CALIFORNIA BLACK HEALTH NETWORK: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CALIFORNIA BLACK HEALTH NETWORK (EIN 95-3794688)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201543209349313239
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T16:25:27-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 680096068 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Strategic Accounting Solutions | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3520 Hampton Ave | AddressLine1Txt |
| City | Saint Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63139 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953794688 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | California Black Health Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CALI | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 9th Street | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | B Darcel Lee | PersonNm |
| Person Title | Executive Direc | PersonTitleTxt |
| Phone | 9163330613 | PhoneNum |
| Signature | 2015-07-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William Guy Crouch CPA | PreparerPersonNm |
| PTIN | P00643576 | PTIN |
| Phone | 3149254848 | PhoneNum |
| Preparation | 2015-11-16 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,251,918 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cablackhealthnetwork.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To improve the health status of people of African-American descent in California and to eliminate health disparaties through legislative, administrative, and media advocacy | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $500,506 | PYContributionsGrantsAmt |
| CY Contributions Grants | $480,596 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $381,998 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $771,322 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,598 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $919,102 | PYTotalRevenueAmt |
| CY Total Revenue | $1,251,918 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $215,590 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $245,760 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $493,390 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $93,187 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $455,816 | PYOtherExpensesAmt |
| CY Other Expenses | $897,179 | CYOtherExpensesAmt |
| PY Total Expenses | $917,166 | PYTotalExpensesAmt |
| CY Total Expenses | $1,390,569 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,936 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$138,651 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $165,166 | TotalAssetsBOYAmt |
| Total Assets EOY | $101,337 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $136,341 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $213,337 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,825 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$112,000 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To improve the health status of people of African-American descent in California and to eliminate health disparaties through legislative, administrative, and media advocacy | MissionDesc |
| Expense | $522,327 | ExpenseAmt |
| Desc | Contractor for Covered California providing outreach and education activities related to health care insurnace programs available to the African-American community in California. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $363,932 | ExpenseAmt |
| Desc | Grant from the Kaiser Foundation to address a model for the reduction of Black Infant Mortality. Kaiser expenses are 13,698, Other program service accomplishments equal 350,234. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $127,773 | ExpenseAmt |
| Desc | Grant from The California Endowment to address issues and policies related to the affordable Care Act, to Boys and Men of Color, and to environmental health. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,014,032 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 9 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | B Darcel Lee | PersonNm |
| Phone | 9163330613 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 9th Street | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Calvin Freeman | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Donzella Lee | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Rhonda West-Peters | ||||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kevin D Williams | ||||||||
| Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dr Nora M Faine | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr Vickie Alexander | ||||||||
| Secratarty | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dr Nate Allen | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Kristen Johnson | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Derek Leggins | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Angela Minniefield | ||||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| B Darcel Lee | ||||||||
| Executive Director | 40.00 | 0.00 | $99,741 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $99,741 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $115,006 | FundraisingAmt |
| All Other Contributions | $365,590 | AllOtherContributionsAmt |
| Total Contributions | $480,596 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Covered California | 900099 | $522,327 | $522,327 |
| First 5 | 900099 | $248,995 | $248,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $771,322 | TotalProgramServiceRevenueAmt |
| Contri Rpt Fundraising Event | $115,006 | ContriRptFundraisingEventAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,251,918 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $771,322 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,741 | TotalAmt |
| Program Services | $99,741 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,793 | TotalAmt |
| Program Services | $250,747 | ProgramServicesAmt |
| Management And General | $91,046 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,856 | TotalAmt |
| Program Services | $36,260 | ProgramServicesAmt |
| Management And General | $15,419 | ManagementAndGeneralAmt |
| Fundraising | $177 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,416 | TotalAmt |
| Program Services | $3,978 | ProgramServicesAmt |
| Management And General | $3,438 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,396 | TotalAmt |
| Program Services | $699 | ProgramServicesAmt |
| Management And General | $7,623 | ManagementAndGeneralAmt |
| Fundraising | $74 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,467 | TotalAmt |
| Program Services | $3,823 | ProgramServicesAmt |
| Management And General | $39,644 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,123 | TotalAmt |
| Program Services | $30,648 | ProgramServicesAmt |
| Management And General | $10,475 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,677 | TotalAmt |
| Program Services | $17 | ProgramServicesAmt |
| Management And General | $2,529 | ManagementAndGeneralAmt |
| Fundraising | $1,131 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,056 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
| Management And General | $4,556 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,702 | TotalAmt |
| Management And General | $8,702 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,672 | TotalAmt |
| Program Services | $606 | ProgramServicesAmt |
| Management And General | $4,066 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Program Supplies | $2,454 | $2,435 | $19 | |
| Board Expenses | $11,910 | $11,910 | ||
| Other Costs | $154,152 | $73,055 | $200 | $80,897 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,154 | TotalAmt |
| Program Services | $511,523 | ProgramServicesAmt |
| Management And General | $83,723 | ManagementAndGeneralAmt |
| Fundraising | $10,908 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,390,569 | TotalAmt |
| Program Services | $1,014,032 | ProgramServicesAmt |
| Management And General | $283,350 | ManagementAndGeneralAmt |
| Fundraising | $93,187 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,014 | BOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,110 | BOYAmt |
| EOY | $56,885 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $606 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,542 | BOYAmt |
| EOY | $14,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,133 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,653 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,500 | BOYAmt |
| EOY | $29,480 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,166 | BOYAmt |
| EOY | $101,337 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,639 | BOYAmt |
| EOY | $187,904 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,958 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,702 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,475 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,341 | BOYAmt |
| EOY | $213,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,825 | BOYAmt |
| EOY | -$112,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,825 | BOYAmt |
| EOY | -$112,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,166 | BOYAmt |
| EOY | $101,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$138,651 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,174 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $224,766 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $513,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $919,102 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,251,918 | CurrentTaxYearAmt |
| Total | $3,008,980 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $224,766 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $513,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $919,102 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,251,918 | CurrentTaxYearAmt |
| Total | $3,008,980 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,008,980 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $140 | CurrentTaxYearMinus1YearAmt |
| Total | $140 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $140 | CurrentTaxYearMinus1YearAmt |
| Total | $140 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $224,766 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $513,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $919,242 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,251,918 | CurrentTaxYearAmt |
| Total | $3,009,120 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,653 | DepreciationAmt |
| Book Value | $29,480 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,480 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Notes Mortgages and Leases | Desc |
| Amt | $6,475 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,475 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,251,918 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,251,918 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,251,918 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,390,569 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,390,569 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,390,569 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Heros Health | Event1Nm |
| Gross Receipts Event1 | $90,575 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $90,575 | GrossRevenueEvent1Amt |
| Event2 | Golf | Event2Nm |
| Gross Receipts Event2 | $24,431 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $24,431 | GrossRevenueEvent2Amt |
| Gross Receipts Total | $115,006 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $115,006 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $115,006 | NetIncomeSummaryAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Donald Harris | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Father of Key Employee | RelationshipDescriptionTxt |
| Transaction | $20,000 | TransactionAmt |
| Transaction | Loan from Mr Harris to CBHN | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | Office furnishings | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2014-05-01 | DistributionDt |
| Fair Market Value Of Asset | $77,000 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | Thrift Store Value | MethodOfFMVDeterminationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | The annual 990 tax return is reviewed by the Board of Directors prior to it's being signed and filed. |
| CEO executive director top management comp Part VI line 15a | The Board of Directors annually reviews the Executive Directors salary, and considers performance, and duties, as well as compensation of other Executive Directors in organizations of comparable size in the same geographic region. |
| Governing documents etc available to public Part VI line 19 | The governing documents are available for reveiw by the public upon request during regular business hours. |
| List of other expenses Part IX line 24e | These expenses are listed in the overflow statements titled Other Program, General and Administrative and Fundraising related expenses |
| General explanation attachment | During 2013, California Black Health Network performed services under a contract with Covered California to provide education and outreach to members of the African-American community regarding the Affordable Care Act. Contact Information: Covered California, Lezlie Micheletti, 560 J Street, Suite 290, Sacramento, CA 95814. (916) 323-3763. |
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