Liabilities / Assets
33rd percentile
Higher debt load relative to assets than 33% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
33rd percentile
Higher debt load relative to assets than 33% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
91st percentile
Higher net margin than 91% of similar nonprofits.
Top Officer Pay
52nd percentile
Higher top officer pay than 52% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
95th percentile
Faster asset growth than 95% of similar nonprofits.
Revenue Growth
92nd percentile
Faster revenue growth than 92% of similar nonprofits.
Assets
Up$32,939,142
Up $14,929,188 (+83%) from 2021
Net Assets
Up$30,118,130
Up $14,178,500 (+89%) from 2021
Liabilities
Up$2,821,012
Up $750,688 (+36%) from 2021
Revenue
Up$24,909,115
Up $11,405,621 (+84%) from 2021
Expenses
Up$10,730,615
Up $1,084,232 (+11%) from 2021
Net Income
Up$14,178,500
Up $10,321,389 (+268%) from 2021
The native project and native health clinic's mission is to provide quality services that promote wellness and balance of mind, body and spirit for individuals, staff, families and communities.
To provide quality services that promote wellness and balance of mind, body and spirit for individuals, staff, families and communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $1,338,211 | $13,680,766 | ▲ $12,342,555 |
| Savings and Temporary Cash Investments | $7,725,644 | $12,603,705 | ▲ $4,878,061 |
| Land, Buildings, and Equipment, Net | $5,091,558 | $5,034,041 | ▼ $57,517 |
| Pledges and Grants Receivable | $1,537,889 | $977,436 | ▼ $560,453 |
| Accounts Receivable | $291,830 | $412,394 | ▲ $120,564 |
| Prepaid Expenses and Deferred Charges | $139,124 | $149,657 | ▲ $10,533 |
| Inventories for Sale or Use | $56,426 | $81,143 | ▲ $24,717 |
| Total Assets | $18,009,954 | $32,939,142 | ▲ $14,929,188 |
| Other Assets Total | $1,829,272 | - | - |
| Liabilities | |||
| Deferred Revenue | $1,399,060 | $1,206,435 | ▼ $192,625 |
| Other Liabilities | $194,845 | $925,437 | ▲ $730,592 |
| Accounts Payable and Accrued Expenses | $476,419 | $689,140 | ▲ $212,721 |
| Total Liabilities | $2,070,324 | $2,821,012 | ▲ $750,688 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $15,939,630 | $30,118,130 | ▲ $14,178,500 |
| Total Net Assets Fund Balance | $15,939,630 | $30,118,130 | ▲ $14,178,500 |
| Total Liabilities and Net Assets / Fund Balance | $18,009,954 | $32,939,142 | ▲ $14,929,188 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,679,533 | $2,004,160 | $5,683,693 |
| Equipment | $692,192 | $1,284,793 | $1,976,985 |
| Land | $551,746 | - | $551,746 |
| Other Land Buildings | $110,570 | - | $110,570 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Douglas Tanner | Physician | FT | $222,758 | $35,991 | $258,749 |
| Toni Lodge | CEO | FT | $232,430 | $16,709 | $249,139 |
| Justin Vanriper | Dentist | FT | $195,080 | $22,925 | $210,190 |
| John Mccarthy | CMO | PT | $203,862 | $15,110 | $206,862 |
| Jon Mackay | Pharmacist | FT | $168,197 | $13,827 | $204,188 |
| Maureen Rosette | COO | FT | $178,195 | $13,827 | $201,120 |
| Kendra Darnell | Physician | FT | $170,224 | $35,991 | $184,051 |
| Ken Stewart | Finance Dire | FT | $140,469 | $13,827 | $154,296 |
| Ken Stewart | Finance Director | - | $140,469 | $3,000 | $154,296 |
| Name | Title |
|---|---|
| Pamela Austin | Chair |
| Heleen Dewey | Vice Chair |
| Jason Campbell | Member |
| Lawrence Vandenburg | Member |
| Tom Tremaine | Secretary/tr |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Greenway Health | Ehr Support | 4301 W BOY SCOUT BLVD SUITE 800, Tampa, FL 33607 | $166,857 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 1 | $99,645 | Fair Market Value (FMV) |
| Total Noncash Contributions | 1 | $99,645 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,963,383 |
| Other Expenses | $3,422,483 |
| Grants and Similar Amounts Paid | $344,749 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,991,897 | $948,374 | - | $4,940,271 |
| Other Employee Benefits | $605,099 | $164,229 | - | $769,328 |
| Current Officers, Directors, Trustees, and Key Employees | $206,862 | $403,435 | - | $610,297 |
| Office Expenses | $369,335 | $203,405 | - | $572,740 |
| Payroll Taxes | $371,888 | $112,599 | - | $484,487 |
| Depreciation Depletion | $264,885 | $179,230 | - | $444,115 |
| Information Technology | $11,096 | $430,776 | - | $441,872 |
| Occupancy | $189,649 | $175,051 | - | $364,700 |
| Grants to Domestic Individuals | $344,749 | - | - | $344,749 |
| Fees for Services Other | $84,240 | $165,388 | - | $249,628 |
| All Other Expenses | $-40,723 | $286,651 | - | $245,928 |
| Pension Plan Contributions | $124,764 | $34,236 | - | $159,000 |
| Fees for Services Accounting | - | $69,000 | - | $69,000 |
| Conferences and Meetings | $28,957 | $34,566 | - | $63,523 |
| Other Expenses | $55,514 | - | - | $55,514 |
| Insurance | $521 | $42,582 | - | $43,103 |
| Fees for Services Legal | - | $31,104 | - | $31,104 |
| Travel | $3,083 | $8,983 | - | $12,066 |
| Advertising | $297 | $7,500 | - | $7,797 |
| Interest | - | $6 | - | $6 |
| Total Functional Expenses | $7,433,500 | $3,297,115 | $0 | $10,730,615 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $10,730,615 |
| Total Expenses per Audited Statements | $10,730,615 |
| Total Expenses per Form 990 | $10,730,615 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Maureen Rosette | Family Member | Employment | No | $201,120 |
| Dylan Dressler | Family Member | Employment | No | $161,657 |
| Liability | Amount |
|---|---|
| Estimated Medicaid Enhancement Payab | $925,437 |
“Maureen rosette pamela austin coo chair family relationship”
“A copy of the 990 is provided to the ceo and finance director who review the form, schedules and related attachments. The board of directors is included in the review process. Any comments or questions are addressed with the preparer. Once management is satisfied with the 990, the ceo signs the form and 8879-te authorizing the preparer to e-file the return.”
“A conflict of interest statement is completed annually by the board of directors and self disclosure in the interim disclosing any possible conflicts of interest. Any potential conflicts of interest that arise are considered during the decision-making process for all transactions. Any director involved in a potential conflict of interest is excluded from discussion and voting on that decision. All employees are required to report to their supervisor any potential instances that create a conflict of interest situation.”
“The process of determining compensation is based on payscale and regional labor and industries postings/surveys as provided by human resources which are reviewed by the board of directors in approving officers wages.”
“See form 990, part vi, line 15a.”
“The native project makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Line 4a - first accomplishment the native project provides care to persons covered by governmental programs at below cost and to individuals who are unable to pay. The unreimbursed value of providing care to clinic patients during the fiscal year was 71,512, which includes sliding fee and native cost share. The native project had 9,367 medical visits, 2,237 mental health visits, and 1,475 substance abuse visits, 1,692 dental visits, 51 summer program participants and 49 wellness program participants during the fiscal year.”
“The organization is exempt from federal income taxes under section 501(c)(3) of the internal revenue code. The organization evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of december 31, 2022 and 2021, the organization had no uncertain tax positions requiring accrual.”
