Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
EIN 81-0349437 • 501(c)3 • Box Elder, MT
Profile
Providing native american health services
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
39th percentile
Higher debt load relative to assets than 39% of similar nonprofits.
Liabilities / Revenue
52nd percentile
Higher debt load relative to revenue than 52% of similar nonprofits.
Net Margin
80th percentile
Higher net margin than 80% of similar nonprofits.
Top Officer Pay
26th percentile
Higher top officer pay than 26% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
70th percentile
Faster asset growth than 70% of similar nonprofits.
Revenue Growth
76th percentile
Faster revenue growth than 76% of similar nonprofits.
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
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Providing native american health services
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Elizabeth Topsky | Medical Director | FT | $253,375 | $57,788 | $311,163 |
| India Blatt | Chief Wellness Officer | FT | $204,042 | $33,671 | $237,713 |
| Michael Melland | Chief Dental Director | FT | $185,836 | $41,197 | $227,033 |
| Craig Kaneshiro | Dentist | FT | $157,664 | $50,421 | $208,085 |
| Jewel Whitford | Chief Finance Officer | FT | $137,209 | $41,318 | $178,527 |
| Lenore Meyers Nault | Director | - | $78,217 | - | $78,217 |
| Name | Title |
|---|---|
| Ted Russette Iii | Chairman |
| Lonnie Whitford Taylor | Vice Chairman |
| Ethan Broncho | Director |
| Harlan Baker | Director |
| Jody Lamere | Director |
| Joseph Rosette | Director |
| Louis Parisian | Director |
| William Corcoran | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Mckinstry | Contractor Services | 100 NORTH 27TH ST STE 220, Billings, MT 59101 | $1,031,003 |
| Architecture 118 LLC | Healthcare Consulting Services | PO BOX 1942, Window Rock, AZ 86515 | $969,207 |
| Sundance Excavating LLC | Architecture Services | 115 E OAK ST, Bozeman, MT 59715 | $925,445 |
| Hobbs Straus Dean & Walker LLP | Excavating Services | 242 SUNDANCE RD, Box Elder, MT 59521 | $406,201 |
| - | Legal | 1899 L STREET NW SUITE 1200, Washington, DC 20036 | $321,880 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Jewel Whitford | Family Member of Former Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $178,527 |
| Joel Rosette | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $177,556 |
| Jacqueline Myers Houle | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $121,408 |
| Emery Nault | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $86,062 |
| Juanita Decora | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization | No | $81,911 |
| Gordon Whitford | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $77,845 |
| Sarah Parisian | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $49,109 |
| Billie Coffee | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $14,740 |
| Lawrence Myers | Family Member of Board Member | Family Member Is Compensated as an Employee of the Organization. | No | $13,450 |
| Liability | Amount |
|---|---|
| Compensated Absences | $617,295 |
| Severance Pay | $594,097 |
“Separate committees do not exist.”
“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.”
“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.”
