ALASKA PRIMARY CARE ASSOCIATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ALASKA PRIMARY CARE ASSOCIATION (EIN 92-0154822)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-02-23
- IRS object ID
- 202520549349300252
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-02-23T09:37:54-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTER & ALLISON INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18701 DENMARK CIR | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99516 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920154822 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APCA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APCA | BusinessNameControlTxt |
| Phone | 9079292722 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3111 C STREET SUITE 500 | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MERRIMAN NANCY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9079292722 | PhoneNum |
| Signature | 2024-02-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA MARTTINEN | PreparerPersonNm |
| PTIN | P03303813 | PTIN |
| Phone | 9077702727 | PhoneNum |
| Preparation | 2025-02-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MERRIMAN NANCY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SAME AS ABOVE | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,603,719 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALASKAPCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | TO CREATE HEALTHY COMMUNITIES BY SUPPORTING VIBRANT AND EFFECTIVE COMMUNITY HEALTH CENTERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 43 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 43 | VotingMembersIndependentCnt |
| Total Employee | 59 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,122,428 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,502,656 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $606,242 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,214 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,867 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,614 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,676 | PYOtherRevenueAmt |
| CY Other Revenue | $22,235 | CYOtherRevenueAmt |
| PY Total Revenue | $6,746,213 | PYTotalRevenueAmt |
| CY Total Revenue | $7,603,719 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $70,477 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $934,395 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,879,393 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,287,810 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,550,734 | PYOtherExpensesAmt |
| CY Other Expenses | $2,214,449 | CYOtherExpensesAmt |
| PY Total Expenses | $6,500,604 | PYTotalExpensesAmt |
| CY Total Expenses | $7,436,654 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $245,609 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $167,065 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,039,986 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,240,947 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,191,249 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,225,145 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,848,737 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,015,802 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE ALASKA COMMUNITY HEALTH CENTERS AND OTHER PRIMARY CARE SAFETY NET PROVIDERS WITH TRAINING AND TECHNICAL ASSISTANCE SO THEY CAN DELIVER HIGH QUALITY HEALTH CARE TO PATIENTS. TO ASSIST ALASKANS IN DISCOVERING AND PURSUING HEALTH CAREERS. TO ASSIST ALASKANS IN EXPLORING OPTIONS FOR HEALTH CARE COVERAGE. TO PROACTIVELY ASSESS NEW POLICY AND REGULATIONS THAT COULD AFFECT PRIMARY CARE PROVIDERS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,703,586 | ExpenseAmt |
| Grant | $934,395 | GrantAmt |
| Revenue | $59,214 | RevenueAmt |
| Desc | HRSA PCA - PROVIDED NUMEROUS OPPORTUNITIES FOR COMMUNITY HEALTH CENTER LEADERS AND STAFF TO INTERACT AND LEARN FROM ONE ANOTHER AND FROM EXPERTS IN THE FIELD ABOUT IMPROVING THE DELIVERY OF HEALTH CARE TO PATIENTS. DRAMATICALLY INCREASED THE NUMBER OF HEALTH CENTERS BEING RECOGNIZED FOR PCMH AND QUALITY ACCOMPLISHMENTS. HCCN - THE ALASKA QUALITY IMPROVEMENT NETWORK (AQUIN), ALASKAS HEALTH CENTER CONTROLLED NETWORK (HCCN) IS A PROJECT FUNDED UNDER THE HEALTH RESOURCES AND SERVICES WITH A GOAL OF IMPROVING THE QUALITY OF CARE AND HEALTH OUTCOMES AT COMMUNITY HEALTH CENTERS. AQUIN IS COMPRISED OF 10 PARTICIPATING HEALTH CENTERS FROM ACROSS THE STATE. THE AQUIN MODEL UTILIZES A CENTRAL DATA WAREHOUSE, FED DAILY BY HEALTH CENTERS' ELECTRONIC HEALTH RECORDS (EHR). THE PLATFORM HAS A PORTFOLIO OF TOOLS AND PRE- FORMATTED REPORTS THAT ALLOW SOPHISTICATED ANALYTICS TO BE PERFORMED, RESULTING IN ACTIONABLE INFORMATION USED TO IMPROVE QUALITY. THE OVERALL PURPOSE OF THE AQUIN IS QUALITY IMPROVEMENT FOR BETTER HEALTH OUTCOMES, INCREASED PATIENT AND FAMILY ENGAGEMENT AND LOWER COSTS. THE DATA WAREHOUSE AIMS TO STRENGTHEN QUALITY, EFFICIENCY, AND SAFETY THROUGH THE DATA-DRIVEN SUPPORT OF PCMH MODELS, OPTIMIZATION OF THE CLINICS EHRS, AND ATTAINMENT OF MEANINGFUL USE. SCAHEC - FACILITATED 300+ INDIVIDUALS IN EXPLORING HEALTH CARE CAREERS. APPRENTICESHIP - THE ORGANIZATION IS A SUBAWARDEE OF THE STATE OF ALASKA DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT (DOLWD), DIVISION OF EMPLOYMENT AND TRAINING SERVICES (DETS), UNDER THE "HEALTHY ALASKA THROUGH APPRENTICESHIP" GRANT FROM THE US DEPARTMENT OF LABOR. UNDER THIS FUNDING, APCA CREATED APPRENTICESHIP OPPORTUNITIES WITHIN THE HEALTH CARE SECTOR IN THE FOLLOWING OCCUPATIONS:COMMUNITY HEALTH WORKER (CHW), PROVIDES CARE COORDINATION FOR UNDERSERVED POPULATIONS, CLINICAL MEDICAL ASSISTANT (CMA); PROVIDES CLINICAL SUPPORT, MEDICAL ADMINISTRATIVE ASSISTANT (MAA); PROVIDES ADMINISTRATIVE SUPPORT IN HEALTH CENTERS, AND BILLING AND CODING SPECIALIST (BCS); PROVIDES BILLING AND CODING SERVICES. | Desc |
| Total Program Service Expenses | $5,703,586 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 59 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 43 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 43 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORTNEY SENKLER | PersonNm |
| Phone | 9079292722 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3111 C STREET SUITE 500 | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MERRIMAN NANCY | |||||||
| CEO | 40.00 | Yes (X) | $213,682 | $0 | $29,077 | ||
| AUSTERMAN CAROL | |||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GILMORE JOSHUA | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MERRICK MELISSA | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| STOECKER KARISSA | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| WALL ALBERT | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SIMPSON ASHLEY | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| WRIGHT BEN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JOHANSEN CHERI | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KILGORE CHERYL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JACKSON CLARE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| AMBROSIANI CRAIG | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JOHNSON DAWN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ERICKSON DEBORAH | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRANDING DR DAVE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JOHNSTON DR HAROLD | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MARCOTTE DR STUART | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHOWDHURY ENAYET | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ALSTROM-BEANS GAIL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DEWINNE JENNIFER | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MATA RUKOVISHNIKOFF JESSICA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHAPMAN JILIAN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| COLLINS KARI | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MUNSON KEVIN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| AQUINO LISA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SWAIN MARY | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MACKIERNAN MEGAN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PETER MELINDA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PFEFFER MIKE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ANDERSON MONICA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SCHANBECK NEAL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PICHE NICHOLE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| REA NOEL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MUELLER PAUL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| GEARHART RACHEL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MURDOCK ROBIN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| RABI SHADI | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| GALLAGHER STEVE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BUCK TAWNY | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DOUGHFMAN-BILLINGS TERI | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| STEINER THOMAS | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MARTIN TOM | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| FOWLER VADETTE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PUTERBAUGH VANESSA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ZASADA JON | |||||||
