HEALTHIER KIDS FOUNDATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHIER KIDS FOUNDATION INC (EIN 77-0545774)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-02-13
- IRS object ID
- 201500449349302640
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-13T17:19:08-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 942847272 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELUCCHI HAWN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 W SANTA CLARA ST STE 750 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 951131716 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770545774 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHIER KIDS FOUNDATION SANTA CLARA COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 4085645114 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4010 MOORPARK AVENUE NO 118 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 95117 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN M KING | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4085645114 | PhoneNum |
| Signature | 2015-02-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PETER J MALUTTA | PreparerPersonNm |
| PTIN | P00445699 | PTIN |
| Phone | 4082862200 | PhoneNum |
| Preparation | 2015-02-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | KATHLEEN M KING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4010 MOORPARK AVENUE NO 118 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 95117 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,919,678 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HKIDSF.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROMOTES ACCESS TO AFFORDABLE HIGH QUALITY HEALTHCARE THROUGH RESOURCE DEVELOPMENT AND OUTREACH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 13 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,271,353 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,875,375 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,307 | PYInvestmentIncomeAmt |
| CY Investment Income | $70 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,273,660 | PYTotalRevenueAmt |
| CY Total Revenue | $1,875,445 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $55,750 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $73,029 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $477,874 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $925,310 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $156,902 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,805,676 | PYOtherExpensesAmt |
| CY Other Expenses | $743,454 | CYOtherExpensesAmt |
| PY Total Expenses | $3,339,300 | PYTotalExpensesAmt |
| CY Total Expenses | $1,741,793 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$65,640 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $133,652 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,401,323 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,083,943 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $692,502 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $241,470 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,708,821 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,842,473 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENSURE ACCESS TO AND ADVOCACY FOR HEALTH CARE SERVICES FOR ALL CHILDREN THROUGH FAMILY-CENTERED AND INNOVATIVE APPROACHES. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $314,287 | ExpenseAmt |
| Desc | FOCUSFIRST PROGRAM: USING HIGH QUALITY PHOTO-OPTIC DIGITAL SCAN EQUIPMENT, SCREEN CHILDREN FOR VISION ISSUES AND PROVIDE FOLLOW UP TO THOSE PARENTS WHOSE CHILDREN'S RESULTS DETERMINED THAT THEY HAVE UNTREATED VISION ISSUES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $265,585 | ExpenseAmt |
| Desc | COMMUNITY OUTREACH: OUTREACH AND ENROLLMENT ACTIVITIES TO IDENTIFY UNINSURED CHILDREN AND ASSIST THEIR PARENTS IN APPLYING FOR AND ENROLLING THEIR CHILDREN INTO SUBSIDIZED HEALTH COVERAGE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $295,431 | ExpenseAmt |
| Desc | BABY GATEWAY PROGRAM: ASSISTANCE PROVIDED TO MEDICAL MOTHERS TO ENROLL THEIR NEWBORNS INTO MEDI--CAL, SELECT A HEALTH PLAN, SELECT A PEDIATRICIAN, SCHEDULE THE NEWBORNS' FIRST DOCTOR'S APPOINTMENT, AND PROVIDE PARENTING AND HEALTH RESOURCES AT BEDSIDE BEFORE MOTHERS AND NEWBORNS ARE DISCHARGED FROM THE HOSPITAL. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (6 entries)
| ExpenseExpenseAmt | GrantGrantAmt | DescDesc |
|---|---|---|
| $41,355 | $63,129 | HEALTHY KIDS PROGRAM: COMPREHENSIVE MEDICAL, DENTAL, VISION, AND MENTAL HEATLH COVERAGE FOR LOW-INCOME CHILDREN RESIDING IN SANTA CLARA COUNTY. PROGRAM PROVIDES HEALTH COVERAGE TO AN AVERAGE OF 5,600 CHILDREN EACH MONTH. |
| $88,114 | 5 KEYS PROGRAM: A PARENTING CLASS FOR PARENTS AND CAREGIVERS ON THE DIVISION OF RESPONSIBILITY FOR FEEDING YOUNG CHILDREN. | |
| $50,245 | 10 STEPS TO A HEALTHIER LIFESTYLE: A THREE-CLASS SERIES FOR PARENTS AND CAREGIVERS ON HOW TO IMPLEMENT HEALTHY LIFESTYLES IN THEIR HOMES | |
| $91,188 | DENTALFIRST PROGRAM: SCREEN CHIKDREN FOR DENTAL ISSUES AND PROVIDE FOLLOW UP TO THOSE PARENTS WHOSE CHILDREN'S RESULTS DETERMINED THAT THEY HAVE UNTREATED DENTAL ISSUES. | |
