Liabilities / Assets
24th percentile
Higher debt load relative to assets than 24% of similar nonprofits.
990 • Fiscal year 2022 • EIN 94-2583156
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
24th percentile
Higher debt load relative to assets than 24% of similar nonprofits.
Liabilities / Revenue
30th percentile
Higher debt load relative to revenue than 30% of similar nonprofits.
Net Margin
87th percentile
Higher net margin than 87% of similar nonprofits.
Top Officer Pay
48th percentile
Higher top officer pay than 48% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
69th percentile
Faster asset growth than 69% of similar nonprofits.
Revenue Growth
64th percentile
Faster revenue growth than 64% of similar nonprofits.
Assets
Up$178,697,226
Up $7,289,756 (+4.3%) from 2021
Net Assets
Up$164,757,569
Up $12,731,406 (+8.4%) from 2021
Liabilities
Down$13,939,657
Down $5,441,650 (-28%) from 2021
Revenue
Up$65,022,416
Up $6,360,239 (+11%) from 2021
Expenses
Up$39,472,384
Up $3,941,220 (+11%) from 2021
Net Income
Up$25,550,032
Up $2,419,019 (+10%) from 2021
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 | $100,592,350 | $100,300,972 | ▼ $291,378 |
| Land, Buildings, and Equipment, Net | $29,620,139 | $39,978,134 | ▲ $10,357,995 |
| Savings and Temporary Cash Investments | $35,279,557 | $31,857,443 | ▼ $3,422,114 |
| Accounts Receivable | $3,312,912 | $5,755,059 | ▲ $2,442,147 |
| Pledges and Grants Receivable | $2,160,222 | $304,399 | ▼ $1,855,823 |
| Inventories for Sale or Use | $175,432 | $184,221 | ▲ $8,789 |
| Cash and Non-Interest-Bearing Accounts | $6,400 | $5,800 | ▼ $600 |
| Total Assets | $171,407,470 | $178,697,226 | ▲ $7,289,756 |
| Other Assets Total | $260,458 | $311,198 | ▲ $50,740 |
| Liabilities | |||
| Deferred Revenue | $15,205,987 | $10,610,554 | ▼ $4,595,433 |
| Accounts Payable and Accrued Expenses | $4,175,320 | $3,329,103 | ▼ $846,217 |
| Total Liabilities | $19,381,307 | $13,939,657 | ▼ $5,441,650 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $152,026,163 | $164,757,569 | ▲ $12,731,406 |
| Total Net Assets Fund Balance | $152,026,163 | $164,757,569 | ▲ $12,731,406 |
| Total Liabilities and Net Assets / Fund Balance | $171,407,470 | $178,697,226 | ▲ $7,289,756 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $27,113,420 | $16,898,225 | $44,011,645 |
| Land | $11,825,678 | - | $11,825,678 |
| Equipment | $1,039,036 | $3,833,775 | $4,872,811 |
| Other Securities | $100,300,972 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lisa Davies | Chief Executive Officer | FT | $360,814 | $89,102 | $449,916 |
| Alinea Stevens | Medical Director | PT | $252,438 | $80,066 | $332,504 |
| Sierk Haitsma | Chief Financial Officer | FT | $246,005 | $55,309 | $301,314 |
| William Jornlin | Physician | FT | $239,330 | $60,786 | $300,116 |
| Darla Clark | Chief Operations Officer | FT | $231,688 | $63,534 | $295,222 |
| Pauline Karunakaran | Dental Director | FT | $231,857 | $44,333 | $276,190 |
| Richard Malek | Psychiatrist | FT | $258,101 | $7,130 | $265,231 |
| Marlowe Dieckmann | Physician | FT | $219,778 | $42,901 | $262,679 |
| Shari Fox | Psychiatrist | PT | $238,745 | $22,717 | $261,462 |
| Benjamin Oldach | Physician | FT | $221,840 | $30,811 | $252,651 |
| Anthony Reyes | Chief Administrative Officer | FT | $189,637 | $49,470 | $239,107 |
| Eric Osborn | Chief Information Officer | FT | $197,949 | $30,544 | $228,493 |
| Nicole Conzoner | Director of Nursing | FT | $150,254 | $57,206 | $207,460 |
| Amy Eargle | Behavioral Health Director | FT | $147,972 | $22,345 | $170,317 |
| 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 |
|---|---|---|---|
| Rcp Construction INC | Building Contractor | 5180 GOLDEN FOOTHILLS PKWY 110, El Dorado Hills, CA 95762 | $2,614,537 |
| Effort Pharmacy Services INC | Pharmacy Services | 3215 PENNINGTON ROAD3215 PENNINGT, Live Oak, CA 95953 | $1,849,842 |
| Deacon Construction LLC | Building Contractor | 7745 GREENBACK LANE 250, Citrus Heights, CA 95610 | $1,287,231 |
| United Building Maintenance INC | Janitorial Services | 8211 SIERRA COLLEGE BVLD STE 420, Roseville, CA 95661 | $331,798 |
| Eclinicalworks | Software License & Support | PO BOX 847950, Boston, MA 02284-7950 | $309,008 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $25,723,337 |
| Other Expenses | $13,749,047 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $12,785,099 | $4,691,376 | - | $17,476,475 |
| Other Employee Benefits | $2,991,175 | $1,306,204 | - | $4,297,379 |
| Fees for Services Other | $2,907,615 | $781,570 | - | $3,689,185 |
| Current Officers, Directors, Trustees, and Key Employees | $1,829,857 | $685,380 | - | $2,515,237 |
| Depreciation Depletion | $269,491 | $1,550,082 | - | $1,819,573 |
| Payroll Taxes | $998,302 | $435,944 | - | $1,434,246 |
| Occupancy | $55,899 | $1,148,191 | - | $1,204,090 |
| Information Technology | $80,068 | $512,451 | - | $592,519 |
| All Other Expenses | $133,908 | $307,022 | - | $440,930 |
| Fees for Services Legal | $326,534 | $87,773 | - | $414,307 |
| Other Expenses | $68,675 | $155,971 | - | $224,646 |
| Fees for Service Investment Mgmnt Fees | - | $193,039 | - | $193,039 |
| Office Expenses | $3,315 | $158,568 | - | $161,883 |
| Insurance | - | $158,089 | - | $158,089 |
| Travel | $84,667 | $23,757 | - | $108,424 |
| Fees for Services Accounting | $52,227 | $14,039 | - | $66,266 |
| Total Functional Expenses | $26,777,137 | $12,695,247 | $0 | $39,472,384 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $39,472,384 |
| Expenses per Audited Statements | $39,279,345 |
| Total Expenses per Audited Statements | $39,279,345 |
| Expenses Not Reported on Financial Statements | $193,039 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $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. This process was last undertaken in 2020.”
