Liabilities / Assets
33rd percentile
Higher debt load relative to assets than 33% of similar nonprofits.
EIN 94-1741896 • 501(c)3 • Santa Rosa, CA
Profile
To continually improve and maintain a comprehensive health care system to serve the needs and traditional values of our american indian community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
33rd percentile
Higher debt load relative to assets than 33% of similar nonprofits.
Liabilities / Revenue
40th percentile
Higher debt load relative to revenue than 40% of similar nonprofits.
Net Margin
90th percentile
Higher net margin than 90% of similar nonprofits.
Top Officer Pay
21st percentile
Higher top officer pay than 21% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
83rd percentile
Faster asset growth than 83% of similar nonprofits.
Revenue Growth
85th percentile
Faster revenue growth than 85% of similar nonprofits.
Assets
Up$135,682,195
Up $19,605,825 (+17%) from 2023
Liabilities
Down$17,047,152
Down $6,277,253 (-27%) from 2023
Net Assets
Up$118,635,043
Up $25,883,078 (+28%) from 2023
Revenue
Up$57,586,371
Up $16,449,003 (+40%) from 2023
Expenses
Up$31,703,293
Up $7,359,880 (+30%) from 2023
Net Income
Up$25,883,078
Up $9,089,123 (+54%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To continually improve and maintain a comprehensive health care system to serve the needs and traditional values of our american indian community.
To continually improve and maintain a comprehensive health care system.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $75,985,391 | $105,196,293 | ▲ $29,210,902 |
| Land, Buildings, and Equipment, Net | $20,316,340 | $20,860,653 | ▲ $544,313 |
| Cash and Non-Interest-Bearing Accounts | $16,751,922 | $5,747,024 | ▼ $11,004,898 |
| Accounts Receivable | $2,532,543 | $3,367,973 | ▲ $835,430 |
| Prepaid Expenses and Deferred Charges | $417,639 | $460,611 | ▲ $42,972 |
| Inventories for Sale or Use | $34,301 | $49,171 | ▲ $14,870 |
| Total Assets | $116,076,370 | $135,682,195 | ▲ $19,605,825 |
| Other Assets Total | $38,234 | $470 | ▼ $37,764 |
| Liabilities | |||
| Deferred Revenue | $22,029,411 | $15,669,747 | ▼ $6,359,664 |
| Accounts Payable and Accrued Expenses | $1,294,994 | $1,377,405 | ▲ $82,411 |
| Total Liabilities | $23,324,405 | $17,047,152 | ▼ $6,277,253 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $92,751,965 | $118,635,043 | ▲ $25,883,078 |
| Total Net Assets Fund Balance | $92,751,965 | $118,635,043 | ▲ $25,883,078 |
| Total Liabilities and Net Assets / Fund Balance | $116,076,370 | $135,682,195 | ▲ $19,605,825 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Land | $15,498,126 | - | $15,498,126 |
| Buildings | $3,084,019 | $7,263,169 | $10,347,188 |
| Equipment | $1,028,271 | $2,936,365 | $3,964,636 |
| Other Land Buildings | $1,152,906 | $671,968 | $1,824,874 |
| Leasehold Improvements | $97,331 | $1,608,968 | $1,706,299 |
| Other Securities | $105,196,293 | - | - |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Don Carlos Steele | Physician | FT | $275,755 | $275,755 |
| Betty Arterberry | Chief Executive Officer | FT | $255,052 | $255,052 |
| Joseph Rutkowsk | Dental Director | FT | $253,480 | $253,480 |
| Jessica Lee | Dentist | FT | $230,038 | $230,038 |
| David Almond | Physician | FT | $210,437 | $210,437 |
| Silver Galleto | Chief Operations Officer | FT | $162,077 | $162,077 |
| Lisa Barajas | Chief Finance Officer | FT | $160,481 | $160,481 |
| Name | Title |
|---|---|
| Lynn Silva | Chair |
| Salvina Norris | Vice Chair |
| Sandra Roope | Cloverdale Delegate |
| Reno Franklin | Delegate |
| Vickey Macias | Delegate |
| Tieraney Giron | Dry Creek Tribal Delegate |
| Michael Patrick | Federated Indians of Grato |
| Elvida Banuelos | Kashia Tribal Deligate |
| Cesario Perez | Lytton Band Delegate |
| Andy Mejia | Lytton Tribal Delegate |
| Rebecca Acosta | Secretary |
| Tisha Jones | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Modern Building INC | Construcion | 3083 SOUTHGATE LANE, Chico, CA 95928 | $1,332,568 |
| Redwood Building Maintenance | Janitorial | 2551 SAN RAMON VALLEY BLVD STE 22, San Ramon, CA 94583 | $237,943 |
| Sonoma County Oral Surgery | Healthcare | 1460 FARMERS LANE, Santa Rosa, CA 95405 | $176,233 |
| Patriots International INC | Healthcare | 110 DOCTORS PARK DRIVE, Santa Rosa, CA 95405 | $152,037 |
| - | Security | PO BOX 7521, Santa Rosa, CA 95407 | $142,416 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $16,772,274 |
| Other Expenses | $14,931,019 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,869,127 | $3,928,775 | - | $12,797,902 |
| Other Employee Benefits | $2,260,208 | $1,117,214 | - | $3,377,422 |
| All Other Expenses | $775,128 | $1,994,220 | - | $2,769,348 |
| Other Expenses | $621,629 | $131,908 | - | $753,537 |
| Depreciation Depletion | - | $747,185 | - | $747,185 |
| Current Officers, Directors, Trustees, and Key Employees | $596,950 | - | - | $596,950 |
| Insurance | $142,008 | $303,795 | - | $445,803 |
| Travel | $62,455 | $57,466 | - | $119,921 |
| Total Functional Expenses | $22,559,767 | $9,143,526 | $0 | $31,703,293 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $31,703,293 |
| Total Expenses per Audited Statements | $31,703,293 |
| Total Expenses per Form 990 | $31,703,293 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Presented to and reviewed by the board.”
“Monitored during the course of business through proper approval of purchase requisitions, other expenditures and travel requests.”
“Conduct a compensation and benefits study for market averages. Review and approval of the board.”
“Governing documents, policies and financial statements are available upon request.”
“The process has not changed”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1294994 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1377405 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2532543 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3367973 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO CONTINUALLY IMPROVE AND MAINTAIN A COMPREHENSIVE HEALTH CARE SYSTEM. |
| IRS990/AllOtherContributionsAmt | 0 | 3010361 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1994220 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 775128 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2769348 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7075214545 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 144 STONY POINT ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SANTA ROSA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 95401 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 16751922 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5747024 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 596950 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 596950 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1332568 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 237943 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 176233 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 152037 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 142416 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 3083 SOUTHGATE LANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2551 SAN RAMON VALLEY BLVD STE 22 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1460 FARMERS LANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 110 DOCTORS PARK DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 7521 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CHICO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SAN RAMON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | SANTA ROSA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SANTA ROSA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SANTA ROSA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 95928 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 94583 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 95405 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 95405 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 95407 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MODERN BUILDING INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | REDWOOD BUILDING MAINTENANCE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SONOMA COUNTY ORAL SURGERY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | PATRIOTS INTERNATIONAL INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | T BRIAN BOZEMAN DDS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | JANITORIAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | HEALTHCARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HEALTHCARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SECURITY |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 25866991 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 4654798 |
| IRS990/CYOtherExpensesAmt | 0 | 14931019 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 27064582 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 25883078 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 16772274 |
| IRS990/CYTotalExpensesAmt | 0 | 31703293 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 57586371 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 22029411 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 15669747 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 747185 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 747185 |
| IRS990/Desc | 0 | HEALTH CARE FACILITY, PROVIDING MEDICAL, DENTAL, NUTRITIONAL, BEHAVIORAL HEALTH, PHARMACY, AND HEALTH EDUCATION SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 200 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 22559767 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LYNN SILVA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SALVINA NORRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | TISHA JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | REBECCA ACOSTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RENO FRANKLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | VICKEY MACIAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TIERANEY GIRON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MICHAEL PATRICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ELVIDA BANUELOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | SANDRA ROOPE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ANDY MEJIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CESARIO PEREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BETTY ARTERBERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | SILVER GALLETO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LISA BARAJAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DAVID ALMOND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DON CARLOS STEELE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOSEPH RUTKOWSK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JESSICA LEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DAVID ALMOND |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 255052 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 162077 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 160481 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 210437 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 275755 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 253480 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 230038 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 210437 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DELEGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DELEGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DRY CREEK TRIBAL DELEGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | FEDERATED INDIANS OF GRATO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | KASHIA TRIBAL DELIGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CLOVERDALE DELEGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | LYTTON TRIBAL DELEGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | LYTTON BAND DELEGATE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF OPERATIONS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF FINANCE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DENTAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1971 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 4547437 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 22856630 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 4547437 |
| IRS990/GrossReceiptsAmt | 0 | 57586371 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 27 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 303795 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 142008 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 445803 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 34301 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 49171 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 107361 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 107361 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 75985391 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 105196293 |
| IRS990/IRPDocumentCnt | 0 | 106 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 12480470 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 20316340 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 20860653 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 33341123 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO CONTINUALLY IMPROVE AND MAINTAIN A COMPREHENSIVE HEALTH CARE SYSTEM TO SERVE THE NEEDS AND TRADITIONAL VALUES OF OUR AMERICAN INDIAN COMMUNITY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 92751965 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 118635043 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 4547437 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 4547437 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 92751965 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 118635043 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 38234 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 470 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1117214 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2260208 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3377422 |
| IRS990/OtherExpensesGrp/Desc | 0 | INDIRECT COSTS |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL DEVICES & SUPPL |
| IRS990/OtherExpensesGrp/Desc | 2 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 3 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 7123 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 39488 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 816352 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 131908 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 5803070 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2609573 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 819619 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 621629 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 5810193 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2649061 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1635971 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 753537 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3928775 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8869127 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 12797902 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 417639 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 460611 |
| IRS990/PrincipalOfficerNm | 0 | LYNN SILVA |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 21104651 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 5959931 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 21104651 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 5959931 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 20547156 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 2217385 |
| IRS990/PYOtherExpensesAmt | 0 | 8930061 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 18372827 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 16793955 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 15413352 |
| IRS990/PYTotalExpensesAmt | 0 | 24343413 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 41137368 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 25883078 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 27064582 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 27064582 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 20547156 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 19346384 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 14683178 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 12468052 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 94109352 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 2217385 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 2213092 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2769 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 27199 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 327616 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 4788061 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.95160 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.96430 |
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