Civic Intelligence

Seattle Indian Health Board

EIN 91-0869056 • 501(c)3 • Seattle, WA

View Organization Page

Profile

Services are designed to address severe health disparities among urban American Indians and Alaska Natives by providing culturally relevant primary care, behavioral health, outreach services and national research.

Refreshing map…

611 12th Avenue SouthSeattle, WA 98144

www.sihb.org

Siviq Scores

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

Liabilities / Assets

38th percentile

0.14x

Higher debt load relative to assets than 38% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

31st percentile

0.17x

Higher debt load relative to revenue than 31% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

75th percentile

20%

Higher net margin than 75% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

53rd percentile

$378,262

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

83rd percentile

19%

Faster asset growth than 83% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

19th percentile

-6.1%

Faster revenue growth than 19% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets38th percentile

Assets

Up

$58,161,807

Up $9,337,392 (+19%) from 2023

Liabilities

Up

$7,928,187

Up $101,533 (+1.3%) from 2023

Net Assets

Up

$50,233,620

Up $9,235,859 (+23%) from 2023

Operations
Liabilities / Revenue31st percentileNet Margin75th percentile

Revenue

Down

$47,205,344

Down $3,089,351 (-6.1%) from 2023

Expenses

Up

$37,986,668

Up $1,772,772 (+4.9%) from 2023

Net Income

Down

$9,218,676

Down $4,862,123 (-35%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth83rd percentile

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

$60M$40M$20M$0Assets 2011: $7,404,054Liabilities 2011: $1,021,763Net Assets 2011: $6,382,2912011Assets 2012: $7,911,381Liabilities 2012: $999,001Net Assets 2012: $6,912,3802012Assets 2013: $8,087,023Liabilities 2013: $978,896Net Assets 2013: $7,108,1272013Assets 2014: $14,416,573Liabilities 2014: $1,607,995Net Assets 2014: $12,808,5782014Assets 2015: $15,322,298Liabilities 2015: $1,366,048Net Assets 2015: $13,956,2502015Assets 2016: $16,577,259Liabilities 2016: $1,361,554Net Assets 2016: $15,215,7052016Assets 2017: $16,534,731Liabilities 2017: $1,175,275Net Assets 2017: $15,359,4562017Assets 2018: $16,784,809Liabilities 2018: $1,435,630Net Assets 2018: $15,349,1792018Assets 2019: $15,882,155Liabilities 2019: $1,785,388Net Assets 2019: $14,096,7672019Assets 2020: $24,258,366Liabilities 2020: $6,494,647Net Assets 2020: $17,763,7192020Assets 2021: $30,642,296Liabilities 2021: $3,606,138Net Assets 2021: $27,036,1582021Assets 2022: $35,510,203Liabilities 2022: $8,593,241Net Assets 2022: $26,916,9622022Assets 2023: $48,824,415Liabilities 2023: $7,826,654Net Assets 2023: $40,997,7612023Assets 2024: $58,161,807Liabilities 2024: $7,928,187Net Assets 2024: $50,233,6202024

Highlighted filing

2024

Assets$58,161,807
Liabilities$7,928,187
Net Assets$50,233,620
Open 2024 Filing

Operations Trend

Revenue Growth19th percentile

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

$60M$40M$20M$0-$20MRevenue 2011: $12,904,129Expenses 2011: $12,910,398Net Income 2011: -$6,2692011Revenue 2012: $12,758,141Expenses 2012: $12,228,052Net Income 2012: $530,0892012Revenue 2013: $12,282,116Expenses 2013: $12,086,369Net Income 2013: $195,7472013Revenue 2014: $13,209,546Expenses 2014: $12,554,892Net Income 2014: $654,6542014Revenue 2015: $14,081,181Expenses 2015: $12,933,509Net Income 2015: $1,147,6722015Revenue 2016: $15,439,100Expenses 2016: $14,179,645Net Income 2016: $1,259,4552016Revenue 2017: $17,656,157Expenses 2017: $17,824,742Net Income 2017: -$168,5852017Revenue 2018: $20,055,431Expenses 2018: $20,089,196Net Income 2018: -$33,7652018Revenue 2019: $20,343,050Expenses 2019: $21,565,493Net Income 2019: -$1,222,4432019Revenue 2020: $26,335,591Expenses 2020: $22,707,329Net Income 2020: $3,628,2622020Revenue 2021: $38,962,941Expenses 2021: $29,717,888Net Income 2021: $9,245,0532021Revenue 2022: $29,958,460Expenses 2022: $30,089,600Net Income 2022: -$131,1402022Revenue 2023: $50,294,695Expenses 2023: $36,213,896Net Income 2023: $14,080,7992023Revenue 2024: $47,205,344Expenses 2024: $37,986,668Net Income 2024: $9,218,6762024

