Central Valley Indian Health, Inc.

Legal name: Central Valley Indian Health Inc

Nonprofit profile at a glance

EIN
941745488
IRS 990 coverage
2012–2025
Official website data refreshed
Sep 2026
Forms available
Form 990 2025
Location
Clovis, CA, US
Phone
559-299-2578
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$49,338,387
Expenses
$32,276,278
Assets
$142,820,678
Liabilities
$12,084,947

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

20 people listed

Highest reported compensation

  • Gurpal Bains (Executive Dir.): $452,678 total reported compensation
  • Derik Keshishian (Physician): $420,465 total reported compensation
  • Christopher Garcia (Physician): $401,304 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide comprehensive health care services to Native Americans in the Central Valley area.

What it reported doing in 2025

To improve the quality and quantity of health care services to the Indian people. To achieve this purpose, a system of health education, preventive medicine, medical and dental services are provided.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 53
  • Transparency & Controls: 74
  • Accountability: 100
  • Sustainability: 73
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 47.8%; rating input score 48
  • Program expense ratio: 77.8%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 34.6%; rating input score 86; 86th percentile among comparable filings
  • Total-asset coverage ratio: 4.42; rating input score 75; 75th percentile among comparable filings
  • Liabilities to assets ratio: 0.08; rating input score 69; 69th percentile among comparable filings
  • Officer compensation ratio: 10.3%; rating input score 23; 23rd percentile among comparable filings

Growth

  • Program expense growth: 7.6% per year; rating input score 100; 56th percentile among comparable filings
  • Revenue growth: 10.1% per year; rating input score 100; 73rd percentile among comparable filings
  • Asset growth: 12.6% per year; rating input score 100; 77th percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 8 operating locations identified
  • Where the money goes: 47.8% of revenue deployed · 77.8% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $25.1M in reported program spending
  • Leadership: top reported pay $453K · 20 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.7M reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2012 to 2025
  • Contacts: How to reach this organization
  • Money network: 20 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Financial Efficiency: Mission deployment rate scored 48/100.
  • High — Sustainability: Officer compensation ratio scored 23/100.