| DIRECTOR OF | 40.00 | $130,211 | $0 | $28,557 | Yes (X) | ||
| LINDUSKA PATRICIA | |||||||
| SPECIAL PROJ | 40.00 | $152,239 | $0 | $5,400 | Yes (X) | ||
| CRATER CARRI | |||||||
| DIRECTOR ORG | 40.00 | $131,638 | $0 | $42,574 | Yes (X) | ||
| CLARK MEGHAN | |||||||
| DIRECTOR OPE | 40.00 | $121,558 | $0 | $49,129 | Yes (X) | ||
| WETTIN EMILY | |||||||
| CLINICAL CON | 40.00 | $122,814 | $0 | $48,663 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $872,142 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $203,400 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AZARA HEALTHCARE LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8102 | AddressLine1Txt |
| City | CAROL STREAM | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60197 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSULTING | ServicesDesc |
| Compensation | $565,907 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $100,067 | MembershipDuesAmt |
| Government Grants | $7,228,766 | GovernmentGrantsAmt |
| All Other Contributions | $173,823 | AllOtherContributionsAmt |
| Total Contributions | $7,502,656 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| TRAINING AND CONSULTING | 611430 | $28,034 | $28,034 |
| CONTRACTS REVENUE | 611430 | $19,500 | $19,500 |
| GOVERNMENT CONTRACTS | 611430 | $10,325 | $10,325 |
| ADMIN RECOVERY | 611430 | $1,355 | $1,355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,214 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,614 | TotalRevenueColumnAmt |
| Exclusion | $19,614 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CREDENTIALING | 611430 | $13,270 | $13,270 | |
| GROUP PURCHASE INCOME | 900099 | $7,638 | $7,638 | |
| MISC REVENUE | 900099 | $1,327 | $1,327 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,235 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,603,719 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80,122 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $20,941 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,395 | TotalAmt |
| Program Services | $934,395 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,502 | TotalAmt |
| Management And General | $223,502 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,782,790 | TotalAmt |
| Program Services | $2,294,357 | ProgramServicesAmt |
| Management And General | $488,433 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,651 | TotalAmt |
| Program Services | $92,087 | ProgramServicesAmt |
| Management And General | $34,564 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $891,291 | TotalAmt |
| Program Services | $683,196 | ProgramServicesAmt |
| Management And General | $208,095 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,576 | TotalAmt |
| Program Services | $201,019 | ProgramServicesAmt |
| Management And General | $62,557 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,044 | TotalAmt |
| Program Services | $141,985 | ProgramServicesAmt |
| Management And General | $4,059 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,450 | TotalAmt |
| Program Services | $3,138 | ProgramServicesAmt |
| Management And General | $43,312 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898,183 | TotalAmt |
| Program Services | $671,745 | ProgramServicesAmt |
| Management And General | $226,438 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,058 | TotalAmt |
| Program Services | $10,677 | ProgramServicesAmt |
| Management And General | $381 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,138 | TotalAmt |
| Program Services | $22,759 | ProgramServicesAmt |
| Management And General | $18,379 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,062 | TotalAmt |
| Program Services | $125,933 | ProgramServicesAmt |
| Management And General | $4,129 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,106 | TotalAmt |
| Program Services | $27,429 | ProgramServicesAmt |