Highlighted filing

2024

Revenue$47,205,344
Expenses$37,986,668
Net Income$9,218,676
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$58,161,807
Liabilities
$7,928,187
Net assets
$50,233,620
Revenue
$47,205,344
Expenses
$37,986,668
Net income
$9,218,676
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.2$7.93$50.2$47.2$38.0$9.22
2023Summary only. Only limited summary data is available for this year.$48.8$7.83$41.0$50.3$36.2$14.1
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.5$8.59$26.9$30.0$30.1$0.13
2021Summary only. Only limited summary data is available for this year.$30.6$3.61$27.0$39.0$29.7$9.25
2020Summary only. Only limited summary data is available for this year.$24.3$6.49$17.8$26.3$22.7$3.63
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.9$1.79$14.1$20.3$21.6$1.22
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.8$1.44$15.3$20.1$20.1$0.03
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.5$1.18$15.4$17.7$17.8$0.17
2016Detailed filing. Detailed filing data is available for this year.$16.6$1.36$15.2$15.4$14.2$1.26
2015Detailed filing. Detailed filing data is available for this year.$15.3$1.37$14.0$14.1$12.9$1.15
2014Summary only. Only limited summary data is available for this year.$14.4$1.61$12.8$13.2$12.6$0.65
2013Summary only. Only limited summary data is available for this year.$8.09$0.98$7.11$12.3$12.1$0.20
2012Summary only. Only limited summary data is available for this year.$7.91$1.00$6.91$12.8$12.2$0.53
2011Summary only. Only limited summary data is available for this year.$7.40$1.02$6.38$12.9$12.9$0.01
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 8, 2025
Return Version
2023v6.0
Gross Receipts
$47,425,050
Mission and Program Overview

Mission

Services are designed to address severe health disparities among urban American Indians and Alaska Natives by providing culturally relevant primary care, behavioral health, outreach services and national research.

Seattle indian health board is a community health center that provides health and human services to its patients, while specializing in the care of native people. We are recognized as a leader in the promotion of health improvement for urban american indians and alaska natives, locally and nationally.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$20,324,618$29,177,274▲ $8,852,656
Pledges and Grants Receivable$9,706,719$16,169,150▲ $6,462,431
Savings and Temporary Cash Investments$14,231,036$7,751,329▼ $6,479,707
Cash and Non-Interest-Bearing Accounts$1,859,028$2,542,188▲ $683,160
Accounts Receivable$874,760$418,532▼ $456,228
Prepaid Expenses and Deferred Charges$303,959$394,318▲ $90,359
Total Assets$48,824,415$58,161,807▲ $9,337,392
Other Assets Total$1,524,295$1,709,016▲ $184,721
Liabilities
Accounts Payable and Accrued Expenses$3,426,852$2,971,394▼ $455,458
Deferred Revenue$1,862,989$2,071,964▲ $208,975
Other Liabilities$1,351,388$1,729,951▲ $378,563
Grants Payable$1,185,425$1,154,878▼ $30,547
Total Liabilities$7,826,654$7,928,187▲ $101,533
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$40,997,761$50,233,620▲ $9,235,859
Total Net Assets Fund Balance$40,997,761$50,233,620▲ $9,235,859
Total Liabilities and Net Assets / Fund Balance$48,824,415$58,161,807▲ $9,337,392

