2012-09-25T17:34:39-05:00 2011-12-31 460403496 CASEY PETERSON & ASSOC 909 ST JOSEPH ST SUITE 101 RAPID CITY SD 57701 990 2011-01-01 460451715 BLACK HILLS CENTER FOR AMERICAN INDIAN HEALTH BLAC 6053486100 701 ST JOSEPH STREET SUITE 204 RAPID CITY SD 57701 DR JEFFREY HENDERSON 6053486100 2012-09-25 1 DEIDRE BUDAHL CPA P01273830 6053481930 2012-09-25 2011 2016-02-24 21:20:13Z DR JEFFREY HENDERSON 701 ST JOSEPH STREET SUITE 204 RAPID CITY SD 57701 1714731 0 X WWW.BHCAIH.ORG X 1998 SD TO CONDUCT RESEARCH FOR NATIVE AMERICAN HEALTH STUDIES 4 2 14 0 0 0 1694261 1710864 0 0 3858 3867 0 0 1698119 1714731 315370 196090 0 0 1053814 1003358 0 0 0 357459 580788 1726643 1780236 -28524 -65505 529006 412640 187507 136646 341499 275994 THE ORGANIZATION WAS FORMED TO CONDUCT A WIDE RANGE OF ACTIVITIES INTENDED TO ENHANCE THE PHYSICAL, MENTAL, SPIRITUAL, AND CULTURAL HEALTH OF AMERICAN INDIANS, WITH AN EMPHASIS ON THOSE TRIBES OF THE NORTHERN PLAINS. 0 0 1489739 491912 HEALTH RELATED RESEARCH FOR THE BENEFIT OF AMERICAN INDIANS PRIMARILY FOR THE BENEFIT OF THE TRIBES OF THE NORTHERN PLAINS 1489739 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 14 1 0 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 6053486100 701 ST JOSEPH ST RAPID CITY SD 57701 JEFFREY A HENDERSON 40.00 X X 197630 0 10664 PATRICIA NEZ HENDERSON 40.00 X X 144773 0 8936 GAY KINGMAN 1.00 X 0 0 0 ARTHUR W ZIMIGA 1.00 X 0 0 0 342403 0 19600 2 0 1 0 MISSOURI BREAKS HCR 64 BOX 52 TIMBERLAKE SD 57656 RESEARCH UNDER GRANTS 259247 UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DR CHICAGO IL 60698 RESEARCH UNDER GRANTS 112494 2 1560022 150842 1710864 3867 3867 1714731 0 0 3867 196090 196090 362003 209643 152360 393855 321061 72794 204047 187126 16921 43453 43453 9922 9922 70421 70421 9966 9966 72011 54301 17710 68283 54447 13836 60188 57313 2875 153 153 18568 14642 3926 RESEARCH 271276 271276 1780236 1489739 290497 0 196696 169677 15000 0 276874 214238 1325 4346 6558 335898 315056 36090 20842 529006 412640 77816 126646 109691 10000 187507 136646 X 224122 194608 117377 81386 341499 275994 529006 412640 -65505 0 X X 0 1 1 X 1 1 X 1932543 1717763 2031508 1694261 1666081 9042156 1932543 1717763 2031508 1694261 1666081 9042156 9042156 2464 280 3959 5217 3867 15787 9057943 44783 0.99830 0.99870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 335898 315056 20842 20842 1714731 1780236 -65505 -65505 1714731 0 1714731 0 1714731 1780236 0 1780236 0 1780236 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT LIABLE FOR INCOME TAXES IF IT OPERATES WITHIN THE CONFINES OF ITS EXEMPT STATUS, THOUGH THE ORGANIZATION MAY BE RESPONSIBLE FOR TAXES ON UNRELATED BUSINESS ACTIVITIES. IN THE EVENT OF AN EXAMINATION OF THE INCOME TAX RETURNS, THE TAX LIABILITY OF THE ORGANIZATION COULD BE CHANGED IF AN ADJUSTMENT IN THE TAX EXEMPT PURPOSE OR INCOME FROM UNRELATED BUSINESS ACTIVITIES IS ULTIMATELY DETERMINED BY THE TAXING AUTHORITIES. AS OF DECEMBER 31, 2011, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE COMPANY'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE COMPANY IS NO LONGER SUBJECT TO FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2008. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATION, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE COMPANY BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. INTEREST AND PENALTIES ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, ARE INCLUDED IN INTEREST EXPENSE. 1 GROUP HEALTH COOPERATIVE 1730 MINOR AVE SEATTLE WA 98101 910511770 501(C)(3) 13013 COMPILE RESEARCH DATA OBTAINED DURING RESEARCH STUDIES UNIVERSITY OF WASHINGTON GRANT & CONTRACT 12455 COLLECTIONS DRIVE CHICAGO IL 60693 916001537 STATE OF WASHINGTON 112494 COMPILE RESEARCH DATA OBTAINED DURING RESEARCH STUDIES MEDSTAR RESEARCH INSTITUTE PO BOX 418223 BOSTON MA 02241 526056274 501(C)(3) 38749 COMPILE RESEARCH DATA OBTAINED DURING RESEARCH STUDIES UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER PO BOX 4390 HOUSTON TX 77210 746001118 STATE OF TEXAS 14434 COMPILE RESEARCH DATA OBTAINED DURING RESEARCH STUDIES 5 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION REQUIRES QUARTERLY AND YEAR END REPORTS FROM EACH SUBRECIPIENT. THE ORGANIZATION REVIEWS THESE REPORTS AGAINST THE CRITERIA USED TO AWARD THE GRANT/PAYMENT FOR COMPLIANCE. X X 0 0 0 0 0 0 0 0 0 JEFFREY A HENDERSON 197630 0 0 0 0 0 0 0 0 0 197630 0 0 0 DR JEFFREY HENDERSON BOARD MEMBER AND EMPLOYEE 208294 WAGES AND OTHER COMPENSATION PAID TO INDIVIDUAL 0 DR PATRICIA HENDERSON BOARD MEMBER AND EMPLOYEE 153709 WAGES AND OTHER COMPENSATION PAID TO INDIVIDUAL 0 PETER F NEZ FAMILY MEMBER OF BOARD MEMBER 56694 WAGES AND OTHER COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 2 TWO OF THE FOUR DIRECTORS ARE MARRIED TO EACH OTHER. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED AND SIGNED BY THE PRESIDENT OF THE ORGANIZATION, WHO ALSO SERVES AS A DIRECTOR FOR THE ORGANIZATION. ALL BOARD MEMBERS WERE GIVEN A COPY OF THE 990 TO REVIEW BEFORE IT WAS FINALIZED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A FORMAL POLICY, HOWEVER AT THIS TIME THE BOARD AND KEY EMPLOYEES ARE THE SAME PERSONS AND ARE OF LIMITED SIZE THEREFORE MONITORING IS SIMPLIFIED. THE BOARD DOES LOOK AT POTENTIAL CONFLICTS WHEN EMPLOYEES ARE HIRED. FORM 990, PART VI, SECTION B, LINE 15 WAGES FOR THE CEO, WHO ALSO SERVES AS A PRINCIPAL INVESTIGATOR FOR SEVERAL GRANTS, IS DETERMINED BASED ON A REVIEW OF THE MAXIMUM ALLOWABLE WAGES FOR PRINCIPAL INVESTIGATORS BY THE NATIONAL INSTITUTE OF HEALTH FOR GRANTS. WAGES ARE ALSO COMPARED TO PAY SCALES FOR SIMILAR POSITIONS IN ACEDEMIA AND THE PRIVATE SECTOR AND ARE DETERMINED BASED ON EACH PERSON'S DEGREE AND EXPERIENCE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XI, LINE 2C. THE BOARD IS RESPONSIBLE FOR PROVIDING OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.