Liabilities / Assets
27th percentile
Higher debt load relative to assets than 27% of similar nonprofits.
990 • Fiscal year 2020 • EIN 94-2583156
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
27th percentile
Higher debt load relative to assets than 27% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
92nd percentile
Higher net margin than 92% of similar nonprofits.
Top Officer Pay
32nd percentile
Higher top officer pay than 32% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
89th percentile
Faster asset growth than 89% of similar nonprofits.
Revenue Growth
85th percentile
Faster revenue growth than 85% of similar nonprofits.
Assets
Up$132,597,049
Up $30,976,719 (+30%) from 2019
Net Assets
Up$118,227,198
Up $28,872,275 (+32%) from 2019
Liabilities
Up$14,369,851
Up $2,104,444 (+17%) from 2019
Revenue
Up$60,902,026
Up $13,195,026 (+28%) from 2019
Expenses
Up$32,501,326
Up $1,571,979 (+5.1%) from 2019
Net Income
Up$28,400,700
Up $11,623,047 (+69%) from 2019
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 | |||
| Investments Other Securities | - | $71,011,835 | - |
| Savings and Temporary Cash Investments | $76,004,226 | $34,761,691 | ▼ $41,242,535 |
| Land, Buildings, and Equipment, Net | $22,105,553 | $24,084,084 | ▲ $1,978,531 |
| Accounts Receivable | $3,011,987 | $2,007,769 | ▼ $1,004,218 |
| Pledges and Grants Receivable | $115,453 | $287,067 | ▲ $171,614 |
| Inventories for Sale or Use | $183,784 | $214,395 | ▲ $30,611 |
| Cash and Non-Interest-Bearing Accounts | $6,299 | $6,800 | ▲ $501 |
| Total Assets | $101,620,330 | $132,597,049 | ▲ $30,976,719 |
| Other Assets Total | $193,028 | $223,408 | ▲ $30,380 |
| Liabilities | |||
| Deferred Revenue | $9,991,105 | $6,893,197 | ▼ $3,097,908 |
| Other Liabilities | $0 | $4,296,400 | ▲ $4,296,400 |
| Accounts Payable and Accrued Expenses | $2,274,302 | $3,180,254 | ▲ $905,952 |
| Total Liabilities | $12,265,407 | $14,369,851 | ▲ $2,104,444 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $89,225,332 | $118,227,198 | ▲ $29,001,866 |
| Net Assets With Donor Restrictions | $129,591 | $0 | ▼ $129,591 |
| Total Net Assets Fund Balance | $89,354,923 | $118,227,198 | ▲ $28,872,275 |
| Total Liabilities and Net Assets / Fund Balance | $101,620,330 | $132,597,049 | ▲ $30,976,719 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $16,948,277 | $13,994,173 | $30,942,450 |
| Land | $4,961,827 | - | $4,961,827 |
| Equipment | $320,342 | $3,572,561 | $3,892,903 |
| Other Land Buildings | $1,853,638 | - | $1,853,638 |
| Other Securities | $71,011,835 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lisa Davies | CEO | FT | $275,326 | $60,103 | $335,429 |
| William Jornlin | Physician | FT | $225,927 | $43,704 | $269,631 |
| Richard a Malek | Psychiatrist | FT | $256,614 | $5,711 | $262,325 |
| Michael R Quion | Lead Physician | FT | $217,460 | $38,328 | $255,788 |
| Sierk Haitsma | CFO | FT | $196,000 | $38,519 | $234,519 |
| Pauline Karunakaran | Dental Director | FT | $202,453 | $27,104 | $229,557 |
| Darla Clark | COO | FT | $170,848 | $42,037 | $212,885 |
| 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 Services | 633 BATTERY ST, San Francisco, CA 94111 | $719,314 |
| Eclinicalworks | Software License & Support | PO BOX 847950, Boston, MA 02284-7950 | $277,992 |
| Comphealth | Locum Tenens Agency | PO BOX 972651, Dallas, TX 75397-2651 | $198,584 |
| Dickstein Law Office | Professional Services | 2443 FAIR OAKS BLVD 250, Sacramento, CA 95825 | $160,502 |
| Health Information Technology Care LLC | Computer Services | 1310 REDWOOD WAY STE 125, Petaluma, CA 94954 | $142,909 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $20,496,253 |
| Other Expenses | $12,005,073 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $11,127,760 | $3,884,640 | - | $15,012,400 |
| Other Employee Benefits | $2,348,046 | $937,138 | - | $3,285,184 |
| Fees for Services Other | $1,662,566 | $1,284,550 | - | $2,947,116 |
| Fees for Services Legal | $955,380 | $737,956 | - | $1,693,336 |
| Depreciation Depletion | $122,401 | $1,396,479 | - | $1,518,880 |
| Payroll Taxes | $864,604 | $345,075 | - | $1,209,679 |
| Current Officers, Directors, Trustees, and Key Employees | $729,962 | $259,028 | - | $988,990 |
| Occupancy | $7,758 | $784,500 | - | $792,258 |
| Information Technology | $128,935 | $443,313 | - | $572,248 |
| All Other Expenses | $200,045 | $181,918 | - | $381,963 |
| Travel | $119,191 | $40,353 | - | $159,544 |
| Other Expenses | $65,609 | $85,695 | - | $151,304 |
| Office Expenses | $1,606 | $141,842 | - | $143,448 |
| Insurance | $814 | $117,562 | - | $118,376 |
| Fees for Services Accounting | $25,058 | $19,355 | - | $44,413 |
| Fees for Service Investment Mgmnt Fees | - | $28,384 | - | $28,384 |
| Total Functional Expenses | $21,399,417 | $11,101,909 | $0 | $32,501,326 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $32,501,326 |
| Expenses per Audited Statements | $32,472,942 |
| Total Expenses per Audited Statements | $32,472,942 |
| Expenses Not Reported on Financial Statements | $28,384 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Ppp Loan | $4,296,400 |
“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.”
“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. This process was last undertaken in 2020.”
“Documents are available upon request from the general public.”
“The process has not changed from the prior period.”
“The organization did not apply for ppp forgiveness and repaid the loan in full on november 18, 2020, subsequent to fiscal year end.”
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 | 2274302 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3180254 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3011987 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2007769 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER AND NEVADA COUNTIES OF CALIFORNIA. |
| IRS990/AllOtherContributionsAmt | 0 | 9423 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 181918 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 200045 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 381963 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | SIERK HAITSMA |
| 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/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6299 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 6800 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 259028 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 729962 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 988990 |
| 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 | 719314 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 277992 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 198584 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 160502 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 142909 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 633 BATTERY ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 847950 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 972651 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2443 FAIR OAKS BLVD 250 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1310 REDWOOD WAY STE 125 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SAN FRANCISCO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SACRAMENTO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | PETALUMA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 94111 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 022847950 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 753972651 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 95825 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 94954 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | KEKER VAN NEST & PETERS LLP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | ECLINICALWORKS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | COMPHEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | DICKSTEIN LAW OFFICE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | HEALTH INFORMATION TECHNOLOGY CARE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | SOFTWARE LICENSE & SUPPORT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LOCUM TENENS AGENCY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | COMPUTER SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 25916727 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1693657 |
| IRS990/CYOtherExpensesAmt | 0 | 12005073 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 33291642 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 28400700 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 20496253 |
| IRS990/CYTotalExpensesAmt | 0 | 32501326 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 60902026 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 9991105 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 6893197 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1396479 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 122401 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1518880 |
| IRS990/Desc | 0 | PRIMARY HEALTH CARE PROGRAM- CHAPA-DE INDIAN 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 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 129591 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 311 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 20006533 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 19355 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 25058 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 44413 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 737956 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 955380 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1693336 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1284550 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1662566 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2947116 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 28384 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 28384 |
| 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 | 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/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | 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/KeyEmployeeInd | 0 | 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 | 26037 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 35103 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 20519 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 33571 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 37990 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 23104 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 697 |
| 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 | DARLA CLARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LISA DAVIES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SIERK HAITSMA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL R QUION |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | WILLIAM JORNLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PAULINE KARUNAKARAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | RICHARD A MALEK |
| 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 | 186848 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 300326 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 214000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 222217 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 231641 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 206453 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 261628 |
| 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/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 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | LEAD PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DENTAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PSYCHIATRIST |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1979 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 4673 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 185123 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 25907304 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 132096 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 57687402 |
| IRS990/GrossReceiptsAmt | 0 | 118531728 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 7 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 443313 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 128935 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 572248 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 117562 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 814 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 118376 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 183784 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 214395 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1503861 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1503861 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 71011835 |
| IRS990/IRPDocumentCnt | 0 | 80 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 17566734 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 22105553 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 24084084 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 41650818 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 127423 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 57502279 |
| 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 | PROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER AND NEVADA COUNTIES OF CALIFORNIA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 89354923 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 118227198 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 189796 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 189796 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 471575 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 89225332 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 118227198 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 784500 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 7758 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 792258 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 141842 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1606 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 143448 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 193028 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 223408 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 937138 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2348046 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3285184 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BUILDING AND EQUIPMENT |
| IRS990/OtherExpensesGrp/Desc | 2 | PATIENT RELATED COSTS |
| IRS990/OtherExpensesGrp/Desc | 3 | OTHER PERSONNEL RELATED |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 7662 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 396719 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 9740 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 85695 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2302535 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 193041 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 544106 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 65609 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2310197 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 589760 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 553846 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 151304 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 4296400 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3884640 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 11127760 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 15012400 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 345075 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 864604 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1209679 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 115453 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 287067 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | LISA DAVIES |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | HEALTH SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 33291642 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 33291642 |
| 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 | 304511 |
| IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt | 0 | 1088373 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 11517833 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 874162 |
| IRS990/PYOtherExpensesAmt | 0 | 11339250 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 35315005 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 16777653 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 19590097 |
| IRS990/PYTotalExpensesAmt | 0 | 30929347 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 47707000 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 28400700 |
| 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 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 33291642 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 76004226 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 34761691 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 25916727 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 11517833 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11043154 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10973174 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 11423346 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 70874234 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 1693657 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 876819 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 245453 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3428 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2192 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 2821549 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 134655157 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.96170 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.98040 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 70874234 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 25916727 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 11517833 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11043154 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 10973174 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 11423346 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 70874234 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 73695783 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 16948277 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 13994173 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 30942450 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 320342 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 3572561 |
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Displayed year
2020 • Form 990Detailed filing. Detailed filing data is available for this year.
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