KODIAK AREA NATIVE ASSOCIATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- KODIAK AREA NATIVE ASSOCIATION (EIN 92-0038225)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201742279349302084
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T11:27:21-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 C STREET STE 600 | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920038225 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kodiak Area Native Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MIKE PFEFFER | InCareOfNm |
| Business Name Control | KODI | BusinessNameControlTxt |
| Phone | 9074869800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3449 Rezanof Drive East | AddressLine1Txt |
| City | Kodiak | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99615 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW TEUBER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 9074869800 | PhoneNum |
| Signature | 2017-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Key E Getty CPA | PreparerPersonNm |
| PTIN | P00121200 | PTIN |
| Phone | 9072788878 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREW TEUBER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3449 REZANOF DRIVE EAST | AddressLine1Txt |
| City | KODIAK | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,124,332 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.kodiakhealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | TO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 219 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $197,301 | TotalGrossUBIAmt |
| PY Contributions Grants | $23,363,812 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,597,753 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,624,647 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,130,553 | CYProgramServiceRevenueAmt |
| PY Investment Income | $77,575 | PYInvestmentIncomeAmt |
| CY Investment Income | $71,778 | CYInvestmentIncomeAmt |
| PY Other Revenue | $655,619 | PYOtherRevenueAmt |
| CY Other Revenue | $276,105 | CYOtherRevenueAmt |
| PY Total Revenue | $27,721,653 | PYTotalRevenueAmt |
| CY Total Revenue | $26,076,189 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $482,501 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $594,054 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,290,600 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,102,659 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,910,135 | PYOtherExpensesAmt |
| CY Other Expenses | $11,050,321 | CYOtherExpensesAmt |
| PY Total Expenses | $22,683,236 | PYTotalExpensesAmt |
| CY Total Expenses | $24,747,034 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,038,417 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,329,155 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,580,161 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,321,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,702,089 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,114,528 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,878,072 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,207,227 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,149,634 | ExpenseAmt |
| Grant | $61,912 | GrantAmt |
| Revenue | $6,130,553 | RevenueAmt |
| Desc | THE KODIAK AREA NATIVE ASSOCIATION (KANA) PROVIDES A VARIETY OF HEALTHCARE SERVICES TO THE PEOPLE OF THE KODIAK ISLAND REGION. THESE SERVICES INCLUDE PRIMARY MEDICAL CARE, DENTAL, COMMUNITY HEALTH AIDE/PRACTITIONER SERVICES, EMERGENCY MEDICAL SERVICE (EMS), ALCOHOL AND SUBSTANCE ABUSE PREVENTION SERVICES, MENTAL HEALTH CARE, IMMUNIZATIONS, PHARMACY, AND OTHER SPECIALIZED PROGRAMS THAT PROVIDE A BROAD, COMPREHENSIVE CONTINUUM OF CARE FOR KANAS BENEFICIARIES AND THE PEOPLE OF KODIAK ISLAND. KANA FACILITATES A WIDE RANGE OF SERVICES DIRECTLY AND IN COOPERATION WITH OTHER AGENCIES THROUGH FIELD CLINICS, REFERRALS, AND OTHER ARRANGEMENTS WITH TRIBAL HEALTH ORGANIZATIONS. KANA PARTICIPATES IN THE GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA), A BENCHMARKING PROGRAM THAT ENSURES PROGRAMS AND SERVICES PROVIDED BY KANA MEET OR EXCEED CLINICAL STANDARDS FOR BEST PRACTICES. DURING THE GPRA YEAR 2009, WHICH ENDED JUNE 30, 2009, KANA WAS THE FIRST AND ONLY HEALTHCARE ORGANIZATION IN THE STATE TO HAVE MET ALL TWENTY-ONE OF THE IHS GPRA INDICATORS AND ONE OF ONLY FOUR IN THE NATION TO DO SO. DURING GPRA YEAR 2011, KANA WAS ONE OF ONLY THREE ORGANIZATIONS IN THE STATE TO MEET ALL INDICATORS. THIS WAS KANA'S THIRD CONSECUTIVE YEAR MEETING ALL INDICATORS. THIS ACCOMPLISHMENT IS EVIDENCE OF THE DEDICATION AND COMMITMENT OF KANA AND ITS STAFF TO PROVIDE MAXIMUM ACCESS TO THE HIGHEST QUALITY OF HEALTH AND SOCIAL SERVICES TO ITS BENEFICIARIES AND THE PUBLIC IN A FISCALLY RESPONSIBLE MANNER. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,512,451 | ExpenseAmt |
| Grant | $532,142 | GrantAmt |
| Desc | THE COMMUNITY SERVICES PROGRAMS AT KANA IMPROVE THE LIVES OF THE PEOPLE OF KODIAK THROUGH MANY COMMUNITY-BASED SERVICE INITIATIVES. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES TEMPORARY ASSISTANCE FOR NEEDY FAMILIES COMPREHENSIVE CASE MANAGEMENT IS PROVIDED FOR RECIPIENTS OF TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF). THIS PROGRAM OFFERS JOB SEARCH ASSISTANCE, LIFE SKILLS DEVELOPMENT, JOB COACHING, AND OTHER SUPPORTIVE SERVICES, WHICH ENABLE PEOPLE TO OBTAIN SELF SUFFICIENCY. THE "WORK FIRST" PHILOSOPHY OF THIS PROGRAM IS BASED ON THE FUNDAMENTAL VALUE OF WORK AS A MEANS OF ENHANCING SELF-ESTEEM AND PROVIDING A GOOD ROLE MODEL TO CHILDREN. OUR OBJECTIVE IS ENSURING TANF CLIENTS REACH THE HIGHEST LEVEL OF ECONOMIC SELF-SUFFICIENCY. DHHS SAFE/STABLE FAMILIES THE SERVICES OFFERED THROUGH THE CHILD AND FAMILY SERVICES PLAN INCLUDE TRAINING FOR THE CHILD WELFARE WORKFORCE, PARENTS, CHILDREN, AND THE COMMUNITY AT LARGE. TRAINING AND TECHNICAL ASSISTANCE FOR COMMUNITY-BASED INITIATIVES TO IMPROVE THE WELFARE OF CHILDREN AND IMPROVE ACCESS TO FAMILY SUPPORT RESOURCES ARE ALSO OFFERED. KANAS GOAL IS TO DEVELOP OPPORTUNITIES TO HELP ENSURE A WELL-QUALIFIED CHILD WELFARE WORKFORCE WITHIN THE KONIAG REGION AND INCREASE COMMUNITY AWARENESS, DIALOGUE, SKILLS, AND COORDINATED EFFORTS TO PREVENT CHILD ABUSE/NEGLECT. THE SAFE AND STABLE FAMILIES PROGRAMS ASSISTS THE VILLAGE AND CITY OF KODIAK COMMUNITIES BY PROVIDING PREVENTION AND INTERVENTION SERVICES FOR HIGH-RISK FAMILIES TO PROMOTE THE SAFETY, PERMANENCE, AND WELL-BEING OF ALL CHILDREN. DHHS FAMILY VIOLENCE KANA PROVIDES TRANSPORTATION TO AND FROM KODIAK ISLAND VILLAGES FOR SERVICES PROVIDED AT THE KODIAK WOMEN'S RESOURCE AND CRISIS CENTER/SHELTER IN KODIAK. EVERY VICTIM IS ALSO PROVIDED WITH ADVOCACY COUNSELING AND ADDITIONAL SUPPORTS TO ENSURE SAFETY FOR THE VICTIM AND DEPENDENTS. DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD AND VULNERABLE ADULT ABUSE PREVENTION TRAINING IS PROVIDED TO VILLAGE AND KODIAK AREA SERVICE PROVIDERS. NEWSPAPER/MEDIA ADVERTISEMENTS ANNOUNCED UPCOMING PREVENTION AND AWARENESS WORKSHOPS AND WELLNESS ACTIVITIES. ECONOMIC DEVELOPMENT THE GOAL OF KANA'S ECONOMIC DEVELOPMENT GRANT IS THE ESTABLISHMENT OF A COMPREHENSIVE ECONOMIC DEVELOPMENT STRATEGY (CEDS) THAT WILL ADDRESS THE ECONOMIC DEVELOPMENT NEEDS OF KODIAK ISLAND, WHILE TAKING INTO CONSIDERATION THE UNIQUE NEEDS OF EACH NATIVE VILLAGE. KANAS STRATEGIC APPROACH TO ACHIEVING THE GOAL OF A VIABLE CEDS DOCUMENT INCLUDES ASSEMBLING ALL THE VALUABLE WORK THAT HAS ALREADY BEEN COMPLETED IN THE FORM OF COMMUNITY AND ECONOMIC DEVELOPMENT PLANS. THE NEXT STEP INVOLVES A DIALOGUE IN EACH VILLAGE WITH ALL INTERESTED PARTIES. KANA WILL THEN PROCEED TO OBTAIN A CONSENSUS ON THE PRIORITIES OF EACH VILLAGE. ONCE NEEDS OF THE SMALLER VILLAGE COMPONENTS HAVE BEEN FINALIZED, THEY WILL BE MERGED TO FORM ONE CEDS DOCUMENT FOR THE REGION OF KODIAK. THIS CEDS DOCUMENT CAN BE USED BY THE ENTIRE REGION