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RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC (EIN 95-2846605)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-03
IRS object ID
202202769349301425
Schema version
2021v4.0
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)
Return2022-10-03T11:29:01-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN463131594PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Spafford and Landry IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11849 W Redlands Blvd Suite 102AddressLine1Txt
CityRedlandsCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92373ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952846605EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE-SAN BERNARDINO COUNTY INDIANBusinessNameLine1Txt
Business Name Line2HEALTH INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRIVEBusinessNameControlTxt
Phone9098641097PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111980 MT VERNON AVENUEAddressLine1Txt
CityGRAND TERRACECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92313ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMO ZAYEDPersonNm
Person TitleCFOPersonTitleTxt
Signature2022-10-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMOPersonFirstNm
Person LastZAYEDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPat SpaffordPreparerPersonNm
PTINP00367698PTIN
Phone9097921852PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line111980 MT VERNON AVENUEAddressLine1Txt
CityGRAND TERRACECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92313ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$92,692,738GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressRSBCIHI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDING RURAL HEALTH CARE SERVICES TO NATIVE AMERICANS IN SAN BERNARDINO & RIVERSIDE COUNTIESActivityOrMissionDesc
Voting Members Governing Body35VotingMembersGoverningBodyCnt
Voting Members Independent35VotingMembersIndependentCnt
Total Employee449TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$43,327,866PYContributionsGrantsAmt
CY Contributions Grants$80,461,514CYContributionsGrantsAmt
PY Program Service Revenue$10,419,531PYProgramServiceRevenueAmt
CY Program Service Revenue$12,222,200CYProgramServiceRevenueAmt
PY Investment Income$1,221,599PYInvestmentIncomeAmt
CY Investment Income$9,024CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$54,968,996PYTotalRevenueAmt
CY Total Revenue$92,692,738CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,518,612PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,814,065CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,259,075PYOtherExpensesAmt
CY Other Expenses$17,552,966CYOtherExpensesAmt
PY Total Expenses$49,777,687PYTotalExpensesAmt
CY Total Expenses$53,367,031CYTotalExpensesAmt
PY Revenues Less Expenses$5,191,309PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,325,707CYRevenuesLessExpensesAmt
Total Assets BOY$120,451,920TotalAssetsBOYAmt
Total Assets EOY$159,947,139TotalAssetsEOYAmt
Total Liabilities BOY$8,338,306TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,352,279TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$112,113,614NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$155,594,860NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$52,133,336ExpenseAmt
Revenue$12,222,200RevenueAmt
DescPROVIDE MEDICAL, DENTAL, OPTICAL, PHARMACEUTICAL AND COUNSELING SERVICE TO OVER 31,000 INDIANS.Desc
Total Program Service Expenses$52,133,336TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document255IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee449EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members35GoverningBodyVotingMembersCnt
Independent Voting Member35IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMO ZAHEDPersonNm
Phone9098641097PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111980 MT VERNON AVENUEAddressLine1Txt
CityGRAND TERRACECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92313ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
BILL THOMSEN
CEO40.000.00$344,919$0$55,957
RAMON FERRA
MEDICAL40.000.00$348,902$0$29,343
RONALD WARNELL
PSYCHIATRIST40.000.00$328,907$0$26,846
DONALD HAMBY
MEDICAL40.000.00$335,755$0$790
JESS MONTOYA
PREVIOUS CEO40.000.00$279,498$0$37,580
OLUWATONI ARLEEY
PHYSCIAN40.000.00$213,628$0$31,801
MARK JENSEN
FORMER CFO0.000.00$195,524$0$30,280
ANTHONY MAZZA
COO0.000.00$168,275$0$8,304
MO ZAYED
CFO0.000.00$163,238$0$6,222
SHERRI SALGADO
President1.000.00$25,450$0$0Yes (X)Yes (X)
JULIE PARCERO
MEMBER AT LARGE1.000.00$13,650$0$0Yes (X)Yes (X)
JONELL JOHN
Director1.000.00$13,450$0$0Yes (X)
VERONICA ESPINOZA
Director1.000.00$13,350$0$0Yes (X)
NANCY GALINDO
Director1.000.00$12,900$0$0Yes (X)
DESIREE FRANCO
Vice President1.000.00$12,750$0$0Yes (X)Yes (X)
SUZANNE LUGO
Director1.000.00$12,750$0$0Yes (X)
VERONICA SAUL
Director1.000.00$12,300$0$0Yes (X)
HAROLD MATHEWS
Director1.000.00$11,400$0$0Yes (X)
CATALINA VILLAMONTES
Treasurer1.000.00$11,250$0$0Yes (X)Yes (X)
JOSEH MIRELEZ
Director1.000.00$11,250$0$0Yes (X)
TRINDAD KRYSTAL
Director1.000.00$10,800$0$0Yes (X)
MARY BUSSING
Director1.000.00$10,050$0$0Yes (X)
LELA JUAREZ
Director1.000.00$9,450$0$0Yes (X)
RUNNINGBEAR RAMIREZ
Secretary1.000.00$8,850$0$0Yes (X)Yes (X)
JEANETTE BURNS
Director1.000.00$8,100$0$0Yes (X)
CAMILE DIAZ
Director1.000.00$7,800$0$0Yes (X)
NATALIE AYALA
Director1.000.00$7,650$0$0Yes (X)
TERESA SANCHEZ
Director1.000.00$6,600$0$0Yes (X)
JOHN MARCUS
Director1.000.00$6,450$0$0Yes (X)
CHRISTINE VALENZUELA MUNOZ
Director1.000.00$5,850$0$0Yes (X)
GARDENIA GONZALES
Director1.000.00$5,700$0$0Yes (X)
DANAE ESTRADA
Director1.000.00$5,250$0$0Yes (X)
SMANTHA THORNSBERRY
Director1.000.00$5,100$0$0Yes (X)
JUAN RODRIGUEZ
Director1.000.00$5,000$0$0Yes (X)
LISA ORTEGA
Director1.000.00$4,800$0$0Yes (X)
GIAVONNA DODD
Director1.000.00$4,350$0$0Yes (X)
JOSEPH AYALA
Director1.000.00$3,600$0$0Yes (X)
NICHOLE SUTTER
Director1.000.00$3,200$0$0Yes (X)
ALEXIS SANDERS-ALTO
Director1.000.00$2,250$0$0Yes (X)
MONICA HERRERA
Director1.000.00$2,250$0$0Yes (X)
SHERRI ANN GREEN
Director1.000.00$2,250$0$0Yes (X)
SHEILA PICO
Director1.000.00$2,000$0$0Yes (X)
MICHELLE CORNEJO
Director1.000.00$1,950$0$0Yes (X)
LINDSEY FLETCHER DOLLMAN
Director1.000.00$1,650$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,660,096TotalReportableCompFromOrgAmt
Total Other Compensation$227,123TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K77IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDescCompensationCompensationAmt
QUEST DIAGNOSTICS
MEDICAL SUPPLIES$653,265
JL WARD ASSOCIATES INE
CONSULTANT$336,770
BELLA MONTE RECOVERY
MEDICAL$325,014
CROWNVIEW CO-OCCURING INS
INSURANCE$240,885
BERKEY WILLIAMS LLP
LEGAL FEES$240,372
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Government Grants$80,222,244GovernmentGrantsAmt
All Other Contributions$239,270AllOtherContributionsAmt
Total Contributions$80,461,514TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL, DENTAL, OPTICAL621400$11,881,245$11,881,245
MISC AND REIMBURSEMENTS621400$340,955$340,955
FieldValueIRS element (for citing)
Total Program Service Revenue$12,222,200TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,024TotalRevenueColumnAmt
Exclusion$9,024ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,692,738TotalRevenueColumnAmt
Related Or Exempt Func Income$12,222,200RelatedOrExemptFuncIncomeAmt
Exclusion$9,024ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,394,668TotalAmt
Program Services$1,113,218ProgramServicesAmt
Management And General$281,450ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,247,455TotalAmt
Program Services$26,247,455ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,311,420TotalAmt
Program Services$1,311,420ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,128,022TotalAmt
Program Services$5,128,022ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,732,500TotalAmt
Program Services$1,732,500ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$240,086TotalAmt
Program Services$240,086ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,300TotalAmt
Program Services$27,300ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,056,416TotalAmt
Program Services$3,033,042ProgramServicesAmt
Management And General$23,374ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$171,287TotalAmt
Program Services$154,158ProgramServicesAmt
Management And General$17,129ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,562,141TotalAmt
Program Services$1,562,141ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$327,621TotalAmt
Program Services$321,658ProgramServicesAmt
Management And General$5,963ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$195,240TotalAmt
Program Services$195,240ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$488,950TotalAmt
Program Services$488,950ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MATERIALS AND SUPPLIES$6,455,024$5,601,687$853,337
SUBCONTRACT CARE$2,961,849$2,961,849
MAINTENANCE AND REPAIRS$1,377,056$1,347,759$29,297
OTHER EXPENSES$689,996$666,851$23,145

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$53,367,031TotalAmt
Program Services$52,133,336ProgramServicesAmt
Management And General$1,233,695ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$59,758,725BOYAmt
EOY$78,654,075EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,247,248BOYAmt
EOY$4,161,374EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,312,430BOYAmt
EOY$4,071,739EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$57,743BOYAmt
