2025-05-14T15:39:14-05:00 2024-06-30 680037990 GILBERT CPAS 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2023-07-01 942583156 CHAPA-DE INDIAN HEALTH PROGRAM INC CHAP 5308872800 11670 ATWOOD ROAD AUBURN CA 95603 SIERK HAITSMA CFO 5308872800 2025-05-13 1 0 KEITH R GLEN P01317613 9166466464 2025-05-13 2023 2025-03-06 01:10:19Z LISA DAVIES 11670 ATWOOD ROAD AUBURN CA 95603 78254550 0 X WWW.CHAPA-DE.ORG X 1979 CA PROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. 5 5 354 5 0 0 13330079 13101156 49370686 59312698 3766596 5724172 130649 116524 66598010 78254550 0 5000 0 0 28932009 32961185 0 0 0 15988224 18460933 44920233 51427118 21677777 26827432 208048447 248445449 16022081 19009473 192026366 229435976 PROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. 0 0 35217071 5000 59429222 PRIMARY 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. 355860 DIABETES 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. 35572931 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 102 0 1 354 1 0 0 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 1 1 1 1 1 1 0 CA X SIERK HAITSMA 5308872800 11670 ATWOOD ROAD AUBURN CA 95603 BRENDA ADAMS CHAIR 2.00 X X 0 0 0 DAVID KEYSER VICE-CHAIR 2.00 X X 0 0 0 GENE WHITEHOUSE SECRETARY 2.00 X X 0 0 0 JASON CAMP BOARD MEMBER 2.00 X 0 0 0 JOHN L WILLIAMS BOARD MEMBER 2.00 X 0 0 0 LISA DAVIES CHIEF EXECUTIVE OFFICER 40.00 X 493786 0 43249 SIERK HAITSMA CHIEF FINANCIAL OFFICER 40.00 X 322638 0 33070 DARLA CLARK CHIEF OPERATIONS OFFICER 40.00 X 307956 0 35834 ALINEA STEVENS MEDICAL DIRECTOR 32.00 X 276241 0 50905 PAULINE KARUNAKARAN DENTAL DIRECTOR 40.00 X 267207 0 29887 ANTHONY REYES CHIEF ADMIN OFFICER 40.00 X 253565 0 39922 ERIC OSBORN CHIEF INFORMATION OFFICER 40.00 X 223896 0 25486 WILLIAM JORNLIN PHYSICIAN 36.00 X 284246 0 35266 MARLOWE DIECKMANN PHYSICIAN 32.00 X 222687 0 47643 BENJAMIN OLDACH PHYSICIAN 34.00 X 258172 0 39121 KARINA GOOKIN LEAD PHYSICIAN 36.00 X 248555 0 43907 JULIE GARCHOW PHYSICIAN/RESIDENCY ASSOC PGRM DIR 40.00 X 275422 0 28694 3434371 0 452984 65 0 1 0 EFFORT PHARMACY SERVICES INC 3215 PENNINGTON ROAD LIVE OAK CA 95953 PHARMACY SERVICES 2002182 DREYFUSS & BLACKFORD ARCHITECTURE 3540 FOLSOM BLVD SACRAMENTO CA 95816 ARCHITECTURAL SERVICES 1734964 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 022417844 LOCUM TENENS 546000 IRIS TELEHEALTH MEDICAL GROUP PO BOX 25732 PASADENA CA 911855732 TELEHEALTH SERVICE 502150 UNITED BUILDING MAINTENANCE INC 2200 DOUGLAS BLVD 250B ROSEVILLE CA 95661 JANITORIAL SERVICES 380354 35 13101156 13101156 HEALTH SERVICES 621400 59312698 59312698 59312698 5724172 5724172 OTHER 900099 116524 116524 116524 78254550 59429222 0 5724172 5000 5000 2447089 1744399 702690 23029205 16498833 6530372 927126 632291 294835 4729949 3225781 1504168 1827816 1246554 581262 266552 207090 59462 100975 78450 22525 230220 230220 4355624 3383976 971648 190553 1542 189011 658657 30259 628398 1327908 8688 1319220 304563 221036 83527 2035400 310604 1724796 209183 209183 MEDICAL SUPPLIES 6559896 6529153 30743 PATIENT RELATED COSTS 918360 881479 36881 BUILDING AND EQUIPMENT 527303 177219 350084 OTHER PERSONNEL RELATED 283656 147576 136080 492083 243001 249082 51427118 35572931 15854187 0 5800 5800 51781988 35751385 832647 245122 4805193 5671170 296697 326575 321225 437164 66677303 24358790 40605382 42318513 108849027 162972354 550488 717366 208048447 248445449 5198049 5453303 10824032 13556170 16022081 19009473 X 192026366 229435976 192026366 229435976 208048447 248445449 26827432 10582178 0 X X 0 1 X 1 1 1 X 25916727 17847918 17794216 13330079 13101156 87990096 25916727 17847918 17794216 13330079 13101156 87990096 87990096 1693657 1962180 2689607 3769146 5724172 15838762 103828858 108930557 0.84750 0.88710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11749633 11749633 49827965 19854347 29973618 5099705 4504443 595262 42318513 PUBLICLY TRADED SECURITIES 115610021 F FEDERAL AND STATE OBLIGATIONS 16934737 F CORPORATE BONDS 10377278 F OTHER SECURITIES 20050318 F 162972354 88606508 10582178 10582178 78024330 230220 230220 78254550 51196898 0 51196898 230220 230220 51427118 X X 0 0 0 0 0 0 0 0 0 LISA DAVIES CHIEF EXECUTIVE OFFICER 428506 0 65280 0 0 0 19800 0 23449 0 537035 0 0 0 SIERK HAITSMA CHIEF FINANCIAL OFFICER 280238 0 42400 0 0 0 19358 0 13712 0 355708 0 0 0 DARLA CLARK CHIEF OPERATIONS OFFICER 267156 0 40800 0 0 0 18628 0 17206 0 343790 0 0 0 ALINEA STEVENS MEDICAL DIRECTOR 253810 0 22431 0 0 0 16964 0 33941 0 327146 0 0 0 WILLIAM JORNLIN PHYSICIAN 278682 0 5564 0 0 0 12214 0 23052 0 319512 0 0 0 JULIE GARCHOW PHYSICIAN/RESIDENCY ASSOC PGRM DIR 271422 0 4000 0 0 0 6091 0 22603 0 304116 0 0 0 BENJAMIN OLDACH PHYSICIAN 254872 0 3300 0 0 0 15672 0 23449 0 297293 0 0 0 PAULINE KARUNAKARAN DENTAL DIRECTOR 246257 0 20950 0 0 0 16032 0 13855 0 297094 0 0 0 ANTHONY REYES CHIEF ADMIN OFFICER 234485 0 19080 0 0 0 15421 0 24501 0 293487 0 0 0 KARINA GOOKIN LEAD PHYSICIAN 244555 0 4000 0 0 0 15183 0 28724 0 292462 0 0 0 MARLOWE DIECKMANN PHYSICIAN 219387 0 3300 0 0 0 13702 0 33941 0 270330 0 0 0 ERIC OSBORN CHIEF INFORMATION OFFICER 207096 0 16800 0 0 0 2400 0 23086 0 249382 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C THE ORGANIZATION PERFORMS AN ANNUAL EVALUATION OF ALL POTENTIAL CONFLICT OF INTEREST SITUATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE GENERAL PUBLIC. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.