2019-02-07T10:51:40-06:00 2018-06-30 680037990 GILBERT ASSOCIATES INC 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2017-07-01 237052541 CALIFORNIA RURAL INDIAN HEALTH BOARD INC CALI 9169299761 1020 SUNDOWN WAY ROSEVILLE CA 95661 RON MOODY CFO 9169299761 2019-02-05 1 KEITH R GLEN P01317613 9166466464 2019-02-04 207.231.71.251 2019-02-05 09:58:10 PS P 7E8B90A94BECF8E11F2CC9C8674F68A3182DFF93 E3152073A5A10C551B4FB59E07D8A80CB564240A 2017 2019-02-21 02:37:17Z X MARK LEBEAU 1020 SUNDOWN WAY ROSEVILLE CA 95661 61532831 0 X CRIHB.ORG X 1969 CA INDIAN HEALTH & EDUCATION 31 31 124 0 0 0 1700 883 53440653 60211583 37529 99009 156882 43556 53636764 60355031 0 0 0 0 6716145 7076780 0 0 0 46942109 53183012 53658254 60259792 -21490 95239 32292894 24575537 25197611 17385047 7095283 7190490 X INDIAN HEALTH & EDUCATION 0 0 48498453 60255139 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: $39,736,927DEPARTMENT 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 OPEARATIONS OF THE PROGRAM. PROGRAM EXPENDITURES ARE AS FOLLOWS:HEAD START PROGRAM $ 997,555 CHILD CARE DEVELOPMENT 934,797TOTAL EXPENDITURES $ 1,932,352OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS: CDC INJURY PREVENTION $ 27,132 CA TRIBAL EPIDEMIOLOGY CENTER 537,961 SUBSTANCE ABUSE & MENTAL HEALTH 443,829 NIHB 86,618 DENTAL 263,787MAA 625,764 CRIHB CARE OPTIONS 1,239,877CDC ACORNS 1,015,029 LYTTON FIRST STEPS 229,486OTHER 2,359,691TOTAL EXPENDITURES $ 6,829,174 48498453 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 109 0 1 124 1 0 0 0 0 0 0 0 0 0 0 X 31 31 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 CA X RON MOODY 9169299761 1020 SUNDOWN WAY ROSEVILLE CA 95661 LISA ELGIN CHAIRMAN 4.00 X X 8200 0 0 LESLEY HUNT VICE-CHAIR 2.00 X X 0 0 0 MICHELLE HAYWARD TREASURER 2.00 X X 0 0 0 LAURI HAYWARD SECRETARY 0.50 X X 700 0 0 FRIEDA BENNETT BOARD MEMBER 0.50 X 0 0 0 LISA CARLE BOARD MEMBER 0.50 X 0 0 0 PATRICIA REECE BOARD MEMBER 0.50 X 1400 0 0 GUY TAYLOR BOARD MEMBER 0.50 X 0 0 0 ANGELA MARTIN BOARD MEMBER 0.50 X 1100 0 0 ANDREA CAZARES-DIEGO BOARD MEMBER 2.00 X 1850 0 0 ARCHIE SUPER BOARD MEMBER 2.00 X 1000 0 0 MICHAEL THOM BOARD MEMBER 0.50 X 1100 0 0 MARCELLENE NORTON BOARD MEMBER 2.00 X 0 0 0 MARCUS BLIND BOARD MEMBER 0.50 X 0 0 0 CLOIS ERWIN BOARD MEMBER 0.50 X 0 0 0 MICKEY GEMMILL BOARD MEMBER 0.50 X 0 0 0 JACK POTTER JR BOARD MEMBER 0.50 X 0 0 0 DESIREE FRANCO BOARD MEMBER 0.50 X 0 0 0 SAMANTHA THORNSBERRY BOARD MEMBER 0.50 X 0 0 0 DERRICK FRANKLIN BOARD MEMBER 0.50 X 1800 0 0 RICK MADDUX BOARD MEMBER 0.50 X 1000 0 0 RICHARD BUTTON BOARD MEMBER 0.50 X 700 0 0 DONNA MEDRANO BOARD MEMBER 0.50 X 1250 0 0 GAYLINE HUNTER BOARD MEMBER 0.50 X 1250 0 0 DENISE PADGETTE BOARD MEMBER 2.00 X 1000 0 0 RUBY ROLLINGS BOARD MEMBER 0.50 X 0 0 0 LAWANDA QUINNELL BOARD MEMBER 0.50 X 0 0 0 KEVIN LOUIS TOWNSEND BOARD MEMBER 0.50 X 0 0 0 NICK FOLTZ BOARD MEMBER 0.50 X 0 0 0 HELEN JEAN JARAMILLO BOARD MEMBER 0.50 X 1600 0 0 CECILIA TOWNSEND BOARD MEMBER 0.50 X 1050 0 0 MARK LEBEAU CEO 40.00 X 138177 0 6922 RON MOODY CFO 40.00 X 129171 0 22594 SUSAN DAHL CHIEF COMPLIANCE OFFICER 40.00 X 101793 0 25438 THOMAS KIM MEDICAL SVCS DIR 40.00 X 143990 0 36941 MARILYN POLLARD CHIEF OPERATIONS OFFICER 40.00 X 124908 0 26906 MATTHEW WAGGONER HR DIRECTOR 40.00 X 100401 0 10547 763440 0 129348 6 0 1 0 JUNIPER RIDGE CONSTRUCTION LLC 700 W 19TH STREET ALTURAS CA 96101 ROUTINE CONSTRUCTION/MAINTENANCE FOR TRI 170548 1 883 883 FEE FOR SERVICE 900099 60099508 60099508 MEMBER DUES 900099 72000 72000 TRAINING INCOME 900099 40075 40075 60211583 32726 32726 1244083 1177800 66283 66283 66283 OTHER INCOME 900099 43556 43556 43556 60355031 60255139 0 99009 321864 160515 161349 5276540 2631426 2645114 322642 160903 161739 691846 345026 346820 463888 231342 232546 49880 9284 40596 44418 8267 36151 19146 19146 928532 172816 755716 29838 21304 8534 308241 207612 100629 5195062 340892 4854170 844662 446296 398366 253633 124771 128862 95863 95863 63228 31532 31696 DIRECT PAYMENT EXPENSE 43296951 43296951 OTHER OPERATING EXPENSE 1711481 129559 1581922 BOARD AND TECHNICAL ASS 342077 179957 162120 60259792 48498453 11761339 0 0 24496730 15776051 248870 690876 470377 404302 6367887 572978 5253135 5794909 1823782 1909399 32292894 24575537 1272219 1660317 19925392 15724730 4000000 0 25197611 17385047 X 6633462 6870270 461821 320220 7095283 7190490 32292894 24575537 95239 -32 0 X X 0 1 X 1 1 1 X 45906858 43815974 50572130 53389569 60172391 253856922 45906858 43815974 50572130 53389569 60172391 253856922 253856922 -8973 -15799 31471 127612 99009 233320 66799 43556 110355 254200597 92859 0.99860 0.99910 X 1130391 1130391 4369609 4369609 867887 572978 294909 5794909 X 60354999 -32 -32 60355031 0 60355031 60259792 0 60259792 0 60259792 PART X, LINE 2: CRIHB HAS APPLIED THE ACCOUNTING PRINCIPLES RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT THERE IS NO MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. WITH SOME EXCEPTIONS, CRIHB IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS PRIOR TO 2014. X 0 0 0 0 0 0 0 0 0 RON MOODY CFO 129171 0 0 0 0 0 19855 0 2739 0 151765 0 0 0 THOMAS KIM MEDICAL SVCS DIR 143990 0 0 0 0 0 15600 0 21341 0 180931 0 0 0 MARILYN POLLARD CHIEF OPERATIONS OFFICER 124908 0 0 0 0 0 19500 0 7406 0 151814 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 ANDREA CAZARES-DIEGO IS MOTHER OF ANGELA MARTIN. CLOIS ERWIN IS GRANDMOTHER OF MARCUS BLIND. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DID NOT DELEGATE AUTHORITY TO ANY COMMITEE TO ACT ON ITS BEHALF. FORM 990, PART VI, SECTION B, LINE 11B DIRECTOR OF FINANCE (CFO) AND THE ACCOUNTING MANAGER REVIEW THE RETURN AND COMPARE IT TO THE AUDIT REPORT FOR THE YEAR. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS OUTLINED IN CRIHB'S PERSONNEL POLICIES AND IS ANNUALLY ENFORCED AND MONITORED. FORM 990, PART VI, SECTION B, LINE 15 BOARD REVIEWS DATA FROM SIMILAR ORGANIZATIONS AND PROVIDES COMPENSATION COMMENSURATE WITH EXPERIENCE, FUNDING AND PRIOR YEAR BASE. THIS PROCESS WAS LAST UNDERTAKEN IN 2017. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S WEBSITE DIRECTS REQUESTS FOR SUCH INFORMATION BE MADE TO CRIHB'S OFFICE. FORM 990 PART XII, LINE 2C NEITHER THE PROCESS FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT NOR THE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR.