Civic Intelligence

Toiyabe Indian Health Project

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.

250 N See Vee LnBishop, CA 93514

www.toiyabe.us

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

63rd percentile

0.36x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

64th percentile

0.46x

Higher debt load relative to revenue than 64% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

61st percentile

9.2%

Higher net margin than 61% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

74th percentile

$391,909

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

62nd percentile

8.4%

Faster asset growth than 62% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

31st percentile

-0.2%

Faster revenue growth than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2011: $6,046,630Liabilities 2011: $3,206,579Net Assets 2011: $2,840,0512011Assets 2012: $6,152,947Liabilities 2012: $3,165,538Net Assets 2012: $2,987,4092012Assets 2013: $5,548,062Liabilities 2013: $2,196,755Net Assets 2013: $3,351,3072013Assets 2014: $5,102,934Liabilities 2014: $1,601,706Net Assets 2014: $3,501,2282014Assets 2015: $9,731,526Liabilities 2015: $1,924,781Net Assets 2015: $7,806,7452015Assets 2016: $20,539,980Liabilities 2016: $12,206,750Net Assets 2016: $8,333,2302016Assets 2017: $26,657,734Liabilities 2017: $18,901,953Net Assets 2017: $7,755,7812017Assets 2018: $26,352,106Liabilities 2018: $19,987,716Net Assets 2018: $6,364,3902018Assets 2019: $24,264,613Liabilities 2019: $21,396,572Net Assets 2019: $2,868,0412019Assets 2020: $25,142,005Liabilities 2020: $21,413,017Net Assets 2020: $3,728,9882020Assets 2021: $33,140,296Liabilities 2021: $15,337,792Net Assets 2021: $17,802,5042021Assets 2022: $32,214,088Liabilities 2022: $14,722,391Net Assets 2022: $17,491,6972022Assets 2023: $40,064,956Liabilities 2023: $15,106,855Net Assets 2023: $24,958,1012023Assets 2024: $43,449,827Liabilities 2024: $15,450,077Net Assets 2024: $27,999,7502024

Highlighted filing

2024

Assets$43,449,827
Liabilities$15,450,077
Net Assets$27,999,750

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MRevenue 2011: $12,428,774Expenses 2011: $11,963,675Net Income 2011: $465,0992011Expenses 2012: $12,104,6432012Expenses 2013: $12,498,6202013Revenue 2014: $13,987,978Expenses 2014: $13,838,057Net Income 2014: $149,9212014Revenue 2015: $19,522,216Expenses 2015: $15,216,699Net Income 2015: $4,305,5172015Revenue 2016: $16,482,150Expenses 2016: $15,955,665Net Income 2016: $526,4852016Revenue 2017: $17,120,951Expenses 2017: $18,010,089Net Income 2017: -$889,1382017Revenue 2018: $17,890,742Expenses 2018: $19,282,613Net Income 2018: -$1,391,8712018Revenue 2019: $16,760,214Expenses 2019: $20,258,111Net Income 2019: -$3,497,8972019Revenue 2020: $24,443,791Expenses 2020: $23,645,881Net Income 2020: $797,9102020Revenue 2021: $35,025,205Expenses 2021: $20,948,259Net Income 2021: $14,076,9462021Revenue 2022: $23,873,578Expenses 2022: $22,276,310Net Income 2022: $1,597,2682022Revenue 2023: $33,357,913Expenses 2023: $26,618,496Net Income 2023: $6,739,4172023Revenue 2024: $33,303,235Expenses 2024: $30,238,396Net Income 2024: $3,064,8392024

