Civic Intelligence

Central Valley Indian Health Inc

EIN 94-1745488 • 501(c)3 • Clovis, CA

View Organization Page

Profile

To improve the quality and quantity of health care services to the Indian people of Fresno, Madera and Kings Counties.

2740 Herndon AveClovis, CA 93611

www.cvih.org

Siviq Scores

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

Liabilities / Assets

30th percentile

0.11x

Higher debt load relative to assets than 30% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

41st percentile

0.30x

Higher debt load relative to revenue than 41% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

86th percentile

36%

Higher net margin than 86% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

38th percentile

$396,212

Higher top officer pay than 38% of similar nonprofits.

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

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

73rd percentile

12%

Faster asset growth than 73% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

60th percentile

12%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets30th percentile

Assets

Up

$127,038,722

Up $13,689,822 (+12%) from 2023

Liabilities

Down

$13,679,220

Down $2,379,958 (-15%) from 2023

Net Assets

Up

$113,359,502

Up $16,069,780 (+17%) from 2023

Operations
Liabilities / Revenue41st percentileNet Margin86th percentile

Revenue

Up

$45,044,117

Up $4,858,749 (+12%) from 2023

Expenses

Up

$28,949,765

Up $5,236,270 (+22%) from 2023

Net Income

Down

$16,094,352

Down $377,521 (-2.3%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth73rd percentile

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

$150M$100M$50M$0Assets 2011: $22,885,216Liabilities 2011: $7,295,515Net Assets 2011: $15,589,7012011Assets 2012: $27,359,961Liabilities 2012: $9,515,875Net Assets 2012: $17,844,0862012Assets 2013: $30,092,351Liabilities 2013: $9,771,795Net Assets 2013: $20,320,5562013Assets 2014: $34,116,899Liabilities 2014: $11,306,293Net Assets 2014: $22,810,6062014Assets 2015: $38,486,447Liabilities 2015: $12,358,994Net Assets 2015: $26,127,4532015Assets 2016: $43,610,629Liabilities 2016: $13,117,300Net Assets 2016: $30,493,3292016Assets 2017: $47,452,501Liabilities 2017: $11,776,100Net Assets 2017: $35,676,4012017Assets 2018: $52,374,645Liabilities 2018: $9,008,302Net Assets 2018: $43,366,3432018Assets 2019: $58,629,692Liabilities 2019: $5,272,307Net Assets 2019: $53,357,3852019Assets 2020: $69,498,308Liabilities 2020: $12,375,367Net Assets 2020: $57,122,9412020Assets 2021: $89,558,174Liabilities 2021: $21,136,823Net Assets 2021: $68,421,3512021Assets 2022: $97,215,214Liabilities 2022: $16,802,525Net Assets 2022: $80,412,6892022Assets 2023: $113,348,900Liabilities 2023: $16,059,178Net Assets 2023: $97,289,7222023Assets 2024: $127,038,722Liabilities 2024: $13,679,220Net Assets 2024: $113,359,5022024

Highlighted filing

2024

Assets$127,038,722
Liabilities$13,679,220
Net Assets$113,359,502
Open 2024 Filing

Operations Trend

Revenue Growth60th percentile

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

$60M$40M$20M$0Revenue 2011: $13,279,170Expenses 2011: $11,383,856Net Income 2011: $1,895,3142011Expenses 2012: $11,427,8242012Revenue 2013: $15,047,068Expenses 2013: $12,570,598Net Income 2013: $2,476,4702013Revenue 2014: $15,253,115Expenses 2014: $12,763,065Net Income 2014: $2,490,0502014Revenue 2015: $16,638,603Expenses 2015: $13,208,016Net Income 2015: $3,430,5872015Revenue 2016: $18,124,976Expenses 2016: $13,840,959Net Income 2016: $4,284,0172016Revenue 2017: $20,751,956Expenses 2017: $15,762,158Net Income 2017: $4,989,7982017Revenue 2018: $23,995,396Expenses 2018: $16,156,114Net Income 2018: $7,839,2822018Revenue 2019: $27,627,815Expenses 2019: $17,946,563Net Income 2019: $9,681,2522019Revenue 2020: $23,680,163Expenses 2020: $20,041,485Net Income 2020: $3,638,6782020Revenue 2021: $32,680,486Expenses 2021: $21,336,614Net Income 2021: $11,343,8722021Revenue 2022: $35,871,384Expenses 2022: $23,263,149Net Income 2022: $12,608,2352022Revenue 2023: $40,185,368Expenses 2023: $23,713,495Net Income 2023: $16,471,8732023Revenue 2024: $45,044,117Expenses 2024: $28,949,765Net Income 2024: $16,094,3522024

