2013-08-12T11:06:55-07:00 2011-09-30 Altman Rogers & Company 425 G Street Suite 500 Anchorage AK 99501 990 2010-10-01 920041461 Maniilaq Association MANI 9074427751 PO Box 256 Kotzebue AK 99752 Nathan Kotch 2013-08-09 TOM J DOMAGALA CPA 9072742992 2010 2016-02-24 21:20:13Z X Nathan Kotch PO Box 256 Kotzebue AK 99752 92490609 false false X maniilaq.org X 1971 AK To carry out social services, health, and education non-profit activities for Alaskan Native people residing in Northwest Alaska. 12 0 835 0 69887577 69702237 18781764 21554975 402414 407801 1419260 825596 90491015 92490609 3938808 0 39351421 43531681 0 0 39207296 41039435 78558717 88509924 11932298 3980685 79038083 100342314 15856025 35403812 63182058 64938502 To carry out social services, health, and education non-profit activities for Alaskan Native people residing in Northwest Alaska. false false 84819890 3938808 21554975 Provide Health services through a regional hospital and village clinics, Social Services through support to individuals and training, direct Tribal support, & cultural training. 84819890 true true false false false false false false false true true false false false true false false true false false false false false false false false true true true true true false false false false false false false false false false false false false false false false true true true false false true 206 0 true 835 true false false false false false false false false false false false 0 false false false false false false false false false false false X 12 0 false false false false false false false true true false true true false true true true true true true true false false AK X Ian Erlich 9074423311 PO Box 256 Kotzebue AK 99752 Vida Coltrain 12.00 X X 27931 0 0 Sandy Shroyer-Beaver 12.00 X 40000 0 0 Ruth Zent 40.00 X 212722 0 10623 Robert Sampson 12.00 X 44950 0 0 Robert Ottone 40.00 X 159316 0 7945 Raymond Stoney 12.00 X 26150 0 0 Percy Ballot 12.00 X X 32325 0 0 Nellie Greist 12.00 X 30600 0 0 Nathan Kotch 40.00 X 167944 0 12758 Lucy Nelson 40.00 X 168361 0 10130 Louis Commack 12.00 X X 44835 0 0 Leslie Burns 12.00 X 32450 0 0 Johnetta Horner 12.00 X 26850 0 0 Jackie Hill 40.00 X 135560 0 0 Isabelle Booth 12.00 X X 35604 0 0 Ian Erlich 40.00 X 280330 0 16440 Faith Frable 40.00 X 209134 0 16596 Erick Torres-Semprit 40.00 X 203891 0 10186 Emerson Moto 12.00 X 25700 0 0 Ellen Elmore 40.00 X 232869 0 11630 Ella Derbyshire 40.00 X 230396 0 11476 Caroline Cannon 12.00 X 39000 0 0 2406918 107784 69 false true false Freddy Kaniki PO Box 256 Kotzebue AK 99752 Medical/Healthcare 259481 Maniilaq Services LLC 1700 Seventh Ave Ste 2100 Seattle WA 98101 Laundry Service 555546 Hobbs Strauss Dean & Walker 806 SW Broadway Ste 900 Portland OR 97205 Legal Services 483839 Altman Rogers & Co 425 G Street Suite 500 Anchorage AK 99501 Audit and Tax Serv. 301340 Advantage RN LLC 8892 Beckett Road West Checter OH 45069 Professional Nursing 827174 20 69651390 50847 69702237 Prog Serv, IHS & BIA Comp 20011026 20011026 Fees & Contracts Gov Agencies 624100 1543949 1543949 21554975 407801 407801 0 0 0 0 0 0 0 Other 825596 825596 825596 92490609 22380571 407801 2099391 2099391 1839417 1839417 0 0 1208394 1208394 0 32337975 27090817 5247158 1335000 1114750 220250 0 8650312 7272294 1378018 0 253682 39087 214595 0 0 0 0 12790202 10905293 1884909 37930 10012 27918 518402 456776 61626 341141 326932 14209 0 6656351 4933446 1722905 5902807 4962150 940657 0 0 339356 29 339327 0 2566014 320783 2245231 961915 961915 Supplies 5025948 4527876 498072 Postage and Shipping 382503 354251 28252 Miscellaneous 479972 176843 303129 Equipment 2405636 1488628 917008 Bad debt 969474 249431 720043 1408102 16651684 -15243582 88509924 84819890 3690034 0 -2373824 345394 1716090 499213 12004174 2940968 1878947 2063510 0 0 713472 14391848 173722 231440 0 82142580 21369002 30669000 60773578 11363691 18115841 0 0 0 22892811 980522 79038083 100342314 4661108 4954503 1025200 1493597 5994434 17460995 4175283 11494717 15856025 35403812 X 50512916 58695107 12669142 6243395 63182058 64938502 79038083 100342314 X 3980685 -2224241 X false true true X true true X 11616954 16233959 56521578 69887577 69702237 223962305 0 0 11616954 16233959 56521578 69887577 69702237 223962305 0 223962305 1500000 879433 549847 402414 407801 3739495 0 825596 825596 228527396 182793051 0.98000 0.96960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5217037 57710 138062 5412809 4869430 164371 183236 5217037 4427741 441689 4869430 1.00000 true false false 725000 725000 67727639 11304273 56423366 10271994 7204876 3067118 3417947 2859853 558094 60773578 Prepaid Deposits 81095 Line of Credit 5994434 Lease Payable 1323044 Investment in Maniilaq Services, LLC 34477 Accrued Payroll & Related liabilities 4061667 11494717 92490609 88509924 3980685 -38615 -38615 3942070 92451994 -38615 -38615 92490609 92490609 88509924 88509924 88509924 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Net Equity of Affiliate $ -2185626 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The endowment fund is to be used for scholarship purposes related to training and other resources to equip tribal members with the skills needed to succeed. true true X true X true X false false false false false false true 969474 3441540 3801017 -359477 X true false 12 12 Point Hope Clinic