| Management And General | $210,677 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,870 | TotalAmt |
| Program Services | $150,312 | ProgramServicesAmt |
| Management And General | $6,558 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,988 | TotalAmt |
| Program Services | $180,502 | ProgramServicesAmt |
| Management And General | $29,486 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,731 | TotalAmt |
| Management And General | $56,731 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,961 | TotalAmt |
| Program Services | $3,371 | ProgramServicesAmt |
| Management And General | $25,590 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $151,992 | $80,583 | $71,409 |
| OTHER | $98,866 | $80,098 | $18,768 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,436,654 | TotalAmt |
| Program Services | $5,703,586 | ProgramServicesAmt |
| Management And General | $1,733,068 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,002,649 | BOYAmt |
| EOY | $1,828,464 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $532,176 | BOYAmt |
| EOY | $605,523 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,041 | BOYAmt |
| EOY | $1,291,687 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,988 | BOYAmt |
| EOY | $6,463 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,698 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,962 | BOYAmt |
| EOY | $180,265 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $283,655 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $174,921 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,465 | BOYAmt |
| EOY | $108,734 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,705 | BOYAmt |
| EOY | $214,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,039,986 | BOYAmt |
| EOY | $4,240,947 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $749,104 | BOYAmt |
| EOY | $914,737 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $442,145 | BOYAmt |
| EOY | $310,408 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,191,249 | BOYAmt |
| EOY | $1,225,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,848,737 | BOYAmt |
| EOY | $3,015,802 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,848,737 | BOYAmt |
| EOY | $3,015,802 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,039,986 | BOYAmt |
| EOY | $4,240,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $167,065 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,227,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,530,484 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,676,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,122,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,502,656 | CurrentTaxYearAmt |
| Total | $27,059,186 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,227,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,530,484 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,676,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,122,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,502,656 | CurrentTaxYearAmt |
| Total | $27,059,186 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $27,059,186 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,912 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,232 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,046 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,867 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,614 | CurrentTaxYearAmt |
| Total | $30,671 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $12,237 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $327 | CurrentTaxYearAmt |
| Total | $27,024 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $53,992 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,636 | CurrentTaxYearMinus3YearsAmt |
| Total | $112,628 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $27,229,509 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,479,578 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99060 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 2019-2023 112,628 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $2,059 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $2,059 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | ALL LOBBYING COSTS ARE PAID FROM GENERAL MEMBERHSIP AND OTHER UNRESTRICTED FUNDS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $283,655 | OtherCostOrOtherBasisAmt |
| Depreciation | $174,921 | DepreciationAmt |
