National Indian Health Board
Public records show a registered, tax-exempt organization in good standing.
What it says it does
ESTABLISHED BY THE TRIBES TO ADVOCATE AS THE UNITED VOICE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES, NIHB SEEKS TO REINFORCE TRIBAL SOVEREIGNTY, STRENGTHEN TRIBAL HEALTH SYSTEMS, SECURE RESOURCES, AND BUILD CAPACITY TO ACHIEVE THE HIGHEST LEVEL OF HEALTH AND WELL-BEING FOR OUR PEOPLE.
- Income
- $10.4 million
- Spending
- $12.0 million
- Spent on programs
- 77%
- Reserves
- 5.4 months of spending
- Largest source of income
- government grants, 80%
- Employees
- 55
- Volunteers
- 14
- Highest pay
- $268,504, government relations direc
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 50 out of 100.
Reserves
20 of 35Spendable reserves would cover 5.4 months of spending.
Debt
10 of 20It owes 38% of what it owns.
Living within its means
0 of 15Spending exceeded income by 16% of income.
Income trend
5 of 15Income fell 12% on the year before.
Spending floor
15 of 1577% of spending went to programs and raising each dollar of donations cost 3 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 70 out of 100.
Independent board
25 of 2511 of 11 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
0 of 8Reports no written whistleblower policy.
Record keeping policy
0 of 7Reports no written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
0 of 15Its accounts were not audited or reviewed by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (4)
- $5.5 million spent. PUBLIC HEALTH POLICY AND PROGRAMSTHE PUBLIC HEALTH POLICY AND PROGRAMS DEPARTMENT OF THE NATIONAL INDIAN HEALTH BOARD SEEKS TO BOLSTER THE PUBLIC HEALTH INFRASTRUCTURE AND SERVICES WITHIN INDIAN COUNTRY. TO THIS END, NIHB OPERATES PROGRAMS THAT PROVIDE CAPACITY BUILDING AND TECHNICAL ASSISTANCE TO TRIBES AND TRIBAL ORGANIZATIONS TO PROVIDE EDUCATION, AND STRENGTHEN OUTREACH, PROGRAM DEVELOPMENT, RESEARCH CAPACITY, AND SERVICE DELIVERY ACROSS A VARIETY OF PUBLIC HEALTH ISSUES AND TOPICS (INCLUDING BUT NOT LIMITED TO: DIABETES, CLIMATE CHANGE, SUBSTANCE MISUSE, INTIMATE PARTNER VIOLENCE, MATERNAL HEALTH ADVERSE CHILDHOOD EXPERIENCES, EMERGENCY RESPONSE AND PLANNING, INFECTION CONTROL, AND SMOKING CESSATION). AS PART OF THIS WORK, NIHB OFTEN BRINGS TOGETHER GROUPS OF ELECTED LEADERS AND TRIBAL PUBLIC HEALTH PROFESSIONALS TO SHARE BEST PRACTICES, EXCHANGE INFORMATION, AND CREATE A FORUM IN WHICH THE TRIBAL VOICE CAN BE ELEVATED. NIHB ALSO UTILIZES A POLICY-BASED APPROACH TO STRENGTHEN THE VOICE AND PRESENCE OF TRIBES AND TRIBAL LEADERS ON THE NATIONAL LEVEL THROUGH THE PROVISION OF SUPPORT TO TRIBAL LEADERS SERVING ON FEDERAL ADVISORY COMMITTEES; TRAINING ON HOW TO BUILD COMMUNICATIVE BRIDGES WITH COMMUNITY-BASED, TRIBALLY-BASED, AND FEDERALLY-BASED PARTNERS; ANALYZING FEDERAL ACTION THAT COULD IMPACT TRIBAL PUBLIC HEALTH; AND ENSURING THAT CONVERSATIONS AROUND RACIAL AND HEALTH EQUITY INCORPORATE THE LEGAL, POLITICAL AND SOCIAL PERSPECTIVE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES.
- $2.1 million spent. REGULATORY ANALYSIS AND CONGRESSIONAL RELATIONSTHE POLICY CENTER AT THE NATIONAL INDIAN HEALTH BOARD RESEARCH THE LOGS OF FEDERAL ACTION AND ANALYZE THE IMPACT OR POTENTIAL IMPACT OF THESE REGULATIONS, LAWS, CODES, POLICIES, JUDICIAL DECISIONS, AND EXECUTIVE ORDERS ON THE TRIBAL AND FEDERAL COMPONENT OF THE INDIAN HEALTH SYSTEM. NIHB WRITES SUMMARIES ON THESE ACTIONS, DISSEMINATES INFORMATION TO ENSURE THAT TRIBES UNDERSTAND ANY SUCH COURSE OF ACTION AND ITS RAMIFICATIONS (EITHER POTENTIALLY POSITIVE OR NEGATIVE), AND WORKS WITH TRIBAL AND FEDERAL LEADERS ON THE IMPLEMENTATION OF SUCH ACTIONS. NIHB HAS A RESEARCH FUNCTION THAT HELPS TO COLLECT AND SYNTHESIZE DATA ON THE HEALTH SYSTEM AND THE IMPACT OF LAWS AND REGULATIONS AND PROVIDES THIS DATA TO TRIBAL LEADERS SO THAT THEY CAN MAKE INFORMED DECISIONS ABOUT HOW THEY WOULD LIKE TO SEE THE TRIBAL OR FEDERAL HEALTH SYSTEM OPERATE. THIS ARM OF NIHB ALSO HELPS TO FACILITATE FORMAL CONSULTATION OR LISTENING SESSIONS BETWEEN TRIBAL AND FEDERAL LEADERS AS REQUIRED BY LAW.
- $1.5 million spent. ENIVRONMENTAL HEALTHTHE EPA ENVIRONMENTAL JUSTICE PROJECT SUPPORT THE DEVELOPMENT THE TRIBAL ENVIRONMENTAL HEALTH WORKFORCE CAPACITY ASSESSMENT, THE PURPOSE OF WHICH IS TO GATHER INFORMATION ON THE CURRENT ENVIRONMENTAL HEALTH LANDSCAPE IN INDIAN COUNTRY. THE INFORMATION GATHERED FROM THE SURVEY WILL BE UTILIZED BY NIHB TO IDENTIFY AND PRIORITIZE TRAINING NEEDS, EDUCATION GAPS, MENTORSHIP AND PARTNERSHIPS TO ADDRESS ENVIRONMENTAL ISSUES AND CONCERNS AT TRIBAL HEALTH DEPARTMENTS AND TRIBAL ENVIRONMENTAL PROGRAMS.THE PROGRAM ALSO ENABLED NIHB TO CREATE A NETWORK OF ENVIRONMENTAL HEALTH EXPERTS WHO ARE AVAILABLE TO PROVIDE EDUCATIONAL WEBINARS AND TOPICAL EXPERTISE ON A VARIETY OF ENVIRONMENTAL TOPICS. THIS IS NECESSARY FOR TRIBES IN MEETING THEIR INFORMATIONAL AND PROGRAMMATIC NEEDS IN BUILDING AND SUPPORTING THEIR ENVIRONMENTAL HEALTH PROGRAMS.
- $125,400 spent. OTHER
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since March 1973.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
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