2020-07-20T18:27:43-05:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-10-01 910869056 SEATTLE INDIAN HEALTH BOARD SEAT 2063249360 611 12TH AVENUE SOUTH SEATTLE WA 98144 BEN LUETY CFO 2063249360 2020-07-20 1 KURT BENNION CPA P01469618 4252506100 2020-07-20 67.137.57.251 2020-07-20 11:21:21 CD P EA5DF6E669932F7E786335D4514F3B18C0726D97 EA5DF6E669932F7E786335D4514F3B18C0726D97 2018 2020-09-23 17:36:50Z ESTHER LUCERO 611 12TH AVENUE SOUTH SEATTLE WA 98144 20381205 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. 12 12 54 12 0 0 13265121 14222927 6371773 5638234 22950 23621 395587 458268 20055431 20343050 0 53640 0 0 13712102 14559248 0 0 0 6377094 6952605 20089196 21565493 -33765 -1222443 16784809 15882155 1435630 1785388 15349179 14096767 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 8992459 53640 3945223 HEALTH CARE OPERATIONS INCLUDE MEDICAL, DENTAL, LAB, PHARMACY, NUTRITION AND DIABETES CLINIC SERVICES. FOR FISCAL YEAR 2019, SIHB PROVIDED 15,159 MEDICAL VISITS AND 4,525 DENTAL VISITS, ALONG WITH 32,760 PHARMACY PRESCRIPTIONS (32,760 TOTAL, 19,091 NEW, 13,669 REFILLS) AND 18,667 LAB TESTS. THERE WERE 1,665 MENTAL HEALTH VISITS, 796 CASE MANAGEMENT VISITS AND 937 HEALTH EDUCATION VISITS. 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 43 PHYSICIANS AS OF 2019 WITH MOST GRADUATES NOW SERVING INDIAN TRIBES, URBAN INDIAN HEALTH ORGANIZATIONS, OR COMMUNITY HEALTH CENTERS ACROSS THE NATION. SIHB ALSO RUNS ELDERS DAY GROUPS, YOUTH AND OUTREACH ACTIVITIES. 2631005 0 1693011 OUTPATIENT AND INPATIENT CHEMICAL DEPENDENCY SERVICES TREATMENT WAS PROVIDED THROUGH 2,106 INPTATIENT DAYS AND 2,961 OUTPATIENT SERVICES DURING THE FISCAL YEAR. 2360185 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 34 URBAN INDIAN HEALTH ORGANIZATIONS (UIHO) LOCATED IN 19 STATES BY DESCRIBING DISPARITIES WITNESSED AMONG URBAN INDIANS THROUGH DATA ANALYSIS AND USING FINDINGS TO INFORM THE DESIGNING AND PLANNING OF CULTURALLY APPROPRIATE INTERVENTIONS. 13983649 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 1 143 0 54 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X BEN LUETY 2063249360 611 12TH AVENUE SOUTH SEATTLE WA 98144 CHRIS STEARNS JD PRESIDENT 5.00 X X 0 0 0 SHARYNE THORNTON PHD VICE PRESIDENT 5.00 X X 0 0 0 TOM WARREN SB ME SECRETARY 5.00 X X 0 0 0 CORNELIUS VAN NIEL MD CO-TREASURER & DIRECTOR 5.00 X X 0 0 0 J ROGER LEE CO-TREASURER & TREASURER 5.00 X X 0 0 0 ALIX ANDERSON RN DIRECTOR 5.00 X 0 0 0 JULEANN GANDARA MD DIRECTOR 5.00 X 0 0 0 JANIA GARCIA BA MA DIRECTOR 5.00 X 0 0 0 LAUREN KING JD DIRECTOR 5.00 X 0 0 0 FRED LAUTH BA 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 ESTHER LUCERO CHIEF EXECUTIVE OFFICER 40.00 X 170563 0 36219 BENJAMIN LUETY CHIEF FINANCIAL OFFICER 40.00 X 144679 0 21348 RYAN GILBERT CHIEF OPERATING OFFICER 40.00 X 0 0 0 EMILY ASHBAUGH CHIEF MEDICAL OFFICER 40.00 X 204178 0 21221 GREG MADDOX CHIEF MEDICAL OFFICER 40.00 X 202148 0 12160 LUKE ADAMS DENTAL DIRECTOR 40.00 X 159721 0 10420 SOCIA LOVE-THURMAN RESIDENCY SITE COORDINATOR 40.00 X 180928 0 19694 PETER TALBOT PHYSICIAN 40.00 X 170978 0 11312 ANDREA BACHHUBER-BEAM PHYSICIAN 40.00 X 154926 0 18102 MARGARET JOHNSTON DENTIST 40.00 X 145459 0 17507 ROGER CAMPBELL DENTIST 40.00 X 125245 0 21979 1658825 0 189962 21 0 1 0 AGATHA CONSULTING LLC 16614 SE 27TH STREET BELLEVUE WA 98008 REVENUE CYCLE CONSULTING 306130 NUWEST GROUP HOLDINGS LLC 325 118TH AVENUE SE SUITE 300 BELLEVUE WA 98005 RECRUITING SERVICES 222956 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 DATA MANAGEMENT 204788 ELLIOT & MORGAN PO BOX 1024 AUBURN WA 980711024 JANITORIAL SERVICES 125730 4 64579 13500459 657889 14222927 NET PATIENT FEES 621400 3945223 3945223 CHEMICAL DEPENDENCY FEES 623990 1693011 1693011 5638234 23621 23621 17050 64579 38155 -21105 -21105 MISCELLANEOUS INCOME 900099 391331 391331 INCENTIVE REVENUE 900099 88042 88042 479373 20343050 5638234 0 481889 X 53640 53640 982657 420259 562398 10693188 7676548 3016640 464543 