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Nonprofiteer
← INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

Form 990 for tax year 2022

Filed by INDIAN HEALTH CENTER OF SANTA CLARA VALLEY.

Totals

Total revenue
$36,081,204
Total expenses
$41,579,361
Contributions and grants received
$16,152,290
Grants paid
$0
Program service revenue
$18,530,797
Investment income
$42,126
Other revenue
$1,355,991
Total assets, end of year
$40,383,078
Total liabilities, end of year
$17,878,408
Net assets or fund balances, end of year
$22,504,670
Program services expenses (Part IX)
$34,426,345
Management and general expenses
$7,153,016
Fundraising expenses
$0
Program service expenses (Part III)
$34,426,345

Program services were 82.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $12,321,034

  • 1f · All other contributions, gifts and grants

    $3,831,256

  • 1g · Noncash contributions included above

    $1,053,151

  • 2a · Program service revenue: Net patient service revenue

    total $16,597,953 · related or exempt $16,597,953 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $1,932,844 · related or exempt $1,932,844 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $42,126 · related or exempt $0 · unrelated business $0 · excluded $42,126

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11d · All other revenue

    total $1,355,991 · related or exempt $1,355,991 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $1,355,991

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $27,473,948 · program services $23,131,288 · management and general $4,342,660

  • 11g · Fees: other

    total $4,321,917 · program services $3,847,513 · management and general $474,404

  • 13 · Office expenses

    total $2,287,757 · program services $2,054,478 · management and general $233,279

  • 14 · Information technology

    total $327,871 · program services $192,798 · management and general $135,073

  • 16 · Occupancy

    total $2,298,704 · program services $1,959,181 · management and general $339,523

  • 20 · Interest

    total $133,375 · program services $49,844 · management and general $83,531

  • 22 · Depreciation, depletion and amortization

    total $1,245,583 · program services $1,120,598 · management and general $124,985

  • 23 · Insurance

    total $177,973 · program services $131,673 · management and general $46,300

  • 24e · All other expenses

    total $3,312,233 · program services $1,938,972 · management and general $1,373,261

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $22,768,416 · end of year $4,924,261

  • 2 · Savings and temporary cash investments

    beginning of year $935,117 · end of year $937,468

  • 3 · Pledges and grants receivable

    beginning of year $2,710,238 · end of year $12,157,969

  • 4 · Accounts receivable

    beginning of year $1,812,959 · end of year $2,113,278

  • 7 · Other notes and loans receivable

    end of year $153,757

  • 9 · Prepaid expenses and deferred charges

    beginning of year $595,372 · end of year $530,796

  • 10a · Land, buildings and equipment: cost or other basis

    $28,357,972

  • 10b · Land, buildings and equipment: accumulated depreciation

    $10,512,601

  • 10c · Land, buildings and equipment, net

    beginning of year $16,846,445 · end of year $17,845,371

  • 15 · Other assets

    end of year $1,720,178

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,589,637 · end of year $3,925,861

  • 19 · Deferred revenue

    beginning of year $3,055,135 · end of year $2,007,904

  • 23 · Secured mortgages and notes payable

    beginning of year $4,408,720 · end of year $6,133,923

  • 25 · Other liabilities

    beginning of year $6,612,228 · end of year $5,810,720

  • 27 · Net assets without donor restrictions

    beginning of year $26,362,860 · end of year $21,964,583

  • 28 · Net assets with donor restrictions

    beginning of year $1,639,967 · end of year $540,087

Mission and programs · 2022

Mission

To help ensure the survival and healing of American Indians and Alaskan Natives and our community.

  • 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 19,840 PATIENTS.

    Expenses $34,426,345

As filed on the 2022 return.

Listed in Part VII

  • Sonya Tetnowski

    CEO

    Total calculated
    $427,363
    From this org
    $389,786
    From related orgs
    $0
    Other
    $37,577
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $374,520
    Bonus
    $14,024
    Other
    $1,242
    Deferred
    $6,786
    Nontaxable benefits
    $30,791
    Filer's total
    $427,363

  • Sonia Raheja

    Psychiatrist

    Total calculated
    $388,656
    From this org
    $377,000
    From related orgs
    $0
    Other
    $11,656
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $374,750
    Bonus
    $1,709
    Other
    $540
    Deferred
    $10,576
    Nontaxable benefits
    $1,080
    Filer's total
    $388,655

  • Anupama Balakrishnan

    CMO

    Total calculated
    $316,398
    From this org
    $300,584
    From related orgs
    $0
    Other
    $15,814
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $285,426
    Bonus
    $14,320
    Other
    $838
    Deferred
    $4,256
    Nontaxable benefits
    $11,558
    Filer's total
    $316,398

  • Richard Grooms

    CFO

    Total calculated
    $298,527
    From this org
    $259,108
    From related orgs
    $0
    Other
    $39,419
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,529
    Bonus
    $38,886
    Other
    $693
    Deferred
    $8,895
    Nontaxable benefits
    $30,524
    Filer's total
    $298,527

  • Elizabeth McCraven

    Physician

    Total calculated
    $294,396
    From this org
    $272,228
    From related orgs
    $0
    Other
    $22,168
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,326
    Bonus
    $6,467
    Other
    $12,434
    Deferred
    $9,765
    Nontaxable benefits
    $12,403
    Filer's total
    $294,395

  • Ira Singh

    COO

    Total calculated
    $285,335
    From this org
    $252,751
    From related orgs
    $0
    Other
    $32,584
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,581
    Bonus
    $16,657
    Other
    $512
    Deferred
    $1,921
    Nontaxable benefits
    $30,663
    Filer's total
    $285,334

  • Sonya Lobana

    Physician

    Total calculated
    $277,370
    From this org
    $265,833
    From related orgs
    $0
    Other
    $11,537
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $256,352
    Bonus
    $8,314
    Other
    $1,167
    Deferred
    $8,398
    Nontaxable benefits
    $3,139
    Filer's total
    $277,370

  • Amit Bhakhir

    Psychiatrist

    Total calculated
    $276,836
    From this org
    $258,268
    From related orgs
    $0
    Other
    $18,568
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $256,012
    Bonus
    $1,717
    Other
    $539
    Deferred
    $7,709
    Nontaxable benefits
    $10,859
    Filer's total
    $276,836

  • My Phuc Le

    Physician

    Total calculated
    $241,941
    From this org
    $230,215
    From related orgs
    $0
    Other
    $11,726
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,981
    Bonus
    $1,771
    Other
    $463
    Deferred
    $3,567
    Nontaxable benefits
    $8,158
    Filer's total
    $241,940

  • Paulette Pico

    Board Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Lisa Aguirre

    Board Secretary

    Total calculated
    $0
    Hours/week
    1

  • Soma de Bourbon

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • PJ Brien

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Rene Samayoa

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Charlene Eigen Vasquez

    Board Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Pablo Viramontes

    Board Chair

    Total calculated
    $0
    Hours/week
    1

  • Simone Yeager

    Board member

    Total calculated
    $0
    Hours/week
    1

  • Yvette Brown Shirley

    Board Member

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
19 March 2024
IRS schema version
2022v5.0
Source object
202441309349300219

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