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Nonprofiteer
← NATIVE AMERICAN COMMUNITY CLINIC

Form 990 for tax year 2024

Filed by NATIVE AMERICAN COMMUNITY CLINIC.

Totals

Total revenue
$17,598,389
Total expenses
$18,321,475
Contributions and grants received
$9,816,706
Grants paid
$0
Program services expenses (Part IX)
$12,526,348
Management and general expenses
$5,582,318
Fundraising expenses
$212,809
Program service expenses (Part III)
$12,526,348

Program services were 68.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • STEPHANIE GRAVES

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • JOE BEAULIEU

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • CHARLA SHEFFIELD

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • COLLEEN MCDONALD

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    0.6

  • KARINA FOREST

    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

  • RICHARD MASUR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • B DON CROFUT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • LAUREN GILCHRIST

    BOARD MEMBER

    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

  • DR ANTONY STATELY

    CEO

    Total calculated
    $318,345
    From this org
    $264,963
    From related orgs
    $0
    Other
    $53,382
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $264,963
    Bonus
    $0
    Other
    $0
    Deferred
    $11,479
    Nontaxable benefits
    $41,903
    Filer's total
    $318,345

  • DR KARIE RABIE

    CMO

    Total calculated
    $258,628
    From this org
    $241,023
    From related orgs
    $0
    Other
    $17,605
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,023
    Bonus
    $0
    Other
    $0
    Deferred
    $5,788
    Nontaxable benefits
    $11,817
    Filer's total
    $258,628

  • GREGG HARRISON

    COO

    Total calculated
    $197,303
    From this org
    $165,505
    From related orgs
    $0
    Other
    $31,798
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $165,505
    Bonus
    $0
    Other
    $0
    Deferred
    $7,236
    Nontaxable benefits
    $24,562
    Filer's total
    $197,303

  • CHRISTINE SINGER

    MEDICAL DIRECTOR

    Total calculated
    $193,566
    From this org
    $161,387
    From related orgs
    $0
    Other
    $32,179
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,387
    Bonus
    $0
    Other
    $0
    Deferred
    $7,008
    Nontaxable benefits
    $25,171
    Filer's total
    $193,566

  • JENEATTA SINGH

    FINANCE OFFICER

    Total calculated
    $162,968
    From this org
    $151,851
    From related orgs
    $0
    Other
    $11,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,851
    Bonus
    $0
    Other
    $0
    Deferred
    $6,081
    Nontaxable benefits
    $5,036
    Filer's total
    $162,968

  • SHANNON KLINGELHULTZ

    CIO

    Total calculated
    $191,583
    From this org
    $151,851
    From related orgs
    $0
    Other
    $39,732
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,851
    Bonus
    $0
    Other
    $0
    Deferred
    $6,581
    Nontaxable benefits
    $33,151
    Filer's total
    $191,583

  • EMILY PIETIG

    DENTAL DIRECTOR

    Total calculated
    $268,352
    From this org
    $223,477
    From related orgs
    $0
    Other
    $44,875
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,477
    Bonus
    $0
    Other
    $27,000
    Deferred
    $7,859
    Nontaxable benefits
    $37,016
    Filer's total
    $268,352

  • JACE GILBERTSON

    ASSOCIATE MEDICAL DIRECTOR OF QUAILITY

    Total calculated
    $149,890
    From this org
    $134,548
    From related orgs
    $0
    Other
    $15,342
    Hours/week
    40

  • KRISTIN SARKILAHTI

    IT DIRECTOR

    Total calculated
    $119,462
    From this org
    $117,000
    From related orgs
    $0
    Other
    $2,462
    Hours/week
    40

  • NICHOLAS DAVIES

    NURSE PRACTIONER

    Total calculated
    $123,285
    From this org
    $115,377
    From related orgs
    $0
    Other
    $7,908
    Hours/week
    40

  • MARY RAUKAR

    PHYSICIAN

    Total calculated
    $116,946
    From this org
    $105,981
    From related orgs
    $0
    Other
    $10,965
    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 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 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

The filer's explanations (Part III)

PART I, LINE 4A
NATIVE AMERICAN COMMUNITY CLINIC PROVIDED DR. EMILY PIETIG A $27,000 SEVERANCE PAYMENT AND COVERED THE EMPLOYER PORTION OF HEALTH AND DENTAL INSURANCE PREMIUMS THROUGH DECEMBER 31,2024 AS PART OF A SEPARATION AGREEMENT.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • NACC HOLDING COMPANY

    501(C)(3) · HOLDING COMPANY FOR NMTC · MN · controlled entity

    Directly controlled by NATIVE AMERICAN COMMUNITY CLINIC

Provenance

Return type
form_990
Tax year
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202533219349319628

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