NATIONAL INDIAN HEALTH BOARD: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- NATIONAL INDIAN HEALTH BOARD (EIN 23-7226316)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2024-02-01
- IRS object ID
- 202410329349300826
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-02-01T11:29:24-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363168081 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIKICH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 JOHN CARLYLE STREET SUITE 500 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237226316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL INDIAN HEALTH BOARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 2025074070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 F STREET NW 600 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STACY BOHLEN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2025074070 | PhoneNum |
| Signature | 2024-01-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STACY | PersonFirstNm |
| Person Last | BOHLEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Form8822 B Attached | Yes (X) | Form8822BAttachedInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JILL M BOYLE CPA | PreparerPersonNm |
| PTIN | P01246734 | PTIN |
| Phone | 7038361350 | PhoneNum |
| Preparation | 2024-01-23 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STACY BOHLEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 F STREET NW 600 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,739,081 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NIHB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO ADVOCATE AS THE UNITED VOICE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 40 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,050,593 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,255,189 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $776,545 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,442,691 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $286 | PYOtherRevenueAmt |
| CY Other Revenue | $41,201 | CYOtherRevenueAmt |
| PY Total Revenue | $6,827,428 | PYTotalRevenueAmt |
| CY Total Revenue | $11,739,081 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,070,050 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,014,300 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,416,668 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,873,097 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,602,297 | PYOtherExpensesAmt |
| CY Other Expenses | $2,942,337 | CYOtherExpensesAmt |
| PY Total Expenses | $6,089,015 | PYTotalExpensesAmt |
| CY Total Expenses | $7,829,734 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $738,413 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,909,347 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,076,098 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,915,327 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $850,724 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $795,606 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,225,374 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,119,721 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ESTABLISHED 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,683,971 | ExpenseAmt |
| Grant | $965,758 | GrantAmt |
| Revenue | $1,442,691 | RevenueAmt |
| Desc | PUBLIC HEALTH POLICY AND PROGRAMSTHE PUBLIC HEALTH POLICY AND PROGRAMS DEPARTMENT OF THE NATIONAL INDIAN HEALTH BOARD SEEKS TO BOLSTER THE PUBLIC HEALTH INFRASTRUCTURE AND SERVICES WITHIN INDIAN COUNTRY. TO THIS END, NIHB OPERATES PROGRAMS THAT PROVIDE CAPACITY BUILDING AND TECHNICAL ASSISTANCE TO TRIBES AND TRIBAL ORGANIZATIONS TO PROVIDE EDUCATION, AND STRENGTHEN OUTREACH, PROGRAM DEVELOPMENT, RESEARCH CAPACITY, AND SERVICE DELIVERY ACROSS A VARIETY OF PUBLIC HEALTH ISSUES AND TOPICS (INCLUDING BUT NOT LIMITED TO: DIABETES, CLIMATE CHANGE, SUBSTANCE MISUSE, INTIMATE PARTNER VIOLENCE, MATERNAL HEALTH ADVERSE CHILDHOOD EXPERIENCES, EMERGENCY RESPONSE AND PLANNING, INFECTION CONTROL, AND SMOKING CESSATION). AS PART OF THIS WORK, NIHB OFTEN BRINGS TOGETHER GROUPS OF ELECTED LEADERS AND TRIBAL PUBLIC HEALTH PROFESSIONALS TO SHARE BEST PRACTICES, EXCHANGE INFORMATION, AND CREATE A FORUM IN WHICH THE TRIBAL VOICE CAN BE ELEVATED. NIHB ALSO UTILIZES A POLICY-BASED APPROACH TO STRENGTHEN THE VOICE AND PRESENCE OF TRIBES AND TRIBAL LEADERS ON THE NATIONAL LEVEL THROUGH THE PROVISION OF SUPPORT TO TRIBAL LEADERS SERVING ON FEDERAL ADVISORY COMMITTEES; TRAINING ON HOW TO BUILD COMMUNICATIVE BRIDGES WITH COMMUNITY-BASED, TRIBALLY-BASED, AND FEDERALLY-BASED PARTNERS; ANALYZING FEDERAL ACTION THAT COULD IMPACT TRIBAL PUBLIC HEALTH; AND ENSURING THAT CONVERSATIONS AROUND RACIAL AND HEALTH EQUITY INCORPORATE THE LEGAL, POLITICAL AND SOCIAL PERSPECTIVE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,596,425 | ExpenseAmt |
| Grant | $10,021 | GrantAmt |
| Desc | REGULATORY ANALYSIS AND CONGRESSIONAL RELATIONSTHE POLICY CENTER AT THE NATIONAL INDIAN HEALTH BOARD RESEARCH THE LOGS OF FEDERAL ACTION AND ANALYZE THE IMPACT OR POTENTIAL IMPACT OF THESE REGULATIONS, LAWS, CODES, POLICIES, JUDICIAL DECISIONS, AND EXECUTIVE ORDERS ON THE TRIBAL AND FEDERAL COMPONENT OF THE INDIAN HEALTH SYSTEM. NIHB WRITES SUMMARIES ON THESE ACTIONS, DISSEMINATES INFORMATION TO ENSURE THAT TRIBES UNDERSTAND ANY SUCH COURSE OF ACTION AND ITS RAMIFICATIONS (EITHER POTENTIALLY POSITIVE OR NEGATIVE), AND WORKS WITH TRIBAL AND FEDERAL LEADERS ON THE IMPLEMENTATION OF SUCH ACTIONS. NIHB HAS A RESEARCH FUNCTION THAT HELPS TO COLLECT AND SYNTHESIZE DATA ON THE HEALTH SYSTEM AND THE IMPACT OF LAWS AND REGULATIONS AND PROVIDES THIS DATA TO TRIBAL LEADERS SO THAT THEY CAN MAKE INFORMED DECISIONS ABOUT HOW THEY WOULD LIKE TO SEE THE TRIBAL OR FEDERAL HEALTH SYSTEM OPERATE. THIS ARM OF NIHB ALSO HELPS TO FACILITATE FORMAL CONSULTATION OR LISTENING SESSIONS BETWEEN TRIBAL AND FEDERAL LEADERS AS REQUIRED BY LAW. OPERATING AS A CROSS-DEPARTMENTAL INITIATIVE, NIHB ORGANIZED, LAUNCHED, AND OPERATING A NATIONAL TRIBAL COVID-19 RESPONSE THAT IMPLEMENTED BOTH PROGRAMMATIC AND POLICY APPROACHES TO ASSURING THAT TRIBAL HEATH SYSTEMS HAD THE INFORMATION AND RESOURCES THAT THEY NEEDED TO MOUNT AN EFFECTIVE AND TIMELY RESPONSE TO THE LOCAL OUTBREAK OF THE GLOBAL COVID-19 PANDEMIC. AS PART OF THIS INITIATIVE, NIHB CREATED A WEB-BASED HUB, INFORMATIONAL RESOURCES ON VARYING ASPECTS OF THE PANDEMIC, HOSTED EDUCATIONAL WEBINARS, RESEARCHED FEDERAL AND STATE POLICY ACTIONS, AND CREATED A NATIONAL, TRIBAL INFORMATION DISSEMINATION NETWORK THAT CONSISTED OF E-MAIL ANNOUNCEMENTS, DAILY COVID NEWSLETTERS, AND SOCIAL MEDIA POSTS TO ASSURE THAT TRIBES REMAINED INFORMED ON THE LATEST COVID-RELATED DEVELOPMENTS. NIHB ALSO CONVENED TRIBAL LEADERS REGULARLY TO PROVIDE REAL-TIME UPDATES AND SERVE AS A COMMUNICATION LIAISON BETWEEN THE TRIBES AND THE FEDERAL GOVERNMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $389,679 | ExpenseAmt |
| Grant | $30,000 | GrantAmt |
| Desc | ORAL HEALTH AND DENTAL THERAPYTHE TRIBAL ORAL HEALTH INITIATIVE PROVIDES OUTREACH AND EDUCATION ON EXPANDED ORAL HEALTH OPTIONS FOR TRIBES, AND SUPPORT TRIBES AS THEY SEEK TO IMPLEMENT THOSE OPTIONS. THIS WORK ADVANCES THE SKILLS AND CAPACITY OF TRIBES TO CONSIDER DENTAL THERAPY AS BOTH A CLINICAL AND POLICY ISSUE. NIHB PROVIDES TECHNICAL ASSISTANCE, INFORMATION DISSEMINATION SERVICES, NATIONAL COORDINATION AND MESSAGING, AND RESEARCH ON THE POLICY IMPACT AND IMPLEMENTATION AT THE STATE AND NATIONAL LEVEL. NIHB PROVIDES SUB-AWARDS TO TRIBES, TRIBAL ORGANIZATIONS, AND TRIBAL COLLEGES/UNIVERSITIES TO INCREASE THEIR CAPACITY TO EXPAND AND MANAGE THEIR OWN HEALTH SYSTEMS, AND CONSTRUCT A POLICY, CLINICAL, OR EDUCATIONAL SYSTEM THAT WOULD SUPPORT DENTAL THERAPY. NIHB HOSTS NUMEROUS EDUCATIONAL WORKSHOPS, WEBINARS AND MEETINGS ON DENTAL THERAPY IN ORDER TO MAKE SURE THAT TRIBES AND TRIBAL ORGANIZATIONS HAVE ACCESS TO THE MOST UP TO DATE POLICY INFORMATION AND IMPLEMENTATION SUPPORT. NIHB ALSO MONITORS STATE LEGISLATION RELEVANT TO THE ADVANCEMENT OF DENTAL THERAPY IN KEY STATES AND REPORT OUT ON ANY SIGNIFICANT ADVANCEMENTS. NIHB CO-CHAIRS A NATIONAL GROUP OF STAKEHOLDERS WORKING IN THIS SPACE TO ENSURE COMPLIMENTARY EFFORTS, RESOURCE SHARING, AND COLLABORATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $358,472 | ExpenseAmt |