| $18,100 | HEARINGFIRST PROGRAM: SCREEN CHILDREN FOR HEARING ISSUES AND PROVIDE FOLLOW UP TO THOSE PARENTS WHOSE CHILDREN'S RESULTS DETERMINED THAT THEY HAVE UNTREATED HEARING ISSUES. | |
| $9,900 | VARIOUS OTHERS: |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $289,002 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $73,029 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $1,164,305 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 13 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMILY M HENNESSY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4085645114 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4010 MOORPARK AVENUE NO 118 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 95117 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BRAD LAMBERT | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTOPHER B GIORDANO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANA DITMORE | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| E CHRISTOPHER WILDER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EMILY LAM | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JUDY CHIRCO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN M KING | ||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $187,142 | $0 | $27,104 |
| LIZZ VILARDO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NGAI X NGUYEN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NORA CAMPOS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| QUYEN VUONG | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REYMUNDO ESPINOZA | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSIE WILSON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RICH CONSTANTINE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LESLIE CROSS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RHONDA FARBER PHD | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOCELYNN MAIER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SARIA TSENG | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EMILY HENNESSY | ||||||
| VICE PRESIDENT OF FINANCE & PROGRAMS | 40.00 | Yes (X) | $125,874 | $0 | $23,698 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $313,016 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $50,802 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $114,251 | FundraisingAmt |
| Government Grants | $1,236,235 | GovernmentGrantsAmt |
| All Other Contributions | $524,889 | AllOtherContributionsAmt |
| Noncash Contributions | $1,770 | NoncashContributionsAmt |
| Total Contributions | $1,875,375 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $185 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $800 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $915 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$115 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$115 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$115 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $43,318 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $114,251 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $43,318 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,875,445 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,029 | TotalAmt |
| Program Services | $73,029 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,016 | TotalAmt |
| Program Services | $23,721 | ProgramServicesAmt |
| Management And General | $187,809 | ManagementAndGeneralAmt |
| Fundraising | $101,486 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,539 | TotalAmt |
| Program Services | $458,746 | ProgramServicesAmt |
| Management And General | $11,793 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,414 | TotalAmt |
| Program Services | $8,289 | ProgramServicesAmt |
| Management And General | $9,979 | ManagementAndGeneralAmt |
| Fundraising | $4,146 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,341 | TotalAmt |
| Program Services | $44,132 | ProgramServicesAmt |
| Management And General | $53,135 | ManagementAndGeneralAmt |
| Fundraising | $22,074 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,817 | TotalAmt |
| Management And General | $25,817 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,850 | TotalAmt |
| Management And General | $28,850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,061 | TotalAmt |
| Program Services | $418,879 | ProgramServicesAmt |
| Management And General | $19,182 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,479 | TotalAmt |
| Program Services | $6,548 | ProgramServicesAmt |
| Management And General | $45,835 | ManagementAndGeneralAmt |
| Fundraising | $13,096 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,644 | TotalAmt |
| Program Services | $20,751 | ProgramServicesAmt |
| Management And General | $5,929 | ManagementAndGeneralAmt |
| Fundraising | $2,964 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,251 | TotalAmt |
| Program Services | $10,167 | ProgramServicesAmt |
| Management And General | $3,516 | ManagementAndGeneralAmt |
| Fundraising | $4,568 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,913 | TotalAmt |
| Program Services | $2,113 | ProgramServicesAmt |
| Management And General | $2,800 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,256 | TotalAmt |
