FURP.ORG / PUBLIC DATA EXPLORER

KODIAK AREA NATIVE ASSOCIATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
KODIAK AREA NATIVE ASSOCIATION (EIN 92-0038225)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201642289349304464
Schema version
2014v6.0
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)
Return2016-08-15T13:07:16-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13601 C STREET STE 600AddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN920038225EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kodiak Area Native AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MIKE PFEFFERInCareOfNm
Business Name ControlKODIBusinessNameControlTxt
Phone9074869800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13449 Rezanof Drive EastAddressLine1Txt
CityKodiakCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99615ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW TEUBERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone9074869800PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKey E Getty CPAPreparerPersonNm
PTINP00121200PTIN
Phone9072788878PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW TEUBERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13449 REZANOF DRIVE EASTAddressLine1Txt
CityKODIAKCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99615ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,450,493GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.kodiakhealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateAKLegalDomicileStateCd
Activity Or MissionTO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee209TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$204,236TotalGrossUBIAmt
PY Contributions Grants$22,095,420PYContributionsGrantsAmt
CY Contributions Grants$23,363,812CYContributionsGrantsAmt
PY Program Service Revenue$3,204,787PYProgramServiceRevenueAmt
CY Program Service Revenue$3,624,647CYProgramServiceRevenueAmt
PY Investment Income$264,690PYInvestmentIncomeAmt
CY Investment Income$77,575CYInvestmentIncomeAmt
PY Other Revenue$302,488PYOtherRevenueAmt
CY Other Revenue$655,619CYOtherRevenueAmt
PY Total Revenue$25,867,385PYTotalRevenueAmt
CY Total Revenue$27,721,653CYTotalRevenueAmt
PY Grants And Similar Paid$486,275PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$482,501CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,973,214PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,290,600CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,690,407PYOtherExpensesAmt
CY Other Expenses$10,910,135CYOtherExpensesAmt
PY Total Expenses$20,149,896PYTotalExpensesAmt
CY Total Expenses$22,683,236CYTotalExpensesAmt
PY Revenues Less Expenses$5,717,489PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,038,417CYRevenuesLessExpensesAmt
Total Assets BOY$31,850,601TotalAssetsBOYAmt
Total Assets EOY$36,580,161TotalAssetsEOYAmt
Total Liabilities BOY$9,010,946TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,702,089TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,839,655NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,878,072NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,478,284ExpenseAmt
Grant$1,200GrantAmt
Revenue$3,624,647RevenueAmt
DescTHE KODIAK AREA NATIVE ASSOCIATION (KANA) PROVIDES HEALTHCARE SERVICES TO THE ALASKA NATIVE AND AMERICAN INDIAN PEOPLE OF THE KODIAK ISLAND REGION. THESE SERVICES INCLUDE: PRIMARY CARE MEDICAL SERVICES, DENTAL, COMMUNITY HEALTH AIDE/PRACTITIONER SERVICES, EMERGENCY MEDICAL SERVICE (EMS), ALCOHOL AND SUBSTANCE ABUSE, MENTAL HEALTH, IMMUNIZATIONS AND OTHER SPECIAL PROGRAMS DEVELOPED TO ENSURE A BROAD, COMPREHENSIVE CONTINUUM OF CARE FOR BENEFICIARIES OF THE INDIAN HEALTH SERVICE. KANA PROVIDES AND 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). THIS BENCHMARKING IS DONE TO ENSURE THAT THE PROGRAMS AND SERVICES PROVIDED BY KANA MEET OR EXCEED CLINICAL BEST PRACTICES. DURING THE GPRA YEAR 2009, WHICH ENDED JUNE 30, 2009, KANA WAS THE FIRST AND ONLY HEALTH CARE 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 TESTAMENT TO THE DEDICATION AND COMMITMENT OF KANA AND ITS STAFF TO PROVIDE THE HIGHEST QUALITY HEALTH AND SOCIAL SERVICES TO ITS BENEFICIARIES IN A RESPONSIBLE MANNER.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,133,946ExpenseAmt
Grant$481,301GrantAmt
DescTHE COMMUNITY SERVICES PROGRAM IS COMPRISED OF THE FOLLOWING COMPONENTS: TEMPORARY ASSISTANCE FOR NEEDY FAMILIES COMPREHENSIVE CASE MANAGEMENT IS PROVIDED FOR RECIPIENTS ON TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF). THIS INVOLVES JOB SEARCH ASSISTANCE, LIFE SKILLS, JOB COACHING AND SUPPORTIVE SERVICE, WHICH ENABLE PEOPLE TO REACH SELF SUFFICIENCY. "WORK FIRST" PHILOSOPHY 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 TO BE PROVIDED THROUGH OUR 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 IMPROVED ACCESS TO RESOURCES. OUR GOAL IS TO DEVELOP OPPORTUNITIES TO HELP ENSURE A WELL- QUALIFIED CHILD WELFARE WORKFORCE WITHIN THE KONIAG REGION. COMMUNITIES INCREASE AWARENESS, DIALOGUE, SKILLS AND COORDINATED RESOURCES ON CHILD ABUSE / NEGLECT. ASSIST COMMUNITIES DEVELOP VILLAGE-BASED 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 BOTH 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. DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD AND VULNERABLE ADULT ABUSE PREVENTION TRAINING WAS PROVIDED TO VILLAGE AND KODIAK AREA SERVICE PROVIDERS. NEWSPAPER/MEDIA ADVERTISEMENTS WERE MADE TO ANNOUNCE UPCOMING PREVENTION AND AWARENESS WORKSHOPS AND WELLNESS ACTIVITIES. ATTENDED AND PARTICIPATED IN QUARTERLY KODIAK HUMAN SERVICES MEETINGS IN KODIAK. ATTENDED AND PARTICIPATED IN THE MDT MULTIDISCIPLINARY TASKFORCE MEETINGS HELD IN KODIAK. THIS TASKFORCE IS INCLUSIVE OF NUMEROUS KODIAK AREA SERVICE PROVIDERS AND SEEKS TO COLLABORATE ON SERVICES IN OUR COMMUNITY WHILE ADDRESSING EXISTING AND EVOLVING THREATS IN OUR COMMUNITY. ECONOMIC DEVELOPMENT THE GOAL OF KANA'S ECONOMIC DEVELOPMENT GRANT IS THE ESTABLISHMENT OF A COMPREHENSIVE ECONOMIC DEVELOPMENT STRATEGY (CEDS) THAT WILL COMPLETELY ADDRESS THE REQUIREMENTS OF KODIAK ISLAND, WHILE TAKING INTO CONSIDERATION THE UNIQUE NEEDS OF EACH NATIVE VILLAGE. KANA WILL TAKE A BOTTOM UP APPROACH TO ACHIEVING THE GOAL OF A VIABLE CEDS DOCUMENT. WITH THIS IN MIND WE HAVE BEGUN BY ASSEMBLING ALL THE VALUABLE WORK THAT HAS ALREADY BEEN COMPLETED IN THE FORM OF COMMUNITY AND ECONOMIC DEVELOPMENT PLANS. THE NEXT STEP WILL BE ACHIEVING A DIALOGUE IN EACH VILLAGE INCLUSIVE OF ALL PARTIES INTERESTED IN ITS ECONOMIC FUTURE. WE WILL WORK FORWARD TO ACHIEVE CONSENSUS ON THE PRIORITIES OF THE VILLAGE. WHEN WE HAVE FINALIZED THE NEEDS OF THE SMALLER VILLAGE COMPONENTS 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 THEIR SPECIFIC NEED. BIA ICWA SERVICE DELIVERY IS TO THE NATIVE VILLAGE OF AKHIOK WHICH HAS A POPULATION OF 74. -INCREASE THE AWARENESS OF CHILD ABUSE AND NEGLECT OF CHILDREN THROUGH REGULAR ITINERANT VILLAGE VISITS AS WELL AS OFFERING A REGIONAL CHILD ABUSE PREVENTION SUMMIT ANNUALLY. -ASSIST WITH IDENTIFYING STRATEGIES THAT CAN HELP THE COMMUNITY DEAL WITH THE HIGH RATE OF SUBSTANCE ABUSE AND LACK OF JOBS. -PROVIDE ON-SITE SUPPORT FOR THOSE AT-RISK FAMILIES AND CHILDREN INCLUDING PARENTING, DISSEMINATION OF RESOURCES, COUNSELING, AND REFERRALS. -COLLABORATE WITH LOCAL LEADERSHIP AND REGIONAL AGENCIES TO BETTER ADDRESS AND RESPOND TO THE NEEDS OF THE CHILDREN AND FAMILIES IN THE VILLAGE THAT ARE IN CRISIS. STATE OF ALASKA ICWA COMPLIANCE SERVICES ENCOMPASS ALL OF KODIAK ISLAND. -INCREASE THE NUMBER OF STATE LICENSED AND UNLICENSED RELATIVE FOSTER HOMES. -PROVIDE NECESSARY SERVICES TO RETAIN AND SUPPORT NATIVE LICENSED AND UNLICENSED RELATIVE FOSTER HOMES. -PROVIDE ALL LICENSED AND UNLICENSED RELATIVE FOSTER HOME PARENTS CULTURALLY APPROPRIATE MATERIALS THAT WILL SUPPORT AND ENHANCE UNDERSTANDING OF CHILD DEVELOPMENT, TRAUMA AND GUIDANCE. -PROVIDE JOINT HOME VISITATION SERVICES WITH OCS FOR LICENSED AND UNLICENSED RELATIVE FOSTER CARE PARENTS AS REQUESTED. -MEET WITH VILLAGE TRIBAL COUNCILS TO ENCOURAGE COLLABORATION. -PROVIDE ADVERTISING CAMPAIGN DURING FOSTER CARE AWARENESS MONTH, INCLUDING PUBLIC SAFETY ANNOUNCEMENTS, NEWSPAPER ARTICLE REGARDING FOSTER PARENTING, FLYERS, ETC. BIA SOCIAL SERVICES SERVICES ARE PROVIDED FOR THE VILLAGES OF AKHIOK AND OLD HARBOR. -SERVICES PROVIDED INCLUDED GENERAL ASSISTANCE, BURIAL