TULE RIVER INDIAN HEALTH CENTER INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1973

Legal Domicile

Principal Officer

ANGEL GALVEZ

Phone

5597842316

Tax Period

2024-07-01 to 2025-06-30

TULE RIVER INDIAN HEALTH CENTER INC, founded in 1973, is a mid-sized nonprofit in the Health Care sector that reported $18.0M in total revenue in fiscal year 2024.

Mission

TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THOSE WE SERVE.

Program Service Accomplishments

Program 1

Expenses: $12,078,131 Revenue: $4,763,661

PROVIDED HEALTHCARE TO QUALIFIED RECIPIENTS LIVING IN THE SERVICE AREA OF THE TULE RIVER INDIAN RESERVATION. COMPREHENSIVE HEALTH SERVICES INCLUDE GENERAL MEDICINE, INTERNAL MEDICINE, DIABETES...

PROVIDED HEALTHCARE TO QUALIFIED RECIPIENTS LIVING IN THE SERVICE AREA OF THE TULE RIVER INDIAN RESERVATION. COMPREHENSIVE HEALTH SERVICES INCLUDE GENERAL MEDICINE, INTERNAL MEDICINE, DIABETES EDUCATION/PREVENTION/SUPERVISION, MENTAL HEALTH, VISION, AND DENTAL. THE ORGANIZATION HAD 9,450 PATIENT VISITS IN THE TAX YEAR.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $13,146,661

Program Service Revenue $4,763,661

Investment Income $33,823

Other Revenue $11,765

TOTAL REVENUE $17,955,910

Expense Breakdown

Grants Paid $0

Salaries & Benefits $8,700,055

Fundraising Expenses $5,279

Program Expenses $12,078,131

Other Expenses $9,164,244

TOTAL EXPENSES $17,869,578

Year-over-Year Comparison

	2024	2023	Change
Revenue	$17,955,910	$17,674,790	+0.0%
Expenses	$17,869,578	$13,924,945	+0.3%
Net Income	$86,332	$3,749,845	-1.0%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

113

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$434,565

Total Directors

$108,482

Key Employees

$265,839

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JANETTE DUNIVAN	DENTAL DIRECTOR	40.00	Key Emp	$227,553	$38,286	$265,839
TARA CLARK	NURSE PRACTITIONER	40.00	Highest	$187,679	$30,378	$218,057
CARSON CHAMBERS	PSYCHOLOGY	40.00	Highest	$176,792	$8,677	$185,469
JAN TRIGLETH	PHYSICIAN ASSISTANT	40.00	Highest	$172,322	$11,734	$184,056
ERIC METCALF	CEO (THRU 10/24)	40.00	Officer	$159,473	$13,911	$173,384
KATHERINE PORTILLO	COO AND INTERIM CEO (THRU 03/25)	40.00	Officer	$134,152	$23,857	$158,009
ALLA LIBERSTEIN	MEDICAL DIRECTOR	40.00	Highest	$149,010	$4,367	$153,377
JOSEPH SANTIAGO	MEDICAL DIRECTOR	20.00	Highest	$132,291	$0	$132,291
SHAYNE REGALADO	CFO (THRU 10/24)	40.00	Officer	$69,769	$1,755	$71,524
DONNA MEDRANO	SECRETARY (THRU 01/25)/BOARD MEMBER	15.00	Director	$14,800	$0	$14,800
JEANNE BAGA	BOARD MEMBER	15.00	Director	$14,034	$0	$14,034
BARBARA BAGA	ALTERNATE BOARD MEMBER	15.00	Director	$13,000	$0	$13,000
JOYCE CAROTHERS	ALTERNATE BOARD MEMBER (THRU 01/25)	15.00	Director	$12,700	$0	$12,700
SHAWN GONZALES - VICE CHAIR	(THRU 01/25)/CHAIR (AS OF 01/25)	15.00	Officer Director	$11,800	$0	$11,800
ELIZABETH PEREZ	ALTERNATE BOARD MEMBER (THRU 01/25)	15.00	Director	$11,400	$0	$11,400
HOLLY CARRILLO-CHRISTMAN	CHAIR (THRU 01/25)	15.00	Officer Director	$11,348	$0	$11,348
RICHARD BROWN	BOARD MEMBER	15.00	Director	$10,900	$0	$10,900
GAYLINE HUNTER	TREASURER	15.00	Officer Director	$8,500	$0	$8,500
PAULA GOMEZ	VICE CHAIR (AS OF 01/25)	15.00	Officer Director	$0	$0	$0
CARLA CAROTHERS	SECRETARY (AS OF 01/25)	15.00	Officer Director	$0	$0	$0
NANCY MCDARMENT	ALTERNATE BOARD MEMBER (AS OF 01/25)	15.00	Director	$0	$0	$0
MIKU SODHI	CEO (AS OF 04/25)	40.00	Officer	$0	$0	$0
LARRY BARNES	CFO (AS OF 03/25)	40.00	Officer	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$17,955,910	$17,869,578	$29,487,638	$86,332
2024	No data	No data	No data	No data
2023	$18,331,050	$13,995,616	$24,154,866	$4,335,434
2022	$17,243,811	$13,082,331	$22,470,884	$4,161,480
2021	$16,307,138	$13,897,316	$21,345,341	$2,409,822
2020	$10,989,024	$12,960,900	$14,215,373	$-1,971,876
2019	$12,237,514	$10,429,068	$14,411,542	$1,808,446
2018	$9,913,993	$10,622,361	$14,294,829	$-708,368