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Nonprofiteer
← NATIVE AMERICAN COMMUNITY CLINIC

Form 990 for tax year 2022

Filed by NATIVE AMERICAN COMMUNITY CLINIC.

Totals

Total revenue
$13,300,905
Total expenses
$12,720,011
Contributions and grants received
$7,288,913
Grants paid
$0
Program service revenue
$6,000,868
Investment income
$11,124
Other revenue
$0
Total assets, end of year
$11,559,278
Total liabilities, end of year
$2,261,605
Net assets or fund balances, end of year
$9,297,673
Program services expenses (Part IX)
$9,141,194
Management and general expenses
$3,578,817
Fundraising expenses
$0
Program service expenses (Part III)
$9,141,194

Program services were 71.9% 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.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $5,695,634

  • 1f · All other contributions, gifts and grants

    $1,593,279

  • 1g · Noncash contributions included above

    $232,425

  • 2a · Program service revenue: PATIENT REVENUES

    total $5,889,405 · related or exempt $5,889,405

  • 2b · Program service revenue: OTHER REVENUE

    total $111,463 · excluded $111,463

  • 3 · Investment income

    total $11,124 · excluded $11,124

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,128,802 · program services $564,401 · management and general $564,401

  • 7 · Other salaries and wages

    total $6,008,036 · program services $4,981,781 · management and general $1,026,255

  • 8 · Pension plan contributions

    total $111,923 · program services $87,758 · management and general $24,165

  • 9 · Other employee benefits

    total $934,916 · program services $782,809 · management and general $152,107

  • 10 · Payroll taxes

    total $612,513 · program services $480,266 · management and general $132,247

  • 11b · Fees: legal

    total $7,686 · management and general $7,686

  • 11c · Fees: accounting

    total $52,211 · management and general $52,211

  • 11d · Fees: lobbying

    total $38,000 · program services $38,000

  • 11g · Fees: other

    total $1,424,201 · program services $373,280 · management and general $1,050,921

  • 12 · Advertising and promotion

    total $79,458 · program services $53,072 · management and general $26,386

  • 13 · Office expenses

    total $150,610 · program services $67,051 · management and general $83,559

  • 16 · Occupancy

    total $209,984 · program services $119,951 · management and general $90,033

  • 20 · Interest

    total $15,028 · management and general $15,028

  • 22 · Depreciation, depletion and amortization

    total $526,343 · program services $394,757 · management and general $131,586

  • 23 · Insurance

    total $66,774 · program services $5,000 · management and general $61,774

  • 24a · Other expenses: PROGRAM & LAB SUPPLIES

    total $1,013,660 · program services $1,013,660

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $157,460 · program services $29,704 · management and general $127,756

  • 24c · Other expenses: MN CARE TAX

    total $74,255 · program services $74,255

  • 24d · Other expenses: MISCELLANEOUS EXPENSE

    total $50,478 · program services $43,509 · management and general $6,969

  • 24e · All other expenses

    total $57,673 · program services $31,940 · management and general $25,733

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,601,844 · end of year $2,373,726

  • 2 · Savings and temporary cash investments

    beginning of year $1,518,818 · end of year $1,524,230

  • 3 · Pledges and grants receivable

    beginning of year $104,319 · end of year $334,453

  • 4 · Accounts receivable

    beginning of year $1,718,610 · end of year $2,340,605

  • 9 · Prepaid expenses and deferred charges

    beginning of year $27,352 · end of year $87,733

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

    $7,363,514

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,569,176

  • 10c · Land, buildings and equipment, net

    beginning of year $4,483,573 · end of year $4,794,338

  • 15 · Other assets

    beginning of year $12,300 · end of year $104,193

  • 17 · Accounts payable and accrued expenses

    beginning of year $638,615 · end of year $1,017,787

  • 19 · Deferred revenue

    beginning of year $461,422 · end of year $532,258

  • 23 · Secured mortgages and notes payable

    beginning of year $400,000 · end of year $368,500

  • 24 · Unsecured notes and loans payable

    beginning of year $250,000 · end of year $250,000

  • 25 · Other liabilities

    beginning of year $0 · end of year $93,060

  • 27 · Net assets without donor restrictions

    beginning of year $8,716,779 · end of year $9,297,673

Mission and programs · 2022

Mission

TO PROMOTE WELLNESS AND REGULAR HEALTH MAINTENANCE IN NATIVE AMERICAN FAMILIES, TO DECREASE HEALTH DISPARITY IN THE NATIVE AMERICANS IN THE METRO AREA, AND TO PROVIDE ACCESS TO QUALITY CARE REGARDLESS OF ABILITY TO PAY.

Activities or mission (Part I)

PROMOTE WELLNESS OF BODY, MIND & SPIRIT & REGULAR HEALTH MAINTENANCE IN NATIVE AMERICAN FAMILIES.

  • PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH AND CHEMICAL HEALTH SERVICES TO NATIVE AMERICAN FAMILIES AND PATIENTS. THE ORGANIZATION HAD 19,897 VISITS DURING 2022. IN ADDITION THE ORGANIZATION PROVIDES CARE TO PATIENTS, WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATIONS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE ORGANIZATION BELIEVES THE UNDERSERVED ARE THOSE PERSONS WHO ARE UNABLE THROUGH PRIVATE RESOURCES, EMPLOYER SUPPORT OR PUBLIC AID TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES OR THOSE UNABLE TO GAIN ACCESS TO HEALTH RELATED CARE BECAUSE OF LIMITED RESOURCES, INADEQUATE EDUCATION, OR DISCRIMINATION. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE.

    Expenses $9,141,194 · Revenue $5,889,405

As filed on the 2022 return.

Listed in Part VII

  • Joe Hobot

    BOARD - CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • Lyle Iron Moccasin

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • B Don Crofut

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    0.5
  • Stephanie Graves

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    0.5
  • Carol Krush

    BOARD MEMEBER

    Total calculated
    $0
    Hours/week
    0.5
  • Jean Forster

    BOARD MEMEBER

    Total calculated
    $0
    Hours/week
    0.5
  • Valerie Larsen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Anna Youngerman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Robert Blake

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Jill Fish

    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
  • Joe Beaulieu

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Charla Sheffield

    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
  • Dr Karie Rabie

    CMO

    Total calculated
    $237,099
    From this org
    $206,926
    From related orgs
    $0
    Other
    $30,173
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,926
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $30,173
    Filer's total
    $237,099
  • Dr Antony Stately

    CEO

    Total calculated
    $217,311
    From this org
    $186,607
    From related orgs
    $0
    Other
    $30,704
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,607
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $30,704
    Filer's total
    $217,311
  • Gregg Harrison

    COO

    Total calculated
    $145,100
    From this org
    $118,316
    From related orgs
    $0
    Other
    $26,784
    Hours/week
    40
  • Jeneatta Singh

    FINANCE OFFICER

    Total calculated
    $138,904
    From this org
    $114,745
    From related orgs
    $0
    Other
    $24,159
    Hours/week
    40
  • Shannon Klingelhultz

    CIO

    Total calculated
    $135,898
    From this org
    $110,003
    From related orgs
    $0
    Other
    $25,895
    Hours/week
    40
  • Stacey Martinez

    MEDICAL DIRECTOR

    Total calculated
    $132,863
    From this org
    $105,806
    From related orgs
    $0
    Other
    $27,057
    Hours/week
    40
  • Gail Mason

    BEHAVIORAL HEALTH DIRECTOR

    Total calculated
    $121,625
    From this org
    $111,278
    From related orgs
    $0
    Other
    $10,347
    Hours/week
    40
  • Emily Pietig

    DENTAL DIRECTOR

    Total calculated
    $194,983
    From this org
    $166,857
    From related orgs
    $0
    Other
    $28,126
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,857
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $28,126
    Filer's total
    $194,983
  • Valerie Norris

    PEDIATRICIAN

    Total calculated
    $140,323
    From this org
    $129,357
    From related orgs
    $0
    Other
    $10,966
    Hours/week
    30
  • Phong Nguyen

    ADVANCED DENTAL THERAPIST

    Total calculated
    $135,485
    From this org
    $119,748
    From related orgs
    $0
    Other
    $15,737
    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, 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

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
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202333109349303283

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