| Book Value | $108,734 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $108,734 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE ASSET | Desc |
| Book Value | $214,113 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $214,113 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $214,113 |
| REFUNDABLE ADVANCES - OTHER | $96,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $310,408 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,553,719 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,553,719 | RevenueSubtotalAmt |
| Other Revenues Not Included | $50,000 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $50,000 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,603,719 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,432,822 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,432,822 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,832 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,832 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,436,654 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION APPLIES THE PROVISIONS OF TOPIC 740 OF THE FASB ACCOUNTING STANDARDS CODIFICATION RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION ANNUALLY REVIEWS ITS POSITIONS TAKEN IN ACCORDANCE WITH THE RECOGNITION STANDARDS THAT WOULD REQUIRE DISCLOSURE OR ADJUSTMENT IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | ACHN CONTRIBUTION 50,000 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | ACHN EXPENSES 3,832 |
| SCHEDULE D, PAGE 4, PART XIII | THE ORGANIZATION STARTED OPERATING A SOLE MEMBER LCC (REPORTED ON SCHEDULE R)OF WHICH THE ACTIVITY HAS BEEN PROPERLY INCLUDED ON THE 990. THE SOLE MEMBER ACTIVITY WAS NOT MATERIAL TO THE FINANCIAL STATEMENTS AND THEREFORE THE CONTRIBUTIONS AND EXPENSES OF THE ENTITY ARE CONSIDERED RECONCILING ITEMS IN THE ABOVE SECTIONS OF SCHEDULE D. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| ALASKA HOSPITAL & HEALTHCARE ASSOC | ||||||||
| 1007 WEST 3RD AVE STE 301 | ANCHORAGE | AK | 99501 | 920034538 | 501C6 | $257,249 | GENERAL SUPPORT | |
| ANCHORAGE SCHOOL DISTRICT | ||||||||
| 5530 E NORTHERNLIGHTS BLVD | ANCHORAGE | AK | 99504 | 926000147 | 501C3 | $119,455 | GENERAL SUPPORT | |
| SUNSHINE COMMUNITY HEALTH CENTER | ||||||||
| HC 89 BOX 8190 | TALKEETNA | AK | 99676 | 920117838 | 501C3 | $117,774 | GENERAL SUPPORT | |
| ANCHORAGE NEIGHBORHOOD | ||||||||
| PO BOX 201849 | ANCHORAGE | AK | 99520 | 920047965 | 501C3 | $108,812 | GENERAL SUPPORT | HEALTH CENTER |
| UNIVERSITY OF ALASKA ANCHORAGE | ||||||||
| 3211 PROVIDENCE DR B0C3-250 | ANCHORAGE | AK | 99508 | 926000147 | 501C3 | $97,134 | GENERAL SUPPORT | |
| INTERIOR COMMUNITY HEALTH CENTER | ||||||||
| 1606 23RD AVENUE | FAIRBANKS | AK | 99701 | 920147354 | 501C3 | $78,862 | GENERAL SUPPORT | |
| SOUTHEAST REGIONAL RESOURCE CENTER | ||||||||
| 210 FERRY WAY | JUNEAU | AK | 99801 | 920058572 | 501C3 | $62,500 | GENERAL SUPPORT | |
| MAT-SU HEALTH SERVICES INC | ||||||||
| 1363 W SPRUCE AVE | WASILLA | AK | 99654 | 920089779 | 501C3 | $46,822 | GENERAL SUPPORT | |
| MATANUSKA-SUSITNA BOROUGH SCHOOL | ||||||||
| 501 N GULKANA ST | PALMER | AK | 99645 | 926000034 | 501C3 | $33,903 | GENERAL SUPPORT | DISTRICT |
| ALEUTIAN PRIBILOF ISLANDS ASSOC | ||||||||
| 1131 EAST INTERNATIONAL AIRPORT RD | ANCHORAGE | AK | 99518 | 920073013 | 501C3 | $11,884 | GENERAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE I, PAGE 1, PART I, LINE 2 | APCA MONITORS THE USE OF GRANT FUNDS TO SUB-RECIPIENTS BY (1) REQUIRING SCHEDULED REPORTS THAT ARE REVIEWED FOR COMPLIANCE, (2) VIRTUAL OR IN- PERSON SITE VISITS AS NEEDED, AND (3) REQUIRING REIMBURSEMENT REQUESTS TO ACCESS GRANT FUNDS. ALL REIMBURSEMENT REQUESTS ARE REVIEWED TO MAKE SURE THAT SPENDING IS IN COMPLIANCE WITH GRANT REQUIREMENTS. |
| SCHEDULE I, PAGE 4, PART IV | PART II - LINE 1H ASSIST INDIVIDUALS IN NAVIGATING THE HEALTH CARE EXCHANGE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt |
|---|---|---|---|---|
| MERRIMAN NANCY | ||||
| CEO | $213,682 | $29,077 | $242,759 | |
| ZASADA JON | ||||
| DIRECTOR OF PI | $130,211 | $16,056 | $158,768 | $12,501 |
| LINDUSKA PATRICIA | ||||
| SPECIAL PROJECTS OFF | $152,239 | $5,400 | $157,639 | |
| CRATER CARRI | ||||
| DIRECTOR ORG DEVELOP | $131,638 | $6,945 | $174,212 | $35,629 |
| CLARK MEGHAN | ||||
| DIRECTOR OPERATIONS | $121,558 | $13,500 | $170,687 | $35,629 |
| WETTIN EMILY | ||||
