2026-06-16T17:28:38-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2024-07-01 941669142 TULE RIVER INDIAN HEALTH CENTER INC TULE 5597842316 380 RESERVATION ROAD PORTERVILLE CA 93257 ANGEL GALVEZ CEO 5597842316 2026-06-10 1 1 AMY L HENDLEY P01300654 9165038100 2026-06-10 2024 2025-03-06 01:10:19Z ANGEL GALVEZ 380 RESERVATION ROAD PORTERVILLE CA 93257 17955910 0 X WWW.TRIHCI.ORG X 1973 CA TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THOSE WE SERVE. 7 4 113 12 0 0 12889649 13146661 4741282 4763661 43859 33823 0 11765 17674790 17955910 0 0 0 0 8117291 8700055 9975 5279 5279 5797679 9164244 13924945 17869578 3749845 86332 26926028 29487638 1300602 3775880 25625426 25711758 TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THOSE WE SERVE. 0 0 12078131 0 4763661 PROVIDED HEALTHCARE TO QUALIFIED RECIPIENTS LIVING IN THE SERVICE AREA OF THE TULE RIVER INDIAN RESERVATION. COMPREHENSIVE HEALTH SERVICES INCLUDE GENERAL MEDICINE, INTERNAL MEDICINE, DIABETES EDUCATION/PREVENTION/SUPERVISION, MENTAL HEALTH, VISION, AND DENTAL. THE ORGANIZATION HAD 9,450 PATIENT VISITS IN THE TAX YEAR. 12078131 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 131 0 1 113 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X GAYLINE HUNTER 5597912524 380 RESERVATION RD PORTERVILLE CA 93258 JANETTE DUNIVAN DENTAL DIRECTOR 40.00 X 227553 0 38286 TARA CLARK NURSE PRACTITIONER 40.00 X 187679 0 30378 CARSON CHAMBERS PSYCHOLOGY 40.00 X 176792 0 8677 JAN TRIGLETH PHYSICIAN ASSISTANT 40.00 X 172322 0 11734 ERIC METCALF CEO (THRU 10/24) 40.00 X 159473 0 13911 KATHERINE PORTILLO COO AND INTERIM CEO (THRU 03/25) 40.00 X 134152 0 23857 ALLA LIBERSTEIN MEDICAL DIRECTOR 40.00 X 149010 0 4367 JOSEPH SANTIAGO MEDICAL DIRECTOR 20.00 X 132291 0 0 SHAYNE REGALADO CFO (THRU 10/24) 40.00 X 69769 0 1755 DONNA MEDRANO SECRETARY (THRU 01/25)/BOARD MEMBER 15.00 X 14800 0 0 JEANNE BAGA BOARD MEMBER 15.00 X 14034 0 0 BARBARA BAGA ALTERNATE BOARD MEMBER 15.00 X 13000 0 0 JOYCE CAROTHERS ALTERNATE BOARD MEMBER (THRU 01/25) 15.00 X 12700 0 0 SHAWN GONZALES - VICE CHAIR (THRU 01/25)/CHAIR (AS OF 01/25) 15.00 X X 11800 0 0 ELIZABETH PEREZ ALTERNATE BOARD MEMBER (THRU 01/25) 15.00 X 11400 0 0 HOLLY CARRILLO-CHRISTMAN CHAIR (THRU 01/25) 15.00 X X 11348 0 0 RICHARD BROWN BOARD MEMBER 15.00 X 10900 0 0 GAYLINE HUNTER TREASURER 15.00 X X 8500 0 0 PAULA GOMEZ VICE CHAIR (AS OF 01/25) 15.00 X X 0 0 0 CARLA CAROTHERS SECRETARY (AS OF 01/25) 15.00 X X 0 0 0 NANCY MCDARMENT ALTERNATE BOARD MEMBER (AS OF 01/25) 15.00 X 0 0 0 MIKU SODHI CEO (AS OF 04/25) 40.00 X 0 0 0 LARRY BARNES CFO (AS OF 03/25) 40.00 X 0 0 0 1517523 0 132965 14 0 1 0 KOSO STRATEGIES LLC 2053 PORTSMOUTH DRIVE EL DORADO HILLS CA 95762 CONSULTING SERVICES 301099 MOSS ADAMS LLP PO BOX 101822 PASADENA CA 911891822 ACCOUNTING SERVICES 186067 CENTRAL VALLEY DENTAL IMPLANT PO BOX 7239 VISALIA CA 93290 MEDICAL SERVICES 171628 TREVOR STEIDLEY OD 100 NORTH D STREET PORTERVILLE CA 93257 MEDICAL SERVICES 171301 ABHC GROUP CORP 13411 RIVERFRONT PARK DRIVE BAKERSFIELD CA 93311 COMPLIANCE AND CONSULTING 156842 9 13109691 36970 13146661 PATIENT SERVICE REVENUE 621110 4763661 4763661 4763661 33823 33823 MISCELLANEOUS REVENUE 900099 11765 11765 11765 17955910 4763661 0 45588 825061 365178 459883 191848 95924 95924 5510624 4410569 1100055 200852 154733 46119 1481752 1138095 343657 489918 367850 122068 135421 135421 401546 401546 5279 5279 549 549 926047 926047 25367 4 25363 295405 186287 109118 401968 401968 110923 103494 7429 42448 21224 21224 227166 224850 2316 203174 203174 INDIRECT COST CHARGES 1807317 144585 1662732 PATIENT CARE 1536642 1536642 BAD DEBT 1444130 1444130 SUPPLIES 1140633 393798 746835 465508 162753 302755 17869578 12078131 5786168 5279 266418 298670 20454799 23655529 3235609 1967060 1352703 1129880 5372519 2936020 1563744 2436499 52755 0 26926028 29487638 856246 702359 409945 3073521 34411 0 1300602 3775880 X 25625426 25711758 25625426 25711758 26926028 29487638 86332 0 X 0 1 X 1 1 1 X 16017425 14200205 13846094 12889649 13146661 70100034 16017425 14200205 13846094 12889649 13146661 70100034 70100034 2839 17831 31855 43859 33823 130207 11765 11765 70242006 17270693 0.99800 0.99830 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 822964 2216820 1040365 1999419 1054241 960149 94092 1278494 935506 342988 2436499 X 17955361 0 17955361 549 549 17955910 17869029 0 17869029 549 549 17869578 PART X, LINE 2: THE CLINIC OPERATES AS A NOT-FOR-PROFIT ORGANIZATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAX PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). THE CLINIC IS CLASSIFIED AS A PUBLIC CHARITY UNDER INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(VI). AS REQUIRED BY GAAP, THE CLINIC HAS IDENTIFIED AND EVALUATED THEIR SIGNIFICANT TAX POSITIONS AND HAVE DETERMINED THAT THERE IS NO MATERIAL UNRECOGNIZED BENEFIT OR LIABILITY TO BE RECORDED. THERE ARE NO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 2025. X X 0 0 0 0 0 0 0 0 0 JANETTE DUNIVAN DENTAL DIRECTOR 213362 0 14053 0 138 0 10997 0 27289 0 265839 0 0 0 TARA CLARK NURSE PRACTITIONER 179612 0 8011 0 56 0 8853 0 21525 0 218057 0 0 0 CARSON CHAMBERS PSYCHOLOGY 176792 0 0 0 0 0 8677 0 0 0 185469 0 0 0 JAN TRIGLETH PHYSICIAN ASSISTANT 152168 0 20154 0 0 0 7642 0 4092 0 184056 0 0 0 ERIC METCALF CEO (THRU 10/24) 159473 0 0 0 0 0 0 0 13911 0 173384 0 0 0 KATHERINE PORTILLO COO AND INTERIM CEO (THRU 03/25) 133033 0 1096 0 23 0 6898 0 16959 0 158009 0 0 0 ALLA LIBERSTEIN MEDICAL DIRECTOR 144682 0 548 0 3780 0 0 0 4367 0 153377 0 0 0 SHYONY BAGA FAMILY MEMBER OF BOARD MEMBER JEANNE BAGA AND BARBARA BAGA 48922 EMPLOYMENT COMPENSATION 0 CHRISTINA MEDRANO FAMILY MEMBER OF BOARD MEMBER DONNA MEDRANO 110196 EMPLOYMENT COMPENSATION 0 NATALIA PEREZ FAMILY MEMBER OF BOARD MEMBER ELIZABETH PEREZ 31382 EMPLOYMENT COMPENSATION 0 JEANNE BAGA FAMILY MEMBER OF ALTERNATE BOARD MEMBER BARBARA BAGA 25726 BOARD COMPENSATION 0 BARBARA BAGA FAMILY MEMBER OF BOARD MEMBER JEANNE BAGA 19170 BOARD COMPENSATION 0 JOYCE CAROTHERS FAMILY MEMBER OF BOARD MEMBER CARLA CAROTHERS 10357 BOARD COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS (CHAIR, VICE CHAIR, SECRETARY, AND