2024-05-09T15:04:07-05:00 2023-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2022-07-01 941669142 TULE RIVER INDIAN HEALTH CENTER INC TULE 5597842316 380 RESERVATION ROAD PORTERVILLE CA 93257 ERIC METCALF CEO 5597842316 2024-05-08 1 ERIC METCALF 999009999 1 TRACY S PAGLIA P00366884 9165038100 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ERIC METCALF 380 RESERVATION ROAD PORTERVILLE CA 93257 18331050 0 X WWW.TRIHCI.ORG X 1973 CA TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THOSE WE SERVE. 9 9 128 9 0 0 14200205 13846094 3025775 4453101 17831 31855 0 0 17243811 18331050 0 0 0 0 8505571 9108659 0 45957 45957 4576760 4841000 13082331 13995616 4161480 4335434 22470884 24154866 4930737 2279285 17540147 21875581 TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THOSE WE SERVE. 0 0 10444663 0 4453101 PROVIDED HEALTHCARE TO QUALIFIED RECIPIENTS LIVING IN THE SERVICE AREA OF THE TULE RIVER INDIAN RESERVATION. COMPREHENSIVE HEALTH SERVICES INCLUDES GENERAL MEDICINE, INTERNAL MEDICINE, DIABETES EDUCATION/PREVENTION/SUPERVISION, MENTAL HEALTH, VISION, AND DENTAL. THE ORGANIZATION HAD 10,796 PATIENT VISITS IN THE TAX YEAR. 10444663 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 1 128 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CA X GAYLENE HUNTER 5597912524 380 RESERVATION RD PORTVILLE CA 93258 DONNA MEDRANO CHAIR 15.00 X X 19000 0 0 WILLIAM CARRILLO BOARD MEMBER 15.00 X 17600 0 0 HOLLY CARRILLO-CHRISTMAN SECRETARY 15.00 X X 16200 0 0 GAYLINE HUNTER TREASURER 15.00 X X 15700 0 0 SHAWN GONZALES VICE CHAIR 15.00 X X 15100 0 0 BARBARA BAGA BOARD MEMBER 15.00 X 12400 0 0 JEANNE BAGA BOARD MEMBER 15.00 X 8000 0 0 RICHARD BROWN BOARD MEMBER 15.00 X 7600 0 0 FELIX CHRISTMAN BOARD MEMBER 15.00 X 6500 0 0 JOYCE CAROTHERS ALTERNATE BOARD MEMBER 15.00 X 0 0 0 YOLONDA GIBSON ALTERNATE BOARD MEMBER 15.00 X 0 0 0 ZAHID SHEIKH CEO 40.00 X 203482 0 52408 ANAND K DHAKAL CFO 40.00 X 101706 0 13945 JANETTE DUNIVAN DENTAL DIRECTOR 40.00 X 176241 0 34217 TARIQ JAVED MEDICAL DIRECTOR 40.00 X 189667 0 9383 TARA CLARK NURSE PRACTITIONER 40.00 X 168303 0 25723 JAN TRIGLETH PHYSICIAN ASSISTANT 40.00 X 156350 0 28796 JEANNE CARD PSYCHOLOGIST 40.00 X 154831 0 20256 CARSON CHAMBERS PSYCHOLOGIST 40.00 X 148055 0 8315 SARAH JAUREGUI DENTAL HYGIENIST 40.00 X 108555 0 28640 PAUL NEWMAN FORMER DENTIST (THRU 05/22) 0.00 X 104082 0 22708 1629372 0 244391 13 1 1 0 KOSO STRATEGIES LLC 3035 FREEPORT BLVD STE 106 SACRAMENTO CA 95818 FINANCIAL SERVICES 171000 DNR CONSULTING LLC 168 BROCKMAN LANE BISHOP CA 93514 GRANT WRITING & ADMINISTRATIVE SERVICES 152498 2 13299263 546831 13846094 PATIENT SERVICE REVENUE 621110 4453101 4453101 4453101 31855 31855 18331050 4453101 0 31855 954587 529507 425080 5616946 4426785 1190161 308469 240508 67961 1738199 1353033 385166 490458 372748 117710 38894 38894 225878 225878 45957 45957 546460 546460 22061 22061 198398 108069 90329 391610 391610 151933 151933 28757 14379 14378 190442 190442 162717 162717 PATIENT CARE 1709218 1709218 SUPPLIES 740442 387910 352532 BAD DEBT EXPENSES 152875 152875 281315 281315 13995616 10444663 3504996 45957 20870091 223800 0 21348535 625821 1436300 399341 569851 2992429 2507392 575631 485037 0 91343 22470884 24154866 836443 731338 4094294 1474565 0 73382 4930737 2279285 X 17540147 21875581 17540147 21875581 22470884 24154866 4335434 0 X 0 1 X 1 1 1 X 9944419 8938415 16017425 14200205 13846094 62946558 9944419 8938415 16017425 14200205 13846094 62946558 62946558 7753 14698 2839 17831 31855 74976 63021534 12087003 0.99880 0.99940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1137729 932044 205685 1003679 871356 132323 851021 703992 147029 485037 LEASE LIABILITY 73382 73382 X 18331050 0 18331050 0 18331050 13995616 0 13995616 0 13995616 PART X, LINE 2: THE CLINIC OPERATES AS A NOT-FOR-PROFIT ORGANIZATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAX PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). THE CLINIC IS CLASSIFIED AS A PUBLIC CHARITY UNDER INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(VI). AS REQUIRED BY U.S. GAAP, THE CLINIC HAS IDENTIFIED AND EVALUATED THEIR SIGNIFICANT TAX POSITIONS AND HAVE DETERMINED THAT THERE IS NO MATERIAL UNRECOGNIZED BENEFIT OR LIABILITY TO BE RECORDED. THERE ARE NO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 2023. X 1 DNR CONSULTING LLC 168 BROCKMAN LANE BISHOP CA 93514 GRANT WRITING 0 5235160 45957 5189203 5235160 45957 5189203 CA X X 0 0 0 0 0 0 0 0 0 ZAHID SHEIKH CEO 203482 0 0 0 0 0 11479 0 40929 0 255890 0 0 0 JANETTE DUNIVAN DENTAL DIRECTOR 176241 0 0 0 0 0 9185 0 25032 0 210458 0 0 0 TARIQ JAVED MEDICAL DIRECTOR 189667 0 0 0 0 0 9383 0 0 0 199050 0 0 0 TARA CLARK NURSE PRACTITIONER 168303 0 0 0 0 0 8815 0 16908 0 194026 0 0 0 JAN TRIGLETH PHYSICIAN ASSISTANT 156350 0 0 0 0 0 9008 0 19788 0 185146 0 0 0 JEANNE CARD PSYCHOLOGIST 154831 0 0 0 0 0 3072 0 17184 0 175087 0 0 0 CARSON CHAMBERS PSYCHOLOGIST 148055 0 0 0 0 0 8315 0 0 0 156370 0 0 0 PAUL NEWMAN FORMER DENTIST (THRU 05/22) 104082 0 0 0 0 0 4304 0 18404 0 126790 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS (CHAIR, VICE CHAIR, SECRETARY, AND TREASURER) AND HAS THE AUTHORITY TO CARRY OUT ANY POWERS OF THE BOARD OF DIRECTORS WHEN IT IS NECESSARY FOR DECISIONS TO BE MADE OR ACTION TO BE TAKEN WHILE THE FULL BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE MAY NOT APPOINT OR TERMINATE BOARD MEMBERS, OFFICERS, OR EMPLOYEES OR SUBSTANTIALLY ALTER THE SERVICES PROVIDED BY THE ORGANIZATION OR TAKE ANY ACTION NOT ALLOWED BY LAW. ALTERNATE BOARD MEMBERS ARE ONLY ELIGIBLE TO VOTE IF A REGULAR BOARD MEMBER IS ABSENT. FORM 990, PART VI, SECTION A, LINE 2 BARBARA BAGA AND JEANNE BAGA - FAMILY RELATIONSHIP HOLLY CARILLO-CHRISTMAN, WILLIAM CARRILLO, AND FELIX CHRISTMAN - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 7A PER THE BYLAWS - ARTICLE III, SECTION 6 - THOSE THAT ARE ELIGIBLE TO VOTE IN TRIBAL ELECTIONS OF THE TULE RIVER INDIAN TRIBE ARE ELIGIBLE TO VOTE IN THE ELECTION OF THE BOARD MEMBERS FOR THE FILING ORGANIZATION, AS WELL AS THOSE ELIGIBLE WHO ARE AGED 18 TO 20 YEARS OLD. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER (CFO) RECEIVES AND REVIEWS THE FORM 990 WITH THE CPA. THE CFO THEN REVIEWS WITH THE CHIEF OPERATING OFFICER (COO) AND PRESENTS TO THE BOARD OF DIRECTORS, WHO ARE RESPONSIBLE FOR ACCEPTING THE FORM 990 AND APPROVING THE RELEASE OF THE FORM 990 FOR FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD OF DIRECTORS ARE COVERED UNDER THE POLICY. AS QUESTIONS OR ISSUES ARISE THAT MIGHT HAVE CONFLICT OF INTEREST IMPLICATIONS, THE PERSON OR PERSONS SHALL ANNOUNCE THE CONFLICT OF INTEREST AND SO NOTIFY THE CHAIRPERSON OF THE BOARD OF DIRECTORS. SUCH PERSON SHALL THEN ABSTAIN FROM DISCUSSION, CONSIDERING, AND VOTING ON THE MATTER. THE CLINIC PROVIDES A MAJORITY OF ITS SERVICES TO MEMBERS OF THE TULE RIVER INDIAN TRIBE. MANY PROGRAM RECIPIENTS HAVE FAMILY MEMBERS THAT ARE CLINIC EMPLOYEES OR SERVE ON THE BOARD OF DIRECTORS. CARE IS TAKEN TO MAKE CONFLICTS KNOWN AN REMOVAL FROM DECISION PROCESSES IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO SALARY WAS NEGOTIATED AND SET BY THE BOARD OF DIRECTORS. A COMPARISON OF WAGES FOR SIMILAR SIZED ORGANIZATIONS WAS TAKEN INTO CONSIDERATION. NO RAISES WERE MADE FOR COMPENSATION PAID IN THE TAX YEAR. THE FACT THAT NO COMPENSATION ADJUSTMENTS WERE MADE WAS DOCUMENTED IN THE MEETING MINUTES DURING THE APPROVAL OF THE ANNUAL BUDGET IN JUNE 2022. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES WAS PRESENTED TO THE PERSONNEL AND FINANCE COMMITTEES WHICH ARE COMPRISED OF INDEPENDENT BOARD MEMBERS. ANY COMPENSATION DECISIONS WERE PRESENTED TO THE FULL BOARD OF DIRECTORS FOR CONSIDERATION AND APPROVAL. NO RAISES WERE MADE FOR COMPENSATION PAID IN THE TAX YEAR. THE FACT THAT NO COMPENSATION ADJUSTMENTS WERE MADE WAS DOCUMENTED IN THE MEETING MINUTES DURING THE APPROVAL OF THE ANNUAL BUDGET IN JUNE 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST EITHER IN PERSON OR IN WRITING.