SEATTLE INDIAN HEALTH BOARD: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SEATTLE INDIAN HEALTH BOARD (EIN 91-0869056)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202122249349302147
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T15:59:34-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910869056 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEATTLE INDIAN HEALTH BOARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SEAT | BusinessNameControlTxt |
| Phone | 2063249360 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 12TH AVENUE SOUTH | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98144 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ESTHER LUCERO | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 2063249360 | PhoneNum |
| Signature | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2021-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ESTHER LUCERO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 12TH AVENUE SOUTH | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98144 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,343,791 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SIHB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | ADVOCATE FOR, PROVIDE, AND ENSURE CULTURALLY APPROPRIATE, HIGH QUALITY, AND ACCESSIBLE HEALTH AND HUMAN SERVICES TO AMERICAN INDIANS AND ALASKA NATIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 277 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,222,927 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,389,601 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,638,234 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,876,205 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,621 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,532 | CYInvestmentIncomeAmt |
| PY Other Revenue | $458,268 | PYOtherRevenueAmt |
| CY Other Revenue | $51,253 | CYOtherRevenueAmt |
| PY Total Revenue | $20,343,050 | PYTotalRevenueAmt |
| CY Total Revenue | $26,335,591 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $53,640 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $48,746 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,559,248 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,026,707 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,952,605 | PYOtherExpensesAmt |
| CY Other Expenses | $7,631,876 | CYOtherExpensesAmt |
| PY Total Expenses | $21,565,493 | PYTotalExpensesAmt |
| CY Total Expenses | $22,707,329 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,222,443 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,628,262 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,882,155 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,258,366 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,785,388 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,494,647 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,096,767 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,763,719 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SERVICES ARE DESIGNED TO ADDRESS SEVERE HEALTH DISPARITIES AMONG URBAN AMERICAN INDIANS AND ALASKA NATIVES BY PROVIDING CULTURALLY RELEVANT PRIMARY CARE, BEHAVIORAL HEALTH, OUTREACH SERVICES AND NATIONAL RESEARCH. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,839,932 | ExpenseAmt |
| Grant | $48,746 | GrantAmt |
| Revenue | $9,279,128 | RevenueAmt |
| Desc | HEALTH CARE OPERATIONS DIVISION INCLUDE MEDICAL, DENTAL, LAB, PHARMACY, NUTRITION AND DIABETES CLINIC SERVICES. FOR FISCAL YEAR 2020, SIHB PROVIDED 16,036 MEDICAL VISITS, 4,106 DENTAL VISITS, 29,061 PHARMACY PRESCRIPTIONS (29,061 TOTAL, 19,220 NEW, 9,841 REFILLS), 14,067 LAB TESTS, 1,873 MENTAL HEALTH VISITS, 6,959 COMMUNITY SERVICES CASE MANAGEMENT VISITS, AND 1,024 HEALTH EDUCATION VISITS. THE FAMILY MEDICINE RESIDENCY TRAINING PROGRAM IS THE ONLY ACGME APPROVED PHYSICIAN RESIDENCY FOCUSING ON INDIAN HEALTH. ESTABLISHED IN 1994, THE THREE-YEAR TRAINING PROGRAM HAS GRADUATED AS OF 2020, 45 PHYSICIANS WITH MOST GRADUATES NOW SERVING INDIAN TRIBES, URBAN INDIAN HEALTH ORGANIZATION, OR COMMUNITY HEALTH CENTERS ACROSS THE NATION. SIHB ALSO RUNS ELDERS DAY GROUPS, YOUTH AND OUTREACH ACTIVITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,752,761 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $597,077 | RevenueAmt |
| Desc | THE URBAN INDIAN HEALTH INSTITUTE IS ONE OF 12 INDIAN HEALTH SERVICE FUNDED TRIBAL EPIDEMIOLOGY CENTERS AND THE ONLY CENTER WITH A NATIONAL FOCUS. THE WORK SUPPORTS THE NETWORK OF 62 URBAN INDIAN HEALTH ORGANIZATIONS (UIHO) LOCATED IN 26 STATES BY DESCRIBING DISPARITIES WITNESSED AMONG URBAN INDIANS THROUGH DATA ANALYSIS AND USING FINDINGS TO INFORM THE DESIGNING AND PLANNING OF CULTURALLY APPROPRIATE INTERVENTIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,324,208 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | OUTPATIENT AND INPATIENT CHEMICAL DEPENDENCY SERVICES TREATMENT WAS PROVIDED THROUGH 453 INPATIENT DAYS AND 2,077 OUTPATIENT SERVICES DURING THE FISCAL YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $12,916,901 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | 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 | 0 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 159 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 277 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA ZHANG | PersonNm |
