Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 6,344,457 | 7,444,178 | 8,602,807 | 8,593,119 | 11,641,760 | 42,626,321 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 6,344,457 | 7,444,178 | 8,602,807 | 8,593,119 | 11,641,760 | 42,626,321 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 42,626,321 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,344,457 | 7,444,178 | 8,602,807 | 8,593,119 | 11,641,760 | 42,626,321 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 42,626,321 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, ITEM C | NATIVE AMERICAN COMMUNITY HEALTHCARE |
| FORM 990 - ORGANIZATION'S MISSION | MISSION: TO PROVIDE ACCESSIBLE HOLISTIC PATIENT CENTERED CARE, TO EMPOWER OUR COMMUNITY TO ACHIEVE THE HIGHEST QUALITY HEALTH AND WELL-BEING. VISION: HEALTHY PEOPLE IN HEALTHY COMMUNITIES. VALUES: IN THE TRADITION OF OUR PEOPLE, NATIVE HEALTH CONTINUES TO CARRY THE CORE VALUES THAT HELP STRENGTHEN INDIVIDUALS AND FAMILIES BY PROVIDING SERVICES IN AN ATMOSPHERE OF HOSPITALITY AND RESPECT FOR THE DIGNITY OF EACH PERSON INVOLVED IN THE CARING AND HEALING PROCESS AND IS FURTHER CHARACTERIZED BY PROFESSIONAL EXCELLENCE. THESE CORE VALUES ARE (C.I.R.C.L.E.): COMMUNITY: OUR UNIQUE SERVICE TO THE URBAN PHOENIX NATIVE AMERICAN POPULATION AND OTHERS WE SERVE IS HONORED AS WE ARE CHOSEN AS THEIR MEDICAL HOME WITHIN THE AVAILABLE HEALTH CARE COMMUNITY. INTEGRITY: OUR ORGANIZATIONAL INTEGRITY REQUIRES THAT AS WE EXPRESS OUR INTENT IN A CLEAR AND HONEST MANNER, WE TRUST THAT THE TRUTH WILL ULTIMATELY BE DEMONSTRATED BY OUR POSITIVE ACTIONS. RESPECT: THE NEEDS OF OTHERS HAVE BROUGHT THEM TO SEEK OUR SERVICES; THEY RETURN BECAUSE WE VALUE THEIR INDIVIDUAL NEEDS AND PARTICIPATION. COMPASSION: WE PROVIDE SERVICES THAT ARE HOLISTIC, CLIENT-CENTERED, AND MOVING TOWARDS FULL SERVICE INTEGRATION TO BETTER SERVE THE NEEDS OF THE INDIVIDUAL. LEADERSHIP: WE BELIEVE IN PASSION, PERSISTENCE, AND IMAGINATION IN GETTING RESULTS. EXCELLENCE: A SHARED EXPECTATION THAT OUR PRODUCTS, HEALTHCARE SERVICES, AND PERSONAL RELATIONSHIPS ARE OF A SUPERIOR QUALITY. |
| FORM 990, PAGE 2, PART III, LINE 4A | NATIVE HEALTH HAS BEEN BUSY FY 2020 BROUGHT THE COVID PANDEMIC, AND NATIVE HEALTH HAD TO CHANGE, GROW, AND SHIFT PRIORITIES. SOME ACCOMPLISHMENTS INCLUDED ROLLING OUT MEDICAL, BEHAVIORAL HEALTH, AND EMERGENCY TELEHEALTH AND VIRTUAL HEALTH CARE. NATIVE HEALTH ALSO PROVIDED THOUSANDS OF COVID TESTS, FLU SHOTS, AND BEGAN DISTRIBUTING COVID VACCINES. DURING COVID, NATIVE HEALTH BEGAN PROVIDING ONLINE CULTURAL CLASSES AND PROGRAMMING. THOUSANDS OF PEOPLE WATCHED AND PARTICIPATED IN THESE CLASSES FROM THE SAFETY OF THEIR HOMES. SUPPLIES WERE PROVIDED AT NO COST TO PARTICIPANTS, AND THIS PROVED TO BE VERY POPULAR WHILE PEOPLE STAYED HOME. NATIVE AMERICANS WERE HIT ESPECIALLY HARD WITH COVID. NATIVE HEALTH STEPPED UP AND PROVIDED ADDITIONAL RESOURCES FOR THE COMMUNITY. THE DEMAND FOR NATIVE HEALTH'S FOOD PROGRAMS GREW QUICKLY AND NATIVE HEALTH PROVIDED TENS OF THOUSANDS OF MEALS DURING COVID. THIS INCLUDED CHILDREN'S MEALS, FOOD BACKPACKS, HOMELESS SNACK BAGS, SENIOR FOOD BOXES, URBAN NATIVE AMERICAN FOOD BOXES, AND MUCH MORE. WITH ADDITIONAL FUNDING AND SUPPORT FROM VARIOUS PARTNERS NATIVE HEALTH WAS ABLE TO PROVIDE INDIGENOUS FOOD BOXES, HOLIDAY FOOD BOXES AND TURKEYS, TOILETRIES, HOLIDAY GIFTS, AND MUCH, MUCH MORE NATIVE HEALTH HAS ADDRESSED FOOD INSECURITY AND PROVIDES FOOD FIVE DAYS PER WEEK, WITH A FREE, CURBSIDE, GRAB AND GO MODEL. NATIVE HEALTH CONTINUES TO LISTEN TO THE COMMUNITY AND WORKED WITH ARIZONA STATE UNIVERSITY'S AMERICAN INDIAN PROGRAMS AND PROVIDES VIRTUAL TALKING CIRCLES TO SUPPORT THE STUDENTS AS WELL AS OTHER PROGRAMMING IN THE COMMUNITY. NATIVE HEALTH ALSO HOSTED A VIRTUAL INDIGENOUS WARRIORS DIABETES PREVENTION CAMP, A VIRTUAL YOUTH FEST, BOTH OF WHICH PROMOTE GOOD HEALTH AND WELLNESS. THE TRADITIONAL CHILDREN'S PAGEANT AND ANNUAL OPEN HOUSE WERE DONE VIRTUALLY, AND EVERYONE ENJOYED THE DIFFERENT PRESENTATIONS AND MATERIALS. TURNOUT FOR THESE PROGRAMS WAS AT A RECORD HIGH NATIVE HEALTH LAUNCHED A FIRST EVER, INDIGENOUS KINDERGARTEN BOOT CAMP, WHICH HELPS URBAN NATIVE AMERICAN PRESCHOOL CHILDREN BE PREPARED TO ENTER KINDERGARTEN. VIRTUAL CLASSES WERE OFFERED THREE TIMES PER WEEK, FOR SIX WEEKS. ALL SUPPLIES AND INDIGENOUS BOOKS WERE MAILED TO THE STUDENT AT NO COST. NATIVE HEALTH CONTINUES TO BE NATIONALLY RECOGNIZED AND DURING COVID MANY NEWS OUTLETS COVERED THE UNIQUE PROGRAMMING AND ACTIVITIES. NATIVE HEALTH CONTINUES TO PROVIDE PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, WIC AND WELLNESS PROGRAMS TO ALL. COVID BROUGHT NEW CHALLENGES, BUT NATIVE HEALTH EMERGED STRONGER AND BETTER SERVICES CONTINUE AND MORE PROGRAMS ARE BEING OFFERED VIRTUALLY TO THE COMMUNITY. NATIVE HEALTH CONTINUES TO OUTREACH TO THE COMMUNITY AND PROVIDE REQUESTED SERVICES. COVID VACCINES ARE WHAT NATIVE HEALTH IS ROLLING OUT NOW, WITH A GREAT RESPONSE. NATIVE HEALTH INSTITUTED MEDICAL OUTREACH TEAMS TO SERVE THE COMMUNITY. THIS BEGAN WITH COVID TESTING, MOVED TO FLU SHOTS, AND NOW PROVIDING COVID VACCINES. ONE ARM AT A TIME, NATIVE HEALTH IS MAKING A DIFFERENCE. FY 2020 WAS QUITE A YEAR, AND NATIVE HEALTH IS LOOKING FORWARD TO UPCOMING CHALLENGES |
| FORM 990, PAGE 6, PART VI, LINE 11B | NATIVE HEALTH'S BOARD OF DIRECTOR FINANCE CHAIR REVIEWS THE SUBMISSION FIRST, THEN PRESENTS THE 990 TO THE BOARD OF DIRECTORS AND RECOMMENDS ITS SUBMISSION DURING AN OFFICIAL BOARD OF DIRECTOR MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CENTER BYLAWS AND POLICY REQUIRES DISCLOSURE OF CONFLICTS OF INTEREST. AN ANNUAL LETTER IS SENT TO EACH BOARD MEMBER TO DISCLOSE ANY POTENTIAL ISSUES. EACH RETURNED LETTER IS REVIEWED AND THEN RESOLVED AT AN OFFICIAL BOARD OF DIRECTOR MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | MARKET SURVEY OF SIMILAR ORGANIZATIONS IN THE COUNTY AND STATE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | MARKET SURVEY OF SIMILAR ORGANIZATIONS IN THE COUNTY AND STATE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST |
| FORM 990, PART XI, LINE 9 | 990-T EXPENSES 31,283 990-T EXPENSES -31,283 |
| Software ID: | |
| Software Version: |