2023-05-15T15:19:46-05:00 2022-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-07-01 237088205 UNITED INDIAN HEALTH SERVICES INC UNIT 7078255000 1600 WEEOT WAY ARCATA CA 955214734 CECIL WILSON CFO 7078255000 2023-05-12 1 CECIL WILSON 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TERESA BALLEW 1600 WEEOT WAY ARCATA CA 955214734 45331079 0 X WWW.UIHS.ORG X 1970 CA TO PROVIDE HEALTH CARE SERVICES AND EDUCATION TO NATIVE AMERICANS. 13 13 312 44 0 0 22383556 22677139 17800420 22497327 8537 3612 217884 153001 40410397 45331079 394768 162807 0 0 19654894 22090953 0 0 0 14373719 16765270 34423381 39019030 5987016 6312049 63804386 68069408 33079857 31032830 30724529 37036578 X TO WORK TOGETHER WITH OUR CLIENTS AND COMMUNITY TO ACHIEVE WELLNESS THROUGH HEALTH SERVICES THAT REFLECT THE TRADITIONAL VALUES OF OUR AMERICAN INDIAN COMMUNITY. 0 0 30628457 162807 22497327 THE ORGANIZATION PROVIDED MEDICAL, DENTAL, VISION, MENTAL HEALTH, HOSPITAL, PHARMACY, PHYSICAL AND OCCUPATIONAL THERAPY, AND OTHER HEALTH SERVICES TO NATIVE AMERICANS AND THEIR FAMILIES. TOTAL VISITS DURING CALENDAR YEAR 2021-2022 WERE 58,962. OF THE TOTAL 5,896 WERE FOR NON-INDIANS (10%). ADDITIONALLY, THE ORGANIZATION PROVIDED DIABETES TREATMENT, EDUCATION, AND PREVENTION HEALTH SERVICES. NUTRITION AND OTHER SOCIAL SERVICE PROGRAMS FOR LOW INCOME NATIVE AMERICANS (WIC, TITLE VI, ETC.). THEY ALSO PROVIDED TOBACCO EDUCATION TO NATIVE AMERICANS IN HUMBOLDT AND DEL NORTE COUNTY. THE PROGRAM PROVIDES MATERIALS ON THE HAZARDS OF TOBACCO USE, PEER-LED PREVENTION PRESENTATIONS, AND COUNSELING SERVICES.WE BECAME MEMBERS OF DRUG-MEDICAL FOR 2022-2023 ALLOWING FOR BILLING AND EXPANSION OF OUR BEHAVIORAL HEALTH DEPARTMENT. THIS SERVICE EXPANDS BEYOND OUR SUICIDE, TOBACCO AND OPIOID COUNSELING TO INCLUDE THERAPEUTIC SERVICES FOR ALL AGES. 30628457 1 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 133 0 312 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X CECIL WILSON 7078254065 1600 WEEOT WAY ARCATA CA 955214734 LAWANDA GREEN CHAIRPERSON 2.00 X X 9374 0 0 TERESA BALLEW VICE-CHAIRPERSON 2.00 X X 3950 0 0 MADISON FLYNN TREASURER 2.00 X X 3650 0 0 SUSAN MASTEN SECRETARY 2.00 X X 3350 0 0 JOSEPH GIOVANNETTI MEMBER AT LARGE 2.00 X 4525 0 0 MELISSA MYERS MEMBER AT LARGE 2.00 X 0 0 0 LAURA BORDEN BOARD MEMBER 2.00 X 3950 0 0 CLAUDIA BRUNDIN BOARD MEMBER 2.00 X 90 0 0 SHIRLEY LAOS BOARD MEMBER 2.00 X 4402 0 0 LANA MCCOVEY BOARD MEMBER 2.00 X 0 0 0 FAWN MURPHY BOARD MEMBER 2.00 X 1775 0 0 PAULA TRIPP-ALLEN BOARD MEMBER 2.00 X 1400 0 0 VANESSA RIOS BOARD MEMBER 2.00 X 0 0 0 MARNIE ATKINS ALTERNATE 2.00 X 0 0 0 DEBBIE BOARDMAN ALTERNATE 2.00 X 1450 0 0 GAIL BURCELL ALTERNATE 2.00 X 0 0 0 JOHN GREEN ALTERNATE 2.00 X 3300 0 