2021-08-12T15:59:34-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-10-01 910869056 SEATTLE INDIAN HEALTH BOARD SEAT 2063249360 611 12TH AVENUE SOUTH SEATTLE WA 98144 ESTHER LUCERO PRESIDENT & CEO 2063249360 2021-08-11 1 KURT BENNION CPA P01469618 4252506100 2021-08-11 2019 2022-09-23 18:48:47Z ESTHER LUCERO 611 12TH AVENUE SOUTH SEATTLE WA 98144 26343791 0 X WWW.SIHB.ORG X 1970 WA ADVOCATE FOR, PROVIDE, AND ENSURE CULTURALLY APPROPRIATE, HIGH QUALITY, AND ACCESSIBLE HEALTH AND HUMAN SERVICES TO AMERICAN INDIANS AND ALASKA NATIVES. 9 9 277 12 0 0 14222927 16389601 5638234 9876205 23621 18532 458268 51253 20343050 26335591 53640 48746 0 0 14559248 15026707 0 0 0 6952605 7631876 21565493 22707329 -1222443 3628262 15882155 24258366 1785388 6494647 14096767 17763719 X 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. 1 0 8839932 48746 9279128 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. 2752761 0 597077 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. 1324208 0 0 OUTPATIENT AND INPATIENT CHEMICAL DEPENDENCY SERVICES TREATMENT WAS PROVIDED THROUGH 453 INPATIENT DAYS AND 2,077 OUTPATIENT SERVICES DURING THE FISCAL YEAR. 12916901 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 159 0 277 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X LINDA ZHANG 2063249360 611 12TH AVENUE SOUTH SEATTLE WA 98144 EMILY ASHBAUGH CHIEF MEDICAL OFFICER 40.00 X 228547 0 40082 ESTHER LUCERO CHIEF EXECUTIVE OFFICER 40.00 X 189216 0 38287 ANDREA BACHHUBER-BEAM PHYSICIAN 40.00 X 172075 0 30211 PETER TALBOT PHYSICIAN 40.00 X 174621 0 22946 BENJAMIN LUETY CHIEF FINANCIAL OFFICER 40.00 X 152889 0 34443 PATRICK HENRY PHARMACY DIRECTOR 40.00 X 145336 0 36129 SARAH YANKTON HILL DENTIST 40.00 X 143647 0 35305 ABIGAIL ECHO-HAWK CHIEF RESEARCH OFFICER 40.00 X 114685 0 35825 GINA PEREZ-BARON MEDICAL DIRECTOR 40.00 X 140354 0 3227 ANNETTE SQUETIMKIN-ANQUOE CHIEF TRADITIONAL HEALTH OFFICER 40.00 X 115461 0 15383 PAMELA GRINDLEY CHIEF PEOPLE OFFICER 40.00 X 108395 0 20668 AREN SPARCK CHIEF PUBLIC AFFAIRS OFFICER 40.00 X 109359 0 13179 RYAN GILBERT CHIEF OPERATING OFFICER 40.00 X 42254 0 8188 CHRIS STEARNS JD PRESIDENT & DIRECTOR 5.00 X X 0 0 0 TOM WARREN SB ME SECRETARY & PRESIDENT 5.00 X X 0 0 0 SHARYNE THORNTON PHD VICE PRESIDENT 5.00 X X 0 0 0 JANIA GARCIA BA MA DIRECTOR & SECRETARY 5.00 X X 0 0 0 J ROGER LEE TREASURER 5.00 X X 0 0 0 ALIX ANDERSON RN DIRECTOR 5.00 X 0 0 0 JULEANN GANDARA MD DIRECTOR (THROUGH JANUARY 2020) 5.00 X 0 0 0 LAUREN KING JD DIRECTOR (THROUGH SEPTEMBER 2020) 5.00 X 0 0 0 FRED LAUTH BA DIRECTOR (THROUGH OCTOBER 2019) 5.00 X 0 0 0 SHELLEY MEANS BA DIRECTOR 5.00 X 0 0 0 ARMILITO PANGILINAN MBA CPA DIRECTOR 5.00 X 0 0 0 CORNELIUS VAN NIEL MD DIRECTOR 5.00 X 0 0 0 1836839 0 333873 26 0 1 0 AGATHA CONSULTING LLC 16614 SE 27TH STREET BELLEVUE WA 98008 REVENUE CYCLE CONSULTING 404775 CHIEF SEATTLE CLUB 410 2ND AVE EXT S SEATTLE WA 98104 CARE DELIVERY 204733 NUWEST GROUP HOLDINGS LLC 325 118TH AVE SE SUITE 300 BELLEVUE WA 98005 RECRUITING SERVICES 201540 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICACO IL 60673 DATA MANAGEMENT 200331 PRIORITY MANAGEMENT GROUP 700 SCHOOL STREET PAWTUCKET RI 02860 ACCOUNTING SERVICE 