FURP.ORG / PUBLIC DATA EXPLORER

NATIONAL INDIAN HEALTH BOARD: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NATIONAL INDIAN HEALTH BOARD (EIN 23-7226316)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-06
IRS object ID
201303109349301405
Schema version
2012v2.1
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)
Timestamp2013-11-06T11:51:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN260004395EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HALT BUZAS & POWELL LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11199 N FAIRFAX ST 10TH FLOORAddressLine1
CityALEXANDRIACity
StateVAState
ZIP Code22314ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237226316EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONAL INDIAN HEALTH BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNATINameControl
Phone2025074070Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1926 PENNSYLVANIA AVE SEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20003ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTACY BOHLENName
TitleEXECUTIVE DIRECTORTitle
Phone2025074070Phone
Date Signed2013-10-21DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL MOUNTName
PTINP00699613PTIN
Phone7038361350Phone
Date Prepared2013-10-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTACY BOHLENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1926 PENNSYLVANIA AVE SEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20003ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6350253GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NIHB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionWORK 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5176411ContributionsGrantsPriorYear
Contributions Grants Current Year6027749ContributionsGrantsCurrentYear
Program Service Revenue Prior Year304595ProgramServiceRevenuePriorYear
Program Service Revenue CY303862ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year35263OtherRevenuePriorYear
Other Revenue Current Year18642OtherRevenueCurrentYear
Total Revenue Prior Year5516269TotalRevenuePriorYear
Total Revenue Current Year6350253TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2978424GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3749613GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year963334SalariesEtcPriorYear
Salaries Etc Current Year1094735SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1481237OtherExpensePriorYear
Other Expenses Current Year1458053OtherExpensesCurrentYear
Total Expenses Prior Year5422995TotalExpensesPriorYear
Total Expenses Current Year6302401TotalExpensesCurrentYear
Revenues Less Expenses Prior Year93274RevenuesLessExpensesPriorYear
Revenues Less Expenses CY47852RevenuesLessExpensesCY
Total Assets BOY740055TotalAssetsBOY
Total Assets EOY1556381TotalAssetsEOY
Total Liabilities BOY204860TotalLiabilitiesBOY
Total Liabilities EOY973334TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY535195NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY583047NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNIHB 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3867898Expense
Grants3424719Grants
