KODIAK ISLAND HEALTH CARE FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- KODIAK ISLAND HEALTH CARE FOUNDATION (EIN 92-0146203)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201323169349301762
- 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 | 2013-11-11T12:50:06-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | 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 | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920146203 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KODIAK ISLAND HEALTH CARE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KODI | NameControl |
| Phone | 9074815005 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1911 EAST REZANOF DRIVE | AddressLine1 |
| City | KODIAK | City |
| State | AK | State |
| ZIP Code | 99615 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JUDY C RATHJE | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 9074815005 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL MBAILEY | Name |
| PTIN | P00292653 | PTIN |
| Phone | 4252506100 | Phone |
| Date Prepared | 2013-11-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JUDY C RATHJE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1911 EAST REZANOF DRIVE | AddressLine1 |
| City | KODIAK | City |
| State | AK | State |
| ZIP Code | 99615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2472750 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.KODIAKCHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | AK | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE AND CONTRIBUTE TO A HEALTHY COMMUNITY THROUGH EDUCATION, EXPANSION OF HEALTH CARE SERVICES, AND FACILITATION OF PATIENT CARE THROUGH EXISTING PROVIDERS, REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 56 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1215075 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1201096 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1713963 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1244822 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -603 | InvestmentIncomePriorYear |
| Investment Income Current Year | 85 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -4834 | OtherRevenuePriorYear |
| Other Revenue Current Year | 26747 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2923601 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2472750 | 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 | 1984900 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1758207 | 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 | 867967 | OtherExpensePriorYear |
| Other Expenses Current Year | 966132 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2852867 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2724339 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 70734 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -251589 | RevenuesLessExpensesCY |
| Total Assets BOY | 597302 | TotalAssetsBOY |
| Total Assets EOY | 546093 | TotalAssetsEOY |
| Total Liabilities BOY | 301818 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 502198 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 295484 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 43895 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE HIGH QUALITY, ACCCESSIBLE AND SUSTAINABLE PRIMARY AND PREVENTIVE HEALTH SERVICES TO EVERYONE IN THE KODIAK ISLAND BOROUGH. OUR CENTER AND HEALTH CARE PROFESSIONALS STRIVE TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE TO OUR ENTIRE COMMUNITY BY OFFERING A FULL RANGE OF PRIMARY AND PREVENTATIVE HEALTH SERVICES. WE ALSO PROVIDE REFERRAL ARRANGEMENTS SUCH AS MENTAL HEALTH TREATMENT AND COUNSELING, SUBSTANCE ABUSE SERVICE, SPECIALTY CARE, AND HOSPITALIZATIONS. WE OFFER HEALTHCARE TO EVERYONE IN OUR COMMUNITY - INSURED, UNINSURED AND UNDERINSURED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1909009 | Expense |
| Revenue | 1244822 | Revenue |
| Description | THE CLINIC'S MISSION IS TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, AND TO SPECIALIZE IN PROVIDING CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS OF KODIAK ISLAND. THE CLINIC STRIVES TO IMPROVE THE OVERALL HEALTH OF THE GENERAL POPLULATION THROUGH HEALTH EDUCATION AND PROMOTION OF ACTIVITIES. THE CLINIC'S PHILOSOPHY IS TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPASSIONATE, QUALITY CARE SERVICES FOR KODIAK ISLAND.THE CLINIC PROVIDED CARE FOR 9,062 VISITS IN 2012. | Description |
| Total Program Service Expense | 1909009 | 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 | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | 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 | 0 | 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 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 56 | 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KODIAK ISLAND HEALTH CARE FOUN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9074865000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1911 EAST REZANOF DRIVE | AddressLine1 |
| City | KODIAK | City |
| State | AK | State |
| ZIP Code | 99615 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| MONTE HAWVER | ||||||
| BOARD CHAIRMAN | 0.00 | X | 0 | 0 | 0 | |
| SONYA MORTENSON | ||||||
| BOARD VICE CHAIR | 0.00 | X | 0 | 0 | 0 | |
| JEROME SELBY | ||||||
| BOARD TREASURER | 0.00 | X | 0 | 0 | 0 | |
| LARISSA CASEY | ||||||
| BOARD SECRETARY | 0.00 | X | 0 | 0 | 0 | |
| JENNIE DE LA FUENTE | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| PATRICIA KERNAN | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| VILMA GALLIVAN | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| AMANDA SWANSON | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| LESLIE LEYLAND FIELDS | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| CAROL AUSTERMAN | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| BARRY HASKELL | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| JC RATHJE | ||||||
| EXECUTIVE DIRECTOR | 40.00 | 16827 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 16827 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMMUNITY LINK CONSULTING | |||||
| PO BOX 276 | NEWMAN LAKE | WA | 99025 | INTERIM CFO/IT SUPPORT | 158179 |
| OCHIN | |||||
| 707 SW WASHINGTON ST | PORTLAND | OR | 97205 | BILLING/PMS | 147363 |
| NWRPCA | |||||
| 6512 23RD AVE STE 305 | SEATTLE | WA | 98199 | GRANT MGMT SUPPORT | 105363 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 1192763 | GovernmentGrants |
| All Other Contributions | 8333 | AllOtherContributions |
| Total Contributions | 1201096 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT CHARGES | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 1244822 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1244822 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1244822 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 85 | TotalRevenueColumn |
| Exclusion | $85 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 26747 | TotalRevenueColumn |
| Exclusion | $26,747 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 26747 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2472750 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1244822 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $26,832 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16827 | Total |
| Management And General | 16827 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1432436 | Total |
| Program Services | 1088100 | ProgramServices |
| Management And General | 344336 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175125 | Total |
| Program Services | 132219 | ProgramServices |
| Management And General | 42906 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133819 | Total |
| Program Services | 101033 | ProgramServices |
| Management And General | 32786 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1035 | Total |
| Management And General | 1035 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13811 | Total |
| Management And General | 13811 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199875 | Total |
| Management And General | 199875 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285774 | Total |
| Program Services | 249633 | ProgramServices |
| Management And General | 36141 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2803 | Total |
| Management And General | 2803 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22014 | Total |
| Program Services | 22014 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113550 | Total |
| Program Services | 113550 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108159 | Total |
| Program Services | 48615 | ProgramServices |
| Management And General | 59544 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4421 | Total |
| Management And General | 4421 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53530 | Total |
| Program Services | 53530 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 784 | Total |
| Program Services | 784 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MISCELLANEOUS | 76968 | 72352 | 4616 |
| SUPPLIES | 65330 | 54639 | 10691 |
| RECRUITMENT & RETENTION | 37321 | 10244 | 27077 |
| CONTRACT LABOR | 35301 | 31896 | 3405 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -54544 | Total |
| Program Services | -69600 | ProgramServices |
| Management And General | 15056 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2724339 | Total |
| Program Services | 1909009 | ProgramServices |
| Management And General | 815330 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178973 | BOY |
| EOY | 169802 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63420 | BOY |
| EOY | 14088 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151790 | BOY |
| EOY | 131930 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400 | BOY |
| EOY | 7363 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 464656 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 241746 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 202719 | BOY |
| EOY | 222910 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 597302 | BOY |
| EOY | 546093 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238113 | BOY |
| EOY | 415571 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63705 | BOY |
| EOY | 86627 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301818 | BOY |
| EOY | 502198 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295484 | BOY |
| EOY | 43895 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295484 | BOY |
| EOY | 43895 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 597302 | BOY |
| EOY | 546093 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -251589 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 | 0 | 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 | 3813292 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2571841 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1126977 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1205482 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1201096 | CurrentTaxYear |
| Total | 9918688 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3813292 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2571841 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1126977 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1205482 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1201096 | CurrentTaxYear |
| Total | 9918688 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9918688 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8283 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 653 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 231 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -633 | CurrentTaxYearMinus1Year |
| Current Tax Year | 85 | CurrentTaxYear |
| Total | 8619 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | -4834 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26747 | CurrentTaxYear |
| Total | 21913 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 9949220 | TotalSupport |
| Gross Receipts From Admissions Etc | 7593240 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99690 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99700 | 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
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 464656 | OtherCostOrOtherBasis |
| Depreciation | 241746 | Depreciation |
| Book Value | 222910 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 222910 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LEASE OBLIGATION | $4,899 |
| HEALTHY TOMORROWS FUNDS PAYABLE | $81,728 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 86627 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 2472750 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 2472750 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2472750 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2724339 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2724339 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2724339 | 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 | THE CLINIC HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED KODIAK ISLAND HEALTH CARE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT KODIAK ISLAND HEALTH CARE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQURE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVIDIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. KODIAK ISLAND HEALTH CARE FOUNDATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2009. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | LINE 11A EXPLANATION - ELECTRONIC DISTRIBUTION TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING OF RETURN. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR THE MANAGERS ARE REQUIRED TO DISCLOSE ANY AND ALL INVESTMENTS IN RELATED ENTITIES | |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION OF THE EXECUTIVE DIRECTOR AND TOP MANAGEMENT OFFICIALS IS REVIEWED BY THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | CONTRACT PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 108,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,069. CONSULTING AND OTHER PROFESSIONAL SERVICES FEES: PROGRAM SERVICE EXPENSES 141,564. MANAGEMENT AND GENERAL EXPENSES 36,141. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,705. | OTHER FEES |
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