NATIONAL COUNCIL OF URBAN INDIAN HEALTH: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- NATIONAL COUNCIL OF URBAN INDIAN HEALTH (EIN 33-0798803)
- Tax period
- 2023-09-01 to 2024-08-31
- Filed
- 2025-07-15
- IRS object ID
- 202531969349303103
- Schema version
- 2023v6.0
- 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 | 2025-07-15T16:17:23-05:00 | ReturnTs |
| Tax Period End | 2024-08-31 | 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 LLC | 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 | 2023-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330798803 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL COUNCIL OF URBAN INDIAN HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 2025440344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 712 H ST NE UNIT 5030 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20002 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCYS CREVIER | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2025440344 | PhoneNum |
| Signature | 2025-07-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | 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 | 2025-07-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANCYS CREVIER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 712 H ST NE UNIT 5030 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,181,046 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NCUIH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | DC | LegalDomicileStateCd |
| Activity Or Mission | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY COMPETENT HEALTH SERVICESTHE NATIONAL COUNCIL OF URBAN INDIAN HEALTH (NCUIH) IS A NATIONAL 501(C)(3) ORGANIZATION DEVOTED TO THE SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY COMPETENT HEALTH SERVICES FOR AMERICAN INDIANS AND ALASKA NATIVES (AI/ANS) LIVING IN URBAN SETTINGS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 46 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,671,737 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,320,074 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $558,291 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $809,755 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16 | PYInvestmentIncomeAmt |
| CY Investment Income | $18 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,361 | PYOtherRevenueAmt |
| CY Other Revenue | $51,199 | CYOtherRevenueAmt |
| PY Total Revenue | $9,249,405 | PYTotalRevenueAmt |
| CY Total Revenue | $9,181,046 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,999,019 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $415,586 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,188,238 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,519,666 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,999,894 | PYOtherExpensesAmt |
| CY Other Expenses | $1,485,629 | CYOtherExpensesAmt |
| PY Total Expenses | $10,187,151 | PYTotalExpensesAmt |
| CY Total Expenses | $7,420,881 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$937,746 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,760,165 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,368,561 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,144,941 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,386,599 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,402,814 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $981,962 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,742,127 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE NATIONAL COUNCIL OF URBAN INDIAN HEALTH (NCUIH) IS A NATIONAL 501(C)(3) ORGANIZATION DEVOTED TO THE SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY COMPETENT HEALTH SERVICES FOR AMERICAN INDIANS AND ALASKA NATIVES (AI/ANS) LIVING IN URBAN SETTINGS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,579,170 | ExpenseAmt |
| Revenue | $809,755 | RevenueAmt |
| Desc | TECHNICAL ASSISTANCE & RESEARCH: THIS PROGRAM DELIVERS COMPREHENSIVE PUBLIC HEALTH TRAINING AND TECHNICAL ASSISTANCE TO 41 URBAN INDIAN ORGANIZATIONS (UIOS) NATIONWIDE. THROUGH CUSTOMIZED, CULTURALLY RESPONSIVE CAPACITY-BUILDING SUPPORT AND KNOWLEDGE TOOLS, THE PROGRAM EMPOWERS UIOS TO ADVANCE HEALTH EQUITY AND ADDRESS PERSISTENT DISPARITIES IMPACTING URBAN AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) COMMUNITIES. IN THE PAST YEAR ALONE, THE PROGRAM PROVIDED OVER 500 HOURS OF TRAINING AND TECHNICAL ASSISTANCE, REINFORCING ITS CRITICAL ROLE IN STRENGTHENING PUBLIC HEALTH INFRASTRUCTURE AND OUTCOMES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,608,120 | ExpenseAmt |
| Grant | $415,586 | GrantAmt |
