Form 990 for tax year 2023

1e · Government grants (contributions)

$17,626,734

1f · All other contributions, gifts and grants

$551,930

2a · Program service revenue: Medical

total $35,844,118 · related or exempt $35,844,118

2b · Program service revenue: Dental

total $15,629,240 · related or exempt $15,629,240

2c · Program service revenue: Pharmacy

total $1,763,360 · related or exempt $1,763,360

3 · Investment income

total $1,634,145 · excluded $1,634,145

6a · Gross rents

real property $95,290

6b · Less rental expenses

real property $0

6c · Rental income or loss

real property $95,290

6d · Net rental income or loss

total $95,290 · excluded $95,290

1 · Grants to domestic organizations and governments

total $274,463 · program services $274,463

5 · Compensation of officers, directors and key employees

total $3,262,327 · program services $1,921,437 · management and general $1,340,890

7 · Other salaries and wages

total $22,800,652 · program services $19,430,424 · management and general $3,370,228

9 · Other employee benefits

total $8,431,316 · program services $6,660,740 · management and general $1,770,576

10 · Payroll taxes

total $1,953,526 · program services $1,543,286 · management and general $410,240

11b · Fees: legal

total $124,414 · management and general $124,414

11c · Fees: accounting

total $9,465,262 · program services $8,874,838 · management and general $590,424

12 · Advertising and promotion

total $289,680 · management and general $289,680

13 · Office expenses

total $279,038 · program services $42,459 · management and general $236,579

14 · Information technology

total $1,628,693 · program services $99,236 · management and general $1,529,457

16 · Occupancy

total $1,522,587 · program services $185,648 · management and general $1,336,939

17 · Travel

total $773,118 · program services $207,503 · management and general $565,615

22 · Depreciation, depletion and amortization

total $2,056,055 · program services $1,482,379 · management and general $573,676

23 · Insurance

total $435,659 · management and general $435,659

24a · Other expenses: Supplies

total $3,500,823 · program services $3,174,506 · management and general $326,317

24b · Other expenses: Tribal health benefits

total $3,300,584 · program services $2,119,171 · management and general $1,181,413

24c · Other expenses: Special events/projects

total $1,081,705 · program services $424,416 · management and general $657,289

24d · Other expenses: Equipment

total $638,651 · program services $220,810 · management and general $417,841

24e · All other expenses

total $351,346 · program services $269,652 · management and general $81,694

1 · Cash, non-interest-bearing

beginning of year $1,900 · end of year $11,937,729

2 · Savings and temporary cash investments

beginning of year $35,231,833 · end of year $32,808,416

3 · Pledges and grants receivable

beginning of year $6,719,341 · end of year $470,663

4 · Accounts receivable

beginning of year $3,890,701 · end of year $5,203,203

8 · Inventories for sale or use

beginning of year $73,544 · end of year $131,165

9 · Prepaid expenses and deferred charges

beginning of year $466,107 · end of year $474,139

10a · Land, buildings and equipment: cost or other basis

$52,352,071

10b · Land, buildings and equipment: accumulated depreciation

$11,173,057

10c · Land, buildings and equipment, net

beginning of year $35,036,404 · end of year $41,179,014

15 · Other assets

beginning of year $762,946 · end of year $1,289,274

17 · Accounts payable and accrued expenses

beginning of year $2,878,633 · end of year $3,406,436

19 · Deferred revenue

beginning of year $3,520,590 · end of year $3,276,962

25 · Other liabilities

beginning of year $580,792 · end of year $632,526

27 · Net assets without donor restrictions

beginning of year $75,202,761 · end of year $86,177,679