FURP.ORG / PUBLIC DATA EXPLORER

NATIONAL INDIAN HEALTH BOARD: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NATIONAL INDIAN HEALTH BOARD (EIN 23-7226316)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201703199349307710
Schema version
2016v3.0
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)
Return2017-11-15T11:51:42-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN260004395PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HALT BUZAS & POWELL LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11199 N FAIRFAX ST 10TH FLOORAddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP22314ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237226316EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL INDIAN HEALTH BOARDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone2025074070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1910 PENNSYLVANIA AVENUE SEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTACY BOHLENPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2025074070PhoneNum
Signature2017-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSVETLANA CHEBAKINAPreparerPersonNm
PTINP01399152PTIN
Phone7038361350PhoneNum
Preparation2017-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address107.0.81.98IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-08IPDt
IP Tm13:08:15IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4D1F4F183C5A1A8D6AC33D6DEB514EA042CF1F5FAtSubmissionCreationDeviceId
At Submission Filing Device Id7BED7CA5B4D52C75AB5C051D1D292888F06243D2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTACY BOHLENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1910 PENNSYLVANIA AVENUE SEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,121,358GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NIHB.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionESTABLISHED BY THE TRIBES TO ADVOCATE AS THE UNITED VOICE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES, NIHB SEEKS TO REINFORCE TRIBAL SOVEREIGNTY, STRENGTHEN TRIBAL HEALTH SYSTEMS, SECURE RESOURCES, AND BUILD CAPACITY TO ACHIEVE THE HIGHEST LEVEL OF HEALTH AND WELL-BEING FOR OUR PEOPLE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,411,962PYContributionsGrantsAmt
CY Contributions Grants$3,501,408CYContributionsGrantsAmt
PY Program Service Revenue$365,555PYProgramServiceRevenueAmt
CY Program Service Revenue$617,570CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$7,111PYOtherRevenueAmt
CY Other Revenue$2,380CYOtherRevenueAmt
PY Total Revenue$3,784,628PYTotalRevenueAmt
CY Total Revenue$4,121,358CYTotalRevenueAmt
PY Grants And Similar Paid$776,416PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$467,329CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,425,148PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,525,447CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,733,577PYOtherExpensesAmt
CY Other Expenses$1,838,298CYOtherExpensesAmt
PY Total Expenses$3,935,141PYTotalExpensesAmt
CY Total Expenses$3,831,074CYTotalExpensesAmt
PY Revenues Less Expenses-$150,513PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$290,284CYRevenuesLessExpensesAmt
Total Assets BOY$829,776TotalAssetsBOYAmt
Total Assets EOY$949,325TotalAssetsEOYAmt
Total Liabilities BOY$293,441TotalLiabilitiesBOYAmt
Total Liabilities EOY$122,706TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$536,335NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$826,619NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNIHB WORKS IN CLOSE COOPERATION WITH INDIAN TRIBES, HEALTH BOARDS, TRIBAL ORGANIZATIONS, THE INDIAN HEALTH SERVICE, AND THE U.S. CONGRESS FOR THE PURPOSE OF RAISING THE HEALTH STATUS OF AMERICAN INDIANS AND ALASKA NATIVES TO THE HIGHEST POSSIBLE LEVEL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,072,116ExpenseAmt
Grant$374,079GrantAmt
DescCMS PROGRAM: THE NATIONAL INDIAN HEALTH BOARD (NIHB) COMPLETED YEAR FIVE OF A FIVE-YEAR SINGLE SOURCE COOPERATIVE AGREEMENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE PURPOSE OF THIS AGREEMENT IS TO INCREASE THE UNDERSTANDING OF, ACCESS TO, AND THE IMPACT OF CMS PROGRAMS ON AMERICAN INDIAN/ALASKA NATIVE (AI/AN) BENEFICIARIES AND THE INDIAN HEALTH CARE SYSTEM SERVING THOSE BENEFICIARIES. NIHB'S ROLE IN THIS PROJECT IS TO CONDUCT ANALYSIS, RESEARCH AND STUDIES UNDER FIVE DISTINCT AREAS OF WORK, WITH A SIXTH AREA ADDED IN YEAR FOUR QUARTER ONE TO ANALYZE THE OUTREACH AND EDUCATION AVAILABILITY OF MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO TRIBAL MEMBERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,260,873ExpenseAmt