AS A VALUABLE TOOL TO ADVOCATE FOR SPECIFIC ECONOMIC DEVELOPMENT NEEDS. BIA SOCIAL SERVICES BIA SOCIAL SERVICES ARE PROVIDED. THROUGH INDIAN AFFAIRS PROGRAMS, TRIBES IMPROVE THEIR TRIBAL GOVERNMENT INFRASTRUCTURE, COMMUNITY INFRASTRUCTURE, EDUCATION, JOB TRAINING, AND EMPLOYMENT OPPORTUNITIES ALONG WITH OTHER COMPONENTS OF LONG TERM SUSTAINABLE DEVELOPMENT THAT IMPROVE THE QUALITY OF LIFE FOR MEMBERS. DIRECT SERVICES ARE PROVIDED BY ITINERANT STAFF AND INCLUDE OUTREACH, INTERVENTION, CASE MANAGEMENT AND REFERRAL SERVICES TO CHILDREN AND FAMILIES. PREVENTION OUTREACH IS ACCOMPLISHED THROUGH INVOLVEMENT WITH VILLAGE-BASED HEALTH FAIRS AND SUMMER CAMPS. SERVICES INCREASE AWARENESS OF CHILD ABUSE AND NEGLECT OF CHILDREN THROUGH REGULAR ITINERANT VILLAGE VISITS AND AN ANNUAL REGIONAL CHILD ABUSE PREVENTION SUMMIT. PROGRAMS ASSIST WITH IDENTIFYING STRATEGIES THAT HELP THE COMMUNITY COPE WITH THE HIGH RATE OF SUBSTANCE ABUSE AND LACK OF JOBS. BY PROVIDING ON-SITE SUPPORT FOR AT-RISK FAMILIES AND CHILDREN INCLUDING PARENTING CLASSES, DISSEMINATION OF RESOURCES, COUNSELING, AND REFERRALS. LOCAL LEADERSHIP AND REGIONAL AGENCIES COLLABORATE TO ADDRESS AND RESPOND TO THE NEEDS OF THE CHILDREN AND FAMILIES IN THE VILLAGES WHO ARE IN CRISIS. STATE OF ALASKA ICWA COMPLIANCE SERVICES ENCOMPASS ALL OF KODIAK ISLAND AND PROVIDE NECESSARY SERVICES TO RETAIN AND SUPPORT OCS IN PROVIDING STAFF MEET WITH VILLAGE TRIBAL COUNCILS TO ENCOURAGE COLLABORATION AND OFFER RELATIVE FOSTER HOME PARENTS CULTURALLY APPROPRIATE MATERIALS THAT WILL SUPPORT AND ENHANCE UNDERSTANDING OF CHILD DEVELOPMENT, TRAUMA, AND GUIDANCE. PUBLIC AWARENESS IS SUPPORTED THROUGH ADVERTISING CAMPAIGNS DURING FOSTER CARE AWARENESS MONTH, PUBLIC SAFETY ANNOUNCEMENTS, NEWSPAPER ARTICLES ON FOSTER PARENTING, AND INFORMATION FLYERS. JOINT HOME VISITATION SERVICES WITH OCS FOR LICENSED AND UNLICENSED RELATIVE FOSTER CARE PARENTS ARE AVAILABLE AS NEEDED. KANA ADMINISTERS A VARIETY OF GRANTS THAT SUPPORT NUTRITION AND CAREGIVER SERVICES TO ELDERS RESIDING ON KODIAK ISLAND AND THE SIX OUTLYING VILLAGES. SERVICES ENCOMPASS CONGREGATE AND HOME DELIVERED MEALS, AS WELL AS CAREGIVER SERVICES. INFORMATION ABOUT THESE SERVICES IS DISSEMINATED TO THE PUBLIC, AND TRAINING FOR CAREGIVERS AND MEAL PREPARERS IS PROVIDED. DIRECT SUPPORTIVE CARE AND TRAINING ARE ALSO GIVEN TO THOSE PROVIDING ASSISTANCE FOR ELDER PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, AS WELL AS TO THE FRAIL AND ELDERLY. NON-MEDICAL CUSTODIAL CARE AND COORDINATION OF CHORE AND RESPITE SERVICES ARE ALSO OFFERED. CHILD ADVOCACY CENTER KANAS CHILD ADVOCACY CENTER PROVIDES A TEAM APPROACH TO CHILDRENS ADVOCACY THROUGH TRAINING, PREVENTION, AND TREATMENT SERVICES. THE COMMUNITY-BASED, CHILD-FRIENDLY FACILITY IS DESIGNED TO COORDINATE SERVICES TO VICTIMS OF ABUSE AND NEGLECT, ESPECIALLY IN CASES OF CHILD SEXUAL ABUSE AND SEVERE PHYSICAL ABUSE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $707,954 | ExpenseAmt |
| Desc | PUBLIC SAFETY - THE VILLAGE PUBLIC SAFETY OFFICER PROGRAM IS DESIGNED TO TRAIN AND EMPLOY INDIVIDUALS RESIDING IN THE VILLAGE AS FIRST RESPONDERS TO PUBLIC SAFETY EMERGENCIES SUCH AS SEARCH AND RESCUE, FIRE PROTECTION, EMERGENCY MEDICAL ASSISTANCE, CRIME PREVENTION AND BASIC LAW ENFORCEMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $680,903 | ExpenseAmt |
| Desc | TRIBAL OPERATIONS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $680,903 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $24,050,942 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | Yes (true) | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 219 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE PFEFFER | PersonNm |
| Phone | 9074869800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3449 REZANOF DRIVE EAST | AddressLine1Txt |
| City | KODIAK | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99615 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Loretta Nelson | ||||||||
