2015-07-13T12:05:15-05:00 2014-09-30 910189318 MOSS ADAMS LLP 4747 EXECUTIVE DRIVE SUITE 1300 SAN DIEGO CA 92121 990 2013-10-01 953782164 SOUTHERN INDIAN HEALTH COUNCIL INC SOUT 6194451188 4058 WILLOWS ROAD ALPINE CA 91901 CAROLINA MANZANO CEO 6194451188 2015-06-24 1 PATRICIA JO MAYER P00188643 8586271400 2013 2016-02-25 16:41:14Z CAROLINA MANZANO 4058 WILLOWS ROAD ALPINE CA 91901 16110288 0 X WWW.SIHC.ORG X 1982 CA SOUTHERN INDIAN HEALTH COUNCIL IS A NATIVE AMERICAN ORGANIZATION COMMITTED TO PROTECTING AND IMPROVING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF OUR AMERICAN INDIAN COMMUNITY. WE PROVIDE A COMPREHENSIVE RANGE OF WELLNESS, PROFESSIONAL HEALTH CARE, DENTAL, AND SOCIAL SERVICES. 7 7 129 0 0 0 7204962 9541718 4188127 2096186 2595 1851 0 4470533 11395684 16110288 0 0 0 0 6820516 7179760 0 0 0 5204306 4004902 12024822 11184662 -629138 4925626 10095635 13265923 2683016 1143848 7412619 12122075 X SOUTHERN INDIAN HEALTH COUNCIL IS A NATIVE AMERICAN ORGANIZATION COMMITTED TO PROTECTING AND IMPROVING THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF OUR AMERICAN INDIAN COMMUNITY. WE PROVIDE A COMPREHENSIVE RANGE OF WELLNESS, PROFESSIONAL HEALTH CARE, DENTAL, AND SOCIAL SERVICES. 0 0 8202913 6566719 THE COUNCIL PROVIDES MEDICAL AND DENTAL SERVICES AT COMMUNITY HEALTH CLINIC AND SATELLITE OFFICES IN SOUTHERN SAN DIEGO COUNTY. 8202913 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 34 0 1 129 1 0 0 0 0 0 1 1 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X TERRY KING 6194451188 4058 WILLOWS ROAD ALPINE CA 91901 JAMES HILL BOARD MEMBER 10.00 X 14350 0 0 BRIAN CONNOLLY BOARD MEMBER 5.00 X 8350 0 0 ROBET BROWN BOARD MEMBER 10.00 X 20650 0 0 MICHAEL GARCIA BOARD MEMBER 10.00 X 17850 0 0 VIRGINIA BARNES BOARD MEMBER 5.00 X 1000 0 0 GWEN PARADA VICE CHAIR 10.00 X X 20156 0 0 CARLENE CHAMBERLAIN SEC TREAS 10.00 X X 10550 0 0 ROBERT PINTO BOARD MEMBER 5.00 X 2050 0 0 RALPH GOFF BOARD MEMBER 10.00 X 11150 0 0 ANTHONY PICO BOARD MEMBER 5.00 X 1700 0 0 LEROY ELLIOT CHAIRMAN 10.00 X X 12200 0 0 ERICA PINTO BOARD MEMBER 5.00 X 2400 0 0 EDWARD WELCH BOARD MEMBER 10.00 X 9750 0 0 CLIFFORD LACHAPPA BOARD MEMBER 5.00 X 1700 0 0 CAROLINA MANZANO CEO 40.00 X 137300 0 5806 LAURA CASWELL COO 40.00 X 80626 0 6763 TERRY KING CFO 40.00 X 86779 0 105 ANGEL ALVAREZ HR DIRECTOR 40.00 X 4327 0 0 LLOYD LEPLANT DENTAL DIRECTOR 40.00 X 169809 0 13350 STEPHANIE WHITTLE PHYSICIAN 40.00 X 151964 0 6763 NEDA LIN PHARMACIST 40.00 X 129443 0 11172 JAIME MCREYNOLDS MEDICAL DIRECTOR 40.00 X 138360 0 2773 SHARILYN MONIZ DENTIST 40.00 X 131829 0 6763 JAMES PACKER PHYSICIAN 32.00 X 146693 0 6763 MELVIN SCHMITZ DENTIST 40.00 X 145103 0 11444 1456089 0 71702 10 0 1 0 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 STAFFING AGENCY 384737 CBIZ INC PO BOX 511280 LOS ANGELES CA 900517835 INSURANCE AGENT 310693 PROCOPIO CORY HARGREAVES & SAVITCH LLP 525 B STREET SUITE 2200 SAN DIEGO CA 92101 LEGAL 207180 TEG STAFFING INC PO BOX 843209 LOS ANGELES CA 900843209 STAFFING SERVICES 135293 4 9395777 145941 97417 9541718 MEDICAL FEES 621400 1524222 1524222 CHARGES FOR SERVICES 621400 571964 571964 2096186 1851 1851 SETTLEMENT COST REIMBURSED 900099 4468766 4468766 OTHER REVENUE 900099 1767 1767 4470533 16110288 6566719 0 1851 337582 290321 47261 5514365 3915199 1599166 88246 70597 17649 700070 560057 140013 539497 431598 107899 335864 335864 41618 41618 67822 65109 2713 259516 207613 51903 21055 6738 14317 634898 222214 412684 5983 4786 1197 301844 283432 18412 87055 87055 COGS 1046456 1046456 PHARMECUTICLES 417875 417875 VEHICLES 179475 143580 35895 BUILDING MAINTAINANCE A 97621 78097 19524 507820 459241 48579 11184662 8202913 2981749 0 1148882 439237 4954774 10784035 725350 239376 506474 198737 53269 53269 40179 64681 5609755 4123167 2665206 1486588 1501 0 10095635 13265923 1110038 395866 1405284 415528 167694 332454 2683016 1143848 X 7359350 12075794 53269 46281 7412619 12122075 10095635 13265923 4925626 -216170 0 X 0 1 X 1 1 1 X 10048495 10333686 7584299 7204962 9541718 44713160 10048495 10333686 7584299 7204962 9541718 44713160 44713160 24851 13218 11186 2595 1851 53701 44766861 19508307 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52000 52000 4504746 3460629 1044117 674164 425293 248871 378845 237245 141600 1486588 16110288 0 16110288 0 16110288 11184662 0 11184662 0 11184662 X X X 0 0 0 0 0 0 0 0 0 LLOYD LEPLANT DENTAL DIRECTOR 169809 0 0 0 0 0 6624 0 6726 0 183159 0 0 0 STEPHANIE WHITTLE PHYSICIAN 151964 0 0 0 0 0 0 0 6763 0 158727 0 0 0 JAMES PACKER PHYSICIAN 146693 0 0 0 0 0 0 0 6763 0 153456 0 0 0 MELVIN SCHMITZ DENTIST 145103 0 0 0 0 0 4718 0 6726 0 156547 0 0 0 X 97417 COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS COMPRISED OF SEVEN TRIBES, EACH WITH A DELEGATE AND AN ALTERNATIVE DELEGATE FORM 990, PART VI, SECTION A, LINE 7A EACH TRIBAL ENTITY ELECTS A DELEGATE AND AN ALTERNATIVE DELEGATE. EACH FEDERALLY RECOGNIZED MEMBER TRIBE, THROUGH ITS OWN ELECTION PROCESS, DESIGNATES REPRESENTATIVES TO SERVE AS DELEGATES ON THE COUNCIL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY THE INDEPENDENT TAX CONSULTANT AND REVIEWED BY THE BOARD OF DIRECTORS, CEO, COO, AND CFO. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH ALL BOARD MEMBERS TO IDENTIFY THE POTENTIAL FOR CONFLICTS DURING BOARD MEETINGS. IF THERE IS A POTENTIAL FOR CONFLICT ON ANY PARTICULAR VOTING BOARD MATTER, INDIVIDUAL BOARD MEMBER(S) IS EXCLUDED FROM THAT VOTE. FORM 990, PART VI, SECTION B, LINE 15 MOST RECENT COMPENSATION DETERMINED BY SALARY SURVEY COMPLETED BY SIHC DIRECTOR OF HUMAN RESOURCES USING COMPARABLE DATA IN AUGUST 2014 AND APPROVED BY THE BOARD OF DIRECTORS EFFECTIVE OCTOBER 2014. THE BOARD ALSO APPROVED A COST OF LIVING INCREASE FOR ALL ELIGIBLE EMPLOYEES AT THE BEGINNING OF 2014. THE PROCESS IS DOCUMENTED. 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.