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      <Description>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 AMADOR, CALAVERAS, MARIPOSA, TUOLUMNE, EL DORADO, 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 $38,987,857DEPARTMENT 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 OPEARTIONS OF THE PROGRAM. PROGRAM EXPENDITURES ARE AS FOLLOWS:HEAD START PROGRAM $ 1,076,785CHILD CARE DEVELOPMENT 749,277 -------------TOTAL EXPENDITURES $ 1,826,062 ============= OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS:DIABETES PROGRAM $ 980,784NUTRITION NETWORK 54,644CDC INJURY PREVENTION 177,748CHILD CARE FOOD PROGRAM 74,611CA TRIBAL EPIDEMIOLOGY CENTER 544,391TRIBAL PREP 274,555SUBSTANCE ABUSE &amp; MENTAL HEALTH 3,669,895SUICIDE PREVENTION 175,869 ALCOHOL COUNSELOR TRAINING 147,501NIHB 660,643DENTAL 224,498MAA 698,359 -----------TOTAL EXPENDITURES $ 7,983,498 ===========</Description>
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      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 589</AddressLine1>
            <City>Porterville</City>
            <State>CA</State>
            <ZIPCode>93257</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>152214</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>KIT Solutions LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5700 Corporate Dr Suite 530</AddressLine1>
            <City>Pittsburgh</City>
            <State>PA</State>
            <ZIPCode>15237</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>150000</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Women of Worht Recovery House</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2500 Olmo Court</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93309</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>156870</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HASP Jordan Recovery Center</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1231 Northcrest Drive</AddressLine1>
            <City>Crescent City</City>
            <State>CA</State>
            <ZIPCode>95531</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>161238</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Friendship House Association</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>56 Julian Ave</AddressLine1>
            <City>San Francisco</City>
            <State>CA</State>
            <ZIPCode>94103</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <Compensation>190370</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <GovernmentGrants>49356663</GovernmentGrants>
      <AllOtherContributions>427252</AllOtherContributions>
      <TotalContributions>49783915</TotalContributions>
      <TotalProgramServiceRevenue>0</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>11472</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11472</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
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      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
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      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
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      <TotalRevenue>
        <TotalRevenueColumn>49795387</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11472</RelatedOrExemptFunctionIncome>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>4185395</Total>
        <ProgramServices>4083026</ProgramServices>
        <ManagementAndGeneral>102369</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1319670</Total>
        <ProgramServices>1293849</ProgramServices>
        <ManagementAndGeneral>25821</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>153920</Total>
        <ProgramServices>76141</ProgramServices>
        <ManagementAndGeneral>77779</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>83742</Total>
        <ProgramServices>79693</ProgramServices>
        <ManagementAndGeneral>4049</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>433852</Total>
        <ProgramServices>430280</ProgramServices>
        <ManagementAndGeneral>3572</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>120512</Total>
        <ProgramServices>78626</ProgramServices>
        <ManagementAndGeneral>41886</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>88461</Total>
        <ProgramServices>88461</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>53072</Total>
        <ProgramServices>53072</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>MAA Reimbursement</Description>
        <Total>585017</Total>
        <ProgramServices>585017</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Consultants/subcontractors exp</Description>
        <Total>1420382</Total>
        <ProgramServices>1394494</ProgramServices>
        <ManagementAndGeneral>25888</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Voucher/treatment</Description>
        <Total>3074729</Total>
        <ProgramServices>3069734</ProgramServices>
        <ManagementAndGeneral>4995</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Projects</Description>
        <Total>38987857</Total>
        <ProgramServices>38987857</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2459401</Total>
        <ProgramServices>2184404</ProgramServices>
        <ManagementAndGeneral>274997</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>52966010</Total>
        <ProgramServices>52404654</ProgramServices>
        <ManagementAndGeneral>561356</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>9874739</BOY>
        <EOY>6540413</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>4759888</BOY>
        <EOY>5556680</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>171220</BOY>
        <EOY>142255</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1029508</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>734786</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>202739</BOY>
        <EOY>294722</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>15008586</BOY>
        <EOY>12534070</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
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        <EOY>1649685</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>293633</BOY>
        <EOY>455066</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1408644</BOY>
        <EOY>2104751</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1470021</BOY>
        <EOY>513524</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>12129921</BOY>
        <EOY>9915795</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>13599942</BOY>
        <EOY>10429319</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>15008586</BOY>
        <EOY>12534070</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-3170623</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>34733599</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>36192288</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39423987</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>46368118</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>49783915</CurrentTaxYear>
        <Total>206501907</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>34733599</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>36192288</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39423987</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>46368118</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>49783915</CurrentTaxYear>
        <Total>206501907</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>206501907</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>54636</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22425</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5532</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>35609</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11472</CurrentTaxYear>
        <Total>129674</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <Total>0</Total>
      </OtherIncome170>
      <TotalSupport>206631581</TotalSupport>
      <PublicSupportPertcentage170>0.99940</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99930</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Equipment>
        <OtherCostOrOtherBasis>1029508</OtherCostOrOtherBasis>
        <Depreciation>734786</Depreciation>
        <BookValue>294722</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>294722</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Rounding</Description>
        <Amount>1</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SAMSHA payable</Description>
        <Amount>120000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Compensated absences</Description>
        <Amount>335065</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>455066</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>49795387</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>49795387</RevenueSubtotal>
      <TotalRevenuePerForm990>49795387</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>52966010</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>52966010</ExpensesSubtotal>
      <TotalExpensesPerForm990>52966010</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Organization's website directs requests for such information be made to CRIHB's office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Board reviews data from similar organizations and provides compensation commensurate with experience, funding and prior year base.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>Board reviews data from similar organizations and provides compensation commensurate with experience, funding and prior year base.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>No conflicts known to exist</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>Director of Finance (CFO) and the accounting manager review the return and compare it to the audit report for the year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Andrea Cazares-Diego is mother of Angela MartinDerrick Franklin is Uncle of Reno FranklinJames Adams, Jr. is father of Brenda AdamsClois Erwin is grandmother of Marcus Blind</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>