2026-08-05T11:23:43-05:00 2025-12-31 946214841 ARMANINO ADVISORY LLC 2700 CAMINO RAMON STE 350 SAN RAMON CA 945835004 990 2025-01-01 204287737 SACRAMENTO NATIVE AMERICAN HEALTH CENTER SACR 9163410576 2020 J STREET SACRAMENTO CA 95811 JASON TOWEY CFO 9164980576 2026-08-04 1 MATTHEW PETROSKI P00853132 9257902600 2026-07-21 2025 2025-03-06 01:10:19Z JASON TOWEY 2020 J STREET SACRAMENTO CA 95811 39469534 0 X WWW.SNAHC.ORG X 2005 CA TO CONTINUE AND SHARE THE LEGACY OF A HEALTHY AMERICAN INDIAN/ALASKA (CONTINUE ON SCHEDULE O)NATIVE COMMUNITY BASED ON CULTURAL VALUES DELIVERED THROUGH A TRADITIONAL, INNOVATIVE AND ACCESSIBLE PATIENT-CENTERED HEALTH HOME. 10 10 302 12 0 0 12420039 9380148 25080299 29691154 261969 337054 23250 37459 37785557 39445815 0 0 0 0 21943682 23356438 0 0 0 9809645 9924966 31753327 33281404 6032230 6164411 43188760 45845547 22918926 19072412 20269834 26773135 X THE MISSION OF SACRAMENTO AMERICAN NATIVE HEALTH CENTER IS TO CONTINUE AND SHARE THE LEGACY OF A HEALTHY AMERICAN INDIAN/ALASKA NATIVE COMMUNITY BASED ON CULTURAL VALUES DELIVERED THROUGH A TRADITIONAL, INNOVATIVE AND ACCESSIBLE PATIENT-CENTERED HEALTH HOME. 0 0 18447090 14060414 MEDICAL - SNAHC OFFERS A WIDE RANGE OF PRIMARY AND SOME SPECIALTY MEDICAL SERVICES, FOCUSING ON TREATING THE WHOLE PERSON AND PREVENTATIVE MEDICINE TO ENABLE OUR PATIENTS TO MAINTAIN A HEALTHY LIFE STYLE. MEDICAL SERVICES INCLUDE ADULT AND PEDIATRIC PRIMARY CARE, WOMEN'S HEALTHCARE, TRANSGENDER HORMONE THERAPY, DIABETES EDUCATION, PREVENTION AND SELF-MANAGEMENT, PODIATRY HEPATITIS C SCREENING AND TREATMENT, CHIROPRACTIC CARE, FAMILY PLANNING, SMOKING CESSATION, STI TESTING, TRADITIONAL MEDICINE AND ACUPUNCTURE TREATMENT PROGRAM, DIABETES CARE AND NUTRITION COUNSELING, AND VACCINATIONS. 4641173 7406125 DENTAL - SNAHC PROVIDES COMPREHENSIVE, PREVENTIVE, AND RESTORATIVE DENTAL CARE, FOCUSING ON ORAL HEALTH TREATMENT AND DISEASE PREVENTION. DENTAL SERVICES INCLUDE GENERAL DENTISTRY FOR CHILDREN AND ADULTS, EMERGENCY SERVICES, FILLINGS AND EXTRACTIONS, DENTURES AND PARTIALS, ROOT CANALS, REFERRALS FOR ORAL SURGERY, AND PATIENT EDUCATION. 2844418 7556878 BEHAVIORAL HEALTH - SNAHC HAS DEVELOPED A MODEL PROGRAM THAT COMBINES MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING WITH TRADITIONAL HEALING PRACTICES FOR NATIVE AMERICAN FAMILIES. SERVICES INCLUDE INDIVIDUAL, CHILD AND ADOLESCENT COUNSELING, PSYCHIATRY, RED ROAD TO RECOVERY GROUP, OUTPATIENT SUBSTANCE ABUSE TREATMENT, TALKING CIRCLES, TRADITIONAL HEALING, DEPRESSION-CBT SKILLS GROUP, ANGER MANAGEMENT GROUPS, AND ADVOCACY FOR YOUTH AND FAMILIES AFFECTED BY VIOLENCE. 671992 667737 CHD YOUTH INITIATIVES - THE YOUTH INITIATIVES TEAM IS COMMITTED TO SUPPORTING NATIVE AMERICAN YOUTH AND FAMILIES WITH QUALITY SERVICES AND ADVOCACY THROUGH CULTURAL VALUES. USING COMMUNITY-BASED AND YOUTH-DRIVEN APPROACHES, SNAHC IS DEVELOPING A SYSTEM OF CARE FORNATIVE AMERICAN CHILDREN WITH MENTAL HEALTH CHALLENGES AND THEIR FAMILIES. THE YOUTH INITIATIVES PROGRAM APPLIES PRINCIPLES OF A FAMILY-DRIVEN APPROACH, MEANING FAMILIES HAVE A PRIMARY DECISION-MAKING ROLE IN THE CARE OF THEIR OWN CHILDREN AS WELL AS THE POLICIES AND PROCEDURES GOVERNING CARE FOR ALL CHILDREN IN THEIR COMMUNITY. THE YOUTH INITIATIVES TEAM ALSO DOES WORK AROUND SUICIDE AND SUBSTANCE ABUSE PREVENTION WITHIN SACRAMENTO NATIVE AMERICAN COMMUNITIES. 671992 667737 26604673 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 51 0 1 302 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JASON TOWEY CFO 9164980576 2020 J STREET SACRAMENTO CA 95811 MARY TARANGCO CHAIRPERSON (THRU 2/25) 0.50 X X 0 0 0 SAMANTHA CYPRET VICE CHAIRPERSON 0.50 X X 0 0 0 MICHELLE VILLEGAS-FRAZIER CHAIRPERSON (AS OF 2/25) 0.50 X X 0 0 0 RICARDO TORRES SECRETARY 0.50 X X 0 0 0 ERIN THUSTON MSSW TREASURER 0.50 X X 0 0 0 CRYSTAL BLUE TRIBAL ADVISOR (THRU 09/25) 0.50 X X 0 0 0 ERIN CROSSEN AT LARGE 0.50 X X 0 0 0 BARBARA HART AT LARGE 0.50 X X 0 0 0 SCOTT MARTIN AT LARGE 0.50 X X 0 0 0 NICHOLAS MAZANEC AT LARGE 0.50 X X 0 0 0 LORENDA T SANCHEZ AT LARGE 0.50 X X 0 0 0 DENNIE SCHULTHEIS MD AT LARGE 0.50 X X 0 0 0 BRITTA GUERRERO CHIEF EXECUTIVE OFFICER 40.00 X 364593 0 29333 HAKEEM ADENIYI JR CHIEF CLINICAL OFFICER 40.00 X 338417 0 13722 JASON TOWEY CHIEF FINANCIAL OFFICER 40.00 X 237568 0 24018 MICHAEL UNDERWOOD CHIEF INFORMATION OFFICER 40.00 X 207742 0 28884 SAM ARNOLD CHIEF OPERATING OFFICER (AS OF 06/25) 40.00 X 115900 0 6643 MAUREEN WIMSATT PROG. & DEV. OFFICER 40.00 X 195952 0 9857 ANGELA HARRIS CHIEF OPERATING OFFICER (THRU 03/25) 40.00 X 132188 0 8128 AARON CLEVELAND MD ASSOCIATE MEDICAL DIR 40.00 X 300090 0 31617 PATRICIA SAMUELSON PHYSICIAN FAMILY MED 40.00 X 270617 0 18116 DAVID HUBBARD ASSOCIATE MED DIRECTOR 40.00 X 276029 0 8424 FUE YANG DIRECTOR DENTAL 40.00 X 218316 0 24280 HOWELL JEAN PHYSICIAN FAMILY MED (THRU 08/25) 40.00 X 171084 0 6916 2828496 0 209938 69 0 1 0 NEXTGEN PO BOX 511449 LOS ANGELES CA 90051 BILLING, EHR, IT SOFTWARE, TRAINING 540245 LANGUAGE LINE SERVICES PO BOX 202564 DALLAS TX 753202564 LANGUAGE INTERPRETATION SERVICES 241175 OHIO SHARE INFORMATION SERVICES PO BOX 772852 CHICAGO IL 606772852 IT CONSULTING/AUDITING SERVICES 196195 SENTAGE CORPORATION PO BOX 206813 DALLAS TX 753206813 PATIENT LAB SERVICES 162214 CAPITAL PROTECTION GROUP INC 2443 FAIR OKAS BLVD 319 SACRAMENTO CA 95825 SECURITY SERVICES 161906 8 70000 7722607 1587541 9380148 PATIENT FEES & CONTRAC 621110 26582290 26582290 CAPITATION REVENUE 621110 1979562 1979562 OTHER PROGRAM REVENUE 621110 760624 760624 PHARMACY REVENUE 621110 368678 368678 29691154 337054 337054 18000 0 18000 18000 18000 43178 70000 23719 19459 19459 39445815 29691154 0 374513 1572627 1314556 258071 16326676 13647439 2679237 251771 251117 654 3757800 3045913 711887 1447564 1214043 233521 85014 50817 34197 136164 81391 54773 1077425 810903 266522 251095 150527 100568 1792605 1261684 530921 473123 297066 176057 2855090 1793426 1061664 123433 91946 31487 43203 38811 4392 961372 696500 264872 216960 188474 28486 HEALTH SERVICE SUPPLIES 1331344 1274801 56543 LAB SERVICE 168907 168907 MEMBERSHIP & SUBSCRIPTI 150674 73495 77179 TREATMENT CENTER 120595 120595 137962 32262 105700 33281404 26604673 6676731 0 9040871 12456596 1919635 1490257 1747531 2482376 1290559 1290559 514760 551242 18082640 5283429 12343506 12799211 16331898 14775306 43188760 45845547 3655263 3515011 1883782 550004 17379881 15007397 22918926 19072412 X 21378715 26771635 -1108881 1500 20269834 26773135 43188760 45845547 6164411 26760 312130 0 X 0 1 X 1 1 1 X 9021767 8104150 6633734 12420039 9380148 45559838 9021767 8104150 6633734 12420039 9380148 45559838 45559838 36387 285219 355054 676660 19459 19459 293363 6774 300137 46556094 111099509 0.97860 0.98590 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2022 AMOUNT: $ 293,363. 2023 AMOUNT: $ 6,774. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11534321 1296882 10237439 4475478 3207270 1268208 2072841 779277 1293564 12799211 OPERATING LEASE ASSET 14363408 EQUITY INVESTMENTS IN AFFILIATE 410460 GIFT CARDS INVENTORY 1438 14775306 OPERATING LEASE LIABILITY 15007397 15007397 X 39399752 26760 -96542 -69782 39469534 -23719 -23719 39445815 33208581 23719 23719 33184862 96542 96542 33281404 PART X, LINE 2: SNAHC HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC AND 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ORGANIZATION IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY SNAHC IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON LEGAL SETTLEMENTS -96,542. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES -23,719. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 23,719. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON LEGAL SETTLEMENTS 96,542. FIRST FOODS DINNER FUNDRAISER 113178 70000 43178 634 3803 15403 3879 113178 70000 43178 634 3803 15403 3879 23719 19459 X X X 1 0 0 0 0 0 0 0 0 BRITTA GUERRERO CHIEF EXECUTIVE OFFICER 288337 0 28048 0 48208 0 13235 0 16098 0 393926 0 0 0 HAKEEM ADENIYI JR CHIEF CLINICAL OFFICER 300172 0 467 0 37778 0 12951 0 771 0 352139 0 0 0 AARON CLEVELAND MD ASSOCIATE MEDICAL DIR 256090 0 467 0 43533 0 8959 0 22658 0 331707 0 0 0 PATRICIA SAMUELSON PHYSICIAN FAMILY MED 233605 0 467 0 36545 0 7770 0 10346 0 288733 0 0 0 DAVID HUBBARD ASSOCIATE MED DIRECTOR 251632 0 467 0 23930 0 8247 0 177 0 284453 0 0 0 JASON TOWEY CHIEF FINANCIAL OFFICER 206290 0 467 0 30811 0 7920 0 16098 0 261586 0 0 0 FUE YANG DIRECTOR DENTAL 176040 0 461 0 41815 0 8182 0 16098 0 242596 0 0 0 MICHAEL UNDERWOOD CHIEF INFORMATION OFFICER 178592 0 461 0 28689 0 6226 0 22658 0 236626 0 0 0 MAUREEN WIMSATT PROG. & DEV. OFFICER 176183 0 461 0 19308 0 7830 0 2027 0 205809 0 0 0 HOWELL JEAN PHYSICIAN FAMILY MED (THRU 08/25) 171084 0 0 0 0 0 4905 0 2011 0 178000 0 0 0 PART I, LINE 4A ANGELA HARRIS, CHIEF OPERATING OFFICER WHO SERVED THROUGH MARCH 2025, RECEIVED SEVERANCE PAYMENT OF $82,778 DURING THE CALENDAR YEAR. PART I, LINE 7 BONUSES FOR OFFICERS ARE DETERMINED VIA EMPLOYMENT AGREEMENTS. FOR ALL OTHER STAFF, A SMALL BONUS IS GIVEN AT YEAR-END, WHICH IS DETERMINED BY EMPLOYMENT STATUS AND LENGTH OF SERVICE. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT TAX ADVISOR AND IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY MEMBERS OF THE BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST POLICY. A POTENTIAL CONFLICT IS FULLY DISCLOSED TO THE BOARD UPON DISCOVERY. THE MEMBER WILL ABSTAIN FROM VOTING ON ANY RELATED BOARD ACTIONS. EMPLOYEES ARE ALSO REQUIRED TO SIGN AN ACKNOWLEDGMENT OF THE POLICY WHEN HIRED WITH THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES ANNUALLY BASED ON COMPARATIVE DATA (CALIFORNIA PRIMARY CARE ASSOCIATION, NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS, AND INDEED.COM) AND PERFORMANCE. THIS PROCESS WAS LAST UNDERTAKEN IN 2025. FOR ALL OFFICERS AND DIRECTORS, SALARIES WERE COMPARED TO SALARY SURVEY INFORMATION PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION FOR HEALTH CENTERS OF SIMILAR SIZE AND SCOPE. SNAHC LEADERSHIP RECOMMENDED SALARY INCREASES UP TO MEDIAN FOR EACH STAFF MEMBER, AND THE RECOMMENDATIONS WERE PRESENTED TO SNACH BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THIS PROCESS WAS LAST UNDERTAKEN IN 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE.