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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 $30,285,815CALIFORNIA 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 $ 66,361DEPARTMENT 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 $ 1,003,518CHILD CARE DEVELOPMENT 820,617 -------------TOTAL EXPENDITURES $ 1,824,135 ============= OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS:DIABETES PROGRAM $ 969,954COMMUNITY CHALLENGE 1,121NUTRITION NETWORK 37,741CDC INJURY PREVENTION 96,467INJURY PREVENTION 82,648CHILD CARE FOOD PROGRAM 65,227CA TRIBAL EPIDEMIOLOGY CENTER 275,526TRIBAL PREP 143,038SUBSTANCE ABUSE &amp; MENTAL HEALTH 2,415,729CMHI 232,655NPAIHB 61,721 TIDES 1,786ALCOHOL COUNSELOR TRAINING 155,254NIHB 292,126DENTAL 253,600MHSA 119,695CA WELLNESS 57,451MAA 822,932VARIOUS FOUNDATIONS 426,593 -----------TOTAL EXPENDITURES $ 6,511,264 ===========</Description>
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        <CurrentTaxYearMinus2Years>36192288</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39423987</CurrentTaxYearMinus1Year>
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        <Total>189820252</Total>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
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        <CurrentTaxYearMinus2Years>22425</CurrentTaxYearMinus2Years>
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        <Total>124202</Total>
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      <OtherIncome170>
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        <Description>Rounding</Description>
        <Amount>1</Amount>
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      <OtherLiabilities>
        <Description>Compensated absences</Description>
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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 Uncle of Reno FranklinJames Adams, Jr. is father of Brenda AdamsClois Erwin is grandmother of Marcus Blind</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>