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Nonprofiteer
← LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC

Form 990 for tax year 2022

Filed by LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.

Totals

Total revenue
$57,821,112
Total expenses
$48,803,086
Contributions and grants received
$19,045,378
Grants paid
$0
Program service revenue
$38,065,502
Investment income
$690,639
Other revenue
$19,593
Total assets, end of year
$82,182,776
Total liabilities, end of year
$6,980,015
Net assets or fund balances, end of year
$75,202,761
Program services expenses (Part IX)
$35,185,090
Management and general expenses
$13,617,996
Fundraising expenses
$0
Program service expenses (Part III)
$35,185,090

Program services were 72.1% 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.

  • 1e · Government grants (contributions)

    $19,045,378

  • 2a · Program service revenue: Third party revenues

    total $38,065,502 · related or exempt $38,065,502

  • 3 · Investment income

    total $690,639 · excluded $690,639

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

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $12,810

  • 6c · Rental income or loss

    real property $12,810

  • 6d · Net rental income or loss

    total $12,810 · related or exempt $12,810

  • 7d · Net gain or loss

    total $0

  • 8c · Net income from fundraising events

    total $0

  • 9c · Net income from gaming

    total $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: Contractual Adj. In Process

    total $6,783 · related or exempt $6,783

  • 11e · Other revenue, total

    $6,783

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $3,468,043 · program services $2,767,250 · management and general $700,793

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $17,252,142 · program services $13,778,606 · management and general $3,473,536

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $6,465,556 · program services $5,104,827 · management and general $1,360,729

  • 10 · Payroll taxes

    total $1,599,759 · program services $1,263,077 · management and general $336,682

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $83,444 · management and general $83,444

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $6,116,486 · program services $5,364,967 · management and general $751,519

  • 12 · Advertising and promotion

    total $365,840 · management and general $365,840

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $1,751,660 · program services $89,582 · management and general $1,662,078

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $854,320 · program services $62,146 · management and general $792,174

  • 17 · Travel

    total $885,403 · program services $140,042 · management and general $745,361

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $1,290,290 · program services $936,875 · management and general $353,415

  • 23 · Insurance

    total $438,882 · management and general $438,882

  • 24a · Other expenses: Supplies

    total $2,244,424 · program services $2,032,280 · management and general $212,144

  • 24b · Other expenses: CHS expense

    total $2,127,221 · program services $2,127,221

  • 24c · Other expenses: Honorariums

    total $718,951 · management and general $718,951

  • 24d · Other expenses: Special Events

    total $633,682 · program services $381,684 · management and general $251,998

  • 24e · All other expenses

    total $2,506,983 · program services $1,136,533 · management and general $1,370,450

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,800 · end of year $1,900

  • 2 · Savings and temporary cash investments

    beginning of year $36,254,223 · end of year $35,231,833

  • 3 · Pledges and grants receivable

    beginning of year $318,949 · end of year $6,719,341

  • 4 · Accounts receivable

    beginning of year $2,052,313 · end of year $3,890,701

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $63,332 · end of year $73,544

  • 9 · Prepaid expenses and deferred charges

    beginning of year $581,239 · end of year $466,107

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

    $44,153,406

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

    $9,117,002

  • 10c · Land, buildings and equipment, net

    beginning of year $33,794,130 · end of year $35,036,404

  • 11 · Investments: publicly traded securities

    end of year $0

  • 12 · Investments: other securities

    end of year $0

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $762,946

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,649,940 · end of year $2,878,633

  • 19 · Deferred revenue

    beginning of year $4,231,311 · end of year $3,520,590

  • 25 · Other liabilities

    end of year $580,792

  • 27 · Net assets without donor restrictions

    beginning of year $66,184,735 · end of year $75,202,761

Mission and programs · 2022

Mission

To provide complete medical and dental care to Native Americans in the area of Lake County, California.

  • 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.

    Expenses $35,185,090

As filed on the 2022 return.

Listed in Part VII

  • Marlene Quilala

    MD PEDIATRIC MANAGER

    Total calculated
    $627,673
    From this org
    $596,997
    From related orgs
    $0
    Other
    $30,676
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $596,997
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,750
    Nontaxable benefits
    $23,926
    Filer's total
    $627,673

  • Andre Lallande

    Medical Director

    Total calculated
    $609,558
    From this org
    $561,797
    From related orgs
    $0
    Other
    $47,761
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $561,797
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,125
    Nontaxable benefits
    $42,636
    Filer's total
    $609,558

  • Ernesto Padilla

    Executive Dir.

    Total calculated
    $456,725
    From this org
    $437,072
    From related orgs
    $0
    Other
    $19,653
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $437,072
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,125
    Nontaxable benefits
    $14,528
    Filer's total
    $456,725

  • Liliana Caicedo

    Dental Director

    Total calculated
    $357,091
    From this org
    $336,837
    From related orgs
    $0
    Other
    $20,254
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $336,837
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,726
    Nontaxable benefits
    $14,528
    Filer's total
    $357,091

  • Bret Woods

    Fiscal director

    Total calculated
    $351,386
    From this org
    $312,871
    From related orgs
    $0
    Other
    $38,515
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $312,871
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,750
    Nontaxable benefits
    $31,765
    Filer's total
    $351,386

  • Rishika Singh

    PHYSICIAN Pediat.