| Phone | 2063249360 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 12TH AVENUE SOUTH | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98144 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| EMILY ASHBAUGH | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $228,547 | $0 | $40,082 | ||
| ESTHER LUCERO | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $189,216 | $0 | $38,287 | ||
| ANDREA BACHHUBER-BEAM | |||||||
| PHYSICIAN | 40.00 | $172,075 | $0 | $30,211 | Yes (X) | ||
| PETER TALBOT | |||||||
| PHYSICIAN | 40.00 | $174,621 | $0 | $22,946 | Yes (X) | ||
| BENJAMIN LUETY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $152,889 | $0 | $34,443 | ||
| PATRICK HENRY | |||||||
| PHARMACY DIRECTOR | 40.00 | $145,336 | $0 | $36,129 | Yes (X) | ||
| SARAH YANKTON HILL | |||||||
| DENTIST | 40.00 | $143,647 | $0 | $35,305 | Yes (X) | ||
| ABIGAIL ECHO-HAWK | |||||||
| CHIEF RESEARCH OFFICER | 40.00 | Yes (X) | $114,685 | $0 | $35,825 | ||
| GINA PEREZ-BARON | |||||||
| MEDICAL DIRECTOR | 40.00 | $140,354 | $0 | $3,227 | Yes (X) | ||
| ANNETTE SQUETIMKIN-ANQUOE | |||||||
| CHIEF TRADITIONAL HEALTH OFFICER | 40.00 | Yes (X) | $115,461 | $0 | $15,383 | ||
| PAMELA GRINDLEY | |||||||
| CHIEF PEOPLE OFFICER | 40.00 | Yes (X) | $108,395 | $0 | $20,668 | ||
| AREN SPARCK | |||||||
| CHIEF PUBLIC AFFAIRS OFFICER | 40.00 | Yes (X) | $109,359 | $0 | $13,179 | ||
| RYAN GILBERT | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $42,254 | $0 | $8,188 | ||
| CHRIS STEARNS JD | |||||||
| PRESIDENT & DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TOM WARREN SB ME | |||||||
| SECRETARY & PRESIDENT | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SHARYNE THORNTON PHD | |||||||
| VICE PRESIDENT | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JANIA GARCIA BA MA | |||||||
| DIRECTOR & SECRETARY | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| J ROGER LEE | |||||||
| TREASURER | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ALIX ANDERSON RN | |||||||
| DIRECTOR | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| JULEANN GANDARA MD | |||||||
| DIRECTOR (THROUGH JANUARY 2020) | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| LAUREN KING JD | |||||||
| DIRECTOR (THROUGH SEPTEMBER 2020) | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| FRED LAUTH BA | |||||||
| DIRECTOR (THROUGH OCTOBER 2019) | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| SHELLEY MEANS BA | |||||||
| DIRECTOR | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| ARMILITO PANGILINAN MBA CPA | |||||||
| DIRECTOR | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| CORNELIUS VAN NIEL MD | |||||||
| DIRECTOR | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,836,839 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $333,873 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AGATHA CONSULTING LLC | |||||
| 16614 SE 27TH STREET | BELLEVUE | WA | 98008 | REVENUE CYCLE CONSULTING | $404,775 |
| CHIEF SEATTLE CLUB | |||||
| 410 2ND AVE EXT S | SEATTLE | WA | 98104 | CARE DELIVERY | $204,733 |
| NUWEST GROUP HOLDINGS LLC | |||||
| 325 118TH AVE SE SUITE 300 | BELLEVUE | WA | 98005 | RECRUITING SERVICES | $201,540 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| 24630 NETWORK PLACE | CHICACO | IL | 60673 | DATA MANAGEMENT | $200,331 |
| PRIORITY MANAGEMENT GROUP | |||||
| 700 SCHOOL STREET | PAWTUCKET | RI | 02860 | ACCOUNTING SERVICE | $182,790 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $49,219 | FundraisingAmt |
| Government Grants | $15,502,043 | GovernmentGrantsAmt |
| All Other Contributions | $838,339 | AllOtherContributionsAmt |
| Noncash Contributions | $30,000 | NoncashContributionsAmt |
| Total Contributions | $16,389,601 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT FEES | 621400 | $9,279,128 | $9,279,128 |
| CHEMICAL DEPENDENCY FEES | 623990 | $597,077 | $597,077 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,876,205 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,532 | TotalRevenueColumnAmt |
| Exclusion | $18,532 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $49,219 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,200 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,200 | TotalRevenueColumnAmt |
| Exclusion | -$8,200 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INCENTIVE REVENUE | 900099 | $214,297 | $214,297 |
| MISCELLANEOUS INCOME | 900099 | -$154,844 | -$154,844 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $59,453 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,335,591 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,876,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $69,785 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,746 | TotalAmt |
| Program Services | $48,746 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,501,478 | TotalAmt |
| Program Services | $293,639 | ProgramServicesAmt |
| Management And General | $1,207,839 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,646,250 | TotalAmt |
| Program Services | $7,292,984 | ProgramServicesAmt |
| Management And General | $3,353,266 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,639 | TotalAmt |
| Program Services | $323,200 | ProgramServicesAmt |
| Management And General | $115,439 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,494,573 | TotalAmt |
| Program Services | $912,390 | ProgramServicesAmt |
| Management And General | $582,183 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $945,767 | TotalAmt |
| Program Services | $557,073 | ProgramServicesAmt |
| Management And General | $388,694 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,534 | TotalAmt |
| Program Services | $38,455 | ProgramServicesAmt |
| Management And General | $51,079 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,173 | TotalAmt |
| Program Services | $31,857 | ProgramServicesAmt |
| Management And General | $42,316 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,233,604 | TotalAmt |
| Program Services | $1,388,824 | ProgramServicesAmt |
| Management And General | $1,844,780 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,704 | TotalAmt |
| Program Services | $35,682 | ProgramServicesAmt |
| Management And General | $63,022 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,052 | TotalAmt |
| Program Services | $91,462 | ProgramServicesAmt |
| Management And General | $241,590 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,137 | TotalAmt |
| Program Services | $223,997 | ProgramServicesAmt |
| Management And General | $255,140 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $968,403 | TotalAmt |
| Program Services | $338,285 | ProgramServicesAmt |
| Management And General | $630,118 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,540 | TotalAmt |
| Program Services | $63,893 | ProgramServicesAmt |
| Management And General | $51,647 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,767 | TotalAmt |
| Program Services | $18,714 | ProgramServicesAmt |
| Management And General | $33,053 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,292 | TotalAmt |
| Program Services | $142,026 | ProgramServicesAmt |
| Management And General | $83,266 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,234 | TotalAmt |
| Program Services | $60,456 | ProgramServicesAmt |
| Management And General | $106,778 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE SUPPLIES | $885,314 | $884,202 | $1,112 |
| EQUIPMENT PURCHASES | $388,740 | $33,828 | $354,912 |
| MISCELLANEOUS EXPENSES | $243,419 | $3,380 | $240,039 |
| REPAIRS & MAINTENANCE | $154,453 | $89,159 | $65,294 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,510 | TotalAmt |
| Program Services | $44,649 | ProgramServicesAmt |
| Management And General | $78,861 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,707,329 | TotalAmt |
| Program Services | $12,916,901 | ProgramServicesAmt |
| Management And General | $9,790,428 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,055,014 | BOYAmt |
| EOY | $5,329,566 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,359,026 | BOYAmt |
| EOY | $5,569,713 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,755,915 | BOYAmt |
| EOY | $3,298,240 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $614,726 | BOYAmt |
| EOY | $1,741,832 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,164 | BOYAmt |
| EOY | $291,987 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,396,099 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,369,071 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,800,310 | BOYAmt |
| EOY | $8,027,028 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,882,155 | BOYAmt |
| EOY | $24,258,366 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,388 | BOYAmt |
| EOY | $1,482,612 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,147,759 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $864,276 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,388 | BOYAmt |
| EOY | $6,494,647 | 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 | $14,096,767 | BOYAmt |
| EOY | $17,763,719 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,096,767 | BOYAmt |
| EOY | $17,763,719 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,882,155 | BOYAmt |