| Chairperson | 5.0 | 0.0 | Yes (X) | Yes (X) | $13,900 | $0 | $0 | |
| Alfred Cratty Jr | ||||||||
| Vice Chairperson | 5.0 | 0.0 | Yes (X) | Yes (X) | $9,208 | $0 | $0 | |
| Cheryl Christofferson | ||||||||
| Secretary | 5.0 | 0.0 | Yes (X) | Yes (X) | $14,050 | $0 | $0 | |
| Margaret Roberts | ||||||||
| Treasurer | 5.0 | 0.0 | Yes (X) | Yes (X) | $13,750 | $0 | $0 | |
| Phyllis Amodo | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $12,400 | $0 | $0 | ||
| Vickie Novak | ||||||||
| Director (Elected 10/1/16) | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Alex Panamaroff Jr | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $13,000 | $0 | $0 | ||
| Arnold Kewan | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $14,200 | $0 | $0 | ||
| Speridon Simeonoff Sr | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $13,000 | $0 | $0 | ||
| Gary Watson | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $13,600 | $0 | $0 | ||
| Jill Boskofsky | ||||||||
| Director (Thru 09/30/16) | 5.0 | 0.0 | Yes (X) | $14,050 | $0 | $0 | ||
| Andrew Teuber | ||||||||
| President/CEO | 37.5 | 0.0 | Yes (X) | $593,558 | $0 | $84,142 | ||
| Margie Bezona | ||||||||
| Senior Vice President of Admin | 37.5 | 0.0 | Yes (X) | $153,975 | $0 | $19,515 | ||
| Tammy Hansen | ||||||||
| Vice President of Health Svcs | 37.5 | 0.0 | Yes (X) | $150,210 | $0 | $30,450 | ||
| Michael Pfeffer | ||||||||
| Chief Financial Officer | 37.5 | 0.0 | Yes (X) | $145,651 | $0 | $27,587 | ||
| Elise Pletnikoff | ||||||||
| Physician | 37.5 | 0.0 | $240,216 | $0 | $17,891 | Yes (X) | ||
| Evan Jones | ||||||||
| Physician | 37.5 | 0.0 | $200,701 | $0 | $23,195 | Yes (X) | ||
| Heidi Baines | ||||||||
| Physician | 37.5 | 0.0 | $157,767 | $0 | $8,788 | Yes (X) | ||
| Sam Chelmo | ||||||||
| Physician | 37.5 | 0.0 | $193,961 | $0 | $30,601 | Yes (X) | ||
| Carrie Randolph | ||||||||
| Dentist | 30.0 | 0.0 | $122,709 | $0 | $25,422 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,089,906 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $267,591 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROVIDENCE KODIAK ISLAND MEDICAL CE | |||||
| PO BOX 3706 | PORTLAND | OR | 972083706 | MEDICAL SERVICES | $1,748,093 |
| Business Card | |||||
| PO Box 15796 | WILMINGTON | DE | 198865796 | TRAVEL SERVICES | $768,157 |
| HEALTHCARE RESOURCES GROUP INC | |||||
| 12610 E MIRABEAU PARKWAY SUITE 800 | SPOKANE VALLEY | WA | 99216 | MEDICAL BILLING SVCS | $656,828 |
| QAP | |||||
| 240 W 68TH AVE | ANCHORAGE | AK | 99615 | PARKING LOT PAVING | $625,563 |
| Alaska Native Tribal Health Consort | |||||
| 4000 Ambassador Drive | ANCHORAGE | AK | 99508 | Medical Services | $469,254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $18,338,906 | GovernmentGrantsAmt |
| All Other Contributions | $1,258,847 | AllOtherContributionsAmt |
| Total Contributions | $19,597,753 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $6,130,553 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,130,553 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,130,553 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,778 | TotalRevenueColumnAmt |
| Exclusion | $71,778 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $361,482 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $512,416 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$150,934 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$150,934 | TotalRevenueColumnAmt |
| Exclusion | -$150,934 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $3,823,742 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $3,535,727 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $288,015 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $197,301 | UnrelatedBusinessRevenueAmt |
| Exclusion | $90,714 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INCOME ON JOINT VENTURE | 900099 | $63,645 | $63,645 |