Highlighted filing

2024

Revenue$33,303,235
Expenses$30,238,396
Net Income$3,064,839

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$43.4$15.5$28.0$33.3$30.2$3.06
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.1$15.1$25.0$33.4$26.6$6.74
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.2$14.7$17.5$23.9$22.3$1.60
2021Detailed filing. Detailed filing data is available for this year.$33.1$15.3$17.8$35.0$20.9$14.1
2020Detailed filing. Detailed filing data is available for this year.$25.1$21.4$3.73$24.4$23.6$0.80
2019Detailed filing. Detailed filing data is available for this year.$24.3$21.4$2.87$16.8$20.3$3.50
2018Detailed filing. Detailed filing data is available for this year.$26.4$20.0$6.36$17.9$19.3$1.39
2017Detailed filing. Detailed filing data is available for this year.$26.7$18.9$7.76$17.1$18.0$0.89
2016Detailed filing. Detailed filing data is available for this year.$20.5$12.2$8.33$16.5$16.0$0.53
2015Detailed filing. Detailed filing data is available for this year.$9.73$1.92$7.81$19.5$15.2$4.31
2014Detailed filing. Detailed filing data is available for this year.$5.10$1.60$3.50$14.0$13.8$0.15
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.55$2.20$3.35$12.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.15$3.17$2.99$12.1
2011Summary only. Only limited summary data is available for this year.$6.05$3.21$2.84$12.4$12.0$0.47
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Feb 26, 2026
Return Version
2023v6.0
Gross Receipts
$33,303,235
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Taema WeissPhysicianFT$335,741$56,168$391,909
Michael WhiteDentistFT$344,547$40,220$384,767
Summer FraizerChief Medical OfficerFT$341,362$42,093$383,455
Magdy MaksyNephrologistFT$322,960$60,271$383,231
Thomas WuestoffDentistFT$323,399$55,069$378,468
Parisa PaymanChief DentistFT$314,189$55,503$369,692
David CarrollPharmacistFT$198,420$37,199$235,619
Earl LentCOO/CEO (start June)FT$179,778$31,282$211,060
Stuart HiroyasuOptometristFT$174,797$28,887$203,684
Zahid SheikhChief Executive Officer (until May)FT$174,968$15,296$190,264
Jernon KellyChief Financial OfficerFT$58,739$11,320$70,059
Kate MorleyChief Operations Officer (start Nov)FT$17,718$1,100$18,818
George GholsonBoard Vice-chairman-$16,480-$16,480
Rick MadduxBoard Treasurer-$14,806-$14,806
Janice MendezBoard Secetary-$12,589-$12,589
Jolene CarleyBoard Member-$7,337-$7,337
Jeff RomeroBoard Member (alterante)-$5,498-$5,498
Earleen WilliamsBoard Member-$4,897-$4,897
Marilyn BrackenBoard Member-$4,587-$4,587
Richard ButtonBoard Member-$3,146-$3,146
Robert ZuccoBoard Member-$1,595-$1,595
Carla KennedyBoard Member-$836-$836
Charlotte DavidBoard Member (alterante)-$623-$623
Geraldine CadyBoard Member-$560-$560

Board Members and Trustees

NameTitle
Rachel JosephBoard Member/tribal Chair
Virgil Dave MooseTribal Chair
Margaret CortezBoard Member
Shane SaulqueBoard Member (alternate)
Jimmy John ThomsonMember at Large

Highest Paid Contractors

ContractorServicesLocationCompensation
Juniper Ridge ConstructionConstruction700 W 19TH ST, Alturas, CA 96101$2,010,226
Nextgen Healthcare INCMedical Services1551 EMANCIPATION HWY STE 200 UNIT, Fredericksburg, VA 22401$1,036,718
Tony's Fencing Custom DesignsConstruction4475 N BENDEL AVE, Fresno, CA 93722$565,031
Quik Travel Staffing INCDialysis Services2000 W MAGNOLIA BLVD STE 100, Burbank, CA 91506$394,447
Northern Inyo HospitalBenefits150 PIONEER LANE, Bishop, CA 93514$388,821
Revenue and Support

Revenue Composition

Contributions and Grants
$11,969,730
Program Service Revenue
$15,983,000
Investment Income
$1,459,723
Other Revenue
$3,890,782
All Other Contributions
$271,250
Change in Net Assets
$3,064,839
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

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.

Form 990, Part VI, Section A, Line 2

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.

Form 990, Part VI, Section A, Line 6

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).

Form 990, Part VI, Section A, Line 7A

Each member tribe appoints 2 delegates to the board from each tribal government.

Form 990, Part VI, Section B, Line 11B

The form 990 will be reviewed by the cfo and ceo. Upon approval, it will be filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

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.

Form 990, Part VI, Section B, Line 15A

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.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.

Filing and Contact Details

Filer

Filer Name
Toiyabe Indian Health Project
EIN
95-2538049
Phone
7608738464
Address
250 N SEE VEE LN, BISHOP, CA 93514

Signing Officer

Name
Earl Lent
Title
CEO
Phone
7608738464
Signed
2026-02-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Earl Lent
Formed
1973
Legal Domicile
CA
Voting Board Members
14
Independent Board Members
14
Employees
177
Volunteers
5

Preparer

Firm
Larson Gross Advisors LLC
Address
419 LIBERTY STREET, LYNDEN, WA 98264
Preparer
Molly Honcoop CPA
Phone
3607344280
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other professional services: program service expenses 1,964,090. Management and general expenses 1,759,370. Fundraising expenses 0. Total expenses 3,723,460.

FORM 990, PART XII, LINE 3B:

The organization is currently undergoing the required single audit.

Raw XML AppendixShowing 400 of 811 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt02372996
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0DELIVERING CONSISTENT, QUALITY, EQUITABLE, & CULTURALLY APPROPRIATE HEALTH CARE TO OUR COMMUNITIES.
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IRS990/Desc0AS 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.
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IRS990/MissionDesc0THE 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.
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