CALIFORNIA COVERAGE AND HEALTH INITIATIVES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CALIFORNIA COVERAGE AND HEALTH INITIATIVES (EIN 47-4034471)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-09
IRS object ID
202003149349304270
Schema version
2019v5.0
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)
Return2020-11-09T17:51:37-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN821221665PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COOK CPA GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13400 DOUGLAS BLVD STE 210AddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474034471EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA COVERAGE & HEALTHBusinessNameLine1Txt
Business Name Line2INITIATIVESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCALIBusinessNameControlTxt
Phone9164049442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9TH ST SUITE 601AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK DIELPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9164049442PhoneNum
Signature2020-09-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVELYN R COOKPreparerPersonNm
PTINP00621827PTIN
Phone9167241665PhoneNum
Preparation2020-10-22PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.38.98.93IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-09IPDt
IP Tm17:51:37IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA4CD3FEC0E09455D0035C03A1CD5EBBBE73751E8AtSubmissionCreationDeviceId
At Submission Filing Device Id0BCBBD494C7AC058B2F26302F8E1D8C63D56DEFAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK DIELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9TH STREET SUITE 601AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,150,634GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CCHI4FAMILIES.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 THEIR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,059,919PYContributionsGrantsAmt
CY Contributions Grants$1,150,634CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,059,919PYTotalRevenueAmt
CY Total Revenue$1,150,634CYTotalRevenueAmt
PY Grants And Similar Paid$373,013PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$234,624CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$598,004PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$529,216CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,517CYTotalFundraisingExpenseAmt
PY Other Expenses$366,108PYOtherExpensesAmt
CY Other Expenses$429,794CYOtherExpensesAmt
PY Total Expenses$1,337,125PYTotalExpensesAmt
CY Total Expenses$1,193,634CYTotalExpensesAmt
PY Revenues Less Expenses-$277,206PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$43,000CYRevenuesLessExpensesAmt
Total Assets BOY$280,062TotalAssetsBOYAmt
Total Assets EOY$403,334TotalAssetsEOYAmt
Total Liabilities BOY$562,465TotalLiabilitiesBOYAmt
Total Liabilities EOY$728,737TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$282,403NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$325,403NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCCHIS MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF CALIFORNIA CHILDREN AND FAMILIES BY SUPPORTING ITS MEMBERS IN MEETING THE NEEDS OF THEIR COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,026,407ExpenseAmt
Grant$234,624GrantAmt
DescCCHI IS A STATEWIDE ASSOCIATION OF COMMUNITY-BASED, CULTURALLY COMPETENT OUTREACH AND ENROLLMENT ORGANIZATIONS THAT HELP CHILDREN AND FAMILIES TO GAIN ACCESS TO, USE, AND MAINTAIN AFFORDABLE HEALTH COVERAGE AND HEALTH CARE. WE WORK WITH ORGANIZATIONS THROUGHOUT CALIFORNIA THAT SUPPORT AND COORDINATE CONSUMER ASSISTANCE NETWORKS OF INDEPENDENT ENROLLMENT ORGANIZATIONS IN THEIR REGION. CCHI ALSO MOBILIZES STAKEHOLDERS TO LEVERAGE THE EXPERTISE AND CAPACITY OF EVERY CONCERNED VOICE IN MAKING RECENT HEALTH CARE REFORMS A CONTINUED REALITY FOR ALL RESIDENTS. CCHI IS A LEADER IN HEALTH ADVOCACY FOR CHILDREN AND FAMILIES AND IS WIDELY RECOGNIZED AS A STATEWIDE NETWORK THAT CHAMPIONS ENROLLMENT AND RETENTION IN HEALTH COVERAGE, ACCESS TO HEALTH CARE AND OTHER SERVICES THAT ASSIST INDIVIDUALS AND FAMILIES TO SURVIVE AND THRIVE.Desc
Total Program Service Expenses$1,026,407TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 EquipmentfalseReportLandBuildingEquipmentInd