DescriptionARRA AGREEMENT: NIHB REC STAFF DEVELOPED AND BEGAN IMPLEMENTATION OF THE NATIONAL NIHB REC OPERATIONS PLAN TO ALIGN WITH THE ONC-FUNDED PROPOSAL SUBMITTED BY NIHB. NIHB REC DEVELOPED AND BEGAN IMPLEMENTATION OF AN AREA SUB-AWARDS BUSINESS PLAN. AREA SUB-AWARDS WILL BE USED AS THE FUNDING MECHANISM TO PROVIDE DIRECT SUPPORT SERVICES TO PROVIDERS THROUGHOUT THE INDIAN HEALTH SYSTEM TO SUPPORT THEIR IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS (EHRS) AND ACHIEVEMENT OF MEANINGFUL USE OF EHRS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1596470Expense
Grants324894Grants
DescriptionIHS 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense277111Expense
DescriptionASTHO CDC: THIS PROJECT FUNDED UNDER SUB-CONTRACT WITH THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS (ASTHO) SUPPORTS ASTHO'S COOPERATIVE AGREEMENT WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THIS PROJECT SEEKS TO IMPROVE THE HEALTH AND WELLNESS OF AMERICAN INDIAN AND ALASKA NATIVES THROUGH THREE MAIN GOALS; 1. INCREASING COLLABORATION BETWEEN TRIBES, TRIBAL ORGANIZATIONS AND TRIBAL EPIDEMIOLOGY CENTERS AND STATE ENTITIES; 2. PROMOTING HEALTHY PEOPLE 2020 AND TRIBALLY-SPECIFIC OBJECTIVES BY DISSEMINATION INFORMATIONAL MATERIALS TO EDUCATE TRIBAL HEALTH ORGANIZATIONS/DEPARTMENTS; 3. SUPPORTING THE LAUNCH OF THE NATIONAL PUBLIC HEALTH ACCREDITATION PROGRAM AND DEVELOPMENT OF TRIBAL PUBLIC HEALTH ACCREDITATION, SPECIFICALLY AIMED AT INVOLVING TRIBAL HEALTH ORGANIZATIONS/DEPARTMENTS.THE ULTIMATE BENEFIT FROM THIS PROJECT IS PROVIDING TRIBES, TRIBAL LEADERS, TRIBAL HEALTH PROVIDERS, TRIBAL EPIDEMIOLOGY CENTERS, AND TRIBAL MEMBERS WITH THE INFORMATION REGARDING IMPORTANT PUBLIC HEALTH REGARDING TRIBAL/STATE RELATIONS, HEALTHY PEOPLE 2020, AND PUBLIC HEALTH ACCREDITATION EFFORTS, WHICH WILL EMPOWER THE TRIBES TO REDUCE HEALTH DISPARITIES FOR AMERICAN INDIAN AND ALASKA NATIVES. THIS REMAINS THE SHARED GOAL OF ALL THE PARTNERS AND STAKEHOLDERS INVOLVED IN THIS COOPERATIVE AGREEMENT.Description

Activity Other ActivityOther (4 entries)

DescriptionDescriptionExpenseExpenseRevenueRevenue
NATIONAL OPINION RESEARCH CENTER - COLLABORATING WITH NORC ON THE EVALUATION OF THE TRIBAL HEALTH PROFESSIONS OPPORTUNITIES GRANTS PROGRAM FOR THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, ADMINISTRATION OF CHILDREN AND FAMILIES: PARTICIPATE IN PROJECT MANAGEMENT ACTIVITIES INCLUDING MEETINGS, FEEDBACK, DISSEMINATION, AND COLLABORATION WITH THE ADVISORY COMMITTEE; REVIEW AND PROVIDE FEEDBACK ON THE STRATEGY FOR CONTACTING POTENTIAL SITES AND ASSISTING WITH GRANT PROFILES; PARTICIPATE IN TECHNICAL ASSISTANCE AS NEEDED; REVIEW CONTENT IN DATA COLLECTION INSTRUMENTATION AND OFFER FEEDBACK RELATED TO CULTURAL APPROPRIATENESS; ASSIST WITH THE DEVELOPMENT AND DISSEMINATION OF PRACTICE BRIEFS ON AN ANNUAL AND SEMI-ANNUAL BASIS; ASSIST WITH THE DEVELOPMENT OF PRESENTATIONS AND ACTIVELY PARTICIPATE IN ONE PRESENTATION A YEAR; ACTIVE PARTICIPATION IN 1 SITE VISIT IN YEAR 2; ASSIST WITH THE DEVELOPMENT OF AN INTERIM REPORT AND OUTLINE AND REVIEW AND COMMENT ON SAID REPORT; ASSIST NORC WITH RAPIDLY RESPONDING TO SPECIAL RESEARCH REQUESTS FROM ACF AND ASSIST WITH NO MORE THAN 10 SPECIAL PROJECTS OVER THE ENTIRE PROJECT PERFORMANCE PERIOD.
