named programs · 8 · from sources
what they call their work
Behavioral Health Services
Offers mental health counseling and related social services to eligible patients
Direct Care Services
Provides no-cost medical, dental, nutrition, mental health counseling, and social services at CVIH clinics to eligible Native American patients
Optometry Services
Includes eye exams, one pair of glasses annually (frames and lenses) or contact lenses up to $200; repairs and replacements covered; available through CVIH staff optician or reimbursement
Outreach Department
Engages in community outreach to support patient access and eligibility determination
Patient Portal
Provides 24/7 online access to medical records, lab results, appointments, messaging with doctors, immunizations, and prescriptions via web or the Healow App.
Purchased/Referred Care (PRC)
Covers laboratory studies, imaging, pharmacy prescriptions from contract pharmacies, specialty referrals, dental lab work, optometry services, hearing aids, and minor outpatient surgeries as funding allows
Purchased/Referred Care (PRC) Services
Covers certain benefits in addition to direct care, including laboratory studies, x-ray and imaging, pharmacy prescriptions from contract pharmacies, specialty referrals, dental laboratory work, limited dental specialty referrals, optometry services, hearing aids, minor surgeries, and electronic medical history bracelets/cards, as funding allows. PRC acts as a payer of last resort.
TeleVisit
Offers remote consultations with doctors for non-emergency and follow-up care via smartphone, laptop, or PC.
activities · 5
what they do
direct service · 5
- Administer Purchased/Referred Care services Vision and Hearing Aids ProvisionProvides funding for and coverage of specialty care services including laboratory studies, imaging, dental services, outpatient minor surgeries, hearing aids, and vision care (including annual eye exams and one pair of glasses per year) based on medical necessity and funding availability.
- Deliver comprehensive health services to American Indian communities Integrated Behavioral Health ServicesProvides medical, dental, behavioral health, nutrition, preventive medicine, and health education services regardless of patients’ ability to pay, through Direct Care and outreach programs.
- Manage patient care through online patient portal Patient Portal & Digital Access SystemsProvides 24/7 online access to medical records, lab results, immunization records, appointments, prescriptions, medication lists, vital signs, and secure messaging; enables appointment management, prescription refills, and online bill payment via the patient portal.
- Operate medical and dental clinics in Central Valley communitiesOperates six clinics in the Central Valley, including in Fresno, Clovis, North Fork, Prather, and Tachi, with recent expansion of dental services at a newly opened clinic in Prather.
- Provide telehealth consultations Telehealth Consultations & Virtual CareOffers non-emergency and follow-up care through healow TeleVisits, enabling remote access to medical providers.
strategies · 6
how they think
Theories of action extracted from this org's own source material. Click any approach shared with other orgs to see the full field.
- Community-based health care delivery community-based health care delivery unique to this orgFocuses on delivering accessible, culturally appropriate health care services to American Indian populations in specific Central Valley counties (Fresno, Madera, Kings), ensuring geographic and cultural alignment with community needs.
- Digital patient portal for health access and engagement patient_portal_access unique to this orgProvides secure, centralized digital access to medical records, communication tools, and self-management features through a patient portal to support informed decision-making and improve engagement and care continuity.
- Integrated care delivery model integrated_care_model unique to this orgExpands access to comprehensive health services by co-locating medical and dental care in shared clinics, improving coordination and continuity of care for patients.
- Purchased/Referred Care as payer of last resort payer_of_last_resort unique to this orgOperates the Purchased/Referred Care program as the payer of last resort, covering eligible patient costs after primary insurance, while ensuring regulatory compliance and care coordination through restricted eligibility and provider oversight.
- Sliding fee scale for affordable care sliding_fee_scale unique to this orgUses a sliding fee scale based on federal poverty guidelines to ensure services are affordable and accessible regardless of patients’ ability to pay.
- Tribal self-governance through P.L. 93-638 contracting tribal-self-governance unique to this orgOperates under the Tribal Self-Governance model via P.L. 93-638 contracts with the Indian Health Service, enabling tribal control over health service delivery with governance by a Board representing tribal and geographic communities.
financials · form 990 · fy2022
the money
revenue
Total revenue$35.87M
Contributions & grants$18.86M53%
Program service revenue$15.91M44%
Investment income$676K2%
Other revenue$427K
expenses
Total expenses$23.26M
Program expenses73%
Admin / overhead27%
Fundraising0%
Salaries & benefits$15.56M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$97.22M
Cash$36.22M
Investments$4.99M
Liabilities$16.80M
Net assets$80.41M
Liquid reserves21.3 mo
3 years on record · 2020–2022 · YoY revenue +9.8%
leadership · form 990 part vii · fy2022
who runs it
paid leadership · 20
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| Charles Fowler | Executive Dir. | 40 | $343K |
| Gurpal Bains | CFO/Deputy Dir | 40 | $339K |
| Aaron Kissel | Medical Director | 40 | $330K |
| Matthew Easton | Physician | 40 | $318K |
| Lenzy Stephenson | Physician | 40 | $317K |
| Christopher Garcia | Physician | 40 | $317K |
| Inderpreet Feudale | Physician | 40 | $289K |
| Julie Ramsey | COO | 40 | $210K |
| Lynnell Shaffer | Secretary | 2 | $23K |
| James Lewis | Vice Chair | 2 | $21K |
| Dixie Jackson | Chairperson | 2 | $20K |
| Shelby Charley SR | Board Member | 2 | $20K |
| Misty Ortega | Treasurer | 2 | $18K |
| Lorena Killian | Board Member | 2 | $17K |
| Shane Ratchford | Board Member | 2 | $17K |
| Irene Roan | Board Member | 2 | $15K |
| Brenda Sorondo | Board Member | 2 | $15K |
| Pearl Hutchins | Board Member | 2 | $15K |
| Hillary Battles | Board Member | 2 | $14K |
| Donna Cisco | Board Member | 2 | $12K |
relationships · 10
who they work with
- Fresno American Indian Health Partner — Partner organization listed under other resources for patients.
- Fresno County Department of Public Health Partner — Local public health agency listed as a resource for patients.
- Healow Partner — Partners with Healow to provide mobile app access to the patient portal.
- Indian Health Service Government — Contracts with CVIH under P.L. 93-638 to provide health services.
- Indian Health Service Government — Contracts with Central Valley Indian Health, Inc. to provide health services in the Central Valley area.
- Indian Health Service Government — Contracts with the Indian Health Service to provide health services in the Central Valley area.
- Indian Health Service Government — Partner organization referenced for patient resources and services.
- Kings County Department of Public Health Partner — Local public health agency listed as a resource for patients.
- Madera County Dept. of Public Health Partner — Local public health agency listed as a resource for patients.
- eClinicalWorks Partner — Technology partner providing the patient portal and healow app platform.