Grant$93,250GrantAmt
DescIHS COOP AGREEMENT: TO ELEVATE THE HEALTH STATUS OF ALL FEDERALLY RECOGNIZED AMERICAN INDIANS AND ALASKA NATIVES TO A LEVEL COMPARABLE TO THE REST OF THE U.S. THROUGH STRONG COLLABORATION WITH THE FEDERAL GOVERNMENT, AI/AN TRIBAL GOVERNMENTS, URBAN INDIAN HEALTH CENTERS, AND OTHERS. THE NIHB SEEKS TO REDUCE HEALTH DISPARITIES AMONG AMERICAN INDIAN AND ALASKA NATIVE PEOPLE AND EXTEND THE FUNDING, PROGRAMS, POLICY, AND OUTREACH AVAILABLE TO TRIBAL GOVERNMENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$642,614ExpenseAmt
DescCDC COOP AGREEMENT - THE OVERARCHING PURPOSE OF THE COOPERATIVE AGREEMENT BETWEEN NIHB AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) IS TO IMPROVE THE HEALTH OF THE UNDERSERVED AMERICAN INDIANS AND ALASKA NATIVES (AI/AN) BY STRENGTHENING THE NIHB EFFORTS TO BUILD PUBLIC HEALTH CAPACITY THROUGHOUT INDIAN COUNTRY AND FOSTER CULTURALLY APPROPRIATE PUBLIC HEALTH CARE SERVICES THAT FOCUS ON PARTNERSHIP BUILDING, HEALTH ADVOCACY, PROMOTION, EDUCATION, AND PREVENTION.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$613,672ExpenseAmt
Revenue$617,570RevenueAmt
DescANNUAL CONSUMER CONFERENCE: TO PROVIDE THE TOOLS TO EMPOWER INDIAN HEALTH ADVOCATES TO UNITE AND ENSURE A HEALTHY FUTURE FOR ALL AMERICAN INDIANS AND ALASKA NATIVES.OTHER PROGRAM SERVICES: ASTHO CDC, NATIONAL OPINION RESEARCH CENTER, PUBLIC HEALTH SUMMIT AND OTHER PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$613,672TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$617,570TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,589,275TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee25EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldDCStatesWhereCopyOfReturnIsFldCd
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)
Phone2025074070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1910 PENNSYLVANIA AVENUE SEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20003ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LESTER SECATERO
CHAIRMAN0.00Yes (X)Yes (X)$0$0$0
VINTON HAWLEY
SECRETARY0.00Yes (X)Yes (X)$0$0$0
RUSSELL BEGAYE
DIRECTOR0.00Yes (X)$0$0$0
VICTORIA KITCHEYAN
VICE CHAIRMAN0.00Yes (X)Yes (X)$0$0$0
SANDRA ORTEGA
DIRECTOR0.00Yes (X)$0$0$0
BEVERLY COOK
DIRECTOR0.00Yes (X)$0$0$0
MARTY WAFFORD
TREASURER0.00Yes (X)Yes (X)$0$0$0
LISA ELGIN
DIRECTOR0.00Yes (X)$0$0$0
CHARLES HEADDRESS
DIRECTOR0.00Yes (X)$0$0$0
ANDREW JOSEPH JR
MEMBER-AT-LARGE0.00Yes (X)$0$0$0
SAM MOOSE
DIRECTOR0.00Yes (X)$0$0$0
LINCOLN BEAN
DIRECTOR0.00Yes (X)$0$0$0
STACY BOHLEN
EXECUTIVE DIRECTOR40.00Yes (X)$174,645$0$31,179
ROBERT FOLEY
CHIEF PROGRAM OFFICER40.00$121,249$0$3,613Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$295,894TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$34,792TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonDONEG PAUL MCDONOUGHPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13245 BEECH STREET NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20015ZIPCd
FieldValueIRS element (for citing)
ServicesHEALTH SYSTEM ANALYTICSServicesDesc
Compensation$123,537CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$2,926,184GovernmentGrantsAmt
All Other Contributions$575,224AllOtherContributionsAmt
Total Contributions$3,501,408TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCONFERENCE INCOMEDesc
Business900099BusinessCd
Total Revenue Column$617,570TotalRevenueColumnAmt
Related Or Exempt Func Income$617,570RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$617,570TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$2,380TotalRevenueColumnAmt
Exclusion$2,380ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,380OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,121,358TotalRevenueColumnAmt
Related Or Exempt Func Income$617,570RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,380ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$467,329TotalAmt
Program Services$467,329ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$205,823TotalAmt
Program Services$184,279ProgramServicesAmt
Management And General$21,544ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,081,720TotalAmt
Program Services$965,525ProgramServicesAmt
Management And General$116,195ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,196TotalAmt
