TOIYABE INDIAN HEALTH PROJECT INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TOIYABE INDIAN HEALTH PROJECT INC (EIN 95-2538049)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-05
- IRS object ID
- 202242179349300819
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-05T10:24:14-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952538049 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Toiyabe Indian Health Project | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TOIY | BusinessNameControlTxt |
| Phone | 7608738464 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 N See Vee Ln | AddressLine1Txt |
| City | Bishop | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93514 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Herman | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 7608738464 | PhoneNum |
| Signature | 2022-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Joseph | PersonFirstNm |
| Person Last | Herman | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Deb Nelson CPA | PreparerPersonNm |
| PTIN | P01264758 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2022-08-03 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph Herman | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 N See Vee Ln | AddressLine1Txt |
| City | Bishop | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93514 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,025,205 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.toiyabe.us | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Delivering consistent, quality, equitable, & culturally appropriate health care to our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 184 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,306,969 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,632,583 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,031,382 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,866,756 | CYProgramServiceRevenueAmt |
| PY Investment Income | $41,627 | PYInvestmentIncomeAmt |
| CY Investment Income | $56,971 | CYInvestmentIncomeAmt |
| PY Other Revenue | $63,813 | PYOtherRevenueAmt |
| CY Other Revenue | $468,895 | CYOtherRevenueAmt |
| PY Total Revenue | $24,443,791 | PYTotalRevenueAmt |
| CY Total Revenue | $35,025,205 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,639,722 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,861,841 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,006,159 | PYOtherExpensesAmt |
| CY Other Expenses | $9,086,418 | CYOtherExpensesAmt |
| PY Total Expenses | $23,645,881 | PYTotalExpensesAmt |
| CY Total Expenses | $20,948,259 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $797,910 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,076,946 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,142,005 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,140,296 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,413,017 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,337,792 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,728,988 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,802,504 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of the Toiyabe Indian Health Project is to provide healthcare and promote wellness to Indian communities. Toiyabe is a consortium of seven Federally recognized Tribes and two Native American Communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,596,377 | ExpenseAmt |
| Revenue | $11,335,651 | RevenueAmt |
| Desc | 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. Nearly 8,239 patients were seen in the company's Bishop, Lone Pine and Coleville clinics. Services included medical, dental, dialysis, preventive medicine, behavioral health, elder care, WIC, optical and public health. Of this amount, at least 3,024 were Native American patients. The company experiences surges in new patient interest which it attributes to a respected provider base and quality measures as well as challenges experienced by patients at other local area clinics. Toiyabe was able to stay open with limited operations throughout the pandemic, while keeping all employees fully employed. | Desc |
| Total Program Service Expenses | $14,596,377 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 121 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 184 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jernon Kelly | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7608738464 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 N See Vee Lane | AddressLine1Txt |
| City | Bishop | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93514 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Jimmy John Thompson | ||||||||
| Member at Large | 1.00 | Yes (X) | Yes (X) | $150 | $0 | $0 | ||
| Virgil Dave Moose | ||||||||
| Tribal Chair | 1.00 | Yes (X) | Yes (X) | $3,525 | $0 | $0 | ||
| Janice Mendez | ||||||||
| Board Secretary | 1.00 | Yes (X) | Yes (X) | $7,012 | $0 | $0 | ||
| Rick Maddux | ||||||||
| Board Treasurer | 1.00 | Yes (X) | Yes (X) | $7,174 | $0 | $0 | ||
| George Gholson | ||||||||
| Board Vice-Chairman | 1.00 | Yes (X) | Yes (X) | $8,215 | $0 | $0 | ||
| Michael Bacoch III | ||||||||
| Board Member | 1.00 | Yes (X) | $2,345 | $0 | $0 | |||
| L'eaux Stewart | ||||||||
| Board Member (From 07/2021) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Tillford Denver | ||||||||
| Board Member | 1.00 | Yes (X) | $2,325 | $0 | $0 | |||
| Ervin Lent Sr | ||||||||
| Board Member | 1.00 | Yes (X) | $6,553 | $0 | $0 | |||
| Marilyn Bracken | ||||||||
| Board Member | 1.00 | Yes (X) | $4,550 | $0 | $0 | |||
| Richard Button | ||||||||
| Board Member (Until 08/2021) | 1.00 | Yes (X) | $3,975 | $0 | $0 | |||
| Robert Zucco | ||||||||
| Board Member (Until 08/2021) | 1.00 | Yes (X) | $8,747 | $0 | $0 | |||
| Lisa Smith | ||||||||
| Board Member (From 08/2021) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Melvin Joseph | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| White Dove Kennedy | ||||||||
| Board Member (Until 01/2021) | 1.00 | Yes (X) | $12,300 | $0 | $0 | |||
| Geraldine Cady | ||||||||
| Board Member | 1.00 | Yes (X) | $6,900 | $0 | $0 | |||
| Jeff Romero | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $900 | $0 | $0 | |||
| Cheyenne Stone From 092021 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lindsey Stine | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Naomi Sellberg From 092021 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Carmen Armitage From 022021 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Cheryl Andreas Until 112020 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Dora Jones Until 112020 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Allen Summers Until 102020 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Charlotte David Until 092021 | ||||||||
| Board Member (Alternate) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Kori Novack Until 112020 | ||||||||
| Chief Executive Officer | 40.00 | Yes (X) | $189,408 | $0 | $14,429 | |||
| Joseph Herman From 022021 | ||||||||
| Chief Executive Officer | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| Jernon Kelly | ||||||||
| Chief Financial Officer | 40.00 | Yes (X) | $113,061 | $0 | $24,302 | |||
| Ethan Dexter | ||||||||
| Chief Operations Officer | 40.00 | Yes (X) | $108,172 | $0 | $22,785 | |||
| Parisa Payman | ||||||||
| Chief Dentist | 40.00 | $265,247 | $0 | $45,912 | Yes (X) | |||
| Summer M Frazier | ||||||||
| Chief Medical Officer | 40.00 | $259,366 | $0 | $11,859 | Yes (X) | |||
| Taema Weiss | ||||||||
| Physician | 40.00 | $220,030 | $0 | $27,336 | Yes (X) | |||
| Thomas Wuesthoff | ||||||||
| Dentist | 32.00 | $163,096 | $0 | $43,839 | Yes (X) | |||
| John Lee | ||||||||
| Dentist | 27.00 | $228,209 | $0 | $44,612 | Yes (X) | |||
| Alan Anderson | ||||||||
| Dentist | 27.00 | $211,299 | $0 | $44,201 | Yes (X) | |||
| Stuart Hiroyasu | ||||||||
| Optometrist | 40.00 | $140,729 | $0 | $25,000 | Yes (X) | |||
| Matthew Earhart | ||||||||
| Optometrist | 40.00 | $134,514 | $0 | $16,368 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,107,802 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $320,643 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Juniper Ridge Construction | |||||
| 700 W 19th St | Alturas | CA | 96101 | Construction | $355,200 |
| Pivot Technology Services Corp | |||||
| 6025 The Corners Parkway | Norcross | GA | 30092 | Computer/IT Solutions | $225,832 |
| Advanced Healh Care Services | |||||
| 2842 Vista Verde Dr | Cameron Park | CA | 95682 | Pharmacist | $174,939 |
| Greenbough Design | |||||
| PO Box 1358 | Shingle Springs | CA | 95682 | Construction Design | $123,895 |
| Murat Akalin | |||||
| 895 Aerovista Pl STE 106 | San Luis Obispo | CA | 93401 | Behavorial Health Provider | $104,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $23,415,978 | GovernmentGrantsAmt |
| All Other Contributions | $216,605 | AllOtherContributionsAmt |
| Total Contributions | $23,632,583 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $10,866,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,866,756 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,866,756 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,971 | TotalRevenueColumnAmt |
| Exclusion | $56,971 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Reimbursement Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $468,895 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $468,895 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $468,895 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,025,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,335,651 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $56,971 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,335,588 | TotalAmt |
| Program Services | $677,726 | ProgramServicesAmt |
| Management And General | $657,862 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,873,044 | TotalAmt |
| Program Services | $6,354,250 | ProgramServicesAmt |
| Management And General | $1,518,794 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,233 | TotalAmt |
| Program Services | $164,144 | ProgramServicesAmt |
| Management And General | $34,089 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,740,491 | TotalAmt |
| Program Services | $1,269,972 | ProgramServicesAmt |
| Management And General | $470,519 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,485 | TotalAmt |
| Program Services | $544,019 | ProgramServicesAmt |
| Management And General | $170,466 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,898 | TotalAmt |
| Management And General | $40,898 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,949 | TotalAmt |
| Management And General | $127,949 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,810,421 | TotalAmt |
| Program Services | $2,499,329 | ProgramServicesAmt |
| Management And General | $311,092 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,312 | TotalAmt |
| Program Services | $36,993 | ProgramServicesAmt |
| Management And General | $32,319 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,235,050 | TotalAmt |
| Program Services | $2,067,155 | ProgramServicesAmt |
| Management And General | $167,895 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,346 | TotalAmt |
| Program Services | $161,713 | ProgramServicesAmt |
| Management And General | $120,633 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,905 | TotalAmt |
| Program Services | $53,683 | ProgramServicesAmt |
| Management And General | $122,222 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,946 | TotalAmt |
| Program Services | -$379,763 | ProgramServicesAmt |
| Management And General | $800,709 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060,408 | TotalAmt |
| Program Services | $133,408 | ProgramServicesAmt |
| Management And General | $927,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,107 | TotalAmt |
| Management And General | $290,107 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Minor Equipment | $595,498 | $375,860 | $219,638 |
| Bad Debt | $414,898 | $414,898 | |
| Repairs and Maintenance | $228,625 | $34,336 | $194,289 |
| Food | $109,083 | $108,235 | $848 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,972 | TotalAmt |
| Program Services | $80,419 | ProgramServicesAmt |
| Management And General | $144,553 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,948,259 | TotalAmt |
| Program Services | $14,596,377 | ProgramServicesAmt |
| Management And General | $6,351,882 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,326,060 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,999,828 | BOYAmt |
| EOY | $11,601,400 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,883 | BOYAmt |
| EOY | $737,869 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $930,089 | BOYAmt |
