A R C T I C S L O P E N A T I V E A S S O C I A T I O N

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table of con t en ts

M I S S I O N & V I S I O N

F R O M L E A D E R S H I P

B O A R D O F D I R E C T O R S

S P E C I A L R E C O G N I T I O N O F B E R N I C E K A I G E L A K , L O N G E S T S E R V I N G C H A I R

S A M U E L S I M M O N D S M E M O R I A L H O S P I T A L G O V E R N I N G C O M M I T T E E

A R C T I C S L O P E N A T I V E A S S O C I A T I O N @ 5 0 : History

This is 50

2 0 1 5 A S N A M I L E S T O N E S : Construction Department

2015 Healthy Living Summit & Service Awards Let's Move It! Campaign

2 0 1 5 S S M H H I G H L I G H T S :The Joint Commission Swing Bed Accreditation

New Eye Care Center Opened Dental School-Based Village Prevention Program

Implementation of Over-the-Counter Medications for SaleVillage Health Program

Our People

B Y T H E N U M B E R S

S O C I A L S E R V I C E S H I G H L I G H T S

F I N A N C I A L S

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mission & v ision

A R C T I C S L O P E N AT I V E A S S O C I AT I O N ( A S N A ) is an Alaska Native-owned, non-profit, tribal health and social services organization based in the northernmost region of Alaska, serving the villages of Anaktuvuk Pass, Atqasuk, Barrow, Kaktovik, Nuiqsut, Point Hope, Point Lay, and Wainwright. Formed in 1965, by original found-ers Samuel Simmonds, Guy Okakok, Sr., and Charles Etok Edwardsen, Jr., ASNA was originally created to help protect the lands of the Arctic Slope region, beginning the process that led to the passage of the Alaska Native Land Claims Settlement Act.

Today, ASNA manages the Samuel Simmonds Memorial Hospital, the only critical ac-cess hospital and Level IV trauma center within the region. We also offer assisted living, dental services, eye care, social service programs, health education, disease prevention programs and more.

M I S S I O N

Our mission is to promote the health and well-being of the people of the Arctic Slope.

V I S I O N

The people of the Arctic Slope are healthy and content.

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“We’d better start doing somethingabout our land, or else we won’t be able to roam the country and hunt.”

– Charles Etok Edwardsen, Jr., Founder & Past Executive Director

F R O M L E A D E R S H I P I N 1 9 6 5 , Charles Etok Edwardsen, Jr., Guy Okakok, Sr., and Samuel Simmonds would form an organization dedicat-ed to self-determination in the fight for land claims. There was no paid staff, not yet a board of directors, but the pur-pose was clear: the formation of Arctic Slope Native Association was a quest for self-determination.

The first meeting would be held in January of 1966. In a short time frame, ASNA would file claim to some 56 million acres of land. On March 11, 1970, members of ASNA signed a letter authorizing their attorneys to “start any and all lawsuits for the protection of our land.” This bold statement was deliv-ered to state and federal leaders, including the President of the United States, ensur-ing that our land was not unjustly or unfair-ly removed from the hands of the people who had called this place home for as long as our collective memory could recall.

Like many of our fellow tribal health organi-zations, Arctic Slope Native Association has evolved and grown in response to changes in our community over the last 50 years.

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le adership

Today, with nearly 300 employees, a nine-member board of directors and over $62 million in revenue, ASNA has grown considerably from its early days, yet we remain a relatively small organization, though mighty in our mission.

For fifty years, ASNA has been the leading tribal organization to serve the eight tribes of the Arctic Slope region. First, with our fight on land claims is-sues to our mission today promoting the health and well-being of the peo-ple of the Arctic Slope.

Over the life span of this organization, we may have changed our mission, form, and undertakings, but we have remained true to our goal — improve the lives of people of the Arctic Slope with locally planned and locally run programs.

Our commitment remains constant and our growth steadfast.

