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 HobotJOE HOBOT
BOARD - CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
Lyle Iron MoccasinLYLE IRON MOCCASIN
BOARD VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
B Don CrofutB DON CROFUT
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 0.5
-
Stephanie GravesSTEPHANIE GRAVES
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 0.5
-
Carol KrushCAROL KRUSH
BOARD MEMEBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Jean ForsterJEAN FORSTER
BOARD MEMEBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Valerie LarsenVALERIE LARSEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Anna YoungermanANNA YOUNGERMAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Robert BlakeROBERT BLAKE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Jill FishJILL FISH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Richard MasurRICHARD MASUR
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Lauren GilchristLAUREN GILCHRIST
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Nichole SubolaNICHOLE SUBOLA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Joe BeaulieuJOE BEAULIEU
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Charla SheffieldCHARLA SHEFFIELD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Aaron RobinsonAARON ROBINSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
Colleen McDonaldCOLLEEN MCDONALD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.6
-
Dr Karie RabieDR 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 StatelyDR 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 HarrisonGREGG HARRISON
COO
- Total calculated
- $145,100
- From this org
- $118,316
- From related orgs
- $0
- Other
- $26,784
- Hours/week
- 40
-
Jeneatta SinghJENEATTA SINGH
FINANCE OFFICER
- Total calculated
- $138,904
- From this org
- $114,745
- From related orgs
- $0
- Other
- $24,159
- Hours/week
- 40
-
Shannon KlingelhultzSHANNON KLINGELHULTZ
CIO
- Total calculated
- $135,898
- From this org
- $110,003
- From related orgs
- $0
- Other
- $25,895
- Hours/week
- 40
-
Stacey MartinezSTACEY MARTINEZ
MEDICAL DIRECTOR
- Total calculated
- $132,863
- From this org
- $105,806
- From related orgs
- $0
- Other
- $27,057
- Hours/week
- 40
-
Gail MasonGAIL MASON
BEHAVIORAL HEALTH DIRECTOR
- Total calculated
- $121,625
- From this org
- $111,278
- From related orgs
- $0
- Other
- $10,347
- Hours/week
- 40
-
Emily PietigEMILY 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 NorrisVALERIE NORRIS
PEDIATRICIAN
- Total calculated
- $140,323
- From this org
- $129,357
- From related orgs
- $0
- Other
- $10,966
- Hours/week
- 30
-
Phong NguyenPHONG 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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