2023-08-11T12:41:36-05:00 2022-09-30 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2021-10-01 920162721 ALASKA NATIVE TRIBAL HEALTH CONSORTIUM ALAS 9077291900 4000 AMBASSADOR DRIVE ANCHORAGE AK 99508 DWAIN STILSON CFO 9077291900 2023-08-10 1 DWAIN STILSON 999009999 COLLEEN RAMIRES P01251320 4252597227 2023-08-09 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z DWAIN STILSON 4000 AMBASSADOR DRIVE ANCHORAGE AK 99508 924284913 0 X WWW.ANTHC.ORG X 1998 AK OPTIMIZING HEALTH AND WELL-BEING THROUGH COLLABORATIVE PARTNERSHIPS AND SERVICES. 15 15 3634 261 8299766 325341 440864290 373624664 360590547 451204576 13906620 10508855 29990523 1761211 845351980 837099306 59674165 45941433 0 0 356648295 367033936 0 0 0 291279931 352299071 707602391 765274440 137749589 71824866 1253438961 1272239058 422463348 410786696 830975613 861452362 X OPTIMIZING HEALTH AND WELL-BEING THROUGH COLLABORATIVE PARTNERSHIPS AND SERVICES. 0 0 553348526 1060497 447587662 ALASKA NATIVE MEDICAL CENTER - ANMC IS THE LARGEST OPERATING DIVISION OF THE CONSORTIUM AND INCLUDES A 182-BED LEVEL II TRAUMA CENTER (ACUTE CARE FACILITY), AS WELL AS SIGNIFICANT MULTI-SPECIALTY, PRIMARY, AND BEHAVIORAL HEALTH CARE SERVICES. AS A STATEWIDE REFERRAL CENTER, ANMC PROVIDES A 200-ROOM (259 BEDS) PATIENT HOUSING, AS WELL AS OTHER TRAVEL, LODGING, AND RELATED SERVICES. 118263787 26705896 3673637 ENVIRONMENTAL HEALTH AND ENGINEERING - PROVIDES DIRECT ASSISTANCE AND SUPPORT IN THE DEVELOPMENT AND CONSTRUCTION OF QUALITY WATER AND SANITARY WASTE DISPOSAL SYSTEMS; PROVIDES TECHNICAL ASSISTANCE FOR OCCUPATIONAL HEALTH AND SAFETY, EMPLOYEE HEALTH, RECRUITING, AND ENVIRONMENTAL IMPACT ISSUES. 39165036 9101698 TRIBAL SUPPORT SERVICES AND JOINT VENTURE & SUBSIDIARY REVENUE. 37313966 9073342 COMMUNITY HEALTH SERVICES - OVERSEES, TRAINS, ASSESSES AND PROVIDES TECHNICAL ASSISTANCE IN THE AREAS OF PUBLIC HEALTH AND COMMUNITY-BASED HEALTH SERVICES FOR TRIBES AND TRIBAL HEALTH ORGANIZATIONS. 37313966 9073342 748091315 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 476 0 1 3634 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X DWAIN STILSON 9077292904 4000 AMBASSADOR DRIVE ANCHORAGE AK 99508 THOMAS C KELLER PHYSICIAN - ORTHOPEDIC SURGEON 50.00 0.00 X 971771 0 36092 CHAD M FERGUSON PHYSICIAN - ORTHOPEDIC SURGEON 50.00 0.00 X 930278 0 46347 NAMORY D BAGAYOKO PHYSICIAN - ORTHOPEDIC SURGEON 50.00 0.00 X 881470 0 46411 EBRAHIM PARYAVI PHYSICIAN - ORTHOPEDIC SURGEON 50.00 0.00 X 881961 0 34134 JASON A CAPO PHYSICIAN - ORTHOPEDIC SURGEON 50.00 0.00 X 838405 0 43039 VALERIE