“Documents are available upon request from the general public.”
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 | 4175320 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3329103 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3312912 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 5755059 |
| 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/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 307022 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 133908 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 440930 |
| 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 | 6400 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5800 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 685380 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1829857 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2515237 |
| 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 | 2614537 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1849842 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1287231 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 331798 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 309008 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5180 GOLDEN FOOTHILLS PKWY 110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3215 PENNINGTON ROAD3215 PENNINGT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 7745 GREENBACK LANE 250 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 8211 SIERRA COLLEGE BVLD STE 420 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 847950 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | EL DORADO HILLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | LIVE OAK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CITRUS HEIGHTS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ROSEVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 95762 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 95953 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 95610 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 95661 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 022847950 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | RCP CONSTRUCTION INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | EFFORT PHARMACY SERVICES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | DEACON CONSTRUCTION LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | UNITED BUILDING MAINTENANCE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ECLINICALWORKS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | BUILDING CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHARMACY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | BUILDING CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | JANITORIAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SOFTWARE LICENSE & SUPPORT |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 17794216 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2763810 |
| IRS990/CYOtherExpensesAmt | 0 | 13749047 |
| IRS990/CYOtherRevenueAmt | 0 | 81774 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 44382616 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 25550032 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 25723337 |
| IRS990/CYTotalExpensesAmt | 0 | 39472384 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 65022416 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 15205987 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 10610554 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1550082 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 269491 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1819573 |
| 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/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 309 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 26777137 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 14039 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 52227 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 66266 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 87773 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 326534 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 414307 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 781570 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2907615 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3689185 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 193039 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 193039 |
| 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 | 32.00 |
| 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/AverageHoursPerWeekRt | 13 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | 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 | 40102 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 24133 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 33709 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 50234 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 25874 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 33335 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 14304 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 43726 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 9289 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 46749 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 630 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 38851 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 12380 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 26761 |
| 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 | ALINEA STEVENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PAULINE KARUNAKARAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ANTHONY REYES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ERIC OSBORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | NICOLE CONZONER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | AMY EARGLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | WILLIAM JORNLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | RICHARD MALEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MARLOWE DIECKMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SHARI FOX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | BENJAMIN OLDACH |
| 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 | 409814 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 277181 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 261513 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 282270 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 250316 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 205772 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 214189 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 163734 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 161028 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 253367 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 264601 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 223828 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 249082 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 225890 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/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 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHIEF OPERATIONS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DENTAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF ADMINISTRATIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR OF NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BEHAVIORAL HEALTH DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PSYCHIATRIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PSYCHIATRIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| 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/SecuritiesAmt | 0 | -10407 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 17794216 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 65032823 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 14 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 512451 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 80068 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 592519 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 158089 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 158089 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 175432 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 184221 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2774217 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2774217 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 100592350 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 100300972 |
| IRS990/IRPDocumentCnt | 0 | 104 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 20732000 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 29620139 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 39978134 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 60710134 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 10407 |
| 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 | 152026163 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 164757569 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | -10407 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -10407 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -12818626 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 152026163 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 164757569 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1148191 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 55899 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1204090 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 158568 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 3315 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 161883 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 260458 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 311198 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1306204 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2991175 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4297379 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | PATIENT RELATED COSTS |
| IRS990/OtherExpensesGrp/Desc | 2 | BUILDING AND EQUIPMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | OTHER PERSONNEL RELATED |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 25232 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 32631 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 427928 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 155971 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3376812 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 609985 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 203508 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 68675 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3402044 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 642616 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 631436 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 224646 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 81774 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 81774 |
| IRS990/OtherRevenueTotalAmt | 0 | 81774 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 4691376 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 12785099 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 17476475 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 435944 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 998302 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1434246 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 2160222 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 304399 |
| 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 | 44382616 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 44382616 |
| 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/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 17847918 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1962180 |
| IRS990/PYOtherExpensesAmt | 0 | 11825705 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 38852079 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 23131013 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 23705459 |
| IRS990/PYTotalExpensesAmt | 0 | 35531164 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 58662177 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 25550032 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 44382616 |
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Displayed year
2022 • Form 990Detailed filing. Detailed filing data is available for this year.