Civic Intelligence

Sacramento Native American Health Center

EIN 20-4287737 • 501(c)3 • Sacramento, CA

View Organization Page

Profile

The mission of the sacramento american native health center is to carry out the legacy of a healthy american indian and alaskan native community based on cultural values delivered through traditional, measurable, transformational, innovative, accessible and self-sufficient systems of health care.

Refreshing map…

2020 J StreetSacramento, CA 95811

www.snahc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

75th percentile

0.53x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

69th percentile

0.61x

Higher debt load relative to revenue than 69% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

71st percentile

16%

Higher net margin than 71% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

69th percentile

$361,065

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

8th percentile

-11%

Faster asset growth than 8% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

80th percentile

33%

Faster revenue growth than 80% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets75th percentile

Assets

Down

$43,188,760

Down $5,183,199 (-11%) from 2023

Liabilities

Down

$22,918,926

Down $5,178,961 (-18%) from 2023

Net Assets

Down

$20,269,834

Down $4,238 (-0.0%) from 2023

Operations
Liabilities / Revenue69th percentileNet Margin71st percentile

Revenue

Up

$37,785,557

Up $9,459,382 (+33%) from 2023

Expenses

Up

$31,753,327

Up $2,320,967 (+7.9%) from 2023

Net Income

Up

$6,032,230

Up $7,138,415 (+645%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth8th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $1,891,929Liabilities 2010: $142,882Net Assets 2010: $1,749,0472010Assets 2011: $1,543,439Liabilities 2011: $198,634Net Assets 2011: $1,344,8052011Assets 2012: $1,152,579Liabilities 2012: $299,415Net Assets 2012: $853,1642012Assets 2013: $2,825,341Liabilities 2013: $217,174Net Assets 2013: $2,608,1672013Assets 2014: $3,197,327Liabilities 2014: $307,599Net Assets 2014: $2,889,7282014Assets 2015: $6,268,337Liabilities 2015: $3,807,578Net Assets 2015: $2,460,7592015Assets 2016: $5,322,803Liabilities 2016: $4,417,989Net Assets 2016: $904,8142016Assets 2017: $7,597,981Liabilities 2017: $4,951,265Net Assets 2017: $2,646,7162017Assets 2018: $8,095,701Liabilities 2018: $2,243,768Net Assets 2018: $5,851,9332018Assets 2019: $10,210,736Liabilities 2019: $1,989,719Net Assets 2019: $8,221,0172019Assets 2020: $16,146,721Liabilities 2020: $4,748,740Net Assets 2020: $11,397,9812020Assets 2021: $27,778,870Liabilities 2021: $11,605,954Net Assets 2021: $16,172,9162021Assets 2022: $50,173,428Liabilities 2022: $35,911,667Net Assets 2022: $14,261,7612022Assets 2023: $48,371,959Liabilities 2023: $28,097,887Net Assets 2023: $20,274,0722023Assets 2024: $43,188,760Liabilities 2024: $22,918,926Net Assets 2024: $20,269,8342024

Highlighted filing

2024

Assets$43,188,760
Liabilities$22,918,926
Net Assets$20,269,834
Open 2024 Filing

Operations Trend

Revenue Growth80th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MRevenue 2010: $4,874,130Expenses 2010: $3,956,139Net Income 2010: $917,9912010Expenses 2011: $5,292,3022011Expenses 2012: $6,032,3312012Revenue 2013: $5,956,397Expenses 2013: $5,771,090Net Income 2013: $185,3072013Revenue 2014: $7,670,833Expenses 2014: $7,474,315Net Income 2014: $196,5182014Revenue 2015: $8,120,447Expenses 2015: $8,549,416Net Income 2015: -$428,9692015Revenue 2016: $9,628,910Expenses 2016: $11,323,692Net Income 2016: -$1,694,7822016Revenue 2017: $14,343,026Expenses 2017: $12,601,124Net Income 2017: $1,741,9022017Revenue 2018: $20,110,195Expenses 2018: $16,904,978Net Income 2018: $3,205,2172018Revenue 2019: $21,911,155Expenses 2019: $19,542,071Net Income 2019: $2,369,0842019Revenue 2020: $23,232,339Expenses 2020: $20,055,375Net Income 2020: $3,176,9642020Revenue 2021: $27,781,719Expenses 2021: $23,006,784Net Income 2021: $4,774,9352021Revenue 2022: $24,316,336Expenses 2022: $26,186,107Net Income 2022: -$1,869,7712022Revenue 2023: $28,326,175Expenses 2023: $29,432,360Net Income 2023: -$1,106,1852023Revenue 2024: $37,785,557Expenses 2024: $31,753,327Net Income 2024: $6,032,2302024

Highlighted filing

2024

Revenue$37,785,557
Expenses$31,753,327
Net Income$6,032,230
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$43,188,760
Liabilities
$22,918,926
Net assets
$20,269,834
Revenue
$37,785,557
Expenses
$31,753,327
Net income
$6,032,230
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.2$22.9$20.3$37.8$31.8$6.03
2023Summary only. Only limited summary data is available for this year.$48.4$28.1$20.3$28.3$29.4$1.11
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.2$35.9$14.3$24.3$26.2$1.87
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.8$11.6$16.2$27.8$23.0$4.77
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.1$4.75$11.4$23.2$20.1$3.18
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.2$1.99$8.22$21.9$19.5$2.37
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.10$2.24$5.85$20.1$16.9$3.21
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.60$4.95$2.65$14.3$12.6$1.74
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.32$4.42$0.90$9.63$11.3$1.69
2015Detailed filing. Detailed filing data is available for this year.$6.27$3.81$2.46$8.12$8.55$0.43
2014Summary only. Only limited summary data is available for this year.$3.20$0.31$2.89$7.67$7.47$0.20
2013Summary only. Only limited summary data is available for this year.$2.83$0.22$2.61$5.96$5.77$0.19
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.15$0.30$0.85$6.03
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.54$0.20$1.34$5.29
2010Summary only. Only limited summary data is available for this year.$1.89$0.14$1.75$4.87$3.96$0.92
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$37,785,557
Mission and Program Overview

Mission

The misson of sacramento american native health center is to continue and share the legacy of a healthy american indian/alaska native community based on cultural values delivered through a traditional, innovative and accessible patient-centered health home.

To continue and share the legacy of a healthy american indian/alaska (continue on schedule o)native community based on cultural values delivered through a traditional, innovative and accessible patient-centered health home.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,931,845$12,343,506▼ $1,588,339
Cash and Non-Interest-Bearing Accounts$4,948,196$9,040,871▲ $4,092,675
Investments in Publicly Traded Securities$5,037,555$0▼ $5,037,555
Accounts Receivable$4,440,282$3,038,090▼ $1,402,192
Pledges and Grants Receivable$1,193,698$1,919,635▲ $725,937
Prepaid Expenses and Deferred Charges$624,587$514,760▼ $109,827
Savings and Temporary Cash Investments$190--
Total Assets$48,371,959$43,188,760▼ $5,183,199
Other Assets Total$18,195,606$16,331,898▼ $1,863,708
Liabilities
Other Liabilities$19,088,381$17,379,881▼ $1,708,500
Accounts Payable and Accrued Expenses$3,279,522$3,655,263▲ $375,741
Unsecured Notes Loans Payable$3,345,067$0▼ $3,345,067
Deferred Revenue$2,384,917$1,883,782▼ $501,135
Total Liabilities$28,097,887$22,918,926▼ $5,178,961
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,324,152$21,378,715▲ $3,054,563
Net Assets With Donor Restrictions$1,949,920$-1,108,881▼ $3,058,801
Total Net Assets Fund Balance$20,274,072$20,269,834▼ $4,238
Total Liabilities and Net Assets / Fund Balance$48,371,959$43,188,760▼ $5,183,199

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$10,581,429$1,012,317$11,593,746
Equipment$1,697,836$2,808,750$4,506,586
Other Land Buildings$64,241$581,052$645,293
Other Assets Org$504,022--
Compensation and Service Providers
Top Officer Pay69th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Britta GuerreroChief Executive OfficerFT$335,939$25,126$361,065
Hakeem Adeniyi JrChief Clinical OfficerFT$321,279$10,345$331,624
Aaron Cleveland MdAssociate Medical DirectorFT$286,402$26,212$312,614
Patricia SamuelsonPhysician Family MedFT$262,460$15,525$277,985
David HubbardAssociate Med DirectorFT$253,566$7,595$261,161
Fue YangDirector DentalFT$213,386$19,085$232,471
Jason ToweyChief Financial OfficerFT$204,849$18,820$223,669
Michael UnderwoodChief Information OfficerFT$196,808$23,544$220,352
Jean HowellPhysician Family MedFT$214,601$4,369$218,970
Angela HarrisChief Operating OfficerFT$190,366$19,419$209,785
Maureen WimsattProg. & Dev. OfficerFT$175,979$11,214$187,193

Board Members and Trustees

NameTitle
Mary TarangcoChairperson
Michelle Villegas-frazierVice Chairperson
Dennie Schultheis MdAt Large
Lorenda T SanchezAt Large
Nicholas MazanecAt Large
Samantha CypretAt Large
Scott MartinAt Large
Ricardo TorresSecretary
Erin Thuston MsswTreasurer
Crystal BlueTribal Advisor