DAVIDSON PRESIDENT/CEO 50.00 0.00 X 805809 0 40811 GARVIN E FEDERENKO INTERIM CEO (THRU 10/21) 50.00 0.00 X 791220 0 38260 MARISSA K FLANNERY VP OF LEGAL AFFAIRS (THRU 6/22) 50.00 4.00 X 768922 0 38831 ANDREW P TEUBER FORMER CHAIR/PRESIDENT 50.00 0.00 X 656310 0 10414 ROBERT P ONDERS HOSPITAL ADMINISTRATOR 50.00 0.00 X 614719 0 45663 BRYCE AKAGI INTERIM CFO (TO 2/22), VP OF FINANCE 50.00 0.00 X 297732 0 35532 ROBERT HENRICHS DIRECTOR (THROUGH 8/22) 9.00 4.00 X 71815 0 0 BERNICE KAIGELAK DIRECTOR 9.00 0.00 X 70028 0 0 CHARLENE NOLLNER SECRETARY 15.00 4.00 X X 58000 0 0 ANDREW JIMMIE DIRECTOR 9.00 0.00 X 56000 0 0 WALTER JIM DIRECTOR 9.00 0.00 X 51500 0 0 DIANA ZIRUL DIRECTOR 9.00 0.00 X 48027 0 0 GARY HARRISON DIRECTOR 9.00 0.00 X 46000 0 0 PRESTON ROOKOK DIRECTOR 9.00 0.00 X 45000 0 0 LORENA JO WALKER DIRECTOR (THROUGH 7/22) 9.00 0.00 X 39392 0 0 MARK SNIGAROFF DIRECTOR 9.00 0.00 X 37641 0 0 LORETTA NELSON DIRECTOR 9.00 0.00 X 32083 0 0 EVELYN BEETER ALTERNATIVE DIRECTOR 9.00 6.00 X 15631 0 0 CHRISTOPHER MERCULIEF DIRECTOR (THROUGH 12/21) 9.00 0.00 X 2772 0 0 KIMBERLEY STRONG CURRENT CHAIR 15.00 0.75 X X 0 0 0 ROBERT CLARK DIRECTOR 9.00 0.00 X 0 0 0 CHARLES CLEMENT TREASURER 15.00 0.00 X X 0 0 0 GIA HANNA DIRECTOR 9.00 0.00 X 0 0 0 APRIL KYLE DIRECTOR 9.00 0.00 X 0 0 0 FRANCES NORMAN DIRECTOR 9.00 0.00 X 0 0 0 JESSICA MATA RUKOVISHNIKOFF ALTERNATIVE DIRECTOR 9.00 0.00 X 0 0 0 HEATHER PAYENNA ALTERNATIVE DIRECTOR 9.00 0.00 X 0 0 0 DWAIN STILSON CHIEF FINANCIAL OFFICER 50.00 0.00 X 0 0 0 9012486 0 415534 599 1 1 0 NANA MANAGEMENT SERVICES LLC 800 E DIMOND BLVD STE 3-450 ANCHORAGE AK 99515 JANITORIAL, SECURITY AND CATERING 10074594 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 TEMPORARY LABOR 4378479 PERKINS COIE 1201 THIRD AVE STE 4800 SEATTLE WA 981013099 LEGAL SERVICES, SETTLEMENT 3721985 ALYESKA VASCULAR SURGERY LLC 4001 LAUREL ST STE 204 ANCHORAGE AK 99508 SURGICAL PROVIDERS 2575403 SWEDISH HEALTH SERVICES PO BOX 389672 SEATTLE WA 981389672 MEDICAL SERVICES 2301457 75 378067 353544092 19702505 79411 373624664 PATIENT REVENUE 621400 427825161 427825161 PATIENT HOUSING 621400 7970970 7970970 PATIENT TRAVEL 561500 7678535 7678535 ARUC UTILITY REVENUE 221000 5386669 5386669 CLINICS STAFFING 561300 1788207 1788207 555034 555034 451204576 7252728 7252728 3452965 11609183 -8156218 -8156218 -278588 -7877630 75349104 210111 72285870 17218 3063234 192893 3256127 3256127 3330059 3273336 56723 56723 JOINT VENTURE REVENUE 721110 4721171 4721171 HOTEL OPERATIONS 721110 3857183 3857183 MISCELLANEOUS REVENUE 900099 1282352 1282352 9860706 837099306 451261299 8299766 3913577 X 45941433 45941433 4604028 4397610 206418 286596429 230467747 56128682 15689697 12706885 2982812 40707808 32188539 8519269 19435974 15512868 3923106 3510040 70278 3439762 1474950 1474950 834069 834069 185188553 140570525 44618028 254004 151130 102874 9408232 6579244 2828988 3490463 3082992 407471 7826296 6935215 891081 23841992 8138285 15703707 2069204 2069204 MEDICAL SUPPLIES 70692306 68969118 1723188 CONTRACT HEALTH 14380919 14380919 0 MINOR EQUIPMENT 13301060 8886661 4414399 INDIRECT COSTS ALLOCATI 0 136832989 -136832989 16026983 10209673 5817310 765274440 748091315 17183125 0 0 0 452323211 481852653 60988065 95483477 83554868 74256259 14479336 14256780 17043137 17023724 565803060 220558307 311689608 345244753 274500308 244121412 16510129 186400 22163899 0 1253438961 1272239058 100675786 108289229 272168580 270530148 27043739 26083549 3207675 2055349 19367568 3828421 422463348 410786696 X 830975613 861452362 0 830975613 861452362 1253438961 1272239058 71824866 -41348117 0 X 0 1 X 1 1 1 X 263670363 301329286 312600416 440864290 373624664 1692089019 385630546 392250152 368282250 369193969 454534635 1969891552 649300909 693579438 680882666 810058259 828159299 3661980571 0 0 0 3661980571 6402625 5752207 7125263 5721185 8068528 33069808 0 0 0 0 257019 257019 6402625 5752207 7125263 5721185 8325547 33326827 31884140 41970749 24252431 29957867 1282352 129347539 687587674 741302394 712260360 845737311 837767198 3824654937 0.95750 0.95150 0.00870 0.00860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 160000 0 0 160000 0 PART II-B, LINE 1: ACTIVITIES TO FURTHER ALASKA NATIVE TRIBAL HEALTH CONSORTIUM'S (ANTHC) VISION THAT ALASKA NATIVE PEOPLE ARE THE HEALTHIEST PEOPLE IN THE WORLD THROUGH ONGOING COMMUNICATION WITH LEGISLATORS, POLICYMAKERS, AND GOVERNMENT OFFICIALS, PROVIDING FEEDBACK AND ANALYSIS ON PROPOSED POLICIES RELEVANT TO ALASKA NATIVE PEOPLE AND THE COMMUNITIES WE SERVE. 1734375 -312663 50000 11831 1359881 1456451 290389 12465 1734375 12653590 151197 11286667 61669 1456451 12602224 111352 59986 12653590 12211223 442910 51909 12602224 1.00000 0.00000 0.00000 0 0 14475435 14475435 283357566 57262059 226095507 79509790 31931110 47578680 169727917 131365138 38362779 18732352 18732352 345244753 SCF PAYABLE 3828421 3828421 X PART V, LINE 4: THE EDUCATION CENTER ENDOWMENT WORKS TO IMPROVE ORAL HEALTH FOR ALASKA NATIVES. THE SCHOLARSHIP ENDOWMENT IS ASSISTING WITH EDUCATIONAL NEEDS WITH HOPES TO IMPROVE NATIVE HIRE WITHIN THE ORGANIZATION. PART X, LINE 2: THE CONSORTIUM ADOPTED THE PROVISIONS OF FASB ASC TOPIC 740 (TOPIC 740) RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. AS A RESULT OF THE IMPLEMENTATION OF TOPIC 740, THE CONSORTIUM MADE A COMPREHENSIVE REVIEW OF ITS PORTFOLIO OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH RECOGNITION STANDARDS ESTABLISHED BY ASC 740. THE CONSORTIUM IS EXEMPT FROM INCOME TAXES AS A NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CONSORTIUM'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. THERE IS NO INTEREST OR PENALTIES ACCRUED AS OF THE DATE ON WHICH THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED. AS A RESULT OF THIS REVIEW, THE CONSORTIUM CONCLUDED THAT AT THIS TIME THERE ARE NO UNCERTAIN TAX POSITIONS. 1 CITY OF DILLINGHAM PO BOX 889 DILLINGHAM AK 99576 920030674 501(C)(1) 6182 0 WATER & SEWER SYSTEM DEVELOPMENT ALUTIIQ TRIBE OF OLD HARBOR PO BOX 62 OLD HARBOR AK 99643 920112246 VILLAGE GOV 8000 0 SNAP CONTINGENCY (SNAP FDPIR SAE) NORTHWAY VILLAGE COUNCIL PO BOX 516 NORTHWAY AK 99764 920063619 VILLAGE GOV 8404 0 PROGRAM SUPPORT AGDAAGUX TRIBAL COUNCIL PO BOX 249 KING COVE AK 99612 920130276 VILLAGE GOV 9000 0 SNAP CONTINGENCY (SNAP FDPIR SAE) ALASKA FEDERATION OF NATIVES 3000 A STREET SUITE 210 ANCHORAGE AK 99503 920034863 501(C)(4) 10000 0 PROGRAM SUPPORT REGENTS OF THE UNIVERSITY OF MINNESOTA 1300 S SECOND ST STE 300 BAGLEY MN 56621 416007513 501(C)(3) 10880 0 PROGRAM SUPPORT PUBLIC HEALTH INSTITUTE 555 12TH ST 10TH FL OAKLAND CA 94607 941646278 501(C)(3) 11300 0 HRSA TTAC COVID-19 CHILKOOT INDIAN ASSOCIATION PO BOX 490 HAINES AK 99827 920078667 VILLAGE GOV 14500 0 SNAP CONTINGENCY (SNAP FDPIR SAE) US DEPT OF AGRICULTURE 720 OLEARY ST NW OLYMPIA WA 98502 410696271 501(C)(1) 15256 0 PROGRAM SUPPORT COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS PO BOX 33 FT YUKON AK 99740 920134670 VILLAGE GOV 20846 0 BIOMED PROGRAM SUPPORT VALDEZ NATIVE TRIBE PO BOX 1108 VALDEZ AK 99686 920084385 VILLAGE GOV 23805 0 CDC OPIOD GRANT, BEMAR PROGRAMS SUPPORT METLAKATLA INDIAN COMMUNITY PO BOX 8 METLAKATLA AK 99926 920014579 501(C)(1) 33543 0 SNAP CONTINGENCY (SNAP FDPIR SAE) NATIVE VILLAGE OF EYAK PO BOX 1388 CORDOVA AK 99574 920061041 501(C)(1) 44255 0 SNAP CONTINGENCY (SNAP FDPIR SAE) COLD CLIMATE HOUSING RESEARCH PO BOX 758170 FAIRBANKS AK 997758170 920169929 501(C)(1) 49404 0 PROGRAM SUPPORT NATIVE VILLAGE OF KOTZEBUE PO BOX 296 KOTZEBUE AK 99752 920060128 VILLAGE GOV 49534 0 PROGRAM SUPPORT ALASKA VILLAGE ELECTRIC COOP 4831 EAGLE ST ANCHORAGE AK 995087431 920035763 501(C)(1) 52222 0 PROGRAM SUPPORT FOOD BANK OF ALASKA