| Program Services | $9,279 | ProgramServicesAmt |
| Management And General | $2,651 | ManagementAndGeneralAmt |
| Fundraising | $1,326 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $38,137 | $30,323 | $7,814 | |
| HEALTHY KIDS PREMIUM | $35,088 | $35,088 | ||
| PRINTING | $16,973 | $8,879 | $1,617 | $6,477 |
| MISCELLANEOUS | $10,425 | $5,405 | $5,020 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,560 | TotalAmt |
| Program Services | $8,956 | ProgramServicesAmt |
| Management And General | $8,839 | ManagementAndGeneralAmt |
| Fundraising | $765 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,741,793 | TotalAmt |
| Program Services | $1,164,305 | ProgramServicesAmt |
| Management And General | $420,586 | ManagementAndGeneralAmt |
| Fundraising | $156,902 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,271 | BOYAmt |
| EOY | $70,498 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,493,516 | BOYAmt |
| EOY | $1,366,022 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,500 | BOYAmt |
| EOY | $195,766 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,598 | BOYAmt |
| EOY | $371,595 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,476 | BOYAmt |
| EOY | $26,328 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,415 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,209 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,434 | BOYAmt |
| EOY | $51,206 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,528 | BOYAmt |
| EOY | $2,528 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,323 | BOYAmt |
| EOY | $2,083,943 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $690,002 | BOYAmt |
| EOY | $241,470 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,502 | BOYAmt |
| EOY | $241,470 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,385,181 | BOYAmt |
| EOY | $1,417,505 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,640 | BOYAmt |
| EOY | $424,968 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,708,821 | BOYAmt |
| EOY | $1,842,473 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,323 | BOYAmt |
| EOY | $2,083,943 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $133,652 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,450,920 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $920,656 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,025,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,211,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,761,124 | CurrentTaxYearAmt |
| Total | $10,369,783 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,450,920 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $920,656 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,025,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,211,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,761,124 | CurrentTaxYearAmt |
| Total | $10,369,783 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,369,783 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,036 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,993 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,006 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,307 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $185 | CurrentTaxYearAmt |
| Total | $25,527 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $139,932 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $411,634 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,706 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,318 | CurrentTaxYearAmt |
| Total | $726,555 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,121,865 | TotalSupportAmt |
| Public Support CY170 | 0.93240 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,739,682 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,739,682 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $236,984 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $59,246 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $244,180 | CurrentYearMinus3Amt |
| Current Year Minus1 | $316,965 | CurrentYearMinus1Amt |
| Current Year | $236,984 | CurrentYearAmt |
| Total | $798,129 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,197,194 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $199,000 | CurrentYearMinus3Amt |
| Current Year Minus1 | $255,960 | CurrentYearMinus1Amt |
| Total | $454,960 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $61,045 | CurrentYearMinus3Amt |
| Current Year Minus1 | $79,241 | CurrentYearMinus1Amt |
| Current Year | $59,246 | CurrentYearAmt |
| Total | $199,532 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $299,298 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $49,432 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $4,621 | DepreciationAmt |
| Book Value | $44,811 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $6,983 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $588 | DepreciationAmt |
| Book Value | $6,395 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $51,206 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,875,445 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,875,445 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,875,445 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,741,793 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,741,793 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,741,793 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WINE TASTING BENEFIT | NameOfEvent1Amt |
