2024-11-15T15:29:25-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 920146203 KODIAK ISLAND HEALTH CARE FOUNDATION KODI 9074815000 1911 EAST REZANOF DRIVE KODIAK AK 99615 CAROL AUSTERMAN EXECUTIVE DIRECTOR 9074815000 2024-11-06 1 1 KURT BENNION CPA P01469618 4252506100 2024-11-06 2023 2024-10-15 13:58:12Z CAROL AUSTERMAN 1911 EAST REZANOF DRIVE KODIAK AK 99615 6795357 0 X WWW.KODIAKCHC.ORG X 1998 AK TO PROVIDE COMPASSIONATE AND COMPREHENSIVE PRIMARY CARE TO THE ENTIRE KODIAK COMMUNITY. 10 10 87 10 0 0 3404371 2411081 4958982 4339205 2189 35871 69670 9200 8435212 6795357 6000 1000 0 0 5275041 5506841 0 0 0 2021421 2036859 7302462 7544700 1132750 -749343 5485584 4761103 739803 764665 4745781 3996438 X WE EXIST TO PROVIDE COMPASSIONATE AND COMPREHENSIVE PRIMARY CARE TO THE ENTIRE KODIAK COMMUNITY. 1 0 5165182 1000 4339205 KODIAK COMMUNITY HEALTH CENTER (KCHC) BEGAN OPERATIONS IN NOVEMBER 2003. KCHC IS A FEDERALLY QUALIFIED HEALTH CENTER, AND A HEALTH CENTER PROGRAM GRANTEE UNDER 42 U.S.C. 254B, AND A DEEMED PUBLIC HEALTH SERVICE EMPLOYEE UNDER 42 U.S.C. 233(G)-(N). AS A FEDERALLY QUALIFIED HEALTH CENTER, WE HAVE A REQUIREMENT, THAT IS EMBRACED, WE OFFER A SLIDING FEE DISCOUNT PROGRAM AND WILL NOT TURN AWAY ANY PATIENT DUE TO LACK OF ABILITY TO PAY. OUR MISSION IS "WE EXIST TO PROVIDE COMPASSIONATE AND COMPREHENSIVE PRIMARY CARE TO THE ENTIRE KODIAK COMMUNITY". WE SERVE THE COMMUNITY IN ITS ENTIRETY, INCLUDING HOMELESS, VETERANS, HIGH-RISK, MILITARY FAMILIES, ALL COMMUNITY MEMBERS, AND TRANSIENTS, UNINSURED AND UNDER-INSURED WITH EXCEPTIONAL PRIMARY MEDICAL SERVICES AND INTEGRATED BEHAVIORAL HEALTH. OUR COMPREHENSIVE HEALTH CENTER AND HEALTHCARE PROFESSIONALS STRIVE TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTHCARE TO OUR ENTIRE COMMUNITY BY OFFERING A FULL RANGE OF PRIMARY CARE MEDICAL SERVICES AND PROVIDE REFERRALS FOR SPECIALTY CARE WE ARE UNABLE TO PROVIDE. IN 2023, KCHC PROVIDED CARE TO 4,323 TOTAL PATIENTS THROUGH 12,563 VISITS. WE ARE OPEN MONDAY THROUGH SATURDAY, WITH EVENING AND SAME DAY APPOINTMENTS AVAILABLE. WE ARE CONVENIENTLY LOCATED ADJACENT TO PROVIDENCE KODIAK ISLAND MEDICAL CENTER, KODIAK'S ONLY CRITICAL CARE HOSPITAL, AT 1911 E. REZANOF DRIVE. 5165182 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 15 0 87 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AK X CAROL AUSTERMAN 9074815000 1911 EAST REZANOF DRIVE KODIAK AK 99615 CURTIS MORTENSON MD MEDICAL DIRECTOR 40.00 X 363258 0 49345 CRISTIN O'GRADY MD PHYSICIAN 40.00 X 317930 0 36070 LAURA WALTERS MD PHYSICIAN 32.00 X 308039 0 36153 DAVID SILBERGELD MD PHYSICIAN 32.00 X 239373 0 28680 CAROL AUSTERMAN EXECUTIVE DIRECTOR 40.00 X 206371 0 44920 JENNA WALKER FNP