HEALTHIER KIDS FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHIER KIDS FOUNDATION INC (EIN 77-0545774)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-11
- IRS object ID
- 201340429349300029
- Schema version
- 2011v1.2
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-11T18:17:13-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942847272 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELUCCHI HAWN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770545774 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA CLARA FAMILY HEALTH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SANT | NameControl |
| Phone | 4088741999 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 E HACIENDA AVENUE | AddressLine1 |
| City | CAMPBELL | City |
| State | CA | State |
| ZIP Code | 950086617 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHLEEN M KING | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 4088741999 | Phone |
| Date Signed | 2013-02-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PETER J MALUTTA | Name |
| PTIN | P00445699 | PTIN |
| Phone | 4082862200 | Phone |
| Date Prepared | 2013-01-23 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KATHLEEN M KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 E HACIENDA AVENUE | AddressLine1 |
| City | CAMPBELL | City |
| State | CA | State |
| ZIP Code | 95008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2101407 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HEALTHYFAMILYFUND.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROMOTES ACCESS TO AFFORDABLE, HIGH QUALITY HEALTHCARE THROUGH RESOURCE DEVELOPMENT AND OUTREACH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1283336 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2025695 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7993 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4006 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -25 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1291304 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2029701 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 125000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 16000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 419380 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 476074 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 159863 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1339214 | OtherExpensePriorYear |
| Other Expenses Current Year | 1677920 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1883594 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2169994 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -592290 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -140293 | RevenuesLessExpensesCY |
| Total Assets BOY | 2047510 | TotalAssetsBOY |
| Total Assets EOY | 1940910 | TotalAssetsEOY |
| Total Liabilities BOY | 132756 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 166449 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1914754 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1774461 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROMOTES ACCESS TO AFFORDABLE, HIGH QUALITY HEALTHCARE THROUGH RESOURCE DEVELOPMENT AND OUTREACH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1433997 | Expense |
| Revenue | 4006 | Revenue |
| Description | HEALTHY KIDS PROGRAM: COMPREHENSIVE MEDICAL, DENTAL, VISION AND MENTAL HEALTH COVERAGE FOR LOW INCOME CHILDREN RESIDING IN SANTA CLARA COUNTY. PROGRAM PROVIDES HEALTH COVERAGE TO APPROXIMATELY 6,500 CHILDREN EACH MONTH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 36294 | Expense |
| Description | COMMUNITY OUTREACH & RETENTION: OUTREACH, ENROLLMENT AND RETENTION ACTIVITIES THROUGH THE CHILDREN'S HEALTH INITIATIVE TO IDENTIFY AND ASSIST PARENTS OF UNINSURED CHILDREN IN APPLYING FOR SUBSIDIZED HEALTH COVERAGE FOR THEIR CHILDREN OR ASSIST CURRENTLY INSURED CHILDREN RETAIN THEIR SUBSIDIZED HEALTH COVERAGE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 224800 | Expense |
| Description | SENIORS AND PEOPLE WITH DISABILITIES PROJECT: THE DEVELOPMENT AND IMPLEMENTATION OF AN ONLINE PORTAL TO COLLECT MEDICAL HISTORY DATA ON SPECIAL PERSONS WITH DISABILITIES (SPDS) SO THAT PATIENTS, PROVIDERS AND SANTA CLARA FAMILY HEALTH PLAN ARE ABLE TO BETTER MANAGE THEIR CARE. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 19418 | SCHOOL OUTREACH PROGRAM:OUTREACH AND ENROLLMENT ASSISTANCE FOR UNINSURED, SCHOOL-AGED CHILDREN. |
| 68078 | TECHNOLOGY PROJECTS: VARIOUS TECHNOLOGY PROJECTS TO ENSURE THAT SANTA CLARA FAMILY HEALTH PLAN HAS THE TECHNOLOGICAL EQUIPMENT NEEDED TO SERVE ITS MEMBERS IN THE MOST EFFECTIVE AND EFFICIENT MANNER. |
| 3138 | GARDNER FAMILY PROJECT: RESEARCH PROJECT TO DETERMINE THE FEASIBILITY OF DEVELOPING AND IMPLEMENTING A NEW HEALTH COVERAGE PROGRAM FOR UNINSURED CHILDREN AGES 0-5 AND THEIR UNINSURED PARENTS AND SIBILINGS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 90634 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 1785725 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMILY M HENNESSY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4088741912 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 E HACIENDA AVENUE | AddressLine1 |
| City | CAMPBELL | City |
| State | CA | State |
| ZIP Code | 95008 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| RON COHN | ||||||
| BOARD MEMBER & CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| SUNSHINE BORELLI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CINDY CHAVEZ | ||||||
| BOARD MEMBER & SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| ELIZABETH DARROW | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 277054 | 50442 | |