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 PersonfalseGrantToRelatedPersonInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CCHIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9164049442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9TH STREET SUITE 601AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MARK DIEL
EXECUTIVE DI40.00Yes (X)$208,956$0$35,707
ALAN FERNANDES
DIRECTOR1.00$0$0$0Yes (X)
ELBA GONZALEZ-MARES
BOARD CHAIR1.00$0$0$0Yes (X)
GEORGINA MALDONADO
DIRECTOR1.00$0$0$0Yes (X)
BRAD ONORATO
DIRECTOR1.00$0$0$0Yes (X)
V MANUEL PEREZ
DIRECTOR1.00$0$0$0Yes (X)
JAMES ROLFE
DIRECTOR1.00$0$0$0Yes (X)
KATIE VILLEGAS
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$208,956TotalReportableCompFromOrgAmt
Total Other Compensation$35,707TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$890MembershipDuesAmt
Government Grants$150,000GovernmentGrantsAmt
All Other Contributions$999,744AllOtherContributionsAmt
Total Contributions$1,150,634TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,150,634TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$234,624TotalAmt
Program Services$234,624ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$385,364TotalAmt
Program Services$305,539ProgramServicesAmt
Management And General$74,871ManagementAndGeneralAmt
Fundraising$4,954FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,264TotalAmt
Program Services$11,994ProgramServicesAmt
Management And General$2,993ManagementAndGeneralAmt
Fundraising$277FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$98,859TotalAmt
Program Services$78,465ProgramServicesAmt
Management And General$19,208ManagementAndGeneralAmt
Fundraising$1,186FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,729TotalAmt
Program Services$23,596ProgramServicesAmt
Management And General$5,776ManagementAndGeneralAmt
Fundraising$357FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,770TotalAmt
Program Services$24,401ProgramServicesAmt
Management And General$5,969ManagementAndGeneralAmt
Fundraising$400FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$40,567TotalAmt
Program Services$35,951ProgramServicesAmt
Management And General$4,547ManagementAndGeneralAmt
Fundraising$69FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,042TotalAmt
Program Services$9,549ProgramServicesAmt
Management And General$2,336ManagementAndGeneralAmt
Fundraising$157FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,599TotalAmt
Program Services$43,185ProgramServicesAmt
Management And General$10,414ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,005TotalAmt
Program Services$35,005ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$47,233TotalAmt
Program Services$47,233ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,468TotalAmt
Program Services$11,468ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,823TotalAmt
Program Services$5,823ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROFESSIONAL SERVICES$142,836$113,269$27,710$1,857
GRANT WRITING$20,033$15,887$3,886$260
BOARD OTHER$15,417$15,417
MEETINGS$8,770$8,770

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,231TotalAmt
Program Services$6,231ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,193,634TotalAmt
Program Services$1,026,407ProgramServicesAmt
Management And General$157,710ManagementAndGeneralAmt
Fundraising$9,517FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$95,104BOYAmt
EOY$252,758EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$150,624BOYAmt
EOY$103,713EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$38,029EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,334BOYAmt
EOY$8,834EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$280,062BOYAmt
EOY$403,334EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$64,673BOYAmt
EOY$67,270EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$215,839BOYAmt
EOY$619,713EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$230,741BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,212BOYAmt
EOY$41,754EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$562,465BOYAmt
EOY$728,737EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$282,403BOYAmt
EOY-$325,403EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$282,403BOYAmt
EOY-$325,403EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$280,062BOYAmt
EOY$403,334EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$43,000ReconcilationRevenueExpnssAmt
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$11,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,401,257CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,804,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,059,919CurrentTaxYearMinus1YearAmt
Current Tax Year$1,150,634CurrentTaxYearAmt
Total$6,428,665TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,401,257CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,804,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,059,919CurrentTaxYearMinus1YearAmt
Current Tax Year$1,150,634CurrentTaxYearAmt
Total$6,428,665TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$6,428,665PublicSupportTotal170Amt
Total Support$6,428,665TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED VACATIONDesc
Amt$41,754Amt
FieldValueIRS element (for citing)
Total Liability$41,754TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,150,634TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,150,634RevenueSubtotalAmt
Total Revenue Per Form990$1,150,634TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,193,634TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,193,634ExpensesSubtotalAmt
Total Expenses Per Form990$1,193,634TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH INIT ORANGE CTNY
1505 E 17TH ST SUITE 121SANTA ANACA92705472671013$8,065OUTREACH/ENROLLMENT
EL CONCILIO
445 N SAN JOAQUIN STREETSTOCKTONCA95202941677202$18,623OUTREACH/ENROLLMENT
GIVE FOR A SMILE
1811 W KATELLA AVE SUITE 111ANAHEIMCA92804452454983$48,375OUTREACH/ENROLLMENT
NAPA COMMUNITY HEALTH INIT
2140 JEFFERSON STREET SUITE DNAPACA94559251924934$6,048OUTREACH/ENROLLMENT
VENTURE COUNTY DEPT OF PUBLIC HLTH
2220 E GONZALEZ RD SUITE 202OZNARDCA93036956000944$15,468OUTREACH/ENROLLMENT
YOLO CNTY CHILDREN'S ALLIANCE
600 A STREET SUITE YDAVISCA95616680526185$25,260OUTREACH/ENROLLMENT
BUILD REHABILITATION INDUSTRIES
12432 FOOTHILL BLVDSYLMARCA91342952483215$8,000OUTREACH/ENROLLMENT
HIGH DESERT COMMUNITY FOUNDATION
PO BOX 2028APPLE VALLEYCA92307841179212$28,264OUTREACH/ENROLLMENT
MERCY FOUNDATION BAKERSFIELD
PO BOX 119BAKERSFIELDCA93302770201321$31,954OUTREACH/ENROLLMENT
SAN DIEGANS FOR HEALTHCARE COVERAGE
814 MORENA BLVD SUITE 309SAN DIEGOCA92110470846723$8,000OUTREACH/ENROLLMENT
VISION Y COMPROMISO
PO BOX 708SAN LORENZOCA94580320071651$36,567OUTREACH/ENROLLMENT

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 4, PART IVFormAndLineReferenceDesc
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 NUMBERS 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
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$208,956BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$5,920DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$29,787NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$244,663TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4ACCHI IS A STATEWIDE ASSOCIATION OF COMMUNITY-BASED, CULTURALLY COMPETENT OUTREACH AND ENROLLMENT ORGANIZATIONS THAT HELP CHILDREN AND FAMILIES TO GAIN ACCESS TO, USE, AND MAINTAIN AFFORDABLE HEALTH COVERAGE AND HEALTH CARE. WE WORK WITH ORGANIZATIONS THROUGHOUT CALIFORNIA THAT SUPPORT AND COORDINATE CONSUMER ASSISTANCE NETWORKS OF INDEPENDENT ENROLLMENT ORGANIZATIONS IN THEIR REGION. CCHI ALSO MOBILIZES STAKEHOLDERS TO LEVERAGE THE EXPERTISE AND CAPACITY OF EVERY CONCERNED VOICE IN MAKING RECENT HEALTH CARE REFORMS A CONTINUED REALITY FOR ALL RESIDENTS. CCHI IS A LEADER IN HEALTH ADVOCACY FOR CHILDREN AND FAMILIES AND IS WIDELY RECOGNIZED AS A STATEWIDE NETWORK THAT CHAMPIONS ENROLLMENT AND RETENTION IN HEALTH COVERAGE, ACCESS TO HEALTH CARE AND OTHER SERVICES THAT ASSIST INDIVIDUALS AND FAMILIES TO SURVIVE AND THRIVE.
FORM 990, PAGE 6, PART VI, LINE 9ALAN FERNANDES GEORGINA MALDONADO JAMES ROLFE ELBA GONZALEZ-MARES KATIE VILLEGAS BRAD ONORATO
FORM 990, PAGE 6, PART VI, LINE 11BTHE REVIEW PROCESS INVOLVES A DETAILED MEETING WITH THE CPA FIRM AND THE EXECUTIVE DIRECTOR. AFTER DISCUSSION, THE EXECUTIVE DIRECTOR AND MANAGEMENT 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 APPROVAL WILL FOLLOW WITH ACTUAL FILING OF THE RETURNS WITH THE APPROPRIATE AUTHORITES.
FORM 990, PAGE 6, PART VI, 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 RESPONSIBLE FOR THE MANAGEMENT OF THE ORGANIZATION, ITS VOLUNTEERS AND SECURITING IS FUNDING.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.

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