2014-08-15T19:11:35-05:00 2013-09-30 920127098 ELGEE REHFELD MERTZ LLC 9309 GLACIER HWY STE B-200 JUNEAU AK 99801 990 2012-10-01 920041488 NORTON SOUND HEALTH CORPORATION NORT 9074433311 PO BOX 966 NOME AK 99762 ANGELA GORN 9074433311 2014-08-15 1 ROBERT L REHFELD P00104959 9077893178 2014-08-15 2012 2015-11-30 17:44:51Z ANGELA GORN PO BOX 966 NOME AK 99762 110603093 0 X NORTONSOUNDHEALTH.ORG X 1970 AK TO PROVIDE QUALITY HEALTH SERVICES AND PROMOTE WELLNESS WITHIN ITS PEOPLE AND ENVIRONMENT. 25 24 828 0 0 0 90327509 72596961 27886722 35888343 486301 -4017808 3959463 1616568 122659995 106084064 192308 238670 0 0 45313908 48936375 0 0 0 28739422 41271020 74245638 90446065 48414357 15637999 241681088 233164849 38343365 14783542 203337723 218381307 X TO PROVIDE QUALITY HEALTH SERVICES AND PROMOTE WELLNESS WITHIN ITS PEOPLE AND ENVIRONMENT. 0 0 59337309 238670 30561903 THE HOSPITAL DIVISION OF NORTON SOUND HEALTH CORPORATION (NSHC) INCLUDES A 18 BED ACUTE CARE HOSPITAL AND A 15 BED LONG-TERM CARE FACILITY THROUGH WHICH MEDICAL CARE IS PROVIDED TO THE RESIDENTS OF NOME AND 15 VILLAGES ON THE COAST AND ISLANDS OF THE BERING SEA. IN ADDITION TO INPATIENT/OUTPATIENT CARE, NSHC CONTINUES TO INCREASE ITS COMMITMENT TO PREVENTIVE HEALTH CARE BY SUPPORTING PROGRAMS THAT EMPHASIZE HEALTH AND FITNESS, INCLUDING OFFERING NUMEROUS SCREENING TESTS, DIET, EXERCISE AND FITNESS COUNSELING, AS WELL AS SCREENING PROCEDURES FOR COLON AND STOMACH CANCER, CARDIOVASCULAR AND DIABETES HEALTH RISKS. QUYANNA CARE CENTER - THE LONG TERM CARE FACILITY, CONTINUES TO MAXIMIZE THE QUALITY OF LIFE FOR ITS RESIDENTS. STAFF MEMBERS STRIVE TO MAINTAIN A VERY HIGH LEVEL OF CARE BY ENSURING THAT PATIENT SAFETY AND QUALITY OF CARE COME FIRST. A HOME-LIKE ENVIRONMENT IS PROMOTED AND EMBRACED AND THE NATIVE CULTURE IS WOVEN INTO EVERY ASPECT OF CARE. NATIVE FOODS ARE PREPARED OFTEN THROUGH FAMILY AND COMMUNITY DONATIONS. CELEBRATIONS AND FAMILY GATHERINGS ARE PART OF EVERYDAY LIFE IN THE FACILITY.KEY HOSPITAL STATISTICS FOR FY13 INCLUDE:ADMISSIONS 485ER VISITS 4,626OUTPATIENTS 8,701DENTAL ENCOUNTERS 10,069RADIOLGY PROCEDURES 6,098 19260188 6095246 NSHC'S REGIONAL HEALTH SERVICES PROVIDE A WIDE VARIETY OF HEALTH CARE, PROMOTION, SCREENING, AND PREVENTION PROGRAMS TO NOME AND 15 BERING SEA VILLAGES. SUCH PROGRAMS INCLUDE BUT ARE NOT LIMITED TO THE PROVISION OF HEALTH AIDES (CERTIFIED AND IN-TRAINING) AT EACH VILLAGE HEALTH CLINIC, A TRIBAL HEALER PROGRAM, INFANT LEARNING PROGRAMS, ENVIRONMENTAL HEALTH PROGRAM, PUBLIC HEALTH NURSING PROGRAM AND OTHER SERVICES GEARED SPECIFICALLY TO WOMEN, INFANTS AND CHILDREN.KEY STATISTICS FOR FY13 INCLUDE: PATIENT VISITS IN VILLAGE CLINICS 33,826 WIC CLIENT ENCOUNTERS 8,470 ENVIRONMENTAL HEALTH: TECH ASSISTANCE 39 ANIMAL BITES/RABIES INVESTIGATION 7 WATER QUALITY 3 2911540 706564 NSHC'S BEHAVIORAL HEALTH SERVICES DIVISION PROVIDES OUTPATIENT INDIVIDUAL, COUPLE, FAMILY AND GROUP MENTAL HEALTH THERAPY, INTERACTIVE AND OBSERVATIONAL PLAY THERAPY AS WELL AS INDIVIDUAL, COUPLE, FAMILY AND GROUP SUBSTANCE ABUSE COUNSELING, AND ALCOHOL AND DRUG INFORMATION SCHOOL. IT ALSO PROVIDES PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL TESTING, PSYCHIATRIC SERVICES INCLUDING MEDICATION ASSESSMENT AND EVALUATION, CASE MANAGEMENT AND REFERRAL SERVICES AND 24/7 CRISIS INTERVENTION IN THE EMERGENCY ROOM AND INPATIENT UNITS. BEHAVIORAL HEALTH SERVICES ARE DELIVERED IN THE VILLAGES THROUGH THE VILLAGE BASED COUNSELORS (VBC'S). KEY STATISTICS FOR FY13 INCLUDE: BEHAVIORAL HEALTH VISITS 5,762 7517263 141198 7517263 141198 89026300 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 119 0 1 828 1 0 0 0 0 0 0 0 0 0 0 X 25 24 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 1 1 0 AK X NORTON SOUND HEALTH CORPORATION 9074433201 PO BOX 966 NOME AK 99762 EMILY HUGHES 40.00 X X 70670 0 29363 PRESTON ROOKOK 3.00 X X 9250 0 0 VIRGINIA WASHINGTON 3.00 X X 9500 0 0 KARLA NAYOKPUK 3.00 X X 8000 0 0 BERDA WILSON 3.00 X X 17250 0 0 HENRIETTA WILSON 1.00 X X 8000 0 0 FREDERICK MURRAY 1.00 X 7825 0 0 JENNY LEE 1.00 X 7750 0 0 MATILDA HARDY 1.00 X 8500 0 0 CAROL ABLOWALUK 1.00 X 4750 0 0 LEONARD ADAMS 1.00 X 6000 0 0 CYNTHIA AHWINONA 1.00 X 7500 0 0 MARY LOU AMAKTOOLIK 1.00 X 4250 0 0 STAN ANDERSEN 1.00 X 8250 0 0 ALLEN ATCHAK 1.00 X 7000 0 0 MARTIN AUKONGAK 1.00 X 1250 0 0 JANICE DOHERTY 1.00 X 1250 0 0 KERMIT IVANOFF SR 1.00 X 1250 0 0 BRIAN JAMES 1.00 X 3250 0 0 KAREN KAZINGNUK 1.00 X 5500 0 0 ROBERT KEITH 1.00 X 4750 0 0 TIFFANY MARTINSON 1.00 X 6000 0 0 RUBY NASSUK 1.00 X 7250 0 0 CARMELITA NATTANGUK 1.00 X 500 0 0 RUTH OJANEN 1.00 X 3000 0 0 DANIEL RICHARD SR 1.00 X 5750 0 0 ALFRED SAHLIN 1.00 X 7250 0 0 LINCOLN SIMON SR 1.00 X 4750 0 0 SHARON SPARKS 1.00 X 1000 0 0 JUNE WALUNGA 1.00 X 8250 0 0 DEVEN PARLIKAR 40.00 X 283446 0 31796 ANGELA GORN 40.00 X 179548 0 37498 PHILIP HOFSTETTER 40.00 X 118165 0 46881 MARY JANE DAVID 40.00 X 79617 0 14097 CHRISTOPHER BOLTON 40.00 X 99587 0 1618 ROY AGLOINGA 40.00 X 44713 0 3400 MARY STAAB 40.00 X 0 0 0 CRAIG AMBROSIANI 40.00 X 187784 0 25114 DAVID HEAD 40.00 X 400618 0 56111 MARK KELSO 40.00 X 301597 0 56111 SAI-LING LIU 40.00 X 277956 0 29254 KAREN ONEILL 40.00 X 277966 0 42430 MITCHELL MOFFAT 40.00 X 210707 0 24930 ALIN LEDFORD 40.00 X 209702 0 38609 2916901 0 437212 55 0 1 0 HUDSON STAFFING LLC 4625 NADINE LANE FRANKLIN TN 37064 STAFFING AGENCY 545873 HEALTHCARE TECHNICAL SERVICES INC 1250 45TH STREET SUITE 355 EMERYVILLE CA 94608 HEALTHCARE PROFESSIONALS 508457 ELGEE REHFELD MERTZ LLC 9309 GLACIER HIGHWAY SUITE B200 JUNEAU AK 99801 AUDITING/TAX SERVICES 344285 FREEDOM HEALTHCARE STAFFING 2851 SOUTH PARKER RD SUITE 1100 AURORA OR 80014 STAFFING AGENCY 325043 AMEDISTAF LLC PO BOX 595 TONTITOWN AR 72770 STAFFING AGENCY 201033 17 72596961 5115753 72596961 NET PATIENT REVENUES 900099 35888343 35888343 35888343 501221 501221 4519029 -4519029 -4519029 -4519029 MISCELLANEOUS REIMBURSEMENTS 900099 774532 774532 AIR AMBULANCE REIMBURSEMENTS 900099 465631 465631 DIETARY REVENUES 900099 376405 376405 1616568 106084064 37504911 0 -4017808 30000 30000 208670 208670 1566733 1566733 32908502 29462200 3446302 1270220 1161284 108936 10236287 8789329 1446958 2954633 2600121 354512 361425 361425 898503 52037 846466 142500 142500 91982 91982 6570539 5916475 654064 149006 2628 146378 1202956 749755 453201 526301 526301 6046299 5188434 857865 8119456 7415006 704450 85148 51824 33324 58393 58393 8866869 7953378 913491 648719 27233 621486 MATERIALS AND OTHER OPE 5219358 4957738 261620 BAD DEBT 925055 925055 MAINTENANCE AND EQUIPME 856389 659646 196743 ALL OTHER EXPENSES 502122 347840 154282 12377272 -12377272 90446065 89026300 1419765 0 6899755 13023848 26427736 6168214 10006232 1564460 4640385 5845297 853810 1338705 110934 627204 223255503 34598795 175848841 188656708 16890079 15937097 3316 3316 241681088 233164849 14337841 6590283 21581374 6074111 1083663 956987 1340487 1162161 38343365 14783542 X 203337723 218381307 203337723 218381307 241681088 233164849 15637999 -594415 0 X X 0 1 X 1 1 1 X 43049321 43325683 113508992 90327509 72596961 362808466 43049321 43325683 113508992 90327509 72596961 362808466 362808466 446487 382285 1701172 577235 544215 3651394 1768982 952561 601426 3959463 304756 7587188 374047048 154356876 0.97000 0.96080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 142500 0 0 142500 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE CORPORATION CONTRACTS WITH TWO INDIVIDUALS WHO LOBBY ON BEHALF OF THE ORGANIZATION FOR TRIBAL HEALTH AND VILLAGE MATTERS. ONE IS FOCUSED ON STATE OF ALASKA AND ONE OPERATES ON THE FEDERAL LEVEL. THEY HAVE DIRECT CONTACT WITH LEGISLATORS, ETC. 14250034 14250034 104884730 27836180 77048550 103662231 6762615 96899616 458508 458508 188656708 RESERVE FOR CLAIM PAYMENTS 1162161 1162161 X 117121611 -594415 7112933 6518518 110603093 -4519029 -4519029 106084064 97558998 7112933 7112933 90446065 0 90446065 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CORPORATION FOLLOWS THE PROVISIONS OF FASB ASC 740, INCOME TAXES. MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN. THE CORPORATION'S FEDERAL INFORMATIONAL RETURNS (FORM 990) ARE SUBJECT TO POSSIBLE EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE EXPIRATION OF THE RELATED STATUTE OF LIMITATIONS ON THOSE INFORMATIONAL RETURNS, WHICH, IN GENERAL, HAVE A THREE-YEAR STATUTE OF LIMITATIONS. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS FOR THE YEARS ENDED SEPTEMBER 30, 2011 THROUGH 2013 IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES AND HAS DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS REQUIRED TO BE DISCLOSED. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF OLD HOSPITAL CAMPUS AND RECORDS SYSTEM -4,519,029. 1 NOME EMERGENCY SHELTER TEAM PO BOX 1609 NOME AK 99762 273970829 30000 COST TO EXTEND SERVICES PROVIDED TO HOMELESS INDIVIDUALS FINANCIAL ASSISTANCE TO ELIGIBLE STUDENTS WHO ARE PURSUING HIGHER EDUCATION IN A HEALTH RELATED FIELD. 124 208670 CASH PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE EDUCATIONAL INSTITUTION ON BEHALF OF THE ELIGIBLE RECIPIENT. FOR SCHOLARSHIPS, RECIPIENTS MUST PROVIDE EVIDENCE OF SATISFACTORY COMPLETION OF COURSES AND MAINTAIN GPA'S AS MANDATED IN NORTON SOUND POLICY FOR SCHOLARSHIPS. X 1 1 X 1 0 0 0 0 0 0 0 0 DEVEN PARLIKAR 283446 0 0 0 0 0 0 0 31796 0 315242 0 0 0 ANGELA GORN 179548 0 0 0 0 0 12568 0 24930 0 217046 0 0 0 PHILIP HOFSTETTER 118165 0 0 0 0 0 8272 0 38609 0 165046 0 0 0 CRAIG AMBROSIANI 187784 0 0 0 0 0 137 0 24977 0 212898 0 0 0 DAVID HEAD 400618 0 0 0 0 0 17500 0 38611 0 456729 0 0 0 MARK KELSO 301597 0 0 0 0 0 17500 0 38611 0 357708 0 0 0 SAI-LING LIU 277956 0 0 0 0 0 17500 0 11754 0 307210 0 0 0 KAREN ONEILL 277966 0 0 0 0 0 17500 0 24930 0 320396 0 0 0 MITCHELL MOFFAT 210707 0 0 0 0 0 0 0 24930 0 235637 0 0 0 ALIN LEDFORD 209702 0 0 0 0 0 0 0 38609 0 248311 0 0 0 PART I, LINE 4A SEVERANCE PAYMENTS: DEVEN PARLIKAR - $56,499 CRAIG AMBROSIANI - $57,214 X 1 5115753 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED BY CHIEF FINANCIAL OFFICER PRIOR TO FILING AND WILL BE PRESENTED AT A FULL BOARD MEETING AT A LATER TIME. FORM 990, PART VI, SECTION B, LINE 15 OFFICER AND KEY EMPLOYEE SALARIES REQUIRE BOARD APPROVAL AND HAVE HISTORICALLY BEEN DETERMINED USING READILY AVAILABLE MARKET DATA FOR COMPARISON. DURING FY11 THE CORPORATION ENGAGED AN OUTSIDE ENTITY TO COMPLETE A COMPENSATION ANALYSIS. A NEW SALARY SURVEY WILL BE IMPLEMENTED IN FY14. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE. FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED FROM PRIOR YEAR.