2025-04-28T17:00:08-05:00 2024-06-30 870343246 Squire & Company PC 1329 S 800 e Orem UT 84097 990 2023-07-01 942847137 Lake County Tribal Health Consortium Inc LAKE 7075332711 925 Bevins Ct Lakeport CA 95453 Teresa Meek Chairperson 7072638382 2025-04-10 1 1 M Paul Winward P00290039 8012256900 2025-04-23 2023 2025-03-06 01:10:19Z Teresa Meek 925 Bevins Ct Lakeport CA 95453 73144817 0 X www.lcthc.com X 1994 CA To provide complete medical and dental care to Native Americans in the area of Lake County, California. 24 0 315 0 0 0 19045378 18178664 38065502 53236718 690639 1634145 19593 95290 57821112 73144817 0 274463 0 0 28785500 36447821 0 0 0 20017586 25447615 48803086 62169899 9018026 10974918 82182776 93493603 6980015 7315924 75202761 86177679 To provide complete medical and dental care to Native Americans in the area of Lake County, California. 0 0 46930968 274463 53236718 Provided comprehensive healthcare at multiple locations for over 75,000 patient encounters. Services include medical, dental, behavioral health, dietary, physical therapy, health educations and specialty care. 46930968 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 286 0 315 1 0 0 0 0 0 0 0 0 0 0 X 24 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X Bret Woods 7072638382 925 Bevins Ct Lakeport CA 95453 Crista M Ray Chairperson 8.00 X X 41750 0 0 Kathleen Treppa Treasurer 8.00 X X 38500 0 0 Veronica Rael-Aparicio Vice Chair 8.00 X X 37375 0 0 Agustin Garcia Board Member 4.00 X 30850 0 0 Alida Johnson Board Member 4.00 X 37250 0 0 Brian John Board Member 4.00 X 31750 0 0 Flaman McCloud Board Member 4.00 X 36700 0 0 Gabriel Ray Board Member 4.00 X 34500 0 0 Jamie Campanero Board Member 4.00 X 37650 0 0 Jennifer Burnett Board Member 4.00 X 35375 0 0 Jesse Gonzalez Jr Board Member 4.00 X 34725 0 0 Jessica Gonzalex Board Member 4.00 X 35225 0 0 Jesus Campanero Jr Board Member 4.00 X 34350 0 0 Kristina Shirley Lord Board Member 4.00 X 37275 0 0 Leon Garcia Board Member 4.00 X 32200 0 0 Leora J Treppa-Diego Board Member 4.00 X 37186 0 0 Luya Rivera Board Member 4.00 X 35820 0 0 Michael Brian Gomez Board Member 4.00 X 37725 0 0 Mildred Simon Board Member 4.00 X 38550 0 0 Monica Carol Negrete Board Member 4.00 X 36825 0 0 Patricia Ray-Franklin Board Member 4.00 X 33125 0 0 Sarah Brown Garcia Board Member 4.00 X 32975 0 0 Sonja Poe-Martinez Board Member 4.00 X 36475 0 0 Teresa Meek Board Member 4.00 X 36375 0 0 Ernesto Padilla Executive Director 40.00 X 477030 0 21543 Bret Woods Chief Financial Officer 40.00 X 359305 0 42482 Liliana Caicedo Dental Director 40.00 X 345314 0 23118 Andree Lallande Medical Director 40.00 X 567016 0 51768 Marlene Quilala Pediatrics Director 40.00 X 653131 0 35077 Diana Bajada Nurse Practitioner 40.00 X 273473 0 44360 Charissa Barsos Nurse Practitioner 40.00 X 288438 0 50253 3824238 0 268601 85 0 1 0 Gholamreza Rezvani 900 Cross St Woodland CA 95695 Dental services 682730 E Jang Dental Corporation 1900 Fountain View Cir Santa Rosa CA 95403 Dental services 592980 Jai G Lee Dental PC 160 White Cottage Rd N Angwin CA 94508 Dental services 584980 Ronald J Botelho MD Ltd 9577 Windflower Pt Clearlake CA 95422 Medical services 536500 Medical Doctor Associates LCC PO Box 277185 Atlanta GA 30384 Locum Tenens 443226 27 17626734 551930 18178664 Medical 35844118 35844118 Dental 15629240 15629240 Pharmacy 1763360 1763360 53236718 1634145 1634145 95290 0 95290 95290 95290 73144817 53236718 0 1729435 274463 274463 3262327 1921437 