PHYSICIAN 40.00 X 161299 0 19972 MAGGIE NEVIN OPERATIONS DIRECTOR 40.00 X 129191 0 16732 AMY DURAND CHAIR 1.30 X X 0 0 0 DR ALAN WOLF VICE CHAIR 1.30 X X 0 0 0 ROBERTA DETORRES TREASURER 1.30 X X 0 0 0 AIDA LLAVE SECRETARY 1.30 X X 0 0 0 JIM ARNESON BOARD MEMBER 0.50 X 0 0 0 JENNIE DE LA FUENTE BOARD MEMBER 0.50 X 0 0 0 JESSE GLASSMAN BOARD MEMBER 0.50 X 0 0 0 TRICIA KRUG BOARD MEMBER 0.50 X 0 0 0 ERIC LINSCHEID BOARD MEMBER 0.50 X 0 0 0 RHUBIE PASION BOARD MEMBER 0.50 X 0 0 0 1725461 0 231872 9 0 1 0 OREGON COMMUNITY HEALTH INFORMATION NETW 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR/PMS SERVICES 246125 CENTERPRISE INC 424 WARDS CORNER ROAD SUITE 110 LOVELAND OH 45140 BILLING SERVICES 115935 2 2402635 8446 131119 2411081 PATIENT CHARGES 624100 3537775 3537775 PHARMACY REVENUE 624100 798894 798894 OTHER MEDICAL SERVICES 624100 2536 2536 4339205 35871 35871 OTHER INCOME 900099 9200 9200 9200 6795357 4339205 0 45071 1000 1000 663894 132779 531115 4119560 3597048 522512 112340 54134 58206 304240 149829 154411 306807 133820 172987 1632 1632 25500 25500 717409 597030 120379 47264 3500 43764 8868 8868 71699 71699 200778 200778 81525 13601 67924 39463 1000 38463 963 963 112732 8292 104440 41012 41012 MEDICAL SUPPLIES 364825 274555 90270 BAD DEBT EXPENSE 185651 185651 MISCELLANEOUS 133152 12763 120389 TAXES & LICENSES 4386 180 4206 7544700 5165182 2379518 0 3937708 3795556 302624 29817 674795 423894 46901 65819 1230732 805145 496243 425587 27313 20430 5485584 4761103 565373 551192 147966 193673 26464 19800 739803 764665 X 4745781 3996438 4745781 3996438 5485584 4761103 -749343 0 X 0 1 X 1 1 1 X 2074816 3124271 3886995 3404371 2411081 14901534 2074816 3124271 3886995 3404371 2411081 14901534 14901534 2 1 2189 35871 38063 75 2728 13397 69670 9200 95070 15034667 22349974 0.99110 0.99360 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 315994 128921 187073 914738 676224 238514 425587 RIGHT-OF-USE LEASE LIABILITIES 19800 19800 X 6795357 0 6795357 0 6795357 7544700 0 7544700 0 7544700 PART X, LINE 2: UNDER PROVISION OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE INCOME TAX REGULATIONS OF THE STATE OF ALASKA, THE CLINIC IS EXEMPT FROM INCOME TAXES. THERE WERE NO UNRELATED BUSINESS ACTIVITIES AND ACCORDINGLY, NO INCOME TAX EXPENSE WAS INCURRED FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. WITH FEW EXCEPTIONS, THE CLINIC IS SUBJECT TO EXAMINATION FOR THE PREVIOUS THREE YEARS. THE CLINIC APPLIES THE PROVISIONS OF TOPIC 740 OF THE FASB ACCOUNTING STANDARDS CODIFICATION RELATING TO UNCERTAINTY IN INCOME TAXES. THE CLINIC BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS WHICH WOULD REQUIRE DISCLOSURE OR ADJUSTMENT IN