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Nonprofiteer
← ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

Form 990 for tax year 2022

Filed by ALASKA NATIVE TRIBAL HEALTH CONSORTIUM.

Totals

Total revenue
$904,177,720
Total expenses
$845,571,117
Contributions and grants received
$354,842,555
Grants paid
$31,843,237
Program service revenue
$471,890,469
Investment income
$48,355,536
Other revenue
$29,089,160
Total assets, end of year
$1,681,089,306
Total liabilities, end of year
$769,524,272
Net assets or fund balances, end of year
$911,565,034
Program services expenses (Part IX)
$791,660,852
Management and general expenses
$53,910,265
Fundraising expenses
$0
Program service expenses (Part III)
$791,660,852

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $598,236

  • 1e · Government grants (contributions)

    $342,149,696

  • 1f · All other contributions, gifts and grants

    $12,094,623

  • 2a · Program service revenue: PATIENT REVENUE

    total $442,585,020 · related or exempt $442,585,020

  • 2b · Program service revenue: PATIENT TRAVEL

    total $14,100,374 · related or exempt $14,100,374

  • 2c · Program service revenue: PATIENT HOUSING

    total $7,904,245 · related or exempt $7,904,245

  • 2d · Program service revenue: ARUC UTILITY REVENUE

    total $5,430,729 · related or exempt $5,430,729

  • 2e · Program service revenue: CLINICS STAFFING

    total $1,328,010 · related or exempt $1,328,010

  • 2f · All other program service revenue

    total $542,091 · related or exempt $542,091

  • 3 · Investment income

    total $32,460,550 · excluded $32,460,550

  • 6a · Gross rents

    real property $3,702,008

  • 6b · Less rental expenses

    real property $4,822,840

  • 6c · Rental income or loss

    real property -$1,120,832

  • 6d · Net rental income or loss

    total -$1,120,832 · unrelated business -$173,328 · excluded -$947,504

  • 7a · Gross sales of assets other than inventory

    securities $285,442,188 · other assets $156,121

  • 7b · Less cost or other basis and sales expenses

    securities $269,661,523 · other assets $41,800

  • 7c · Gain or loss

    securities $15,780,665 · other assets $114,321

  • 7d · Net gain or loss

    total $15,894,986 · excluded $15,894,986

  • 10a · Gross sales of inventory

    $2,532,926

  • 10b · Cost of goods sold

    $2,114,119

  • 10c · Net income from sales of inventory

    total $418,807 · related or exempt $418,807

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $26,816,825 · related or exempt $26,816,825

  • 11b · Other revenue: HOTEL OPERATIONS

    total $2,974,360 · unrelated business $1,224,390 · excluded $1,749,970

  • 11e · Other revenue, total

    $29,791,185

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $31,750,737 · program services $31,750,737

  • 2 · Grants to domestic individuals

    total $92,500 · program services $92,500

  • 5 · Compensation of officers, directors and key employees

    total $3,923,058 · management and general $3,923,058

  • 7 · Other salaries and wages

    total $386,929,528 · program services $315,070,270 · management and general $71,859,258

  • 8 · Pension plan contributions

    total $16,327,958 · program services $12,529,743 · management and general $3,798,215

  • 9 · Other employee benefits

    total $27,768,922 · program services $19,353,197 · management and general $8,415,725

  • 10 · Payroll taxes

    total $22,908,630 · program services $17,425,366 · management and general $5,483,264

  • 11b · Fees: legal

    total $3,198,488 · program services $40,463 · management and general $3,158,025

  • 11c · Fees: accounting

    total $2,366,286 · management and general $2,366,286

  • 11f · Fees: investment management

    total $275,078 · management and general $275,078

  • 11g · Fees: other

    total $147,968,783 · program services $93,589,978 · management and general $54,378,805

  • 12 · Advertising and promotion

    total $511,027 · program services $180,707 · management and general $330,320

  • 13 · Office expenses

    total $7,848,011 · program services $5,346,525 · management and general $2,501,486