182790 13 49219 15502043 838339 30000 16389601 NET PATIENT FEES 621400 9279128 9279128 CHEMICAL DEPENDENCY FEES 623990 597077 597077 9876205 18532 18532 0 49219 8200 -8200 -8200 INCENTIVE REVENUE 900099 214297 214297 MISCELLANEOUS INCOME 900099 -154844 -154844 59453 26335591 9876205 0 69785 X 48746 48746 1501478 293639 1207839 10646250 7292984 3353266 438639 323200 115439 1494573 912390 582183 945767 557073 388694 89534 38455 51079 74173 31857 42316 3233604 1388824 1844780 98704 35682 63022 333052 91462 241590 479137 223997 255140 968403 338285 630118 115540 63893 51647 51767 18714 33053 225292 142026 83266 167234 60456 106778 PATIENT CARE SUPPLIES 885314 884202 1112 EQUIPMENT PURCHASES 388740 33828 354912 MISCELLANEOUS EXPENSES 243419 3380 240039 REPAIRS & MAINTENANCE 154453 89159 65294 123510 44649 78861 22707329 12916901 9790428 0 2055014 5329566 2359026 5569713 2755915 3298240 614726 1741832 297164 291987 12396099 4369071 7800310 8027028 15882155 24258366 1785388 1482612 0 4147759 0 864276 1785388 6494647 X 14096767 17763719 14096767 17763719 15882155 24258366 3628262 38690 0 X 0 1 X 1 1 1 X 10138938 10926489 13265121 14222927 16389601 64943076 10138938 10926489 13265121 14222927 16389601 64943076 64943076 8205 12731 22950 23621 18532 86039 1178 101715 425531 496423 59453 1084300 66113415 33841895 0.98230 0.98080 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME INCENTIVE REVENUE FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 23172 0 0 23172 0 PART II-B, LINE 1: 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. X X 0 4926349 4926349 2825162 1018849 1806313 2256921 1709782 547139 2024784 1640440 384344 362883 362883 8027028 X 26382481 38690 8200 46890 26335591 0 26335591 22715529 8200 8200 22707329 0 22707329 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. ADELINE GARCIA BANQUET 29219 29219 8200 SPIRIT WALK 20000 20000 49219 49219 8200 8200 -8200 1 HOMELESS INVESTMENTS IN RAPID REHOUSING 38 48746 0 N/A N/A PART I, LINE 2: TO ENSURE THAT FUNDS ARE USED FOR APPROPRIATE PURPOSES, ALL PAYMENTS ARE MADE TO LANDLORDS/OWNERS ON BEHALF OF INDIVIDUALS. X X 0 0 0 0 0 0 0 0 0 EMILY ASHBAUGH CHIEF MEDICAL OFFICER 228547 0 0 0 0 0 30702 0 9380 0 268629 0 0 0 ESTHER LUCERO CHIEF EXECUTIVE OFFICER 189216 0 0 0 0 0 23284 0 15003 0 227503 0 0 0 ANDREA BACHHUBER-BEAM PHYSICIAN 172075 0 0 0 0 0 20765 0 9446 0 202286 0 0 0 PETER TALBOT PHYSICIAN 174621 0 0 0 0 0 21488 0 1458 0 197567 0 0 0 BENJAMIN LUETY CHIEF FINANCIAL OFFICER 152889 0 0 0 0 0 34038 0 405 0 187332 0 0 0 PATRICK HENRY PHARMACY DIRECTOR 145336 0 0 0 0 0 26647 0 9482 0 181465 0 0 0 SARAH YANKTON HILL DENTIST 143647 0 0 0 0 0 26946 0 8359 0 178952 0 0 0 ABIGAIL ECHO-HAWK CHIEF RESEARCH OFFICER 114685 0 0 0 0 0 14609 0 21216 0 150510 0 0 0 MELINDA GARAY SPOUSE OF ESTHER LUCERO, CEO 46561 EMPLOYEE COMPENSATION 0 LAWRENCE LUCERO FATHER OF ESTHER LUCERO, CEO 16200 EMPLOYEE COMPENSATION 0 LORNA SQUETIMKIN SISTER OF ANNETTE SQUETIMKIN-ANQUOE, CHIEF TRADITIONAL HEALTH OFFICER 46445 EMPLOYEE COMPENSATION 0 MIKAE GILBERT SPOUSE OF RYAN GILBERT, COO 13596 EMPLOYEE COMPENSATION 0 X 10 30000 ESTIMATED UNIT COST 0 0 0 0 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.