1340890 22800652 19430424 3370228 8431316 6660740 1770576 1953526 1543286 410240 124414 124414 9465262 8874838 590424 289680 289680 279038 42459 236579 1628693 99236 1529457 1522587 185648 1336939 773118 207503 565615 2056055 1482379 573676 435659 435659 Supplies 3500823 3174506 326317 Tribal health benefits 3300584 2119171 1181413 Special events/projects 1081705 424416 657289 Equipment 638651 220810 417841 351346 269652 81694 62169899 46930968 15238931 0 1900 11937729 35231833 32808416 6719341 470663 3890701 5203203 73544 131165 466107 474139 52352071 11173057 35036404 41179014 762946 1289274 82182776 93493603 2878633 3406436 3520590 3276962 580792 632526 6980015 7315924 X 75202761 86177679 75202761 86177679 82182776 93493603 10974918 0 X 0 1 X 1 1 1 X 25446690 16611279 16780200 19045378 18178664 96062211 25446690 16611279 16780200 19045378 18178664 96062211 96062211 627211 123831 111674 690639 1634145 3187500 19593 95290 114883 99364594 0.96680 0.98190 X Schedule A, Part II, Line 10, Explanation of Other Income: Rental Income - 2022 Amount: $ 12,810. 2023 Amount: $ 95,290. Miscellaneous - 2022 Amount: $ 6,783. 4355288 4355288 35033305 5118061 29915244 6223891 1858390 4365501 5301350 3619344 1682006 1438237 577262 860975 41179014 Lease liability 616795 Security deposit 15731 632526 73144817 0 73144817 0 73144817 62169899 0 62169899 0 62169899 1 1 Team 1 Dream PO Box 1646 Lakeport CA 95453 833737632 3 15000 0 Support California Rural Indian Health Board Inc 1020 Sundown Way Roseville CA 95661 25000 0 Support Habematolel Pomo of Upper Lake PO Box 516 Upper Lake CA 95485 10000 0 Support Hospices Services of Lake County 1862 Parallel Drive Lakeport CA 95453 942678796 3 9775 0 Support Kelseyville Business Association PO Box 384 Kelseyville CA 95451 710864910 4 7500 0 Support Konocti Vista Casino 2755 Mission Rancheria Road Lakeport CA 95453 20000 0 Support Lake County Fair 401 Martin St Lakeport CA 95453 474060372 10000 0 Support Lake County Fair 49th DAA PO Box 70 Lakeport CA 95453 474060372 14647 0 Support Lake County Wine Alliance PO Box 530 Kelseyville CA 95451 680447622 3 7050 0 Support Lakeport Main Street Alliance PO Box 1032 Lakeport CA 95453 911855012 6 15000 0 Support Latinos United of Lake County PO Box 741 Kelseyville CA 95451 272658402 3 10000 0 Support Maria De La Luz Avila Garcia 8005 Old Auburn Rd Citrus Heights CA 95610 5250 0 Support PDI Surgery Center 1380 19th Hole Drive Windsor CA 95492 7500 0 Support Shop with a Cop Lake County PO Box 878 Lakeport CA 95453 931638419 3 10000 0 Support 15 4 X 0 0 0 0 0 0 0 0 0 Marlene Quilala Pediatrics Director 653131 0 0 0 0 0 7500 0 27577 0 688208 0 0 0 Andree Lallande Medical Director 567016 0 0 0 0 0 5625 0 46143 0 618784 0 0 0 Ernesto Padilla Executive Director 477030 0 0 0 0 0 5625 0 15918 0 498573 0 0 0 Bret Woods Chief Financial Officer 359305 0 0 0 0 0 7500 0 34982 0 401787 0 0 0 Liliana Caicedo Dental Director 345314 0 0 0 0 0 7200 0 15918 0 368432 0 0 0 Charissa Barsos Nurse Practitioner 288438 0 0 0 0 0 4418 0 45835 0 338691 0 0 0 Diana Bajada Nurse Practitioner 273473 0 0 0 0 0 7500 0 36860 0 317833 0 0 0 Form 990, Part VI, Section B, line 11b The Board of Directors reviews the Form 990 prior to completion and filing. Form 990, Part VI, Section B, line 12c Reviewed regularly by management. Form 990, Part VI, Section B, line 15 Reviewed annually by management. Form 990, Part VI, Section C, line 19 Governing documents are made available upon request.