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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 $24,547,296CALIFORNIA 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 $ 96,123DEPARTMENT 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 $ 1,272,327CHILD CARE DEVELOPMENT 1,044,983 -------------TOTAL EXPENDITURES $ 2,317,310 ============= OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS:DIABETES PROGRAM $1,038,226COMMUNITY CHALLENGE 90,176NUTRITION NETWORK 89,329INJURY PREVENTION 70,736CHILD CARE FOOD PROGRAM 75,221CA Tribal Epidemiology Center 290,467Tribal Management Grant 19,377CMS Data Symposium 53,509SUBSTANCE ABUSE &amp; MENTAL HEALTH 6,745,729CMHI 1,161,293CDC CAPACITY 75,712CDC INJURY PREVENTION 59,821NPAIHB 79,991Women's Public Awareness 36,989 TIDES 3,213Alcohol Counselor Training 157,421NIHB 174,818Dental 303,771Department of Public Health 162,624GRPA MEASURES CONFERENCE 22,500IHS INJURY PREVENTION CONFERENCE 1,001VARIOUS FOUNDATIONS 566,630 -----------TOTAL EXPENDITURES $11,328,541 ===========</Description>
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      <InformationTechnology>
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        <CurrentTaxYearMinus1Year>36192288</CurrentTaxYearMinus1Year>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
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      <GrossInvestmentIncome170>
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      <NetUBI>
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      <OtherIncome170>
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      <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>
      <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 father of Reno FranklinJim Adams is father of Brenda Adams</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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