ASSISTANCE AND SOCIAL SERVICES. -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 SPIRIT CAMPS. ANTHC STATEWIDE TRAINING FUNDING IS RECEIVED FROM ANTHC AND WITH THESE FUNDS WE ASSIST IN HOSING REGIONAL TRAINING THAT FOCUSES ON WATER OPERATORS TRAINING AS WELL AS VARIOUS TRAININGS PERTINENT TO RURAL GOVERNMENT AND UTILITIES PROVIDED BY THE RURAL UTILITY BUSINESS ADVISOR. ELDER NUTRITION & CAREGIVER PROGRAMS THE KODIAK AREA NATIVE ASSOCIATION ADMINISTERS A VARIETY OF GRANTS THAT TOGETHER SUPPORT NUTRITION AND CAREGIVER SERVICES TO THE ELDERS RESIDING ON KODIAK ISLAND, INCLUDING THE SIX OUTLYING VILLAGES. THESE SERVICES ENCOMPASS BOTH CONGREGATE AND HOME DELIVERED MEALS AS WELL AS CAREGIVER SERVICES. COORDINATED INFORMATION IS DISSEMINATED AND TRAINING PROVIDED AS WELL AS DIRECT SUPPORTIVE CARE AND ASSISTANCE FOR ELDER PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, AND THE FRAIL AND ELDERLY. NON-MEDICAL CUSTODIAL CARE AND COORDINATION OF CHORE AND RESPITE SERVICES IS PROVIDED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,024,083ExpenseAmt
DescPUBLIC 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. PROTECTION, EMERGENCY MEDICAL ASSISTANCE, CRIME PREVENTION AND BASIC LAW ENFORCEMENT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$352,428ExpenseAmt
DescTRIBAL OPERATIONSDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$352,428TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$20,988,741TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonYes (true)GrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document58IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee209EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMIKE PFEFFERPersonNm
Phone9074869800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13449 REZANOF DRIVE EASTAddressLine1Txt
CityKODIAKCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99615ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Loretta Nelson
Chairperson5.00.0Yes (X)Yes (X)$14,200$0$0
Al Cratty Jr
Vice Chairperson5.00.0Yes (X)Yes (X)$14,400$0$0
Arnold Kewan
Secretary5.00.0Yes (X)Yes (X)$10,500$0$0
Jill Boskofsky
Treasurer5.00.0Yes (X)Yes (X)$15,060$0$0
Cheryl Christofferson
Director5.00.0Yes (X)$14,700$0$0
Margaret Roberts
Director5.00.0Yes (X)$15,500$0$0
Speridon Simeonoff Sr
Director5.00.0Yes (X)$13,900$0$0
Alex Panamaroff Jr
Director5.00.0Yes (X)$9,200$0$0
Phyllis Amodo
Director5.00.0Yes (X)$11,100$0$0
Gary Watson
Director5.00.0Yes (X)$16,100$0$0
Andrew Teuber
President/CEO37.50.0Yes (X)$538,597$0$59,005
Margie Bezona
VP of Administration37.50.0Yes (X)$162,350$0$12,523
Tammy Hansen
VP of Health37.50.0Yes (X)$155,322$0$30,050
Mike Pfeffer
CFO37.50.0Yes (X)$151,941$0$27,755
Elise Pletnikoff
Physician37.50.0$183,918$0$5,599Yes (X)
Sam Chelmo
Physician37.50.0$177,503$0$28,489Yes (X)
Rhonda Beal
Dentist37.50.0$155,538$0$17,632Yes (X)
Carrie Randolph
Dentist30.00.0$131,402$0$25,704Yes (X)
Anna Stevens
Psychologist37.50.0$112,394$0$9,641Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,903,625TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$216,398TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PROVIDENCE KODIAK ISLAND MEDICAL CE
PO BOX 3706PORTLANDOR972083706CONTRACT HEALTH$1,669,604
BDO USA LLP
770 KENMOORE SE SUITE 300GRAND RAPIDSMI49546AUDIT SERVICES$110,696
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$19,877,454GovernmentGrantsAmt
All Other Contributions$3,486,358AllOtherContributionsAmt
Total Contributions$23,363,812TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICEDesc
Business624100BusinessCd
Total Revenue Column$3,624,647TotalRevenueColumnAmt
Related Or Exempt Func Income$3,624,647RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,624,647TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$89,998TotalRevenueColumnAmt
Exclusion$89,998ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$373,214RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$241,113RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$132,101RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,101TotalRevenueColumnAmt
Exclusion$132,101ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,878OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$14,301OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$12,423OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,423TotalRevenueColumnAmt
Exclusion-$12,423ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$3,761,354GamingGrossIncomeAmt
Gaming Direct Expenses$3,473,426GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,928TotalRevenueColumnAmt
Unrelated Business Revenue$204,236UnrelatedBusinessRevenueAmt
Exclusion$83,692ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
INCOME ON JOINT VENTURE900099$158,378$158,378
OTHER REVENUE900099$77,212$77,212
FieldValueIRS element (for citing)
Other Revenue Total$235,590OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,721,653TotalRevenueColumnAmt
Related Or Exempt Func Income$3,624,647RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$204,236UnrelatedBusinessRevenueAmt
Exclusion$528,958ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$482,501TotalAmt
Program Services$482,501ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,331,904TotalAmt
Program Services$256,121ProgramServicesAmt
Management And General$1,075,783ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,958,067TotalAmt
Program Services$6,634,823ProgramServicesAmt
Management And General$1,323,244ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$329,681TotalAmt
Program Services$301,454ProgramServicesAmt
Management And General$28,227ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$986,669TotalAmt
Program Services$843,990ProgramServicesAmt
Management And General$142,679ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$684,279TotalAmt
Program Services$567,389ProgramServicesAmt
Management And General$116,890ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,322TotalAmt
Program Services$10,717ProgramServicesAmt
Management And General$16,605ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,160TotalAmt
Management And General$105,160ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,215,207TotalAmt
Program Services$3,975,643ProgramServicesAmt
Management And General$239,564ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$76,888TotalAmt
Program Services$41,689ProgramServicesAmt
Management And General$35,199ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$883,393TotalAmt
Program Services$474,283ProgramServicesAmt
Management And General$409,110ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$211,900TotalAmt
Program Services$47,891ProgramServicesAmt
Management And General$164,009ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$274,585TotalAmt
Program Services$52,401ProgramServicesAmt
Management And General$222,184ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,801,277TotalAmt
Program Services$1,536,645ProgramServicesAmt
Management And General$264,632ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$104,917TotalAmt
Management And General$104,917ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$960,995TotalAmt
Program Services$36,557ProgramServicesAmt
Management And General$924,438ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$252,558TotalAmt
Program Services$51,501ProgramServicesAmt
Management And General$201,057ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLINICAL SUPPLIES$573,190$573,190
PERSONNEL RECRUITMENT$310,084$282,832$27,252
REPAIRS & MAINTENANCE$199,520$18,113$181,407
INDIRECT EXPENSE ALLOCATION$4,692,139-$4,692,139

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$913,139TotalAmt
Program Services$108,862ProgramServicesAmt
Management And General$804,277ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,683,236TotalAmt
Program Services$20,988,741ProgramServicesAmt
Management And General$1,694,495ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,698,135BOYAmt
EOY$4,465,440EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,625,896BOYAmt
EOY$6,685,585EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,781,242BOYAmt
EOY$3,381,299EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,543,373BOYAmt
EOY$2,341,689EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$26,698BOYAmt
EOY$53,210EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,396,416LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,790,122LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,835,605BOYAmt
EOY$17,606,294EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,077,237BOYAmt
EOY$1,238,934EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,262,415BOYAmt
EOY$807,710EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,850,601BOYAmt
EOY$36,580,161EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,896,307BOYAmt
EOY$1,671,521EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,169,283BOYAmt
EOY$4,262,098EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,710,902BOYAmt
EOY$2,520,056EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$234,454BOYAmt
EOY$248,414EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,010,946BOYAmt
EOY$8,702,089EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,689,655BOYAmt
EOY$27,878,072EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,839,655BOYAmt
EOY$27,878,072EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,850,601BOYAmt
EOY$36,580,161EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,038,417ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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$16,865,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,722,257CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,330,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,095,420CurrentTaxYearMinus1YearAmt
Current Tax Year$23,363,812CurrentTaxYearAmt
Total$95,377,323TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,865,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,722,257CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,330,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,095,420CurrentTaxYearMinus1YearAmt
Current Tax Year$23,363,812CurrentTaxYearAmt
Total$95,377,323TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$95,377,323PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211,893CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$264,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$148,839CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$469,881CurrentTaxYearMinus1YearAmt
Current Tax Year$209,676CurrentTaxYearAmt
Total$1,304,571TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$576,473CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$298,008CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$219,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$255,006CurrentTaxYearMinus1YearAmt
Current Tax Year$204,236CurrentTaxYearAmt
Total$1,552,848TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,708CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$625,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$171,880CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,640CurrentTaxYearMinus1YearAmt
Current Tax Year$319,283CurrentTaxYearAmt
Total$1,157,737TotalAmt
FieldValueIRS element (for citing)
Total Support$99,392,479TotalSupportAmt
Gross Receipts Rltd Activities$13,964,933GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95960PublicSupportCY170Pct
Public Support PY1700.95764PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,419,200InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,396,645OtherCostOrOtherBasisAmt
Book Value$2,815,845BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,041,559InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$18,188,458OtherCostOrOtherBasisAmt
Depreciation$5,553,697DepreciationAmt
Book Value$13,676,320BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,350,554OtherCostOrOtherBasisAmt
Depreciation$2,236,425DepreciationAmt
Book Value$1,114,129BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$17,606,294TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE$114,302
DERIVATIVE CONTRACT PAYABLE$134,112
FieldValueIRS element (for citing)
Total Liability$248,414TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$27,962,766TotalRevEtcAuditedFinclStmtAmt
Other Revenue$241,113OtherRevenueAmt
Revenue Not Reported$241,113RevenueNotReportedAmt
Revenue Subtotal$27,721,653RevenueSubtotalAmt
Total Revenue Per Form990$27,721,653TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,924,349TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$241,113OtherExpensesIncludedAmt
Expenses Not Reported$241,113ExpensesNotReportedAmt
Expenses Subtotal$22,683,236ExpensesSubtotalAmt
Total Expenses Per Form990$22,683,236TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 241,113
FORM 990, SCHEDULE D, PART XII, LINE 2D:RENTAL EXPENSES NETTED AGAINST RENTAL REVENUE 241,113

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Bingo$1,252,535GrossRevenueBingoAmt
Cash Prizes Bingo$824,134CashPrizesBingoAmt
Rent Facility Costs Bingo$65,516RentFacilityCostsBingoAmt
Other Direct Expenses Bingo$279,193OtherDirectExpensesBingoAmt
Volunteer Labor BingofalseVolunteerLaborBingoInd
Gross Revenue Pull Tabs$2,508,819GrossRevenuePullTabsAmt
Cash Prizes Pull Tabs$2,000,000CashPrizesPullTabsAmt
Rent Facility Costs Pull Tabs$38,087RentFacilityCostsPullTabsAmt
Other Direct Expenses Pull Tabs$266,496OtherDirectExpensesPullTabsAmt
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabsInd
Gross Revenue Total Gaming$3,761,354GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$2,824,134CashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$103,603RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$545,689OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$3,473,426DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$287,928NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedAKStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityYes (true)MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksGOLD CACHE BINGOIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1110 EAST FIREWEED LANEAddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99503ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonMIKE PFEFFERGamingManagerPersonNm
Gaming Manager Services ProvCFO OVERSEES ALL FINANCIAL TRANSACTIONSGamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$287,928DistributedAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
NEED BASED, CHILDCARE AND SIMILAR CASH ASSISTANCE32$335,800COST
SCHOLARSHIPS AND JOB TRAINING10$40,655COST
HEATING FUEL AND UTILITIES ASSISTANCE57$80,715COST
BENEFICIARY ASSISTANCE53$25,331COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I, LINE 1:FormAndLineReferenceDesc
ExplanationKANA HAS A REPRESENTATIVE ON THE BOARD OF DIRECTORS OF THE RECIPIENT; 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

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
Andrew Teuber
President/CEO$538,597$0$0$0$0$0$18,200$0$40,805$0$597,602$0$0$0
Margie Bezona
VP of Administration$162,350$0$0$0$0$0$11,348$0$1,175$0$174,873$0$0$0
Tammy Hansen
VP of Health$155,322$0$0$0$0$0$11,217$0$18,833$0$185,372$0$0$0
Mike Pfeffer
CFO$151,941$0$0$0$0$0$11,308$0$16,447$0$179,696$0$0$0
Elise Pletnikoff
Physician$183,918$0$0$0$0$0$4,432$0$1,167$0$189,517$0$0$0
Sam Chelmo
Physician$177,503$0$0$0$0$0$12,665$0$15,824$0$205,992$0$0$0
Rhonda Beal
Dentist$155,538$0$0$0$0$0$1,448$0$16,184$0$173,170$0$0$0
Carrie Randolph
Dentist$131,402$0$0$0$0$0$9,795$0$15,909$0$157,106$0$0$0

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonALYSSA BRENTESONPersonNm
Relationship With OrgDAUGHTER OF BOARD MEMBERRelationshipWithOrgTxt
Cash Grant$1,500CashGrantAmt
Type Of AssistanceSCHOLARSHIPTypeOfAssistanceTxt
Assistance PurposeEDUCATION SCHOLARSHIPAssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ASHLEE HINER
SEE PART V$37,783WAGES AND BENEFITSfalse
JAELENE CHRISTOFFERSON
SEE PART V$36,448WAGES AND BENEFITSfalse
SPERIDON SIMEONOFF JR
SEE PART V$65,026WAGES AND BENEFITSfalse
ANDREA-RAE KNOWLES
SEE PART V$35,722WAGES AND BENEFITSfalse

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE L, PART IV, LINE 1B:DAUGHTER OF AL CRATTY, JR - BOARD MEMBER
FORM 990, SCHEDULE L, PART IV, LINE 2B:DAUGHTER OF CHERYL CHRISTOFFERSON - BOARD MEMBER
FORM 990, SCHEDULE L, PART IV, LINE 3B:SON OF SPERIDON SIMEONOFF, SR - BOARD MEMBER
FORM 990, SCHEDULE L, PART IV, LINE 4B:GRANDDAUGHTER OF ALEX PANAMAROFF, JR - BOARD MEMBER

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:2224811
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTOR SERVICES TOTAL FEES:1271574
FORM 990 PART IX LINE 11GDESCRIPTION:IPA/MOA TOTAL FEES:718822