| OTHER REVENUE | 900099 | $75,379 | $75,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $139,024 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,076,189 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,130,553 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $197,301 | UnrelatedBusinessRevenueAmt |
| Exclusion | $150,582 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,005 | TotalAmt |
| Program Services | $97,005 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,049 | TotalAmt |
| Program Services | $497,049 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,492,540 | TotalAmt |
| Program Services | $245,491 | ProgramServicesAmt |
| Management And General | $1,247,049 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,362,880 | TotalAmt |
| Program Services | $8,027,995 | ProgramServicesAmt |
| Management And General | $1,334,885 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,004 | TotalAmt |
| Program Services | $389,292 | ProgramServicesAmt |
| Management And General | $79,712 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $997,852 | TotalAmt |
| Program Services | $875,216 | ProgramServicesAmt |
| Management And General | $122,636 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,383 | TotalAmt |
| Program Services | $622,196 | ProgramServicesAmt |
| Management And General | $158,187 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,501 | TotalAmt |
| Program Services | $26,181 | ProgramServicesAmt |
| Management And General | $26,320 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,653 | TotalAmt |
| Management And General | $109,653 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,524,924 | TotalAmt |
| Program Services | $4,208,449 | ProgramServicesAmt |
| Management And General | $316,475 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,962 | TotalAmt |
| Program Services | $51,964 | ProgramServicesAmt |
| Management And General | $80,998 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,204,707 | TotalAmt |
| Program Services | $909,197 | ProgramServicesAmt |
| Management And General | $295,510 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,925 | TotalAmt |
| Program Services | $98,361 | ProgramServicesAmt |
| Management And General | $144,564 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,594 | TotalAmt |
| Program Services | $69,859 | ProgramServicesAmt |
| Management And General | $513,735 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,644,171 | TotalAmt |
| Program Services | $1,459,591 | ProgramServicesAmt |
| Management And General | $184,580 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,094 | TotalAmt |
| Program Services | $6,450 | ProgramServicesAmt |
| Management And General | $133,644 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,164 | TotalAmt |
| Management And General | $96,164 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $995,650 | TotalAmt |
| Program Services | $194,023 | ProgramServicesAmt |
| Management And General | $801,627 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,515 | TotalAmt |
| Program Services | $132,389 | ProgramServicesAmt |
| Management And General | $201,126 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINICAL SUPPLIES | $253,282 | $253,282 | |
| TRAINING | $320,130 | $296,264 | $23,866 |
| INDIRECT EXPENSE ALLOCATION | $5,447,108 | -$5,447,108 | |
| MISCELLANEOUS EXPENSE | $416,049 | $143,580 | $272,469 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,747,034 | TotalAmt |
| Program Services | $24,050,942 | ProgramServicesAmt |
| Management And General | $696,092 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,465,440 | BOYAmt |
| EOY | $6,293,430 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,685,585 | BOYAmt |
| EOY | $7,335,264 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,381,299 | BOYAmt |
| EOY | $3,260,605 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,341,689 | BOYAmt |