| DANA DITMORE | ||||||
| BOARD MEMBER & TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| REYMUNDO ESPINOZA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CHRISTOPHER B GIORDANO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| HON KATHLEEN M KING | ||||||
| BOARD MEMBER & EXECUTIVE D | 40.00 | X | X | 159809 | 0 | 22120 |
| EMILY LAM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NGAI X NGUYEN MD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| QUYEN VUONG | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SANDRA WHEATLEY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| E CHRISTOPHER WILDER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SUSIE WILSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JUDY CHIRCO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NORA CAMPOS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BRAD LAMBERT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| EMILY HENNESSY | ||||||
| FINANCE DIRECTOR | 40.00 | X | 98723 | 0 | 35165 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 258532 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 277054 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 107727 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 398345 | FundraisingEvents |
| Related Organizations | 338819 | RelatedOrganizations |
| Government Grants | 297162 | GovernmentGrants |
| All Other Contributions | 991369 | AllOtherContributions |
| Noncash Contributions | 183463 | NoncashContributions |
| Total Contributions | 2025695 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4006 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4006 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 71706 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 398345 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 71706 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2029701 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4006 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16000 | Total |
| Program Services | 16000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258532 | Total |
| Program Services | 53345 | ProgramServices |
| Management And General | 100728 | ManagementAndGeneral |
| Fundraising | 104459 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114535 | Total |
| Program Services | 114535 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103007 | Total |
| Program Services | 46353 | ProgramServices |
| Management And General | 27812 | ManagementAndGeneral |
| Fundraising | 28842 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2948 | Total |
| Management And General | 2948 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28600 | Total |
| Management And General | 28600 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30432 | Total |
| Program Services | 2775 | ProgramServices |
| Management And General | 27657 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18475 | Total |
| Fundraising | 18475 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19042 | Total |
| Program Services | 503 | ProgramServices |
| Management And General | 10691 | ManagementAndGeneral |
| Fundraising | 7848 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12000 | Total |
| Management And General | 12000 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5167 | Total |
| Program Services | 1519 | ProgramServices |
| Management And General | 3409 | ManagementAndGeneral |
| Fundraising | 239 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| HEALTHY KIDS PREMIUMS | 1012134 | 1012134 | |
| OTHER PROGRAMS | 501658 | 501658 | |
| HEALTHY KIDS HARDSHIP F | 33403 | 33403 | |
| MEMBERSHIP FEES | 7690 | 3500 | 4190 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6371 | Total |
| Management And General | 6371 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2169994 | Total |
| Program Services | 1785725 | ProgramServices |
| Management And General | 224406 | ManagementAndGeneral |
| Fundraising | 159863 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -82585 | BOY |
| EOY | 29091 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1644289 | BOY |
| EOY | 1321785 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63000 | BOY |
| EOY | 402500 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 422806 | BOY |
| EOY | 177386 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 10148 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2047510 | BOY |
| EOY | 1940910 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69986 | BOY |
| EOY | 152949 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62770 | BOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 13500 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132756 | BOY |
| EOY | 166449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1810458 | BOY |
| EOY | 1320871 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104296 | BOY |
| EOY | 453590 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1914754 | BOY |
| EOY | 1774461 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2047510 | BOY |
| EOY | 1940910 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -140293 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3420660 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4298124 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2450920 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 920656 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2025695 | CurrentTaxYear |
| Total | 13116055 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3420660 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4298124 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2450920 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 920656 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2025695 | CurrentTaxYear |
