California Rural Indian Health Board

What California Rural Indian Health Board does

California Rural Indian Health Board, Inc. (CRIHB) is a private nonprofit healthcare network organization founded in 1969 and headquartered in Roseville, California. It provides advocacy, shared resources, training, and technical assistance to a membership network of 20+ Tribal Health Programs representing 107 Tribes across California, operating under the Indian Self-Determination Act (P.L. 93-638). Its core programs include the California Tribal Epidemiology Center (CTEC, one of 12 nationally), the Dental Support Center (serving 58 dental clinics), the Tribal Health NextGen Consortium for EHR implementation, CRIHB Options (Medi-Cal reimbursement demonstration), California Tribal Medi-Cal Administrative Activities (CTMAA), and the ACORNS chronic-disease prevention project funded by CDC. The technology stack centers on Tableau-based public health dashboards (covering COVID-19, diabetes, opioids, STIs, radon, and maternal health), NextGen EHR systems, and telehealth infrastructure through the California Telehealth Network and UCLA Project ECHO partnerships.

CRIHB earns revenue almost entirely through federal and state grants and cooperative agreements rather than commercial pricing — sources include Indian Health Service Area Office Functions contracts, CDC Good Health and Wellness in Indian Country (GHWIC) funding, California Department of Health Care Services grants, and foundation support (e.g., The California Endowment). Its GTM motion is community-led, with services delivered through direct support to tribal health programs controlled by Indian people and their Tribal Governments. Recent strategic milestones include a $7M chronic-disease prevention grant (June 2023), a renewed 5-year CDC ACORNS award (2019), and the March 2020 activation of a cross-departmental COVID-19 Task Force. The organization is governed by a board whose membership is statutorily limited to members of Federally Recognized Tribes and is a founding member of the National Indian Health Board.

Name

California Rural Indian Health Board

Legal name

California Rural Indian Health Board, Inc.

Website

https://crihb.org

Company type

Private

Founded year

1969

Operating status

Operating

Headcount range

51–100 employees

Short description

CRIHB is a 1969-founded nonprofit network organization providing advocacy, shared resources, training, and technical assistance to 20+ California Tribal Health Programs operating under the Indian Self-Determination Act, funded primarily through federal and state grants.

Ownership category

akta.pro rank

Headquarters

HQ city

Sacramento

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Federal Grants and Contracts (IHS): Indian Health Service funding through the Indian Self-Determination Act (P.L. 93-638) providing base funding for tribal health programs
2. CDC Good Health and Wellness in Indian Country Funding: 5-year CDC GHWIC grant for ACORNS project supporting chronic disease prevention in tribal communities ($2.3 million distributed to 39 tribes)
3. California Department of Health Care Services Grants: State funding for Dental Transformation Initiative and other California-specific health programs
4. Federal Public Health Funding: Various federal grants for public health initiatives including opioid response, injury prevention, and COVID-19 response

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

California Rural Indian Health Board (CRIHB) is a nonprofit network organization that provides advocacy, shared resources, training, and technical assistance to member Tribal Health Programs in California. It operates core service programs including the California Tribal Epidemiology Center (CTEC), Dental Support Center, CRIHB Options Medi-Cal reimbursement program, ACORNS chronic disease prevention, telehealth services, and workforce training.

Product overview

CRIHB operates as a network of Tribal Health Programs providing a unified portfolio of healthcare and public health services. The organization offers a centralized structure combining core service programs including the California Tribal Epidemiology Center (CTEC) for disease surveillance, the Dental Support Center, CRIHB Options (Medi-Cal reimbursement program), and California Tribal Medi-Cal Administrative Activities. Health delivery is supported through the Tribal Health NextGen Consortium (EHR) and Telehealth Services. CRIHB runs prevention programs including ACORNS (chronic disease prevention), Dental Transformation Initiative, Injury Prevention, Domestic Violence Prevention, and Opioid Response (TMAT). Public-facing tools include a Public Health Dashboard Suite using Tableau for data visualization across multiple health metrics. The organization also provides workforce training and child development programs. No formal product integration marketplace or partner API ecosystem is documented.

Differentiator

Problem solved

Functional benefit

Brands

• CTEC (California Tribal Epidemiology Center): One of 12 Indian Health Service (IHS) Division of Epidemiology and Disease Prevention-funded Tribal Epidemiology Centers that provide epidemiologic support to each IHS region.
• ACORNS (Advancing California Opportunities to Renew Native Health Systems)

Products and services

• California Tribal Epidemiology Center (CTEC)

Quantifiable outcome

• $8.5 million back billing windfall created for California Tribal Health programs through IHS/HCFA Memorandum of Agreement
• +3 more outcomes

Named customers12 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Ten partnerships are on record, tiered core, flagship and minor.

