STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHAPA-DE INDIAN HEALTH PROGRAM INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHAPA-DE INDIAN HEALTH PROGRAM INC (EIN 94-2583156)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-14
IRS object ID
202511349349310266
Schema version
2023v6.0
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

FieldValueIRS element (for citing)
Return2025-05-14T15:39:14-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680037990PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GILBERT CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12880 GATEWAY OAKS DR STE 100AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95833ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942583156EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHAPA-DE INDIAN HEALTH PROGRAM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHAPBusinessNameControlTxt
Phone5308872800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111670 ATWOOD ROADAddressLine1Txt
CityAUBURNCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95603ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSIERK HAITSMAPersonNm
Person TitleCFOPersonTitleTxt
Phone5308872800PhoneNum
Signature2025-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH R GLENPreparerPersonNm
PTINP01317613PTIN
Phone9166466464PhoneNum
Preparation2025-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA DAVIESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111670 ATWOOD ROADAddressLine1Txt
CityAUBURNCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95603ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$78,254,550GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHAPA-DE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee354TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,330,079PYContributionsGrantsAmt
CY Contributions Grants$13,101,156CYContributionsGrantsAmt
PY Program Service Revenue$49,370,686PYProgramServiceRevenueAmt
CY Program Service Revenue$59,312,698CYProgramServiceRevenueAmt
PY Investment Income$3,766,596PYInvestmentIncomeAmt
CY Investment Income$5,724,172CYInvestmentIncomeAmt
PY Other Revenue$130,649PYOtherRevenueAmt
CY Other Revenue$116,524CYOtherRevenueAmt
PY Total Revenue$66,598,010PYTotalRevenueAmt
CY Total Revenue$78,254,550CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$28,932,009PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,961,185CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,988,224PYOtherExpensesAmt
CY Other Expenses$18,460,933CYOtherExpensesAmt
PY Total Expenses$44,920,233PYTotalExpensesAmt
CY Total Expenses$51,427,118CYTotalExpensesAmt
PY Revenues Less Expenses$21,677,777PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,827,432CYRevenuesLessExpensesAmt
Total Assets BOY$208,048,447TotalAssetsBOYAmt
Total Assets EOY$248,445,449TotalAssetsEOYAmt
Total Liabilities BOY$16,022,081TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,009,473TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$192,026,366NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$229,435,976NetAssetsOrFundBalancesEOYAmt
MissionPROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$35,217,071ExpenseAmt
Grant$5,000GrantAmt
Revenue$59,429,222RevenueAmt
DescPRIMARY HEALTH CARE PROGRAM - CHAPA-DE INDIAN PROGRAM, INC PROVIDED COMPREHENSIVE HEALTH SERVICES TO THE NATIVE-AMERICAN POPULATION AND OTHER RESIDENTS OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. COMPREHENSIVE HEALTH SERVICES INCLUDE DIRECT PATIENT CARE, IMMUNIZATIONS, HEALTH PROMOTION AND DISEASE PREVENTION, DRUG ABUSE AND EDUCATION/PREVENTION PROGRAMS, AND DENTAL CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$355,860ExpenseAmt
DescDIABETES PREVENTION PROGRAM - THIS PROGRAM PROVIDES DIABETES PREVENTION, MANAGEMENT AND LIFESTYLE EDUCATION, AND TESTING SERVICES TO NATIVE- AMERICAN PATIENTS DURING THE FISCAL YEAR. THESE PATIENTS LIVE PRIMARILY IN SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$35,572,931TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee354EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIERK HAITSMABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5308872800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111670 ATWOOD ROADAddressLine1Txt
CityAUBURNCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95603ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRENDA ADAMS
CHAIR2.00Yes (X)Yes (X)$0$0$0
DAVID KEYSER
VICE-CHAIR2.00Yes (X)Yes (X)$0$0$0
GENE WHITEHOUSE
SECRETARY2.00Yes (X)Yes (X)$0$0$0
JASON CAMP
BOARD MEMBER2.00Yes (X)$0$0$0
JOHN L WILLIAMS
BOARD MEMBER2.00Yes (X)$0$0$0
LISA DAVIES
CHIEF EXECUTIVE OFFICER40.00Yes (X)$493,786$0$43,249
SIERK HAITSMA
CHIEF FINANCIAL OFFICER40.00Yes (X)$322,638$0$33,070
DARLA CLARK
CHIEF OPERATIONS OFFICER40.00Yes (X)$307,956$0$35,834
ALINEA STEVENS
MEDICAL DIRECTOR32.00$276,241$0$50,905Yes (X)
PAULINE KARUNAKARAN
DENTAL DIRECTOR40.00$267,207$0$29,887Yes (X)
ANTHONY REYES
CHIEF ADMIN OFFICER40.00$253,565$0$39,922Yes (X)
ERIC OSBORN
CHIEF INFORMATION OFFICER40.00$223,896$0$25,486Yes (X)
WILLIAM JORNLIN
PHYSICIAN36.00$284,246$0$35,266Yes (X)
MARLOWE DIECKMANN
PHYSICIAN32.00$222,687$0$47,643Yes (X)
BENJAMIN OLDACH
PHYSICIAN34.00$258,172$0$39,121Yes (X)
KARINA GOOKIN
LEAD PHYSICIAN36.00$248,555$0$43,907Yes (X)
JULIE GARCHOW
PHYSICIAN/RESIDENCY ASSOC PGRM DIR40.00$275,422$0$28,694Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,434,371TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$452,984TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K65IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EFFORT PHARMACY SERVICES INC
3215 PENNINGTON ROADLIVE OAKCA95953PHARMACY SERVICES$2,002,182
DREYFUSS & BLACKFORD ARCHITECTURE
3540 FOLSOM BLVDSACRAMENTOCA95816ARCHITECTURAL SERVICES$1,734,964
BARTON ASSOCIATES INC
PO BOX 417844BOSTONMA022417844LOCUM TENENS$546,000
IRIS TELEHEALTH MEDICAL GROUP
PO BOX 25732PASADENACA911855732TELEHEALTH SERVICE$502,150
UNITED BUILDING MAINTENANCE INC
2200 DOUGLAS BLVD 250BROSEVILLECA95661JANITORIAL SERVICES$380,354
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Government Grants$13,101,156GovernmentGrantsAmt
Total Contributions$13,101,156TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH SERVICESDesc
Business621400BusinessCd
Total Revenue Column$59,312,698TotalRevenueColumnAmt
Related Or Exempt Func Income$59,312,698RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$59,312,698TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,724,172TotalRevenueColumnAmt
Exclusion$5,724,172ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business900099BusinessCd
Total Revenue Column$116,524TotalRevenueColumnAmt
Related Or Exempt Func Income$116,524RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$116,524OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,254,550TotalRevenueColumnAmt
Related Or Exempt Func Income$59,429,222RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,724,172ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,447,089TotalAmt
Program Services$1,744,399ProgramServicesAmt
Management And General$702,690ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,029,205TotalAmt
Program Services$16,498,833ProgramServicesAmt
Management And General$6,530,372ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$927,126TotalAmt
Program Services$632,291ProgramServicesAmt
Management And General$294,835ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,729,949TotalAmt
Program Services$3,225,781ProgramServicesAmt
Management And General$1,504,168ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,827,816TotalAmt
Program Services$1,246,554ProgramServicesAmt
Management And General$581,262ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$266,552TotalAmt
Program Services$207,090ProgramServicesAmt
Management And General$59,462ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$100,975TotalAmt
Program Services$78,450ProgramServicesAmt
Management And General$22,525ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$230,220TotalAmt
Management And General$230,220ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,355,624TotalAmt
Program Services$3,383,976ProgramServicesAmt
Management And General$971,648ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$190,553TotalAmt
Program Services$1,542ProgramServicesAmt
Management And General$189,011ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$658,657TotalAmt
Program Services$30,259ProgramServicesAmt
Management And General$628,398ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,327,908TotalAmt
Program Services$8,688ProgramServicesAmt
Management And General$1,319,220ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$304,563TotalAmt
Program Services$221,036ProgramServicesAmt
Management And General$83,527ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,035,400TotalAmt
Program Services$310,604ProgramServicesAmt
Management And General$1,724,796ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$209,183TotalAmt
Management And General$209,183ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$6,559,896$6,529,153$30,743
PATIENT RELATED COSTS$918,360$881,479$36,881
BUILDING AND EQUIPMENT$527,303$177,219$350,084
OTHER PERSONNEL RELATED$283,656$147,576$136,080

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$492,083TotalAmt
Program Services$243,001ProgramServicesAmt
Management And General$249,082ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$51,427,118TotalAmt
Program Services$35,572,931ProgramServicesAmt
Management And General$15,854,187ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,800BOYAmt
EOY$5,800EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$51,781,988BOYAmt
EOY$35,751,385EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$832,647BOYAmt
EOY$245,122EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,805,193BOYAmt
EOY$5,671,170EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$296,697BOYAmt
EOY$326,575EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$321,225BOYAmt
EOY$437,164EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$66,677,303LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,358,790LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,605,382BOYAmt
EOY$42,318,513EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$108,849,027BOYAmt
EOY$162,972,354EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$550,488BOYAmt
EOY$717,366EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$208,048,447BOYAmt
EOY$248,445,449EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,198,049BOYAmt
EOY$5,453,303EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,824,032BOYAmt
EOY$13,556,170EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,022,081BOYAmt
EOY$19,009,473EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$192,026,366BOYAmt
EOY$229,435,976EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,026,366BOYAmt
EOY$229,435,976EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$208,048,447BOYAmt
EOY$248,445,449EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$26,827,432ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,582,178NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,916,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,847,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,794,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,330,079CurrentTaxYearMinus1YearAmt
Current Tax Year$13,101,156CurrentTaxYearAmt
Total$87,990,096TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,916,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,847,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,794,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,330,079CurrentTaxYearMinus1YearAmt
Current Tax Year$13,101,156CurrentTaxYearAmt
Total$87,990,096TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$87,990,096PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,693,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,962,180CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,689,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,769,146CurrentTaxYearMinus1YearAmt
Current Tax Year$5,724,172CurrentTaxYearAmt
Total$15,838,762TotalAmt
FieldValueIRS element (for citing)
Total Support$103,828,858TotalSupportAmt
Gross Receipts Rltd Activities$108,930,557GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84750PublicSupportCY170Pct
Public Support PY1700.88710PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,749,633OtherCostOrOtherBasisAmt
Book Value$11,749,633BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,827,965OtherCostOrOtherBasisAmt
Depreciation$19,854,347DepreciationAmt
Book Value$29,973,618BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,099,705OtherCostOrOtherBasisAmt
Depreciation$4,504,443DepreciationAmt
Book Value$595,262BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,318,513TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PUBLICLY TRADED SECURITIES$115,610,021F
FEDERAL AND STATE OBLIGATIONS$16,934,737F
CORPORATE BONDS$10,377,278F
OTHER SECURITIES$20,050,318F
FieldValueIRS element (for citing)
Total Book Value Securities$162,972,354TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$88,606,508TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,582,178NetUnrealizedGainsInvstAmt
Revenue Not Reported$10,582,178RevenueNotReportedAmt
Revenue Subtotal$78,024,330RevenueSubtotalAmt
Investment Expenses Not Incld$230,220InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$230,220RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$78,254,550TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$51,196,898TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$51,196,898ExpensesSubtotalAmt
Investment Expenses Not Incld2$230,220InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$230,220ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$51,427,118TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LISA DAVIES
CHIEF EXECUTIVE OFFICER$428,506$0$65,280$0$0$0$19,800$0$23,449$0$537,035$0$0$0
SIERK HAITSMA
CHIEF FINANCIAL OFFICER$280,238$0$42,400$0$0$0$19,358$0$13,712$0$355,708$0$0$0
DARLA CLARK
CHIEF OPERATIONS OFFICER$267,156$0$40,800$0$0$0$18,628$0$17,206$0$343,790$0$0$0
ALINEA STEVENS
MEDICAL DIRECTOR$253,810$0$22,431$0$0$0$16,964$0$33,941$0$327,146$0$0$0
WILLIAM JORNLIN
PHYSICIAN$278,682$0$5,564$0$0$0$12,214$0$23,052$0$319,512$0$0$0
JULIE GARCHOW
PHYSICIAN/RESIDENCY ASSOC PGRM DIR$271,422$0$4,000$0$0$0$6,091$0$22,603$0$304,116$0$0$0
BENJAMIN OLDACH
PHYSICIAN$254,872$0$3,300$0$0$0$15,672$0$23,449$0$297,293$0$0$0
PAULINE KARUNAKARAN
DENTAL DIRECTOR$246,257$0$20,950$0$0$0$16,032$0$13,855$0$297,094$0$0$0
ANTHONY REYES
CHIEF ADMIN OFFICER$234,485$0$19,080$0$0$0$15,421$0$24,501$0$293,487$0$0$0
KARINA GOOKIN
LEAD PHYSICIAN$244,555$0$4,000$0$0$0$15,183$0$28,724$0$292,462$0$0$0
MARLOWE DIECKMANN
PHYSICIAN$219,387$0$3,300$0$0$0$13,702$0$33,941$0$270,330$0$0$0
ERIC OSBORN
CHIEF INFORMATION OFFICER$207,096$0$16,800$0$0$0$2,400$0$23,086$0$249,382$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PRESENTED BY THE CFO TO THE FULL BOARD OF DIRECTORS AND IS APPROVED FOR FILING. THE CHAIRPERSON IS AUTHORIZED TO SIGN THE FORM 990 AFTER THE APPROVAL BY THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION PERFORMS AN ANNUAL EVALUATION OF ALL POTENTIAL CONFLICT OF INTEREST SITUATIONS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS HIRES ALL OFFICERS OF THE ORGANIZATION. THE COMPENSATION AMOUNT IS BASED ON PREVAILING SALARIES IN THE AREA AND THE EXPERIENCE AND QUALIFICATIONS OF THE OFFICER. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. THE BOARD OF DIRECTORS HIRES CEO AND TOP MANAGEMENT OF THE ORGANIZATION. THE COMPENSATION AMOUNT IS BASED ON PREVAILING SALARIES IN THE AREA AND THE EXPERIENCE AND QUALIFICATIONS OF THE EMPLOYEE. THIS PROCESS WAS LAST UNDERTAKEN IN 2020.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE GENERAL PUBLIC.
FORM 990, PART XII, LINE 2C:PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.