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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="19009920" softwareVersionNum="2019v5.0">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4122789</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4122789</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10190076</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1959933</DepreciationAmt>
        <BookValueAmt>8230143</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>14451631</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3814802</DepreciationAmt>
        <BookValueAmt>10636829</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4012868</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2915482</DepreciationAmt>
        <BookValueAmt>1097386</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>24087147</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>deferred rent</Desc>
        <Amt>92832</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>92832</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>47127832</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>47127832</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>47127832</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>39477829</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>39477829</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>39477829</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <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, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alicia Martinez</PersonNm>
        <TitleTxt>Lead Medical Prov</TitleTxt>
        <BaseCompensationFilingOrgAmt>186322</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7651</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>193973</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Dudar</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>209586</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8594</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24564</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>242744</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Celeste Reinking</PersonNm>
        <TitleTxt>Lead Medical Prov</TitleTxt>
        <BaseCompensationFilingOrgAmt>229054</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9708</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8116</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246878</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chester Austin</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>284150</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25593</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>320943</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Adams</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>174750</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6990</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7422</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189162</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Inder Wadhwa</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>295841</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25782</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>332823</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Larissa Tamble</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>195775</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3427</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219109</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lindsey Cafferata</PersonNm>
        <TitleTxt>Lead Medical Prov</TitleTxt>
        <BaseCompensationFilingOrgAmt>252345</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8942</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12428</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>273715</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Tedford</PersonNm>
        <TitleTxt>Lead Med Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>196437</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196437</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19009920" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</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: UC Davis Cancer Center Support Grant - The focus of this program is to collaborate with UC Davis in developing, implementing, and evaluating a human papillomavirus (HPV) vaccination program aimed at accelerating vaccine uptake among rural and Native American adolescents. 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, treament, and recovery support activities for opioid use disorder. OTHER PROGRAM SERVICES 9: First 5 of Butte County Children &amp; Families Commission - This program provides educational plates for children in order to support proper portion sizes and nutrition. OTHER PROGRAM SERVICES 10: AAA Child Passenger Safety Program - This program supports the distribution of car seats and the promotion of car seat safefy and education events. OTHER PROGRAM SERVICES 11: CA Department of Healthcare Services' Maternal Health Education - This program allows NVIH staff to receive training and materials for an evidence-based home visitation curriculum that seeks to improve maternal and infant health outcomes for Native American women and infants. OTHER PROGRAM SERVICES 12: The California Endowment - This program addresses the mental and physical healthcare needs of residents affected by the 2018 Campfire in Butte County.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>A board member and the chairperson are related.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization adheres to a conflict of interest policy. The policy is reviewed and updated as needed. In addition the officers, directors, and key employees communicate any conflicts of interest annually to management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board reviews comparability studies and deliberates on performance to determine salary of officers and employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board reviews comparability studies and deliberates on performance to determine salary of officers and employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, policies and financial statements are available upon request at the Organization's office.</ExplanationTxt>
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</Return>