CALIFORNIA COVERAGE AND HEALTH INITIATIVES: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CALIFORNIA COVERAGE AND HEALTH INITIATIVES (EIN 47-4034471)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-11
IRS object ID
201913159349303836
Schema version
2018v3.1
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)
Return2019-11-11T16:18:47-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-10-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVELYN R COOKPreparerPersonNm
PTINP00621827PTIN
Phone9167241665PhoneNum
Preparation2019-10-28PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.16.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-11IPDt
IP Tm16:18:47IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2BB43AEE8ECB028342196DB202AC42AC85FDA7E3AtSubmissionCreationDeviceId
At Submission Filing Device Id8358B415C9969E7EB69D761FD5976213C214F4BEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line11107 9TH STREET SUITE 601AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,059,919GrossReceiptsAmt
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 Employee10TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$14,525NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,804,905PYContributionsGrantsAmt
CY Contributions Grants$1,059,919CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,804,905PYTotalRevenueAmt
CY Total Revenue$1,059,919CYTotalRevenueAmt
PY Grants And Similar Paid$791,527PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$373,013CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$798,836PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$598,004CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,797CYTotalFundraisingExpenseAmt
PY Other Expenses$522,221PYOtherExpensesAmt
CY Other Expenses$366,108CYOtherExpensesAmt
PY Total Expenses$2,112,584PYTotalExpensesAmt
CY Total Expenses$1,337,125CYTotalExpensesAmt
PY Revenues Less Expenses-$307,679PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$277,206CYRevenuesLessExpensesAmt
Total Assets BOY$718,832TotalAssetsBOYAmt
Total Assets EOY$280,062TotalAssetsEOYAmt
Total Liabilities BOY$246,952TotalLiabilitiesBOYAmt
Total Liabilities EOY$633,411TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$471,880NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$353,349NetAssetsOrFundBalancesEOYAmt
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$1,155,304ExpenseAmt
Grant$373,013GrantAmt
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$1,155,304TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10EmployeeCnt
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 (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KELLY BENNETT-WOFFORD
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
NORMA FORBES
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
ALAN FERNANDES
DIRECTOR1.00Yes (X)$0$0$0
GEORGINA MALDONADO
DIRECTOR1.00Yes (X)$0$0$0
JOHANA LOCKWOOD
DIRECTOR1.00Yes (X)$0$0$0
JAMES ROLFE
DIRECTOR1.00Yes (X)$0$0$0
ELBA GONZALEZ-MARES
DIRECTOR1.00Yes (X)$0$0$0
KATIE VILLEGAS
DIRECTOR1.00Yes (X)$0$0$0
EDGAR AGUILAR
DIRECTOR1.00Yes (X)$0$0$0
BRAD ONORATO
DIRECTOR1.00Yes (X)$0$0$0
MARK DIEL
EXECUTIVE DI40.00Yes (X)$197,481$0$7,600
FieldValueIRS element (for citing)
Total Reportable Comp From Org$197,481TotalReportableCompFromOrgAmt
Total Other Compensation$7,600TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$19,250MembershipDuesAmt
Government Grants$487,133GovernmentGrantsAmt
All Other Contributions$553,536AllOtherContributionsAmt
Total Contributions$1,059,919TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,059,919TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$373,013TotalAmt
Program Services$373,013ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$450,154TotalAmt
Program Services$356,908ProgramServicesAmt
Management And General$87,458ManagementAndGeneralAmt
Fundraising$5,788FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,848TotalAmt
Program Services$19,078ProgramServicesAmt
Management And General$4,293ManagementAndGeneralAmt
Fundraising$477FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$94,017TotalAmt
Program Services$73,311ProgramServicesAmt
Management And General$18,832ManagementAndGeneralAmt
Fundraising$1,874FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,985TotalAmt
Program Services$24,588ProgramServicesAmt
Management And General$5,397ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,702TotalAmt
Program Services$35,465ProgramServicesAmt
Management And General$6,237ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$48,693TotalAmt
Program Services$46,647ProgramServicesAmt
Management And General$1,972ManagementAndGeneralAmt
Fundraising$74FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,820TotalAmt
Program Services$13,544ProgramServicesAmt
Management And General$276ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$49,655TotalAmt
Program Services$39,369ProgramServicesAmt
Management And General$10,286ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,912TotalAmt