Highlighted filing

2024

Revenue$45,044,117
Expenses$28,949,765
Net Income$16,094,352
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
$127,038,722
Liabilities
$13,679,220
Net assets
$113,359,502
Revenue
$45,044,117
Expenses
$28,949,765
Net income
$16,094,352
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$127$13.7$113$45.0$28.9$16.1
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$113$16.1$97.3$40.2$23.7$16.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$97.2$16.8$80.4$35.9$23.3$12.6
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$89.6$21.1$68.4$32.7$21.3$11.3
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$69.5$12.4$57.1$23.7$20.0$3.64
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$58.6$5.27$53.4$27.6$17.9$9.68
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$52.4$9.01$43.4$24.0$16.2$7.84
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.5$11.8$35.7$20.8$15.8$4.99
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$43.6$13.1$30.5$18.1$13.8$4.28
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$38.5$12.4$26.1$16.6$13.2$3.43
2014Detailed filing. Detailed filing data is available for this year.$34.1$11.3$22.8$15.3$12.8$2.49
2013Detailed filing. Detailed filing data is available for this year.$30.1$9.77$20.3$15.0$12.6$2.48
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.4$9.52$17.8$11.4
2011Summary only. Only limited summary data is available for this year.$22.9$7.30$15.6$13.3$11.4$1.90
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 30, 2025
Return Version
2024v5.2
Gross Receipts
$48,339,405
Mission and Program Overview

Mission

To improve the quality and quantity of health care services to the Indian people of Fresno, Madera and Kings Counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$44,537,323$31,415,317▼ $13,122,006
Land, Buildings, and Equipment, Net$13,511,099$18,240,977▲ $4,729,878
Cash and Non-Interest-Bearing Accounts$5,865,354$6,121,132▲ $255,778
Accounts Receivable$3,475,000$4,874,598▲ $1,399,598
Investments in Publicly Traded Securities$3,303,476$3,188,072▼ $115,404
Prepaid Expenses and Deferred Charges$185,590$215,892▲ $30,302
Pledges and Grants Receivable$265,486$42,286▼ $223,200
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$113,348,900$127,038,722▲ $13,689,822
Other Assets Total$42,205,572$62,940,448▲ $20,734,876
Liabilities
Deferred Revenue$13,023,694$10,088,904▼ $2,934,790
Other Liabilities$2,785,810$3,252,803▲ $466,993
Accounts Payable and Accrued Expenses$249,674$337,513▲ $87,839
Total Liabilities$16,059,178$13,679,220▼ $2,379,958
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$97,289,722$113,359,502▲ $16,069,780
Total Net Assets Fund Balance$97,289,722$113,359,502▲ $16,069,780
Total Liabilities and Net Assets / Fund Balance$113,348,900$127,038,722▲ $13,689,822

Asset Categories

AssetBook ValueDepreciationBasis
Land$9,248,018-$9,248,018
Buildings$5,460,818$2,478,997$7,939,815
Other Land Buildings$3,144,671-$3,144,671
Equipment$387,470$928,309$1,315,779
Other Assets Org$139,940--
Compensation and Service Providers
Top Officer Pay38th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gurpal BainsExecutive DirectorFT$374,093$22,119$396,212
Aaron KisselMedical DirectorFT$364,390$21,604$385,994
James TinioPhysicianFT$348,832$21,533$370,365
Derik KeshishianPhysicianFT$343,595$21,487$365,082
Matthew EastonPhysicianFT$341,892$21,604$363,496
Christopher GarciaPhysicianFT$341,081$21,604$362,685
William PattersonCFOFT$230,067$21,856$251,923
Julie RamseyCOOFT$220,981$21,533$242,514
Lynnell ShafferSecretary-$46,500-$46,500
Misty OrtegaTreasurer-$44,500-$44,500
Dixie JacksonChairperson-$38,000-$38,000
James LewisVice Chair-$38,000-$38,000
Feather JohnsonBoard Member-$37,000-$37,000
Pearl HutchinsBoard Member-$36,500-$36,500
Lorena KillianBoard Member-$34,500-$34,500
Shelby Charley SRBoard Member-$34,500-$34,500
Brenda SorondoBoard Member-$33,000-$33,000
Donna CiscoBoard Member-$33,000-$33,000
Hillary BattlesBoard Member-$32,000-$32,000
Shane RatchfordBoard Member-$19,000-$19,000
Gavin BegayeBoard Member-$6,500-$6,500

