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UNITED INDIAN HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNITED INDIAN HEALTH SERVICES INC (EIN 23-7088205)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-15
IRS object ID
201223209349307942
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T15:58:04-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN850203431EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REDW LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1Post Office Box 93656AddressLine1
CityAlbuquerqueCity
StateNMState
ZIP Code871993656ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237088205EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1United Indian Health Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone7078255000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Weeot WayAddressLine1
CityArcataCity
StateCAState
ZIP Code955214734ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVida KhowName
TitleCFOTitle
Phone7078255000Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAlly Towle CPAName
PTINP00693045PTIN
Phone5059983200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJerome SimoneNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 Weeot WayAddressLine1
CityArcataCity
StateCAState
ZIP Code955214734ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19326971GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.uihs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide health care services and education to Native Americans.ActivityOrMissionDescription
Nbr Voting Members Governing Body36NbrVotingMembersGoverningBody
Nbr Independent Voting Members36NbrIndependentVotingMembers
Total Nbr Employees254TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13834127ContributionsGrantsPriorYear
Contributions Grants Current Year13535463ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5402899ProgramServiceRevenuePriorYear
Program Service Revenue CY5643686ProgramServiceRevenueCY
Investment Income Prior Year48523InvestmentIncomePriorYear
Investment Income Current Year17240InvestmentIncomeCurrentYear
Other Revenue Prior Year217039OtherRevenuePriorYear
Other Revenue Current Year130582OtherRevenueCurrentYear
Total Revenue Prior Year19502588TotalRevenuePriorYear
Total Revenue Current Year19326971TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year47851GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4750GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10685691SalariesEtcPriorYear
Salaries Etc Current Year10578211SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7720269OtherExpensePriorYear
Other Expenses Current Year8466004OtherExpensesCurrentYear
Total Expenses Prior Year18453811TotalExpensesPriorYear
Total Expenses Current Year19048965TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1048777RevenuesLessExpensesPriorYear
Revenues Less Expenses CY278006RevenuesLessExpensesCY
Total Assets BOY21820650TotalAssetsBOY
Total Assets EOY26005073TotalAssetsEOY
Total Liabilities BOY13214602TotalLiabilitiesBOY
Total Liabilities EOY17121019TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8606048NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8884054NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo work together with our clients and community to achieve wellness through health services that reflect the traditional values of our American Indian community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13804100Expense
Revenue15501114Revenue
DescriptionProvided medical, dental, vision, mental health, hospital, pharmacy and other health services to Native Americans and their families. Total visits during FY 2011-2012 were 30,863.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense732591Expense
Revenue632589Revenue
DescriptionProvide diabetes treatment, education and prevention health services to Native Americans and their families.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense546048Expense
Revenue491389Revenue
DescriptionNutrition and other social service programs for low income Native Americans (WIC, Title VI, etc.). Also provides tobacco education to Native Americans in Humboldt and Del Norte County. The program provides materials on the hazards of tobacco use, peer-led prevention presentations and counseling services.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense779599Expense
Grants4750Grants
Revenue572356Revenue
DescriptionOther miscellaneous Native American community programs.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp779599TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt4750TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev572356TotalOfOtherProgramServiceRev
Total Program Service Expense15862338TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096157NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees254NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members36NbrVotingGoverningBodyMembers
Number Independent Voting Members36NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Richard BalandBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7078255000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 Weeot WayAddressLine1
CityArcataCity
StateCAState
ZIP Code955214734ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (50 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Velva Angell
Board Member2.00X275000
Key-Shan Bowen
Board Member2.00X7500
Aileen Bowie-Meyer
Board Member2.00X100000
Betty Brown
Board Member2.00X45000
Claudia Brundin
Board Member2.00X60000
Bonnie Green
Board Member2.00X27500
John Green
Board Member2.00X595000
Larry Hendrix
Board Member2.00X567500
Diane Holliday
Board Member2.00X10500
Rebecca James
Board Member2.00X72500
John Logan Jr
Board Member2.00X102500
Marian Lopez
Board Member2.00X213500
Darlene Magee
Secretary2.00X420000
Amanda Mager
Board Member2.00X115000
Donald McCovey
Board Member2.00X90000
Lyle McKinnon
Board Member2.00X385000