Program Services$17,912ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$30,608TotalAmt
Program Services$30,608ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,209TotalAmt
Program Services$5,716ProgramServicesAmt
Management And General$1,493ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROFESSIONAL SERVICES$65,603$65,603
GRANT WRITING$52,376$18,198$31,868$2,310
MEETINGS$19,190$19,190
PROFESSIONAL SERVICES$5,413$4,601$812

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,927TotalAmt
Program Services$11,553ProgramServicesAmt
Management And General$2,100ManagementAndGeneralAmt
Fundraising$274FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,337,125TotalAmt
Program Services$1,155,304ProgramServicesAmt
Management And General$171,024ManagementAndGeneralAmt
Fundraising$10,797FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$226,996BOYAmt
EOY$95,104EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$150,624EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$279,055BOYAmt
EOY$25,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,087BOYAmt
EOY$9,334EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$200,694BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$718,832BOYAmt
EOY$280,062EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$246,952BOYAmt
EOY$115,885EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$286,785EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$230,741EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$246,952BOYAmt
EOY$633,411EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$51,810BOYAmt
EOY-$353,349EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$523,690BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$471,880BOYAmt
EOY-$353,349EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$718,832BOYAmt
EOY$280,062EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$277,206ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$548,023PriorPeriodAdjustmentsAmt
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 Minus3 Years$11,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,401,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,804,905CurrentTaxYearMinus1YearAmt
Current Tax Year$1,059,919CurrentTaxYearAmt
Total$5,278,031TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$11,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,401,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,804,905CurrentTaxYearMinus1YearAmt
Current Tax Year$1,059,919CurrentTaxYearAmt
Total$5,278,031TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,278,031PublicSupportTotal170Amt
Total Support$5,278,031TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$1,059,919TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,059,919RevenueSubtotalAmt
Total Revenue Per Form990$1,059,919TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,337,125TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,337,125ExpensesSubtotalAmt
Total Expenses Per Form990$1,337,125TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ASIAN AMERICANS ADVANCING JUSTICE
1145 WILSHIRE BLVDLOS ANGELESCA90017953854152$27,628OUTREACH/ENROLLMENT
COMMNITY HEALTH INIT KERN COUNTY
PO BOX 119BAKERSFIELDCA93301770201321$11,490MEDI-CAL OUTREACH
COMMUNITY HEALTH INIT ORANGE CTNY
1505 E 17TH ST SUITE 121SANTA ANACA92705472671013$37,291MEDI-CAL OUTREACH
EL CONCILIO
445 N SAN JOAQUIN STREETSTOCKTONCA95202941677202$23,000COVERED CA OUTREACH
FRESNO HEATHY COMM ACCESS PTRNS
3845 N CLARK ST SUITE 105FRESNOCA93726204210175$9,047OUTREACH UNDOCUMENT
GIVE FOR A SMILE
1811 W KATELLA AVE SUITE 111ANAHEIMCA92804452454983$52,323OUTREACH & ENROLLMEN
INLAND EMPIRE COV & HLTH INIT
16020 APPLE VALLEY RD SUITE B6APPLE VALLEYCA92307841179212$42,551MEDI-CAL ENROLLMENT
MONTERELY BAY CENTRAL LABOR COUNCIL
931 E MARKET STREETSALINASCA93905251924934$10,000OUTREACH UNDOCUMENT
NAPA COMMUNITY HEALTH INIT
2140 JEFFERSON STREET SUITE DNAPACA94559251924934$28,999MEDI-CAL OUTREACH
SACRAMENTO COVERED
8928 VOLUNTEET LANE SUITE 220SACRAMENTOCA95826680377256$8,394MEDI-CAL OUTREACH
SANTA BARBARA CTY ED OFFICE
3970 LA COLINA RD 6 POB 6307SANTA BARBARACA93160956000940$32,961MEDI-CAL OUTREACH
SOLANO COALITION FOR BETTER HEALTH
744 EMPIRE STREET SUITE 210FAIRFIELDCA94533943189914$39,225MEDI-CAL OUTREACH
VENTURE COUNTY DEPT OF PUBLIC HLTH
2220 E GONZALEZ RD SUITE 202OZNARDCA93036956000944$26,971MEDI-CAL OUTREACH
YOLO CNTY CHILDREN'S ALLIANCE
600 A STREET SUITE YDAVISCA95616680526185$23,133OUTREACH/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$197,481BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$7,600DeferredCompensationFlngOrgAmt
Total Compensation Filing Org$205,081TotalCompensationFilingOrgAmt

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 9KELLY BENNETT-WOFFORD NORMA FORBES ALAN FERNANDES GEORGINA MALDONADO JOHANA LOCKWOOD JAMES ROLFE ELBA GONZALEZ-MARES KATIE VILLEGAS EDGAR AGUILAR 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.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.