PRESENTATION TO ALASKA INDUSTRIAL DEVELOPMENT AND EXPORT AUTHORITY Anchorage, Alaska August 7, 2019
TANANA CHIEFS CONFERENCE Overview Dena’ Nena’ Henash, or Tanana Chiefs Conference (“TCC”), was organized in 1971 as a not-for-profit Alaska corporation and is the successor to the historic and traditional governing assembly of the Athapascan people of Interior Alaska. The purposes for which TCC was organized include, among other things, the promotion of the common welfare of Natives of Alaska and their physical, economic and social well being. TCC was recognized as an organization exempt from taxation under Section 501(c)(3) of the Tax Code in May 1978. Members of TCC are limited to (a) each Alaska Native Village located in the geographic area as described in the Alaska Native Claims Settlement Act of 1971 represented by or claimed by the people of Dena’ Nena’ Henash, or TCC, and (b) the Fairbanks Native Association and the Tok Native Associations (collectively the “Members”) . There are currently 42 Members of TCC, each representing TCC’s constituent Native villages. Each Member may elect one director to serve on the Board of Directors. The Board of Directors elects nine directors to serve as the Executive Committee of the Board of Directors. 2
TANANA CHIEFS CONFERENCE History With the passage of the Indian Self Determination and Education Assistance Act of 1975, TCC moved quickly to become a regional provider of dozens of Bureau of Indian Affairs programs. Also known as Public Law 93-638 or PL 638, this Act allowed Indian Tribes or Tribal consortiums to contract with the Federal Government to provide Indian program services directly to their own Tribal members. Under PL 638, Tanana Chiefs Conference contracted with the Bureau of Indian Affairs to manage and deliver services such as housing, lands management, Tribal government assistance, education and employment, and natural resources management. TCC also contracted with the Alaska Area Native Health Service to provide services such as Community Health Aid, outreach, environmental health, mental health, and substance abuse counseling. By the late 1970s, Tanana Chiefs Conference had successfully bid to deliver certain healthcare, social services, and public safety services to Interior residents, including non-Native residents, on behalf of the State of Alaska. In 1980, TCC decentralized its program operations away from Fairbanks by establishing sub-regional offices to serve the Upper Tanana, Yukon Flats, Yukon Tanana, Yukon Koyukuk, Lower Yukon, and Kuskokwim sub-regions. This change in structure provided more local employment, attention to sub- regional program priorities, and better client access to information and services. In the late 1980s, TCC assumed management of the Alaska Native Health Center in Fairbanks and renamed it Chief Andrew Isaac Health Center after the traditional Athabascan Chief from Dot Lake. TCC also assumed the Contract Health Care Program and developed health facilities and services, including the Paul Williams House, Dental and Eye Clinics, and several alcohol recovery camps. 3
TANANA CHIEFS CONFERENCE SUB-REGIONS The Tanana Chiefs Conference region covers an area of 235,000 square miles in interior Alaska, which is equal to about 37% of the entire State of Alaska, and just slightly smaller than the State of Texas. Within the TCC region are Fairbanks North Star Borough and six Sub-Regions: • Lower Yukon Sub-Region • Upper Kuskokwin Sub- Region • Upper Tanana Sub-Region • Yukon Flats Sub-Region • Yukon Koyukuk Sub-Region • Yukon Tanana Sub-Region • Within the six Sub-Regions are 39 villages 4
TANANA CHIEFS CONFERENCE Overview TCC operates four distinct business segments with separate operating departments: • Health Services • Client Development Offers a wide range of family centered services focused on promoting and supporting safe and stable families. Programs include individualized training, information and referral, crisis intervention, counseling, case management, financial assistance, transportation, respite, foster and child care, nutrition and supportive services. Programs are supported jointly, through contracts and agreements with private, local, state and Federally funded agencies, with the majority of resources generated from Federal grants. • Tribal Government and Client Services Assists member villages in strengthening their sovereign governments and to provide quality services, employment opportunities, community infrastructure, programs, and education to their members in order to build safer, healthier and more sustainable communities. • Natural and Cultural Resources Administers the following programs; Forestry; Realty; Rural Energy; Cadastral Survey; and Wildlife and Parks. 5
