Civic Intelligence

Rocky Boy Health Board

EIN 81-0349437 • 501(c)3 • Box Elder, MT

Profile

Providing native american health services

6850 Upper Box Elder RdBox Elder, MT 59521

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

39th percentile

0.17x

Higher debt load relative to assets than 39% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

52nd percentile

0.44x

Higher debt load relative to revenue than 52% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

80th percentile

25%

Higher net margin than 80% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

26th percentile

$311,163

Higher top officer pay than 26% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

70th percentile

11%

Faster asset growth than 70% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

76th percentile

22%

Faster revenue growth than 76% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$162,251,432

Up $16,206,284 (+11%) from 2023

Liabilities

Down

$28,384,465

Down $1,860,478 (-6.2%) from 2023

Net Assets

Up

$133,866,967

Up $18,066,762 (+16%) from 2023

Revenue

Up

$64,766,480

Up $11,866,569 (+22%) from 2023

Expenses

Up

$48,424,202

Up $10,974,854 (+29%) from 2023

Net Income

Up

$16,342,278

Up $891,715 (+5.8%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0-$50MAssets 2010: $8,754,165Liabilities 2010: $9,195,514Net Assets 2010: -$441,3492010Assets 2011: $7,664,942Liabilities 2011: $7,015,112Net Assets 2011: $649,8302011Assets 2012: $10,504,835Liabilities 2012: $4,814,359Net Assets 2012: $5,690,4762012Assets 2013: $10,275,938Liabilities 2013: $3,525,707Net Assets 2013: $6,750,2312013Assets 2014: $10,899,688Liabilities 2014: $3,839,966Net Assets 2014: $7,059,7222014Assets 2015: $18,558,615Liabilities 2015: $5,070,095Net Assets 2015: $13,488,5202015Assets 2016: $28,095,428Liabilities 2016: $7,157,308Net Assets 2016: $20,938,1202016Assets 2017: $47,179,691Liabilities 2017: $9,764,349Net Assets 2017: $37,415,3422017Assets 2018: $69,791,389Liabilities 2018: $11,774,764Net Assets 2018: $58,016,6252018Assets 2019: $80,297,910Liabilities 2019: $10,808,134Net Assets 2019: $69,489,7762019Assets 2020: $93,152,645Liabilities 2020: $15,892,867Net Assets 2020: $77,259,7782020Assets 2021: $119,785,395Liabilities 2021: $30,628,131Net Assets 2021: $89,157,2642021Assets 2022: $134,156,424Liabilities 2022: $34,328,266Net Assets 2022: $99,828,1582022Assets 2023: $146,045,148Liabilities 2023: $30,244,943Net Assets 2023: $115,800,2052023Assets 2024: $162,251,432Liabilities 2024: $28,384,465Net Assets 2024: $133,866,9672024

Highlighted filing

2024

Assets$162,251,432
Liabilities$28,384,465
Net Assets$133,866,967

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MRevenue 2010: $21,150,754Expenses 2010: $29,876,594Net Income 2010: -$8,725,8402010Revenue 2011: $22,671,128Expenses 2011: $22,207,661Net Income 2011: $463,4672011Revenue 2012: $28,199,864Expenses 2012: $23,159,218Net Income 2012: $5,040,6462012Expenses 2013: $21,260,5932013Revenue 2014: $21,813,873Expenses 2014: $21,504,382Net Income 2014: $309,4912014Revenue 2015: $27,703,142Expenses 2015: $21,274,344Net Income 2015: $6,428,7982015Revenue 2016: $23,853,765Expenses 2016: $16,404,165Net Income 2016: $7,449,6002016Revenue 2017: $33,878,351Expenses 2017: $17,365,525Net Income 2017: $16,512,8262017Revenue 2018: $44,592,211Expenses 2018: $23,990,928Net Income 2018: $20,601,2832018Revenue 2019: $36,870,202Expenses 2019: $26,605,432Net Income 2019: $10,264,7702019Revenue 2020: $41,081,543Expenses 2020: $28,167,608Net Income 2020: $12,913,9352020Revenue 2021: $45,013,923Expenses 2021: $30,521,803Net Income 2021: $14,492,1202021Revenue 2022: $53,982,683Expenses 2022: $34,739,157Net Income 2022: $19,243,5262022Revenue 2023: $52,899,911Expenses 2023: $37,449,348Net Income 2023: $15,450,5632023Revenue 2024: $64,766,480Expenses 2024: $48,424,202Net Income 2024: $16,342,2782024

Highlighted filing

2024

Revenue$64,766,480
Expenses$48,424,202
Net Income$16,342,278

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$162$28.4$134$64.8$48.4$16.3
2023Summary only. Only limited summary data is available for this year.$146$30.2$116$52.9$37.4$15.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$134$34.3$99.8$54.0$34.7$19.2
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$120$30.6$89.2$45.0$30.5$14.5
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$93.2$15.9$77.3$41.1$28.2$12.9
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$80.3$10.8$69.5$36.9$26.6$10.3
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$69.8$11.8$58.0$44.6$24.0$20.6
2017Summary only. Only limited summary data is available for this year.$47.2$9.76$37.4$33.9$17.4$16.5
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.1$7.16$20.9$23.9$16.4$7.45
2015Detailed filing. Detailed filing data is available for this year.$18.6$5.07$13.5$27.7$21.3$6.43
2014Detailed filing. Detailed filing data is available for this year.$10.9$3.84$7.06$21.8$21.5$0.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.3$3.53$6.75$21.3
2012Summary only. Only limited summary data is available for this year.$10.5$4.81$5.69$28.2$23.2$5.04
2011Summary only. Only limited summary data is available for this year.$7.66$7.02$0.65$22.7$22.2$0.46
2010Summary only. Only limited summary data is available for this year.$8.75$9.20$0.44$21.2$29.9$8.73
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 6, 2025
Return Version
2023v6.0
Gross Receipts
$64,766,480
Mission and Program Overview

Mission

Providing native american health services

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$48,035,063$63,399,073▲ $15,364,010
Rtn Earn Endowment Incm Other Fnds$47,514,714$57,810,422▲ $10,295,708
Pd in Cap Srpls Land Bldg Eqp Fund$45,111,983$54,263,101▲ $9,151,118
Savings and Temporary Cash Investments-$42,263,069-
Cash and Non-Interest-Bearing Accounts$90,662,277$31,700,386▼ $58,961,891
Cap Stk Tr Prin Current Funds$23,173,508$21,793,444▼ $1,380,064
Accounts Receivable$3,913,588$3,838,666▼ $74,922
Pledges and Grants Receivable$2,645,130$1,997,489▼ $647,641
Other Notes and Loans Receivable, Net$618,695--
Inventories for Sale or Use$168,993$406,702▲ $237,709
Prepaid Expenses and Deferred Charges$1,402$1,486▲ $84
Total Assets$146,045,148$162,251,432▲ $16,206,284
Other Assets Total$0$18,644,561▲ $18,644,561
Liabilities
Mortgage Notes Payable Secured by Investment Property-$9,680,311-
Deferred Revenue$21,609,153$8,357,896▼ $13,251,257
Accounts Payable and Accrued Expenses$4,490,502$7,134,866▲ $2,644,364
Unsecured Notes Loans Payable$3,000,000$2,000,000▼ $1,000,000
Other Liabilities$1,145,288$1,211,392▲ $66,104
Total Liabilities$30,244,943$28,384,465▼ $1,860,478
Net Assets / Fund Balance
Total Net Assets Fund Balance$115,800,205$133,866,967▲ $18,066,762
Total Liabilities and Net Assets / Fund Balance$146,045,148$162,251,432▲ $16,206,284

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$60,791,919$7,500,889$68,292,808
Equipment$1,387,316$2,875,331$4,262,647
Other Land Buildings$1,219,838$475,394$1,695,232
Other Assets Org$18,644,561--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elizabeth TopskyMedical DirectorFT$253,375$57,788$311,163
India BlattChief Wellness OfficerFT$204,042$33,671$237,713
Michael MellandChief Dental DirectorFT$185,836$41,197$227,033
Craig KaneshiroDentistFT$157,664$50,421$208,085
Jewel WhitfordChief Finance OfficerFT$137,209$41,318$178,527
Lenore Meyers NaultDirector-$78,217-$78,217

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
MckinstryContractor Services100 NORTH 27TH ST STE 220, Billings, MT 59101$1,031,003
Architecture 118 LLCHealthcare Consulting ServicesPO BOX 1942, Window Rock, AZ 86515$969,207
Sundance Excavating LLCArchitecture Services115 E OAK ST, Bozeman, MT 59715$925,445
Hobbs Straus Dean & Walker LLPExcavating Services242 SUNDANCE RD, Box Elder, MT 59521$406,201
-Legal1899 L STREET NW SUITE 1200, Washington, DC 20036$321,880
Revenue and Support

Revenue Composition

Contributions and Grants
$38,094,421
Program Service Revenue
$24,531,422
Investment Income
$1,916,828
Other Revenue
$223,809
All Other Contributions
$38,094,421
Change in Net Assets
$16,342,278

Audited Revenue Reconciliation

Revenue per Audited Statements
$64,766,480
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,724,484
Total Revenue per Audited Statements
$66,490,964
Total Revenue per Form 990
$64,766,480
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$25,330,256
Salaries, Compensation, and Employee Benefits$23,093,946
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,164,852$3,041,213-$15,206,065
Other Employee Benefits$2,942,513$735,628-$3,678,141
Fees for Services Other$2,103,488$525,872-$2,629,360
Depreciation Depletion$1,399,738$349,934-$1,749,672
Payroll Taxes$1,372,025$343,006-$1,715,031
Pension Plan Contributions$1,169,646$292,411-$1,462,057
Current Officers, Directors, Trustees, and Key Employees$826,122$206,530-$1,032,652
Insurance$791,220$197,805-$989,025
All Other Expenses$636,399$159,101-$795,500
Conferences and Meetings$595,294$148,824-$744,118
Occupancy$378,936$94,734-$473,670
Information Technology$350,407$87,602-$438,009
Fees for Services Legal$321,306$80,327-$401,633
Travel$238,292$59,573-$297,865
Other Expenses$178,583$44,646-$223,229
Interest$52,927$13,232-$66,159
Fees for Services Accounting$31,900$7,975-$39,875
Advertising$30,045$7,511-$37,556
Total Functional Expenses$38,739,361$9,684,841$0$48,424,202

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$48,424,202
Total Expenses per Audited Statements$48,424,202
Total Expenses per Form 990$48,424,202
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jewel WhitfordFamily Member of Former Board MemberFamily Member Is Compensated as an Employee of the Organization.No$178,527
Joel RosetteFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$177,556
Jacqueline Myers HouleFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$121,408
Emery NaultFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$86,062
Juanita DecoraFamily Member of Board MemberFamily Member Is Compensated as an Employee of the OrganizationNo$81,911
Gordon WhitfordFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$77,845
Sarah ParisianFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$49,109
Billie CoffeeFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$14,740
Lawrence MyersFamily Member of Board MemberFamily Member Is Compensated as an Employee of the Organization.No$13,450
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Compensated Absences$617,295
Severance Pay$594,097
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8B

Separate committees do not exist.

Form 990, Part VI, Section B, Line 11B

Line 11b explanation - after the preparation of the form 990 is complete, it is presented at the next board meeting to all board members for review.

Form 990, Part VI, Section B, Line 15

Salary for the ceo and top management is initially negotiated with the board of directors and reviewed annually. The board of directors and officers are not compensated.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Rocky Boy Health Center
EIN
81-0349437
Phone
4063954486
Address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521

Signing Officer

Name
Joel Rosette
Title
CEO
Phone
4063954486
Signed
2025-08-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joel Rosette
Formed
1994
Legal Domicile
Mt
Voting Board Members
9
Independent Board Members
0
Employees
337
Volunteers
0

Preparer

Firm
Wipfli Llp
Address
614 PARK DRIVE SOUTH, GREAT FALLS, MT 59405
Preparer
Kari Young
Phone
4067271798
Raw XML AppendixShowing 400 of 700 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0PROVIDING NATIVE AMERICAN HEALTH SERVICES
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
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IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt941197
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1041318
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1133671
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1257788
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1350421
IRS990/Form990PartVIISectionAGrp/PersonNm0JODY LAMERE
IRS990/Form990PartVIISectionAGrp/PersonNm1LOUIS PARISIAN
IRS990/Form990PartVIISectionAGrp/PersonNm2WILLIAM CORCORAN
IRS990/Form990PartVIISectionAGrp/PersonNm3HARLAN BAKER
IRS990/Form990PartVIISectionAGrp/PersonNm4LENORE MEYERS NAULT
IRS990/Form990PartVIISectionAGrp/PersonNm5ETHAN BRONCHO
IRS990/Form990PartVIISectionAGrp/PersonNm6JOSEPH ROSETTE
IRS990/Form990PartVIISectionAGrp/PersonNm7TED RUSSETTE III
IRS990/Form990PartVIISectionAGrp/PersonNm8LONNIE WHITFORD TAYLOR
IRS990/Form990PartVIISectionAGrp/PersonNm9MICHAEL MELLAND
IRS990/Form990PartVIISectionAGrp/PersonNm10JEWEL WHITFORD
IRS990/Form990PartVIISectionAGrp/PersonNm11INDIA BLATT
IRS990/Form990PartVIISectionAGrp/PersonNm12ELIZABETH TOPSKY
IRS990/Form990PartVIISectionAGrp/PersonNm13CRAIG KANESHIRO
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt478217
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt9185836
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10137209
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt11204042
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt12253375
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt13157664
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt8VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt9CHIEF DENTAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHIEF FINANCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt11CHIEF WELLNESS OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DENTIST
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01994
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt064766480
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt05
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt087602
IRS990/InformationTechnologyGrp/ProgramServicesAmt0350407
IRS990/InformationTechnologyGrp/TotalAmt0438009
IRS990/InsuranceGrp/ManagementAndGeneralAmt0197805
IRS990/InsuranceGrp/ProgramServicesAmt0791220
IRS990/InsuranceGrp/TotalAmt0989025
IRS990/InterestGrp/ManagementAndGeneralAmt013232
IRS990/InterestGrp/ProgramServicesAmt052927
IRS990/InterestGrp/TotalAmt066159
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0168993
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0406702
IRS990/InvestmentIncomeGrp/ExclusionAmt01916828
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt01916828
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt0133
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt010851614
IRS990/LandBldgEquipBasisNetGrp/BOYAmt048035063
IRS990/LandBldgEquipBasisNetGrp/EOYAmt063399073
IRS990/LandBldgEquipCostOrOtherBssAmt074250687
IRS990/LegalDomicileStateCd0MT
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0PROVIDING NATIVE AMERICAN HEALTH SERVICES
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt09680311
IRS990/NetAssetsOrFundBalancesBOYAmt0115800205
IRS990/NetAssetsOrFundBalancesEOYAmt0133866967
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt01724484
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt094734
IRS990/OccupancyGrp/ProgramServicesAmt0378936
IRS990/OccupancyGrp/TotalAmt0473670
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt018644561
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0735628
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt02942513
IRS990/OtherEmployeeBenefitsGrp/TotalAmt03678141
IRS990/OtherExpensesGrp/Desc0HEALTHCARE EXPENSE
IRS990/OtherExpensesGrp/Desc1SMALL EQUIPMENT
IRS990/OtherExpensesGrp/Desc2REPAIRS & MAINTENANCE
IRS990/OtherExpensesGrp/Desc3COMMUNITY ACTIVITIES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt03141926
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1100250
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt246741
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt344646
IRS990/OtherExpensesGrp/ProgramServicesAmt012567702
IRS990/OtherExpensesGrp/ProgramServicesAmt1401000
IRS990/OtherExpensesGrp/ProgramServicesAmt2186966
IRS990/OtherExpensesGrp/ProgramServicesAmt3178583
IRS990/OtherExpensesGrp/TotalAmt015709628
IRS990/OtherExpensesGrp/TotalAmt1501250
IRS990/OtherExpensesGrp/TotalAmt2233707
IRS990/OtherExpensesGrp/TotalAmt3223229
IRS990/OtherLiabilitiesGrp/BOYAmt01145288
IRS990/OtherLiabilitiesGrp/EOYAmt01211392
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS INCOME
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt0223809
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0223809
IRS990/OtherRevenueTotalAmt0223809
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt03041213
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt012164852
IRS990/OtherSalariesAndWagesGrp/TotalAmt015206065
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt0618695
IRS990/PartialLiquidationInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0343006
IRS990/PayrollTaxesGrp/ProgramServicesAmt01372025
IRS990/PayrollTaxesGrp/TotalAmt01715031
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt045111983
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt054263101
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0292411
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt01169646
IRS990/PensionPlanContributionsGrp/TotalAmt01462057
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt02645130
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt01997489
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01402
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01486
IRS990/PrincipalOfficerNm0JOEL ROSETTE
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/BusinessCd1221000
IRS990/ProgramServiceRevenueGrp/Desc0MEDICARE MEDICAID
IRS990/ProgramServiceRevenueGrp/Desc1UTILITY SERVICE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt023787764
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1743658
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt023787764
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1743658
IRS990/ProgSrvcAccomActy2Grp/Desc0MAINTANENCE AND SUPPORT FOR THE RURAL WATER DEVELOPMENT AND SEWER SYSTEM USED BY THE CHIPPEWA CREE TRIBE.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0382828
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0743658
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt027148212
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt01100880
IRS990/PYOtherExpensesAmt015638099
IRS990/PYOtherRevenueAmt0346236
IRS990/PYProgramServiceRevenueAmt024304583
IRS990/PYRevenuesLessExpensesAmt015450563
IRS990/PYSalariesCompEmpBnftPaidAmt021811249
IRS990/PYTotalExpensesAmt037449348
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt052899911
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt016342278
IRS990/RegularMonitoringEnfrcInd00
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt024011573
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt047514714
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt057810422
IRS990/SavingsAndTempCashInvstGrp/EOYAmt042263069
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER REVENUE - 2020 AMOUNT: $ 1,262,528. 2021 AMOUNT: $ 231,822. 2022 AMOUNT: $ 346,236. 2023 AMOUNT: $ 223,809.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt038094421
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt027148212
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt026150447
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt024958108
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt025349300
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0141700488
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt01916828
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt01100880
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0682917
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0650530
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0622939
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt04974094
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0109005563
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt0223809
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt0346236
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0231822
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt01262528
IRS990ScheduleA/OtherIncome170Grp/TotalAmt02064395

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