346728 117815 1426771 967697 459074 992089 699242 292847 50797 50797 91757 91757 2456079 1186628 1269451 109498 56168 53330 391231 141281 249950 410125 265975 144150 847964 286298 561666 347610 206691 140919 54761 18295 36466 240191 101156 139035 198549 198549 PATIENT CARE SUPPLIES 1334136 1329478 4658 REPAIRS & MAINTENANCE 178038 132559 45479 STAFF TRAINING 86761 28941 57820 DUES & SUBSCRIPTIONS 62336 11559 50777 92772 54506 38266 21565493 13983649 7581844 0 1483861 2055014 2333283 2359026 4134133 2755915 1180439 614726 278997 297164 11962450 4162140 7374096 7800310 16784809 15882155 1435630 1785388 1435630 1785388 X 15349179 14096767 15349179 14096767 16784809 15882155 -1222443 -29969 0 X 0 1 X 1 1 1 X 9100658 10138938 10926489 13265121 14222927 57654133 9100658 10138938 10926489 13265121 14222927 57654133 57654133 2685 8205 12731 22950 23621 70192 30624 1178 101715 425531 496423 1055471 58779796 28927924 0.98080 0.98900 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 55430 0 0 55430 0 PART II-B, LINE 1: TRAVEL TO OLYMPIA, WASHINGTON DC, AND TRIBAL FACILITIES FOR I/T/U CONFER AND CONSULT EVENTS, WORKGROUP PARTICIPATION, PLANNING COMMITTEES, TESIMONY AND UIHP EDUCATION SESSIONS. FUNDS PAID TO CONSULTANT TO MONITOR FEDERAL HEALTH POLICY CONTACT KEY STAFF MEMBERS RESPONSIBLE FOR APPROPRIATE DECISIONS, COORDINATE COMMUNICATIONS TO PROTECT FUNDING AND ADVISE STRATEGIES TO EFFECTUATE POSITIVE OUTCOMES. 0 0 X X 0 4926349 4926349 2814543 954843 1859700 2258331 1734700 523631 1963227 1472597 490630 7800310 X 20351236 -29969 38155 8186 20343050 0 20343050 21603648 38155 38155 21565493 0 21565493 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). ACCORDINGLY, NO PROVISION FOR INCOME TAX IS INCLUDED IN THESE FINANCIAL STATEMENTS. FOR THE 2019 AND 2018 FINANCIAL STATEMENTS, THE HEALTH BOARD HAS ACCOUNTED FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND WAS REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2019 AND 2018, THE HEALTH BOARD HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 38,155. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 38,155. ADELINE GARCIA BANQUET 49782 38232 11550 24591 527 4678 SPIRIT WALK 31847 26347 5500 2493 5866 81629 64579 17050 27084 527 10544 38155 -21105 1 HOMELESS INVESTMENTS IN RAPID REHOUSING 23 53640 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 170563 0 0 0 0 0 10228 0 25991 0 206782 0 0 0 BENJAMIN LUETY CHIEF FINANCIAL OFFICER 144679 0 0 0 0 0 8675 0 12673 0 166027 0 0 0 EMILY ASHBAUGH CHIEF MEDICAL OFFICER 204178 0 0 0 0 0 12245 0 8976 0 225399 0 0 0 GREG MADDOX CHIEF MEDICAL OFFICER 202148 0 0 0 0 0 11146 0 1014 0 214308 0 0 0 LUKE ADAMS DENTAL DIRECTOR 159721 0 0 0 0 0 9577 0 843 0 170141 0 0 0 SOCIA LOVE-THURMAN RESIDENCY SITE COORDINATOR 180928 0 0 0 0 0 10850 0 8844 0 200622 0 0 0 PETER TALBOT PHYSICIAN 170978 0 0 0 0 0 10253 0 1059 0 182290 0 0 0 ANDREA BACHHUBER-BEAM PHYSICIAN 154926 0 0 0 0 0 9289 0 8813 0 173028 0 0 0 MARGARET JOHNSTON DENTIST 145459 0 0 0 0 0 8721 0 8786 0 162966 0 0 0 MELINDA GARAY MELINDA GARAY IS THE SPOUSE OF ESTHER LUCERO, CEO 54034 EMPLOYEE COMPENSATION 0 LUCERO CUSTOM INTERIORS LUCERO CUSTOM INTERIORS IS OWNED BY THE FATHER OF ESTHER LUCERO, CEO 120911 REPAIRS, MAINTENANCE AND LIGHT CONSTRUCTION 0 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 A, LINE 8B THE ORGANIZATION'S COMMITTEES KEEP NOTES OF MAJOR DECISIONS AND EVENTS, BUT DON'T KEEP DETAILED MINUTES. COMMITTEES ALSO PROVIDE VERBAL REPORTS TO THE BOARD OF DIRECTORS AT BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE FORM 990 BEFORE IT WAS PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL. THE FORM 990 WAS POSTED ONLINE IN A BOARD OF DIRECTORS SHARED FILE FOR REVIEW. 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. 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 SERVICE FEES: PROGRAM SERVICE EXPENSES 1,186,628. MANAGEMENT AND GENERAL EXPENSES 1,269,451. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,456,079.