TANANA CHIEFS CONFERENCE Health Services Department The Health Services Department of Tanana Chiefs Conference provides primary care, urgent care, pediatrics, internal medicine, orthopedics, OB/GYN, general surgery, dental, optometry, lab, radiology, physical therapy, chiropractic care, acupuncture pharmacy, and behavioral and mental health services, including substance abuse treatments, from several facilities in Fairbanks, Alaska, and locally within each of its member villages expect for those villages in the Lower Yukon and Kuskokwim regions that are served by other Tribal Health Organization Primary medical services are provided at Chief Andrew Isaac Health Center, a 95,000 square foot ambulatory health center on 9.5 acres, located in Fairbanks, satisfying the criteria established by Indian Health Services (“IHS”) for services offered in an IHS ambulatory health center. An ambulatory health center most closely resembles a medical clinic with medical, optometry and dental office space. There are no inpatient beds in Chief Andrew Isaac Health Center. Certain higher acuity services, including emergency room visits, are referred to Fairbanks Memorial Hospital, located across the street from Chief Andrew Isaac Health Center. Fairbanks Memorial Hospital is a community based hospital with 152 licensed acute care beds, cancer treatment center, mental health unit, imaging center, cardiology clinic and catheterization lab. 6
PATIENT SERVICE AREA Within the region served by TCC, the following Sub- Regions and Fairbanks North Star Borough receive care at Chief Andrew Isaacs Health Center: • Upper Tanana Sub-Region • Yukon Flats Sub-Region • Yukon Koyukuk Sub-Region • Yukon Tanana Sub-Region The City of Fairbanks is the regional economic, transportation and medical hub of the region served by Tanana Chiefs Conference. 7
HEALTHCARE SERVICES – CHIEF ANDREW ISAAC HEALTH CENTER Dental Pediatrics General Surgery Pharmacy Internal Medicine Primary Care Lab Radiology OB/GYN Urgent Care Orthopedics Optometry 8
HISTORICAL PATIENT ENCOUNTERS 180,000 160,000 152,762 137,854 135,982 135,047 140,000 132,770 123,917 122,607 120,649 118,753 120,000 109,212 99,352 91,151 100,000 90,307 89,154 82,136 81,073 80,000 60,000 40,000 20,000 0 2010 2011 2012 2013 2014 2015 2016 2017 Tanana Chiefs Conference Chief Andrew Isaac Health Center 9
STATEMENT OF OPERATING REVENUES – TANANA CHIEFS CONFERENCE CONSOLIDATED 2014 2015 2016 2017 2018 OPERATING REVENUES Grants, compact and contracts $ 130,196,478 $ 135,299,831 $ 138,482,022 $ 144,859,914 $ 145,500,267 Program and third party 21,284,533 27,539,273 36,589,290 40,281,749 45,486,693 Rental, contributions, and other revenue 670,821 19,041,958 13,155,554 2,530,283 1,732,574 Total $ 152,151,832 $ 181,881,062 $ 188,226,866 $ 187,671,946 $ 192,719,534 OPERATING EXPENSES Salaries and fringe benefits $ 63,446,899 $ 69,396,389 $ 80,547,036 $ 82,892,209 $ 86,091,192 Professional and contractual services 33,992,968 32,350,708 31,531,868 28,742,236 30,861,260 Grants 7,979,606 10,060,175 9,001,487 13,401,280 13,065,783 Other 26,423,853 31,353,172 32,107,735 33,914,010 35,694,703 Total $ 131,843,326 $ 143,160,444 $ 153,188,126 $ 158,949,735 $ 165,712,938 Operating Income $ 20,308,506 $ 38,720,618 $ 35,038,740 $ 28,722,211 $ 27,006,596 NONOPERATING REVENUES AND EXPENSES Investment income $ 1,696,400 $ (10,543) $ 2,639,757 $ 2,776,615 $ 2,513,801 Equity earnings in joint venture 202,331 226,326 190,871 96,765 126,210 Interest Expense (5,624,164) (5,543,283) (5,944,249) (7,058,230) (6,768,934) Total $ (3,725,433) $ (5,327,500) $ (3,113,621) $ (4,184,850) $ (4,128,923) Income Before Other Revenues and Expenses $ 16,583,073 $ 33,393,118 $ 31,925,119 $ 24,537,361 $ 22,877,673 Net Position at beginning of year $ 55,122,186 $ 71,705,259 $ 105,098,377 $ 137,023,496 $ 161,560,857 $ 71,705,259 $ 105,098,377 $ 137,023,496 $ 161,560,857 $ 184,438,530 Increase/Decrease in Net Assets, adjusted 10
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