2018-04-10T16:08:42-07:00 2017-06-30 MANN URRUTIA NELSON CPAs & ASSOC LLP 2901 Douglas Blvd Suite 290 Roseville CA 956613824 990 2016-07-01 942847137 Lake County Tribal Health Consortium Inc LAKE 7072638382 925 Bevins Court Lakeport CA 95453 Crista M Ray Chairperson 2018-04-10 true Michelle O Nelson CPA P00453363 9167744208 2016 2021-01-29 14:40:06Z 28452077 false false X www.lcthc.com X 1994 CA To provide complete medical and dental care to Native Americans in the area of Lake County, California. 12 12 165 0 15376412 17290237 9785396 11142892 17410 13370 5578 25179218 28452077 0 0 9007695 10398288 0 0 8245682 8996624 17253377 19394912 7925841 9057165 38644441 38376282 15623321 6297997 23021120 32078285 To provide complete medical and dental care to Native Americans in the area of Lake County, California. false false 14583958 Provided medical and dental care to Native Americans and the general public in the area of Lake County, California. 14583958 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false true 211 0 true 165 true false false false false false false false false 0 false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true false false CA X Bret Woods 7072638382 925 Bevins Court Lakeport CA 95453 Veronica Rael-Aparicio Vice Chair 8.00 0.00 X X 0 0 0 Grace Martinez Secretary 8.00 0.00 X X 0 0 0 Agustin Garcia Board Member 4.00 0.00 X 0 0 0 Leora John Board Member 4.00 0.00 X 0 0 0 Mildred Simon Secretary 8.00 0.00 X X 0 0 0 James Rivera Board Member 4.00 0.00 X 0 0 0 Jamie Campanero Board Member 4.00 0.00 X 0 0 0 Jessica Gonzalez Board Member 4.00 0.00 X 0 0 0 Aaron Holstine Board Member 4.00 0.00 X 0 0 0 Leora Treppa-Diego Treasurer 8.00 0.00 X X 0 0 0 Crista M Ray Chairperson 8.00 0.00 X X 0 0 0 Jesse Gonzalez Board Member 4.00 0.00 X 0 0 0 Ernesto Padilla Executive Dir. 40.00 0.00 X 157875 0 28674 Bret Woods fiscal director 40.00 0.00 X 129711 0 46598 Roseline Michel Medical Director 40.00 0.00 X 349997 0 42222 Bijan Izadi Dental Director 40.00 0.00 X 143805 0 29332 Merrill Featherstone Human Resource Director 40.00 0.00 X 130165 0 22644 Marlene Quilala Physician 40.00 0.00 X 385362 0 35692 Chee Ho Hui Dentist 40.00 0.00 X 98771 0 7735 Diane Bajada Nurse Practitioner 40.00 0.00 X 158692 0 30994 Sheldon Sloan Provider 40.00 0.00 X 170632 0 16248 1725010 260139 8 false true false acadia pain management group 4704 hoen ave santa rosa CA 95405 Pain Mgmt Services 668178 barton & associates po box 417844 boston MA 02241 Locums Providers 891028 DT Trak Consulting 210 N Broadway ave miller SD 57362 Coding and Billing 292602 emmanuel Yennyemb 356 La Estrada Dr 21 San Jose CA 95123 Operations services 223550 GHOST RX INC PO BOx 4729 WINTER PARK FL 32793 Pharmacy Services 247952 5 17290237 17290237 Third party revenues 624100 11142892 11142892 11142892 13370 13370 0 0 0 0 0 0 0 OTHER INCOME 5578 5578 5578 28452077 11161840 0 0 0 0 848437 678750 169687 0 6905110 5541125 1363985 0 0 2644741 2067136 577605 0 107134 16639 90495 0 0 0 0 0 204092 204092 0 150063 21043 129020 0 490967 162905 328062 396475 177264 219211 0 0 0 0 580654 386883 193771 82844 82844 Contract Services 3059520 2569012 490508 CHS expense 1353853 1353853 Supplies 712275 624218 88057 Special events and projects 423003 254417 168586 1435744 730713 705031 19394912 14583958 4810954 0 116453 110125 24647298 20705160 357191 4773584 1410155 739766 0 0 0 93878 105968 28294 42560 16561180 4680108 11973124 11881072 0 0 0 0 18048 18047 38644441 38376282 1608377 1344811 14014944 4953186 15623321 6297997 X 23021120 32078285 23021120 32078285 38644441 38376282 9057165 X false true X true true false X 7137187 8772545 11355515 15376412 17290237 59931896 0 0 7137187 8772545 11355515 15376412 17290237 59931896 0 59931896 4149 10425 25460 17410 13370 70814 0 0 60002710 0.99880 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 712558 712558 13358740 2762131 10596609 2489882 1917977 571905 11881072 X 28452077 28452077 28452077 19394912 19394912 19394912 Part X : FIN48 Footnote LCTHC, pursuant to a determination letter from the Internal Revenue Service, is exempt from Federal and State income taxes under Section 501 (c)(3) of the Internal Revenue code and Section 23701(d) of the California Revenue and Taxation Code. Therefore, no provision for income taxes has been made.The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, LCTHC may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities at June 30, 2017. LCTHC's Federal and State Exempt Organization Business Income Tax Returns are subject to examination by the IRS and California Franchise Tax Board for 3 years and 4 years, respectively after the due date of date of filing. false false false false false false false false false false Bijan Izadi Dental Director 143805 5625 23707 173137 Bret Woods fiscal director 129711 22891 23707 176309 Diane Bajada Nurse Practitioner 158692 20320 10674 189686 Ernesto Padilla Executive Dir. 157875 18000 10674 186549 Marlene Quilala Physician 385362 18000 17692 421054 Merrill Featherstone Human Resource Director 130165 21996 648 152809 Roseline Michel Medical Director 349997 12500 29722 392219 Sheldon Sloan Provider 170632 15600 648 186880 Form 990, Part VI, Line 11b: Form 990 Review Process The Board of Directors reviews the Form 990 prior to completion and filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Reviewed regularly by management Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Reviewed annually by management. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available All information is made available upon request.