American Indian Health Commission

Nonprofit profile at a glance

EIN
470922046
IRS 990 coverage
2011–2023
Forms available
Form 990 2023, Form 990-N 2009
Location
Sequim, WA, USA
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Reported finances

Revenue
$3,793,251
Expenses
$2,624,116
Assets
$3,568,841
Liabilities
$1,931,018

Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.

Leadership & pay

6 people listed

Executive titles in this filing

  • Vicki Lowe (Executive Director)

Highest reported compensation

  • Vicki Lowe (Executive Director): $122,700 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

A Tribally driven commission that provides a forum for the 29 Tribal Nations and 2 Urban Indian Health Programs in Washington State to come together, identify and prioritize working on common health issues.

What it reported doing in 2023

Other health and welfare programs which service to educate, support, provide prevention and health needs for the 29 Tribal Nations and 2 urban health organizations.

Operating model

Revenue model
Earned-program. 90% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 92
  • Accountability: 46
  • Sustainability: 63
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 67.4%; rating input score 67
  • Program expense ratio: 97.4%; rating input score 97
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 25%; rating input score 25; 6th percentile among comparable filings
  • Governance controls: 6 of 8 controls in place; rating input score 75
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 30.8%; rating input score 86; 86th percentile among comparable filings
  • Total-asset coverage ratio: 1.36; rating input score 48; 48th percentile among comparable filings
  • Liabilities to assets ratio: 0.54; rating input score 20; 20th percentile among comparable filings
  • Officer compensation ratio: 4.7%; rating input score 55; 55th percentile among comparable filings

Growth

  • Program expense growth: 9.1% per year; rating input score 100; 62nd percentile among comparable filings
  • Revenue growth: 13.3% per year; rating input score 100; 78th percentile among comparable filings
  • Asset growth: 18.2% per year; rating input score 100; 80th percentile among comparable filings

Details

  • Where the money goes: 67.4% of revenue deployed · 97.4% of spending went to programs
  • Governance: 1 of 4 board members independent · 6 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $2.6M in reported program spending
  • Leadership: top reported pay $123K · 6 people listed
  • Consistency: 21 of 21 current checks pass
  • Schedules: 3 filed schedules · includes major donors
  • Filing history: 6 filing years from 2011 to 2023
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Accountability: Independent voting board scored 25/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 48/100.
  • High — Sustainability: Liabilities to assets ratio scored 20/100.
  • Review — Sustainability: Officer compensation ratio scored 55/100.
  • High — Grant Readiness: Automatic revocation: this organization had its federal tax-exempt status automatically revoked.