EOY$61,027EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$208,342BOYAmt
EOY$295,789EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$72,703,135LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,867,430BOYAmt
EOY$72,703,135EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,451,920BOYAmt
EOY$159,947,139EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,112,538BOYAmt
EOY$4,352,279EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$5,225,768BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,338,306BOYAmt
EOY$4,352,279EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$56,391,333BOYAmt
EOY$76,574,419EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$49,641,664BOYAmt
EOY$72,703,135EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$6,080,617BOYAmt
EOY$6,317,306EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$112,113,614BOYAmt
EOY$155,594,860EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,451,920BOYAmt
EOY$159,947,139EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,325,707ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,155,539OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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$39,887,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,395,441CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,327,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,161,999CurrentTaxYearMinus1YearAmt
Current Tax Year$80,461,514CurrentTaxYearAmt
Total$264,234,501TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,887,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,395,441CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,327,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,161,999CurrentTaxYearMinus1YearAmt
Current Tax Year$80,461,514CurrentTaxYearAmt
Total$264,234,501TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$264,234,501PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$305,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$899,467CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,211,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$211,882CurrentTaxYearMinus1YearAmt
Current Tax Year$9,024CurrentTaxYearAmt
Total$2,637,837TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$266,872,338TotalSupportAmt
Public Support CY1700.99010PublicSupportCY170Pct
Public Support PY1700.99820PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$868,715OtherCostOrOtherBasisAmt
Book Value$868,715BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,801,154OtherCostOrOtherBasisAmt
Book Value$35,801,154BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,346,383OtherCostOrOtherBasisAmt
Book Value$14,346,383BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,686,883OtherCostOrOtherBasisAmt
Book Value$21,686,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$72,703,135TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$92,692,738TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$92,692,738RevenueSubtotalAmt
Total Revenue Per Form990$92,692,738TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$53,367,031TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$53,367,031ExpensesSubtotalAmt
Total Expenses Per Form990$53,367,031TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
ANTHONY MAZZA
COO$168,275$8,304$176,579
BILL THOMSEN
CEO$344,919$55,957$400,876
DONALD HAMBY
MEDICAL$335,755$790$336,545
JESS MONTOYA
PREVIOUS CEO$279,498$37,580$317,078
MARK JENSEN
FORMER CFO$195,524$30,280$225,804
MO ZAYED
CFO$163,238$6,222$169,460
OLUWATONI ARLEEY
PHYSCIAN$213,628$31,801$245,429
RAMON FERRA
MEDICAL$348,902$29,343$378,245
RONALD WARNELL
PSYCHIATRIST$328,907$26,846$355,753

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTHE 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, Line 11b: Form 990 Review ProcessREVIEWED BY THE FINANCE COMMITTEE BEFORE ISSUANCE.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEACH BOARD MEMBER MUST DECLARE ANNUALLY.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED AND APPROVED BY THE ORGANIZATIONS COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER ARE REVIEWED AND APPROVED BY THE ORGANIZATIONS COMPENSATION COMMITTEE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Other Changes In Net Assets Or Fund Balances - Other DecreasesDISPOSAL OF FIXED ASSETS = -$1070229
Other Changes In Net Assets Or Fund Balances - Other IncreasesFORGIVENESS OF DEBT = $5225768

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMBER TRIBESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111980 MT VERNON AVENUEAddressLine1Txt
CityGRAND TERRACECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92313ZIPCd
FieldValueIRS element (for citing)
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd