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        <BusinessNameLine1>California Rural Indian Health Board Inc</BusinessNameLine1>
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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 $25,545,961CALIFORNIA DEPARTMENT OF HEALTH SERVICES TOBACCO CONTROL SECTION:NATIVE-AMERICAN YOUTHS ARE TARGETED FOR TOBACCO CESSATION/EDUCATION PROGRAMS IN CRIHB'S SERVICES AREA. THE PROGRAMS INCLUDED TRAINING PEER COUNSELORS AND COMMUNITY LEADERS TO SUPPORT AND CARRY OUT THE GOALS OF THE PROGRAM. GOALS INCLUDED THE DEVELOPMENT OF POSTERS, BROCHURES, AND A THEME BOOK (FOR DISTRIBUTION TO YOUTH PARTICIPANTS) TO EDUCATE INDIVIDUALS ON THE HEALTH HAZARDS OF TOBACCO AND SMOKELESS TOBACCO USE. PROGRAM EXPENDITURES WERE AS FOLLOWS:AMERICAN INDIAN TOBACCO CONTROL NETWORK $ 281,628DEPARTMENT 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 $ 1,222,606CHILD CARE DEVELOPMENT 1,116,198 -------------TOTAL EXPENDITURES $ 2,338,804 ============= OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS:DIABETES PROGRAM $1,135,161COMMUNITY CHALLENGE 97,240NUTRITION NETWORK 102,554INJURY PREVENTION 76,402CHILD CARE FOOD PROGRAM 60,924CA Tribal Epidemiology Center 367,373Tribal Management Grant 12,258CMS Data Symposium 3,391ADPT 111,054NARCH III 103,983SUBSTANCE ABUSE &amp; MENTAL HEALTH 4,374,641CMHI 1,123,381CDC CAPACITY 184,379NPAIHB 65,406Women's Public Awareness 83,814 TIDES 89,429Alcohol Counselor Training 126,335NIHB 119,679Dental 314,176Department of Public Health 205,174VARIOUS FOUNDATIONS 566,630 ----------TOTAL EXPENDITURES $9,323,384 ==========</Description>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7087</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Crouch</NamePerson>
        <Title>Executive Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>125000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7500</OtherCompensation>
      </Form990PartVIISectionA>
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      <TotalOtherCompensation>33472</TotalOtherCompensation>
      <NumberIndividualsGT100K>8</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Northwest Portland Area Indian Health Board</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>527 SW Hall Suite 300</AddressLine1>
            <City>Portland</City>
            <State>OR</State>
            <ZIPCode>97201</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Tribal Liason</DescriptionOfServices>
        <Compensation>106652</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Maximus Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 791188</AddressLine1>
            <City>Baltimore</City>
            <State>MD</State>
            <ZIPCode>212791188</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Voucher Mgmt System</DescriptionOfServices>
        <Compensation>241328</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Nextgen Health Care Information System</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 511449</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>900518009</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Electronic Hlth Srvs</DescriptionOfServices>
        <Compensation>236355</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>3</NumberOfContractorsGT100K>
      <GovernmentGrants>36013767</GovernmentGrants>
      <AllOtherContributions>178521</AllOtherContributions>
      <TotalContributions>36192288</TotalContributions>
      <TotalProgramServiceRevenue>0</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>22425</TotalRevenueColumn>
        <ExclusionAmount>22425</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <NetRentalIncomeOrLoss>
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      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
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      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>36214713</TotalRevenueColumn>
        <ExclusionAmount>22425</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>27000</Total>
        <ProgramServices>27000</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>5289853</Total>
        <ProgramServices>5194331</ProgramServices>
        <ManagementAndGeneral>95522</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>47896</Total>
        <ProgramServices>24528</ProgramServices>
        <ManagementAndGeneral>23368</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>79740</Total>
        <ProgramServices>79236</ProgramServices>
        <ManagementAndGeneral>504</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>1358815</Total>
        <ProgramServices>1340542</ProgramServices>
        <ManagementAndGeneral>18273</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>60217</Total>
        <ProgramServices>58193</ProgramServices>
        <ManagementAndGeneral>2024</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>57853</Total>
        <ProgramServices>57853</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>43322</Total>
        <ProgramServices>43322</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Consultants/subcontractors exp</Description>
        <Total>649543</Total>
        <ProgramServices>640943</ProgramServices>
        <ManagementAndGeneral>8600</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Diabetes projects</Description>
        <Total>1135160</Total>
        <ProgramServices>1135160</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Subcontracts</Description>
        <Total>1382912</Total>
        <ProgramServices>1382912</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CAIR voucher/treatment</Description>
        <Total>3505606</Total>
        <ProgramServices>3505606</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Projects</Description>
        <Total>21721096</Total>
        <ProgramServices>21721096</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2361100</Total>
        <ProgramServices>2279055</ProgramServices>
        <ManagementAndGeneral>82045</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>37720113</Total>
        <ProgramServices>37489777</ProgramServices>
        <ManagementAndGeneral>230336</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>6682977</BOY>
        <EOY>4032954</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>3232218</BOY>
        <EOY>4023572</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>56631</BOY>
        <EOY>37455</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1105753</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>900392</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>238571</BOY>
        <EOY>205361</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>10210397</BOY>
        <EOY>8299342</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2382280</BOY>
        <EOY>1972747</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>187920</BOY>
        <EOY>191799</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2570200</BOY>
        <EOY>2164546</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1070888</BOY>
        <EOY>1088786</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>6569309</BOY>
        <EOY>5046010</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7640197</BOY>
        <EOY>6134796</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10210397</BOY>
        <EOY>8299342</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>32022399</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>32895317</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>33102260</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>34733599</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36192288</CurrentTaxYear>
        <Total>168945863</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>32022399</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>32895317</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>33102260</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>34733599</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36192288</CurrentTaxYear>
        <Total>168945863</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>168945863</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>443</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>78028</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6000</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>54636</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>22425</CurrentTaxYear>
        <Total>161532</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <Total>0</Total>
      </OtherIncome170>
      <TotalSupport>169107395</TotalSupport>
      <PublicSupportPertcentage170>0.99900</PublicSupportPertcentage170>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <Equipment>
        <OtherCostOrOtherBasis>-26810</OtherCostOrOtherBasis>
        <Depreciation>-26810</Depreciation>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1132563</OtherCostOrOtherBasis>
        <Depreciation>927202</Depreciation>
        <BookValue>205361</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>205361</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Compensated absences</Description>
        <Amount>191799</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>191799</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <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 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 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: 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>
    </IRS990ScheduleO>
  </ReturnData>
</Return>