Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
EIN 92-0038225 • 501(c)3 • Kodiak, AK
Profile
To elevate the quality of life of the people we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
Liabilities / Revenue
73rd percentile
Higher debt load relative to revenue than 73% of similar nonprofits.
Net Margin
20th percentile
Higher net margin than 20% of similar nonprofits.
Top Officer Pay
63rd percentile
Higher top officer pay than 63% of similar nonprofits.
Top officer pay equals 1.2% of source-year revenue.
Asset Growth
9th percentile
Faster asset growth than 9% of similar nonprofits.
Revenue Growth
21st percentile
Faster revenue growth than 21% of similar nonprofits.
Assets
Down$138,926,822
Down $10,733,258 (-7.2%) from 2023
Liabilities
Down$55,011,140
Down $6,609,853 (-11%) from 2023
Net Assets
Down$83,915,682
Down $4,123,405 (-4.7%) from 2023
Revenue
Down$53,840,746
Down $2,797,047 (-4.9%) from 2023
Expenses
Up$56,910,337
Up $8,351,519 (+17%) from 2023
Net Income
Down-$3,069,591
Down $11,148,566 (-138%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To elevate the quality of life of the people we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $63,413,123 | $64,486,204 | ▲ $1,073,081 |
| Cash and Non-Interest-Bearing Accounts | $57,259,818 | $45,189,437 | ▼ $12,070,381 |
| Savings and Temporary Cash Investments | $15,070,152 | $16,060,965 | ▲ $990,813 |
| Accounts Receivable | $4,992,191 | $7,043,472 | ▲ $2,051,281 |
| Pledges and Grants Receivable | $4,957,231 | $2,211,309 | ▼ $2,745,922 |
| Investments Other Securities | $2,125,184 | $2,147,420 | ▲ $22,236 |
| Prepaid Expenses and Deferred Charges | $221,062 | $531,452 | ▲ $310,390 |
| Intangible Assets | $275,000 | $220,000 | ▼ $55,000 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $149,660,080 | $138,926,822 | ▼ $10,733,258 |
| Other Assets Total | $1,346,319 | $1,036,563 | ▼ $309,756 |
| Liabilities | |||
| Other Liabilities | $43,329,390 | $42,265,225 | ▼ $1,064,165 |
| Accounts Payable and Accrued Expenses | $7,509,742 | $7,034,719 | ▼ $475,023 |
| Deferred Revenue | $10,781,861 | $5,711,196 | ▼ $5,070,665 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $61,620,993 | $55,011,140 | ▼ $6,609,853 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $86,373,720 | $76,189,845 | ▼ $10,183,875 |
| Net Assets With Donor Restrictions | $1,665,367 | $7,725,837 | ▲ $6,060,470 |
| Total Net Assets Fund Balance | $88,039,087 | $83,915,682 | ▼ $4,123,405 |
| Total Liabilities and Net Assets / Fund Balance | $149,660,080 | $138,926,822 | ▼ $10,733,258 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $44,170,309 | $18,681,464 | $61,359,702 |
| Equipment | $16,262,278 | $979,243 | $17,241,521 |
| Land | $3,842,478 | - | $2,423,278 |
| Other Land Buildings | $211,139 | - | $211,139 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Pfeffer | Chief Executive Officer | FT | $572,137 | $90,358 | $662,495 |
| Elise Pletnikoff | Medical Director | FT | $331,506 | $24,595 | $356,101 |
| Evan Jones | Physician | FT | $294,462 | $42,117 | $336,579 |
| Sam Chelmo | Physician | FT | $289,956 | $44,169 | $334,125 |
| Pablo Gonzalez | Dental Director | FT | $271,588 | $36,962 | $308,550 |
| Derek Bowers | Physician | FT | $264,648 | $29,266 | $293,914 |
| Ali Vayani | CFO | FT | $73,818 | $4,196 | $78,014 |
| Jeannine Marsh | Treasurer | PT | $17,500 | - | $17,500 |
| Larry Chichenoff | Director | PT | $17,500 | - | $17,500 |
| Loretta Nelson | Chair | PT | $17,000 | - | $17,000 |
| Alex Panamaroff | Director | PT | $17,000 | - | $17,000 |
| Cheryl Christofferson | Secretary | PT | $17,000 | - | $17,000 |
| Chrislyn Hoen | Director | PT | $17,000 | - | $17,000 |
| Desiree Eluska | Director (Left Oct. 2023) | PT | $17,000 | - | $17,000 |
| Nancy Nelson | Director | PT | $17,000 | - | $17,000 |
| Phyllis Amodo | Vice-Chair | PT | $17,000 | - | $17,000 |
| Stella Krumrey | Director | PT | $13,000 | - | $13,000 |
| Teacon Simeonoff | Director (Started Oct. 2023) | PT | $4,000 | - | $4,000 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Clifton Larson Allen LLP | Legal | 220 South Sixth Street suite 300, Minneapolis, MN 55402 | $930,290 |
