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)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 8,593,119 | 11,641,760 | 15,110,516 | 14,730,191 | 18,853,076 | 68,928,662 |
| 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 | 8,593,119 | 11,641,760 | 15,110,516 | 14,730,191 | 18,853,076 | 68,928,662 |
| 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. | 68,928,662 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 8,593,119 | 11,641,760 | 15,110,516 | 14,730,191 | 18,853,076 | 68,928,662 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 291,000 | 291,000 | ||||
| 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 | 69,282,184 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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) |
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| 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) |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| 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, PAGE 2, PART III, LINE 4A | NATIVE HEALTH DBA NATIVE AMERICAN COMMUNITY HEALTHCARE 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. DESCRIPTION OF ACTIVITIES: AS COVID'S PUBLIC HEALTH EMERGENCY ENDED, NATIVE HEALTH RETURNED TO IN- PERSON PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND COMMUNITY PROGRAMS. NATIVE HEALTH PROVIDES PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, WIC, AND WELLNESS PROGRAMS AT THREE CLINICAL SITES IN THE METRO-PHOENIX AREA. NATIVE HEALTH ALSO OPERATES A 40-FOOT MOBILE MEDICAL UNIT PROVIDING WELL AND SICK VISITS, BACK TO SCHOOL AND SPORTS PHYSICALS, IMMUNIZATIONS AND FLU SHOTS, SCREENINGS, HIV TESTING, COVID VACCINES, DENTAL SCREENINGS, AND OTHER COMMUNITY SERVICES. NATIVE HEALTH CONTINUES TO PROVIDE DRIVE-THRU FLU SHOT CLINICS AT COMMUNITY EVENTS AND IN THE CLINICS. NATIVE HEALTH MEDICAL SERVICES ARE AVAILABLE VIRTUALLY AND IN-PERSON. DENTAL SERVICES ARE AVAILABLE AT TWO LOCATIONS AND EMERGENCY WALK-IN APPOINTMENTS ARE AVAILABLE. NATIVE HEALTH'S BEHAVIORAL HEALTH DEPARTMENT PROVIDES SERVICES AT THREE SITES INCLUDING SUBSTANCE USE ASSESSMENTS, INDIVIDUAL COUNSELING, GROUP COUNSELING, CASE MANAGEMENT, PSYCHIATRIC SERVICES, DOMESTIC VIOLENCE SERVICES, AND TALKING CIRCLES. NATIVE HEALTH ALSO PROVIDES ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCE. NATIVE HEALTH'S TRADITIONALIST CONTINUES TO PROVIDE TALKING CIRCLES TO ARIZONA STATE UNIVERSITY'S NATIVE AMERICAN STUDENTS AND TO THE NATIVE AMERICAN COMMUNITY. NATIVE HEALTH'S COMMUNITY HEALTH AND WELLNESS PROGRAMS CONTINUED SERVING THE COMMUNITY WITH MANY PROGRAMS SUCH AS YOUTH RESILIENCY, INDIGENOUS WELLNESS, TRADITIONAL GARDEN, MATERNAL CHILD HEALTH PROGRAMS INCLUDING MULTIPLE HOME VISITING PROGRAMS, AND WIC, TO NAME JUST A FEW. HIGHLIGHTS INCLUDE POSITIVE INDIAN PARENTING, DIABETES PREVENTION CLASSES AND TALKING CIRCLES, TRADITIONAL GARDEN WHICH INCLUDED TRADITIONAL GARDENING TECHNIQUES AND PLANTS AND HARVESTS OF OVER 2,500 POUNDS AND WERE DISTRIBUTED TO THE COMMUNITY THROUGH NATIVE HEALTH'S FOOD PANTRIES. THESE PROGRAMS ARE AVAILABLE TO URBAN NATIVE AMERICANS AND OTHER UNDERSERVED COMMUNITY MEMBERS. NATIVE HEALTH CONTINUES TO ENGAGE THE COMMUNITY IN A VARIETY OF WAYS. NATIVE HEALTH CONTINUES TO WORK WITH COMMUNITY PARTNERS AND PROVIDE ADDITIONAL SERVICES TO THE COMMUNITY. ARIZONA DEPARTMENT OF ECONOMIC SECURITY 'S ARIZONA@WORK PROVIDES SERVICES AT NATIVE HEALTH CENTRAL AND MESA. COMMUNITY LEGAL SERVICES SEES MANY CLIENTS EACH WEEK AND PROVIDES LEGAL ASSISTANCE AT NATIVE HEALTH CENTRAL. VETERANS EMPLOYMENT SERVICES ARE ALSO AVAILABLE AT NATIVE HEALTH CENTRAL. NATIVE HEALTH WORKS WITH ARIZONA STATE UNIVERSITY INTERNS IN PROVIDING A "CONCIERGE" SERVICE FOR INDIVIDUALS NEEDING HOUSING ASSISTANCE AND OTHER REFERRALS THROUGH THEIR HELPING HANDS PROGRAM. FOOD DISTRIBUTION CONTINUES TO BE A LARGE PROGRAM, WITH OVER NINE FOOD PROGRAMS AND TWO FOOD PANTRIES PROVIDING MUCH NEEDED FOOD TO THE COMMUNITY. OVER 1,000 FAMILIES UTILIZE NATIVE HEALTH'S FOOD PANTRY IN MESA. ADDITIONAL COMMUNITY PROGRAMS INCLUDE INDIGENOUS YOUNG CHEFS IN THE KITCHEN, HOLIDAY TURKEY DISTRIBUTIONS, INDIGENOUS FOOD BOX DISTRIBUTION, READ IT AND EAT, AND URBAN NATIVE AMERICAN SENIOR FOOD BOXES, TO NAME JUST A FEW. READ IT AND EAT CONTINUES TO BE A POPULAR PROGRAM FOR FAMILIES WITH YOUNG CHILDREN. PARTICIPANTS ENJOY A STORY TIME, CRAFT, AND MAKE A HEALTHY, FUN RECIPE. PARTICIPANTS TAKE HOME A BAG OF HEALTHY PRODUCE. NATIVE HEALTH CONTINUES TO ENGAGE THE COMMUNITY AND PROVIDES CULTURAL CLASSES AND TRADITIONAL COOKING PROGRAMS. OTHER HIGHLIGHTED PROGRAMS INCLUDE AN ANNUAL TRADITIONAL CHILDREN'S PAGEANT JUDGED BY TRIBAL ROYALTY AND ANNUAL OPEN HOUSE WITH OVER 8,000 ATTENDING. NATIVE HEALTH ALSO HAS A RADIO SHOW AND PODCAST, NATIVE TALK ARIZONA, WHICH AIRS ON A LOCAL PHOENIX RADIO STATION KRDP 90.7. NATIVE HEALTH'S SOCIAL MEDIA IS ACTIVE WITH OVER 25,000 FOLLOWERS. NATIVE HEALTH'S HARD-WORKING AND DEDICATED STAFF CONTINUE TO MAKE A DIFFERENCE IN MANY WAYS. THERE ARE TOO MANY PROGRAMS TO LIST, BUT NATIVE HEALTH SUPPORTS THE COMMUNITY IN WHAT THEY NEED AND WANT. NATIVE HEALTH CONTINUES TO MAKE AN IMPACT ON THE COMMUNITY. |
| 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 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OUTSIDE MEDICAL SERVICES 2,307,340 638,161 0 |
| FORM 990, PART XI, LINE 9 | RENTAL INCOME 31,046 RENTAL EXPENSES -31,046 |
| Software ID: | |
| Software Version: |