2024-05-13T11:18:40-05:00 2023-06-30 680037990 GILBERT CPAS 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2022-07-01 942583156 CHAPA-DE INDIAN HEALTH PROGRAM INC CHAP 5308872800 11670 ATWOOD ROAD AUBURN CA 95603 SIERK HAITSMA CFO 5308872800 2024-05-09 1 SIERK HAITSMA 999009999 0 KEITH R GLEN P01317613 9166466464 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LISA DAVIES 11670 ATWOOD ROAD AUBURN CA 95603 66600560 0 X WWW.CHAPA-DE.ORG X 1979 CA PROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. 5 5 322 5 0 0 17794216 13330079 44382616 49370686 2763810 3766596 81774 130649 65022416 66598010 0 0 0 0 25723337 28932009 0 0 0 13749047 15988224 39472384 44920233 25550032 21677777 178697226 208048447 13939657 16022081 164757569 192026366 PROVIDES COMPREHENSIVE HEALTH CARE AND ANCILLARY SERVICES TO THE NATIVE-AMERICAN POPULATION OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. 0 0 30384748 49501335 PRIMARY HEALTH CARE PROGRAM - CHAPA-DE INDIAN PROGRAM, INC PROVIDED COMPREHENSIVE HEALTH SERVICES TO THE NATIVE-AMERICAN POPULATION AND OTHER RESIDENTS OF SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. COMPREHENSIVE HEALTH SERVICES INCLUDE DIRECT PATIENT CARE, IMMUNIZATIONS, HEALTH PROMOTION AND DISEASE PREVENTION, DRUG ABUSE AND EDUCATION/PREVENTION PROGRAMS, AND DENTAL CARE. 383454 DIABETES PREVENTION PROGRAM - THIS PROGRAM PROVIDES DIABETES PREVENTION, MANAGEMENT AND LIFESTYLE EDUCATION, AND TESTING SERVICES TO NATIVE- AMERICAN PATIENTS DURING THE FISCAL YEAR. THESE PATIENTS LIVE PRIMARILY IN SIERRA, PLACER, AND NEVADA COUNTIES OF CALIFORNIA. 30768202 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 92 0 1 322 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X SIERK HAITSMA 5308872800 11670 ATWOOD ROAD AUBURN CA 95603 LISA DAVIES CHIEF EXECUTIVE OFFICER 40.00 X 476058 0 39675 SIERK HAITSMA CHIEF FINANCIAL OFFICER 40.00 X 312291 0 27321 DARLA CLARK CHIEF OPERATIONS OFFICER 40.00 X 282371 0 34082 ALINEA STEVENS MEDICAL DIRECTOR 32.00 X 273195 0 47017 PAULINE KARUNAKARAN DENTAL DIRECTOR 40.00 X 244386 0 27343 ANTHONY REYES CHIEF ADMIN OFFICER 40.00 X 243688 0 35386 ERIC OSBORN CHIEF INFORMATION OFFICER 40.00 X 240771 0 15077 WILLIAM JORNLIN PHYSICIAN 40.00 X 266135 0 42885 MARLOWE DIECKMANN PHYSICIAN 40.00 X 236063 0 45410 BENJAMIN OLDACH PHYSICIAN 40.00 X 233049 0 35526 KARINA GOOKIN LEAD PHYSICIAN 36.00 X 224174 0 44697 JULIE GARCHOW PHYSICIAN/RESIDENCY ASSOC PGRM DIR 40.00 X 212658 0 20594 BRENDA ADAMS CHAIR 2.00 X X 0 0 0 DAVID KEYSER VICE-CHAIR 2.00 X X 0 0 0 GENE WHITEHOUSE SECRETARY 2.00 X X 0 0 0 JASON CAMP BOARD MEMBER 2.00 X 0 0 0 JOHN L WILLIAMS BOARD MEMBER 2.00 X 0 0 0 3244839 0 415013 53 0 1 0 RCP CONSTRUCTION INC 5180 GOLDEN FOOTHILLS PKWY 110 EL DORADO HILLS CA 95762 BUILDING CONTRACTOR 2943661 EFFORT PHARMACY SERVICES INC 3215 PENNINGTON ROAD LIVE OAK CA 95953 PHARMACY SERVICES 1984677 SNAP CARE PO BOX 200352 DALLAS TX 75320 TEMPORARY NURSE STAFFING SERVICE 401663 UNITED BUILDING MAINTENANCE INC 8211 SIERRA COLLEGE BVLD STE 420 ROSEVILLE CA 95661 JANITORIAL SERVICES 368472 ECLINICALWORKS PO BOX 847950 BOSTON MA 022847950 SOFTWARE LICENSE & SUPPORT 339806 35 13330079 20003 13330079 HEALTH SERVICES 621400 49370686 49370686 49370686 