| Sonosky Chambers Sachse Miller Mo | Legal | 510 L Street Suite 310, Anchorage, AK 99501 | $430,128 |
| Bdo USA | Accounting | 3601 C St Suite 600, Anchorage, AK 99503 | $253,027 |
| Arctic Chiropractic Physical Medi | Medical | 5701 Lake Otis Parkway Suite 100, Anchorage, AK 99507 | $222,197 |
| Kendall Dealership Holdings LLC | Vehicles | 1950 Gambell Street, Anchorage, AK 99501 | $206,937 |
| Contribution Type | Reported Amount | Valuation Method |
|---|---|---|
| Clothing and Household Goods | $46,817 | Cost |
| Total Noncash Contributions | $46,817 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $29,849,541 |
| Other Expenses | $25,992,677 |
| Grants and Similar Amounts Paid | $1,068,119 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $15,251,035 | $7,182,099 | - | $22,433,134 |
| Fees for Services Other | $4,227,794 | $1,881,504 | - | $6,109,298 |
| Depreciation Depletion | - | $4,109,111 | - | $4,109,111 |
| Other Employee Benefits | $2,315,018 | $1,090,200 | - | $3,405,218 |
| Interest | $377,571 | $2,479,779 | - | $2,857,350 |
| Travel | $1,377,333 | $902,423 | - | $2,279,756 |
| Fees for Services Accounting | $1,309,976 | $665,522 | - | $1,975,498 |
| Payroll Taxes | $1,190,675 | $560,719 | - | $1,751,394 |
| Pension Plan Contributions | $808,880 | $380,922 | - | $1,189,802 |
| Information Technology | $209,029 | $868,879 | - | $1,077,908 |
| Current Officers, Directors, Trustees, and Key Employees | $727,428 | $342,565 | - | $1,069,993 |
| Grants to Domestic Individuals | $962,659 | - | - | $962,659 |
| Office Expenses | $592,551 | $308,354 | - | $900,905 |
| Occupancy | $185,978 | $602,869 | - | $788,847 |
| All Other Expenses | $195,523 | $435,195 | - | $630,718 |
| Other Expenses | $423,181 | $172,657 | - | $595,838 |
| Fees for Services Legal | $279,880 | $142,190 | - | $422,070 |
| Insurance | $48,389 | $317,808 | - | $366,197 |
| Advertising | $14,088 | $92,522 | - | $106,610 |
| Grants to Domestic Orgs | $105,460 | - | - | $105,460 |
| Total Functional Expenses | $41,210,453 | $15,699,884 | $0 | $56,910,337 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $58,861,090 |
| Expenses per Audited Statements | $56,910,337 |
| Total Expenses per Form 990 | $56,910,337 |
| Expenses Not Reported on Form 990 | $1,950,753 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Hospice & Palliative Care of Kodiak | Kodiak, AL | 501(c)(3) | Donation for Hospice & Palliative Care of Kodiak | $20,000 |
| Kodiak Island Borough School District | Kodiak, AK | Government | Youth Sports and Booster Club | $11,600 |
| Sun'aq Tribe of Kodiak | Kodiak, AK | Tribal Gov. | donation for russian new year | $8,000 |
| Line Item | Amount |
|---|---|
| Gaming Gross Income | $3,844,919 |
| Gaming Direct Expenses | $3,467,985 |
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| JeaLENE Johnson | Daughter of Board Member | Wages and Benefits | No | $84,267 |
| Stephanie Brenteson | Daughter of Board Member | Wages and Benefits | No | $47,564 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Bond Payable | $38,420,000 |
| Funds Held for Others | $2,565,234 |
| Other Liabilities | $824,993 |
| Lease Liability | $454,998 |
“Kodiak alaska native association's (kana's) members are the alaska native residents of the kodiak island area.”
“Kana's members elect the board of directors.”
“Prior to filing the form 990, the document is reviewed by the controller and chief executive officer. After any changes have been made based on this review, copies of the completed document are distributed to the finance committee of the board of directors and then the form 990 is submitted to the internal revenue service.”
“Each year directors are required to resubmit their declaration of conflict of interests.”
“The KANA Board of Directors determines compensation of the CEO by evaluating market conditions and salary surveys.”
“At the organization's annual meeting, copies of the financial statements, conflict of interest policy and governing documents are made available for public review.”
“Description:medical services total fees:3689774”
“Description:consultants total fees:1884724”
“Description:ipa/moa total fees:534800”
“Kodiak Area Native Association is exempt from income taxes as a nonprofit corporation under Section 501(c)(3) of the Internal Revenue Code. KANA applies the provisions of Topic 740 of the FASB ASC relating to accounting for uncertainty in income taxes. KANA annually reviews its tax positions taken in accordance with the recognition standards. KANA believes that it has no uncertain tax positions which would require disclosure or adjustment in these financial statements. Accordingly, no provision for income taxes has been made.”
“Rental expenses netted against rental revenue $ 1,950,753”
“Rental expenses netted against rental revenue $ 1,950,753”
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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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 7509742 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7034719 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 4992191 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7043472 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE. |
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| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 14088 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 106610 |
| IRS990/AllOtherContributionsAmt | 0 | 111111 |
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| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 195523 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 630718 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | ALI VAYANI |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9074869800 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3449 REZANOF DRIVE EAST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | KODIAK |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | AK |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 99615 |
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| IRS990/BusinessRlnWithFamMemInd | 0 | true |
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| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 45189437 |
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| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 727428 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 430128 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 253027 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 222197 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 206937 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 510 L Street Suite 310 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 3601 C St Suite 600 |
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| IRS990/Desc | 0 | THE KODIAK AREA NATIVE ASSOCIATION (KANA) IS A TRIBAL ORGANIZATION AND PURSUANT TO THE INDIAN SELF DETERMINATION AND EDUCATION ASSISTANCE ACT, THE INDIAN HEALTH CARE IMPROVEMENT ACT, AND OTHER FEDERAL LAWS PROVIDES HEALTH CARE SERVICES TO ALASKA NATIVES, AMERICAN INDIANS, AND OTHER ELIGIBLE INDIVIDUALS IN THE KODIAK ARCHIPELAGO. THESE SERVICES INCLUDE PRIMARY MEDICAL CARE, DENTAL, COMMUNITY HEALTH AIDE/PRACTITIONER SERVICES, ALCOHOL AND SUBSTANCE ABUSE PREVENTION SERVICES, MENTAL HEALTH CARE, IMMUNIZATIONS, LABRATORY, PHARMACY, REHABILITATIVE SERVICES, AND OTHER SPECIALIZED PROGRAMS THAT PROVIDE A BROAD, COMPREHENSIVE CONTINUUM OF CARE. KANA FACILITATES A WIDE RANGE OF SERVICES DIRECTLY AND IN COOPERATION WITH OTHER AGENCIES THROUGH FIELD CLINICS, REFERRALS, AND OTHER ARRANGEMENTS WITH TRIBAL HEALTH ORGANIZATIONS. |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 90358 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 24595 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 42117 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 44169 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 36962 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 29266 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 4196 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Michael Pfeffer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Elise Pletnikoff |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Evan Jones |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Sam Chelmo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Pablo Gonzalez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Derek Bowers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Ali Vayani |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Jeannine Marsh |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Larry Chichenoff |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Loretta Nelson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Phyllis Amodo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Chrislyn Hoen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Alex Panamaroff |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Nancy Nelson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Desiree Eluska |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Cheryl Christofferson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Stella Krumrey |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Teacon Simeonoff |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 572137 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 331506 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 294462 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 289956 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 271588 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 264648 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 73818 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 17500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 17500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 17000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 13000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 4000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chief Executive Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Dental Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Vice-Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Director (Left Oct. 2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Director (Started Oct. 2023) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1966 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | true |
| IRS990/GamingDirectExpensesAmt | 0 | 3467985 |
| IRS990/GamingGrossIncomeAmt | 0 | 3844919 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 32350277 |
| IRS990/GrantAmt | 0 | 62738 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 962659 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 962659 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 105460 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 105460 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 59259484 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 661693 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 44 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 868879 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 209029 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1077908 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 317808 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 48389 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 366197 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 275000 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 220000 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 2479779 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 377571 |
| IRS990/InterestGrp/TotalAmt | 0 | 2857350 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2729995 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2729995 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2125184 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 2147420 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 129 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 19660707 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 63413123 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 64486204 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 84146911 |
| IRS990/LegalDomicileStateCd | 0 | AK |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 1950753 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 88039087 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 83915682 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 0 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/ExclusionAmt | 0 | 198110 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 376934 |
| IRS990/NetIncomeFromGamingGrp/UnrelatedBusinessRevenueAmt | 0 | 178824 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | -1289060 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -1289060 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -392897 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 86373720 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 76189845 |
| IRS990/NoncashContributionsAmt | 0 | 46817 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 602869 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 185978 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 788847 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 308354 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 592551 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 900905 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1346319 |
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