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$14,869,543-$14,869,543
Land$6,739,442-$6,739,442
Buildings$4,860,666$564,545$5,425,211
Leasehold Improvements$1,795,749$2,114,243$3,909,992
Equipment$911,874$2,472,547$3,384,421
Compensation and Service Providers
Top Officer Pay53rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Esther Lucero MppPresident & Chief Executive OfficerFT$318,804$59,458$378,262
Socia Love-thurman MdCHO (through February 2024)FT$281,589$46,926$328,515
Linda Zhang Cfa FrmCFO (through December 2023)FT$240,774$61,413$302,187
Shawna Gallagher Psyd Licsw MaMa, Msw, S-psb, Behav Health DirectorFT$225,742$46,454$272,196
Abigail Echo-hawk MaExecutive Vice PresidentFT$198,298$48,094$246,392
Christopher GaynorPhysicianFT$186,741$48,112$234,853
Ryan Gilbert MhaCOO (through January 2024)FT$189,781$30,979$220,760
Sarah Yankton Hill Dmd MphDental DirectorFT$203,827$16,519$220,346
Patrick HenryAssociate Medical OfficerFT$186,794$28,350$215,144
Elizabeth Parks MdMedical DirectorFT$181,271$22,445$203,716
Pamela GrindleyChief People OfficerFT$174,948$25,748$200,696
Andrew GuillenChief Public Affairs OfficerFT$147,060$32,384$179,444
Meriah GilleChief Information OfficerFT$123,853$17,816$141,669

Board Members and Trustees

NameTitle
Tom Warren Sb MePresident
Christina RobertsDirector & Vice President
Carrie HolmesVice President (through Dec 2023)
Jania Garcia Ba MaDirector
Mike Painter Md JdDirector
Sharyne Thornton PhdDirector
Victoria Black Horse MdDirector
Alix Anderson RnDirector (through August 2023)
Ray OenCFO (as of March 2024)
Jason OwensCOO (as of January 2024)
Shelly MeansSecretary
Cornelius Van Niel MdTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Central ProtectionSecurity Services6114 204TH STREET SW, Lynnwood, WA 98036$654,600
Rjs Contruction INCConstruction1618 B RUDKIN RD, Yakima, WA 98901$559,982
Robert Half International INCTemporary StaffingPO BOX 743295, Los Angeles, CA 90074$396,371
Schultis Sundberg (dba Ssi ConstructionConstructionPO BOX 13567, Des Moines, WA 98198$370,495
OchinHealth Care ServicesPO BOX 5426, Portland, OR 97228$334,829
Revenue and Support

Revenue Composition

Contributions and Grants
$35,979,281
Program Service Revenue
$10,427,253
Investment Income
$646,306
Other Revenue
$152,504
All Other Contributions
$67,652
Change in Net Assets
$9,218,676

Audited Revenue Reconciliation

Revenue per Audited Statements
$47,205,344
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$236,889
Total Revenue per Audited Statements
$47,442,233
Total Revenue per Form 990
$47,205,344
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$24,395,300
Other Expenses$13,219,008
Grants and Similar Amounts Paid$280,410
Professional Fundraising Fees$91,950
Total Fundraising Expense$91,950

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,495,826$4,252,045-$17,747,871
Fees for Services Other$2,477,667$2,582,028-$5,059,695
Current Officers, Directors, Trustees, and Key Employees$308,950$2,022,238-$2,331,188
Other Employee Benefits$1,466,978$530,714-$1,997,692
Payroll Taxes$1,122,719$481,028-$1,603,747
Information Technology$501,989$606,771-$1,108,760
Depreciation Depletion$440,759$408,945-$849,704
Pension Plan Contributions$575,432$139,370-$714,802
Travel$337,318$238,051-$575,369
Occupancy$75,039$368,629-$443,668
Office Expenses$103,380$298,951-$402,331
Insurance-$330,536-$330,536
Fees for Services Accounting$350$291,309-$291,659
Grants to Domestic Individuals$280,410--$280,410
Advertising$141,988$122,342-$264,330
All Other Expenses$59,456$166,091-$225,547
Conferences and Meetings$140,503--$140,503
Other Expenses$30,427$106,230-$136,657
Fees for Services Professional Fundraising--$91,950$91,950
Interest-$65,311-$65,311
Fees for Services Legal-$47,595-$47,595
Total Functional Expenses$24,477,579$13,417,139$91,950$37,986,668