| Total | 13116055 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 13116055 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 212195 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -37362 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11036 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7993 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4006 | CurrentTaxYear |
| Total | 197868 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3322597 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 139967 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 139932 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 411634 | CurrentTaxYearMinus1Year |
| Current Tax Year | 71706 | CurrentTaxYear |
| Total | 4085836 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 17399759 | TotalSupport |
| Public Support Pertcentage170 | 0.75380 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.78170 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 244180 | CurrentYearMinus1 |
| Total | 244180 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $366,270 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 199000 | CurrentYearMinus1 |
| Total | 199000 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 61045 | CurrentYearMinus1 |
| Total | 61045 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $91,568 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 2029701 | TotalRevenue |
| Total Expenses | 2169994 | TotalExpenses |
| Excess Or Deficit For Year | -140293 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -140293 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2029701 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 2029701 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2029701 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2169994 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2169994 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2169994 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WINE TASTING BENEFIT | NameOfEvent1 |
| Gross Receipts Event1 | 161995 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 136355 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 25640 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 4726 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 14030 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 6884 | OtherDirectExpensesEvent1 |
| Name Of Event2 | TURKEY TROT | NameOfEvent2 |
| Gross Receipts Event2 | 204000 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 204000 | CharitableContributionsEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 104056 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 57990 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 46066 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 46066 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 470051 | GrossReceiptsTotal |
| Charitable Contributions Total | 398345 | CharitableContributionsTotal |
| Gross Revenue Total Events | 71706 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 4726 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 14030 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 52950 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 71706 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WORKING PARTNERSHIP USA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2102 ALMADEN ROAD STE 107 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 95125 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 770387535 | EINOfRecipient |
| Amount Of Cash Grant | 16000 | AmountOfCashGrant |
| Purpose Of Grant | TO SUPPORT 2012 LIVE REPORT | PurposeOfGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ON RARE OCCASIONS, SANTA CLARA FAMILY HEALTH FOUNDATION 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 EXECUTIVE DIRECTOR 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH DARROW | |||||||||||||
| 0 | 277054 | 0 | 0 | 0 | 0 | 0 | 41255 | 0 | 9187 | 0 | 327496 | 0 | 0 |
| HON KATHLEEN M KING | |||||||||||||
| 159809 | 0 | 0 | 0 | 0 | 0 | 22105 | 0 | 15 | 0 | 181929 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | PHONE SYSTEM | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 183463 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S EXECUTIVE DIRECTOR, WHO ALSO IS A VOTING MEMBER OF THE BOARD OF DIRECTORS, REVIEWS AND APPROVES THE IRS FORM 990. THE BOARD-APPOINTED AUDIT COMMITTEE, ALL OF WHOM ARE VOTING MEMBERS OF THE BOARD OF DIRECTORS, REVIEWS THE FORM 990 AND PROVIDES APPROVAL PRIOR TO FILING THE DOCUMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | STAFF DISTRIBUTE 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 | THE ORGANIZATION POSTS ITS IRS FORM 990 AND AUDITED FINANCIAL STATEMENTS ON GUIDESTAR.ORG. THE ORGANIZATION DISTRIBUTES ITS IRS FORM 990 TO FUNDERS AND ANY OTHER ENTITIES OR INDIVIDUALS WHO REQUEST IT. IT ALSO DISTRIBUTES ITS AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS TO ITS BOARD OF DIRECTORS AND FUNDERS. WHEN REQUESTED, THE ORGANIZATION DISTRIBUTES ITS CONFLICT OF INTEREST STATEMENTS TO ENTITIES AND/OR INDIVIDUALS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA CLARA COUNTY HEALTH AUTHORITY | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN | 770423586 | EIN |
| Primary Activities | ENTITY FOR WHICH THE ORGANIZATION CONDUCTS RESOURCE DEVELOPMENT AND OUTREACH | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SANTA CLARA COUNTY HEALTH AUTHORITY | ||
| N | 335681 | TOTAL WAGES PAID |
| SANTA CLARA COUNTY HEALTH AUTHORITY | ||
| O | 1012134 | HEALTHY KID PREMIUMS |
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