2012-11-15T15:58:04-06:00 2012-06-30 850203431 REDW LLC Post Office Box 93656 Albuquerque NM 871993656 990 2011-07-01 237088205 United Indian Health Services Inc UNIT 7078255000 1600 Weeot Way Arcata CA 955214734 Vida Khow 7078255000 2012-11-14 1 Ally Towle CPA P00693045 5059983200 2011 2016-02-24 21:20:13Z Jerome Simone 1600 Weeot Way Arcata CA 955214734 19326971 0 X www.uihs.org X 1970 CA To provide health care services and education to Native Americans. 36 36 254 10 0 0 13834127 13535463 5402899 5643686 48523 17240 217039 130582 19502588 19326971 47851 4750 0 0 10685691 10578211 0 0 0 7720269 8466004 18453811 19048965 1048777 278006 21820650 26005073 13214602 17121019 8606048 8884054 X To work together with our clients and community to achieve wellness through health services that reflect the traditional values of our American Indian community. 0 0 13804100 15501114 Provided 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. 732591 632589 Provide diabetes treatment, education and prevention health services to Native Americans and their families. 546048 491389 Nutrition 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. 779599 4750 572356 Other miscellaneous Native American community programs. 779599 4750 572356 15862338 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 157 0 1 254 1 0 0 0 0 0 0 0 0 X 36 36 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X Richard Baland 7078255000 1600 Weeot Way Arcata CA 955214734 Velva Angell 2.00 X 2750 0 0 Key-Shan Bowen 2.00 X 75 0 0 Aileen Bowie-Meyer 2.00 X 1000 0 0 Betty Brown 2.00 X 450 0 0 Claudia Brundin 2.00 X 600 0 0 Bonnie Green 2.00 X 275 0 0 John Green 2.00 X 5950 0 0 Larry Hendrix 2.00 X 5675 0 0 Diane Holliday 2.00 X 105 0 0 Rebecca James 2.00 X 725 0 0 John Logan Jr 2.00 X 1025 0 0 Marian Lopez 2.00 X 2135 0 0 Darlene Magee 2.00 X 4200 0 0 Amanda Mager 2.00 X 1150 0 0 Donald McCovey 2.00 X 900 0 0 Lyle McKinnon 2.00 X 3850 0 0 Kara Miller 2.00 X 100 0 0 Virgil Moorehead 2.00 X 325 0 0 Carmen Moon 2.00 X 2625 0 0 Everett Myers 2.00 X 2375 0 0 Babara Orr 2.00 X 1975 0 0 Lynn Risling 2.00 X 125 0 0 Kenneth Roberts 2.00 X 1300 0 0 Ruby Rollings 2.00 X 6450 0 0 Dennie Schultheis 2.00 X 1475 0 0 Cheryl Seidner 2.00 X 2825 0 0 Martha Sovereign 2.00 X 200 0 0 Raja Storr 2.00 X 5850 0 0 Joy Sundberg 2.00 X 7400 0 0 Maria Tripp 2.00 X 500 0 0 Chlena McCovey Ugarte 2.00 X 800 0 0 Sunshine Rose Watkins 2.00 X 1425 0 0 Ellen Durfee 2.00 X 975 0 0 Lenora Hall 2.00 X 200 0 0 Bea Nix 2.00 X 2550 0 0 Denise Padgette 2.00 X 1700 0 0 LaWanda Quinnell 2.00 X 300 0 0 Marva Scott 2.00 X 375 0 0 Charlene Storr 2.00 X 2850 0 0 Kapoon Tripp 2.00 X 650 0 0 Fern Bates 2.00 X 7775 0 0 Marjorie Buckskin 2.00 X 7000 0 0 Maxine Lewis Raymond 2.00 X 9750 0 0 Farrel Starr 2.00 X 3000 0 0 Vida Khow 40.00 X 57688 0 8653 Antoinette Martinez 40.00 X 193129 0 28969 John Jaso 40.00 X 130275 0 19541 Mary Mendoza 40.00 X 137790 0 20668 Debra Friedenbach 40.00 X 127371 0 19106 Robert Weichers 32.00 X 119958 0 17994 869951 0 114931 6 0 1 0 Express Services Inc 599 South Barranca Ave 100 Covina CA 91723 Temporary Staffing 464449 Henry Schein Inc 135 Duryea Road Melville NY 11747 Medical Supplies 313654 CA Rural Indian Health Board 4400 Auburn Blvd 2nd floor Sacramento CA 95841 I.H.S. Pass through Agency 246757 AB Staffing Solutions LLC 2680 S Val Vista Drive Gilbert AZ 85295 Temporary Staffing 198898 McKesson Medical-Surgical One Post Street San Francisco CA 94104 Medical Supplies 177794 14 13037376 498087 13535463 Net Patient Revenue 621110 4551546 4551546 Pharmacy Revenue 621110 1092140 1092140 5643686 17240 17240 Miscellaneous 900099 130582 130582 130582 19326971 5643686 0 147822 4750 4750 170082 141627 28455 8378928 6977133 1401795 1407384 1171929 235455 621817 517787 104030 121130 100865 20265 53522 44568 8954 1867450 1555026 312424 84933 70724 14209 334783 278774 56009 210993 175694 35299 453514 377641 75873 240702 200433 40269 476689 396939 79750 402095 334825 67270 765371 637324 128047 109167 90903 18264 Contract Health Care 1243251 1035255 207996 Medical Supplies 927207 772085 155122 Pharmaceutical 781726 650943 130783 Lab Fees 137906 114834 23072 255565 212279 43286 19048965 15862338 3186627 0 146460 36340 6543594 10919893 391998 428975 485923 680625 139043 135370 116610 216014 22219623 8915217 13727072 13304406 269950 283450 21820650 26005073 949542 1490303 4283943 8196132 7657474 7434584 323643 0 13214602 17121019 X 8531606 8772441 74442 111613 8606048 8884054 21820650 26005073 278006 0 X X 0 1 1 X 1 1 X 10742716 11508670 12206968 13834127 13535463 61827944 10742716 11508670 12206968 13834127 13535463 61827944 61827944 209550 80373 50585 48523 17240 406271 205896 203291 156882 185090 130582 881741 63115956 0.97960 0.97350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5000 5000 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: The 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. 103450 X X 0 1877897 1877897 20341726 8915217 11426509 13304406 19326971 19048965 278006 278006 19326971 0 19326971 0 19326971 19048965 0 19048965 0 19048965 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. Description of Uncertain Tax Positions Under FIN 48: 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. X X 0 0 0 0 0 0 0 0 0 Antoinette Martinez 193129 0 0 0 0 0 0 0 28969 0 222098 0 0 0 Mary Mendoza 137790 0 0 0 0 0 0 0 20668 0 158458 0 0 0 Form 990, Part VI, Section B, line 11 The CFO will review the return before it is filed. Form 990, Part VI, Section B, line 12c United 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 19 All governing documents, policies and financial reports are made available to the public upon request. Form 990, Part XII, Line 2c The organization has not changed its oversight process or selection process during the year.