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        <FormAndLineReferenceDesc>Part II-B, Line 1i - Other Activities Description</FormAndLineReferenceDesc>
        <ExplanationTxt>Advocacy efforts educating the public, including lawmakers, to address improvements in programs affecting low income pregnant women and children, through email and social media alerts, meetings and letters.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>MCHA is exempt from Federal income taxes under Section 501(c)(3) of the Internal Revenue Code and California income taxes under section 23701(d) of the California Revenue and Taxation Code. The IRS classified the organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in section(s) 509(a)(1) and 170(b)(1)(A)(vi).MCHA has adopted Financial Accounting Standards Board Accounting Standards Codification (ASC) Section 740-10, which clarifies the accounting for uncertainty in income taxes. ASC Section 740-10 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. ASC Section 740-10 requires that an organization recognize in the financial statements the impact of the tax position if that position will more likely than not be sustained on audit, based on the technical merits of the position. As of and for the year ended December 31, 2017, MCHA had no material unrecognized tax benefits, tax penalties or interest.MCHAs Forms 990, Return of Organization Exempt from Income Tax, for each of the tax years ended December 31, 2016, 2015, and 2014, are subject to examination by the IRS, generally for 3 years after they were filed.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Other Programs:Policy/Advocacy: Effect changes in health systems for low-income women and families through administrative changes in health policy and State and local levels. Examples: reviewing documents and commenting to help to ensure the enrollment system for low-income pregnant women is as simple and accurate as possible. (TCE health reform grant)CalFresh enrollment: MCHA knows that access to fresh, healthy food is as integral to good health as is access to insurance. We provide clients with assistance in filling out a CalFresh Program application, make sure documentation is complete, and follow through to ensure the application is reviewed and approved. We assist with semi-annual reporting and annual renewals as well as troubleshoot problem cases. We train other agencies about the processes, documentation required and troubleshooting as well.Our other programs provide support for high risk pregnant or parenting women through Perinatal Outreach and Education, to support women through case management up to the babys second birthday. We provide health education classes and support groups to help women grow and learn. These classes can be rollicking Zumba, mindful meditation, healthy cooking on a budget, dealing with domestic violence, womens health topics, housing and rental rights, immigration issues whatever the community of women finds most pressing. We offer bi-weekly breastfeeding support at our main office. Child care is provided for all groups and classes. Expenses $304,798. Including Grants of $ 0. Revenue $ 0.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Audit Committee meets with the auditors to review and discuss a draft of Form 990 and approves Form 990 in its final form before presenting it to the board of directors for review.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for monitoring and enforcing compliance with the Organizations Policy is for all employees to review and sign our "Conflict of Interest Policy" annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Salary scale is determined by reviewing and analyzing the salary structure of comparable Non-Profit Organizations in addition to referring to the Non-Profit directors compensation survey report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Other key employee salaries are set historically or in consultation with HR for new positions, and granted annual COLAs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 1023 and all other informational return documents are available to the public either through www.guidestar.org or upon written request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Documents are available upon written request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Contract funded assets depreciation = $1393</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Reinstatement of net assets = -$2471</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Organization's Summary Mission or Significant Activities - Continued</FormAndLineReferenceDesc>
        <ExplanationTxt>Maternal and Child Health Access (MCHA) (the Organization) is a non-profit organization whose mission is to improve the health of low-income women and their families. Our strategies include advocacy, education, training, and direct services. We translate the experiences of the families we serve into policy initiatives to improve the lives of millions of Californians, and we model effective policies for the rest of the nation. During the year ending December 31, 2017, the Organization provided direct services to over 1,900 women and their family members in two perinatal home visitation/case management programs and over 200 women attending weekly classes, with child care provided for their children during class. We provided information or services to over 20,000 people so that they could be covered by health insurance or get to a health practitioner, often to save their lives or provide at least a better quality of life, free from pain or worry. We provided similar information on nutrition benefits and/or helped enroll about 10,000 people into CalFresh, formerly known as Food Stamps. Our Training and Technical assistance increased access to care by spreading our wealth of knowledge about health care programs and services to over 2,000 people working in clinics, social service agencies, schools and government agencies. We provided hundreds of hours of technical assistance to these agencies that helped them help their clients and avoid falling through giant cracks in health coverage systems.MCHAs services include:-Weekly health education classes with child care provided-Bi-weekly breastfeeding support group, with child care provided-Limited housing assistance, food, diapers, clothing and other supplies for families in need-An economic development sewing and arts collective-Assistance with income support through government and private charity programs-Support for health coverage enrollment, renewal, and finding and using a health care practitioner-A case management program for high-risk pregnant and postpartum women-A home visiting program for pregnant and postpartum women and their families; oversight of 14 additional such programs, in a partnership of agencies-An oral health advocacy project to help low-income women and children find dental care and to work on the policy issues for which this assistance helps reveal a need -A CalFresh (food stamp) enrollment/assistance program and training for other agencies-A help line for women having difficulty with health coverage for their pregnancy or womens health -Administrative and individual advocacy and policy work, such as letters and briefs, to improve health coverage and care, as well as social service programs.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Statement of Program Service Accomplishments - 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Welcome Baby is a model home visitation program designed to improve maternal health and birth outcomes, and provide support for pregnant and parenting women and their families. The program promotes the mothers and babys health, well-being and enhanced nurturing, and understanding of babys development. We provide information, support and a trusted parent coach to meet with women and support them through pregnancy and the first nine months of their babies lives. During home visits, the Welcome Baby staff refer clients to needed resources, distribute baby and mom-friendly items, provide breast feeding education, and provide information on accessing health care coverage. Welcome Baby has expanded to 13 program sites countywide, and MCHA helps oversee and support those sites by providing training, consulting and shadowing, which allows new parent coaches to follow and observe an experienced mentor, and MCHA to observe other parent coaches.Total program expenses were $2,239,114.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>