INC 2121 SPAR AVE ANCHORAGE AK 99501 920073175 501(C)(3) 67302 0 SNAP CONTINGENCY (SNAP FDPIR SAE) SMALL TRIBES ORGANIZATION OF WESTERN WASHINGTON 3040 96TH ST S LAKEWOOD WA 98499 910844071 501(C)(3) 69788 0 SNAP CONTINGENCY (SNAP FDPIR SAE) UNIVERSITY OF WASHINGTON PO BOX 355880 SEATTLE WA 981955880 916001537 501(C)(3) 79332 0 PROGRAM SUPPORT NATIVE VILLAGE OF TYONEK PO BOX 82009 TYONEK AK 99682 920029641 VILLAGE GOV 79759 0 PROGRAM SUPPORT RURAL ALASKA COMMUNITY ACTION PROGRAM INC 731 E 8TH AVE ANCHORAGE AK 99501 920033876 501(C)(3) 85352 0 PROGRAM SUPPORT CHITINA TRADITIONAL VILLAGE COUNCIL PO BOX 31 CHITINA AK 99566 920068532 VILLAGE GOV 130511 0 BIOMED, HSS, PCC PROGRAMS SUPPORT CHICKALOON VILLAGE PO BOX 1105 CHICKALOON AK 99674 920120907 501(C)(1) 162316 0 HSS, PCC PROGRAMS SUPPORT KNIK TRIBAL COUNCIL PO BOX 871565 WASILLA AK 99687 920076275 501(C)(3) 168817 0 HSS, PCC PROGRAMS SUPPORT HEALTHY ALASKA NATIVES FOUNDATION 4000 AMBASSADOR DR ANCHORAGE AK 99508 821850261 501(C)(3) 186620 0 RAVEN'S BALL EVENT NATIVE VILLAGE OF EKLUTNA 26339 EKLUTNA VILLAGE RD CHUGIAK AK 99567 920115246 501(C)(1) 195650 0 HSS, PCC PROGRAMS SUPPORT EASTERN ALEUTIAN TRIBES INC 3380 C ST STE 100 ANCHORAGE AK 995033949 920139107 501(C)(3) 204041 0 BIOMED, BHA, HSS, COVID PROGRAMS SUPPORT MT SANFORD TRIBAL CONSORTIUM PO BOX 357 GAKONA AK 99586 920143492 VILLAGE GOV 209743 0 BIOMED, HSS, PCC PROGRAMS SUPPORT LOWER YUKON SCHOOL DISTRICT PO BOX 32089 MOUNTAIN VILLAGE AK 99632 920057691 501(C)(1) 213709 0 SAMHSA PASS THROUGH NINILCHIK TRADITIONAL COUNCIL PO BOX 39070 NINILCHIK AK 99639 920069906 VILLAGE GOV 215815 0 BIOMED, HSS, PCC PROGRAMS SUPPORT UNIVERSITY OF ALASKA 3211 PROVIDENCE DR UC 105 ANCHORAGE AK 99508 926000147 501(C)(3) 281397 0 PROGRAM SUPPORT ALASKA NATIVE HEALTH BOARD 4000 AMBASSADOR DR STE 101 ANCHORAGE AK 99508 920056272 501(C)(3) 317420 0 CONSUMER AWARENESS SELDOVIA VILLAGE TRIBE PO DRAWER L SELDOVIA AK 996630250 920154886 501(C)(1) 328329 0 HSS, PCC PROGRAMS SUPPORT DEPT OF ENV CONSERVATION 555 CORDOVA STREET ANCHORAGE AK 99501 926001185 501(C)(1) 356366 0 PROGRAM SUPPORT ARCTIC SLOPE NATIVE ASSOCIATION LIMITED PO BOX 1232 UTQIAGVIK AK 99723 910873623 501(C)(3) 451583 0 BIOMED, BHA, HSS, RAD PROGRAMS SUPPORT ANNETTE ISLAND SERVICE UNIT PO BOX 8 METLAKATLA AK 99926 920014579 501(C)(3) 752218 0 BIOMED, BEMAR PROGRAMS SUPPORT MANIILAQ ASSOCIATION PO BOX 256 KOTZEBUE AK 99752 920041461 501(C)(3) 823800 0 BIOMED, BHA, HSS PROGRAMS SUPPORT NORTON SOUND HEALTH CORPORATION PO BOX 966 NOME AK 99762 920041488 501(C)(3) 1005844 0 BIOMED, BHA, HSS PROGRAMS SUPPORT COPPER RIVER NATIVE ASSOCIATION MILE 1115 RICHARDSON HWY GLENNALLEN AK 99588 920041638 501(C)(3) 1238997 0 BIOMED, BHA, HSS PROGRAMS SUPPORT CITY OF HOONAH PO BOX 360 HOONAH AK 99829 926001151 501(C)(1) 1239564 0 WATER & SEWER SYSTEM DEVELOPMENT KENAITZE INDIAN TRIBE PO BOX 988 KENAI AK 996110988 920069243 501(C)(1) 1248878 0 BIOMED, HSS, PCC PROGRAMS SUPPORT ALEUTIAN PRIBILOF ISLANDS ASSOCIATION INC 1131 E INTL AIRPORT RD ANCHORAGE AK 99518 920073013 501(C)(3) 1525067 0 BHA, BIOMED, HSS, PCC PROGRAMS SUPPORT KODIAK AREA NATIVE ASSOCIATION 3449 REZANOF DR EAST KODIAK AK 99615 920038225 501(C)(3) 1798024 0 BHA, BIOMED, HSS, PCC PROGRAMS SUPPORT CHUGACHMIUT 1840 S BRAGAW STE 110 ANCHORAGE AK 99508 920046614 501(C)(3) 1998518 0 BHA, BIOMED, HSS, PCC PROGRAMS SUPPORT YUKON-KUSKOKWIM HEALTH CORPORATION PO BOX 196722 ANCHORAGE AK 99519 920041414 501(C)(3) 2136573 0 BIOMED, BHA, HSS PROGRAMS SUPPORT STATE OF ALASKA 240 MAIN ST ROOM 301 JUNEAU AK 99801 926001185 501(C)(1) 2265387 0 WATER & SEWER SYSTEM DEVELOPMENT SOUTHCENTRAL FOUNDATION 4501 DIPLOMACY DR ANCHORAGE AK 99507 920086076 501(C)(3) 3319613 0 BHA, BIOMED, HSS, PCC PROGRAMS SUPPORT BRISTOL BAY AREA HEALTH CORPORATION PO BOX 130 6000 KANAKANAK RD DILLINGHAM AK 99576 920044965 501(C)(3) 3367589 0 BIOMED, BHA, HSS, RAD PROGRAMS SUPPORT SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM 3100 CHANNEL DR STE 300 JUNEAU AK 99801 920056274 501(C)(3) 3382938 0 BIOMED, BHA, HSS PROGRAMS SUPPORT KETCHIKAN INDIAN CORPORATION 2960 TONGASS AVE KETCHIKAN AK 99901 926002696 501(C)(4) 3756845 0 HSS, M&I, BEMAR PROGRAMS SUPPORT CITY OF KOTZEBUE PO BOX 46 KOTZEBUE AK 99752 926001350 501(C)(1) 5911943 0 WATER & SEWER SYSTEM DEVELOPMENT TANANA CHIEFS CONFERENCE 1717 WEST COWLES ST FAIRBANKS AK 99701 920040308 501(C)(3) 5998654 0 BIOMED, BHA, HSS PROGRAMS SUPPORT 50 2 PART I, LINE 2: THE MONITORING OF SUBAWARDS ANTHC PROVIDES INCLUDES ANNUAL REVIEW OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, REVIEW OF PROGRAM REPORTS, AND THROUGH ON-GOING COMMUNICATIONS. X X 1 1 X X X X 1 0 0 0 0 0 0 0 0 THOMAS C KELLER PHYSICIAN - ORTHOPEDIC SURGEON 968711 0 3060 0 0 0 23941 0 12151 0 1007863 0 0 0 CHAD M FERGUSON PHYSICIAN - ORTHOPEDIC SURGEON 927268 0 3010 0 0 0 23119 0 23228 0 976625 0 0 0 NAMORY D BAGAYOKO PHYSICIAN - ORTHOPEDIC SURGEON 878510 0 2960 0 0 0 23533 0 22878 0 927881 0 0 0 EBRAHIM PARYAVI PHYSICIAN - ORTHOPEDIC SURGEON 879251 0 2710 0 0 0 22568 0 11566 0 916095 0 0 0 JASON A CAPO PHYSICIAN - ORTHOPEDIC SURGEON 835305 0 3100 0 0 0 22200 0 20839 0 