CALIFORNIA COVERAGE AND HEALTH INITIATIVES: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CALIFORNIA COVERAGE AND HEALTH INITIATIVES (EIN 47-4034471)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-17
IRS object ID
202442919349300729
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-10-17T12:07:34-07:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN871603957PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Pinnacle Accounting & Financial ServicesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1601 University Ave Ste 288AddressLine1Txt
CitySacramentoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP958256745ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474034471EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1California Coverage & Health InitiativesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCALIBusinessNameControlTxt
Phone9164049442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9th Street Suite 650AddressLine1Txt
CitySacramentoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK DIELPersonNm
Person TitleCEOPersonTitleTxt
Signature2024-10-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHayley GeierPreparerPersonNm
PTINP02489333PTIN
Phone9162734808PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK DIELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9th Street Suite 650AddressLine1Txt
CitySacramentoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,080,186GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCCHI4FAMILIES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionCCHI'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF CALIFORNIA CHILDREN AND FAMILIES BY SUPPORTING ITS MEMBERS IN MEETING THE NEEDS OF THIER COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$13,077,343PYContributionsGrantsAmt
CY Contributions Grants$15,080,186CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,077,343PYTotalRevenueAmt
CY Total Revenue$15,080,186CYTotalRevenueAmt
PY Grants And Similar Paid$7,740,075PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,501,963CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,042,061PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,307,203CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$948CYTotalFundraisingExpenseAmt
PY Other Expenses$3,078,392PYOtherExpensesAmt
CY Other Expenses$3,393,901CYOtherExpensesAmt
PY Total Expenses$11,860,528PYTotalExpensesAmt
CY Total Expenses$15,203,067CYTotalExpensesAmt
PY Revenues Less Expenses$1,216,815PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$122,881CYRevenuesLessExpensesAmt
Total Assets BOY$3,897,003TotalAssetsBOYAmt
Total Assets EOY$4,311,208TotalAssetsEOYAmt
Total Liabilities BOY$2,985,510TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,522,596TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$911,493NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$788,612NetAssetsOrFundBalancesEOYAmt
MissionCCHI'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF CALIFORNIA CHILDREN AND FAMILIES BY SUPPORTING ITS MEMBERS IN MEETING THE NEEDS OF THIER COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$14,890,300ExpenseAmt
DescCURRENT ACCOMPLISHMENTS IN 2022 INCLUDE STARTED THE MEDI-CAL FOR OLDER ADULTS CONTRACT THAT RUNS APRIL 2022-JUNE 2024 FOR $24,000,000. CENTERS FOR MEDICARE AND MEDICAID SERVICES GRANT OF $1,500,000 FROM JULY 2022-2025. AND ADDITION PHE FUNDING FOR $669,999 GRANTED IN JUNE 2023.Desc
Total Program Service Expenses$14,890,300TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonYes (true)GrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee15EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonIrina BolotovPersonNm
Phone9165732145PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9th Street Suite 650AddressLine1Txt
CitySacramentoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MARK DIEL
CEO40.000.00Yes (X)$335,664$0$25,191
BRIAN DOWD
COO40.000.00Yes (X)$118,114$0$22,195
ELBA GONZALEZ-MARES
Chairman1.000.00Yes (X)$0$0$0Yes (X)
KATHLEEN KING
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
GEORGINA MALDONADO
Director1.000.00$0$0$0Yes (X)
MARIA LEMUS
Director1.000.00$0$0$0Yes (X)
BRAD ONORATO
Secretary1.000.00Yes (X)$0$0$0Yes (X)
VICTOR MANUEL PEREZ
Director1.000.00$0$0$0Yes (X)
CYNTHIA PESHEK
Director1.000.00$0$0$0Yes (X)
MARYELLEN REHSE
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$453,778TotalReportableCompFromOrgAmt
Total Other Compensation$47,386TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDescCompensationCompensationAmt
COMMUNITY HEALTH INITIATIVES
MEDICAL CONSULTING SVS$3,219,506
LEGAL AID SOCIETY OF SAN DIEGO
MEDICAL CONSULTING SVS$1,347,000
CSAD FINANCE CORPORTATION
MEDICAL CONSULTING SVS$859,215
HIGH DESERT COMMUNITY FOUNDATION
MEDICAL CONSULTING SVS$1,457,039
SAN DIEGANS FOR HEALTHCARE COVERAGE
MEDICAL CONSULTING SVS$430,183
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Membership Dues$43,500MembershipDuesAmt
Government Grants$3,194,221GovernmentGrantsAmt
All Other Contributions$11,842,465AllOtherContributionsAmt
Total Contributions$15,080,186TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,080,186TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,501,963TotalAmt
Program Services$10,501,963ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$501,164TotalAmt
Program Services$501,164ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$506,560TotalAmt
Program Services$491,402ProgramServicesAmt
Management And General$15,158ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$229,824TotalAmt
Program Services$195,350ProgramServicesAmt
Management And General$34,474ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$69,655TotalAmt
Program Services$59,207ProgramServicesAmt
Management And General$10,448ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$33,249TotalAmt
Program Services$30,101ProgramServicesAmt
Management And General$2,200ManagementAndGeneralAmt
Fundraising$948FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$120,745TotalAmt
Program Services$119,505ProgramServicesAmt
Management And General$1,240ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$53,274TotalAmt
Program Services$3,566ProgramServicesAmt
Management And General$49,708ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,764TotalAmt
Management And General$3,764ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,801TotalAmt
Management And General$7,801ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL SERVICES$1,591,551$1,431,753$159,798
COMMUNICATION & OUTREACH$1,248,924$1,245,979$2,945
INDIRECT GRANT COSTS$270,577$270,577
FRINGE BENEFITS$40,538$34,457$6,081

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,478TotalAmt
Program Services$5,276ProgramServicesAmt
Management And General$18,202ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,203,067TotalAmt
Program Services$14,890,300ProgramServicesAmt
Management And General$311,819ManagementAndGeneralAmt
Fundraising$948FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,241,592BOYAmt
EOY$2,327,723EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$29,570BOYAmt
EOY$1,047,735EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,433,941BOYAmt
EOY$797,700EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,680BOYAmt
EOY$14,116EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,198LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,198LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$683BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$179,537BOYAmt
EOY$123,934EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,897,003BOYAmt
EOY$4,311,208EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,278,177BOYAmt
EOY$2,848,033EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$327,198BOYAmt
EOY$336,296EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$160,589BOYAmt
EOY$156,661EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$219,546BOYAmt
EOY$181,606EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,985,510BOYAmt
EOY$3,522,596EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$911,493BOYAmt
EOY$788,612EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$911,493BOYAmt
EOY$788,612EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,897,003BOYAmt
EOY$4,311,208EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$122,881ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,150,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,295,350CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,085,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,069,737CurrentTaxYearMinus1YearAmt
Current Tax Year$15,011,472CurrentTaxYearAmt
Total$36,612,423TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,150,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,295,350CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,085,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,069,737CurrentTaxYearMinus1YearAmt
Current Tax Year$15,011,472CurrentTaxYearAmt
Total$36,612,423TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$36,612,423PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,022CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$7,606CurrentTaxYearMinus1YearAmt
Current Tax Year$68,714CurrentTaxYearAmt
Total$81,342TotalAmt
FieldValueIRS element (for citing)