Among our accomplishments this past year include becoming accredited for swing bed status as part of an effort to keep people closer to home as they recover. We continue to expand ser-vices for our members with the open-ing of the eye clinic and an increased number of specialty clinics. Through a joint agreement with the North Slope Borough, we are now the provider of care of Aimaaġvik Assisted Living. We also formed a partnership with the Arctic Education Foundation to hon-or our early founders, Charles Etok Edwardsen, Jr., and Guy Okakok, Sr., by providing scholarships to students

pursuing health-related and social work careers in an effort to grow more home-grown providers. And while our services continue to increase, so does our staffing and capacity as an organization.

In the coming years, this growth will not cease. We are committed to providing more care closer to home, finding inno-vative solutions in housing through our construction department, improving the patient experience and more. In many ways we are no longer settling into SSMH, but looking forward to what we can do to improve, grow and sustain operations.

With great respect for the foundation set by our early leaders, “We look forward to our continued success over the next 50 years.”

Quyanaq,

T H O M A S O L E M A U N , Interim Board Chair

M A R I E C A R R O L L , President and Chief Executive Officer

“Initially it was established a nonprofit for the benefit of the North Slope and the Iñupiaq people, in that regard, it is true to its purpose. Whether it was assisting or leading the effort with Alaska Native Claims Settlement Act or as a service provider on behalf of the government for the Iñupiaq people under the self-determination act.”

– Bobbi Quintavell, Past Executive Director

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S P E C I A L R E C O G N I T I O N O F B E R N I C E K A I G E L A K

Longest Serving Chair

B E R N I C E K A I G E L A K O F N U I Q S U T , Alaska previously served as Chair on the ASNA Board of Directors from 2006 until June 2015 and began as a board member in 1994. She became Chair shortly after the passing of former Chair Joseph Upicksoun. Bernice also served on the Alaska Native Tribal Health Consortium Board and Joint Operating Board that oversees the Alaska Native Medical Center.

One of the primary goals for the Board during her tenure was to replace the 50-year-old Samuel Simmonds Memorial Hospital. With the leadership of former Chair Joseph Upicksoun and her as suc-cessor, that goal was accomplished when the new hospital opened for service in September 2013.

Quyanaqpak Aviuk for your longtime ser-vice and dedication to the Arctic Slope Native Association.

O U R L E A D E R S H I P

ASNA Board of Directors Interim Board Chair T H O M A S O L E M A U N Native Village of Barrow

Treasurer, At-Large L I L L I A N L A N E Native Village of Point Hope

Secretary I S A B E L N A S H O O K P U K Wainwright Traditional Council

Sergeant at Arms H E R M A N K I G N A K , S R . Native Village of Atqasuk

A N N A N A G E A K Naqsragmiut Tribal Council

S A M U E L K U N A K N A N A Native Village of Nuiqsut

N A N C Y O V I O K Native Village of Point Hope

L I L Y A N N I S K E T T Native Village of Point Lay

V A C A N T Native Village of Kaktovik

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S A M U E L S I M M O N D S M E M O R I A L H O S P I TA L

Governing Committee

T H E A S N A B O A R D formed a hospital governing committee to specifically oversee SSMH operations; the govern-ing committee includes tribal council representatives, the ASNA President/CEO, the SSMH Hospital Administrator, the SSMH Chief of Staff, and the North Slope Borough Director of Health & Social Services.

Chairperson T H O M A S O L E M A U N Native Village of Barrow

I S A B E L N A S H O O K P U K Wainwright Traditional Council

H E R M A N K I G N A K , S R . Native Village of Atqasuk

L I L Y A N N I S K E T T Native Village of Point Lay

S A M U E L K U N A K N A N A Native Village of Nuiqsut

M A R I E C A R R O L L ASNA President/CEO

R I C H A R D H A L L SSMH Hospital Administrator

D R . B A R B A R A M E D L I N SSMH Chief of Staff

D O R E E N L E A V I T T North Slope Borough Director of Health

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H I S T O R Y

T H E A R C T I C S L O P E Native Association story is a story of self-determination.

In October of 1965, in the heart of a con-tentious battle over land rights, Charles Etok Edwardsen, Jr., Samuel Simmonds, and Guy Okakok, Sr., formed a new or-ganization to fight for title to the land of the Arctic Slope for the Iñupiat people. Eben Hopson, Sr., was tapped as the first Executive Director.

They called the organization the Arctic Slope Native Association, or ASNA.