0 LESLIE HECKEL ALTERNATE 2.00 X 0 0 0 RUBY J ROLLINGS ALTERNATE 5.00 X 4367 0 0 DARRELL SHERMAN ALTERNATE 2.00 X 0 0 0 CHARLENE STORR ALTERNATE 2.00 X 525 0 0 PHILLIP WILLIAMS ALTERNATE 2.00 X 0 0 0 ELIZABETH LARA-O'ROURKE CEO 40.00 X 164814 0 16461 JOHN REEVES III CEO (THRU NOVEMBER 2021) 40.00 X 156967 0 22 CECIL WILSON CFO 40.00 X 10337 0 0 CHRIS MYERS CCO 40.00 X 60801 0 1686 JEDEDIAH RUDD COO 40.00 X 153503 0 23340 KATHY BUSENIUS CC&PO 40.00 X 94893 0 13880 ANTOINETTE MARTINEZ MEDICAL DOCTOR 40.00 X 282610 0 22397 JAMES J MATSUDA MEDICAL DOCTOR 40.00 X 255871 0 23688 HUGH DAVID KENT MEDICAL DOCTOR 40.00 X 238078 0 21854 JOHN SHUFELDT MEDICAL DOCTOR 40.00 X 203552 0 0 KIRK PETERSEN MEDICAL DOCTOR 40.00 X 194158 0 25054 DAVID ROSEN FORMER CFO 0.00 X 172170 0 4567 2033862 0 152949 37 1 1 0 AMERICSOURCEBERGEN DRUG CORP PO BOX 100741 PASADENA CA 911890741 PHARMACY SUPPLIER 1395098 TRIBAL HEALTH LLC 14614 N KIERLAND BLVD SUITE 120 SCOTTSDALE AZ 85254 CONSULTING SERVICES 879253 MCKESSON MEDICAL - SURGICAL 6555 STATE HWY 161 IRVING TX 75039 MEDDICAL SUPPLIES 761088 TPX COMMUNICATIONS 303 COLORADO STREET SUITE 2075 AUSTIN TX 78701 MANAGED IT SERVICES 441877 EXPRESS SERVICES INC 9701 BOARDWALK BLVD OKLAHOMA CITY OK 731626209 EMPLOYMENT SERVICES 396477 31 22660669 16470 22677139 NET PATIENT REVENUE 621110 17006577 17006577 PHARMACY REVENUE 621110 5334296 5334296 156454 156454 22497327 3612 3612 153001 153001 153001 45331079 22497327 0 156613 X 159807 159807 3000 3000 827882 827882 17394633 14550709 2843924 448952 448952 2149291 2120403 28888 1270195 1017757 252438 87741 4978 82763 80544 80544 10000 10000 6712634 5484666 1227968 312171 277045 35126 901508 571334 330174 860747 82449 778298 990580 472927 517653 391896 321396 70500 219654 117621 102033 230031 152625 77406 1063697 712780 350917 418573 225528 193045 CLINIC SUPPLIES 2121360 2044827 76533 PHARMACEUTICALS 1563192 1563192 EQUIPMENT PURCHASES AND 568793 180845 387948 LICENSE AND FEES 79531 43470 36061 152618 72146 80472 39019030 30628457 8390573 0 2655590 2655690 46618016 44957054 538636 2181611 1521240 2526664 170964 133599 234269 195276 32532680 17327582 11682270 15205098 383401 214416 63804386 68069408 2971459 3179833 24934884 23058946 5173514 4794051 33079857 31032830 X 30648032 36961889 76497 74689 30724529 37036578 63804386 68069408 6312049 0 X 0 1 X 1 1 1 X 17117002 17398859 16758018 22383556 22677139 96334574 17117002 17398859 16758018 22383556 22677139 96334574 96334574 1776 18886 126187 8537 3612 158998 96493572 83682883 0.99840 0.99830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10000 10000 0 PART II-B, LINE 1: THE DARREL HOSTLER FUND PROVIDES THE RESOURCES FOR CALIFORNIA RURAL INDIAN HEALTH BOARD TO PROVIDE LEGISLATION AND ADVOCACY TO THE INDIANS OF CALIFORNIA. ACTIVITIES PERFORMED INCLUDE LOBBYING, TRAVEL TO WASHINGTON D.C. AND ATTENDING EVENTS SPECIFICALLY FOR ADVOCACY. X X X 1 20.00 0 0 1 1 200.00 8500 138235 X X 0 2558008 2558008 20086984 13020640 7066344 1322404 627272 695132 4546601 3679670 866931 4018683 4018683 15205098 45321590 -9489 -9489 45331079 0 45331079 39009541 0 39009541 9489 9489 39019030 PART II, LINE 9: EXPENSES RELATED TO THE CONSERVATION EASEMENT ARE REPORTED BY THE ORGANIZATION IN THEIR NATURAL EXPENSE CATEGORIES. NO SEPARATE BALANCE SHEET AMOUNT OR FOOTNOTE DISCLOSURE HAS BEEN REPORTED. PART III, LINE 1A: THE ART COLLECTION HELD BY UNITED INDIAN HEALTH SERVICES IS COMPRISED OF SAMPLES OF ORIGINAL ARTWORKS BY PROMINENT NORTHWEST ARTISTS AND ARTWORKS OF LESSER KNOWN ARTISTS FROM OUR REGION. THE COLLECTION IS UTILIZED TO MAKE THE INDIAN COMMUNITY COME TOGETHER AS A WHOLE, TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF EVERYONE INVOLVED, AND TO BRING THE INDIAN AND NON-INDIAN COMMUNITIES CLOSER TOGETHER. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -9,489. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 9,489. 1 RESIGHINI RANCHERIA PO BOX 529 KLAMATH CA 95548 942682661 TRIBE 65000 0 TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. TOLOWA DEE-NI NATION 140 ROWDY CREEK ROAD SMITH RIVER CA 95567 680087275 TRIBE 65000 0 TO PROMOTE GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY. 2 0 PART I, LINE 2: THE LISTED ORGANIZATIONS ARE SUBRECIPIENTS OF FEDERAL FUNDS AS DEFINED BY THE OMB UNIFORM GRANT GUIDANCE. FEDERAL SUBRECIPIENT MONITORING PROCEDURES ARE REQUIRED TO BE FOLLOWED. X X X X 0 0 0 0 0 0 0 0 0 ANTOINETTE MARTINEZ MEDICAL DOCTOR 280687 0 0 0 1923 0 11630 0 10767 0 305007 0 0 0 JAMES J MATSUDA MEDICAL DOCTOR 253054 0 0 0 2817 0 6811 0 16877 0 279559 0 0 0 HUGH DAVID KENT MEDICAL DOCTOR 238050 0 0 0 28 0 5134 0 16720 0 259932 0 0 0 KIRK PETERSEN MEDICAL DOCTOR 193596 0 0 0 562 0 7909 0 17145 0 219212 0 0 0 JOHN SHUFELDT MEDICAL DOCTOR 203552 0 0 0 0 0 0 0 0 0 203552 0 0 0 ELIZABETH LARA-O'ROURKE CEO 164114 0 0 0 700 0 6619 0 9842 0 181275 0 0 0 JEDEDIAH RUDD COO 153372 0 0 0 131 0 0 0 23340 0 176843 0 0 0 DAVID ROSEN FORMER CFO 172170 0 0 0 0 0 0 0 4567 0 176737 0 0 0 JOHN REEVES III CEO (THRU NOVEMBER 2021) 156967 0 0 0 0 0 0 0 22 0 156989 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER FAMILY RELATIONSHIPS: 1. LAWANDA GREEN (CHAIRPERSON) AND JOHN GREEN (ALTERNATE) 2. RUBY ROLLINGS (ALTERNATE) AND SHIRLEY LAOS (BOARD MEMBER) 3. LAURA BORDEN (ALTERNATE) AND LANA MCCOVEY (BOARD MEMBER) FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN UIHS IS DEFINED IN THE ARTICLES OF INCORPORATION. ELIGIBLE INDIAN BENEFICIARIES WHO MEET CERTAIN REQUIREMENTS ARE ELIGIBLE TO BE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE ABILITY TO ELECT "INDIAN COMMUNITY REPRESENTATIVES" WHICH MAKE UP 5 POSITIONS ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS SENT TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING AND SIGNED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR WHO HAS ANY PROPRIETARY INTEREST IN, OR WHO RECEIVES OR HAS EXPECTATIONS OF RECEIVING COMPENSATION FROM OR WHO WILL HAVE ANY SIGNIFICANT MONETARY GAIN OR LOSS AS A RESULT OF THE CORPORATION'S ACTIONS OR ANY ORGANIZATIONS, PROJECT, PROGRAM, CONTRACT, OR OTHER ACTION UNDER CONSIDERATION BY THE CORPORATION OR ITS BOARD, SHALL BE DEEMED TO HAVE A CONFLICT OF INTEREST. WHENEVER ANY DIRECTOR HAS OR HAS CAUSE TO BELIEVE THAT AN ACTION OR ISSUE PENDING BEFORE THE BOARD OR THE CORPORATION COULD INVOLVE A CONFLICT OF INTEREST FOR A BOARD MEMBER, HE OR SHE SHALL ANNOUNCE THE CONFLICT AND SHALL THEN ABSTAIN FROM DISCUSSION, CONSIDERATION, DECISIONS, AND VOTING ON THE MATTER. WHENEVER ANY DIRECTOR SITS ON THE GOVERNING BODY OF A TRIBE, ORGANIZATION, PROGRAM, OR OTHER PROJECT WHICH IS COMPETING FOR FUNDING WITH THE CORPORATION, HE OR SHE SHALL ANNOUNCE THE CONFLICT OF INTEREST AND SO NOTIFY THE CHAIRMAN OF THE BOARD. SUCH PERSON SHALL THEN ABSTAIN FROM DISCUSSING, CONSIDERING, DECIDING, AND VOTING ON THAT FUNDING MATTER. NO DIRECTOR MAY BE AN EMPLOYEE OF THE CORPORATION DURING THE DIRECTOR'S TERM OF SERVICE ON THE BOARD, NOR SHALL ANY EMPLOYEE OF THE CORPORATION BE ELIGIBLE TO BE A BOARD MEMBER WHILE SO EMPLOYED. FORM 990, PART VI, SECTION B, LINE 15 THE CONTRACTUAL AGREEMENT FOR THE CEO, OFFICERS, AND KEY EMPLOYEES THAT DEFINES THE TERMS, CONDITIONS, AND COMPENSATION LEVEL IS DETERMINED USING REVIEW BY OUTSIDE LEGAL COUNSEL, ANALYSIS OF COMPARABLE AGENCY DATA, AND GOVERNING BOARD REVIEW. DELIBERATION AND DECISION IS RECORDED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL REPORTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,360,169. MANAGEMENT AND GENERAL EXPENSES 1,064,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,425,039. TEMPORARY CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,894,941. MANAGEMENT AND GENERAL EXPENSES 163,098. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,058,039. MEDICAL FEES: PROGRAM SERVICE EXPENSES 794,163. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 794,163. DENTAL FEES: PROGRAM SERVICE EXPENSES 1,050,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,050,913. PHARMACY FEES: PROGRAM SERVICE EXPENSES 124,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,477. LAB FEES: PROGRAM SERVICE EXPENSES 260,003. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,003.