| Gross Receipts Event1 | $141,549 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $108,430 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $33,119 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $5,170 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $18,998 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $8,951 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | SYMPOSIUM | NameOfEvent2Amt |
| Gross Receipts Event2 | $16,020 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $5,821 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $10,199 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $1,784 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $8,415 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $157,569 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $114,251 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $43,318 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $5,170 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $20,782 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $17,366 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $43,318 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA CLARA COUNTY HEALTH AUTHORITY | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 EAST HACIENDA AVENUE | AddressLine1 |
| City | CAMPBELL | City |
| State | CA | State |
| ZIP Code | 95008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 770423586 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $63,129 | CashGrantAmt |
| Purpose Of Grant | HEALTHY KIDS PREMIUM FUND | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE I, PART I, LINE 2: OCCASIONALLY, ORGANIZATION MAKES GRANTS TO DOMESTIC ENTITIES. IT DOES NOT SOLICIT GRANT REQUESTS, BUT RATHER MAKES GRANTS TO ORGANIZATIONS THAT SERVE THE SAME POPULATION AS THE FOUNDATION. THE ELIGIBILITY CRITERIA IS DETERMINED BY THE CEO AND THE SELECTION PROCESS IS DETERMINED BY THE BOARD OF DIRECTORS. THE FOUNDATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS, WHICH IS DETERMINED BY NEED AND AVAILABLE RESOURCES | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN M KING | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $187,142 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $9,228 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $17,876 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $214,246 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | 5 KEYS PROGRAM DENTALFIRST PROGRAM HEARINGFIRST PROGRAM |
| FORM 990, PART III, LINE 3 | HEALTHIER KIDS FOUNDATION DISCONTINUED RAISING FUNDS TO SUPPORT THE PROGRAMS AND PROJECTS OF SANTA CLARA FAMILY HEALTH PLAN IN JUNE 2013. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO OF HEALTHIER KIDS FOUNDATION, WHO ALSO IS A VOTING MEMBER OF THE BOARD OF DIRECTORS, REVIEWS AND APPROVES THE IRS FORM 990. THE BOARD-APPOINTED AUDIT COMMITTEE, CONSISTING OF ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS, REVIEWS THE FORM 990 AND PROVIDES APPROVAL PRIOR TO FILING THE DOCUMENT. THE APPROVED IRS FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL TO SUBMIT IT TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | STAFF DISTRIBUTES A CONFLICT OF INTEREST STATEMENT TO EACH BOARD MEMBER ON AN ANNUAL BASIS AND ONCE NEW MEMBERS ARE APPOINTED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | HEALTHIER KIDS FOUNDATION POSTS ITS AUDITED FINANCIAL STATEMENTS ON GUIDESTAR.ORG. IT ALSO DISTRIBUTES ITS AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS TO ITS BOARD OF DIRECTORS AND FUNDERS. WHEN REQUESTED, HEALTHIER KIDS FOUNDATION DISTRIBUTES CONFLICT OF INTEREST STATEMENTS TO ENTITIES AND/OR INDIVIDUALS. |
| FORM 990, PART IX, LINE 11G | CONSULTING: PROGRAM SERVICE EXPENSES 418,879. MANAGEMENT AND GENERAL EXPENSES 16,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,872. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,189. |
| FORM 990, PART XII, LINE 2C: | THE ROLE OF THE BOARD-APPOINTED AUDIT COMMITTEE FOR HEALTHIER KIDS FOUNDATION IS TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES WITH RESPECT TO (1) THE AUDIT OF THE ORGANIZATION'S ACCOUNTING PRACTICES, BOOKS, AND RECORDS; AND (2) THE SYSTEM OF INTERNAL CONTROLS THAT THE ORGANIZATION HAS ESTABLISHED. IN CARRYING OUT ITS OVERSIGHT RESPONSIBILITIES, THE AUDIT COMMITTEE REVIEWS AND ASSESSES THE ORGANIZATION'S ACCOUNTING AND FINANCIAL REPORTING CONTROLS; REVIEWS WITH STAFF AND OUTSIDE AUDITORS ACCOUNTING AND REPORTING PRINCIPLES, PRACTICES, AND PROCEDURES APPLIED BY THE ORGANIZATION IN PREPARING ITS FINANCIAL STATEMENTS; REVIEWS THE OUTSIDE AUDITORS' ANNUAL AUDIT; ADDRESSES WITH STAFF ANY ISSUES DISCOVERED DURING THE ANNUAL AUDIT AND ANY RECOMMENDATIONS MADE BY OUTSIDE AUDITORS; RECOMMENDS TO THE BOARD FOR APPROVAL OR ACCEPTANCE OF ANNUAL AUDITS AND FINANCIAL STATEMENTS; AND RECOMMENDS THE SELECTION, RETENTION, OR TERMINATION OF OUTSIDE AUDITORS. |
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