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        <Desc>SIHB'S URBAN INDIAN HEALTH INSTITUTE (UIHI) IS ONE OF 12 TRIBAL EPIDEMIOLOGY CENTERS IN THE NATION AND THE ONLY ONE THAT HOLDS A NATIONAL SCOPE BECAUSE WE SERVE ALL OF THE URBAN INDIAN PROGRAMS ACROSS THE COUNTRY. UIHI IS DEEMED A PUBLIC HEALTH AUTHORITY THROUGH THE INDIAN HEALTH CARE IMPROVEMENT ACT AND PERMANENTLY REAUTHORIZED IN THE AFFORDABLE CARE ACT. THIS ENSURES OUR ABILITY TO DECOLONIZE DATA, TO TELL OUR STORIES FROM AN INDIGENOUS PERSPECTIVE. THROUGH DATA, EPIDEMIOLOGY, EVALUATION AND INDIGENOUS FOCUSED PUBLIC HEALTH RESPONSE STRATEGIES. SIHB'S PUBLIC HEALTH TEAM HAS BEEN NATIONALLY RECOGNIZED AS EXPERTS IN OUR FIELD.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TOM WARREN SB ME</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <PersonNm>SHARYNE THORNTON PHD</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANIA GARCIA BA MA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>J ROGER LEE</PersonNm>
        <TitleTxt>TREASURER (THROUGH AUG 2022)</TitleTxt>
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        <PersonNm>ARMILITO PANGILINAN MBA CPA</PersonNm>
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        <PersonNm>ALIX ANDERSON RN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VICTORIA BLACK HORSE MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE HOLMES</PersonNm>
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        <PersonNm>SHELLY MEANS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE PAINTER MD JD</PersonNm>
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        <PersonNm>CHRIS STEARNS JD</PersonNm>
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        <PersonNm>CORNELIUS VAN NIEL MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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            <BusinessNameLine1Txt>SWINERTON BUILDERS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14432 SE EASTGATE WAY SUITE 230</AddressLine1Txt>
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            <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>LYNNWOOD</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBOX 743295</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DP INCORPORATED</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19936 BALLINGER WAY NE</AddressLine1Txt>
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            <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUB INTERNATIONAL NORTHWEST LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12100 NE 195TH STREET SUITE 200</AddressLine1Txt>
            <CityNm>BOTHELL</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98011</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>23</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>22685607</TotalContributionsAmt>
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        <BusinessCd>621400</BusinessCd>
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        <TotalRevenueColumnAmt>-82171</TotalRevenueColumnAmt>
        <ExclusionAmt>-82171</ExclusionAmt>
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        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>623990</BusinessCd>
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        <ExclusionAmt>136853</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>624100</BusinessCd>
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        <ExclusionAmt>3390</ExclusionAmt>
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        <ProgramServicesAmt>371838</ProgramServicesAmt>
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        <ProgramServicesAmt>927412</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>67298</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>130388</ManagementAndGeneralAmt>
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        <TotalAmt>80195</TotalAmt>
        <FundraisingAmt>80195</FundraisingAmt>
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        <ProgramServicesAmt>1944012</ProgramServicesAmt>
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        <ProgramServicesAmt>26713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>271092</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>320742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>490724</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>83643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>537334</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>216580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141548</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>132100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178559</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>54124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242041</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>905429</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103480</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF TRAINING</Desc>
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        <ProgramServicesAmt>104806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>468687</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>71977</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>120783</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>15492</ProgramServicesAmt>
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        <EOYAmt>28388</EOYAmt>
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        <EOYAmt>382710</EOYAmt>
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        <EOYAmt>29883</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>22000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>22000</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>SIHB ENGAGES IN ADVOCACY AT THE CITY, COUNTY, STATE AND NATIONAL LEVELS. TRAVEL TO OLYMPIA, WASHINGTON DC, AND TRIBAL FACILITIES FOR I/T/U CONFER AND CONSULT EVENTS, WORKGROUP PARTICIPATION, PLANNING COMMITTEES, TESIMONY AND UIHP EDUCATION SESSIONS. FUNDS PAID TO CONSULTANT TO MONITOR FEDERAL HEALTH POLICY CONTACT KEY STAFF MEMBERS RESPONSIBLE FOR APPROPRIATE DECISIONS, COORDINATE COMMUNICATIONS TO PROTECT FUNDING AND ADVISE STRATEGIES TO EFFECTUATE POSITIVE OUTCOMES.</ExplanationTxt>
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      <CollectionUsedPreservationInd>X</CollectionUsedPreservationInd>
      <SolicitedAssetsSaleInd>0</SolicitedAssetsSaleInd>
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        <BookValueAmt>36790</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>267948</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29948460</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>10000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>10000</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>30089600</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
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          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>12789</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>223245</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>10569</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>54142</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK HENRY</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>143019</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12358</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9323</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15869</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180569</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MELINDA GARAY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF ESTHER LUCERO, CEO</RelationshipDescriptionTxt>
        <TransactionAmt>111047</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LAWRENCE LUCERO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FATHER OF ESTHER LUCERO, CEO</RelationshipDescriptionTxt>
        <TransactionAmt>22620</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HOWARD ECHO-HAWK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SIBLING OF ABIGAIL ECHO-HAWK, EXECUTIVE VICE PRESIDENT</RelationshipDescriptionTxt>
        <TransactionAmt>28000</TransactionAmt>
        <TransactionDesc>EVENT COORDINATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHAWN THURMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF DR. SOCIA LOVE-THURMAN, CHIEF HEALTH OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>60125</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>M THIRTY-SIX</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNED BY LAEL ECHO-HAWK, SISTER OF ABIGAIL ECHO-HAWK, EXEC. VICE PRESIDENT</RelationshipDescriptionTxt>
        <TransactionAmt>22000</TransactionAmt>
        <TransactionDesc>LOBBYING &amp; CONSULTING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR, SIHB OPENED TWO SITES IN PIONEER SQUARE AND LAKE CITY. SERVICES AT THESE LOCATIONS INCLUDE MEDICAL, LAB, PHARMACY, NUTRITION, MENTAL HEALTH, SUBSTANCE USE DISORDER TREATMENT, AND TRADITIONAL INDIAN MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPOSED OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE ACTS ON BEHALF OF THE BOARD BETWEEN REGULAR MEETINGS AND IN EMERGENCY SITUATIONS. THE ACTIONS OF THE EXECUTIVE COMMITTEE MAY NOT CONFLICT WITH THE BOARD'S POLICIES AND DIRECTIVES. ANY EXECUTIVE COMMITTEE ACTIONS ARE REVIEWED AND RATIFIED AT THE NEXT REGULAR BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE TEAM AND BY THE FINANCE COMMITTEE AND WAS PROVIDED TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE COLLECTED ANNUALLY FROM THE BOARD OF DIRECTORS AND OFFICERS. DISCLOSURES ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT FOR MATERIALITY. BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE PROHIBITED FROM DELIBERATIONS, VOTING, OR ATTEMPTS TO INFLUENCE OTHER BOARD MEMBERS ON MATTERS IN WHICH THEY HAVE A FINANCIAL OR OTHER PRIVATE INTEREST, WHETHER DIRECT OR INDIRECT. DISCLOSURE OF THE NATURE AND EXTENT OF ALL POTENTIAL CONFLICTS OF INTEREST IS REQUIRED PRIOR TO UNDERTAKING ANY BOARD ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY UPDATES SALARY SURVEY INFORMATION EVERY 2 YEARS OR LESS BY POSITION BASED ON MARKET-DRIVEN FACTORS. ANNUALLY THE ONLY SALARY INCREASES ARE FOR MERIT AND BASED ON AN EVALUATION PROCEDURE. THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S ANNUAL INCREASE BASED ON ESTABLISHED EVALUATION CRITERIA. THE MOST RECENT COMPENSATION REVIEW OCCURRED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SIHB DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST OR THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,944,012. MANAGEMENT AND GENERAL EXPENSES 3,069,089. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,013,101.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
