NATIONAL COUNCIL OF URBAN INDIAN HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
NATIONAL COUNCIL OF URBAN INDIAN HEALTH (EIN 33-0798803)
Tax period
2020-09-01 to 2021-08-31
Filed
2022-06-23
IRS object ID
202221749349300912
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

FieldValueIRS element (for citing)
Return2022-06-23T12:45:00-05:00ReturnTs
Tax Period End2021-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN363168081PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SIKICH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1333 JOHN CARLYLE STREET SUITE 500AddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP22314ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330798803EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL COUNCIL OF URBAN INDIAN HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone2025440344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1924 PENNSYLVANIA AVE SEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANCYS CREVIERPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone2025440344PhoneNum
Signature2022-06-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstFRANCYSPersonFirstNm
Person LastCREVIERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROHINI CHANDRABHATLAPreparerPersonNm
PTINP00740442PTIN
Phone7038361350PhoneNum
Preparation2022-06-22PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFRANCYS CREVIERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1924 PENNSYLVANIA AVE SEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,677,340GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NCUIH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. THE NATIONAL COUNCIL OF URBAN INDIAN HEALTH IS A MEMBERSHIP-BASED ORGANIZATION DEVOTED TO SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS FOR AMERICAN INDIANS AND ALASKA NATIVES LIVING IN URBAN COMMUNITIES. NCUIH FULFILLS ITS MISSION BY SERVING AS A RESOURCE CENTER PROVIDING ADVOCACY, EDUCATION, TRAINING, AND LEADERSHIP FOR URBAN INDIAN HEALTH CARE PROVIDERS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee44TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,597,921PYContributionsGrantsAmt
CY Contributions Grants$8,128,825CYContributionsGrantsAmt
PY Program Service Revenue$351,617PYProgramServiceRevenueAmt
CY Program Service Revenue$521,934CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$26,581CYOtherRevenueAmt
PY Total Revenue$3,949,538PYTotalRevenueAmt
CY Total Revenue$8,677,340CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,008,760CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,582,133PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,285,619CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,013,733PYOtherExpensesAmt
CY Other Expenses$1,191,260CYOtherExpensesAmt
PY Total Expenses$3,595,866PYTotalExpensesAmt
CY Total Expenses$8,485,639CYTotalExpensesAmt
PY Revenues Less Expenses$353,672PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$191,701CYRevenuesLessExpensesAmt
Total Assets BOY$837,702TotalAssetsBOYAmt
Total Assets EOY$1,404,220TotalAssetsEOYAmt
Total Liabilities BOY$230,899TotalLiabilitiesBOYAmt
Total Liabilities EOY$605,716TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$606,803NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$798,504NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE NATIONAL COUNCIL OF URBAN INDIAN HEALTH IS A MEMBERSHIP-BASED ORGANIZATION DEVOTED TO SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS FOR AMERICAN INDIANS AND ALASKA NATIVES LIVING IN URBAN COMMUNITIES. NCUIH FULFILLS ITS MISSION BY SERVING AS A RESOURCE CENTER PROVIDING ADVOCACY, EDUCATION, TRAINING, AND LEADERSHIP FOR URBAN INDIAN HEALTH CARE PROVIDERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,718,241ExpenseAmt
Revenue$521,934RevenueAmt
DescTRAINING AND TECHNICAL ASSISTANCE THAT INCLUDES COMPREHENSIVE PUBLIC HEALTH PROGRAMS, TRAINING AND GUIDANCE TO 41 UIOS THROUGHOUT THE COUNTRY. PROVIDING CUSTOMIZED AND CULTURALLY SOUND CAPACITY BUILDING & KNOWLEDGE TOOLS IS ESSENTIAL TO FOSTER AND TRIGGER CHANGES NECESSARY FOR COMBATING HEALTH DISPARITIES FOR THE URBAN AI/AN COMMUNITY. LAST YEAR, MORE THAN 450 HOURS OF TRAINING AND TECHNICAL ASSISTANCE WAS PROVIDED TO THE URBAN AI/AN COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,744,896ExpenseAmt
Grant$4,008,760GrantAmt
DescOUTREACH AND EDUCATION FOR POLICYMAKERS AND THE GENERAL PUBLIC ON THE CHANGES NEEDED TO COMBAT HEALTH DISPARITIES AMONG THE URBAN AI/AN COMMUNITY. NCUIH PROVIDES TESTIMONY AND WITNESSES AT HOUSE AND SENATE HEARINGS TO REPRESENT URBAN AI/AN HEALTHCARE PRIORITIES AND ATTENDS MORE THAN 150 ADVISORY, FEDERAL AGENCY AND OTHER MEETINGS TO ADVOCATE FOR URBAN AI/AN EACH YEAR. LAST YEAR, THROUGH NCUIH'S OUTREACH AND EDUCATION FOR POLICYMAKERS, MORE THAN $100M IN ADDITIONAL FUNDING WAS ALLOCATED TO SUPPORT HEALTHCARE TO THE URBAN INDIAN POPULATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$712,650ExpenseAmt
DescOTHER PROGRAMS SUPPORTING CULTURALLY COMPETENT HEALTHCARE ACCESS FOR THE URBAN AI/AN POPULATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,175,787TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee44EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldDCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2025440344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1924 PENNSYLVANIA AVE SEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20003ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
WALTER MURILLO
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SONYA TETNOWSKI
PRESIDENT-ELECT1.00Yes (X)Yes (X)$0$0$0
ROBYN SUNDAY-ALLEN
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ADRIANNE MADDUX
TREASURER1.00Yes (X)Yes (X)$0$0$0
LINDA SON-STONE
SECRETARY1.00Yes (X)Yes (X)$0$0$0
KERRY LESSARD
BOARD MEMBER1.00Yes (X)$0$0$0
ROXANNE M LAVALLIE-UNABIA
BOARD MEMBER1.00Yes (X)$0$0$0
TODD WILSON
BOARD MEMBER1.00Yes (X)$0$0$0
MAUREEN ROSETTE
BOARD MEMBER1.00Yes (X)$0$0$0
SCOTT BLACK
TREASURER1.00Yes (X)$0$0$0
FRANCYS CREVIER
CHIEF EXECUTIVE OFFICER40.00Yes (X)$218,050$0$16,168
KIMBERLY FOWLER
VP OF TECHNICAL ASSISTANCE & RESOURCE CENTER40.00Yes (X)$123,654$0$16,302
ALEJANDRO BERMUDEZ
VP, PROGRAMS & OPERATIONS40.00Yes (X)$124,065$0$16,347
JULIA DREYER
VP OF FEDERAL RELATIONS40.00Yes (X)$126,160$0$10,161
SUNNY STEVENSON
DIRECTOR OF FEDERAL RELATIONS40.00$101,657$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$693,586TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$58,978TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GTA PARTNERSHIPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1699 SANTA MARIA LANEAddressLine1Txt
CityDAVIDSONVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21035ZIPCd
FieldValueIRS element (for citing)
ServicesRENTServicesDesc
Compensation$126,491CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$7,842,527GovernmentGrantsAmt
All Other Contributions$286,298AllOtherContributionsAmt
Total Contributions$8,128,825TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT REVENUE900099$463,015$463,015
MEMBERSHIP DUES900099$58,919$58,919
FieldValueIRS element (for citing)
Total Program Service Revenue$521,934TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$26,581TotalRevenueColumnAmt
Exclusion$26,581ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$26,581OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,677,340TotalRevenueColumnAmt
Related Or Exempt Func Income$521,934RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,581ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,008,760TotalAmt
Program Services$4,008,760ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$717,108TotalAmt
Program Services$694,277ProgramServicesAmt
Management And General$22,831ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,071,590TotalAmt
Program Services$2,070,348ProgramServicesAmt
Management And General$1,242ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$30,976TotalAmt
Program Services$30,874ProgramServicesAmt
Management And General$102ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$232,891TotalAmt
Program Services$227,360ProgramServicesAmt
Management And General$5,531ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$233,054TotalAmt
Program Services$231,354ProgramServicesAmt
Management And General$1,700ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,842TotalAmt
Program Services$1,592ProgramServicesAmt
Management And General$1,250ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110,068TotalAmt
Management And General$110,068ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$592,876TotalAmt
Program Services$512,149ProgramServicesAmt
Management And General$80,727ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$529TotalAmt
Management And General$529ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$207,575TotalAmt
Program Services$149,058ProgramServicesAmt
Management And General$58,517ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$98,223TotalAmt
Program Services$91,438ProgramServicesAmt
Management And General$6,785ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$130,752TotalAmt
Program Services$130,340ProgramServicesAmt
Management And General$412ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,212TotalAmt
Management And General$8,212ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Program Services$750ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,624TotalAmt
Management And General$5,624ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RECRUITMENT & TRAINING$33,419$27,487$5,932
OUTREACH & DEVELOPMENT$390$390

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,485,639TotalAmt
Program Services$8,175,787ProgramServicesAmt
Management And General$309,852ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$296,311BOYAmt
EOY$374,123EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$503,226BOYAmt
EOY$977,969EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,964BOYAmt
EOY$902EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,706BOYAmt
EOY$37,731EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$57,914LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,914LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,495BOYAmt
EOY$13,495EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$837,702BOYAmt
EOY$1,404,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$230,899BOYAmt
EOY$605,716EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$230,899BOYAmt
EOY$605,716EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$306,673BOYAmt
EOY$610,965EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$300,130BOYAmt
EOY$187,539EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$606,803BOYAmt
EOY$798,504EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$837,702BOYAmt
EOY$1,404,220EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$191,701ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$858,826CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$997,953CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,513,301CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,597,921CurrentTaxYearMinus1YearAmt
Current Tax Year$8,128,825CurrentTaxYearAmt
Total$15,096,826TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$858,826CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$997,953CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,513,301CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,597,921CurrentTaxYearMinus1YearAmt
Current Tax Year$8,128,825CurrentTaxYearAmt
Total$15,096,826TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$15,096,826PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3CurrentTaxYearMinus4YearsAmt
Total$3TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,533CurrentTaxYearMinus2YearsAmt
Current Tax Year$26,581CurrentTaxYearAmt
Total$32,060TotalAmt
FieldValueIRS element (for citing)
Total Support$15,128,889TotalSupportAmt
Gross Receipts Rltd Activities$979,005GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99790PublicSupportCY170Pct
Public Support PY1700.99930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2017 AMOUNT: $ 3,946. 2018 AMOUNT: $ 1,533. 2020 AMOUNT: $ 26,581.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,443OtherCostOrOtherBasisAmt
Depreciation$15,443DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,471OtherCostOrOtherBasisAmt
Depreciation$42,471DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,677,340TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$8,677,340RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,677,340TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,485,639TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,485,639ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,485,639TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM FEDERAL AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN INDIAN HEALTH & SERVICES-1
4141 STATE STREET SUITE B - 11SANTA BARBARACA93110$105,599SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
AMERICAN INDIAN HEALTH SERVICES OF CHICAGO
4326 WEST MONTROSE AVECHICAGOIL60641$38,766SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT
1617 30TH STBAKERSFIELDCA93301$174,131SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
FIRST NATIONS COMMUNITY HEALTH SOURCE
5608 ZUNI RD SEALBUQUERQUENM87108$51,434SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
FRESNO AMERICAN INDIAN HEALTH PROJECT
1551 EAST SHAW AVEFRESNOCA93710$169,698SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
FRIENDSHIP HOUSE
56 JULIAN AVESAN FRANCISCOCA94103$230,476SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
GERALD L IGNACE HEALTH CENTER
930 WEST HISTORIC MITCHELL STMILWAUKEEWI53204$146,916SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
INDIAN HEALTH CENTER OF CLARA VALLEY
1211 MERIDIAN AVESAN JOSECA95125$225,000SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
KANSAS CITY INDIAN CENTER
600 WEST 39TH STKANSAS CITYMO64111$30,416SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE AMERICAN CONNECTIONS
4520 NORTH CENTRAL AVE SUITE 600PHOENIXAZ85012$204,569SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE AMERICAN DEVELOPMENT
17 N 26TH STBILLINGSMT59101$61,691SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE AMERICAN HEALTH CENTER
2920 INTERNATIONAL BLVDOAKLANDCA94601$190,008SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE AMERICAN LIFELINES BALTIMORE
1 EAST FANKLIN ST SUITE 200BALTIMOREMD21202$163,664SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE AMERICAN REHABILITATION NORTHWEST
1776 SOUTHWEST MADISON STPORTLANDOR97205$226,913SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE AMERICANS FOR COMMUNITY ACTION IN
2717 NORTH STEVES BLVD SUITE 11FLAGSTAFFAZ86004$103,337SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE DIRECTIONS INC
13505 UNION RDMANTECACA95336$134,302SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NATIVE HEALTH
4041 NORTH CENTRAL AVE BLDG CPHOENIXAZ85012$159,019SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NEBRASKA URBAN INDIAN HEALTH COALITION
2240 LANDON CTOMAHANE68135$17,052SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
NEVADA URBAN INDIAN
6512 SOUTH MCCARRAN BLVD SUITE A-CRENONV89509$130,066SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
SACRAMENTO NATIVE AMERICAN
2020 J STSACRAMENTOCA95811$106,043SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
SAN DIEGO AMERICAN INDIAN HEALTH CENTER
2630 1ST AVESAN DIEGOCA92103$190,476SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
SEATTLE INDIAN HEALTH BOARD
611- 12TH AVE SO SUITE 200SEATTLEWA98144$167,459SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
SOUTH DAKOTA URBAN INDIAN HEALTH
1714 ABBEY RDPIERRESD57501$8,055SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
THE NATIVE PROJECT
1803 WEST MAXWELL AVESPOKANEWA99201$265,392SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
TUCSON INDIAN CENTER
160 NORTH STONE AVETUCSONAZ85701$235,476SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
UNITED AMERICAN INDIAN INVOLVEMENT
1125 WEST 6TH ST SUITE 103LOS ANGELESCA90017$145,657SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
URBAN INDIAN CENTER OF SALT LAKE
120 WEST 1300 SOUTHSALT LAKE CITYUT84115$86,669SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
URBAN INTER-TRIBAL CENTER TEXAS
1283 RECORD CROSSING RDDALLASTX75235$240,476SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS.
FieldValueIRS element (for citing)
Total501c3 Org28Total501c3OrgCnt
Total Other Org28TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNCUIH PREPARED, BASED ON CDC REQUIREMENTS - FUNDING GUIDELINES, EXPENSE REPORT AND INSTRUCTIONS, AND PAYMENT REQUEST FORM IN WHICH THE GRANTEE IS TO SUBMIT PROPER DOCUMENTATION TO SUPPORT THEIR FUNDING REQUEST. THE DOCUMENTS ARE REVIEWED TO ENSURE THAT IT FOLLOWS CDC GUIDELINES PRIOR TO SUBMITTING PAYMENT TO GRANTEES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonFRANCYS CREVIERPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$210,358BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$7,692OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$8,462DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$7,706NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$234,218TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE GENERAL MEMBERSHIP CONSISTS OF ORGANIZATIONAL MEMBERS IN GOOD STANDING.
FORM 990, PART VI, SECTION A, LINE 7AORGANIZATIONAL MEMBERS IN GOOD STANDING ARE ALLOWED TO VOTE.
FORM 990, PART VI, SECTION B, LINE 11BAFTER THE 990 IS COMPLETED, IT IS FORWARDED TO THE EXECUTIVE COMMITTEE FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AND ALL EMPLOYEES HAVE READ AND AGREED TO THE ETHICS POLICY OF NCUIH, WHICH ADDRESSES CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO SIGN THIS POLICY WHEN THEY ARE HIRED AND THE BOARD MUST SIGN IT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS PERFORMS ANNUAL COMPARABILITY SALARY REVIEWS. ANNUAL INCREASES ARE BASED ON ANNUAL REVIEW AND COLA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST VIA EMAIL AND ALSO ON GUIDESTAR.COM.

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