2026-05-04T00:52:09-05:00 2025-06-30 364877244 BLUE ARROW INC 11405 W BERNARDO CT SUITE B SAN DIEGO CA 92127 990 2024-07-01 942429703 PIT RIVER HEALTH SERVICE PITR 5303355090 36977 PARK AVE BURNEY CA 96013 F JEREMY WHEELER CFO 5303355090 2026-05-04 1 0 SANWAR HARSHWAL CPA P01249746 8587841622 X 2024 2025-03-06 01:10:19Z X LOREN ELLERY 36977 PARK AVE BURNEY CA 96013 21374718 0 X WWW.PITRIVERHEALTHSERVICE.ORG X 1979 CA 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. 5 5 89 0 0 0 6318845 9712382 7311992 11082572 36693 106864 250 472900 13667780 21374718 0 6802134 0 0 6984811 8787094 0 0 0 4628679 6875196 11613490 22464424 2054290 -1089706 19243226 27496954 9224011 18567445 10019215 8929509 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. 0 0 18420751 6802134 11082572 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. 18420751 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 35 0 1 89 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 1 1 0 CA X GLENNA MOORE 5303355090 36977 PARK AVE BURNEY CA 96013 LAURI HAYWARD CHAIRPERSON 4.00 X 38437 0 0 LOUISE DAVIS VICE-CHAIRPERSON 4.00 X 38200 0 0 LESTER GIBBS TREASURER 4.00 X 30400 0 0 SUSANNE MASON SECRETARY 4.00 X 33000 0 0 BARBARA WOLFIN BOARD MEMBER 4.00 X 9000 0 0 LOREN ELLERY CEO 40.00 X 250399 0 1663 FRANCIS WHEELER CFO 40.00 X 202909 0 15902 TAWANA NIX CH. MEDICAL OFF 40.00 X 357200 0 10309 KALI GORDON STAFF PHYSICIAN 40.00 X 347925 0 10309 KUNJAL PATEL CHIEF DENTAL OFFICER 40.00 X 319861 0 17867 KEN HAZELWOOD BEHAVIORAL HEALTH DIRECTOR 1.00 X 178644 0 16316 LEWIS E FURBER JR FAMILY NURSE PRACTITIONER 1.00 X 175872 0 18047 1981847 0 90413 14 0 1 0 PROVIDER HEALTHCARE LLC 2825 E COTTONWOOD PKWY STE 470 SALT LAKE CITY UT 84121 LOCUM TENENS MEDICAL PROVIDERS 812017 NORTH AMERICAN MENTAL HEALTH SERVICES 2400 WASHINGTON AVE STE 100 REDDING CA 96001 MENTAL HEALTH THERAPY 367271 GREENBOUGH DESIGN PO BOX 1358 SHINGLE SPRINGS CA 95682 ARCHITECTURAL 275457 SB JAMES CONSTRUCTION 8425 AGATE RD WHITE CITY OR 97503 BUILDING CONSTRUCTION 218190 ARC HEALTH PO BOX 866 REDMOND OR 97756 LOCUM TENENS MEDICAL PROVIDERS 146317 5 9606582 105800 9712382 HEALTH SERVICE 621400 11082572 11082572 11082572 106864 106864 LEGAL SETTLEMENT REVENUE 465788 465788 TRAINING REIMBURSEMENTS 7112 7112 472900 21374718 11555472 0 106864 6802134 6802134 646459 339900 306559 6534880 4638260 1896620 31541 31541 1043850 687614 356236 530364 374296 156068 2183 293 1890 17558 17558 171443 58775 112668 107700 81451 26249 32153 8620 23533 345233 117187 228046 319341 33653 285688 57005 7175 49830 381753 381753 256554 35489 221065 PATIENT CARE 3182360 3179922 2438 OTHER EXPENSES 1038300 1026846 11454 EQUIPMENT RENTS, PURCHA 330688 280036 50652 SUPPLIES 138967 80127 58840 493958 287220 206738 22464424 18420751 4043673 0 9634706 14320098 702380 728004 399823 534848 849303 777168 213762 142239 238118 276127 11786162 2053456 6122431 9732706 1011603 979760 71100 6004 19243226 27496954 1615146 1954688 6597262 4106346 11084000 1011603 1422411 9224011 18567445 X 10019215 8929509 10019215 8929509 19243226 27496954 -1089706 0 X 0 1 X 1 1 1 X 10649653 9839103 11687893 13630837 20794954 66602440 10649653 9839103 11687893 13630837 20794954 66602440 66602440 11075 15736 25625 36693 106864 195993 3450 250 472900 476600 67275033 0.99000 0.99700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6527994 6527994 3527378 743695 2783683 1413430 1226473 186957 317360 83288 234072 9732706 OPERATING LEASE LIABILITIES 979760 CONSTRUCTION RETENTION 442651 1422411 X PART X, LINE 2: 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. 0 PIT RIVER HEALTH FOUNDATION 36977 PARK AVENUE BURNEY CA 960134067 931815182 501(C)(3) 6802134 0 FINANCING AND DEVELOPMENT OF NEW CLINIC FACILITY 1 X X 0 0 0 0 0 0 0 0 0 TAWANA NIX CH. MEDICAL OFF 338048 0 19152 0 0 0 0 0 10309 0 367509 0 0 0 KALI GORDON STAFF PHYSICIAN 327932 0 19993 0 0 0 0 0 10309 0 358234 0 0 0 KUNJAL PATEL CHIEF DENTAL OFFICER 306055 0 13806 0 0 0 0 0 17867 0 337728 0 0 0 LOREN ELLERY CEO 241520 0 8879 0 0 0 1663 0 0 0 252062 0 0 0 FRANCIS WHEELER CFO 194044 0 8865 0 0 0 4795 0 11107 0 218811 0 0 0 KEN HAZELWOOD BEHAVIORAL HEALTH DIRECTOR 169315 0 9329 0 0 0 0 0 16316 0 194960 0 0 0 LEWIS E FURBER JR FAMILY NURSE PRACTITIONER 170351 0 5521 0 0 0 0 0 18047 0 193919 0 0 0 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. PIT RIVER HEALTH FOUNDATION 36977 PARK AVENUE BURNEY CA 960134067 931815182 CHARITIBLE ACTIVITIES CA 501(C)(3) 509(A)(3) PIT RIVER HEALTH SERVICES 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PIT RIVER HEALTH FOUNDATION B 6802134 BOOK VALUE