Civic Intelligence

Mountain View Health Services

990 • Fiscal year 2021 • EIN 85-2391237

Jan 01, 2021 to Dec 31, 2021 • Filed on May 13, 2022

3521 Mountain View DriveAnchorage, AK 99508

(907) 868-1105

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

0.90x

Higher debt load relative to assets than 93% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

85th percentile

0.54x

Higher debt load relative to revenue than 85% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

38th percentile

5.5%

Higher net margin than 38% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

52nd percentile

$9

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2021

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2021

Assets

$381,565

No earlier filing loaded for comparison.

Net Assets

$37,010

No earlier filing loaded for comparison.

Liabilities

$344,555

No earlier filing loaded for comparison.

Revenue

$640,639

No earlier filing loaded for comparison.

Expenses

$605,100

No earlier filing loaded for comparison.

Net Income

$35,539

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0-$500K-$1.0MAssets 2021: $381,565Liabilities 2021: $344,555Net Assets 2021: $37,0102021Assets 2022: $107,310Liabilities 2022: $73,110Net Assets 2022: $34,2002022Assets 2023: $16,342Liabilities 2023: $581,506Net Assets 2023: -$565,1642023Assets 2024: $47,281Liabilities 2024: $530,746Net Assets 2024: -$483,4652024

Highlighted filing

2021

Assets$381,565
Liabilities$344,555
Net Assets$37,010

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MRevenue 2021: $640,639Expenses 2021: $605,100Net Income 2021: $35,5392021Revenue 2022: $1,605,630Expenses 2022: $1,607,531Net Income 2022: -$1,9012022Revenue 2023: $977,232Expenses 2023: $1,568,480Net Income 2023: -$591,2482023Revenue 2024: $767,136Expenses 2024: $743,911Net Income 2024: $23,2252024

Highlighted filing

2021

Revenue$640,639
Expenses$605,100
Net Income$35,539
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
May 13, 2022
Return Version
2021v4.0
Gross Receipts
$640,639
Mission and Program Overview

Mission

To serve the community by providing comprehensive, affordable health care services to those in need.

To promote and operate a non-profit community health clinic; to provide space and services for the general health and welfare of individuals, families and organizations located in South-Central Alaska; and, for other exempt charitable purposes.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,471$87,174▲ $85,703
Accounts Receivable-$39,445-
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$1,471$381,565▲ $380,094
Other Assets Total-$254,946-
Liabilities
Deferred Revenue-$275,832-
Other Liabilities-$51,928-
Accounts Payable and Accrued Expenses-$16,795-
Total Liabilities$0$344,555▲ $344,555
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,471$37,010▲ $35,539
Total Net Assets Fund Balance$1,471$37,010▲ $35,539
Total Liabilities and Net Assets / Fund Balance$1,471$381,565▲ $380,094

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$254,946--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
John Van RavenswaayExecutive DirectorFT$9$9

Board Members and Trustees

NameTitle
Brant SmithPresident
Heather SmithVice President
Jim PoseyDirector
Jan IlutsikTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$370,363
Program Service Revenue
$270,226
Investment Income
$50
Other Revenue
$0
All Other Contributions
$176,195
Change in Net Assets
$35,539
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$400,519
Other Expenses$168,081
Total Fundraising Expense$36,540
Professional Fundraising Fees$36,500
Grants and Similar Amounts Paid$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$313,728$63,282-$377,010
Occupancy$46,864$4,362-$51,226
Fees for Services Professional Fundraising--$36,500$36,500
Office Expenses$30,700$4,975-$35,675
Fees for Services Other$27,633$3,749-$31,382
Information Technology$19,694$8,936-$28,630
Payroll Taxes$8,458$8,195-$16,653
Insurance-$14,654-$14,654
Pension Plan Contributions$4,301$1,098-$5,399
Fees for Services Legal-$1,790-$1,790
Other Employee Benefits-$1,457-$1,457
Other Expenses$1,274$849-$849
Fees for Services Accounting-$650-$650
Advertising-$52$40$92
Total Functional Expenses$452,652$115,908$36,540$605,100
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$36,500
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Kabo Health LLC$43,470
Accrued Leave$8,458
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company

Day to day management of the organization is delegated to Kabo Health LLC by the board of directors. This includes the performance and oversight of medical care, fund-raising, and medical billing.

Form 990, Part VI, Line 11B: Form 990 Review Process

990 is prepared by a contract accountant and reviewed by the bookkeeper and Executive Director before filing.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

All Board members sign a conflict of interest affirmation. All purchases and contracts are approved by Medical director who reviews to ensure no conflict of interest is present.

Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection

990 is made available upon request or on GuideStar.org

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

No documents available to the public.

Filing and Contact Details

Filer

Filer Name
Mountain View Health Services
EIN
85-2391237
Phone
9078681105
Address
3521 Mountain View Drive, Anchorage, AK 99508

Signing Officer

Name
John Van Ravenswaay
Title
Executive Director
Signed
2022-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Van Ravenswaay
Formed
2020
Legal Domicile
Ak
Voting Board Members
3
Independent Board Members
3
Employees
21
Volunteers
20

Preparer

Firm
Melissa K Hartford
Address
6430 Bridget Dr, Anchorage, AK 99502
Preparer
Melissa Hartford
Phone
9078542058
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleG/SupplementalInformationDetail/ExplanationTxt0MVHS contracts Denali FSP, LLC to assist with fundraising for MVHS.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Day to day management of the organization is delegated to Kabo Health LLC by the board of directors. This includes the performance and oversight of medical care, fund-raising, and medical billing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1990 is prepared by a contract accountant and reviewed by the bookkeeper and Executive Director before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2All Board members sign a conflict of interest affirmation. All purchases and contracts are approved by Medical director who reviews to ensure no conflict of interest is present.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3990 is made available upon request or on GuideStar.org
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
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IRS990/TaxablePartyNotificationInd0false
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IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01471
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IRS990/TotalFunctionalExpensesGrp/FundraisingAmt036540
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0115908
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0452652
IRS990/TotalFunctionalExpensesGrp/TotalAmt0605100
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt0344555
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0344555
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01471
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt037010
IRS990/TotalProgramServiceExpensesAmt0452652
IRS990/TotalProgramServiceRevenueAmt0270226
IRS990/TotalReportableCompFromOrgAmt09
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0270276
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0640639
IRS990/TotalVolunteersCnt020
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01471
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0381565
IRS990/TravelGrp/TotalAmt00
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03521 Mountain View Drive
IRS990/USAddress/CityNm0Anchorage
IRS990/USAddress/StateAbbreviationCd0AK
IRS990/USAddress/ZIPCd0995081111
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0www.mtvhs.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0John Van Ravenswaay
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Dir.
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-05-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Mountain View Health Services
ReturnHeader/Filer/BusinessNameControlTxt0MOUN
ReturnHeader/Filer/EIN0852391237
ReturnHeader/Filer/PhoneNum09078681105
ReturnHeader/Filer/USAddress/AddressLine1Txt03521 Mountain View Drive
ReturnHeader/Filer/USAddress/CityNm0Anchorage
ReturnHeader/Filer/USAddress/StateAbbreviationCd0AK
ReturnHeader/Filer/USAddress/ZIPCd099508
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Melissa K Hartford
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt06430 Bridget Dr
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Anchorage
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd099502
ReturnHeader/PreparerPersonGrp/PhoneNum09078542058
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Melissa Hartford
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02022-05-13T16:26:35-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0John Van
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Ravenswaay
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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