Civic Intelligence

First Nations Community Health Source Inc.

990 • Fiscal year 2023 • EIN 85-0336893

Oct 01, 2022 to Sep 30, 2023 • Filed on Sep 26, 2025

Organization ProfileWWW.FNCH.ORG

View Organization Page

5608 ZUNI Rd SEAlbuquerque, NM 87108

(505) 262-2481

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

64th percentile

0.57x

Higher debt load relative to assets than 64% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Liabilities / Revenue

78th percentile

1.09x

Higher debt load relative to revenue than 78% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Net Margin

86th percentile

22%

Higher net margin than 86% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Top Officer Pay

13th percentile

$231,438

Higher top officer pay than 13% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Asset Growth

91st percentile

40%

Faster asset growth than 91% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2020 to 2023

Revenue Growth

53rd percentile

7.7%

Faster revenue growth than 53% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2020 to 2023

Balance Sheet
Liabilities / Assets64th percentile

Assets

Up

$47,053,883

Up $29,818,617 (+173%) from 2020

Net Assets

Up

$20,442,767

Up $8,658,349 (+73%) from 2020

Liabilities

Up

$26,611,116

Up $21,160,268 (+388%) from 2020

Revenue And Expenses
Liabilities / Revenue78th percentileNet Margin86th percentile

Revenue

Up

$24,422,323

Up $4,886,676 (+25%) from 2020

Expenses

Up

$19,065,985

Up $2,116,296 (+12%) from 2020

Net Income

Up

$5,356,338

Up $2,770,380 (+107%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth91st percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0Assets 2011: $4,624,914Liabilities 2011: $1,332,843Net Assets 2011: $3,292,0712011Assets 2012: $4,214,783Liabilities 2012: $1,658,167Net Assets 2012: $2,556,6162012Assets 2013: $4,337,762Liabilities 2013: $2,015,915Net Assets 2013: $2,321,8472013Assets 2014: $4,629,151Liabilities 2014: $1,381,336Net Assets 2014: $3,247,8152014Assets 2015: $5,790,090Liabilities 2015: $1,363,326Net Assets 2015: $4,426,7642015Assets 2016: $7,971,931Liabilities 2016: $1,672,257Net Assets 2016: $6,299,6742016Assets 2017: $9,095,875Liabilities 2017: $1,433,357Net Assets 2017: $7,662,5182017Assets 2018: $11,069,628Liabilities 2018: $2,086,383Net Assets 2018: $8,983,2452018Assets 2019: $11,896,401Liabilities 2019: $2,697,941Net Assets 2019: $9,198,4602019Assets 2020: $17,235,266Liabilities 2020: $5,450,848Net Assets 2020: $11,784,4182020Assets 2023: $47,053,883Liabilities 2023: $26,611,116Net Assets 2023: $20,442,7672023Assets 2024: $50,908,714Liabilities 2024: $28,699,362Net Assets 2024: $22,209,3522024

Highlighted filing

2023

Assets$47,053,883
Liabilities$26,611,116
Net Assets$20,442,767
Open 2023 Filing

Operations Trend

Revenue Growth53rd percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0Revenue 2011: $8,292,292Expenses 2011: $7,418,544Net Income 2011: $873,7482011Expenses 2012: $8,217,5512012Expenses 2013: $7,798,2732013Revenue 2014: $9,439,869Expenses 2014: $8,567,701Net Income 2014: $872,1682014Revenue 2015: $11,019,235Expenses 2015: $9,840,286Net Income 2015: $1,178,9492015Revenue 2016: $13,981,290Expenses 2016: $12,108,380Net Income 2016: $1,872,9102016Revenue 2017: $12,800,786Expenses 2017: $11,437,942Net Income 2017: $1,362,8442017Revenue 2018: $14,267,667Expenses 2018: $12,946,940Net Income 2018: $1,320,7272018Revenue 2019: $15,478,859Expenses 2019: $15,263,644Net Income 2019: $215,2152019Revenue 2020: $19,535,647Expenses 2020: $16,949,689Net Income 2020: $2,585,9582020Revenue 2023: $24,422,323Expenses 2023: $19,065,985Net Income 2023: $5,356,3382023Revenue 2024: $21,585,200Expenses 2024: $19,818,616Net Income 2024: $1,766,5842024

Highlighted filing

2023

Revenue$24,422,323
Expenses$19,065,985
Net Income$5,356,338
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2022 to Sep 30, 2023
Signed
Sep 26, 2025
Return Version
2022v5.0
Gross Receipts
$24,422,323
Mission and Program Overview

Mission

To provide a comprehensive culturally competent health system that addresses the physical, emotional, social, and spiritual needs of the underserved.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$22,875,531$14,799,622▼ $8,075,909
Investments Other Securities$2,244,367$13,044,367▲ $10,800,000
Land, Buildings, and Equipment, Net$8,023,216$7,646,755▼ $376,461
Pledges and Grants Receivable$4,305,234$4,836,465▲ $531,231
Accounts Receivable$2,842,752$4,058,276▲ $1,215,524
Prepaid Expenses and Deferred Charges$19,803$51,440▲ $31,637
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$40,545,617$47,053,883▲ $6,508,266
Other Assets Total$234,714$2,616,958▲ $2,382,244
Liabilities
Deferred Revenue$23,817,073$23,818,541▲ $1,468
Other Liabilities$28,163$1,541,887▲ $1,513,724
Accounts Payable and Accrued Expenses$1,078,286$791,733▼ $286,553
Mortgage Notes Payable Secured by Investment Property$535,666$458,955▼ $76,711
Total Liabilities$25,459,188$26,611,116▲ $1,151,928
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,086,429$20,442,767▲ $5,356,338
Total Net Assets Fund Balance$15,086,429$20,442,767▲ $5,356,338
Total Liabilities and Net Assets / Fund Balance$40,545,617$47,053,883▲ $6,508,266

