UNITED INDIAN HEALTH SERVICES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- UNITED INDIAN HEALTH SERVICES INC (EIN 23-7088205)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202201329349304720
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T13:07:23-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237088205 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED INDIAN HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIT | BusinessNameControlTxt |
| Phone | 7078255000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 WEEOT WAY | AddressLine1Txt |
| City | ARCATA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 955214734 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAWANDA GREEN | PersonNm |
| Person Title | CHAIRPERSON | PersonTitleTxt |
| Phone | 7078255000 | PhoneNum |
| Signature | 2022-04-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LAWANDA | PersonFirstNm |
| Person Last | GREEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2022-04-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAWANDA GREEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 WEEOT WAY | AddressLine1Txt |
| City | ARCATA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 955214734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,410,397 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UIHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES AND EDUCATION TO NATIVE AMERICANS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 313 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,758,018 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,383,556 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,997,863 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,800,420 | CYProgramServiceRevenueAmt |
| PY Investment Income | $95,401 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,537 | CYInvestmentIncomeAmt |
| PY Other Revenue | $136,012 | PYOtherRevenueAmt |
| CY Other Revenue | $217,884 | CYOtherRevenueAmt |
| PY Total Revenue | $30,987,294 | PYTotalRevenueAmt |
| CY Total Revenue | $40,410,397 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $455,204 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $394,768 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,631,808 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,654,894 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,160,539 | PYOtherExpensesAmt |
| CY Other Expenses | $14,373,719 | CYOtherExpensesAmt |
| PY Total Expenses | $31,247,551 | PYTotalExpensesAmt |
| CY Total Expenses | $34,423,381 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$260,257 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,987,016 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,578,110 | TotalAssetsBOYAmt |
| Total Assets EOY | $63,804,386 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,840,597 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,079,857 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,737,513 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,724,529 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO WORK TOGETHER WITH OUR CLIENTS AND COMMUNITY TO ACHIEVE WELLNESS THROUGH HEALTH SERVICES THAT REFLECT THE TRADITIONAL VALUES OF OUR AMERICAN INDIAN COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $27,572,291 | ExpenseAmt |
| Grant | $394,768 | GrantAmt |
| Revenue | $17,800,420 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED MEDICAL, DENTAL, VISION, MENTAL HEALTH, HOSPITAL, PHARMACY, AND OTHER HEALTH SERVICES TO NATIVE AMERICANS AND THEIR FAMILIES. TOTAL VISITS DURING CALENDAR YEAR 2020-2021 WERE 69,682. OF THE TOTAL, 6,486 WERE FOR NON-INDIANS (9%). ADDITIONALLY, THE ORGANIZATION PROVIDED DIABETES TREATMENT, EDUCATION, AND PREVENTION HEALTH SERVICES. NUTRITION AND OTHER SOCIAL SERVICE PROGRAMS FOR LOW INCOME NATIVE AMERICANS (WIC, TITLE VI, ETC.). THEY ALSO PROVIDED TOBACCO EDUCATION TO NATIVE AMERICANS IN HUMBOLDT AND DEL NORTE COUNTY. THE PROGRAM PROVIDES MATERIALS ON THE HAZARDS OF TOBACCO USE, PEER-LED PREVENTION PRESENTATIONS, AND COUNSELING SERVICES. THE ORGANIZATION ALSO BEGAN PROVIDING SUICIDE PREVENTION AND OPIOID ADDICTION COUNSELING AND SERVICES. | Desc |
| Total Program Service Expenses | $27,572,291 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 133 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 313 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CECIL WILSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7078254065 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 WEEOT WAY | AddressLine1Txt |
| City | ARCATA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 955214734 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| LAWANDA GREEN | |||||||
| CHAIRPERSON | 2.00 | Yes (X) | Yes (X) | $8,850 | $0 | $0 | |
| TERESA BALLEW | |||||||
| VICE-CHAIRPERSON | 2.00 | Yes (X) | Yes (X) | $3,450 | $0 | $0 | |
