PIT RIVER HEALTH SERVICE: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- PIT RIVER HEALTH SERVICE (EIN 94-2429703)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-04
- IRS object ID
- 202601249349300100
- Schema version
- 2024v5.5
- 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 | 2026-05-04T00:52:09-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 364877244 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE ARROW INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11405 W BERNARDO CT SUITE B | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942429703 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIT RIVER HEALTH SERVICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PITR | BusinessNameControlTxt |
| Phone | 5303355090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36977 PARK AVE | AddressLine1Txt |
| City | BURNEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | F JEREMY WHEELER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5303355090 | PhoneNum |
| Signature | 2026-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SANWAR HARSHWAL CPA | PreparerPersonNm |
| PTIN | P01249746 | PTIN |
| Phone | 8587841622 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
| Principal Officer | LOREN ELLERY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36977 PARK AVE | AddressLine1Txt |
| City | BURNEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,374,718 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PITRIVERHEALTHSERVICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR PATIENTS. MAKING ALL POSSIBLE EFFORTS TO RAISE THE STANDARDS OF HEALTHCARE FOR OUR TRIBAL MEMBERS AND OTHERS WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 89 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,318,845 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,712,382 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,311,992 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,082,572 | CYProgramServiceRevenueAmt |
| PY Investment Income | $36,693 | PYInvestmentIncomeAmt |
| CY Investment Income | $106,864 | CYInvestmentIncomeAmt |
| PY Other Revenue | $250 | PYOtherRevenueAmt |
| CY Other Revenue | $472,900 | CYOtherRevenueAmt |
| PY Total Revenue | $13,667,780 | PYTotalRevenueAmt |
| CY Total Revenue | $21,374,718 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,802,134 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,984,811 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,787,094 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,628,679 | PYOtherExpensesAmt |
| CY Other Expenses | $6,875,196 | CYOtherExpensesAmt |
| PY Total Expenses | $11,613,490 | PYTotalExpensesAmt |
| CY Total Expenses | $22,464,424 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,054,290 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,089,706 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,243,226 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,496,954 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,224,011 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,567,445 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,019,215 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,929,509 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR PATIENTS. MAKING ALL POSSIBLE EFFORTS TO RAISE THE STANDARDS OF HEALTHCARE FOR OUR TRIBAL MEMBERS AND OTHERS WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,420,751 | ExpenseAmt |
| Grant | $6,802,134 | GrantAmt |
| Revenue | $11,082,572 | RevenueAmt |
| Desc | PIT RIVER HEALTH SERVICE, INC. (PRHS) PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH AND COMMUNITY HEALTH SERVICE PROGRAMS TO THE NATIVE AMERICAN POPULATION IN A THREE-COUNTY SERVICE AREA. MEDICAL CARE INCLUDES PREVENTATIVE, EDUCATIONAL, DIAGNOSTICS, TREATMENT AND REFERRALS. DENTAL SERVICES INCLUDE PREVENTATIVE, EDUCATIONAL, RESTORATIVE, AND OTHER ADVANCED PROCEDURES. | Desc |
| Total Program Service Expenses | $18,420,751 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 89 | 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 |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 | GLENNA MOORE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5303355090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36977 PARK AVE | AddressLine1Txt |
| City | BURNEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96013 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| LAURI HAYWARD | |||||||
| CHAIRPERSON | 4.00 | Yes (X) | $38,437 | $0 | $0 | ||
