California Rural Indian Health Board Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
INDIAN HEALTH & EDUCATION
- Income
- $55.9 million
- Spending
- $55.8 million
- Spent on programs
- 87%
- Reserves
- 1 months of spending
- Largest source of income
- government grants, 98%
- Employees
- 115
- Volunteers
- 0
- Highest pay
- $208,322, ceo
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 47 out of 100. Higher than 27% of charities in its peer group (health care, $10m to $100m).
Reserves
10 of 35Spendable reserves would cover 1.0 months of spending.
Debt
5 of 20It owes 72% of what it owns.
Living within its means
12 of 15Income exceeded spending by 0% of income.
Income trend
5 of 15Income fell 12% on the year before.
Spending floor
15 of 1587% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 90 out of 100. Higher than 29% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 2534 of 34 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
0 of 10Did not give the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $48.5 million spent. 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: $30,101,534DEPARTMENT 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 $2,527,495CHILD CARE DEVELOPMENT $4,285,663TOTAL EXPENDITURES $6,813,158OTHER PROGRAM SERVICE EXPENDITURES ARE AS FOLLOWS: IHS INJURY PREVENTION $27,406CA TRIBAL EPIDEMIOLOGY CENTER $3,094,486SUBSTANCE ABUSE & MENTAL HEALTH $451,392DENTAL $655,238MAA $640,320CDC ACORNS $1,472,608CDC BPHI AND UMBRELLA COAG $1,084,602TRIBAL MEDICATION ASSISTANT TREATMENT $628,298H-1B RURAL HEALTHCARE PROGRAM $453,847COMMUNITY HEALTH AIDE PROGRAM $161,934IHS HOOP $495,745OTHER $2,439,591TOTAL EXPENDITURES $11,605,467
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since June 1970.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.