RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC (EIN 95-2846605)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-07-30
- IRS object ID
- 202422129349301407
- Schema version
- 2023v5.1
- 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 | 2024-07-30T10:18:37-07:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 463131594 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spafford and Landry Inc | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1849 W Redlands Blvd Suite 102 | AddressLine1Txt |
| City | Redlands | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92373 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952846605 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERSIDE-SAN BERNARDINO COUNTY INDIAN | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIVE | BusinessNameControlTxt |
| Phone | 9098641097 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11980 MT VERNON AVENUE | AddressLine1Txt |
| City | GRAND TERRACE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92313 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MO ZAYED | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2024-07-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Pat Spafford | PreparerPersonNm |
| PTIN | P00367698 | PTIN |
| Phone | 9097921852 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11980 MT VERNON AVENUE | AddressLine1Txt |
| City | GRAND TERRACE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,595,442 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | RSBCIHI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING RURAL HEALTH CARE SERVICES TO NATIVE AMERICANS IN SAN BERNARDINO & RIVERSIDE COUNTIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 33 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 33 | VotingMembersIndependentCnt |
| Total Employee | 450 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $46,867,130 | PYContributionsGrantsAmt |
| CY Contributions Grants | $50,988,799 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,352,151 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,404,198 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,217,384 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,118,560 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $63,436,665 | PYTotalRevenueAmt |
| CY Total Revenue | $73,511,557 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,830,542 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,817,853 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,829,766 | PYOtherExpensesAmt |
| CY Other Expenses | $20,707,516 | CYOtherExpensesAmt |
| PY Total Expenses | $54,660,308 | PYTotalExpensesAmt |
| CY Total Expenses | $58,525,369 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,776,357 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,986,188 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $168,181,041 | TotalAssetsBOYAmt |
| Total Assets EOY | $182,289,679 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,965,178 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,822,970 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $164,215,863 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $175,466,709 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION IS ORGANIZED AS A JOINT VENTURE BETWEEN THE INDIAN TRIBES OF RIVERSIDE AND SAN BERNARDINO COUNTIES FOR THE PURPOSE OF PROVIDING HEALTH, DENTAL, OPTICAL AND NUTRITION SERVICES TO ELIGIBLE INDIAN BENEFICIARIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $56,856,558 | ExpenseAmt |
| Revenue | $18,070,313 | RevenueAmt |
| Desc | PROVIDE MEDICAL, DENTAL, OPTICAL, PHARMACEUTICAL AND COUNSELING SERVICE TO OVER 31,000 INDIANS. | Desc |
| Total Program Service Expenses | $56,856,558 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 279 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 450 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 33 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 33 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MO ZAHED | PersonNm |
| Phone | 9098641097 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11980 MT VERNON AVENUE | AddressLine1Txt |
| City | GRAND TERRACE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92313 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| DONALD HAMBY | |||||||
| MEDICAL | 40.00 | 0.00 | $459,319 | $0 | $13,723 | ||
| BILL THOMSEN | |||||||
| CEO | 40.00 | 0.00 | $357,261 | $0 | $57,484 | ||
| RONALD WARNELL | |||||||
| PSYCHIATRIST | 40.00 | 0.00 | $357,597 | $0 | $31,691 | ||
| MO ZAYED | |||||||
| CFO | 40.00 | 0.00 | $317,913 | $0 | $29,703 | ||
| PHILIP FARABAUGH | |||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $311,601 | $0 | $28,463 | ||
| OLUWATONI ARLEEY | |||||||
| PHYSCIAN | 40.00 | 0.00 | $291,257 | $0 | $38,355 | ||
| EBRAHIM MOHAMEDY | |||||||
| PHYSICIAN | 40.00 | 0.00 | $285,364 | $0 | $29,700 | ||
| ANTHONY MAZZA | |||||||
| COO | 40.00 | 0.00 | $220,579 | $0 | $13,085 | ||
| SHERRI SALGADO | |||||||
| President | 1.00 | 0.00 | $26,975 | $0 | $0 | Yes (X) | Yes (X) |
| JONELL JOHN | |||||||
| Director | 1.00 | 0.00 | $25,150 | $0 | $0 | Yes (X) | |
| VERONICA ESPINOZA | |||||||
| Director | 1.00 | 0.00 | $21,375 | $0 | $0 | Yes (X) | |
| SUZANNE LUGO | |||||||
| Director | 1.00 | 0.00 | $19,875 | $0 | $0 | Yes (X) | |
| DESIREE FRANCO | |||||||
| Vice President | 1.00 | 0.00 | $18,825 | $0 | $0 | Yes (X) | Yes (X) |
| VERONICA SAUL | |||||||
| Director | 1.00 | 0.00 | $17,450 | $0 | $0 | Yes (X) | |
| TRINDAD KRYSTAL | |||||||
| Director | 1.00 | 0.00 | $16,650 | $0 | $0 | Yes (X) | |
| JULIE PARCERO | |||||||
| MEMBER AT LARGE | 1.00 | 0.00 | $15,875 | $0 | $0 | Yes (X) | Yes (X) |
| SYLVIA MOTSCHMAN | |||||||
| Director | 1.00 | 0.00 | $15,050 | $0 | $0 | Yes (X) | |
| CATALINA VILLAMONTES | |||||||
| Treasurer | 1.00 | 0.00 | $14,100 | $0 | $0 | Yes (X) | Yes (X) |
| CAMILE DIAZ | |||||||
| Director | 1.00 | 0.00 | $13,425 | $0 | $0 | Yes (X) | |
| NANCY GALINDO | |||||||
| Director | 1.00 | 0.00 | $13,200 | $0 | $0 | Yes (X) | |
| KIM SCHOENBORN | |||||||
| Director | 1.00 | 0.00 | $12,900 | $0 | $0 | Yes (X) | |
| LEONELLA LEASH | |||||||
| Director | 1.00 | 0.00 | $11,175 | $0 | $0 | Yes (X) | |
| LELA JUAREZ | |||||||
| Director | 1.00 | 0.00 | $10,825 | $0 | $0 | Yes (X) | |
| JOSEH MIRELEZ | |||||||
| Director | 1.00 | 0.00 | $10,675 | $0 | $0 | Yes (X) | |
| HAROLD MATHEWS | |||||||
| Director | 1.00 | 0.00 | $9,875 | $0 | $0 | Yes (X) | |
| JOHN MARCUS | |||||||
| Director | 1.00 | 0.00 | $8,500 | $0 | $0 | Yes (X) | |
| TERESA SANCHEZ | |||||||
| Director | 1.00 | 0.00 | $6,475 | $0 | $0 | Yes (X) | |
| RUNNINGBEAR RAMIREZ | |||||||
| Secretary | 1.00 | 0.00 | $6,175 | $0 | $0 | Yes (X) | Yes (X) |
| NATALIE AYALA | |||||||
| Director | 1.00 | 0.00 | $5,800 | $0 | $0 | Yes (X) | |
| CHRISTINE VALENZUELA MUNOZ | |||||||
| Director | 1.00 | 0.00 | $5,750 | $0 | $0 | Yes (X) | |
| LISA ORTEGA | |||||||
| Director | 1.00 | 0.00 | $5,425 | $0 | $0 | Yes (X) | |
| DANAE ESTRADA | |||||||
| Director | 1.00 | 0.00 | $4,950 | $0 | $0 | Yes (X) | |
| JUAN RODRIGUEZ | |||||||
| Director | 1.00 | 0.00 | $4,400 | $0 | $0 | Yes (X) | |
| GARDENIA GONZALES | |||||||
| Director | 1.00 | 0.00 | $4,250 | $0 | $0 | Yes (X) | |
| ALEXIS SANDERS-ALTO | |||||||
| Director | 1.00 | 0.00 | $3,250 | $0 | $0 | Yes (X) | |
| SHEILA PICO | |||||||
| Director | 1.00 | 0.00 | $2,250 | $0 | $0 | Yes (X) | |
| MONICA HERRERA | |||||||
| Director | 1.00 | 0.00 | $2,025 | $0 | $0 | Yes (X) | |
| NICHOLE SUTTER | |||||||
| Director | 1.00 | 0.00 | $1,750 | $0 | $0 | Yes (X) | |
| JOSEPH AYALA | |||||||
| Director | 1.00 | 0.00 | $1,250 | $0 | $0 | Yes (X) | |
| GIAVONNA DODD | |||||||
| Director | 1.00 | 0.00 | $1,225 | $0 | $0 | Yes (X) | |
| SHERRI ANN GREEN | |||||||
| Director | 1.00 | 0.00 | $750 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,938,516 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $242,204 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 71 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| QUEST DIAGNOSTICS | |
| MEDICAL SUPPLIES | $645,486 |
| RESOLV CONSULTING INC | |
| CONSULTANT | $351,964 |
| BELLA MONTE RECOVERY | |
| MEDICAL | $368,420 |
| LPA INC | |
| MEDICAL | $523,099 |
| JL WARD ASSOCIATES INC | |
| CONSULTING | $231,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $50,734,432 | GovernmentGrantsAmt |
| All Other Contributions | $254,367 | AllOtherContributionsAmt |
| Total Contributions | $50,988,799 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL, DENTAL, OPTICAL | 621400 | $16,344,743 | $16,344,743 |
| MISC AND REIMBURSEMENTS | 621400 | $59,455 | $59,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,404,198 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,452,445 | TotalRevenueColumnAmt |
| Exclusion | $4,452,445 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,750,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $83,885 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,666,115 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,666,115 | TotalRevenueColumnAmt |
| Exclusion | $1,666,115 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,511,557 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,404,198 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,118,560 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,233,408 | TotalAmt |
| Program Services | $895,783 | ProgramServicesAmt |
| Management And General | $337,625 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,883,675 | TotalAmt |
| Program Services | $27,883,675 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,283,759 | TotalAmt |
| Program Services | $1,283,759 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,377,145 | TotalAmt |
| Program Services | $5,377,145 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,039,866 | TotalAmt |
| Program Services | $2,039,866 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,182 | TotalAmt |
| Program Services | $173,182 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,738 | TotalAmt |
| Program Services | $30,738 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,945,067 | TotalAmt |
| Program Services | $2,945,067 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,813 | TotalAmt |
| Program Services | $161,832 | ProgramServicesAmt |
| Management And General | $17,981 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,628,689 | TotalAmt |
| Program Services | $1,628,689 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $762,230 | TotalAmt |
| Program Services | $651,532 | ProgramServicesAmt |
| Management And General | $110,698 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,043 | TotalAmt |
| Program Services | $168,043 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,955 | TotalAmt |
| Program Services | $688,955 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MATERIALS AND SUPPLIES | $8,023,004 | $6,861,595 | $1,161,409 |
| SUBCONTRACT CARE | $3,605,996 | $3,605,996 | |
| MAINTENANCE AND REPAIRS | $1,600,520 | $1,596,820 | $3,700 |
| OTHER EXPENSES | $901,279 | $863,881 | $37,398 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,525,369 | TotalAmt |
| Program Services | $56,856,558 | ProgramServicesAmt |
| Management And General | $1,668,811 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,400,972 | BOYAmt |
| EOY | $90,150,616 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,362,804 | BOYAmt |
| EOY | $2,553,595 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,144,625 | BOYAmt |
| EOY | $2,654,802 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,529 | BOYAmt |
| EOY | $83,747 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,557 | BOYAmt |
| EOY | $408,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $86,438,721 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,930,554 | BOYAmt |
| EOY | $86,438,721 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,181,041 | BOYAmt |
| EOY | $182,289,679 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,965,178 | BOYAmt |
| EOY | $2,658,242 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,164,728 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,965,178 | BOYAmt |
| EOY | $6,822,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,675,064 | BOYAmt |
| EOY | $81,800,258 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,930,554 | BOYAmt |
| EOY | $86,438,721 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,610,245 | BOYAmt |
| EOY | $7,227,730 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,215,863 | BOYAmt |
| EOY | $175,466,709 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,181,041 | BOYAmt |
| EOY | $182,289,679 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,986,188 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,735,342 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $43,327,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,161,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80,461,514 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,867,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,988,799 | CurrentTaxYearAmt |
| Total | $280,807,308 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,327,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,161,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80,461,514 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,867,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,988,799 | CurrentTaxYearAmt |
| Total | $280,807,308 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $280,807,308 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,211,599 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $211,882 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,024 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,217,384 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,452,445 | CurrentTaxYearAmt |
| Total | $7,102,334 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $287,909,642 | TotalSupportAmt |
| Public Support CY170 | 0.97530 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $713,859 | OtherCostOrOtherBasisAmt |
| Book Value | $713,859 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,478,189 | OtherCostOrOtherBasisAmt |
| Book Value | $68,478,189 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,256,716 | OtherCostOrOtherBasisAmt |
| Book Value | $16,256,716 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $989,957 | OtherCostOrOtherBasisAmt |
| Book Value | $989,957 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $86,438,721 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $73,511,557 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $73,511,557 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $73,511,557 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $58,525,369 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $58,525,369 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $58,525,369 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| ANTHONY MAZZA | |||
| COO | $220,579 | $13,085 | $233,664 |
| BILL THOMSEN | |||
| CEO | $357,261 | $57,484 | $414,745 |
| DONALD HAMBY | |||
| MEDICAL | $459,319 | $13,723 | $473,042 |
| EBRAHIM MOHAMEDY | |||
| PHYSICIAN | $285,364 | $29,700 | $315,064 |
| MO ZAYED | |||
| CFO | $317,913 | $29,703 | $347,616 |
| OLUWATONI ARLEEY | |||
| PHYSCIAN | $291,257 | $38,355 | $329,612 |
| PHILIP FARABAUGH | |||
| MEDICAL DIRECTOR | $311,601 | $28,463 | $340,064 |
| RONALD WARNELL | |||
| PSYCHIATRIST | $357,597 | $31,691 | $389,288 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | THE BOARD OF DIRECTORS CONSIST OF NATIVE AMERICAN TRIBAL MEMBERS WHO ARE RELATED FAMILY MEMBERS SUCH AS BROTHERS, SISTERS, AND COUSINS, ETC. |
| Form 990, Part VI, Section B, Line 11b | REVIEWED BY THE FINANCE COMMITTEE BEFORE ISSUANCE. |
| Form 990, Part VI, Section B, Line 12c | EACH BOARD MEMBER MUST DECLARE ANNUALLY. |
| Form 990, Part VI, Section B, Line 15a | THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED AND APPROVED BY THE ORGANIZATIONS COMPENSATION COMMITTEE. |
| Form 990, Part VI, Section B, Line 15b | THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED AND APPROVED BY THE ORGANIZATIONS COMPENSATION COMMITTEE. |
| Form 990, Part VI, Section C, Line 19 | No documents available to the public. |
| Form 990, Part XI, Line 9 | DISPOSAL OF FIXED ASSETS = -$3735342 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMBER TRIBES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11980 MT VERNON AVENUE | AddressLine1Txt |
| City | GRAND TERRACE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |