INTERIOR COMMUNITY HEALTH CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- INTERIOR COMMUNITY HEALTH CENTER (EIN 92-0147354)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-11-05
- IRS object ID
- 201443099349301164
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-05T11:04:03-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920116098 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOHLER SCHMITT & HUTCHISON PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 70607 | AddressLine1 |
| City | FAIRBANKS | City |
| State | AK | State |
| ZIP Code | 997070607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920147354 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERIOR COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTE | BusinessNameControlTxt |
| Phone | 9074554567 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 23RD AVE | AddressLine1 |
| City | FAIRBANKS | City |
| State | AK | State |
| ZIP Code | 99701 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAVADA BUSH | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9074554567 | PhoneNum |
| Signature | 2014-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELAINE WILLIAMSON | PreparerPersonNm |
| PTIN | P00295408 | PTIN |
| Phone | 9074566676 | PhoneNum |
| Preparation | 2014-11-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAVADA BUSH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 23RD AVE | AddressLine1 |
| City | FAIRBANKS | City |
| State | AK | State |
| ZIP Code | 99701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,964,674 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.MYHEALTHCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE UNIVERSAL ACCESS TO EXCELLENT PRIMARY HEALTH CARE CONSISTING OF MEDICAL, DENTAL, PREVENTIVE, AND EDUCATIONAL SERVICES FOR PEOPLE IN ALASKA'S INTERIOR. THE CORPORATION IS COMMITTED TO DELIVERING QUALITY SERVICES IN A MANNER THAT IS SENSITIVE, COMPASSIONATE, AND RESPONSIVE TO THE NEEDS OF ALL MEMBERS OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 61 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,080,031 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,207,136 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,738,256 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,698,830 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,214 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,793 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,965 | PYOtherRevenueAmt |
| CY Other Revenue | $27,545 | CYOtherRevenueAmt |
| PY Total Revenue | $5,873,466 | PYTotalRevenueAmt |
| CY Total Revenue | $5,943,304 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,842,185 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,885,450 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,758,506 | PYOtherExpensesAmt |
| CY Other Expenses | $1,933,595 | CYOtherExpensesAmt |
| PY Total Expenses | $5,600,691 | PYTotalExpensesAmt |
| CY Total Expenses | $5,819,045 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $272,775 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $124,259 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,559,266 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,374,196 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $523,545 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $221,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,035,721 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,152,769 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE UNIVERSAL ACCESS TO EXCELLENT PRIMARY HEALTH CARE CONSISTING OF MEDICAL, DENTAL, PREVENTIVE, AND EDUCATIONAL SERVICES FOR PEOPLE IN ALASKA'S INTERIOR. THE CORPORATION IS COMMITTED TO DELIVERING QUALITY SERVICES IN A MANNER THAT IS SENSITIVE, COMPASSIONATE, AND RESPONSIVE TO THE NEEDS OF ALL MEMBERS OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,291,983 | ExpenseAmt |
| Revenue | $2,686,638 | RevenueAmt |
| Desc | THE HEALTH CENTER PROVIDED COMPREHENSIVE HEALTH CARE SERVICES TO INTERIOR ALASKA RESIDENTS. APPROXIMATELY 13,530 VISITS WERE PROVIDED. OF THE PATIENTS SERVED, 64% WERE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES FOR ALASKA AND 37.1% WERE WITHOUT HEALTH INSURANCE. SPECIFICALLY,THE HEALTH CENTER PROVIDED MEDICAL, BEHAVIORAL HEALTH AND ENABLING SERVICES TO 5,630 PATIENTS. DURING THE YEAR THE ORGANIZATION RECEIVED AN INKIND DONATION OF 12,000 FOR TELECOMMUNICATION SERVICES. THIS AMOUNT IS NOT INLCUDED IN PROGRAM SERVICE EXPENSES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,444,683 | ExpenseAmt |
| Revenue | $1,070,898 | RevenueAmt |
| Desc | THE HEALTH CENTER PROVIDED APPROXIMATELY 6,470 ORAL HEALTH SERVICE VISITS TO OVER 2,130 PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,736,666 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 | false | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 61 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | 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 | false | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHERYL KILGORE | PersonNm |
| Phone | 9074554567 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 23RD AVE | AddressLine1 |
| City | FAIRBANKS | City |
| State | AK | State |
| ZIP Code | 99701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LAVADA BUSH | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GAIL HATTAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARL LEAKE | ||||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BART LEBON | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERNIE MANZIE | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA MOUNTJOY | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SARA WOOD | ||||||||