881444 0 0 0 VALERIE DAVIDSON PRESIDENT/CEO 702872 0 102937 0 0 0 22920 0 17891 0 846620 0 0 0 GARVIN E FEDERENKO INTERIM CEO (THRU 10/21) 488596 0 66200 0 236424 0 23706 0 14554 0 829480 0 0 0 MARISSA K FLANNERY VP OF LEGAL AFFAIRS (THRU 6/22) 550490 0 218432 0 0 0 23035 0 15796 0 807753 0 0 0 ANDREW P TEUBER FORMER CHAIR/PRESIDENT 353816 0 302494 0 0 0 9600 0 814 0 666724 0 0 0 ROBERT P ONDERS HOSPITAL ADMINISTRATOR 511659 0 103060 0 0 0 23769 0 21894 0 660382 0 0 0 BRYCE AKAGI INTERIM CFO (TO 2/22), VP OF FINANCE 267672 0 30060 0 0 0 19304 0 16228 0 333264 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL MUST BE AUTHORIZED. GENERALLY, ANTHC ALLOWS FOR THE UPGRADE ONLY IF IT IS NECESSARY OR OTHERWISE CONSISTENT WITH LEGITIMATE BUSINESS PURPOSE, SUCH PURPOSES INCLUDE, BUT ARE NOT LIMITED TO, SCHEDULES TO/FROM ANCHORAGE ARE OTHERWISE FULL; IT WOULD REDUCE THE TOTAL COST OF THE TRIP. THE COST OF THE UPGRADE IS COMPARED TO A FULL FARE/REIMBURSABLE TICKET AS WELL AS POTENTIAL SAVINGS FOR LEAVING RATHER THAN STAYING OVER NIGHT. SCHEDULED FLIGHTS BETWEEN ANCHORAGE AND THE EAST COAST ARE CHALLENGING TO ALIGN FOR APPROPRIATE TIMES. OFFICERS TYPICALLY HAVE AN ADDITIONAL LEG WHEN GOING TO REMOTE SITES IN ALASKA. ANTHC PROVIDES HOUSING FOR CERTAIN MEMBERS OF THE WORKFORCE WHO DO NOT RESIDE WITHIN COMMUTING DISTANCE OF ANCHORAGE, BUT WHO ARE REQUIRED TO BE ON SITE TO PERFORM THEIR RESPONSIBILITIES. THE VALUE OF HOUSING IS REPORTED AS TAXABLE COMPENSATION. PART I, LINE 4A AN EMPLOYEE LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED SEVERANCE. ADDITIONAL DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. X 6 79411 PURCHASE PRICE 0 1 0 PART I, COLUMN (B): THE NUMBER LISTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD OF DIRECTORS HAVE A BUSINESS RELATIONSHIP: CHARLES CLEMENT AND KIMBERLEY STRONG. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED DURING THE FISCAL YEAR TO: - CLARIFY THAT THE DIRECTORS ARE NOT LIMITED TO SERVE IN THREE-YEAR TERMS, - CLARIFY THE CHAIR'S JOB DUTIES AND RESPONSIBILITIES, AND - CLARIFY THAT BOARD OFFICERS WILL CONTINUE TO HOLD THEIR OFFICE UNTIL HIS/HER SUCCESSOR IS ELECTED, OR UPON AN EARLIER DEATH, RESIGNATION OR REMOVAL. FORM 990, PART VI, SECTION A, LINE 7A THERE ARE 13 REGIONAL HEALTH ORGANIZATIONS WHO HAVE THE POWER TO APPOINT A MEMBER TO THE ANTHC BOARD OF DIRECTORS. IN ADDITION, THE UNAFFILIATED ALASKA NATIVE TRIBAL HEALTH COMMITTEE ("UANTHC") HAS THE POWER TO APPOINT TWO DIRECTORS. THE LIST OF MEMBERS ARE: - ALEUTIAN/PRIBILOF ISLANDS ASSOCIATION, INC. - BRISTOL BAY AREA