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,797,874$2,172,006$5,969,880
Equipment$1,222,737$2,236,659$3,459,396
Land$2,543,710-$2,543,710
Other Land Buildings$61,278$350,998$412,276
Leasehold Improvements$21,156$28,322$49,478
Other Assets Org$2,616,958--
Compensation and Service Providers
Top Officer Pay13th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Linda Son-stoneCEOFT$231,438$231,438
Urvi ShahMd. PhysicianFT$216,301$216,301
Alexandra KazarasMd. PhysicianFT$211,110$211,110
Samantha MadridCNP, CMOFT$203,228$203,228
Mehzabin HirjiDds-dtl Clinic MgrFT$190,000$190,000

Board Members and Trustees

NameTitle
Tassy Parker Rn PhdPresident
Angelita Benally JdVice President
Donna Christensen JdDirector
Melissa Parra RnDirector
Joyce HudsonSecretary
Janet Pacheco-morton CPATreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$16,119,792
Program Service Revenue
$7,888,396
Investment Income
$77,143
Other Revenue
$336,992
All Other Contributions
$136,118
Change in Net Assets
$5,356,338
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,935,223
Other Expenses$6,130,762
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,428,453$1,310,904-$8,739,357
Other Employee Benefits$1,954,656$344,939-$2,299,595
Fees for Services Other$949,105$167,489-$1,116,594
Current Officers, Directors, Trustees, and Key Employees$894,265$157,812-$1,052,077
Payroll Taxes$717,565$126,629-$844,194
Depreciation Depletion$487,566$86,041-$573,607
Occupancy$411,545$72,626-$484,171
Office Expenses$358,263$63,223-$421,486
Other Expenses$347,709$61,360-$409,069
All Other Expenses$244,299$43,111-$287,410
Information Technology$211,936$37,401-$249,337
Insurance$132,846$23,443-$156,289
Conferences and Meetings$79,432$14,017-$93,449
Travel$56,906$10,042-$66,948
Advertising$30,469$5,377-$35,846
Interest$26,052$4,597-$30,649
Fees for Services Legal$16,881$2,979-$19,860
Fees for Services Accounting$404$71-$475
Total Functional Expenses$16,206,089$2,859,896$0$19,065,985
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Payroll$1,513,824
Funds Held for Others$28,061
Rounding$2
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
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
No
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

“See Schedule O”

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

“See Schedule O”

Form 990, Part VI, Section C, Line 19

“No documents available to the public.”

01. Form 990 governing body review (Part VI, Line 11)

“The governing body reviews the form 990 prior to submission to the irs.”

02. Conflict of interest policy compliance (Part VI, line 12C)

“At each meeting held by the board of directors, the members are required to disclose all interest that could give rise to conflict.”

03. CEO, executive director, top management comp (Part VI, line 15A)

“The organization uses comparability data from community health centers in establishing the salaries they pay to all employees, including officers and top management officials.”

04. Governing documents, etc available to public (Part VI, line 19)

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
First Nations Community Healthsource
EIN
85-0336893
Phone
5052622481
Address
5608 ZUNI Rd SE, Albuquerque, NM 87108

Signing Officer

Name
Linda Son-stone
Title
CEO
Signed
2025-09-26
Discuss with paid preparer
No

Organization Details

Formed
1985
Legal Domicile
Nm
Voting Board Members
7
Independent Board Members
0
Employees
263

Preparer

Firm
Clarence & Hartzell LLC
Address
6019 Redlands Rd NW, Albuquerque, NM 87120-1362
Preparer
Joshua Alls
Phone
5057373163
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 3B

“See Schedule O”

.06 General explanation attachment

“Included in the indian health services title v contributions of $28,185,373 presented in schedule b is $23,818,541 in deferred revenue”

04. List of other fees for services expenses (Part IX, line 11G)

“Medical services $738,000 program $340,554 management $38,041 total $1,116,594”

07. Financial Statements & Reporting (Part XII, line3b)

“FNCH faced substantial turnover within its finance team during the COVID-19 pandemic, particularly in the years 2021 and 2022. This upheaval resulted in several key positions, including the CFO, remaining unfilled for extended periods, creating gaps in its financial leadership and the finance departments capacity to complete the audits on time. The unprecedented turnover, coupled with prolonged hiring delays, severely impacted FNCH's operational efficiency and financial reporting capabilities. Consequently, FNCH could not complete its audits on time.”

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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/Form990PartVIISectionAGrp/TitleTxt1MD. PHYSICIAN
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2023 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$47,053,883
Liabilities
$26,611,116
Net assets
$20,442,767
Revenue
$24,422,323
Expenses
$19,065,985
Net income
$5,356,338
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.9$28.7$22.2$21.6$19.8$1.77
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.1$26.6$20.4$24.4$19.1$5.36
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.2$5.45$11.8$19.5$16.9$2.59
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$2.70$9.20$15.5$15.3$0.22
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.1$2.09$8.98$14.3$12.9$1.32
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.10$1.43$7.66$12.8$11.4$1.36
2016Detailed filing. Detailed filing data is available for this year.$7.97$1.67$6.30$14.0$12.1$1.87
2015Summary only. Only limited summary data is available for this year.$5.79$1.36$4.43$11.0$9.84$1.18
2014Detailed filing. Detailed filing data is available for this year.$4.63$1.38$3.25$9.44$8.57$0.87
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.34$2.02$2.32$7.80
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.21$1.66$2.56$8.22
2011Summary only. Only limited summary data is available for this year.$4.62$1.33$3.29$8.29$7.42$0.87
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2023 filings • 501(c)3 • $25M-$50M nonprofits