1729 Qalugi Ave Point Hope AK 99766

X 11 Maniilaq Health Center

436 5th Ave Kotzebue AK 99752

X 10 Kivalina Clinic

PO Box 8 Kivalina AK 99750

X 9 Shungnak Clinic

PO Box 80 Shungnak AK 99737

X 8 Selawik Clinic

PO Box 180 Selawik AK 99770

X 7 Noorvik Clinic

PO Box 189 Noorvik AK 99763

X 6 Noatak Clinic

PO Box 90 Noatak AK 99751

X 5 Kobuk Clinic

PO Box 3 Kobuk AK 99750

X 4 Kiana Clinic

PO Box 130 Kiana AK 99749

X 3 Deering Clinic

PO Box 23 Deering AK 99736

X 2 Buckland Clinic

PO Box 9 Buckland AK 99727

X 1 Ambler Clinic

PO Box 110 Ambler AK 99786

X Deering Clinic 12 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Kobuk Clinic 11 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Ambler Clinic 10 true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Shungnak Clinic 9 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Kiana Clinic 8 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Buckland Clinic 7 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Noatak Clinic 6 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Kivalina Clinic 5 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Noorvik Clinic 4 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Point Hope Clinic 3 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Selawik Clinic 2 false true true 1.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true Maniilaq Health Center 1 false true true 100.0000 true 200.0000 true X X X true true X X X true X true X X X X true X false true 1 Utuqqunaat Inaat-Long Term Care Facility

PO Box 256 Kotzebue AK 99752

A long term care nursing wing co-located with the Maniilaq Health Center in Kotzebue, AK. The Elder Part VI - States Where Community Benefit Report Filed AK Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Maniilaq is the sole provider of Health and Social Services in the region. New and expanded facilities provide space for health services expansions and improved services. (i.e. New skilled nursing facilities, physical therapy suite, expanded/specialty services). Part VI - Community Information Serve residents in 12 communities of large geographically remote region. Each of the 12 clinics are located in each community. Maniilaq utilizes itinerate providers. Maniilaq funded patient travel to allow correct level of care is significant portion of budget. Part VI - Patient Education of Eligibility for Assistance Patients are informed during the time of Registration.Financial counselors assist with applications for Medicaid/Medicare.Sliding fee scale for eligibility (income based). Part VI - Needs Assessment The Board of Directors is a community based board, which meets every 2 months.Patient Surveys.Health indicators such as in Regional Profile. Number of Hospital Faciltiy - 9 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 8 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 7 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 6 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 5 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 4 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 3 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 2 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 12 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 11 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 10 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 1 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services. Number of Hospital Faciltiy - 9 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 8 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 7 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 6 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 5 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 4 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 3 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 2 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 12 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 11 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 10 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 1 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians. Number of Hospital Faciltiy - 9 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 8 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice Number of Hospital Faciltiy - 7 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 6 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 5 Part V, Line 17e - Other Actions Took Before Any Collection Actions send notice with bills.invoice. Number of Hospital Faciltiy - 4 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 3 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 2 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 12 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 11 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoices. Number of Hospital Faciltiy - 10 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Number of Hospital Faciltiy - 1 Part V, Line 17e - Other Actions Took Before Any Collection Actions Send notice with bills/invoice. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Maniilaq files the Method E cost report that utilizes an ancillary cost ratio to develop costs for Medicare apportionment. Part III, Line 4 - Bad Debt Expense Accounts Receivable:Accounts receivable represents receivables for services provided at the Maniilaq Health Center. Amounts are due from Medicaid, Medicare, third-party insurance carriers, and individuals and reported net of allowance for uncollectible accounts of $2,051,330, which includes an allowance of $1,717,411.Maniilaq has amounts due from granting agencies of $2,940,968, interest receivable of $73,851 and other receivables of $12,180. true WH Pacific Inc 300 West 31st Avenue Anchorage AK 99503 307788 0 Contract work for IRR Shungnak IRA PO Box 73064 Shungnak AK 99773 41935 0 Health Initiatives and IRR Selawik IRA Council Main Street Selawik AK 99770 25896 0 Indian Child Welfare Pro-West Construction PO Box 870129 Wasilla AK 99687 1214219 0 Contract work for Noorvik Noatak IRA Council PO Box 89 Noatak AK 99761 36300 0 Health Initiatives Native Village of Sela 59 North Tundra Selawik AK 99770 920049770 501(c)(3) 46389 0 Indian Child Welfare Native Village of Poin PO Box 109 Point Hope AK 99760 40450 0 Health Initiatives Native Village of Kotz PO Box 296 Kotzebue AK 99752 920060128 501(c)(3) 78250 0 Health Initiatives Native Village of Kian PO Box 69 Kiana AK 99749 920061730 501(c)(3) 33100 0 Health Initiatives Native Village of Ambl PO Box 47 Ambler AK 99786 31000 0 Health Initiatives Kobuk Traditional Coun PO Box 51039 Kobuk AK 99751 27250 0 Health Initiatives Kivalina IRA Council PO Box 50051 Kivalina AK 99750 48400 0 Health Initiatives Jims Equipment Repair 1153 E 74th Avenue Anchorage AK 99502 94618 0 Equip repairs for Noatak Deering IRA Council PO Box 36089 Deering AK 99736 27850 0 Health Initiatives Buckland IRA Council 10 Virginia Ave Buckland AK 99727 30465 0 Health Initiatives 12 3 Tribal TANF Clients Public 250 1270029 Tribal Services Employment 50 354745 Paaraq Scholarship 12 8770 Endowment Scholarship 15 205873 Grantmaker's Description of How Grants are Used The planning department applies for grant awards that may benefit programs or individuals within the Maniilaq service area. All grants are provisioned and monitored in accordance with the grant agreement and compliance requirements. X X false false false false false false false false false false Ruth Zent 212722 10623 223345 Robert Ottone 159316 7945 167261 Nathan Kotch 167944 8568 4190 180702 Lucy Nelson 168361 8487 1643 178491 Ian Erlich 280330 12250 4190 296770 Faith Frable 209134 10663 5933 225730 Erick Torres-Semprit 203891 10186 214077 Ellen Elmore 225369 7500 11630 244499 Ella Derbyshire 214896 15500 11476 241872 Amended Explanation The return is being amended because some of the questions on Schedule H were misunderstood and answered incorrectly on the original return. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon request Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees In accordance with personnel policy, each I'd has a range and step amount for experience and the HR department determines the amount for each via executive committee meetings. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Officers, Directors and employees are required to review annually. Any violations are reported to the HR department and dealt with in that manner. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The return is reviewed by the Executive Director before it is filed. Tupqich Elder Apartment Inc PO Box 256 Kotzebue AK 99752 200736815 Elder Housing AK 501(c)(3) 7 Maniilaq Association true Maniilaq Services LLC 1700 Seventh Avenue Suite 2100 Seattle WA 98101 770671852 8a contract AK N/A Related 41936 7549 false false 0.49 false false false false false false false false false false false true false false false false false false Maniilaq Services LLC l 555546 Cash