Highest Paid Contractors

ContractorServicesLocationCompensation
Fresno Oral Maxillofacial SurgeryDental Lab1903 E Fir Ave 101, Fresno, CA 93720$345,349
Fresno Endodontic GroupDental Services1332 W Herndon 103, Fresno, CA 93711$272,763
Butler Investment Group LLCHospital CarePO Box 883414, Los Angeles, CA 90088$220,689
-Dental Services4005 W Figarden Dr, Fresno, CA 93722$188,700
Melissa Dempsey DDS MS INCRent2160 N Fine Ave, Fresno, CA 93727$155,187
Revenue and Support

Revenue Composition

Contributions and Grants
$17,764,712
Program Service Revenue
$22,417,157
Investment Income
$3,803,147
Other Revenue
$1,059,101
Change in Net Assets
$16,094,352

Audited Revenue Reconciliation

Revenue per Audited Statements
$45,044,117
Revenue Not Reported on Form 990
$-24,572
Total Revenue per Audited Statements
$45,019,545
Total Revenue per Form 990
$45,044,117
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,933,471
Other Expenses$9,016,294
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,358,485$3,313,837-$14,672,322
Other Employee Benefits$1,493,937$196,636-$1,690,573
Current Officers, Directors, Trustees, and Key Employees-$1,323,649-$1,323,649
Payroll Taxes$815,786$333,072-$1,148,858
Pension Plan Contributions$779,721$318,348-$1,098,069
Payment Travel Entrtnmnt Publicly Ofcl$153,590$543,248-$696,838
Depreciation Depletion-$468,000-$468,000
Insurance-$380,970-$380,970
All Other Expenses$155,272$139,714-$294,986
Other Expenses$170,371$73,017-$243,388
Occupancy$94,130$41,746-$135,876
Fees for Services Other-$67,312-$67,312
Advertising$18,992--$18,992
Total Functional Expenses$20,988,836$7,960,929$0$28,949,765

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$28,949,765
Total Expenses per Audited Statements$28,949,765
Total Expenses per Form 990$28,949,765
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
Accrued Payroll$2,261,784
Vacation Payable$847,512
Operating Lease Liability$143,507
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 A, Line 6

“Board members are composed of two elected representatives from each of the six service areas. During the year, there were no changes to the board compensation.”

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

“Form 990 is prepared by an independent accounting firm and reviewed for accuracy by the CFO.”

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

“Business items are screened by staff prior to presenting them to the board of directors. Additionally, the staff, CFO, and CEO screen the items to ensure there is no conflict of interest. This is also a procedure that is checked by staff during quarterly compliance audits. Finally, with Central Valley Indian Health Inc. being such a small community (3 counties), the full board reviews the issues during business meetings. Great effort is put forth to ensure integrity on all business issues.”

Form 990, Part VI, Section B, Line 15B

“The board annually reviews salary paid to the CEO and compares that pay to similar organizations. Board approves all salary adjustments.”

Form 990, Part VI, Section C, Line 19

“The organizations governing documents, conflicts of interest policy, and audit financial statements are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Central Valley Indian Health Inc
EIN
94-1745488
Phone
5592992578
Address
2740 Herndon Ave, Clovis, CA 93611

Signing Officer

Name
William Patterson
Title
CFO
Signed
2025-07-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gurpal Bains
Formed
1971
Legal Domicile
CA
Voting Board Members
12
Independent Board Members
12
Employees
191

Preparer

Firm
Price Paige & Company CPAs LLP
Address
570 N Magnolia Ave Ste 100, Clovis, CA 93611
Preparer
Fausto Hinojosa CPA CFE
Phone
5592999540
Supplemental Narrative

Financial Statement Notes

Part X : FIN48 Footnote

“The Organization has qualified as a nonprofit organization and has been granted tax-exempt status pursuant to Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701(d) and is exempt from Federal and State of California income taxes.Generally accepted accounting principles provides accounting and disclosures guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organizations returns are subject to examination by federal and state taxing authorities, generally for three years and four years, respectively, after they are filed.”

Raw XML AppendixShowing 400 of 683 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.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0249674
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0337513
IRS990/AccountsReceivableGrp/BOYAmt03475000
IRS990/AccountsReceivableGrp/EOYAmt04874598
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0To improve the quality and quantity of health care services to the Indian people of Fresno, Madera and Kings Counties.
IRS990/AdvertisingGrp/ProgramServicesAmt018992
IRS990/AdvertisingGrp/TotalAmt018992
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0139714
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0155272
IRS990/AllOtherExpensesGrp/TotalAmt0294986
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0William Patterson
IRS990/BooksInCareOfDetail/PhoneNum05592992578
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02740 Herndon Ave
IRS990/BooksInCareOfDetail/USAddress/CityNm0Clovis
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd093611
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt05865354
IRS990/CashNonInterestBearingGrp/EOYAmt06121132
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt06
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt01323649
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt01323649
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConferencesMeetingsGrp/TotalAmt00
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractorCompensationGrp/CompensationAmt0345349
IRS990/ContractorCompensationGrp/CompensationAmt1272763
IRS990/ContractorCompensationGrp/CompensationAmt2220689
IRS990/ContractorCompensationGrp/CompensationAmt3155187
IRS990/ContractorCompensationGrp/CompensationAmt4188700
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt01903 E Fir Ave 101
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt11332 W Herndon 103
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt2PO Box 883414
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt32160 N Fine Ave
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt44005 W Figarden Dr
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0Fresno
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1Fresno
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm2Los Angeles
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3Fresno
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4Fresno
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd3CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd093720
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd193711
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd290088
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd393727
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd493722
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0Fresno Oral Maxillofacial Surgery
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1Fresno Endodontic Group
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2Butler Investment Group LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3Melissa Dempsey DDS MS INC
IRS990/ContractorCompensationGrp/ContractorName/PersonNm0Fresno Community Hospital Med Ctr
IRS990/ContractorCompensationGrp/ServicesDesc0Dental Lab
IRS990/ContractorCompensationGrp/ServicesDesc1Dental Services
IRS990/ContractorCompensationGrp/ServicesDesc2Hospital Care
IRS990/ContractorCompensationGrp/ServicesDesc3Rent
IRS990/ContractorCompensationGrp/ServicesDesc4Dental Services
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt017764712
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt03803147
IRS990/CYOtherExpensesAmt09016294
IRS990/CYOtherRevenueAmt01059101
IRS990/CYProgramServiceRevenueAmt022417157
IRS990/CYRevenuesLessExpensesAmt016094352
IRS990/CYSalariesCompEmpBnftPaidAmt019933471
IRS990/CYTotalExpensesAmt028949765
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt045044117
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DeferredRevenueGrp/BOYAmt013023694
IRS990/DeferredRevenueGrp/EOYAmt010088904
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt0468000
IRS990/DepreciationDepletionGrp/TotalAmt0468000
IRS990/Desc0To improve the quality and quantity of health care services to the Indian people. To achieve this purpose, a system of health education, preventive medicine, medical and dental services are provided.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0true
IRS990/EmployeeCnt0191
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt020988836
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditPerformedInd0true
IRS990/FederalGrantAuditRequiredInd0true
IRS990/FeesForServicesAccountingGrp/TotalAmt00
IRS990/FeesForServicesLegalGrp/TotalAmt00
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt067312
IRS990/FeesForServicesOtherGrp/TotalAmt067312
IRS990/FeesForServicesProfFundraising/TotalAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282FiledCnt00
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt70.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt80.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt90.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt100.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt110.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt120.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt130.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt140.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt150.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt160.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt170.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt180.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt190.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt200.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt040.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt140.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt240.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt340.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt440.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt540.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt640.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt740.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt82.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt92.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt102.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt112.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt122.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt132.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt142.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt152.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt162.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt172.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt182.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt192.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt202.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt022119
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt121604
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt221533
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt321487
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt421604
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt521604
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt621856
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt721533