TREASURER) AND HAS THE AUTHORITY TO CARRY OUT ANY POWERS OF THE BOARD OF DIRECTORS WHEN IT IS NECESSARY FOR DECISIONS TO BE MADE OR ACTION TO BE TAKEN WHILE THE FULL BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE MAY NOT APPOINT OR TERMINATE BOARD MEMBERS, OFFICERS, OR EMPLOYEES OR SUBSTANTIALLY ALTER THE SERVICES PROVIDED BY THE ORGANIZATION OR TAKE ANY ACTION NOT ALLOWED BY LAW. ALTERNATE BOARD MEMBERS ARE ONLY ELIGIBLE TO VOTE IF A REGULAR BOARD MEMBER IS ABSENT. FORM 990, PART VI, SECTION A, LINE 2 BARBARA BAGA AND JEANNE BAGA - FAMILY RELATIONSHIP CARLA CAROTHERS AND JOYCE CAROTHERS - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 7A PER THE BYLAWS - ARTICLE III, SECTION 6 - THOSE THAT ARE ELIGIBLE TO VOTE IN TRIBAL ELECTIONS OF THE TULE RIVER INDIAN TRIBE ARE ELIGIBLE TO VOTE IN THE ELECTION OF THE BOARD MEMBERS FOR THE FILING ORGANIZATION, AS WELL AS THOSE ELIGIBLE WHO ARE AGED 18 TO 20 YEARS OLD. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE OFFICER (CEO) AND CHIEF FINANCIAL OFFICER (CFO) RECEIVE AND REVIEW THE FORM 990 WITH THE CPA. THE CEO AND CFO THEN PRESENT TO THE BOARD OF DIRECTORS, WHO ARE RESPONSIBLE FOR ACCEPTING THE FORM 990 AND APPROVING THE RELEASE OF THE FORM 990 FOR FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD OF DIRECTORS ARE COVERED UNDER THE POLICY. AS QUESTIONS OR ISSUES ARISE THAT MIGHT HAVE CONFLICT OF INTEREST IMPLICATIONS, THE PERSON OR PERSONS SHALL ANNOUNCE THE CONFLICT OF INTEREST AND SO NOTIFY THE CHAIRPERSON OF THE BOARD OF DIRECTORS. SUCH PERSON SHALL THEN ABSTAIN FROM DISCUSSION, CONSIDERATION, AND VOTING ON THE MATTER. THE CLINIC PROVIDES A MAJORITY OF ITS SERVICES TO MEMBERS OF THE TULE RIVER INDIAN TRIBE. MANY PROGRAM RECIPIENTS HAVE FAMILY MEMBERS THAT ARE CLINIC EMPLOYEES OR SERVE ON THE BOARD OF DIRECTORS. CARE IS TAKEN TO MAKE CONFLICTS KNOWN AND REMOVAL FROM DECISION-MAKING PROCESSES WHEN NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO SALARY WAS NEGOTIATED AND SET BY THE BOARD OF DIRECTORS. A COMPARISON OF WAGES FOR SIMILARLY SIZED ORGANIZATIONS WAS TAKEN INTO CONSIDERATION. COMPENSATION INCREASES WERE MADE BASED ON A STUDY BY A THIRD PARTY COMPARING SIMILAR ORGANIZATIONS, AND THE CEO'S COMPENSATION WAS ADJUSTED TO MORE ACCURATELY REFLECT INDUSTRY STANDARDS. THE COMPENSATION ADJUSTMENTS WERE DOCUMENTED IN THE MEETING MINUTES DURING THE APPROVAL OF THE ANNUAL BUDGET IN JUNE 2024. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES WAS PRESENTED TO THE PERSONNEL AND FINANCE COMMITTEES, WHICH ARE COMPOSED OF INDEPENDENT BOARD MEMBERS. ANY COMPENSATION DECISIONS WERE PRESENTED TO THE FULL BOARD OF DIRECTORS FOR CONSIDERATION AND APPROVAL. COMPENSATION INCREASES WERE MADE BASED ON A STUDY BY A THIRD PARTY COMPARING SIMILAR ORGANIZATIONS AND EMPLOYEE COMPENSATION WAS ADJUSTED TO MORE ACCURATELY REFLECT THE INDUSTRY STANDARD. THE COMPENSATION ADJUSTMENTS WERE DOCUMENTED IN THE MEETING MINUTES DURING THE APPROVAL OF THE ANNUAL BUDGET IN JUNE 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST, EITHER IN PERSON OR IN WRITING.