| KRISTEN BOYCE | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $1,225 | $0 | $0 | |
| FAWN MURPHY | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $1,775 | $0 | $0 | |
| CLAUDIA BRUNDIN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $100 | $0 | $0 | ||
| WENDY GEORGE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH GIOVANNETTI | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $3,475 | $0 | $0 | ||
| SHIRLEY LAOS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $3,375 | $0 | $0 | ||
| TRACY MAHONEY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN MASTON | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $3,350 | $0 | $0 | ||
| RICHARD L MYERS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LANA MCCOVEY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA SUNDBERG | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| VELVA E ANGELL | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBBIE BOARDMAN | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURA BORDEN | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RHONDA DOWD | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MADISON FLYNN | |||||||
| ALTERNATE | 2.00 | Yes (X) | $3,650 | $0 | $0 | ||
| WENDELL FREEMAN | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN GREEN | |||||||
| ALTERNATE | 2.00 | Yes (X) | $3,300 | $0 | $0 | ||
| LEANN MCCALLUM | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MINDY NATT | |||||||
| ALTERNATE (THRU 4/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RUBY J ROLLINGS | |||||||
| ALTERNATE | 5.00 | Yes (X) | $3,975 | $0 | $0 | ||
| PHILLIP WILLIAMS | |||||||
| ALTERNATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN REEVES III | |||||||
| CEO | 40.00 | Yes (X) | $205,519 | $0 | $24,545 | ||
| DAVID ROSEN | |||||||
| CFO (THRU 5/21) | 40.00 | Yes (X) | $187,255 | $0 | $14,266 | ||
| ROXANNE ALSBURY | |||||||
| MEDICAL DOCTOR | 40.00 | $207,257 | $0 | $10,603 | Yes (X) | ||
| TIMOTHY JOHN CONNELL | |||||||
| PHARMACY DIRECTOR | 40.00 | $159,218 | $0 | $6,987 | Yes (X) | ||
| HUGH DAVID KENT | |||||||
| MEDICAL DOCTOR | 40.00 | $211,167 | $0 | $17,479 | Yes (X) | ||
| ANTOINETTE MARTINEZ | |||||||
| MEDICAL DOCTOR | 40.00 | $224,755 | $0 | $23,005 | Yes (X) | ||
| KIRK PETERSEN | |||||||
| DENTIST | 40.00 | $190,152 | $0 | $26,486 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,421,848 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $123,371 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICSOURCEBERGEN DRUG CORP | |||||
| PO BOX 100741 | PASADENA | CA | 911890741 | PHARMACY SUPPLIER | $1,148,158 |
| INFINITE CONSULTING SERVICES INC | |||||
| 2320 CENTRAL AVE SUITE A | MCKINLEYVILLE | CA | 95519 | IT CONSULTING AND MATERIAL | $590,062 |
| TRIBAL EM PLLC | |||||
| 14818 N 74TH PLLC | SCOTTSDALE | AZ | 952602426 | MEDICAL PROVIDERS | $524,628 |
| MCKESSON MEDICAL-SURGICAL | |||||
| PO BOX 6344404 | CINCINNATI | OH | 452634404 | MEDICAL SUPPLIES | $435,017 |
| EXPRESS SERVICES INC | |||||
| PO BOX 844277 | LOS ANGELES | CA | 900844277 | EMPLOYMENT SERVICES | $348,835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $22,368,490 | GovernmentGrantsAmt |
| All Other Contributions | $15,066 | AllOtherContributionsAmt |
| Total Contributions | $22,383,556 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $13,360,839 | $13,360,839 |
| PHARMACY REVENUE | 621110 | $4,272,500 | $4,272,500 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,081 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $167,081 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,800,420 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,537 | TotalRevenueColumnAmt |
| Exclusion | $8,537 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $217,884 | TotalRevenueColumnAmt |
| Exclusion | $217,884 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $217,884 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,410,397 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,800,420 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $226,421 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,000 | TotalAmt |
| Program Services | $390,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,768 | TotalAmt |
| Program Services | $4,768 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,275 | TotalAmt |
| Management And General | $520,275 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,484,585 | TotalAmt |
| Program Services | $12,466,437 | ProgramServicesAmt |
| Management And General | $3,018,148 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,406 | TotalAmt |
| Program Services | $310,776 | ProgramServicesAmt |
| Management And General | $84,630 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,166,485 | TotalAmt |
| Program Services | $2,166,485 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088,143 | TotalAmt |
| Program Services | $995,004 | ProgramServicesAmt |