| LOUISE DAVIS | |||||||
| VICE-CHAIRPERSON | 4.00 | Yes (X) | $38,200 | $0 | $0 | ||
| LESTER GIBBS | |||||||
| TREASURER | 4.00 | Yes (X) | $30,400 | $0 | $0 | ||
| SUSANNE MASON | |||||||
| SECRETARY | 4.00 | Yes (X) | $33,000 | $0 | $0 | ||
| BARBARA WOLFIN | |||||||
| BOARD MEMBER | 4.00 | Yes (X) | $9,000 | $0 | $0 | ||
| LOREN ELLERY | |||||||
| CEO | 40.00 | $250,399 | $0 | $1,663 | Yes (X) | ||
| FRANCIS WHEELER | |||||||
| CFO | 40.00 | $202,909 | $0 | $15,902 | Yes (X) | ||
| TAWANA NIX | |||||||
| CH. MEDICAL OFF | 40.00 | $357,200 | $0 | $10,309 | Yes (X) | ||
| KALI GORDON | |||||||
| STAFF PHYSICIAN | 40.00 | $347,925 | $0 | $10,309 | Yes (X) | ||
| KUNJAL PATEL | |||||||
| CHIEF DENTAL OFFICER | 40.00 | $319,861 | $0 | $17,867 | Yes (X) | ||
| KEN HAZELWOOD | |||||||
| BEHAVIORAL HEALTH DIRECTOR | 1.00 | $178,644 | $0 | $16,316 | Yes (X) | ||
| LEWIS E FURBER JR | |||||||
| FAMILY NURSE PRACTITIONER | 1.00 | $175,872 | $0 | $18,047 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,981,847 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $90,413 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | 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 |
|---|---|---|---|---|---|
| PROVIDER HEALTHCARE LLC | |||||
| 2825 E COTTONWOOD PKWY STE 470 | SALT LAKE CITY | UT | 84121 | LOCUM TENENS MEDICAL PROVIDERS | $812,017 |
| NORTH AMERICAN MENTAL HEALTH SERVICES | |||||
| 2400 WASHINGTON AVE STE 100 | REDDING | CA | 96001 | MENTAL HEALTH THERAPY | $367,271 |
| GREENBOUGH DESIGN | |||||
| PO BOX 1358 | SHINGLE SPRINGS | CA | 95682 | ARCHITECTURAL | $275,457 |
| SB JAMES CONSTRUCTION | |||||
| 8425 AGATE RD | WHITE CITY | OR | 97503 | BUILDING CONSTRUCTION | $218,190 |
| ARC HEALTH | |||||
| PO BOX 866 | REDMOND | OR | 97756 | LOCUM TENENS MEDICAL PROVIDERS | $146,317 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,606,582 | GovernmentGrantsAmt |
| All Other Contributions | $105,800 | AllOtherContributionsAmt |
| Total Contributions | $9,712,382 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH SERVICE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $11,082,572 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,082,572 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,082,572 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,864 | TotalRevenueColumnAmt |
| Exclusion | $106,864 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| LEGAL SETTLEMENT REVENUE | $465,788 | $465,788 |
| TRAINING REIMBURSEMENTS | $7,112 | $7,112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $472,900 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,374,718 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,555,472 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $106,864 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,802,134 | TotalAmt |
| Program Services | $6,802,134 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,459 | TotalAmt |
| Program Services | $339,900 | ProgramServicesAmt |
| Management And General | $306,559 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,534,880 | TotalAmt |
| Program Services | $4,638,260 | ProgramServicesAmt |
| Management And General | $1,896,620 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,541 | TotalAmt |
| Management And General | $31,541 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,850 | TotalAmt |
| Program Services | $687,614 | ProgramServicesAmt |
| Management And General | $356,236 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,364 | TotalAmt |
| Program Services | $374,296 | ProgramServicesAmt |
| Management And General | $156,068 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,183 | TotalAmt |
| Program Services | $293 | ProgramServicesAmt |
| Management And General | $1,890 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,558 | TotalAmt |
| Management And General | $17,558 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,443 | TotalAmt |
| Program Services | $58,775 | ProgramServicesAmt |
| Management And General | $112,668 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,700 | TotalAmt |
| Program Services | $81,451 | ProgramServicesAmt |
| Management And General | $26,249 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,153 | TotalAmt |
| Program Services | $8,620 | ProgramServicesAmt |
| Management And General | $23,533 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,233 | TotalAmt |
| Program Services | $117,187 | ProgramServicesAmt |
| Management And General | $228,046 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,341 | TotalAmt |
| Program Services | $33,653 | ProgramServicesAmt |
| Management And General | $285,688 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,005 | TotalAmt |
| Program Services | $7,175 | ProgramServicesAmt |
| Management And General | $49,830 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,753 | TotalAmt |
| Program Services | $381,753 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,554 | TotalAmt |
| Program Services | $35,489 | ProgramServicesAmt |
| Management And General | $221,065 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE | $3,182,360 | $3,179,922 | $2,438 |
| OTHER EXPENSES | $1,038,300 | $1,026,846 | $11,454 |
| EQUIPMENT RENTS, PURCHA | $330,688 | $280,036 | $50,652 |
| SUPPLIES | $138,967 | $80,127 | $58,840 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,958 | TotalAmt |
| Program Services | $287,220 | ProgramServicesAmt |
| Management And General | $206,738 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,464,424 | TotalAmt |
| Program Services | $18,420,751 | ProgramServicesAmt |
| Management And General | $4,043,673 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,634,706 | BOYAmt |
| EOY | $14,320,098 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,380 | BOYAmt |
| EOY | $728,004 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,823 | BOYAmt |
| EOY | $534,848 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $849,303 | BOYAmt |
| EOY | $777,168 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,762 | BOYAmt |
| EOY | $142,239 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,118 | BOYAmt |
| EOY | $276,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,786,162 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,053,456 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,122,431 | BOYAmt |
| EOY | $9,732,706 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,603 | BOYAmt |
| EOY | $979,760 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,100 | BOYAmt |
| EOY | $6,004 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,243,226 | BOYAmt |
| EOY | $27,496,954 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,615,146 | BOYAmt |
| EOY | $1,954,688 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,597,262 | BOYAmt |
| EOY | $4,106,346 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,084,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,603 | BOYAmt |
| EOY | $1,422,411 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,224,011 | BOYAmt |
| EOY | $18,567,445 | 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 | $10,019,215 | BOYAmt |
| EOY | $8,929,509 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,019,215 | BOYAmt |
| EOY | $8,929,509 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,243,226 | BOYAmt |
| EOY | $27,496,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,089,706 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,649,653 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,839,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,687,893 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,630,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,794,954 | CurrentTaxYearAmt |
| Total | $66,602,440 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,649,653 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,839,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,687,893 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,630,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,794,954 | CurrentTaxYearAmt |
| Total | $66,602,440 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $66,602,440 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,075 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,736 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,625 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,693 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,864 | CurrentTaxYearAmt |
| Total | $195,993 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,450 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $472,900 | CurrentTaxYearAmt |
| Total | $476,600 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $67,275,033 | TotalSupportAmt |
| Public Support CY170 | 0.99000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99700 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,527,994 | OtherCostOrOtherBasisAmt |
| Book Value | $6,527,994 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,527,378 | OtherCostOrOtherBasisAmt |
| Depreciation | $743,695 | DepreciationAmt |
| Book Value | $2,783,683 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,413,430 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,226,473 | DepreciationAmt |
| Book Value | $186,957 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $317,360 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,288 | DepreciationAmt |
| Book Value | $234,072 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,732,706 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITIES | $979,760 |
| CONSTRUCTION RETENTION | $442,651 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,422,411 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CLINIC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CALIFORNIA FRANCHISE AND INCOME TAXES UNDER SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS NOT SUBJECT TO TAXES IN CONNECTION WITH ITS EXEMPT ACTIVITIES. THE CLINIC HAS ADOPTED THE ACCOUNTING GUIDANCE RELATED TO UNCERTAIN TAX POSITIONS, AND HAS EVALUATED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY THE CLINIC IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIT RIVER HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36977 PARK AVENUE | AddressLine1Txt |
| City | BURNEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 960134067 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 931815182 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $6,802,134 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | FINANCING AND DEVELOPMENT OF NEW CLINIC FACILITY | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAWANA NIX | ||||||||||||||
| CH. MEDICAL OFF | $338,048 | $0 | $19,152 | $0 | $0 | $0 | $0 | $0 | $10,309 | $0 | $367,509 | $0 | $0 | $0 |
| KALI GORDON | ||||||||||||||
| STAFF PHYSICIAN | $327,932 | $0 | $19,993 | $0 | $0 | $0 | $0 | $0 | $10,309 | $0 | $358,234 | $0 | $0 | $0 |
| KUNJAL PATEL | ||||||||||||||
| CHIEF DENTAL OFFICER | $306,055 | $0 | $13,806 | $0 | $0 | $0 | $0 | $0 | $17,867 | $0 | $337,728 | $0 | $0 | $0 |
| LOREN ELLERY | ||||||||||||||
| CEO | $241,520 | $0 | $8,879 | $0 | $0 | $0 | $1,663 | $0 | $0 | $0 | $252,062 | $0 | $0 | $0 |
| FRANCIS WHEELER | ||||||||||||||
| CFO | $194,044 | $0 | $8,865 | $0 | $0 | $0 | $4,795 | $0 | $11,107 | $0 | $218,811 | $0 | $0 | $0 |
| KEN HAZELWOOD | ||||||||||||||
| BEHAVIORAL HEALTH DIRECTOR | $169,315 | $0 | $9,329 | $0 | $0 | $0 | $0 | $0 | $16,316 | $0 | $194,960 | $0 | $0 | $0 |
| LEWIS E FURBER JR | ||||||||||||||
| FAMILY NURSE PRACTITIONER | $170,351 | $0 | $5,521 | $0 | $0 | $0 | $0 | $0 | $18,047 | $0 | $193,919 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI | LINE 13 EXPLANATION - PRHS EMPLOYEES MUST REPORT ANY SUSPECTED OR KNOWN NON-COMPLIANCE TO A MANAGER, SUPERVISOR, DEPARTMENT HEAD, OR TO PRHS ADMINISTRATION. THIS APPLIES TO MATTERS OF CLINICAL COMPLIANCE AS WELL AS ADMINISTRATIVE AND FISCAL COMPLIANCE. MANAGERS, SUPERVISORS, OR DEPARTMENT HEADS WHO RECEIVE SUCH REPORTS SHALL NOTIFY ADMINISTRATION PROMPTLY. VERIFIED INSTANCES OF POTENTIAL NON-COMPLIANCE MUST BE SUBMITTED IN WRITING TO THE COMPLIANCE OFFICER OR THAT PERSON'S SUPERVISOR. RETALIATION IS FORBIDDEN AGAINST INDIVIDUALS FOR THE REPORTING OF A CONCERN MADE IN GOOD FAITH. UPON REQUEST OF ADMINISTRATION, DEPARTMENT DIRECTORS AND OTHER KEY INDIVIDUALS WILL ADDRESS AND RESOLVE KNOWN COMPLIANCE CONCERNS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS IS PROVIDED A COPY OF THE ANNUAL 990 REPORT AND ANY QUESTIONS ARE ADDRESSED BY THE CFO. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS HIRES THE CEO AND DETERMINES THE SALARY AND BENEFIT PACKAGE BASED ON THE EXPERIENCE AND QUALIFICATIONS OF THE PERSON. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 990 IS AVAILABLE UPON REQUEST AT THE ORGANIZATIONS PLACE OF BUSINESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIT RIVER HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36977 PARK AVENUE | AddressLine1Txt |
| City | BURNEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 960134067 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931815182 | EIN |
| Primary Activities | CHARITIBLE ACTIVITIES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 509(A)(3) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIT RIVER HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIT RIVER HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $6,802,134 | InvolvedAmt |
| Method Of Amount Determination | BOOK VALUE | MethodOfAmountDeterminationTxt |