2026-02-02T19:08:06-06:00 2024-12-31 853893874 PUZDRAK AND STORTZ LLC 11589 JOLLYVILLE RD AUSTIN TX 78759 990 2024-01-01 474034471 CALIFORNIA COVERAGE & HEALTH INITIATIVES CALI 9164049442 836 57TH STREET 445 SACRAMENTO CA 95819 ALEXIS HEATON EXECUTIVE DIRECTOR 9164049442 2026-02-02 1 1 MARK PUZDRAK CPA P01296839 5128272900 2026-02-02 X 2024 2025-03-06 01:10:19Z ALEXIS HEATON 836 57TH STREET 445 SACRAMENTO CA 95819 6762633 0 X CCHI4FAMILIES.ORG X 2015 CA CCHI'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF CALIFORNIA CHILDREN AND FAMILIES BY SUPPORTING ITS MEMBERS IN MEETING THE NEEDS OF THIER COMMUNITIES. 5 4 10 8 0 0 15080186 6762633 0 0 0 0 0 0 15080186 6762633 10501963 5482318 0 0 1307203 1259803 0 0 0 3393901 1456825 15203067 8198946 -122881 -1436313 4311208 2194318 3522596 2731233 788612 -536915 CCHI'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF CALIFORNIA CHILDREN AND FAMILIES BY SUPPORTING ITS MEMBERS IN MEETING THE NEEDS OF THIER COMMUNITIES. 0 0 7623144 5482318 CURRENT ACCOMPLISHMENTS IN 2024 INCLUDE COMPLETING THE MEDI-CAL FOR OLDER ADULTS CONTRACT THAT RUNS APRIL 2022-JUNE 2024 FOR $24,000,000. CENTERS FOR MEDICARE AND MEDICAID SERVICES GRANT OF $1,500,000 FROM JULY 2022-2025. AND ADDITION PHE FUNDING FOR $669,999 GRANTED IN JUNE 2023. 7623144 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 10 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X IRINA BOLOTOV 9164049442 836 57TH STREET 445 SACRAMENTO CA 95819 ELBA GONZALEZ-MARES CHAIRMAN 1.00 X X 0 0 0 GEORGINA MALDONADO DIRECTOR 1.00 X 0 0 0 BRAD ONORATO DIRECTOR 1.00 X 0 0 0 VICTOR MANUEL PEREZ BOARD CHAIR 1.00 X 0 0 0 CYNTHIA PESHEK CFO 1.00 X 0 0 0 MARYELLEN REHSE SECRETARY 1.00 X X 0 0 0 MARMI BERMUDEZ VICE BOARD CHAIR 1.00 X X 0 0 0 MARK DIEL CEO 40.00 X 337497 0 24607 BRIAN DOWD COO 40.00 X 194050 0 4903 531547 0 29510 2 0 1 0 PAC WEST OFFICE DIVERSIFIED LP 620 COOLIDGE DRIVE SUITE 160 FOLSOM CA 95630 OFFICE RENTAL LEASE 115048 CAMPBELL STRATEGYADVOCACY 1414 K STREET SUITE 600 SACRAMENTO CA 95814 SUPPORT FOR ENROLLMENT ASSISTANCE TO MED 107000 2 30500 2532567 4199566 6762633 6762633 0 0 0 5482318 5482318 577898 577898 393453 173732 219721 225388 175705 49683 63064 49162 13902 21364 19507 1857 104199 104093 106 41986 24005 17981 155860 102317 53543 4262 4262 8425 8425 PROFESSIONAL SERVICES 791693 617175 174518 COMMUNICATION OUTREACH 294409 294409 SUB-GRANTEES 26749 26749 OTHER EXPENSES 4121 4121 3757 2823 934 8198946 7623144 575802 0 2327723 503599 1047735 493982 797700 1168243 14116 6974 8198 8198 0 0 123934 21520 4311208 2194318 2848033 1955997 336296 555436 156661 150000 181606 69800 3522596 2731233 X 788612 -536915 788612 -536915 4311208 2194318 X -1436313 110786 X 0 1 X 1 0 X 3295350 4085230 13069737 15011472 6715851 42177640 3295350 4085230 13069737 15011472 6715851 42177640 42177640 5022 7606 68714 46782 128124 42305764 0.99700 0.99780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2020 AMOUNT: $ 5,022. 2022 AMOUNT: $ 7,606. 2023 AMOUNT: $ 68,714. 2024 AMOUNT: $ 46,782. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8198 8198 0 0 BUILDING LEASE LIABILITY 6757 FINANCING LEASE LIABILITY 4909 PAYROLL LIABILITIES 53814 ACCRUED INTEREST 4320 69800 6762633 0 6762633 0 6762633 8198946 0 8198946 0 8198946 1 COMMUNITY HEALTH INITIATIVES 2140 JEFFERSON ST NAPA CA 94559 251924934 1654799 0 OUTREACH/ENROLLMENT COMMUNITY HEALTH PARTNERSHIP 408 N CAPITAL AVE SAN JOSE CA 95133 770352645 153662 0 OUTREACH/ENROLLMENT MERCY FOUND - BAKERSFIELD PO BOX 119 BAKERSFIELD CA 93302 770201321 36752 0 OUTREACH/ENROLLMENT GIVE FOR A SMILE 1811 W KATELLA AVE SUITE 11 ANAHEIM CA 92804 452454983 64820 0 OUTREACH/ENROLLMENT CHILDREN AND FAMILY RESOURCE PO BOX 6307 SANTA BARBRA CA 93160 824121880 342488 0 OUTREACH/ENROLLMENT HEALTHIER KIDS FOUNDATION 4040 MOORPARK AVE STE 100 SAN JOSE CA 95117 770545774 177845 0 OUTREACH/ENROLLMENT VENTURA COUNTY PUBLIC HEALTH 2220 E GONZALES ROAD STE OXNARD CA 93036 956000944 54919 0 OUTREACH/ENROLLMENT HIGH DESERT COMMUNITY FOUNDATION PO BOX 2028 APPLE VALLEY CA 92307 841179212 725524 0 OUTREACH/ENROLLMENT LEGAL AID SOCY OF SAN DIEGO 110 S EUCLID AVENUE SAN DIEGO CA 92114 951869806 639428 0 OUTREACH/ENROLLMENT SAN DIEGANS FOR HTHCARE COV 1850 FIFTH AVE STE 16 SAN DIEGO CA 92101 470846723 52083 0 OUTREACH/ENROLLMENT YOLO COUNTY CHILDRENS' ALLIAN 600 A ST STE Y DAVIS CA 95616 680526185 131229 0 OUTREACH/ENROLLMENT SANTA CRUZ COMM HEALTH CETR 125 WATER ST SUITE A2 SUITE SANTA CRUZ CA 95060 237428303 7992 0 OUTREACH/ENROLLMENT ALAMEDA HEALTH CONSORTIUM 101 CALLAN AVE SAN LEANARDO CA 94577 141766 0 OUTREACH/ENROLLMENT ALIADOS HEALTH 1310 REDWOOD WAY PETALUMA CA 94999 156708 0 OUTREACH/ENROLLMENT CCLINIC ASSOC OF LA COUNTY UBANK PLAZA 445 S FIGUEROA LOS ANGELES CA 90071 323478 0 OUTREACH/ENROLLMENT FIRST 5 SANTA CRUZ COUNTY 4450 CAPITOLA RD STE 106 CAPITOLA CA 95010 56588 0 OUTREACH/ENROLLMENT KERN COUNTY DEPT OF HUMAN S 100 E CALIFORNIA AVE BAKERSFIELD CA 93307 263478 0 OUTREACH/ENROLLMENT REDWOODS RURAL HEALTH CENTERS 101 WEST COAST RD B REDWAY CA 95560 80548 0 OUTREACH/ENROLLMENT SAN MATEO C HEALTH COVERAGE U 222 WEST 39 AVENUE SAN MATEO CA 94403 103846 0 OUTREACH/ENROLLMENT CHI OC 22481 ASPAN STREET SUITE LAKE FOREST CA 92630 312758 0 OUTREACH/ENROLLMENT PART I, LINE 2: SITE 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. 0 0 0 0 0 0 0 0 0 MARK DIEL CEO 337497 0 0 0 0 0 24607 0 0 0 362104 0 0 0 ELBA GONZALEZ-MARES ED OF COMMUNITY HEALTH 1681548 SUBGRANT OUTREACH/ENROLL GEORGINA MALDONADO ED OF CHI OC ORGANIZATION 312758 SUBGRANT OUTREACH/ENROLL MARYELLEN ROSE ED OF CHILDREN FAMILY RESOURCES 342488 SUBGRANT OUTREACH/ENROLL KATHLEEN KING CEO OF HEALTHY KIDS FOUNDATION 103846 SUBGRANT OUTREACH/ENROLL FORM 990, PART VI, SECTION B, LINE 11B THE REVIEW PROCESS INCOLVES A DETAILED MEETING WITH CPA FIRM AND THE EXECUTIVE DIRECTOR. AFTER DISCUSSION, THE EXECUTIVE DIRECTOR AND MANAGEMNT 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. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL AND ONGOING DISCLOSURES BY OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ANY DISCLOSED CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS, AND APPROPRIATE ACTIONS ARE TAKEN IN ACCORDANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE 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 RESPONISBLE FOR THE MANAGEMENT OF THE ORGANIZATION, IT'S VOLUNTEERS AND SECURING IT'S FUNDING. FORM 990, PART VI, SECTION C, LINE 19 NO OTHER DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: RESTATEMENT 110,786.