Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
EIN 95-2538049 • 501(c)3 • Bishop, CA
Profile
The mission of the toiyabe indian health project is to provide healthcare and promotion wellness to indian communities. Toiyabe is a consortium of seven federally recognized tribes and to native american communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Liabilities / Revenue
64th percentile
Higher debt load relative to revenue than 64% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
74th percentile
Higher top officer pay than 74% of similar nonprofits.
Top officer pay equals 1.2% of source-year revenue.
Asset Growth
62nd percentile
Faster asset growth than 62% of similar nonprofits.
Revenue Growth
31st percentile
Faster revenue growth than 31% of similar nonprofits.
Assets
Up$43,449,827
Up $3,384,871 (+8.4%) from 2023
Liabilities
Up$15,450,077
Up $343,222 (+2.3%) from 2023
Net Assets
Up$27,999,750
Up $3,041,649 (+12%) from 2023
Revenue
Down$33,303,235
Down $54,678 (-0.2%) from 2023
Expenses
Up$30,238,396
Up $3,619,900 (+14%) from 2023
Net Income
Down$3,064,839
Down $3,674,578 (-55%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of the toiyabe indian health project is to provide healthcare and promotion wellness to indian communities. Toiyabe is a consortium of seven federally recognized tribes and to native american communities.
Delivering consistent, quality, equitable, & culturally appropriate health care to our communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $21,988,277 | $24,895,852 | ▲ $2,907,575 |
| Investments in Publicly Traded Securities | $7,699,970 | $12,068,170 | ▲ $4,368,200 |
| Accounts Receivable | $2,207,701 | $2,372,996 | ▲ $165,295 |
| Cash and Non-Interest-Bearing Accounts | $6,379,122 | $2,305,782 | ▼ $4,073,340 |
| Savings and Temporary Cash Investments | $549,069 | $659,930 | ▲ $110,861 |
| Pledges and Grants Receivable | $774,607 | $644,369 | ▼ $130,238 |
| Inventories for Sale or Use | $214,893 | $439,715 | ▲ $224,822 |
| Prepaid Expenses and Deferred Charges | $251,317 | $63,013 | ▼ $188,304 |
| Total Assets | $40,064,956 | $43,449,827 | ▲ $3,384,871 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $12,781,343 | $12,441,733 | ▼ $339,610 |
| Accounts Payable and Accrued Expenses | $2,325,512 | $3,008,344 | ▲ $682,832 |
| Total Liabilities | $15,106,855 | $15,450,077 | ▲ $343,222 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $21,898,645 | $25,008,592 | ▲ $3,109,947 |
| Net Assets With Donor Restrictions | $3,059,456 | $2,991,158 | ▼ $68,298 |
| Total Net Assets Fund Balance | $24,958,101 | $27,999,750 | ▲ $3,041,649 |
| Total Liabilities and Net Assets / Fund Balance | $40,064,956 | $43,449,827 | ▲ $3,384,871 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $13,307,946 | $4,416,587 | $17,724,533 |
| Other Land Buildings | $9,473,314 | - | $9,473,314 |
| Equipment | $2,095,506 | $4,212,657 | $6,308,163 |
| Leasehold Improvements | $19,086 | $573,816 | $592,902 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Taema Weiss | Physician | FT | $335,741 | $56,168 | $391,909 |
| Michael White | Dentist | FT | $344,547 | $40,220 | $384,767 |
| Summer Fraizer | Chief Medical Officer | FT | $341,362 | $42,093 | $383,455 |
| Magdy Maksy | Nephrologist | FT | $322,960 | $60,271 | $383,231 |
| Thomas Wuestoff | Dentist | FT | $323,399 | $55,069 | $378,468 |
| Parisa Payman | Chief Dentist | FT | $314,189 | $55,503 | $369,692 |
| David Carroll | Pharmacist | FT | $198,420 | $37,199 | $235,619 |
| Earl Lent | COO/CEO (start June) | FT | $179,778 | $31,282 | $211,060 |
| Stuart Hiroyasu | Optometrist | FT | $174,797 | $28,887 | $203,684 |
| Zahid Sheikh | Chief Executive Officer (until May) | FT | $174,968 | $15,296 | $190,264 |
| Jernon Kelly | Chief Financial Officer | FT | $58,739 | $11,320 | $70,059 |
| Kate Morley | Chief Operations Officer (start Nov) | FT | $17,718 | $1,100 | $18,818 |
| George Gholson | Board Vice-chairman | - | $16,480 | - | $16,480 |
| Rick Maddux | Board Treasurer | - | $14,806 | - | $14,806 |
| Janice Mendez | Board Secetary | - | $12,589 | - | $12,589 |
| Jolene Carley | Board Member | - | $7,337 | - | $7,337 |
| Jeff Romero | Board Member (alterante) | - | $5,498 | - | $5,498 |
| Earleen Williams | Board Member | - | $4,897 | - | $4,897 |
| Marilyn Bracken | Board Member | - | $4,587 | - | $4,587 |
| Richard Button | Board Member | - | $3,146 | - | $3,146 |
| Robert Zucco | Board Member | - | $1,595 | - | $1,595 |
| Carla Kennedy | Board Member | - | $836 | - | $836 |
| Charlotte David | Board Member (alterante) | - | $623 | - | $623 |
| Geraldine Cady | Board Member | - | $560 | - | $560 |
| Name | Title |
|---|---|
| Rachel Joseph | Board Member/tribal Chair |
| Virgil Dave Moose | Tribal Chair |
| Margaret Cortez | Board Member |
| Shane Saulque | Board Member (alternate) |
| Jimmy John Thomson | Member at Large |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Juniper Ridge Construction | Construction | 700 W 19TH ST, Alturas, CA 96101 | $2,010,226 |
| Nextgen Healthcare INC | Medical Services | 1551 EMANCIPATION HWY STE 200 UNIT, Fredericksburg, VA 22401 | $1,036,718 |
| Tony's Fencing Custom Designs | Construction | 4475 N BENDEL AVE, Fresno, CA 93722 | $565,031 |
| Quik Travel Staffing INC | Dialysis Services | 2000 W MAGNOLIA BLVD STE 100, Burbank, CA 91506 | $394,447 |
| Northern Inyo Hospital | Benefits | 150 PIONEER LANE, Bishop, CA 93514 | $388,821 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $15,190,007 |
| Other Expenses | $15,048,389 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,772,637 | $6,323,723 | - | $11,096,360 |
| Fees for Services Other | $1,964,090 | $1,759,370 | - | $3,723,460 |
| Other Employee Benefits | $940,135 | $1,067,546 | - | $2,007,681 |
| Office Expenses | $49,980 | $1,131,695 | - | $1,181,675 |
| Depreciation Depletion | - | $1,111,882 | - | $1,111,882 |
| Payroll Taxes | $377,433 | $475,734 | - | $853,167 |
| Pension Plan Contributions | $335,073 | $441,595 | - | $776,668 |
| Occupancy | $206,767 | $370,688 | - | $577,455 |
| Current Officers, Directors, Trustees, and Key Employees | $197,638 | $258,493 | - | $456,131 |
| Insurance | $267,240 | $153,607 | - | $420,847 |
| Interest | $104 | $364,516 | - | $364,620 |
| Advertising | $154,049 | $187,510 | - | $341,559 |
| All Other Expenses | $50,238 | $277,044 | - | $327,282 |
| Travel | $183,523 | $122,144 | - | $305,667 |
| Information Technology | $17,994 | $280,339 | - | $298,333 |
| Other Expenses | $7,994 | $231,900 | - | $239,894 |
| Conferences and Meetings | $2,293 | $98,899 | - | $101,192 |
| Fees for Services Accounting | $4,700 | $41,543 | - | $46,243 |
| Fees for Services Legal | - | $22,276 | - | $22,276 |
| Total Functional Expenses | $11,449,122 | $18,789,274 | $0 | $30,238,396 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The executive committee is comprised the board chair, vice-chairman, secretary, treasurer, and executive-at-large. The members of the executive committee are members of the governing body. The executive committee can act on behalf of the governing body without full board approval. When the full board meets following executive committee action, the executive committee informs the rest of the board of the action that has been taken. The rest of the board does not have to approve of the decision taken by the executive committee.”
“The chair of the board has a familial relationship with the hr director. In general, for tribes in geographically isolated areas, it is common to have family relationships in the workplace.”
“There shall be one class of members in the project and they shall be the tribal governments in the toiyabe indian health project, inc. Service area. There are currently 7 member tribes: big pine paiute tribe of the owens valley, bishop paiute tribe, bridgeport indian reservation, fort independence indian reservation, lone pine paiute-shoshone reservation, utu utu gwaitu tribe (benton), timbisha shoshone tribe (death valley).”
“Each member tribe appoints 2 delegates to the board from each tribal government.”
“The form 990 will be reviewed by the cfo and ceo. Upon approval, it will be filed with the internal revenue service.”
“Toiyabe indian health project, inc performs an annual evaluation of all situations where there could be a conflict of interest. The policy applies to the board of directors as well as employees of the clinics. The board members that believe an action or issue pending before the board could involve a conflict of interest shall announce the conflict and notify the chairperson of the board. The ceo will formally cite an employee if there is a conflict of interest. A board member that has cause or issue pending shall abstain from discussion, consideration, decisions, and voting on the matter. Employees will have 30 calendar days to dispose of such interest. Failure to comply will be cause for immediate discplinary action.”
“The compensation of the ceo and cfo is determined by the board, compared to similar entities, and voted on and approved by the board. The compensation process is documented in board minutes. This process was last completed in august 2020.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.”
“Other professional services: program service expenses 1,964,090. Management and general expenses 1,759,370. Fundraising expenses 0. Total expenses 3,723,460.”
“The organization is currently undergoing the required single audit.”