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 | 476419 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 689140 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 291830 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 412394 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE QUALITY SERVICES THAT PROMOTE WELLNESS AND BALANCE OF MIND, BODY AND SPIRIT FOR INDIVIDUALS, STAFF, FAMILIES AND COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 7500 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 297 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 7797 |
| IRS990/AllOtherContributionsAmt | 0 | 772113 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 286651 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | -40723 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 245928 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | KEN STEWART |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5093255502 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1803 W MAXWELL |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SPOKANE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 99201 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1338211 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 13680766 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 403435 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 206862 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 610297 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 34566 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 28957 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 63523 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 166857 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 4301 W BOY SCOUT BLVD SUITE 800 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | TAMPA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 33607 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | GREENWAY HEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine2Txt | 0 | LIGHTNING INTERMEDIATE HOLDINGS LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | EHR SUPPORT |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 6415994 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 344749 |
| IRS990/CYInvestmentIncomeAmt | 0 | 222727 |
| IRS990/CYOtherExpensesAmt | 0 | 3422483 |
| IRS990/CYOtherRevenueAmt | 0 | 12481 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 18257913 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 14178500 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6963383 |
| IRS990/CYTotalExpensesAmt | 0 | 10730615 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 24909115 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1399060 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1206435 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 179230 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 264885 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 444115 |
| IRS990/Desc | 0 | THE NATIVE PROJECT PROVIDED ALCOHOL, DRUG, AND GANG/VIOLENCE PREVENTION, EDUCATION THROUGH LEADERSHIP CAMP, SUMMER PROGRAM, AND WELLNESS PROGRAM. OUT-PATIENT AND INTENSIVE OUT-PATIENT DRUG AND ALCOHOL TREATMENT, AND ADOLESCENT CHILDREN COUNSELING SERVICES WERE PROVIDED. THE NATIVE PROJECT PROVIDED PRIMARY MEDICAL CARE, ALONG WITH A DIABETES PROGRAM, LIMITED ADULT COUNSELING SERVICES, DENTAL SERVICES, AND PHARMACY SERVICES TO A PRIMARILY LOW INCOME/UNDER-SERVED POPULATION. SEE CONTINUATION ON SCHEDULE O. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 104 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 7433500 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 69000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 69000 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 31104 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 31104 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 165388 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 84240 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 249628 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 30.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.50 |
| 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/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/KeyEmployeeInd | 0 | 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/OtherCompensationAmt | 0 | 16709 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 35991 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 3000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 15110 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 22925 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 13827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 35991 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 13827 |
| 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/PersonNm | 0 | TONI LODGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DOUGLAS TANNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN MCCARTHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JUSTIN VANRIPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MAUREEN ROSETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KENDRA DARNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JON MACKAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KEN STEWART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | PAMELA AUSTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | HELEEN DEWEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TOM TREMAINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JASON CAMPBELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | LAWRENCE VANDENBURG |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 232430 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 222758 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 203862 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 195080 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 178195 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 170224 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 168197 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 140469 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| 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/TitleTxt | 0 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | FINANCE DIRE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SECRETARY/TR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1989 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 5643881 |
| IRS990/GrantAmt | 0 | 344749 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 344749 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 344749 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 24909115 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 4 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 430776 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 11096 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 441872 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 42582 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 521 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 43103 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 6 |
| IRS990/InterestGrp/TotalAmt | 0 | 6 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 56426 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 81143 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 222727 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 222727 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 25 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3288953 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 5091558 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5034041 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 8322994 |
