Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
990 • Fiscal year 2019 • EIN 94-2583156
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
32nd percentile
Higher debt load relative to revenue than 32% of similar nonprofits.
Net Margin
88th percentile
Higher net margin than 88% of similar nonprofits.
Top Officer Pay
23rd percentile
Higher top officer pay than 23% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
74th percentile
Faster asset growth than 74% of similar nonprofits.
Revenue Growth
86th percentile
Faster revenue growth than 86% of similar nonprofits.
Assets
Up$101,620,330
Up $11,310,913 (+13%) from 2018
Net Assets
Up$89,354,923
Up $16,931,520 (+23%) from 2018
Liabilities
Down$12,265,407
Down $5,620,607 (-31%) from 2018
Revenue
Up$47,707,000
Up $9,279,001 (+24%) from 2018
Expenses
Up$30,929,347
Up $3,606,620 (+13%) from 2018
Net Income
Up$16,777,653
Up $5,672,381 (+51%) from 2018
Provides comprehensive health care and ancillary services to the Native-American population of Sierra, Placer, and Nevada Counties of California.
Provides comprehensive health care and ancillary services to the Native-American population of Sierra, Placer and Nevada Counties of California.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $63,565,546 | $76,004,226 | ▲ $12,438,680 |
| Land, Buildings, and Equipment, Net | $23,515,548 | $22,105,551 | ▼ $1,409,997 |
| Accounts Receivable | $1,967,205 | $3,011,987 | ▲ $1,044,782 |
| Inventories for Sale or Use | $153,348 | $183,784 | ▲ $30,436 |
| Pledges and Grants Receivable | $189,999 | $115,453 | ▼ $74,546 |
| Cash and Non-Interest-Bearing Accounts | $545,974 | $6,300 | ▼ $539,674 |
| 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 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Prepaid Expenses and Deferred Charges | - | $0 | - |
| Total Assets | $90,309,417 | $101,620,330 | ▲ $11,310,913 |
| Other Assets Total | $371,797 | $193,029 | ▼ $178,768 |
| Liabilities | |||
| Deferred Revenue | $9,194,699 | $9,991,105 | ▲ $796,406 |
| Mortgage Notes Payable Secured by Investment Property | $6,665,224 | - | - |
| Accounts Payable and Accrued Expenses | $2,026,091 | $2,274,302 | ▲ $248,211 |
| Total Liabilities | $17,886,014 | $12,265,407 | ▼ $5,620,607 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $72,251,494 | $89,225,332 | ▲ $16,973,838 |
| Temporarily Rstr Net Assets | $171,909 | $129,591 | ▼ $42,318 |
| Total Net Assets Fund Balance | $72,423,403 | $89,354,923 | ▲ $16,931,520 |
| Total Liabilities and Net Assets / Fund Balance | $90,309,417 | $101,620,330 | ▲ $11,310,913 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $17,013,972 | $14,428,416 | $31,442,388 |
| Land | $4,500,208 | - | $4,500,208 |
| Equipment | $591,371 | $1,805,015 | $2,396,386 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lisa Davies | CEO | FT | $226,107 | $48,985 | $275,092 |
| Richard Amalek | Psychiatrist | FT | $250,232 | $4,412 | $254,644 |
| William Jornlin | Physician | FT | $205,461 | $26,158 | $231,619 |
| Michael Rquion | Lead Physician | FT | $203,890 | $36,817 | $229,902 |
| Pauline Karunakaran | Dental Director | FT | $190,234 | $24,466 | $214,700 |
| Sierk Haitsma | CFO | FT | $167,733 | $20,194 | $198,732 |
| Sharon McIntyre | Physician | FT | $167,266 | $23,169 | $190,435 |
| Darla Clark | COO | FT | $141,647 | $28,712 | $170,359 |
| Name | Title |
|---|---|
| Brenda Adams | Chair |
| David Keyser | Vice - Chair |
| Jason Camp | Board Member |
| John L Williams | Board Member |
| Gene Whitehouse | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Keker Van Nest & Peters LLP | Professional Service | 633 Battery St, San Francisco, CA 94111 | $193,685 |
| Hit Care-health Information Technology Care | Professional Service | 1310 Redwood Way Suite 125, Petaluma, CA 94954 | $160,386 |
| Imperial Health Holdings | Medical Service | 600 South Lake Avenue STE 308, Pasadena, CA 91106 | $101,960 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $19,590,097 |
| Other Expenses | $11,339,250 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $11,301,961 | $3,459,604 | - | $14,761,565 |
| Other Employee Benefits | $2,107,982 | $935,000 | - | $3,042,982 |
| All Other Expenses | $437,409 | $1,418,731 | - | $1,856,140 |
| Depreciation Depletion | $132,207 | $1,458,334 | - | $1,590,541 |
| Payroll Taxes | $917,993 | $291,536 | - | $1,209,529 |
| Fees for Services Legal | - | $603,266 | - | $603,266 |
| Current Officers, Directors, Trustees, and Key Employees | $390,334 | $185,687 | - | $576,021 |
| Other Expenses | $178,237 | $334,287 | - | $512,524 |
| Interest | - | $348,099 | - | $348,099 |
| Occupancy | $6,384 | $232,612 | - | $238,996 |
| Travel | $112,743 | $40,668 | - | $153,411 |
| Insurance | $1,520 | $116,635 | - | $118,155 |
| Office Expenses | $1,295 | $79,118 | - | $80,413 |
| Fees for Services Accounting | - | $50,463 | - | $50,463 |
| Total Functional Expenses | $21,010,880 | $9,918,467 | $0 | $30,929,347 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $30,929,347 |
| Total Expenses per Audited Statements | $30,929,347 |
| Total Expenses per Form 990 | $30,929,347 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
“The Form 990 is presented by the CFO to the full Board of Directors and is approved for filing. The Chairperson is authorized to sign the form 990 after the approval by the full board of directors.”