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$38,206,374
Expenses per Audited Statements$37,986,668
Total Expenses per Form 990$37,986,668
Expenses Not Reported on Form 990$219,706
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$219,706
Professional Fundraising Fees$91,950
Fundraising Gross Income$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Adeline Garcia Banquet$264,024-$132,261-
Spirit Walk$57,646-$41,655-
Total Events$378,240-$219,706$-219,706
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Melinda GaraySpouse of Esther Lucero, CEOEmployee CompensationNo$106,475
-Owned by Lael Echo-hawk, Sister of Abigail Echo-hawk, Exec. Vice PresidentLobbying & ConsultingNo$30,169
Lawrence LuceroFather of Esther Lucero, CEOEmployee CompensationNo$15,779
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right-of-use Lease Liabilities$1,729,951
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
Yes
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
No
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 1A

“The board of directors has an executive committee composed of the officers of the board. The executive committee acts on behalf of the board between regular meetings and in emergency situations. The actions of the executive committee may not conflict with the board's policies and directives. Any executive committee actions are reviewed and ratified at the next regular board meeting.”

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

“Prior to filing, the form 990 was reviewed by the executive team and by the finance committee and was provided to the board.”

Form 990, Part VI, Section B, Line 12C

“Conflict of interest statements are collected annually from the board of directors and officers. Disclosures are reviewed by the human resources department for materiality. Board members with conflicts of interest are prohibited from deliberations, voting, or attempts to influence other board members on matters in which they have a financial or other private interest, whether direct or indirect. Disclosure of the nature and extent of all potential conflicts of interest is required prior to undertaking any board action.”

Form 990, Part VI, Section B, Line 15A

“The agency updates salary survey information every 2 years or less by position based on market-driven factors. Annually the only salary increases are for merit and based on an evaluation procedure. The board of directors approves the chief executive officer's annual increase based on established evaluation criteria. The most recent compensation review occurred in 2022.”

Form 990, Part VI, Section C, Line 19

“Sihb does not make the governing documents, conflict of interest policy or the financial statements available to the public.”

Filing and Contact Details

Filer

Filer Name
Seattle Indian Health Board
EIN
91-0869056
Phone
2063249360
Address
611 12TH AVENUE SOUTH, SEATTLE, WA 98144

Signing Officer

Name
Esther Lucero
Title
President & CEO
Phone
2063249360
Signed
2025-08-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Esther Lucero
Formed
1970
Legal Domicile
Wa
Voting Board Members
10
Independent Board Members
10
Employees
332
Volunteers
9

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other professional services: program service expenses 2,477,667. Management and general expenses 2,582,028. Fundraising expenses 0. Total expenses 5,059,695.”

FORM 990, PART XII, LINE 2C:

“The authority over and process for selecting the financial statement auditor and overseeing the financial statement audit did not change during the fiscal year.”

Financial Statement Notes

PART III, LINE 4:

“The organization holds two historic masks that are on display in the entry area of our primary care clinic, as well as other art and historical items on display in our various locations.”

PART X, LINE 2:

“The health board is not subject to income tax, as it is a tax-exempt organization under internal revenue code section 501(c)(3). However, income from certain activities not related to the health board's tax-exempt purpose is subject to taxation as unrelated business income. Management evaluated the health board's tax positions and concluded that the health board had taken no uncertain tax positions that require adjustments to the financial statements to comply with the provisions of topic 740 of the asc. Income tax returns are generally subject to examination for three years after they are filed.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising event expenses 219,706.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising event expenses 219,706.”

Raw XML AppendixShowing 400 of 935 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.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt0418532
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0SEATTLE INDIAN HEALTH BOARD IS A COMMUNITY HEALTH CENTER THAT PROVIDES HEALTH AND HUMAN SERVICES TO ITS PATIENTS, WHILE SPECIALIZING IN THE CARE OF NATIVE PEOPLE. WE ARE RECOGNIZED AS A LEADER IN THE PROMOTION OF HEALTH IMPROVEMENT FOR URBAN AMERICAN INDIANS AND ALASKA NATIVES, LOCALLY AND NATIONALLY.
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IRS990/ContractorCompensationGrp/ServicesDesc2TEMPORARY STAFFING
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IRS990/Desc0THE SEATTLE INDIAN HEALTH BOARD IS A NON-FOR-PROFIT ORGANIZATION THAT HAS BEEN IN OPERATION SINCE 1970. SIHB PROVIDES VITAL COMMUNITY HEALTH AND PUBLIC HEALTH SERVICES FOR ALL PEOPLE IN A NATIVE WAY. IN 2016, SIHB ESTABLISHED OUR INDIGENOUS KNOWLEDGE INFORMED SYSTEM OF CARE (INDIGIKNOW), TO HONOR OUR HISTORY AND TO CARRY US INTO THE FUTURE. INDIGIKNOW EMPHASIZES 5 KEY COMPONENTS OF OUR ORGANIZATION: HEALTH & HUMAN SERVICES, WORKFORCE DEVELOPMENT, POLICY & ADVOCACY, AND PUBLIC HEALTH. ALL ARE CENTERED ON TRADITIONAL MEDICINE.(CONTINUED IN SCHEDULE O)SIHB'S HEALTH AND HUMAN SERVICES DIVISION (HHS) IS DEEMED AN URBAN INDIAN HEALTH ORGANIZATION AND PART OF THE INDIAN HEALTH SERVICE SYSTEM OF CARE, WE ARE ALSO A 330 HRSA FUNDED FEDERALLY QUALIFIED HEALTH CENTER. WE OPERATE A 340B PHARMACY AT 3 DIFFERENT LOCATIONS. OUR HHS TEAMS HAVE WORKED HARD TO IMPLEMENT INDIGIKNOW, THE FIRST INTEGRATED MODEL OF ITS KIND, WHERE OUR RELATIVES (PATIENTS) RECEIVE TRULY HOLISTIC CARE, CENTERED ON TRADITIONAL INDIAN MEDICINE. THERE IS NO OTHER HEALTH SYSTEM WHERE RELATIVES ARE SERVED IN THIS CULTURALLY SPECIFIC WAY. THE CARE TEAMS CONSIST OF PRIMARY CARE PROVIDERS, NURSE CARE MANAGERS, MEDICAL ASSISTANTS, CLINICAL PHARMACISTS, NUTRITIONISTS, TRADITIONAL INDIAN MEDICINE APPRENTICES, CARE COORDINATORS, AND CLINICAL SOCIAL WORKERS. SOON TO ADD A DENTIST TO EACH CARE TEAM. THE CARE TEAMS CAN ACCESS SPECIALTY SERVICES EITHER THROUGH INTERNAL (TRADITIONAL MEDICINE PRACTITIONERS, PODIATRIST, PEDIATRICIAN, BEHAVIORAL HEALTH PROVIDER, NUTRITIONIST, LACTATION CONSULTING, ADDICTION MEDICINE) OR EXTERNAL REFERRALS. SIHB OFFERS INDIGIKNOW AT 3 CLINIC SITES AND ONE MOBILE SITE, WITH A 92-BED RESIDENTIAL TREATMENT FACILITY ON THE WAY. SIHB SERVES A DIVERSE RANGE OF INDIVIDUALS AND FAMILIES THROUGH MULTIPLE SITES AROUND KING COUNTY. THE CLINICS PROVIDE HEALTH SERVICES TO MORE THAN 6,000 PATIENTS PER YEAR THROUGH NEARLY 30,000 ENCOUNTERS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHO (THROUGH FEBRUARY 2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt2CFO (THROUGH DECEMBER 2023)
IRS990/Form990PartVIISectionAGrp/TitleTxt3MA, MSW, S-PSB, BEHAV HEALTH DIR
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IRS990/MissionDesc0SEATTLE INDIAN HEALTH BOARD IS A COMMUNITY HEALTH CENTER THAT PROVIDES HEALTH AND HUMAN SERVICES TO ITS PATIENTS, WHILE SPECIALIZING IN THE CARE OF NATIVE PEOPLE. WE ARE RECOGNIZED AS A LEADER IN THE PROMOTION OF HEALTH IMPROVEMENT FOR URBAN AMERICAN INDIANS AND ALASKA NATIVES, LOCALLY AND NATIONALLY.
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