    Total calculated
    $341,423
    From this org
    $296,578
    From related orgs
    $0
    Other
    $44,845
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $296,578
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,125
    Nontaxable benefits
    $39,720
    Filer's total
    $341,423

  • Diane Bajada

    NURSE PRACTITIONER

    Total calculated
    $276,349
    From this org
    $235,522
    From related orgs
    $0
    Other
    $40,827
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,522
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,750
    Nontaxable benefits
    $34,077
    Filer's total
    $276,349

  • Charissa Barsos

    NURSE PRACTITIONER

    Total calculated
    $264,645
    From this org
    $219,299
    From related orgs
    $0
    Other
    $45,346
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,299
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,095
    Nontaxable benefits
    $42,251
    Filer's total
    $264,645

  • Barbara Cooper

    Director of Nursing

    Total calculated
    $252,015
    From this org
    $225,312
    From related orgs
    $0
    Other
    $26,703
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,312
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,125
    Nontaxable benefits
    $21,578
    Filer's total
    $252,015

  • James Kenney

    PHARMACY

    Total calculated
    $243,606
    From this org
    $222,366
    From related orgs
    $0
    Other
    $21,240
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,366
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,712
    Nontaxable benefits
    $14,528
    Filer's total
    $243,606

  • Sheldon Sloan

    PHYSICIAN ASST.

    Total calculated
    $231,427
    From this org
    $229,629
    From related orgs
    $0
    Other
    $1,798
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $229,629
    Bonus
    not reported
    Other
    not reported
    Deferred
    $529
    Nontaxable benefits
    $1,269
    Filer's total
    $231,427

  • Angela Knight

    HUMAN SERVICE DIRECTOR

    Total calculated
    $194,167
    From this org
    $166,686
    From related orgs
    $0
    Other
    $27,481
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,686
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,839
    Nontaxable benefits
    $23,642
    Filer's total
    $194,167

  • Emmanuel Yennyemb

    COO

    Total calculated
    $157,441
    From this org
    $130,322
    From related orgs
    $0
    Other
    $27,119
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,322
    Bonus
    not reported
    Other
    not reported
    Deferred
    $938
    Nontaxable benefits
    $26,181
    Filer's total
    $157,441

  • Charlotte Mosier

    H I M DIRECTOR

    Total calculated
    $151,363
    From this org
    $133,769
    From related orgs
    $0
    Other
    $17,594
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $133,769
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,303
    Nontaxable benefits
    $14,291
    Filer's total
    $151,363

  • Crista M Ray

    Chairperson

    Total calculated
    $41,750
    From this org
    $41,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    8

  • Mildred Simon

    Board Member

    Total calculated
    $38,550
    From this org
    $38,550
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Kathleen Treppa

    Treasurer

    Total calculated
    $38,500
    From this org
    $38,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    8

  • Michael Gomez

    Board Member

    Total calculated
    $37,725
    From this org
    $37,725
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Jamie Campanero

    Board Member

    Total calculated
    $37,650
    From this org
    $37,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Veronica Rael-Aparicio

    Vice Chair

    Total calculated
    $37,375
    From this org
    $37,375
    From related orgs
    $0
    Other
    $0
    Hours/week
    8

  • Kristina Lord

    Board Member

    Total calculated
    $37,275
    From this org
    $37,275
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Alida Johnson

    Board Member

    Total calculated
    $37,250
    From this org
    $37,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Leora J Treppa-Diego

    Board Member

    Total calculated
    $37,186
    From this org
    $37,186
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Monica Carol Negrete

    Board Member

    Total calculated
    $36,825
    From this org
    $36,825
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Flaman McCloud

    Board Member

    Total calculated
    $36,700
    From this org
    $36,700
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Sonja Poe-Martinez

    Board Member

    Total calculated
    $36,475
    From this org
    $36,475
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Teresa Meek

    Board Member

    Total calculated
    $36,375
    From this org
    $36,375
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Luya Rivera

    Board Member

    Total calculated
    $35,820
    From this org
    $35,820
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Jennifer Burnet

    Board Member

    Total calculated
    $35,375
    From this org
    $35,375
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Jessica Gonzalez

    Board Member

    Total calculated
    $35,225
    From this org
    $35,225
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Jesse Gonzalez Jr

    Board Member

    Total calculated
    $34,725
    From this org
    $34,725
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Gabriel Ray

    Board Member

    Total calculated
    $34,500
    From this org
    $34,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Jesus Campanero Jr

    Board Member

    Total calculated
    $34,350
    From this org
    $34,350
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Patricia Ray Franklin

    Board Member

    Total calculated
    $33,125
    From this org
    $33,125
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Sarah Brown Garcia

    Board Member

    Total calculated
    $32,975
    From this org
    $32,975
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Leon Garcia

    Board Member

    Total calculated
    $32,200
    From this org
    $32,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Brian John

    Board Member

    Total calculated
    $31,750
    From this org
    $31,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Agustin Garcia

    Secretary

    Total calculated
    $30,850
    From this org
    $30,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    8

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

None.

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
26 April 2024
IRS schema version
2022v5.0
Source object
202431179349302253

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