| EOY | $24,258,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,628,262 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $38,690 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $10,138,938 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,926,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,265,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,222,927 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,389,601 | CurrentTaxYearAmt |
| Total | $64,943,076 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,138,938 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,926,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,265,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,222,927 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,389,601 | CurrentTaxYearAmt |
| Total | $64,943,076 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $64,943,076 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,205 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,621 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,532 | CurrentTaxYearAmt |
| Total | $86,039 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $101,715 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $425,531 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $496,423 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,453 | CurrentTaxYearAmt |
| Total | $1,084,300 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $66,113,415 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $33,841,895 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98230 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98080 | 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 INCENTIVE REVENUE FUNDRAISING EVENT REVENUES | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $23,172 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $23,172 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | SIHB ENGAGES IN ADVOCACY AT THE CITY, COUNTY, STATE AND NATIONAL LEVELS. LOBBYING ACTIVITY DURING THE FISCAL YEAR INCLUDED TRAVEL TO OLYMPIA, WASHINGTON DC, AND TRIBAL FACILITIES FOR I/T/U CONFER AND CONSULT EVENTS, WORKGROUP PARTICIPATION, PLANNING COMMITTEES, TESTIMONY AND UIHP EDUCATION SESSIONS. FUNDS PAID TO A CONSULTANT TO MONITOR FEDERAL HEALTH POLICY, CONTACTING KEY STAFF MEMBERS RESPONSIBLE FOR APPROPRIATE DECISIONS, AND COORDINATING COMMUNICATIONS TO PROTECT FUNDING AND ADVISE STRATEGIES TO EFFECTUATE POSITIVE OUTCOMES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Collection Used Preservation | Yes (X) | CollectionUsedPreservationInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,926,349 | OtherCostOrOtherBasisAmt |
| Book Value | $4,926,349 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,825,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,018,849 | DepreciationAmt |
| Book Value | $1,806,313 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,256,921 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,709,782 | DepreciationAmt |
| Book Value | $547,139 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,024,784 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,640,440 | DepreciationAmt |
| Book Value | $384,344 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $362,883 | OtherCostOrOtherBasisAmt |
| Book Value | $362,883 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,027,028 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,382,481 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $38,690 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $8,200 | OtherRevenueAmt |
| Revenue Not Reported | $46,890 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,335,591 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,335,591 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,715,529 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,200 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,200 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,707,329 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,707,329 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | THE ORGANIZATION HOLDS TWO HISTORIC MASKS THAT ARE ON DISPLAY IN THE ENTRY AREA OF OUR PRIMARY CARE CLINIC, AS WELL AS OTHER ART AND HISTORICAL ITEMS ON DISPLAY IN OUR VARIOUS LOCATIONS. |
| PART X, LINE 2: | THE HEALTH BOARD IS NOT SUBJECT TO INCOME TAX, AS IT IS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE HEALTH BOARD'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. MANAGEMENT EVALUATED THE HEALTH BOARD'S TAX POSITIONS AND CONCLUDED THAT THE HEALTH BOARD HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THEY ARE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 8,200. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 8,200. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ADELINE GARCIA BANQUET | Event1Nm |
| Gross Receipts Event1 | $29,219 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $29,219 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $8,200 | OtherDirectExpensesEvent1Amt |
| Event2 | SPIRIT WALK | Event2Nm |
| Gross Receipts Event2 | $20,000 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $20,000 | CharitableContriEvent2Amt |
| Gross Receipts Total | $49,219 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $49,219 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $8,200 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,200 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$8,200 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | HOMELESS INVESTMENTS IN RAPID REHOUSING | GrantTypeTxt |
| Recipient | 38 | RecipientCnt |
| Cash Grant | $48,746 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TO ENSURE THAT FUNDS ARE USED FOR APPROPRIATE PURPOSES, ALL PAYMENTS ARE MADE TO LANDLORDS/OWNERS ON BEHALF OF INDIVIDUALS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMILY ASHBAUGH | ||||||||||||||
| CHIEF MEDICAL OFFICER | $228,547 | $0 | $0 | $0 | $0 | $0 | $30,702 | $0 | $9,380 | $0 | $268,629 | $0 | $0 | $0 |
| ESTHER LUCERO | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $189,216 | $0 | $0 | $0 | $0 | $0 | $23,284 | $0 | $15,003 | $0 | $227,503 | $0 | $0 | $0 |
| ANDREA BACHHUBER-BEAM | ||||||||||||||
| PHYSICIAN | $172,075 | $0 | $0 | $0 | $0 | $0 | $20,765 | $0 | $9,446 | $0 | $202,286 | $0 | $0 | $0 |
| PETER TALBOT | ||||||||||||||
| PHYSICIAN | $174,621 | $0 | $0 | $0 | $0 | $0 | $21,488 | $0 | $1,458 | $0 | $197,567 | $0 | $0 | $0 |
| BENJAMIN LUETY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $152,889 | $0 | $0 | $0 | $0 | $0 | $34,038 | $0 | $405 | $0 | $187,332 | $0 | $0 | $0 |
| PATRICK HENRY | ||||||||||||||
| PHARMACY DIRECTOR | $145,336 | $0 | $0 | $0 | $0 | $0 | $26,647 | $0 | $9,482 | $0 | $181,465 | $0 | $0 | $0 |
| SARAH YANKTON HILL | ||||||||||||||
| DENTIST | $143,647 | $0 | $0 | $0 | $0 | $0 | $26,946 | $0 | $8,359 | $0 | $178,952 | $0 | $0 | $0 |
| ABIGAIL ECHO-HAWK | ||||||||||||||
| CHIEF RESEARCH OFFICER | $114,685 | $0 | $0 | $0 | $0 | $0 | $14,609 | $0 | $21,216 | $0 | $150,510 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MELINDA GARAY | |||
| SPOUSE OF ESTHER LUCERO, CEO | $46,561 | EMPLOYEE COMPENSATION | 0 |
| LAWRENCE LUCERO | |||
| FATHER OF ESTHER LUCERO, CEO | $16,200 | EMPLOYEE COMPENSATION | 0 |
| LORNA SQUETIMKIN | |||
| SISTER OF ANNETTE SQUETIMKIN-ANQUOE, CHIEF TRADITIONAL HEALTH OFFICER | $46,445 | EMPLOYEE COMPENSATION | 0 |
| MIKAE GILBERT | |||
| SPOUSE OF RYAN GILBERT, COO | $13,596 | EMPLOYEE COMPENSATION | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 10 | ContributionCnt |
| Noncash Contributions Rpt F990 | $30,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATED UNIT COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | DURING THE FISCAL YEAR, THE ORGANIZATION BEGAN OFFERING GENDER-BASED VIOLENCE SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPOSED OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE ACTS ON BEHALF OF THE BOARD BETWEEN REGULAR MEETINGS AND IN EMERGENCY SITUATIONS. THE ACTIONS OF THE EXECUTIVE COMMITTEE MAY NOT CONFLICT WITH THE BOARD'S POLICIES AND DIRECTIVES. ANY EXECUTIVE COMMITTEE ACTIONS ARE REVIEWED AND RATIFIED AT THE NEXT REGULAR BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE TEAM AND BY THE FINANCE COMMITTEE AND WAS PROVIDED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE COLLECTED ANNUALLY FROM THE BOARD OF DIRECTORS AND OFFICERS. DISCLOSURES ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT FOR MATERIALITY. BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE PROHIBITED FROM DELIBERATIONS, VOTING, OR ATTEMPTS TO INFLUENCE OTHER BOARD MEMBERS ON MATTERS IN WHICH THEY HAVE A FINANCIAL OR OTHER PRIVATE INTEREST, WHETHER DIRECT OR INDIRECT. DISCLOSURE OF THE NATURE AND EXTENT OF ALL POTENTIAL CONFLICTS OF INTEREST IS REQUIRED PRIOR TO UNDERTAKING ANY BOARD ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE AGENCY UPDATES SALARY SURVEY INFORMATION EVERY 2 YEARS OR LESS BY POSITION BASED ON MARKET-DRIVEN FACTORS. ANNUALLY THE ONLY SALARY INCREASES ARE FOR MERIT AND BASED ON AN EVALUATION PROCEDURE. MERIT RAISES RANGE FROM 2% TO 5%. THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S ANNUAL INCREASE BASED ON ESTABLISHED EVALUATION CRITERIA. THE MOST RECENT COMPENSATION REVIEW OCCURRED IN 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | SIHB DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST OR THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 680,292. MANAGEMENT AND GENERAL EXPENSES 903,635. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,583,927. CONSULTANTS: PROGRAM SERVICE EXPENSES 532,893. MANAGEMENT AND GENERAL EXPENSES 707,843. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,240,736. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 175,639. MANAGEMENT AND GENERAL EXPENSES 233,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,941. |