Kara Miller
Board Member2.00X10000
Virgil Moorehead
Board Member2.00X32500
Carmen Moon
Board Member2.00X262500
Everett Myers
Board Member2.00X237500
Babara Orr
Board Member2.00X197500
Lynn Risling
Board Member2.00X12500
Kenneth Roberts
Board Member2.00X130000
Ruby Rollings
Board Member2.00X645000
Dennie Schultheis
Board Member2.00X147500
Cheryl Seidner
Board Member2.00X282500
Martha Sovereign
Board Member2.00X20000
Raja Storr
Board Member2.00X585000
Joy Sundberg
Board Member2.00X740000
Maria Tripp
Board Member2.00X50000
Chlena McCovey Ugarte
Board Member2.00X80000
Sunshine Rose Watkins
Board Member2.00X142500
Ellen Durfee
Board Member2.00X97500
Lenora Hall
Board Member2.00X20000
Bea Nix
Board Member2.00X255000
Denise Padgette
Board Member2.00X170000
LaWanda Quinnell
Board Member2.00X30000
Marva Scott
Board Member2.00X37500
Charlene Storr
Board Member2.00X285000
Kapoon Tripp
Board Member2.00X65000
Fern Bates
Secretary2.00777500X
Marjorie Buckskin
Treasurer2.00700000X
Maxine Lewis Raymond
Chairperson2.00975000X
Farrel Starr
Vice-Chairman2.00300000X
Vida Khow
CEO40.005768808653X
Antoinette Martinez
Physican40.00193129028969X
John Jaso
Dental Director40.00130275019541X
Mary Mendoza
Dentist40.00137790020668X
Debra Friedenbach
Pharmacy Director40.00127371019106X
Robert Weichers
Dentist32.00119958017994X
FieldValueIRS element (for citing)
Total Reportable Comp From Org869951TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation114931TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Express Services Inc
599 South Barranca Ave 100CovinaCA91723Temporary Staffing464449
Henry Schein Inc
135 Duryea RoadMelvilleNY11747Medical Supplies313654
CA Rural Indian Health Board
4400 Auburn Blvd 2nd floorSacramentoCA95841I.H.S. Pass through Agency246757
AB Staffing Solutions LLC
2680 S Val Vista DriveGilbertAZ85295Temporary Staffing198898
McKesson Medical-Surgical
One Post StreetSan FranciscoCA94104Medical Supplies177794
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Government Grants13037376GovernmentGrants
All Other Contributions498087AllOtherContributions
Total Contributions13535463TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue62111045515464551546
Pharmacy Revenue62111010921401092140
FieldValueIRS element (for citing)
Total Program Service Revenue5643686TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17240TotalRevenueColumn
Exclusion$17,240ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Business Code900099BusinessCode
Total Revenue Column130582TotalRevenueColumn
Exclusion$130,582ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue130582TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19326971TotalRevenueColumn
Related Or Exempt Function Income5643686RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$147,822ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4750Total
Program Services4750ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total170082Total
Program Services141627ProgramServices
Management And General28455ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8378928Total
Program Services6977133ProgramServices
Management And General1401795ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1407384Total
Program Services1171929ProgramServices
Management And General235455ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total621817Total
Program Services517787ProgramServices
Management And General104030ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total121130Total
Program Services100865ProgramServices
Management And General20265ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53522Total
Program Services44568ProgramServices
Management And General8954ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1867450Total
Program Services1555026ProgramServices
Management And General312424ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total84933Total
Program Services70724ProgramServices
Management And General14209ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total334783Total
Program Services278774ProgramServices
Management And General56009ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total210993Total
Program Services175694ProgramServices
Management And General35299ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total453514Total
Program Services377641ProgramServices
Management And General75873ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total240702Total
Program Services200433ProgramServices
Management And General40269ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total476689Total
Program Services396939ProgramServices
Management And General79750ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total402095Total
Program Services334825ProgramServices
Management And General67270ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total765371Total
Program Services637324ProgramServices
Management And General128047ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total109167Total
Program Services90903ProgramServices
Management And General18264ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contract Health Care12432511035255207996
Medical Supplies927207772085155122
Pharmaceutical781726650943130783
Lab Fees13790611483423072

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total255565Total
Program Services212279ProgramServices
Management And General43286ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19048965Total
Program Services15862338ProgramServices
Management And General3186627ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY146460BOY
EOY36340EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6543594BOY
EOY10919893EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY391998BOY
EOY428975EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY485923BOY
EOY680625EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY139043BOY
EOY135370EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY116610BOY