| CLINICAL CONSULTANT | $122,814 | $13,034 | $171,477 | $35,629 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE ALASKA COMMUNITY HEALTH CENTERS AND OTHER PRIMARY CARE SAFETY NET PROVIDERS WITH TRAINING AND TECHNICAL ASSISTANCE SO THEY CAN DELIVER HIGH QUALITY HEALTH CARE TO PATIENTS. TO ASSIST ALASKANS IN DISCOVERING AND PURSUING HEALTH CAREERS. TO ASSIST ALASKANS IN EXPLORING OPTIONS FOR HEALTH CARE COVERAGE. TO PROACTIVELY ASSESS NEW POLICY AND REGULATIONS THAT COULD AFFECT PRIMARY CARE PROVIDERS. |
| FORM 990, PAGE 2, PART III, LINE 4A | HRSA PCA - PROVIDED NUMEROUS OPPORTUNITIES FOR COMMUNITY HEALTH CENTER LEADERS AND STAFF TO INTERACT AND LEARN FROM ONE ANOTHER AND FROM EXPERTS IN THE FIELD ABOUT IMPROVING THE DELIVERY OF HEALTH CARE TO PATIENTS. DRAMATICALLY INCREASED THE NUMBER OF HEALTH CENTERS BEING RECOGNIZED FOR PCMH AND QUALITY ACCOMPLISHMENTS. HCCN - THE ALASKA QUALITY IMPROVEMENT NETWORK (AQUIN), ALASKAS HEALTH CENTER CONTROLLED NETWORK (HCCN) IS A PROJECT FUNDED UNDER THE HEALTH RESOURCES AND SERVICES WITH A GOAL OF IMPROVING THE QUALITY OF CARE AND HEALTH OUTCOMES AT COMMUNITY HEALTH CENTERS. AQUIN IS COMPRISED OF 10 PARTICIPATING HEALTH CENTERS FROM ACROSS THE STATE. THE AQUIN MODEL UTILIZES A CENTRAL DATA WAREHOUSE, FED DAILY BY HEALTH CENTERS' ELECTRONIC HEALTH RECORDS (EHR). THE PLATFORM HAS A PORTFOLIO OF TOOLS AND PRE- FORMATTED REPORTS THAT ALLOW SOPHISTICATED ANALYTICS TO BE PERFORMED, RESULTING IN ACTIONABLE INFORMATION USED TO IMPROVE QUALITY. THE OVERALL PURPOSE OF THE AQUIN IS QUALITY IMPROVEMENT FOR BETTER HEALTH OUTCOMES, INCREASED PATIENT AND FAMILY ENGAGEMENT AND LOWER COSTS. THE DATA WAREHOUSE AIMS TO STRENGTHEN QUALITY, EFFICIENCY, AND SAFETY THROUGH THE DATA-DRIVEN SUPPORT OF PCMH MODELS, OPTIMIZATION OF THE CLINICS EHRS, AND ATTAINMENT OF MEANINGFUL USE. SCAHEC - FACILITATED 300+ INDIVIDUALS IN EXPLORING HEALTH CARE CAREERS. APPRENTICESHIP - THE ORGANIZATION IS A SUBAWARDEE OF THE STATE OF ALASKA DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT (DOLWD), DIVISION OF EMPLOYMENT AND TRAINING SERVICES (DETS), UNDER THE "HEALTHY ALASKA THROUGH APPRENTICESHIP" GRANT FROM THE US DEPARTMENT OF LABOR. UNDER THIS FUNDING, APCA CREATED APPRENTICESHIP OPPORTUNITIES WITHIN THE HEALTH CARE SECTOR IN THE FOLLOWING OCCUPATIONS:COMMUNITY HEALTH WORKER (CHW), PROVIDES CARE COORDINATION FOR UNDERSERVED POPULATIONS, CLINICAL MEDICAL ASSISTANT (CMA); PROVIDES CLINICAL SUPPORT, MEDICAL ADMINISTRATIVE ASSISTANT (MAA); PROVIDES ADMINISTRATIVE SUPPORT IN HEALTH CENTERS, AND BILLING AND CODING SPECIALIST (BCS); PROVIDES BILLING AND CODING SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | ORGANIZATIONAL MEMBERSHIP IS AVAILABLE TO ANY ALASKAN ENTITY FUNDED UNDER THE PUBLIC HEALTH ACT, SECTION 330 OR ALASKAN FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE BASED IN ALASKA. |
| FORM 990, PAGE 6, PART VI, LINE 7A | EACH ORGANIZATIONAL MEMBER APPOINTS ONE INDIVIDUAL TO THE BOARD OF DIRECTORS. THIS INDIVIDUAL IS THE ORGANIZATIONAL MEMBER'S CEO, EXECUTIVE DIRECTOR, HEALTH DIRECTOR, OR THEIR DESIGNEE. TWO ADDITIONAL BOARD POSITIONS ARE APPOINTED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | BEFORE THE 990 IS FILED IT IS REVIEWED BY THE CFO AND THE FINANCE COMMITTEE CHAIR AND IS APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, AND EMPLOYEES. BOARD MEMBERS ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST, OR THE PERCEPTION OF A CONFLICT, ARE DISCLOSED TO THE BOARD OF DIRECTORS. WHEN ANY SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTOR WITH A CONFLICT DOES NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN THE QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS FROM THE BOARD. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION ON AN ANNUAL BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR REVIEW COMPENSATION ON AN ANNUAL BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL DATA SYSTEMS 325,933 0 0 OTHER 345,812 226,438 0 TOTAL 671,745 226,438 0 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALASKA COMMUNITY HEALTH NETWORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3111 C ST STE 500 | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931701706 | EIN |
| Primary Activities | COM HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Total Income | $50,000 | TotalIncomeAmt |
| End Of Year Assets | $47,456 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APCA | BusinessNameLine1Txt |
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