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Nonprofiteer
← NATIVE AMERICAN COMMUNITY CLINIC

Form 990 for tax year 2023

Filed by NATIVE AMERICAN COMMUNITY CLINIC.

Totals

Total revenue
$18,551,119
Total expenses
$17,790,289
Contributions and grants received
$10,000,663
Grants paid
$0
Program services expenses (Part IX)
$12,724,457
Management and general expenses
$4,936,782
Fundraising expenses
$129,050
Program service expenses (Part III)
$12,724,457

Program services were 71.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • B DON CROFUT

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • STEPHANIE GRAVES

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • JOE BEAULIEU

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    0.5

  • CHARLA SHEFFIELD

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • LYLE IRON MOCCASIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • ROBERT BLAKE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • RICHARD MASUR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • LAUREN GILCHRIST

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • NICHOLE SUBOLA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • AARON ROBINSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • COLLEEN MCDONALD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.6

  • KARINA FOREST

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • DR KARIE RABIE

    CMO

    Total calculated
    $278,096
    From this org
    $220,594
    From related orgs
    $0
    Other
    $57,502
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,594
    Bonus
    $0
    Other
    $0
    Deferred
    $5,791
    Nontaxable benefits
    $51,711
    Filer's total
    $278,096

  • DR ANTONY STATELY

    CEO

    Total calculated
    $281,835
    From this org
    $222,231
    From related orgs
    $0
    Other
    $59,604
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,231
    Bonus
    $0
    Other
    $0
    Deferred
    $11,388
    Nontaxable benefits
    $48,216
    Filer's total
    $281,835

  • GREGG HARRISON

    COO

    Total calculated
    $171,828
    From this org
    $127,384
    From related orgs
    $0
    Other
    $44,444
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,384
    Bonus
    $0
    Other
    $0
    Deferred
    $5,925
    Nontaxable benefits
    $38,519
    Filer's total
    $171,828

  • JENEATTA SINGH

    FINANCE OFFICER

    Total calculated
    $151,287
    From this org
    $136,130
    From related orgs
    $0
    Other
    $15,157
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,130
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,157
    Filer's total
    $151,287

  • SHANNON KLINGELHULTZ

    CIO

    Total calculated
    $161,751
    From this org
    $109,546
    From related orgs
    $0
    Other
    $52,205
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $109,546
    Bonus
    $0
    Other
    $0
    Deferred
    $5,551
    Nontaxable benefits
    $46,654
    Filer's total
    $161,751

  • GAIL MASON

    BEHAVIORAL HEALTH DIRECTOR

    Total calculated
    $116,268
    From this org
    $115,949
    From related orgs
    $0
    Other
    $319
    Hours/week
    40

  • CHRISTINE SINGER

    MEDICAL DIRECTOR

    Total calculated
    $187,898
    From this org
    $147,537
    From related orgs
    $0
    Other
    $40,361
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,537
    Bonus
    $0
    Other
    $0
    Deferred
    $6,191
    Nontaxable benefits
    $34,170
    Filer's total
    $187,898

  • EMILY PIETIG

    DENTAL DIRECTOR

    Total calculated
    $232,687
    From this org
    $176,644
    From related orgs
    $0
    Other
    $56,043
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,644
    Bonus
    $0
    Other
    $0
    Deferred
    $8,482
    Nontaxable benefits
    $47,561
    Filer's total
    $232,687

  • VALERIE NORRIS

    PEDIATRICIAN

    Total calculated
    $142,769
    From this org
    $129,384
    From related orgs
    $0
    Other
    $13,385
    Hours/week
    30

  • PHONG NGUYEN

    ADVANCED DENTAL THERAPIST

    Total calculated
    $143,194
    From this org
    $122,969
    From related orgs
    $0
    Other
    $20,225
    Hours/week
    40

  • JACE GILBERTSON

    ASSOCIATE MEDICAL DIRECTOR OF QUAILITY

    Total calculated
    $128,336
    From this org
    $107,700
    From related orgs
    $0
    Other
    $20,636
    Hours/week
    40

  • JODI BECKER

    ADVANCED DENTAL THERAPIST

    Total calculated
    $117,303
    From this org
    $103,978
    From related orgs
    $0
    Other
    $13,325
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202423169349302077

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