2025-05-14T16:56:31-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 942476242 INDIAN HEALTH CENTER OF SANTA CLARA VALLEY INDI 4084453400 1333 MERIDIAN AVE SAN JOSE CA 95125 SONYA TETNOWSKI CEO 4084453400 2025-05-14 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-05-07 2023 2025-03-06 01:10:19Z SONYA TETNOWSKI 1333 MERIDIAN AVE SAN JOSE CA 95125 38043558 0 X WWW.INDIANHEALTHCENTER.ORG X 1977 CA TO HELP ENSURE THE SURVIVAL AND HEALING OF AMERICAN INDIANS AND ALASKAN NATIVES AND THE GREATER COMMUNITY BY PROVIDING HIGH QUALITY, COMPREHENSIVE HEALTH CARE AND CULTURAL SERVICES. 9 9 342 10 0 0 16152290 14194216 18530797 23445324 42126 221534 1355991 182484 36081204 38043558 0 0 0 0 27473948 27611908 0 0 0 14105413 14366316 41579361 41978224 -5498157 -3934666 40383078 40218838 17878408 21648834 22504670 18570004 TO HELP ENSURE THE SURVIVAL AND HEALING OF AMERICAN INDIANS AND ALASKAN NATIVES AND THE GREATER COMMUNITY BY PROVIDING HIGH QUALITY, COMPREHENSIVE HEALTH CARE AND CULTURAL SERVICES. 0 0 35001846 0 23445324 A FULL RANGE OF PRIMARY MEDICAL, DENTAL, NUTRITION, MENTAL HEALTH, COUNSELING AND COMMUNITY SERVICES FOR LOW-INCOME CHILDREN FAMILIES AND ADULTS INCLUDING GENERAL MEDICAL CARE, IMMUNIZATION, COMPREHENSIVE PRENATAL AND POSTNATAL CARE, CANCER PREVENTION AND SCREENING, CHRONIC DISEASE MANAGEMENT, AND GERIATRIC HEALTH SERVICES. DURING THE YEAR, PROVIDED SERVICES TO OVER 19,888 PATIENTS. 35001846 1 1 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 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 87 0 342 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X SONYA TETNOWSKI 4084453400 1333 MERIDIAN AVE SAN JOSE CA 95125 PABLO VIRAMONTES BOARD CHAIR 1.00 X X 0 0 0 CHARLENE EIGEN VASQUEZ BOARD VICE CHAIR 1.00 X X 0 0 0 PAULETTE PICO BOARD TREASURER 1.00 X X 0 0 0 LISA AGUIRRE BOARD SECRETARY 1.00 X X 0 0 0 SOMA DE BOURBON BOARD MEMBER 1.00 X 0 0 0 PJ BRIEN BOARD MEMBER 1.00 X 0 0 0 RENE SAMAYOA BOARD MEMBER 1.00 X 0 0 0 YVETTE BROWN SHIRLEY BOARD MEMBER 1.00 X 0 0 0 SIMONE YEAGER BOARD MEMBER 1.00 X 0 0 0 SONYA TETNOWSKI CEO 40.00 X 405090 0 44529 ELIZABETH MCCRAVEN CMO 40.00 X 307245 0 25764 IRA SINGH COO 40.00 X 246431 0 38792 RICHARD GROOMS CFO (THRU JULY 2023) 40.00 X 200480 0 27060 MEI KUANG INTERIM CFO 40.00 X 166917 0 35340 ANUPAMA BALAKRISHNAN CMO (THRU JULY 2023) 40.00 X 182403 0 12164 SONIA RAHEJA PSYCHIATRIST 40.00 X 389183 0 16875 AMIT BHAKHIR PSYCHIATRIST 24.00 X 266469 0 21169 SONYA LOBANA MEDICAL DIRECTOR 40.00 X 272795 0 12393 MY PHUC LE PHYSICIAN 40.00 X 253215 0 12426 MAY SPATOLA DENTAL DIRECTOR 40.00 X 209159 0 16745 2899387 0 263257 51 0 1 0 FTG BUILDERS INC 2975 SCOTT BLVD STE 100 SANTA CLARA CA 95054 RENOVATION SERVICES 1908511 UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD NEWARK CA 94560 RESIDENCY PROGRAM 1204368 TADCO SUPPLY PO BOX 6917 SAN JOSE CA 95150 JANITORIAL SERVICES 570425 UNITED SECURITY SPECIALIST INC 2010 EL CAMINO REAL SANTA CLARA CA 95050 SECURITY SERVICES 430314 CARE CONSULTING GROUP INC 4579 LACLEDE AVENUE ST LOUIS MO 63108 CONSULTING 358601 10 12530826 1663390 1271108 14194216 PATIENT SERVICE REVENUE 621400 22503607 22503607 340B PHARMACY REVENUE 456110 427617 427617 514100 514100 23445324 221534 221534 4348 0 4348 4348 4348 INSURANCE PROCEEDS 900099 113919 113919 64217 64217 178136 38043558 23445324 0 404018 1472798 926652 546146 19956494 17118490 2838004 522184 437527 84657 4141277 3443099 698178 1519155 1273903 245252 49097 49097 173158 97343 75815 66110 66110 3936329 3792055 144274 109982 61828 48154 124024 69722 54302 1022278 938892 83386 110087 61887 48200 137312 48435 88877 1358534 1217384 141150 211292 156811 54481 SUPPLIES 2633038 2437707 195331 RENTS & LEASES 1194567 917364 277203 DUES & SUBSCRIPTIONS 1141775 812292 329483 PROGRAM EVENTS 417723 234828 182895 1681010 955627 725383 41978224 35001846 6976378 0 4653704 2693541 1208025 3961279 12157969 2413930 2113278 2774733 530796 733570 38215626 11849172 17845371 26366454 1873935 1275331 40383078 40218838 3925861 4066450 2007904 1023870 6133923 9037330 5810720 7521184 17878408 21648834 X 21964583 17921755 540087 648249 22504670 18570004 40383078 40218838 -3934666 0 X 0 1 X 1 1 1 X 13553352 19444295 16614546 16152290 14194216 79958699 13553352 19444295 16614546 16152290 14194216 79958699 79958699 19778 9539 10675 42126 225882 308000 379000 39665 1708432 1355991 64217 3547305 83814004 101491354 0.95400 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11150126 11150126 17282938 8979782 8303156 1807865 1394372 413493 4124278 1475018 2649260 3850419 3850419 26366454 PAYMENTS TO THIRD PARTY PAYOR SETTLEMENTS 6335585 SECURITY DEPOSITS 30208 OPERATING LEASE LIABILITY 1053922 FINANCE LEASE LIABILITY 101469 7521184 38043558 0 38043558 0 38043558 41978224 0 41978224 0 41978224 X X 0 0 0 0 0 0 0 0 0 SONYA TETNOWSKI CEO 386337 0 1512 0 17241 0 9020 0 35509 0 449619 0 0 0 SONIA RAHEJA PSYCHIATRIST 386131 0 2512 0 540 0 15445 0 1430 0 406058 0 0 0 ELIZABETH MCCRAVEN CMO 276832 0 1512 0 28901 0 11115 0 14649 0 333009 0 0 0 AMIT BHAKHIR PSYCHIATRIST 263817 0 2112 0 540 0 7943 0 13226 0 287638 0 0 0 IRA SINGH COO 244087 0 1545 0 799 0 2058 0 36734 0 285223 0 0 0 SONYA LOBANA MEDICAL DIRECTOR 270346 0 1546 0 903 0 9064 0 3329 0 285188 0 0 0 MY PHUC LE PHYSICIAN 250164 0 2546 0 505 0 3831 0 8595 0 265641 0 0 0 RICHARD GROOMS CFO (THRU JULY 2023) 160969 0 1000 0 38511 0 6510 0 20550 0 227540 0 0 0 MAY SPATOLA DENTAL DIRECTOR 207196 0 1512 0 451 0 8525 0 8220 0 225904 0 0 0 MEI KUANG INTERIM CFO 148152 0 1541 0 17224 0 6109 0 29231 0 202257 0 0 0 ANUPAMA BALAKRISHNAN CMO (THRU JULY 2023) 147191 0 800 0 34412 0 4577 0 7587 0 194567 0 0 0 X 1 1271108 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BOARD BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY WAS UPDATED ON 10/24/2018. ANY DIRECTOR, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, EMPLOYEE, OR AGENT WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. IF A PERSON IS AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY OF WHICH THE HEALTH CENTER IS AFFILIATED, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER PERSONAL OR BUSINESS FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHIEF EXECUTIVE OFFICER IS RESPONSIBLE FOR THE IMPLEMENTATION AND MAINTENANCE OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 IN 2018 HR STARTED A SUBSCRIPTION TO 2 SURVEYS, CPCA AND FAIR PAY FOR NORTHERN CALIFORNIA NONPROFITS, TO DO A COMPENSATION ANALYSIS OF ALL EMPLOYEES. IN 2019, THE ORGANIZATION'S BOARD MEMBERS REVIEWED AND APPROVED THE COMPENSATION FOR THE CEO BASED UPON COMPARABILITY DATA FROM THESE TWO SURVEYS. 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.