ASTHO CDC:PROGRAM ACCOMPLISHMENTS: THIS PROJECT FUNDED UNDER SUB-CONTRACT WITH THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS (ASTHO) SUPPORTS ASTHO'S COOPERATIVE AGREEMENT WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THIS PROJECT SEEKS TO IMPROVE THE HEALTH AND WELLNESS OF AMERICAN INDIAN AND ALASKA NATIVES THROUGH THREE MAIN GOALS; 1. INCREASING COLLABORATION BETWEEN TRIBES, TRIBAL ORGANIZATIONS AND TRIBAL EPIDEMIOLOGY CENTERS AND STATE ENTITIES; 2. PROMOTING HEALTHY PEOPLE 2020 AND TRIBALLY-SPECIFIC OBJECTIVES BY DISSEMINATION INFORMATIONAL MATERIALS TO EDUCATE TRIBAL HEALTH ORGANIZATIONS/DEPARTMENTS.; 3. SUPPORTING THE LAUNCH OF THE NATIONAL PUBLIC HEALTH ACCREDITATION PROGRAM AND DEVELOPMENT OF TRIBAL PUBLIC HEALTH ACCREDITATION, SPECIFICALLY AIMED AT INVOLVING TRIBAL HEALTH ORGANIZATIONS/DEPARTMENTS.THE ULTIMATE BENEFIT FROM THIS PROJECT IS PROVIDING TRIBES, TRIBAL LEADERS, TRIBAL HEALTH PROVIDERS, TRIBAL EPIDEMIOLOGY CENTERS, AND TRIBAL MEMBERS WITH THE INFORMATION REGARDING IMPORTANT PUBLIC HEALTH REGARDING TRIBAL/STATE RELATIONS, HEALTHY PEOPLE 2020, AND PUBLIC HEALTH ACCREDITATION EFFORTS, WHICH WILL EMPOWER THE TRIBES TO REDUCE HEALTH DISPARITIES FOR AMERICAN INDIAN AND ALASKA NATIVES. THIS REMAINS THE SHARED GOAL OF ALL THE PARTNERS AND STAKEHOLDERS INVOLVED IN THIS COOPERATIVE AGREEMENT.ATSDR THINK TANK:THE OFFICE OF TRIBAL AFFAIRS AT THE CENTER'S FOR DISEASE CONTROL AND PREVENTION, AGENCY FOR TOXIC SUBSTANCES AND DISEASE REGISTRY IS SEEKING TO ESTABLISH ITS OWN NATIONAL TRIBAL ENVIRONMENTAL HEALTH (NTEH) THINK TANK. NIHB DURING THIS PROJECT COMPLETED FOUR OBJECTIVES; 1. COORDINATE 3 NTEH THINK TANK MEETINGS AND ROUTINE CONFERENCE CALLS; 2. FACILITATE 3 NTEH THINK TANK MEETINGS AND ROUTINE CONFERENCE CALLS; 3. ESTABLISH ENVIRONMENTAL PUBLIC HEALTH PRIORITIES IN INDIAN COUNTRY; 4. EVALUATE THE NTEH THINK TANK AND DEVELOP A REPORT ON THE MEETINGS.CALIFORNIA ENDOWMENTTHE PURPOSE THIS GRANT INCLUDES TO SUPPORT EFFORTS AIMED AT PROVIDING HEALTH CARE REFORM INFORMATION AND EDUCATION TO TRIBAL ORGANIZATIONS ON ISSUES RELATED TO HEALTH CARE REFORM THAT WILL IMPACT HEALTH ACCESS FOR THE CALIFORNIA INDIAN POPULATION. THROUGH THE GENEROUS SUPPORT OF THIS FUNDING, NIHB PROVIDED TRAINING WITH TRAINING MATERIALS ON THE AFFORDABLE CARE ACT AND INDIAN HEALTH CARE IMPROVEMENTS TO TRIBAL REPRESENTATIVES AT THE CALIFORNIA RURAL INDIAN HEALTH BOARD, OCTOBER 23, 2010. NIHB SHARED THIS TRAINING AND TRAINING MATERIALS TO OTHER AREA INDIAN HEALTH BOARDS THROUGHOUT THE COUNTRY. IN ADDITION, NIHB HOSTED A 2 DAY NATIONAL TRAINING ON NATIONAL TRIBAL HEALTH CARE REFORM IN WASHINGTON, DC IN APRIL 2011. OVER 100 INDIVIDUALS ATTENDED THIS TRAINING. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)ON SEPTEMBER 26, 2011 IN CONJUNCTION WITH THE NATIONAL INDIAN HEALTH BOARD (NIHB) 28TH ANNUAL CONSUMER CONFERENCE IN ANCHORAGE, ALASKA, THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) CONDUCTED A FACE-TO-FACE TRIBAL KICK-OFF CONSULTATION SESSION WITH TRIBAL LEADERS REGARDING THE PROPOSED UPDATED HRSA TRIBAL CONSULTATION POLICY. PARTICIPANTS WERE INVITED TO SHARE THEIR VIEWS AND CONCERNS ON THE PROPOSED UPDATED POLICY. NINETY-THREE INDIVIDUALS ATTENDED THIS CONSULTATION SESSION. NIHB COMPLETED A SURVEY OF THE CONSULTATION SESSION AND WROTE A FINAL REPORT ON THE SESSION. UNIVERSITY OF ALABAMA: AS A PARTNER ON THIS PROJECT, NIHB WILL PROVIDE KEY CULTURAL COMPETENCY SUPPORT TO THE RESEARCH TEAM TO ENSURE THE SUCCESSFUL OUTCOMES OF THIS RESEARCH ACTIVITY. MORE SPECIFICALLY, NIHB'S CULTURAL COMPETENCY CONSULTATION WILL PROVIDE VALUABLE INPUTS IN THE DEVELOPMENT OF RESEARCH INSTRUMENTS, PLANNING DATA COLLECTION, AND IN THE ANALYSIS AND INTERPRETATION OF RESEARCH FINDINGS; INVOLVING TRIBAL LEADERS AND TRIBAL HEALTH DEPARTMENTS IN THE RESEARCH EFFORT; SHARING THE PROJECT FINDINGS WITH OUR TRIBAL MEMBERS AND NATIONAL PARTNER AGENCIES; PRESENTING RESEARCH RESULTS AT NIHB'S ANNUAL CONSUMER CONFERENCE AND TRIBAL LIAISON MEETINGS; AND USING THE DATA GATHERED TO CONTRIBUTE BEST PRACTICES PROFILES TO NIHB'S PROMISING PREVENTION PRACTICES, AN ON-LINE RESOURCE GUIDE FOR TRIBAL HEALTH DEPARTMENTS THAT PROMOTES THE REPLICATION OF SUCCESSFUL PUBLIC HEALTH INTERVENTIONS. THE SPECIFIC TASKS TO BE ACCOMPLISHED BY NIHB WILL INCLUDE: 1. PROVIDE CRITICAL CULTURAL COMPETENCY CONSULTATION TO THE RESEARCH TEAM IN DEVELOPING OF RESEARCH INSTRUMENTS, PLANNING DATA COLLECTION, AND UNDERTAKING REVIEW OF AI/AN SPECIFIC IRB PROTOCOLS AT THE TRIBAL AND NATIONAL LEVELS, AS INDICATED FOR THIS PROJECT. 2. WORKING WITH THE RESEARCH TEAM TO GAIN ACCESS TO TRIBAL LEADERSHIP AND TO IDENTIFY TRIBAL HEALTH DEPARTMENTS TO PARTICIPATE IN THE RESEARCH. 3. ASSIST THE PROJECT TEAM WITH IDENTIFYING TRIBAL HEALTH DEPARTMENTS WHERE PARTNERSHIPS HAVE BEEN LEVERAGED BETWEEN THE INDIAN HEALTH CARE SYSTEM (IHCS), TITLE V PROGRAMS AND OTHER MCH PARTNERS.4. CONTRIBUTING NIHB STAFF AND MEMBER EXPERTISE IN TRIBAL HEALTH INFRASTRUCTURE TO THE ANALYSIS OF KEY ORGANIZATIONAL AND STRUCTURAL CHARACTERISTICS OF IHCS AND TITLE V AGENCIES. 5. DISSEMINATING INFORMATION ABOUT THE PROJECT AND PROJECT FINDINGS IN NIHB NEWSLETTERS, THE NIHB WEBSITE, THE NIHB ANNUAL PUBLIC HEALTH SUMMIT, AND THE NIHB ANNUAL CONSUMER HEALTH CONFERENCE.6. REVIEWING RESEARCH DATA AND ASSISTING IN THE ANALYSIS OF KEY AMERICAN INDIAN AND ALASKA NATIVE THEMES AND TRENDS IDENTIFIED IN THE RESEARCH. 7. ASSISTING THE PROJECT STAFF TO CREATE BEST PRACTICES PROFILES OF IHCS AND TITLE V COLLABORATION TO BE INCLUDED IN NIHB'S PROMISING PREVENTION PRACTICES, AN ON-LINE RESOURCE GUIDE THAT PROFILES PUBLIC HEALTH INTERVENTIONS AND THE FACTORS THAT CONTRIBUTE TO EFFECTIVE PARTNERSHIPS AND IMPLEMENTATION FOR FUTURE REPLICATION AMONG TRIBAL COMMUNITIES. 8. SERVING ON THE PROJECT'S ADVISORY COMMITTEE.
CDC 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.
CONFERENCES AND OTHER PROGRAM SERVICES382406303862
FieldValueIRS element (for citing)
Total Of Other Program Service Exp382406TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev303862TotalOfOtherProgramServiceRev
Total Program Service Expense6123885TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees16NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2025074070TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1926 PENNSYLVANIA AVE SEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20003ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CATHY ABRAMSON
CHAIRPERSON0.00XX000
H SALLY SMITH
SECRETARY0.00XX000
LESTER SECATERO
DIRECTOR0.00X000
LAWRENCE JACE KILLSBACK
VICE CHAIRMAN0.00XX000
MICHELLE HAYWARD
DIRECTOR0.00X000
BUFORD ROLIN
DIRECTOR0.00X000
REX LEE JIM
MEMBER AT LARGE0.00X000
THOMAS L JOHN
TREASURER0.00XX000
MARTIN HARVIER
DIRECTOR0.00X000
ANDREW JOSEPH JR
DIRECTOR0.00X000
FRANCES G ANTONE
DIRECTOR0.00X000
LEAH FYTEN
DIRECTOR0.00X000
STACY BOHLEN
EXECUTIVE DIRECTOR40.00X170775015943
JENNIFER COOPER
DIRECTOR OF FEDERAL RELATIONS40.00130000013437X
FieldValueIRS element (for citing)
Total Reportable Comp From Org300775TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29380TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DONEG PAUL MCDONOUGH
3245 BEECH ST NWWASHINGTONDC20015CONSULTING125243
TOM KAULEY
6575 LOON CTCOCHITILAKENM87083CONSULTING104760
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants5464368GovernmentGrants