  • 14 · Information technology

    total $4,756,542 · program services $1,247,464 · management and general $3,509,078

  • 16 · Occupancy

    total $10,486,935 · program services $9,670,931 · management and general $816,004

  • 17 · Travel

    total $9,985,018 · program services $9,685,347 · management and general $299,671

  • 20 · Interest

    total $639,848 · program services $626,443 · management and general $13,405

  • 22 · Depreciation, depletion and amortization

    total $24,227,743 · program services $9,613,802 · management and general $14,613,941

  • 23 · Insurance

    total $2,219,051 · management and general $2,219,051

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $75,454,875 · program services $74,362,966 · management and general $1,091,909

  • 24b · Other expenses: CONTRACT HEALTH

    total $17,150,864 · program services $17,150,864

  • 24c · Other expenses: MINOR EQUIPMENT

    total $13,762,580 · program services $7,887,183 · management and general $5,875,397

  • 24d · Other expenses: INDIRECT COSTS ALLOCATI

    total $0 · program services $144,287,612 · management and general -$144,287,612

  • 24e · All other expenses

    total $35,018,655 · program services $21,748,754 · management and general $13,269,901

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $481,852,653 · end of year $690,114,532

  • 3 · Pledges and grants receivable

    beginning of year $95,483,477 · end of year $111,912,544

  • 4 · Accounts receivable

    beginning of year $74,256,259 · end of year $104,365,023

  • 8 · Inventories for sale or use

    beginning of year $14,256,780 · end of year $14,460,569

  • 9 · Prepaid expenses and deferred charges

    beginning of year $17,023,724 · end of year $23,173,295

  • 10a · Land, buildings and equipment: cost or other basis

    $606,909,693

  • 10b · Land, buildings and equipment: accumulated depreciation

    $246,357,302

  • 10c · Land, buildings and equipment, net

    beginning of year $345,244,753 · end of year $360,552,391

  • 11 · Investments: publicly traded securities

    beginning of year $244,121,412 · end of year $369,065,769

  • 15 · Other assets

    beginning of year $0 · end of year $7,445,183

  • 17 · Accounts payable and accrued expenses

    beginning of year $108,289,229 · end of year $124,888,118

  • 19 · Deferred revenue

    beginning of year $270,530,148 · end of year $601,179,748

  • 23 · Secured mortgages and notes payable

    beginning of year $26,083,549 · end of year $31,751,932

  • 24 · Unsecured notes and loans payable

    beginning of year $2,055,349 · end of year $843,354

  • 25 · Other liabilities

    beginning of year $3,828,421 · end of year $10,861,120

  • 27 · Net assets without donor restrictions

    beginning of year $861,452,362 · end of year $911,565,034

Mission and programs · 2022

Mission

OPTIMIZING HEALTH AND WELL-BEING THROUGH COLLABORATIVE PARTNERSHIPS AND SERVICES.

  • ALASKA NATIVE MEDICAL CENTER - ANMC IS THE LARGEST OPERATING DIVISION OF THE CONSORTIUM AND INCLUDES A 182-BED LEVEL II TRAUMA CENTER (ACUTE CARE FACILITY), AS WELL AS SIGNIFICANT MULTI-SPECIALTY, PRIMARY, AND BEHAVIORAL HEALTH CARE SERVICES. AS A STATEWIDE REFERRAL CENTER, ANMC PROVIDES A 200-ROOM (259 BEDS) PATIENT HOUSING, AS WELL AS OTHER TRAVEL, LODGING, AND RELATED SERVICES.

    Expenses $602,791,676 · Revenue $452,626,322

  • ENVIRONMENTAL HEALTH AND ENGINEERING - PROVIDES DIRECT ASSISTANCE AND SUPPORT IN THE DEVELOPMENT AND CONSTRUCTION OF QUALITY WATER AND SANITARY WASTE DISPOSAL SYSTEMS; PROVIDES TECHNICAL ASSISTANCE FOR OCCUPATIONAL HEALTH AND SAFETY, EMPLOYEE HEALTH, RECRUITING, AND ENVIRONMENTAL IMPACT ISSUES.

    Expenses $115,384,720 · Grants $15,143,244 · Revenue $24,132,928

  • COMMUNITY HEALTH SERVICES - OVERSEES, TRAINS, ASSESSES AND PROVIDES TECHNICAL ASSISTANCE IN THE AREAS OF PUBLIC HEALTH AND COMMUNITY-BASED HEALTH SERVICES FOR TRIBES AND TRIBAL HEALTH ORGANIZATIONS

    Expenses $42,770,940 · Grants $8,299,462 · Revenue $1,687,703

  • TRIBAL SUPPORT SERVICES AND JOINT VENTURE & SUBSIDIARY REVENUE.

    Expenses $30,713,516 · Grants $8,400,531 · Revenue $20,679,148

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • ROBERT P ONDERS

    ANMC HOSPITAL ADMIN. (THRU 11/22)

    Total calculated
    $1,086,088
    From this org
    $1,031,282
    From related orgs
    $0
    Other
    $54,806
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $553,953
    Bonus
    $188,367
    Other
    $288,962
    Deferred
    $33,669
    Nontaxable benefits
    $21,137
    Filer's total
    $1,086,088

  • VALERIE DAVIDSON

    PRESIDENT/CEO

    Total calculated
    $1,076,560
    From this org
    $998,518
    From related orgs
    $0
    Other
    $78,042
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $842,518
    Bonus
    $156,000
    Other
    $0
    Deferred
    $62,400
    Nontaxable benefits
    $15,642
    Filer's total
    $1,076,560

  • THOMAS C KELLER

    PHYSICIAN ORTHOPEDIC SURGEON

    Total calculated
    $1,069,861
    From this org
    $981,215
    From related orgs
    $0
    Other
    $88,646
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $978,149
    Bonus
    $3,066
    Other
    $0
    Deferred
    $65,487
    Nontaxable benefits
    $23,159
    Filer's total
    $1,069,861

  • JASON A CAPO

    MEDICAL DIRECTOR - ORTHOPEDICS

    Total calculated
    $1,053,796
    From this org
    $966,545
    From related orgs
    $0
    Other
    $87,251
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $963,679
    Bonus
    $2,866
    Other
    $0
    Deferred
    $66,088
    Nontaxable benefits
    $21,163
    Filer's total
    $1,053,796

  • RYAN T MOORE

    PHYSICIAN ORTHOPEDIC SURGEON

    Total calculated
    $1,041,632
    From this org
    $954,734
    From related orgs
    $0
    Other
    $86,898
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $951,943
    Bonus
    $2,791
    Other
    $0
    Deferred
    $65,404
    Nontaxable benefits
    $21,494
    Filer's total
    $1,041,632

  • ERIC K LIM

    PHYSICIAN ORTHOPEDIC SURGEON

    Total calculated
    $1,001,967
    From this org
    $915,554
    From related orgs
    $0
    Other
    $86,413
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $913,013
    Bonus
    $2,541
    Other
    $0
    Deferred
    $63,185
    Nontaxable benefits
    $23,228
    Filer's total
    $1,001,967

  • CHAD M FERGUSON

    PHYSICIAN ORTHOPEDIC SURGEON

    Total calculated
    $996,844
    From this org
    $909,537
    From related orgs
    $0
    Other
    $87,307
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $906,761
    Bonus
    $2,776
    Other
    $0
    Deferred
    $63,696
    Nontaxable benefits
    $23,611
    Filer's total
    $996,844

  • DWAIN STILSON

    CFO

    Total calculated
    $822,024
    From this org
    $805,626
    From related orgs
    $0
    Other
    $16,398
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $643,676
    Bonus
    $161,950
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $16,398
    Filer's total
    $822,024

  • MARISSA FLANNERY

    FORMER VP OF LEGAL AFFAIRS

    Total calculated
    $411,154
    From this org
    $381,775
    From related orgs
    $0
    Other
    $29,379
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $272,035
    Bonus
    $0
    Other
    $109,740
    Deferred
    $21,816
    Nontaxable benefits
    $7,563
    Filer's total
    $411,154

  • WALTER JIM

    VICE CHAIR

    Total calculated
    $67,288
    From this org
    $67,288
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • CHARLENE NOLLNER

    SECRETARY

    Total calculated
    $64,500
    From this org
    $64,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    15 + 4 related

  • DIANA L ZIRUL

    DIRECTOR (THRU 10/22)

    Total calculated
    $58,288
    From this org
    $58,288
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • BERNICE KAIGELAK

    TREASURER

    Total calculated
    $57,712
    From this org
    $57,712
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • ANDREW JIMMIE

    DIRECTOR

    Total calculated
    $53,712
    From this org
    $53,712
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • CHIEF GARY HARRISON

    DIRECTOR

    Total calculated
    $53,500
    From this org
    $53,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • PRESTON ROOKOK

    DIRECTOR

    Total calculated
    $49,000
    From this org
    $49,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • LORETTA S NELSON

    DIRECTOR

    Total calculated
    $48,500
    From this org
    $48,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • MARK SNIGAROFF

    DIRECTOR

    Total calculated
    $48,500
    From this org
    $48,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • ROBERT HENRICHS

    FORMER DIRECTOR (THRU 8/22)

    Total calculated
    $41,973
    From this org
    $41,973
    From related orgs
    $0
    Other
    $0
    Hours/week
    9 + 4 related

    Schedule J breakdown matched by us

    Base
    $41,973
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $41,973

  • LORENA J WALKER

    FORMER DIRECTOR (THRU 7/22)

    Total calculated
    $36,631
    From this org
    $36,631
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

    Schedule J breakdown matched by us

    Base
    $36,631
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $36,631

  • FRANCIS NORMAN

    DIRECTOR

    Total calculated
    $10,739
    From this org
    $10,739
    From related orgs
    $0
    Other
    $0
    Hours/week
    9 + 4 related

  • GAYLEN HANNA

    DIRECTOR (THRU 10/22)

    Total calculated
    $9,870
    From this org
    $9,870
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • TANYA M KIRK

    DIRECTOR

    Total calculated
    $4,000
    From this org
    $4,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • CHARLES CLEMENT

    DIRECTOR (THRU 1/23)

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • CORINA LYNN EWAN

    DIRECTOR

    Total calculated
    $1,000
    From this org
    $1,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    9

  • KIMBERLEY ANN STRONG

    CURRENT CHAIR

    Total calculated
    $0
    Hours/week
    9

  • ALONZO LEISHOLMN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    9

  • APRIL KYLE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    9 + 4 related

  • ROBERT CLARK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    9

  • MATILDA J HARDY

    ALTERNATIVE DIRECTOR

    Total calculated
    $0
    Hours/week
    9

  • HEATHER PAYENNA

    ALTERNATIVE DIRECTOR

    Total calculated
    $0
    Hours/week
    9

  • JESSICA MATA RUKOVISHNIKOFF

    ALTERNATIVE DIRECTOR

    Total calculated
    $0
    Hours/week
    9

  • MARGIE NELSON

    ALTERNATIVE DIRECTOR (THRU 11/22)

    Total calculated
    $0
    Hours/week
    9

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
FIRST CLASS TRAVEL MUST BE AUTHORIZED. GENERALLY, ANTHC ALLOWS FOR THE UPGRADE ONLY IF IT IS NECESSARY OR OTHERWISE CONSISTENT WITH LEGITIMATE BUSINESS PURPOSE, SUCH PURPOSES INCLUDE, BUT ARE NOT LIMITED TO, SCHEDULES TO/FROM ANCHORAGE ARE OTHERWISE FULL; IT WOULD REDUCE THE TOTAL COST OF THE TRIP. THE COST OF THE UPGRADE IS COMPARED TO A FULL FARE/REIMBURSABLE TICKET AS WELL AS POTENTIAL SAVINGS FOR LEAVING RATHER THAN STAYING OVER NIGHT. SCHEDULED FLIGHTS BETWEEN ANCHORAGE AND THE EAST COAST ARE CHALLENGING TO ALIGN FOR APPROPRIATE TIMES. OFFICERS TYPICALLY HAVE AN ADDITIONAL LEG WHEN GOING TO REMOTE SITES IN ALASKA. ANTHC PROVIDES HOUSING FOR CERTAIN MEMBERS OF THE WORKFORCE WHO DO NOT RESIDE WITHIN COMMUTING DISTANCE OF ANCHORAGE, BUT WHO ARE REQUIRED TO BE ON SITE TO PERFORM THEIR RESPONSIBILITIES. THE VALUE OF HOUSING IS REPORTED AS TAXABLE COMPENSATION IN PART II COLUMN (B)(III).
PART I, LINE 4A
TWO EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED SEVERANCE. ADDITIONAL DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST.
PART I, LINE 7
ANTHC PAYS BONUSES TO EXECUTIVES IN ACCORDANCE WITH THEIR EXECUTIVE AGREEMENTS. THE AGREEMENT INDICATES THAT PERFORMANCE-BASED COMPENSATION IS BASED UPON A PERCENTAGE OF THE EXECUTIVES BASE SALARY ANNUALLY AT ANTHC'S SOLE AND COMPLETE DISCRETION BASED ON INDIVIDUAL, DEPARTMENTAL AND/OR ORGANIZATIONAL PERFORMANCE. BONUSES ARE FINAL REVIEWED BY CFO THEN APPROVED BY PRESIDENT/CEO.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • AFHCAN GLOBAL TELEHEALTH SOLUTIONS LLC

    COMPUTER AND COMPUTER PERIPHERAL EQUIPMENT AND SOFTWARE MERCHANT · AK · income $0 · assets $0

    Directly controlled by ALASKA NATIVE RESOURCE DEVELOPMENT LLC

  • ALASKA NATIVE RESOURCE DEVELOPMENT LLC

    CORPORATE, SUBSIDIARY, AND REGIONAL MANAGING OFFICES · AK · income $9,724,003 · assets $75,264,950

    Directly controlled by ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

  • U-LAND LLC

    HOLD REAL ESTATE · AK · income $6,840,941 · assets $74,706,317

    Directly controlled by ALASKA NATIVE RESOURCE DEVELOPMENT LLC

  • UNIVERSITY LAKE HOTEL LLC

    HOTEL · AK · income $6,840,941 · assets $27,984,166

    Directly controlled by ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

  • ACTIVE THERMOSIPHON LLC

    INACTIVE · AK · income $0 · assets $0

    Directly controlled by ALASKA NATIVE RESOURCE DEVELOPMENT LLC

  • U-BUILDING ONE LLC

    HOLD REAL ESTATE · AK · income $4,271,809 · assets $29,510,889

    Directly controlled by U-LAND LLC

  • U-BUILDING TWO LLC

    HOLD REAL ESTATE · AK · income $1,686,069 · assets $17,294,032

    Directly controlled by U-LAND LLC

  • U-LAND GLENN LLC

    HOLD REAL ESTATE · AK · income $2,115,400 · assets $23,903,866

    Directly controlled by U-LAND LLC

  • U-LAND GRACE LLC

    HOLD REAL ESTATE · AK · income $1,279,094 · assets $11,719,496

    Directly controlled by U-LAND LLC

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202442289349303834

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