| MEMBER-AT-LA | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOAN STEPOVICH | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELLEN GANLEY | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT KAWASAKI | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FANTA LEE-SANKOH | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL KILGORE | ||||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $169,451 | $0 | $12,742 | |||
| DIANE BORGESON | ||||||||
| CFO | 40.00 | Yes (X) | $111,851 | $0 | $8,619 | |||
| MOAZZEM KHAN | ||||||||
| MEDICAL DIRE | 40.00 | $234,554 | $0 | $15,814 | Yes (X) | |||
| JEFFREY KILGORE | ||||||||
| DENTAL DIREC | 40.00 | $208,933 | $0 | $21,661 | Yes (X) | |||
| KIMBERLY DOUGLAS | ||||||||
| PHYSICIAN | 40.00 | $209,600 | $0 | $32,123 | Yes (X) | |||
| CAROLINE CURTIS | ||||||||
| DENTIST | 40.00 | $152,957 | $0 | $4,424 | Yes (X) | |||
| CAMERON MORTENSEN | ||||||||
| PHYSICIAN AS | 40.00 | $115,500 | $0 | $15,986 | Yes (X) | |||
| KENDEL BORMANN | ||||||||
| PHYSICIAN AS | 40.00 | $105,000 | $0 | $14,759 | Yes (X) | |||
| TERESA LYONS | ||||||||
| NURSE PRACTI | 40.00 | $105,000 | $0 | $15,251 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,412,846 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $141,379 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GHEMM COMPANY INC | |||||
| 3861 SCHACHT STREET | FAIRBANKS | AK | 99701 | CONSTRUCTION | $582,400 |
| ALASCONNECT | |||||
| PO BOX 71217 | FAIRBANKS | AK | 99707 | IT SERVICES | $129,225 |
| LABORATORY CORPORATION OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LABORATORY SERV | $121,183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,071,777 | GovernmentGrantsAmt |
| All Other Contributions | $135,359 | AllOtherContributionsAmt |
| Noncash Contributions | $118,598 | NoncashContributionsAmt |
| Total Contributions | $2,207,136 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES FOR SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $3,698,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,698,830 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,698,830 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,163 | TotalRevenueColumnAmt |
| Exclusion | $31,163 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $21,370 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$21,370 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,370 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$21,370 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $27,545 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,545 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $27,545 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,943,304 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,705,005 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $31,163 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,174 | TotalAmt |
| Program Services | $493,078 | ProgramServicesAmt |
| Management And General | $309,096 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,522,753 | TotalAmt |
| Program Services | $2,189,094 | ProgramServicesAmt |
| Management And General | $333,659 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,908 | TotalAmt |
| Program Services | $108,908 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,324 | TotalAmt |
| Program Services | $155,601 | ProgramServicesAmt |
| Management And General | $33,723 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,291 | TotalAmt |
| Program Services | $221,893 | ProgramServicesAmt |
| Management And General | $40,398 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,266 | TotalAmt |
| Management And General | $6,266 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,306 | TotalAmt |
| Management And General | $21,306 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,372 | TotalAmt |
| Program Services | $65,689 | ProgramServicesAmt |
| Management And General | $54,683 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,871 | TotalAmt |
| Program Services | $75,871 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,250 | TotalAmt |
| Program Services | $78,906 | ProgramServicesAmt |
| Management And General | $12,344 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,484 | TotalAmt |
| Program Services | $125,546 | ProgramServicesAmt |
| Management And General | $102,938 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,937 | TotalAmt |
| Program Services | $255,425 | ProgramServicesAmt |
| Management And General | $35,512 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,123 | TotalAmt |
| Program Services | $319,985 | ProgramServicesAmt |
| Management And General | $41,138 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,783 | TotalAmt |
| Program Services | $14,929 | ProgramServicesAmt |
| Management And General | $8,854 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LAB AND PHARMACEUTICALS | $324,105 | $324,105 | |
| MEDICAL | $205,995 | $205,995 | |
| MISCELLANEOUS | $92,369 | $39,199 | $53,170 |
| TRAINING | $59,564 | $36,898 | $22,666 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,170 | TotalAmt |
| Program Services | $25,544 | ProgramServicesAmt |
| Management And General | $6,626 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,819,045 | TotalAmt |
| Program Services | $4,736,666 | ProgramServicesAmt |
| Management And General | $1,082,379 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $778,020 | BOYAmt |
| EOY | $500,426 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,821 | BOYAmt |
| EOY | $215,150 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,834 | BOYAmt |
| EOY | $50,129 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,747 | BOYAmt |
| EOY | $353,265 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,231 | BOYAmt |
| EOY | $25,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,795,612 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,184,763 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,650,839 | BOYAmt |
| EOY | $5,610,849 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,471,910 | BOYAmt |