| EOY | $746,515 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,381 | BOYAmt |
| EOY | $265,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,488,152 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,041,803 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,778,337 | BOYAmt |
| EOY | $16,446,349 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,296,427 | BOYAmt |
| EOY | $3,342,951 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,142,005 | BOYAmt |
| EOY | $33,140,296 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,327,147 | BOYAmt |
| EOY | $1,728,895 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,172,197 | BOYAmt |
| EOY | $175,515 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,712,298 | BOYAmt |
| EOY | $13,433,382 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,375 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,413,017 | BOYAmt |
| EOY | $15,337,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,840,873 | BOYAmt |
| EOY | $7,927,204 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,569,861 | BOYAmt |
| EOY | $9,875,300 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,728,988 | BOYAmt |
| EOY | $17,802,504 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,142,005 | BOYAmt |
| EOY | $33,140,296 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,076,946 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,430 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,063,178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,741,476 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,288,012 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,306,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,632,583 | CurrentTaxYearAmt |
| Total | $64,032,218 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,063,178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,741,476 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,288,012 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,306,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,632,583 | CurrentTaxYearAmt |
| Total | $64,032,218 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $64,032,218 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,809 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54,637 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $56,971 | CurrentTaxYearAmt |
| Total | $261,883 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $244,998 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86,146 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,723 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,813 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $468,895 | CurrentTaxYearAmt |
| Total | $919,575 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $65,213,676 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $46,021,086 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98190 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part II, Line 10, Explanation of Other Income: | Reimbursement Revenue - 2016 Amount: $ 244,998. 2017 Amount: $ 86,146. 2018 Amount: $ 55,723. 2019 Amount: $ 63,813. 2020 Amount: $ 468,895. |
| Schedule A, Part I, Line 3, and Part II: | Toiyabe Indian Health Project has been determined by the IRS to be an organization described in IRC Section 170(b)(1)(A)(iii) but is also completing the public support test on Schedule A, Part II, for purposes of qualifying for the first Special Rule in Schedule B, Schedule of Contributors. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,724,533 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,735,535 | DepreciationAmt |
| Book Value | $14,988,998 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $592,902 | OtherCostOrOtherBasisAmt |
| Depreciation | $566,475 | DepreciationAmt |
| Book Value | $26,427 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,170,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,739,793 | DepreciationAmt |
| Book Value | $1,430,924 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,446,349 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,021,775 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,430 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,430 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,025,205 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,025,205 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,948,259 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,948,259 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,948,259 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Parisa Payman | ||||||||||||||
| Chief Dentist | $265,247 | $0 | $0 | $0 | $0 | $0 | $26,000 | $0 | $19,912 | $0 | $311,159 | $0 | $0 | $0 |
| John Lee | ||||||||||||||
| Dentist | $228,209 | $0 | $0 | $0 | $0 | $0 | $24,700 | $0 | $19,912 | $0 | $272,821 | $0 | $0 | $0 |
| Summer M Frazier | ||||||||||||||
| Chief Medical Officer | $259,366 | $0 | $0 | $0 | $0 | $0 | $3,605 | $0 | $8,254 | $0 | $271,225 | $0 | $0 | $0 |
| Alan Anderson | ||||||||||||||
| Dentist | $211,299 | $0 | $0 | $0 | $0 | $0 | $24,700 | $0 | $19,501 | $0 | $255,500 | $0 | $0 | $0 |
| Taema Weiss | ||||||||||||||
| Physician | $220,030 | $0 | $0 | $0 | $0 | $0 | $18,947 | $0 | $8,389 | $0 | $247,366 | $0 | $0 | $0 |
| Thomas Wuesthoff | ||||||||||||||
| Dentist | $163,096 | $0 | $0 | $0 | $0 | $0 | $26,500 | $0 | $17,339 | $0 | $206,935 | $0 | $0 | $0 |
| Kori Novack Until 112020 | ||||||||||||||
| Chief Executive Officer | $189,408 | $0 | $0 | $0 | $0 | $0 | $6,519 | $0 | $7,910 | $0 | $203,837 | $0 | $0 | $0 |
| Stuart Hiroyasu | ||||||||||||||
| Optometrist | $140,729 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $0 | $0 | $165,729 | $0 | $0 | $0 |
| Matthew Earhart | ||||||||||||||
| Optometrist | $134,514 | $0 | $0 | $0 | $0 | $0 | $8,115 | $0 | $8,254 | $0 | $150,883 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | 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 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. |
| Form 990, Part VII, Section A, Line 1a: | The Board of Directors consists of 14 regular voting members plus alternate voting members. Alternate board members may vote in the event a regular voting member is unable to attend a board meeting. |
| Form 990, Part IX, line 11g | Purchased and Contract Services: Program service expenses 2,499,329. Management and general expenses 311,092. Fundraising expenses 0. Total expenses 2,810,421. |