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Maniilaq Association

PO Box 256
Kotzebue, AK 99752
EIN: 920041461
Individual Facility Details: Maniilaq Health Center
436 5th Avenue
Kotzebue, AK 99752
1 hospital in organization:
(click a facility name to update Individual Facility Details panel)
Bed count17Medicare provider number021310Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Maniilaq AssociationDisplay data for year:

Community Benefit Spending- 2015
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
0%
Spending by Community Benefit Category- 2015
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2015
Additional data

Community Benefit Expenditures: 2015

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 109,090,237
      Total amount spent on community benefits
      as % of operating expenses
      $ 0
      0 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 0
        0 %
        Medicaid
        as % of operating expenses
        $ 0
        0 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 0
        0 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2015

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 0
        0 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyYES
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2015

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?Not available
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?NO
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?NO
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?NO

    Supplemental Information: 2015

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 94118204 including grants of $ 2874865) (Revenue $ 43565823)
      Provide health services through a regional hospital and village clinics, social services through support to individuals and training, direct tribal support & cultural training.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      PART V, LINE 6A - OTHER HOSPITAL FACILITIES JOINTLY CONDUCTED ASSESSMENT.
      
      PART V, LINE 11 - IDENTIFYING CHNA SIGNIFICANT NEEDS:
      PRIORITIZATION OF HEALTH NEEDS IN THE COMMUNITIES.
      PART V, LINE 11 - IDENTIFYING CHNA SIGNIFICANT NEEDS:
      PRIORITIZATION OF HEALTH NEEDS IN THE COMMUNITIES.
      PART V, LINE 20E - OTHER ACTIONS TAKEN BEFORE COLLECTIONS:
      SEND NOTICE WITH BILLS/INVOICES.
      PART V, LINE 20E - OTHER ACTIONS TAKEN BEFORE COLLECTIONS:
      SEND NOTICE WITH BILLS/INVOICES.
      PART V, LINE 22D - OTHER BILLING DETERMINATION IF NO INSURANCE:
      CHARGES ESTABLISHED OR PUBLISHED USING STANDARD CHARGE RATES ADJUSTED FOR GEOLOGICAL DIFFERENCES. SLIDING FEE SCHEDULE USED BASED ON PERCENTAGE OF FPL. NATIVE BENEFICIARY STATUS FOR ADJUSTING CHARGES TO QUALIFIED ALASKAN NATIVES/ AMERICAN INDIANS.
      PART V, LINE 22D - OTHER BILLING DETERMINATION IF NO INSURANCE:
      CHARGES ESTABLISHED OR PUBLISHED USING STANDARD CHARGE RATES ADJUSTED FOR GEOLOGICAL DIFFERENCES. SLIDING FEE SCHEDULE USED BASED ON PERCENTAGE OF FPL. NATIVE BENEFICIARY STATUS FOR ADJUSTING CHARGES TO QUALIFIED ALASKAN NATIVES/ AMERICAN INDIANS.
      PART V, LINE 24 - CHARGE PATIENTS AMOUNT EQUAL GROSS CHARGE FOR SERVICE:
      NON-BENEFICIARY/BENEFICIARY PATIENTS WITHOUT A PAYER AND WHO ARE INELIGIBLE FOR DISCOUNTED SERVICES ARE BILLED FOR FULL CHARGE OF SERVICES.
      PART V, LINE 24 - CHARGE PATIENTS AMOUNT EQUAL GROSS CHARGE FOR SERVICE:
      NON-BENEFICIARY/BENEFICIARY PATIENTS WITHOUT A PAYER AND WHO ARE INELIGIBLE FOR DISCOUNTED SERVICES ARE BILLED FOR FULL CHARGE OF SERVICES.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART III, LINE 4 - BAD DEBT EXPENSE:
      MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A PROVISION FOR BAD DEBT EXPENSE AND AN ADJUSTMENT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.
      PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT:
      MANIILAQ FILES THE METHOD E COST REPORT THAT UTILIZES AN ANCILLARY COST RATIO TO DEVELOP COSTS FOR MEDICARE APPORTIONMENT.
      PART VI - NEEDS ASSESSMENT:
      THE BOARD OF DIRECTORS IS A COMMUNITY BASED BOARD, WHICH MEETS EVERY TWO MONTHS AND REVIEWS PATIENT SURVEYS AND HEALTH INDICATORS, SUCH AS IN REGIONAL PROFILE.
      PART VI - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:
      PATIENTS ARE INFORMED DURING THE TIME OF REGISTRATION. FINANCIAL COUNSELORS ASSIST WITH APPLICATIONS FOR MEDICAID/MEDICARE. SLIDING FEE SCALE FOR ELIGIBILITY (INCOME BASED).
      PART VI - COMMUNITY INFORMATION:
      SERVE RESIDENTS IN TWELVE COMMUNITIES OF LARGE GEOGRAPHICALLY REMOTE REGION. EACH OF THE TWELVE CLINICS ARE LOCATED IN EACH COMMUNITY. MANIILAQ UTILIZES ITINERANT PROVIDERS. MANIILAQ FUNDED PATIENT TRAVEL TO ALLOW CORRECT LEVEL OF CARE IS SIGNIFICANT PORTION OF BUDGET.
      PART VI - EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE:
      MANIILAQ IS THE SOLE PROVIDER OF HEALTH AND SOCIAL SERVICES IN THE REGION. NEW AND EXPANDED FACILITIES PROVIDE SPACE FOR HEALTH SERVICES EXPANSIONS AND IMPROVED SERVICES (I.E.: NEWSKILLED NURSING FACILITIES, PHYSICAL THERAPY SUITE, EXPANDED/SPECIALTY SERVICES.
      PART VI - STATES WHERE COMMUNITY BENEFIT REPORT FILED:
      ALASKA.