INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC (EIN 81-0542869)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2013-11-25
IRS object ID: 201303299349300330
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-25T12:38:53-08:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kindred Booker & Company PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	616 Helena Ave Ste 307	AddressLine1
City	Helena	City
State	MT	State
ZIP Code	59601	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	810542869	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INDIAN FAMILY HEALTH CLINIC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	INDI	NameControl
Phone	4062681510	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1220 CENTRAL AVENUE	AddressLine1
City	GREAT FALLS	City
State	MT	State
ZIP Code	59401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ERNESTINE BELCOURT	Name
Title	Exec. Director	Title
Date Signed	2013-11-25	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Marcia Miller	Name
PTIN	P01447184	PTIN
Phone	4064424206	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	1381714	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1990	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	OPERATION OF A CLINIC FOR NATIVE AMERICANS RESIDING IN THE GREAT FALLS AREA. THIS CLINIC PROVIDES MEDICAL SERVICES, MENTAL HEALTH AND ALCOHOL COUNSELING, IMMUNIZATIONS, DIABETES COUNSELING, AND COMMUNITY SERVICES. THE CLINIC IS ALSO OPEN TO NON-NATIVE AMERICANS WHO ARE IN NEED OF MEDICAL ASSISTANCE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	24	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	985675	ContributionsGrantsPriorYear
Contributions Grants Current Year	1246648	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	46557	ProgramServiceRevenuePriorYear
Program Service Revenue CY	56908	ProgramServiceRevenueCY
Investment Income Prior Year	49	InvestmentIncomePriorYear
Investment Income Current Year	335	InvestmentIncomeCurrentYear
Other Revenue Prior Year	123699	OtherRevenuePriorYear
Other Revenue Current Year	77823	OtherRevenueCurrentYear
Total Revenue Prior Year	1155980	TotalRevenuePriorYear
Total Revenue Current Year	1381714	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	599392	SalariesEtcPriorYear
Salaries Etc Current Year	860900	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	440913	OtherExpensePriorYear
Other Expenses Current Year	530267	OtherExpensesCurrentYear
Total Expenses Prior Year	1040305	TotalExpensesPriorYear
Total Expenses Current Year	1391167	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	115675	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-9453	RevenuesLessExpensesCY
Total Assets BOY	295856	TotalAssetsBOY
Total Assets EOY	264602	TotalAssetsEOY
Total Liabilities BOY	116060	TotalLiabilitiesBOY
Total Liabilities EOY	94259	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	179796	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	170343	NetAssetsOrFundBalancesEOY
Mission Description	OPERATION OF A CLINIC FOR NATIVE AMERICANS RESIDING IN THE GREAT FALLS AREA. THIS CLINIC PROVIDES MEDICAL SERVICES, MENTAL HEALTH AND ALCOHOL COUNSELING, IMMUNIZATIONS, DIABETES COUNSELING, AND COMMUNITY SERVICES. THE CLINIC IS ALSO OPEN TO NON-NATIVE AMERICANS WHO ARE IN NEED OF MEDICAL ASSISTANCE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	959243	Expense
Description	CLINIC OPERATIONS, INCLUDING MEDICAL SERVICES, MENTAL HEALTH COUNSELING,DRUG TREATMENT PROGRAMS IMMUNIZATIONS, DIABETES COUNSELING, AND COMMUNITY SERVICES PROGRAMS.	Description
Total Program Service Expense	959243	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	24	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	GERI SEMMENS	NamePerson
Telephone Number	4064753082	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1220 CENTRAL AVENUE	AddressLine1
City	GREAT FALLS	City
State	MT	State
ZIP Code	59401	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector
RUSSELL BOHAM
Advisory	0.00	0.00	0	0	0
THOMAS CONNELL
Advisory	0.00	0.00	0	0	0
JOHN SWANSON
Member	0.00	0.00	0	0	0
KIM GAGNON
Member	0.00	0.00	0	0	0
DEE GOSS
Secretary Treas	0.00	0.00	0	0	0
HENRY DEVEREAUX
Chairman	0.00	0.00	0	0	0
SISTER KATERI MITCHELL
Member	0.00	0.00	0	0	0
DUGAN COBURN
Vice Chairman	0.00	0.00	0	0	0
ERNESTINE BELCOURT
Exec. Director	40.00	0.00	65871	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	65871	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	1234898	GovernmentGrants
All Other Contributions	11750	AllOtherContributions
Total Contributions	1246648	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GYM USAGE FEES	3949	3949
DIRECT PAY MEDICAL	1581	1581
AID TO RECOVERY PROGRAM	6429	6429
3RD PARTY MEDICAL BILLING	44949	44949

Field	Value	IRS element (for citing)
Total Program Service Revenue	56908	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	335	TotalRevenueColumn
Exclusion	$335	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MISC.	119	$119
LAWSUIT PROCEEDS	65704	$65,704
INTERNAL RENTAL FEES	12000	$12,000

Field	Value	IRS element (for citing)
Total Other Revenue	77823	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1381714	TotalRevenueColumn
Related Or Exempt Function Income	56908	RelatedOrExemptFunctionIncome
Exclusion	$78,158	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	65871	Total
Management And General	65871	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	659665	Total
Program Services	494618	ProgramServices
Management And General	165047	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4892	Total
Program Services	167	ProgramServices
Management And General	4725	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	64873	Total
Program Services	39004	ProgramServices
Management And General	25869	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	65599	Total
Program Services	44607	ProgramServices
Management And General	20992	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2397	Total
Management And General	2397	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	15650	Total
Management And General	15650	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	63227	Total
Program Services	41206	ProgramServices
Management And General	22021	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	61040	Total
Program Services	45780	ProgramServices
Management And General	15260	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9573	Total
Program Services	5475	ProgramServices
Management And General	4098	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	83345	Total
Program Services	70483	ProgramServices
Management And General	12862	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	19589	Total
Program Services	19589	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3242	Total
Program Services	3242	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9794	Total
Management And General	9794	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHARMACY	28262	28262
TREATMENT ADULTS	28849	28849
LABORATORY	53759	53759
LAWSUIT SETTLEMENT	65704		65704

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	85836	Total
Program Services	84202	ProgramServices
Management And General	1634	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1391167	Total
Program Services	959243	ProgramServices
Management And General	431924	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	172413	BOY
EOY	108934	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	123443	BOY
EOY	108778	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	46890	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	295856	BOY
EOY	264602	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	52708	BOY
EOY	44652	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	13745	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	49607	BOY
EOY	49607	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	116060	BOY
EOY	94259	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	179796	BOY
EOY	170343	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	179796	BOY
EOY	170343	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	295856	BOY
EOY	264602	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-9453	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	939262	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1066879	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1042501	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	985675	CurrentTaxYearMinus1Year
Current Tax Year	1249348	CurrentTaxYear
Total	5283665	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	939262	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1066879	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1042501	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	985675	CurrentTaxYearMinus1Year
Current Tax Year	1249348	CurrentTaxYear
Total	5283665	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	5283665	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	708	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	239	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	162	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	49	CurrentTaxYearMinus1Year
Current Tax Year	335	CurrentTaxYear
Total	1493	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14146	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12988	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13857	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	123699	CurrentTaxYearMinus1Year
Current Tax Year	60119	CurrentTaxYear
Total	224809	Total

Field	Value	IRS element (for citing)
Total Support	5509967	TotalSupport
Public Support Pertcentage170	0.95890	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.96500	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	PAYABLE TO INDIAN HEALTH SERVICES	Description
Amount	$49,607	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	49607	TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	ANNUAL AUDIT AVAILABLE TO FUNDING AGENCY AND PUBLIC UPON REQUEST.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	THE BOARD PROVIDES THE EXECUTIVE DIRECTOR WITH AN ANNUAL PREFORMANCE REVIEW, WITH CORRESPONDING COMPENSATION INCREASES. BOARD MEMBERS DO NOT RECEIVE ANY COMPENSATION.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	THE EXECUTIVE DIRECTOR IS PAID A SALARY, AS APPROVED BY THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	PROCEDURES MANUAL INCLUDING GREVIANCE PROCEDURES.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	REVIEWED AND APPROVED.