2019-12-10T14:38:07-06:00 2019-06-30 680037990 GILBERT CPAS 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2018-07-01 237052541 CALIFORNIA RURAL INDIAN HEALTH BOARD INC CALI 9169299761 1020 SUNDOWN WAY ROSEVILLE CA 95661 RON MOODY CFO 9169299761 2019-12-09 1 KEITH R GLEN P01317613 9166466464 2019-12-09 207.231.71.251 2019-12-09 09:20:11 PS P 0C985EC437520DC46FF2814E9D03DFDF68978E96 67639D8D55F6B218ED5E382FB77B71D17F0527F1 2018 2020-04-17 16:48:07Z MARK LEBEAU 1020 SUNDOWN WAY ROSEVILLE CA 95661 63037648 0 X CRIHB.ORG X 1969 CA INDIAN HEALTH & EDUCATION 37 37 130 0 0 0 883 926 60211583 60838273 99009 165495 43556 201380 60355031 61206074 0 0 0 0 7076780 8085558 0 0 0 53183012 52871113 60259792 60956671 95239 249403 24575537 26278024 17385047 18888335 7190490 7389689 X INDIAN HEALTH & EDUCATION 1 0 53144110 61039653 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: $41,700,925DEPARTMENT 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 OPERATIONS OF THE PROGRAM. PROGRAM EXPENDITURES ARE AS FOLLOWS:HEAD START PROGRAM $ 978,668 CHILD CARE DEVELOPMENT 947,936TOTAL EXPENDITURES $ 1,926,604OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS: CDC INJURY PREVENTION $ 28,586TRIBAL PREP 391,515CA TRIBAL EPIDEMIOLOGY CENTER 644,918SUBSTANCE ABUSE & MENTAL HEALTH 852,926DENTAL 374,688MAA 862,104CRIHB CARE OPTIONS 431,594CDC ACORNS 975,676CDC BPHI, CANCER CONTROL, AND UMBRELLA COAG 1,616,402LYTTON FIRST STEPS 252,090NATIVE START 311,982DENTAL TRANSFORMATION INITIATIVE 551,088TRIBAL MEDICATION ASSISTANT TREATMENT 1,185,975OTHER 1,037,036TOTAL EXPENDITURES $ 9,516,581 53144110 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 1 132 0 1 130 1 0 0 0 0 0 0 0 0 0 0 0 0 X 37 37 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 7800 0 0 LESLEY HUNT VICE-CHAIR 2.00 X X 1100 0 0 FRIEDA BENNETT TREASURER 2.00 X X 0 0 0 LAURI HAYWARD SECRETARY 0.50 X X 900 0 0 MICHELLE HAYWARD 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 1600 0 0 GUY TAYLOR BOARD MEMBER 0.50 X 1000 0 0 ANGELA MARTIN BOARD MEMBER 0.50 X 1200 0 0 ANDREA CAZARES-DIEGO BOARD MEMBER 2.00 X 1400 0 0 ARCHIE SUPER BOARD MEMBER 2.00 X 1250 0 0 MICHAEL THOM BOARD MEMBER 0.50 X 1250 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 AGNES GONZALEZ BOARD MEMBER 0.50 X 0 0 0 JACK POTTER JR BOARD MEMBER 0.50 X 0 0 0 JOANN TURMEL 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 600 0 0 TRINIDAD KRYSTAL BOARD MEMBER 0.50 X 0 0 0 CATALINA VILLARRUEL BOARD MEMBER 0.50 X 0 0 0 DERRICK FRANKLIN BOARD MEMBER 0.50 X 0 0 0 RENO FRANKLIN BOARD MEMBER 0.50 X 600 0 0 MATTHEW JONES BOARD MEMBER 0.50 X 0 0 0 RICHARD JONES BOARD MEMBER 0.50 X 0 0 0 RICK MADDUX BOARD MEMBER 0.50 X 900 0 0 RICHARD BUTTON BOARD MEMBER 0.50 X 1100 0 0 CHRISTOPHER HOHAG BOARD MEMBER 0.50 X 0 0 0 DONNA MEDRANO BOARD MEMBER 0.50 X 1300 0 0 GAYLINE HUNTER BOARD MEMBER 0.50 X 1300 0 0 DENISE PADGETTE BOARD MEMBER 0.50 X 0 0 0 TERESA BELLEW 