Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
990 • Fiscal year 2023 • EIN 94-2583156
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Liabilities / Revenue
31st percentile
Higher debt load relative to revenue than 31% of similar nonprofits.
Net Margin
87th percentile
Higher net margin than 87% of similar nonprofits.
Top Officer Pay
55th percentile
Higher top officer pay than 55% of similar nonprofits.
Top officer pay equals 0.8% of source-year revenue.
Asset Growth
80th percentile
Faster asset growth than 80% of similar nonprofits.
Revenue Growth
45th percentile
Faster revenue growth than 45% of similar nonprofits.
Assets
Flat$208,048,447
Flat from 2023
Net Assets
Flat$192,026,366
Flat from 2023
Liabilities
Flat$16,022,081
Flat from 2023
Revenue
Flat$66,598,010
Flat from 2023
Expenses
Flat$44,920,233
Flat from 2023
Net Income
Flat$21,677,777
Flat from 2023
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 | $100,300,972 | $108,849,027 | ▲ $8,548,055 |
| Savings and Temporary Cash Investments | $31,857,443 | $51,781,988 | ▲ $19,924,545 |
| Land, Buildings, and Equipment, Net | $39,978,134 | $40,605,382 | ▲ $627,248 |
| Accounts Receivable | $5,755,059 | $4,805,193 | ▼ $949,866 |
| Pledges and Grants Receivable | $304,399 | $832,647 | ▲ $528,248 |
| Prepaid Expenses and Deferred Charges | - | $321,225 | - |
| Inventories for Sale or Use | $184,221 | $296,697 | ▲ $112,476 |
| Cash and Non-Interest-Bearing Accounts | $5,800 | $5,800 | → $0 |
| Total Assets | $178,697,226 | $208,048,447 | ▲ $29,351,221 |
| Other Assets Total | $311,198 | $550,488 | ▲ $239,290 |
| Liabilities | |||
| Deferred Revenue | $10,610,554 | $10,824,032 | ▲ $213,478 |
| Accounts Payable and Accrued Expenses | $3,329,103 | $5,198,049 | ▲ $1,868,946 |
| Total Liabilities | $13,939,657 | $16,022,081 | ▲ $2,082,424 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $164,757,569 | $192,026,366 | ▲ $27,268,797 |
| Total Net Assets Fund Balance | $164,757,569 | $192,026,366 | ▲ $27,268,797 |
| Total Liabilities and Net Assets / Fund Balance | $178,697,226 | $208,048,447 | ▲ $29,351,221 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $27,965,783 | $18,255,579 | $46,221,362 |
| Land | $11,749,633 | - | $11,749,633 |
| Equipment | $889,966 | $4,141,724 | $5,031,690 |
| Other Securities | $11,203,993 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lisa Davies | Chief Executive Officer | FT | $413,058 | $102,675 | $515,733 |
| Sierk Haitsma | Chief Financial Officer | FT | $280,003 | $59,609 | $339,612 |
| Alinea Stevens | Medical Director | PT | $252,376 | $67,836 | $320,212 |
| Darla Clark | Chief Operations Officer | FT | $251,658 | $64,795 | $316,453 |
| William Jornlin | Physician | FT | $261,415 | $47,605 | $309,020 |
| Marlowe Dieckmann | Physician | FT | $234,263 | $47,210 | $281,473 |
| Anthony Reyes | Chief Admin Officer | FT | $221,188 | $57,886 | $279,074 |
| Pauline Karunakaran | Dental Director | FT | $224,769 | $46,960 | $271,729 |
| Karina Gookin | Lead Physician | FT | $222,674 | $46,197 | $268,871 |
| Benjamin Oldach | Physician | FT | $231,249 | $37,326 | $268,575 |
| Eric Osborn | Chief Information Officer | FT | $230,271 | $25,577 | $255,848 |
| Julie Garchow | Physician/residency Assoc Pgrm Director | FT | $209,658 | $23,594 | $233,252 |
| 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 | $2,943,661 |
| Effort Pharmacy Services INC | Pharmacy Services | 3215 PENNINGTON ROAD, Live Oak, CA 95953 | $1,984,677 |
| Snap Care | Temporary Nurse Staffing Service | PO BOX 200352, Dallas, TX 75320 | $401,663 |
| United Building Maintenance INC | Janitorial Services | 8211 SIERRA COLLEGE BVLD STE 420, Roseville, CA 95661 | $368,472 |
| Eclinicalworks | Software License & Support | PO BOX 847950, Boston, MA 02284-7950 | $339,806 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $28,932,009 |
| Other Expenses | $15,988,224 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $14,445,029 | $5,531,789 | - | $19,976,818 |
| Fees for Services Other | $3,547,047 | $838,178 | - | $4,385,225 |
| Other Employee Benefits | $2,876,048 | $1,328,951 | - | $4,204,999 |
| Current Officers, Directors, Trustees, and Key Employees | $1,678,920 | $656,038 | - | $2,334,958 |
| Depreciation Depletion | $313,636 | $1,699,610 | - | $2,013,246 |
| Payroll Taxes | $1,094,080 | $505,547 | - | $1,599,627 |
| Occupancy | $59,100 | $1,318,427 | - | $1,377,527 |
| Pension Plan Contributions | $557,842 | $257,765 | - | $815,607 |
| Information Technology | $95,211 | $484,333 | - | $579,544 |
| All Other Expenses | $268,136 | $173,921 | - | $442,057 |
| Other Expenses | $142,550 | $217,361 | - | $359,911 |
| Fees for Services Legal | $200,220 | $47,312 | - | $247,532 |
| Travel | $150,394 | $68,801 | - | $219,195 |
| Insurance | $200 | $200,897 | - | $201,097 |
| Fees for Service Investment Mgmnt Fees | - | $193,197 | - | $193,197 |
| Office Expenses | $2,950 | $184,552 | - | $187,502 |
| Fees for Services Accounting | $60,852 | $14,379 | - | $75,231 |
| Total Functional Expenses | $30,768,202 | $14,152,031 | $0 | $44,920,233 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $44,920,233 |
| Expenses per Audited Statements | $44,727,036 |
| Total Expenses per Audited Statements | $44,727,036 |
| Expenses Not Reported on Financial Statements | $193,197 |
| 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 all officers of the organization. The compensation amount is based on prevailing salaries in the area and the experience and qualifications of the officer. This process was last undertaken in 2020.”
“Documents are available upon request from the general public.”
“Process has not change from the prior year.”
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 | 3329103 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5198049 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5755059 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4805193 |
| 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 | 173921 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 268136 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 442057 |
| 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 | 5800 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5800 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 35 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 656038 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1678920 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2334958 |
| 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 | 2943661 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1984677 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 401663 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 368472 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 339806 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5180 GOLDEN FOOTHILLS PKWY 110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3215 PENNINGTON ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 200352 |
| 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 | DALLAS |
| 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 | TX |
| 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 | 75320 |
| 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 | SNAP CARE |
| 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 | TEMPORARY NURSE STAFFING SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | JANITORIAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SOFTWARE LICENSE & SUPPORT |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 13330079 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3766596 |
| IRS990/CYOtherExpensesAmt | 0 | 15988224 |
| IRS990/CYOtherRevenueAmt | 0 | 130649 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 49370686 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 21677777 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 28932009 |
| IRS990/CYTotalExpensesAmt | 0 | 44920233 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 66598010 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 10610554 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 10824032 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1699610 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 313636 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2013246 |
| 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 | 322 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 30384748 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 14379 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 60852 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 75231 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 47312 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 200220 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 247532 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 838178 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3547047 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 4385225 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 193197 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 193197 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| 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 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 2.00 |
| 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/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 | 39675 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 27321 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 34082 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 47017 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 27343 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 35386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 15077 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 42885 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 45410 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 35526 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 44697 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 20594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LISA DAVIES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SIERK HAITSMA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DARLA CLARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ALINEA STEVENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | PAULINE KARUNAKARAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ANTHONY REYES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ERIC OSBORN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | WILLIAM JORNLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARLOWE DIECKMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BENJAMIN OLDACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KARINA GOOKIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JULIE GARCHOW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BRENDA ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | DAVID KEYSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | GENE WHITEHOUSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JASON CAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOHN L WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 476058 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 312291 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 282371 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 273195 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 244386 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 243688 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 240771 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 266135 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 236063 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 233049 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 224174 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 212658 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| 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/TitleTxt | 0 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHIEF OPERATIONS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DENTAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHIEF ADMIN OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | LEAD PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN/RESIDENCY ASSOC PGRM DIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VICE-CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| 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 | -2550 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 13330079 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 66600560 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 53 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 484333 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 95211 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 579544 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 200897 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 200 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 201097 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 184221 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 296697 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3769146 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3769146 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 100300972 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 108849027 |
| IRS990/IRPDocumentCnt | 0 | 92 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 22397303 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 39978134 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 40605382 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 63002685 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 2550 |
| 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 | 164757569 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 192026366 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -2550 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -2550 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 5591020 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 164757569 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 192026366 |
| IRS990/NoncashContributionsAmt | 0 | 20003 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1318427 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 59100 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1377527 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 184552 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2950 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 187502 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 311198 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 550488 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1328951 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2876048 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4204999 |
| 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 | 22766 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 38772 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 369435 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 217361 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4543011 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 587943 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 145033 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 142550 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4565777 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 626715 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 514468 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 359911 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 130649 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 130649 |
| IRS990/OtherRevenueTotalAmt | 0 | 130649 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 5531789 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 14445029 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 19976818 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 505547 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1094080 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1599627 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 257765 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 557842 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 815607 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 304399 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 832647 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 321225 |
| IRS990/PrincipalOfficerNm | 0 | LISA DAVIES |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | HEALTH SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 49370686 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 49370686 |
| 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 | 383454 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 17794216 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 2763810 |
| IRS990/PYOtherExpensesAmt | 0 | 13749047 |
| IRS990/PYOtherRevenueAmt | 0 | 81774 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 44382616 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 25550032 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 25723337 |
| IRS990/PYTotalExpensesAmt | 0 | 39472384 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 65022416 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 21677777 |
| 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 | 49501335 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 31857443 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 51781988 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 13330079 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 17794216 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 17847918 |
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Displayed year
2023 • Form 990Detailed filing. Detailed filing data is available for this year.