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      <PublicSupportPY170Pct>0.99230</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Council, 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 September 30, 2020.</ExplanationTxt>
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        <PersonNm>Dean Garcia</PersonNm>
        <TitleTxt>Pharmacy PIC / Pharmacy Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>161598</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7541</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169139</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Laura Caswell</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>7842</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark J Bellisario</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Winslow II</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <PersonNm>Michael J McDaniel</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
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        <PersonNm>Nicole M Gullick</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>Samantha R Aguirre</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is comprised of seven tribes, each with a delegate and an alternative delegate.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by the independent public accountant and is reviewed by the board of directors, CEO, COO, and CFO prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy is reviewed annually with all board members to identify potential conflicts of interests during the board meetings. If there is a potential for conflict on any particular voting board member, the individual board member(s) is excluded from the vote.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation is determine by salary survey completed by SIHC director of human resources using comparable data and approved by the board of directors. The board also approved a cost of living increase for all eligible employees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Most recent compensation determined by salary survey completed bt SIHC director of human resources using comparable data in August 2014 and approved by the board of directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
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