Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
EIN 91-1116355 • 501(c)3 • Tacoma, WA
Profile
It is the mission of the puyallup tribal health authority to provide quality healthcare and promote wellness in a culturally appropriate manner.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
Liabilities / Revenue
39th percentile
Higher debt load relative to revenue than 39% of similar nonprofits.
Net Margin
55th percentile
Higher net margin than 55% of similar nonprofits.
Top Officer Pay
74th percentile
Higher top officer pay than 74% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
42nd percentile
Faster asset growth than 42% of similar nonprofits.
Revenue Growth
23rd percentile
Faster revenue growth than 23% of similar nonprofits.
Assets
Up$40,544,813
Up $1,147,384 (+2.9%) from 2016
Liabilities
Down$8,581,176
Down $2,214,075 (-21%) from 2016
Net Assets
Up$31,963,637
Up $3,361,459 (+12%) from 2016
Revenue
Down$46,261,315
Down $2,408,920 (-4.9%) from 2016
Expenses
Up$43,419,752
Up $118,761 (+0.3%) from 2016
Net Income
Down$2,841,563
Down $2,527,681 (-47%) from 2016
Most recent year
2017 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2017 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.
It is the mission of the puyallup tribal health authority to provide quality healthcare and promote wellness in a culturally appropriate manner.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $15,565,557 | $17,120,280 | ▲ $1,554,723 |
| Investments in Publicly Traded Securities | $7,217,456 | $7,252,083 | ▲ $34,627 |
| Cash and Non-Interest-Bearing Accounts | $4,226,295 | $6,483,481 | ▲ $2,257,186 |
| Pledges and Grants Receivable | $3,894,691 | $1,487,622 | ▼ $2,407,069 |
| Accounts Receivable | $527,818 | $648,020 | ▲ $120,202 |
| Inventories for Sale or Use | $250,060 | $263,085 | ▲ $13,025 |
| Prepaid Expenses and Deferred Charges | $193,336 | $200,864 | ▲ $7,528 |
| Total Assets | $31,875,213 | $33,455,435 | ▲ $1,580,222 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $5,690,160 | $5,239,048 | ▼ $451,112 |
| Deferred Revenue | $3,650,577 | $4,983,453 | ▲ $1,332,876 |
| Total Liabilities | $9,340,737 | $10,222,501 | ▲ $881,764 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $22,534,476 | $23,232,934 | ▲ $698,458 |
| Total Net Assets Fund Balance | $22,534,476 | $23,232,934 | ▲ $698,458 |
| Total Liabilities and Net Assets / Fund Balance | $31,875,213 | $33,455,435 | ▲ $1,580,222 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $15,041,238 | - | $15,041,238 |
| Equipment | $833,796 | $4,071,899 | $4,905,695 |
| Buildings | $968,605 | $605,019 | $1,573,624 |
| Land | $276,641 | - | $276,641 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Alan Shelton | Clinical Director | FT | $345,554 | $21,830 | $345,554 |
| Julie Merriam | Director Medical | FT | $239,134 | $21,287 | $260,421 |
| Julie Merriam | Director Medical Edu. | - | $239,134 | - | $239,134 |
| Paul Barnett | Physician | FT | $238,665 | $21,264 | $238,665 |
| Mike Crocker | CFO | PT | $229,286 | $9,330 | $229,286 |
| Christine Henry | Executive Di | FT | $209,402 | $19,801 | $229,203 |
| Margaret Johnston-kitazawa | Physician | FT | $223,392 | $20,500 | $223,392 |
| Alan Shulman | Physician | FT | $219,787 | $20,320 | $219,787 |
| Christine Henry | Executive Director | - | $209,402 | - | $209,402 |
| Walter Hollow | Physician | FT | $204,903 | $19,576 | $204,903 |
| Andrea Tiffany Friesen | Physician | FT | $201,250 | $19,393 | $201,250 |
| Will Jones | Compliance O | FT | $177,623 | $18,212 | $195,835 |
| Will Jones | Compliance Officer | - | $177,623 | - | $177,623 |
| Name | Title |
|---|---|
| Bill Sterud | Chairman |
| Roleen Hargrove | Vice Chairma |
| David Z Bean | Board Member |
| Lawrence Lapointe | Board Member |
| Marguerite Edwards | Board Member |
| Sylvia Miller | Board Member |
| Tim Reynon | Board Member |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Isaac Fu Dds | Orthodontist | 21717 96TH PLACE SOUTH, Kent, WA 98031 | $105,417 |
| Line Item | Amount |
|---|---|
| Other Expenses | $20,012,987 |
| Salaries, Compensation, and Employee Benefits | $19,370,735 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $13,310,555 | $2,199,516 | - | $15,510,071 |
| Fees for Services Other | $12,341,303 | $190,227 | - | $12,531,530 |
| Office Expenses | $4,778,001 | $55,303 | - | $4,833,304 |
| Other Employee Benefits | $3,324,101 | $536,563 | - | $3,860,664 |
| Depreciation Depletion | - | $520,167 | - | $520,167 |
| Other Expenses | $75,488 | $788,031 | - | $75,488 |
| Travel | $61,455 | $8,905 | - | $70,360 |
| Total Functional Expenses | $35,085,010 | $4,298,712 | $0 | $39,383,722 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $39,383,722 |
| Total Expenses per Audited Statements | $39,383,722 |
| Total Expenses per Form 990 | $39,383,722 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Adult puyallup tribal members, some of whom are employees of ptha and some of whom are patients of ptha, may vote in elections to select their tribal council members. The tribal council appoints the ptha board of directors.”
“The cfo and the accounting manager review the 990 in detail before it is filed. Copies are given to the board of directors.”
“The board of directors adopts, updates and enforces the policy with advice from legal counsel. Individual members are accountable to the entire board for compliance. Annual training for employees includes the policy's requirements with violations subject to progressive discipline and board oversight.”
“The executive director's compensation was set by the board of directors after review and recommendation by the tribe's human resource (hr) department and finance department. The cfo's compensation was set after internal hr review and recommendation, followed by review and recommendation from the tribe's hr and finance department and board approval.”
“Other key employees compensation has been set by ptha hr department with finance department review. Comparisons with like positions, both internally and externally, by utilizing professional salary studies (i.e. Milliman). Hr recommends the salary, finance reviews and determines budget availability, and the executive director gives final approval or denial. Ongoing adjustments to salary levels are generally due to budgeted and approved general salary increases for all staff based on market and economic review and subject to board approval. Other interim adjustments may be made to reflect internal/external equity, increased responsibilities resulting in a position reclassification. These are all reviewed by hr and finance before being approved by the executive director before implementation.”
“Governing documents, conflict of interest policy and financial statements are available for public inspection upon request in the authority's office. 990 and 1023 information is similarly available.”
“Community health care: 6,838 patient encounters; other funding (includes diabetes, wic, tobacco preventions and contract health services): 6,592 patient encounters”
“Contract srvcs-health clinic 1,384,547 0 0 contract srvcs-alcohol & drug 373 0 0 contract srvcs-community h. 17,561 0 0 contract srvcs-other funding 10,938,822 0 0 contract srvcs-support 0 190,227 0”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 5690160 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5239048 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 527818 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 648020 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | IT IS THE MISSION OF THE PUYALLUP TRIBAL HEALTH AUTHORITY TO PROVIDE QUALITY HEALTHCARE AND PROMOTE WELLNESS IN A CULTURALLY APPROPRIATE MANNER. |
| IRS990/AllOtherContributionsAmt | 0 | 12150 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | false |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MIKE CROCKER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2532930232 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 8009 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TACOMA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 98418 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4226295 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 6483481 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 105417 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 21717 96TH PLACE SOUTH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | KENT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 98031 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | ISAAC FU DDS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ORTHODONTIST |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 23973111 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 51395 |
| IRS990/CYOtherExpensesAmt | 0 | 20012987 |
| IRS990/CYOtherRevenueAmt | 0 | 78437 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 15979237 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 698458 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 19370735 |
| IRS990/CYTotalExpensesAmt | 0 | 39383722 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 40082180 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 3650577 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 4983453 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 520167 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 520167 |
| IRS990/Desc | 0 | HEALTH CLINIC: 42,767 PATIENT ENCOUNTERS |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 228 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 20332131 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 190227 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 12341303 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 12531530 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 32.00 |
| 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/AverageHoursPerWeekRt | 14 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BILL STERUD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LAWRENCE LAPOINTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROLEEN HARGROVE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARGUERITE EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SYLVIA MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DAVID Z BEAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TIM REYNON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ALAN SHELTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JULIE MERRIAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MIKE CROCKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | CHRISTINE HENRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WILL JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | PAUL BARNETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARGARET JOHNSTON-KITAZAWA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ALAN SHULMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | WALTER HOLLOW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ANDREA TIFFANY FRIESEN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 345554 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 239134 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 229286 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 209402 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 177623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 238665 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 223392 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 219787 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 204903 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 201250 |
| 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 | 21830 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 21287 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 9330 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 19801 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 18212 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 21264 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 20500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 20320 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 19576 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 19393 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIRMA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CLINICAL DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIR. MEDICAL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | EXECUTIVE DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | COMPLIANCE O |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 15862573 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 40082180 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 28 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 250060 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 263085 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 51395 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 51395 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 7217456 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 7252083 |
| IRS990/IRPDocumentCnt | 0 | 55 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4676918 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 15565557 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 17120280 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 21797198 |
| IRS990/LegalDomicileStateCd | 0 | WA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | IT IS THE MISSION OF THE PUYALLUP TRIBAL HEALTH AUTHORITY TO PROVIDE QUALITY HEALTHCARE AND PROMOTE WELLNESS IN A CULTURALLY APPROPRIATE MANNER. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 22534476 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 23232934 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NoncashContributionsAmt | 0 | 12150 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 55303 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 4778001 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 4833304 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 536563 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3324101 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3860664 |
| IRS990/OtherExpensesGrp/Desc | 0 | OTHER |
| IRS990/OtherExpensesGrp/Desc | 1 | EQUIPMENT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 788031 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1194107 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 75488 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1982138 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 75488 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 78437 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 78437 |
| IRS990/OtherRevenueTotalAmt | 0 | 78437 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2199516 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 13310555 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 15510071 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 3894691 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1487622 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 193336 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 200864 |
| IRS990/PrincipalOfficerNm | 0 | CHRISTINE HENRY |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | FEES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 15979237 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 15979237 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | ALCOHOL & DRUG TREATMENT: 4,828 PATIENT ENCOUNTERS |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 381227 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 1005947 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | MENTAL HEALTH: 8,837 PATIENT ENCOUNTERS |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 1144843 |
| IRS990/ProgSrvcAccomActy3Grp/RevenueAmt | 0 | 1714592 |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | COMMUNITY HEALTH CARE: 6,838 PATIENT ENCOUNTERS; OTHER FUNDING (INCLUDES DIABETES, WIC, TOBACCO PREVENTIONS AND CONTRACT HEALTH SERVICES): 6,592 PATIENT ENCOUNTERS |
| IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt | 0 | 13226809 |
| IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt | 0 | 681089 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 26350424 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYOtherExpensesAmt | 0 | 17869732 |
| IRS990/PYOtherRevenueAmt | 0 | 494290 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 13012119 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 4380215 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 17606886 |
| IRS990/PYTotalExpensesAmt | 0 | 35476618 |
| IRS990/PYTotalRevenueAmt | 0 | 39856833 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 698458 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RelatedOrganizationsAmt | 0 | 8098388 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 12577609 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 23973111 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 26350424 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 21629612 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 26038596 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 24207498 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 122199241 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 55778 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 41022 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 96800 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 16109069 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.99900 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.99900 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 122199241 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 23973111 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 26350424 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 21629612 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 26038596 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 24207498 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 122199241 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 122315784 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4655 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 15088 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt | 0 | 19743 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 968605 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 605019 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 1573624 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 833796 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 4071899 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 4905695 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 39383722 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 276641 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 276641 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 15041238 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 15041238 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 40082180 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 17120280 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 39383722 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 40082180 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 40082180 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 39383722 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/CompensationSurveyInd | 0 | X |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | false |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 345554 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 239134 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 229286 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 209402 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 177623 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 5 | 238665 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 6 | 223392 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 7 | 219787 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 8 | 204903 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 9 | 201250 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 21830 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 21287 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 9330 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 3 | 19801 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 4 | 18212 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 5 | 21264 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 6 | 20500 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 7 | 20320 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 8 | 19576 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 9 | 19393 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | ALAN SHELTON |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | JULIE MERRIAM |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | MIKE CROCKER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | CHRISTINE HENRY |
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