2016-05-16T15:32:36-05:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2014-07-01 920041961 ILIULIUK FAMILY & HEALTH SERVICES ILIU 9075811202 PO BOX 144 UNALASKA AK 99685 EILEEN C SCOTT EXECUTIVE DIRECTOR 9075811202 2016-05-12 1 KYLA J DELGADO P01874220 4252506100 2014 2016-08-17 19:52:53Z EILEEN C SCOTT PO BOX 144 UNALASKA AK 99685 6535093 0 X WWW.IFHS.ORG X 1972 AK TO PROVIDE PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF THE UNALASKA REGION. 10 10 70 15 0 0 1327521 1460955 4187981 4867683 32997 14672 268155 191783 5816654 6535093 0 0 0 0 3278514 3637930 0 0 0 2619282 2871985 5897796 6509915 -81142 25178 4840876 5032192 612144 782386 4228732 4249806 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 5243905 0 4427371 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. 232522 0 171796 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. 160926 0 268516 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. 5637353 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 39 0 70 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AK X ERIC HOOVER 9075811202 34 LAVALLE CT UNALASKA AK 99685 MICHELLE COCHRAN PRESIDENT 2.00 X X 0 0 0 TOM ENLOW VICE PRESIDENT 2.00 X X 0 0 0 BILLIE JO GEHRING SECRETARY/TREASURER 2.00 X X 0 0 0 RACHELLE HATFIELD BOARD MEMBER 1.00 X 0 0 0 FRANK KELTY BOARD MEMBER 1.00 X 0 0 0 LAURA LEASURE BOARD MEMBER 1.00 X 0 0 0 D TYRELL MCGIRT BOARD MEMBER 1.00 X 0 0 0 ESTKARLEN PILANDE BOARD MEMBER 1.00 X 0 0 0 KIM ROGRIGUEZ BOARD MEMBER 1.00 X 0 0 0 GARY SANDNESS BOARD MEMBER 1.00 X 0 0 0 STEVEN SCHNISNIKOFF BOARD MEMBER 1.00 X 0 0 0 PATRICIA SOLE BOARD MEMBER 1.00 X 0 0 0 SHARON SVARNY-LIVINGSTON BOARD MEMBER 1.00 X 0 0 0 JOHANNA TELLMAN BOARD MEMBER 1.00 X 0 0 0 NICK TUTIKOFF BOARD MEMBER 1.00 X 0 0 0 EILEEN C SCOTT EXECUTIVE DIRECTOR 50.00 X 179000 0 24188 KEN FAY DIRECTOR OF FINANCE AND ADMINISTRATIVE SERVICES 50.00 X 29104 0 1859 ERIC HOOVER DIRECTOR OF FINANCE 50.00 X 40527 0 11934 ANN NORA EHRET MEDICAL DIRECTOR 40.00 X 225145 0 9344 473776 0 47325 2 0 1 0 0 1412455 48500 1460955 PATIENT REVENUES 624100 4867683 4867683 4867683 2331 2331 91294 0 91294 91294 91294 12341 0 12341 12341 12341 MISCELLANEOUS INCOME 624100 100489 100489 100489 6535093 4867683 0 206455 257030 257030 2345924 2244741 101183 775369 749575 25794 259607 250647 8960 90222 90222 29298 29298 459887 355788 104099 26721 23114 3607 17157 15098 2059 553225 486838 66387 78019 67486 10533 3117 2696 421 12982 11229 1753 288630 253995 34635 113827 100168 13659 BAD DEBT 708367 623363 85004 SUPPLIES 323862 308446 15416 MISCELLANEOUS EXPENSES 137563 118991 18572 DUES & SUBSCRIPTIONS 29108 25178 3930 6509915 5637353 872562 0 368002 435678 471208 464925 886867 1232871 65782 66571 23450 10785 7965455 5749378 2431328 2216077 588414 599460 5825 5825 4840876 5032192 335195 514985 226949 215935 50000 51466 612144 782386 X 3757524 3784881 471208 464925 4228732 4249806 4840876 5032192 25178 -4104 0 X 0 1 X 1 1 1 X 1806447 1785976 1706740 1327521 1460955 8087639 1806447 1785976 1706740 1327521 1460955 8087639 8087639 18108 103113 142001 83397 93625 440244 102262 137197 106363 217755 100489 664066 9191949 20807932 0.87990 0.89370 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 44991 44991 6356615 4327677 2028938 1491560 1355684 135876 72289 66017 6272 2216077 MONEY MARKET 599460 C 599460 ESTIMATED THIRD-PARTY SETTLEMENT 51466 51466 X 6520421 -4104 -4104 6524525 10568 10568 6535093 6509915 0 6509915 0 6509915 PART X, LINE 2: NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS BECAUSE THE CLINIC IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 10,568. X X X 1 0 0 0 0 0 0 0 0 EILEEN C SCOTT EXECUTIVE DIRECTOR 178000 0 1000 0 0 0 0 0 24188 0 203188 0 0 0 ANN NORA EHRET MEDICAL DIRECTOR 221145 0 1000 0 3000 0 0 0 9344 0 234489 0 0 0 PART I, LINE 4A KEN FAY RECEIVED A SEVERANCE PAYMENT OF $12,394. 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 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.