| EOY | $2,243,034 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,210 | BOYAmt |
| EOY | $71,252 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,900,939 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,829,852 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,606,294 | BOYAmt |
| EOY | $17,071,087 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,238,934 | BOYAmt |
| EOY | $1,280,039 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $807,710 | BOYAmt |
| EOY | $767,044 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,580,161 | BOYAmt |
| EOY | $38,321,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,671,521 | BOYAmt |
| EOY | $1,555,690 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,262,098 | BOYAmt |
| EOY | $5,000,955 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,520,056 | BOYAmt |
| EOY | $2,313,838 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,414 | BOYAmt |
| EOY | $244,045 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,702,089 | BOYAmt |
| EOY | $9,114,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,878,072 | BOYAmt |
| EOY | $29,207,227 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,878,072 | BOYAmt |
| EOY | $29,207,227 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,580,161 | BOYAmt |
| EOY | $38,321,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,329,155 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $16,722,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,330,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,095,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,363,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,597,753 | CurrentTaxYearAmt |
| Total | $98,109,707 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,722,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,330,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,095,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,363,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,597,753 | CurrentTaxYearAmt |
| Total | $98,109,707 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $98,109,707 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $264,282 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $148,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $469,881 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $209,676 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $433,260 | CurrentTaxYearAmt |
| Total | $1,525,938 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $298,008 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $219,125 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $255,006 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197,301 | CurrentTaxYearAmt |
| Total | $1,173,676 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $625,226 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171,880 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $319,283 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $229,738 | CurrentTaxYearAmt |
| Total | $1,367,767 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $102,177,088 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $18,444,746 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96019 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95960 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,419,200 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,396,645 | OtherCostOrOtherBasisAmt |
| Book Value | $2,815,845 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,113,551 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $13,493,537 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,143,714 | DepreciationAmt |
| Book Value | $8,463,374 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,473,875 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,686,138 | DepreciationAmt |
| Book Value | $5,787,737 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,131 | OtherCostOrOtherBasisAmt |
| Book Value | $4,131 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,071,087 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE | $124,291 |
| DERIVATIVE CONTRACT PAYABLE | $119,754 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $244,045 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,588,605 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $512,416 | OtherRevenueAmt |
| Revenue Not Reported | $512,416 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,076,189 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,076,189 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $25,259,450 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $512,416 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $512,416 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,747,034 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $24,747,034 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE D, PART X, LINE 2: | Kodiak Area Native Association is exempt from income taxes as a nonprofit corporation under Section 501(c)(3) of the Internal Revenue Code. KANA applies the provisions of Topic 740 of the FASB ASC relating to accounting for uncertainty in income taxes. KANA annually reviews its tax positions taken in accordance with the recognition standards. KANA believes that it has no uncertain tax positions which would require disclosure or adjustment in these financial statements. Accordingly, no provision for income taxes has been made. |
| FORM 990, SCHEDULE D, PART XI, LINE 2d: | RENTAL EXPENSES NETTED AGAINST RENTAL REVENUE 512,416 |
| FORM 990, SCHEDULE D, PART XII, LINE 2D: | RENTAL EXPENSES NETTED AGAINST RENTAL REVENUE 512,416 |
Schedule G IRS990ScheduleG
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | $1,305,032 | GrossRevenueBingoAmt |
| Cash Prizes Bingo | $825,741 | CashPrizesBingoAmt |
| Rent Facility Costs Bingo | $60,081 | RentFacilityCostsBingoAmt |
| Other Direct Expenses Bingo | $328,496 | OtherDirectExpensesBingoAmt |
| Volunteer Labor Bingo | false | VolunteerLaborBingoInd |
| Gross Revenue Pull Tabs | $2,518,710 | GrossRevenuePullTabsAmt |
| Cash Prizes Pull Tabs | $2,000,000 | CashPrizesPullTabsAmt |
| Rent Facility Costs Pull Tabs | $39,907 | RentFacilityCostsPullTabsAmt |
| Other Direct Expenses Pull Tabs | $281,502 | OtherDirectExpensesPullTabsAmt |
| Volunteer Labor Pull Tabs | false | VolunteerLaborPullTabsInd |
| Gross Revenue Total Gaming | $3,823,742 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $2,825,741 | CashPrizesTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $99,988 | RentFcltyCostsTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $609,998 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $3,535,727 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $288,015 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | AK | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (true) | GamingWithNonmembersInd |
| Member Of Other Entity | Yes (true) | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Individual With Books | GOLD CACHE BINGO | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 EAST FIREWEED LANE | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | MIKE PFEFFER | GamingManagerPersonNm |
| Gaming Manager Services Prov | CFO OVERSEES ALL FINANCIAL TRANSACTIONS | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | Yes (true) | CharitableDistributionRqrInd |
| Distributed | $288,015 | DistributedAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| NEED BASED, CHILDCARE AND SIMILAR CASH ASSISTANCE | 108 | $345,725 | COST |
| SCHOLARSHIPS AND JOB TRAINING | 6 | $47,704 | COST |
| HEATING FUEL AND UTILITIES ASSISTANCE | 52 | $62,577 | COST |
| BENEFICIARY ASSISTANCE | 126 | $41,043 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | KANA IS ABLE TO MONITOR THE EFFECTIVE USE OF THE CONTRIBUTION. KANA IS PROGAMMATICALLY REQUIRED TO ENSURE CONTRIBUTIONS ARE DISBURSED IN ACCORDANCE WITH THE APPLICABLE GRANT STIPULATIONS, BUDGET AND REPORTING REQUIREMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrew Teuber | ||||||||||||||
| President/CEO | $593,558 | $0 | $0 | $0 | $0 | $0 | $59,895 | $0 | $24,247 | $0 | $677,700 | $0 | $0 | $0 |
| Margie Bezona | ||||||||||||||
| Senior Vice President of Admin | $153,975 | $0 | $0 | $0 | $0 | $0 | $10,890 | $0 | $8,625 | $0 | $173,490 | $0 | $0 | $0 |
| Tammy Hansen | ||||||||||||||
| Vice President of Health Svcs | $150,210 | $0 | $0 | $0 | $0 | $0 | $10,814 | $0 | $19,636 | $0 | $180,660 | $0 | $0 | $0 |
| Michael Pfeffer | ||||||||||||||
| Chief Financial Officer | $145,651 | $0 | $0 | $0 | $0 | $0 | $10,818 | $0 | $16,769 | $0 | $173,238 | $0 | $0 | $0 |
| Elise Pletnikoff | ||||||||||||||
| Physician | $240,216 | $0 | $0 | $0 | $0 | $0 | $16,802 | $0 | $1,089 | $0 | $258,107 | $0 | $0 | $0 |
| Evan Jones | ||||||||||||||
| Physician | $200,701 | $0 | $0 | $0 | $0 | $0 | $7,823 | $0 | $15,372 | $0 | $223,896 | $0 | $0 | $0 |
| Heidi Baines | ||||||||||||||
| Physician | $157,767 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,788 | $0 | $166,555 | $0 | $0 | $0 |
| Sam Chelmo | ||||||||||||||
| Physician | $193,961 | $0 | $0 | $0 | $0 | $0 | $13,832 | $0 | $16,769 | $0 | $224,562 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Cash GrantCashGrantAmt | Type Of AssistanceTypeOfAssistanceTxt | Assistance PurposeAssistancePurposeTxt |
|---|---|---|---|
| Geraldine Watson | |||
| Spouse - Gary Watson, Dir. | $7,852 | JOB TRAINING | EMPLOYMENT SERVICES |
| Speridon Simeonoff Jr | |||
| Son-Speridon Simeonoff, Sr. | $525 | HEALTH SERVICES | HEALTH SERVICES |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ASHLEE HINER | |||
| SEE PART V | $46,610 | WAGES AND BENEFITS | false |
| JAELENE CHRISTOFFERSON | |||
| SEE PART V | $42,961 | WAGES AND BENEFITS | false |
| SPERIDON SIMEONOFF JR | |||
| SEE PART V | $89,381 | WAGES AND BENEFITS | false |
| SAMANTHA SHULTS | |||
| SEE PART V | $23,623 | WAGES AND BENEFITS | false |
| ANDREA-RAE KNOWLES | |||
| SEE PART V | $34,549 | WAGES AND BENEFITS | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART IV: | FormAndLineReferenceDesc |
| Explanation | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: (1) ASHLEE HINER - DAUGHTER OF AL CRATTY, JR., BOARD MEMBER (2) JAELENE CHRISTOFFERSON - DAUGHTER OF CHERYL CHRISTOFFERSON, BOARD MEMBER (3) SPERIDON SIMEONOFF, JR. - SON OF SPERIDON SIMEONOFF, SR, BOARD MEMBER (4) SAMANTHA SHULTS - GRANDDAUGHTER OF MARGARET ROBERTS, BOARD MEMBER (5) ANDREA-RAE KNOWLES - GRANDDAUGHTER OF ALEX PANAMAROFF, JR, BOARD MEMBER | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6: | KANA'S BENEFICIARIES (MEMBERS) ELECT THE MEMBERS OF THE BOARD OF DIRECTORS AND CAN PARTICIPATE IN THE ORGANIZATIONS PROGRAMS IF ELIGIBILITY REQUIREMENTS ARE MET. |
| FORM 990, PART VI, SECTION A, LINE 7A: | KANA'S BENEFICIARIES (MEMBERS) ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11: | PRIOR TO FILING THE FORM 990, THE DOCUMENT IS REVIEWED BY THE CFO AND PRESIDENT. AFTER ANY CHANGES HAVE BEEN MADE BASED ON THIS REVIEW, COPIES OF THE COMPLETED DOCUMENT ARE DISTRIBUTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND THEN THE FORM 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C: | EACH YEAR DIRECTORS ARE REQUIRED TO RESUBMIT THEIR DECLARATION OF CONFLICT OF INTERESTS. |
| FORM 990, PART VI, SECTION B, LINE 15A: | The KANA Board of Directors determines compensation of the CEO by evaluating market conditions and salary surveys. |
| FORM 990, PART VI, SECTION C, LINE 19: | AT THE ORGANIZATION'S ANNUAL MEETING, COPIES OF THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE FOR PUBLIC REVIEW. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL SERVICES TOTAL FEES:2059535 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTOR SERVICES TOTAL FEES:1618484 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:IPA/MOA TOTAL FEES:846905 |
Comments