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      <Desc>DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE/INDIAN HEALTH SERVICES:THROUGH ITS SUBRECIPIENT HEALTH CLINICS, CALIFORNIA RURAL INDIAN HEALTH BOARD,INC (CRIHB) PROVIDES COMPREHENSIVE HEALTH SERVICES TO THE INDIAN POPULATION OF INYO, MONO, SHASTA, TUOLUMNE, TULARE, MODOC, SONOMA, MENDOCINO, DEL NORTE AND HUMBOLDT (EXCLUDING THE HUPA SERVICE AREA AND ORLEANS) COUNTIES OF CALIFORNIA. COMPREHENSIVE HEALTH SERVICES INCLUDE GENERAL MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS, GYNECOLOGY, AMBULATORY SURGERY, PRENATAL CARE, WELL CHILD CARE INCLUDING IMMUNIZATIONS, HEALTH PROMOTION/DISEASE PREVENTION, CHRONIC DISEASE SUPERVISION OF ILLNESS SUCH AS DIABETES, HYPERTENSION, ARTHRITIS, ETC. ALSO INCLUDED ARE PUBLIC HEALTH ORIENTED DENTAL PROGRAMS (PROMOTION, MAINTENANCE, RESTORATION AND PREVENTION) AND MENTAL HEALTH/SOCIAL SERVICES PROGRAMS. PROGRAM EXPENDITURES ARE AS FOLLOWS:HEALTH CLINICS: $42,356,157DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICES/INDIAN HEALTH SERVICES:THE OBJECTIVES OF THE HEAD START CHILD CARE DEVELOPMENT PROGRAMS IS TO PROVIDE COMPREHENSIVE HEALTH, EDUCATIONAL, SOCIAL AND OTHER SERVICES PRIMARILY TO ECONOMICALLY DISADVANTAGED PRESCHOOL CHILDREN SO THAT THE CHILDREN WILL ATTAIN OVERALL SOCIAL COMPETENCE. PARENTS ALSO PARTICIPATED IN VARIOUS DECISION MAKING PROCESSES RELATED TO THE OPERATIONS OF THE PROGRAM. PROGRAM EXPENDITURES ARE AS FOLLOWS:HEAD START PROGRAM $2,106,060CHILD CARE DEVELOPMENT $2,677,463TOTAL EXPENDITURES $4,783,523OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS:CDC INJURY PREVENTION $34,133CA TRIBAL EPIDEMIOLOGY CENTER $1,430,325SUBSTANCE ABUSE &amp; MENTAL HEALTH $554,606DENTAL $325,934MAA $733,170CRIHB CARE OPTIONS $292,777CDC ACORNS $1,790,156CDC BPHI, CANCER CONTROL, AND UMBRELLA COAG $988,754TRIBAL MEDICATION ASSISTANT TREATMENT $1,291,023COVID 19 LOCAL COMMUNITY BASED WORKFORCE $250,375H-1B RURAL HEALTHCARE PROGRAM $163,905COMMUNITY HEALTH AIDE PROGRAM $362,511OTHER $1,254,313 TOTAL EXPENDITURES $9,471,982</Desc>
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        <PersonNm>MICHELLE HAYWARD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOPE WILKES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATALINA VILLAMONTES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUAN RODRIGUEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>INEZ PALATO</PersonNm>
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        <PersonNm>JACEY ROMERO</PersonNm>
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        <PersonNm>LISA ELGIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA ELLIOT SANTOS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES HILL</PersonNm>
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        <PersonNm>RICHARD JONES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNA GOSSELAAR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GERALDINE CADY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICK MADDUX</PersonNm>
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        <PersonNm>TERESA BALLEW</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA BORDEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CECILIA PHOENIX</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GERMAIN RUVALCABA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAWANDA GREEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK LEBEAU</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA SENICK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROSARIO ARREOLA-PRO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CLIFFORD INGRAM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS KIM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY GRAGG</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNLOUISE BONNITTO</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>ALLYSON KELLEY &amp; ASSOCIATES PLLC</BusinessNameLine1Txt>
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            <AddressLine1Txt>69705 LAKE DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PENNI GAYLE HORN</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1029</AddressLine1Txt>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <TotalRevenueColumnAmt>-23264</TotalRevenueColumnAmt>
        <ExclusionAmt>-23264</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>47663</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>47663</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>65260969</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>334644</ProgramServicesAmt>
        <ManagementAndGeneralAmt>269923</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>2950743</ProgramServicesAmt>
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        <ProgramServicesAmt>270166</ProgramServicesAmt>
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        <ProgramServicesAmt>54705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98253</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>19324</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>21431</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>533476</ProgramServicesAmt>
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        <ProgramServicesAmt>99382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10991</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>948434</ProgramServicesAmt>
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        <ProgramServicesAmt>317358</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173031</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>307240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157597</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>356325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209120</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>176633</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>57315</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46231</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DIRECT PAYMENT EXPENSE</Desc>
        <TotalAmt>49237568</TotalAmt>
        <ProgramServicesAmt>49237568</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSE</Desc>
        <TotalAmt>2470933</TotalAmt>
        <ProgramServicesAmt>211183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2259750</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>191515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52282</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>56611662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7716966</ManagementAndGeneralAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>22522863</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1350485</EOYAmt>
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        <EOYAmt>385938</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>6559003</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1378973</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5326062</BOYAmt>
        <EOYAmt>5180030</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2073207</BOYAmt>
        <EOYAmt>2273225</EOYAmt>
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        <BOYAmt>30160115</BOYAmt>
        <EOYAmt>31712541</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2441627</BOYAmt>
        <EOYAmt>2519226</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>20728750</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>22824045</BOYAmt>
        <EOYAmt>23247976</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7332003</BOYAmt>
        <EOYAmt>8214436</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>4067</BOYAmt>
        <EOYAmt>250129</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7336070</BOYAmt>
        <EOYAmt>8464565</EOYAmt>
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