In mid-January of 1966, they held their first meeting in Barrow to claim some 56 million acres across the region. Two years later, the oil discovery at Prudhoe Bay would bring the land-fight to a fevered pitch — with a new need to build a pipe-line across Alaska Native lands to bring billions of barrels of oil to market.

Congress redoubled its efforts to find a solution, crafting dozens of bills with

the oil industry itself proposing its own settlements. While other Native associ-ations were ready to concede, one held firm — aiming for a settlement based on the land’s value, not just its number of residents.

By the time the Alaska Native Claims Settlement Act, or ANCSA, was signed into law in 1971, the settlement some-what incorporated the perspective of the size of the land and its value.

In 2015, we celebrated our 50th year as an organization; ASNA is now the primary provider of health care and social ser-vices in northern Alaska.

Over its lifespan, our organization has changed its form, activities, and mission. But it has remained true to its goal: to improve the lives of the people of the Arctic Slope through locally planned and locally run programs.

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October 1965 Acting under the ASNA name, Charles Edwardsen, Jr., Guy Okakok, Sr., and Samuel Simmonds file claim to 56 million acres for the Iñupiat people.

1965 Eben Hopson, Sr., becomes the first Executive Director of ASNA.

January 18, 1966 Attorney Fred Paul files land claims on behalf of ASNA in the U.S. Department of the Interior.

1969 Joseph Upicksoun becomes Executive Director of ASNA.

December 18, 1971 Following acceptance by the Alaska Federation of Natives (AFN) Convention, President Nixon signs the Alaska Native Claims Settlement Act (ANCSA) into law. ANCSA provisions include 40 million acres of land and $962.5 million compensation for lands lost to be shared among the 12 different regions represented by AFN.

1985-1991 ASNA inactive

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1965

1991 With start-up grants from Arctic Slope Regional Corporation and the North Slope Borough (NSB), ASNA is reactivated to pursue goals of self-determination for health and social service programs.

1992 As a non-profit tribal organization, ASNA becomes eligible under federal law PL 93-638 (Indian Self-Determination and Education Act) to receive federal money to provide programs that had traditionally been provided by the Bureau of Indian Affairs.

Roberta “Bobbi” Quintavell is named Executive Director.

1993 ASNA takes over management of the Medical Travel and Funeral Assistance Program.

1995-1996 ASNA Hospital Governing Board is created, representing the first time there is local governance of all hospital operations.

March 15, 1996 Control and management of the hospital is transferred from Indian Health Service to ASNA under the Indian Self-Determination and Education Assistance Act, Public Law 93-638 as amended, 26 U.S.C. 450 et. seq.

1997 Eben Hopson, Jr., is named ASNA Executive Director, and later as President/CEO.

October 1, 1998 ASNA takes over the dental and eye clinics, transferred from NSB.

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June 2007 After 10 years as ASNA President/CEO, Eben Hopson, Jr., retires. The Board names Marie Carroll, Vice President for Health Services, to succeed him.

September 19, 2013 ASNA hosts a ribbon cutting ceremony to honor the tribes and local leaders who contributed to the new hospital project.

September 21, 2013 The doors open for service at the new Samuel Simmonds Memorial Hospital.

January 26, 2015 SSMH celebrates its first Samuel Simmonds Day, as part of its 50th Anniversary as a hospital.

November 5, 2015 ASNA hosts a community celebration to commemorate its 50th Anniversary as an organization.

2015

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I N R E C O G N I T I O N O F A S N A ’ S 5 0 T H A N N I V E R S A R Y, events were held throughout 2015 to celebrate our rich organizational history and in support of our mis-sion to promote the health and well-being of the people of the Arctic Slope. These events included celebrating the first Samuel Simmonds Day, a community celebration with past leaders, fitness classes, and the creation of a leadership scholarship.

S A M U E L S I M M O N D S D AY

The ASNA 50th Anniversary Committee celebrated Samuel Simmonds Day on January 26, 2015. Samuel Simmonds was born on January 25, 1922, and the Barrow Hospital was named after him in 1996. He was one of the original founders of ASNA, and he was honored for his many con-tributions to the health and well-being of the Arctic Slope people. Along with goodies, giveaways, and flu shots for adults, there was also a revealing of Simmonds’ portrait by Austin Parkhill. Members of the Simmonds family, includ-ing two of Simmonds’ daughters, Leona Okakok and Martha Jane Kagak, joined in the celebration.

C E R E M O N Y

ASNA Administration hosted a community celebration at SSMH on November 5, 2015 to commemorate its 50th Anniversary as an organization. The event drew hundreds of attendees and was marked with speeches from current North Slope and past ASNA leaders who shared stories from ASNA'S early inception. ASNA is proud to have cele-brated its storied history, and we look forward to the next 50 years.

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F I T N E S S C L A S S E S

As part of an initiative for the ASNA 50th Anniversary Committee and “50 days, 50 ways” to get our community healthier, ASNA hosted free one-hour fitness classes throughout 2015, including Insanity, Zumba, and Tai Chi. These fitness classes were open to the public and took place at the SSMH front lobby entrance.

A S N A L E A D E R S H I P S C H O L A R S H I P

The Guy Okakok, Sr. Scholarship

In support of Arctic Slope Native Association’s mission to promote the health and well-being of the people of the Arctic Slope, this scholarship is offered to tribal mem-bers of the Arctic Slope region who are interested in health care or social service careers.

Funding may be used for tuition, books, and fees for professional certificate programs or higher education degrees (Associates, Bachelors, Graduate and PhDs).

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T H E A S N A C O N S T R U C T I O N D E P A R T M E N T H A S G R O W N from two to eleven regular full-time employees, since its inception in 2012. The functions of the Construction Department are to construct new houses and finish remodels to accommodate essen-tial hospital staff and also provide trade training to local employees (i.e., carpentry, electrical, plumbing, etc.). The recent construction projects include the completion of four new homes, five major remodels, many minor remodels in existing housing units and the conversion of the old hospital entrance into a 25'x50' lit and heated garage eliminating the gravel floor.

In December 2014, ASNA employee Ace Edwards began an electrician apprenticeship with the International Brotherhood of Electrical Workers or IBEW. As of April 2016, under the instruction of a Journeyman Electrician, he has completed about a third of his hours before becoming a Journeyman. ASNA is proud to provide trade training to local employees.

Future plans for the Construction Department include building eight duplexes within the year. ASNA is continuing to help alleviate the serious housing needs within Barrow for essential hospital staff.

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H E A LT H Y L I V I N G Summit& S E R V I C E Awards

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T H E N O R T H S L O P E B O R O U G H H E A L T H D E P A R T M E N T A N D A S N A hosted the second Healthy Living Summit on October 21–23, 2015 in Barrow, Alaska, and it was a success. Over 400 community members, providers, and students registered for the three-day conference that featured speakers from across the state and the nation. As part of the annual event, three awards are given to residents of the North Slope to recognize their outstanding contributions to their community.

The Provider Award recipient was Dr. Kimlea Medlin, who has worked for Samuel Simmonds Memorial Hospital as the Dental Director since December 2006. The nom-inator remarked, “She works very hard to provide incredible dental care to NSB resi-dents — care that is often better than what one would receive in large urban areas.”

The Community Award recipient was Daisy Edwardson, who has worked for the North Slope Borough Integrated Behavioral Health for the last 24 years. The nominator com-mented, “Daisy has lived it and clients and non-clients alike know she is the go-to person to get help starting treatment.”

The Student Award recipients were Samantha Wade of Wainwright and Richard Gordon of Anaktuvuk Pass. Samantha attends Mt. Edgecumbe High School. She has participated in summer allied health youth camps and has traveled to four villages to present on Nutrition and Tobacco Use. Richard does well in school, is a great role model, and enjoys hunting and caring for his siblings.

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L E T ’ S M O V E I T !

Campaign

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A S N A A N D T H E N O R T H S L O P E B O R O U G H ( N S B ) H E A L T H D E P A R T M E N T H O S T E D the first ever Let's Move It! Campaign for the North Slope to promote healthy physical activities and nutritional education for NSB and ASNA employees. The Let's Move It! challenge ran from May 6 through August 26, 2015.

Those who participated in scheduled healthy activities collected stamps on their “passports“ and won prizes at the end of the campaign. Below are examples of past Let’s Move It! events.

L E T ’ S M O V E I T ! E V E N T S :

» Walking Wednesdays» July 4 games» Nalukataq» Il

˙isagvik College health or physical classes

» Jamborees» Cultural activities» ASNA “50 Days, 50 Ways” events

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Highlights

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T H E J O I N T C O M M I S S I O N S W I N G B E D A C C R E D I T A T I O N

In December 2015, SSMH earned The Joint Commission’s Gold Seal of Approval for the Hospital Accreditation Swing Bed Program by demonstrating compliance with its performance standards. The Gold Seal of Approval reflects SSMH’S commitment to providing safe and effective care for patients.

As the only critical access hospital on the North Slope, the Swing Bed Program allows SSMH to pro-vide acute care hospitalization care and support, such as post-surgery physical therapy in Barrow, rather than at an outside facility.

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N E W E Y E C A R E C E N T E R O P E N E D

The Eye Care Center at SSMH, operated by Dr. Don McIntyre and his team, opened for service in December 2015. The Eye Clinic is conveniently located within the hospital, adjoining the dental clinic. The eye care and vision services remain the same and include eye exams, contact lens fittings, and treatment of eye conditions and emergencies. In addition, specialty eye care clinics are available at

SSMH for those who receive a referral from their primary care provider. SSMH is proud to provide quality eye care services to North Slope residents.

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D E N T A L S C H O O L - B A S E D V I L L A G E P R E V E N T I O N P R O G R A M

In 2013, SSMH Dental received an initial funding initiative from the Indian Health Service for a school-based dental Health Promotion and Disease Prevention Program. Then in fall 2014, SSMH was awarded additional funding to expand the program in 2015. In both years, the funds totaled close to $20,000 and were used to conduct village outreach.

SSMH Dental visited Atqasuk, Kaktovik, Nuiqsut, Point Lay, and Wainwright. The SSMH Dental Hygienists completed screening exams on students in kindergarten through 12th grade who received consent from their parents. They were seen in the village clinic and received an exam, radiographs if indicated, dental cleaning, oral hygiene and dietary instruction, fluoride varnish and any indicated seal-

ants or temporary/protective restorations that were needed. Parents received notifica-tion of the results of the dental screenings and information on further care.

Due to the success of the program in helping to educate vulnerable youth, improve access to dental care, and provide preventative services to children in both a school and clinical environment, we have continued with at least one dental hygiene trip to each village during the school year.

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I M P L E M E N T A T I O N O F O V E R - T H E - C O U N T E R M E D I C A T I O N S F O R S A L E

In January 2015, the SSMH Pharmacy began offering Over-the-Counter medications for sale to the public at reasonable prices. No appointment or prescription is necessary to be able to purchase Over-the-Counters, which include items such as cough medicine, mouthwash, pregnancy tests and much more. Patients can expect ease of access to the medications or supplies they need at a reduced cost.

We have also expanded this service to the North Slope village clinics and will offer our products for purchase via website in the near future.

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V I L L A G E H E A LT H P R O G R A M

In 2015, a new trial program for patient care started with the Community Health Aides in the North Slope village clinics. They now contact SSMH Mid-Level Provider, Rebecca Andrew, when patients are seen during regular hours, rather than waiting until after the clinic day ends in Barrow. This change has eliminated wait times and sped up co-ordination of care.

There are about 35-60 village patients who have their care managed on a daily basis through the new system. Both the patients and Community Health Aides are report-

ing that this change has made it easier to receive and provide care in the villages. Daily tasks are also completed in a more timely fashion. The system has made a very good start, and further development of this program is planned.

Rebecca Andrew continues to travel to our outlying service villages for medical provider visits on a monthly basis. During the field clinics, she provides

post-session learning opportunities for the Community Health Aides. In addition, Rebecca works with the SSMH Pharmacy to update the village stock medicines and signs off on required medical standing orders for the Community Health Aides.