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 600 0 0 NICK FOLTZ BOARD MEMBER 0.50 X 0 0 0 MARK LEBEAU CEO 40.00 X 145086 0 7018 RON MOODY CFO 40.00 X 116252 0 23914 SUSAN DAHL CHIEF COMPLIANCE OFFICER 40.00 X 102554 0 33860 THOMAS KIM MEDICAL SVCS DIR 40.00 X 138794 0 36690 MARILYN POLLARD CHIEF OPERATIONS OFFICER 40.00 X 107233 0 31779 MATTHEW WAGGONER HR DIRECTOR 40.00 X 106478 0 11985 KERRY GRAGG FACILITY ENGINEER 40.00 X 102138 0 21198 842435 0 166444 7 0 1 0 0 926 926 FEE FOR SERVICE 900099 60696042 60696042 MEMBER DUES 900099 95000 95000 TRAINING INCOME 900099 47231 47231 60838273 66357 66357 1930712 1831574 99138 99138 99138 OTHER INCOME 900099 201380 201380 201380 61206074 61039653 0 165495 316170 161974 154196 6002999 3080314 2922685 377905 193601 184304 869795 445596 424199 518689 265724 252965 94106 19013 75093 26700 5394 21306 19597 19597 534815 108054 426761 138509 129973 8536 874692 597579 277113 868360 231504 636856 1080760 842554 238206 306480 179090 127390 250352 250352 70625 36181 34444 DIRECT PAYMENT EXPENSE 46350279 46350279 OTHER OPERATING EXPENSE 1825847 187406 1638441 BOARD/TECHNICAL ASSISTA 429991 309874 120117 60956671 53144110 7812561 0 15776051 16240105 690876 1857223 404302 421467 6590875 823330 5794909 5767545 1909399 1991684 24575537 26278024 1660317 2378972 15724730 16509363 17385047 18888335 X 6870270 7129673 320220 260016 7190490 7389689 24575537 26278024 249403 -50204 0 X X 0 1 X 1 1 1 X 43815974 50572130 53389569 60172391 60791968 268742032 43815974 50572130 53389569 60172391 60791968 268742032 268742032 -15799 31471 127612 99009 165495 407788 66799 43556 201380 311735 269461555 140090 0.99730 0.99860 X 1130391 1130391 4369609 112041 4257568 1090875 711289 379586 5767545 X 61155870 -50204 -50204 61206074 0 61206074 60956671 0 60956671 0 60956671 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 2015. X 0 0 0 0 0 0 0 0 0 MARK LEBEAU CEO 145086 0 0 0 0 0 0 0 7018 0 152104 0 0 0 THOMAS KIM MEDICAL SVCS DIR 138794 0 0 0 0 0 15700 0 20990 0 175484 0 0 0 FORM 990, PART III, LINE 2 CRIHB UNDERTOOK THREE NEW CDC GRANTS - BPHI, CANCER CONTROL, AND UMBRELLA COAG, TOTALING $1,616,402 IN EXPENDITURES AND TWO NEW STATE GRANTS, DENTAL TRANSFORMATION INITIATIVE AND THE TRIBAL MEDICATION ASSISTANT TREATMENT GRANT, TOTALING $551,088 AND $1,185,975 IN EXPENDITURES RESPECTIVELY. 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 MEMBERSHIP ON THE BOARD OF DIRECTORS, MEMBERSHIP ON THE BOARD OF DIRECTORS OF A MEMBER HEALTH PROGRAM, EMPLOYMENT (OR CONSULTANT OF) BY A MEMBER HEALTH PROGRAM OR POTENTIAL MEMBER HEALTH PROGRAM; EMPLOYMENT (OR CONSULTANT OF) BY A MEMBER TRIBE OR POTENTIAL MEMBER TRIBE; AND/OR EMPLOYMENT (OR CONSULTANT OF) BY A MEMBER TRIBAL ORGANIZATION OR POTENTIAL MEMBER TRIBAL ORGANIZATION ARE COVERED IN THE POLICY. THE EMPLOYEE CONDUCT - CONFLICT OF INTEREST POLICY IS SIGNED BY EACH EMPLOYEE WHEN THEY BEGIN EMPLOYMENT. 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.