ILIULIUK FAMILY AND HEALTH SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ILIULIUK FAMILY AND HEALTH SERVICES INC (EIN 92-0041961)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-04-17
- IRS object ID
- 201421079349300322
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-17T19:03:17-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 NORTHUP WAY SUITE 200 | AddressLine1 |
| City | BELLEVUE | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920041961 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILIULIUK FAMILY & HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ILIU | NameControl |
| Phone | 9075811202 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 144 | AddressLine1 |
| City | UNALASKA | City |
| State | AK | State |
| ZIP Code | 99685 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EILEEN C SCOTT | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 9075811202 | Phone |
| Date Signed | 2014-04-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL MBAILEY CPA | Name |
| PTIN | P00292653 | PTIN |
| Phone | 4252506100 | Phone |
| Date Prepared | 2014-03-25 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | EILEEN C SCOTT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 144 | AddressLine1 |
| City | UNALASKA | City |
| State | AK | State |
| ZIP Code | 99685 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5907707 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| All Affiliates Included | 1 | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.IFHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | AK | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF THE UNALASKA REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 58 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1785976 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1706740 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3921979 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3955603 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20951 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25624 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 219359 | OtherRevenuePriorYear |
| Other Revenue Current Year | 219740 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5948265 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5907707 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3536059 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3294949 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3134372 | OtherExpensePriorYear |
| Other Expenses Current Year | 3124435 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6670431 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6419384 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -722166 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -511677 | RevenuesLessExpensesCY |
| Total Assets BOY | 5400327 | TotalAssetsBOY |
| Total Assets EOY | 4888995 | TotalAssetsEOY |
| Total Liabilities BOY | 578776 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 579121 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4821551 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4309874 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5137939 | Expense |
| Revenue | 3946711 | Revenue |
| Description | 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 LANDS OF ATKA, AKUTAN, AND NIKOLSKI. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 463704 | Expense |
| Revenue | 112255 | Revenue |
| Description | PROVIDED COUNSELING TO PERMANENT AND TEMPORARY RESIDENTS OF UNALASKA, THE FISHING FLEET OF THE BERING SEA, AND THE OUTLYING LANDS OF ATKA, AKUTAN, AND NIKOLSKI. | Description |
Activity Other ActivityOther (2 entries)
| DescriptionDescription |
|---|
| 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. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5601643 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 44 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 58 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOM B SMOLL JD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9075811202 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 LAVALLE CT | AddressLine1 |
| City | UNALASKA | City |
| State | AK | State |
| ZIP Code | 99685 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MICHELLE COCHRAN | ||||||||
| PRESIDENT | 2.00 | 0.00 | X | X | 0 | 0 | 0 | |
| TOM ENLOW | ||||||||
| VICE PRESIDENT | 2.00 | 0.00 | X | X | 0 | 0 | 0 | |
| BILLIE JO GEHRING | ||||||||
| SECRETARY/TREASURER | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |
| SHARON SVARNY-LIVINGSTON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| FRANK KELTY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| GARY SANDNESS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| D MCGIRT | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| KAREN PILANDE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JOHANNA TELLMAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| STEVEN SHAISHNIKOFF | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| LAURA LEASURE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| EILEEN C SCOTT | ||||||||
| EXECUTIVE DIRECTOR | 50.00 | 0.00 | X | 185996 | 0 | 0 | ||
| THOMAS SMOLL JD | ||||||||
| FINANCE DIRECTOR | 50.00 | X | 100164 | 0 | 0 | |||
| JENNIFER NEUMANN MD | ||||||||
| PHYSICIAN | 40.00 | 119703 | 0 | 0 | X | |||
| CRAIG BOOTH DDS | ||||||||
| DENTIST | 40.00 | 157708 | 0 | 0 | X | |||
| REBECCA STROKLUND DO | ||||||||
| PHYSICIAN | 40.00 | 154355 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 717926 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 1200875 | GovernmentGrants |
| All Other Contributions | 505865 | AllOtherContributions |
| Total Contributions | 1706740 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 3955603 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3955603 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3955603 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25624 | TotalRevenueColumn |
| Exclusion | $25,624 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 116377 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 116377 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 116377 | TotalRevenueColumn |
| Exclusion | $116,377 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC INCOME | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 103363 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103363 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 103363 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5907707 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4058966 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $142,001 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 710650 | Total |
| Program Services | 710650 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1698177 | Total |
| Program Services | 1287871 | ProgramServices |
| Management And General | 410306 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 668682 | Total |
| Program Services | 644155 | ProgramServices |
| Management And General | 24527 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217440 | Total |
| Program Services | 209464 | ProgramServices |
| Management And General | 7976 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 362775 | Total |
| Program Services | 319242 | ProgramServices |
| Management And General | 43533 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27735 | Total |
| Program Services | 24407 | ProgramServices |
| Management And General | 3328 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 825398 | Total |
| Program Services | 726350 | ProgramServices |
| Management And General | 99048 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 361049 | Total |
| Program Services | 317723 | ProgramServices |
| Management And General | 43326 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135647 | Total |
| Program Services | 119369 | ProgramServices |
| Management And General | 16278 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 962890 | 847343 | 115547 |
| SUPPLIES | 345692 | 304209 | 41483 |
| MISCELLANEOUS EXPENSE | 103249 | 90860 | 12389 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6419384 | Total |
| Program Services | 5601643 | ProgramServices |
| Management And General | 817741 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 408197 | BOY |
| EOY | 123925 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584505 | BOY |
| EOY | 792399 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112681 | BOY |
| EOY | 100479 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73488 | BOY |
| EOY | 148098 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7811801 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5152482 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3004570 | BOY |
| EOY | 2659319 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 727287 | BOY |
| EOY | 581459 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 489599 | BOY |
| EOY | 483316 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5400327 | BOY |
| EOY | 4888995 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155167 | BOY |
| EOY | 157525 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 193555 | BOY |
| EOY | 170519 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230054 | BOY |
| EOY | 251077 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 578776 | BOY |
| EOY | 579121 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4337777 | BOY |
| EOY | 3832383 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483774 | BOY |
| EOY | 477491 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4821551 | BOY |
| EOY | 4309874 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5400327 | BOY |
| EOY | 4888995 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -511677 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1521801 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1843360 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1806447 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1785976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1706740 | CurrentTaxYear |
| Total | 8664324 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1521801 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1843360 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1806447 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1785976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1706740 | CurrentTaxYear |
| Total | 8664324 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 8664324 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 54127 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24779 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18108 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103113 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142001 | CurrentTaxYear |
| Total | 342128 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 80418 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 72756 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 102262 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 137197 | CurrentTaxYearMinus1Year |
| Current Tax Year | 106363 | CurrentTaxYear |
| Total | 498996 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 9505448 | TotalSupport |
| Gross Receipts From Admissions Etc | 18974186 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.91150 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97360 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 483774 | BeginningOfYearBalance |
| Other Expenditures | 6283 | OtherExpenditures |
| End Of Year Balance | 477491 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 524257 | BeginningOfYearBalance |
| Other Expenditures | 40483 | OtherExpenditures |
| End Of Year Balance | 483774 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 539290 | BeginningOfYearBalance |
| Other Expenditures | 15033 | OtherExpenditures |
| End Of Year Balance | 524257 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 536823 | BeginningOfYearBalance |
| Contributions | 8750 | Contributions |
| Other Expenditures | 6283 | OtherExpenditures |
| End Of Year Balance | 539290 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 544606 | BeginningOfYearBalance |
| Contributions | 15500 | Contributions |
| Other Expenditures | 23283 | OtherExpenditures |
| End Of Year Balance | 536823 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44991 | OtherCostOrOtherBasis |
| Book Value | 44991 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6356615 | OtherCostOrOtherBasis |
| Depreciation | 3878125 | Depreciation |
| Book Value | 2478490 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1410195 | OtherCostOrOtherBasis |
| Depreciation | 1274357 | Depreciation |
| Book Value | 135838 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2659319 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MONEY MARKET | Description |
| Book Value | 581459 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 581459 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNCONDITIONAL PROMISE TO GIVE | 477491 |
| DEPOSITS | 5825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 483316 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED EXPENSES | Description |
| Amount | $251,077 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 251077 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 5907707 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 5907707 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5907707 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6419384 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6419384 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6419384 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | 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. THE CLINIC IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EILEEN C SCOTT | ||||||||||||||
| EXECUTIVE DIRECTOR | 185996 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 185996 | 0 | 0 | 0 |
| CRAIG BOOTH DDS | ||||||||||||||
| DENTIST | 157708 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 157708 | 0 | 0 | 0 |
| REBECCA STROKLUND DO | ||||||||||||||
| PHYSICIAN | 154355 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 154355 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1B | ReturnReference |
| Explanation | NONE OF THESE ITEMS WERE PROVIDED FOR THE EMPLOYEE AND SO NO WRITTEN POLICY EXISTS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WILL BE 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 SO THAT NO MEMBER IS IN A DECISION MAKING PROCESS THAT CAN BE UNDULY INFLUENCED THROUGH A PRIOR RELATIONSHIP. | |
| 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, ALSO THEY USE THE 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 DIRECTORS CONTRACT. THIS PROCESS IS COMPLETED YEARLY. FOR OTHER TOP MANAGEMENT, THE EXECUTIVE DIRECTOR USES SALARY INFORMATION FROM THE STATE OF ALASKA AND THE NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION. ADDITIONALLY, THE EXECUTIVE DIRECTOR REVIEWS THE EMPLOYEES HISTORY, PERFORMANCE, AND THE FISCAL YEAR'S BUDGET. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, BOARD-CODE OF ETHICS, AND GRIEVANCE POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZTION'S MONTHLY FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE BOARD OF DIRECTORS' MONTHLY MEETINGS. | |
| FORM 990 PART 12 LINE 2C | THE BOARD OF DIRECTORS HAS OVERSIGHT RESPONSIBILITY FOR THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS HAS NOT CHANGED FROM THE PRIOR YEAR. | OVERSIGHT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANTS |
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