HEALTH CORPORATION - CHUGACHMIUT - COPPER RIVER NATIVE ASSOCIATION - KODIAK AREA NATIVE ASSOCIATION - MANIILAQ ASSOCIATION - METLAKATLA INDIAN COMMUNITY - ARCTIC SLOPE NATIVE ASSOCIATION, LTD. - NORTON SOUND HEALTH CORPORATION - SOUTHCENTRAL FOUNDATION - SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM - DENA NENA` HENASH, INC. D/B/A TANANA CHIEFS CONFERENCE, INC. - YUKON KUSKOKWIM HEALTH CORPORATION FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY ACCOUNTING STAFF AND APPROVED BY THE CFO AND PRESIDENT. COPIES ARE MADE AND SENT TO THE ANTHC BOARD OF DIRECTORS TO ALLOW FOR QUESTIONS BEFORE THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST RELATIVE TO EVALUATION, VENDOR SELECTION, OR OTHER PROCUREMENT TRANSACTION THEY ARE REQUESTING OR INVOLVED WITH. ANTHC MONITORS PROPOSED TRANSACTIONS VIA ESTABLISHED PROCEDURES REQUIRING THE REQUESTER AND/OR THOSE INVOLVED WITH EVALUATION OF VENDORS TO DISCLOSE ANY CONFLICTS VIA PROCUREMENT DOCUMENTATION. FOR POTENTIAL CONFLICTS INVOLVING THE PRESIDENT/CEO OR A DIRECTOR, THE DETERMINATION IS MADE BY THE CHAIR OF THE COMPLIANCE COMMITTEE OR THE BOARD OF DIRECTORS. FOR POTENTIAL CONFLICTS INVOLVING ALL OTHER EMPLOYEES, THE DETERMINATION IS MADE BY THE PRESIDENT/CEO. IF IT IS DETERMINED THAT A CONFLICT EXISTS, APPROPRIATE ACTION WILL BE TAKEN, WHICH MAY INCLUDE REQUIRING THE CONFLICTED INDIVIDUAL TO EXCUSE THEMSELVES FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS ABOUT A PROPOSED TRANSACTION OR TERMINATING A TRANSACTION THAT HAS ALREADY OCCURRED. FORM 990, PART VI, SECTION B, LINE 15 MARKET ANALYSIS IS TRADITIONALLY COMPLETED FOR EACH SENIOR POSITION AT LEAST ANNUALLY. IN ADDITION, INDEPENDENT SURVEYS ARE CONDUCTED PERIODICALLY FOR EXECUTIVE POSITIONS. COMPENSATION IS SET BASED ON THE MARKET FOR POSITIONS OF SIMILAR COMPETENCE, SCOPE AND LEVEL OF RESPONSIBILITY AT COMPARABLE ORGANIZATIONS; ORGANIZATIONAL NEEDS; INTERNAL EQUITY AND INDIVIDUAL QUALIFICATIONS. THE LEADERSHIP AND PLANNING COMMITTEE HAS OVERSIGHT RESPONSIBILITY FOR COMPENSATION OF DIRECTORS, OFFICERS, AND DESIGNATED EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 ANTHC BYLAWS AND ANNUAL REPORTS ARE AVAILABLE ON THE COMPANY WEBSITE. GOVERNING DOCUMENTS, INCLUDING CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE COMPANY WEBSITE. FORM 990, PART IX, LINE 11G OTHER CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 140,570,525. MANAGEMENT AND GENERAL EXPENSES 44,618,028. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,188,553. 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