Program Services$23,856ProgramServicesAmt
Management And General$2,340ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$115,096TotalAmt
Program Services$104,819ProgramServicesAmt
Management And General$10,277ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$96,612TotalAmt
Program Services$87,985ProgramServicesAmt
Management And General$8,627ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$63,670TotalAmt
Program Services$61,332ProgramServicesAmt
Management And General$2,338ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,880TotalAmt
Program Services$49,975ProgramServicesAmt
Management And General$1,905ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$349,869TotalAmt
Program Services$323,456ProgramServicesAmt
Management And General$26,413ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$321,459TotalAmt
Program Services$316,154ProgramServicesAmt
Management And General$5,305ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$75,217TotalAmt
Program Services$72,454ProgramServicesAmt
Management And General$2,763ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$160,299TotalAmt
Program Services$159,647ProgramServicesAmt
Management And General$652ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$399,150TotalAmt
Program Services$391,058ProgramServicesAmt
Management And General$8,092ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$370,066TotalAmt
Program Services$367,762ProgramServicesAmt
Management And General$2,304ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,546TotalAmt
Program Services$8,546ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$30,719$30,719
GIFTS AND AWARDS$6,769$2,325$4,444
MISCELLANEOUS$654$654

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,831,074TotalAmt
Program Services$3,589,275ProgramServicesAmt
Management And General$241,799ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$19,146EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$731,957BOYAmt
EOY$850,341EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,819BOYAmt
EOY$14,838EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$56,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$140,504LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$140,504LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,000BOYAmt
EOY$9,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$829,776BOYAmt
EOY$949,325EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$197,524BOYAmt
EOY$122,706EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,917BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$293,441BOYAmt
EOY$122,706EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$446,335BOYAmt
EOY$509,509EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$90,000BOYAmt
EOY$317,110EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$536,335BOYAmt
EOY$826,619EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$829,776BOYAmt
EOY$949,325EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$290,284ReconcilationRevenueExpnssAmt
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 Committee0AuditCommitteeInd
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$6,027,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,238,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,179,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,411,962CurrentTaxYearMinus1YearAmt
Current Tax Year$3,501,408CurrentTaxYearAmt
Total$23,359,084TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,027,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,238,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,179,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,411,962CurrentTaxYearMinus1YearAmt
Current Tax Year$3,501,408CurrentTaxYearAmt
Total$23,359,084TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$23,359,084PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,242CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,111CurrentTaxYearMinus1YearAmt
Current Tax Year$2,380CurrentTaxYearAmt
Total$39,100TotalAmt
FieldValueIRS element (for citing)
Total Support$23,398,184TotalSupportAmt
Gross Receipts Rltd Activities$1,928,592GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99830PublicSupportCY170Pct
Public Support PY1700.99710PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$130,344OtherCostOrOtherBasisAmt
Depreciation$130,344DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,160OtherCostOrOtherBasisAmt
Depreciation$10,160DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,121,358TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,121,358RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,121,358TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,831,074TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,831,074ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,831,074TotalExpensesPerForm990Amt

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 ON INCOME DERIVED FROM ACTIVITIES RELATED TO ITS EXEMPT PURPOSE. THIS CODE SECTIONENABLES THE ORGANIZATION TO ACCEPT DONATIONS THAT QUALIFY AS CHARITABLE CONTRIBUTIONS TO THE DONOR. THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON TAXABLE INCOME FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, THE ORGANIZATION DID NOT RECOGNIZE INCOME TAX EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS AS THERE WAS NO UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS THATWOULD REQUIRE RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR UP TO THREE YEARS FROM THE DATE A COMPLETED RETURN IS FILED. IF MATERIAL OMISSIONS OF INCOME EXIST, TAX RETURNS MAY BE SUBJECT TO EXAMINATION FOR UP TO SIX YEARS. IT IS THE ORGANIZATION'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2016 AND 2015, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS WHICH SHOULD BE RECOGNIZED AS A LIABILITY.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CALIFORNIA RURAL INDIAN HEALTH
4400 AUBURN BOULEVARD 2ND FLOORSACRAMENTOCA95841237052541501(C)(3)$255,004TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD
2121 SW BROADWAY SUITE 300PORTLANDOR97201930718154501(C)(3)$60,743TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
NATIONAL NATIVE AMERICAN AIDS PREVENTION
1031 33RD STDENVERCO80205943065291501(C)(3)$65,000TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
YELLOWHAWK TRIBAL HEALTH CENTER
POB 160PENDLETONOR97801931207672TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
NORTH DAKOTA STATE UNIVERSITY
POB 6050FARGOND58108456002439501(C)(3)$31,932TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
FOREST COUNTY POTOWATOMI COMMUNITY
8201 MISH KO SWEN DRIVECRANDONWI54520391225059TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
HO-CHUNK NATION
N6520 LUMBER JACK GUY ROADBLACK RIVER FALLSWI54615391140880TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
NOTTAWASEPPI HURON BAND OF POTWATOMI
1485 MNO-BMADZEWEN WAYFULTONMI49052391225059TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
ONIEDA TRIBE OF INDIANS OF WISCONSIN
PO BOX 365 525 AIRPORT DRIVEONEIDAWI54155396081138TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
PASCUA YAQUI TRIBE
POB 118115TUCSONAZ85734860203228TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
CHICKASAW DEPT OF HEALTH
1921 STONECIPHER BLVDADAOK74820731553050TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
WAHZHAZHI HEALTH CENTER
715 GRANDVIEW AVEPAWHUSKAOK74056113756317TRIBAL GOVERNMENT$5,250TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationNIHB GRANTS FUNDS BASED ON A CONTRACTUAL AGREEMENT WITH THE GRANTEES WHICH ENUNCIATES THE DELIVERABLES AND OBJECTIVES FOR THE GRANT. THE GRANTOR IS REQUIRED TO SUBMIT PERIODICAL REPORTS ON THE PROGRESS MADE TO ACHIEVE THE DELIVERABLES OF THE GRANT. GRANTEES ARE ALSO REQUIRED TO SUBMIT THEIR FINAL REPORT WITHIN THE SPECIFIED TIME IN THE GRANT AGREEMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
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)
PersonSTACY BOHLENPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$170,775BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$3,870BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$8,539DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$22,640NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$205,824TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL RECEIVE AN ELECTRONIC COPY OF THE 990. THE RESPONSIBILITY OF THE BOARD TREASURER IS TO REVIEW AND AUTHORIZE THE FILING OF THE 990.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMMITTEE RECOMMENDS CONTRACT APPROVAL AND COMPENSATION LEVEL TO THE FULL BOARD OF DIRECTORS. CONTEMPORANEOUS DISCUSSION OCCURS AND IT IS FORMALIZED IN A WRITTEN CONTRACT. THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR COMPENSATION TO ALL EMPLOYEES. COMPARABILITY DATA AND SUBSTANTIATION DATA IS MAINTAINED BY THE EXECUTIVE DIRECTOR IN SUPPORT OF COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST