FINANCIAL MANAGEMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11 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.