| Desc | PUBLIC POLICY: NCUIH LEADS TARGETED OUTREACH AND EDUCATION EFFORTS TO INFORM POLICYMAKERS AND THE PUBLIC ABOUT THE SYSTEMIC CHANGES NEEDED TO ELIMINATE HEALTH DISPARITIES IMPACTING URBAN AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) COMMUNITIES. EACH YEAR, NCUIH PROVIDES EXPERT TESTIMONY BEFORE HOUSE AND SENATE COMMITTEES AND PARTICIPATES IN OVER 200 MEETINGS WITH FEDERAL AGENCIES, ADVISORY BODIES, AND KEY STAKEHOLDERS TO ADVANCE POLICY PRIORITIES FOR URBAN AI/AN HEALTH. IN THE PAST YEAR, NCUIH'S ADVOCACY DIRECTLY CONTRIBUTED TO SECURING MILLIONS IN ADDITIONAL FEDERAL FUNDING TO SUPPORT HEALTHCARE SERVICES FOR URBAN AI/AN POPULATIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $7,187,290 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 46 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | 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 | 2025440344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 712 H ST NE UNIT 5030 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20002 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| WALTER MURILLO | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBYN SUNDAY-ALLEN | |||||||
| PRESIDENT-ELECT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANGEL GALVEZ | |||||||
| BOARD VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR LINDA SON-STONE | |||||||
| BOARD SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ADRIANNE MADDUX | |||||||
| BOARD TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KERRY HAWK LESSARD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAELA SEIBER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD WILSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANET REEVES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NATALIE AGUILERA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAUREEN ROSETTE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANCYS CREVIER | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $312,000 | $0 | $32,178 | ||
| MEREDITH RAIMONDI | |||||||
| VP OF POLICY & COMMUNICATIONS | 40.00 | Yes (X) | $163,696 | $0 | $30,401 | ||
| DRKIMBERLY FOWLER | |||||||
| VP OF THE TECHNICAL ASSISTANCE & RESEARCH CENTER | 40.00 | Yes (X) | $153,510 | $0 | $35,055 | ||
| TYLER DOUGHERTY | |||||||
| VP OF PROGRAMS & OPERATION | 40.00 | Yes (X) | $133,339 | $0 | $10,561 | ||
| CHANDOS CULLEEN | |||||||
| SENIOR DIRECTOR OF FEDERAL RELATIONS (END 9/19/24) | 40.00 | $110,100 | $0 | $12,072 | Yes (X) | ||
| THOMAS LANGAN | |||||||
| DIRECTOR OF RESEARCH AND PUBLIC HEALTH PROGRAMS | 40.00 | $105,100 | $0 | $15,302 | Yes (X) | ||
| RORI COLLINS | |||||||
| PUBLIC POLICY COUNSEL | 40.00 | $101,704 | $0 | $21,988 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,079,449 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $157,557 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | 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 STREET SUITE 1200 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ACCOUNTING | ServicesDesc |
| Compensation | $149,055 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,330,924 | GovernmentGrantsAmt |
| All Other Contributions | $2,989,150 | AllOtherContributionsAmt |
| Total Contributions | $8,320,074 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT REVENUE | 900099 | $607,153 | $607,153 |
| CONFERENCE REVENUE | 900099 | $134,265 | $134,265 |
| MEMBERSHIP DUES | 900099 | $68,337 | $68,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $809,755 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18 | TotalRevenueColumnAmt |
| Exclusion | $18 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $51,199 | TotalRevenueColumnAmt |
| Exclusion | $51,199 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $51,199 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,181,046 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $809,755 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $51,217 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,586 | TotalAmt |
| Program Services | $415,586 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $944,275 | TotalAmt |
| Program Services | $943,247 | ProgramServicesAmt |
| Management And General | $1,028 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,392,926 | TotalAmt |
| Program Services | $3,389,231 | ProgramServicesAmt |
| Management And General | $3,695 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,972 | TotalAmt |
| Program Services | $216,611 | ProgramServicesAmt |
| Management And General | $361 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $652,626 | TotalAmt |
| Program Services | $651,594 | ProgramServicesAmt |
| Management And General | $1,032 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,867 | TotalAmt |
| Program Services | $312,389 | ProgramServicesAmt |
| Management And General | $478 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,728 | TotalAmt |
| Management And General | $66,728 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,102 | TotalAmt |
| Program Services | $368,561 | ProgramServicesAmt |
| Management And General | $541 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,517 | TotalAmt |
| Program Services | $82,942 | ProgramServicesAmt |
| Management And General | $7,575 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,091 | TotalAmt |
| Program Services | $371,573 | ProgramServicesAmt |
| Management And General | $518 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,550 | TotalAmt |
| Program Services | $185,282 | ProgramServicesAmt |
| Management And General | $4,268 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,473 | TotalAmt |
| Program Services | $155,822 | ProgramServicesAmt |
| Management And General | $651 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,168 | TotalAmt |
| Program Services | $94,452 | ProgramServicesAmt |
| Management And General | $146,716 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,420,881 | TotalAmt |
| Program Services | $7,187,290 | ProgramServicesAmt |
| Management And General | $233,591 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,504 | BOYAmt |
| EOY | $2,224,813 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,869,682 | BOYAmt |
| EOY | $695,208 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,272 | BOYAmt |
| EOY | $298,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,914 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $57,914 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,103 | BOYAmt |
| EOY | $925,987 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,368,561 | BOYAmt |
| EOY | $4,144,941 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,284,428 | BOYAmt |
| EOY | $473,839 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,102,171 | BOYAmt |
| EOY | $928,975 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,386,599 | BOYAmt |
| EOY | $1,402,814 | 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 | $627,928 | BOYAmt |
| EOY | $2,560,861 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,034 | BOYAmt |
| EOY | $181,266 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $981,962 | BOYAmt |
| EOY | $2,742,127 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,368,561 | BOYAmt |
| EOY | $4,144,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,760,165 | ReconcilationRevenueExpnssAmt |
| 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 | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $3,597,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,128,825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,206,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,671,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,320,074 | CurrentTaxYearAmt |
| Total | $36,925,177 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,597,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,128,825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,206,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,671,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,320,074 | CurrentTaxYearAmt |
| Total | $36,925,177 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $259,349 | SubstantialContributorsTotAmt |
| Public Support Total170 | $36,665,828 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $16 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18 | CurrentTaxYearAmt |
| Total | $34 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $26,581 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,361 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,199 | CurrentTaxYearAmt |
| Total | $107,361 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $37,032,572 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,145,524 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99010 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99490 | 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 | MISCELLANEOUS - 2020 AMOUNT: $ 26,581. 2021 AMOUNT: $ 10,220. 2022 AMOUNT: $ 19,361. 2023 AMOUNT: $ 51,199. | 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 | $15,443 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,443 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,471 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $25,000 |
| RIGHT-OF-USE ASSET FOR OPERATING LEASE | $897,245 |
| RIGHT-OF-USE ASSET FOR FINANCING LEASE | $3,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $925,987 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LIABILITY FOR OPERATING LEASE | $924,352 |
| LIABILITY FOR FINANCING LEASE | $4,623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $928,975 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,181,046 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,181,046 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,181,046 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,420,881 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,420,881 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,420,881 | TotalExpensesPerForm990Amt |
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 AND A SIMILAR PROVISION OF STATE LAW. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS THAT WOULD REQUIRE RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR UP TO THREE YEARS FROM THE DATE A COMPLETED RETURN IS FILED. IF MATERIAL OMISSIONS OF INCOME EXIST, TAX RETURNS MAY BE SUBJECT TO EXAMINATION FOR UP TO SIX YEARS.IT IS THE ORGANIZATION'S POLICY TO DISCLOSE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF AUGUST 31, 2024 AND 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS WHICH SHOULD BE DISCLOSED. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S.FEDERAL OR STATE EXAMINATIONS BY TAX AUTHORITIES FOR TAX YEARS PRIOR TO 2021. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| URBAN INDIAN CENTER OF SALT LAKE | |||||||||
| 120 WEST 1300 SOUTH | SALT LAKE CITY | UT | 84115 | 870392380 | 501(C)(3) | $93,100 | $0 | EXPANDING ELECTRONIC CASE REPORTING TO BENEFIT URBAN TRIBAL POPULATIONS | |
| SAN DIEGO AMERICAN INDIAN HEALTH CENTER | |||||||||
| 2630 1ST AVENUE | SAN DIEGO | CA | 92103 | 953397369 | 501(C)(3) | $84,600 | $0 | EXPANDING ELECTRONIC CASE REPORTING TO BENEFIT URBAN TRIBAL POPULATIONS | |
| NATIVE AMERICAN DEVELOPMENT CORPORATION | |||||||||
| 17 N 26TH ST | BILLINGS | MT | 59101 | 810512124 | 501(C)(3) | $74,348 | $0 | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. | |
| FIRST NATIONS COMMUNITY HEALTHSOURCE | |||||||||
| 5608 ZUNI ROAD SE | ALBUQUERQUE | NM | 87108 | 850336893 | 501(C)(3) | $50,000 | $0 | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. | |
| NATIVE AMERICAN LIFELINES | |||||||||
| 1 EAST FRANKLIN STREET SUITE 200 | BALTIMORE | MD | 21202 | 522225714 | 501(C)(3) | $32,063 | $0 | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. | |
| HUNTER HEALTH CLINIC | |||||||||
| 527 N GROVE | WITCHITA | KS | 67214 | 480908355 | 501(C)(3) | $30,500 | $0 | EXPANDING ELECTRONIC CASE REPORTING TO BENEFIT URBAN TRIBAL POPULATIONS | |
| FRESNO AMERICAN INDIAN HEALTH PROJECT | |||||||||
| 1551 EAST SHAW AVENUE STE 139 | FRESNO | CA | 93710 | 451504597 | 501(C)(3) | $11,793 | $0 | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. | |
| NATIVE HEALTH | |||||||||
| 4041 NORTH CENTRAL AVENUE BUILDING | PHOENIX | AZ | 85012 | 942540194 | 501(C)(3) | $8,500 | $0 | DEMOCRACY IS INDIGENOUS - URBAN AMERICAN INDIAN INTEGRATED CIVIC & VOTER ENGAGEMENT INITIATIVE | C |
| KANSAS CITY INDIAN CENTER | |||||||||
| 600 WEST 39TH STREET | KANSAS CITY | MO | 64111 | 431012392 | 501(C)(3) | $8,126 | $0 | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. | |
| BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT | |||||||||
| 501 40TH STREET STE A | BAKERSFIELD | CA | 93301 | 455281837 | 501(C)(3) | $7,600 | $0 | EXPANDING ELECTRONIC CASE REPORTING TO BENEFIT URBAN TRIBAL POPULATIONS | |
| SOUTH DAKOTA URBAN INDIAN HEALTH | |||||||||
| 1200 NORTH WEST AVENUE | SIOUX FALLS | SD | 57104 | 460348571 | 501(C)(3) | $5,956 | $0 | SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY SENSITIVE HEALTH CARE PROGRAMS. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NCUIH PREPARED, BASED ON CDC REQUIREMENTS - FUNDING GUIDELINES, EXPENSE REPORT AND INSTRUCTIONS, AND PAYMENT REQUEST FORM IN WHICH THE GRANTEE IS TO SUBMIT PROPER DOCUMENTATION TO SUPPORT THEIR FUNDING REQUEST. THE DOCUMENTS ARE REVIEWED TO ENSURE THAT IT FOLLOWS CDC GUIDELINES PRIOR TO SUBMITTING PAYMENT TO GRANTEES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCYS CREVIER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $312,000 | $0 | $0 | $0 | $0 | $0 | $22,500 | $0 | $9,678 | $0 | $344,178 | $0 | $0 | $0 |
| MEREDITH RAIMONDI | ||||||||||||||
| VP OF POLICY & COMMUNICATIONS | $163,696 | $0 | $0 | $0 | $0 | $0 | $15,560 | $0 | $14,841 | $0 | $194,097 | $0 | $0 | $0 |
| DRKIMBERLY FOWLER | ||||||||||||||
| VP OF THE TECHNICAL ASSISTANCE & RES | $153,510 | $0 | $0 | $0 | $0 | $0 | $15,351 | $0 | $19,704 | $0 | $188,565 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE GENERAL MEMBERSHIP CONSISTS OF ORGANIZATIONAL MEMBERS IN GOOD STANDING. |
| FORM 990, PART VI, SECTION A, LINE 7A | ORGANIZATIONAL MEMBERS IN GOOD STANDING ARE ALLOWED TO VOTE. |
| FORM 990, PART VI, SECTION B, LINE 11B | AFTER THE 990 IS COMPLETED, IT IS FORWARDED TO THE EXECUTIVE COMMITTEE FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS AND ALL EMPLOYEES HAVE READ AND AGREED TO THE ETHICS POLICY OF NCUIH, WHICH ADDRESSES CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO SIGN THIS POLICY WHEN THEY ARE HIRED AND THE BOARD MUST SIGN IT ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS PERFORMS ANNUAL COMPARABILITY SALARY REVIEWS. ANNUAL INCREASES ARE BASED ON ANNUAL REVIEW AND COLA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST VIA EMAIL AND ALSO ON GUIDESTAR.COM. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |