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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NVIH, pursuant to a determination letter from the Internal Revenue Service, is exempt from Federal and State income taxes under Section 501(c)(3) of the Internal Revenue code and Section 23701(d) of the California Revenue and Taxation Code. Therefore, no provision for income taxes has been made. The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities at December 31, 2022.</ExplanationTxt>
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        <PersonNm>Andrea Wilkins</PersonNm>
        <TitleTxt>Lead Dentist</TitleTxt>
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        <PersonNm>Brian Dudar</PersonNm>
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        <PersonNm>Celeste reinking</PersonNm>
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        <PersonNm>Chester Austin</PersonNm>
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        <PersonNm>David Spector</PersonNm>
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        <PersonNm>Deanna Mcconnell</PersonNm>
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        <PersonNm>Ellen Mark</PersonNm>
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        <PersonNm>Inder Wadhwa</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <PersonNm>MICHAEL CLARKE</PersonNm>
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        <PersonNm>Patrick Tedford</PersonNm>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: FEMA/EFSP - Federal Emergency Management Agency (Emergency Food and Shelter Program) - Provides assistance to supplement and expand ongoing efforts to provide food and supportive services for needy families and individuals. OTHER PROGRAM SERVICES 5: CA CDSS CALWORKS - State of California, Department of Social Services, Work Opportunity and Responsibility to Kids (CalWORKS Program) - Provides mental health and substance abuse services to the Native-American population of Glenn County. OTHER PROGRAM SERVICES 6: CRIHB ACORNS - Advancing California Opportunities to Renew Native Health System - A CDC Good Health and Wellness in Indian Country funded project. The overall project approach is comprised of two phases which allow tribal health programs an opportunity to conduct community health assessments (CHA) and create corresponding Community Action Plans (CAP). OTHER PROGRAM SERVICES 7: OTHER PROGRAM SERVICES 8: CRIHB TLOC/TMAT - The California Rural Indian Health Board, Tribal Local Opioid Coalitions/Tribal Medication Assisted Treatment program's major focus is designed to meet the specific MAT needs of California's Native American communities by increasing access to treatment, reducing unmet treatments needs, and reducing opioid overdose-related deaths through the provision of prevention, treatment, and recovery support activities for opioid use disorder. OTHER PROGRAM SERVICES 9: AAA Child Passenger Safety Program - This program supports the distribution of car seats and the promotion of car seat safety and education events. OTHER PROGRAM SERVICES 10: Yocha Dehe Grant The Yocha Dehe Wintum Nation partner with NVIH to grow and expand services in the new Woodland, CA location. The grant supports operating expenses that will be incurred do to the expansion of site and services. OTHER PROGRAM SERVICES 11: CDC Purchase and establish mobile isolation exam rooms to perform testing and effectively contain potential communicable diseases. OTHER PROGRAM SERVICES 12: Partnership - grant funds to improve vaccine access to disadvantage community that have a large share of Medi-Cal beneficiary population.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>A board member and the chairperson are related.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon completion of the 990, the Federal Form 990 is presented to the Board of Directors for review and approval. Once the 990 is approved by the Board, the Chairperson signs the Federal Form 990, State form 199 and other associated documents for subsequent delivery.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization adheres to a conflict of interest policy. The policy is reviewed and updated on an annual basis. In addition the officers, directors, and key employees communicate any conflicts of interest annually to management.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board reviews comparability studies and deliberates on performance to determine salary of officers and employees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, policies and financial statements are available upon request at the Organization's office.</ExplanationTxt>
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