Total Support$36,693,765TotalSupportAmt
Public Support CY1700.99780PublicSupportCY170Pct
Public Support PY1700.99940PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,198OtherCostOrOtherBasisAmt
Depreciation$8,198DepreciationAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Building Lease Liability$117,952
Financing Lease Liability$7,025
Payroll Liabilities$56,629
FieldValueIRS element (for citing)
Total Liability$181,606TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,080,186TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$15,080,186RevenueSubtotalAmt
Total Revenue Per Form990$15,080,186TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,203,067TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$15,203,067ExpensesSubtotalAmt
Total Expenses Per Form990$15,203,067TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtRecipient EINRecipientEINPurpose Of GrantPurposeOfGrantTxt
Alameda Health Consortium
101 Callan aveSan LeandroCA94577$353,834$0
Aliados Health
1310 Redwood WayPetalumaCA94999$319,139$0
CClinic Assoc of LA County
UBank Plaza 445 S FigueroaLos AngelesCA90071$220,000$0
Central Health Access Asst
807 Tucker RD ATehachapiCA93561$61,429$0
CHI OC
22481 Aspan Street SuiteLake ForestCA92630$649,493$0
CHILDREN AND FAMILY RESOURCE
PO BOX 6307SANTA BARBARACA93160$263,288$0824121880OUTREACH/ENROLLMENT
COMMUNITY HEALTH INITIATIVES
2140 JEFFERSON ST STENAPACA94559$3,219,507$0251924934OUTREACH/ENROLLMENT
COMMUNITY HEALTH PARTNERSHIP
408 N CAPITAL AVESAN JOSECA95133$315,979$0770352645OUTREACH/ENROLLMENT
First 5 Santa Cruz County
4450 Capitola Rd STE 106CapitolaCA95010$60,079$0
GIVE FOR A SMILE
1811 W KATELLA AVE SUITE 11ANAHEIMCA92804$72,268$0452454983OUTREACH/ENROLLMENT
HEALTHIER KIDS FOUNDATION
4040 MOORPARK AVE STE 100SAN JOSECA95117$415,663$0770545774OUTREACH/ENROLLMENT
HIGH DESERT COMMUNITY FOUND
PO Box 2028APPLE VALLEYCA92307$1,457,040$0841179212OUTREACH/ENROLLMENT
Kern County Dept of Human S
100 E California AveBakersfieldCA93307$280,000$0
LEGAL AID SOCY OF SAN DIEGO
110 S Euclid AvenueSAN DIEGOCA92114$1,350,000$0951869806OUTREACH/ENROLLMENT
MERCY FOUND - BAKERSFIELD
PO BOX 119BAKERSFIELDCA93302$32,622$0770201321OUTREACH/ENROLLMENT
Redwoods Rural Health Centers
101 West Coast Rd BRedwayCA95560$199,517$0
SAN DIEGANS FOR HTHCARE COV
1850 Fifth Ave Ste 16SAN DIEGOCA92101$430,684$0470846723OUTREACH/ENROLLMENT
San Mateo C Health Coverage U
222 West 39 AvenueSan MateoCA94403$175,385$0
Santa Cruz Comm Health Cetr
125 Water St Suite A2 SuiteSanta CruzCA95060$145,644$0237428303OUTREACH/ENROLLMENT
VENTURA COUNTY PUBLIC HEALTH
2220 E GONZALES ROAD STEOXNARDCA93036$55,697$0956000944OUTREACH/ENROLLMENT
YOLO COUNTY CHILDRENS ALLIAN
600 A ST STE YDAVISCA95616$227,605$0680526185OUTREACH/ENROLLMENT
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationSITE VISITS ARE PERFORMED AND ANNUAL FINANCIAL REPORTS ARE PROVIDED BY GRANTEES INDICATING USE OF FUNDS. ADDITIONALLY, FOR THE GRANTS INVOLVING ENROLLMENT, ENROLLMENT AND RETENTION NUBERS ARE VERIFIED WITH COVERED CALIFORNIA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMARK DIELPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$335,664BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$25,191DeferredCompensationFlngOrgAmt
Total Compensation Filing Org$360,855TotalCompensationFilingOrgAmt

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxtCash GrantCashGrantAmtType Of AssistanceTypeOfAssistanceTxtAssistance PurposeAssistancePurposeTxt
ELBA GONZALEZ-MARES
ED OF COMMUNITY HEALTH IN$3,219,507SUBGRANTOUTREACH/ENROLLMENT
GEORGINA MALDONADO
ED OF CHI OC ORGANIZATION$649,493SUBGRANTOUTREACH/ENROLLMENT
MARYELLEN ROSE
ED OF CHILDREN FAMILY RES$263,288SUBGRANTOUTREACH/ENROLLMENT
KATHLEEN KING
CEO OF HEALTHIER KIDS FOU$415,663SUBGRANTOUTREACH/ENROLLMENT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bTHE REVIEW PROCESS INCOLVES A DETAILED MEETING WITH CPA FIRM AND THE EXECUTIVE DIRECTOR. AFTER DISCUSSION, THE EXECUTIVE DIRECOTR AND MANAGEMNT REVIEW INDEPENDENTLY AND ANALYZE FOR ACCURACY. ONCE APPROVED, THE EXECUTIVE DIRECTOR WILL SIGN THE RETURNS AND DISBURSE TO THE BOARD FOR ITS REVIEW AND APPROVAL. THIS APPRVAL WILL FOLLOW WITH ACTUAL FILING OF THE RETURNS.
Form 990, Part VI, Section B, Line 15aThe Board of Directors review the terms and have established an employment agreement relating to compensation and benefits of the executive director. The executive director is responisble for the management of the organization, it's volunteers and securing it's funding.
Form 990, Part VI, Section C, Line 19No documents available to the public.

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