• California Office of the CDC FoundationcoreStrategic or Co-development Partner · 2 March 2020Partnership for COVID-19 response and public health initiatives. California Office of CDC Foundation collaborated with CTEC and CRIHB to release COVID-19 dashboard providing up-to-date details about COVID-19 in tribal communities.
• California Tribal Epidemiology Center (CTEC)coreStrategic or Co-development PartnerCTEC is 1 of 12 IHS Division of Epidemiology and Disease Prevention-funded Tribal Epidemiology Centers providing epidemiologic support to the IHS region. CRIHB houses and operates CTEC as a statewide program.
• National Indian Health Board (NIHB)flagshipStrategic or Co-development PartnerCRIHB is a founding member of NIHB and continues to represent Tribes and Tribal Health Programs in California to NIHB. CRIHB actively supported NIHB's move to Washington DC to expand advocacy role with IHS and Congress.
• California Indian Manpower ConsortiumcoreStrategic or Co-development PartnerRural healthcare workforce collaborative partner offering employment trainings for Clinical Medical Assistants, Community Health Workers, and Diabetes Lifestyle Coaches.
• Northern California Indian Development CouncilcoreStrategic or Co-development PartnerRural healthcare workforce collaborative partner offering employment trainings for Clinical Medical Assistants, Community Health Workers, and Diabetes Lifestyle Coaches.
• Indian Health Service (IHS)flagshipStrategic or Co-development PartnerFederal agency providing IHS Area Office functions contract and funding. CRIHB maintains close working relationships with IHS California Area Office for tribal health program support.
• California Department of Health Care ServicescoreStrategic or Co-development PartnerState agency for Medi-Cal programs. CRIHB maintains close working relationship to advance Indian health interests and facilitate oversight with Indian Health Program and Healthy Families Program.
• UCLA (Project ECHO)minorStrategic or Co-development PartnerTelehealth infrastructure partnership for Project ECHO connections to support tribal MAT (Medication-Assisted Treatment) program implementation.
• California Department of Public HealthcoreStrategic or Co-development PartnerState public health agency that CRIHB monitors for guidance and collaborates with to keep tribal communities informed about COVID-19 and other public health issues.
• California Health + Wellness (CalEIII)minorChannel Partner/ Reseller/ DistributorMedi-Cal managed care plan through which CRIHB Options demonstration program provides reimbursements for certain Medi-Cal Optional Benefit services.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Others

• California Primary Care Association: California consortium representing community health centers, with overlapping interest in Medi-Cal policy, EHR consortia, and workforce training for safety-net providers. Functionally adjacent rather than directly comparable; relevant for benchmarking on California health-center advocacy.
• Johns Hopkins Center for American Indian Health: Academic research center working on AIAN public health, frequently in partnership with Tribal Epidemiology Centers including CTEC. Adjacent rather than competing; relevant comparator for CRIHB's research, evaluation, and public health surveillance work.

Emerging players

• National Council of Urban Indian Health: National advocacy and technical assistance organization for Urban Indian Organizations, which overlap with CRIHB's urban Indian member programs (e.g., through ACORNS). Complementary rather than directly competing in the same California footprint.

Direct peers

• National Indian Health Board: National umbrella organization of which CRIHB is a founding member. NIHB represents all 573 federally-recognized Tribes in federal AIAN health policy, advocacy, and funding. Directly comparable mission focus on advocacy, policy formulation, and intergovernmental coordination for tribal health.
• Great Lakes Inter-Tribal Council: Tribal epidemiology, clinical services support, and program administration for member Tribes in the Great Lakes region. Comparable function to CRIHB's CTEC and shared services model, though smaller and more regionally concentrated.
• Northwest Portland Area Indian Health Board: Area Indian Health Board serving Tribes across Oregon, Washington, and Idaho with the same advocacy, training, technical assistance, epidemiology, and grant-pass-through mission as CRIHB. Operates its own EpiCenter and provides similar shared services to tribal health programs, making it the closest organizational equivalent for a California-specific board.
• Oklahoma City Area Indian Health Board: Area Indian Health Board serving Tribes in Kansas, Oklahoma, and Texas, providing training, technical assistance, and Tribal Epidemiology Center services. Directly comparable to CRIHB's role as a state/area-level tribal health coordination body.
• Aberdeen Area Tribal Chairmen's Health Board: Tribal health board serving Tribes in the Aberdeen IHS Area (North Dakota, South Dakota, Iowa, Nebraska). Operates Northern Plains Tribal Epidemiology Center and shares CRIHB's charter of advocacy and resource coordination for member Tribal Health Programs.
• Alaska Native Tribal Health Consortium: Tribal health services organization providing statewide health services, telehealth, and epidemiology for Alaska Native communities. Operates similarly to CRIHB in pooling resources across tribal members and operating its own EpiCenter; its greater scale makes it a comparable-but-broader peer.

Broad incumbents

• Indian Health Service (Federal): Federal agency within HHS that funds and oversees tribal and federal Indian health services, including the contracts and compacts under which CRIHB operates (P.L. 93-638). CRIHB is in a government-to-government relationship with IHS California Area Office, making IHS the principal counterpart and funding source.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/CRIHB
• Xx.com/crihb
• LinkedInlinkedin.com/company/california-rural-indian-health-board

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds1 record

Investors

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M&A

Investments

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Frequently asked questions about California Rural Indian Health Board