THESE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 CURTIS MORTENSON MD MEDICAL DIRECTOR 363258 0 0 0 0 0 13083 0 36262 0 412603 0 0 0 CRISTIN O'GRADY MD PHYSICIAN 317930 0 0 0 0 0 12600 0 23470 0 354000 0 0 0 LAURA WALTERS MD PHYSICIAN 308039 0 0 0 0 0 12600 0 23553 0 344192 0 0 0 DAVID SILBERGELD MD PHYSICIAN 239373 0 0 0 0 0 9670 0 19010 0 268053 0 0 0 CAROL AUSTERMAN EXECUTIVE DIRECTOR 206371 0 0 0 0 0 8657 0 36263 0 251291 0 0 0 JENNA WALKER FNP PHYSICIAN 161299 0 0 0 0 0 6600 0 13372 0 181271 0 0 0 X 14 131119 INVOICE PRICE 0 0 0 0 FORM 990, PART III, LINE 2 IN 2023, THE ORGANIZATION ACQUIRED A MOBILE CLINIC IN ANTICIPATION OF OPENING IT IN 2024 OR 2025. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR SERVES AS AN EX-OFFICIO NON-VOTING MEMBER. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS TO APPROVE OPERATIONAL REQUIREMENTS ON WHICH ACTION MAY BE REQUIRED WHEN THE BOARD IS NOT IN SESSION, EXCEPT THAT THE COMMITTEE DOES NOT HAVE THE AUTHORITY TO REVERSE, MODIFY OR CHANGE ANY PRIOR DECISIONS OF THE BOARD, TO FILL BOARD VACANCIES, OR TO AMMEND THE BYLAWS. THE EXECUTIVE COMMITTEE PERFORMS OTHER DUTIES AS MAY BE DELEGATED BY THE BOARD. ALL ACTIONS ON BEHALF OF THE ORGANIZATION ARE REPORTED AT THE NEXT MEETING OF THE BOARD, WITH A QUORUM PRESENT, FOR RATIFICATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE DIRECTOR, THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C KODIAK ISLAND HEALTH CARE FOUNDATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OFFICERS, BOARD MEMBERS, AND ANY OTHER VOTING COMMITTEE MEMBERS. EACH COVERED PERSON IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. IF A PERSON HAS AN ACTUAL OR POTENTIAL CONFLICT, THEY ARE REQUIRED TO DISCLOSE THE CONFLICT. IF A TRANSACTION IS BEING CONSIDERED AT A BOARD OR COMMITTEE MEETING, THEN DISCLOSURE IS MADE TO ALL INDIVIDUALS AT THE MEETING. OTHERWISE, DISCLOSURE IS MADE TO THE CHAIR, WHO SHARES THE CONFLICT WITH ALL BOARD MEMBERS. THE INDEPENDENT BOARD MEMBERS DETERMINES WHETHER A CONFLICT EXISTS. AN INDIVIDUAL WITH A CONFLICT MAY DISCLOSE RELEVANT FACTS, BUT CANNOT OTHERWISE PARTICIPATE IN DISCUSSIONS ON THE TRANSACTION AND MAY NOT BE PRESENT WHEN THE BOARD OR COMMITTEE VOTES ON THE TRANSACTION. ALL RELEVANT INFORMATION IS RETAINED IN BOARD OR COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION PARTICIPATES IN THE NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION (NWRPCA) SALARY SURVEY AND UTILIZES THIS SURVEY IN REVIEWING THE COMPENSATION OF ALL POSITIONS IN THE ORGANIZATION. THE EXECUTIVE DIRECTOR'S COMPENSATION IS ALSO REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THIS PROCESS IS CURRENTLY BEING COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.