| 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 | TO PROVIDE QUALITY SERVICES THAT PROMOTE WELLNESS AND BALANCE OF MIND, BODY AND SPIRIT FOR INDIVIDUALS, STAFF, FAMILIES AND COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 15939630 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 30118130 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 15939630 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 30118130 |
| IRS990/NoncashContributionsAmt | 0 | 99645 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 175051 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 189649 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 364700 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 203405 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 369335 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 572740 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1829272 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 164229 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 605099 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 769328 |
| IRS990/OtherExpensesGrp/Desc | 0 | DRUGS & MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | PROGRAM SERVICES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 821387 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 55514 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 821387 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 55514 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 194845 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 925437 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MEDICAL RECORDS & OTHER |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 12481 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 12481 |
| IRS990/OtherRevenueTotalAmt | 0 | 12481 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 948374 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3991897 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 4940271 |
| IRS990/OwnWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 112599 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 371888 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 484487 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 34236 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 124764 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 159000 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 1537889 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 977436 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 139124 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 149657 |
| IRS990/PrincipalOfficerNm | 0 | TONI LODGE |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 624100 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 624100 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | INDIAN HEALTH IMPROVEMENT |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PATIENT SERVICE REVENUE, NET |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 11067054 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 7190859 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 11067054 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 7190859 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 7528704 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 498799 |
| IRS990/PYInvestmentIncomeAmt | 0 | 4013 |
| IRS990/PYOtherExpensesAmt | 0 | 2733902 |
| IRS990/PYOtherRevenueAmt | 0 | 113009 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 5857768 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 3857111 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 6413682 |
| IRS990/PYTotalExpensesAmt | 0 | 9646383 |
| IRS990/PYTotalRevenueAmt | 0 | 13503494 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 14178500 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 18257913 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 7725644 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 12603705 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | FUNDRAISING & OTHER INCOME 194,589 MEDICAID TRANSFORMATION 1,105,412 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART II, LINE 10 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 6415994 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 7528704 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6914575 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3748395 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3250395 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 27858063 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 222727 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 4013 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 5527 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 6737 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6849 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 245853 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 38324954 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 12481 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 113009 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 241894 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 362280 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 582818 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 1312482 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.93570 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.94760 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 27526391 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 331672 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 6415994 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 7528704 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6914575 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3748395 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3250395 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 27858063 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 29416398 |
| 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 | 3679533 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 2004160 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 5683693 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 692192 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1284793 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 1976985 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 10730615 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 551746 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 551746 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 110570 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 110570 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 925437 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | ESTIMATED MEDICAID ENHANCEMENT PAYAB |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 24909115 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2022 AND 2021, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE D, PAGE 3, PART X |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 5034041 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 10730615 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 925437 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 24909115 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 24909115 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 10730615 |
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Displayed year
2022 • Form 990Detailed filing. Detailed filing data is available for this year.