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INTERIOR COMMUNITY HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INTERIOR COMMUNITY HEALTH CENTER (EIN 92-0147354)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-08
IRS object ID
201303129349301780
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2013-11-08T12:58:33-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KOHLER SCHMITT & HUTCHISON PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 70607AddressLine1
CityFAIRBANKSCity
StateAKState
ZIP Code997070607ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN920147354EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INTERIOR COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINTENameControl
Phone9074554567Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11606 23RD AVEAddressLine1
CityFAIRBANKSCity
StateAKState
ZIP Code99701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAVADA BUSHName
TitlePRESIDENTTitle
Phone9074554567Phone
Date Signed2013-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameELAINE WILLIAMSONName
Phone9074566676Phone
Date Prepared2013-11-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAVADA BUSHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11606 23RD AVEAddressLine1
CityFAIRBANKSCity
StateAKState
ZIP Code99701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5874741GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.MYHEALTHCLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileAKStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees69TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2009333ContributionsGrantsPriorYear
Contributions Grants Current Year2080031ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4078533ProgramServiceRevenuePriorYear
Program Service Revenue CY3738256ProgramServiceRevenueCY
Investment Income Prior Year39396InvestmentIncomePriorYear
Investment Income Current Year37214InvestmentIncomeCurrentYear
Other Revenue Prior Year218569OtherRevenuePriorYear
Other Revenue Current Year17965OtherRevenueCurrentYear
Total Revenue Prior Year6345831TotalRevenuePriorYear
Total Revenue Current Year5873466TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4389289SalariesEtcPriorYear
Salaries Etc Current Year3842185SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1866371OtherExpensePriorYear
Other Expenses Current Year1758506OtherExpensesCurrentYear
Total Expenses Prior Year6255660TotalExpensesPriorYear
Total Expenses Current Year5600691TotalExpensesCurrentYear
Revenues Less Expenses Prior Year90171RevenuesLessExpensesPriorYear
Revenues Less Expenses CY272775RevenuesLessExpensesCY
Total Assets BOY11045185TotalAssetsBOY
Total Assets EOY11559266TotalAssetsEOY
Total Liabilities BOY281678TotalLiabilitiesBOY
Total Liabilities EOY523545TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10763507NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11035721NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3052144Expense
Revenue2732191Revenue
DescriptionTHE HEALTH CENTER PROVIDED COMPREHENSIVE HEALTH CARE SERVICES TO INTERIOR ALASKA RESIDENTS. APPROXIMATELY 16,450 VISITS WERE PROVIDED. OF THE PATIENTS SERVED, 37% WERE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES FOR ALASKA AND 39% WERE WITHOUT HEALTH INSURANCE. SPECIFICALLY, THE HEALTH CENTER PROVIDED MEDICAL, BEHAVIORAL HEALTH AND ENABLING SERVICES TO OVER 6,380 PATIENTS. DURING THE YEAR THE ORGANIZATION RECEIVED AN INKIND DONATION OF 24,471 FOR TELECOMMUNICATION SERVICES. THIS AMOUNT IS NOT INLCUDED IN PROGRAM SERVICE EXPENSES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1341693Expense
Revenue1062519Revenue
DescriptionTHE HEALTH CENTER PROVIDED APPROXIMATELY 6,440 ORAL HEALTH SERVICE VISITS TO OVER 2,100 PATIENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense4393837TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees69NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHERYL KILGORENamePerson
Telephone Number9074554567TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11606 23RD AVEAddressLine1
CityFAIRBANKSCity
StateAKState
ZIP Code99701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
LAVADA BUSH
PRESIDENT1.00XX000
GAIL HATTAN
SECRETARY1.00XX000
CARL LEAKE
MEMBER AT LA1.00X000
BART LEBON
MEMBER1.00X000
ERNIE MANZIE
MEMBER1.00X000
MARIA MOUNTJOY
TREASURER1.00XX000
MIKE POWERS
MEMBER1.00X000
NATALI FLORES
MEMBER1.00X000
SARA WOOD
VICE PRESIDE1.00XX000
JOAN STEPOVICH
MEMBER1.00X000
ELLEN GANLEY
MEMBER1.00X000
CHRISTIE ANASTASIA
MEMBER1.00XX000
CHERYL KILGORE
EXECUTIVE DI40.00X167192012569
DIANE BORGESON
CHIEF FINANC40.00X12382508997
MOAZZEM KHAN
CO MEDICAL D40.00206731014498X
JEFFREY KILGORE
DENTAL DIREC40.00205000019912X
KIMBERLY DOUGLAS
CO MEDICAL D40.00198462018715X
CAMERON MORTENSEN
PHYSICIAN AS40.00115500015028X
TERESA LYONS
NURSE PRACTI40.0010500008581X
GABE SCHULDT
MEDICAL DIRE40.00182585030782X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1304295TotalReportableCompFromOrg
Total Other Compensation129082TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALASCONNECT
PO BOX 71217FAIRBANKSAK99707IT SERVICES127726
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LABORATORY SERV111115
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants1920890GovernmentGrants
All Other Contributions159141AllOtherContributions
Noncash Contributions65793NoncashContributions
Total Contributions2080031TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFEES FOR SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column3738256TotalRevenueColumn
Related Or Exempt Function Income3738256RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3738256TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38489TotalRevenueColumn
Exclusion$38,489ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1275Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1275Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1275TotalRevenueColumn
Related Or Exempt Function Income-1275RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC INCOMEDescription
Business Code621110BusinessCode
Total Revenue Column17965TotalRevenueColumn
Related Or Exempt Function Income17965RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue17965TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5873466TotalRevenueColumn
Related Or Exempt Function Income3754946RelatedOrExemptFunctionIncome
Exclusion$38,489ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total975901Total
Program Services663317ProgramServices
Management And General312584ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2313553Total
Program Services1907741ProgramServices
Management And General405812ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total111694Total
Program Services111694ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total194585Total
Program Services165041ProgramServices
Management And General29544ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total246452Total
Program Services207911ProgramServices
Management And General38541ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14294Total
Program Services899ProgramServices
Management And General13395ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21590Total
Management And General21590ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total126764Total
Program Services32755ProgramServices
Management And General94009ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total39774Total
Program Services39774ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total79995Total
Program Services68945ProgramServices
Management And General11050ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total203547Total
Program Services115045ProgramServices
Management And General88502ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total303037Total
Program Services265531ProgramServices
Management And General37506ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total357278Total
Program Services316024ProgramServices
Management And General41254ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21312Total
Program Services12971ProgramServices
Management And General8341ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LAB AND PHARMACEUTICALS244861244861
MEDICAL155782155782
MISCELLANEOUS1010583728563773
TRAINING557042402831676

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total33510Total
Program Services24233ProgramServices
Management And General9277ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5600691Total
Program Services4393837ProgramServices
Management And General1206854ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY337713BOY
EOY778020EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY203992BOY
EOY201821EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY45022BOY
EOY40834EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY536478BOY
EOY341747EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY53122BOY
EOY51231EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8485984LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2835145LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5661668BOY
EOY5650839EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4191075BOY
EOY4471910EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16115BOY
EOY22864EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11045185BOY
EOY11559266EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY281678BOY
EOY523545EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY281678BOY
EOY523545EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10763507BOY
EOY11035721EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10763507BOY
EOY11035721EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11045185BOY
EOY11559266EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses272775ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-561ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1736604CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2231936CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2073285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2009333CurrentTaxYearMinus1Year
Current Tax Year2080031CurrentTaxYear
Total10131189Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1736604CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2231936CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2073285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2009333CurrentTaxYearMinus1Year
Current Tax Year2080031CurrentTaxYear
Total10131189Total
FieldValueIRS element (for citing)
Public Support Total17010131189PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74164CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58756CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39396CurrentTaxYearMinus1Year
Current Tax Year38489CurrentTaxYear
Total285183Total
FieldValueIRS element (for citing)
Total Support10416372TotalSupport
Gross Receipts From Admissions Etc18934937GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97260PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97070PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis363512OtherCostOrOtherBasis
Book Value363512BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6078881OtherCostOrOtherBasis
Depreciation1722484Depreciation
Book Value4356397BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1680867OtherCostOrOtherBasis
Depreciation1112661Depreciation
Book Value568206BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis362724OtherCostOrOtherBasis
Book Value362724BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5650839TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BROKERED CERTIFICATES OF DEPOSIT4120807F
OTHER CERTIFICATES OF DEPOSIT351103C
FieldValueIRS element (for citing)
Total Of Book Value Securities4471910TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt5922992TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-561NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities50087DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99049526RevenueNotRptdF990
Revenue Subtotal5873466RevenueSubtotal
Total Revenue Per Form9905873466TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5650778TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities50087DonatedServicesUseOfFacilities
Expenses Not Rptd F99050087ExpensesNotRptdF990
Expenses Subtotal5600691ExpensesSubtotal
Total Expenses Per Form9905600691TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationINCOME 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 YEARS BEFORE 2010.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
CHERYL KILGORE
EXECUTIVE DIRECTOR164012318011703866179761
MOAZZEM KHAN
CO MEDICAL DIRECTOR20673162028296221229
JEFFREY KILGORE
DENTAL DIRECTOR205000123007612224912
KIMBERLY DOUGLAS
CO MEDICAL DIRECTOR1934625000331215403217177
GABE SCHULDT
MEDICAL DIRECTOR167596149891226618516213367

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJEFFREY KILGORE DMDNamePerson
FieldValueIRS element (for citing)
RelationshipSON OF EX DIRRelationship
Amount Of Transaction224912AmountOfTransaction
Description Of TransactionDENTAL EMPLOYEEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99063572NoncashContribsRptdF990

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionEQUIPMENTDescription
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9902221NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO 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.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2JEFFREY KILGORE CHERYL KILGORE KEY EMPLOYEE EX DIRECTOR SON
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW, UPON COMPLETION.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION HAS AN ONGOING QUALITY CONTROL PROGRAM.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD CONDUCTS A REVIEW. COMPARABLE COMPENSATION DATA HAS BEEN OBTAINED FROM A NATIONAL FIRM.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD CONDUCTS A REVIEW. COMPARABLE COMPENSATION DATA HAS BEEN OBTAINED FROM A NATIONAL FIRM.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ANNUAL CORPORATE REPORT IS AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.