“The Organization performs an annual evaluation of all potential conflict of interest situations.”
“The Board of Directors hires CEO and top management of the Organization. The compensation amount is based on prevailing salaries in the area and the experience and qualifications of the employee.”
“The Board of Directors hires all officers of the Organization. The compensation amount is based on prevailing salaries in the area and the experience and qualifications of the Officer.”
“Documents are available upon request from the general public.”
“The Organization, pursuant to a determination letter from the Internal Revenue Service, is exempt from Federal and State income taxes under Section 501(c)(3) of the Internal Revenue code and Section 23701(d) of the California Revenue and Taxation Code.The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities at June 30, 2019.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2026091 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2274302 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1967205 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3011987 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | Provides comprehensive health care and ancillary services to the Native-American population of Sierra, Placer and Nevada Counties of California. |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 0 |
| IRS990/AllAffiliatesIncludedInd | 0 | false |
| IRS990/AllOtherContributionsAmt | 0 | 553980 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1418731 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 437409 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1856140 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | Sierk Haitsma CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5308872800 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 11670 Atwood Road |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Auburn |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 95603 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 545974 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 6300 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 185687 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 390334 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 576021 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 193685 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 160386 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 101960 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 633 Battery St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1310 Redwood Way Suite 125 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 600 South Lake Avenue STE 308 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | San Francisco |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Petaluma |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Pasadena |
| 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/ZIPCd | 0 | 94111 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 94954 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 91106 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | KEKER VAN NEST & PETERS LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HIT CARE-HEALTH INFORMATION TECHNOLOGY CARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | IMPERIAL HEALTH HOLDINGS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Professional Service |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Professional Service |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Medical Service |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 11517833 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 874162 |
| IRS990/CYOtherExpensesAmt | 0 | 11339250 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 35315005 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 16777653 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 19590097 |
| IRS990/CYTotalExpensesAmt | 0 | 30929347 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 47707000 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | false |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 9194699 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 9991105 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1458334 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 132207 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1590541 |
| IRS990/Desc | 0 | Primary Health Care Program - Chapa-De Indian Health Program, Inc. Provided comprehensive health services to the Native-American population and other residents of Sierra, Placer, and Nevada Counties of California. Comprehensive health services include direct patient care, immunizations, health promotion and disease prevention, drug abuse and education/prevention programs, and dental care. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DistributionToDonorInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 302 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 20643170 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 50463 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 50463 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 603266 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 603266 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282FiledCnt | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 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/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/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 | 26985 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 20999 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 18712 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 569 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 22315 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 22475 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 19825 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 21966 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Jason Camp |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GENE WHITEHOUSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BRENDA ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DAVID KEYSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | John L Williams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LISA DAVIES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Sierk Haitsma |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Darla Clark |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | RICHARD AMALEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | William Jornlin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MICHAEL RQUION |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Sharon McIntyre |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Pauline Karunakaran |
| 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 | 248107 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 177733 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 151647 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 254075 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 209304 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 207427 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 170610 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 192734 |
| 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/TitleTxt | 0 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Vice - Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PSYCHIATRIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | LEAD PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Dental Director |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | false |
| IRS990/FormationYr | 0 | 1979 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -2657 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 10963853 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 47709657 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 116635 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1520 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 118155 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 348099 |
| IRS990/InterestGrp/TotalAmt | 0 | 348099 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 153348 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 183784 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 876819 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 876819 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 84 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 16233431 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 23515548 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 22105551 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 38338982 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 2657 |
| IRS990/LicensedMoreThanOneStateInd | 0 | false |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | Provides comprehensive health care and ancillary services to the Native-American population of Sierra, Placer and Nevada Counties of California. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 6665224 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 72423403 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 89354923 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | -2657 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -2657 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 153867 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 232612 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 6384 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 238996 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 79118 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1295 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 80413 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OrgFiledInLieuOfForm1041Ind | 0 | false |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 371797 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 193029 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 935000 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2107982 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3042982 |
| IRS990/OtherExpensesGrp/Desc | 0 | Subcontractors |
| IRS990/OtherExpensesGrp/Desc | 1 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 2 | PATIENT CARE |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 357929 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 6478 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 20 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 334287 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2494358 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2406764 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 521693 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 178237 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2852287 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2413242 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 521713 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 512524 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3459604 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 11301961 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 14761565 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 291536 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 917993 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1209529 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 189999 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 115453 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 0 |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | HEALTH SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 35315005 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 35315005 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | Diabetes Prevention Program - This program provides diabetes prevention, management and lifestyle education, and testing services to Native-American patients during the fiscal year. These patients live primarily in Sierra, Placer and Nevada Counties of California. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 367710 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 11043154 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 238823 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 9844444 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 27146022 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 11105272 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 17478283 |
| IRS990/PYTotalExpensesAmt | 0 | 27322727 |
| IRS990/PYTotalRevenueAmt | 0 | 38427999 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 16777653 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 63565546 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 76004226 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 11517833 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 11043154 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 10973174 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 11423346 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 12018383 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 56975890 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 876819 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 245453 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3428 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2192 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 13797 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 1141689 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 126704394 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.98040 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.99510 |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.