All Other Contributions563381AllOtherContributions
Total Contributions6027749TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCONFERENCE INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column303862TotalRevenueColumn
Related Or Exempt Function Income303862RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue303862TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column18642TotalRevenueColumn
Exclusion$18,642ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue18642TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6350253TotalRevenueColumn
Related Or Exempt Function Income303862RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$18,642ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3749613Total
Program Services3749613ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total186718Total
Program Services172223ProgramServices
Management And General14495ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total750917Total
Program Services708598ProgramServices
Management And General42319ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20960Total
Program Services19333ProgramServices
Management And General1627ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total62362Total
Program Services57521ProgramServices
Management And General4841ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total73778Total
Program Services68051ProgramServices
Management And General5727ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30479Total
Program Services27991ProgramServices
Management And General2488ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69248Total
Program Services63594ProgramServices
Management And General5654ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total434127Total
Program Services408933ProgramServices
Management And General25194ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20632Total
Program Services20402ProgramServices
Management And General230ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total242524Total
Program Services222605ProgramServices
Management And General19919ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53833Total
Program Services49438ProgramServices
Management And General4395ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total149021Total
Program Services143878ProgramServices
Management And General5143ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total260039Total
Program Services234817ProgramServices
Management And General25222ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total145949Total
Program Services136300ProgramServices
Management And General9649ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2032Total
Management And General2032ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4017Total
Program Services4017ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS37577365711006
BAD DEBT EXPENSE85758575

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6302401Total
Program Services6123885ProgramServices
Management And General178516ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY178167BOY
EOY191016EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY446339BOY
EOY1080408EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY78887BOY
EOY239933EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13239BOY
EOY23633EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis140504LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec139910LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2626BOY
EOY594EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20797BOY
EOY20797EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY740055BOY
EOY1556381EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY186003BOY
EOY949334EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18857BOY
EOY24000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY204860BOY
EOY973334EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY445195BOY
EOY390739EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY90000BOY
EOY192308EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY535195BOY
EOY583047EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY740055BOY
EOY1556381EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses47852ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2727855CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2494534CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2942188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5176411CurrentTaxYearMinus1Year
Current Tax Year6027749CurrentTaxYear
Total19368737Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2727855CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2494534CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2942188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5176411CurrentTaxYearMinus1Year
Current Tax Year6027749CurrentTaxYear
Total19368737Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total330589AmountsSubstContributorsTotal
Public Support Total17019038148PublicSupportTotal170

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9039CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6076CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35263CurrentTaxYearMinus1Year
Current Tax Year18642CurrentTaxYear
Total84874Total
FieldValueIRS element (for citing)
Total Support19453611TotalSupport
Gross Receipts From Admissions Etc1404884GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97280PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10160OtherCostOrOtherBasis
Depreciation9566Depreciation
Book Value594BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis130344OtherCostOrOtherBasis
Depreciation130344Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings594TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$24,000Amount
FieldValueIRS element (for citing)
Total Of Amounts24000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt6350253TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal6350253RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9906350253TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6302401TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6302401ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906302401TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationGENERALLY TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR UP TO SEVEN YEARS FROM THE DATE A COMPLETED RETURN IS FILED. MANAGEMENT OF THE ORGANIZATION BELIEVES THAT FOR ALL THE YEARS STILL SUBJECT TO AUDIT BY THE RELEVANT TAXING AUTHORITIES THAT ALL TAX POSITIONS ARE SUPPORTED BY THE RELEVANT INTERNAL REVENUE CODE, AND NO ADJUSTMENTS SHOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CALIFORNIA RURAL INDIAN HEALTH
4400 AUBURN BLVD 2ND FLOORSACRAMENTOCA95841237052541501(C)(3)292143DELIVER HEALTH INFORMATION TECHNOLOGY SERVICES THROUGHOUT INDIAN COUNTRY IN ACCORDANCE WITH THE OFFICE OF THE NATIONAL COORDINATORS REGIONAL EXTENSION CENTER PROGRAM. SUB-RECIPIENT HAS THE CLINICAL PRACTICE EXPERIENCE AND HEALTH PROGRAM ADMINISTRATION EXPERTISE TO SUPPORT DEPLOYMENT OF ELECTRONIC HEALTH RECORDS ACROSS THE NATION. WORK INCLUDES ELECTRONIC HEALTH RECORD SELECTION, IMPLEMENTATION, AND TRAINING; PRACTICE WORKFLOW REDESIGN; PRIVACY AND SECURITY BEST PRACTICES; AND UNTIMELY ATTAIN MEANINGFUL USE OF THEIR ELECTRONIC HEALTH RECORD PROGRAM.
NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD
2121 SW BROADWAY SUITE 300PORTLANDOR97201930718154501(C)(3)239386DELIVER HEALTH INFORMATION TECHNOLOGY SERVICES THROUGHOUT INDIAN COUNTRY IN ACCORDANCE WITH THE OFFICE OF THE NATIONAL COORDINATORS REGIONAL EXTENSION CENTER PROGRAM. SUB-RECIPIENT HAS THE CLINICAL PRACTICE EXPERIENCE AND HEALTH PROGRAM ADMINISTRATION EXPERTISE TO SUPPORT DEPLOYMENT OF ELECTRONIC HEALTH RECORDS ACROSS THE NATION. WORK INCLUDES ELECTRONIC HEALTH RECORD SELECTION, IMPLEMENTATION, AND TRAINING; PRACTICE WORKFLOW REDESIGN; PRIVACY AND SECURITY BEST PRACTICES; AND UNTIMELY ATTAIN MEANINGFUL USE OF THEIR ELECTRONIC HEALTH RECORD PROGRAM.
UNITED SOUTH AND EASTERN TRIBES INC
711 STEWARTS FERRY PIKE SUITE 100NASHVILLETN37214591315904501(C)(3)2140879DELIVER HEALTH INFORMATION TECHNOLOGY SERVICES THROUGHOUT INDIAN COUNTRY IN ACCORDANCE WITH THE OFFICE OF THE NATIONAL COORDINATORS REGIONAL EXTENSION CENTER PROGRAM. SUB-RECIPIENT HAS THE CLINICAL PRACTICE EXPERIENCE AND HEALTH PROGRAM ADMINISTRATION EXPERTISE TO SUPPORT DEPLOYMENT OF ELECTRONIC HEALTH RECORDS ACROSS THE NATION. WORK INCLUDES ELECTRONIC HEALTH RECORD SELECTION, IMPLEMENTATION, AND TRAINING; PRACTICE WORKFLOW REDESIGN; PRIVACY AND SECURITY BEST PRACTICES; AND UNTIMELY ATTAIN MEANINGFUL USE OF THEIR ELECTRONIC HEALTH RECORD PROGRAM.
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
4000 AMBASSADOR DRIVEANCHORAGEAK99508920162721501(C)(3)979085DELIVER HEALTH INFORMATION TECHNOLOGY SERVICES THROUGHOUT INDIAN COUNTRY IN ACCORDANCE WITH THE OFFICE OF THE NATIONAL COORDINATORS REGIONAL EXTENSION CENTER PROGRAM. SUB-RECIPIENT HAS THE CLINICAL PRACTICE EXPERIENCE AND HEALTH PROGRAM ADMINISTRATION EXPERTISE TO SUPPORT DEPLOYMENT OF ELECTRONIC HEALTH RECORDS ACROSS THE NATION. WORK INCLUDES ELECTRONIC HEALTH RECORD SELECTION, IMPLEMENTATION, AND TRAINING; PRACTICE WORKFLOW REDESIGN; PRIVACY AND SECURITY BEST PRACTICES; AND UNTIMELY ATTAIN MEANINGFUL USE OF THEIR ELECTRONIC HEALTH RECORD PROGRAM.
NATIONAL NATIVE AMERICAN AIDS PREVENTION
720 S COLORADO BLVD SUITE 650-SDENVERCO80246943065291501(C)(3)95000TO OPERATE CERTAIN COMPONENTS OF THE NIHOE HIV/AIDS AWARENESS PROJECT (FROM THE INDIAN HEALTH SERVICE) INCLUDING: CULTURALLY APPROPRIATE TRAINING, TECHNICAL ASSISTANCE, EDUCATIONAL MATERIALS DEVELOPMENT AND INPUT ON THE GRANTING AGENCIES PROGRAMMING AS IT RELATES TO EDUCATION AND OUTREACH ON HIV/AIDS.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: NIHB 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTACY BOHLENNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org170775BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org8539DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org7404NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org186718TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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