| Management And General | $93,139 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,148 | TotalAmt |
| Program Services | $7,205 | ProgramServicesAmt |
| Management And General | $87,943 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,990 | TotalAmt |
| Management And General | $98,990 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,220,655 | TotalAmt |
| Program Services | $5,533,357 | ProgramServicesAmt |
| Management And General | $687,298 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,978 | TotalAmt |
| Program Services | $173,268 | ProgramServicesAmt |
| Management And General | $95,710 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $691,967 | TotalAmt |
| Program Services | $481,219 | ProgramServicesAmt |
| Management And General | $210,748 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $843,067 | TotalAmt |
| Program Services | $66,442 | ProgramServicesAmt |
| Management And General | $776,625 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,388 | TotalAmt |
| Program Services | $446,486 | ProgramServicesAmt |
| Management And General | $310,902 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,213 | TotalAmt |
| Program Services | $258,207 | ProgramServicesAmt |
| Management And General | $125,006 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,532 | TotalAmt |
| Program Services | $73,042 | ProgramServicesAmt |
| Management And General | $129,490 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,161 | TotalAmt |
| Program Services | $155,104 | ProgramServicesAmt |
| Management And General | $74,057 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $974,620 | TotalAmt |
| Program Services | $711,434 | ProgramServicesAmt |
| Management And General | $263,186 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,330 | TotalAmt |
| Program Services | $157,469 | ProgramServicesAmt |
| Management And General | $144,861 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINIC SUPPLIES | $1,683,021 | $1,604,101 | $78,920 |
| PHARMACEUTICALS | $1,292,323 | $1,291,872 | $451 |
| EQUIPMENT PURCHASES AND | $239,174 | $207,813 | $31,361 |
| LICENSE AND FEES | $44,281 | $39,550 | $4,731 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,871 | TotalAmt |
| Program Services | $32,252 | ProgramServicesAmt |
| Management And General | $14,619 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,423,381 | TotalAmt |
| Program Services | $27,572,291 | ProgramServicesAmt |
| Management And General | $6,851,090 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,655,790 | BOYAmt |
| EOY | $2,655,590 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,796,289 | BOYAmt |
| EOY | $46,618,016 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,618 | BOYAmt |
| EOY | $538,636 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,746 | BOYAmt |
| EOY | $1,521,240 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,760 | BOYAmt |
| EOY | $170,964 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,263 | BOYAmt |
| EOY | $234,269 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,950,559 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,268,289 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,967,343 | BOYAmt |
| EOY | $11,682,270 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,301 | BOYAmt |
| EOY | $383,401 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,578,110 | BOYAmt |
| EOY | $63,804,386 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,496,592 | BOYAmt |
| EOY | $2,971,459 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,152,672 | BOYAmt |
| EOY | $24,934,884 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,539,543 | BOYAmt |
| EOY | $5,173,514 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,651,790 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,840,597 | BOYAmt |
| EOY | $33,079,857 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,665,054 | BOYAmt |
| EOY | $30,648,032 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,459 | BOYAmt |
| EOY | $76,497 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,737,513 | BOYAmt |
| EOY | $30,724,529 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,578,110 | BOYAmt |
| EOY | $63,804,386 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,987,016 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,830,540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,117,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,398,859 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,758,018 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,383,556 | CurrentTaxYearAmt |
| Total | $91,487,975 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,830,540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,117,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,398,859 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,758,018 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,383,556 | CurrentTaxYearAmt |
| Total | $91,487,975 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $91,487,975 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,776 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $126,187 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,537 | CurrentTaxYearAmt |
| Total | $157,018 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $91,644,993 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $72,473,681 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99830 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE DARREL HOSTLER FUND PROVIDES THE RESOURCES FOR CALIFORNIA RURAL INDIAN HEALTH BOARD TO PROVIDE LEGISLATION AND ADVOCACY TO THE INDIANS OF CALIFORNIA. ACTIVITIES PERFORMED INCLUDE LOBBYING, TRAVEL TO WASHINGTON D.C. AND ATTENDING EVENTS SPECIFICALLY FOR ADVOCACY. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Public Use | Yes (X) | PreservationPublicUseInd |
| Protection Natural Habitat | Yes (X) | ProtectionNaturalHabitatInd |
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| Total Easements | 1 | TotalEasementsCnt |
| Total Acreage | 20.00 | TotalAcreageCnt |
| Historic Structure Easements | 0 | HistoricStructureEasementsCnt |
| Historic Strctr Easements Aftr | 0 | HistoricStrctrEasementsAftrCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | Yes (1) | WrittenPolicyMonitoringInd |
| Staff Hours Spent Enforcement | 200.00 | StaffHoursSpentEnforcementCnt |
| Expenses Incurred Enforcement | $8,500 | ExpensesIncurredEnforcementAmt |
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $138,235 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Collection Used Preservation | Yes (X) | CollectionUsedPreservationInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,037,397 | OtherCostOrOtherBasisAmt |
| Book Value | $2,037,397 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,085,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,484,014 | DepreciationAmt |
| Book Value | $7,601,787 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,322,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $502,662 | DepreciationAmt |
| Book Value | $819,742 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,130,167 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,281,613 | DepreciationAmt |
| Book Value | $848,554 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $374,790 | OtherCostOrOtherBasisAmt |
| Book Value | $374,790 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,682,270 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $40,394,920 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$15,477 | OtherRevenueAmt |
| Revenue Not Reported | -$15,477 | RevenueNotReportedAmt |
| Revenue Subtotal | $40,410,397 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $40,410,397 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $34,407,904 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $34,407,904 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $15,477 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $15,477 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,423,381 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 9: | EXPENSES RELATED TO THE CONSERVATION EASEMENT ARE REPORTED BY THE ORGANIZATION IN THEIR NATURAL EXPENSE CATEGORIES. NO SEPARATE BALANCE SHEET AMOUNT OR FOOTNOTE DISCLOSURE HAS BEEN REPORTED. |
| PART III, LINE 1A: | THE ART COLLECTION HELD BY UNITED INDIAN HEALTH SERVICES IS COMPRISED OF SAMPLES OF ORIGINAL ARTWORKS BY PROMINENT NORTHWEST ARTISTS AND ARTWORKS OF LESSER KNOWN ARTISTS FROM OUR REGION. THE COLLECTION IS UTILIZED TO MAKE THE INDIAN COMMUNITY COME TOGETHER AS A WHOLE, TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF EVERYONE INVOLVED, AND TO BRING THE INDIAN AND NON-INDIAN COMMUNITIES CLOSER TOGETHER. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -15,477. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 15,477. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BIG LAGOON RANCHERIA | |||||||
| PO DRAWER 3060 | TRINIDAD | CA | 95570 | 680022652 | TRIBE | $65,000 | TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. |
| BLUE LAKE RANCHERIA | |||||||
| PO BOX 428 | BLUE LAKE | CA | 95525 | 680078113 | TRIBE | $65,000 | TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. |
| RESIGHINI RANCHERIA | |||||||
| PO BOX 529 | KLAMATH | CA | 95548 | 942682661 | TRIBE | $65,000 | TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. |
| TOLOWA DEE-NI BATION | |||||||
| 140 ROWDY CREEK ROAD | SMITH RIVER | CA | 95567 | 680087275 | TRIBE | $65,000 | TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. |
| TRINIDAD RANCHERIA | |||||||
| PO BOX 630 | TRINIDAD | CA | 95570 | 922469967 | TRIBE | $65,000 | TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. |
| WIYOT TRIVE | |||||||
| 1000 WIYOT DRIVE | LOLETA | CA | 95551 | 942714533 | TRIBE | $65,000 | TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE LISTED ORGANIZATIONS ARE SUBRECIPIENTS OF FEDERAL FUNDS AS DEFINED BY THE OMB UNIFORM GRANT GUIDANCE. FEDERAL SUBRECIPIENT MONITORING PROCEDURES ARE REQUIRED TO BE FOLLOWED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTOINETTE MARTINEZ | ||||||||||||||
| MEDICAL DOCTOR | $224,755 | $0 | $0 | $0 | $0 | $0 | $9,094 | $0 | $13,911 | $0 | $247,760 | $0 | $0 | $0 |
| JOHN REEVES III | ||||||||||||||
| CEO | $205,519 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,545 | $0 | $230,064 | $0 | $0 | $0 |
| HUGH DAVID KENT | ||||||||||||||
| MEDICAL DOCTOR | $211,167 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,479 | $0 | $228,646 | $0 | $0 | $0 |
| ROXANNE ALSBURY | ||||||||||||||
| MEDICAL DOCTOR | $207,257 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,603 | $0 | $217,860 | $0 | $0 | $0 |
| KIRK PETERSEN | ||||||||||||||
| DENTIST | $190,152 | $0 | $0 | $0 | $0 | $0 | $7,752 | $0 | $18,734 | $0 | $216,638 | $0 | $0 | $0 |
| DAVID ROSEN | ||||||||||||||
| CFO (THRU 5/21) | $187,255 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,266 | $0 | $201,521 | $0 | $0 | $0 |
| TIMOTHY JOHN CONNELL | ||||||||||||||
| PHARMACY DIRECTOR | $159,218 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,987 | $0 | $166,205 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBER FAMILY RELATIONSHIPS: 1. LAWANDA GREEN (CHAIRPERSON) AND JOHN GREEN (ALTERNATE) 2. RUBY ROLLINGS (ALTERNATE) AND SHIRLEY LAOS (BOARD MEMBER) 3. LAURA BORDEN (ALTERNATE) AND LANA MCCOVEY (BOARD MEMBER) 4. TERESA BALLEW (VICE CHAIR) AND WENDELL FREEMAN (ALTERNATE) |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP IN UIHS IS DEFINED IN THE ARTICLES OF INCORPORATION. ELIGIBLE INDIAN BENEFICIARIES WHO MEET CERTAIN REQUIREMENTS ARE ELIGIBLE TO BE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS HAVE THE ABILITY TO ELECT "INDIAN COMMUNITY REPRESENTATIVES" WHICH MAKE UP 5 POSITIONS ON THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS SUBMITTED TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING AND SIGNED BY THE BOARD CHAIRPERSON. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY DIRECTOR WHO HAS ANY PROPRIETARY INTEREST IN, OR WHO RECEIVES OR HAS EXPECTATIONS OF RECEIVING COMPENSATION FROM OR WHO WILL HAVE ANY SIGNIFICANT MONETARY GAIN OR LOSS AS A RESULT OF THE CORPORATION'S ACTIONS OR ANY ORGANIZATIONS, PROJECT, PROGRAM, CONTRACT OR OTHER ACTION UNDER CONSIDERATION BY THE CORPORATION OR ITS BOARD, SHALL BE DEEMED TO HAVE A CONFLICT OF INTEREST. WHENEVER ANY DIRECTOR HAS OR HAS CAUSE TO BELIEVE THAT AN ACTION OR ISSUE PENDING BEFORE THE BOARD OR THE CORPORATION COULD INVOLVE A CONFLICT OF INTEREST FOR A BOARD MEMBER, HE OR SHE SHALL ANNOUNCE THE CONFLICT AND SHALL THEN ABSTAIN FROM DISCUSSION, CONSIDERATION, DECISIONS, AND VOTING ON THE MATTER. WHENEVER ANY DIRECTOR SITS ON THE GOVERNING BODY OF A TRIBE, ORGANIZATION, PROGRAM, OR OTHER PROJECT WHICH IS COMPETING FOR FUNDING WITH THE CORPORATION, HE OR SHE SHALL ANNOUNCE THE CONFLICT OF INTEREST AND SO NOTIFY THE CHAIRMAN OF THE BOARD. SUCH PERSON SHALL THEN ABSTAIN FROM DISCUSSING, CONSIDERING, DECIDING, AND VOTING ON THAT FUNDING MATTER. NO DIRECTOR MAY BE AN EMPLOYEE OF THE CORPORATION DURING THE DIRECTOR'S TERM OF SERVICE ON THE BOARD, NOR SHALL ANY EMPLOYEE OF THE CORPORATION BE ELIGIBLE TO BE A BOARD MEMBER WHILE SO EMPLOYED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CONTRACTUAL AGREEMENT FOR THE CEO, OFFICERS, AND KEY EMPLOYEES THAT DEFINES THE TERMS, CONDITIONS, AND COMPENSATION LEVEL IS DETERMINED USING REVIEW BY OUTSIDE LEGAL COUNSEL, ANALYSIS OF COMPARABLE AGENCY DATA, AND GOVERNING BOARD REVIEW. DELIBERATION AND DECISION IS RECORDED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL REPORTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 739,377. MANAGEMENT AND GENERAL EXPENSES 452,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,191,389. TEMPORARY CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,004,306. MANAGEMENT AND GENERAL EXPENSES 235,241. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,239,547. RESIDENTIAL SUBSTANCE ABUSE TREATMENT: PROGRAM SERVICE EXPENSES 4,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,900. MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,513,515. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,513,515. DENTAL FEES: PROGRAM SERVICE EXPENSES 772,969. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 772,969. VISION FEES: PROGRAM SERVICE EXPENSES 48,126. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,126. PHARMACY FEES: PROGRAM SERVICE EXPENSES 91,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,367. LAB FEES: PROGRAM SERVICE EXPENSES 358,797. MANAGEMENT AND GENERAL EXPENSES 45. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 358,842. |
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