Form 990 for tax year 2024

Totals

Total revenue

$10,358,971

Total expenses

$12,013,354

Contributions and grants received

$8,758,366

Grants paid

$1,930,746

Program service revenue

$1,337,017

Investment income

$263,588

Other revenue

$0

Total assets, end of year

$8,758,222

Total liabilities, end of year

$3,363,402

Net assets or fund balances, end of year

$5,394,820

Program services expenses (Part IX)

$9,261,090

Management and general expenses

$2,482,322

Fundraising expenses

$269,942

Program service expenses (Part III)

$9,261,090

Program services were 77.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2024

• PUBLIC HEALTH POLICY AND PROGRAMSTHE PUBLIC HEALTH POLICY AND PROGRAMS DEPARTMENT OF THE NATIONAL INDIAN HEALTH BOARD SEEKS TO BOLSTER THE PUBLIC HEALTH INFRASTRUCTURE AND SERVICES WITHIN INDIAN COUNTRY. TO THIS END, NIHB OPERATES PROGRAMS THAT PROVIDE CAPACITY BUILDING AND TECHNICAL ASSISTANCE TO TRIBES AND TRIBAL ORGANIZATIONS TO PROVIDE EDUCATION, AND STRENGTHEN OUTREACH, PROGRAM DEVELOPMENT, RESEARCH CAPACITY, AND SERVICE DELIVERY ACROSS A VARIETY OF PUBLIC HEALTH ISSUES AND TOPICS (INCLUDING BUT NOT LIMITED TO: DIABETES, CLIMATE CHANGE, SUBSTANCE MISUSE, INTIMATE PARTNER VIOLENCE, MATERNAL HEALTH ADVERSE CHILDHOOD EXPERIENCES, EMERGENCY RESPONSE AND PLANNING, INFECTION CONTROL, AND SMOKING CESSATION). AS PART OF THIS WORK, NIHB OFTEN BRINGS TOGETHER GROUPS OF ELECTED LEADERS AND TRIBAL PUBLIC HEALTH PROFESSIONALS TO SHARE BEST PRACTICES, EXCHANGE INFORMATION, AND CREATE A FORUM IN WHICH THE TRIBAL VOICE CAN BE ELEVATED. NIHB ALSO UTILIZES A POLICY-BASED APPROACH TO STRENGTHEN THE VOICE AND PRESENCE OF TRIBES AND TRIBAL LEADERS ON THE NATIONAL LEVEL THROUGH THE PROVISION OF SUPPORT TO TRIBAL LEADERS SERVING ON FEDERAL ADVISORY COMMITTEES; TRAINING ON HOW TO BUILD COMMUNICATIVE BRIDGES WITH COMMUNITY-BASED, TRIBALLY-BASED, AND FEDERALLY-BASED PARTNERS; ANALYZING FEDERAL ACTION THAT COULD IMPACT TRIBAL PUBLIC HEALTH; AND ENSURING THAT CONVERSATIONS AROUND RACIAL AND HEALTH EQUITY INCORPORATE THE LEGAL, POLITICAL AND SOCIAL PERSPECTIVE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES.

  Expenses $5,526,771 · Grants $1,778,298 · Revenue $127,059

• REGULATORY ANALYSIS AND CONGRESSIONAL RELATIONSTHE POLICY CENTER AT THE NATIONAL INDIAN HEALTH BOARD RESEARCH THE LOGS OF FEDERAL ACTION AND ANALYZE THE IMPACT OR POTENTIAL IMPACT OF THESE REGULATIONS, LAWS, CODES, POLICIES, JUDICIAL DECISIONS, AND EXECUTIVE ORDERS ON THE TRIBAL AND FEDERAL COMPONENT OF THE INDIAN HEALTH SYSTEM. NIHB WRITES SUMMARIES ON THESE ACTIONS, DISSEMINATES INFORMATION TO ENSURE THAT TRIBES UNDERSTAND ANY SUCH COURSE OF ACTION AND ITS RAMIFICATIONS (EITHER POTENTIALLY POSITIVE OR NEGATIVE), AND WORKS WITH TRIBAL AND FEDERAL LEADERS ON THE IMPLEMENTATION OF SUCH ACTIONS. NIHB HAS A RESEARCH FUNCTION THAT HELPS TO COLLECT AND SYNTHESIZE DATA ON THE HEALTH SYSTEM AND THE IMPACT OF LAWS AND REGULATIONS AND PROVIDES THIS DATA TO TRIBAL LEADERS SO THAT THEY CAN MAKE INFORMED DECISIONS ABOUT HOW THEY WOULD LIKE TO SEE THE TRIBAL OR FEDERAL HEALTH SYSTEM OPERATE. THIS ARM OF NIHB ALSO HELPS TO FACILITATE FORMAL CONSULTATION OR LISTENING SESSIONS BETWEEN TRIBAL AND FEDERAL LEADERS AS REQUIRED BY LAW.

  Expenses $2,104,737

• ENIVRONMENTAL HEALTHTHE EPA ENVIRONMENTAL JUSTICE PROJECT SUPPORT THE DEVELOPMENT THE TRIBAL ENVIRONMENTAL HEALTH WORKFORCE CAPACITY ASSESSMENT, THE PURPOSE OF WHICH IS TO GATHER INFORMATION ON THE CURRENT ENVIRONMENTAL HEALTH LANDSCAPE IN INDIAN COUNTRY. THE INFORMATION GATHERED FROM THE SURVEY WILL BE UTILIZED BY NIHB TO IDENTIFY AND PRIORITIZE TRAINING NEEDS, EDUCATION GAPS, MENTORSHIP AND PARTNERSHIPS TO ADDRESS ENVIRONMENTAL ISSUES AND CONCERNS AT TRIBAL HEALTH DEPARTMENTS AND TRIBAL ENVIRONMENTAL PROGRAMS.THE PROGRAM ALSO ENABLED NIHB TO CREATE A NETWORK OF ENVIRONMENTAL HEALTH EXPERTS WHO ARE AVAILABLE TO PROVIDE EDUCATIONAL WEBINARS AND TOPICAL EXPERTISE ON A VARIETY OF ENVIRONMENTAL TOPICS. THIS IS NECESSARY FOR TRIBES IN MEETING THEIR INFORMATIONAL AND PROGRAMMATIC NEEDS IN BUILDING AND SUPPORTING THEIR ENVIRONMENTAL HEALTH PROGRAMS.

  Expenses $1,504,182

• OTHER

  Expenses $125,400 · Grants $152,448 · Revenue $1,209,958

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

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, and on a Form 990-PF Part VIII's — 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

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

• TULE RIVER HEALTH CENTER INC

  $350,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• HO-CHUNK NATION 1

  $176,500

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• GREAT PLAINS TRIBAL LEADER'S HEALTH BOARD

  $175,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• SALT RIVER PIMA-MARICOPA

  $166,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• TURTLE MOUNTAIN BAND CHIPPEWA INDIANS

  $150,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• TUNICA-BILOXI TRIBE OF LOUISIANA

  $116,500

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• SONOMA COUNTY INDIAN HEALTH PROJECT

  $95,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• PONCA TRIBE OF NEBRASKA-1 (DELETED)

  $75,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• SUQUAMISH INDIAN TRIBE (1)

  $60,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

• DOT LAKE VILLAGE

  $50,000

  TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS

The 10 largest by cash amount. The API serves every itemized grant.

Provenance

Return type

form_990

Tax year

2024

Filed

14 November 2025

IRS schema version

2024v5.2

Source object

202523189349309432

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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