| Grant | $8,520 | GrantAmt |
| Desc | OTHER PROGRAMS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $358,472 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $8,520 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $7,028,547 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 40 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2025074070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 F STREET NW 600 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM SMITH | ||||||||
| CHAIRPERSON | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NICKOLAUS LEWIS | ||||||||
| VICE CHAIRPERSON | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LISA ELGIN | ||||||||
| SECRETARY | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SAMUEL MOOSE | ||||||||
| TREASURER | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JACQUELINE PLATERO | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY DAVIS | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| VICTORIA KITCHEYAN | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| BEVERLY COOK | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN NEZ | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| MARTY WAFFORD | ||||||||
| DIRECTOR AT LARGE | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| AMBER TORRES | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA ORTEGA | ||||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| STACY BOHLEN | ||||||||
| CEO | 45.00 | Yes (X) | $275,895 | $0 | $48,782 | |||
| JAMIE GOMEZ | ||||||||
| CHIEF OPERATING OFFICER | 45.00 | $221,976 | $0 | $50,782 | Yes (X) | |||
| TYLER M DOUGHERTY | ||||||||
| GRANTS & PROGRAMS COMPLIANCE DIRECTOR | 45.00 | $169,889 | $0 | $24,791 | Yes (X) | |||
| ELIZABETH A KEARNEY | ||||||||
| HUMAN RESOURCES DIRECTOR | 45.00 | $141,946 | $0 | $22,080 | Yes (X) | |||
| ANTHONY C LOCKLEAR II | ||||||||
| FEDERAL RELATIONS DIRECTOR | 45.00 | $123,493 | $0 | $13,417 | Yes (X) | |||
| NATHAN T BILLY | ||||||||
| BEHAVIORAL HEALTH PROGRAMS DIRECTOR | 45.00 | $114,922 | $0 | $34,760 | Yes (X) | |||
| ROCHELLE RUFFER | ||||||||
| TRIBAL HEALTH DATA PROJECT DIRECTOR | 45.00 | $111,307 | $0 | $42,323 | Yes (X) | |||
| AHNIWAKE ROSE | ||||||||
| PUBLIC HEALTH POLICY & PROGRAMS DIRECTOR | 45.00 | $109,957 | $0 | $12,434 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,269,385 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $249,369 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YOUR PART-TIME CONTROLLER LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 WALNUT ST SUITE 1200 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ACCOUNTING AND FINANCIAL REPORTING | ServicesDesc |
| Compensation | $285,859 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,193,761 | GovernmentGrantsAmt |
| All Other Contributions | $5,061,428 | AllOtherContributionsAmt |
| Total Contributions | $10,255,189 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONFERENCE INCOME | 900099 | $873,203 | $873,203 |
| PUBLIC HEALTH POLICY AND PROGRAMS | 900099 | $569,488 | $569,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,442,691 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $41,201 | TotalRevenueColumnAmt |
| Exclusion | $41,201 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $41,201 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,739,081 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,442,691 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $41,201 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,014,300 | TotalAmt |
| Program Services | $1,014,300 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $792,115 | TotalAmt |
| Program Services | $732,294 | ProgramServicesAmt |
| Management And General | $59,821 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,467,347 | TotalAmt |
| Program Services | $2,281,012 | ProgramServicesAmt |
| Management And General | $186,335 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,038 | TotalAmt |
| Program Services | $114,641 | ProgramServicesAmt |
| Management And General | $5,397 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,234 | TotalAmt |
| Program Services | $225,234 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,363 | TotalAmt |
| Program Services | $221,831 | ProgramServicesAmt |
| Management And General | $46,532 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,802 | TotalAmt |
| Program Services | $19,893 | ProgramServicesAmt |
| Management And General | $5,909 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,374 | TotalAmt |
| Program Services | $314,374 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,685 | TotalAmt |
| Program Services | $313,516 | ProgramServicesAmt |
| Management And General | $185,169 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,223 | TotalAmt |
| Program Services | $300,625 | ProgramServicesAmt |
| Management And General | $169,598 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,962 | TotalAmt |
| Program Services | $159,088 | ProgramServicesAmt |
| Management And General | $16,874 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,780 | TotalAmt |
| Program Services | $213,780 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,035 | TotalAmt |
| Program Services | $216,167 | ProgramServicesAmt |
| Management And General | $39,868 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,092 | TotalAmt |
| Program Services | $852,208 | ProgramServicesAmt |
| Management And General | $30,884 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,638 | TotalAmt |
| Management And General | $3,638 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $70,130 | $20,861 | $49,269 |
| BANK CHARGES & BAD DEBT | $30,616 | $28,723 | $1,893 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,829,734 | TotalAmt |
| Program Services | $7,028,547 | ProgramServicesAmt |
| Management And General | $801,187 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,027,060 | BOYAmt |
| EOY | $6,291,010 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,099 | BOYAmt |
| EOY | $254,125 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,554,545 | BOYAmt |
| EOY | $1,259,960 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,320 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,633 | BOYAmt |
| EOY | $47,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,425 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,247 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,766 | BOYAmt |
| EOY | $9,178 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,675 | BOYAmt |
| EOY | $53,169 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,076,098 | BOYAmt |
| EOY | $7,915,327 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $356,224 | BOYAmt |
| EOY | $636,321 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $494,500 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $74,723 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $84,562 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850,724 | BOYAmt |
| EOY | $795,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,365,441 | BOYAmt |
| EOY | $7,119,721 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,933 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,225,374 | BOYAmt |
| EOY | $7,119,721 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,076,098 | BOYAmt |
| EOY | $7,915,327 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,909,347 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$15,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,551,606 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,046,756 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,538,445 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,050,593 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,255,189 | CurrentTaxYearAmt |
| Total | $30,442,589 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,551,606 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,046,756 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,538,445 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,050,593 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,255,189 | CurrentTaxYearAmt |
| Total | $30,442,589 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $5,477,552 | SubstantialContributorsTotAmt |
| Public Support Total170 | $24,965,037 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,114 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $758 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $184 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4 | CurrentTaxYearMinus1YearAmt |
| Total | $3,060 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,755 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,051 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $286 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,201 | CurrentTaxYearAmt |
| Total | $115,568 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $30,561,217 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $4,589,232 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.81690 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94770 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2018 AMOUNT: $ 2,755. 2019 AMOUNT: $ 43,275. 2020 AMOUNT: $ 28,051. 2021 AMOUNT: $ 286. 2022 AMOUNT: $ 41,201. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,247 | DepreciationAmt |
| Book Value | $9,178 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,178 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $40,799 |
| CREDIT CARD | $43,763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $84,562 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| TURTLE MOUNTAIN BAND CHIPPEWA INDIANS | |||||||
| 4047 HIGHWAY 281 | BELCOURT | ND | 58316 | 450223071 | $176,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| SALT RIVER PIMA-MARICOPA | |||||||
| 10005 E OSBORN ROAD | SCOTTSDALE | AZ | 85256 | 860143787 | $175,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| ALBUQUERQUE AREA INDIAN HEALTH BOARD INC | |||||||
| 7001 PROSPECT PL NE STREET 100 | ALBUQUERQUE | NM | 87110 | 850255630 | $50,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| HOPI TRIBE | |||||||
| P O BOX 123 | KYKOTSMOVI | AZ | 86039 | 860134082 | $50,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| LUMMI INDIAN BUSINESS COUNCIL | |||||||
| 2665 KWINA ROAD | BELLINGHAM | WA | 99226 | 911004074 | $50,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| NORTHWEST TRIBAL EMERGENCY MANAGEMENT COUNCIL | |||||||
| PO BOX 1162 | SNOHOMISH | WA | 98291 | 800240628 | $50,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| PALA BAND OF MISSION INDIANS | |||||||
| 35008 TEMECULA ROAD | PALA | CA | 92059 | 952863815 | $50,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| CHELA FILMS LLC | |||||||
| 11401 GRAGO DRIVE | WASHINGTON | MD | 20744 | 474506491 | $46,533 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| SITKA TRIBE OF ALASKA | |||||||
| 204 SIGINAKA WAY SUITE 300 | SITKA | AK | 99835 | 920060383 | $38,824 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| ARIZONA STATE UNIVERSITY | |||||||
| PO BOX 13344 | SCOTTSDALE | AZ | 85267 | 860196696 | $27,677 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| ROSEBUD SIOUX TRIBE | |||||||
| 11 LEGION AVENUE | ROSEBUD | SD | 57570 | 460248724 | $25,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| UNITED INDIAN HEALTH SERVICES | |||||||
| 1600 WEEOT WAY | ARCATA | CA | 95521 | 237088205 | $25,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| SOUTTHERN PLAINES TRIBAL HEALTH BOARD | |||||||
| PO BOX 16457 | OKLAHOMA CITY | OK | 73113 | 731606600 | $20,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| WINNEBAGO COMPREHENSIVE HEALTHCARE SYSTEM | |||||||
| 225 S BLUFF STREET | WINNEBAGO | NE | 68071 | 371889645 | $19,500 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| TRIBAL GOVERNMENT OF ALEUT COMMUNITY OF ST PAUL ISLAND | |||||||
| 4720 BUSINESS PARK BLVD SUITE G-42 | ANCHORAGE | AL | 99503 | $15,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| CHEYENNE AND ARAPOHOE TRIBES | |||||||
| PO BOX 167 | CONCHO | OK | 73022 | 730710910 | $15,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| SOKAOGON CHIPPEWA COMMUNITY | |||||||
| 3051 SAND LAKE ROAD | CRANDON | WI | 54520 | $15,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| TULE RIVER INDIAN HEALTH CENTER INC | |||||||
| 380 N RESERVATION ROAD | PORTERVILLE | CA | 93257 | 941669142 | $15,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| MT SANFORD TRIBAL CONSORTIUM | |||||||
| MILE 33 TOK CUT OFF | GAKONA | AK | 99586 | $15,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| THE EASTERN BAND OF THE CHEROKEE NATION | |||||||
| 43 JOHN CROWE HILL | CHEROKEE | NC | 28719 | 560572090 | $12,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| WINSLOW INDIAN HEALTH CARE CENTER INC | |||||||
| 500 NORTH INDIANA AVENUE | WINSLOW | AZ | 86047 | 810549382 | $12,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| NORTHWEST PORTLAND AREA INDIAN | |||||||
| 2121 SW BROADWAY SUITE 300 | PORTLAND | OR | 97201 | 930718154 | $10,000 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| SANTEE SIOUX TRIBE | |||||||
| 425 FRAZIER AVENUE SUITE 2 | NIOBRARA | NE | 68760 | 470533471 | $7,500 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| DAY EAGLE HOPE PROJECT | |||||||
| 18243 STATE HIGHWAY 66 | HARLEM | MT | 59526 | 833576195 | $7,500 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS |
| ALASKA NATIVE TRIBAL HEALTH CONSORTIUM | |||||||
| 4000 AMBASSADOR DRIVE | ANCHORAGE | AK | 99508 | $5,471 | $0 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STACY BOHLEN | ||||||||||||||
| CEO | $257,524 | $0 | $18,371 | $0 | $0 | $0 | $27,000 | $0 | $21,782 | $0 | $324,677 | $0 | $0 | $0 |
| JAMIE GOMEZ | ||||||||||||||
| CHIEF OPERATING OFFICER | $192,911 | $0 | $29,065 | $0 | $0 | $0 | $15,030 | $0 | $35,752 | $0 | $272,758 | $0 | $0 | $0 |
| TYLER M DOUGHERTY | ||||||||||||||
| GRANTS & PROGRAMS COMPLIANCE DIRECTO | $144,079 | $0 | $25,810 | $0 | $0 | $0 | $16,714 | $0 | $8,077 | $0 | $194,680 | $0 | $0 | $0 |
| ELIZABETH A KEARNEY | ||||||||||||||
| HUMAN RESOURCES DIRECTOR | $129,688 | $0 | $12,258 | $0 | $0 | $0 | $12,355 | $0 | $9,725 | $0 | $164,026 | $0 | $0 | $0 |
| ROCHELLE RUFFER | ||||||||||||||
| TRIBAL HEALTH DATA PROJECT DIRECTOR | $105,198 | $0 | $6,109 | $0 | $0 | $0 | $4,842 | $0 | $37,481 | $0 | $153,630 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | BONUSES WERE DETERMINED BASED ON TITLE, PERFORMANCE, SERVICE DURATION AND AVAILABLE FUNDS AT TIME OF BONUS PAYMENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 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 12C | EMPLOYEES FILL OUT A DISCLOSURE FORM, WHICH IS REVIEWED BY MANAGEMENT. ANY CONFLICTS RAISED ARE DISCUSSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE 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 19 | UPON REQUEST |
| FORM 990. PART XII, LINE 2C | NO CHANGES FROM PRIOR YEAR. |
| FORM 990. PART XII, LINE 3B | AUDIT WAS ONGOING AT THE TIME OF TAX RETURN FILING. |