3769146 3769146 2550 -2550 -2550 -2550 OTHER 900099 130649 130649 130649 66598010 49501335 0 3766596 2334958 1678920 656038 19976818 14445029 5531789 815607 557842 257765 4204999 2876048 1328951 1599627 1094080 505547 247532 200220 47312 75231 60852 14379 193197 193197 4385225 3547047 838178 187502 2950 184552 579544 95211 484333 1377527 59100 1318427 219195 150394 68801 2013246 313636 1699610 201097 200 200897 MEDICAL SUPPLIES 4565777 4543011 22766 PATIENT RELATED COSTS 626715 587943 38772 BUILDING AND EQUIPMENT 514468 145033 369435 OTHER PERSONNEL RELATED 359911 142550 217361 442057 268136 173921 44920233 30768202 14152031 0 5800 5800 31857443 51781988 304399 832647 5755059 4805193 184221 296697 321225 63002685 22397303 39978134 40605382 100300972 108849027 311198 550488 178697226 208048447 3329103 5198049 10610554 10824032 13939657 16022081 X 164757569 192026366 164757569 192026366 178697226 208048447 21677777 5591020 0 X X 0 1 X 1 1 1 X 11517833 25916727 17847918 17794216 13330079 86406773 11517833 25916727 17847918 17794216 13330079 86406773 86406773 876819 1693657 1962180 2689607 3769146 10991409 97398182 49501335 0.88710 0.91850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11749633 11749633 46221362 18255579 27965783 5031690 4141724 889966 40605382 PUBLICLY TRADED SECURITIES 62730590 F FEDERAL AND STATE OBLIGATIONS 20550242 F CORPORATE BONDS 14364202 F OTHER SECURITIES 11203993 F 108849027 71995833 5591020 5591020 66404813 193197 193197 66598010 44727036 0 44727036 193197 193197 44920233 X X 0 0 0 0 0 0 0 0 0 LISA DAVIES CHIEF EXECUTIVE OFFICER 413058 0 63000 0 0 0 18300 0 21375 0 515733 0 0 0 SIERK HAITSMA CHIEF FINANCIAL OFFICER 280003 0 32288 0 0 0 18029 0 9292 0 339612 0 0 0 DARLA CLARK CHIEF OPERATIONS OFFICER 251658 0 30713 0 0 0 17091 0 16991 0 316453 0 0 0 ALINEA STEVENS MEDICAL DIRECTOR 252376 0 20819 0 0 0 16132 0 30885 0 320212 0 0 0 PAULINE KARUNAKARAN DENTAL DIRECTOR 224769 0 19617 0 0 0 14663 0 12680 0 271729 0 0 0 ANTHONY REYES CHIEF ADMIN OFFICER 221188 0 22500 0 0 0 14779 0 20607 0 279074 0 0 0 ERIC OSBORN CHIEF INFORMATION OFFICER 230271 0 10500 0 0 0 2400 0 12677 0 255848 0 0 0 WILLIAM JORNLIN PHYSICIAN 261415 0 4720 0 0 0 12000 0 30885 0 309020 0 0 0 MARLOWE DIECKMANN PHYSICIAN 234263 0 1800 0 0 0 14525 0 30885 0 281473 0 0 0 BENJAMIN OLDACH PHYSICIAN 231249 0 1800 0 0 0 14151 0 21375 0 268575 0 0 0 KARINA GOOKIN LEAD PHYSICIAN 222674 0 1500 0 0 0 13812 0 30885 0 268871 0 0 0 JULIE GARCHOW PHYSICIAN/RESIDENCY ASSOC PGRM DIR 209658 0 3000 0 0 0 0 0 20594 0 233252 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED BY THE CFO TO THE FULL BOARD OF DIRECTORS AND IS APPROVED FOR FILING. THE CHAIRPERSON IS AUTHORIZED TO SIGN THE FORM 990 AFTER THE APPROVAL BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION PERFORMS AN ANNUAL EVALUATION OF ALL POTENTIAL CONFLICT OF INTEREST SITUATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HIRES ALL OFFICERS OF THE ORGANIZATION. THE COMPENSATION AMOUNT IS BASED ON PREVAILING SALARIES IN THE AREA AND THE EXPERIENCE AND QUALIFICATIONS OF THE OFFICER. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE GENERAL PUBLIC. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGE FROM THE PRIOR YEAR.