| EOY | $4,611,174 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,864 | BOYAmt |
| EOY | $7,298 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,559,266 | BOYAmt |
| EOY | $11,374,196 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $523,545 | BOYAmt |
| EOY | $221,427 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $523,545 | BOYAmt |
| EOY | $221,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,035,721 | BOYAmt |
| EOY | $11,152,769 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,035,721 | BOYAmt |
| EOY | $11,152,769 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,559,266 | BOYAmt |
| EOY | $11,374,196 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $124,259 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,211 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $2,231,936 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,073,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,009,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,080,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,207,136 | CurrentTaxYearAmt |
| Total | $10,601,721 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,231,936 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,073,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,009,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,080,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,207,136 | CurrentTaxYearAmt |
| Total | $10,601,721 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,601,721 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,164 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,756 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,396 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,163 | CurrentTaxYearAmt |
| Total | $241,968 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,843,689 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $19,362,912 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97770 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97260 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $363,512 | OtherCostOrOtherBasisAmt |
| Book Value | $363,512 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,694,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,939,923 | DepreciationAmt |
| Book Value | $4,754,531 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,737,646 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,244,840 | DepreciationAmt |
| Book Value | $492,806 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,610,849 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BROKERED CERTIFICATES OF DEPOSIT | $4,243,399 | F |
| OTHER CERTIFICATES OF DEPOSIT | $367,775 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,611,174 | TotalBookValueSecuritiesAmt |
| Total Rev Etc Audited Fincl Stmt | $5,955,960 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$7,211 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $19,867 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $12,656 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,943,304 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,943,304 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,838,912 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $19,867 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $19,867 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,819,045 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,819,045 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | INCOME TAXES - THE ORGANIZATION IS EXEMPT FROM INCOME TAXES AS A NONPROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT A PRIVATE FOUNDATION. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. FASB ASC 740 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES REQUIRES THE CENTER TO RECOGNIZE A LIABILITY FOR UNCERTAIN TAX POSITIONS WHERE A LIABILITY WOULD MORE LIKELY THAN NOT BE ASSESSED BY A TAXING AUTHORITY. RECOGNITION OF A LIABILITY, IF ANY, IS SUBJECT TO ESTIMATION AND MANAGEMENT JUDGMENT. NO LIABILITIES HAVE BEEN RECOGNIZED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| CHERYL KILGORE | |||||
| EXECUTIVE DIRECTOR | $169,451 | $11,862 | $880 | $182,193 | |
| MOAZZEM KHAN | |||||
| MEDICAL DIRECTOR | $234,554 | $7,037 | $8,777 | $250,368 | |
| JEFFREY KILGORE | |||||
| DENTAL DIRECTOR | $208,933 | $13,600 | $8,061 | $230,594 | |
| KIMBERLY DOUGLAS | |||||
| PHYSICIAN | $205,000 | $14,350 | $17,773 | $241,723 | $4,600 |
| CAROLINE CURTIS | |||||
| DENTIST | $152,957 | $3,554 | $870 | $157,381 | |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY KILGORE DMD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SON OF EX DIR | RelationshipDescriptionTxt |
| Transaction | $230,594 | TransactionAmt |
| Transaction | DENTAL EMPLOYEE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | PHARMACEUTICALS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $118,598 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE UNIVERSAL ACCESS TO EXCELLENT PRIMARY HEALTH CARE CONSISTING OF MEDICAL, DENTAL, PREVENTIVE, AND EDUCATIONAL SERVICES FOR PEOPLE IN ALASKA'S INTERIOR. THE CORPORATION IS COMMITTED TO DELIVERING QUALITY SERVICES IN A MANNER THAT IS SENSITIVE, COMPASSIONATE, AND RESPONSIVE TO THE NEEDS OF ALL MEMBERS OF THE COMMUNITY. |
| FORM 990, PAGE 6, PART VI, LINE 2 | JEFFREY KILGORE CHERYL KILGORE KEY EMPLOYEE EX DIRECTOR SON |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW, UPON COMPLETION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION HAS AN ONGOING QUALITY CONTROL PROGRAM. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD CONDUCTS A REVIEW. COMPARABLE COMPENSATION DATA HAS BEEN OBTAINED FROM A NATIONAL FIRM. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD CONDUCTS A REVIEW. COMPARABLE COMPENSATION DATA HAS BEEN OBTAINED FROM A NATIONAL FIRM. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ANNUAL CORPORATE REPORT IS AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |