Tule River Indian Health Center, Inc.
Legal name: Tule River Indian Health Center Inc
Nonprofit profile at a glance
- EIN
- 941669142
- IRS 990 coverage
- 2014–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Porterville, CA, USA
- Phone
- (559) 784-2316
- Rating
- 73
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $17,955,910
- Expenses
- $17,869,578
- Assets
- $29,487,638
- Liabilities
- $3,775,880
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
23 people listed
Executive titles in this filing
- ERIC METCALF (CEO (THRU 10/24))
- KATHERINE PORTILLO (COO AND INTERIM CEO (THRU 03/25))
- MIKU SODHI (CEO (AS OF 04/25))
Highest reported compensation
- JANETTE DUNIVAN (DENTAL DIRECTOR): $265,839 total reported compensation
- TARA CLARK (NURSE PRACTITIONER): $218,057 total reported compensation
- CARSON CHAMBERS (PSYCHOLOGY): $185,469 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Comprehensive care for every family — grounded in the traditions and values of the Tule River community.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Grant-funded. 73% of the money available for current operations came from government grants.
- 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 71
- Transparency & Controls: 74
- Accountability: 75
- Sustainability: 43
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 67.3%; rating input score 67
- Program expense ratio: 67.6%; rating input score 68
- Fundraising efficiency: $2,490.37 raised per $1 spent on fundraising; rating input score 98; 98th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd 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: 57.1%; rating input score 57; 9th 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: 0.5%; rating input score 35; 35th percentile among comparable filings
- Total-asset coverage ratio: 1.65; rating input score 55; 55th percentile among comparable filings
- Liabilities to assets ratio: 0.13; rating input score 69; 69th percentile among comparable filings
- Officer compensation ratio: 9.2%; rating input score 23; 23rd percentile among comparable filings
Growth
- Program expense growth: 4.9% per year; rating input score 100; 41st percentile among comparable filings
- Revenue growth: 9.8% per year; rating input score 100; 73rd percentile among comparable filings
- Asset growth: 9.6% per year; rating input score 100; 63rd percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 67.3% of revenue deployed · 67.6% of spending went to programs
- Governance: 4 of 7 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $12.1M in reported program spending
- Leadership: top reported pay $266K · 23 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $987K reported
- Consistency: 34 of 34 current checks pass
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 11 filing years from 2014 to 2024
- Contacts: How to reach this organization
- Money network: 18 filed money-flow records
- Related organizations: Filed and resolved organization relationships.
- 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Review — Accountability: Independent voting board scored 57/100.
- Moderate — Sustainability: Operating margin scored 35/100.
- Review — Sustainability: Total-asset coverage ratio scored 55/100.
- High — Sustainability: Officer compensation ratio scored 23/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.