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt140
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt160
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt170
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt180
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt190
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt200
IRS990/Form990PartVIISectionAGrp/PersonNm0Gurpal Bains
IRS990/Form990PartVIISectionAGrp/PersonNm1Aaron Kissel
IRS990/Form990PartVIISectionAGrp/PersonNm2James Tinio
IRS990/Form990PartVIISectionAGrp/PersonNm3Derik Keshishian
IRS990/Form990PartVIISectionAGrp/PersonNm4Matthew Easton
IRS990/Form990PartVIISectionAGrp/PersonNm5Christopher Garcia
IRS990/Form990PartVIISectionAGrp/PersonNm6William Patterson
IRS990/Form990PartVIISectionAGrp/PersonNm7Julie Ramsey
IRS990/Form990PartVIISectionAGrp/PersonNm8Lynnell Shaffer
IRS990/Form990PartVIISectionAGrp/PersonNm9Misty Ortega
IRS990/Form990PartVIISectionAGrp/PersonNm10Dixie Jackson
IRS990/Form990PartVIISectionAGrp/PersonNm11James Lewis
IRS990/Form990PartVIISectionAGrp/PersonNm12Feather Johnson
IRS990/Form990PartVIISectionAGrp/PersonNm13Pearl Hutchins
IRS990/Form990PartVIISectionAGrp/PersonNm14Shelby Charley SR
IRS990/Form990PartVIISectionAGrp/PersonNm15Lorena Killian
IRS990/Form990PartVIISectionAGrp/PersonNm16Brenda Sorondo
IRS990/Form990PartVIISectionAGrp/PersonNm17Donna Cisco
IRS990/Form990PartVIISectionAGrp/PersonNm18Hillary Battles
IRS990/Form990PartVIISectionAGrp/PersonNm19Shane Ratchford
IRS990/Form990PartVIISectionAGrp/PersonNm20Gavin Begaye
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt0374093
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1364390
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2348832
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3343595
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt4341892
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt5341081
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt6230067
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt7220981
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt846500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt944500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1038000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1138000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1237000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1336500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1434500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1534500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1633000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1733000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1832000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1919000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt206500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/TitleTxt0Executive Dir.
IRS990/Form990PartVIISectionAGrp/TitleTxt1Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt3Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt4Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt5Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt6CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt7COO
IRS990/Form990PartVIISectionAGrp/TitleTxt8Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt9Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt10Chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt11Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt14Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt16Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt17Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt18Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt19Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt20Board Member
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01971
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GainOrLossGrp/SecuritiesAmt0185538
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GovernmentGrantsAmt017764712
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt03480826
IRS990/GrossReceiptsAmt048339405
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt012
IRS990/IndivRcvdGreaterThan100KCnt015
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/ManagementAndGeneralAmt0380970
IRS990/InsuranceGrp/TotalAmt0380970
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentExpenseAmt0-102589
IRS990/InvestmentIncomeGrp/ExclusionAmt03617609
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt03617609
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt03303476
IRS990/InvestmentsPubTradedSecGrp/EOYAmt03188072
IRS990/IRPDocumentCnt0157
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt03407306
IRS990/LandBldgEquipBasisNetGrp/BOYAmt013511099
IRS990/LandBldgEquipBasisNetGrp/EOYAmt018240977
IRS990/LandBldgEquipCostOrOtherBssAmt021648283
IRS990/LegalDomicileStateCd0CA
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt03295288
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0true
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0To improve the quality and quantity of health care services to the Indian people of Fresno, Madera and Kings Counties.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt097289722
IRS990/NetAssetsOrFundBalancesEOYAmt0113359502
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0185538
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0185538
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt078017
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt097289722
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0113359502
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt041746
IRS990/OccupancyGrp/ProgramServicesAmt094130
IRS990/OccupancyGrp/TotalAmt0135876
IRS990/OfficeExpensesGrp/TotalAmt00
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt042205572
IRS990/OtherAssetsTotalGrp/EOYAmt062940448
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0196636
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01493937
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01690573
IRS990/OtherExpensesGrp/Desc0Purchased Services
IRS990/OtherExpensesGrp/Desc1Medical & Dental Supplies
IRS990/OtherExpensesGrp/Desc2Utilities & Telephone
IRS990/OtherExpensesGrp/Desc3Lease Expense
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt058679
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1599027
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2103674
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt373017
IRS990/OtherExpensesGrp/ProgramServicesAmt03328357
IRS990/OtherExpensesGrp/ProgramServicesAmt12309173
IRS990/OtherExpensesGrp/ProgramServicesAmt2311022
IRS990/OtherExpensesGrp/ProgramServicesAmt3170371
IRS990/OtherExpensesGrp/TotalAmt03387036
IRS990/OtherExpensesGrp/TotalAmt12908200
IRS990/OtherExpensesGrp/TotalAmt2414696
IRS990/OtherExpensesGrp/TotalAmt3243388
IRS990/OtherLiabilitiesGrp/BOYAmt02785810
IRS990/OtherLiabilitiesGrp/EOYAmt03252803
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0Other Income
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt01059101
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01059101
IRS990/OtherRevenueTotalAmt01059101
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt03313837
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt011358485
IRS990/OtherSalariesAndWagesGrp/TotalAmt014672322
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.