2017-03-23T15:50:56-07:00 2016-06-30 MANN URRUTIA NELSON CPAs & ASSOC LLP 2901 Douglas Blvd Suite 290 Roseville CA 956613824 990 2015-07-01 942847137 Lake County Tribal Health Consortium Inc LAKE 7072638382 925 Bevins Court Lakeport CA 95453 Crista M Ray Chairperson 2017-03-23 true Michelle O Nelson CPA P00453363 9167744208 2015 2021-01-29 14:40:06Z 25179218 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 12 167 0 11355515 15376412 6452993 9785396 25460 17410 0 17833968 25179218 0 0 7340206 9007695 0 0 5809722 8245682 13149928 17253377 4684040 7925841 37631695 38644441 22536416 15623321 15095279 23021120 To provide complete medical and dental care to Native Americans in the area of Lake County, California. false false 12983955 Provided medical and dental care to Native Americans and the general public in the area of Lake County, California. 12983955 true false 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 167 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 Pamela Jack Secretary 8.00 0.00 X X 0 0 0 Grace Martinez Board Member 4.00 0.00 X 0 0 0 Nathan M Brown I Board Member 4.00 0.00 X 0 0 0 Leora John Vice Chair 8.00 0.00 X X 0 0 0 Mildred Simon Board Member 4.00 0.00 X 0 0 0 Jose Simon III Board Member 4.00 0.00 X 0 0 0 Jaime Campanero Board Member 4.00 0.00 X 0 0 0 Michelle Iniquez 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. 0.00 0.00 X 147869 0 0 Bret Woods fiscal director 0.00 0.00 X 119773 0 0 Roseline Michel Medical Director 40.00 0.00 X 308732 0 7175 Marlene Quilala Pediatric Physician 40.00 0.00 X 351591 0 18925 Bijan Izadi Dental Director 40.00 0.00 X 153709 0 3973 Merrill Featherstone human services Dir 40.00 0.00 X 111153 0 0 Mike Hsu Dental Director 40.00 0.00 X 154050 0 13500 Diane Bajada Nurse Practitioner 40.00 0.00 X 172510 0 11150 Alaina Fields Staff Physician 40.00 0.00 X 173527 0 0 Sheldon Sloan Provider 40.00 0.00 X 186899 0 3900 1879813 58623 10 false true false acadia pain management 4704 hoen ave santa rosa CA 95405 consulting 590040 barton associates 300 Jubilee Drive Peabody MA 01960 consulting 600741 DT Trak Consulting 210 N Broadway ave miller SD 57362 consulting 182405 emmanuel Yennyemb 356 La Estrada Dr 21S San Jose CA 95123 consulting 133373 Javier Arroyo DC PO BOx 231 Calpella CA 95418 Consulting 131085 5 15371257 5155 15376412 Third party revenues 624100 9785396 9785396 9785396 17410 17410 0 0 0 0 0 0 0 0 25179218 9802806 0 0 0 0 1123086 912789 210297 0 5544658 4506423 1038235 0 0 2339951 1845567 494384 0 60095 60095 0 0 0 0 0 59762 59762 0 105286 64797 40489 0 347306 146859 200447 351018 179448 171570 0 0 140422 140422 0 552411 344642 207769 85377 85377 Contract Services 3012805 2416294 596511 CHS expense 924068 924068 Supplies 759019 707227 51792 Pharmaceuticals 406691 406691 1441422 529150 912272 17253377 12983955 4269422 0 250933 116453 24234493 24647298 332385 357191 717938 1410155 0 0 0 99112 93878 69376 28294 16072578 4099454 11744660 11973124 0 0 0 0 182798 18048 37631695 38644441 710420 1608377 14174758 14014944 7651238 22536416 15623321 X 15095279 23021120 15095279 23021120 37631695 38644441 7925841 X false true X true true false X 5896570 7137187 8772545 11355515 15376412 48538229 0 0 5896570 7137187 8772545 11355515 15376412 48538229 0 48538229 2993 4149 10425 25460 17410 60437 0 0 48598666 0.99880 0.99880 X 570082 570082 13298175 2345229 10952946 2204321 1754225 450096 11973124 X 25179218 25179218 25179218 17253377 17253377 17253377 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, 2016. Open tax years subject to examination by the U.S. and state authorities are for the years 2012 to 2014, which statues expire in 2015 to 2017, respectively. false false false false false false false false false false Alaina Fields Staff Physician 173527 173527 Bijan Izadi Dental Director 153709 3900 73 157682 Diane Bajada Nurse Practitioner 172510 5750 5400 183660 Marlene Quilala Pediatric Physician 351591 17500 1425 370516 Mike Hsu Dental Director 154050 13500 167550 Roseline Michel Medical Director 308732 5750 1425 315907 Sheldon Sloan Provider 186899 3900 190799 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.