TOIYABE INDIAN HEALTH PROJECT

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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

EARL LENT

Phone

7608738464

Tax Period

2023-10-01 to 2024-09-30

TOIYABE INDIAN HEALTH PROJECT, founded in 1973, is a mid-sized nonprofit in the Health Care sector that reported $33.3M in total revenue in fiscal year 2023. Expenses of $30.2M left a modest 9% surplus.

Mission

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.

Program Service Accomplishments

Program 1

Expenses: $11,449,122 Revenue: $15,983,000

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...

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.

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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 (2023)

Revenue Breakdown

Contributions & Grants $11,969,730

Program Service Revenue $15,983,000

Investment Income $1,459,723

Other Revenue $3,890,782

TOTAL REVENUE $33,303,235

Expense Breakdown

Grants Paid $0

Salaries & Benefits $15,190,007

Fundraising Expenses $0

Program Expenses $11,449,122

Other Expenses $15,048,389

TOTAL EXPENSES $30,238,396

Year-over-Year Comparison

	2023	2022	Change
Revenue	$33,303,235	$33,357,913	0.0%
Expenses	$30,238,396	$26,618,496	+0.1%
Net Income	$3,064,839	$6,739,417	-0.5%

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

177

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

$534,076

Total Directors

$72,954

Key Employees

$1,145,056

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
VIRGIL DAVE MOOSE	TRIBAL CHAIR	1.00	Officer Director	$0	$0	$0
GEORGE GHOLSON	BOARD VICE-CHAIRMAN	1.00	Officer Director	$16,480	$0	$16,480
RICK MADDUX	BOARD TREASURER	1.00	Officer Director	$14,806	$0	$14,806
JANICE MENDEZ	BOARD SECETARY	1.00	Officer Director	$12,589	$0	$12,589
GERALDINE CADY	BOARD MEMBER	1.00	Director	$560	$0	$560
RACHEL JOSEPH	BOARD MEMBER/TRIBAL CHAIR	1.00	Officer Director	$0	$0	$0
EARLEEN WILLIAMS	BOARD MEMBER	1.00	Director	$4,897	$0	$4,897
MARILYN BRACKEN	BOARD MEMBER	1.00	Director	$4,587	$0	$4,587
CARLA KENNEDY	BOARD MEMBER	1.00	Director	$836	$0	$836
JOLENE CARLEY	BOARD MEMBER	1.00	Director	$7,337	$0	$7,337
RICHARD BUTTON	BOARD MEMBER	1.00	Director	$3,146	$0	$3,146
MARGARET CORTEZ	BOARD MEMBER	1.00	Director	$0	$0	$0
ROBERT ZUCCO	BOARD MEMBER	1.00	Director	$1,595	$0	$1,595
JIMMY JOHN THOMSON	MEMBER AT LARGE	1.00	Director	$0	$0	$0
CHARLOTTE DAVID	BOARD MEMBER (ALTERANTE)	1.00	Director	$623	$0	$623
JEFF ROMERO	BOARD MEMBER (ALTERANTE)	1.00	Director	$5,498	$0	$5,498
SHANE SAULQUE	BOARD MEMBER (ALTERNATE)	1.00	Director	$0	$0	$0
JERNON KELLY	CHIEF FINANCIAL OFFICER	40.00	Officer	$58,739	$11,320	$70,059
ZAHID SHEIKH	CHIEF EXECUTIVE OFFICER (UNTIL MAY)	40.00	Officer	$174,968	$15,296	$190,264
EARL LENT	COO/CEO (START JUNE)	40.00	Officer	$179,778	$31,282	$211,060
KATE MORLEY	CHIEF OPERATIONS OFFICER (START NOV)	40.00	Officer	$17,718	$1,100	$18,818
SUMMER FRAIZER	CHIEF MEDICAL OFFICER	40.00	Key Emp	$341,362	$42,093	$383,455
TAEMA WEISS	PHYSICIAN	40.00	Key Emp	$335,741	$56,168	$391,909
PARISA PAYMAN	CHIEF DENTIST	40.00	Key Emp	$314,189	$55,503	$369,692
MICHAEL WHITE	DENTIST	40.00	Highest	$344,547	$40,220	$384,767
MAGDY MAKSY	NEPHROLOGIST	40.00	Highest	$322,960	$60,271	$383,231
THOMAS WUESTOFF	DENTIST	40.00	Highest	$323,399	$55,069	$378,468
DAVID CARROLL	PHARMACIST	40.00	Highest	$198,420	$37,199	$235,619
STUART HIROYASU	OPTOMETRIST	40.00	Highest	$174,797	$28,887	$203,684

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
2024	$33,303,235	$30,238,396	$43,449,827	$3,064,839
2023	$33,357,913	$26,618,496	$40,064,956	$6,739,417
2022	$23,873,578	$22,276,310	$32,214,088	$1,597,268
2021	$35,025,205	$20,948,259	$33,140,296	$14,076,946
2020	$24,443,791	$23,645,881	$25,142,005	$797,910
2019	$16,760,214	$20,258,111	$24,264,613	$-3,497,897
2018	$17,890,742	$19,282,613	$26,352,106	$-1,391,871