2026-08-17T17:30:05-05:00 2025-09-30 911663574 LARSON GROSS ADVISORS LLC 419 LIBERTY STREET LYNDEN WA 98264 990 2024-10-01 952538049 TOIYABE INDIAN HEALTH PROJECT TOIY 7608738464 250 N SEE VEE LN BISHOP CA 93514 EARL LENT CEO 7608738464 2026-08-17 1 1 MOLLY HONCOOP CPA P02064982 3607344280 2024 2025-03-06 01:10:19Z EARL LENT 250 N SEE VEE LN BISHOP CA 93514 41208611 0 X WWW.TOIYABE.US X 1973 CA DELIVERING CONSISTENT, QUALITY, EQUITABLE, & CULTURALLY APPROPRIATE HEALTH CARE TO OUR COMMUNITIES. 21 21 182 5 0 0 11969730 16010463 15983000 19543819 1459723 748290 3890782 4906039 33303235 41208611 0 0 0 0 15190007 17198839 0 0 0 15048389 21311517 30238396 38510356 3064839 2698255 43449827 49728022 15450077 32098209 27999750 17629813 THE MISSION OF THE TOIYABE INDIAN HEALTH PROJECT IS TO PROVIDE HEALTHCARE AND PROMOTION WELLNESS TO INDIAN COMMUNITIES. TOIYABE IS A CONSORTIUM OF SEVEN FEDERALLY RECOGNIZED TRIBES AND TO NATIVE AMERICAN COMMUNITIES. 0 0 30645520 19543819 AS A CONSORTIUM OF SEVEN FEDERALLY RECOGNIZED TRIBES, TOIYABE INDIAN HEALTH PROJECT PROVIDES HEALTHCARE SERVICES TO BOTH INDIAN AND NON-INDIAN PATIENTS IN INYO AND MONO COUNTIES OF CALIFORNIA. PATIENTS ARE SEEN IN THE COMPANY'S BISHOP, LONE PINE, AND COLEVILLE CLINICS. SERVICES INCLUDE MEDICAL, DENTAL, DIALYSIS, PREVENTATIVE MEDICINE, BEHAVIORAL HEALTH, ELDER CARE, WIC, OPTICAL AND PUBLIC HEALTH FOR BOTH NATIVE AND NON-NATIVE PATIENTS. THE COMPANY IS EXPERIENCING SURGES IN NEW PATIENT INTEREST WHICH IS ATTRIBUTES TO A RESPECTED PROVIDER BASE AND QUALITY OF CARE. 30645520 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 1 115 0 1 182 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 1 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X RAY VERIN 7608738464 250 N SEE VEE LN BISHOP CA 93514 VIRGIL DAVE MOOSE TRIBAL CHAIR 1.00 X X 0 0 0 GEORGE GHOLSON BOARD CHAIRMAN 1.00 X X 23695 0 0 RICK MADDUX BOARD TREASURER 1.00 X X 14701 0 0 JANICE MENDEZ BOARD SECETARY 1.00 X X 614 0 0 GERALDINE CADY BOARD MEMBER 1.00 X 0 0 0 RACHEL JOSEPH BOARD MEMBER 1.00 X 8577 0 0 EARLEEN WILLIAMS BOARD MEMBER 1.00 X 8235 0 0 MARILYN BRACKEN BOARD MEMBER 1.00 X 7285 0 0 CARLA KENNEDY BOARD MEMBER 1.00 X 0 0 0 JOLENE CARLEY BOARD MEMBER 1.00 X 15731 0 0 RICHARD BUTTON BOARD MEMBER 1.00 X 2236 0 0 MARGARET CORTEZ BOARD MEMBER 1.00 X 5743 0 0 ROBERT ZUCCO BOARD MEMBER 1.00 X 3067 0 0 MARJIANNE YONGE BOARD MEMBER 1.00 X 8059 0 0 THOMAS SWAB MEMBER AT LARGE 1.00 X 3327 0 0 CHARLENE COLLINS BOARD MEMBER 1.00 X 8265 0 0 JIMMY JOHN THOMSON MEMBER AT LARGE 1.00 X 0 0 0 MERYL PICARD BOARD MEMBER (ALTERNATE) 1.00 X 400 0 0 CHARLOTTE DAVID BOARD MEMBER (ALTERNATE) 1.00 X 0 0 0 JEFF ROMERO BOARD MEMBER (ALTERNATE) 1.00 X 5359 0 0 SHANE SAULQUE BOARD MEMBER (ALTERNATE) 1.00 X 812 0 0 EARL LENT CHIEF EXECUTIVE OFFICER 40.00 X 224450 0 74463 KATE MORLEY CHIEF OPERATIONS OFFICER 40.00 X 137459 0 26507 PARISA PAYMAN CHIEF DENTIST 40.00 X 329838 0 78698 SUMMER FRAIZER CHIEF MEDICAL OFFICER 40.00 X 362783 0 63791 TAEMA WEISS PHYSICIAN 40.00 X 330581 0 85801 MICHAEL WHITE DENTIST 40.00 X 323003 0 38065 MAGDY MAKSY NEPHROLOGIST 40.00 X 313159 0 85494 THOMAS WUESTOFF DENTIST 40.00 X 320204 0 81627 RODOLFO LEYVA DENTIST 40.00 X 297903 0 70244 EMETERIO MEDINA PHARMACIST 40.00 X 231202 0 18756 2986688 0 623446 12 0 1 0 NEXTGEN HEALTHCARE INC 1551 EMANCIPATION HWY STE 200 UNIT FREDERICKSBURG VA 22401 MEDICAL SERVICES 2427179 JUNIPER RIDGE CONSTRUCTION 700 W 19TH ST ALTURAS CA 96101 CONSTRUCTION 889615 COMPUTACENTER UNITED STATES INC PO BOX 847403 LOS ANGELES CA 900847403 IT SERVICES 317284 QUIK TRAVEL STAFFING INC 2000 W MAGNOLIA BLVD STE 100 BURBANK CA 91506 DIALYSIS SERVICES 295896 NORTHERN INYO HOSPITAL 150 PIONEER LANE BISHOP CA 93514 BENEFITS 223999 17 12232273 3778190 16010463 NET PATIENT SERVICE REVENUE 621400 19543819 19543819 19543819 748290 748290 3706296 0 3706296 3706296 3706296 1199743 1199743 1199743 41208611 19543819 0 5654329 X 441428 347005 94423 11826025 9179738 2646287 859277 655862 203415 3112337 2528509 583828 959772 754534 205238 27418 1980 25438 238507 238507 4158415 2539447 1618968 230757 226387 4370 1324485 1227574 96911 129634 12850 116784 649932 28393 621539 342763 299630 43133 101065 14990 86075 371358 20587 350771 1219675 1219675 257448 257448 HEALTH SERVICES 5686583 5661980 24603 OTHER OPERATING EXPENSE 4424580 4424580 BAD DEBTS 1149635 1147483 2152 HRA CLAIMS 281441 281441 717821 354316 363505 38510356 30645520 7864836 0 2305782 5426922 659930 972747 644369 1766352 2372996 1741127 439715 342118 63013 287318 34701606 9718980 24895852 24982626 12068170 12800096 0 1408716 43449827 49728022 3008344 2715801 15798887 12441733 13537865 0 45656 15450077 32098209 X 25008592 17629813 2991158 0 27999750 17629813 43449827 49728022 2698255 -13068192 0 X X 0 1 X 1 1 1 X 23632583 11182996 16416919 11969730 16010463 79212691 23632583 11182996 16416919 11969730 16010463 79212691 79212691 56971 512590 2096598 5308069 4454586 12428814 468895 75015 194635 42436 1199743 1980724 93622229 114502829 0.84610 0.89740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20502604 4922237 15580367 592902 576263 16639 6804368 4220480 2583888 6801732 6801732 24982626 OPERATING LEASE LIABILITIES 45656 45656 X 41208611 0 41208611 0 41208611 38510356 0 38510356 0 38510356 PART X, LINE 2: THE TOIYABE INDIAN HEALTH PROJECT, PURSUANT TO A LETTER OF DETERMINATION FROM THE INTERNAL REVENUE SERVICE, IS A NON-PROFIT ORGANIZATION EXEMPTED FROM THE FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE SERVICE CODE OF 1986. AS OF SEPTEMBER 30, 2025 THE ENTITY HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED THE ENTITY'S TAX POSITIONS AND CONCLUDED THAT THE ENTITY HAD TAKEN NO UNCERTAIN TAX POSITIONS. X 0 0 0 0 0 0 0 0 0 SUMMER FRAIZER CHIEF MEDICAL OFFICER 362783 0 0 0 0 0 35597 0 28194 0 426574 0 0 0 TAEMA WEISS PHYSICIAN 330581 0 0 0 0 0 32428 0 53373 0 416382 0 0 0 PARISA PAYMAN CHIEF DENTIST 329838 0 0 0 0 0 32880 0 45818 0 408536 0 0 0 THOMAS WUESTOFF DENTIST 320204 0 0 0 0 0 31411 0 50216 0 401831 0 0 0 MAGDY MAKSY NEPHROLOGIST 313159 0 0 0 0 0 31097 0 54397 0 398653 0 0 0 RODOLFO LEYVA DENTIST 297903 0 0 0 0 0 26928 0 43316 0 368147 0 0 0 MICHAEL WHITE DENTIST 323003 0 0 0 0 0 19251 0 18814 0 361068 0 0 0 EARL LENT CHIEF EXECUTIVE OFFICER 224450 0 0 0 0 0 22252 0 52211 0 298913 0 0 0 EMETERIO MEDINA PHARMACIST 231202 0 0 0 0 0 15311 0 3445 0 249958 0 0 0 KATE MORLEY CHIEF OPERATIONS OFFICER 137459 0 0 0 0 0 6434 0 20073 0 163966 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED THE BOARD CHAIR, VICE-CHAIRMAN, SECRETARY, TREASURER, AND EXECUTIVE-AT-LARGE. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE GOVERNING BODY. THE EXECUTIVE COMMITTEE CAN ACT ON BEHALF OF THE GOVERNING BODY WITHOUT FULL BOARD APPROVAL. WHEN THE FULL BOARD MEETS FOLLOWING EXECUTIVE COMMITTEE ACTION, THE EXECUTIVE COMMITTEE INFORMS THE REST OF THE BOARD OF THE ACTION THAT HAS BEEN TAKEN. THE REST OF THE BOARD DOES NOT HAVE TO APPROVE OF THE DECISION TAKEN BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 THE CHAIR OF THE BOARD HAS A FAMILIAL RELATIONSHIP WITH THE HR DIRECTOR. IN GENERAL, FOR TRIBES IN GEOGRAPHICALLY ISOLATED AREAS, IT IS COMMON TO HAVE FAMILY RELATIONSHIPS IN THE WORKPLACE. FORM 990, PART VI, SECTION A, LINE 6 THERE SHALL BE ONE CLASS OF MEMBERS IN THE PROJECT AND THEY SHALL BE THE TRIBAL GOVERNMENTS IN THE TOIYABE INDIAN HEALTH PROJECT, INC. SERVICE AREA. THERE ARE CURRENTLY 7 MEMBER TRIBES: BIG PINE PAIUTE TRIBE OF THE OWENS VALLEY, BISHOP PAIUTE TRIBE, BRIDGEPORT INDIAN RESERVATION, FORT INDEPENDENCE INDIAN RESERVATION, LONE PINE PAIUTE-SHOSHONE RESERVATION, UTU UTU GWAITU TRIBE (BENTON), TIMBISHA SHOSHONE TRIBE (DEATH VALLEY). FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER TRIBE APPOINTS 2 DELEGATES TO THE BOARD FROM EACH TRIBAL GOVERNMENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE CFO AND CEO. UPON APPROVAL, IT WILL BE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TOIYABE INDIAN HEALTH PROJECT, INC PERFORMS AN ANNUAL EVALUATION OF ALL SITUATIONS WHERE THERE COULD BE A CONFLICT OF INTEREST. THE POLICY APPLIES TO THE BOARD OF DIRECTORS AS WELL AS EMPLOYEES OF THE CLINICS. THE BOARD MEMBERS THAT BELIEVE AN ACTION OR ISSUE PENDING BEFORE THE BOARD COULD INVOLVE A CONFLICT OF INTEREST SHALL ANNOUNCE THE CONFLICT AND NOTIFY THE CHAIRPERSON OF THE BOARD. THE CEO WILL FORMALLY CITE AN EMPLOYEE IF THERE IS A CONFLICT OF INTEREST. A BOARD MEMBER THAT HAS CAUSE OR ISSUE PENDING SHALL ABSTAIN FROM DISCUSSION, CONSIDERATION, DECISIONS, AND VOTING ON THE MATTER. EMPLOYEES WILL HAVE 30 CALENDAR DAYS TO DISPOSE OF SUCH INTEREST. FAILURE TO COMPLY WILL BE CAUSE FOR IMMEDIATE DISCPLINARY ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO AND CFO IS DETERMINED BY THE BOARD, COMPARED TO SIMILAR ENTITIES, AND VOTED ON AND APPROVED BY THE BOARD. THE COMPENSATION PROCESS IS DOCUMENTED IN BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN AUGUST 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,539,447. MANAGEMENT AND GENERAL EXPENSES 1,618,968. TOTAL EXPENSES 4,158,415. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.