2022-08-15T10:49:02-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-10-01 910869056 SEATTLE INDIAN HEALTH BOARD SEAT 2063249360 611 12TH AVENUE SOUTH SEATTLE WA 98144 ESTHER LUCERO PRESIDENT & CEO 2063249360 2022-08-09 1 ESTHER LUCERO 999009999 KURT BENNION CPA P01469618 4252506100 2022-08-09 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z ESTHER LUCERO 611 12TH AVENUE SOUTH SEATTLE WA 98144 40006585 0 X WWW.SIHB.ORG X 1970 WA ADVOCATE FOR, PROVIDE, AND ENSURE CULTURALLY APPROPRIATE, HIGH QUALITY, AND ACCESSIBLE HEALTH AND HUMAN SERVICES TO AMERICAN INDIANS AND ALASKA NATIVES. 9 9 291 12 0 0 16389601 23908609 9876205 9009156 18532 5863558 51253 181618 26335591 38962941 48746 22290 0 0 15026707 16074895 0 0 0 7631876 13620703 22707329 29717888 3628262 9245053 24258366 30642296 6494647 3606138 17763719 27036158 X SERVICES ARE DESIGNED TO ADDRESS SEVERE HEALTH DISPARITIES AMONG URBAN AMERICAN INDIANS AND ALASKA NATIVES BY PROVIDING CULTURALLY RELEVANT PRIMARY CARE, BEHAVIORAL HEALTH, OUTREACH SERVICES AND NATIONAL RESEARCH. 0 0 10857857 22290 8590970 SEE SCHEDULE O 5409781 0 0 THE URBAN INDIAN HEALTH INSTITUTE IS ONE OF 12 INDIAN HEALTH SERVICE FUNDED TRIBAL EPIDEMIOLOGY CENTERS AND THE ONLY CENTER WITH A NATIONAL FOCUS. THE WORK SUPPORTS THE NETWORK OF 62 URBAN INDIAN HEALTH ORGANIZATIONS (UIHO) LOCATED IN 26 STATES BY DESCRIBING DISPARITIES WITNESSED AMONG URBAN INDIANS THROUGH DATA ANALYSIS AND USING FINDINGS TO INFORM THE DESIGNING AND PLANNING OF CULTURALLY APPROPRIATE INTERVENTIONS. 217349 0 418186 OUTPATIENT AND INPATIENT CHEMICAL DEPENDENCY SERVICES TREATMENT WAS PROVIDED THROUGH 0 INPATIENT DAYS AND 1,106 OUTPATIENT SERVICES DURING THE FISCAL YEAR. IN FEBRUARY OF 2019, SIHB PAUSED SERVICES FOR OUR 65-BED RESIDENTIAL TREATMENT PROGRAM, THUNDERBIRD TREATMENT CENTER. WE PLAN TO REOPEN IN 2023 WITH EXPANDED SERVICES REACHING 92 BEDS AND SPECIFIC ATTENTION TO PROVIDING IN-PATIENT MEDICALLY ASSISTED TREATMENT FOR PREGNANT AND PARENTING WOMEN. 16484987 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 168 0 291 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X LINDA ZHANG 2063249360 611 12TH AVENUE SOUTH SEATTLE WA 98144 ESTHER LUCERO CHIEF EXECUTIVE OFFICER 40.00 X 200897 0 25561 DR SOCIA LOVE-THURMAN CHIEF HEALTH OFFICER 40.00 X 178020 0 22244 LUKE ADAMS DENTAL DIRECTOR 40.00 X 176954 0 20060 PETER TALBOT PHYSICIAN 40.00 X 175927 0 11109 ANDREA BACHHUBER-BEAM PHYSICIAN 40.00 X 161313 0 10624 PATRICK HENRY PHARMACY DIRECTOR 40.00 X 149154 0 21447 SARAH YANKTON HILL DENTIST 40.00 X 144191 0 22257 RYAN GILBERT CHIEF OPERATING OFFICER 40.00 X 131006 0 13840 ABIGAIL ECHO-HAWK CHIEF RESEARCH OFFICER 40.00 X 124655 0 19447 ADRIAN DOMINGUEZ CHIEF DATA OFFICER 40.00 X 118824 0 9465 PAMELA GRINDLEY CHIEF PEOPLE OFFICER 40.00 X 115952 0 6611 ANNETTE SQUETIMKIN-ANQUOE CHIEF TRADITIONAL HEALTH O 40.00 X 109499 0 5309 LINDA ZHANG CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 CHRIS STEARNS JD PRESIDENT & DIRECTOR 5.00 X X 0 0 0 SHARYNE THORNTON PHD VICE PRESIDENT 5.00 X X 0 0 0 J ROGER LEE TREASURER 5.00 X X 0 0 0 JANIA GARCIA BA MA DIRECTOR & SECRETARY 5.00 X X 0 0 0 TOM WARREN SB ME SECRETARY & PRESIDENT 5.00 X X 0 0 0 ALIX ANDERSON RN DIRECTOR 5.00 X 0 0 0 SHELLEY MEANS BA DIRECTOR 5.00 X 0 0 0 ARMILITO PANGILINAN MBA CPA DIRECTOR 5.00 X 0 0 0 CORNELIUS VAN NIEL MD DIRECTOR 5.00 X 0 0 0 1786392 0 187974 12 0 1 0 AGATHA CONSULTING LLC 16614 SE 27TH STREET BELLEVUE WA 98008 REVENUE CYCLE CONSULTING 342470 NUWEST GROUP HOLDINGS LLC 325 118TH AVE SE SUITE 300 BELLEVUE WA 98005 RECRUITING SERVICES 319774 CENTRAL PROTECTION INC 6114 204TH ST SW LYNNWOOD WA 98036 SECURITY GUARD PROTECTION 298002 PRIORITY MANAGEMENT GROUP 700 SCHOOL STREET PAWTUCKET RI 02860 ACCOUNTING SERVICE 255992 MOTHER NATION 16422 MERIDIAN AVE S BOTHELL WA 98012 HOMELESS INVESTMENT, HOMELESS PREVENTION 247312 13 157029 23334220 417360 23908609 NET PATIENT FEES 621400 8590970 8590970 CHEMICAL DEPENDENCY FEES 623990 418186 418186 9009156 24969 24969 6854165 1015576 5838589 5838589 5838589 0 157029 28068 -28068 -28068 MISCELLANEOUS INCOME 900099 177859 177859 INCENTIVE REVENUE 900099 31827 31827 209686 38962941 9009156 0 6045176 X 22290 22290 1134110 241938 892172 11812550 7919935 3892615 522656 343710 178946 1538971 964129 574842 1066608 656168 410440 82903 82903 102011 102011 5771409 2878375 2893034 1487737 407838 1079899 1551609 72988 1478621 218924 104951 113973 252672 116754 135918 290835 124067 166768 PATIENT CARE SUPPLIES 2232208 2215052 17156 STAFF TRAINING 603799 257575 346224 MISCELLANEOUS EXPENSES 466560 8537 458023 REPAIRS & MAINTENANCE 431928 22965 408963 128108 127715 393 29717888 16484987 13232901 0 5329566 7187302 5569713 8919169 3298240 6537446 1741832 400281 291987 259452 11021526 3682880 8027028 7338646 24258366 30642296 1482612 3106667 4147759 407475 864276 91996 6494647 3606138 X 17763719 26842442 0 193716 17763719 27036158 24258366 30642296 9245053 27386 0 X 0 1 X 1 1 1 X 10926489 13265121 14222927 16389601 23908609 78712747 10926489 13265121 14222927 16389601 23908609 78712747 78712747 12731 22950 23621 18532 24969 102803 101715 425531 496423 59453 209686 1292808 80108358 36931285 0.98260 0.98230 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME INCENTIVE REVENUE FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 23667 0 0 23667 0 PART II-B, LINE 1: SIHB ENGAGES IN ADVOCACY AT THE CITY, COUNTY, STATE AND NATIONAL LEVELS. LOBBYING ACTIVITY DURING THE FISCAL YEAR INCLUDED TRAVEL TO OLYMPIA, WASHINGTON DC, AND TRIBAL FACILITIES FOR I/T/U CONFER AND CONSULT EVENTS, WORKGROUP PARTICIPATION, PLANNING COMMITTEES, TESTIMONY AND UIHP EDUCATION SESSIONS. FUNDS PAID TO A CONSULTANT TO MONITOR FEDERAL HEALTH POLICY, CONTACTING KEY STAFF MEMBERS RESPONSIBLE FOR APPROPRIATE DECISIONS, AND COORDINATING COMMUNICATIONS TO PROTECT FUNDING AND ADVISE STRATEGIES TO EFFECTUATE POSITIVE OUTCOMES. X X 0 4181742 4181742 2164850 437103 1727747 1743665 1482720 260945 2257700 1763057 494643 673569 673569 7338646 X 38824679 27386 28068 55454 38769225 193716 193716 38962941 29745956 28068 28068 29717888 0 29717888 PART III, LINE 4: THE ORGANIZATION HOLDS TWO HISTORIC MASKS THAT ARE ON DISPLAY IN THE ENTRY AREA OF OUR PRIMARY CARE CLINIC, AS WELL AS OTHER ART AND HISTORICAL ITEMS ON DISPLAY IN OUR VARIOUS LOCATIONS. PART X, LINE 2: THE HEALTH BOARD IS NOT SUBJECT TO INCOME TAX, AS IT IS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE HEALTH BOARD'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. MANAGEMENT EVALUATED THE HEALTH BOARD'S TAX POSITIONS AND CONCLUDED THAT THE HEALTH BOARD HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 28,068. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS WITH DONOR RESTRICTIONS 193,716. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 28,068. ADELINE GARCIA BANQUET 24937 24937 2247 SPIRIT WALK 69987 69987 6668 1 62105 62105 19153 157029 157029 28068 28068 -28068 1 HOMELESS INVESTMENTS IN RAPID REHOUSING 43 22290 N/A N/A PART I, LINE 2: TO ENSURE THAT FUNDS ARE USED FOR APPROPRIATE PURPOSES, ALL PAYMENTS ARE MADE TO LANDLORDS/OWNERS ON BEHALF OF INDIVIDUALS. X X 0 0 0 0 0 0 0 0 0 ESTHER LUCERO CHIEF EXECUTIVE OFFICER 200244 0 0 0 653 0 13718 0 11843 0 226458 0 0 0 DR SOCIA LOVE-THURMAN CHIEF HEALTH OFFICER 177367 0 0 0 653 0 11276 0 10968 0 200264 0 0 0 LUKE ADAMS DENTAL DIRECTOR 176301 0 0 0 653 0 20060 0 0 0 197014 0 0 0 PETER TALBOT PHYSICIAN 175274 0 0 0 653 0 10746 0 363 0 187036 0 0 0 ANDREA BACHHUBER-BEAM PHYSICIAN 160660 0 0 0 653 0 9658 0 966 0 171937 0 0 0 PATRICK HENRY PHARMACY DIRECTOR 148501 0 0 0 653 0 20377 0 1070 0 170601 0 0 0 SARAH YANKTON HILL DENTIST 143512 0 0 0 679 0 18350 0 3907 0 166448 0 0 0 MELINDA GARAY SPOUSE OF ESTHER LUCERO, CEO 107792 EMPLOYEE COMPENSATION 0 LAWRENCE LUCERO FATHER OF ESTHER LUCERO, CEO 50813 EMPLOYEE COMPENSATION 0 LORNA SQUETIMKIN SISTER OF ANNETTE SQUETIMKIN-ANQUOE, CHIEF TRADITIONAL HEALTH OFFICER 40866 EMPLOYEE COMPENSATION 0 SHAWN THURMAN SPOUSE OF DR. SOCIA LOVE-THURMAN, CHIEF HEALTH OFFICER 46093 EMPLOYEE COMPENSATION 0 M THIRTY-SIX OWNED BY LAEL ECHO-HAWK, SISTER OF ABIGAIL ECHO-HAWK, CHIEF RESEARCH OFF. 23667 EMPLOYEE COMPENSATION 0 FORM 990, PART III, LINE 4A HEALTH CARE OPERATIONS DIVISION INCLUDE MEDICAL, DENTAL, LAB, PHARMACY, NUTRITION AND DIABETES CLINIC SERVICES. FOR FISCAL YEAR 2021, SIHB PROVIDED 16,619 MEDICAL VISITS, 5,607 DENTAL VISITS, 36,944 PHARMACY PRESCRIPTIONS (36,944 TOTAL, 20,645 NEW, 16,299 REFILLS), 16,674 LAB TESTS, 1,033 MENTAL HEALTH VISITS, 10,035 COMMUNITY SERVICES CASE MANAGEMENT VISITS, 1,132 HEALTH EDUCATION VISITS AND, 1,820 COVID TEST PROVIDED. THE FAMILY MEDICINE RESIDENCY TRAINING PROGRAM IS THE ONLY ACGME APPROVED PHYSICIAN RESIDENCY FOCUSING ON INDIAN HEALTH. ESTABLISHED IN 1994, THE THREE-YEAR TRAINING PROGRAM HAS GRADUATED AS OF 2020, 47 PHYSICIANS WITH MOST GRADUATES NOW SERVING INDIAN TRIBES, URBAN INDIAN HEALTH ORGANIZATION, OR COMMUNITY HEALTH CENTERS ACROSS THE NATION. SIHB ALSO RUNS ELDERS DAY GROUPS, YOUTH AND OUTREACH ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 1 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. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE TEAM AND BY THE FINANCE COMMITTEE AND WAS PROVIDED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15A 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. MERIT RAISES RANGE FROM 2% TO 5%. THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S ANNUAL INCREASE BASED ON ESTABLISHED EVALUATION CRITERIA. THE MOST RECENT COMPENSATION REVIEW OCCURRED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 SIHB DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST OR THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,878,375. MANAGEMENT AND GENERAL EXPENSES 2,893,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,771,409.