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 | 2325512 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3008344 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2207701 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2372996 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | DELIVERING CONSISTENT, QUALITY, EQUITABLE, & CULTURALLY APPROPRIATE HEALTH CARE TO OUR COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 187510 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 154049 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 341559 |
| IRS990/AllOtherContributionsAmt | 0 | 271250 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 277044 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 50238 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 327282 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JERNON KELLY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7608738464 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 250 N SEE VEE LN |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BISHOP |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 93514 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6379122 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2305782 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 16 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 258493 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 197638 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 456131 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 98899 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 2293 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 101192 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2010226 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1036718 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 565031 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 394447 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 388821 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 700 W 19TH ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1551 EMANCIPATION HWY STE 200 UNIT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 4475 N BENDEL AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2000 W MAGNOLIA BLVD STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 150 PIONEER LANE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ALTURAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | FREDERICKSBURG |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | FRESNO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BURBANK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BISHOP |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 96101 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 22401 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 93722 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 91506 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 93514 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | JUNIPER RIDGE CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | NEXTGEN HEALTHCARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | TONY'S FENCING CUSTOM DESIGNS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | QUIK TRAVEL STAFFING INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | NORTHERN INYO HOSPITAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | DIALYSIS SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | BENEFITS |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 11969730 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1459723 |
| IRS990/CYOtherExpensesAmt | 0 | 15048389 |
| IRS990/CYOtherRevenueAmt | 0 | 3890782 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 15983000 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 3064839 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 15190007 |
| IRS990/CYTotalExpensesAmt | 0 | 30238396 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 33303235 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1111882 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1111882 |
| IRS990/Desc | 0 | AS A CONSORTIUM OF SEVEN FEDERALLY RECOGNIZED TRIBES, TOIYABE INDIAN HEALTH PROJECT PROVIDES HEALTHCARE SERVICES TO BOTH INDIAN AND NON-INDIAN PATIENTS IN INYO AND MONO COUNTIES OF CALIFORNIA. PATIENTS ARE SEEN IN THE COMPANY'S BISHOP, LONE PINE, AND COLEVILLE CLINICS. SERVICES INCLUDE MEDICAL, DENTAL, DIALYSIS, PREVENTATIVE MEDICINE, BEHAVIORAL HEALTH, ELDER CARE, WIC, OPTICAL AND PUBLIC HEALTH FOR BOTH NATIVE AND NON-NATIVE PATIENTS. THE COMPANY IS EXPERIENCING SURGES IN NEW PATIENT INTEREST WHICH IS ATTRIBUTES TO A RESPECTED PROVIDER BASE AND QUALITY OF CARE. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 3059456 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2991158 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 177 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 11449122 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 41543 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 4700 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 46243 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 22276 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 22276 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1759370 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1964090 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 3723460 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 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/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | 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/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| 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/OtherCompensationAmt | 17 | 11320 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 15296 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 31282 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 1100 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 42093 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 56168 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 55503 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 40220 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 60271 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 55069 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 37199 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 28887 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | VIRGIL DAVE MOOSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GEORGE GHOLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | RICK MADDUX |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JANICE MENDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | GERALDINE CADY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | RACHEL JOSEPH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | EARLEEN WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MARILYN BRACKEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | CARLA KENNEDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JOLENE CARLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RICHARD BUTTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARGARET CORTEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ROBERT ZUCCO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JIMMY JOHN THOMSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CHARLOTTE DAVID |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JEFF ROMERO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SHANE SAULQUE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JERNON KELLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ZAHID SHEIKH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | EARL LENT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KATE MORLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | SUMMER FRAIZER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | TAEMA WEISS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | PARISA PAYMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | MICHAEL WHITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | MAGDY MAKSY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | THOMAS WUESTOFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | DAVID CARROLL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | STUART HIROYASU |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 16480 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 14806 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 12589 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 560 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 4897 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 4587 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 836 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 7337 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 3146 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 1595 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 5498 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 58739 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 174968 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 179778 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 17718 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 341362 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 335741 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 314189 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 344547 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 322960 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 323399 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 198420 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 174797 |
| 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/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRIBAL CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD VICE-CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD SECETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER/TRIBAL CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | MEMBER AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER (ALTERANTE) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER (ALTERANTE) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER (ALTERNATE) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF EXECUTIVE OFFICER (UNTIL MAY) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | COO/CEO (START JUNE) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CHIEF OPERATIONS OFFICER (START NOV) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | CHIEF DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | NEPHROLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | OPTOMETRIST |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1973 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedInd | 0 | 0 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 11698480 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 33303235 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 3848346 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 14 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 280339 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 17994 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 298333 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 153607 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 267240 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 420847 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 364516 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 104 |
| IRS990/InterestGrp/TotalAmt | 0 | 364620 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 214893 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 439715 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1459723 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1459723 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 7699970 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 12068170 |
| IRS990/IRPDocumentCnt | 0 | 62 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9203060 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 21988277 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 24895852 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 34098912 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 42436 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 42436 |
| IRS990/MissionDesc | 0 | THE MISSION OF THE TOIYABE INDIAN HEALTH PROJECT IS TO PROVIDE HEALTHCARE AND PROMOTION WELLNESS TO INDIAN COMMUNITIES. TOIYABE IS A CONSORTIUM OF SEVEN FEDERALLY RECOGNIZED TRIBES AND TO NATIVE AMERICAN COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 12781343 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 12441733 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 24958101 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 27999750 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 3848346 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 3848346 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 21898645 |
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