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O U R P E O P L E

Dr. Jacquelyn Serrano Received Honorary Degree from the American Academy of Family Physicians

Dr. Jacquelyn Serrano, SSMH Medical Provider, achieved the Degree of Fellow of the American Academy of Family Physicians (AAFP), the national medical association repre-senting nearly 115,900 family physicians, residents and medical students. Established in 1971, the AAFP Degree of Fellow recognizes family physicians who have distin-guished themselves through service to family medicine and ongoing professional de-velopment. AAFP Fellowship entitles the physician to use the honorary designation, “Fellow of the American Academy of Family Physicians,” or “FAAFP.”

ASNA Employee Named Chaplain of the Year

Audrey Saganna, Sr., was named the 2015 Alaska Chaplain of the Year by the Alaska Police & Fire Chaplain Ministries. Audrey has held the dual roles of Travel Director and Chaplain for SSMH for the past five years. As a mother of five and grandmother to one, Audrey’s commitment to serving the North

Slope community, whether it is supporting families in times of loss or to our first responders, is truly inspiring.

As ASNA’s Employee of the Year for 2014 and Alaska’s Police & Fire Chaplain Ministries Outstanding Service as Chaplain in 2013 & 2014, Audrey serves as an anchor for those in times of need and is an inspiration for all.

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Heather Whorton — Alaska’s ENA Representative

Heather Whorton was selected as the Emergency Nurses Association (ENA) 2015 State Representative. She is originally from Oklahoma and started working for SSMH as an Emergency Room (ER) Registered Nurse (RN) in May 2014. Heather has been a Registered Nurse for over eight years, with primary focus as an Adult/Pediatric ER Nurse. She also holds a certification in Trauma Nursing and Neonatal Resuscitation. Heather recently obtained certification as an Alaska State Advanced Cardiac Life Support Instructor, Pediatric Advanced Life Support Instructor, as well as a Basic Life Support Instructor.

Heather is currently the Quality and Compliance Risk Analyst at SSMH. She is also a volunteer firefighter / Emergency Medical Services (EMS) with the Barrow Fire Department. She completed her basic firefighter certification and functions as an RN team of Ambulance Crew 3. Heather enjoys assisting with training new EMS students with skills to achieve proper patient care.

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S S M H S P E C I A LT Y C L I N I C :

» 219 A U D I O L O G Y P A T I E N T visits

» 137 C A R D I O L O G Y P A T I E N T visits

» 274 E N T P A T I E N T visits

» 135 O R T H O P E D I C P A T I E N T visits

» 228 S U R G I C A L P A T I E N T visits

» 1,064 D E N T A L P A T I E N T V I S I T S in outlying villages

» 25 B A B I E S D E L I V E R E D

» 711 C A T S C A N S

» 1,853 C H A P L A I N C A L L S for patients

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by t he numbers

» 25 B A B I E S D E L I V E R E D

» 469 S C R E E N I N G S for breast cancer and cervical cancer

» 2,272 P H Y S I C A L T H E R A P Y P A T I E N T visits

» 30,532 M I D N I G H T S U N C O F F E E S H O P transactions

» 1,730 R E F E R R A L S through Specialty Clinic and Case Management

» 11 R E G U L A R F U L L - T I M E E M P L O Y E E S with Construction Department

» 40,000 C O N S T R U C T I O N N A I L S used to build houses

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S O C I A L S E R V I C E

Highlights

M E D I C A L T R A V E L A N D F U N E R A L A S S I S T A N C E

The largest program within the Social Services Department is the Medical Travel and Funeral Assistance (MTFA) Program. Arctic Slope Regional Corporation and North Slope Borough grant funds to ASNA to manage the MTFA Program. MTFA provides aid to ASRC shareholders and residents of the North Slope Borough in medical or funeral crises when no other alternative funds are available to pay for such services.

In 2015, the MTFA Program was restructured to better meet the needs and high-level of activity within the program. A full-time manager position was added, along with more staff in both Barrow and Anchorage.

With growing needs and increased costs for care, the Arctic Slope Regional Corporation and North Slope Borough both increased their funding levels in an effort to support the health care needs of our people and our region.

N U M B E R S :

» Booked an average of 98 medical travels per month» 1,232 Total medical travels

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G R A N T A W A R D E D F O R N U I Q S U T E A R LY L E A R N I N G C E N T E R

The ASNA Tribal Child Care Program is the designated Tribal Lead Agency serving eight North Slope communities, including Nuiqsut. Over 400 people reside in Nuiqsut. With technical assistance from ASNA, ConocoPhillips awarded $195,000 to the Native Village of Nuiqsut toward first year startup costs for a quality child care program.

The Nuiqsut Early Learning Center (NELC) will allow residents of Nuiqsut who currently do not have quality childcare to enjoy a safe, reliable source of service, as well as add four and a half new jobs to the economy. NELC will support early childhood development in a healthy, culturally relevant environment, along with providing re-sources for parenting.

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I N C O M E S TAT E M E N T

O P E R A T I N G R E V E N U E S

Grant and contract revenue

Patient service revenue, net

Other

T O T A L O P E R A T I N G R E V E N U E

O P E R A T I N G E X P E N S E S

Salaries and fringe benefits

Contractual and professional services

Direct assistance payments to individuals

Construction

Supplies

Travel and per diem

Indirect recovery

Other

T O T A L O P E R A T I N G E X P E N S E S

O P E R A T I N G I N C O M E

N E T N O N O P E R A T I N G R E V E N U E S

Settlement revenue

Gain on sale of capital assets

Capital contributions

Investment income

C H A N G E I N N E T P O S I T I O N

Net position at beginning of year

N E T P O S I T I O N A T E N D O F Y E A R

2015$ 42,035,985

18,614,294

1,544,610

62,194,889

28,329,707

7,196,541

3,192,981

888,078

3,627,171

1,581,100

—

9,345,644

54,161,222

8,033,667

500,000

—

2,388,548

(701,549)

10,220,666

45,378,234

$ 55,598,900

201445,141,416

15,696,645

1,484,275

62,322,336

24,805,577

8,691,532

4,381,477

4,204,613

3,583,093

1,340,592

—

7,145,352

54,152,236

8,170,100

5,300,000

65,000

1,998,392

752,729

16,286,221

29,092,013

45,378,234

201341,346,912

14,665,438

563,161

56,575,511

17,272,824

7,617,634

4,809,145

20,891,486

3,524,198

1,231,411

(1,741,005)

3,778,752

57,384,445

(808,934)

1,400,000

—

11,458,580

460,429

12,510,075

16,581,938

29,092,013

fina ncials

3 1

2015 AN

NU

AL R

EP

OR

T

B A L A N C E S H E E TA S S E T SCurrent assets

Investments

Capital assets, net of accumulated depreciation

T O T A L A S S E T S

L I A B I L I T I E SCurrent liabilities

N E T P O S I T I O NNet investment in capital assets

Unrestricted

T O T A L N E T P O S I T I O N

2015$ 16,164,617

29,697,775

18,924,725

64,787,117

9,188,217

18,856,669

36,742,231

$ 55,598,900

2014 36,984,844

—

17,087,757

54,072,601

8,694,367

16,947,754

28,430,480

45,378,234

AR

CTIC

SLOPE N

ATIV

E ASSO

CIA

TION

3 2

FY 2014 FY 2015

C O L L E C T I O N S T O T A L S

Fiscal Year 2014 vs. Fiscal Year 2015

$0$200,000$400,000$600,000$800,000

$1,000,000$1,200,000$1,400,000$1,600,000$1,800,000$2,000,000

OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP

3 3

2015 AN

NU

AL R

EP

OR

T

FY 2014 FY 2015

A D J U S T M E N T S & W R I T E - O F F S

Fiscal Year 2014 vs. Fiscal Year 2015

fina ncials

$0$200,000$400,000$600,000$800,000

$1,000,000$1,200,000$1,400,000$1,600,000$1,800,000$2,000,000

OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP

3 4

AR

CTIC

SLOPE N

ATIV

E ASSO

CIA

TION

FY 2014 FY 2015

P A T I E N T E N C O U N T E R S

Fiscal Year 2014 vs. Fiscal Year 2015

0

500

1,000

1,500

2,000

2,500

3,000

3,500

OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP

3 5

2015 AN

NU

AL R

EP

OR

T

FY 2014 FY 2015

U N I Q U E U S E R S

Fiscal Year 2014 vs. Fiscal Year 2015

fina ncials

0200400600800

1,0001,2001,4001,6001,8002,000

OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP

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