“The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4490502 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7134866 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3913588 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3838666 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDING NATIVE AMERICAN HEALTH SERVICES |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 7511 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 30045 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 37556 |
| IRS990/AllOtherContributionsAmt | 0 | 38094421 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 159101 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 636399 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 795500 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 0 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4063954708 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | RR 1 BOX 664 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BOX ELDER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59521 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 23173508 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 21793444 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 90662277 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 31700386 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 206530 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 826122 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1032652 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 148824 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 595294 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 744118 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1031003 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 969207 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 925445 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 406201 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 321880 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 100 NORTH 27TH ST STE 220 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 1942 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 115 E OAK ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 242 SUNDANCE RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1899 L STREET NW SUITE 1200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | BILLINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | WINDOW ROCK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BOZEMAN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BOX ELDER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | WASHINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | AZ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | DC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 59101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 86515 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 59715 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 59521 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 20036 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MCKINSTRY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | ARCHITECTURE 118 LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SUNDANCE EXCAVATING LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | HOBBS STRAUS DEAN & WALKER LLP |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | BERNIE YAZZIE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTOR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | HEALTHCARE CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ARCHITECTURE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | EXCAVATING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LEGAL |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 38094421 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1916828 |
| IRS990/CYOtherExpensesAmt | 0 | 25330256 |
| IRS990/CYOtherRevenueAmt | 0 | 223809 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 24531422 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 16342278 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 23093946 |
| IRS990/CYTotalExpensesAmt | 0 | 48424202 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 64766480 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 21609153 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 8357896 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 349934 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1399738 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1749672 |
| IRS990/Desc | 0 | PROVIDING HEALTH CARE SUPPORT, TREATMENT AND PREVENTATIVE SERVICES AND PROGRAMS TO THE MEN, WOMEN AND CHILDREN OF THE CHIPPEWA CREE TRIBE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 337 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 38356533 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 7975 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 31900 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 39875 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 80327 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 321306 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 401633 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 525872 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2103488 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2629360 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 41197 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 41318 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 33671 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 57788 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 50421 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JODY LAMERE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LOUIS PARISIAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | WILLIAM CORCORAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | HARLAN BAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LENORE MEYERS NAULT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ETHAN BRONCHO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOSEPH ROSETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TED RUSSETTE III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LONNIE WHITFORD TAYLOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MICHAEL MELLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JEWEL WHITFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | INDIA BLATT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ELIZABETH TOPSKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CRAIG KANESHIRO |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 78217 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 185836 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 137209 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 204042 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 253375 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 157664 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHIEF DENTAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF FINANCE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF WELLNESS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DENTIST |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 64766480 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 87602 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 350407 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 438009 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 197805 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 791220 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 989025 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 13232 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 52927 |
| IRS990/InterestGrp/TotalAmt | 0 | 66159 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 168993 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 406702 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1916828 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1916828 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 133 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10851614 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 48035063 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 63399073 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 74250687 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | PROVIDING NATIVE AMERICAN HEALTH SERVICES |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 9680311 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 115800205 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 133866967 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1724484 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 94734 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 378936 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 473670 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 18644561 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 735628 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2942513 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3678141 |
| IRS990/OtherExpensesGrp/Desc | 0 | HEALTHCARE EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | SMALL EQUIPMENT |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | COMMUNITY ACTIVITIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 3141926 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 100250 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 46741 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 44646 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 12567702 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 401000 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 186966 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 178583 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 15709628 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 501250 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 233707 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 223229 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1145288 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1211392 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 223809 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 223809 |
| IRS990/OtherRevenueTotalAmt | 0 | 223809 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3041213 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 12164852 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 15206065 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 618695 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 343006 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1372025 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1715031 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 45111983 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 54263101 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 292411 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 1169646 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 1462057 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 2645130 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1997489 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1402 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1486 |
| IRS990/PrincipalOfficerNm | 0 | JOEL ROSETTE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 624100 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 221000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICARE MEDICAID |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | UTILITY SERVICE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 23787764 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 743658 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 23787764 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 743658 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | MAINTANENCE AND SUPPORT FOR THE RURAL WATER DEVELOPMENT AND SEWER SYSTEM USED BY THE CHIPPEWA CREE TRIBE. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 382828 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 743658 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 27148212 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1100880 |
| IRS990/PYOtherExpensesAmt | 0 | 15638099 |
| IRS990/PYOtherRevenueAmt | 0 | 346236 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 24304583 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 15450563 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 21811249 |
| IRS990/PYTotalExpensesAmt | 0 | 37449348 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 52899911 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 16342278 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 0 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 24011573 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 47514714 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 57810422 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 42263069 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | OTHER REVENUE - 2020 AMOUNT: $ 1,262,528. 2021 AMOUNT: $ 231,822. 2022 AMOUNT: $ 346,236. 2023 AMOUNT: $ 223,809. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 38094421 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 27148212 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 26150447 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 24958108 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 25349300 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 141700488 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 1916828 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 1100880 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 682917 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 650530 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 622939 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 4974094 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 109005563 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 223809 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 346236 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 231822 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1262528 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 2064395 |
No mirrored PDF or thumbnail assets are attached yet.