Highest Paid Contractors

ContractorServicesLocationCompensation
NextgenBilling, Ehr, It Software, TrainingPO BOX 511449, Los Angeles, CA 90051$367,009
Language Line ServicesInterpretationPO BOX 202564, Dallas, TX 75320$211,147
Ohio Share Information ServicesBenefit ServicesPO BOX 772852, Chicago, IL 60677$193,327
Psychiatric Medical Practitioners INCPsychiatric Services2421 TIVERTON DR, Bakersfiled, CA 93311$112,560
University Of California DavisPhysician ServicesUC DAVIS LOCKBOX PO BOX 741816, Los Angeles, CA 90074$104,087
Revenue and Support

Revenue Composition

Contributions and Grants
$12,420,039
Program Service Revenue
$25,080,299
Investment Income
$261,969
Other Revenue
$23,250
All Other Contributions
$4,161,850
Change in Net Assets
$6,032,230

Audited Revenue Reconciliation

Revenue per Audited Statements
$37,785,557
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-83,049
Total Revenue per Audited Statements
$37,702,508
Total Revenue per Form 990
$37,785,557
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$21,943,682
Other Expenses$9,809,645
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,743,557$2,556,934-$15,300,491
Other Employee Benefits$2,714,896$660,486-$3,375,382
Occupancy$1,716,486$1,105,471-$2,821,957
Office Expenses$1,089,033$482,619-$1,571,652
Current Officers, Directors, Trustees, and Key Employees$1,277,386$256,301-$1,533,687
Payroll Taxes$1,128,887$227,710-$1,356,597
Fees for Services Other$1,026,680$222,419-$1,249,099
Depreciation Depletion$610,202$355,423-$965,625
Information Technology$323,743$191,194-$514,937
Pension Plan Contributions$311,979$65,546-$377,525
Insurance$236,948$39,717-$276,665
Interest$140,966$100,623-$241,589
Conferences and Meetings$136,929$28,434-$165,363
Other Expenses$53,079$74,214-$127,293
Advertising$86,125$39,055-$125,180
All Other Expenses$77,286--$77,286
Travel$49,971$18,890-$68,861
Fees for Services Accounting-$49,000-$49,000
Fees for Services Legal-$38,692-$38,692
Total Functional Expenses$25,054,114$6,699,213$0$31,753,327

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$31,753,327
Expenses per Audited Statements$31,674,217
Total Expenses per Audited Statements$31,674,217
Expenses Not Reported on Financial Statements$79,110
Other Expense Adjustments$79,110
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$17,379,881
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“Form 990 is prepared by a certified public accounting firm and is reviewed by management and the audit committee of the board of directors prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Annually members of the board of directors sign a conflict of interest policy. A potential conflict is fully disclosed to the board upon discovery. The member will abstain from voting on any related board actions. Employees are also required to sign an acknowledgment of the policy when hired with the organization.”

Form 990, Part VI, Section B, Line 15

“The board of directors reviews and approves the compensation of the executive director and other key employees annually based on comparative data (california primary care association, national association for community health centers, and indeed.com) and performance. This process was last undertaken in 2020. For all officers and directors, salaries were compared to salary survey information provided by the california primary care association for health centers of similar size and scope. Snahc leadership recommended salary increases up to median for each staff member, and the recommendations were presented to snach board of directors for their review and approval. This process was last undertaken in 2021.”

Form 990, Part VI, Section C, Line 19

“Governing documents, policies, and financial statements are available upon request at the organization's office.”

Filing and Contact Details

Filer

Filer Name
Sacramento Native American Health Center
EIN
20-4287737
Phone
9163410576
Address
2020 J STREET, SACRAMENTO, CA 95811

Signing Officer

Name
Jason Towey
Title
Chief Financial Officer
Phone
9164980576
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jason Towey
Formed
2005
Legal Domicile
CA
Voting Board Members
10
Independent Board Members
10
Employees
316
Volunteers
10

Preparer

Firm
Armanino Advisory LLC
Address
2700 CAMINO RAMON STE 350, SAN RAMON, CA 94583-5004
Preparer
Matthew Petroski
Phone
9257902600
Supplemental Narrative

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Loss on legal settlements -79,110.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Loss on legal settlements 79,110.”

Raw XML AppendixShowing 400 of 810 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0TO CONTINUE AND SHARE THE LEGACY OF A HEALTHY AMERICAN INDIAN/ALASKA (CONTINUE ON SCHEDULE O)NATIVE COMMUNITY BASED ON CULTURAL VALUES DELIVERED THROUGH A TRADITIONAL, INNOVATIVE AND ACCESSIBLE PATIENT-CENTERED HEALTH HOME.
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