EOY216014EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22219623LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8915217LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13727072BOY
EOY13304406EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY269950BOY
EOY283450EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21820650BOY
EOY26005073EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY949542BOY
EOY1490303EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4283943BOY
EOY8196132EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7657474BOY
EOY7434584EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY323643BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13214602BOY
EOY17121019EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8531606BOY
EOY8772441EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY74442BOY
EOY111613EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8606048BOY
EOY8884054EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21820650BOY
EOY26005073EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses278006ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10742716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11508670CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12206968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13834127CurrentTaxYearMinus1Year
Current Tax Year13535463CurrentTaxYear
Total61827944Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10742716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11508670CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12206968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13834127CurrentTaxYearMinus1Year
Current Tax Year13535463CurrentTaxYear
Total61827944Total
FieldValueIRS element (for citing)
Public Support Total17061827944PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years209550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years80373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50585CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48523CurrentTaxYearMinus1Year
Current Tax Year17240CurrentTaxYear
Total406271Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205896CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years203291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years156882CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year185090CurrentTaxYearMinus1Year
Current Tax Year130582CurrentTaxYear
Total881741Total
FieldValueIRS element (for citing)
Total Support63115956TotalSupport
Public Support Pertcentage1700.97960PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97350PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5,000OtherActivitiesAmount
Total Lobbying Expenditures IIB5000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationThe Darrell Hostler Fund provides the resources for CRIHB to provide Legislation and Advocacy to the Indians of California. Activites performed include lobbying, travel to Washington D.C. and attending events specifically for advocacy.Explanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X103450AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Collect Used For PreservationXCollectUsedForPreservation
Solicited Assets For Sale0SolicitedAssetsForSale

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1877897OtherCostOrOtherBasis
Book Value1877897BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20341726OtherCostOrOtherBasis
Depreciation8915217Depreciation
Book Value11426509BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13304406TotalOfBookValueLandBuildings
Total Revenue19326971TotalRevenue
Total Expenses19048965TotalExpenses
Excess Or Deficit For Year278006ExcessOrDeficitForYear
Excess Or Deficit Per FS278006ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19326971TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal19326971RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019326971TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19048965TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal19048965ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019048965TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part III, Line 4:The art collection held by United Indian Health Services is comprised of samples of original artworks by prominent Northwest artists and artworks of lesser known artists from our region. The collection is utilized to make the Indian Community come together as a whole, to improve the overall health and wellness of everyone involved, and to bring the Indian and Non-Indian communities closer together.
Part X:UIHS is exempt from state and federal income taxes on related income under Section 501(a) of the Internal Revenue Code as an organization described in Section 501(c)(3). UIHS is classified as other than a private foundation. Accounting principles generally accepted in the U.S. requires UIHS to evaluate and disclose uncertain tax positions. UIHS does not believe such positions exist at June 30, 2012 and 2011 that would require accrual or disclosure in the financial statements. UIHS's policy, when applicable, is to classify interest and penalties, if any, as miscellaneous expense.Description of Uncertain Tax Positions Under FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Antoinette Martinez
1931290000000289690222098000
Mary Mendoza
1377900000000206680158458000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section B, line 11The CFO will review the return before it is filed.
Form 990, Part VI, Section B, line 12cUnited Indian Health Services regularly and consistently monitors and enforces compliance with the conflict of interest policy and takes corrective action as necessary.
Form 990, Part VI, Section C, line 19All governing documents, policies and financial reports are made available to the public upon request.
Form 990, Part XII, Line 2cThe organization has not changed its oversight process or selection process during the year.