2025-10-23T14:14:58-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 920146203 KODIAK ISLAND HEALTH CARE FOUNDATION KODI 9074815000 1911 EAST REZANOF DRIVE KODIAK AK 99615 JENNIFER YOUNGBERG CFO 9074815000 2025-10-21 1 0 KURT BENNION CPA P01469618 4252506100 2025-10-21 2024 2025-03-06 01:10:19Z OLIVERA WILSON 1911 EAST REZANOF DRIVE KODIAK AK 99615 8662251 0 X WWW.KODIAKCHC.ORG X 1998 AK TO PROVIDE COMPASSIONATE AND COMPREHENSIVE PRIMARY CARE TO THE ENTIRE KODIAK COMMUNITY. 11 11 84 12 0 0 2411081 2414108 4339205 6178549 35871 60441 9200 9153 6795357 8662251 1000 0 0 0 5506841 5611442 0 0 0 2036859 2274123 7544700 7885565 -749343 776686 4761103 5638446 764665 865322 3996438 4773124 X WE EXIST TO PROVIDE COMPASSIONATE AND COMPREHENSIVE PRIMARY CARE TO THE ENTIRE KODIAK COMMUNITY. 0 0 5742867 0 6178549 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, THAT 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, (CONTINUED IN SCHEDULE O)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 IN 2019. 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 2024, KCHC PROVIDED CARE TO 4,398 TOTAL PATIENTS THROUGH 12,071 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. 5742867 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 1 0 1 0 0 0 0 0 0 0 0 1 62 0 1 84 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AK X JENNIFER YOUNGBERG 9074815000 1911 EAST REZANOF DRIVE KODIAK AK 99615 CURTIS MORTENSON MD MEDICAL DIRECTOR 40.00 X 348288 0 52569 LAURA WALTERS MD PHYSICIAN 32.00 X 306640 0 37966 CRISTIN O'GRADY MD PHYSICIAN 36.50 X 289936 0 37211 CAROL AUSTERMAN EXECUTIVE DIRECTOR 40.00 X 227458 0 47938 DAVID SILBERGELD MD PHYSICIAN 32.00 X 246980 0 24401 JENNA WALKER FNP NURSE PRACTITIONER 39.00 X 161042 0 20964 KATHARINE LINDUSKA PA-C PHYSICIAN ASSISTANT 32.00 X 136832 0 2118 AMY DURAND CHAIR (THROUGH JANUARY 2024) 1.30 X X 0 0 0 JESSE GLASSMAN BOARD MEMBER & CHAIR 1.30 X X 0 0 0 DR ALAN WOLF VICE CHAIR & SECRETARY 1.30 X X 0 0 0 JIM ARNESON BOARD MEMBER & VICE CHAIR 1.30 X X 0 0 0 AIDA LLAVE SECRETARY & BOARD MEMBER 1.30 X X 0 0 0 ROBERTA DETORRES TREASURER 1.30 X X 0 0 0 RANDY BUSCH BOARD MEMBER 0.50 X 0 0 0 JENNIE DE LA FUENTE 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 PASION RHUBIE BOARD MEMBER 0.50 X 0 0 0 HECTOR SUAREZ BOARD MEMBER 0.50 X 0 0 0 1717176 0 223167 11 0 1 0 PRACTICE MANAGEMENT SUPPORT SERVICES 300 N MARTINGALE 150 SCHAUMBURG IL 60173 BILLING SERVICES 191026 OREGON COMMUNITY HEALTH INFORMATION NETW 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR/PMS SERVICES 147803 2 2379551 34557 209902 2414108 PATIENT CHARGES 624100 4857860 4857860 PHARMACY REVENUE 624100 1319906 1319906 OTHER MEDICAL SERVICES 624100 783 783 6178549 60441 60441 OTHER INCOME 900099 9153 9153 9153 8662251 6178549 0 69594 676253 135250 541003 4229540 3797614 431926 91096 86531 4565 281608 281608 332945 261707 71238 727 727 27063 27063 504298 374683 129615 -237 -237 964 964 66576 66576 184299 184299 60270 60270 39213 233 38980 686 686 122722 16152 106570 45416 45416 MEDICAL SUPPLIES 944124 836859 107265 MISCELLANEOUS 147887 15642 132245 BAD DEBT EXPENSE 122758 218196 -95438 TAXES & LICENSES 7357 7357 7885565 5742867 2142698 0 3795556 4363985 29817 200884 423894 538700 65819 70343 837928 386940 425587 450988 20430 13546 4761103 5638446 551192 656029 193673 196434 19800 12859 764665 865322 X 3996438 4773124 3996438 4773124 4761103 5638446 776686 0 X X 0 1 X 1 1 1 X 3124271 3886995 3404371 2411081 2414108 15240826 3124271 3886995 3404371 2411081 2414108 15240826 15240826 1 2189 35871 60441 98502 2728 13397 69670 9200 9153 104148 15443476 24514982 0.98690 0.99110 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 315994 150357 165637 521934 236583 285351 450988 RIGHT-OF-USE LEASE LIABILITIES 12859 12859 X 8452349 0 8452349 209902 209902 8662251 7675663 0 7675663 209902 209902 7885565 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, 2024 AND 2023. 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: IN-KIND DONATIONS 209,902. PART XII, LINE 4B - OTHER ADJUSTMENTS: IN-KIND DONATIONS 209,902. X X X 0 0 0 0 0 0 0 0 0 CURTIS MORTENSON MD MEDICAL DIRECTOR 348288 0 0 0 0 0 13583 0 38986 0 400857 0 0 0 LAURA WALTERS MD PHYSICIAN 306640 0 0 0 0 0 12546 0 25420 0 344606 0 0 0 CRISTIN O'GRADY MD PHYSICIAN 289936 0 0 0 0 0 11874 0 25337 0 327147 0 0 0 CAROL AUSTERMAN EXECUTIVE DIRECTOR 216623 0 10835 0 0 0 8952 0 38986 0 275396 0 0 0 DAVID SILBERGELD MD PHYSICIAN 246980 0 0 0 0 0 10038 0 14363 0 271381 0 0 0 JENNA WALKER FNP NURSE PRACTITIONER 161042 0 0 0 0 0 6600 0 14364 0 182006 0 0 0 ALEXANDRIA AUSTERMAN CHILD OF CAROL AUSTERMAN, EXECUTIVE DIRECTOR 11712 EMPLOYEE COMPENSATION 0 X 42 209902 INVOICE PRICE 0 0 0 0 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 CFO, THE CEO AND THE FINANCE COMMITTEE AND A COPY WAS PROVIDED TO 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 WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR.